Steeper restitution slopes across right ventricular endocardium in patients with cardiomyopathy at high risk of ventricular arrhythmias

Steep action potential duration (APD) restitution slopes (>1) and spatial APD restitution heterogeneity provide the substrate for ventricular fibrillation in computational models and experimental studies. Their relationship to ventricular arrhythmia vulnerability in human cardiomyopathy has not been defined. Patients with cardiomyopathy [left ventricular (LV) ejection fraction <40%] and no history of ventricular arrhythmias underwent risk stratification with programmed electrical stimulation or T wave alternans (TWA). Low-risk patients (n = 10) had no inducible ventricular tachycardia (VT) or negative TWA, while high-risk patients (n = 8) had inducible VT or positive TWA. Activation recovery interval (ARI) restitution slopes were measured simultaneously from 10 right ventricular (RV) endocardial sites during an S1-S2 pacing protocol. ARI restitution slope heterogeneity was defined as the coefficient of variation of slopes. Mean ARI restitution slope was significantly steeper in the high-risk group compared with the low-risk group [1.16 (SD 0.31) vs. 0.59 (SD 0.19), P = 0.0002]. The proportion of endocardial recording sites with a slope >1 was significantly larger in the high-risk patients [47% (SD 35) vs. 13% (SD 21), P = 0.022]. Spatial heterogeneity of ARI restitution slopes was similar between the two groups [29% (SD 16) vs. 39% (SD 34), P = 0.48]. There was an inverse linear relationship between the ARI restitution slope and the minimum diastolic interval (P < 0.001). In cardiomyopathic patients at high risk of ventricular arrhythmias, ARI restitution slopes along the RV endocardium are steeper, but restitution slope heterogeneity is similar compared with those at low risk. Steeper ARI restitution slopes may increase the propensity for ventricular arrhythmias in patients with impaired left ventricular function.     

Disturbance and trajectory of change in a stream fish community over four decades

Communities can change gradually or abruptly, and directionally (to an alternate state) or non-directionally. We briefly review the history of theoretical and empirical perspectives on community change, and propose a new framework for viewing temporal trajectories of communities in multivariate space. We used a stream fish dataset spanning 40 years (1969–2008) in southern Oklahoma, USA, emphasizing our own 1981–2008 collections which included well-documented, extreme drought and flood events, to assess dynamics of and environmental factors affecting the fish community. We evaluated the trajectory of the Brier Creek community in multivariate space relative to trajectories in 27 published studies, and for Brier Creek fish, tested hypotheses about gradual versus event-driven changes and persistence of shifts to alternate states. Most species were persistent, qualitatively, across the four decades, but varied widely in abundance, with some having unusually strong reproduction after extreme droughts. The community had an early period of relatively gradual and directional change, but greater displacement than predicted at random after two consecutive extreme droughts midway through the study (1998 and 2000). But, the community subsequently returned toward its former state in the last decade. This fish community is characterized by species that are tolerant of environmental extremes, and have life history traits that facilitate population recovery. The community appears “loosely stable” about a long-term average condition, but the impacts of the two consecutive droughts were substantial, and may foretell future dynamics of this or other communities in a changed global climate if disturbance events become more frequent or severe.     

Witnessing four decades of change in coastal park management: Interview with Mike Dodkin

Mike Dodkin’s career as an officer with the NSW National Park and Wildlife Service spanned four decades. His work involved ecological surveys of potential new conservation reserves, overseeing rehabilitation works after mineral sand mining, supporting innovative restoration projects in rainforest and coastal dunes, and pioneering work in marine mammal rescue. In this interview, Mike reflects on those activities and the changes he has witnessed over time.     

Trends in breeding phenology across ten decades show varying adjustments to environmental changes in four wader species

Capsule: During 1928–2016, initiation of egg-laying advanced in two wader species, remained unchanged in one, and was delayed in one species. The changes across years and variation among species can be explained by climatic variables and differences in migratory strategies.

Aims: To document possible changes in initiation of egg-laying in common Danish wader species since the early part of the 20th century and seek possible correlations between egg-laying, timing of arrival and environmental factors.

Methods: Annual records of the first eggs and chicks found on the scientific reserve of Tipperne in western Denmark 1928–2016 were analysed using linear regression to determine patterns in timing of egg-laying, pre-breeding length and influence of climate factors.

Results: Two short/medium-distance migrant wader species, Northern Lapwing Vanellus vanellus and Common Redshank Tringa totanus advanced breeding initiation by about one week, with winter North Atlantic oscillation Index and spring temperature as important predictors. By contrast, two long-distance migrants, Black-tailed Godwit Limosa limosa and Ruff Calidris pugnax, did not advance egg-laying, and Ruff actually delaying it. As a result, the pre-laying period was significantly prolonged in both Black-tailed Godwit (21 days) and Ruff (52 days), while there was no significant change for Common Redshank.

Conclusion: Long-distance migrants are able to adjust spring arrival but unlike short/medium-distance migrants, do not necessarily adjust breeding initiation.     

Ethnic group differences in cardiometabolic disease risk factors independent of body mass index among American youth

Objective: The purpose of this analysis was to identify any ethnic group differences in the prevalence of cardiometabolic disease risk factors independent of BMI in United States youth. Design and Methods: Data on 3,510 boys and girls aged 8‐11 years from the 1999‐2008 National Health and Nutrition Examination Surveys were analyzed to determine the prevalence of 1 or ≥3 cardiometabolic disease risk factors: abnormal waist circumference and systolic (SBP) and diastolic blood pressure (DBP), increased concentrations of fasting triglyceride, and decreased concentrations of high‐density lipoprotein (HDL) cholesterol before and after adjusting for BMI. Results: Abnormal waist circumference and HDL‐cholesterol significantly differed by ethnic group before and after adjusting for BMI (P < 0.01). Non‐Hispanic blacks were significantly less likely to have abnormal HDL‐cholesterol concentrations than were Hispanics and non‐Hispanic whites, but non‐Hispanic whites were significantly more likely to have elevated triglycerides and three or more abnormal cardiometabolic risk factors than non‐Hispanic blacks. Conclusion: These findings point to ethnic group disparities not related to BMI alone, even in children as young as 8‐11 years. Programs to prevent and treat eventual cardiometabolic disease in children could be tailored for specific ethnic backgrounds as a result.     

The effects of four decades of climate change on the breeding ecology of an avian sentinel species across a 1,500‐km latitudinal gradient are stronger at high latitudes

Global warming affects breeding phenology of birds differentially with latitude, but there is contrasting evidence about how the changing climate influences the breeding of migrating songbirds at their northern breeding range. We investigate the effect of climate warming on breeding time and breeding success of European pied flycatchers Ficedula hypoleuca in Sweden during a period of 36 years using nest reports from bird ringing. To account for the latitudinal variation, we divided Sweden into three latitudinal bands (northern, intermediate, and southern). We applied a sliding window approach to find the most influential period and environment characteristics (temperature, vegetation greenness, and precipitation), using linear mixed models and model averaging. Our results show a long‐term advancement of breeding time related to increasing spring temperature and vegetation greenness during a period before hatching. Northern breeders revealed a larger advancement over the years (8.3 days) compared with southern breeders (3.6 days). We observed a relatively stronger effect of temperature and greenness on breeding time in the north. Furthermore, northern birds showed an increase in breeding success over time, while birds breeding at southern and intermediate latitudes showed reduced breeding success in years with higher prehatching temperatures. Our findings with stronger environment effects on breeding time advancement in the north suggest that pied flycatchers are more responsive to weather cues at higher latitudes. Breeding time adjustment and, potentially, low competition help explain the higher long‐term success observed in the north. Reduced breeding success at more southerly latitudes suggests an inability to match breeding time to very early and warm springs, a fate that with continued climate change could also be expected for pied flycatchers and other long‐distance migrants at their very northern breeding range.     

Rehabilitation outcomes in Huntington disease patients with low body mass index

Objectives:A catabolic state and a progressive body weight loss are a well-documented hallmark of Huntington Disease (HD). No study is still available on the effectiveness of intensive in-hospital rehabilitation in HD patients with low body mass index (BMI).Methods:Twenty HD patients with low BMI value were enrolled in this study. Disease severity was assessed before and after rehabilitation by the Barthel Index, the Total Functional Capacity Scale, and the Physical Performance Test.Results:BMI-scores correlated with clinical measures before and after rehabilitation. All patients showed an improvement in outcome measures (p<0.001), and an increase in BMI values (p<0.001) after rehabilitation. Effectiveness of rehabilitation correlated with the values of BMI assessed before reheducational programs (p=0.024) and with BMI values observed in each patient in the three months before admission to hospital (p=0.002).Conclusions:Findings of the current study show that the effectiveness of the rehabilitation is positively correlated with the BMI values and confirm the efficacy of in-hospital intensive rehabilitation as a valid strategy finalized to improve neuromotor performances and global functional recovery even in HD patients with low BMI and at risk of malnutrition.     

Changes in ponderal index and body mass index across childhood and their associations with fat mass and cardiovascular risk factors at age 15

Background

Little is known about whether associations between childhood adiposity and later adverse cardiovascular health outcomes are driven by tracking of overweight from childhood to adulthood and/or by vascular and metabolic changes from childhood overweight that persist into adulthood. Our objective is to characterise associations between trajectories of adiposity across childhood and a wide range of cardiovascular risk factors measured in adolescence, and explore the extent to which these are mediated by fat mass at age 15.

Methods and Findings

Using data from the Avon Longitudinal Study of Parents and Children, we estimated individual trajectories of ponderal index (PI) from 0–2 years and BMI from 2–10 years using random-effects linear spline models (N = 4601). We explored associations between PI/BMI trajectories and DXA-determined total-body fat-mass and cardiovascular risk factors at 15 years (systolic and diastolic blood pressure, fasting LDL- and HDL-cholesterol, triglycerides, C-reactive protein, glucose, insulin) with and without adjustment for confounders. Changes in PI/BMI during all periods of infancy and childhood were associated with greater DXA-determined fat-mass at age 15. BMI changes in childhood, but not PI changes from 0–2 years, were associated with most cardiovascular risk factors in adolescence; associations tended to be strongest for BMI changes in later childhood (ages 8.5–10), and were largely mediated by fat mass at age 15.

Conclusion

Changes in PI/BMI from 0–10 years were associated with greater fat-mass at age 15. Greater increases in BMI from age 8.5–10 years are most strongly associated with cardiovascular risk factors at age 15, with much of these associations mediated by fat-mass at this age. We found little evidence supporting previous reports that rapid PI changes in infancy are associated with future cardiovascular risk. This study suggests that associations between early overweight and subsequent adverse cardiovascular health are largely due to overweight children tending to remain overweight.     

Daily patterns of body mass gain in four species of small wintering birds

Theoretically, the trajectories describing the daily accumulation of body reserves are expected to differ between bird species in relation to whether or not they hoard food. To carry reserves on the body may be costly and hoarding species can be expected to hoard food early in the day when light and retrieve it in the afternoon, with a concomitant rapid increase in body mass. Also, the increased food predictability resulting from being able to consume hoarded food late in the day should lead to a relatively faster gain in body reserves in the afternoon in hoarding species compared to non-hoarders. Non-hoarders may have to hedge against possible afternoon losses of foraging opportunities by accumulating more reserves early in the day.
In this study the daily patterns of body mass gain in four small bird species resident during winter in Scandinavia are described. Individually known birds were trained to come to a permanent feeder and their body masses were recorded every hour throughout the day with a remote-controlled balance. The hoarding willow tit Parus montanus , marsh tit P. palustris and European nuthatch Sitta europaea all displayed the most rapid gain in body mass in the early hours of the day. After the initial burst in the morning, reserves were accumulated at a roughly constant rate for the remainder of the day. In contrast, the non-hoarding great tit P. major apparently gained body reserves at a more even rate. The daily pattern of body mass gain found in the hoarding species differs from prevailing theoretical predictions, whereas the pattern in the non-hoarding great tit is in a better agreement with theory, from which this pattern has been predicted repeatedly.     

Temporal change in the morphometry–body mass relationship of polar bears

Accurate information on animal body mass is often an essential component of wildlife research and management. However, for many large-bodied species, obtaining direct scale weights from individuals may be difficult. In these cases, morphometric equations (e.g., based on girth or length) may provide accurate and precise estimates of body mass. We developed predictive equations to estimate the body mass of free-ranging polar bears (Ursus maritimus) in western Hudson Bay, Canada. Using multiple linear and non-linear regression, we identified a strong relationship between polar bear body weight and linear measures of straight line length and axillary girth. The mass–morphometry relationship appeared to change over time and we developed separate equations for polar bears measured during 2 time periods, 1980–1996 and 2007–2009. Non-linear models were more accurate and provided body mass estimates within 5.8% (R² = 0.98) and 6.1% (R² = 0.98) of scale weight in the earlier and later time periods, respectively. Earlier equations developed for polar bears in this subpopulation performed poorly when applied to recently sampled individuals. In contrast, some contemporary equations from other regions performed reasonably well, suggesting that temporal changes within a subpopulation may be more pronounced than regional differences and can render earlier predictive equations obsolete. Our results have important implications for current and future studies of polar bear body condition and the effects of ongoing climate warming. © 2011 The Wildlife Society.     

Four decades of functional community change reveals gradual trends and low interlinkage across trophic groups in a large marine ecosystem

The rate at which biological diversity is altered on both land and in the sea, makes temporal community development a critical and fundamental part of understanding global change. With advancements in trait‐based approaches, the focus on the impact of temporal change has shifted towards its potential effects on the functioning of the ecosystems. Our mechanistic understanding of and ability to predict community change is still impeded by the lack of knowledge in long‐term functional dynamics that span several trophic levels. To address this, we assessed species richness and multiple dimensions of functional diversity and dynamics of two interacting key organism groups in the marine food web: fish and zoobenthos. We utilized unique time series‐data spanning four decades, from three environmentally distinct coastal areas in the Baltic Sea, and assembled trait information on six traits per organism group covering aspects of feeding, living habit, reproduction and life history. We identified gradual long‐term trends, rather than abrupt changes in functional diversity (trait richness, evenness, dispersion) trait turnover, and overall multi‐trait community composition. The linkage between fish and zoobenthic functional community change, in terms of correlation in long‐term trends, was weak, with timing of changes being area and trophic group specific. Developments of fish and zoobenthos traits, particularly size (increase in small size for both groups) and feeding habits (e.g. increase in generalist feeding for fish and scavenging or predation for zoobenthos), suggest changes in trophic pathways. We summarize our findings by highlighting three key aspects for understanding functional change across trophic groups: (a) decoupling of species from trait richness, (b) decoupling of richness from density and (c) determining of turnover and multi‐trait dynamics. We therefore argue for quantifying change in multiple functional measures to help assessments of biodiversity change move beyond taxonomy and single trophic groups.     

Assessment of body cell mass at bedside in critically ill patients

Critical illness affects body composition profoundly, especially body cell mass (BCM). BCM loss reflects lean tissue wasting and could be a nutritional marker in critically ill patients. However, BCM assessment with usual isotopic or tracer methods is impractical in intensive care units (ICUs). We aimed to modelize the BCM of critically ill patients using variables available at bedside. Fat-free mass (FFM), bone mineral (Mo), and extracellular water (ECW) of 49 critically ill patients were measured prospectively by dual-energy X-ray absorptiometry and multifrequency bioimpedance. BCM was estimated according to the four-compartment cellular level: BCM = FFM - (ECW/0.98) - (0.73 × Mo). Variables that might influence the BCM were assessed, and multivariable analysis using fractional polynomials was conducted to determine the relations between BCM and these data. Bootstrap resampling was then used to estimate the most stable model predicting BCM. BCM was 22.7 ± 5.4 kg. The most frequent model included height (cm), leg circumference (cm), weight shift (Δ) between ICU admission and body composition assessment (kg), and trunk length (cm) as a linear function: BCM (kg) = 0.266 × height + 0.287 × leg circumference + 0.305 × Δweight - 0.406 × trunk length - 13.52. The fraction of variance explained by this model (adjusted r(2)) was 46%. Including bioelectrical impedance analysis variables in the model did not improve BCM prediction. In summary, our results suggest that BCM can be estimated at bedside, with an error lower than ±20% in 90% subjects, on the basis of static (height, trunk length), less stable (leg circumference), and dynamic biometric variables (Δweight) for critically ill patients.