5,749 research outputs found

    The Impact of Sleep Apnea on Conventional Doppler Indices

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    AbstractObjectiveTo prospectively explore the impact of obstructive sleep apnea (OSA) on conventional Doppler indices and to identify possible negative prognostic factors for left ventricular diastolic dysfunction. Materials and Methods: All included subjects had overnight polysomnog-raphy. All subjects underwent a comprehensive echocardiography examination to evaluate systolic and diastolic function of the left ventricle. A multiple logistic regression model was created to identify potential negative prognostic factors for left ventricular dysfunction.ResultsA significant decrease in the ratio of early and atrial mitral flow velocity (E/A ratio) in OSA patients was found. Patients with moderate-to-severe OSA had a significant increase in the odds ratio for development of an abnormal E/A ratio (p=0.014, multivariate logistic regression). There was a significant negative correlation between E/A ratio and apnea-hypopnea index (p = 0.01). Non-obese OSA patients and obese-OSA patients carried significantly increased odds ratios for the development of a reduced E/A ratio (p = 0.02 and 0.038, respectively).ConclusionSubjects with OSA had reduced mitral E/A ratios, which implies possible impaired diastolic heart function. Further study to reverse impaired diastolic function via lifestyle modifications and treatment with nasal continuous positive airway pressure or surgery is warranted

    BIOMECHANICAL ANALYSIS OF THE GRAB AND TRACK SWIMMING STARTS

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    The aim of this study was to compare the grab and track competitive swimming starts. Twelve male college competitive swimmers (six used the grab start and six the track start) participated in this study. Data were collected from two video cameras (60Hz) above water. The video data were digitized and analysis was performed with the Kwon3D Motion Analysis system. No significant differences existed between the two groups for flight time and distance, time to 12m, takeoff velocity and angle, entry velocity and angle and the center of mass at highest position above water. The track start had the centre of mass on the block more towards the rear and a shorter block time (

    Light-induced half-quantized Hall effect and axion insulator

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    Motivated by the recent experimental realization of the half-quantized Hall effect phase in a three-dimensional (3D) semi-magnetic topological insulator [M. Mogi et al., Nature Physics 18, 390 (2022)], we propose a scheme for realizing the half-quantized Hall effect and axion insulator in experimentally mature 3D topological insulator heterostructures. Our approach involves optically pumping and/or magnetically doping the topological insulator surface, such as to break time reversal and gap out the Dirac cones. By toggling between left and right circularly polarized optical pumping, the sign of the half-integer Hall conductance from each of the surface Dirac cones can be controlled, such as to yield half-quantized (0+1/20+1/2), axion (−1/2+1/2=0-1/2+1/2=0), and Chern (1/2+1/2=11/2+1/2=1) insulator phases. We substantiate our results based on detailed band structure and Berry curvature numerics on the Floquet Hamiltonian in the high-frequency limit. Our paper showcases how topological phases can be obtained through mature experimental approaches such as magnetic layer doping and circularly polarized laser pumping and opens up potential device applications such as a polarization chirality-controlled topological transistor.Comment: 24 pages, 11 figures, update references, published versio

    Association of the consumption of common drinks with early puberty in both sexes

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    BackgroundWe examined the effect of sugar-sweetened beverages (SSB) and common drink intake on pubertal development in both sexes.MethodsData were retrieved from Taiwan Children Health Study, which involved detailed pubertal stage assessments of 2,819 schoolchildren aged 11 years in 2011–2012. Drawings of secondary sexual characteristics and self-reported age at menarche or voice breaking were used to assess pubertal stages. Dietary intake was assessed using a detailed semi-quantitative food frequency questionnaire. Generalized estimating equation modeling was applied to obtain odds ratios (ORs) and 95% confidence intervals (CIs) to represent the effects of each drink on early pubertal development outcomes.ResultsIn boys, an one cup/day increment of a SSB was associated with earlier voice breaking (β = −0.12; 95% CI = −0.20, −0.04), whereas consuming yogurt (≥2 cups/day) was a protective factor against early puberty (OR = 0.78; 95% CI = 0.73, 0.83). In girls, SSB consumption was associated with increased risk of early puberty in a dose–response manner, and a similar protective effect of yogurt consumption and fermented probiotic drink (≥2 cups/day) against early puberty was observed (OR = 0.96; 95% CI = 0.94, 0.99). Furthermore, the intake of both total sugar and added sugar within SSBs increased risk of early puberty in girls but not in boys.ConclusionsSugar-sweetened beverages were associated with early puberty, and probiotic drinks appeared to mitigate this link. These findings indicate that the gut–brain axis could play a crucial role in sexual maturation

    Intra-articular injections of sodium hyaluronate (Hyalgan®) in osteoarthritis of the knee. a randomized, controlled, double-blind, multicenter trial in the asian population

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    <p>Abstract</p> <p>Background</p> <p>The efficacy and tolerability of 500-730 kDa sodium hyaluronate (Hyalgan<sup>®</sup>) for treatment of osteoarthritis (OA) pain has been established in clinical trials, but few data are available in the Asian population. We conducted a randomized, double-blind, multicenter, placebo-controlled study to evaluate the efficacy and tolerability of this preparation in a Taiwanese population.</p> <p>Methods</p> <p>Two hundred patients with mild to moderate OA of the knee were randomized to receive five weekly intra-articular injections of sodium hyaluronate or placebo. The primary efficacy outcome was the change from baseline to Week 25 in patients' evaluation of pain using a 100-mm visual analog scale (VAS) during the 50-foot walking test. Additional outcomes included Western Ontario and McMaster Universities (WOMAC) scores, time on the 50-foot walking test, patient's and investigator's subjective assessment of effectiveness, acetaminophen consumption, and the amounts of synovial fluid.</p> <p>Results</p> <p>The Hyalgan<sup>® </sup>treatment group showed a significantly greater improvement from baseline to Week 25 in VAS pain on the 50-foot walking test than the placebo group (p = 0.0020). The Hyalgan<sup>® </sup>group revealed significant improvements from baseline to week 25 in WOMAC pain and function score than the placebo group (p = 0.005 and 0.0038, respectively) Other outcomes, such as time on the 50-foot walking test and subjective assessment of effectiveness, did not show any significant difference between groups. Both groups were safe and well tolerated.</p> <p>Conclusions</p> <p>The present study suggests that five weekly intra-articular injections of sodium hyaluronate are well tolerated, can provide sustained relief of pain, and can improve function in Asian patients with osteoarthritis of the knee.</p> <p>Level of Evidence</p> <p>Therapeutic study, Level I-1a (randomized controlled trial with a significant difference).</p> <p>Trial registration</p> <p>ClinicalTrials.gov Identifier: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01319461">NCT01319461</a></p
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