Computed Tomography of the Lungs in Acquired Immunodeficiency Syndrome

Computed tomography of the chest was performed on 42 occasions as part of the diagnostic work-up in 26 homosexual men with, or suspected of the acquired immunodeficiency syndrome (AIDS). In 17 cases both the chest radiographs and the lung scans were abnormal, and bronchoscopy and/or lung biopsy established an etiologic diagnosis in the majority of these cases. In 9 cases CT of the lungs revealed unequivocal interstitial infiltration in the presence of a normal chest radiograph, and subsequently an etiologic agent was demonstrated in all these cases. In 9 cases, patients with symptoms indicative of pulmonary infection had both a normal chest radiograph and a normal lung scan, and in none of these cases did the clinical course or additional diagnostic procedures indicate the presence of current opportunistic lung infection. CT of the lungs seems to identify accurately those patients with severe HIV-related diseases in whom invasive diagnostic procedures such as bronchoalveolar lavage and/or lung biospy should be done.

Standard Stripping versus Long Saphenous Vein-Saving Surgery for Primary Varicose Veins: A Prospective, Randomized Study with the Patients as Their Own Controls

Objective:

To compare the postoperative discomfort and long-term outcome following standard stripping and atter long saphenous vein-saving surgery.

Design:

Prospective, randomized case-control study with patients serving as their own controls.

Setting:

Department of Surgery, County Hospital, Varberg, Sweden.

Patients:

Eighteen patients with bilateral primary varicose veins.

Interventions:

The patients were randomized prospectively to stripping or long saphenous vein-saving surgery. The leg causing most discomfort was operated on first. The other leg was operated on using the alternative method.

Main outcome measures:

Postoperative discomfort was assessed after an interview with the patient. Long-term outcome was determined by clinical assessment and Plethysmographic venous return time.

Results:

After 4 years the legs subjected to long saphenous vein-saving surgery yielded equal clinical results and had as great a prolongation of the plethysmographic venous return time as legs operated on using standard stripping. More patients reported greater discomfort following stripping than after vein-saving surgery. The saved long saphenous vein in all legs operated on was patent, compressible, non-sclerotic and free of intraluminal echoes.

Conclusion:

The long-term results of long saphenous vein-saving surgery are as good as standard stripping, provided that incompetent perforators are throughly mapped preoperatively and ligated at surgery. Long saphenous vein-saving surgery causes less subjective postoperative discomfort than standard stripping. The saved long saphenous vein can probably be used for future arterial reconstruction.

A Study of the Mechanisms by Which Haemodynamic Function Improves following Long Saphenous Vein-Saving Surgery

Objective:

To study the mechanisms by which haemodynamic function improves following long saphenous vein-saving surgery.

Design:

Cohort study.

Patients:

Twenty patients, 14 women and six men, with primary varicose veins.

Interventions:

Varicose vein surgery by the long saphenous vein-saving technique.

Main outcome measures:

Preoperative investigation by physical examination, strain-gauge plethysmography, phlebography and measurements of the long saphenous vein diameter at four different locations using high-resolution, real-time ultrasound. Three months following vein-saving surgery, the patients were reassessed with physical examination, strain-gauge plethysmography and measurements of the long saphenous vein diameter.

Results:

All patients but one showed excellent or good results following surgery. The preoperative diameter of the long saphenous vein was reduced by 40% at four different levels in the operated legs ( p<0.01). The venous return time of the same legs increased 2.4 times ( p<0.001). The decrease of the long saphenous vein diameter correlated positively with the increase in venous return time (t-50), ( r=0.50, p=0.04).

Conclusion:

The results suggest that the development of incompetent perforators is an early major event in the formation of primary varicose veins. The results also suggest that the long saphenous vein valvular incompetence in varicose veins is attributable to venous wall dilatation rather than degeneration of the valves. The results support the hypothesis that the improvement in haemodynamic function following long saphenous vein-saving surgery is due, at least partly, to a reduction of the long saphenous vein diameter, which in turn tends to restore valvular competence.

Population genetic structure in farm and feral American mink (Neovison vison) inferred from RAD sequencing-generated single nucleotide polymorphisms

Feral American mink populations (), derived from mink farms, are widespread in Europe. In this study we investigated genetic diversity and genetic differentiation between feral and farm mink using a panel of genetic markers (194 SNP) generated from RAD sequencing data. Sampling included a total of 211 individuals from 14 populations, 4 feral and 10 from farms, the latter including a total of 7 color types (Brown, Black, Mahogany, Sapphire, White, Pearl, and Silver). Our study revealed similar low levels of genetic diversity in both farm and feral mink. Results are consistent with small effective population size as a consequence of line selection in the farms and founder effects of a few escapees from the farms in feral populations. Moderately high genetic differentiation was found between farm and feral animals, suggesting a scenario in which wild populations were founded from farm escapes a few decades ago. Currently, escapes and gene flow are probably limited. Genetic differentiation was higher among farm color types than among farms, consistent with line selection using few individuals to create the lines. Finally, no indications of inbreeding were found in either farm or feral samples, with significant negative values found in most farm samples, showing farms are successful in avoiding inbreeding.

Myostatin in relation to physical activity and dysglycaemia and its effect on energy metabolism in human skeletal muscle cells

AIM

Some health benefits of exercise may be explained by an altered secretion of myokines. Because previous focus has been on upregulated myokines, we screened for downregulated myokines and identified myostatin. We studied the expression of myostatin in relation to exercise and dysglycaemia in skeletal muscle, adipose tissue and plasma. We further examined some effects of myostatin on energy metabolism in primary human muscle cells and Simpson-Golabi-Behmel syndrome (SGBS) adipocytes.

METHODS

Sedentary men with or without dysglycaemia underwent a 45-min acute bicycle test before and after 12 weeks of combined endurance and strength training. Blood samples and biopsies from m. vastus lateralis and adipose tissue were collected.

RESULTS

Myostatin mRNA expression was reduced in skeletal muscle after acute as well as long-term exercise and was even further downregulated by acute exercise on top of 12-week training. Furthermore, the expression of myostatin at baseline correlated negatively with insulin sensitivity. Myostatin expression in the adipose tissue increased after 12 weeks of training and correlated positively with insulin sensitivity markers. In cultured muscle cells but not in SGBS cells, myostatin promoted an insulin-independent increase in glucose uptake. Furthermore, muscle cells incubated with myostatin had an enhanced rate of glucose oxidation and lactate production.

CONCLUSION

Myostatin was differentially expressed in the muscle and adipose tissue in relation to physical activity and dysglycaemia. Recombinant myostatin increased the consumption of glucose in human skeletal muscle cells, suggesting a complex regulatory role of myostatin in skeletal muscle homeostasis.

The exercise-regulated myokine chitinase-3-like protein 1 stimulates human myocyte proliferation

AIM

Chitinase-3-like protein 1 (CHI3L1) is involved in tissue remodelling and inflammatory processes. Plasma levels are elevated in patients with insulin resistance and T2DM. We recently showed that CHI3L1 and its receptor protease-activated receptor 2 (PAR-2) are expressed in skeletal muscle. Activation of PAR-2 by CHI3L1 protects against TNF-α-induced inflammation and insulin resistance. However, the effect of exercise on CHI3L1 and PAR-2 signalling remains unknown. The aim of this work was to study the impact of exercise on CHI3L1 production and the effect of CHI3L1/PAR-2 signalling on skeletal muscle growth and repair.

METHODS

Three human exercise studies were used to measure CHI3L1 plasma levels (n = 32). In addition, muscle and adipose tissue CHI3L1 mRNA expression was measured in response to acute and long-term exercise (n = 24). Primary human skeletal muscle cells were differentiated in vitro, and electrical pulse stimulation was applied. In addition, myoblasts were incubated with CHI3L1 protein and activation of MAP kinase signalling as well as proliferation was measured.

RESULTS

Circulating CHI3L1 levels and muscle CHI3L1 mRNA were increased after acute exercise. In addition, CHI3L1 mRNA expression as well as CHI3L1 secretion was enhanced in electrically stimulated cultured myotubes. Incubation of cultured human myoblasts with CHI3L1 protein leads to a strong activation of p44/42, p38 MAPK and Akt as well as enhanced myoblast proliferation.

CONCLUSION

Our findings suggest that CHI3L1 is induced by acute exercise and that CHI3L1/PAR-2 signalling activates myocyte proliferation, which is important for restructuring of skeletal muscle in the response to exercise training.

SNP annotation-based whole genomic prediction and selection: an application to feed efficiency and its component traits in pigs

The study investigated genetic architecture and predictive ability using genomic annotation of residual feed intake (RFI) and its component traits (daily feed intake [DFI], ADG, and back fat [BF]). A total of 1,272 Duroc pigs had both genotypic and phenotypic records, and the records were split into a training (968 pigs) and a validation dataset (304 pigs) by assigning records as before and after January 1, 2012, respectively. SNP were annotated by 14 different classes using Ensembl variant effect prediction. Predictive accuracy and prediction bias were calculated using Bayesian Power LASSO, Bayesian A, B, and Cπ, and genomic BLUP (GBLUP) methods. Predictive accuracy ranged from 0.508 to 0.531, 0.506 to 0.532, 0.276 to 0.357, and 0.308 to 0.362 for DFI, RFI, ADG, and BF, respectively. BayesCπ100.1 increased accuracy slightly compared to the GBLUP model and other methods. The contribution per SNP to total genomic variance was similar among annotated classes across different traits. Predictive performance of SNP classes did not significantly differ from randomized SNP groups. Genomic prediction has accuracy comparable to observed phenotype, and use of genomic prediction can be cost effective by replacing feed intake measurement. Genomic annotation had less impact on predictive accuracy traits considered here but may be different for other traits. It is the first study to provide useful insights into biological classes of SNP driving the whole genomic prediction for complex traits in pigs.

In vivo drug release behavior and osseointegration of a doxorubicin-loaded tissue-engineered scaffold

This pre-clinical study presented a dual function of a doxorubicin-loaded scaffold for both chemotherapeutic agent delivery and bone formation.

Caffeine improves performance in double poling during acute exposure to 2,000-m altitude

There is limited research on the physiological effects of caffeine (CAF) ingestion on exercise performance during acute hypoxia. The aim of the present study was therefore to test the effect of placebo (PLA) and CAF (4.5 mg/kg) on double poling (DP) performance during acute hypoxia. Thirteen male subelite cross-country skiers (V̇o2max 72.6 ± 5.68 ml·kg−1·min−1) were included. Performance was assessed as 1) an 8-km cross-country DP time-trial (C-PT), and 2) time until task failure at a set workload equal to ∼90% of DP V̇o2max. Testing was carried out in a hypobaric chamber, at 800 mbar (Pio2: ∼125 mmHg) corresponding to ∼2,000 m above sea level in a randomized double-blinded, placebo-controlled, cross-over design. CAF improved time to task failure from 6.10 ± 1.40 to 7.22 ± 1.30 min ( P < 0.05) and velocity the first 4 km ( P < 0.05) but not overall time usage for the 8-km C-PT. During submaximal exercise subjects reported lower pain in arms and rate of perceived exertion (RPE) following CAF ingestion. Throughout C-PTs similar RPE and pain was shown between treatments. However, higher heart rate was observed during the CAF 8 km (187 ± 7 vs. 185 ± 7; P < 0.05) and 90% C-PT (185 ± 7 vs. 181 ± 9) associated with increased ventilation, blood lactate, glucose, adrenaline, decreased pH, and bicarbonate. The present study demonstrates for the first time that CAF ingestion improves DP time to task failure although not consistently time trial performance during acute exposure to altitude. Mechanisms underpinning improvements seem related to reduced pain RPE and increased heart rate during CAF C-PTs.

Including different groups of genotyped females for genomic prediction in a Nordic Jersey population

Including genotyped females in a reference population (RP) is an obvious way to increase the RP in genomic selection, especially for dairy breeds of limited population size. However, the incorporation of these females must be conducted cautiously because of the potential preferential treatment of the genotyped cows and lower reliabilities of phenotypes compared with the proven pseudo-phenotypes of bulls. Breeding organizations in Denmark, Finland, and Sweden have implemented a female-genotyping project with the possibility of genotyping entire herds using the low-density (LD) chip. In the present study, 5 scenarios for building an RP were investigated in the Nordic Jersey population: (1) bulls only, (2) bulls with females from the LD project, (3) bulls with females from the LD project plus non-LD project females genotyped before their first calving, (4) bulls with females from the LD project plus non-LD project females genotyped after their first calving, and (5) bulls with all genotyped females. The genomically enhanced breeding value (GEBV) was predicted for 8 traits in the Nordic total merit index through a genomic BLUP model using deregressed proof (DRP) as the response variable in all scenarios. In addition, (daughter) yield deviation and raw phenotypic data were studied as response variables for comparison with the DRP, using stature as a model trait. The validation population was formed using a cut-off birth year of 2005 based on the genotyped Nordic Jersey bulls with DRP. The average increment in reliability of the GEBV across the 8 traits investigated was 1.9 to 4.5 percentage points compared with using only bulls in the RP (scenario 1). The addition of all the genotyped females to the RP resulted in the highest gain in reliability (scenario 5), followed by scenario 3, scenario 2, and scenario 4. All scenarios led to inflated GEBV because the regression coefficients are less than 1. However, scenario 2 and scenario 3 led to less bias of genomic predictions than scenario 5, with regression coefficients showing less deviation from scenario 1. For the study on stature, the daughter yield deviation/daughter yield deviation performed slightly better than the DRP as the response variable in the genomic BLUP (GBLUP) model. Therefore, adding unselected females in the RP could significantly improve the reliabilities and tended to reduce the prediction bias compared with adding selectively genotyped females. Although the DRP has performed robustly so far, the use of raw data is recommended with a single-step model as an optimal solution for future genomic evaluations.

Heterosis and genetic variation in the litter size of purebred and crossbred mink

Crosses between different mink lines from 3 Danish mink farms that use different breeding strategies were studied to estimate heterosis and variance components for litter size. The study was designed to analyze crosses between lines of the same color type, between different color types, and between animals originating from different farms. Effect of heterosis, color type, and variance components were estimated using Average information REML (AI-REML) algorithm implemented in the DMU package for analyzing multivariate mixed models. Females from 7 generations that gave birth to at least 1 offspring were analyzed and the effects of parity and production year were included in the analyses. Genetic trend and the proportions of the total variance explained by the effects of additive genetics (h2), common environment (due to repeated litters from the same female; c2), and dam of the female (granddame of the born litter; d2) were estimated. The results showed that mink of the Black color type potentially produced smaller litters compared to mink of the other studied color types. We found significant general maternal effect of heterosis for litter size. Analyses of specific heterosis showed a significant positive effect of crossing between lines of the same color type. Estimates of variance components revealed h2 levels for farm A, B, and C of 0.15, 0.06, and 0.09, respectively; thus litter size could be selected for in the future. The effect of common environment on litter size was also considerable, with c2 values of 0.005, 0.11, and 0.15 at farms A, B, and C, respectively. In conclusion, we recommend genetic selection as a means of increasing litter size in farmed mink.

Chlorhämin (Ferriporphyrinchlorid) als Bakterienwuchsstoff I

Es wird die Hämin-Heterotrophie einer streptomycinresistenten Variante von M. pyog. var. aureus SG 511 nachgewiesen. Sie drückt sich aus: 1. in der Wuchsunfähigkeit der Variante auf häminfreiem Nähragar und in häminfreier stark belüfteter Nährlösung; 2. in dem Unvermögen, eisenhaltige Atmungsfermente und Katalase zu synthetisieren, unter Bedingungen, die trotz des Fehlens dieser Fermente Wachstum gestatten. Es wird gezeigt, daß Atmung und Katalasebildung nur in häminhaltigen Nährböden (Häminkonzentration bis 3×10-7) möglich ist.

Chlorhämin (Ferriporphyrinchlorid) als Bakterienwuchsstoff II. Zur Synthese der Hämatinfermente

Es wird für eine häminheterotrophe, streptomycinresistente Variante von Mikrococcus pyogenes var. aureus SG 511 nachgewiesen, daβ sie in häminfreien Nährböden den Proteinanteil der Katalase und zumindest eines Teiles des Cytochromsystems bildet. Nach Zusatz von Hämin zu den ruhenden Bakterien wird der letzte Schritt der Synthese zum Holoferment vollzogen. Der Nachweis wird teils durch quantitative Bestimmung der fermentativen Leistungen der ruhenden Bakterien, teils durch spektroskopische Untersuchungen geführt. Auf die Möglichkeit einer spezifischen Hemmung dieses letzten Syntheseschrittes wird hingewiesen.

Chlorhämin (Ferriporphyrinchlorid) als Bakterienwuchsstoff IV

Es wird bei einem Mikrokokkenstamm und seiner häminheterotrophen Variante ein O2übertragendes Ferment nachgewiesen, das sicher nicht mit Warburgs klassischem Ferment identisch ist. Mittels verschiedener Methoden wird der Nachweis erbracht, daß seine prosthetische Gruppe Protohämin ist.

Short communication: Heterosis by environment and genotype by environment interactions for protein yield in Danish Jerseys

Crossing of lines or strains within and between breeds has been demonstrated to be beneficial for dairy cattle performance. However, even within breed, differences between strains may also give rise to heterosis. A key question is whether an interaction exists between heterosis and environment (H × E) that is independent of genotype by environment (G × E) interactions. In this study, H × E and G × E interactions were estimated in a population of approximately 300,000 Danish Jersey cows. The cows were a mixture of pure Danish Jerseys and crosses of US and Danish Jerseys. The phenotype studied was protein yield. A reaction norm model where the unknown environmental covariates are inferred simultaneously with the other parameters in the model was used to analyze the data. When H × E, but not G × E, was included in the model, heterosis was estimated to be 3.8% for the intermediate environmental level. However, when both H × E and G × E were included in the model, heterosis was estimated to be 4.1% for the intermediate environmental level. Furthermore, when only H × E was included in the model, the regression on the unknown environmental covariate was estimated to be 0.15, interpreted as meaning that an increase of average herd-year protein yield by 1 kg of protein led to an increase in heterosis of 0.15 kg above the average heterosis for a first-cross cow. When both H × E and G × E were included in the model, the regression on the unknown environmental covariate was not significantly different from zero, meaning that heterosis was similar in all environments investigated. The genetic correlation of protein yields for different environmental levels ranged from 0.72 to 0.93, which was significantly different from unity, indicating that G × E exist for protein yield.

Further Evidence for Hemisity Sorting During Career Specialization

Hemisity refers to binary thinking and behavioral style differences between right and left brain-oriented individuals. The inevitability of hemisity became clear when it was discovered by magnetic resonance imaging (MRI) that an anatomical element of the executive system was unilaterally embedded in either the right or the left side of the ventral gyrus of the anterior cingulate cortex in an idiosyncratic manner that was congruent with an individual’s inherent hemisity subtype. Based upon the MRI-calibrated hemisity of many individuals, a set of earlier biophysical and questionnaire hemisity assays was calibrated for accuracy and found appropriate for use in the investigation of the hemisity of individuals and groups. It had been reported that a partial sorting of individuals into hemisity right and left brain-oriented subgroups occurred during the process of higher education and professional development. Here, these results were extended by comparison of the hemisity of a putative unsorted population of 1,049 high school upper classmen, with that of 228 university freshmen. These hemisity outcomes were further compared with that of 15 university librarians, here found to be predominantly left brain-oriented, and 91 academically trained musicians, including 47 professional pianists, here found to be mostly right brainers. The results further supported the existence of substantial hemisity selection occurring during the process of higher education and in professional development.

Consumer attitudes towards beef and acceptability of enhanced beef

The objective of this study was to evaluate consumer quality characteristics of enhanced steaks and roasts derived from cattle supplemented with vitamin E during finishing, and to assess the attitudes of these consumers towards beef. Twelve steers were fed either a control (E-) diet or a diet supplemented with dl-alpha tocopheryl acetate (E+). Paired strip loins and rounds were either used as controls (C) or were pumped (P) to 110% of raw weight to contain 0.4% sodium chloride and 0.4% sodium tripolyphosphate in the final product. Consumers (n=103) evaluated roasts and steaks for juiciness, tenderness, saltiness, and overall acceptability on a 9-point hedonic scale. Enhanced steaks and roasts were more acceptable than non-enhanced controls; E+ steaks were less acceptable than E- steaks. A beef quality questionnaire revealed that color, price, visible fat and cut were the most important factors underlying beef steak purchase, while tenderness, flavor and juiciness were weighted most heavily with regard to eating satisfaction.

Genetic parameters for different measures of feed efficiency and related traits in boars of three pig breeds

Residual feed intake (RFI) is commonly used as a measure of feed efficiency at a given level of production. A total of 16,872 pigs with their pedigree traced back as far as possible was used to estimate genetic parameters for RFI, growth performance, food conversion ratio (FCR), body conformation, and feeding behavior traits in 3 Danish breeds [Duroc (DD), Landrace (LL), and Yorkshire (YY)]. Two measures of RFI were considered: residual feed intake 1 (RFI1) was calculated based on regression of daily feed intake (DFI) from 30 to 100 kg on initial test weight and ADG from 30 to 100 kg (ADG2). Residual feed intake 2 (RFI2) was as RFI1, except it was also regressed with respect to backfat (BF). The estimated heritabilities for RFI1 and RFI2 were 0.34 and 0.38 in DD, 0.34 and 0.36 in LL, and 0.39 and 0.40 in YY, respectively. The heritabilities ranged from 0.32 (DD) to 0.54 (LL) for ADG2, from 0.54 (DD) to 0.67 (LL) for BF, and from 0.13 (DD) to 0.19 (YY) for body conformation. Feeding behavior traits including DFI, number of visits to feeder per day (NVD), total time spent eating per day (TPD), feed intake rate (FR), feed intake per visit (FPV), and time spent eating per visit (TPV) were moderately to highly heritable. Residual feed intake 2 was genetically independent of ADG2 and BF in all breeds, except it had low genetic correlation to ADG2 in YY (0.2). Residual feed intake 1 was also genetically independent of ADG2 in DD and LL. Both RFI traits had strong genetic correlations with DFI (0.85 to 0.96) and FCR (0.76 to 0.99). They had low or no genetic correlations with feeding behavior traits. Unfavorable genetic correlations were found between ADG2 and both BF and DFI. Among feeding behavior traits, DFI had low genetic correlations to other traits in all breeds. High and negative genetic correlations were also found between TPD with FR (-0.79 in YY to -0.88 in DD), NVD, and TPD (-0.91 in DD to -0.94 in YY) and between NVD and FPV (-0.83 in DD to -0.91 in YY) in all breeds. The genetic trend for feed efficiency was favorable in all breeds regardless of the definition of feed efficiency used. In summary, RFI1 and RFI2 were heritable and selection for reduced RFI2 can be performed without adversely affecting ADG and BF and could replace FCR in the selection index for the Danish pig breeds. Selection could also be based on RFI1 for breeds with fewer concerns about a negative effect of BF or for breeds that do not have BF records.