Functional Electrical Stimulation of Intrinsic Laryngeal Muscles under Varying Loads in Exercising Horses

Bilateral vocal fold paralysis (BVCP) is a life threatening condition and appears to be a good candidate for therapy using functional electrical stimulation (FES). Developing a working FES system has been technically difficult due to the inaccessible location and small size of the sole arytenoid abductor, the posterior cricoarytenoid (PCA) muscle. A naturally-occurring disease in horses shares many functional and etiological features with BVCP. In this study, the feasibility of FES for equine vocal fold paralysis was explored by testing arytenoid abduction evoked by electrical stimulation of the PCA muscle. Rheobase and chronaxie were determined for innervated PCA muscle. We then tested the hypothesis that direct muscle stimulation can maintain airway patency during strenuous exercise in horses with induced transient conduction block of the laryngeal motor nerve. Six adult horses were instrumented with a single bipolar intra-muscular electrode in the left PCA muscle. Rheobase and chronaxie were within the normal range for innervated muscle at 0.55±0.38 v and 0.38±0.19 ms respectively. Intramuscular stimulation of the PCA muscle significantly improved arytenoid abduction at all levels of exercise intensity and there was no significant difference between the level of abduction achieved with stimulation and control values under moderate loads. The equine larynx may provide a useful model for the study of bilateral fold paralysis

Novel mutations and their functional and clinical relevance in myeloproliferative neoplasms: JAK2, MPL, TET2, ASXL1, CBL, IDH and IKZF1

Myeloproliferative neoplasms (MPNs) originate from genetically transformed hematopoietic stem cells that retain the capacity for multilineage differentiation and effective myelopoiesis. Beginning in early 2005, a number of novel mutations involving Janus kinase 2 (JAK2), Myeloproliferative Leukemia Virus (MPL), TET oncogene family member 2 (TET2), Additional Sex Combs-Like 1 (ASXL1), Casitas B-lineage lymphoma proto-oncogene (CBL), Isocitrate dehydrogenase (IDH) and IKAROS family zinc finger 1 (IKZF1) have been described in BCR-ABL1-negative MPNs. However, none of these mutations were MPN specific, displayed mutual exclusivity or could be traced back to a common ancestral clone. JAK2 and MPL mutations appear to exert a phenotype-modifying effect and are distinctly associated with polycythemia vera, essential thrombocythemia and primary myelofibrosis; the corresponding mutational frequencies are ∼99, 55 and 65% for JAK2 and 0, 3 and 10% for MPL mutations. The incidence of TET2, ASXL1, CBL, IDH or IKZF1 mutations in these disorders ranges from 0 to 17% these latter mutations are more common in chronic (TET2, ASXL1, CBL) or juvenile (CBL) myelomonocytic leukemias, mastocytosis (TET2), myelodysplastic syndromes (TET2, ASXL1) and secondary acute myeloid leukemia, including blast-phase MPN (IDH, ASXL1, IKZF1). The functional consequences of MPN-associated mutations include unregulated JAK-STAT (Janus kinase/signal transducer and activator of transcription) signaling, epigenetic modulation of transcription and abnormal accumulation of oncoproteins. However, it is not clear as to whether and how these abnormalities contribute to disease initiation, clonal evolution or blastic transformation

The role of ascorbate in antioxidant protection of biomembranes: Interaction with vitamin E and coenzyme Q

One of the vital roles of ascorbic acid (vitamin C) is to act as an antioxidant to protect cellular components from free radical damage. Ascorbic acid has been shown to scavenge free radicals directly in the aqueous phases of cells and the circulatory system. Ascorbic acid has also been proven to protect membrane and other hydrophobic compartments from such damage by regenerating the antioxidant form of vitamin E. In addition, reduced coenzyme Q, also a resident of hydrophobic compartments, interacts with vitamin E to regenerate its antioxidant form. The mechanism of vitamin C antioxidant function, the myriad of pathologies resulting from its clinical deficiency, and the many health benefits it provides, are reviewed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/44796/1/10863_2004_Article_BF00762775.pd

Les villes aujourd'hui, quelle vulnérabilité au changement climatique, in les villes et l'adaptation au changement climatique, rapport annuel de l'Onerc

Les villes aujourd'hui, quelle vulnérabilité au changement climatique, in les villes et l'adaptation au changement climatique, rapport annuel de l'Oner

Work extraction from tripartite entanglement

The work extractable from correlated bipartite quantum systems can be used to distinguish entanglement from classical correlation. A natural question is now whether it can be generalised to multipartite systems. In this paper, we devise a protocol to distinguish the GHZ, the W, and separable states in terms of the thermodynamically extractable work under local operations and classical communication, and compare the results with those obtained from Mermin's inequalities

Systematizing and upscaling urban climate change mitigation

The question of what cities can contribute to mitigation and adapting to climate change is gaining traction among researchers and policy makers alike. However, while the field is rich with case studies, methods that provide rich data across municipalities and potentially at global scale remain underdeveloped, and comparative insights remain scarce. Here we summarize contributions to the focus issue on 'Systematizing and Upscaling Urban Climate Solutions', also drawing from presentations given at an accompanying conference in 2018. We highlight four core areas for systematizing and upscaling urban climate mitigation solutions. First, with more and better (big) data and associated machine learning methods, there is increasing potential to compare types of cities and leverage collective understanding. Second, while urban climate assessments have mostly emphasized urban planning, demand-side action as related to both behavioral change and modified social practices relevant to urban space deserve more academic attention and integration across a diverse set of social sciences. Third, climate mitigation would be intangible as a single objective at the urban scale, and measures and solutions that coordinate mitigation coherently with adaptation and broader sustainable development goals require explicit conceptualization and systematization. Forth, all insights should come together to develop governance frameworks that translate scientific exercises into concrete, realistic and organized action plans on the ground, for all cities

When adaptation increases energy demand: a systematic map of the literature

Adaptation is now a central component of climate policy, helping manage and reduce risks. Sometimes, however, adaptation to climate change may consume energy, threatening efforts to reduce greenhouse gas emissions. Examples are numerous, and include the use of air conditioning or water desalination. Nevertheless, so far, no clear view exists on how energy demand, globally, can be impacted by climate change: the information is scattered. Here, we systematically map the evidence on how and to what extent adaptation responses to climate change may impact energy demand. The literature is large, fast-growing and spans several disciplines, but we identify several research gaps. The literature focuses heavily on a few world regions, and on heating and cooling demand, while overlooking other potential sectors. Only a handful of papers -- most of them with a specific geographical scope -- consider that different adaptation possibilities may lead to different impacts on energy demand, which is an important prerequisite if the impact of adaptation on energy demand is to be lowered and maladaptation to be prevented. These papers study for the most part similar options, and most adaptation possibilities are conversely studied by just one or two papers