Effects of exercise modalities on arterial stiffness and wave reflection: a systematic review and meta-analysis of randomized controlled trials

Background and Objectives: Physical activity is associated with lower cardiovascular and all-cause mortality. However, the effects of different exercise modalities on arterial stiffness are currently unclear. Our objectives were to investigate the effects of exercise modalities (aerobic, resistance or combined) on pulse wave velocity (PWV) and augmentation index (AIx), and to determine whether the effects on these indices differed according to the participants' or exercise characteristics. Methods: We searched the Medline, Embase and Cochrane Library databases from inception until April 2014 for randomized controlled trials lasting ≥4 weeks investigating the effects of exercise modalities on PWV and AIx in adults aged ≥18 years. Results: Forty-two studies (1627 participants) were included in this analysis. Aerobic exercise improved both PWV (WMD: −0.63 m/s, 95% CI: −0.90, −0.35) and AIx (WMD:−2.63%, 95% CI: −5.25 to −0.02) significantly. Aerobic exercise training showed significantly greater reduction in brachial-ankle (WMD: −1.01 m/s, 95% CI: −1.57, −0.44) than in carotid-femoral (WMD: -0.39 m/s, 95% CI: −0.52, −0.27) PWV. Higher aerobic exercise intensity was associated with larger reductions in AIx (β: −1.55%, CI −3.09, 0.0001). In addition, aerobic exercise had a significantly larger effect in reducing PWV (WMD:−1.0 m/s, 95% CI: −1.43, −0.57) in participants with stiffer arteries (PWV ≥8 m/s). Resistance exercise had no effect on PWV and AIx. There was no significant effect of combined exercise on PWV and AIx. Conclusions: We conclude that aerobic exercise improved arterial stiffness significantly and that the effect was enhanced with higher aerobic exercise intensity and in participants with greater arterial stiffness at baseline. Trial Registration PROSPERO: Database registration: CRD42014009744,

Eleutherodactylus biporcatus group

48 p. : ill., maps ; 26 cm.Includes bibliographical references (p. 45-48).A revision of the broad-headed frogs of the biporcatus species group of Eleutherodactylus s.l. has a wholly unexpected nomenclatural consequence. Eleutherodactylus biporcatus (W. Peters, 1863) is not from "Veragua" (western Panama) as originally thought, but is the proper name for the Venezuelan frog heretofore known as E. maussi (Boettger, 1893). Three names are resurrected from synonymy for Central American species currently masquerading under the misapplied name biporcatus, and a fourth species is described as new: (1) The rediscovery of Eleutherodactylus gulosus (Cope, 1875) shows it to be a large montane frog occupying an apparently small range in the borderland of Costa Rica and Panama. (2) Eleutherodactylus rugosus (W. Peters, 1863) is a smaller species occurring on the Pacific versant of southwestern Costa Rica and western Panama; Lithodytes pelviculus Cope and L. florulentus Cope are synonyms of E. rugosus. (3) Eleutherodactylus megacephalus (Cope, 1875), an intermediate-sized frog ranging from Honduras to central Panama, is the more common species to which the name biporcatus has usually been applied. Available material from the western half of the Isthmus of Panama was too sparse to decide if another (unnamed) species is being included under the name megacephalus. (4) The name biporcatus also has been used for Eleutherodactylus opimus, new species, which occurs from central Panama to western Colombia. Based on the condition of the m. adductor mandibulae, the Venezuelan Eleutherodactylus biporcatus s.s. (E. maussi, auctorum) belongs to the Middle American clade of Eleutherodactylus (subgenus Craugaster). However, preliminary data on karyotypes, as well as morphological differences, cast doubt on the closeness of E. biporcatus to the other species studied. The monophyly of the "biporcatus group" therefore remains to be tested

Determining North Atlantic meridional transport variability from pressure on the western boundary: a model investigation.

In this paper we investigate the possibility of determining North Atlantic meridional transport variability using pressure on the western boundary, focusing on the 42degN latitude of the Halifax WAVE array. We start by reviewing the theoretical foundations of this approach. Next we present results from a model analysis, both statistical and dynamic, that demonstrate the feasibility of the approach. We consider how well we can quantify the meridional transport variability at 42degN given complete knowledge of bottom pressure across the basin, and to what degree this quantification is degraded by first ignoring the effect of intervening topography, and then by using only bottom pressure on the western boundary. We find that for periods of greater than one year we can recover more than 90% of the variability of the main overturning cell at 42degN using only the western boundary pressure, provided we remove the depth-average boundary pressure signal. This signal arises from a basin mode of bottom pressure variability, which has power at all timescales, but that does not in truth have a meridional transport signal associated with it, and from the geostrophic depth-independent compensation of the Ekman transport. An additional benefit of the removal of the depth-average pressure is that this high-frequency Ekman signal, which is essentially noise as far as monitoring the MOC for climatically important changes is concerned, is clearly separated from other modes

Determining the fate of selenium in wheat biofortification: an isotopically labelled field trial study

Aims The principal aim of this research was to quantify retention of a single, realistic Se biofortification application (10 g ha-1) in contrasting soils over two growing seasons utilizing an enriched stable Se isotope (77Se) to discriminate between applied Se and native soil Se. Methods Isotopically enriched 77Se (Na2SeO4) was applied (10 g ha-1) to four replicate plots (2 m x 2 m) of winter wheat, on three contrasting soils on the University of Nottingham farm (UK), at early stem extension in May 2012. Labelled 77Se was assayed in soil and crop fractions by ICP-MS. Results Topsoil retained a proportion of applied Se at harvest (c. 15 – 31 %) with only minor retention in subsoil (2-4 %), although losses were 37 – 43 %. Further analysis of topsoil 77Se, the following spring, and at second harvest, suggested that labelled Se retained in soil was25 fixed and uptake by a following crop was negligible. Conclusions Prolonged biofortification leads to accumulation of Se in soil but the retained Se has very low bioavailability and mobility. The time required to double the soil Se content would be about 500 years. However, reincorporation of cereal straw could provide a residual source of Se for a following crop, depending on timing and management

The effect of polar lipids on tear film dynamics

In this paper we present a mathematical model describing the effect of polar lipids on the evolution of a precorneal tear film, with the aim of explaining the interesting experimentally observed phenomenon that the tear film continues to move upwards even after the upper eyelid has become stationary. The polar lipid is an insoluble surface species that locally alters the surface tension of the tear film. In the lubrication limit, the model reduces to two coupled nonlinear partial differential equations for the film thickness and the concentration of lipid. We solve the system numerically and observe that the presence of the lipid causes an increase in flow of liquid up the eye. We further exploit the size of the parameters in the problem to explain the initial evolution of the system

Does self-monitoring reduce blood pressure? Meta-analysis with meta-regression of randomized controlled trials

Introduction. Self-monitoring of blood pressure (BP) is an increasingly common part of hypertension management. The objectives of this systematic review were to evaluate the systolic and diastolic BP reduction, and achievement of target BP, associated with self-monitoring. Methods. MEDLINE, Embase, Cochrane database of systematic reviews, database of abstracts of clinical effectiveness, the health technology assessment database, the NHS economic evaluation database, and the TRIP database were searched for studies where the intervention included self-monitoring of BP and the outcome was change in office/ambulatory BP or proportion with controlled BP. Two reviewers independently extracted data. Meta-analysis using a random effects model was combined with meta-regression to investigate heterogeneity in effect sizes. Results. A total of 25 eligible randomized controlled trials (RCTs) (27 comparisons) were identified. Office systolic BP (20 RCTs, 21 comparisons, 5,898 patients) and diastolic BP (23 RCTs, 25 comparisons, 6,038 patients) were significantly reduced in those who self-monitored compared to usual care (weighted mean difference (WMD) systolic −3.82 mmHg (95% confidence interval −5.61 to −2.03), diastolic −1.45 mmHg (−1.95 to −0.94)). Self-monitoring increased the chance of meeting office BP targets (12 RCTs, 13 comparisons, 2,260 patients, relative risk = 1.09 (1.02 to 1.16)). There was significant heterogeneity between studies for all three comparisons, which could be partially accounted for by the use of additional co-interventions. Conclusion. Self-monitoring reduces blood pressure by a small but significant amount. Meta-regression could only account for part of the observed heterogeneity