Atrial fibrillation and atrial tachycardias (AF/AT) have been reported as a common condition in patients with pulmonary hypertension (PH). As yet, limited data exists about the significance of the borderline post-capillary pressure component on the occurrence of AF / AT in patients with isolated pre-capillary PH. We retrospectively studied the prevalence of AF / AT in 333 patients (mean age 61±15 years, 44 % males) with pre-capillary idiopathic / familiar pulmonary arterial hypertension, and inoperable chronic thromboembolic pulmonary hypertension. The prevalence of AF / AT was analyzed in different categories of pulmonary artery wedge pressure (PAWP). In the study population overall, the mean PAWP was 10.5±3 mmHg, median of 11 mmHg, range 2-15 mmHg. AF / AT was diagnosed in 79 patients (24 %). The proportion of AF / AT among patients with PAWP below the median (≤11 mmHg) was lower than in subjects with PAWP between 12 and 15 mmHg, 30 (16 %) vs. 46 (35 %), p=0.0001. Compared to the patients with PAWP≤11 mmHg, subjects with PAWP between 12 and 15 mmHg were older (65±13 years vs. 58±16), with more prevalent arterial hypertension [100 (70 %) vs. 106 (55 %)] and diabetes mellitus [50 (35 %) vs. 48 (25 %)], showed larger size of the left atrium (42±7 vs. 40±6 mm), and higher values of right atrium pressure (12±5 vs. 8±5 mmHg), p<0.05 in all comparisons. The prevalence of AF / AT in the group studied increased with the growing post-capillary component.
Deformability of red blood cells (RBC) is the ability of RBC to change their shape in order to pass through narrow capillaries in circulation. Deterioration in deformability of RBC contributes to alterations in microcirculatory blood flow and delivery of oxygen to tissues. Several factors are responsible for maintenance of RBC deformability. One of them is the Na,K-ATPase known as crucial enzyme in maintenance of intracellular ionic homeostasis affecting thus regulation of cellular volume and consequently RBC deformability. Decreased deformability of RBC has been found to be the marker of adverse outcomes in cardiovascular diseases (CVD) and the presence of cardiovascular risk factors influences rheological properties of the blood. This review summarizes knowledge concerning the RBC deformability in connection with selected risk factors of CVD, including hypertension, hyperlipidemia, and diabetes mellitus, based exclusively on papers from human studies. We attempted to provide an update on important issues regarding the role of Na,K-ATPase in RBC deformability. In patients suffering from hypertension as well as diabetes mellitus the Na,K-ATPase appears to be responsible for the changes leading to alterations in RBC deformability. The triggering factor for changes of RBC deformability during hypercholesterolemia seems to be the increased content of cholesterol in erythrocyte membranes., J. Radosinska, N. Vrbjar., and Obsahuje bibliografii
Rheological, haemostatic, endothelial and platelet abnormalities appear to play a role in the thrombotic complications of hypertension. This prothrombotic/hypercoagulable state in hypertension may contribute to the increased risk and severity of target organ damage. It can be induced by the activated reninangiotensin system (RAS), with abnormalities in endothelial and platelet function, coagulation and fibrinolysis. Treatment of uncomplicated essential hypertension by RAS targeting antihypertensive therapy could result in a reversal of prothrombotic abnormalities, contributing to a reduction of thrombosis-related complications. Since angiotensin converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) have two distinct mechanisms of RAS interruption, it is hypothesized that each therapy might have different impact on the prothrombotic state in hypertensive patients. Some studies demonstrate a beneficial effect of both ACE inhibitors and ARBs on prothrombotic state, in addition to their efficacy to normalize elevated blood pressure. The potentially antithrombotic effect of the RAS inhibiting agents may in turn support the preservation of cardiovascular function. Available data may offer an additional explanation for the efficacy of the RAS targeting agents in the prevention of cardiovascular events in patients with atherosclerotic vascular disease., A. Remková, M. Remko., and Obsahuje bibliografii a bibliografické odkazy
The new observations of planetary rings, including those acquired during the encounters of Voyager with Jupiter, Saturn and Uranus and the discovery of incomplete rings around Neptune, reveal the great importance of resonances in determining the dynamics and the shape of planetary rings. Several types of resonances play a part in planetary rings. Current questions of interest are related to the nonlinear theory of density waves, the confinement of the Uranian rings, and the arcs of rings around Neptune.
Subtropical regions have clay-rich, weathered soils, and long dry periods followed by intense rainfall that produces large fluctuations in soil water content (SWC) and hydrological behavior. This complicates predictions of spatiotemporal dynamics, as datasets are typically collected at too coarse resolution and observations often represent a duration that is too short to capture temporal stability. The aim of the present study was to gain further insights into the role of temporal sampling scale on the observed temporal stability features of SWC order to aid the design of optimal SWC sampling strategies. This focused on both sampling frequency and total monitoring duration, as previous analyses have not considered both of these sampling aspects simultaneously. We collected relatively high resolution data of SWC (fortnightly over 3.5 years) for various soil depths and under contrasting crops (peanuts and citrus) at the red soil region of southeast China. The dataset was split into a three-year training period and a six-month evaluation period. Altogether 13 sampling frequencies (intervals ranging from 15 to 240 days) and eight monitoring duration periods (between three and 36 months) were derived from the training period to identify temporal stability features and the most time stable location (MTSL). The prediction accuracies of these MTSLs were tested using the independent evaluation data. Results showed that vegetation type did affect the spatio-temporal patterns of SWC, whereby the citrus site exhibited a stronger temporal variation and weaker temporal stability than the peanut site. However, the effects of both sampling frequency and observation duration were more pronounced, irrespective of the role of vegetation type or soil depth. With increasing sampling interval or decreasing monitoring duration, temporal stability of SWC was generally overestimated; by less than 10% when sampling interval increased from every 15 to 240 days and by up to 40% with duration decreasing from 36 to 3 months. Our results suggest that sampling strategies and trade-offs between sampling interval and duration should focus on capturing the main variability in hydro-climatological conditions. For subtropical conditions, we found that sampling once every 45 days over 24 months to be the minimum sampling strategy to ensure errors in SWC temporal stability of less than 10%.
Results indicate that vascular responses to temperature stimulation are predominantly impaired in animals with 5-HT deprivation. A hypothesis is therefore raised that the 5-HT system participates in body temperature regulation in such a way asto link the regulatory output with vasomotor pathways. The 5-HT system in the spinal cord has been shown to inhibit the afferent transmission of temperature signals. Therefore, depletion of 5-HT does not prevent sensory transmission, at least at the spinal cord level.
The neonatally gonadectomized male rats failed to show typical male clasping of the flanks of the female rat in oestrous stage and also could not achieve intromission and ejaculation when studied at 90 days of age. The replacement of testosterone propionate did not abolish the deficit in sexual behaviour observed. The multiunit electrical activity (MUA) in the medial preoptic area (MPOA) of intact males as well as of oestrous females increased significantly in amplitude and frequency from the low basal levels during mounting, but reverted almost to the basal levels after mounting. The basal MUA in the gonadectomized male rats was of relatively high frequency and amplitude when compared to the intact males and oestrous females, and did not show significant changes during and after mounting. It is suggested that the dimorphic organization of MPOA, developing under the influence of neonatal testosterone, plays a significant role in the male sexual behaviour in adulthood.
This review summarizes recent trends in the construction of bioartificial vascular replacements, i.e. hybrid grafts containing synthetic polymeric scaffolds and cells. In these advanced replacements, vascular smooth muscle cells (VSMC) should be considered as a physiological component, although it is known that activation of the migration and proliferation of VSMC plays an important role in the onset and development of vascular diseases, and also in re stenosis of currently used vascular grafts. Therefore, in novel bioartificial vascular grafts, VSMCs should be kept in quiescent mature contractile phenotype. This can be achieved by (1) appropriate physical and chemical properties of the material, such as its chemical composition, polarity, wettability, surface roughness and topography, electrical charge and conductivity, functionalization with biomolecules and mechanical properties, (2) appropriate cell culture conditions, such as composition of cell culture media and dynamic load, namely cyclic strain, and (3) the presence of a confluent, mature, semipermeable, non-thrombogenic and non-immunogenic endothelial cell (EC) barrier, covering the luminal surface of the graft and separating the VSMCs from the blood. Both VSMCs and ECs can also be differentiated from stem and progenitor cells of various sources. In the case of degradable scaffolds, the material will gradually be removed by the cells and will be replaced by their own new extracellular matrix. Thus, the material component in advanced blood vessel substitute s acts as a temporary scaffold that promotes regeneration of the damaged vascular tissue., M. Pařízek, K. Novotná, L. Bačáková., and Obsahuje bibliografii a bibliografické odkazy
The modern European concept of collective labour relations is based on the social dialogue, which represents an opportunity for ensuring permanent social peace. The social dialogue is regulated by the provisions of the primary European law, conducted at the supranational level by the social partners functioning in the European social area. It is also an important model for conducting dialogue by the social partners in the EU Member States and for establishment by the authorities of particular EU Member States of the principles and procedures for the social dialogue in the labour law systems. The freedom of association, collective bargaining, social dialogue and quality of collective labour relations are the fundamental elements of the European social model. The collective bargaining as being a part of this model should promote workplace democracy, redistribution of resources, and efficiency of employment relations. However, collective agreements that may be concluded at the European level are still a novelty in the legislative system of European labour law and they do not play a role as the alternative sources of European labour law.
Transient receptor potential vanilloid 1 (TRPV1) receptor is a nonselective cation channel activated by capsaicin, a pungent substance from chili peppers. It is considered to act as an integrator of various physical and chemical nociceptive stimuli, as it can be gated by noxious heat (>43ºC), low pH (protons) and also by recently described endogenous lipids. The structure and function of TRPV1 receptors was vigorously studied, especially since its cloning in 1997. However, most of the research was pointed towards the role of TRPV1 receptors in the peripheral tissues. Mounting evidence now suggests that TRPV1 receptors on the central branches of dorsal root ganglion neurons in the spinal cord may play an important role in modulation of pain and nociceptive transmission. The aim of this short review was to summarize the knowledge about TRPV1 receptors in the spinal cord dorsal horn, preferentially from morphological and electrophysiological studies on spinal cord slices and from in vivo experiments., D. Špicarová, J. Paleček., and Obsahuje bibliografii a bibliografické odkazy