Chronic fatigue syndrome (CFS) is an idiopathic disorder characterized by fatigue that is markedly exacerbated by physical exertion. In the present study, we tested the hypothesis that mild exercise (walking 1 mph [1 mile = 1.609 km] for 30 min) would provoke serum cytokine and cerebral blood flow abnormalities of potential pathogenic importance in CFS. Interleukin-ijI, interleukin-6, and tumor necrosis factor alpha were nondetectable in sera of CFS patients (n = 10) and healthy control subjects (n = 10) pre-and postexercise. At rest, serum transforming growth factor jI (TGF-jI) levels were elevated in the CFS group compared with the control group (287 ± 18 versus 115 ± 5 pg/ml, respectively; P < 0.01). Serum TGF-j and cerebral blood flow abnormalities, detected by single-photon emission-computed tomographic scanning, were accentuated postexercise in the CFS group. Although these findings were not significantly different from those in the control group, the elfect of exercise on serum TGF-j and cerebral blood flow appeared magnified in the CFS patients. Results of this study encourage future research on the interaction of physical exertion, serum cytokines, and cerebral blood flow in CFS that will adopt a more rigorous exercise paradigm than the one used in this study.
Computed tomography (CT) was used to evaluate 17 high-quality violins and cellos crafted between 1633 and 1872 by master craftsmen such as Guarneri, Amati, and Stradivari. Multiple high-resolution CT scans were obtained in each instrument, and additional scans were obtained when defects or repair was detected. Varying degrees of internal damage (eg, wormholes, air gaps, plastic deformities of wood) or repair (eg, glue lines, filler material, wooden cleats and patches) not seen at visual inspection were detected in all 17 instruments. In addition, CT allowed noninvasive identification of the internal wood grain pattern unique to each instrument, thereby facilitating verification of authenticity to help protect against loss, theft, or forgery. The information provided by CT analysis of valuable bowed stringed instruments may prove useful to prospective buyers or to insurance companies that specialize in insuring such instruments against accidental loss or damage.
Ivalon particles were used for hepatic arterial embolization of diffuse arteriovenous malformation in a patient with hereditary hemorrhagic telangiectasia. The methods of the procedure and possible complications are discussed.
CT provides the modern luthier and acoustic scientist with a unique tool for characterization of normal structure, defects, and repair and for accurate measurements of wood thickness and density. CT-derived information aids in the replication of original masterpieces. CT evaluation may have an important role in the valuation, insurance, and identification of valuable stringed instruments.
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