Control Levels Research Articles

Garlic Powder Supplementary Diet Prevents Pulmonary Hypertension Syndrome by Reducing Apoptosis in Broiler Chickens

Background: Pulmonary hypertension syndrome (PHS) is a metabolic disorder presenting with cardiopulmonary symptoms. However, garlic powder (GP) is used to treat many diseases, such as heart and lung diseases. Objectives: This study investigated the effects of GP supplementary diet on apoptosis and right ventricle hypertrophy in broiler chickens with PHS. Methods: Ninety meat-type chickens were randomly divided into three groups: Sham, PHS and PHS+GP. The PHS was induced by triiodothyronine (T3) in broiler chickens, and GP was added to the ration after week 1 of rearing (PHS+GP). Then, lung and ventricle tissues were collected at 21 and 49 days of age. PHS was calculated at 21 and 49 days based on the ratio of the right ventricle to the total ventricles (RV/TV) weight index. Gene expression of caspase1 (CASP1) and caspase1 (CASP2) were evaluated by semi-quantitative RT-PCR in the lungs and right heart ventricles. Results: The findings showed that right ventricular hypertrophy increased at day 49 in the PHS group compared to sham (P<0.001), while garlic consumption decreased this ratio to the control level (P<0.05). Also, the expression of CASP1 and CASP2 in the lungs elevated on day 49 (P<0.001), and the GP diet prevented this increase (P<0.05). Moreover, in the right ventricle tissue, PHS affected CASP1 on days 21 and 49, although the expression of CASP2 significantly increased just at day 49 in the PHS group (P<0.001). This increase in both times was weakened by garlic consumption (P<0.05). Conclusion: Consuming garlic as a dietary supplement could prevent PHS by influencing apoptosis in the lung and heart of broilers.

Management of older adults with diabetes mellitus: Perspective from geriatric medicine.

Advances in diabetes medication and population aging are lengthening the lifespans of people with diabetes mellitus (DM). Older patients with diabetes mellitus often have multimorbidity and tend to have polypharmacy. In addition, diabetes mellitus is associated with frailty, functional decline, cognitive impairment, and geriatric syndrome. Although the numbers of patients with frailty, dementia, disability, and/or multimorbidity are increasing worldwide, the accumulated evidence on the safe and effective treatment of these populations remains insufficient. Older patients, especially those older than 75 years old, are often underrepresented in randomized controlled trials of various treatment effects, resulting in limited clinical evidence for this population. Therefore, a deeper understanding of the characteristics of older patients is essential to tailor management strategies to their needs. The clinical guidelines of several academic societies have begun to recognize the importance of relaxing glycemic control targets to prevent severe hypoglycemia and to maintain quality of life. However, glycemic control levels are thus far based on expert consensus rather than on robust clinical evidence. There is an urgent need for the personalized management of older adults with diabetes mellitus that considers their multimorbidity and function and strives to maintain a high quality of life through safe and effective medical treatment. Older adults with diabetes mellitus accompanied by frailty, functional decline, cognitive impairment, and multimorbidity require special management considerations and liaison with both carers and social resources.

Chronic olanzapine treatment leads to increased opioid receptor expression and changes in feeding regulating neurons in the female rat hypothalamus

Opioid receptor antagonists have shown increasing promise as an adjunct therapy to psychotropic medication. The goal is to reduce the weight gain and metabolic adverse effects that are associated with certain second-generation antipsychotics, such as olanzapine and clozapine. In this study, female rats were treated for 4 weeks with a long-acting injectable formulation of olanzapine to assess effects on hypothalamic feeding regulation. Using quantitative spatial in situ hybridization and receptor autoradiography, expression levels of the mu, kappa and delta opioid receptors were defined in the five hypothalamic areas: paraventricular nucleus (PVN), arcuate nucleus (ARC), ventromedial nucleus (VMN), dorsomedial nucleus (DMN) and lateral hypothalamus (LH). In addition, hypothalamic neuron number and size were estimated using the unbiased optical fractionator and spatial rotator methods. Hyperphagia was observed after only 24hours of olanzapine treatment, with continued weight gain throughout the duration of the study. In contrast, the observed food intake reversed to control levels after 2 weeks of olanzapine treatment. Chronic olanzapine treatment increased expression of kappa opioid receptor mRNA and receptor availability in the PVN, as well as increased mu opioid receptor availability in the PVN, ARC and VMN. These changes were accompanied by fewer anorexigenic proopiomelanocortin-expressing neurons of the ARC and corticotropin-releasing hormone expressing neurons of the PVN. This study links olanzapine-driven metabolic effects to increased opioid receptor expression in the hypothalamus, thus providing a rationale for the positive effects of using opioid receptor antagonists to relieve olanzapine adverse effects.

Metformin reverses infertility in a mouse model of endometriosis: unveiling disease pathways and implications for future clinical approaches

Research QuestionDoes metformin reverse endometriosis-associated infertility? DesignEndometriosis was induced by transplanting endometrial tissue fragments from B6CBAF1 mice into the same strain female recipients. Mice were divided into groups: Endometriosis-End (n=24), Sham-operated (n=12), Endometriosis with orally administrated metformin during 3 months (0,5mg/ml)-EndMet (n=21), and Sham-operated metformin-treated-ShamMet (n=16). Half of mice per group was used for fertility studies. Implant growth was monitored by ultrasound and serum estradiol, glucose, and cholesterol (total, LDL, HDL) levels were assessed. Fibrosis was quantified in Masson's trichrome-stained sections of eutopic-Eu and ectopic-Ec endometrial tissue by computer-assisted analysis. PCNA, CYP17a1, F4/80 and galectin-3 were analyzed by immunofluorescence and Western blotting; NFkB, GPX-1 and HO-1 only by Western blotting. Statistical significance was set at p<0.05. ResultsThe endometriosis model was successfully established. End animals showed lower fertility rates than sham-operated mice, whereas metformin treatment increased the number of fetuses per pregnant mouse, restoring fertility to control levels, besides reducing implant growth and vascularization. Ectopic endometrial tissue resembled eutopic counterpart but showed increased PCNA levels and fibrosis that decreased after metformin treatment. PCNA expression decreased in pregnant mice. Metformin diminished CYP17a1 expression in EuEnd and on the contrary upregulated F4/80, galectin-3, NFkB and antioxidant enzymes, HO-1 and GPX-1, in non-mated mice. ConclusionsThese results emphasize metformin's application, even in a subtherapeutic dose, to alleviate oxidative stress and to mitigate endometriosis lesions fibrosis in a murine model of endometriosis. The study highlights metformin's potential as a pharmacological intervention for improving infertility in endometriosis, reinforcing its promising contribution to reproductive health.

Vocal communication in asocial BTBR mice is more malleable by a ketogenic diet in juveniles than adults

Deficits in social communication and language development are a hallmark of autism spectrum disorder currently with no effective approaches to reduce the negative impact. Interventional studies using animal models have been very limited in demonstrating improved vocal communication. Autism has been proposed to involve metabolic dysregulation. Ketogenic diet (KD) is a metabolism-based therapy for medically intractable epilepsy, and its applications in other neurological conditions have been increasingly tested. However, how KD would affect vocal communication has not been explored. The BTBR mouse strain is widely used to model asocial phenotypes. They display robust and pronounced deficits in vocalization during social interaction, and have metabolic changes implicated in autism.We investigated the effects of KD on ultrasonic vocalizations (USVs) in juvenile and adult BTBR mice during male–female social encounters.After a brief treatment with KD, the number, spectral bandwidth, and much of the temporal structure of USVs were robustly closer to control levels in both juvenile and adult BTBR mice. Composition of call categories and transitioning between individual call subtypes were more effectively altered to more closely align with the control group in juvenile BTBR mice.Together, our data provide further support to the hypothesis that metabolism-based dietary intervention could modify disease expression, including core symptoms, in autism. Future studies should tease apart the molecular mechanisms of KD’s effects on vocalization.

Response of Root Respiration to Warming and Nitrogen Addition Depends on Tree Species.

Roots contribute a large fraction of CO2 efflux from soils, yet the extent to which global change factors affect root-derived fluxes is poorly understood. We investigated how red maple (Acer rubrum) and red oak (Quercus rubra) root biomass and respiration respond to long-term (15 years) soil warming, nitrogen addition, or their combination in a temperate forest. We found that ecosystem root respiration was decreased by 40% under both single-factor treatments (nitrogen addition or warming) but not under their combination (heated × nitrogen). This response was driven by the reduction of mass-specific root respiration under warming and a reduction in maple root biomass in both single-factor treatments. Mass-specific root respiration rates for both species acclimated to soil warming, resulting in a 43% reduction, but were not affected by N addition or the combined heated × N treatment.Notably, the addition of nitrogen to warmed soils alleviated thermal acclimation and returned mass-specific respiration rates to control levels. Oak roots contributed disproportionately to ecosystem root respiration despite the decrease in respiration rates as their biomass was maintained or enhanced under warming and nitrogen addition. In contrast, maple root respiration rates were consistently higher than oak, and this difference became critical in the heated × nitrogen treatment, where maple root biomass increased, contributing significantly more CO2 relative to single-factor treatments. Our findings highlight the importance of accounting for the root component of respiration when assessing soil carbon loss in response to global change and demonstrate that combining warming and N addition produces effects that cannot be predicted by studying these factors in isolation.

Improving Sphenophorus levis Adult Mortality Through Solid Insecticide Applications and Increased Insecticide Dose.

The sugarcane weevil (Sphenophorus levis Vaurie, 1978) is currently considered the most important sugarcane pest in Brazil, causing significant yield losses. Application methods of insecticides for S. levis control have not been effective, mostly due to the insect's cryptic behavior below the soil surface which suppresses the correct placement of insecticide active ingredients on target. Two experiments were conducted using an innovative bioassay methodology that simulates sugarcane field conditions to effectively evaluate S. levis adult mortality and insecticide residues in the soil under different treatments. The first experiment aimed to assess the efficacy of two liquid- and solid-applied insecticides, while the second aimed to examine the effect of increasing the dose of lambda-cyhalothrin + thiamethoxam on S. levis adult control. The novel bioassays simulated liquid and solid insecticide applications on sugarcane by exposing S. levis adults to chemical residuals on rhizomes and in soil after insecticide application. In the first experiment, low S. levis adult control was detected (< 53% mortality) across all treatments, where both solid and liquid applications of lambda-cyhalothrin + thiamethoxam provided greater efficacy levels than imidacloprid and control treatments, respectively. Solid applications maintained higher insecticide concentrations in the soil for longer periods than liquid insecticide applications, providing maximum insect control levels 7days after application. The second experiment revealed that solid applications at higher insecticide doses significantly improved control of S. levis adult (76.7% mortality) and resulted in greater insecticide concentrations in the soil compared to the recommended label rate (58.8% mortality).

Effect of Social Dimension of Home on Academic Performance of Secondary School Students of District Buner

Students' academic performance has been highly valued and considered a major educational goal. This study is an attempt to explore the effect of the social dimension of home on the academic performance of District Buner secondary school students. The population of the current study was students of class 10th in District Buner. Cluster Random sampling technique was used to select the sample from the population. A standardized tool was used to measure the social dimension of the home of secondary school students. The data were analyzed quantitatively using mean, Standard Deviation, and Pearson correlation coefficient (‘r’) and results revealed that the children with a high social dimension of the home have higher academic performance. Level of Control is positively correlated with academic performance in the case of girls and negatively correlated in the case of boys. Permissiveness correlated negatively with academic performance for both girls and boys. Parents are recommended to create a home where everyone feels safe and loved. The government and media should also periodically conduct seminars and workshops to educate parents on improving social dimensions in the home environment that enhance children's overall development.

The model for optimizing cutting parameters for processing products on metal-cutting machines

The paper discusses the issues of multi-criteria optimization of the process of manufacturing products on metal-cutting machines. The efficiency of the optimization process directly depends on its level of detail and the optimal set of targets and control parameters. The change in the structure and properties of a product during its manufacture can be represent-ed in the form of a hierarchical model based on the decomposition of the original goal, which must be achieved through the comprehensive optimization of individual elements of the process. Described herein is a multi-level hierarchical model for optimizing a machining process comprising five levels of control. The following control levels are identified: Technological Process, Processing Stage, Technological Operation, Process Transition, Work Stroke. For each structural element of the model, control parameters, specific optimization criteria are defined, and vector optimiza-tion criteria are formed. The practical implementation of the control model is presented on the example of optimization of the target indicators of the technologi-cal process of the ”Roller” product. Graph of change of object states in process of its manufacturing is pre-sented, optimal values of target indicators and cutting parameters are determined.

Effect of slow breathing exercise on heart rate variability: A non linear analysis in female major depressive disorder patients

Background: Major depressive disorder (MDD) is a mental health problem, associated with cardiac autonomic dysfunction. Cardiac autonomic function (CANF) can be assessed by non linear analysis of heart rate variability (HRV), a simple non-invasive software based analytical method. Yoga based slow breathing exercise (SBE) has role to improve autonomic dysfunction in some disease condition. Objective: To observe the effect of SBE on non linear measures of HRV in newly diagnosed female MDD patients. Methods: The quasi-experimental study was conducted in 2023 on sixty (60) newly diagnosed female MDD patients of 20-40 years aged, collected from the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU). Among them 30 were assigned with SBE and remaining 30 patients without SBE were followed up after 90 days. Both patient groups received conventional treatment during this period. Thirty apparently healthy female subjects with similar age &amp; BMI were included as control for comparison and they did not perform breathing exercise. Data were taken at baseline and after 90 days in all the subjects. CANF was assessed by analysing non linear (poincare plot) of HRV by using ECG based data acquisition device, Power lab 8/35. Data were expressed as mean±SD. For statistical analysis, ANOVA followed by post hoc Bonferroni test and paired sample “t” test were used. Results: At baseline pulse rate and BP were significantly lower in both group of MDD patients compared to control. The pre-intervention values of standard deviation of short term RR interval variability (SD1), standard deviation of long term RR interval variability (SD2) and ratio of short term and long term RR interval variability (SD1/SD2) were found significantly (p&lt; 0.001) lower in MDD patients compared to healthy control. Following 90 days of SBE, significant (p&lt; 0.001, p&lt; 0.05) rise of these poincare plot parameters was noted in MDD patients whereas no significant changes of these parameters were observed in patients without SBE after 90 days of follow-up. Moreover, the pulse BP almost reached control level though the non linear parameters were still below control level after 3 months of SBE.. Conclusion: Autonomic dysfunction occured in MDD patients SBE can improve cardiac autonomic dysfunction and sympathovagal balance in female MDD patients. J Bangladesh Soc Physiol 2023;18(2): 45-52

강압적 통제 차원에서 스토킹 행위 유형화 연구

This study aims to classify perpetrators based on these behaviors, thereby elucidating the theoretical understanding and the relationship between these two concepts. A latent class analysis (LCA) was conducted on 170 stalking cases collected from 18 police agencies nationwide. The analysis identified four distinct perpetrator types: 'Aggressive Control Type,' 'Indirect Threat Type,' 'Exploitative Approacher Type,' and 'Approacher Type.' The findings indicate a potential correlation between the types and levels of coercive control and the patterns of stalking behavior, providing insights into the intersection of stalking and coercive control. Through this, the study facilitates the theoretical advancement of these concepts and provides substantive insights for improving risk assessment and victim protection.

Determinants of/ factors affecting glycaemic control among type 2 diabetic patient attending a health insurance clinic in Benue, Nigeria.

Background: Diabetes mellitus is a multisystem disease that requires multifaceted management approach with the aim of maintaining good glycaemic control. Proper knowledge of factors affecting glycaemic control will provide standard operational protocols in the management of patients with resultant good glycaemic control, better quality of life, and overall reduced morbidity and mortality. Objectives: This study aimed to assess the determinants of good glycaemic control among adult patients with type 2 diabetes. Methodology: This study was a hospital based cross-sectional study conducted between December 2021 and March 2022 involving 381 adult patients with T2DM attending the National Health Insurance Authority clinic. The participants were selected by systematic random sampling. Data was collected by an interviewer administered questionnaire. Anthropometry and blood pressure measurements were also taken. Data was analyzed with the Statistical Package for Social Sciences (SPSS). Version 24 with level of confidence at 5% (p=0.005) Result: There were 194 male (50.9%). The mean age of patients was 54.94±7.21 years. The proportion of T2DM patients with good glycaemic control was 106 (27.8%). Duration of diabetes diagnosis, co-morbidities, smoking or tobacco use, frequency of vigorous intensity sports, current complementary and alternative medicine use and blood pressure had statistically significant association with good glycaemic control following bivariate analysis. Conclusion: Level of glycaemic control was por. Primary care physicians should increase efforts in identifying, educating and counselling of patients with T2DM on measures to attain optimal good glycaemic control.

Interleukin one beta (IL-1B) gene polymorphisms in Iraqi patients with susceptibility to develop hepatitis C infections

Hepatitis C virus (HCV) infection is the main cause of chronic hepatitis, affecting an estimated 150 million people worldwide. Initial exposure to HCV is most often followed by chronic hepatitis, with only a minority of individuals spontaneously clearing the virus. This study aimed to find an associated relationship between HCV susceptibility and Polymorphic gene of IL‐1B targeting a total of 45 individuals: 30 patients with chronic hepatitis C and 15 healthy control from different cities of Iraqi recruited the Hospital for diseases of the digestive system and liver in Baghdad between November 2022 to February 2023. Genomic DNA was extracted and specific promotor sequence was amplified by polymerase chain reaction (PCR) followed by sequencing then measuring serum concentrations of IL-1β by Enzyme-Linked Immunosorbent Assay (ELISA). The results revealed significant difference in serum levels of IL-1B (P≤0.01), from 1.10-+0.09 in Chronic HCV patients in comparison with its level in healthy controls 7.58± 0.28. Molecular results suggested that single nucleotide polymorphisms in the promoter of IL-1B is probably associated with susceptibility to HCV chronic infection according to this sample of Iraqi patients. In conclusion, the results suggested that variation in serum level and polymorphism in IL-1B is probably associated with susceptibility to hepatitis C virus chronic infection.

Identifying the predictive value of fractional exhaled nitric oxide (FeNO) for uncontrolled asthma in 3-7-year-old Thai children.

Fractional exhaled nitric oxide (FeNO) is the method for monitoring airway inflammation. However, a singular FeNO value cutoff may not adequately represent the control status across different ages and demographics. This study aimed to evaluate the correlation between FeNO values and asthma control levels, identifying an optimal cutoff point for children aged 3 to 7 years. This cross-sectional study was conducted at Naresuan University Hospital from April 1, 2023 to July 31, 2023. Inclusion criteria were asthmatic patients aged 3 to 7 years who were capable of following commands. Exclusion criteria included children who had a coronavirus disease 2019 (COVID-19) infection, those experiencing difficulty breathing, or unable to perform the FeNO measurement. Eligible patients were classified according to their level of asthma control and underwent FeNO testing. Out of 108 participants who successfully completed FeNO measurements, a significant difference in FeNO values was observed across controlled, partially controlled, and uncontrolled asthma groups, with uncontrolled asthma presenting significantly higher values. The optimal FeNO cutoff point for predicting uncontrolled asthma was identified as ≥15 ppb with a sensitivity 46.7%, specificity 86.0%, positive predictive value (PPV) 35.0%, negative predictive value (NPV) 90.9%. This study established a significant correlation between FeNO levels and uncontrolled asthma, FeNO cutoff point ≥15 ppb as the optimal value in predicting uncontrolled asthma in Thai children aged 3-7 years. Factors such as uncontrolled allergic rhinitis, symptoms at onset, smoking exposure, treatment compliance, and inhaled corticosteroid (ICS) usage were associated with FeNO values. The application of FeNO measurement should be integrated with clinical assessments and consideration of these associated factors.

Chemistry and Physics of Wet Foam Stability for Porous Ceramics: A Review

The unique structural properties of porous ceramics, such as low thermal conductivity, high surface area, controlled permeability, and low density, make this material valuable for a wide range of applications. Its uses include insulation, catalyst carriers, filters, bio-scaffolds for tissue engineering, and composite manufacturing. However, existing processing methods for porous ceramics, namely replica techniques and sacrificial templates, are complex, release harmful gases, have limited microstructure control, and are expensive. In contrast, the direct foaming method offers a simple and cost-effective approach. By modifying the surface chemistry of ceramic particles in a colloidal suspension, the hydrophilic particles are transformed into hydrophobic ones using surfactants. This method produces porous ceramics with interconnected pores, creating a hierarchical structure that is suitable for applications like nano-filters. This review emphasizes the importance of interconnected porosity in developing advanced ceramic materials with tailored properties for various applications. Interconnected pores play a vital role in facilitating mass transport, improving mechanical properties, and enabling fluid or gas infiltration. This level of porosity control allows for the customization of ceramic materials for specific purposes, including filtration, catalysis, energy storage, and biomaterials.

Integration of UPLC-MS/MS-based metabolomics and desorption electrospray ionization-mass spectrometry imaging reveals that Shouhui Tongbian Capsule alleviates slow transit constipation by regulating bile acid metabolism

Slow transit constipation (STC) is a common intestinal disorder. Some studies reported that Shouhui Tongbian Capsule (SHTB) can effectively mitigate STC symptoms. A detailed understanding of the changes in the endogenous metabolite profile of rats is crucial for a more accurate comprehension of the molecular pathological characteristics of SHTB in treating STC. In the present study, a method integrating metabolomics based on Ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) and Desorption electrospray ionization (DESI)-mass spectrometry imaging (MSI) was proposed to investigate serum, feces and colon tissue metabolic alterations of STC rats induced by diphenoxylate and the effect of SHTB treatment on metabolism. Then, Enzyme-linked immunosorbent assay (ELISA) and Western blot (WB) analysis for verifying the potential mechanism of SHTB in treating STC. As a result, we first indicated that SHTB significantly improved intestinal peristalsis and low fecal water content in STC rats. Furthermore, after treatment with SHTB, the thickness of muscle layers was increased, demonstrated SHTB’s effectiveness in reducing intestinal injury in STC rats. Besides, bile acid (BA) metabolomics based on UPLC-MS/MS revealed significant increase in serum levels of Cholic acid (CA), Deoxycholic acid (DCA), Chenodeoxycholic acid (CDCA), Ursodeoxycholic acid (UDCA), and Glycolithocholic acid (GLCA), whereas the contents of CA and DCA in feces were significantly decreased in STC rats. Nonetheless, they returned to the control levels after the SHTB administration. ELISA results showed that SHTB significantly hindered the excessive reabsorption of BAs by inhibiting apical sodium-dependent bile acid transporter (ASBT), organic solute transporter alpha (OSTα) and organic solute transporter beta (OSTβ) in the ileum tissue of STC rats. Furthermore, the DESI-MSI analysis revealed that SHTB remarkably enhanced DCA in the colon tissue of STC rats. The WB results indicated that SHTB reinstated Takeda G-protein–coupled receptor 5 (TGR5) expression, a receptor for BAs and a key regulator of colonic motility. Consequently, DCA exerted its effects on TGR5, leading to the promotion of colonic motility. This study provided more comprehensive and detailed information about the BA metabolomics in the serum, feces and colon of STC rats. These findings highlighted the promising potential of metabolomics based on UPLC-MS/MS and DESI-MSI method for application in the study of STC diseases.

Salvia officinalis L. resilience under chromium stress: An integrated study of growth, physiology, biochemical changes and rosmarinic acid production

Medicinal plants are increasingly challenged by rising chromium (Cr) levels in agricultural soil and water bodies due to industrialization and human activities. This research examines the impact of various chromium concentrations on Salvia officinalis L., a medicinal herb, over 3 specific time periods: 30, 60 and 90 days. As the duration of Cr exposure increases, various growth parameters showed an upward trend at the lowest concentrations, with the most robust growth observed in the 20 ppm Cr treatment group after 90 days. However, higher chromium concentrations resulted in reduced plant growth compared to untreated plants. Chromium primarily accumulates in the roots, stems and leaves, with the highest accumulation observed at 100 ppm. However, chlorophyll content declined with prolonged Cr exposure, particularly at higher concentrations. Carbohydrate levels initially increased at lower Cr concentrations but decreased with greater exposure, while protein content consistently decreased with elevated Cr levels. Proline levels exhibited mixed responses, rising at lower concentrations and declining at higher ones. Malondialdehyde (MDA) content increased with higher Cr levels and extended exposure. The enzymatic antioxidant system showed an initial increase followed by a decline with prolonged exposure. Rosmarinic acid content increased with chromium (Cr) exposure upto 60 ppm but subsequently decreased beyond that threshold. In the first 30 days, plants treated with Cr demonstrated a 17 % increase in rosmarinic acid production compared to the control (48.9 mg/g DW). However, with continued Cr exposure, there was a decline in rosmarinic acid production ranging from 10 % to 20 % compared to the control level (67.02 mg/g DW) at 90 days post-treatment. These findings underscore the complex and contrasting responses of Salvia officinalis to Cr toxicity, highlighting the necessity for extended study into the core mechanisms governing these responses and the development of strategies to alleviate heavy metal stress in plants.

Understanding the Drivers of Inhaler Non-Adherence in Asthma and its Influence on Asthma Control

Background Asthma remains a significant global health concern, with adherence to inhaler therapy playing a crucial role in its management. Understanding demographic characteristics and adherence behaviours among asthma patients is essential for optimizing treatment outcomes. This study delves into the multifaceted factors associated with non-adherence to inhaler therapy among asthma patients in India, to enhance adherence and improve asthma management outcomes. MethodsA cross-sectional study was conducted among 195 asthma patients at Shaikh-UI-Hind Maulana Mahmood Hasan Medical College in Saharanpur, India. Asthma control was assessed using standardized criteria, and adherence to inhaler therapy was evaluated through self-reported questionnaires. Demographic variables including smoking habit, possession of health insurance, comorbidities, duration of asthma, and duration of inhaler use were also recorded.ResultsAnalysis of demographic characteristics revealed a higher prevalence of asthma among females, aged 18-45, and individuals from low-income rural families. Additionally, a substantial proportion of patients had comorbidities and had been diagnosed with asthma for more than five years. Asthma control levels indicated a concerning proportion of patients with poorly controlled asthma, highlighting challenges in achieving optimal management outcomes. Furthermore, significant challenges in adherence to inhaler medication regimens were observed, including medication dosage modification without medical guidance and barriers to proper device use.Conclusions This study reveals significant challenges in asthma control and inhaler adherence, particularly among females and low-income rural patients in India. The patient’s education are essential to address these issues and improve asthma management outcomes.

Effect of lemongrass (Cymbopogoncitratus) essential oil on cardiac autonomic function in female Generalized Anxiety Disorder:A poincaré analysis of heart rate variability

Background:Generalized anxiety disorder (GAD) is a worldwide, one of most prevalent mental disorder and associated with autonomic dysfunction. Poincaré plot of heart rate variability (HRV) is anonlinear method to assess cardiac autonomic nerve function (CANF).Lemongrass (Cymbopogoncitratus) essential oil (LEO) has been reported with anxiolytic effect and autonomic improvement in human. Objective: To assess the effect of LEO inhalation on CANF in female patients with GAD by analysis of poincaré plot of HRV.Method: This Quasi experimental study was conducted on 60 newly diagnosed female GAD patients with 20-40 years of age. Among them, 30 patients were treated with LEO inhalation for 15 min for once a week for one month (30days)along conventional treatment and 30 patients were without LEO inhalation and continued only conventional treatment for 30days.Thirty (30) apparently healthy subjects were control group.HRV data of all patients and control were recorded at baseline and after 30days of intervention or follow up respectively. HRV was recorded by a data acquisition device, Power Lab 8/35 and Poincaré plot analysis was done by lab chart software. For statistical analysis ANOVA followed by post-hoc test and paired sample ‘t’ test were done.Results: In this study, at baseline, the standard deviation of the short-term RR interval variability (minor axis of the cloud, SD1),the standard deviation of the long-term RR interval variability (major axis of the cloud, SD2) and SD1/SD2 were found significantly lower (p&lt;0.001) in all GAD patients compared to control group. After 30 days of intervention with LOE, significant increase of SD1(p&lt;0.001) and SD2, SD1/SD2 (p&lt;0.01) were found in GAD patients whereas no significant difference was found in patients without LEO after 30 days. Moreover, significantly higher values of SD1 and SD2 were observed in GAD patients after aroma therapy with LEO compared to GAD patients not under aroma therapy. Furthermore, LEO could restore the BP of the GAD to the control level. Conclusion: This study concluded that, aromatherapy with LEO inhalation may be effective to improve cardiac autonomic dysfunction in female GAD patients. J Bangladesh Soc Physiol 2023;18(1): 19-26

Applying the 2023 ESH Hypertension Guidelines to the Irish Population- findings from the Irish Longitudinal Study on Ageing (TILDA)

Abstract Background Hypertension (HTN) is an important risk factor for cardiovascular disease (CVD), the leading cause of mortality worldwide. The aim of this study was to apply the latest European Society of Hypertension (ESH) Guidelines 2023 to the Irish general population. Methods This study used data from Wave 1 (2009-2010) and Wave 3 (2014-2015) of the Irish Longitudinal Study on Ageing (TILDA). TILDA is a prospective cohort study based on stratified random sampling, which is representative of the community living older population in Ireland (Aged 50 years and over). Using this data, the prevalence of HTN in the general population by grade and stage, as set out in the ESH 2023 guidelines, was calculated. Population awareness of diagnosis, treatment status, control on treatment and adherence to recommended anti-hypertensive medication classes were assessed. Subgroup analyses were explored in alignment with specified groups highlighted in the Guidelines including those over 80 years old with and without frailty, those with chronic kidney disease and those with home blood pressure (BP) measurements. Inverse probability weighting was applied to account for the complex survey design used in TILDA and data analysis was conducted using Stata 15.1. Results Results from Wave 3 (N=5,329): The prevalence of hypertension was 64.0% (95% confidence interval (CI) 62.4-65.6%). Of those with HTN, 55.5% (95% CI 53.3-57.7) were aware of their HTN diagnosis and 70.4% (95% CI 68.3-72.2%) were on antihypertensive treatment. Of those on treatment, 53.2% were controlled (BP &amp;lt; 140/90), and only 20.0% (95% CI 18.3-21.8) were on a recommended dual therapy. 55.2% were on at least one agent recommended by the ESH guidelines. Conclusion This study indicates a high prevalence of HTN in the general population in Ireland aged 50+ years with low levels of awareness, control, and poor adherence to the most recent ESH HTN guidelines.