161 research outputs found

    Fluvial incision into bedrock: Insights from morphometric analysis and numerical modeling of gorges incising glacial hanging valleys (Western Alps, France)

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    International audienceBedrock gorges incising glacial hanging valleys potentially allow measurements of fluvial bedrock incision in mountainous relief. Using digital elevation models, topographic maps, and field reconnaissance, we identified and characterized 30 tributary hanging valleys incised by gorges near their confluence with trunk streams in the Romanche watershed, French Western Alps. Longitudinal profiles of these tributaries are all convex and have abrupt knickpoints at the upper limit of oversteepened gorge reaches. We reconstructed initial glacial profiles from glacially polished bedrock knobs surrounding the gorges in order to quantify the amount of fluvial incision and knickpoint retreat. From morphometric analyses, we find that mean channel gradients and widths, as well as knickpoint retreat rates, display a drainage area dependence modulated by bedrock lithology. However, there appears to be no relation between horizontal retreat and vertical downwearing of knickpoints. Assuming a postglacial origin of these gorges, our results imply high postglacial fluvial incision (0.5-15 mm yr−1) and knickpoint retreat (1-200 mm yr−1) rates that are, however, consistent with previous estimates. Numerical modeling was used to test the capacity of different fluvial incision models to predict the inferred evolution of the gorges. Results from simple end‐member models suggest transport‐limited behavior of the bedrock gorges. A more sophisticated model including dynamic width adjustment and sediment‐dependent incision rates predicts present‐day channel geometry only if a significant supply of sediment from the gorge sidewalls (∼10 mm yr−1) is triggered by gorge deepening, combined with pronounced inhibition of bedrock incision by sediment transport and deposition

    Resveratrol Preserves Cerebrovascular Density and Cognitive Function in Aging Mice

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    Resveratrol, a natural polyphenol abundant in grapes and red wine, has been reported to exert numerous beneficial health effects. Among others, acute neuroprotective effects of resveratrol have been described in several models of neurodegeneration, both in vitro and in vivo. In the present study we examined the neuroprotective effects of long-term dietary supplementation with resveratrol in mice on behavioral, neurochemical and cerebrovascular level. We report a preserved cognitive function in resveratrol-treated aging mice, as shown by an enhanced acquisition of a spatial Y-maze task. This was paralleled by a higher microvascular density and a lower number of microvascular abnormalities in comparison to aging non-treated control animals. We found no effects of resveratrol supplementation on cholinergic cell number or fiber density. The present findings support the hypothesis that resveratrol exerts beneficial effects on the brain by maintaining cerebrovascular health. Via this mechanism resveratrol can contribute to the preservation of cognitive function during aging

    Naturally Occurring Lipid A Mutants in Neisseria meningitidis from Patients with Invasive Meningococcal Disease Are Associated with Reduced Coagulopathy

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    Neisseria meningitidis is a major cause of bacterial meningitis and sepsis worldwide. Lipopolysaccharide (LPS), a major component of the Gram-negative bacterial outer membrane, is sensed by mammalian cells through Toll-like receptor 4 (TLR4), resulting in activation of proinflammatory cytokine pathways. TLR4 recognizes the lipid A moiety of the LPS molecule, and the chemical composition of the lipid A determines how well it is recognized by TLR4. N. meningitidis has been reported to produce lipid A with six acyl chains, the optimal number for TLR4 recognition. Indeed, meningococcal sepsis is generally seen as the prototypical endotoxin-mediated disease. In the present study, we screened meningococcal disease isolates from 464 patients for their ability to induce cytokine production in vitro. We found that around 9% of them were dramatically less potent than wild-type strains. Analysis of the lipid A of several of the low-activity strains by mass spectrometry revealed they were penta-acylated, suggesting a mutation in the lpxL1 or lpxL2 genes required for addition of secondary acyl chains. Sequencing of these genes showed that all the low activity strains had mutations that inactivated the lpxL1 gene. In order to see whether lpxL1 mutants might give a different clinical picture, we investigated the clinical correlate of these mutations in a prospective nationwide observational cohort study of adults with meningococcal meningitis. Patients infected with an lpxL1 mutant presented significantly less frequently with rash and had higher thrombocyte counts, consistent with reduced cytokine induction and less activation of tissue-factor mediated coagulopathy. In conclusion, here we report for the first time that a surprisingly large fraction of meningococcal clinical isolates have LPS with underacylated lipid A due to mutations in the lpxL1 gene. The resulting low-activity LPS may have an important role in virulence by aiding the bacteria to evade the innate immune system. Our results provide the first example of a specific mutation in N. meningitidis that can be correlated with the clinical course of meningococcal disease

    Nature of c-axis coupling in underdoped Bi2Sr2CaCu2O8 with varying degrees of disorder

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    The dependence of the Josephson Plasma Resonance (JPR) frequency in heavily underdoped Bi2Sr2CaCu2O8+\delta on temperature and controlled pointlike disorder, introduced by high-energy electron irradiation, is cross-correlated and compared to the behavior of the ab-plane penetration depth. It is found that the zero temperature plasma frequency, representative of the superfluid component of the c-axis spectral weight, decreases proportionally with T_c when the disorder is increased. The temperature dependence of the JPR frequency is the same for all disorder levels, including pristine crystals. The reduction of the c-axis superfluid density as function of disorder is accounted for by pair-breaking induced by impurity scattering in the CuO2 planes, rather than by quantum fluctuations of the superconducting phase. The reduction of the c-axis superfluid density as function of temperature follows a T^{2}--law and is accounted for by quasi-particle hopping through impurity induced interlayer states.Comment: 10 pages, 9 Figure

    Vortex fluctuations in underdoped Bi2Sr2CaCu2O8+d crystals

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    Vortex thermal fluctuations in heavily underdoped Bi2Sr2CaCu2O8+d (Tc=69.4 K) are studied using Josephson plasma resonance (JPR). From the data in zero magnetic field, we obtain the penetration depth along the c-axis, lambda_{L,c}(0) = 229 micrometers and the anisotropy ratio gamma(0) = 600. The low plasma frequency allows us to study phase correlations over the whole vortex solid (Bragg-glass) state. The JPR results yield a wandering length r_{w} of vortex pancakes. The temperature dependence of r_{w} as well as its increase with applied dc magnetic field can only be explained by the renormalization of the tilt modulus by thermal fluctuations, and suggest the latter is responsible for the dissociation of the vortices at the first order transition.Comment: 4 pages, 5 figures. Submitted to Phys. Rev. Let

    Informal caregivers of persons with dementia, their use of and needs for specific professional support: a survey of the national dementia programme

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    <p>Abstract</p> <p>Background</p> <p>This paper describes both the use of and needs for informal caregivers of people with dementia, based on a questionnaire survey organized within the National Dementia Programme in the Netherlands. The National Dementia Programme is a quality collaborative of the Dutch Alzheimer's Association, the Institute of Quality of Healthcare (CBO) and the Knowledge Centre on Ageing (Vilans), instigated by the Ministry of Health, Welfare and Sport, to improve integrated care for people with dementia and their informal caregivers. The support needs of informal caregivers are important to improve caregiver well-being and delaying institutionalization of the person with dementia.</p> <p>Methods</p> <p>In the period April 2006 - January 2007, the National Dementia Programme questionnaire was completed by 984 informal caregivers. Descriptive statistics were used to analyze the use of and needs for additional professional support by informal caregivers. Chi-square tests were used to assess the relationships between characteristics of the caregivers (spouses, sons/daughters, sons/daughters in-law) and support needs on one hand and to assess the relationship between the living situation of the person with dementia (living at home or living in a nursing home or home for the elderly) and support needs on the other hand.</p> <p>Results</p> <p>Almost all informal caregivers (92.6%) received some professional support. However, two thirds (67.4%) indicated they had one or more needs for additional professional support. Informal caregivers often need additional professional advice about what to do when their relative is frightened, angry of confused. Spouses reported different needs than sons or daughters (in-law): spouses relatively often need emotional support and sons or daughters (in-law) more often need information and coordination of dementia care.</p> <p>Conclusions</p> <p>Most of the informal caregivers report that they need additional information and advice, e.g. about how to cope with behavioral problems of their relative, about the progression of the illness trajectory, emotional support and coordination of dementia care. Future support programmes, e.g. in the field of case management, should address the specific needs of informal caregivers.</p

    A Novel Fluorescent Imaging Agent for Diffuse Optical Tomography of the Breast: First Clinical Experience in Patients

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    Purpose: This is the first clinical evaluation of a novel fluorescent imaging agent (Omocianine) for breast cancer detection with diffuse optical tomography (DOT). Procedures: Eleven women suspected of breast cancer were imaged with DOT at multiple time points (up to 24 h) after receiving an intravenous injection of Omocianine (doses 0.01 to 0.1 mg/kg bodyweight). Breast MRI was obtained for comparison. Results: Histopathology showed invasive cancer in ten patients and fibroadenoma in one patient. With the lowest dose of Omocianine, two of three lesions were detected; with the second dose, three of three lesions were detected; with the two highest doses, none of five lesions were detected. Lesion location on DOT showed excellent agreement with MRI. Optimal lesion-tobackground signals were obtained after 8 h. No adverse events occurred. Conclusions: Lowest doses of Omocianine performed best in lesion detection; DOT using a lowdose fluorescent agent is feasible and safe for breast cancer visualization in patients

    High tie versus low tie in rectal surgery: comparison of anastomotic perfusion

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    Item does not contain fulltextPURPOSE: Both "high tie" (HT) and "low tie" (LT) are well-known strategies in rectal surgery. The aim of this study was to compare colonic perfusion after HT to colonic perfusion after LT. METHODS: Patients undergoing rectal resection for malignancy were included. Colonic perfusion was measured with laser Doppler flowmetry, immediately after laparotomy on the antimesenterial side of the colon segment that was to become the afferent loop (measurement A). This measurement was repeated after rectal resection (measurement B). The blood flow ratios (B/A) were compared between the HT group and the LT group. RESULTS: Blood flow was measured in 33 patients, 16 undergoing HT and 17 undergoing LT. Colonic blood flow slightly decreased in the HT group whereas the flow increased in the LT group. The blood flow ratio was significantly higher in the LT group (1.48 vs. 0.91; p = 0.04), independent of the blood pressure. CONCLUSION: This study shows the blood flow ratio to be higher in the LT group. This suggests that anastomoses may benefit from better perfusion when LT is performed
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