Blackwellmcfadden2714

Introduction Epidemiological studies suggest a relationship between vitamin D deficiency and cardiovascular and respiratory diseases. However, whether total, bioavailable, and/or free vitamin D levels have a prognostic role in pulmonary arterial hypertension (PAH) is unknown. We aimed to determine total, bioavailable, and free 25-hydroxy-vitamin D (25(OH)vitD) plasma levels and their prognostic value in PAH patients. Methods In total, 67 samples of plasma from Spanish patients with idiopathic, heritable, or drug-induced PAH were obtained from the Spanish PH Biobank and compared to a cohort of 100 healthy subjects. Clinical parameters were obtained from the Spanish Registry of PAH (REHAP). Tuvusertib mw Results Seventy percent of PAH patients had severe vitamin D deficiency (total 25(OH)vitD less then 10 ng/mL) and secondary hyperparathyroidism. PAH patients with total 25(OH)vitD plasma above the median of this cohort (7.17 ng/mL) had better functional class and higher 6-min walking distance and TAPSE (tricuspid annular plane systolic excursion). The main outcome measure of survival was significantly increased in these patients (age-adjusted hazard ratio 5.40 (95% confidence interval 2.88 to 10.12)). Vitamin D-binding protein (DBP) and albumin plasma levels were downregulated in PAH. Bioavailable 25(OH)vitD was decreased in PAH patients compared to the control cohort. Lower levels of bioavailable 25(OH)vitD ( less then 0.91 ng/mL) were associated with more advanced functional class, lower exercise capacity, and higher risk of mortality. Free 25(OH)vitD did not change in PAH; however, lower free 25(OH)vitD ( less then 1.53 pg/mL) values were also associated with high risk of mortality. Conclusions Vitamin D deficiency is highly prevalent in PAH, and low levels of total 25(OH)vitD were associated with poor prognosis.BACKGROUND Autoimmune rheumatic diseases (ARDs) may affect both the heart and the brain. However, little is known about the interaction between these organs in ARD patients. We asked whether brain lesions are more frequent in ARD patients with cardiac symptoms compared with non-ARD patients with cardiovascular disease (CVD). METHODS 57 ARD patients with mean age of 48 ± 13 years presenting with shortness of breath, chest pain, and/or palpitations, and 30 age-matched disease-controls with non-autoimmune CVD, were evaluated using combined brain-heart magnetic resonance imaging (MRI) in a 1.5T system. RESULTS 52 (91%) ARD patients and 16 (53%) controls had white matter hyperintensities (p less then 0.001) in at least one brain area (subcortical/deep/periventricular white matter, basal ganglia, pons, brainstem, or mesial temporal lobe). Only the frequency and number of subcortical and deep white matter lesions were significantly greater in ARD patients (p less then 0.001 and 0.014, respectively). ARD vs. control status was the only independent predictor of having any brain lesion. Specifically for deep white matter lesions, each increase in ECV independently predicted a higher number of lesions [odds ratio (95% confidence interval) 1.16 (1.01-1.33), p = 0.031] in ordered logistic regression. Penalized logistic regression selected only ARD vs. control status as the most important feature for predicting whether brain lesions were present on brain MRI (odds ratio 5.46, marginal false discovery rate = 0.011). CONCLUSIONS Subclinical brain involvement was highly prevalent in this cohort of ARD patients and was mostly independent of the severity of cardiac involvement. However, further research is required to determine the clinical relevance of these findings.Prenylated flavonoids combine the flavonoid moiety and the lipophilic prenyl side-chain. A great number of derivatives belonging to the class of chalcones, flavones, flavanones, isoflavones and other complex structures possessing different prenylation patterns have been studied in the past two decades for their potential as antioxidant agents. In this review, current knowledge on the natural occurrence and structural characteristics of both natural and synthetic derivatives was compiled. An exhaustive survey on the methods used to evaluate the antioxidant potential of these prenylflavonoids and the main results obtained were also presented and discussed. Whenever possible, structure-activity relationships were explored.Flavonoids are natural biomolecules that are known to be effective antivirals. These biomolecules can act at different stages of viral infection, particularly at the molecular level to inhibit viral growth. Enterovirus A71 (EV-A71), a non-enveloped RNA virus, is one of the causative agents of hand, foot and mouth disease (HFMD), which is prevalent in Asia. Despite much effort, no clinically approved antiviral treatment is available for children suffering from HFMD. Flavonoids from plants serve as a vast reservoir of therapeutically active constituents that have been explored as potential antiviral candidates against RNA and DNA viruses. Here, we reviewed flavonoids as evidence-based natural sources of antivirals against non-picornaviruses and picornaviruses. The detailed molecular mechanisms involved in the inhibition of EV-A71 infections are discussed.Reproductive-aged women are at high risk of developing obesity, and diet quality is a potential modifiable risk factor. There is limited research exploring diet quality and its association with time since childbirth. Using data from the Australian Longitudinal Study on Women's Health (ALSWH) survey 5 (2009) of women born between 1973-1978, who reported having previously given birth, we investigated the association between time since childbirth and diet quality, and differences in energy, macronutrients, micronutrient intake, and diet quality assessed by the dietary guideline index (DGI) in women stratified by time from last childbirth, early (0-6 months; n = 558) and late (7-12 months; n = 547), and all other women with children (>12 months post childbirth n = 3434). From this cohort, 8200 participants were eligible, of which 4539 participants completed a food frequency questionnaire (FFQ) and were included in this analysis. Overall, diet quality was higher in early and late postpartum women (mean DGI score 89.8 (SD 10.5) and mean DGI score 90.0 (SD 10.2), respectively) compared to all other women with children (>12 months post childbirth), mean DGI score 85.2 (SD 11.7), p 12 months), smoking compared with non-smoking and medium income level compared with no income was negatively associated with diet quality. A lower diet quality in women greater than 12 months post childbirth may be reflective of increased pressures, balancing childrearing and return to work responsibilities. This highlights the need to support women beyond the postpartum period to improve modifiable factors associated with weight gain, including diet quality, to optimize health and reduce chronic disease risk.In this work, layered hybrid composites formed by tin oxide (SnO) nanoparticles synthesized by hydrolysis and poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate) (PEDOTPSS) have been analyzed. Prior to the composite study, both SnO and PEDOTPSS counterparts were characterized by diverse techniques, such as X-ray diffraction (XRD), Raman spectroscopy, transmission electron microscopy (TEM), photoluminescence (PL), atomic force microscopy (AFM), optical absorption and Hall effect measurements. Special attention was given to the study of the stability of the polymer under laser illumination, as well as the analysis of the SnO to SnO2 oxidation assisted by laser irradiation, for which different laser sources and neutral filters were employed. Synergetic effects were observed in the hybrid composite, as the addition of SnO nanoparticles improves the stability and electrical conductivity of the polymer, while the polymeric matrix in which the nanoparticles are embedded hinders formation of SnO2. Finally, the Si passivation behavior of the hybrid composites was studied.Eucalyptus globulus Labill is a hardwood species of broad growth in temperate climates, which is receiving increasing interest for structural applications due to its high mechanical properties. Knowing the fracture behaviour is crucial to predict, through finite element models, the load carrying capacity of engineering designs with possibility of brittle failures such as elements with holes, notches, or certain types of joints. This behaviour can be adequately modelled on a macroscopic scale by the constitutive cohesive law. A direct identification of the cohesive law of Eucalyptus globulus L. in Mode II was performed by combining end-notched flexure (ENF) tests with digital image correlation (DIC) for radial-longitudinal crack propagation system. The critical strain energy release for this fracture mode, which represents the material toughness to crack-growth, was determined by applying the Compliance Based Beam Method (CBBM) as data reduction scheme and resulted in a mean value of 1.54 N/mm.There are many important sport events that are organized in environments with a very hot ambient temperature (Summer Olympics, FIFA World Cup, Tour de France, etc.) and in hot locations (e.g., Qatar). Additionally, in the context of global warming and heat wave periods, athletes are often subjected to hot ambient temperatures. It is known that exercising in the heat induces disturbances that may provoke premature fatigue and negatively affects overall performance in both endurance and high intensity exercises. Deterioration in several cognitive functions may also occur, and individuals may be at risk for heat illnesses. To train, perform, work and recover and in a safe and effective way, cooling strategies have been proposed and have been routinely applied before, during and after exercise. However, there is a limited understanding of the influences of per-cooling on performance, and it is the subject of the present review. This work examines the influences of per-cooling of different areas of the body on performance in terms of intense short-term exercises ("anaerobic" exercises), endurance exercises ("aerobic" exercises), and cognitive functioning and provides detailed strategies that can be applied when individuals train and/or perform in high ambient temperatures.The hydrogen generated via the water splitting method is restricted by the high level of theoretical potential exhibited by the anode. The work focuses on synthesizing a bifunctional catalyst with a high efficiency, that is, a nickel phosphide doped with the reduced graphene oxide nanosheets supported on the Ni foam (Ni2P/rGO/NF), via the hydrothermal approach together with the calcination approach specific to the hydrogen evolution reaction (HER) and the oxygen evolution reaction (OER). The Raman, X-Ray Diffraction (XRD), X-ray Photoelectron Spectroscopy (XPS), Transmission Electron Microscope (TEM), Scanning Electron Microscopy (SEM), High-Resolution Transmission Electron Microscopy (HRTEM), as well as elemental mapping, are adopted to study the composition and morphology possessed by Ni2P/rGO/NF. The electrochemical testing is performed by constructing a parallel two-electrode electrolyzer (Ni2P/rGO/NF||Ni2P/rGO/NF). Ni2P/rGO/NF||Ni2P/rGO/NF needs a voltage of only 1.676 V for driving 10 mA/cm2, which is extremely close to Pt/C/NF||IrO2/NF (1.