Atherosclerosis, and Newton, Poiseuille, Reynolds and Prandtl

Atherosclerotic fibrous plaques typically manifest at inlets of branches and in expansions etc. of large elastic arteries. A resting man with a surface area of 1.78 m(2)produces energy at a rate of 100 W (86 kcal/h), mainly by core organs. Core blood heat is convected to arterial walls and conducted through tissues to be lost from body surfaces. High losses are compensated by an increase in the basal metabolic rate, and vice versa. In laminar flow, the fluid-tube wall heat transfer coefficient is higher close to tube inlets than downstream. Unless lipoprotein etc. suspects are exceptions from the rule that an increase in temperature speeds up chemical reactions, transfer of core heat may contribute to plaque localization. In laminar flow, heat transfer is little influenced by viscosity. Hence correlations between blood viscosity and cardiovascular disease (CVD) may reside in other mechanisms: viscosity limits flow relatively more in small than in large arteries, and viscosity-linked thixotropic properties of blood increase resistance to flow in capillaries and postcapillary venules (exchange vessels). The exchange vessels of large arteries belong to the vasa vasorum, in which reduction of flow induces diffuse parent artery wall changes found also in plaques. Correlations between blood viscosity and peripheral symptoms of CVD may be explained by reduced flow in vascular loops of symptomatic organs, even if maximum flow is limited by upstream plaques. Physiological differences in the type of blood flow and in blood-tissue exchange between vessels of different size may shed light on apparent paradoxes in research on CVD.     

Force-, power-, and elasticity-velocity relationships in walking,running, and jumping

Summary Ground reaction forces and mechanical power were investigated when the subjects walked normally, while they were racing or running at four speeds, and when they performed the running long jump take-off. In addition, the apparent spring constants of the support leg in eccentric and concentric phases were investigated at the four running speeds, during the running long jump take-off, and in the triple jump. Six club level track and field athletes, four national level long jumpers, and six national level triple jumpers took part in the study. Cinematographic technique and a mathematical model of hopping (Alexander and Vernon 1975) were employed in the analysis. Force and power values were found to vary in the following order (from highest to lowest): long jump take-off, maximal running speed, submaximal running (80, 60, and 40% of maximum speed), racing gait, and normal gait. The data disclosed that the measured parameters had the highest values in the long jump take-off performed by the long jump athletes. Their peak values were: resultant ground reaction force 3270±74 N and mechanical power 160.1±10.5 J×kg^–1×s^–1. For the track and field athletes the values were 2010±80 N and 126.0±12.6 J ×kg^–1×s^–1. The apparent spring constant values of the support leg in the national level jumper group were in eccentric phase 30.54±8.38 N×mm^–1 ×kg^–1 and in concentric phase 0.129±0.012 N×mm^–1×kg^–1. In the track and field athletes the values were 13.97±1.01 N×mm^–1×kg^–1 and 0.093±0.003 N×mm^–1×kg^–1, respectively. In general, the increase in force and mechanical power output was related to the value of the apparent spring constant of the support leg in the eccentric phase. The spring constant in the eccentric phase increased with the velocity of motion in running, the long jump take-off and the triple jump. This suggests that it may be possible to use this parameter as a measure of mechanical performance, as it may reflect the combined elasticity of muscles, tendons, and bones.     

Classification, identification, and clinical significance of Proteus, Providencia, and Morganella

This review presents the current taxonomy of the genera Proteus, Providencia, and Morganella, along with the current methods for the identification of each species within the three genera, incorporating both conventional biochemical and commercial methods. While all of these organisms are ubiquitous in the environment, individual case reports and nosocomial outbreak reports that demonstrate their ability to cause major infectious disease problems are presented. Lastly, anticipated antimicrobial susceptibility patterns are reviewed. Many of these organisms are easily controlled, but the advent of newer and more powerful antimicrobial agents has led to some problems of which laboratorians need to be aware.     

Degradation, bioactivity, and cytocompatibility of diopside, akermanite, and bredigite ceramics

The aim of this study was to investigate the effect of three bioceramics in the CaO-SiO(2)-MgO systems with different composition on the in vitro degradation, bioactivity, and cytocompatibility. The degradation was evaluated through the activation energy of Si ion release from ceramics and the weight loss of the ceramics in Tris-HCl buffers. The in vitro bioactivity of the ceramics was investigated by analysis of apatite-formation ability in the simulated body fluid (SBF). The cytocompatibility was evaluated through osteoblast morphology and proliferation. The results showed that the activation energy of Si ion release increased and the degradation decreased from bredigite to diopside ceramics with the increase of Mg content, and the apatite-formation ability in SBF decreased. The Ca, Si, and Mg containing ionic products from three ceramics could stimulate cell proliferation at lower concentration, and inhibit cell proliferation with the increase of ion concentrations. Furthermore, osteoblasts could adhere, spread, and proliferate on three ceramic disks, and cell proliferation on diopside was more obvious than that on other two ceramic disks.     

Children,Technology, Problems,and Preferences

Increasingly, young people are using various forms of technology in the service of communicating with others, and many have noted the possibility of various dire consequences of this phenomenon, including sexting, cyberbullying, online harassment, and Internet addiction. In our own survey of over 300 adolescents, we found that texting and face‐to‐face communication were considered the most “convenient” forms of communication, while face‐to‐face communication and phone conversations were perceived as most likely to lead to “feeling understood” and “feeling intimate.” Face‐to‐face communication and texting were perceived as most likely to result in feeling regret for sharing too much information. By choosing to communicate through technology, many young people, including our patients, can continue to be social and, at the same time, keep a somewhat safer emotional distance.     

Effects of nicotine and caffeine, separately and in combination, on EEG topography, mood, heart rate, cortisol, and vigilance

Effects of nicotine and caffeine, separately and in combination, were assessed in 12 male habitual smokers in a repeated-measures design. Caffeine (0-mg vs. two 150-mg doses administered in a decaffeinated/sugar-free cola drink post-baseline and 90 min later) was crossed with nicotine (ad libitum own dosing vs. 1.0-mg machine-delivered dose vs. 0.05-mg machine-delivered dose). Participants smoked a total of five cigarettes at 30-min intervals over a 2-hr period. Caffeine and nicotine had large effect sizes on electroencephalogram (EEG) power; however, these effects were modulated by the eyes open versus closed condition, the other drug, and electrode site. EEG effects of open versus closed eyes tended to be of the same size and direction as those of nicotine and caffeine. However, whereas nicotine increased EEG power in some higher frequency bands in some conditions, caffeine decreased EEG power across almost all conditions. Serum cortisol concentration, vigor, and pleasantness were increased by nicotine, but not by caffeine. Level of depressive mood depended on an interaction of caffeine and nicotine. Vigilance performance was enhanced significantly by caffeine and was increased almost significantly by nicotine. The findings were interpreted in terms of common and differential mechanisms of the two drugs.     

Lipids,inflammasomes, metabolism,and disease

Inflammasomes are multi-protein complexes that regulate the cleavage of cysteine protease caspase-1, secretion of inflammatory cytokines, and induction of inflammatory cell death, pyroptosis. Several members of the nod-like receptor family assemble inflammasome in response to specific ligands. An exception to this is the NLRP3 inflammasome which is activated by structurally diverse entities. Recent studies have suggested that NLRP3 might be a sensor of cellular homeostasis, and any perturbation in distinct metabolic pathways results in the activation of this inflammasome. Lipid metabolism is exceedingly important in maintaining cellular homeostasis, and it is recognized that cells and tissues undergo extensive lipid remodeling during activation and disease. Some lipids are involved in instigating chronic inflammatory diseases, and new studies have highlighted critical upstream roles for lipids, particularly cholesterol, in regulating inflammasome activation implying key functions for inflammasomes in diseases with defective lipid metabolism. The focus of this review is to highlight how lipids regulate inflammasome activation and how this leads to the progression of inflammatory diseases. The key roles of cholesterol metabolism in the activation of inflammasomes have been comprehensively discussed. Besides, the roles of oxysterols, fatty acids, phospholipids, and lipid second messengers are also summarized in the context of inflammasomes. The overriding theme is that lipid metabolism has numerous but complex functions in inflammasome activation. A detailed understanding of this area will help us develop therapeutic interventions for diseases where dysregulated lipid metabolism is the underlying cause.