Ocular and systemic markers for vascular function in those at risk of type 2 diabetes mellitus and cardiovascular disease

The devastating impact of Type 2 Diabetes Mellitus (T2DM) -related morbidity and mortality on global healthcare is escalating with higher prevalences of obesity, poor diet, and sedentary lifestyles. Therefore, the clinical need for early diagnosis and prevention in groups of high-risk individuals is necessary. The purpose of this thesis was to investigate the use of surrogate markers, namely retinal vascular function, to determine future vascular endothelial dysfunction, atherosclerosis, large vessel disease and cardiovascular risk in certain groups. This namely covered normoglycaemic and normotensive South Asians (SAs), those with Impaired-Glucose Tolerance (IGT) and individuals with a familial history (FH) of T2DM. Additionally the effect of overweight and obesity was studied. The techniques and modified protocols adopted for this thesis involved the investigation of endothelial function by means of vascular reactivity at the ocular and systemic level. Furthermore, the relationships between retinal and systemic function with circulating markers for endothelial cell function and cardiovascular risk markers were explored. The principal studies and findings of the research were: Vascular Function in Normoglycaemic Individuals with and without a FH of T2DM WE FH individuals exhibited higher levels of total cholesterol levels that correlated well with the retinal arterial dilation amplitude to flicker light stimulus. However this did not extend to noticeable differences in markers for endothelial cell damage and impaired retinal and systemic function. Vascular Function in Normoglycaemic South-Asians vs. White-Europeans without a FH and Vascular Disturbances Compared to healthy WEs (normo -glycaemic and -tensive), SA participants exhibited levels of dyslipidaemia and a state of oxidative stress that extended to impaired vascular function as detected by reduced brachial artery flow-mediated dilation, slower retinal arterial vessel dilation reaction times (Appendix 3) and steeper constriction profiles. Furthermore, gender sub-group analysis presented in a sub-chapter shows that SA males demonstrated 24-hour systemic blood pressure (BP) and heart rate variability (HRV) abnormalities and heightened cardiovascular disease (CVD) risk. Vascular Function in Individuals Newly Diagnosed with IGT as compared to Normoglycaemic Healthy Controls Newly-diagnosed WE and SA IGT patients showed a greater risk for CVD and T2DM progression by means of 24-hour BP abnormalities, dyslipidaemia, increased carotid artery intimal-media thickness (c-IMT), Framingham scores and cholesterol ratios. Additionally, pre-clinical markers for oxidative stress and endothelial dysfunction, as evident by significantly lower levels of plasma glutathione and increased levels of von-Willebrand factor in IGT individuals, extended to impaired vascular systemic and retinal function compared to normal controls. This originally shows retinal, systemic and biochemical disturbances in newly-diagnosed IGT not previously reported before. Vascular Function in Normal, Overweight and Obese Individuals of SA and WE Ethnicity In addition to the intended study chapters, the thesis also investigated the influence of obesity and overweight on vascular function. Most importantly, it was found for the first time that compared to lean individuals it was overweight and not obese individuals that exhibited signs of vascular systemic and ocular dysfunction that was evident alongside markers of atherosclerosis, CVD risk and endothelial damage.

The control of alkali silica reaction using blended cements

It has been previously established that alkali silica reaction (ASR) in concrete may be controlled by blending Portland cement with suitable hydraulic or pozzolanic materials. The controlling mechanism has been attributed to the dilution of the cement's alkali content and reduced mobility of ions in concrete's pore solution. In this project an attempt has been made to identify the factors which influence the relative importance of each mechanism in the overall suppression of the reaction by the use of blended cements. The relationship between the pore solution alkalinity and ASR was explored by the use of expansive mortar bars submerged in alkaline solutions of varying concentration. This technique enabled the blended cement's control over expansion to be assessed at given `pore solution' alkali concentrations. It was established that the cement blend, the concentration and quantity of alkali present in the pore solution were the factors which determined the rate and extent of ASR. The release of alkalis into solution by Portland cements of various alkali content was studied by analysis of pore solution samples expressed from mature specimens. The specification for avoiding ASR by alkali limitation, both by alkali content of cement and the total quantity of alkali were considered. The effect on the pore solution alkalinity when a range of Portland cements were blended with various replacement materials was measured. It was found that the relationship between the type of replacement material, its alkali content and that of the cement were the factors which primarily determined the extent of the pore solution alkali dilution effect. It was confirmed that salts of alkali metals of the kinds found as common concrete contaminants were able to increase the pore solution hydroxyl ion concentration significantly. The increase was limited by the finite anion complexing ability of the cement.

The susceptibility of various UK aggregates to alkali silica reaction

A group of lithologically varied UK aggregates have been incorporated into concrete prisms of variable alkali content to ascertain the alkali levels at which significant ASR first occurs at 38oC and 100% RH. Petrographical analysis was used to establish the source of reactivity. The results of these expansion tests showed that significant ASR can develop with certain aggregates at initial alkali levels as low as 3.5 kg/m3 Na2Oe. Similar prisms were made at initial alkali levels, well above, on and just below the alkali thresholds for each aggregate. These prisms were placed in salt solution to establish the effects of ASR. The results showed that an external source of NaCl does accentuate ASR in high alkali mixes. However, in low alkali mixes the ASR initiated was even greater than that developed by the high alkali mixes. It was proposed that an `initial alkali pessimum' existed for each aggregate type for specimens placed in salt solution. Electron microprobe analysis of the ASR gels from concretes immersed in salt solution, showed that two compositionally varied gel suites develop. The first suite was derived from ASR caused by the initial alkalis in a concrete mix and was identical to ASR gels derived from the various concretes when immersed in distilled water. The second suite was developed by alkalis derived from a reaction between NaCl and the C3A component of the cement paste. It was demonstrated that the `initial alkali pessimum' was probably due to a combination of these two ASR types at the alkali threshold point where both suites of ASR gel can develop. Equivalent mixes were made with a 25% replacement of the cement by pulverised fuel ash (pfa) to establish whether alkalis released from the pfa could initiate ASR in otherwise non-reactive low alkali mixes. The addition of air entrainment to reactive concrete mixes was also examined as a method of suppressing ASR.

Perception while watching movies:effects of physical screen size and scene type

Over the last decade, television screens and display monitors have increased in size considerably, but has this improved our televisual experience? Our working hypothesis was that the audiences adopt a general strategy that “bigger is better.” However, as our visual perceptions do not tap directly into basic retinal image properties such as retinal image size (C. A. Burbeck, 1987), we wondered whether object size itself might be an important factor. To test this, we needed a task that would tap into the subjective experiences of participants watching a movie on different-sized displays with the same retinal subtense. Our participants used a line bisection task to self-report their level of “presence” (i.e., their involvement with the movie) at several target locations that were probed in a 45-min section of the movie “The Good, The Bad, and The Ugly.” Measures of pupil dilation and reaction time to the probes were also obtained. In Experiment 1, we found that subjective ratings of presence increased with physical screen size, supporting our hypothesis. Face scenes also produced higher presence scores than landscape scenes for both screen sizes. In Experiment 2, reaction time and pupil dilation results showed the same trends as the presence ratings and pupil dilation correlated with presence ratings, providing some validation of the method. Overall, the results suggest that real-time measures of subjective presence might be a valuable tool for measuring audience experience for different types of (i) display and (ii) audiovisual material.

Highly selective Pd/titanate nanotube catalysts for the double-bond migration reaction

Pd(II) and Pd(0) catalysts supported onto titanate nanotubes (H2Ti3O7) were prepared by an ion-exchange technique. The catalysts are characterised by narrow size distribution of metal nanoparticles on the external surface of the nanotubes. Pd(II) catalysts show high selectivity toward double-bond migration reaction versus hydrogenation in linear olefins. The catalytic activity exhibits a volcano-type dependence on the metal loading, with the maximum activity observed at ca. 8 wt%. The Pd(II) was shown to be rapidly reduced to Pd(0) by appropriate choice of solvent. Prereduced Pd(0) catalysts were found to be less active toward double-bond migration and more selective toward hydrogenation. The DBM reaction was faster in protic solvents, such as methanol or ethanol. © 2006 Elsevier Inc. All rights reserved.