Serum 25-hydroxyvitamin D and parathyroid hormone in relation to plasma B-type natriuretic peptide: the Hoorn Study

OBJECTIVE: A disturbed vitamin D-parathyroid hormone (PTH)-calcium axis may play a role in the pathogenesis of heart failure. Therefore, we investigated whether lower 25-hydroxyvitamin D (25(OH)D) and higher PTH are cross sectionally and after 8 years of follow-up associated with higher B-type natriuretic peptide (BNP) levels in older men and women. DESIGN AND METHODS: We measured baseline 25(OH)D, PTH, and BNP in 502 subjects in 2000-2001 in the Hoorn Study, a population-based cohort. Follow-up BNP was available in 2007-2009 in 278 subjects. Subjects were categorized according to season- and sex-specific quartiles of 25(OH)D and PTH at baseline. We studied the association of 25(OH)D and PTH quartiles with BNP using linear regression analyses adjusting for confounders. Analyses were stratified by kidney function estimated glomerular filtration rate (eGFR; ≤60 ml/min per 1.73 m(2)) because of significant interaction. RESULTS: At baseline, subjects had a mean age of 69.9±6.6 years, mean 25(OH)D level was 52.2±19.5 nmol/l and mean PTH 6.1±2.4 pmol/l. Cross sectionally, 25(OH)D was associated with BNP in subjects with impaired kidney function (eGFR ≤60 ml/min) only. The association attenuated after adjustment for PTH. PTH was cross sectionally associated with BNP, also in subjects with impaired kidney function only: regression coefficient of highest quartile 9.9 pmol/l (95% confidence interval 2.5, 17.4) with a significant trend across quartiles. Neither 25(OH)D nor PTH was associated with BNP in longitudinal analyses. CONCLUSION: This study showed overall no strong association between 25(OH)D and BNP. However, PTH was associated with BNP in subjects with impaired kidney function and may point to a potential role in myocardial function

Vitamin D in relation to myocardial structure and function after eight years of follow-up: the Hoorn study.

Background and Aims: To investigate associations between baseline serum 25-hydroxyvitamin D [25(OH)D] levels and myocardial structure and function after 8 years of follow-up in older Dutch subjects. Methods: We included 256 subjects of the Hoorn Study, a population-based cohort. They underwent a standardized 2-dimensional echocardiogram at baseline between 2000 and 2001, and again between 2007 and 2009. We studied the association of 25(OH)D quartiles with echocardiographic measures of the left ventricular mass index (LVMI), left ventricular systolic function and markers of diastolic function using linear regression analyses. Results: At baseline, subjects had a mean age of 67.4 ± 5.2 years and 41.4% had prior cardiovascular disease (CVD). Low serum 25(OH)D levels were only associated with higher LVMI at 8-year follow-up in subjects without prior CVD and in subjects with low kidney function (median estimated glomerular filtration rate ≤77.5 ml/min/1.73

Regular black holes in quadratic gravity

The first-order correction of the perturbative solution of the coupled equations of the quadratic gravity and nonlinear electrodynamics is constructed, with the zeroth-order solution coinciding with the ones given by Ay\'on-Beato and Garc{\'\i}a and by Bronnikov. It is shown that a simple generalization of the Bronnikov's electromagnetic Lagrangian leads to the solution expressible in terms of the polylogarithm functions. The solution is parametrized by two integration constants and depends on two free parameters. By the boundary conditions the integration constants are related to the charge and total mass of the system as seen by a distant observer, whereas the free parameters are adjusted to make the resultant line element regular at the center. It is argued that various curvature invariants are also regular there that strongly suggests the regularity of the spacetime. Despite the complexity of the problem the obtained solution can be studied analytically. The location of the event horizon of the black hole, its asymptotics and temperature are calculated. Special emphasis is put on the extremal configuration

The Taming of Closed Time-like Curves

We consider a $R^{1,d}/Z_2$ orbifold, where $Z_2$ acts by time and space reversal, also known as the embedding space of the elliptic de Sitter space. The background has two potentially dangerous problems: time-nonorientability and the existence of closed time-like curves. We first show that closed causal curves disappear after a proper definition of the time function. We then consider the one-loop vacuum expectation value of the stress tensor. A naive QFT analysis yields a divergent result. We then analyze the stress tensor in bosonic string theory, and find the same result as if the target space would be just the Minkowski space $R^{1,d}$, suggesting a zero result for the superstring. This leads us to propose a proper reformulation of QFT, and recalculate the stress tensor. We find almost the same result as in Minkowski space, except for a potential divergence at the initial time slice of the orbifold, analogous to a spacelike Big Bang singularity. Finally, we argue that it is possible to define local S-matrices, even if the spacetime is globally time-nonorientable.Comment: 37 pages, LaTeX2e, uses amssymb, amsmath and epsf macros, 8 eps and 3 ps figures; (v2): Two additional comments + one reference added; (v3): corrections in discussion of CTCs + some clarification

Charged black holes in quadratic gravity

Iterative solutions to fourth-order gravity describing static and electrically charged black holes are constructed. Obtained solutions are parametrized by two integration constants which are related to the electric charge and the exact location of the event horizon. Special emphasis is put on the extremal black holes. It is explicitly demonstrated that in the extremal limit, the exact location of the (degenerate) event horizon is given by \rp = |e|. Similarly to the classical Reissner-Nordstr\"om solution, the near-horizon geometry of the charged black holes in quadratic gravity, when expanded into the whole manifold, is simply that of Bertotti and Robinson. Similar considerations have been carried out for the boundary conditions of second type which employ the electric charge and the mass of the system as seen by a distant observer. The relations between results obtained within the framework of each method are briefly discussed

Ginzburg-Landau functional for nearly antiferromagnetic perfect and disordered Kondo lattices

Interplay between Kondo effect and trends to antiferromagnetic and spin glass ordering in perfect and disordered bipartite Kondo lattices is considered. Ginzburg-Landau equation is derived from the microscopic effective action written in three mode representation (Kondo screening, antiferromagnetic correlations and spin liquid correlations). The problem of local constraint is resolved by means of Popov-Fedotov representation for localized spin operators. It is shown that the Kondo screening enhances the trend to a spin liquid crossover and suppresses antiferromagnetic ordering in perfect Kondo lattices and spin glass ordering in doped Kondo lattices. The modified Doniach's diagram is constructed, and possibilities of going beyond the mean field approximation are discussed.Comment: 18 pages, RevTeX, 7 EPS figures include