Glucose-stimulated insulin secretion: Effects of high-fat diet and acute stress.

BACKGROUND: One of the major topics in modern societies is the study of relationships between diet, stress and incidence of metabolic disorders. AIM: This study aimed to investigate possible impairment in glucose-stimulated insulin secretion induced by a high-fat (cow intra-abdominal fat) diet in response to acute stress. MATERIALS AND METHODS: Male Wistar rats were divided into high-fat and normal diet groups and each group was further divided into stress and control subgroups. Stress was induced by a communication box. Plasma levels of glucose, insulin and corticosterone were measured in both diet groups. Glucose tolerance, homeostasis model assessment of insulin resistance (HOMA-IR) index, glucose-stimulated insulin secretion from isolated islets, food and energy intake as well as body weight were also evaluated. RESULTS: In the normal diet group, physical stress increased plasma glucose concentrations. In both diet groups, plasma corticosterone levels increased after stress. HOMA-IR index decreased in high-fat fed rats. Food intake decreased while energy intake increased in the high-fat diet rats. Body weight in both diet groups increased in a similar manner. The high-fat diet did not affect insulin secretion; however, stress decreased insulin secretion from isolated islets of both diet groups. Only in the high fat diet group did physical stress increase insulin secretion at 16.7 mM glucose. CONCLUSIONS: The cow intra-abdominal fat, did not affect either plasma glucose and insulin concentrations or glucose-induced insulin secretion. Interestingly, it seems that the high-fat diet enabled the islets of the physically stressed rats to secrete more insulin in response to high glucose concentrations.

First-trimester screening for chromosomal abnormalities by integrated application of nuchal translucency, nasal bone, tricuspid regurgitation and ductus venosus flow combined with maternal serum free ß-hCG and PAPP-A: a 5-year prospective study.

OBJECTIVE: To investigate the performance of first-trimester screening for chromosomal abnormalities by integrated application of nuchal translucency thickness (NT), nasal bone (NB), tricuspid regurgitation (TR) and ductus venosus (DV) flow combined with maternal serum free ß-human chorionic gonadotropin (fß-hCG) and pregnancy-associated plasma protein-A (PAPP-A) at a one-stop clinic for assessment of risk (OSCAR). METHODS: In total, 13,706 fetuses in 13,437 pregnancies were screened for chromosomal abnormalities during a period of 5 years. Maternal serum biochemical markers and maternal age were evaluated in combination with NT, NT + NB, NT + NB + TR, and NT + NB + TR + DV flow data in 8581, 242, 236 and 4647 fetuses, respectively. RESULTS: In total, 51 chromosomal abnormalities were identified in the study population, including 33 cases of trisomy 21, eight of trisomy 18, six of sex chromosome abnormality, one of triploidy and three of other unbalanced abnormalities. The detection rate and false-positive rate (FPR) for trisomy 21 were 93.8% and 4.84%, respectively, using biochemical markers and NT, and 100% and 3.4%, respectively, using biochemical markers, NT, NB, TR and DV flow. CONCLUSION: While risk assessment using combined biochemical markers and NT measurement has an acceptable screening performance, it can be improved by the integrated evaluation of secondary ultrasound markers of NB, TR and DV flow. This enhanced approach would decrease the FPR from 4.8 % to 3.4 %, leading to a lower number of unnecessary invasive diagnostic tests and subsequent complications, while maintaining the maximum level of detection rate. Pre- and post-test genetic counseling is of paramount importance in either approach.

Equilibrium orbit analysis in a free-electron laser with a coaxial wiggler.

An analysis of single-electron orbits in combined coaxial wiggler and axial guide magnetic fields is presented. Solutions of the equations of motion are developed in a form convenient for computing orbital velocity components and trajectories in the radially dependent wiggler. Simple analytical solutions are obtained in the radially-uniform-wiggler approximation and a formula for the derivative of the axial velocity with respect to the Lorentz factor gamma is derived. Results of numerical computations are presented and the characteristics of the equilibrium orbits are discussed. The third spatial harmonic of the coaxial wiggler field gives rise to group III orbits which are characterized by a strong negative mass regime.

Wiggler-field effects on the space-charge waves of a Raman free-electron laser.

An analysis of the propagation of a space-charge wave through the wiggler and axial magnetic fields of a free-electron laser is presented. The relativistic electron beam is contained within and only partially fills a cylindrical metallic waveguide. A theory is developed using lab-frame Maxwell and fluid equations in a form which is equivalent to the electrostatic approximation in the beam frame. The computational method of determining the dispersion relation is described and some numerical results are presented which illustrate effects arising from the wiggler and the partially filled waveguide.