Additional Methods Research Articles

The potential of the Mediterranean diet to improve metabolic control and body composition in youths with Type 1 Diabetes Mellitus

BackgroundA chronic autoimmune disease with an increasing incidence rate, type 1 diabetes mellitus (T1DM) is typified by the degeneration of the pancreatic beta cells. Diabetes management is significantly impacted by nutrition. Although it has been demonstrated that following the Mediterranean diet (MD) improves metabolic control with type 2 diabetes in children and adults, its effects on children with T1DM have not received much attention.ObjectiveTherefore, the purpose of this study was to assess whether adherence to Mediterranean diet is associated with better metabolic control and body composition in youths with Type 1 Diabetes Mellitus. The study recruited T1DM patients aged 6-18 years at İstanbul University Cerrahpaşa Medical Faculty Hospital's Pediatric Endocrinology and Diabetes Outpatient Clinic for follow-up.MethodsIn addition to demographic variables, some anthropometric measurements, body composition and biochemical parameters such as: Trygliceride(TG), Total cholesterol (TC), High density lipoprotein cholesterol (HDL-C), Low density lipoprotein cholesterol (LDL-C), (Aspartate aminotransferase) AST, Alanine transaminase (ALT) and glycated hemoglobin (HbA1c) was analyzed. The time in range (TIR) is a value obtained from continuous glucose monitoring. KIDMED was used to assess the participants' adherence with the MD.ResultsGood adherence to the MD resulted in much larger height SDS than poor adherence. Poor adherence to MD resulted in higher body fat than moderate and good adherence.There is positivite correlation between TIR and KIDMED score. Adherence to MD is negatively associated with HbA1c. The regression anaylsis showed that a one-point rise in the KIDMED score would result in a 0.314-unit reduction in the HbA1c value (p < 0.01).ConclusionsIn conclusion, this study found that adhering to MD led to improved anthropometric measurements, biochemistry, and diabetes outcomes. Awareness among children, adolescents with T1DM, and their parents about the benefits of MD compliance for glycemic and metabolic control should be raised.

Supplemental effects of different production methods of pine needle additives on growth performance, intestinal environment, meat quality and serum of broiler chickens

Supplemental effects of different production methods of pine needle additives on growth performance, intestinal environment, meat quality and serum of broiler chickens

Quantitative analysis of the illegal addition of Atenolol in Panax notoginseng based on NIR-MIR spectral data fusion and calibration transfer.

To address the issue of the common illegal addition of Atenolol in Panax notoginseng, we propose an approach that realizes multivariate calibration transfer between different particle sizes based on near-infrared (NIR) and mid-infrared (MIR) spectral data fusion. To achieve high prediction accuracy, we construct three data fusion schemes (full-spectrum fusion, feature-level fusion, and decision-level fusion) that combine NIR and MIR spectral data. Among three data fusion schemes, the feature-level fusion based on the UVE-SPA-PLS model for 120-mesh spectral data achieves optimal prediction accuracy. Here, a Piecewise Direct Standardization (PDS) algorithm has been applied to calibration transfer from 100-mesh and 80-mesh to 120-mesh to reduce the influence of particle size and improve the robustness of the model. The correlation coefficient (R2) of 100-mesh, and 80-mesh prediction sets can reach 0.9861 and 0.9823, respectively. The corresponding root mean square error (RMSE) are 0.1545 and 0.2045, respectively. This research provides a method for illegal additions in precious herbs and reduces the effect of particle size on spectral modeling, enabling high-precision quantitative detection. In addition, it has important application prospects in reducing experimental losses of precious medicinal materials and ensuring the safe use of Chinese and Western medicines, which provides an alternative method for non-destructive testing.

Microscale Structure Additive Manufacturing Control Method Using Localized Electrochemical Deposition

Micro‐nano scale 3D printing is attracting attention as an alternative manufacturing method for a variety of applications in electronic information, biomedical, and sensing devices. Localized electrochemical deposition (LECD) based on nanopipettes is naturally superior and economical for the manufacturing of high‐freedom, impurity‐free metal conductors. However, flexible printing sacrifices roughness and straightness. Therefore, the present study initially establishes a simulation model for LECD and subsequently analyzes the key factors that influence the quality and stability of the deposited structure. Furthermore, an effective solution is proposed to enhance the surface quality. Second, a constant deposition current control method based on fuzzy proportional–intergral–derivaite (PID) is proposed to effectively suppress the fluctuation and improve the stability and quality of the deposited structure. Finally, compared with the open‐loop control method, the proposed constant current control method can reduce the radial fluctuation of the copper pillar structure by 87%, and effectively improve the surface quality of the structure. The proposed method provides a new idea to carry out LCED‐based 3D printing with high resolution at the micro‐nano scale.

طريقة القياس الطيفي المتزامن لتقدير كل من سيبروفلوكساسين وسيفاليكسين باستخدام طريقة H - point للاضافة المعيارية

طريقة سهلة وبسيطة ودقيقة لتقدير السبروفلوكساسين  في وجود السيفاليكسين او العكس بالعكس في خليط منهما. طبقت الطريقة المقترحة بطريقة الاضافة القياسية لنقطة بنجاح في تقدير السبروفلوكساسين بوجود السيفاليكسين كمتداخل عند الاطوال الموجية 240-272.3 نانوميتر وبتراكيز مختلفة من  السبروفلوكساسين 4-18 مايكروغرام . مل-1 وكذلك تقدير السيفاليكسين بوجود السبروفلوكساسين الذي يتداخل باطوال موجية 262-285.7 نانوميتر وبتراكيز مختلفة من السيفاليكسين 6-18 مايكروغرام . مل-1  في مزيج لهما. اظهرت النتائج عدم وجود اي تداخلات من قبل المواد المضافة التي تحتويها الادوية على هذه المركبات وضمن حدود كشف  السبروفلوكساسين يساوي 0.1732 مايكروغرام . مل-1  وعقارالسيفاليكسين  يساوي 0.4620  مايكروغرام . مل-1 . الانحراف القياسي النسبي المئوي اقل من 2% . تم تطبيق الطريقة بنجاح لتقدير العقارين في بعض المستحضرات الصيدلانية. تعتبر الطريقة المقترحة من الطرق القليلة التكلفة وعدم حاجتها الى ادخال الادوية في سلسلة من التفاعلات وتثبيت لظروف التفاعل لغرض تقديرها وانما تتم عن طريق تقدير الدواء بعد اذابته مباشرة في الماء المقطر بوجود العقار الاخر معه في مزيج وتعتبر من الطرق الناجحة في التقدير خاصة للادوية المتقاربة في طيف الامتصاص لها والتي من غير الممكن ايجاد طرق لفصل الدوائين وتقديرهما بصورة ادق من هذه الطريقة المقترحة دون التداخل وتاثير احدهما على الاخر. الطريقة المقترحة في هذا البحث كانت ناجحة في تقدير كل من السبروفلوكساسين والسيفاليكسين في مزيج لهما دون تداخل دواء مع الاخر.

3D printing of personalised stents using new advanced photopolymerizable resins and Ti-6Al-4V alloy

Purpose The development of new advanced materials, such as photopolymerizable resins for use in stereolithography (SLA) and Ti6Al4V manufacture via selective laser melting (SLM) processes, have gained significant attention in recent years. Their accuracy, multi-material capability and application in novel fields, such as implantology, biomedical, aviation and energy industries, underscore the growing importance of these materials. The purpose of this study is oriented toward the application of new advanced materials in stent manufacturing realized by 3D printing technologies. Design/methodology/approach The methodology for designing personalized medical devices, implies computed tomography (CT) or magnetic resonance (MR) techniques. By realizing segmentation, reverse engineering and deriving a 3D model of a blood vessel, a subsequent stent design is achieved. The tessellation process and 3D printing methods can then be used to produce these parts. In this context, the SLA technology, in close correlation with the new types of developed resins, has brought significant evolution, as demonstrated through the analyses that are realized in the research presented in this study. This study undertakes a comprehensive approach, establishing experimentally the characteristics of two new types of photopolymerizable resins (both undoped and doped with micro-ceramic powders), remarking their great accuracy for 3D modeling in die-casting techniques, especially in the production process of customized stents. Findings A series of analyses were conducted, including scanning electron microscopy, energy-dispersive X-ray spectroscopy, mapping and roughness tests. Additionally, the structural integrity and molecular bonding of these resins were assessed by Fourier-transform infrared spectroscopy–attenuated total reflectance analysis. The research also explored the possibilities of using metallic alloys for producing the stents, comparing the direct manufacturing methods of stents’ struts by SLM technology using Ti6Al4V with stent models made from photopolymerizable resins using SLA. Furthermore, computer-aided engineering (CAE) simulations for two different stent struts were carried out, providing insights into the potential of using these materials and methods for realizing the production of stents. Originality/value This study covers advancements in materials and additive manufacturing methods but also approaches the use of CAE analysis, introducing in this way novel elements to the domain of customized stent manufacturing. The emerging applications of these resins, along with metallic alloys and 3D printing technologies, have brought significant contributions to the biomedical domain, as emphasized in this study. This study concludes by highlighting the current challenges and future research directions in the use of photopolymerizable resins and biocompatible metallic alloys, while also emphasizing the integration of artificial intelligence in the design process of customized stents by taking into consideration the 3D printing technologies that are used for producing these stents.

Modelling and characterization of novel honeycomb structures with mass gradient produced by additive manufacturing

The dissemination of additive manufacturing methods has facilitated the design and production of complex structures which have a high strength-to-weight ratio. Cellular materials such as honeycombs have low-weight and high capacity to absorb energy which makes them desirable for the aerospace and automotive industries. The present work covers the study and comparison of metal-based regular honeycombs and functionally graded honeycombs. The latter encompass radial and linear/longitudinal gradients. Three repeating unit cells were studied: regular hexagons, Plateau and lotus. The structures were produced in aluminium using the laser powder bed fusion technique. Selected samples were submitted to a stress-relieving heat treatment. Numerical and experimental methods were used to assess the in-plane compressive properties. Finite element analysis was used to obtain the simulated force–displacement curves of each structure, allowing for the calculation of specific stiffness, absorbed energy and yield strength. The experimental method consisted of the compression of three specimens of three types of regular structures with and without stress-relieving heat treatment. The heat treatment reduced the yield strength and stiffness whilst increasing the ductility of the samples. The mechanical behaviour of the structures was found to depend upon a combined effect of the type of gradient, relative density, and unit cell structure. The results showed that an increase in the relative density would enhance the specific mechanical properties. The lotus configuration displayed the highest specific mechanical properties, as its geometry reduces the stress concentrations. The numerical results showed a reasonable match with the experimental results.

Collective patients’ rights in Polish law. Selected problems

The subject of the analysis in this publication is the problem of patients’ collective rights. In an attempt to find an answer to the questions concerning the essence of these rights and the relation between legal protection against violations of these rights and the protection against violations of individual rights of patients, the analysis covers the legal solutions in the field of patients’ rights in force in Poland, as well as the related literature and administrative court decisions. In this way, it was established that Polish legislation recognises the collective rights of patients understood as the rights of actual and potential patients treated as a collective, i.e. a group that deserves special protection, and establishes an additional method of their protection by way of administration, in which the object of protection is a collective interest (proceedings on practices violating collective patients’ rights before the Patient’s Rights Ombudsman), while some legislation recognises the right to collective patient involvement.

Seed Morphological Analysis in Species of Vitis and Relatives

Seed shape descriptions of species of Vitis have traditionally been based on adjectives comparing overall shape with geometric figures, such as oval, elongated oval, and pear-shaped, corresponding to higher values of the Stummer index (lower aspect ratio) for oval, and lower values of the Stummer index for pear shape (or elongated seeds, with a higher aspect ratio). Analytical, quantitative descriptions of shape have recently been applied to diverse genera of Vitaceae and cultivated varieties of Vitis. Here, we present the application of three quantitative methods to the seed shape description of ten species of the genus Vitis and three species of related genera (Ampelopsis, Cissus and Parthenocissus). First, general seed shape was described through comparisons using geometric models. For this, the average silhouettes of representative seed populations were used as models for shape quantification. Two additional quantitative methods were based on the measurement of bilateral symmetry and curvature analysis in the apex. Quantitative methods for shape description based on similarity with the models give an accurate account of the relationships between Vitis species. The resulting dendrogram is like the dendrogram obtained from a combined analysis using the data from general measurements and curvature and symmetry analyses. The original methods presented here for seed morphology are useful for analyzing the phylogenetic relationships between species of Vitis.

Hygienic efficiency of ultraviolet disinfection of water in centralized drinking and household water supply systems (systematic review)

Introduction. Drinking water supplied to the population must be safe in epidemic terms. However, some viruses and parasites are resistant to the disinfecting effect of traditionally used agents for water treatment. The use of UV irradiation ensures the microbiological safety of water, but there are factors affecting its effectiveness. &#x0D; The purpose of the review was to systematize scientific data on the effectiveness of the use of UV irradiation in relation to drinking water.&#x0D; Materials and methods. The search for scientific publications was carried out using literature databases MedLine/PubMed, Scopus, and Science Direct. The total number of publications was one thousand six hundred forty-six. The criteria for including the report in the systematic review were: publications in Russian or English with an available full-text version; samples for the study are water from centralized water supply systems or specially prepared microorganisms; any type of research evaluating the effectiveness of a wide range of doses of UV irradiation against microorganisms.&#x0D; Results of the analysis of publications. A systematic review included 17 reports about the effect of UV irradiation on bacteria and viruses. The subject of several studies was the resistance of protozoan cysts and helminth eggs to different doses of UV irradiation. According to the results presented in the publication, pathogenic viruses and bacteria, giardia cysts possess of the least resistance to UV irradiation (100% inactivation). 4 log-inactivation was established for Mycobacteia. E. coli and coliphages demonstrate a wide range of indicators of the resistance to ultraviolet radiation due to the diversity of the studied strains. &#x0D; Conclusion. UV disinfection should be used as an additional method in combination with traditional reagents methods of water treatment. It is necessary to study the effect of UV irradiation on helminth eggs and protozoan cysts.

Square root computation in finite fields

AbstractIn this paper, we present a review of three widely-used practical square root algorithms. We then describe a unifying framework where each of these well-known algorithms can be seen as a special case of it. The framework with singular curves offers a broad perspective to compare and further improve the existing methods in addition to offering a new avenue for square root computation algorithms in finite fields.

Nursing students led simulations to improve healthcare workers’ hand hygiene compliance

Background Hand hygiene compliance (HHC) is recognised as a major factor in the prevention of healthcare-associated infections. Healthcare workers (HCWs) compliance is still suboptimal. Simulation as an educational strategy may contribute to improved performance. Objective This study aimed to assess the effect of simulation interventions led by nursing students on HCWs’ HHC. Method A prospective quasi-experimental design with before and after intervention measurements was implemented in an 1150-bed tertiary hospital. Four consecutive periods, measuring before and after HHC, were examined in four hospital divisions. For each division, unique simulation activities were developed and led by nursing students, educators, and hospital leaders. Sixty seven students and 286 healthcare workers, along with two nurse educators, participated in the simulation sessions. HHC of all HCWs in the divisions was assessed by hospital infection control personnel. Results Hospital HHC rose across the four periods in all four divisions during this study. In three out of four periods and divisions, HHC increased significantly more in the simulation intervention groups compared to the overall hospital improvement. Conclusion Student-led simulation for HCWs is an additional effective method to improve HHC. Nursing managers should consider joining forces with nursing educators to enable students to become agents of change in healthcare settings and encourage further collaboration.

Multilateral indices in official price statistics and a new additive splicing method

AbstractA substitution of the traditional data sources allows National Statistical Institutes to collect large samples of product items with corresponding prices recorded over more frequent time periods. For some product categories, a frequent replacement of product items requires a dynamic approach to define a product sample that can be achieved by a monthly update of the sample. In a month-on-month comparison of price changes, bilateral indices must be chained that can lead to a chain drift bias. Multilateral methods are designed to reduce the chain drift, albeit not completely eliminate it. A disadvantage of multilateral methods is its ambiguous interpretability and a revision problem. The main objective of this paper is to show an implementation of multilateral methods for official price statistics in practice. The multilateral GEKS method is decomposed into elementary components that identifies the effect of successive price relatives used in its compilation. An importance of the decomposition is shown when interpreting the GEKS index in the context of official price statistics. We demonstrate that it can lead to an inaccurate public dissemination of the consumer price index. Moreover, we propose a new method for the splice extension that is required to avoid the revision of previously published indices. The method uses a Stein-type shrinkage estimator for the splice extension that is applied additively to the last published index. In the empirical study, we use web scraped data, which are obtained from the Slovak market, for comparison of bilateral and multilateral indices.

Clinical utility of multiplex PCR in the detection of pathogens from sterile body fluids.

The identification of pathogens in normally sterile body fluid (NSBF) is performed using routine culture, the current gold standard. Limitations of this method include sensitivity and increased turnaround times which could potentially delay vital patient care, especially antimicrobial therapy. Adaptations of NSBF in blood culture bottles prompted us to consider the utility of additional methods to bridge the gap in diagnostic challenges for these life-threatening infections. Multiplex molecular panels have been manufactured for use with multiple specimen types including blood, cerebral spinal fluid, stool, and respiratory. Therefore, the purpose of this study was to evaluate the off-label use of ePlex Blood Culture Identification Panels on positive body fluids grown in blood culture bottles for the detection of microorganisms for research purposes.

Efforts to Improve Ship Main Engine Efficiency and Ensure Its Safety

Efforts to improve ship main engine efficiency and ensure its safety have been ongoing endeavors in the maritime industry, driven by the dual imperatives of economic competitiveness and environmental sustainability. The main engine of a ship serves as its heart, propelling it through the vast expanses of the world's oceans while consuming significant quantities of fuel. Therefore, enhancing its efficiency directly impacts operational costs and reduces the environmental footprint associated with maritime transport. One primary focus of improving main engine efficiency lies in the advancement of engine design and technology. Over the years, there has been a concerted effort to develop engines that offer higher power output while consuming less fuel. This has led to the emergence of more efficient engine designs, such as slow-speed two-stroke engines and high-pressure, common-rail fuel injection systems. These innovations optimize fuel combustion, minimize energy losses, and enhance overall propulsion efficiency. Moreover, ongoing research and development efforts are aimed at harnessing alternative fuels and propulsion technologies to further enhance efficiency and reduce environmental impact. LNG (liquefied natural gas) has gained traction as a cleaner-burning fuel alternative, offering significant reductions in sulfur oxides (SOx) and nitrogen oxides (NOx) emissions compared to traditional marine fuels. Additionally, the exploration of hybrid and electric propulsion systems holds promise for reducing greenhouse gas emissions and improving overall energy efficiency. Ensuring the safety of ship main engines is paramount to the reliability and operability of vessels at sea. A robust maintenance regimen is essential to identify and address potential issues before they escalate into costly failures or pose safety hazards. Routine inspections, preventive maintenance, and condition monitoring play crucial roles in detecting abnormalities, wear, and tear, allowing for timely interventions and repairs. Furthermore, advancements in predictive maintenance technologies, such as remote monitoring systems and data analytics, enable real-time assessment of engine performance and early detection of potential malfunctions. The ARAS method lacks the capability to handle ambiguity, subjective judgments, and coping with incomplete information. It relies on unbiased good judgment to address uncertainty, particularly in unknown and complex conditions, making it a valuable approach. The method provides options for sequencing and analysis based on facts and special cases, allowing selectors to express both optimistic and rational attitudes. While it appears numerical on paper, it offers the flexibility to create e-learning pathways tailored to individual needs, emphasizing the importance of mastery. The proposed integrated software for this method is both cost-effective and validated for suitability, ensuring its practical application. Advanced Engine Designs, Improved Monitoring and Maintenance, Enhanced Fuel Management, Innovative Propulsion Technologies, Automation and Remote Monitoring and Advanced Materials and Coatings. the Rank Efforts to improve ship Main Engine efficiency and Ensure its safety for Additive Ratio Assessment method. Advanced Materials and Coatings is showing the highest rank and Advanced Engine Designs is showing the lowest rank. Fuel Efficiency Improvement, Emissions Reduction, Reliability and Maintenance Costs and Safety Performance.

The Emerging Star of Carbon Luminescent Materials: Exploring the Mysteries of the Nanolight of Carbon Dots for Optoelectronic Applications.

Carbon dots (CDs), a class of carbon-based nanomaterials with dimensions less than 10nm, have attracted significant interest since their discovery. They possess numerous excellent properties, such as tunability of photoluminescence, environmental friendliness, low cost, and multifunctional applications. Recently, a large number of reviews have emerged that provide overviews of their synthesis, properties, applications, and their composite functionalization. The application of CDs in the field of optoelectronics has also seen unprecedented development due to their excellent optical properties, but reviews of them in this field are relatively rare. With the idea of deepening and broadening the understanding of the applications of CDs in the field of optoelectronics, this review for the first time provides a detailed summary of their applications in the field of luminescent solar concentrators (LSCs), light-emitting diodes (LEDs), solar cells, and photodetectors. In addition, the definition, categories, and synthesis methods of CDs are briefly introduced. It is hoped that this review can bring scholars more and deeper understanding in the field of optoelectronic applications of CDs to further promote the practical applications of CDs.

BinWaves: An additive hybrid method to downscale directional wave spectra to nearshore areas

Accurate and timely early warning systems are a vital component in mitigating the risks faced by coastal communities worldwide. Unlike aggregated wave parameters, information extracted from the complete directional wave spectra is often indispensable in the development of such systems in multi-modal environments, such as remote islands, where concurrent waves from various directions are common. Dynamically simulating the wave propagation, although accurate, can be computationally demanding and time-consuming, particularly for resource-constrained communities. In this study, we introduce as an alternative, a novel additive hybrid model known as BinWaves. This model relies on the propagation of a reduced number of monochromatic wave systems and linear wave theory, facilitating the efficient reconstruction of the full directional wave spectra in nearshore areas. To showcase the capabilities of BinWaves, we have implemented the system in the Pacific Islands of Samoa and American Samoa and validated it against full spectral numerical simulations and available buoy data. Given its similar accuracy and higher computational efficiency when compared with dynamic wave models, BinWaves has proven to be a great alternative for reconstructing historical time series, or, more importantly analysing climate change scenarios, tasks that go beyond the capacities of small islands developing states.

Incidence of Skin Melanoma in the Precarpathian Region. Overview of Trends of the Last Decade and Demonstration of Clinical Cases

Introduction. Melanoma is a malignant tumour that develops from melanocytes and in most cases affects the skin. Although melanomas are usually highly pigmented, they can also be amelanotic. In the structure of mortality from skin cancers, melanoma takes the leading place with a rate of 90%.&#x0D; Even small tumours can metastasise. Under such conditions, early diagnosis is of paramount importance, as its main task is to detect and eliminate the primary lesion before it becomes deeply invasive.&#x0D; However, naked eye examination is limited to a sensitivity of about 75%, and is more effective when the tumour size is more than 5 mm. Among the additional examination methods, dermoscopy has become widespread. The technique has been introduced into the world dermatological practice for a long time and is actively used in Ukraine, demonstrating high efficiency at a relatively low cost of equipment.&#x0D; Materials and methods. Statistical data on 901 cases of newly diagnosed skin melanoma in the Ivano-Frankivsk region were obtained from the bulletins of the National Cancer Registry of Ukraine for the period 2012-2022.&#x0D; Results and discussion. There has been a gradual decline in the number of undetermined melanoma cases according to the TNM classification. The indicator has changed by more than 50 percentage points, with the lowest values at the turn of 2017-2018, and a subsequent increase of 10 percentage points until 2022.&#x0D; The number of reported cases of skin melanoma where the primary tumour distribution corresponds to the TI-TII category has increased, with a peak value of 92.7% as of 2017.  However, in the period 2019-2022, the trend changed dramatically. Since 2019, cases of skin melanoma diagnosed in the state of spread, which corresponds to category TIII, have prevailed – 51.1%, while cases of TI-TII accounted for 32.2%&#x0D; The global COVID pandemic that began in 2019 led to negative trends, contributed to the isolation of patients, and complicated their access to specialists. russia’s full-scale invasion of Ukraine in 2022 exacerbated this impact, which was reflected in the indicators of 2019-2022.&#x0D; The clinical cases from our practice in 2018 and 2021 were presented in the article.&#x0D; Conclusions. Melanoma is a malignant tumour with a high metastatic potential, with a better prognosis for recovery if diagnosed early. The increase in the number of registered cases of skin melanoma with primary tumour distribution in category TI-TII in 2013-2017 may indicate the effectiveness of measures aimed at promoting self-examination and timely treatment of patients for specialised care. The global COVID-19 pandemic and the full-scale russian invasion of Ukraine led to an increase in the proportion of melanomas diagnosed at the stage when the prevalence of the primary tumour corresponds to category TIII. It is necessary to resume measures that have had a positive impact on the health of residents of the Precarpathian region.

Weight telemonitoring of heart failure versus standard of care in a real-world setting: Results on mortality and hospitalizations in a 6-month nationwide matched cohort study.

Evaluating the benefit of telemonitoring in heart failure (HF) management in real-world settings is crucial for optimizing the healthcare pathway. The aim of this study was to assess the association between a 6-month application of the telemonitoring solution Chronic Care Connect™ (CCC) and mortality, HF hospitalizations, and associated costs compared with standard of care (SOC) in patients with a diagnosis of HF. From February 2018 to March 2020, a retrospective cohort study was conducted using the largest healthcare insurance system claims database in France (Système National des Données de Santé) linked to the CCC telemonitoring database of adult patients with an ICD-10-coded diagnosis of HF. Patients from the telemonitoring group were matched with up to two patients from the SOC group based on their high-dimensional propensity score, without replacement, using the nearest-neighbour method. A total of 1358 telemonitored patients were matched to 2456 SOC patients. The cohorts consisted of high-risk patients with median times from last HF hospitalization to index date of 17.0 (interquartile range: 7.0-66.0) days for the telemonitoring group and 27.0 (15.0-70.0) days for the SOC group. After 6 months, telemonitoring was associated with mortality risk reduction (hazard ratio [HR] 0.71, 95% confidence interval [CI] 0.56-0.89), a higher risk of first HF hospitalization (HR 1.81, 95% CI 1.55-2.13), and higher HF healthcare costs (relative cost 1.38, 95% CI 1.26-1.51). Compared with the SOC group, the telemonitoring group experienced a shorter average length of overnight HF hospitalization and fewer emergency visits preceding HF hospitalizations. The results of this nationwide cohort study highlight a valuable role for telemonitoring solutions such as CCC in the management of high-risk HF patients. However, for telemonitoring solutions based on weight and symptoms, consideration should be given to implement additional methods of assessment to recognize imminent worsening of HF, such as impedance changes, as a way to reduce mortality risk and the need for HF hospitalizations. Further studies are warranted to refine selection of patients who could benefit from a telemonitoring system and to confirm long-term benefits in high-risk and stable HF patients.

Comparing application methods of reishi mushroom (Ganoderma lucidum) extract in deep-fried meatballs: impact on heterocyclic aromatic amine formation.

The present research was conducted to investigate the impact of reishi mushroom extract (RME) on the formation of heterocyclic aromatic amines (HAAs) in meatballs. Sample preparations involved applying RME using either the spreading or addition method, with varying concentrations (0%, 0.25%, 0.5%, and 1% of RME), followed by deep-frying at temperatures of 150 and 190 °C for 3 min. The types and levels of HAAs varied based on the frying temperature, method of extract application, and the extract concentration. Notably, total HAA contents increased with rising the frying temperature (P < 0.01) and varied from undetectable levels to 4.91 ng g-1 across all analyzed meatballs. The addition method was more effective than the spreading method (P < 0.01), and among the concentrations tested 0.25% RME exhibited the highest efficacy in reducing total HAAs (P < 0.05). Furthermore, the addition method inhibited lipid oxidation more efficiently compared to the surface spreading method (P < 0.05). This study demonstrated that RME had mitigating effects on HAAs depending on the concentration and frying conditions in deep-fried meatball samples. © 2024 Society of Chemical Industry.