Objective: The aim of this study was to assess the long-term outcomes of nonablative Er:YAG laser treatment for snoring. Background data: Nonablative Er:YAG laser treatment has been shown to improve subjective quality of sleep without serious adverse effects, but long-term data are lacking. Materials and methods: Twenty-four patients with snoring problems due to soft palate hypertrophy were treated with three treatment procedures with Er:YAG laser performed at 2-week intervals. Subjective (questionnaires) and objective (polygraph) outcome measures were assessed at baseline, 3 months, and 4 years after the final laser treatment. Results: Twenty patients returned for the 4 years follow-up. The significant improvement in subjective sleep outcomes observed 3 months after Er:YAG laser treatment was still significant 4 years after treatment. No significant improvement or deterioration in objective polygraph outcome measures was observed during the 4 years of follow-up in our study. No side effects of laser treatment were observed. Conclusions: The Er:YAG laser treatment presents a safe and well-tolerated snoring treatment alternative for patients with airway obstruction in the oropharynx with improvement in subjective sleep outcomes lasting up to 4 years.

Sella turcica abnormalities were reported in malocclusions and clefts. No studies were found on sella turcica abnormalities in CPO patients. This study aimed to compare the prevalence of sella turcica abnormalities on cephalometric radiographs in CPO versus non-cleft orthodontic patients. Cephalograms of CPO patients (n = 89) and controls (n = 89) were analyzed for normal sella turcicae and sella turcica abnormalities. Then, cephalometric analysis was performed using specialized software. Statistical analysis was performed using the Rv.4.1.1 package. No variation in or anomaly of the sella turcica was more frequent in CPO compared to non-cleft individuals. Patients with hypertrophic posterior clinoid process had higher interincisal and 1+:Nasion-A angles. Subjects with hypertrophic posterior clinoid process and double contour of the floor had higher Sella-Nasion-A, Sella-Nasion-B and Sella-Nasion-Pogonion and lower ANB. A pyramidal shape of the dorsum sellae was more prevalent in males, as was double contour of the floor in females. Subjects with an oblique anterior wall had lower SNB, GntgoAr and NLA. Subjects with a normal sella had higher SNPg, ML-NSL and 1+:NAmm. A normal sella was more prevalent in younger patients. CPO is not associated with sella turcica abnormalities compared to non-cleft orthodontic patients.

The objective of this prospective study was to evaluate the virtual monoenergetic images (VMI) and virtual noncontrast (VNC) phase in the detection of endoleaks after endovascular abdominal aortic repair (EVAR). The potential dose reduction of abbreviated examination protocols was calculated. Ninety-seven patients after the EVAR procedure were enrolled in this study. An initial single-source noncontrast acquisition was followed by two dual-energy acquisitions (arterial and 60 s delayed). Fast-kVp switching scanner was used. VNC images were reconstructed from the delayed phase. First examination session (reference) included a full triphasic study protocol consisting of true noncontrast (TNC) images and two postcontrast phases, the latter ones presented as classical polyenergetic reconstructions. Reading sessions II and III were performed by two independent and blinded readers evaluating VMIs in abbreviated protocols-biphasic (VNC+arterial, delayed phase), monophasic (VNC+delayed phase). The diagnostic accuracy of sessions II and III was calculated. The calculated sensitivity of the biphasic protocol with the use of VMIs in endoleak detection was 100%, with a statistically significant increase in the number of endoleaks detected in comparison with the reference study. The monophasic protocol showed 83.33% sensitivity. The use of abbreviated examination protocols led to a decrease in the mean effective dose (ED) of 23.28% (biphasic protocol) and 61.37% (monophasic protocol). The use of VMIs increases the number of endoleaks diagnosed with a possible radiation reduction by up to ¼ (biphasic protocol). Further reduction to a monophasic protocol leads to over 60% dose reduction but with a decrease in diagnostic accuracy.

The study aimed to evaluate the effects of ischemia used during the rest periods between successive sets on maximal number of performed repetitions, time under tension and bar velocity during the bench press exercise. Thirteen healthy resistance trained men volunteered for the study (age = 28.5 ± 7.1 years; body mass = 87.2 ± 8.6 kg; bench press 1RM = 143.1 ± 20.7 kg; training experience = 11.0 ± 6.9 years). In experimental protocol the subjects performed 5 sets of bench press exercise at 70%1RM with maximal number of repetitions in each and with 5 minutes rest periods between each set. During the ischemia condition occlusion with 80% arterial occlusion pressure (AOP) was applied using a 10 cm wide cuff, before the first set of the bench press exercise and during all rest periods between sets (for 4.5 minute). During the control condition no ischemia was applied. The two-way repeated measures ANOVA showed a statistically significant interaction effect for time under tension (p = 0.022; η2 = 0.20). However, the results did not show a statistically significant interaction effect for peak bar velocity (p = 0.28; η2 = 0.10) mean bar velocity (p = 0.38; η2 = 0.08), and for number of performed repetitions (p = 0.28; η2 = 0.09). The post hoc analysis for interaction showed significantly shorter time under tension for ischemia condition compared to control in set 1 (p < 0.01). The post hoc analysis for main effect of condition revealed that time under tension was significantly shorter for ischemia compared to control condition (p = 0.04). The results of this study indicate that ischemia intra-conditioning does not increase strength-endurance performance as well as bar velocity during bench press exercise performed to muscle failure.

Oral steroid therapy was administered in three patients with skin symptoms, diagnosed with hands, mouth and foot disease (HMFD, commonly known as “Boston’s disease”) and in the course of which there was a rapid deterioration of vision in one eye. Each of the patients had previous contact with a person with disease. Hospitalization of the first patient, during which general antibiotic therapy, antiviral drugs and short-term intravenous steroid therapy were used, brought only a slight improvement in visual acuity. Given the accompanying colour discrimination dysfunction, oral steroid therapy was introduced in this patient, already in the outpatient setting. The therapy brought a significant improvement in visual acuity in a short time and restored the ability to distinguish colours. This form of treatment was used in another two patients with similar, good result.

Krzysztofik, M, Spieszny, M, Trybulski, R, Wilk, M, Pisz, A, Kolinger, D, Filip-Stachnik, A, and Stastny, P. Acute effects of isometric conditioning activity on the viscoelastic properties of muscles and sprint and jumping performance in handball players. J Strength Cond Res 37(7): 1486-1494, 2023-The effects of conditioning activity (CA) on muscle stiffness are currently unknown, suggesting that maximum CA effort can increase or decrease the stiffness of involved muscle groups. Therefore, this study aimed to investigate the effect of maximal isometric half-squats on the viscoelastic properties of muscles and postactivation performance enhancement (PAPE) in sprints and jumps. Twelve handball players underwent a standard warm-up and baseline assessment of muscle stiffness and tone of vastus lateralis and gastrocnemius medialis muscle, followed by 20-m sprint with intermediate measures at 5 and 10 m and countermovement jump. The PAPE was assessed by repeating the tests (at 4th, 8th, and 12th minute post-CA) after a CA protocol consisting of 3 sets of 3-second maximal isometric half-squats (EXP) or a control condition (CTRL) without any CA. The vastus lateralis stiffness in the 4th and 12th minute and muscle tone in the 4th minute post-CA significantly decreased compared with baseline ( p = 0.041, ES = 0.57; p = 0.013, ES = 0.52; p = 0.004, ES = 0.81, respectively) in the EXP condition. The 20-m sprint time significantly decreased at all post-CA time points compared with the baseline for the EXP condition ( p < 0.033) and the after values in the CTRL condition ( p < 0.036). In comparison to baseline, the 10-m sprint time decreased in the eighth minute post-CA ( p = 0.021; ES = 0.82) in the EXP condition. Moreover, it was significantly lower at the 8th and 12th minute post-CA ( p = 0.038; ES = 0.71 and p = 0.005; ES = 1.26) compared with that time points in the CTRL condition. The maximal isometric half-squats effectively improved sprint performance and significantly decreased vastus lateralis tone and stiffness. These findings offer new insights into the assessment of viscoelastic properties for evaluating the fatigue or potentiation state, which requires further investigation.

This paper presents the results of research on a new method of chromium recovery from solid waste generated during the tanning of raw hides. In the first stage, the shredded mixture of useless leather scraps is decomposed through thermal pressure hydrolysis (TPH) in nitric acid in appropriate process conditions. Then, the liquid product of this process (hydrolysate) is fractionated using membrane separation techniques. The microfiltration (MF) process enables the initial purification of the hydrolysate by concentrating the organic matter. On the other hand, the nanofiltration (NF) process enables a three-fold concentration of total chromium in the pre-purified hydrolysate. The total chromium concentrate prepared in the above manner was successfully used in the model tanning processes. These processes were carried out on pickled bovine hides, using a mixture of a commercial chromium tanning agent and chromium concentrate after nanofiltration. The reference sample was bovine hide traditionally tanned with a commercial chromium tanning agent. Based on the results of the physical and chemical analyses, it was found that the properties of hides tanned using chromium recovered from waste are similar to those of hides tanned traditionally using a commercially available chromium tanning agent. The industrial implementation of the developed tannery waste valorisation technology would enable transition from a linear economy to circular economy.

This study aimed to investigate the impact of Achilles tendon (AT) mechanical percussion massage (PM) on the passive stiffness of that tendon and subsequent drop jump kinematics. Eleven physically active participants performed two conditions in random order: (i) 60 s of PM applied to each AT (EXP) and (ii) no PM (CTRL). Measurements were performed 5 min before, immediately after, and 5 min following the completion of the PM. In the CTRL, measurements were performed at the same time point but no massage was applied. The two-way ANOVA indicated that there was no statistically significant interaction effect on contact time (p = 0.786), reactive strength index (p = 0.914), and relative peak power (p = 0.896). However, a statistically significant interaction on peak velocity (p = 0.046) and jump height (p = 0.03) was found. Despite that, there was no significant post-hoc comparisons for jump height, it slightly decreased 5 min post-PM (p = 0.136; ES = -0.25; Δ = -3.1%) compared with the CTRL condition (p = 1.00; ES = 0.11; Δ = +1.5%). Friedman's test did not show significant differences in dominant (p = 0.073) and non-dominant limb (p = 0.091) AT stiffness. Although not significant, numerically, the dominant limb AT (p = 0.126; ES = -0.64; Δ = -7.8%) had a larger reduction in stiffness immediately post-PM compared with the non-dominant limb (p = 0.294; ES = -0.26; Δ = -3.6%). The results of this study indicated the temporary effect of PM on the reduction in tissue stiffness. Moreover, these findings show that a mechanical PM might slightly hinder subsequent explosive athletic performance.

White chocolate is considered an unhealthier product than dark and milk chocolate due to the absence of cocoa solids containing polyphenols and other valuable components such as minerals and dietary fiber. This paper aimed to improve the nutritional value of white chocolate (C) by adding blueberry bioactive compounds. Since natural polyphenols are easily degradable because of their sensitivity, whey, as a rich source of proteins, was used as a material for encapsulating blueberry juice. Whey proteins protect blueberry anthocyanins and increase their bioaccessibility in the human body. Blueberry juice encapsulates (B) were added to white chocolate, replacing 8% (C-B8) and 10% (C-B10) of white chocolate mass. Blueberry encapsulates significantly (p &lt; 0.05) increased the viscosity of chocolates (from 0.63 Pa·s in C to 1.13 Pa·s in C-B8 and 1.40 Pa·s in C-B10) with no significant impact on their melting peak. Both enriched chocolates had significantly (p &lt; 0.05) higher protein and dietary fiber content and lower fat content than white chocolate. The total polyphenol content increased 3.7-fold, while antioxidant capacity increased 5.2-fold in C-B10. The oxidation stability, determined by pressurized accelerated oxidation, was also improved in enriched chocolates. Blueberry juice encapsulated in whey positively influenced the color and sensory characteristics of fortified white chocolates, where C-B10 had higher sensory scores for blueberry odor and taste than C-B8. The obtained results open up a possible pathway and indicate opportunities and limitations for the incorporation of other materials, such as various dietary/fruit components, in white chocolate.