Short-term hypocaloric nutrition but not bed rest decrease insulin sensitivity and IGF-I bioavailability in healthy subjects: the importance of glucagon

Hyperinsulinemic, normoglycemic clamps were performed before and after 24 h of either hypocaloric nutrition or bed rest in healthy subjects. Decreased insulin sensitivity and insulin-like growth factor-I (IGF-I) bioavalibility, as measured by the serum IGF-I/insulin-like growth factor binding protein-1 (IGFBP-1) ratio, was found after fasting, whereas no metabolic changes were found after bed rest. Glucagon seems to be a key regulator of IGFBP-1 after brief hypocaloric nutrition. Hypocaloric nutrition and immobilization may add to the catabolic response to surgery and other trauma. Presently, six healthy subjects were studied before and after a 24-h period of hypocaloric nutrition (200 kcal/24 h, fast) or immobilization (bed rest) using the hyperinsulinemic (0.8 mU.kg-1.min-1), normoglycemic (4.5 mmol/L) clamp, indirect calorimetry, and circulating levels of substrates and hormones. After fast, body weight decreased (P < 0.05), and nitrogen balance was negative (-10 +/- 1 g urea nitrogen/24 h). Basal levels of free fatty acids, glucagon, and IGFBP-1 increased (P < 0.05), whereas c-peptide levels and the IGF-I/IGFBP-1 ratio decreased (P < 0.05). However, no change was found in basal levels of IGF-1 or substrate oxidation. Furthermore, changes (%) in basal levels of glucagon after fast correlated to IGFBP-1 (r = 1.0, P < 0.05), whereas the suppressibility of IGFBP-1 by insulin was maintained at normal levels. During clamps, glucose infusion rates (GIR) decreased after fast (-43 +/- 13%, mean +/- SEM, P < 0.001). Although not significantly, clamp levels of fat oxidation tended to increase and glucose oxidation tended to decrease. Levels of IGFBP-1 during clamps were higher as compared with the control clamp (P < 0.05). No adverse metabolic changes were seen after bed rest, and no change in GIR during clamps were seen as compared with the control measurement (0 +/- 14%). After brief hypocaloric nutrition, insulin sensitivity is reduced, whereas IGF-I bioavalibility is reduced by an increase in levels of IGFBP-1. Glucagon seems to contribute to the increase in IGFBP-1 during these conditions.     

Are dysfunctional attitudes in depressive disorder trait or state dependent?

BACKGROUND: Fifty-one cases of de novo fibroadenoma in women aged 35 years and older were found during an analysis of 117,729 visits to the Wesley Breast Clinic from 1990 to 1996. METHODS: The clinical, mammographic and ultrasound diagnosis of fibroadenoma was confirmed by either fine needle aspiration cytology or histology of an open biopsy specimen. In all cases there was a well-documented previous visit available for review, at which there was no clinical or radiological evidence of the fibroadenoma. RESULTS: Thirty-seven of the de novo fibroadenomas were palpable, the remainder satisfying strict mammographic and/or ultrasound criteria. Four of the new fibroadenomas were in women aged 50-52. CONCLUSIONS: This study provides information about the natural history of fibroadenomas, confirming that they can appear for the first time in middle-aged women. This has important clinical implications, since new lesions appearing in women over 35 have tended to be automatically categorized as suspicious of carcinoma. However, a multidisciplinary approach involving clinical examination, mammography, ultrasound, and fine needle aspiration cytology or core biopsy can result in a confident diagnosis of fibroadenoma. This will allow some women with new lesions to be managed conservatively rather than by open biopsy.     

ECT in Parkinson's disease. Changes in motor symptoms, monoamine metabolites and neuropeptides

Electroconvulsive therapy (ECT) was given to 16 non-depressed, non-demented patients with advanced Parkinson's disease (PD). In all the patients an antiparkinsonian effect was seen, lasting for 18 months in one patient, 3-5 months in seven patients, and a few days to four weeks in eight patients. After ECT the levels of homovanillic acid and neuropeptide Y in cerebrospinal fluid (CSF) were significantly increased. The eight patients with long lasting motor improvement after ECT had significantly lower CSF-3-methoxy-4-hydroxyphenylglycol compared to the group with short lasting improvement. Five patients developed transitory mental confusion after ECT. In these patients, and in no others, a high albumin-ratio was found already before ECT was given - an indication of blood CSF barrier damage. Our results suggest that ECT is valuable in patients with drug refractory PD or PD with intolerance to antiparkinsonian drugs.     

Designing Paper Machine Headbox Using GA

A non-smooth biobjective optimization problem for designing the shape of a slice channel in a paper machine headbox is described. The conflicting goals defining the optimization problem are the ones determining important quality properties of produced paper: 1) basis weight should be even and 2) the wood fibers of paper should mainly be oriented to the machine direction across the width of the whole paper machine. The novelty of the considered approach is that maximum deviations are used instead of least squares when objective functions are formed. For the solution of this problem, a multiobjective genetic algorithm based on nondominated sorting is considered. The numerical results demonstrate the ability to obtain a large set of nondominated designs.     

Interactive multiobjective optimization with NIMBUS for decision making under uncertainty

We propose an interactive method for decision making under uncertainty, where uncertainty is related to the lack of understanding about consequences of actions. Such situations are typical, for example, in design problems, where a decision maker has to make a decision about a design at a certain moment of time even though the actual consequences of this decision can be possibly seen only many years later. To overcome the difficulty of predicting future events when no probabilities of events are available, our method utilizes groupings of objectives or scenarios to capture different types of future events. Each scenario is modeled as a multiobjective optimization problem to represent different and conflicting objectives associated with the scenarios. We utilize the interactive classification-based multiobjective optimization method NIMBUS for assessing the relative optimality of the current solution in different scenarios. This information can be utilized when considering the next step of the overall solution process. Decision making is performed by giving special attention to individual scenarios. We demonstrate our method with an example in portfolio optimization.     

Genetic programming through bi-objective genetic algorithms with a study of a simulated moving bed process involving multiple objectives

A new bi-objective genetic programming (BioGP) technique has been developed for meta-modeling and applied in a chromatographic separation process using a simulated moving bed (SMB) process. The BioGP technique initially minimizes training error through a single objective optimization procedure and then a trade-off between complexity and accuracy is worked out through a genetic algorithm based bi-objective optimization strategy. A benefit of the BioGP approach is that an expert user or a decision maker (DM) can flexibly select the mathematical operations involved to construct a meta-model of desired complexity or accuracy. It is also designed to combat bloat – a perennial problem in genetic programming along with over fitting and under fitting problems. In this study the meta-models constructed for SMB reactors were compared with those obtained from an evolutionary neural network (EvoNN) developed earlier and also with a polynomial regression model. Both BioGP and EvoNN were compared for subsequent constrained bi-objective optimization studies for the SMB reactor involving four objectives. The results were also compared with the previous work in the literature. The BioGP technique produced acceptable results and is now ready for data-driven modeling and optimization studies at large.     

A new hybrid mutation operator for multiobjective optimization with differential evolution

Differential evolution has become one of the most widely used evolutionary algorithms in multiobjective optimization. Its linear mutation operator is a simple and powerful mechanism to generate trial vectors. However, the performance of the mutation operator can be improved by including a nonlinear part. In this paper, we propose a new hybrid mutation operator consisting of a polynomial-based operator with nonlinear curve tracking capabilities and the differential evolution’s original mutation operator, for the efficient handling of various interdependencies between decision variables. The resulting hybrid operator is straightforward to implement and can be used within most evolutionary algorithms. Particularly, it can be used as a replacement in all algorithms utilizing the original mutation operator of differential evolution. We demonstrate how the new hybrid operator can be used by incorporating it into MOEA/D, a winning evolutionary multiobjective algorithm in a recent competition. The usefulness of the hybrid operator is demonstrated with extensive numerical experiments showing improvements in performance compared with the previous state of the art.     

Design-inclusive UX research: design as a part of doing user experience research

Since the third wave in human–computer interaction (HCI), research on user experience (UX) has gained momentum within the HCI community. The focus has shifted from systematic usability requirements and measures towards guidance on designing for experiences. This is a big change, since design has traditionally not played a large role in HCI research. Yet, the literature addressing this shift in focus is very limited. We believe that the field of UX research can learn from a field where design and experiential aspects have always been important: design research. In this article, we discuss why design is needed in UX research and how research that includes design as a part of research can support and advance UX design practice. We do this by investigating types of design-inclusive UX research and by learning from real-life cases of UX-related design research. We report the results of an interview study with 41 researchers in three academic research units where design research meets UX research. Based on our interview findings, and building on existing literature, we describe the different roles design can play in research projects. We also report how design research results can inform designing for experience methodologically or by providing new knowledge on UX. The results are presented in a structured palette that can help UX researchers reflect and focus more on design in their research projects, thereby tackling experience design challenges in their own research.     

Opening the POD: A therapeutic application of Husserl's phenomenology.

Draws a distinction between meaning-oriented and object-oriented therapies. The method of E. Husserl (1931) is directly applied to a wide range of psychological problems and a phenomenon becomes manifest that is characterized as phenomenologically observable dictate (POD). This POD is the source of a variety of undesirable cognitions, feelings, and memories. After the isolation of a POD is accomplished, a specific technique can be used to address and dispose of it as though it were a physical object. (PsycINFO Database Record (c) 2010 APA, all rights reserved)