Evidence for the influence of ambulatory blood pressure on prognosis derives mainly from population-based studies and a few relatively small clinical investigations. This study examined the ...associations of blood pressure measured in the clinic (clinic blood pressure) and 24-hour ambulatory blood pressure with all-cause and cardiovascular mortality in a large cohort of patients in primary care.
We analyzed data from a registry-based, multicenter, national cohort that included 63,910 adults recruited from 2004 through 2014 in Spain. Clinic and 24-hour ambulatory blood-pressure data were examined in the following categories: sustained hypertension (elevated clinic and elevated 24-hour ambulatory blood pressure), "white-coat" hypertension (elevated clinic and normal 24-hour ambulatory blood pressure), masked hypertension (normal clinic and elevated 24-hour ambulatory blood pressure), and normotension (normal clinic and normal 24-hour ambulatory blood pressure). Analyses were conducted with Cox regression models, adjusted for clinic and 24-hour ambulatory blood pressures and for confounders.
During a median follow-up of 4.7 years, 3808 patients died from any cause, and 1295 of these patients died from cardiovascular causes. In a model that included both 24-hour and clinic measurements, 24-hour systolic pressure was more strongly associated with all-cause mortality (hazard ratio, 1.58 per 1-SD increase in pressure; 95% confidence interval CI, 1.56 to 1.60, after adjustment for clinic blood pressure) than the clinic systolic pressure (hazard ratio, 1.02; 95% CI, 1.00 to 1.04, after adjustment for 24-hour blood pressure). Corresponding hazard ratios per 1-SD increase in pressure were 1.55 (95% CI, 1.53 to 1.57, after adjustment for clinic and daytime blood pressures) for nighttime ambulatory systolic pressure and 1.54 (95% CI, 1.52 to 1.56, after adjustment for clinic and nighttime blood pressures) for daytime ambulatory systolic pressure. These relationships were consistent across subgroups of age, sex, and status with respect to obesity, diabetes, cardiovascular disease, and antihypertensive treatment. Masked hypertension was more strongly associated with all-cause mortality (hazard ratio, 2.83; 95% CI, 2.12 to 3.79) than sustained hypertension (hazard ratio, 1.80; 95% CI, 1.41 to 2.31) or white-coat hypertension (hazard ratio, 1.79; 95% CI, 1.38 to 2.32). Results for cardiovascular mortality were similar to those for all-cause mortality.
Ambulatory blood-pressure measurements were a stronger predictor of all-cause and cardiovascular mortality than clinic blood-pressure measurements. White-coat hypertension was not benign, and masked hypertension was associated with a greater risk of death than sustained hypertension. (Funded by the Spanish Society of Hypertension and others.).
Magnetic reconnection is thought to drive a wide variety of dynamic phenomena in the solar atmosphere. Yet, the detailed physical mechanisms driving reconnection are difficult to discern in the ...remote sensing observations that are used to study the solar atmosphere. In this Letter, we exploit the high-resolution instruments Interface Region Imaging Spectrograph and the new CHROMIS Fabry-Pérot instrument at the Swedish 1-m Solar Telescope (SST) to identify the intermittency of magnetic reconnection and its association with the formation of plasmoids in so-called UV bursts in the low solar atmosphere. The Si iv 1403 UV burst spectra from the transition region show evidence of highly broadened line profiles with often non-Gaussian and triangular shapes, in addition to signatures of bidirectional flows. Such profiles had previously been linked, in idealized numerical simulations, to magnetic reconnection driven by the plasmoid instability. Simultaneous CHROMIS images in the chromospheric Ca ii K 3934 line now provide compelling evidence for the presence of plasmoids by revealing highly dynamic and rapidly moving brightenings that are smaller than 0 2 and that evolve on timescales of the order of seconds. Our interpretation of the observations is supported by detailed comparisons with synthetic observables from advanced numerical simulations of magnetic reconnection and associated plasmoids in the chromosphere. Our results highlight how subarcsecond imaging spectroscopy sensitive to a wide range of temperatures combined with advanced numerical simulations that are realistic enough to compare with observations can directly reveal the small-scale physical processes that drive the wide range of phenomena in the solar atmosphere.
Context. CHROMIS, a new imaging spectrometer at the Swedish 1-m Solar Telescope (SST), can observe the chromosphere in the H and K lines of Ca II at high spatial and spectral resolution. Accurate ...modeling as well as an understanding of the formation of these lines are needed to interpret the SST/CHROMIS observations. Such modeling is computationally challenging because these lines are influenced by strong departures from local thermodynamic equilibrium, three-dimensional radiative transfer, and partially coherent resonance scattering of photons. Aim. We aim to model the Ca II H and K lines in 3D model atmospheres to understand their formation and to investigate their diagnostic potential for probing the chromosphere. Methods. We model the synthetic spectrum of Ca II using the radiative transfer code Multi3D in three different radiation-magnetohydrodynamic model atmospheres computed with the Bifrost code. We classify synthetic intensity profiles according to their shapes and study how their features are related to the physical properties in the model atmospheres. We investigate whether the synthetic data reproduce the observed spatially-averaged line shapes, center-to-limb variation and compare this data with SST/CHROMIS images. Results. The spatially-averaged synthetic line profiles show too low central emission peaks, and too small separation between the peaks. The trends of the observed center-to-limb variation of the profiles properties are reproduced by the models. The Ca II H and K line profiles provide a temperature diagnostic of the temperature minimum and the temperature at the formation height of the emission peaks. The Doppler shift of the central depression is an excellent probe of the velocity in the upper chromosphere.
The successful incorporation of active proteins into synthetic polymers could lead to a new class of materials with functions found only in living systems. However, proteins rarely function under the ...conditions suitable for polymer processing. On the basis of an analysis of trends in protein sequences and characteristic chemical patterns on protein surfaces, we designed four-monomer random heteropolymers to mimic intrinsically disordered proteins for protein solubilization and stabilization in non-native environments. The heteropolymers, with optimized composition and statistical monomer distribution, enable cell-free synthesis of membrane proteins with proper protein folding for transport and enzyme-containing plastics for toxin bioremediation. Controlling the statistical monomer distribution in a heteropolymer, rather than the specific monomer sequence, affords a new strategy to interface with biological systems for protein-based biomaterials.
Observationally Based Models of Penumbral Microjets Esteban Pozuelo, S.; de la Cruz Rodríguez, J.; Drews, A. ...
Astrophysical journal/The Astrophysical journal,
01/2019, Letnik:
870, Številka:
2
Journal Article
Recenzirano
Odprti dostop
We study the polarization signals and physical parameters of penumbral microjets (PMJs) by using high spatial resolution data taken in the Fe i 630 nm pair, Ca ii 854.2 nm, and Ca ii K lines with the ...CRISP and CHROMIS instruments at the Swedish 1 m Solar Telescope. We infer their physical parameters, such as physical observables in the photosphere and chromospheric velocity diagnostics, by different methods, including inversions of the observed Stokes profiles with the STiC code. PMJs harbor overall brighter Ca ii K line profiles and conspicuous polarization signals in Ca ii 854.2 nm, specifically in circular polarization that often shows multiple lobes mainly due to the shape of Stokes I. They usually overlap photospheric regions with a sheared magnetic field configuration, suggesting that magnetic reconnections could play an important role in the origin of PMJs. The discrepancy between their low LOS velocities and the high apparent speeds reported on earlier, as well as the existence of different vertical velocity gradients in the chromosphere, indicate that PMJs might not be entirely related to mass motions. Instead, PMJs could be due to perturbation fronts induced by magnetic reconnections occurring in the deep photosphere that propagate through the chromosphere. This reconnection may be associated with current heating that produces temperature enhancements from the temperature minimum region. Furthermore, enhanced collisions with electrons could also increase the coupling to the local conditions at higher layers during the PMJ phase, giving a possible explanation for the enhanced emission in the overall Ca ii K profiles emerging from these transients.
Aging is a physiological decline process. The number of older adults is growing around the world; therefore, the incidence of cognitive impairment, dementia, and other diseases related to aging ...increases. The main cellular factors that converge in the aging process are mitochondrial dysfunction, antioxidant impairment, inflammation, and immune response decline, among others. In this context, these cellular changes have an influence on the kynurenine pathway (KP), the main route of tryptophan (Trp) catabolism. KP metabolites have been involved in the aging process and neurodegenerative diseases. Although there are changes in the metabolite levels with age, at this time, there is no study that has evaluated cognitive decline as a consequence of Trp catabolism fluctuation in aging. The aim of this study was to evaluate the relation between the changes in Trp catabolism and cognitive impairment associated with age through KP metabolites level alterations in women over 50 years of age. Seventy-seven nondemented women over 50 years old were examined with a standardized cognitive screening evaluation in Spanish language (Neuropsi), Beck anxiety inventory (BAI), and the geriatric depression scale (GDS). Also, serum levels of Trp, kynurenine (Kyn), kynurenic acid (KYNA), and 3-hydroykynurenine (3-HK) and the glutathione ratio (GSH/GSSG) were measured. Results showed a negative correlation between age and Trp levels and a positive correlation between age and KYNA/Trp and 3-HK/Trp ratios. The level of cognitive impairment showed a significant positive association with age and with kynurenine pathway activation and a significant negative correlation with Trp levels. The GSH/GSSG ratio correlated positively with Trp levels and negatively with Kyn/Trp and 3-HK/Trp ratios. The depression score correlated negatively with Trp and positively with the 3-HK/Trp ratio. We concluded that KP activation increases with age and it is strongly associated with the level of cognition performance in nondemented women over 50 years of age.
With the advent of a new generation of solar telescopes and instrumentation, interpreting chromospheric observations (in particular, spectropolarimetry) requires new, suitable diagnostic tools. This ...paper describes a new code, NICOLE, that has been designed for Stokes non-LTE radiative transfer, for synthesis and inversion of spectral lines and Zeeman-induced polarization profiles, spanning a wide range of atmospheric heights from the photosphere to the chromosphere. The code features a number of unique features and capabilities and has been built from scratch with a powerful parallelization scheme that makes it suitable for application on massive datasets using large supercomputers. The source code is written entirely in Fortran 90/2003 and complies strictly with the ANSI standards to ensure maximum compatibility and portability. It is being publicly released, with the idea of facilitating future branching by other groups to augment its capabilities.
Abstract Kynurenic acid (KYNA) is an endogenous metabolite of the kynurenine pathway for tryptophan degradation and an antagonist of both N-methyl- d -aspartate (NMDA) and alpha-7 nicotinic ...acetylcholine (α7nACh) receptors. KYNA has also been shown to scavenge hydroxyl radicals ( OH) under controlled conditions of free radical production. In this work we evaluated the ability of KYNA to scavenge superoxide anion (O2− ) and peroxynitrite (ONOO− ). The scavenging ability of KYNA (expressed as IC50 values) was as follows: OH = O2− > ONOO− . In parallel, the antiperoxidative and scavenging capacities of KYNA (0–150 μM) were tested in cerebellum and forebrain homogenates exposed to 5 μM FeSO4 and 2.5 mM 3-nitropropionic acid (3-NPA). Both FeSO4 and 3-NPA increased lipid peroxidation (LP) and ROS formation in a significant manner in these preparations, whereas KYNA significantly reduced these markers. Reactive oxygen species (ROS) formation were determined in the presence of FeSO4 and/or KYNA (0–100 μM), both at intra and extracellular levels. An increase in ROS formation was induced by FeSO4 in forebrain and cerebellum in a time-dependent manner, and KYNA reduced this effect in a concentration-dependent manner. To further know whether the effect of KYNA on oxidative stress is independent of NMDA and nicotinic receptors, we also tested KYNA (0–100 μM) in a biological preparation free of these receptors – defolliculated Xenopus laevis oocytes – incubated with FeSO4 for 1 h. A 3-fold increase in LP and a 2-fold increase in ROS formation were seen after exposure to FeSO4 , whereas KYNA attenuated these effects in a concentration-dependent manner. In addition, the in vivo formation of OH evoked by an acute infusion of FeSO4 (100 μM) in the rat striatum was estimated by microdialysis and challenged by a topic infusion of KYNA (1 μM). FeSO4 increased the striatal OH production, while KYNA mitigated this effect. Altogether, these data strongly suggest that KYNA, in addition to be a well-known antagonist acting on nicotinic and NMDA receptors, can be considered as a potential endogenous antioxidant.
The recent emergence of the SARS-CoV-2 Omicron variant is raising concerns because of its increased transmissibility and its numerous spike mutations, which have the potential to evade neutralizing ...antibodies elicited by COVID-19 vaccines. Here we evaluated the effects of a heterologous BNT162b2 mRNA vaccine booster on the humoral immunity of participants who had received a two-dose regimen of CoronaVac, an inactivated vaccine used globally. We found that a heterologous CoronaVac prime vaccination of two doses followed by a BNT162b2 booster induces elevated virus-specific antibody levels and potent neutralization activity against the ancestral virus and the Delta variant, resembling the titers obtained after two doses of mRNA vaccines. Although neutralization of Omicron was undetectable in participants who had received a two-dose regimen of CoronaVac, the BNT162b2 booster resulted in a 1.4-fold increase in neutralization activity against Omicron compared with the two-dose mRNA vaccine. Despite this increase, neutralizing antibody titers were reduced by 7.1-fold and 3.6-fold for Omicron compared with the ancestral strain and the Delta variant, respectively. These findings have immediate implications for multiple countries that previously used a CoronaVac regimen and reinforce the idea that the Omicron variant is associated with immune escape from vaccines or infection-induced immunity, highlighting the global need for vaccine boosters to combat the impact of emerging variants.
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