1,788 research outputs found

    Pharmacological Modulation of Dopamine Receptor D2-Mediated Transmission Alters the Metabolic Phenotype of Diet Induced Obese and Diet Resistant C57Bl6 Mice

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    High fat feeding induces a variety of obese and lean phenotypes in inbred rodents. Compared to Diet Resistant (DR) rodents, Diet Induced Obese (DIO) rodents are insulin resistant and have a reduced dopamine receptor D2 (DRD2) mediated tone. We hypothesized that this differing dopaminergic tone contributes to the distinct metabolic profiles of these animals. C57Bl6 mice were classified as DIO or DR based on their weight gain during 10 weeks of high fat feeding. Subsequently DIO mice were treated with the DRD2 agonist bromocriptine and DR mice with the DRD2 antagonist haloperidol for 2 weeks. Compared to DR mice, the bodyweight of DIO mice was higher and their insulin sensitivity decreased. Haloperidol treatment reduced the voluntary activity and energy expenditure of DR mice and induced insulin resistance in these mice. Conversely, bromocriptine treatment tended to reduce bodyweight and voluntary activity, and reinforce insulin action in DIO mice. These results show that DRD2 activation partly redirects high fat diet induced metabolic anomalies in obesity-prone mice. Conversely, blocking DRD2 induces an adverse metabolic profile in mice that are inherently resistant to the deleterious effects of high fat food. This suggests that dopaminergic neurotransmission is involved in the control of metabolic phenotype

    Tensor Regression with Applications in Neuroimaging Data Analysis

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    Classical regression methods treat covariates as a vector and estimate a corresponding vector of regression coefficients. Modern applications in medical imaging generate covariates of more complex form such as multidimensional arrays (tensors). Traditional statistical and computational methods are proving insufficient for analysis of these high-throughput data due to their ultrahigh dimensionality as well as complex structure. In this article, we propose a new family of tensor regression models that efficiently exploit the special structure of tensor covariates. Under this framework, ultrahigh dimensionality is reduced to a manageable level, resulting in efficient estimation and prediction. A fast and highly scalable estimation algorithm is proposed for maximum likelihood estimation and its associated asymptotic properties are studied. Effectiveness of the new methods is demonstrated on both synthetic and real MRI imaging data.Comment: 27 pages, 4 figure

    Nine-year spatial and temporal evolution of desert dust aerosols over South and East Asia as revealed by CALIOP

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    We present a 3-D climatology of the desert dust distribution over South and East Asia derived using CALIPSO (Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation) data. To distinguish desert dust from total aerosol load we apply a methodology developed in the framework of EARLINET (European Aerosol Research Lidar Network). The method involves the use of the particle linear depolarization ratio and updated lidar ratio values suitable for Asian dust, applied to multiyear CALIPSO observations (January 2007-December 2015). The resulting dust product provides information on the horizontal and vertical distribution of dust aerosols over South and East Asia along with the seasonal transition of dust transport pathways. Persistent high D_AOD (dust aerosol optical depth) values at 532 nm, of the order of 0.6, are present over the arid and semi-arid desert regions. Dust aerosol transport (range, height and intensity) is subject to high seasonality, with the highest values observed during spring for northern China (Taklimakan and Gobi deserts) and during summer over the Indian subcontinent (Thar Desert). Additionally, we decompose the CALIPSO AOD (aerosol optical depth) into dust and non-dust aerosol components to reveal the non-dust AOD over the highly industrialized and densely populated regions of South and East Asia, where the non-dust aerosols yield AOD values of the order of 0.5. Furthermore, the CALIPSO-based short-term AOD and D_AOD time series and trends between January 2007 and December 2015 are calculated over South and East Asia and over selected subregions. Positive trends are observed over northwest and east China and the Indian subcontinent, whereas over southeast China trends are mostly negative. The calculated AOD trends agree well with the trends derived from Aqua MODIS (Moderate Resolution Imaging Spectroradiometer), although significant differences are observed over specific regions.Peer reviewe

    Management of patients with persistent medically unexplained symptoms: a descriptive study

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    Background: In 2013 the Dutch guideline for management of medically unexplained symptoms (MUS) was published. The aim of this study is to assess medical care for patients with persistent MUS as recorded in their electronic medical records, to investigate if this is in line with the national guideline for persistent MUS and whether there are changes in care over time. Methods: We conducted an observational study of adult primary care patients with MUS. Routinely recorded health care data were extracted from electronic medical records of patients participating in an ongoing randomised controlled trial in 30 general practices in the Netherlands. Data on general practitioners’ (GPs’) management strategies during MUS consultations were collected in a 5-year period for each patient prior. Management strategies were categorised according to the options offered in the Dutch guideline. Changes in management over time were analysed. Results: Data were collected from 1035 MUS consultations (77 patients). Beside history-taking, the most frequently used diagnostic strategies were physical examination (24.5%) and additional investigations by the GP (11.1%). Frequently used therapeutic strategies were prescribing medication (24.6%) and providing explanations (11.2%). As MUS symptoms persisted, GPs adjusted medication, discussed progress and scheduled follow-up appointments more frequently. The least frequently used strategies were exploration of all complaint dimensions (i.e. somatic, cognitive, emotional, behavioural and social) (3.5%) and referral to a psychologist (0.5%) or psychiatrist (0.1%). Conclusions: Management of Dutch GPs is partly in line with the Dutch guideline. Medication was possibly prescribed more frequently than recommended, whereas exploration of all complaint dimensions, shared problem definition and referral to mental health care were used less
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