Significant Differences In Quality Research Articles

Development and outcomes of surgical and urological kidney transplantation programs in Germany: a total population analysis from 2006 to 2021

PurposeKidney transplantation (KT) is the most frequently performed organ transplantation. In Germany, KT is performed in urology and surgery departments with unknown consequences of this parallel structure. The aim of the study was to compare the development and outcome of KT in urology and surgery departments.MethodsOn an institutional level, we analyzed the annual caseload from 2006 to 2021 with the reimbursement. INFO tool based on hospitals’ quality reports (Reimbursement Institute, Hürth, Germany). For outcome comparison we extracted raw data from the transplantation centers' quality reports (Deutsche Stiftung Organtransplantation, DSO).ResultsA total of 23,599 cases (17,781 deceased donor and 5,818 living donor KTs) were included. The total number of KTs decreased from 1851 in 2006 to 1701 in 2021 (− 8%; p = 0.12). The total number of urological KTs decreased from 592 cases in 2006 to 395 cases in 2021 (− 33.3%; p = 0.01). Further analysis revealed no significant differences between intra- and postoperative complications and graft quality at one year for deceased donor KTs (DDKT) although differences in immediate renal function and graft quality at discharge could be observed. There were no significant differences in immediate renal function and graft quality at discharge for living donor KTs (LDKT) between the specialties.ConclusionKTs performed in urology departments declined between 2006 and 2021. Nevertheless, intra- and postoperative complications as well as long-term function did not differ between surgical and urological KT programs. Hence, an interdisciplinary approach, especially considering the upcoming challenges in KT as, e.g., robot-assisted surgery seems reasonable.

Effects of Land Use Changes on Water Quality and Flooding in Upper Nan River, Thailand

Land use change is a crucial issue when considering global dynamics and their interactions with the hydrologic properties of the soil and water management in catchment areas. Between 2017 to 2018, research was conducted on the effects of land use changes on water quality and flooding in the upper Nan River Basin. In Nan Province, land use is distributed as follows: natural forest protection covers 61.77 percent, agricultural purposes account for 35.23 percent, residential areas constitute 1.95 percent, and water usage represents 0.7 percent. The results indicate that the expansion of urban and agricultural regions has impacted the water quality of the river basin. A significant positive correlation was observed between agricultural land use and total phosphate content, while a strong negative correlation was found between forest land and total phosphate content. Residential occupancy and water quality demonstrated a strong correlation with total coliform contents. There were significant differences in water quality between the wet and dry seasons, particularly temperature, turbidity, total solids, total dissolved solids, and conductivity. Moreover, increases in annual and seasonal stream flow amounts were noted in relation to water levels and residential and construction projects.

Effect of Integrated Yoga as an Adjuvant to Standard Care for Panic Disorder: A Randomized Control Trial Study.

Individuals wrestling with panic disorder (PD) know all too well its debilitating impact. Sudden, intense fear episodes disrupt lives and erode well-being. Fortunately, integrating complementary therapies like yoga with standard treatment offers a glimmer of hope for improved outcomes. Yoga's unique blend of physical postures (asanas), breathing exercises (pranayama), and meditative practices holds promise for mitigating anxiety and fostering a sense of inner peace, potentially making it a valuable tool in the fight against panic disorder. This study investigated the effect of yoga as an adjuvant to standard care for panic disorder. Sixty-four panic disorder patients of both genders previously diagnosed with panic disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria were randomly assigned to the yoga group (n = 32) and the control group. The yoga group participated in integrated yoga sessions lasting 60 minutes, five days a week, for 12 weeks. Both groups received standard care. Pre- and post-intervention data were collected for HAM-A and WHOQOL-BREF. The yoga group exhibited a significant reduction in HAM-A scores (Pre: 49.13 ± 4.55, Post: 13.53 ± 5.54, p < 0.001) with a substantial effect size of 7.02. Quality of life significantly improved across all domains (physical, psychological, social, and environmental) in the yoga group (p < 0.001), demonstrating effect sizes ranging from 4.11 to 4.57. Control group participants also experienced improvements, though less pronounced. Between-group comparisons revealed significant differences in anxiety reduction (p = 0.042) and quality of life enhancement (p < 0.001), favouring the yoga group. The results suggest that yoga can be a valuable complementary or alternative approach to traditional treatments for anxiety disorders.

Remnant-Sparing Anterior Cruciate Ligament Reconstruction Results in Similar Clinical, Functional, and Quality-of-Life Outcomes to Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction

To compare a large cohort of patients who underwent remnant-sparing anterior cruciate ligament reconstruction (rACLR) with a matched group of patients who underwent anatomic single-bundle anterior cruciate ligament reconstruction (ACLR) with respect to clinical laxity, patient-reported outcomes, and functional testing. Patients who underwent rACLR between January 2010 and December 2015 were matched according to age, sex, body mass index, and graft type to patients who underwent ACLR. The primary outcome measure was the ACL Quality of Life (ACL-QOL) score at final follow-up of 24 months. Secondary outcomes included functional tests and clinical laxity measurements at 6, 12, and 24 months postoperatively. Concurrent intra-articular pathology at the time of surgery and postoperative complications were also recorded. Statistical analyses included the dependent t test and the Wilcoxon signed rank test. A total of 210 rACLR patients were successfully matched to a corresponding cohort of 210 ACLR patients. There were no statistically significant differences in ACL Quality of Life (ACL-QOL) or functional testing results between the groups; however, scores in both groups showed a steady and statistically significant improvement over time. A statistically significant difference was noted with respect to the Lachman test findings, favoring the rACLR cohort (Z= -2.79, P= .005); no between-group difference was seen for the pivot-shift test (Z= -0.36, P= .72). The rACLR group had a significantly lower rate of concurrent meniscal and chondral injury. There was no difference in complications between the groups (Z= -0.49, P= .63). There was no difference in patient-reported or functional testing outcomes in patients undergoing remnant-sparing compared with anatomic single-bundle ACLR. There was, however, a significantly lower rate of positive Lachman test findings after rACLR. Furthermore, the rate of concurrent meniscal and chondral pathology was lower in the rACLR group. Level III, retrospective cohort study.

Development of Flipped Classroom Teaching Program on Children’s Basic Gymnastics in Higher Vocation College

Background and Aim: The research aims to design the flipped classroom teaching of children's basic gymnastics in Chinese higher vocational colleges, compare children’s basic gymnastics skills between using a flipped classroom teaching program and a traditional teaching program, and then promote the gymnastics teaching in Chinese higher vocational colleges. Materials and Methods: The sample of this research was 60 students from two natural classes of “Children's Basic Gymnastics” in the 2023 academic year of Dongguan Vocational and Technical College. 60 students which was divided into an experimental group and a control group. The experimental group was using the flipped classroom teaching program, the control group was using the traditional teaching program. A questionnaire survey method and an In-depth interview method were conducted to develop the teaching content of children's basic gymnastics course. The experimental period was 8 weeks, including 24 theory classes and 26 practice classes. Using mean, standard deviation, and independent sample T-test to analyze the data. Result: The result shows that the total performance and skill performance of the experimental group and the control group are significantly different, and the experimental group is better than the control group. However, there is no significant difference in the physical quality of the two groups. Conclusion: In the teaching of children's basic gymnastics in higher vocational colleges, the effect of the flipped classroom teaching program is better than the traditional teaching program, which has a significant effect on the children's basic gymnastics learning performance of students.

Impact of Medical School on the Relationship between Nutritional Knowledge and Sleep Quality-A Longitudinal Study of Students at Wroclaw Medical University in Poland.

The aim of this study was to investigate the impact of the first year of medical school on the relationship between nutritional knowledge and sleep. To achieve this, first-year medical students at Wroclaw Medical University were invited to participate in the study during both the initial and final months of their first academic year. The study included 570 students in the initial period and 705 in the latter. The research questionnaire comprised the KomPAN, assessing nutritional knowledge, and the Pittsburgh Sleep Quality Index (PSQI), evaluating sleep quality. The majority of students demonstrated at least sufficient nutritional knowledge, while approximately two-thirds of students experienced poor sleep in both periods. Notably, sleep quality further deteriorated in the second period (PSQI total score: 6.86 vs. 7.38, p = 0.0157). This change was influenced mainly by a decrease in sleep duration and an increase in the use of sleep medications (both p < 0.0001). The significant difference in overall sleep quality between different nutritional knowledge levels emerged only in the second semester, where students with the highest nutritional knowledge slept the best, while those with the lowest slept the worst (p = 0.0001). Crucially, in both periods, the use of sleep medications was highest among individuals with insufficient nutritional knowledge. Throughout the academic year, the usage increased for all except those with the highest nutritional knowledge, who exhibited the best sleep (p < 0.0001). The escalating use of sleep medications among medical students warrants greater attention, and leveraging the relationship between nutritional knowledge and sleep could prove beneficial, as positive habits in one domain may positively influence the other.

The effect of using mobile phone applications for intelligent pelvic floor rehabilitation on elderly female patients with stress urinary incontinence.

Stress urinary incontinence is prevalent among women and the incidence increases with age. To explore the effect of intelligent pelvic floor muscle rehabilitation on elderly female patients with incontinence. A total of 209 patients with urinary incontinence who were treated with pelvic floor muscle rehabilitation at Peking University International Hospital from September 2020 to January 2022 were selected by convenient sampling. All subjects were divided into the 50-60 year old patient group (n= 51) and over 60 years old patient group according to age (n= 158). The subjects of different age group were divided into an experimental group and a control group. The patients in the control group received routine nursing and health education, and the patients in the observation group received a combination of mobile application use and smart dumbbells. Based on this, we constructed an intervention model for intelligent, continuous pelvic floor rehabilitation. After 7 and 12 weeks, pelvic floor muscle function knowledge and exercise compliance in the two groups were evaluated. The improvement of urinary incontinence symptoms, pelvic floor muscle strength grades and quality-of-life scales were evaluated. The results showed that pelvic floor knowledge and exercise compliance in the experimental group were better than in the control group at 7 and 12 weeks after intervention (P< 0.05). There was no significant difference in pelvic floor muscle strength and quality of life between the two groups at 7 weeks after intervention (P> 0.05). However, there was a significant difference in pelvic floor muscle strength and quality of life between the two groups at 12 weeks after intervention (P< 0.05). There was no significant difference between different age groups. The intelligent pelvic floor rehabilitation model that combines a mobile application with smart dumbbells can maintain and strengthen the clinical treatment effect for elderly patients with urinary incontinence.

Engaging healthcare professionals and patient representatives in the development of a quality model for hospitals: a mixed-method study.

Top-down and externally imposed quality requirements can lead to improvement but do not seem as sustainable as intended. There is a need for a quality model that intrinsically motivates healthcare professionals to contribute to quality and safe care in hospitals. This study shows how a quality model that matches the identity and the quality vision of the organization was developed. A multimethod design with three phases was used in the development of the model at a large teaching hospital in Belgium. In the first phase, 14 focus groups and 19 interviews with staff members were conducted to obtain an overview of the quality and safety challenges, complemented by a plenary discussion with the members of the patient advisory council. In the second phase, the challenges that had been captured were further assessed using a hospital-wide survey for all hospital staff. Finally, a newly established quality review board (with internal and external stakeholders) critically evaluated the input of Phases 1 and 2 and defined the basic quality standards to be implemented in the hospital. A first evaluation 2 years after the implementation was conducted based on (i) patients' perceptions of quality of care and patient safety by publicly available indicators collected in 2016, 2019, and 2022 and (ii) staff experiences and perceptions regarding the acceptability of the new model gathered through (grouped) interviews and an open questionnaire. The quality model consists of eight broad themes, including norms for the hospital staff (n = 27), sustained with quality systems (n = 8), and organizational support (n = 6), with aid from adequate management and leadership (n = 6). The themes were converted into 46 standards. These should be supported within a safe, efficient, and caring work environment. The new model was launched in the hospital in June 2021. The evaluation shows a significant difference in quality and safety on different dimensions as perceived by hospitalized patients. The perceived added value of the participatory model is a better fit with the needs of employees and the fact that the model can be adjusted to the specific context of the different hospital departments. The lack of hard indicators is seen as a challenge in monitoring quality and safety. The participation of various stakeholders inside and outside the organization in defining the quality challenges resulted in the creation of a participatory quality model for the hospital, which leads towards a better-supported quality policy in the hospital.

Optimization of the "Perth CT" Protocol for Preoperative Planning and Postoperative Evaluation in Total Knee Arthroplasty.

Background and Objectives: Total knee arthroplasty (TKA) has become the treatment of choice for advanced osteoarthritis. The aim of this paper was to show the possibilities of optimizing the Perth CT protocol, which is highly effective for preoperative planning and postoperative assessment of alignment. Materials and Methods: The cross-sectional study comprised 16 patients for preoperative planning or postoperative evaluation of TKA. All patients were examined with the standard and optimized Perth CT protocol using advance techniques, including automatic exposure control (AEC), iterative image reconstruction (IR), as well as a single-energy projection-based metal artifact reduction algorithm for eliminating prosthesis artifacts. The effective radiation dose (E) was determined based on the dose report. Imaging quality is determined according to subjective and objective (values of signal to noise ratio (SdNR) and figure of merit (FOM)) criteria. Results: The effective radiation dose with the optimized protocol was significantly lower compared to the standard protocol (p < 0.001), while in patients with the knee prosthesis, E increased significantly less with the optimized protocol compared to the standard protocol. No significant difference was observed in the subjective evaluation of image quality between protocols (p > 0.05). Analyzing the objective criteria for image quality optimized protocols resulted in lower SdNR values and higher FOM values. No significant difference of image quality was determined using the SdNR and FOM as per the specified protocols and parts of extremities, and for the presence of prothesis. Conclusions: Retrospecting the ALARA ('As Low As Reasonably Achievable') principles, it is possible to optimize the Perth CT protocol by reducing the kV and mAs values and by changing the collimation and increasing the pitch factor. Advanced IR techniques were used in both protocols, and AEC was used in the optimized protocol. The effective dose of radiation can be reduced five times, and the image quality will be satisfactory.

COMPARING NUTRIENT MANAGEMENT STRATEGIES IN DECOUPLEDAQUAPONICS SYSTEMS FOR GROWING Cannabis sativa

Aquaponics is an integrative aquaculture system that uses waste produced by farmed aquatic animals to supply nutrients to a hydroponic system for growing plants. The growth of Cannabis sativa in aquaponic systems displays the potential for well-managed aquaponic systems to produce a variety of crops. In this study, we examined the impact of nutrient management techniques on the growth of Cannabis sativa in a decoupled aquaponic system. Four treatments were assessed: (1) recirculating treatment using aquaponic system effluent plus nutrient supplementation (AqRN), (2) flow-through treatment with aquaponic system effluent (AqFT), (3) flow-through hydroponic treatment with aquaponic effluent supplementation (10% by volume) (AqHydro), and (4) flow-through hydroponic control treatment (Hydro). The results indicated that the AqFT and AqHydro systems provided comparable yields to the hydroponic system, while the AqRN treatment exhibited reduced trimmed yield with signs of plant stress and nutrient deficiency appearing toward the end of the trial. AqFT produced fewer terpenes than the other treatments and may benefit from micronutrient supplementation. AqHydro and Hydro treatments displayed no significant difference in water quality or yield. Notably, AqHydro treatment showed reduced water consumption, underscoring the potential for aquaculture effluent supplementation to cost-effectively enhance fertigation in hydroponic systems.

Analisis Perbandingan Kualitas Produk, Strategi Promosi Dan Persepsi Konsumen Antara Toko Putri Agata Dan Putri Idris Di Kota Bima

Abstract. This study aims to determine whether there are significant differences in product quality, promotion strategies and consumer perceptions between Putri Agata and Putri Idris stores in Bima City. This type of comparative research with primary data in and sourced from the research instrument in the form of a Likert-scale questionnaire so that the type of data used is quantitative data. The population used in this study is all consumers who have visited Putri Agata's shop and have visited Putri Idris' shop in Bima City whose number is unknown (Unknown Population). The sample in the comparative study was 30 people for each object or research subject, so that the total sample size was 60 respondents consisting of 30 respondents at Putri Agata Shop and 30 respondents at Putri Idris Shop in Bima City. Data were collected by observation, questionnaires and literature study. Data analysis techniques using validity test, reliability test and Independent Sample Test. The results showed that there were significant differences in product quality, promotion strategies and consumer perceptions between Putri Agata and Putri Idris Stores in Bima City.

Relationship between self-esteem and quality of life in middle-aged and older patients with chronic diseases: mediating effects of death anxiety

BackgroundMany studies have explored the relationship between self-esteem and quality of life. However, few studies have elucidated the mechanisms underlying the relationship between self-esteem and quality of life in middle-aged and older patients with chronic diseases. The present study aimed to explore the mediating role of death anxiety in this relationship.MethodsMiddle-old-aged patients with chronic diseases were selected as the respondents by using a multi-stage sampling method, random number table method from October 2021 to February 2022 in the Second Affiliated Hospital of Zhejiang University School of Medicine. The Cumulative Disease Rating Scale, the Self-Esteem Scale (SES), the Chinese version of the Death Anxiety Scale (CT-DAS), and the Simplified version of the Quality of Life Scale (SF-12) were used as the researching tools to conduct the survey. SPSS26.0 was used to analysis data. AMOS 23.0 software was used to construct structural equation modeling.Results294 valid questionnaires were collected. There were significant differences in quality of life among middle-aged and elderly patients with chronic diseases who have different physical activities, socialization, and chronic pain (P < 0.01); Self-esteem was positively associated with quality of life (r = 0.330, P < 0.01), self-esteem was negatively associated with death anxiety (r = -0.222, P < 0.01), and death anxiety was negatively associated with quality of life (r = -0.263, P < 0.01); Death anxiety partially mediated the relationship between self-esteem and quality of life, with the mediating effect accounting for 18.40% of the total effect.ConclusionDeath anxiety partially mediates the relationship between self-esteem and quality of life. Interventions to improve self-esteem and reduce death anxiety should be used to improve the quality of life of middle-aged and senior patients with chronic diseases.

An optimization strategy for charged aerosol detection to linearize the detector response in the multicomponent quantitative analysis of Qishen Yiqi dripping pills.

Charged aerosol detection, increasingly recognized for quantifying pharmaceutical compounds with weak ultraviolet absorption, is a universal detection technique for high-performance liquid chromatography (HPLC). Charged aerosol detection shows a non-linear response with increasing analyte concentration over a wide range, limiting its versatility in various analytical applications. In this work, a co-optimization strategy for power function value (PFV) and power laws was proposed and applied to broaden the linear range of the standard curve of saccharides in Qishen Yiqi dripping pills using the HPLC-charged aerosol detection (HPLC-CAD) method. Power function values for all analytes were optimized based on empirical models. Subsequently, the optimum power laws were investigated based on a preferred PFV. Additionally, various regression equations were evaluated to ensure the accuracy and precision of the results. With the optimized PFV and power law, the ordinary least squares model demonstrated a satisfactory fit. The optimal PFVs and power laws expanded the standard curve's linear range by 2.7 times compared to default settings, reducing model uncertainty. This paper presents a vital method for developing a multi-component quantitative HPLC-CAD approach without external data transformation outside the provided software, especially suitable for analytical applications of traditional Chinese medicine with significant quality differences.

Coalimentação utilizando alimento vivo e ração na primeira alimentação do pequeno bagre Trachelyopterus galeatus (Linnaeus 1766)

ABSTRACT This study evaluated the effect of co-feeding with commercial feed and live food (enriched or not with microalgae) on the growth and survival of Trachelyopterus galeatus larvae. Five treatments were carried out: commercial feed as a control (F); brine shrimp nauplii (BS); brine shrimp nauplii enriched with Chaetoceros sp. Microalgae (BSM); combined feed with brine shrimp nauplii (F+BS) and combined feed with brine shrimp nauplii enriched with microalgae (FBSM). The larvae (5.00±0.02 mg and 5.95±0.33mm) were reared for 30 days. There were no significant differences (P&gt;0.05) in water quality between treatments, but there were significant differences in weight, weight gain and survival. The F+BS and F+BSM treatments, which involved co-feeding, showed the best results in final weight (0.168±0.004g and 0.169±0.007g) and weight gain (0.1278±0.004 g and 0.1294±0.007g), respectively. The treatments with live food, enriched or not, showed high survival rates of over 73%, with no significant differences between them. On the other hand, the exclusive use of feed resulted in low survival (36.7 ± 9.53%), indicating that this may result in low growth and make the production of T. galeatus larvae unfeasible.

Quality of life in correlation with presurgical psychological assessment of surgically treated patients with class III skeletal deformities

Introduction/Objective Quality of life before and after mono and bimaxillary surgery may vary from patient to patient depending on psychological assessment score. The aim of this study was to compare the quality of life before and six months after orthognathic surgery in correlation with a presurgical psychological assessment of patients with class III skeletal deformity. Assuming that patients with low psychological assessment results might have a lower quality of life after surgery despite successful treatment results. Methods For this prospective study 30 patients (19 female,11 male) were included. Psychological assessment was obtained before, and quality of life before and after surgery in skeletal deformity class III patients. Statistical analysis was done with a statistical package for social science - SPSS. Results Overall quality of life after surgery significantly improved in all patients. Surgical correction of class III deformities provided a significant improvement independent of the type of surgery and the severity of the deformity, as well as gender and age. There were significant differences in post-surgical quality of life scores between patients with good and poor psychological assessment scores, related to social disability (p &lt; 0.05). Conclusion Patients with lower preoperative psychological scores experienced a lesser improvement in quality of life, particularly in the domain of social disability. This suggests that additional psychological treatment of these patients could further improve the beneficial effects of orthognathic surgery on postoperative quality of life.

Micro-Morphological Features of the Er:YAG-Lased Interface in Primary Teeth: 12 Months Randomized Split-Mouth Trial.

Despite considerable improvements in oral health, dental caries remains a public health issue. The most frequently used technique to remove caries is through rotating drills. New minimally invasive strategies were introduced into dental practice, such as the use of lasers to perform highly controlled tissue ablation while limiting pain and discomfort, as well as overcoming drill phobia. The objective was to assess and compare treatment with Er:YAG laser versus a conventional rotary treatment during cavity preparation in children with regard to bond interface quality. In a randomized trial using a split-mouth design, 40 (9-12 year-old) children with 80 carious primary molars were included. The cavity in one quadrant was treated conventionally using a bur, while the cavity in the other quadrant was prepared using an Er:YAG laser. Twenty restored teeth were extracted after one year. The SEM histological evaluation of bond interface results demonstrated no statistically significant differences between restorations placed following bur preparation and those placed following the Er:YAG laser preparation, and both treatments demonstrated promising results. Over a one-year period, no statistically significant differences in the bond interface quality were observed following class I cavity preparation in primary teeth with either Er:YAG laser or a conventional rotary bur.

Compost Amendment Enhances Leaf Gas Exchange, Growth, and Yield in Water-challenged ‘Crimson Giant’ Red Radish (Raphanus sativus L.)

Red radish is a nutritious root vegetable crop that has a short production cycle. Water deficit limits plant productivity, affecting its quantity and quality. Compost amendment offers a potential solution to mitigate water deficit effects. This study assessed the impact of compost manure rates (0%, 50%, 75%, and 100%) and irrigation treatments (40%, 60%, 80%, and 100% of evapotranspiration) on ‘Crimson Giant’ red radish production. Significant differences in growth and quality were observed among these treatments. Compost rates of 75% and 100% improved leaf gas exchange, plant growth (leaf count, fresh weight, dry weight, and area; stem length), root development, total yield (root fresh weight, dry weight, diameter, and length), and root quality (vitamin C and total soluble solid and titratable acidity). The 100% compost and 100% irrigation combination achieved the highest yields. Under water deficit, applying 75% or 100% compost with 80% irrigation conserved 20% of water while maintaining radish output. Overall, compost amendment effectively enhanced red radish growth and production under water deficit.

GENDER DIFFERENCES IN SLEEP QUALITY, FATIGUE, AND DEPRESSIVE SYMPTOMS AMONG ADULTS OVER 50 WITH TOTAL BLINDNESS

Abstract Visual limitations and blindness have been associated with poor sleep quality, increased fatigue, and a higher risk of depressive symptoms in the aging population. In this study, we aimed to investigate sleep quality, fatigue, and depressive symptoms in US adults over the age of 50 with total blindness, and to examine potential gender differences. The study included 88 participants (59 females, mean age 61.34±8.04; 19 males, mean age 62.32±8.17) who completed an online survey providing data on socioeconomic status, comorbidities, sleep quality, fatigue, and depressive symptoms. Descriptive and bivariate analyses were performed using R software and its required packages. While females slept less than males (t = -2.98, p &amp;lt;.05), there was no significant difference in sleep quality (t = 1.82, p = .08) or depressive symptoms (t = 0.51, p = 0.62). Fatigue levels were significantly higher in females than males (t = 2.53, p &amp;lt;.05). Poorer sleep quality was associated with increased fatigue and severe depressive symptoms in both subgroups. The findings indicate potential gender effects, however, given the small sample size and limitations of the cross-sectional design, further longitudinal research is needed to fully understand gender differences in sleep quality, fatigue, and depressive symptoms among adults over 50 with visual limitations.

ETHNIC DIFFERENCES IN DIET QUALITY AND COGNITION AMONG OLDER ADULTS

Abstract Research indicates an association between diet quality and cognitive outcomes. However, the association across ethnicities is not well understood. This study identifies differences in diet quality using the Healthy Eating Index (HEI-2015) score by ethnicity and its relationship to cognitive outcomes within ethnic groups. The sample includes 6,845 older adults from the 2014 wave of the Health and Retirement Study and nutrition data from the 2013 supplemental Health Care and Nutrition Survey. Cognitive functioning was measured based on a scale ranging from 0-27. Overall, 11% of respondents had a good quality diet, indicated by a HEI-2015 score of 81-100. Diet quality was significantly better among Hispanics than either non-Hispanic Blacks or Whites (p&amp;lt; 0.001 in both comparisons). Diet quality was not significantly different between Whites and Blacks (p=0.82). In a regression model controlling for age, gender, and marital status, the association between diet quality and better cognition was significant among Whites (p&amp;lt; 0.001) and Blacks (p&amp;lt; 0.05), but not significant among Hispanics (p=0.11). A one unit increase in the Healthy Eating Index is associated with a 0.05 increase in cognitive score among Whites and a 0.03 increase among Blacks. These findings suggest significant differences in diet quality across ethnicities that may impact cognition among older adults; however, the impact may differ by ethnicity.

Evening prolonged relatively low melanopic equivalent daylight illuminance light exposure increases arousal before and during sleep without altering sleep structure

SummaryLight can influence many psychophysiological functions beyond vision, including alertness, circadian rhythm, and sleep, namely the non‐image forming (NIF) effects of light. Melanopic equivalent daylight illuminance (mel‐EDI) is currently recommended as the predictor of the NIF effects of light. Although light dose is also critical for entraining and regulating circadian cycle, it is still unknown whether relatively low mel‐EDI light exposure for prolonged duration in the evening would affect pre‐sleep arousal and subsequent sleep. In all, 18 healthy college students (10 females, mean [standard deviation] age 21.67 [2.03] years) underwent 2 experimental nights with a 1 week interval in a simulated bedroom environment. During experimental nights, participants were either exposed to high or low mel‐EDI light (73 versus 38 lx mel‐EDI, 90 versus 87 photopic lx at eye level, 150 photopic lx at table level) for 3.5 h before regular bedtime, and their sleep was monitored by polysomnography. Subjective sleepiness, mood, and resting‐state electroencephalography during light exposure were also investigated. Results showed no significant differences in sleep structure and sleep quality between the two light conditions, whereas 3.5 h of exposure to high versus low mel‐EDI light induced marginally higher physiological arousal in terms of a lower delta but higher beta power density before sleep, as well as a lower delta power density during sleep. Moreover, participants felt happier before sleep under exposure to high versus low mel‐EDI light. These findings together with the current literature suggest that evening prolonged relatively low mel‐EDI light exposure may mildly increase arousal before and during sleep but affected sleep structure less.