International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

Mediterranean diet related metabolite profiles and cognitive performance.

BACKGROUND & AIMS: Evidence suggests that adherence to the Mediterranean diet (MedDiet) affects human metabolism and may contribute to better cognitive performance. However, the underlying mechanisms are not clear. OBJECTIVE: We generated a metabolite profile for adherence to MedDiet and evaluated its cross-sectional association with aspects of cognitive performance. METHODS: A total of 1250 healthy Greek middle-aged adults from the Epirus Health Study cohort were included in the analysis. Adherence to the MedDiet was assessed using the 14-point Mediterranean Diet Adherence Screener (MEDAS); cognition was measured using the Trail Making Test, the Verbal Fluency test and the Logical Memory test. A targeted metabolite profiling (n = 250 metabolites) approach was applied, using a high-throughput nuclear magnetic resonance platform. We used elastic net regularized regressions, with a 10-fold cross-validation procedure, to identify a metabolite profile for MEDAS. We evaluated the associations of the identified metabolite profile and MEDAS with cognitive tests, using multivariable linear regression models. RESULTS: We identified a metabolite profile composed of 42 metabolites, mainly lipoprotein subclasses and fatty acids, significantly correlated with MedDiet adherence (Pearson r = 0.35, P-value = 5.5 × 10-37). After adjusting for known risk factors and accounting for multiple testing, the metabolite profile and MEDAS were not associated with the cognitive tests. CONCLUSIONS: A plasma metabolite profile related to better adherence to the MedDiet was not associated with the tested aspects of cognitive performance, in a middle-aged Mediterranean population

Effects of TLCD with maneuverable flaps on vibration control of a SDOF structure

Tuned liquid column damper (TLCD) is a class of auxiliary damping device which is used to dissipate vibrational energy of structures when excited by dynamic loading. Damping control of TLCDs is an important parameter to achieve the maximum benefit of TLCDs when attached to the structure. Herein, a new method of controlling damping is proposed by installing maneuverable flaps into TLCD (TLCD + MF). The damping value of the TLCD is controlled by the closing angle of the flaps. This method is simple in concept, more applicable in construction, and it is an effort to make the TLCD more controllable, (i.e. semi-active). Dynamic characteristics of such TLCD + MF system are investigated in this study. It is observed that by increasing the closing angle, the damping ratio of the TLCD + MF system increases. In addition, it is found that the mistuning of frequency becomes ignorable below the closing angle of 50°. The efficiency of the TLCD + MF in reducing response of structures under harmonic excitation is also studied. It is shown that existence of the flaps improves the performance of combined structure and the TLCD + MF system in terms of damping ratio and structural responses. The TLCD + MF system with the closing angle of 50° reduces the acceleration and displacement responses about 20 % more than conventional TLCDs