Tag: nevin manimala

Hypertension. 2025 Jul 1. doi: 10.1161/HYPERTENSIONAHA.124.24640. Online ahead of print.

ABSTRACT

BACKGROUND: Automated blood pressure (BP) devices may be less accurate in women than men, but this requires further investigation. This study aimed to determine sex differences in automated BP, measured with a single brand and model of device, compared with manual BP, with a focus on cuff sizes and associations with measures of adiposity.

METHODS: Automated (Omron HEM-907XL) and manual BP were taken sequentially in a random order among a subsample of participants attending the US National Health and Nutrition Examination Survey, 2017 to 2018. Anthropometry and dual-energy x-ray absorptiometry were used to record body size and composition. Analyses, including multivariable regression to determine sex differences in BP, by cuff size, followed complex survey statistical principles.

RESULTS: A total of 3735 participants (49.0% women [95% CI, 46.4-51.6], 45 years [43-46]) were included. In women, automated systolic BP (SBP) incrementally underestimated manual SBP across larger cuffs up to extra-large (-6.4 mm Hg [-8.0 to -4.9]). In men, automated SBP underestimated manual SBP only with extra-large cuffs (-2.4 mm Hg [95% CI-3.9 to -0.9]). Underestimation by automated SBP with extra-large cuffs was independently associated with all measures of body size indicative of increased adiposity in both women and men. Hypertension classification from automated and manual SBP had moderate agreement for adult/large cuffs (weighted kappa range 0.66-0.79) but weak agreement for extra-large cuffs (0.55-0.58) for women and men.

CONCLUSIONS: The automated device used in this study underestimated manual SBP at larger cuff sizes, which was associated with indices of adiposity. Poorer accuracy of automated BP in larger cuff sizes could contribute to inequitable BP-related health care for women and men and requires further investigation.

PMID:40590130 | DOI:10.1161/HYPERTENSIONAHA.124.24640

Clin Otolaryngol. 2025 Jul 1. doi: 10.1111/coa.70005. Online ahead of print.

ABSTRACT

OBJECTIVE: The effect of noise on the postural control process is of ongoing interest. This exploratory study aims to determine the effect of personal listening devices (PLD) on postural stability among adolescents and young adults.

METHODS: Participants aged between 13 and 25 with a history of PLD usage were included. The study was carried out in two parts. The first part involved determining the PLD listening level and the preferred sound level. In the second part, postural stability was assessed using the modified Clinical Test for Sensory Interaction in Balance (mCTSIB) and dynamic postural stability.

RESULTS: 64 participants were recruited with a mean age of 18.78 (SD: 3.11). The majority were female (62.5%) and of Chinese ethnicity (38.1%). The reported mean PLD listening level and preferred volume levels were 57.50 dB (SD: 6.15) and 46.48% (SD: 15.98), respectively. Male PLD users had higher listening levels and preferred volume levels. Adolescents were found to have a higher listening level than young adults. Female PLD users revealed a higher sway and postural stability index than male PLD users. Young adults were found to have a higher sway and postural stability index. Statistical significance is demonstrated between the age of PLD users and mCTSIB sway index (coef: 0.367; p = 0.003).

CONCLUSION: The current study suggests that the younger generation is susceptible to postural instability following PLD exposure. Yet, the provided data is inadequate to draw a conclusion, and future randomised controlled studies with large sample sizes are warranted.

PMID:40590127 | DOI:10.1111/coa.70005

J Agric Food Chem. 2025 Jul 1. doi: 10.1021/acs.jafc.5c02463. Online ahead of print.

ABSTRACT

Thiophenols were recently identified in wine as undesirable compounds contributing to the ashy aftertaste associated with smoke taint. These potential odorants enhanced the unpleasant sensory properties associated with smoke taint at ultratrace (ng/L) levels when present in wine with volatile phenols, but accurate quantification of volatile sulfur compounds at this concentration remains challenging. A simple, stable isotope dilution assay (SIDA) method employing ultrahigh-pressure liquid chromatography tandem mass spectrometry (UHPLC-MS/MS) was developed and validated for accurate quantification of six thiophenols (benzenethiol, 2-methylbenzenethiol, 3-methylbenzenethiol, 4-methylbenzenethiol, 2-methoxybenzenethiol, and methylsulfanylbenzene) using N-ethylmaleimide (NEM) as a derivatizing agent and a chemically matched deuterated analogue (d₅-benzenethiol) as the internal standard. It was shown that NEM reacted quickly with thiophenols to form stable derivatives in an unmodified wine matrix. The preparation of samples and the analytical method were optimized to achieve limits of quantification at nanogram-per-liter levels and validated in different wine matrices. The developed method was then applied to wines produced from grapes exposed to smoke (pre-veraison) during the 2019 Australian wildfires. The concentration of thiophenols ranged from below the limit of detection (LOD, <0.5 ng/L) to 445 ng/L; statistical relationships with smoke aroma and flavor were investigated.

PMID:40590110 | DOI:10.1021/acs.jafc.5c02463

Microsc Res Tech. 2025 Jul 1. doi: 10.1002/jemt.70030. Online ahead of print.

ABSTRACT

Evaluation of the effects of various nanoparticles (NPs), titanium dioxide (TiO₂), cerium dioxide (CeO₂), and copper oxide (CuO), when incorporated into universal adhesive (UA), on the micro tensile bond strength (μTBS), degree of conversion (DC), adhesive interface, and resin tag assessment. Before incorporating nanoparticles (NPs) into UA, elemental analysis was conducted on all NP types using energy-dispersive spectroscopy (EDS). The study involved 48 intact human molars, divided into four groups based on UA modification with different NPs: Group 1 (Control), Group 2 (TiO₂NPs), Group 3 (CeO₂NPs), and Group 4 (CuONPs). Samples were restored with composite and light cured. All specimens underwent 10,000 cycles of thermocycling for aging, followed by μTBS testing and failure mode evaluation using a universal testing machine and stereomicroscope. Fourier transform infrared spectroscopy (FTIR) was employed to assess the DC. Scanning electron microscopy (SEM) was utilized to evaluate resin tag length and examine the adhesive interface. Statistical analysis involved one-way analysis of variance (ANOVA) with Tukey’s post hoc test for multiple comparisons of μTBS, DC, and resin tag (p < 0.05). Group 3 (2% CeO₂NPs-UA) presented the maximum resin tag length (111.21 ± 2.81 μm) and highest μTBS (15.47 ± 0.88 MPa). However, the lowest bond integrity score (12.64 ± 0.5 MPa) and (76.29 ± 1.69 μm) was presented by Group 1 (0% NPs-UA) (12.64 ± 0.5 MPa) samples. Group 3 (2% CeO₂NPs-UA) (68.54 ± 6.77) adhesive showed DC comparable to 2% CuONPs-UA (67.58 ± 9.65) and UA-unmodified (74.33 ± 8.59) (p > 0.05). The UA enhanced with CeO₂NPs and CuONPs can be viewed as a viable option, given its improved μTBS and resin tag length as observed through SEM. Furthermore, the modification of UA using CeO₂NPs and CuONPs exhibits a DC comparable to that of the unmodified adhesive control.

PMID:40590099 | DOI:10.1002/jemt.70030

Korean J Radiol. 2025 Jul;26(7):650-659. doi: 10.3348/kjr.2025.0049.

ABSTRACT

OBJECTIVE: To compare the efficacy of microwave ablation (MWA) and surgical resection (SR) for small (≤3 cm) hepatocellular carcinoma (HCC) in older patients.

MATERIALS AND METHODS: This retrospective study initially enrolled 319 patients who were aged ≥65 years, had a single HCC ≤3 cm, and had Child-Pugh class A or B. Of these, 108 received MWA and 211 received SR. Overall survival (OS), disease-free survival (DFS), local tumor progression (LTP), complications, and postoperative hospital stay were compared between the groups. Hazard ratios (HRs) were estimated using the SR group as reference. Propensity score matching (PSM) was used to minimize confounding biases.

RESULTS: After PSM, 80 patients each were included in the MWA and SR groups. There were no statistically significant differences in the 1-, 3-, and 5-year OS rates (MWA: 96.2%, 80.3%, and 55.4%, respectively; SR: 91.3%, 81.4%, and 64.8%, respectively; HR = 1.06; 95% confidence interval [CI], 0.61-1.85; P = 0.839) and DFS rates (MWA: 72.4%, 43.2%, and 26.4%, respectively; SR: 78.8%, 51.2%, and 38.0%, respectively; HR = 1.27; 95% CI, 0.84-1.90; P = 0.247) between the MWA and SR groups. MWA was associated with a higher LTP rate (HR = 2.96; 95% CI, 1.21-7.28; P = 0.028). Additionally, older patients in the MWA group had fewer complications (52.5% vs. 97.5%, P < 0.001) and shorter postoperative hospital stay (3 days vs. 6 days, P < 0.001) than those in the SR group.

CONCLUSION: In older patients with a single HCC ≤3 cm, MWA was superior to SR in terms of complications and postoperative hospital stay, and there was no significant difference in the 5-year OS and DFS outcomes. Therefore, MWA may be an alternative curative treatment for such patients.

PMID:40590077 | DOI:10.3348/kjr.2025.0049

Korean J Radiol. 2025 Jul;26(7):626-637. doi: 10.3348/kjr.2024.1261.

ABSTRACT

OBJECTIVE: This study aimed to evaluate changes in left ventricular and left atrial mechanics in relation to the severity of aortic stenosis (AS) by comparing computed tomography (CT)-derived strain values in patients with mild-to-severe AS.

MATERIALS AND METHODS: This single-center retrospective study included 120 patients (median age, 76 years; 45.0% male), comprising 30, 30, and 60 patients with mild, moderate, and severe AS, respectively, all of whom underwent multiphase cardiac CT between 2015 and 2021. Patients were selected from 177 individuals who met the initial eligibility criteria, with matching for age, sex, and hypertension in a 1:1:2 ratio across the mild, moderate, and severe AS groups. Electrocardiography-gated cardiac CT images were analyzed to obtain various quantitative left ventricle (LV) and left atrium (LA) strain parameters. Statistical differences in cardiac CT-derived LV and LA strain parameters among mild, moderate, and severe AS were evaluated using the Kruskal-Wallis test, followed by post-hoc tests.

RESULTS: The median LV global longitudinal strain differed significantly across AS severity (GLS: -19.4%, -18.2%, and -16.2% for mild, moderate, and severe AS, respectively; P < 0.001), with the absolute value decreasing as AS severity increased. Additionally, the median values of LV global circumferential strain (GCS: -29.8%, -30.8%, and -27.4%, respectively; P = 0.045), LV global radial strain (GRS: 50.1%, 50.3%, and 39.3%, respectively; P = 0.004), and LA conduit strain (11.5%, 11.2%, and 9.0%, respectively; P = 0.031) differed significantly according to AS severity, with lower absolute values observed in patients with severe AS.

CONCLUSION: In patients with AS, CT-derived LV and LA strains revealed changes in myocardial deformation according to AS severity. Specifically, there was a gradual decrease in the absolute value of LV GLS with increasing AS severity and initial preservation until moderate AS, followed by an eventual decrease in the absolute values of LV GCS, LV GRS, and LA conduit strain in severe AS.

PMID:40590075 | DOI:10.3348/kjr.2024.1261

Intern Med J. 2025 Jul 1. doi: 10.1111/imj.70138. Online ahead of print.

ABSTRACT

BACKGROUND: Lung cancer remains a significant public health problem and a leading cause of cancer-related mortality worldwide. The delays in the diagnosis of lung cancer are more pronounced for rural and regional Australians compared to their urban counterparts. Implementing an online HealthPathway is one way to reduce delays in the diagnosis of lung cancer.

AIM: The Townsville Lung Cancer Referral Pathway (TLCRP) was implemented to guide local general practitioners (GPs) in the referral process of people with suspected lung cancer. The aim of the study was to compare the time interval from initial GP consultation of the person with suspected lung cancer to the first specialist referral and from the first specialist referral to the initial specialist appointment, before and after implementation of TLCRP. Other lung cancer service outcomes were also compared between the pre- and post-implementation groups.

METHODS: A retrospective cohort study of 316 participants was conducted, and descriptive statistical analysis of the data was used to discern any difference in timelines and other clinical outcomes in the pre-pathway implementation group compared to the post-pathway implementation group.

RESULTS: The time interval from initial GP presentation to initial referral to specialist appointment was significantly reduced in the post-pathway group (15 days) compared to the pre-pathway group (8 days, P = 0.03). However, the time interval from GP referral to initial appointment with a specialist increased in the post-pathway group (15 and 20 days, P = 0.03). Many of the Cancer Australia lung cancer optimal care pathway referral guidelines were not met. Only 40% of the pre-pathway group and 34% of the post-pathway group were seen in the specialist clinic within 2 weeks of GP referral. Significant proportions of patients in both groups did not have chest x-rays ordered by the GP, and the proportion of participants who were appropriately referred to the respiratory clinic did not improve after implementation of TLCRP (76% and 72%). Nearly 30% of participants in both groups were diagnosed after emergency presentation.

CONCLUSIONS: TLCRP improved the time interval from initial GP consultation to specialist referral, thus meeting its primary objective. However, better strategies are required to improve other timelines and meet Cancer Australia’s lung cancer optimal care pathway guidelines.

PMID:40590064 | DOI:10.1111/imj.70138

Cleft Palate Craniofac J. 2025 Jul 1:10556656251355791. doi: 10.1177/10556656251355791. Online ahead of print.

ABSTRACT

ObjectiveAugmented reality (AR) has recently emerged as a potential alternative to 3D-printed technology in craniomaxillofacial surgery. The purpose of this study was to evaluate the feasibility and accuracy of AR craniotomy guides for fronto-orbital advancement (FOA) compared to conventional 3D-printed guides.DesignRetrospective comparative study.SettingCleft and craniofacial center at a tertiary children’s hospital.Patients3D-printed skull models from 9 patients with metopic or coronal craniosynostosis who underwent FOA between January 2022 and November 2023.InterventionsA novel application was developed to project AR craniotomy guides onto 3D-printed skull models. AR guides were compared to conventional 3D-printed guides by utilizing both guidance modalities. The discrepancy at 8 pre-determined reference points was measured, including bilateral nasofrontal (NF), zygomaticofrontal (ZF), barrel stave (BS), and tenon extension (TE).Main Outcomes MeasureMeasured discrepancy in millimeters between AR guides and 3D-printed guides at the pre-determined reference points.ResultsThe anterior reference points (NF, ZF) had mean discrepancies ranging from 0.31 to 0.61 mm. The posterior points had mean discrepancies ranging from 1.39 to 3.28 mm (BS, TE). There was no statistically significant difference found between the two modalities at any reference point.ConclusionsAR craniotomy guides had a high level of accuracy, particularly at the anterior reference points. AR guides demonstrated feasibility as an alternative to 3D-printed craniotomy guides, in-vitro. Further research is required to translate this novel application to cadaver models and improve precision at posterior landmarks.

PMID:40590062 | DOI:10.1177/10556656251355791

Public Health Rev. 2025 Jun 16;46:1607355. doi: 10.3389/phrs.2025.1607355. eCollection 2025.

ABSTRACT

OBJECTIVES: As the aging population grows, Alzheimer’s disease and related dementias (ADRD) present a major public health challenge. Environmental noise, linked to stress and sleep disruption, may increase ADRD risk. We aimed to summarize the research literature on long-term noise exposure and ADRD.

METHODS: We conducted a systematic review and meta-analysis of studies investigating the association of long-term (≥1 year) noise exposure and ADRD assessed with standardized diagnostic criteria. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Eligible studies reported hazard ratios (HR) or similar effect estimates with confidence intervals.

RESULTS: A multilevel random-effects meta-analysis of six longitudinal studies using 13 effect sizes found a significant association between long-term noise exposure and incident ADRD (HR: 1.15, 95% CI: 1.03-1.28). Interaction effects between noise source and dementia subtype were not statistically significant.

CONCLUSION: Long-term noise exposure may contribute to ADRD risk. Heterogeneity between studies highlights the need for standardized exposure assessment and consideration of other environmental factors. Future research should include the exposome approach for identifying environmental drivers of dementia.

PMID:40590049 | PMC:PMC12206670 | DOI:10.3389/phrs.2025.1607355

Front Hum Neurosci. 2025 Jun 16;19:1592640. doi: 10.3389/fnhum.2025.1592640. eCollection 2025.

ABSTRACT

INTRODUCTION: Therapeutic strategies for patients with severe acquired motor disability are relatively limited and show variable efficacy. Innovative technologies such as brain-computer interfaces (BCIs) have been developed recently that might benefit certain types of patients.

METHODS: Here, we tested a previously described auditory BCI, the Encephalophone, which may offer new options to improve quality of life and function. Eleven subjects with acquired moderate to severe motor disability, who had lost their ability to express themselves musically, were enrolled and 10 completed a clinical pilot study of the hands-free Encephalophone brain-computer interface (BCI). Subjects were briefly instructed on the use of the Encephalophone BCI, which uses EEG measured motor imagery to allow users to generate musical notes in real time without requiring movement. Subjects then underwent a pitch-matching task, a measure of accuracy, to attempt to match a given target pitch 3 times within 10 s. They were allowed free play, where they could improvise music over a backing track. After 2-3 songs – approximately 10 min – of freely improvised playing, subjects repeated the pitch-matching task. There were 3 sessions of testing and free play per subject, within 2 weeks, with at least 1 day separating sessions.

RESULTS: All subjects, on average, improved their pitch-matching accuracy by 15.6 percentage points and increased their number of hits by 58.7% over the 3 sessions, with all subjects scoring accuracy percentages significantly above random probability (19.05%). A subjective self-reporting survey of ratings of such factors as a feeling of expressing oneself, enjoyment, discomfort, and feeling of control showed a generally favorable response.

DISCUSSION: We suggest that this training approach using an auditory BCI may provide an innovative solution to challenges in recovery from motor disability.

CLINICAL TRIAL REGISTRATION: https://research.providence.org/clinical-research, Swedish Health Services #: STUDY2017000301.

PMID:40590025 | PMC:PMC12206841 | DOI:10.3389/fnhum.2025.1592640