Automated office blood pressure measurements in primary care are misleading in more than one third of treated hypertensives: The VALENTINE-Greece Home Blood Pressure Monitoring study

Abstract Background This study assessed the diagnostic reliability of automated office blood pressure (OBP) measurements in treated hypertensive patients in primary care by evaluating the prevalence of white coat hypertension (WCH) and masked uncontrolled hypertension (MUCH) phenomena. Methods Primary care physicians, nationwide in Greece, assessed consecutive hypertensive patients on stable treatment using OBP (1 visit, triplicate measurements) and home blood pressure (HBP) measurements (7 days, duplicate morning and evening measurements). All measurements were performed using validated automated devices with bluetooth capacity (Omron M7 Intelli-IT). Uncontrolled OBP was defined as ≥140/90 mmHg, and uncontrolled HBP was defined as ≥135/85 mmHg. Results A total of 790 patients recruited by 135 doctors were analyzed (age: 64.5 ± 14.4 years, diabetics: 21.4%, smokers: 20.6%, and average number of antihypertensive drugs: 1.6 ± 0.8). OBP (137.5 ± 9.4/84.3 ± 7.7 mmHg, systolic/diastolic) was higher than HBP (130.6 ± 11.2/79.9 ± 8 mmHg; difference 6.9 ± 11.6/4.4 ± 7.6 mmHg, p Conclusions In primary care, automated OBP measurements are misleading in approximately 40% of treated hypertensive patients. HBP monitoring is mandatory to avoid overtreatment of subjects with WCH phenomenon and prevent undertreatment and subsequent excess cardiovascular disease in MUCH

Ultrafiltration optimization for the recovery of β-glucan from oat mill waste

The scope of the current study is to investigate the ultrafiltration process of high molecular weight β-glucan molecules with a final purpose to optimize their recovery from oat mill waste. Therefore, standard β-glucan solutions were processed in a dead-end cell using three types of membranes (regenerated cellulose, polyethersulfone and polysulfone) under several transmembrane pressures. Optimization was conducted by monitoring performance parameters and retention coefficients for each experimental combination. In terms of membrane type, polysulfone was selected as the most appropriate membrane material since it obtained satisfactory retention coefficient and performance parameter values when the β-glucan concentration was less than 600. mg/L. Thereafter, the polysulfone membrane was applied in a pilot cross-flow module instead of a dead-end cell. The retention of β-glucan as well as the flux recovery was markedly improved with no important reduction of the permeate flux. Finally, polysulfone membrane was applied in the pilot cross-flow module for the ultrafiltration of β-glucan containing feeds (<600. mg/L) recovered from the industrial oat mill waste. Results indicated that the optimized ultrafiltration process (polysulfone in cross-flow module, with transmembrane pressure ≤2. bar and β-glucan concentrations < 600. mg/L) could be utilized in order to recover β-glucan from the oat mill waste feeds and clarify them from smaller organic and inorganic compounds. A disadvantage of the latter application was the small degree of separation between β-glucan and protein

Enzyme Kinetics Modeling as a Tool to Optimize Food Industry: A Pragmatic Approach Based on Amylolytic Enzymes

Modeling is an important tool in the food industry since it is able to simplify explanation of phenomena and optimize processes that cover a broad field from manufacture to byproducts treatment. The goal of the current article is to explore the development of enzyme kinetic models and their evolution over the last decades. For this reason, corresponding simulations were classified in deterministic, empirical, and stochastic models, prior investigating limitations, corrections, and industrial applications in each case. The ultimate goal is to provide an answer to a major problem: how can we develop an intermediate complexity model that achieves satisfactorily representation of the main phenomena with a limited number of parameters

Pandemic influenza A vs seasonal influenza A in hospitalized children in Athens

Background: Data on pandemic H1N1 influenza (pH1N1) virus infection in hospitalised children are limited. Aims and Objectives: To examine the epidemiological and clinical characteristics of children hospitalised with pH1N1 at a large tertiary-care centre in Athens and compare them with those of children hospitalised with seasonal influenza A in previous years. Methods: All children (n=146) admitted with confirmed pH1N1 between October 2009 to February 2010 and January 2011 to May 2011 were included. Data on children &gt;= 6 months of age (n=109) were compared with those of 138 children admitted with seasonal influenza A who were examined during two previous influenza seasons (2002-2003 and 2004-2005). Results: The age distribution was similar between seasonal and pandemic H1N1. Bronchial asthma was significantly more common in the seasonal influenza group but the clinical presentation was similar in the two groups, except that fever was more common in patients with pH1N1. Children admitted with seasonal influenza were more likely to develop acute otitis media. There were no significant differences between the two groups for severe outcomes (admission to the ICU, mechanical ventilation or death). Only one child with seasonal influenza (0.6%) and three with pH1N1 influenza (2%) required admission to the ICU. Mean length of hospitalisation was longer in the seasonal influenza group. Conclusion: Clinical manifestations were similar between pH1N1 and seasonal influenza, and the pandemic virus did not appear to cause more severe disease in hospitalised children