231 research outputs found

    Effects of the Dietary Approaches to Stop Hypertension (DASH) Eating Plan on Cardiovascular Risks Among Type 2 Diabetic Patients: A randomized crossover clinical trial

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    Objective: To determine the effects of the Dietary Approaches to Stop Hypertension (DASH) eating pattern on cardiometabolic risks in type 2 diabetic patients. Research design and methods: A randomized crossover clinical trial was undertaken in 31 type 2 diabetic patients. For 8 weeks, participants were randomly assigned to a control diet or the DASH eating pattern. Results: After following the DASH eating pattern, body weight (P = 0.007) and waist circumference (P = 0.002) reduced significantly. Fasting blood glucose levels and A1C decreased after adoption of the DASH diet (−29.4 ± 6.3 mg/dl; P = 0.04 and −1.7 ± 0.1%; P = 0.04, respectively). After the DASH diet, the mean change for HDL cholesterol levels was higher (4.3 ± 0.9 mg/dl; P = 0.001) and LDL cholesterol was reduced (−17.2 ± 3.5 mg/dl; P = 0.02). Additionally, DASH had beneficial effects on systolic (−13.6 ± 3.5 vs. −3.1 ± 2.7 mmHg; P = 0.02) and diastolic blood pressure (−9.5 ± 2.6 vs. −0.7 ± 3.3 mmHg; P = 0.04). Conclusions: Among diabetic patients, the DASH diet had beneficial effects on cardiometabolic risks

    Chest CT findings of COVID-19-infected patients, are there differences between pediatric and adult patients? A systematic review

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    Background: Purpose of this study was to deliver a report of chest CT findings of COVID-19-infected pediatric and adult patients and to make an age-based comparison. A systematic search was conducted in accordance with PRISMA guidelines to identify relevant studies in the electronic databases of PubMed, Scopus, ProQuest, ScienceDirect, and Web of Sciences from January 1, 2020 to March 27, 2020 using search terms in the titles and abstracts. Based on our inclusion and exclusion criteria, 762 articles were screened. Finally, 15 eligible articles which had adequate data on chest CT findings of COVID-19-infected patients were enrolled in this systematic review. Results: In pediatric patients (15 years old or younger), peripheral distribution was found in 100 of cases, ground glass opacities (GGO) in 55.2, bilateral involvement in 50, halo sign in 50, unilateral involvement in 30, consolidation in 22.2, crazy paving pattern in 20, nodular opacities in 15, pleural effusion in 4.2, lymphadenopathy in none, and normal imaging in 20.8 of cases. On the other hand, in adult patients, bilateral involvement was reported in 76.8, GGO in 68.4, peripheral distribution in 62.2, mixed GGO and consolidation in 48.7, consolidation in 33.7, crazy paving pattern in 27.7, mixed central and peripheral distribution in 25.0, unilateral involvement in 15.2, nodular opacities in 9.2, pleural effusion in 5.5, central distribution of lesions in 5.4, lymphadenopathy in 2.4, and normal imaging in 9.8 of cases. Conclusion: According to the findings of this systematic review, children infected with COVID-19 can present with normal or atypical findings (nodular opacities/unilateral involvement) in chest imaging more frequently than adult patients. Therefore, more caution should be taken to avoid misdiagnosis or missed diagnosis in infected children. Besides, clinical and laboratory findings need to be considered more decision-making for pediatric patients with normal or atypical chest CT scan but high suspicion of COVID-19. © 2020, The Author(s)

    Atorvastatin treatment softens human red blood cells: An optical tweezers study

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    Optical tweezers are proven indispensable single-cell micro-manipulation and mechanical phenotyping tools. In this study, we have used optical tweezers for measuring the viscoelastic properties of human red blood cells (RBCs). Comparison of the viscoelastic features of the healthy fresh and atorvastatin treated cells revealed that the drug softens the cells. Using a simple modeling approach, we proposed a molecular model that explains the drug-induced softening of the RBC membrane. Our results suggest that direct interactions between the drug and cytoskeletal components underlie the drug-induced softening of the cells. © 2018 Optical Society of America

    Legal Protection of the Environment in Armed Conflicts with Emphasis on the Second Gulf war

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    ABSTRACT The international community has passed terrible ordeals in the course of wars and, due to the stability of environmental damages of war, the protection of the environment has proved to be of high necessity for the international community. As a geopolitically important maritime region, the Persian Gulf, due to massive energy resources, is no exception to this trend and is under the supervision of the international law of armed conflicts. Today, since the necessity of environmental protection in times of armed conflicts has had marked effects on promoting the status of the wartime environmental protection, its norms can be viewed as customary international law and jus cogens with erga omnes effects. Considering environmental concerns in times of war and peace is thus accounted to be an international requirement, particularly for the belligerent parties in armed conflicts. Accordingly, regarding the strategic status of the Persian Gulf and the previous experiences of two wars in the region, the Second Gulf War (1990War ( -1991 and its environmental effects in particular, and by evaluating the existing regulations in the course of the Second War, the present study attempts to reach a new legal approach according to which, in case of the outbreak of another war in the region or in any spot in the world, environmental damages caused by armed conflicts be kept to a minimum

    Meta-analysis: COVID-19 diagnosis in chest CT�master key for radiologists

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    Background: COVID-19 was discovered in February in China. Due to the high prevalence of the disease, early detection and rapid isolation of patients are the vital points for controlling the outbreak. The purpose of this study was to determine the correct location of chest CT scan in the diagnosis of COVID-19. Main text: The current study is a systematic review and meta-analysis. 2959 papers were found in all national and international databases. The study has been reported based on the PRISMA checklist. All analyses were done by CMA Ver. 2 software. The statistical analysis results show that the GGO observation level in the available shape was 46 in CT scan results, and the consolidation observation level in the general form was 33 in CT scan results. Pleural effusion was 7, and linear opacity observation level was 24 in CT scan results in the general form. The CT scan test sensitivity level was gained 94.7, and PCR test sensitivity level was achieved as 94.8. This level was 89 in the early stage. Conclusion: The chest CT has about 24 higher diagnostic sensitivity than the PCR test, in the early stage. GGO revealed a declining process and also indicates that GGO is an early symptom of the disease in CT scan. Linear opacity is the reason behind the initial dyspnea in coronavirus suffering patients referring to the medical centers. The extra-pulmonary lesions increase in the last stage of the disease that makes the patient�s worse. © 2021, The Author(s)

    Atorvastatin treatment softens human red blood cells: An optical tweezers study

    Get PDF
    Optical tweezers are proven indispensable single-cell micro-manipulation and mechanical phenotyping tools. In this study, we have used optical tweezers for measuring the viscoelastic properties of human red blood cells (RBCs). Comparison of the viscoelastic features of the healthy fresh and atorvastatin treated cells revealed that the drug softens the cells. Using a simple modeling approach, we proposed a molecular model that explains the drug-induced softening of the RBC membrane. Our results suggest that direct interactions between the drug and cytoskeletal components underlie the drug-induced softening of the cells. © 2018 Optical Society of America

    Validation of High-Resolution Tractography Against In Vivo Tracing in the Macaque Visual Cortex

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    Diffusion magnetic resonance imaging (MRI) allows for the noninvasive in vivo examination of anatomical connections in the human brain, which has an important role in understanding brain function. Validation of this technique is vital, but has proved difficult due to the lack of an adequate gold standard. In this work, the macaque visual system was used as a model as an extensive body of literature of in vivo and postmortem tracer studies has established a detailed understanding of the underlying connections. We performed probabilistic tractography on high angular resolution diffusion imaging data of 2 ex vivo, in vitro macaque brains. Comparisons were made between identified connections at different thresholds of probabilistic connection “strength,” and with various tracking optimization strategies previously proposed in the literature, and known connections from the detailed visual system wiring map described by Felleman and Van Essen (1991; FVE91). On average, 74% of connections that were identified by FVE91 were reproduced by performing the most successfully optimized probabilistic diffusion MRI tractography. Further comparison with the results of a more recent tracer study ( Markov et al. 2012) suggests that the fidelity of tractography in estimating the presence or absence of interareal connections may be greater than this

    The level-1 trigger for the SuperCDMS experiment at SNOLAB

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    The SuperCDMS SNOLAB dark matter search experiment aims to be sensitive to energy depositions down to Script O(1 eV). This imposes requirements on the resolution, signal efficiency, and noise rejection of the trigger system. To accomplish this, the SuperCDMS level-1 trigger system is implemented in an FPGA on a custom PCB. A time-domain optimal filter algorithm realized as a finite impulse response filter provides a baseline resolution of 0.38 times the standard deviation of the noise, σnσ_{n}, and a 99.9% trigger efficiency for signal amplitudes of 1.1 σnσ_{n} in typical noise conditions. Embedded in a modular architecture, flexible trigger logic enables reliable triggering and vetoing in a dead-time-free manner for a variety of purposes and run conditions. The trigger architecture and performance are detailed in this article

    Food Composition of the Diet in Relation to Changes in Waist Circumference Adjusted for Body Mass Index

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    Dietary factors such as low energy density and low glycemic index were associated with a lower gain in abdominal adiposity. A better understanding of which food groups/items contribute to these associations is necessary.To ascertain the association of food groups/items consumption on prospective annual changes in "waist circumference for a given BMI" (WC(BMI)), a proxy for abdominal adiposity.We analyzed data from 48,631 men and women from 5 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Anthropometric measurements were obtained at baseline and after a median follow-up time of 5.5 years. WC(BMI) was defined as the residuals of waist circumference regressed on BMI, and annual change in WC(BMI) (ΔWC(BMI), cm/y) was defined as the difference between residuals at follow-up and baseline, divided by follow-up time. The association between food groups/items and ΔWC(BMI) was modelled using centre-specific adjusted linear regression, and random-effects meta-analyses to obtain pooled estimates.Higher fruit and dairy products consumption was associated with a lower gain in WC(BMI) whereas the consumption of white bread, processed meat, margarine, and soft drinks was positively associated with ΔWC(BMI). When these six food groups/items were analyzed in combination using a summary score, those in the highest quartile of the score--indicating a more favourable dietary pattern--showed a ΔWC(BMI) of -0.11 (95% CI -0.09 to -0.14) cm/y compared to those in the lowest quartile.A dietary pattern high in fruit and dairy and low in white bread, processed meat, margarine, and soft drinks may help to prevent abdominal fat accumulation
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