Vascular ultrasound and cardiovascular risk assessment

Vascular ultrasound is able to detect endothelial dysfunction, arterial structural remodeling and increased arterial stiffness. These alterations have been shown to be associated with established and emerging cardiovascular risk factors and with incident cardiovascular events. Therefore, vascular ultrasound has been proposed to evaluate the role of different risk factors in the initiation and progression of atherosclerotic process, to study vascular aging and the relationship between arterial stiffness and atherosclerosis, to assess the efficacy of life-style and therapeutic interventions, and to improve the estimation of individual cardiovascular risk. The present paper provides a critical overview of the clinical evidence appraising the association of flow-mediated dilation, carotid and femoral intima-media thickness and plaque presence as well as local arterial stiffness with cardiovascular risk factors and cardiovascular events

Lipids and Cardiovascular Organ Damage in Type 2 Diabetes Mellitus

One of the mechanisms underlying increased cardiovascular (CV) risk in patients with type 2 diabetes mellitus is atherogenic dyslipidemia, that is characterized by elevated triglycerides and free fatty acids (FFAs) levels, low levels of high-density lipoprotein cholesterol (HDL) and an excess of small dense low-density lipoprotein particles (sdLDLs). Each component of atherogenic dyslipidemia is associated with CV events and triggers alterations at different levels of CV system through different pathways. FFAs and sdLDLs induce endothelial dysfunction, intima-media thickening, plaque formation and arterial stiffening through increase in oxidative stress and inflammation and promoting lipid accumulation and smooth muscle cells (SMCs) proliferation in vascular wall. In contrast, HDL exerts protective effect on arterial wall by increasing nitric oxide availability, by reverse cholesterol transport and by suppression of SMCs proliferation and migration. FFAs overload results in a switch in myocardial substrate utilization, causing changes in myocardial energy metabolism and an increase in baseline oxygen consumption. Accumulation of toxic lipid intermediates in myocardium provokes damage of cellular membrane integrity, organelle dysfunction and apoptosis with consequent decrease in myocardial performance. The structural and functional changes in myocardium can be reversed by therapy with reconstructed HDL. Therefore, the impact of atherogenic dyslipidemia on CV system is not limited on accelerated atherosclerosis, but causes different organ damages that must be considered in their complexity

Finding a reflexive voice : -- researching the problems of implementing new learning practices within a New Zealand manufacturing organisation : a 100pt thesis presented in partial fulfilment of the requirements for the degree of Master of Management in Human Resources Management at Massey University

This study explored the social forces mediating manager's participation in a new reflexive participative learning practice designed to improve profitability within a New Zealand manufacturing organisation. Despite a large theoretical and managerial body of literature on organisational learning there has been little empirical investigation of how people experience and engage their reflexivity towards challenging the status-quo to create high level learning and new knowledge. Power was identified as a potential moderator of the reflexive learning experience and the variable relations of power and learning were constructed from a review of literature and these relationships were explored and investigated within the case study. Two prevailing discourses were identified as powerful moderators of public reflexivity, the traditionalist discourse which constructed managers actions and conversations towards insularism and survivalist concerns and the productionist discourse in which institutionalised production practices encircled and mediated managers actions and what constituted legitimacy in conversations. This study used a critical action research method to place the reflexive experience of managers and the researcher at the centre of the study and provide data representative of the social discourses that constructed variable freedoms and constraints upon the reflexive voice

Inferring the diet of extinct elephants: The case study of straight-tusked elephants from Neumark Nord 1 (Northeastern Germany)

Inferring the diet of fossil mammals is a major approach to mammalian palaeobiology and palaeoecology. Compared to other mammals, proboscideans pose significant problems because elephants eat different kinds of food and may change it frequently. Results obtained by analysing the last molars of Palaeoloxodon antiquus from Neumark Nord, highlight the effectiveness of a multidisciplinary approach in inferring the dietary adaptation of elephants. The microwear pattern and stable isotope data obtained for the straight-tusked elephants from Neumark Nord 1, suggest they were mainly grazers in a wooded grassland and moderately humid environment

Mapping complex cell morphology in the grey matter with double diffusion encoding MR: A simulation study

This paper investigates the impact of cell body (namely soma) size and branching of cellular projections on diffusion MR imaging (dMRI) and spectroscopy (dMRS) signals for both standard single diffusion encoding (SDE) and more advanced double diffusion encoding (DDE) measurements using numerical simulations. The aim is to investigate the ability of dMRI/dMRS to characterize the complex morphology of brain cells focusing on these two distinctive features of brain grey matter. To this end, we employ a recently developed computational framework to create three dimensional meshes of neuron-like structures for Monte Carlo simulations, using diffusion coefficients typical of water and brain metabolites. Modelling the cellular structure as realistically connected spherical soma and cylindrical cellular projections, we cover a wide range of combinations of sphere radii and branching order of cellular projections, characteristic of various grey matter cells. We assess the impact of spherical soma size and branching order on the b-value dependence of the SDE signal as well as the time dependence of the mean diffusivity (MD) and mean kurtosis (MK). Moreover, we also assess the impact of spherical soma size and branching order on the angular modulation of DDE signal at different mixing times, together with the mixing time dependence of the apparent microscopic anisotropy (μA), a promising contrast derived from DDE measurements. The SDE results show that spherical soma size has a measurable impact on both the b-value dependence of the SDE signal and the MD and MK diffusion time dependence for both water and metabolites. On the other hand, we show that branching order has little impact on either, especially for water. In contrast, the DDE results show that spherical soma size has a measurable impact on the DDE signal's angular modulation at short mixing times and the branching order of cellular projections significantly impacts the mixing time dependence of the DDE signal's angular modulation as well as of the derived μA, for both water and metabolites. Our results confirm that SDE based techniques may be sensitive to spherical soma size, and most importantly, show for the first time that DDE measurements may be more sensitive to the dendritic tree complexity (as parametrized by the branching order of cellular projections), paving the way for new ways of characterizing grey matter morphology, non-invasively using dMRS and potentially dMRI

Dysfunction of the hypothalamic-pituitary adrenal axis and its influence on aging: the role of the hypothalamus

As part of the hypothalamic-pituitary adrenal (HPA) axis, the hypothalamus exerts pivotal influence on metabolic and endocrine homeostasis. With age, these processes are subject to considerable change, resulting in increased prevalence of physical disability and cardiac disorders. Yet, research on the aging human hypothalamus is lacking. To assess detailed hypothalamic microstructure in middle adulthood, 39 healthy participants (35-65 years) underwent comprehensive structural magnetic resonance imaging. In addition, we studied HPA axis dysfunction proxied by hair cortisol and waist circumference as potential risk factors for hypothalamic alterations. We provide first evidence of regionally different hypothalamic microstructure, with age effects in its anterior-superior subunit, a critical area for HPA axis regulation. Further, we report that waist circumference was related to increased free water and decreased iron content in this region. In age, hair cortisol was additionally associated with free water content, such that older participants with higher cortisol levels were more vulnerable to free water content increase than younger participants. Overall, our results suggest no general age-related decline in hypothalamic microstructure. Instead, older individuals could be more susceptible to risk factors of hypothalamic decline especially in the anterior-superior subregion, including HPA axis dysfunction, indicating the importance of endocrine and stress management in age

Abundance of cell bodies can explain the stick model’s failure in grey matter at high bvalue

This work investigates the validity of the stick model used in diffusion-weighted MRI for modelling cellular projections in brain tissue. We hypothesize that the model will fail to describe the signals from grey matter due to an abundance of cell bodies. Using high b-value (≥3 ms/µm ) data from rat and human brain, we show that the assumption fails for grey matter. Using diffusion simulation in realistic digital models of neurons/glia, we demonstrate the breakdown of the assumption can be explained by the presence of cell bodies. Our findings suggest that high b-value data may be used to probe cell bodies