2,538 research outputs found

    Parathyroid hormone and phosphate homeostasis in patients with Bartter and Gitelman syndrome: an international cross-sectional study

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    Bartter syndrome; Parathyroid hormone; PhosphateSíndrome de Bartter; Hormona paratiroidea; FosfatoSíndrome de Bartter; Hormona paratiroïdal; FosfatBackground Small cohort studies have reported high parathyroid hormone (PTH) levels in patients with Bartter syndrome and lower serum phosphate levels have anecdotally been reported in patients with Gitelman syndrome. In this cross-sectional study, we assessed PTH and phosphate homeostasis in a large cohort of patients with salt-losing tubulopathies. Methods Clinical and laboratory data of 589 patients with Bartter and Gitelman syndrome were provided by members of the European Rare Kidney Diseases Reference Network (ERKNet) and the European Society for Paediatric Nephrology (ESPN). Results A total of 285 patients with Bartter syndrome and 304 patients with Gitelman syndrome were included for analysis. Patients with Bartter syndrome type I and II had the highest median PTH level (7.5 pmol/L) and 56% had hyperparathyroidism (PTH >7.0 pmol/L). Serum calcium was slightly lower in Bartter syndrome type I and II patients with hyperparathyroidism (2.42 versus 2.49 mmol/L; P = .038) compared to those with normal PTH levels and correlated inversely with PTH (rs −0.253; P = .009). Serum phosphate and urinary phosphate excretion did not correlate with PTH. Overall, 22% of patients had low serum phosphate levels (phosphate—standard deviation score < −2), with the highest prevalence in patients with Bartter syndrome type III (32%). Serum phosphate correlated with tubular maximum reabsorption of phosphate/glomerular filtration rate (TmP/GFR) (rs 0.699; P < .001), suggesting renal phosphate wasting. Conclusions Hyperparathyroidism is frequent in patients with Bartter syndrome type I and II. Low serum phosphate is observed in a significant number of patients with Bartter and Gitelman syndrome and appears associated with renal phosphate wasting.This project has been supported by the European Reference Network for Rare Kidney Diseases (ERKNet), which is partly co-funded by the European Union within the framework of the Third Health Programme ‘ERN-2016-Framework Partnership Agreement 2017–2021’. This work is generated within the European Society for Paediatric Nephrology working group on inherited renal disorders. This work was supported by an Innovation Grant 19OI06 from the Dutch Kidney Foundation (to T.N.)

    Heavy elements in Galactic and Magellanic Cloud HII regions: recombination-line versus forbidden-line abundances

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    We have obtained deep optical, long-slit spectrophotometry of the Galactic HII regions M 17, NGC 3576 and of the Magellanic Cloud HII regions 30 Doradus, LMC N11B and SMC N66, recording the optical recombination lines (ORLs) of CII, NII and OII. Temperature-insensitive ORL C2+/O2+ and N2+/O2 ratios are obtained for all nebulae except SMC N66. The ORL C2+/O2+ ratios show remarkable agreement within each galactic system, while also being in agreement with the corresponding CEL ratios. For all five nebulae, the O2+/H+ abundance derived from multiple OII ORLs is found to be higher than the corresponding value derived from the strong [OIII] 4959, 5007A CELs, by factors of 1.8--2.7 for four of the nebulae. The LMC N11B nebula exhibits a more extreme discrepancy factor for the O2+ ion, ~5. Thus these HII regions exhibit ORL/CEL abundance discrepancy factors that are similar to those previously encountered amongst planetary nebulae. Our optical CEL O2+/H+ abundances agree to within 20-30 per cent with published O2+/H+ abundances that were obtained from observations of infrared fine-structure lines. Since the low excitation energies of the latter make them insensitive to variations about typical nebular temperatures, fluctuations in temperature are ruled out as the cause of the observed ORL/CEL O2+ abundance discrepancies. We present evidence that the observed OII ORLs from these HII regions originate from gas of very similar density (<3500 cm-3) to that emitting the observed heavy-element optical and infrared CELs, ruling out models that employ high-density ionized inclusions in order to explain the abundance discrepancy. We consider a scenario whereby much of the heavy-element ORL emission originates from cold (<=500 K) metal-rich ionized regions.Comment: 24 pages; 9 figures; accepted by Monthly Notices of the Royal Astronomical Societ

    Concert recording 2018-11-07

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    [Track 1]. Concert etude / Alexander Goedicke -- [Track 2]. Concerto in E-flat major. I. Allegro / Franz Joseph Haydn -- [Track 3]. Oliver\u27s birthday / Bruce Broughton -- [Track 4]. Sonata for trumpet and piano. I. Sarabande / Jean Hubeau -- [Track 5]. Sonata for trumpet and piano. I. With strength and vigor / Kent Kennan -- [Track 6]. Rustiques / Eugene Bozza -- [Track 7]. Concerto in E major. I. Allegro con spirito / Johan Nepomuk Hummel -- [Track 8]. Concerto (abridged) / Alexander Arutunian -- [Track 9]. Sonata for trumpet and piano. I. Mit Kraft / Paul Hindemith -- [Track 10]. My regards / Eward Llewellen

    WNT5A-JNK regulation of vascular insulin resistance in human obesity

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    Obesity is associated with the development of vascular insulin resistance; however, pathophysiological mechanisms are poorly understood. We sought to investigate the role of WNT5A-JNK in the regulation of insulin-mediated vasodilator responses in human adipose tissue arterioles prone to endothelial dysfunction. In 43 severely obese (BMI 44±11 kg/m2) and five metabolically normal non-obese (BMI 26±2 kg/m2) subjects, we isolated arterioles from subcutaneous and visceral fat during planned surgeries. Using videomicroscopy, we examined insulin-mediated, endothelium-dependent vasodilator responses and characterized adipose tissue gene and protein expression using real-time polymerase chain reaction and Western blot analyses. Immunofluorescence was used to quantify endothelial nitric oxide synthase (eNOS) phosphorylation. Insulin-mediated vasodilation was markedly impaired in visceral compared to subcutaneous vessels from obese subjects (pWNT5A and its non-canonical receptors, which correlated negatively with insulin signaling. Pharmacological JNK antagonism with SP600125 markedly improved insulin-mediated vasodilation by sixfold (p

    Metallic Conductivity in a Two-Dimensional Cobalt Dithiolene Metal-Organic Framework

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    Two-dimensional (2D) metal–organic frameworks (MOFs) have received a great deal of attention due to their relatively high charge carrier mobility and low resistivity. Here we report on the temperature-dependent charge transport properties of a 2D cobalt 2,3,6,7,10,11-triphenylenehexathiolate framework. Variable temperature resistivity studies reveal a transition from a semiconducting to a metallic phase with decreasing temperature, which is unprecedented in MOFs. We find this transition to be highly dependent on the film thickness and the amount of solvent trapped in the pores, with density functional theory calculations of the electronic-structure supporting the complex metallic conductivity of the material. These results identify the first experimentally observed MOF that exhibits band-like metallic conductivity

    Antimicrobial resistance surveillance in the AFHSC-GEIS network

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    International infectious disease surveillance has been conducted by the United States (U.S.) Department of Defense (DoD) for many years and has been consolidated within the Armed Forces Health Surveillance Center, Division of Global Emerging Infections Surveillance and Response System (AFHSC-GEIS) since 1998. This includes activities that monitor the presence of antimicrobial resistance among pathogens. AFHSC-GEIS partners work within DoD military treatment facilities and collaborate with host-nation civilian and military clinics, hospitals and university systems. The goals of these activities are to foster military force health protection and medical diplomacy. Surveillance activities include both community-acquired and health care-associated infections and have promoted the development of surveillance networks, centers of excellence and referral laboratories. Information technology applications have been utilized increasingly to aid in DoD-wide global surveillance for diseases significant to force health protection and global public health. This section documents the accomplishments and activities of the network through AFHSC-GEIS partners in 2009

    The Lyman break analogue Haro 11: spatially resolved chemodynamics with VLT FLAMES

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    Using VLT/Fibre Large Array Multi Element Spectrograph (FLAMES) optical integral field unit observations, we present the first spatially resolved spectroscopic study of the well-known blue compact galaxy Haro 11, thought to be a local analogue to high-redshift Lyman break galaxies. Haro 11 displays complex emission line profiles, consisting of narrow (full width at half-maximum, FWHM ≲ 200 km s-1) and broad (FWHM ∼ 200–300 km s-1) components. We identify three distinct emission knots kinematically connected to one another. A chemodynamical analysis is presented, revealing that spatially resolved ionic and elemental abundances do not agree with those derived from integrated spectra across the galaxy. We conclude that this is almost certainly due to the surface brightness weighting of electron temperature in integrated spectra, leading to higher derived abundances. We find that the eastern knot has a low gas density, but a higher temperature (by ∼4000 K) and consequently an oxygen abundance ∼0.4 dex lower than the neighbouring regions. A region of enhanced N/O is found specifically in Knot C, confirming previous studies that found anomalously high N/O ratios in this system. Maps of the Wolf–Rayet (WR) feature at 4686 Å reveal large WR populations (∼900–1500 stars) in Knots A and B. The lack of WR stars in Knot C combined with an age of ∼7.4 Myr suggests that a recently completed WR phase may be responsible for the observed N/O excess. Conversely, the absence of N-enriched gas and strong WR emission in Knots A and B suggests that we are observing these regions at an epoch where stellar ejecta has yet to cool and mix with the interstellar medium
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