Central adiposity and hemodynamic functioning at rest and during stress in adolescents

OBJECTIVE: To examine the impact of central adiposity upon hemodynamic functioning at rest and during stress in adolescents. DESIGN: Cross-sectional, correlational study. SUBJECTS: 46 White and 49 Black normotensive adolescents with family histories of essential hypertension. MEASUREMENTS: Systolic and diastolic blood pressure (SBP, DBP), cardiac output and total peripheral resistance responses were assessed at rest, during postural change, video game challenge and forehead cold stimulation. Specific lower and higher waist-to-hip ratio (WHR) tertiles were created for each gender and then integrated for analyses. This resulted in a lower WHR tertile of 11 Whites and 21 Blacks and an upper WHR tertile of 15 Whites and 17 Blacks. RESULTS: No differences in age, gender or ethnicity proportions were found between tertile groups (all P > 0.21). The upper WHR group showed greater body weight, waist and hip circumferences, body mass index (BMI), triceps skinfold and body surface area (all P < 0.001). Controlling for peripheral (that is, triceps skinfold) and overall (that is, BMI) adiposity, the upper WHR group exhibited greater SBP (that is, peak response minus mean pre-stressor level) to all three stressors and greater DBP reactivity to postural change and cold pressor (all P < 0.05). CONCLUSION: Central adiposity appears to adversely influence hemodynamic functioning during adolescence. Underlying mechanisms responsible for these associations require exploration.     

New-onset psychogenic seizures after surgery for epilepsy

BACKGROUND: The emergence of psychogenic seizures after surgery for epilepsy is not well recognized. OBJECTIVES: To identify the frequency of psychogenic seizures in an 11-year surgical experience and to characterize the patients with this complication. METHODS: Ninety-six patients underwent surgery for epilepsy between 1985 and 1996. The surgical database was reviewed and all patients who experienced postoperative psychogenic seizures were identified. Patients were characterized by sex, age, psychopathologic conditions, full-scale IQ, duration of epilepsy, surgical procedure, and operative complications. Patients were compared with the surgical group as a whole for these variables. SETTING: A comprehensive epilepsy center. RESULTS: Five patients were identified: 3 men and 2 women. Mean full-scale IQ was 73 (range, 66-82). Mean age was 29.8 years (range, 22-36 years). Three patients were diagnosed as having psychosis, 1 with borderline personality disorder and 1 with generalized anxiety. Operations included 4 anterior temporal lobectomies and 1 occipital lobectomy. Two patients experienced operative complications. Compared with the surgical cohort, patients had a higher frequency of preoperative psychopathologic conditions, lower mean full-scale IQ, and a greater occurrence of operative complications. CONCLUSIONS: (1) Patients can develop new-onset psychogenic seizures after surgery for epilepsy. (2) Low full-scale IQ, serious preoperative psychopathologic conditions, and major surgical complications may be risk factors. (3) Atypical postoperative seizures should be evaluated with video electroencephalographic monitoring before concluding that they are epileptic.     

Inhibition of NFkappaB activity through maintenance of IkappaBalpha levels contributes to dihydrotestosterone-mediated repression of the interleukin-6 promoter

Androgens repress expression of many genes, yet the mechanism of this activity has remained elusive. The cytokine, interleukin-6, is active in a variety of biological systems, and its expression is repressed by androgens. Accordingly we dissected the mechanism of androgen's ability to inhibit interleukin-6 expression at the molecular level. In a series of co-transfection assays, we found that 5alpha-dihydrotestosterone, through the androgen receptor, repressed activation of the interleukin-6 promoter, in part, by inhibiting NFkappaB activity. It did not appear that 5alpha-dihydrotestosterone inhibited NFkappaB by activating the androgen receptor to compete for the NFkappaB response element as we could not detect androgen receptor binding to the IL-6 promoter by DNase I footprinting assay. However, by electrophoretic mobility shift assay we found that 5alpha-dihydrotestosterone repressed formation of NFkappaB middle dotNFkappaB response element complex formation. In LNCaP prostate carcinoma cells, 5alpha-dihydrotestosterone achieved this effect through maintenance of IkappaBalpha protein levels in the face of phorbol ester, a stimulus that results in IkappaBalpha degradation. Finally, we confirmed that IkappaBalpha inhibits NFkappaB-mediated activation of the interleukin-6 promoter. These data suggest that maintenance of IkappaBalpha levels may represent the first identified mechanism for androgen-mediated repression of a natural androgen-regulated gene.     

Cuticle chirality and body handedness in Caenorhabditis elegans

BACKGROUND AND PURPOSE: Norway has the highest reported incidence of hip fractures in western Europe. Little is known about the epidemiology of falls in Norway where the winter season is long and dark. The objective of this work was to study reported falls and their consequences among elderly Norwegians living at home. METHODS: A cross-sectional design was used for the study. Interviews were performed in the homes of 431 subjects, aged 67-97 years, living at home. Information on falling was gathered through six questions: whether the subject had fallen during the last six months, and if so, how many falls they had, where the last fall occurred, its perceived reason, the activity the subject had been engaged in when the fall occurred, and the resulting injury. RESULTS: In all, 24.1% of subjects reported falling during the last six months, and 9.5% had suffered more than one fall. Falls were most frequently linked to external events (63.1%). Outdoor falls were more frequent (59.0%; 95% CI = 51.2-82.0) than indoor falls. Older subjects were associated with more frequent indoor falls (p < 0.05), but gender was not significant. Fifty-one per cent of subjects had fallen while walking and 53% had suffered an injury from the last fall. In 13.4% of the women and 16.2% of the men, the last fall had resulted in a fracture. CONCLUSIONS: Compared to the results of other studies from industrialized Western countries, a similar crude fall rate, similar frequency and similar type of injury were found. However, in contrast to other studies, no gender difference was observed with regard to falling, place of falling and fracture rate.     

Analysing neurobiological models using communicating automata

Two important issues in computational modelling in cognitive neuroscience are: first, how to formally describe neuronal networks (i.e. biologically plausible models of the central nervous system), and second, how to analyse complex models, in particular, their dynamics and capacity to learn. We make progress towards these goals by presenting a communicating automata perspective on neuronal networks. Specifically, we describe neuronal networks and their biological mechanisms using Data-rich Communicating Automata, which extend classic automata theory with rich data types and communication. We use two case studies to illustrate our approach. In the first case study, we model a number of learning frameworks, which vary in respect of their biological detail, for instance the Backpropagation (BP) and the Generalized Recirculation (GeneRec) learning algorithms. We then used the SPIN model checker to investigate a number of behavioral properties of the neural learning algorithms. SPIN is a well-known model checker for reactive distributed systems, which has been successfully applied to many non-trivial problems. The verification results show that the biologically plausible GeneRec learning is less stable than BP learning. In the second case study, we presented a large scale (cognitive-level) neuronal network, which models an attentional spotlight mechanism in the visual system. A set of properties of this model was verified using Uppaal, a popular real-time model checker. The results show that the asynchronous processing supported by concurrency theory is not only a more biologically plausible way to model neural systems, but also provides a better performance in cognitive modelling of the brain than conventional artificial neural networks that use synchronous updates. Finally, we compared our approach with several other related theories that apply formal methods to cognitive modelling. In addition, the practical implications of the approach are discussed in the context of neuronal network based controllers.     

Development of a comprehensive free radical photopolymerization model incorporating heat and mass transfer effects in thick films

A comprehensive kinetic model describing photopolymerization is developed which allows variation of temperature, species concentrations, and light intensity through the thickness of a photopolymerized film. Heat and mass transfer effects are included, as is the generation of heat by both reaction and light absorption. In addition to initiation, propagation, and termination mechanisms, both primary radical termination and inhibition are incorporated into the model. The possible presence and diffusion of an inert solvent are also accounted for. Thus, the model is useful for examining complex polymerization kinetics and behavior in industrially and commercially important thick film photopolymerizations, such as the curing of contact lenses, dental restorative materials, photolithographic resists, and optoelectronic coatings. The comprehensive model is used to predict polymerization rate, temperature, and conversion profiles in a variety of systems. The effects of heat generation and the thermal boundary conditions are explored, with the result that heat generation in thick samples leads to greatly increased conversions approaching 100 percent. Increased temperature in these samples also may lead to the appearance of two rate maxima, with the first due to the temperature increase and the second caused by the autoacceleration process. The magnitude of the temperature increase, along with the resultant effects, is more pronounced in insulated systems.     

The importance of axial misalignment on the long term strength of polyethylene pipe butt fusion joints

The importance of axial misalignment at polyethylene pipe butt fusion joints has been assessed by undertaking elevated temperature lifetime tests. Both medium and high density polyethylene pipes were fusion joined to give aligned and controlled misaligned butt joints. These were tested under either a constant or fluctuating internal pressure loading using conditions that induced failure by slow, stable crck growth. It was observed that the lifetime of a butt joined system depends upon both the internal pressure or pressure range applied and the level of misalignment at the butt fusion joint. Increasing either the internal pressure (range) or the misalignment reduced system performance. These two variables of misalignment and internal pressure (range) may be incorporated into a single parameter, the amplified axial stress (or stress range) at the butt joint. This amplified or butt joint axial stress (or stress range) may be derived by considering the additional bending stresses introduced at the butt joint by virtue of misalignment combined with the axial stress loading.     

Photopolymer kinetics using light intensity gradients in high-throughput conversion analysis

Light intensity gradients and light exposure time gradients were combined to produce contours of constant dose on a sample substrate. These polymerized samples were subsequently analyzed using high-throughput Fourier transform infrared spectroscopy to measure conversion as a function of both gradients. Three (meth)acrylate monomers were analyzed over light doses ranging from 0 mJ/cm² to 920 mJ/cm², demonstrating that in thin films, higher light intensities at a constant light dose produce higher conversion due to a decreased oxygen inhibition time and larger thermal excursions. At a light dose of 75 mJ/cm², the conversion of 2-ethylhexyl acrylate increases from 40 ± 2% at a light intensity of 0.9 mW/cm² to 59 ± 3% at 7.2 mW/cm². The two acrylate monomers exhibited rapid photopolymerization up to a specific conversion, after which additional radiation dose produced only marginal increases in overall conversion. For hexanediol diacrylate, a light dose of 300 mJ/cm² was the minimum amount required to reach the maximum conversion over the entire range analyzed. For the dimethacrylate system, a similar effect was seen, with a reduced oxygen inhibition time and conversion above 70% showing a similar conversion at a constant light dose of 500 mJ/cm². In all three systems, dose contours were used to determine a range of light intensities at which a statistically similar conversion would occur for a specified light dose.     

The use and acceptance of new media entertainment technology by elderly users: development of an expanded technology acceptance model

Research on elderly people's ICT acceptance and use often relies on the technology acceptance model (TAM) framework, but has been mostly limited to task-oriented uses. This article expands approaches in technology acceptance and use by developing a model to explain entertainment-related uses of new media technology by elderly people. On a theoretical level, we expand the TAM perspective by adding concepts that act as barriers and/or facilitators of technology acceptance, namely technophobia, self-efficacy and previous experience and expertise with technology. We develop an expanded TAM by testing the role of these concepts in two studies on entertainment media technology. In Study 1, we investigate behavioural intention to use 3D cinema among N?=?125 German elderly media users (Age 50+). In Study 2, we focus the actual use of a computer game simulation by N?=?115 German and US elderly media users (Age 50+). Findings in both studies point towards the central role of perceived usefulness, here modelled as enjoyment, as the reason for elderly people's use and acceptance of entertainment media technology. Perceived ease of use is seen as a precondition for enjoyment, particularly for interactive media.