Refine
Year of publication
Institute
- IfB - Institut für Bioengineering (664) (remove)
Document Type
- Article (445)
- Conference Proceeding (150)
- Part of a Book (36)
- Report (10)
- Book (8)
- Doctoral Thesis (3)
- Lecture (3)
- Other (3)
- Habilitation (2)
- Patent (2)
Keywords
- Finite-Elemente-Methode (7)
- Limit analysis (6)
- Clusterion (5)
- Shakedown analysis (5)
- solar sail (5)
- Air purification (4)
- Einspielen <Werkstoff> (4)
- Hämoglobin (4)
- Lipopolysaccharide (4)
- Luftreiniger (4)
- Plasmacluster ion technology (4)
- Raumluft (4)
- Sonde (4)
- CellDrum (3)
- Eisschicht (3)
- GOSSAMER-1 (3)
- Kohlenstofffaser (3)
- MASCOT (3)
- Technische Mechanik (3)
- lipopolysaccharides (3)
- shakedown analysis (3)
- Analytischer Zulaessigkeitsnachweis (2)
- Biocomposites (2)
- Bruchmechanik (2)
- Einspiel-Analyse (2)
- Erythrozyt (2)
- FEM (2)
- Fibroblast (2)
- Iterative learning control (2)
- Mars (2)
- Natural fibres (2)
- Pflanzenphysiologie (2)
- Pflanzenscanner (2)
- Polymer-matrix composites (2)
- Shakedown (2)
- Solar sail (2)
- Spacecraft (2)
- Stickstoffmonoxid (2)
- Stiffness (2)
- Stress concentrations (2)
- Trajectory Optimization (2)
- bacterial cellulose (2)
- biopotential electrodes (2)
- carbonized rice husk (2)
- celldrum technology (2)
- damage (2)
- locomotion (2)
- multiple NEA rendezvous (2)
- muscle fascicle behavior (2)
- nanostructured carbonized plant parts (2)
- nanostrukturierte carbonisierte Pflanzenteile (2)
- nitric oxide gas (2)
- plant scanner (2)
- prebiotic (2)
- ratchetting (2)
- shakedown (2)
- small spacecraft (2)
- ultrasound (2)
- ultrasound imaging (2)
- Achilles tendon (1)
- Adaptive control (1)
- Adsorption (1)
- Ageing (1)
- AlterG (1)
- Alternating plasticity (1)
- Alzheimer's disease (1)
- Analysis (1)
- Anastomose (1)
- Anastomosis (1)
- Anastomotic leakage (1)
- Anatomy (1)
- Annulus Fibrosus (1)
- Antarctic Glaciology (1)
- Antarctica (1)
- Architectural gear ratio (1)
- Arthosetherapie (1)
- Assistive technology (1)
- Asteroid Deflection (1)
- Attitude dynamics (1)
- Aufschlagversuch (1)
- Autofluoreszenzverfahren (1)
- Autolysis (1)
- Automated Optimization (1)
- Automatic control (1)
- Axialbelastung (1)
- Axially cracked pipe (1)
- Bacillus sp (1)
- Bacterial cellulose (1)
- Bakterien (1)
- Biomechanical simulation (1)
- Biomechanics (1)
- Biomechanik (1)
- Biomedizinische Technik (1)
- Bioreaktor (1)
- Biosolubilization (1)
- Bladder (1)
- Blutzellenlagerung (1)
- Bone quality and biomechanics (1)
- Bone sawing (1)
- Carbon sources (1)
- Cardiac myocytes (1)
- Cardiac tissue (1)
- Cell permeability (1)
- Cellular force (1)
- Cellulose nanostructure (1)
- Cement infiltration (1)
- Cementoblast (1)
- Chance constrained programming (1)
- Circular Dichroism (1)
- Coal (1)
- Coefficient of ocular rigidity (1)
- Collagen fibrils (1)
- Compression (1)
- Computational biomechanics (1)
- Connective tissues (1)
- Constitutive model (1)
- Contractile tension (1)
- Corneo-scleral shell (1)
- Cost-effectiveness (1)
- Culture media (1)
- DLR-ESTEC GOSSAMER roadmap for solar sailing (1)
- Damage mechanics theory (1)
- Dattel (1)
- Decomposition (1)
- Deformation (1)
- Dekontamination (1)
- Design-by-analysis (1)
- Differential tonometry (1)
- Disc Degeneration (1)
- Discontinuous fractures (1)
- Distorsion des oberen Sprunggelenks (1)
- Druckbeanspruchung (1)
- Druckbehälter (1)
- Druckbelastung (1)
- Drug simulation (1)
- Dry surfaces (1)
- EEG (1)
- ES-FEM (1)
- Einspiel-Kriterium (1)
- Einspielen (1)
- Elastostatics (1)
- Electromechanical modeling (1)
- Elektrodynamik (1)
- End-to-end colorectal anastomosis (1)
- Endothelial cells (1)
- Endothelial dysfunction (1)
- Endothelzelle (1)
- Environmental impact (1)
- Epithel (1)
- Evolution of damage (1)
- Evolutionary Neurocontrol (1)
- Exact Ilyushin yield surface (1)
- Experiment (1)
- Extension fracture (1)
- Extension strain criterion (1)
- External knee adduction moments (1)
- Extracellular matrix (ECM) (1)
- Extraterrestrial Glaciology (1)
- Eyeball (1)
- FGF23 (1)
- FS-FEM (1)
- Fehlerstellen (1)
- Finite element analysis (1)
- Finite element analysis (FEA) (1)
- Finite element method (1)
- Finite element modelling (1)
- First Order Reliabiblity Method (1)
- First-order reliability method (1)
- Fließgrenze (1)
- Force (1)
- Forces (1)
- Fracture configuration (1)
- Fracture simulation (1)
- Freeze–thaw process (1)
- Frequency adaption (1)
- Fußball (1)
- Geriatric (1)
- Glaciological instruments and methods (1)
- Glaucoma (1)
- Global and local collapse (1)
- Gonarthrose (1)
- Gossamer (1)
- Gossamer structures (1)
- Grenzwertberechnung (1)
- Growth modelling (1)
- H2 (1)
- Haemodialysis (1)
- Handbike (1)
- Harnleiter (1)
- Heart tissue culture (1)
- Hemoglobin structure (1)
- Hip fractures (1)
- Hodgkin–Huxley models (1)
- Homogenization (1)
- Human-Computer interaction (1)
- Hybrid Propellants (1)
- Hydrodynamik (1)
- Hydrogel (1)
- Hydrogenotrophic methanogens (1)
- Hämoglobinstruktur (1)
- Ice melting probe (1)
- Ice penetration (1)
- Icy moons (1)
- Impedance Spectroscopy (1)
- Induced pluripotent stem cells (1)
- Inotropic compounds (1)
- Interplanetary flight (1)
- Interstellar objects (1)
- Intervertebral Disc (1)
- Intradiscal Pressure (1)
- Inverse dynamic problem (1)
- Inverse kinematic problem (1)
- Ion channels (1)
- Jupiter (1)
- Kinematics (1)
- Kinetics (1)
- Klotho (1)
- Knee (1)
- Kniegelenkarthrose (1)
- Knochen (1)
- Knochenbildung (1)
- Knochenchirugie (1)
- Knochendichte (1)
- Körpertemperatur (1)
- LPS (1)
- Lactobacillus rhamnosus GG (1)
- Lichtstreuungsbasierte Instrumente (1)
- Liver (1)
- Load modeling (1)
- Long COVID (1)
- Low-Thrust Propulsion (1)
- MBST (1)
- Machine learning (1)
- Manipulated variables (1)
- Mechanical simulation (1)
- Mechanical stability (1)
- Mechanics (1)
- Mechanische Beanspruchung (1)
- Mechanotransduction (1)
- Medusomyces gisevi (1)
- Methane (1)
- Methanogenesis (1)
- Microbial adhesion (1)
- Microcirculation (1)
- Mild cognitive impairment (1)
- Missions (1)
- Mohr–Coulomb criterion (1)
- Multimode failure (1)
- Multiphase (1)
- Muscle (1)
- Muscle Fascicle (1)
- Muscle Force (1)
- Muscle fibers (1)
- Musculoskeletal model (1)
- Musculoskeletal system (1)
- Myocardial infarction and cardiac death (1)
- NONOate (1)
- Natriumhypochlorit (1)
- Niacin (1)
- Nitric Oxide (1)
- Nitric Oxide Donor (1)
- Non-linear optimization (1)
- Non-parallel fissures (1)
- Nucleus Pulposus (1)
- Ocean worlds (1)
- Ocular blood flow (1)
- Orbital dynamics (1)
- Organkultur (1)
- Osteoporose (1)
- Osteoporosis (1)
- PFM (1)
- PHILAE (1)
- PTH (1)
- Paralympic sport (1)
- Passive stretching (1)
- Pelvic floor dysfunction (1)
- Pelvic muscle (1)
- Permeability (1)
- Permeabilität (1)
- Pflanzenstress (1)
- Pharmacology (1)
- Phosphate (1)
- Physiology (1)
- Planetary Protection (1)
- Planetary exploration (1)
- Plastizität (1)
- Post-COVID-19 syndrome (1)
- Pressure loaded crack-face (1)
- Pressure-volume relationship (1)
- Prevention (1)
- Progressive plastic deformation (1)
- Prophylaxis (1)
- Proteine (1)
- Proximal humerus fracture (1)
- Pulsations (1)
- RVA (1)
- Random variable (1)
- Ratcheting (1)
- Ratchetting (1)
- Recombinant activated protein C (1)
- Reconstruction (1)
- Red blood cell storage (1)
- Rehabilitation Technology and Prosthetics (1)
- Rehabilitation engineering (1)
- Reliability analysis (1)
- Reliability of structures (1)
- Retinal vessel analysis (1)
- Retinal vessels (1)
- Reusable Rocket Engines (1)
- Riboflavin (1)
- Robotic rehabilitation (1)
- Rohr (1)
- Rohrbruch (1)
- Rotator cuff (1)
- Running (1)
- S-FEM (1)
- Sampling methods (1)
- Schienbeinschoner (1)
- Schwammknochen (1)
- Sensitivity (1)
- Sepsis (1)
- Septic cardiomyopathy (1)
- Sequence-Search (1)
- Shakedown criterion (1)
- Simulation (1)
- Skeletal muscle (1)
- Sleep EEG (1)
- Small Aral Sea (1)
- Small Solar System Body Lander (1)
- Small Spacecraft (1)
- Small spacecraft (1)
- Solar Power Sail (1)
- Solar Sail (1)
- Spacecraft Trajectory Optimization (1)
- Spleen (1)
- Sprunggelenkorthesen (1)
- Stahl (1)
- Statics (1)
- Stochastic programming (1)
- Strukturanalyse (1)
- Subclacial exploration (1)
- Subglacial lakes (1)
- SunRav BookEditor (1)
- Surface microorganisms (1)
- Surgical Navigation and Robotics (1)
- Surgical staplers (1)
- Swabbing (1)
- Tapered ends (1)
- Temperaturabhängigkeit (1)
- Tendon Rupture (1)
- Tendon properties (1)
- Tendons (1)
- Tension (1)
- Thiamine (1)
- Tissue Engineering (1)
- Traglastanalyse (1)
- Training (1)
- Trajectories (1)
- Ultrasound (1)
- Uniaxial compression test (1)
- Ureter (1)
- Variable height stapler design (1)
- Vascular response (1)
- Vasomotions (1)
- Vertebroplastie (1)
- Vertebroplasty (1)
- Viscous flow (1)
- Viskose Strömung (1)
- Viskosität (1)
- Visual field asymmetry (1)
- Vitamin A (1)
- Vitamin B (1)
- Vitamin D (1)
- Wasserbrücke (1)
- Wasserstoffperoxid (1)
- Wolff's Law (1)
- Wolffsches Gesetz (1)
- Wundheilung (1)
- Zug-Druck Belastung (1)
- achilles tendon (1)
- actin cytoskeleton (1)
- activated nanostructured carbon (1)
- adipose-derived stromal cells (ASCs) (1)
- adsorption (1)
- agility (1)
- aktivierte nanostrukturierte Kohlenstofffaser (1)
- alternierend Verformbarkeit (1)
- anaesthetic complications (1)
- anisotropy (1)
- ankle braces (1)
- ankle sprain (1)
- aortic perfusion (1)
- arthrosis therapy (1)
- asteroid lander (1)
- asteroid sample return (1)
- attitude dynamics (1)
- autofluorescence-based detection system (1)
- biaxial tensile experiment (1)
- biofilms (1)
- biomechanics (1)
- bone density (1)
- bone structure (1)
- burst pressure (1)
- burst tests (1)
- cancellous bone (1)
- cardiomyocyte biomechanics (1)
- cell aerosolization (1)
- cell atomization (1)
- cerebral small vessel disease (1)
- chance constrained programming (1)
- coculture (1)
- cognitive impairment (1)
- community dwelling (1)
- computational fluid dynamics analysis (1)
- connective tissue (1)
- constitutive modeling (1)
- constructive alignment (1)
- contractile tension (1)
- correlation (1)
- crop yield (1)
- cytosolic water diffusion (1)
- date palm tree (1)
- dental trauma (1)
- design-by-analysis (1)
- dialysis (1)
- difficult airway (1)
- distance learning (1)
- distorted element (1)
- double-lumen tube intubation (1)
- drop jump (1)
- e-books (1)
- e-issues (1)
- ecological structure (1)
- electromyography (1)
- endoluminal (1)
- energy absorption (1)
- energy dissipation (1)
- epithelization (1)
- examination (1)
- exopolysaccharides (1)
- extracorporeal membrane oxygenation (1)
- fibulare Bandruptur (1)
- finite element analysis (1)
- flaw (1)
- flotilla missions (1)
- force generation (1)
- forehead EEG (1)
- fortschreitende plastische Deformation (1)
- gait (1)
- gonarthrosis (1)
- habitability (1)
- healthy aging (1)
- heliosphere (1)
- hemoglobin (1)
- hemoglobin dynamics (1)
- hiPS cardiomyocytes (1)
- high-intensity exercise (1)
- human dermal fibroblasts (1)
- humic acid (1)
- hydrogel (1)
- hyper-gravity (1)
- hyperelastic (1)
- hypo-gravity (1)
- ice moons (1)
- icy moons (1)
- immobilization (1)
- impedance spectroscopy (1)
- in-ear EEG (1)
- intraclass correlation coefficient (1)
- ion propulsion (1)
- kontraktile Spannung (1)
- life detection (1)
- light scattering analysis (1)
- lignite (1)
- limit analysis (1)
- limit and shakedown analysis (1)
- linear kinematic hardening (1)
- lipopolysaccharide (1)
- load limit (1)
- long-term retention (1)
- low-rank coal (1)
- low-thrust (1)
- low-thrust trajectory optimization (1)
- material shakedown (1)
- mechanical buffer (1)
- metagenomics (1)
- microbial diversity (1)
- multimodal (1)
- muscle mechanics (1)
- near-Earth asteroid (1)
- non-simplex S-FEM elements (1)
- nonlinear kinematic hardening (1)
- orbit control (1)
- orbital dynamics (1)
- overload (1)
- parabolic flight (1)
- performance testing (1)
- physiology (1)
- pipes (1)
- planetary defence (1)
- plant stress (1)
- plasma generated ions (1)
- practical learning (1)
- prevention (1)
- probabilistic fracture mechanics (1)
- protein (1)
- psychosocial (1)
- pullulan (1)
- rehabilitation (1)
- reliability of structures (1)
- responsive space (1)
- retinal microvasculature (1)
- retinal vessels (1)
- rhAPC (1)
- running (1)
- rupture of the fibular ligament (1)
- sEMG (1)
- sailcraft (1)
- sample return (1)
- sarcomere operating length (1)
- second-order reliability method (1)
- sensors (1)
- series elastic element behavior (1)
- shotgun sequencing (1)
- shoulder (1)
- simulation (1)
- small solar system body characterisation (1)
- small spacecraft asteroid lander (1)
- small spacecraft solar sail (1)
- smooth muscle contraction (1)
- softs (1)
- soil amendment (1)
- soil health (1)
- soil remediation (1)
- solar sails (1)
- solar system (1)
- space missions (1)
- sprint start (1)
- standard error of measurement (1)
- stiffness (1)
- stochastic programming (1)
- strain energy function (1)
- stretch reflex (1)
- stretch-shortening cycle (1)
- subglacial aquatic ecosystems (1)
- subsurface ice (1)
- subsurface ice research (1)
- subsurface probe (1)
- surface modification (1)
- survival (1)
- system engineering (1)
- tendon rupture (1)
- tension–torsion loading (1)
- test-retest reliability (1)
- training simulator (1)
- tri-lineage differentiation (1)
- twin-fluid atomizer (1)
- ultrasonography (1)
- underwater vehicle (1)
- unloading (1)
- vessels (1)
- videolaryngoscopy (1)
- virgin passive (1)
- virtual reality (1)
- viscoelasticity (1)
- walking (1)
- walking gait (1)
- water bridge phenomenon (1)
- wound healing (1)
- yield stress (1)
The purpose of the current study was to examine the reproducibility of fascicle length and pennation angle of gastrocnemius medialis while human walking. To the best of our knowledge, this is the first study of the reproducibility of fascicle length and pennation angle of gastrocnemius medialis in vivo during human gait. Twelve males performed 10 gait trials on a treadmill, in 2 separate days. B-mode ultrasonography, with the ultrasound probe firmly adjusted in the transverse and frontal planes using a special cast, was used to measure the fascicle length and the pennation angle of the gastrocnemius medialis (GM). A Vicon 624 system with three cameras operating at 120 Hz was also used to record the ankle and knee joint angles. The results showed that measurements of fascicle length and pennation angle showed high reproducibility during the gait cycle, both within the same day and between different days. Moreover, the root mean square differences between the repeated waveforms of both variables were very small, compared with their ranges (fascicle length: RMS = ∼3 mm, range: 38–63 mm; pennation angle: RMS = ∼1.5°, range: 22–32°). However, their reproducibility was lower compared to the joint angles. It was found that representative data have to be derived by a wide number of gait trials (fascicle length ∼six trials, pennation angle more than 10 trials), to assure the reliability of the fascicle length and pennation angle in human gait.
In parallel to the evolution of the Planetary Defense Conference, the exploration of small solar system bodies has advanced from fast fly-bys on the sidelines of missions to the planets to the implementation of dedicated sample-return and in-situ analysis missions. Spacecraft of all sizes have landed, touch-and-go sampled, been gently beached, or impacted at hypervelocity on asteroid and comet surfaces. More have flown by close enough to image their surfaces in detail or sample their immediate environment, often as part of an extended or re-purposed mission. And finally, full-scale planetary defense experiment missions are in the making. Highly efficient low-thrust propulsion is increasingly applied beyond commercial use also in mainstream and flagship science missions, in combination with gravity assist propulsion. Another development in the same years is the growth of small spacecraft solutions, not in size but in numbers and individual capabilities. The on-going NASA OSIRIS-REx and JAXA HAYABUSA2 missions exemplify the trend as well as the upcoming NEA SCOUT mission or the landers MINERVA-II and MASCOT recently deployed on Ryugu. We outline likely as well as possible and efficient routes of continuation of all these developments towards a propellant-less and highly efficient class of spacecraft for small solar system body exploration: small spacecraft solar sails designed for carefree handling and equipped with carried landers and application modules, for all asteroid user communities –planetary science, planetary defence, and in-situ resource utilization. This projection builds on the experience gained in the development of deployable membrane structures leading up to the successful ground deployment test of a (20 m)² solar sail at DLR Cologne and in the 20 years since. It draws on the background of extensive trajectory optimization studies, the qualified technology of the DLR GOSSAMER-1 deployment demonstrator, and the MASCOT asteroid lander. These enable ‘now-term’ as well as near-term hardware solutions, and thus responsive fast-paced development. Mission types directly applicable to planetary defense include: single and Multiple NEA Rendezvous ((M)NR) for mitigation precursor, target monitoring and deflection follow-up tasks; sail-propelled head-on retrograde kinetic impactors (RKI) for mitigation; and deployable membrane based methods to modify the asteroid’s properties or interact with it. The DLR-ESTEC GOSSAMER Roadmap initiated studies of missions uniquely feasible with solar sails such as Displaced L1 (DL1) space weather advance warning and monitoring and Solar Polar Orbiter (SPO) delivery which demonstrate the capability of near-term solar sails to achieve NEA rendezvous in any kind of orbit, from Earth-coorbital to extremely inclined and even retrograde orbits. For those mission types using separable payloads, such as SPO, (M)NR and RKI, design concepts can be derived from the separable Boom Sail Deployment Units characteristic of DLR GOSSAMER solar sail technology, nanolanders like MASCOT, or microlanders like the JAXA-DLR Jupiter Trojan Asteroid Lander for the OKEANOS mission which can shuttle from the sail to the asteroids visited and enable multiple NEA sample-return missions. These are an ideal match for solar sails in micro-spacecraft format whose launch configurations are compatible with ESPA and ASAP secondary payload platforms.
Asteroid mining has the potential to greatly reduce the cost of in-space manufacturing, production of propellant for space transportation and consumables for crewed spacecraft, compared to launching the required resources from Earth’s deep gravity well. This paper discusses the top-level mission architecture and trajectory design for these resource-return missions, comparing high-thrust trajectories with continuous low-thrust solar-sail trajectories. This work focuses on maximizing the economic Net Present Value, which takes the time-cost of finance into account and therefore balances the returned resource mass and mission duration. The different propulsion methods will then be compared in terms of maximum economic return, sets of attainable target asteroids, and mission flexibility. This paper provides one more step towards making commercial asteroid mining an economically viable reality by integrating trajectory design, propulsion technology and economic modelling.
Retinal endothelial function in cardiovascular risk patients: A randomized controlled exercise trial
(2020)
The aim of this study was to investigate, for the first time, the effects of high-intensity interval training (HIIT) on retinal microvascular endothelial function in cardiovascular (CV) risk patients. In the randomized controlled trial, middle-aged and previously sedentary patients with increased CV risk (aged 58 ± 6 years) with ≥ two CV risk factors were randomized into a 12-week HIIT (n = 33) or control group (CG, n = 36) with standard physical activity recommendations. A blinded examiner measured retinal endothelial function by flicker light-induced maximal arteriolar (ADmax) and venular (VDmax) dilatation as well as the area under the arteriolar (AFarea) and venular (VFarea) flicker curve using a retinal vessel analyzer. Standardized assessments of CV risk factors, cardiorespiratory fitness, and retinal endothelial function were performed before and after HIIT. HIIT reduced body mass index, fat mass, and low-density lipoprotein and increased muscle mass and peak oxygen uptake (VO2peak). Both ADmax (pre: 2.7 ± 2.1%, post: 3.0 ± 2.2%, P = .018) and AFarea (pre: 32.6 ± 28.4%*s, post: 37.7 ± 30.6%*s, P = .016) increased after HIIT compared with CG (ADmax, pre: 3.2 ± 1.8%, post: 2.9 ± 1.8%, P = .254; AFarea, pre: 41.6 ± 28.5%*s, post: 37.8 ± 27.0%*s, P = .186). Venular function remained unchanged after HIIT. There was a significant association between ∆-change VO2peak and ∆-changes ADmax and AFarea (P = .026, R² = 0.073; P = .019, R² = 0.081, respectively). 12-weeks of HIIT improved retinal endothelial function in middle-aged patients with increased CV risk independent of the reduction in classical CV risk factors. Exercise has the potential to reverse or at least postpone progression of small vessel disease in older adults with increased CV risk under standard medication. Dynamic retinal vessel analysis seems to be a sensitive tool to detect treatment effects of exercise interventions on retinal microvascular endothelial function in middle-aged individuals with increased CV risk.
Masked hypertension is known to induce microvascular complications. However, it is unclear whether early microvascular changes are already occurring in young, otherwise healthy adults. We therefore investigated whether retinal microvascular calibers and acute responses to a flicker stimulus are related to masked hypertension. We used the baseline data of 889 participants aged 20–30 years who were taking part in the African Prospective study on the Early Detection and Identification of Cardiovascular Disease and Hypertension. Clinic and 24-h ambulatory blood pressure were measured. The central retinal artery equivalent (CRAE) and central retinal vein equivalent were calculated from fundus images, and retinal vessel dilation was determined in response to flicker light-induced provocation. A smaller CRAE was observed in those with masked hypertension vs. those with normotension (157.1 vs. 161.2 measuring units, P < 0.001). In forward multivariable-adjusted regression analysis, only CRAE was negatively related to masked hypertension [adjusted R² = 0.267, β = −0.097 (95% CI = −0.165; −0.029), P = 0.005], but other retinal microvascular parameters were not associated with masked hypertension. In multivariable logistic regression analyses, masked hypertension [OR = 2.333, (95% CI = 1.316; 4.241), P = 0.004] was associated with a narrower CRAE. In young healthy adults, masked hypertension was associated with retinal arteriolar narrowing, thereby reflecting early microvascular alterations known to predict cardiovascular outcomes in later life.