To determine the relationship between femoral neck geometry and the risk of hip fracture in post-menopausal Caucasian women, we conducted a retrospective study comparing the femoral neck dimensions ...of 62 hip fracture cases to those of 608 randomly selected controls. Measurements were made from dual-energy X-ray absorptiometry scans (Lunar DPX-L), using the manufacturer's ruler function, and included: hip axis length (HAL), femoral neck axis length (FNAL), femoral neck width (FNW), femoral shaft width (FSW), medial femoral shaft cortical thickness (FSCT(med)), and lateral femoral shaft cortical thickness (FSCT(lat)). The fracture group was older (median age 78.3 years vs 73.8 years), lighter (median weight 59.9 kg vs 64.5 kg), and, after adjustment for age, taller (mean height 158.7+/-0.8 cm vs 156.7+/-0.2 cm) than the controls. Furthermore, bone mineral density was lower in this group (0.682+/-0.016 g/cm(2) vs 0.791+/-0.006 g/cm(2)). After adjustment for age, bone mineral content (BMC) or height, hip fracture patients had greater FNW (up to 6.6%) and FSW (up to 6.3%) than did the controls. Each standard deviation increase in FNW and FSW was associated with a 1.7-fold (95% CI 1.3-2.3) and a 2.4-fold (95% CI 1.8-3.2) increase in the fracture risk, respectively. BMC-adjusted FNAL was greater in the fracture group (+2.1%) than in the controls, while the age-adjusted FSCT(med) was reduced (-7.2%). There was a trend towards longer HAL (up to 2.1%) after adjustment for age or BMC, and thinner age-adjusted FSCT(lat) (-1.7%) in fracture patients that did not reach statistical significance. In multivariate analysis, the risk of hip fracture was predicted by the combination of age, FNW, FSW, BMC and FSCT(med). HAL was not analyzed because of the small number of HAL measurements among fracture cases. We conclude that post-menopausal women with hip fractures have wider femoral necks and shafts, thinner femoral cortices and longer femoral neck axis lengths than do women with no fractures. Alteration in hip geometry is associated with the risk of hip fracture.
The Minerva-Australis telescope array is a facility dedicated to the follow-up, confirmation, characterization, and mass measurement of planets orbiting bright stars discovered by the Transiting ...Exoplanet Survey Satellite (TESS)-a category in which it is almost unique in the Southern Hemisphere. It is located at the University of Southern Queensland's Mount Kent Observatory near Toowoomba, Australia. Its flexible design enables multiple 0.7 m robotic telescopes to be used both in combination, and independently, for high-resolution spectroscopy and precision photometry of TESS transit planet candidates. Minerva-Australis also enables complementary studies of exoplanet spin-orbit alignments via Doppler observations of the Rossiter-McLaughlin effect, radial velocity searches for nontransiting planets, planet searches using transit timing variations, and ephemeris refinement for TESS planets. In this first paper, we describe the design, photometric instrumentation, software, and science goals of Minerva-Australis, and note key differences from its Northern Hemisphere counterpart, the Minerva array. We use recent transit observations of four planets, WASP-2b, WASP-44b, WASP-45b, and HD 189733b, to demonstrate the photometric capabilities of Minerva-Australis.
The bandgap of solid-state TiO2 (3.2 eV) enables it to be a useful photocatalyst in the ultraviolet (lambda < 380 nm) region of the spectrum. A clean TiO2 surface in the presence of sunlight ...therefore enables the removal of harmful NOx gases from the atmosphere by oxidation to nitrates. These properties, in addition to the whiteness, relative cheapness and non-toxicity, make TiO2 ideal for the many de-NOX catalysts that are currently being commercially exploited both in the UK and Japan for concrete paving materials in inner cities. There is need, however, for further academic understanding of the surface reactions involved. Hence, we have used surface specific techniques, including X-ray photoelectron spectroscopy and Raman spectroscopy, to investigate the NOx adsorbate reaction at the TiO2 substrate surface.
Osteoporosis is associated with increased risk for fracture. However, most postmenopausal women have bone mineral density (BMD) within the normal or osteopenic range. The aim of this study was to ...determine the proportion of the population burden of fragility fractures arising from women at modest risk for fracture.
We measured baseline BMD in a population-based random sample of 616 postmenopausal women aged 60-94 years and followed these individuals for a median of 5.6 years (IQR 3.9-6.5) to determine the incidence of fractures according to age, BMD and the presence of a prior fracture.
Based on WHO criteria, 37.6% of the women had normal total hip BMD, 48.0% had osteopenia and 14.5% had osteoporosis. The incidence of fracture during follow-up was highest in women with osteoporosis, but only 26.9% of all fractures arose from this group; 73.1% occurred in women without osteoporosis (56.5% in women with osteopenia, 16.6% in women with normal BMD). Decreasing BMD, increasing age and prior fracture contributed independently to increased fracture risk; in a multivariate model, the relative risk for fracture increased 65% for each SD decrease in BMD (RR=1.65, 95%CI 1.32-2.05), increased 3% for every year of age (RR=1.03, 95%CI 1.01-1.06) and doubled with prevalent fracture (RR=2.01, 95% CI 1.40-2.88). A prevalent fracture increased the risk for fractures such that women with osteopenia and prevalent fracture had the same, if not greater, risk as women with osteoporosis alone.
Reducing the population burden of fractures requires attention to women with osteopenia, as well as osteoporosis, because over half of the fragility fractures in the population arise in these individuals, and women with osteopenia plus a prevalent fracture have the same fracture risk as women with osteoporosis.
Leptin Inhibits Osteoclast Generation Holloway, Wayne R.; Collier, Fiona McL; Aitken, Cathy J. ...
Journal of bone and mineral research,
February 2002, Letnik:
17, Številka:
2
Journal Article
Recenzirano
Originally, leptin was described as a product of adipocytes that acts on the hypothalamus to regulate appetite. However, subsequently, it has been shown that leptin receptors are distributed widely ...and that leptin has diverse functions, including promotion of hemopoietic and osteoblastic differentiation. It has been recognized for some time that both serum leptin and bone mass are correlated positively to body fat mass and, recently, we have shown a direct positive relationship between serum leptin and bone mass in nonobese women. We now report that leptin inhibits osteoclast generation in cultures of human peripheral blood mononuclear cells (PBMCs) and murine spleen cells incubated on bone in the presence of human macrophage colony‐stimulating factor (hM‐CSF) and human soluble receptor activator of NF‐κB ligand (sRANKL). The half‐maximal concentration inhibitory of leptin was approximately 20 nM in the presence of sRANKL at 40 ng/ml but decreased to approximately 2 nM when sRANKL was used at 5 ng/ml. The majority of the inhibitory effect occurred in the first week of the 3‐week cultures. Inhibition did not occur when the PBMC cultures were washed vigorously to remove nonadherent cells or when purified CD14+ monocytes were used to generate osteoclasts, indicating an indirect or permissive effect via CD14− PBMC. Leptin increased osteoprotegerin (OPG) messenger RNA (mRNA) and protein expression in PBMC but not in CD14+ cells, suggesting that the inhibitory effect may be mediated by the RANKL/RANK/OPG system. Leptin may act locally to increase bone mass and may contribute to linkage of bone formation and resorption.
Management of the neck in T1 and T2 buccal squamous cell carcinoma Nicholson, O.A.; Van Lanschot, C.G.F.; van den Besselaar, B.N. ...
International journal of oral and maxillofacial surgery,
April 2024, 2024-Apr, 2024-04-00, 20240401, Letnik:
53, Številka:
4
Journal Article
Recenzirano
Buccal squamous cell carcinoma (SCC) appears to behave more aggressively than other oral subsites, in particular with regards to regional disease at presentation and regional recurrence. Adequate ...management of the neck is of the utmost importance but is still the subject of debate. An international multicentre retrospective review of 101 patients treated for T1–T2 buccal SCC was performed. Twenty-four were staged clinical node positive (cN+) and underwent therapeutic neck dissection, while 77 were node negative (cN0), with 32 undergoing elective neck dissection (END), with an occult nodal metastasis rate of 28.1%. Depth of invasion (DOI) < 4 mm was associated with a significantly lower rate of cervical nodal metastasis (87.5% versus 12.5%; P = 0.033). END demonstrated a non-significantly lower regional recurrence rate compared to observation (6.3% versus 8.9%, P = 0.670). Regional recurrence was more common in pN+ (24%) and undissected cases (8.9%) than in pN0 patients (0%) (P = 0.011) and was associated with DOI > 5 mm (P = 0.002). Regional recurrence resulted in a reduction in survival (24 versus 93 months, P < 0.001). In the pT2cN0 group, END improved survival (123 versus 26 months, P = 0.009). It is suggested that END be performed in cT2N0 buccal SCC, particularly for tumours with DOI > 4 mm.
Abstract Background Falls are common among older adults and can lead to serious injuries, including fractures. We aimed to determine associations between anxiety disorders and falls in older adults. ...Methods Participants were 487 men and 376 women aged ≥60 years enrolled in the Geelong Osteoporosis Study, Australia. Using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Non-patient edition (SCID-I/NP), lifetime history of anxiety disorders was determined. Falls were determined by self-report. In men, a falls-risk score (Elderly Falls Screening Test (EFST)) was also calculated. Results Among fallers, 24 of 299 (8.0%) had a lifetime history of anxiety disorder compared to 36 of 634 (5.7%) non-fallers (p=0.014). Examination of the association between anxiety and falls suggested differential relationships for men and women. In men, following adjustment for psychotropic medications, mobility and blood pressure, lifetime anxiety disorder was associated with falling (OR 2.96; 95%CI 1.07–8.21) and with EFST score (OR 3.46; 95%CI 1.13–10.6). In women, an association between lifetime anxiety disorder and falls was explained by psychotropic medication use, poor mobility and socioeconomic status. Limitations Sub-group analyses involving types of anxiety and anxiety disorders over the past 12-months were not performed due to power limitations. Conclusion Although anxiety disorders were independently associated with a 3-fold increase in likelihood of reported falls and high falls risk among men, an independent association was not detected among women. These results may aid in prevention of falls through specific interventions aimed at reducing anxiety, particularly in men.
The information content that can be derived from spectroscopic imagery tends to increase with finer ground sampling distance, finer spectral sampling, more frequent revisit, and higher ...signal-to-noise ratios (SNRs). However, these parameters are not independent, and it is thus impossible to design a space-borne imaging spectrometer to maximize all of them simultaneously. We present an instrument model and simulation environment that enable us to find the optimal combination of these four mission design parameters, using intrinsic dimensionality (ID) as the metric. ID is the size of the signal subspace – the maximum degrees of freedom when noise can be disregarded – and is a metric that is independent of any one particular algorithm or application area. This study is important for upcoming missions such as NASA's Earth System Observatory mission to study the Earth's Surface Biology and Geology (SBG), which will comprise a visible to shortwave infrared spectrometer in addition to a multi-channel thermal radiometer on a separate platform. When evaluating a desert site and a tropical forested site, we find that spectral resolution drives information content, with a significant drop in normalized ID (15–45% decrease) when simulating 15 nm spectral sampling as opposed to 10 nm spectral sampling. However, there was some variation between sites, with the forested site benefiting from 5 nm spectral sampling, whereas the desert site had poorer results at this resolution, due to the impact on noise. At 10 nm spectral sampling, ground sampling distances in the range 30–50 m provided the optimal balance between spatial resolution and SNR, although more frequent revisit, potentially by combining data from multiple missions, would maximize total information content.
•Intrinsic dimensionality is a proxy for information content of spectroscopic images.•Intrinsic dimensionality can be used to optimize spectroscopic mission design.•Surface Biology and Geology (SBG) will answer science questions in many fields.•The optimal SBG design is similar to that recommended in the NASA Decadal Survey.
Summary We examined the independent and combined effects of a multi-component exercise program and calcium-vitamin-D₃-fortified milk on bone mineral density (BMD) in older men. Exercise resulted in a ...1.8% net gain in femoral neck BMD, but additional calcium-vitamin D₃ did not enhance the response in this group of older well-nourished men. Introduction This 12-month randomised controlled trial assessed whether calcium-vitamin-D₃-fortified milk could enhance the effects of a multi-component exercise program on BMD in older men. Methods Men (n = 180) aged 50-79 years were randomised into: (1) exercise + fortified milk; (2) exercise; (3) fortified milk; or (4) controls. Exercise consisted of high intensity progressive resistance training with weight-bearing impact exercise. Men assigned to fortified milk consumed 400 mL/day of low fat milk providing an additional 1,000 mg/day calcium and 800 IU/day vitamin D₃. Femoral neck (FN), total hip, lumbar spine and trochanter BMD and body composition (DXA), muscle strength 25-hydroxyvitamin D and parathyroid hormone (PTH) were assessed. Results There were no exercise-by-fortified milk interactions at any skeletal site. Exercise resulted in a 1.8% net gain in FN BMD relative to no-exercise (p < 0.001); lean mass (0.6 kg, p < 0.05) and muscle strength (20-52%, p < 0.001) also increased in response to exercise. For lumbar spine BMD, there was a net 1.4-1.5% increase in all treatment groups relative to controls (all p < 0.01). There were no main effects of fortified milk at any skeletal site. Conclusion A multi-component community-based exercise program was effective for increasing FN BMD in older men, but additional calcium-vitamin D₃ did not enhance the osteogenic response.
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