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1.
Cardiovasc Diabetol ; 23(1): 120, 2024 Apr 02.
Article in English | MEDLINE | ID: mdl-38566090

ABSTRACT

BACKGROUND: Obesity is often associated with multiple comorbidities. However, whether obese subjects with hyperlipidemia in the absence of other complications have worse cardiac indices than metabolically healthy obese subjects is unclear. Therefore, we aimed to determine the effect of hyperlipidemia on subclinical left ventricular (LV) function in obesity and to evaluate the association of cardiac parameters with body fat distribution. MATERIALS AND METHODS: Ninety-two adults were recruited and divided into 3 groups: obesity with hyperlipidemia (n = 24, 14 males), obesity without hyperlipidemia (n = 25, 13 males), and c ntrols (n = 43, 25 males). LV strain parameters (peak strain (PS), peak diastolic strain rate (PDSR), peak systolic strain rate) derived from cardiovascular magnetic resonance tissue tracking were measured and compared. Dual-energy X-ray absorptiometer was used to measure body fat distribution. Correlations of hyperlipidemia and body fat distribution with LV strain were assessed by multivariable linear regression. RESULTS: Obese individuals with preserved LV ejection fraction showed lower global LV longitudinal, circumferential, and radial PS and longitudinal and circumferential PDSR than controls (all P < 0.05). Among obese patients, those with hyperlipidemia had lower longitudinal PS and PDSR and circumferential PDSR than those without hyperlipidemia (- 12.8 ± 2.9% vs. - 14.2 ± 2.7%, 0.8 ± 0.1 s-1 vs. 0.9 ± 0.3 s-1, 1.2 ± 0.2 s-1 vs. 1.4 ± 0.2 s-1; all P < 0.05). Multivariable linear regression demonstrated that hyperlipidemia was independently associated with circumferential PDSR (ß = - 0.477, P < 0.05) in obesity after controlling for growth differences, other cardiovascular risk factors, and central fat distribution. In addition, android fat had an independently negative relationship with longitudinal and radial PS (ß = - 0.486 and ß = - 0.408, respectively; all P < 0.05); and visceral fat was negatively associated with longitudinal PDSR (ß = - 0.563, P < 0.05). Differently, gynoid fat was positively correlated with circumferential PS and PDSR and radial PDSR (ß = 0.490, ß = 0.481, and ß = 0.413, respectively; all P < 0.05). CONCLUSION: Hyperlipidemia is independently associated with subclinical LV diastolic dysfunction in obesity. Central fat distribution (android and visceral fat) has a negative association, while peripheral fat distribution (gynoid fat) has a positive association on subclinical LV function. These results suggest that appropriate management of hyperlipidemia may be beneficial for obese patients, and that the differentiation of fat distribution in different regions may facilitate the precise management of obese patients. Clinical trials registration Effect of lifestyle intervention on metabolism of obese patients based on smart phone software (ChiCTR1900026476).


Subject(s)
Hyperlipidemias , Ventricular Dysfunction, Left , Male , Adult , Humans , Ventricular Function, Left , Hyperlipidemias/diagnosis , Hyperlipidemias/epidemiology , Obesity/complications , Obesity/diagnosis , Obesity/epidemiology , Ventricular Dysfunction, Left/diagnostic imaging , Ventricular Dysfunction, Left/etiology , Stroke Volume , Body Fat Distribution , Magnetic Resonance Spectroscopy/adverse effects
2.
Small ; 20(10): e2305594, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37919857

ABSTRACT

Diabetic alveolar bone defect (DABD) causes persistent bacterial infection, prolonged inflammation, and delayed bone healing, making it a considerable clinical challenge. In this study, by integrating silver nanoclusters (AgNCs) and M2 macrophage-derived extracellular vesicles (M2EVs), a multifunctional DNA-based hydrogel, called Agevgel, is developed with antibacterial, anti-inflammatory, immunomodulatory, and osteogenic properties to promote DABD rebuilding. AgNCs are tightly embedded into the DNA scaffolds and exhibit effective anti-bacterial activity, while immunomodulatory M2EVs are encapsulated within the shape-variable DNA scaffolds and exhibit potent anti-inflammatory and osteogenic properties. The results reveal that Agevgel effectively prolongs the local retention time and bioactivity of M2EVs in vivo. In particular, the sustained release of M2EVs can last for at least 7 days when applying Agevgel to DABD. Compared to free M2EVs or Aggel (AgNCs encapsulated within the DNA hydrogel) treatments, the Agevgel treatment accelerates the defect healing rate of alveolar bone and dramatically improves the trabecular architecture. Mechanistically, Agevgel plays a key role in regulating macrophage polarization and promoting the expression of proliferative and osteogenic factors. In summary, Agevgel provides a comprehensive treatment strategy for DABD with a great clinical translational value, highlighting the application of DNA hydrogels as an ideal bioscaffolds for periodontal diseases.


Subject(s)
Diabetes Mellitus , Plastic Surgery Procedures , Hydrogels , Wound Healing , Anti-Bacterial Agents , DNA , Anti-Inflammatory Agents
3.
Cardiovasc Diabetol ; 22(1): 99, 2023 04 29.
Article in English | MEDLINE | ID: mdl-37120545

ABSTRACT

BACKGROUND: Abdominal ectopic fat deposition and excess visceral fat depots in obesity may be related to cardiovascular disease (CVD) as both are involved in the metabolic syndrome (MetS). The awareness of the link between abdominal adiposity and subclinical cardiac remodeling would help improve treatment and outcome. Besides, liver fibrosis has also shown a potential relationship with cardiac dysfunction. Thus, we aimed to investigate the associations of magnetic resonance (MR)-based abdominal adiposity and hepatic shear stiffness with subclinical left ventricular (LV) remodeling while taking account of MetS-related confounders in adults free of overt CVD. METHODS: This was an exploratory, prospective study of 88 adults (46 subjects with obesity, 42 healthy controls) who underwent 3 T cardiac and body MR exams. Measures of abdominal MR included hepatic and pancreatic proton density fat fraction (H-PDFF and P-PDFF), hepatic shear stiffness by MR elastography, and subcutaneous and visceral adipose tissue (SAT and VAT). Cardiac measures included epicardial adipose tissue (EAT) and parameters of LV geometry and function. Associations were assessed using Pearson correlation and multivariable linear regression analyses, in which age, sex, and MetS-related confounders were adjusted for. RESULTS: The LV ejection fractions of all participants were within the normal range. Higher H-PDFF, P-PDFF, SAT and VAT were independently associated with lower LV global myocardial strain parameters (radial, circumferential and longitudinal peak strain [PS], longitudinal peak systolic strain rate and diastolic strain rate) (ß = - 0.001 to - 0.41, p < 0.05), and P-PDFF, SAT and VAT were independently and positively associated with LV end-diastolic volume and stroke volume (ß = 0.09 to 3.08, p ≤ 0.02) in the over-all cohort. In the obesity subgroup, higher P-PDFF and VAT were independently associated with lower circumferential and longitudinal PS, respectively (ß = - 0.29 to - 0.05, p ≤ 0.01). No independent correlation between hepatic shear stiffness and EAT or LV remodeling was found (all p ≥ 0.05). CONCLUSIONS: Ectopic fat depositions in the liver and pancreas, and excess abdominal adipose tissue pose a risk of subclinical LV remodeling beyond MetS-related CVD risk factors in adults without overt CVD. VAT may play a more considerable role as a risk factor for subclinical LV dysfunction than does SAT in individuals with obesity. The underlying mechanisms of these associations and their longitudinal clinical implications need further investigation.


Subject(s)
Cardiovascular Diseases , Metabolic Syndrome , Adult , Humans , Ventricular Remodeling , Prospective Studies , Adiposity , Magnetic Resonance Spectroscopy , Liver/metabolism , Obesity/diagnosis , Obesity/diagnostic imaging , Obesity, Abdominal/diagnosis , Obesity, Abdominal/diagnostic imaging , Ventricular Function, Left , Intra-Abdominal Fat/diagnostic imaging , Intra-Abdominal Fat/metabolism
5.
Clin Genet ; 102(3): 228-233, 2022 09.
Article in English | MEDLINE | ID: mdl-35599441

ABSTRACT

Hypokalemia is a common disorder in clinical settings; however, nonmolecular diagnostic testing cannot explain some causes of hypokalemia. To determine the etiology of clinically unexplained hypokalemia without hypertension (CUHypoNH) and to obtain a diagnostic yield of monogenic hypokalemia without hypertension in adults (MHNHA), we enrolled 82 patients with CUHypoNH for whole-exome sequencing or targeted gene sequencing of genes associated with 4000 monogenic disorders. Through molecular diagnosis, 25 patients were diagnosed with monogenic hypokalemia, and a diagnostic yield of 30.5% was obtained. Among patients with MHNHA, 18 patients (18/82, 22.0% and 72% of MHNHA) with Gitelman syndrome accounted for the largest proportion. Among the 29 diagnostic variants found, eight mutations have not been reported previously; these include three point mutations, one frameshift mutation, and four exon deletions. Based on the clinical presentation of patients with CUHypoNH, the diagnostic yield of monogenic hypokalemia was the highest for chronic asymptomatic hypokalemia (8/11, 72.7%). Twenty-one patients had concomitant hypomagnesemia, when accompanied with hypocalciuria, the molecular diagnostic yield of Gitelman syndrome increased to 88.2%. Overall, this study on hospitalized adult patients explored the etiology of CUHypoNH using high-throughput sequencing. Molecular diagnosis of CUHypoNH is clinically significant in guiding precision treatment and improving disease prognosis.


Subject(s)
Gitelman Syndrome , Hypertension , Hypokalemia , Adult , Gitelman Syndrome/complications , Gitelman Syndrome/diagnosis , Gitelman Syndrome/genetics , Humans , Hypertension/diagnosis , Hypertension/genetics , Hypokalemia/complications , Hypokalemia/diagnosis , Hypokalemia/genetics , Mutation , Solute Carrier Family 12, Member 3/genetics
6.
Adv Mater ; 30(39): e1803748, 2018 Sep.
Article in English | MEDLINE | ID: mdl-30133006

ABSTRACT

Optical and electrical properties of 2D transition metal dichalcogenides (TMDCs) grown by chemical vapor deposition (CVD) are strongly determined by their microstructure. Consequently, the visualization of spatial structural variations is of paramount importance for future applications. This study demonstrates how grain boundaries, crystal orientation, and strain fields can unambiguously be identified with combined lateral force microscopy and transverse shear microscopy (TSM) for CVD-grown tungsten disulfide (WS2 ) monolayers, on length scales that are relevant for optoelectronic applications. Further, angle-dependent TSM measurements enable the fourth-order elastic constants of monolayer WS2 to be acquired experimentally. The results facilitate high-throughput and nondestructive microstructure visualization of monolayer TMDCs and insights into their elastic properties, thus providing an accessible tool to support the development of advanced optoelectronic devices based on such 2D semiconductors.

8.
J Nutr Educ Behav ; 49(7): 599-604.e1, 2017.
Article in English | MEDLINE | ID: mdl-28689614

ABSTRACT

OBJECTIVE: To assess the effects of the national Smart Snacks in School standards, which include nutrient and ingredient limitations for school competitive foods and beverages effective July, 2014, on student intake in low-income rural Appalachian middle schools. METHODS: Food-frequency questionnaires were administered to students before and after implementation. Multiple ordinal logistic regression models were conducted to examine effects from year of data collection, grade, and free or reduced price lunch participation rates. RESULTS: No significant changes were observed after implementation except a decrease in consumption of 1% or nonfat flavored milk at school. CONCLUSIONS AND IMPLICATIONS: Smart Snacks in School standards did not result in significant dietary changes in this study. Longitudinal studies could evaluate long-term impacts of nutrition standards.


Subject(s)
Child Nutritional Physiological Phenomena , Diet, Healthy , Food Services , Patient Compliance , Rural Health , Schools , Snacks , Adolescent , Adolescent Nutritional Physiological Phenomena , Appalachian Region , Child , Female , Food Services/legislation & jurisprudence , Food Services/standards , Health Plan Implementation , Humans , Legislation, Food , Male , Nutrition Surveys , Self Report
9.
Sensors (Basel) ; 13(7): 9223-47, 2013 Jul 17.
Article in English | MEDLINE | ID: mdl-23867746

ABSTRACT

Hough Transform has been widely used for straight line detection in low-definition and still images, but it suffers from execution time and resource requirements. Field Programmable Gate Arrays (FPGA) provide a competitive alternative for hardware acceleration to reap tremendous computing performance. In this paper, we propose a novel parallel Hough Transform (PHT) and FPGA architecture-associated framework for real-time straight line detection in high-definition videos. A resource-optimized Canny edge detection method with enhanced non-maximum suppression conditions is presented to suppress most possible false edges and obtain more accurate candidate edge pixels for subsequent accelerated computation. Then, a novel PHT algorithm exploiting spatial angle-level parallelism is proposed to upgrade computational accuracy by improving the minimum computational step. Moreover, the FPGA based multi-level pipelined PHT architecture optimized by spatial parallelism ensures real-time computation for 1,024 × 768 resolution videos without any off-chip memory consumption. This framework is evaluated on ALTERA DE2-115 FPGA evaluation platform at a maximum frequency of 200 MHz, and it can calculate straight line parameters in 15.59 ms on the average for one frame. Qualitative and quantitative evaluation results have validated the system performance regarding data throughput, memory bandwidth, resource, speed and robustness.


Subject(s)
Algorithms , Artificial Intelligence , Image Enhancement/methods , Image Interpretation, Computer-Assisted/methods , Pattern Recognition, Automated/methods
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