Relative Area Change Research Articles

A pilot randomized controlled trial comparing effectiveness of prism glasses, visual search training and standard care in hemianopia.

Pilot trial to compare prism therapy and visual search training, for homonymous hemianopia, to standard care (information only). Prospective, multicentre, parallel, single-blind, three-arm RCT across fifteen UK acute stroke units. Stroke survivors with homonymous hemianopia. Arm a (Fresnel prisms) for minimum 2hours, 5days per week over 6weeks. Arm b (visual search training) for minimum 30minutes, 5days per week over 6weeks. Arm c (standard care-information only). Adult stroke survivors (>18years), stable hemianopia, visual acuity better than 0.5 logMAR, refractive error within ±5 dioptres, ability to read/understand English and provide consent. Primary outcomes were change in visual field area from baseline to 26weeks and calculation of sample size for a definitive trial. Secondary measures included Rivermead Mobility Index, Visual Function Questionnaire 25/10, Nottingham Extended Activities of Daily Living, Euro Qual, Short Form-12 questionnaires and Radner reading ability. Measures were post-randomization at baseline and 6, 12 and 26weeks. Randomization block lists stratified by site and partial/complete hemianopia. Allocations disclosed to patients. Primary outcome assessor blind to treatment allocation. Eighty-seven patients were recruited: 27-Fresnel prisms, 30-visual search training and 30-standard care; 69% male; mean age 69years (SD 12). At 26weeks, full results for 24, 24 and 22 patients, respectively, were compared to baseline. Sample size calculation for a definitive trial determined as 269 participants per arm for a 200 degree2 visual field area change at 90% power. Non-significant relative change in area of visual field was 5%, 8% and 3.5%, respectively, for the three groups. Visual Function Questionnaire responses improved significantly from baseline to 26weeks with visual search training (60 [SD 19] to 68.4 [SD 20]) compared to Fresnel prisms (68.5 [SD 16.4] to 68.2 [18.4]: 7% difference) and standard care (63.7 [SD 19.4] to 59.8 [SD 22.7]: 10% difference), P=.05. Related adverse events were common with Fresnel prisms (69.2%; typically headaches). No significant change occurred for area of visual field area across arms over follow-up. Visual search training had significant improvement in vision-related quality of life. Prism therapy produced adverse events in 69%. Visual search training results warrant further investigation.

4D magnetic resonance flow imaging for estimating pulmonary vascular resistance in pulmonary hypertension.

To develop an estimate of pulmonary vascular resistance (PVR) using blood flow measurements from 3D velocity-encoded phase contract magnetic resonance imaging (here termed 4D MRI). In all, 17 patients with pulmonary hypertension (PH) and five controls underwent right heart catheterization (RHC), 4D and 2D Cine MRI (1.5T) within 24 hours. MRI was used to compute maximum spatial peak systolic vorticity in the main pulmonary artery (MPA) and right pulmonary artery (RPA), cardiac output, and relative area change in the MPA. These parameters were combined in a four-parameter multivariate linear regression model to arrive at an estimate of PVR. Agreement between model predicted and measured PVR was also evaluated using Bland-Altman plots. Finally, model accuracy was tested by randomly withholding a patient from regression analysis and using them to validate the multivariate equation. A decrease in vorticity in the MPA and RPA were correlated with an increase in PVR (MPA: R(2) = 0.54, P < 0.05; RPA: R(2) = 0.75, P < 0.05). Expanding on this finding, we identified a multivariate regression equation that accurately estimates PVR (R(2) = 0.94, P < 0.05) across severe PH and normotensive populations. Bland-Altman plots showed 95% of the differences between predicted and measured PVR to lie within 1.49 Wood units. Model accuracy testing revealed a prediction error of ∼20%. A multivariate model that includes MPA relative area change and flow characteristics, measured using 4D and 2D Cine MRI, offers a promising technique for noninvasively estimating PVR in PH patients. J. MAGN. RESON. IMAGING 2016;44:914-922.

Rapid skeletal muscle wasting predicts worse survival in patients with liver cirrhosis

Sarcopenia impairs the outcome of patients with liver cirrhosis independently of liver function reserves. The aim of this study was to investigate whether the rate of skeletal muscle wasting predicts mortality in cirrhotic patients. This retrospective study evaluated 149 cirrhotic patients who visited our hospital between March 2004 and September 2012. The skeletal muscle cross-sectional area at the level of the third lumbar vertebra was measured by computed tomography, from which the skeletal muscle index was obtained for diagnosis of sarcopenia. The relative change in skeletal muscle area per year (ΔSMA/y) was calculated in each patient. Cox proportional hazards regression analysis was performed to evaluate risk factors for mortality. Of the 149 cirrhotic patients, 94 (63%) were diagnosed with sarcopenia. The median of ΔSMA/y in all patients was -2.2%. For patients in Child-Pugh class A, B and C, ΔSMA/y was -1.3%, -3.5% and -6.1%, respectively. During a median follow-up period of 39months (range, 1-110), 45 patients (30%) died. The optimal cut-off value of ΔSMA/y for predicting mortality was -3.1%; the survival rate in patients with ΔSMA/y of -3.1% or less was significantly lower than in patients with ΔSMA/y of more than -3.1% (P <0.0001). The multivariate Cox proportional hazards model found ΔSMA/y of -3.1% or less to be significantly associated with mortality in cirrhotic patients (hazard ratio = 2.73, 95% confidence interval = 1.43-5.44, P <0.01). ΔSMA/y is useful for predicting mortality in patients with liver cirrhosis. Management of skeletal muscle may contribute toward improving the outcome of cirrhotic patients.

Landscape of DNA Methylation and Genetic Profiles in 291 Patients with Myelodysplastic Syndromes

DNA hypermethylation has long been implicated in the pathogenesis of myelodysplastic syndromes (MDS) and also highlighted by the frequent efficacy of demethylating agents to this disease. Meanwhile, recent genetic studies in MDS have revealed high frequency of somatic mutations involving epigenetic regulators, suggesting a causative link between gene mutations and epigenetic alterations in MDS. The accumulation of genetic and epigenetic alterations promotes tumorigenesis, hypomethylating agents such as Azacitidine exert their therapeutic effect through inhibition of DNA methylation. However, the relationship between patterns of epigenetic phenotypes and mutations, as well as their impact on therapy, has not been clarified.To address this issue, we performed genome-wide DNA methylation profiling (Infinium 450K) in combination with targeted-deep sequencing of 104 genes for somatic mutations in 291 patients with MDS. Beta-mixture quantile normalization was performed for correcting probe design bias in Illumina Infinium 450k DNA methylation data. Of the >480,000 probes on the methylation chip, we selected probes using the following steps: (i) probes annotated with "Promotor_Associated" or "Promoter_Associated_Cell_type_specific; (ii) probes designed in "Island", "N_Shore" or "S_Shore"; (iii) removing probes designed on the X and Y chormosomes; (iv) removing probes with >10% of missing value. Consensus clustering was performed utilizing the hierarchical clustering based on Ward and Pearson correlation algorithms with 1000 iterations on the top 0.5% (2,000) of probes showing high variation by median absolute deviation across the dataset using Bioconductor package Consensus cluster plus. The number of cluster was determined by relative change in area under cumulative distribution function curve by consensus clustering.Unsupervised clustering analysis of DNA methylation revealed 3 subtypes of MDS, M1-M3, showing discrete methylation profiles with characteristic gene mutations and cytogenetics. The M1 subtype (n=121) showed a high frequency of SF3B1 mutations, exhibiting the best clinical outcome, whereas the M2 subtype (n=106), characterized by frequent ASXL1, TP53 mutations and high-risk cytogenetics, showed the shortest overall survival with the hazard ratios of 3.4 (95% CI:1.9-6.0) and 2.2 (95% CI:1.2-4.0) compared to M1 and M3, respectively. Finally, the M3 subtype (n=64) was highly enriched (70% of cases) for biallelic alterations of TET2 and showed the highest level of CpG island methylation and showed an intermediate survival.In the current cohort, we had 47 patients who were treated with demethylating agents, including 11 responders and 36 non-responders. When DNA methylation status at diagnosis was evaluated in terms of response to demethylating agents, we identified 54 differentiated methylated genes showing >20% difference in mean methylation levels between responders and non-responders (q < 0.1). Twenty-five genes more methylated in responders were enriched in functional pathways such as chemokine receptor and genes with EGF-like domain, whereas 29 less methylated gene in responders were in the gene set related to regulation of cell proliferation. Genetic alterations were also assessed how they affected treatment responses. In responders, TET2 mutated patients tended to more frequently respond (45% vs 34%), whereas patients with IDH1/2 and DNMT3A mutations were less frequently altered (0% vs 14%, 9% vs 14%) in responders, compared in non-responders.In conclusion, our combined genetic and methylation analysis unmasked previously unrecognized associations between gene mutations and DNA methylation, suggesting a causative link in between. We identified correlations between genetic/epigenetic profiles and the response to demethylating agents, which however, needs further investigation to clarify the mechanism of and predict response to demethylation agents in MDS. DisclosuresAlpermann:MLL Munich Leukemia Laboratory: Employment. Nadarajah:MLL Munich Leukemia Laboratory: Employment. Haferlach:MLL Munich Leukemia Laboratory: Employment, Equity Ownership. Kiyoi:Taisho Toyama Pharmaceutical Co., Ltd.: Research Funding; Novartis Pharma K.k.: Research Funding; Pfizer Inc.: Research Funding; Takeda Pharmaceutical Co.,Ltd.: Research Funding; MSD K.K.: Research Funding; Sumitomo Dainippon Pharma Co., Ltd.: Research Funding; Alexion Pharmaceuticals.: Research Funding; Teijin Ltd.: Research Funding; Zenyaku Kogyo Company,Ltd.: Research Funding; FUJIFILM RI Pharma Co.,Ltd.: Patents & Royalties, Research Funding; Nippon Shinyaku Co.,Ltd.: Research Funding; Japan Blood Products Organization.: Research Funding; Eisai Co.,Ltd.: Research Funding; Yakult Honsha Co.,Ltd.: Research Funding; Astellas Pharma Inc.: Consultancy, Research Funding; Kyowa-Hakko Kirin Co.,Ltd.: Consultancy, Research Funding; Fujifilm Corporation.: Patents & Royalties, Research Funding; Nippon Boehringer Ingelheim Co., Ltd.: Research Funding; Bristol-Myers Squibb.: Research Funding; Chugai Pharmaceutical Co.,LTD.: Research Funding; Mochida Pharmaceutical Co.,Ltd.: Research Funding. Kobayashi:Gilead Sciences: Research Funding. Naoe:Toyama Chemical CO., LTD.: Research Funding; Otsuka Pharmaceutical Co., Ltd.: Research Funding; Nippon Boehringer Ingelheim Co., Ltd.: Research Funding; Kyowa Hakko Kirin Co., Ltd.: Patents & Royalties, Research Funding; Pfizer Inc.: Research Funding; Astellas Pharma Inc.: Research Funding; FUJIFILM Corporation: Patents & Royalties, Research Funding; Celgene K.K.: Research Funding; Chugai Pharmaceutical Co., Ltd.: Patents & Royalties. Kern:MLL Munich Leukemia Laboratory: Employment, Equity Ownership. Miyazaki:Chugai: Honoraria, Research Funding; Shin-bio: Honoraria; Sumitomo Dainippon: Honoraria; Celgene Japan: Honoraria; Kyowa-Kirin: Honoraria, Research Funding.

Structural and functional plasticity specific to musical training with wind instruments.

Numerous neuroimaging studies have shown structural and functional changes resulting from musical training. Among these studies, changes in primary sensory areas are mostly related to motor functions. In this study, we looked for some similar functional and structural changes in other functional modalities, such as somatosensory function, by examining the effects of musical training with wind instruments. We found significant changes in two aspects of neuroplasticity, cortical thickness, and resting-state neuronal networks. A group of subjects with several years of continuous musical training and who are currently playing in university wind ensembles showed differences in cortical thickness in lip- and tongue-related brain areas vs. non-music playing subjects. Cortical thickness in lip-related brain areas was significantly thicker and that in tongue-related areas was significantly thinner in the music playing group compared with that in the non-music playing group. Association analysis of lip-related areas in the music playing group showed that the increase in cortical thickness was caused by musical training. In addition, seed-based correlation analysis showed differential activation in the precentral gyrus and supplementary motor areas (SMA) between the music and non-music playing groups. These results suggest that high-intensity training with specific musical instruments could induce structural changes in related anatomical areas and could also generate a new functional neuronal network in the brain.

Relationship Between the Electroglottographic Signal and Vocal Fold Contact Area

Electroglottography (EGG) is a widely used noninvasive method that purports to measure changes in relative vocal fold contact area (VFCA) during phonation. Despite its broad application, the putative direct relation between the EGG waveform and VFCA has to date only been formally tested in a single study, suggesting an approximately linear relationship. However, in that study, flow-induced vocal fold (VF) vibration was not investigated. A rigorous empirical evaluation of EGG as a measure of VFCA under proper physiological conditions is therefore still needed. Three red deer larynges were phonated in an excised hemilarynx preparation using a conducting glass plate. The time-varying contact between the VF and the glass plate was assessed by high-speed video recordings at 6000 fps, synchronized to the EGG signal. The average differences between the normalized [0, 1] VFCA and EGG waveforms for the three larynges were 0.180 (±0.156), 0.075 (±0.115), and 0.168 (±0.184) in the contacting phase and 0.159 (±0.112), -0.003 (±0.029), and 0.004 (±0.032) in the decontacting phase. Overall, there was a better agreement between VFCA and the EGG waveform in the decontacting phase than in the contacting phase. Disagreements may be caused by nonuniform tissue conductance properties, electrode placement, and electroglottograph hardware circuitry. Pending further research, the EGG waveform may be a reasonable first approximation to change in medial contact area between the VFs during phonation. However, any quantitative and statistical data derived from EGG should be interpreted cautiously, allowing for potential deviations from true VFCA.

Particle Breakage in a Scirocco Disperser

Particle breakage during dry dispersion for particle sizing is of concern, yet little work has been carried out on its quantitative analysis. An integrated experimental and CFD modelling work has been carried out to study the breakage of a weak and friable powder in a Scirocco disperser at various nozzle pressures. Spray-dried burkeite powder is used as a model test material. The breakage of particles is analysed using Malvern Mastersizer 2000. The extent of breakage as a function of particle size and impact velocity is obtained by carrying out controlled breakage tests using the single particle impact test device available in our laboratory. The impact velocity of particles in the disperser at various pressures is evaluated by Eulerian–Lagrangian CFD simulation of the air flow in the unit. Particles of different sizes are found to accelerate to different velocities and break to different extents. Particle breakage is noticeable even at the lowest nozzle pressure. A remarkable unification of breakage data may be obtained when the relative change in the surface area for different particle sizes is expressed as a function of the dimensionless breakage propensity group, η, based on the impact velocity in the Scirocco, obtained from the CFD simulation.

Topical treatment with fresh human milk versus emollient on atopic eczema spots in young children: a small, randomized, split body, controlled, blinded pilot study.

BackgroundPublic health nurses report on effects of fresh human milk as treatment for conjunctivitis, rhinitis and atopic eczema (AE), the latter being highly prevalent in early childhood. Emollients and topical corticosteroids are first line treatment of AE. As many caregivers have steroid phobia, alternative treatment options for mild AE are of interest. The aim of this small pilot study was to assess the potential effects and risks of applying fresh human milk locally on eczema spots in children with AE.MethodsThis was a split body, controlled, randomized and physician blinded pilot study, of children with AE with two similar contralateral eczema spots having a mother breastfeeding the child or a sibling. Fresh expressed milk and emollient was applied on the intervention spot and emollient alone on the control area, three times a day for four weeks. The severity and area of the eczema spots was evaluated weekly, and samples from milk and the spots were analysed weekly with respect to bacterial colonisation.ResultsOf nine patients included, six completed the study. Mean age at inclusion was 18.5 months. The spots examined were localized on the arms, legs or cheeks. The spots were similar in severity, but differed in area. In one patient the eczema ceased after inclusion. In four patients both control and intervention areas increased during the intervention. The relative change in eczema area compared to baseline showed less increase in the intervention spots in two patients, whereas the opposite was observed in three. In four children Staphylococcus aureus was found in their eczema once or more. In three of the 28 human milk samples, Staphylococcus aureus, alfa haemolytic streptococci or coagulase negative staphylococci were detected. Staphylococcus aureus was found once both in human milk and in the eczema spots, no clinical signs of infection were however observed. No secondary infection due to milk application was detected.ConclusionIn this small pilot study, no effect was found on eczema spots treated with topical application of fresh human milk. (ClinicalTrials.gov Identifier, NCT02381028).

Usefulness of Cardiovascular Magnetic Resonance Indices to Rule In or Rule Out Precapillary Pulmonary Hypertension

BackgroundVarious cardiovascular magnetic resonance (CMR) imaging indices are used to assess pulmonary hypertension (PH; mean pulmonary artery pressure ≥ 25 mm Hg). We compared the value of CMR indices to diagnose precapillary PH in treatment-naive patients evaluated for the first time for known or suspected pulmonary vascular disease. MethodsRight heart catheterization and CMR were performed within 48 hours of each other in 85 consecutive subjects. The tricuspid annular plane systolic excursion, right ventricular (RV) fractional area change (RVFAC), RV ejection fraction, systolic eccentricity index, and RV end-diastolic area over left ventricular end-diastolic area ratio were calculated. The pulmonary artery trunk diameter, main pulmonary artery relative area change, and mean flow velocity were also calculated. ResultsThere were 20 non-PH subjects (14 women/6 men, 55 ± 14 years of age, mean pulmonary artery pressure [mPAP] = 20 ± 4 mm Hg) and 65 precapillary PH subjects (32 women/33 men, 60 ± 15 years of age; P = not significant; mPAP = 46 ± 12 mm Hg; 54% with chronic thromboembolic PH). All CMR indices showed essentially the same (good) value to rule in precapillary PH. The RV end-diastolic area over left ventricular end-diastolic area ratio and RVFAC, which are relatively easy to measure, had a large area under the receiver operating characteristic curve (0.93, with optimal cut-off > 0.96, and 0.92, with optimal cut-off ≤ 35%, respectively), not significantly different from RV ejection fraction. In addition, RVFAC > 45% was documented in none of 65 PH and in 10 of 20 non-PH; thus, in a population similar to ours, RVFAC measurement could potentially have avoided unnecessary catheterization in 50% of non-PH subjects. ConclusionsIn treatment-naive subjects in whom pulmonary vascular disease is highly suspected, right-sided CMR indices distinguish between PH and non-PH patients. RVFAC might have particular value in excluding precapillary PH.

Morphometric parameters of extraocular rectus muscles evaluated by dynamic-multipositional magnetic resonance.

To establish normal values of morphologic parameters of extraocular rectus muscles visualized in different gaze positions by means of an accessible method of dynamic-multipositional magnetic resonance imaging (dmMRI). Twenty eyes of 10 healthy, orthotropic subjects were examined. A 1.5T scanner (Avanto) with standard head coil was used. The protocol of dmMRI included 6 gaze positions in 10° intervals in which 13-second, orbital, T2 sequences were performed in quasi-coronal plane. The measurements of extraocular rectus muscles shape, sectional area, and volume were obtained with use of ImageJ 1.38x (NIH) software. Relative change in cross-sectional area between position of rest and gaze of action of each muscle appears to be significant just in the medial and posterior parts of their belly. The maximal cross-section area increases significantly when the muscle contracts (21% to 32% depending on the muscle). The superior rectus must be assessed along with levator palpebrae as the distinction between their bellies is difficult. Relative change in partial muscle volume on contraction ranged from 12.3% to 21.6% depending on the muscle. Muscle contraction results in more circular shape of its belly while relaxation is more of an ellipse. Dynamic-multipositional MRI performed in the proposed manner is an accessible and repeatable method for visualization of extraocular rectus muscles. Assessment of morphometric parameters such as muscle shape, maximal cross-section area, and partial muscle volume is easy with digital imaging software.

The Gating Mechanism of Mechanosensitive Channels in Droplet Interface Bilayers

ABSTRACTMscL, a large-conductance mechanosensitive channel, is a ubiquitous osmolyte release valve that aids bacteria in surviving abrupt hypo-osmotic shocks. The large scale of its tension-driven opening transition makes it a strong candidate to serve as a transducer in novel stimuli-responsive biomolecular materials. In the previous work, a low-threshold gain-of-function V23T mutant of MscL produced a reliable activation behavior in a droplet interface bilayer (DIB) with applied axial droplet compression. Near the maximal compression, the aqueous droplets deform and the resulting increase in surface area leads to an increase in tension in the water-lipid-oil interface. This increase in tension is the product of the relative change in the droplet surface area and the elastic modulus of the DPhPC lipid monolayer (∼120 mN/m). This paper, presents a study of the physical processes that cause MscL gating in the DIB. Analysis of video during compression and relaxation of the droplets is utilized to estimate the change in the surface area of the droplet and the variation on monolayer surface tension. The monolayer surface tension is proportional to the area change of the droplet normalized to the original surface area. The results demonstrate that the area change in the droplet is negligible at frequencies above 1 Hz, but is approximately 2% at frequencies in the range of 100 mHz. In addition, at low frequencies (∼0.2 Hz) bilayer thinning occurs at maximum compression, proving an increase in bilayer tension. However, this study also shows that gating at frequencies higher than 0.2 Hz could be achieved through the application of high duty cycle oscillation (∼75%). The relative change in monolayer area increases significantly at higher duty cycle oscillations where the compression stroke is much faster than the relaxation stroke.

Determination of Adulterants in Diesel by Integration of LED Fluorescence Spectra

This paper describes a simple and rapid methodology for determining the content of adulterants in diesel by the integration of fluorescence spectra. The procedure consists of constructing analytical curves using the concentrations of each adulterant in diesel and the relative change in the fluorescence area of each blend with respect to the fluorescence area of the diesel. The results indicated that the proposed method can be used to determine adulterants such as non-transesterified residual cooking oil, kerosene, and turpentine in diesel. The detection limits were 3, 4 and 5% for non-transesterified residual cooking oil, kerosene and turpentine in diesel, respectively. The method was also successfully used to determine the non-transesterified residual cooking oil content in B5 biodiesel-diesel blend (5% biodiesel) in the range of 0-70%, with a limit of detection of 4%.

Kernel density surface modelling as a means to identify significant concentrations of vulnerable marine ecosystem indicators.

The United Nations General Assembly Resolution 61/105, concerning sustainable fisheries in the marine ecosystem, calls for the protection of vulnerable marine ecosystems (VME) from destructive fishing practices. Subsequently, the Food and Agriculture Organization (FAO) produced guidelines for identification of VME indicator species/taxa to assist in the implementation of the resolution, but recommended the development of case-specific operational definitions for their application. We applied kernel density estimation (KDE) to research vessel trawl survey data from inside the fishing footprint of the Northwest Atlantic Fisheries Organization (NAFO) Regulatory Area in the high seas of the northwest Atlantic to create biomass density surfaces for four VME indicator taxa: large-sized sponges, sea pens, small and large gorgonian corals. These VME indicator taxa were identified previously by NAFO using the fragility, life history characteristics and structural complexity criteria presented by FAO, along with an evaluation of their recovery trajectories. KDE, a non-parametric neighbour-based smoothing function, has been used previously in ecology to identify hotspots, that is, areas of relatively high biomass/abundance. We present a novel approach of examining relative changes in area under polygons created from encircling successive biomass categories on the KDE surface to identify “significant concentrations” of biomass, which we equate to VMEs. This allows identification of the VMEs from the broader distribution of the species in the study area. We provide independent assessments of the VMEs so identified using underwater images, benthic sampling with other gear types (dredges, cores), and/or published species distribution models of probability of occurrence, as available. For each VME indicator taxon we provide a brief review of their ecological function which will be important in future assessments of significant adverse impact on these habitats here and elsewhere.

Pulmonary artery relative area change is inversely related to ex vivo measured arterial elastic modulus in the canine model of acute pulmonary embolization

A low relative area change (RAC) of the proximal pulmonary artery (PA) over the cardiac cycle is a good predictor of mortality from right ventricular failure in patients with pulmonary hypertension (PH). The relationship between RAC and local mechanical properties of arteries, which are known to stiffen in acute and chronic PH, is not clear, however. In this study, we estimated elastic moduli of three PAs (MPA, LPA and RPA: main, left and right PAs) at the physiological state using mechanical testing data and correlated these estimated elastic moduli to RAC measured in vivo with both phase-contrast magnetic resonance imaging (PC-MRI) and M-mode echocardiography (on RPA only). We did so using data from a canine model of acute PH due to embolization to assess the sensitivity of RAC to changes in elastic modulus in the absence of chronic PH-induced arterial remodeling. We found that elastic modulus increased with embolization-induced PH, presumably a consequence of increased collagen engagement, which corresponds well to decreased RAC. Furthermore, RAC was inversely related to elastic modulus. Finally, we found MRI and echocardiography yielded comparable estimates of RAC. We conclude that RAC of proximal PAs can be obtained from either MRI or echocardiography and a change in RAC indicates a change in elastic modulus of proximal PAs detectable even in the absence of chronic PH-induced arterial remodeling. The correlation between RAC and elastic modulus of proximal PAs may be useful for prognoses and to monitor the effects of therapeutic interventions in patients with PH.

Associations of arterial distensibility between carotid arteries and abdominal aorta by MR

To investigate the correlations of arterial distensibility between carotid arteries and abdominal aorta by MR. Twenty eight asymptomatic old subjects (71.4 ± 6.7 years; 14 males) and 20 healthy young subjects (23.5 ± 1.0 years; 10 males) were imaged with electrocardiograph-triggered balanced turbo field echo sequence sequence. Arterial distensibility was calculated as the relative lumen area change against unit blood pressure change and its relationship between carotid arteries and abdominal aorta was determined. The arterial distensibility in old subjects was significantly smaller than that in young subjects for left carotid artery (19.0 ± 6.6 × 10(-3) /kpa versus 30.9 ± 6.5 × 10(-3) /kpa), right carotid artery (16.7 ± 6.1 × 10(-3) /kpa versus 28.6 ± 9.3 × 10(-3) /kpa), and abdominal aorta (14.3 ± 5.5 × 10(-3) /kpa versus 37.5 ± 8.8 × 10(-3) /kpa), respectively (all P < 0.001). In both age groups, distensibility of the abdominal aorta was strongly correlated with that of the left carotid artery (old age group: r = 0.553; P = 0.004; young age group: r = 0.487; P = 0.029) but not with that of the right carotid artery (old age group: r = 0.371; P = 0.062; young age group: r = 0.189; P = 0.424). The distensibility of abdominal aorta is much more strongly associated with that of the left carotid artery compared with that of the right carotid artery.

Simulated Microstructural Evolution and Design of Porous Sintered Wicks

Porous structures formed by sintering of powders, which involves material-bonding under the application of heat, are commonly employed as capillary wicks in two-phase heat transport devices such as heat pipes. These sintered wicks are often fabricated in an ad hoc manner, and their microstructure is not optimized for fluid and thermal performance. Understanding the role of sintering kinetics—and the resulting microstructural evolution—on wick transport properties is important for fabrication of structures with optimal performance. A cellular automaton model is developed in this work for predicting microstructural evolution during sintering. The model, which determines mass transport during sintering based on curvature gradients in digital images, is first verified against benchmark cases, such as the evolution of a square shape into an area-preserving circle. The model is then employed to predict the sintering dynamics of a side-by-side, two-particle configuration conventionally used for the study of sintering. Results from previously published studies on sintering of cylindrical wires are used for validation. Randomly packed multiparticle configurations are then considered in two and three dimensions. Sintering kinetics are described by the relative change in overall surface area of the compact compared to the initial random packing. The effect of sintering parameters, particle size, and porosity on fundamental transport properties, viz., effective thermal conductivity and permeability, is analyzed. The effective thermal conductivity increases monotonically as either the sintering time or temperature is increased. Permeability is observed to increase with particle size and porosity. As sintering progresses, the slight increase observed in the permeability of the microstructure is attributed to a reduction in the surface area.

Quantitative Magnetic Resonance Imaging of Pulmonary Hypertension

Pulmonary hypertension is a condition of varied etiology, commonly associated with poor clinical outcome. Patients are categorized on the basis of pathophysiological, clinical, radiologic, and therapeutic similarities. Pulmonary arterial hypertension (PAH) is often diagnosed late in its disease course, with outcome dependent on etiology, disease severity, and response to treatment. Recent advances in quantitative magnetic resonance imaging (MRI) allow for better initial characterization and measurement of the morphologic and flow-related changes that accompany the response of the heart-lung axis to prolonged elevation of pulmonary arterial pressure and resistance and provide a reproducible, comprehensive, and noninvasive means of assessing the course of the disease and response to treatment. Typical features of PAH occur primarily as a result of increased pulmonary vascular resistance and the resultant increased right ventricular (RV) afterload. Several MRI-derived diagnostic markers have emerged, such as ventricular mass index, interventricular septal configuration, and average pulmonary artery velocity, with diagnostic accuracy similar to that of Doppler echocardiography. Furthermore, prognostic markers have been identified with independent predictive value for identification of treatment failure. Such markers include large RV end-diastolic volume index, low left ventricular end-diastolic volume index, low RV ejection fraction, and relative area change of the pulmonary trunk. MRI is ideally suited for longitudinal follow-up of patients with PAH because of its noninvasive nature and high reproducibility and is advantageous over other biomarkers in the study of PAH because of its sensitivity to change in morphologic, functional, and flow-related parameters. Further study on the role of MRI image based biomarkers in the clinical environment is warranted.

Topographic and geometric controls on glacier changes in the central Tien Shan, China, since the Little Ice Age

AbstractThis paper examines the topographic and geometric controls on glacier changes in area and equilibrium-line altitude (ELA) in the central Tien Shan, China, since the Little Ice Age (LIA). We delineate the extents of 487 modern glaciers and their corresponding maximum LIA glacial advances using satellite imagery in Google Earth, and analyze the relationships between the magnitude of glacier changes and a set of local topographic/geometric factors including glacier area, slope, aspect, shape, hypsometry and mean elevation. Our results show that: (1) glacier area decreased from 460.2 km2 during the LIA to 265.6 km2 in the 2000s (a loss of 42.3%), with an average ELA increase of ~100m; (2) relative area changes of glaciers are strongly affected by two of these local factors (glacier area and mean elevation); and (3) ELA change does not show a strong relationship with local factors, suggesting that it may be controlled mainly by climatic factors. This study provides important insights into the local controls on glacier changes at the centennial timescale, which are of critical importance to assess future glacier changes in this arid and semi-arid region.

Deformation and distensibility distribution along the abdominal aorta in the presence of aneurysmal dilatation

In order to evaluate the elastic behavior of the abdominal aortic aneurysm (AAA), the distribution of aortic deformation during the cardiac cycle is measured. Moreover, the distensibility of the AAA composite structure consisting of the AAA wall and the intraluminal thrombus (ILT), as well as that of the adjacent non-aneurysmal aortic segment (NAA), are calculated. Ten patients underwent electrocardiographically-gated computed tomography. 3D-surfaces of aortic wall and lumen were reconstructed during peak-systole and end-diastole and cross-sections perpendicular to the centerline were extracted 1 mm apart. Comparison of cross-sectional areas between peak-systole and end-diastole provided the relative area change (RAC). Mean values were calculated for NAA (RACNAA), aneurysmal wall (RACWall), and aneurysmal lumen (RACLumen). Distensibility of aneurysmal and unaffected aorta was calculated using brachial blood pressure measurements (DAAA and DNAA respectively). Normalized distensibility (DNORM) of the AAA was calculated with respect to normal aortic segment distensibility and related to aneurysm size and thrombus content. A map of aortic deformation during the cardiac cycle was obtained. Differences between RACWall (median=0.7%, range=0.3-2.1%) and both RACNAA (median=2.8%, range=0.9-4.8%) and RACLumen (median=1.8%, range=0.5-3.4%) were statistically significant. DAAA (median=0.30∙10-5 Pa-1, range=0.05-0.64∙10-5 Pa-1) was lower than DNAA (median=0.43∙10-5 Pa-1, range=0.16-0.83∙10-5 Pa-1) but difference was not statistically significant. Median DNORM was 0.73 (range=0.1-3.1) and presented a significant positive correlation with AAA size and thrombus content. Aneurysmal wall deforms significantly less than non-aneurysmal wall and aneurysmal lumen, due to altered elastic properties and reduced loading. In large AAAs with larger amounts of ILT, the lumen deformation is comparable or even exceeds that of NAA and subsequently so does the distensibility of the Wall-ILT composite, an observation suggesting a thrombus cushioning effect. DNORM may provide insight in the estimation of AAA evolution and assist in rupture risk assessment.

Metabolic profiling of yeast culture using gas chromatography coupled with orthogonal acceleration accurate mass time-of-flight mass spectrometry: Application to biomarker discovery

Yeast and yeast cultures are frequently used as additives in diets of dairy cows. Beneficial effects from the inclusion of yeast culture in diets for dairy mammals have been reported, and the aim of this study was to develop a comprehensive analytical method for the accurate mass identification of the ‘global’ metabolites in order to differentiate a variety of yeasts at varying growth stages (Diamond V XP, Yea-Sacc and Levucell). Microwave-assisted derivatization for metabolic profiling is demonstrated through the analysis of differing yeast samples developed for cattle feed, which include a wide range of metabolites of interest covering a large range of compound classes. Accurate identification of the components was undertaken using GC-oa-ToFMS (gas chromatography-orthogonal acceleration-time-of-flight mass spectrometry), followed by principal component analysis (PCA) and orthogonal partial least squares discriminant analysis (OPLS-DA) for data reduction and biomarker discovery. Semi-quantification (fold changes in relative peak areas) was reported for metabolites identified as possible discriminative biomarkers (p-value <0.05, fold change >2), including d-ribose (four fold decrease), myo-inositol (five fold increase), l-phenylalanine (three fold increase), glucopyranoside (two fold increase), fructose (three fold increase) and threitol (three fold increase) respectively.