Resveratrol has been reported to have potent anti-atherosclerotic effects in animal studies. However, there are few interventional studies in human patients with atherosclerogenic diseases. The ...cardio-ankle vascular index (CAVI) reflects arterial stiffness and is a clinical surrogate marker of atherosclerosis. The aim of the present study was to investigate the effect of resveratrol on arterial stiffness assessed by CAVI in patients with type 2 diabetes mellitus (T2DM).In this double-blind, randomized, placebo-controlled study, 50 patients with T2DM received supplement of a 100mg resveratrol tablet (total resveratrol: oligo-stilbene 27.97 mg/100 mg/day) or placebo daily for 12 weeks. CAVI was assessed at baseline and the end of study. Body weight (BW), blood pressure (BP), glucose and lipid metabolic parameters, and diacron-reactive oxygen metabolites (d-ROMs; an oxidative stress marker) were also measured.Resveratrol supplementation decreased systolic BP (-5.5 ± 13.0 mmHg), d-ROMs (-25.6 ± 41.8 U.CARR), and CAVI (-0.4 ± 0.7) significantly (P < 0.05) and decreased BW (-0.8 ± 2.1 kg, P = 0.083) and body mass index (-0.5 ± 0.8 kg/m2, P = 0.092) slightly compared to baseline, while there were no significant changes in the placebo group. Decreases in CAVI and d-ROMs were significantly greater in the resveratrol group than in the placebo group. Multivariate logistic regression analysis identified resveratrol supplementation as an independent predictor for a CAVI decrease of more than 0.5.In conclusion, 12-week resveratrol supplementation may improve arterial stiffness and reduce oxidative stress in patients with T2DM. Resveratrol may be beneficial in preventing the development of atherosclerosis induced by diabetes. However, a large-scale cohort study is required to validate the present findings.
Several case reports of patients with both moyamoya syndrome (MMS) and antiphospholipid syndrome (APS) have been published. However, the relationship between MMS and APS has not been clarified. We ...herein report a patient with MMS who had an ischemic stroke with rapid worsening of stenosis of the middle cerebral artery associated with APS. The patient was triple-positive for antiphospholipid antibodies. Patients with MMS complicated by APS should be closely followed up with vascular imaging.
Introduction The neuronavigator has become indispensable for brain surgery and works in the manner of point-to-point navigation. Because the positional information is indicated on a personal computer ...(PC) monitor, surgeons are required to rotate the dimension of the magnetic resonance imaging/computed tomography scans to match the surgical field. In addition, they must frequently alternate their gaze between the surgical field and the PC monitor. Objective To overcome these difficulties, we developed an augmented reality-based navigation system with whole-operation-room tracking. Methods A tablet PC is used for visualization. The patient's head is captured by the back-face camera of the tablet. Three-dimensional images of intracranial structures are extracted from magnetic resonance imaging/computed tomography and are superimposed on the video image of the head. When viewed from various directions around the head, intracranial structures are displayed with corresponding angles as viewed from the camera direction, thus giving the surgeon the sensation of seeing through the head. Whole-operation-room tracking is realized using a VICON tracking system with 6 cameras. Results A phantom study showed a spatial resolution of about 1 mm. The present system was evaluated in 6 patients who underwent tumor resection surgery, and we showed that the system is useful for planning skin incisions as well as craniotomy and the localization of superficial tumors. Conclusions The main advantage of the present system is that it achieves volumetric navigation in contrast to conventional point-to-point navigation. It extends augmented reality images directly onto real surgical images, thus helping the surgeon to integrate these 2 dimensions intuitively.
This study was conducted to assess the potential of a sponges-submerged anaerobic baffled reactor (SS-ABR) for enhancing the processing performance of azo dye-contaminated wastewater. A lab-scale ...four–compartment SS-ABR, with a total volume of 10 L, was operated at 30 °C for 180 days. A total of 14 polyurethane sponges were added in each compartment to treat synthetic wastewater including a commercial azo dye Hellozol HSR Reactive Black. During the entire operation, in synthetic wastewater, starch was used as a sole carbon source, and the true color level was maintained at 1050 ± 98 Pt/Co. Meanwhile, the hydraulic retention time (HRT) and total COD (T-COD) in the influent were changed to evaluate the SS-ABR treatment performance. After the start-up phase, true color and T-COD removal efficiencies were recorded as 65 ± 3% and 83 ± 2%, 68 ± 5% and 81 ± 4%, and 70 ± 5% and 84 ± 2% for HRT and influent T-COD concentration of 18.6 h and 260 mg L−1, 14.6 h and 260 mg L−1, and 14.6 h and 460 mg L−1, respectively. The microbial community analysis showed that bacterial groups involved in dye degradation, such as Clostridium sp., and sulfate-reducing bacteria Desulfomonile sp. and Desulfovibrio sp. were detected prominently in the SS-ABR. Interestingly, the SS-ABR exhibited the dominance of both Geobacter sp. and Methanosarcina sp., and their occurrences in all columns were proportional to each other, revealing the formation of syntrophic relationships.
•A sponges-submerged ABR (SS-ABR) was performed for enhanced decolorization.•Treatment performance of SS-ABR was stable when HRT and organic load changes.•The dominance of genus Clostridium revealed its involvement in dye decolorization.
The aim of this study was to evaluate the contribution of dissolved organic carbon (DOC) and microbial community dynamics to membrane fouling development in membrane bioreactor (MBR). We operated ...laboratory-scale anoxic/oxic-MBRs under prolonged starvation conditions in different seasons and the dynamics and diversity of the microbial communities were investigated. Although fouled-MBRs showed DOC accumulation in the activated sludge (AS), the fouling-mitigated MBR suggested that dissolved oxygen was consumed and DOC of the sludge supernatant was degraded. 16S rRNA genes analysis of AS in the MBRs revealed that Chitinophagaceae and Candidatus Promineofilum specifically increased in the fouling-mitigated MBR, suggesting that they played important roles in membrane fouling mitigation; high microbial diversity in the reactor also contributed to fouling mitigation. In the fouled reactor, enrichment of Xanthomonadaceae might be related to fouling causing substances formation leading to membrane fouling development; lower microbial diversity also contributed to fouling development in the fouled MBR.
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•Microbial dynamics of fouled and mitigated MBR were investigated under starvation.•ΔDOC between activated sludge (AS) and effluent could be used as fouling parameter.•High diversity of AS community was important for fouling mitigation.•Xanthomonadaceae implicated in fouling development via EPS production.•Chitinophagaceae implicated in fouling mitigation via SMPs utilization.
A practical-scale down-flow hanging sponge (DHS) reactor using third-generation (G3) sponge carriers was applied for treatment of the effluent from an up-flow anaerobic sludge blanket (UASB) reactor ...treating municipal sewage. The process performance of the DHS reactor filled with G3 sponge carriers (DHS-G3) was evaluated by conducting an on-site experiment in India over one year. The performance of the DHS-G3 for removal of organic matter and ammonium-nitrogen at a relatively short hydraulic retention time (HRT) of only 0.66 h satisfied the Indian effluent quality standards except for fecal coliform. The removal rate constants for total biochemical oxygen demand (BOD) and fecal coliform determined based on the water quality profiles along the DHS-G3 almost reached equilibrium approximately four months after the start of operation, i.e., 2.45 h−1 for BOD and 2.30 h−1 for fecal coliform, respectively. The oxygen utilization activity of retained sludge was determined to assess the distribution of heterotrophic and autotrophic bacteria along the DHS-G3. Nitrification was promoted in the lower portion of the DHS-G3 reactor in the duration with low organic load, while it decreased when the organic load was increased, probably due to proliferation of heterotrophic bacteria.
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•DHS reactor filled with third-generation sponge carriers was evaluated over 1 year.•Adequate removal of BOD and NH4+-N at an HRT of 0.66 h was achieved.•Removal rate constants were at least 2.30 h−1 for BOD and FC 4 months after start-up.•The distribution of bacteria along the reactor was inferred by OUR tests.
In the basal ganglia, inputs from the nucleus accumbens (NAc) are transmitted through both direct and indirect pathways and control reward-based learning. In the NAc, dopamine (DA) serves as a key ...neurotransmitter, modulating these two parallel pathways. This study explored how reward learning and its flexibility are controlled in a pathway-specific and DA receptor-dependent manner. We used two techniques (i) reversible neurotransmission blocking (RNB), in which transmission of the direct (d -RNB) or the indirect pathway (I-RNB) in the NAc on both sides of the hemispheres was selectively blocked by transmission-blocking tetanus toxin; and (ii) asymmetric RNB, in which transmission of the direct (d -aRNB) or the indirect pathway (I-aRNB) was unilaterally blocked by RNB techniques and the intact side of the NAc was infused with DA agonists or antagonists. Reward-based learning was assessed by measuring goal-directed learning ability based on visual cue tasks (VCTs) or response-direction tasks (RDTs). Learning flexibility was then tested by switching from a previously learned VCT to a new VCT or RDT. d -RNB mice and D1 receptor antagonist-treated d -aRNB mice showed severe impairments in learning acquisition but normal flexibility to switch from a previously learned strategy. In contrast, I-RNB mice and D2 receptor agonist-treated I-aRNB mice showed normal learning acquisition but severe impairments not only in the flexibility to the learning switch but also in the subsequent acquisition of learning a new strategy. D1 and D2 receptors thus play distinct but cooperative roles in reward learning and its flexibility in a pathway-specific manner.
A novel, strictly anaerobic, short rod-shaped bacterium, designated strain TBC1
, was isolated from methanogenic granular sludge in a full-scale mesophilic upflow anaerobic sludge blanket reactor ...treating high-strength starch-based organic wastewater. Cells of this strain were 2-4 µm long and 0.4-0.6 µm wide. They were non-motile and Gram-stain-negative. The optimum growth temperature was 30-37 °C, with a range of 20-40 °C. The optimum pH for growth was around pH 7.0, while growth occurred in a range of pH 6.5-9.0. Strain TBC1
grew chemo-organotrophically on a narrow range of carbohydrates under anaerobic conditions. Yeast extract was required for its growth. The major fermentative end products from glucose, supplemented with yeast extract, were acetate, malate, propionate, formate and hydrogen. Doubling time under optimal growth conditions was estimated to be 1 day. The DNA G+C content of strain TBC1
was 49.2 mol% as determined by HPLC. Major cellular fatty acids were C16 : 0, C18 : 0, C16 : 1ω9c and C18 : 1ω9c. Based on its 16S rRNA gene sequence, strain TBC1
was shown to represent a distinct lineage at the family level in the phylum Bacteroidetes. Among previously described species of this phylum, Mucilaginibacter boryungensis BDR-9
(Sphingobacteriaceae) displayed the highest sequence similarity (85.9 %) with strain TBC1
. Phylogenomic analyses using 38-83 single copy marker genes also supported the novelty of strain TBC1
at the family level. Based on its characteristics, strain TBC1
(=JCM 30898
=DSM 100618
) is considered to be the type strain of a novel species of a new genus, Lentimicrobium saccharophilum gen. nov., sp. nov. A new family, Lentimicrobiaceae fam. nov., is also proposed encompassing the strain and related environmental 16S rRNA gene clone sequences.
Aim
Assisted reproductive technology (ART) is gaining popularity worldwide. However, it is associated with increased incidence of velamentous umbilical cord insertion (VCI) in the placenta, resulting ...in adverse perinatal outcomes. This study aimed to identify the risk factors that might affect the incidence of VCI in pregnancies after ART treatment.
Methods
We retrospectively analyzed the records of 906 singleton pregnancies via ART; all women delivered in our facility. Three ART‐related variables and infant sex were examined: (1) fertilization method (conventional in vitro fertilization or intracytoplasmic sperm injection), (2) type of embryo at the time of transfer (fresh or frozen–thawed), (3) developmental stage of embryo at the time of transfer (cleavage stage or blastocyst), and (4) infant sex (male or female). Logistic regression analysis was used to assess the impact of these variables on the incidence of VCI.
Results
Of 906 cases, 55 had VCI (incidence rate, 6.1%). After adjusting for potential confounders, blastocyst stage of development (adjusted odds ratio aOR: 4.3, 95% confidence interval CI: 1.9–12.7) and female sex (aOR: 2.2, 95% CI: 1.2–3.9) emerged as independent risk factors for the development of VCI. The fertilization method and type of embryo at the time of transfer did not affect the incidence of VCI.
Conclusions
Blastocyst stage of development and female sex pose a higher risk for developing VCI. Thus, more attention should be paid to pregnancies achieved by blastocyst and with a female fetus to detect VCI proactively and safeguard the health of both mother and fetus/neonate.
Although the vagus nerve (VN) is easily observed by ultrasonography, few studies have evaluated the cross-sectional area (CSA) of the VN in healthy older individuals from East Asia. In this study, we ...aimed to report reference values for the CSA of the VN in community-dwelling elderly Japanese individuals and to identify any associated medical history and/or lifestyle factors.
The present study included 336 participants aged ≥ 70 years from a prospective cohort study conducted in Yahaba, Japan from October 2021 to February 2022. The CSA of the VN was measured bilaterally at the level of the thyroid gland by ultrasonography. Simple linear regression analysis and generalized estimating equation were conducted to identify the associations between clinical and background factors and the CSA of the VN.
In our cohort, the median CSA of the VN was 1.3 mm2 (interquartile range IQR 1.1-1.6) on the right side and 1.2 mm2 (IQR 1.0-1.4) on the left side. Generalized estimating equation showed that history of head injury (β = 0.19, p < .01), current smoking habit (β = -0.09, p = .03), and BMI (β = 0.02, p < .01) were independently associated with the CSA of the VN.
We have reported reference VN CSA values for community-dwelling elderly Japanese individuals. In addition, we showed that the CSA of the VN was positively associated with a history of head injury and BMI and inversely associated with current smoking habit.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
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