Steroid hormones interrelationships in the metabolic syndrome: an introduction to the ponderostat hypothesis

Sexual dimorphism in the metabolic syndrome. The clairvoyant early implication of sex hormones in the characterization of the metabolic syndrome (MS) was detected early, and in accordance with the well-known sex-related main patterns of fat deposition in obesity: gynoid and android. The differences point to a direct implication of androgens and estrogens in the development, properties and maintenance of obesity and, by extension, to the cumulus of diseases grouped in the MS. For a long time, the key issue of the MS, i.e. the metabolic event explaining (and justifying) most of the derangements of the MS, has been considered to be insulin resistance (...)

Lipid mobilization and gluconeogenesis in plants: Do glyoxylate cycle enzyme activities constitute a real cycle? A hypothesis

Glyoxysomes are specialized peroxisomes present in various plant organs such as germinating cotyledons or senescing leaves. They are the site of beta-oxidation and of the glyoxylate cycle. These consecutive pathways are essential to the maintenance of gluconeogenesis initiated by the degradation of reserve or structural lipids. In contrast to mitochondrial beta-oxidation, which is prevalent in animal cells, glyoxysomal beta-oxidation and the glyoxylate cycle have no direct access to the mitochondrial respiratory chain because of the impermeability of the glyoxysomal membrane to the reduced cofactors. The necessity of NAD(+) regeneration can conceivably be fulfilled by membrane redox chains and/or by transmembrane shuttles. Experimental evidence based on the active metabolic roles of higher plant glyoxysomes and yeast peroxisomes suggests the coexistence of two mechanisms, namely a reductase/peroxidase membrane redox chain and a malate/aspartate shuttle susceptible to transfer electrons to the mitochondrial ATP generating system. Such a model interconnects beta-oxidation, the glyoxylate cycle, the respiratory chain and gluconeogenesis in such a way that glyoxysomal malate dehydrogenase is an essential and exclusive component of beta-oxidation (NAD(+) regeneration). Consequently, the classical view of the glyoxylate cycle is superseded by a tentative reactional scheme deprived of cyclic character.

Single centre experience of the application of self navigated 3D whole heart cardiovascular magnetic resonance for the assessment of cardiac anatomy in congenital heart disease.

BACKGROUND: For free-breathing cardiovascular magnetic resonance (CMR), the self-navigation technique recently emerged, which is expected to deliver high-quality data with a high success rate. The purpose of this study was to test the hypothesis that self-navigated 3D-CMR enables the reliable assessment of cardiovascular anatomy in patients with congenital heart disease (CHD) and to define factors that affect image quality. METHODS: CHD patients ≥2 years-old and referred for CMR for initial assessment or for a follow-up study were included to undergo a free-breathing self-navigated 3D CMR at 1.5T. Performance criteria were: correct description of cardiac segmental anatomy, overall image quality, coronary artery visibility, and reproducibility of great vessels diameter measurements. Factors associated with insufficient image quality were identified using multivariate logistic regression. RESULTS: Self-navigated CMR was performed in 105 patients (55% male, 23 ± 12y). Correct segmental description was achieved in 93% and 96% for observer 1 and 2, respectively. Diagnostic quality was obtained in 90% of examinations, and it increased to 94% if contrast-enhanced. Left anterior descending, circumflex, and right coronary arteries were visualized in 93%, 87% and 98%, respectively. Younger age, higher heart rate, lower ejection fraction, and lack of contrast medium were independently associated with reduced image quality. However, a similar rate of diagnostic image quality was obtained in children and adults. CONCLUSION: In patients with CHD, self-navigated free-breathing CMR provides high-resolution 3D visualization of the heart and great vessels with excellent robustness.

Rotation mentale et différences sexuelles: influence des axes directionnels extraits de l'environnement

Les tâches nécessitant des manipulations et des transformations de figures géométriques et de formes, comme les tâches de rotation mentale, donnent lieu à des différences de performance entre hommes et femmes qui restent intrigantes. Plusieurs hypothèses ont été proposées pour expliquer ces différences. La plus récurrente porte sur les différences de stratégie globale vs locale utilisées pour traiter l'information. Bien que cette conjecture soit intéressante, elle reste difficile à opérationnaliser car elle englobe tous les mécanismes cognitifs (acquisition, conservation et récupération de l'information). Ce travail prend la forme d'un retour aux sources dans la mesure où il se base sur des recherches anciennes qui ont montré que les hommes perçoivent significativement mieux que les femmes la verticale et l'horizontale. Il teste l'hypothèse selon laquelle les hommes, comparativement aux femmes, présentent une plus forte indépendance au champ perceptif visuel et sont donc plus susceptibles d'utiliser la verticalité et l'horizontalité pour résoudre une tâche de rotation mentale. Une première série d'expériences s'est penchée sur la perception spatiale pour évaluer son impact sur la résolution d'une tâche impliquant la rotation mentale. Les résultats ont montré que seuls les hommes se référaient à la verticalité et à l'horizontalité pour résoudre la tâche. Une seconde série d'expériences ont investigué l'effet de la présence, ou absence, d'axes directionnels directement liés à une tâche de rotation mentale. Elles ont été menées également en environnement réel afin d'évaluer comment le déplacement actif ou passif, correspondant à un changement de perspective en lieu et place d'une rotation mentale, module la performance des hommes et des femmes. Les résultats n'ont pas mis en évidence de différence sexuelle. Notre hypothèse est vérifiée puisque c'est uniquement lorsque la tâche ne présente pas d'axes orthogonaux évidents mais implicites que seuls les hommes, plus indépendants au champ perceptif visuel que les femmes, utilisent la perception de la verticalité et de l'horizontalité pour améliorer leur compétence en rotation mentale. -- Tasks that require manipulation and transformation of geometric shapes and forms, like tasks of mental rotation and give rise to differences in performance between men and women, remain intriguing. Several hypotheses have been proposed to explain these differences. The most recurring hypothesis addresses differences in global versus local strategies for processing information. While this conjecture is interesting, it remains difficult to study because it encompasses all the cognitive mechanisms (acquisition, retention and output). This work returns to the sources, which are based on earlier research that shows that men are significantly better than women at perceiving verticality and horizontality. It tests the hypothesis according to which men, as compared to women, exhibit a greater independence on the perceptive visual field, and therefore are more susceptible to utilizing the verticality and the horizontality to solve a mental rotation task. A first set of experiments examined spatial perception in order to assess its impact on the resolution of a task involving mental rotation. The results showed that only men referred to the verticality and the horizontality to solve the task. A second series of experiments investigated the effect of a presence, or absence of directional axes directed tied to the task of mental rotation. They were also conducted in a real world environment to evaluate how the active or passive displacement, corresponding to a change in perspective instead of a mental rotation, modulates the performance of men and women. The results did not show sex differences. Our hypothesis is verified: it is only when the task presents no obvious, but implicit orthogonal axes that men, who exhibit a greater independence on the perceptive visual field than women, use the perception of verticality and horizontality to improve their competence in mental rotation.

Measuring individuals' response quality in self-administered psychological tests : an introduction to Gendre's functional method

The functional method is a new test theory using a new scoring method that assumes complexity in test structure, and thus takes into account every correlation between factors and items. The main specificity of the functional method is to model test scores by multiple regression instead of estimating them by using simplistic sums of points. In order to proceed, the functional method requires the creation of hyperspherical measurement space, in which item responses are expressed by their correlation with orthogonal factors. This method has three main qualities. First, measures are expressed in the absolute metric of correlations; therefore, items, scales and persons are expressed in the same measurement space using the same single metric. Second, factors are systematically orthogonal and without errors, which is optimal in order to predict other outcomes. Such predictions can be performed to estimate how one would answer to other tests, or even to model one's response strategy if it was perfectly coherent. Third, the functional method provides measures of individuals' response validity (i.e., control indices). Herein, we propose a standard procedure in order to identify whether test results are interpretable and to exclude invalid results caused by various response biases based on control indices.

Prevalence of alcohol-impaired drivers based on random breath tests in a roadside survey

Sobriety checkpoints are not usually randomly located by traffic authorities. As such, information provided by non-random alcohol tests cannot be used to infer the characteristics of the general driving population. In this paper a case study is presented in which the prevalence of alcohol-impaired driving is estimated for the general population of drivers. A stratified probabilistic sample was designed to represent vehicles circulating in non-urban areas of Catalonia (Spain), a region characterized by its complex transportation network and dense traffic around the metropolis of Barcelona. Random breath alcohol concentration tests were performed during spring 2012 on 7,596 drivers. The estimated prevalence of alcohol-impaired drivers was 1.29 PER CENT, which is roughly a third of the rate obtained in non-random tests. Higher rates were found on weekends (1.90 PER CENT on Saturdays, 4.29 PER CENT on Sundays) and especially at night. The rate is higher for men (1.45 PER CENT) than for women (0.64 PER CENT) and the percentage of positive outcomes shows an increasing pattern with age. In vehicles with two occupants, the proportion of alcohol-impaired drivers is estimated at 2.62 PER CENT, but when the driver was alone the rate drops to 0.84 PER CENT, which might reflect the socialization of drinking habits. The results are compared with outcomes in previous surveys, showing a decreasing trend in the prevalence of alcohol-impaired drivers over time.

The Spatial Distribution of Human Capital: Can It Really Be Explained by Regional Differences in Market Access?

This paper tests the robustness of estimates of market access impact on regional variability in human capital, as previously derived in the NEG literature. Our hypothesis is that these estimates of the coefficient of market access, in fact, capture the effects of regional differences in the industrial mix and the spatial dependence in the distribution of human capital. Results for the Spanish provinces indicate that the estimated impact of market access vanishes and becomes non-significant once these two elements are included in the empirical analysis.

The Transatlantic Productivity Gap : Is R&D the Main Culprit?

The literature has pointed to different causes to explain the productivity gap between Europe and United States in the last decades. This paper tests the hypothesis that the lower European productivity performance in comparison with the US can be explained not only by a lower level of corporate R&D investment, but also by a lower capacity to translate R&D investment into productivity gains. The proposed microeconometric estimates are based on a unique longitudinal database covering the period 1990-2008 and comprising 1.809 US and European companies for a total of 16.079 observations. Consistent with previous literature, we find robust evidence of a significant impact of R&D on productivity, however – using different estimation techniques - the R&D coefficients for the US firms always turn out to be significantly higher. To see to what extent these transatlantic differences may be related to the different sectoral structures in the US and the EU, we differentiated the analysis by sectors. The result is that both in manufacturing, services and high-tech sectors US firms are more efficient in translating their R&D investments into productivity increases.

Statistical hypothesis testing and common misinterpretations: should we abandon p-value in forensic science applications?

Many people regard the concept of hypothesis testing as fundamental to inferential statistics. Various schools of thought, in particular frequentist and Bayesian, have promoted radically different solutions for taking a decision about the plausibility of competing hypotheses. Comprehensive philosophical comparisons about their advantages and drawbacks are widely available and continue to span over large debates in the literature. More recently, controversial discussion was initiated by an editorial decision of a scientific journal [1] to refuse any paper submitted for publication containing null hypothesis testing procedures. Since the large majority of papers published in forensic journals propose the evaluation of statistical evidence based on the so called p-values, it is of interest to expose the discussion of this journal's decision within the forensic science community. This paper aims to provide forensic science researchers with a primer on the main concepts and their implications for making informed methodological choices.

Comparison of Griffiths-II and Bayley-II tests for the developmental assessment of high-risk infants.

INTRODUCTION: Two important risk factors for abnormal neurodevelopment are preterm birth and neonatal hypoxic ischemic encephalopathy. The new revisions of Griffiths Mental Development Scale (Griffiths-II, [1996]) and the Bayley Scales of Infant Development (BSID-II, [1993]) are two of the most frequently used developmental diagnostics tests. The Griffiths-II is divided into five subscales and a global development quotient (QD), and the BSID-II is divided into two scales, the Mental scale (MDI) and the Psychomotor scale (PDI). The main objective of this research was to establish the extent to which developmental diagnoses obtained using the new revisions of these two tests are comparable for a given child. MATERIAL AND METHODS: Retrospective study of 18-months-old high-risk children examined with both tests in the follow-up Unit of the Clinic of Neonatology of our tertiary care university Hospital between 2011 and 2012. To determine the concurrent validity of the two tests paired t-tests and Pearson product-moment correlation coefficients were computed. Using the BSID-II as a gold standard, the performance of the Griffiths-II was analyzed with receiver operating curves. RESULTS: 61 patients (80.3% preterm, 14.7% neonatal asphyxia) were examined. For the BSID-II the MDI mean was 96.21 (range 67-133) and the PDI mean was 87.72 (range 49-114). For the Griffiths-II, the QD mean was 96.95 (range 60-124), the locomotors subscale mean was 92.57 (range 49-119). The score of the Griffiths locomotors subscale was significantly higher than the PDI (p<0.001). Between the Griffiths-II QD and the BSID-II MDI no significant difference was found, and the area under the curve was 0.93, showing good validity. All correlations were high and significant with a Pearson product-moment correlation coefficient >0.8. CONCLUSIONS: The meaning of the results for a given child was the same for the two tests. Two scores were interchangeable, the Griffiths-II QD and the BSID-II MDI.

Application of intravoxel incoherent motion perfusion imaging to shoulder muscles after a lift-off test of varying duration.

Intravoxel incoherent motion (IVIM) MRI is a method to extract microvascular blood flow information out of diffusion-weighted images acquired at multiple b-values. We hypothesized that IVIM can identify the muscles selectively involved in a specific task, by measuring changes in activity-induced local muscular perfusion after exercise. We tested this hypothesis using a widely used clinical maneuver, the lift-off test, which is known to assess specifically the subscapularis muscle functional integrity. Twelve shoulders from six healthy male volunteers were imaged at 3 T, at rest, as well as after a lift-off test hold against resistance for 30 s, 1 and 2 min respectively, in three independent sessions. IVIM parameters, consisting of perfusion fraction (f), diffusion coefficient (D), pseudo-diffusion coefficient D* and blood flow-related fD*, were estimated within outlined muscles of the rotator cuff and the deltoid bundles. The mean values at rest and after the lift-off tests were compared in each muscle using a one-way ANOVA. A statistically significant increase in fD* was measured in the subscapularis, after a lift-off test of any duration, as well as in D. A fD* increase was the most marked (30 s, +103%; 1 min, +130%; 2 min, +156%) and was gradual with the duration of the test (in 10(-3) mm(2) /s: rest, 1.41 ± 0.50; 30 s, 2.86 ± 1.17; 1 min, 3.23 ± 1.22; 2 min, 3.60 ± 1.21). A significant increase in fD* and D was also visible in the posterior bundle of the deltoid. No significant change was consistently visible in the other investigated muscles of the rotator cuff and the other bundles of the deltoid. In conclusion, IVIM fD* allows the demonstration of a task-related microvascular perfusion increase after a specific task and suggests a direct relationship between microvascular perfusion and the duration of the effort. It is a promising method to investigate non-invasively skeletal muscle physiology and clinical perfusion-related muscular disorders.

Anàlisis dels immunofenotips dels NKR de les cèl·lules Natural Killer en pacients amb Esclerosi Múltiple (MS).

La MS és una malaltia autoimmunitària les causes de la qual són encara desconegudes. Entre altres efectes, els pacients d’aquesta malaltia veuen reduït el nombre de limfòcits, així com el percentatge d’aquests ocupats pel compartiment NK. Tot i que molts estudis es centren en investigar aquesta malaltia, el motiu d’aquesta reducció, continua essent un misteri. En el present estudi s’ha plantejat una hipòtesi, la qual apunta a què aquesta reducció, pugui venir causada pel fet que les cèl·lules NK s’hagin vist eliminades de la circulació; a la qual cosa s’esperaria trobar una població de NK més joves per aquells pacients que tinguessin en un percentatge menor de NK, ja que aquesta pèrdua s’hauria hagut de compensar amb cèl·lules NK de nova formació. Per tal de determinar l’antiguitat de les cèl·lules NK s’analitzen els receptors ILT2 (present en cèl·lules més antigues, ja que s’acumula amb el temps), NKG2A (molt present en cèl·lules NK joves), i en la subpoblació CD56bright, (estat de maduració precoç, ja que aquestes amb el temps esdevindran CD56dim). Després de molts anàlisis, s’ha pogut comprovar com la presència de CMV influeix en els receptors de les cèl·lules NK, igual que també influeix la presència de tractament amb immunomoduladors. Però a part d’aquestes influències les quals ja s’havien descrit en altres estudis previs, s’ha pogut trobar que aquells pacients CMV- sense tractament, presenten una correlació significativament negativa entre el percentatge de les cèl·lules CD56bright respecte al total del compartiment NK, la qual al no estar sota la influència de CMV ni de tractament, està causada per algun factor estrictament lligat a la malaltia, fet del qual no se’n havien presentat evidències significatives fins ara. Tot i que aquests resultats, a la vegada de ser molt interessants, recolzen la hipòtesi base, no s’han trobat resultats significatius per a NKG2A i els resultats per a ILT2 són significatius però no concloents. Igualment però, aquests resultats són molt prometedors, i pensem que seria interesant continuar treballant en aquestes troballes.