Spectrum Of Quality Research Articles

Correlation between disease severity indices and quality of life measurement tools in atopic dermatitis patients

Reports regarding the correlation and effect size of change of the full spectrum of quality of life and disease severity measures applied in-person to patients with atopic dermatitis are scarce. To assess quality-of-life with 3 different instruments and to evaluate disease severity indices and to determine their correlation and effect size of change between two measurements. Patient-level data were obtained through two in-person visits. Sociodemographic information and data related to disease distribution, severity (through the BSA, EASI, SCORAD, POEM, and itching scales), and the impact of atopic dermatitis on quality of life using the DLQI and Skindex-29, and EQ-5D, were assessed. The correlation between change in quality-of-life scores and disease severity scores in addition to the standardized effect size were also evaluated. Only 139 out of 212 patients completed the follow-up visit. BSA highly correlated with SCORAD and EASI, and the lowest correlation was found with POEM. The best correlation of pruritus VAS was found with sleep disturbance. The SCORAD score highly correlated with EASI, and the lowest correlation was found with POEM. The magnitude of the effect at initiation of the study vs follow-up was in average moderate to important. Patients with atopic dermatitis experience a substantial burden on quality of life. Disease activity correlates better with quality-of-life measurements when the disease is less severe after starting therapy. POEM and Skindex-29 seem to be optimal to determine disease severity and quality of life in adults with atopic dermatitis.

Optimising species detection probability and sampling effort in lake fish eDNA surveys

Environmental DNA (eDNA) metabarcoding is transforming biodiversity monitoring in aquatic environments. Such an approach has been developed and deployed for monitoring lake fish communities in Great Britain, where the method has repeatedly shown a comparable or better performance than conventional approaches. Previous analyses indicated that 20 water samples per lake are sufficient to reliably estimate fish species richness, but it is unclear how reduced eDNA sampling effort affects richness, or other biodiversity estimates and metrics. As the number of samples strongly influences the cost of monitoring programmes, it is essential that sampling effort is optimised for a specific monitoring objective. The aim of this project was to explore the effect of reduced eDNA sampling effort on biodiversity metrics (namely species richness and community composition) using algorithmic and statistical resampling techniques of a data set from 101 lakes, covering a wide spectrum of lake types and ecological quality. The results showed that reliable estimation of lake fish species richness could, in fact, usually be achieved with a much lower number of samples. For example, in almost 90% of lakes, 95% of complete fish richness could be detected with only 10 water samples, regardless of lake area. Similarly, other measures of alpha and beta-diversity were not greatly affected by a reduction in sample size from 20 to 10 samples. We also found that there is no significant difference in detected species richness between shoreline and offshore sampling transects, allowing for simplified field logistics. This could potentially allow the effective sampling of a larger number of lakes within a given monitoring budget. However, rare species were more often missed with fewer samples, with potential implications for monitoring of invasive or endangered species. These results should inform the design of eDNA sampling strategies, so that these can be optimised to achieve specific monitoring goals.

Association between spectrum of mycotoxins and semen quality: A cross-sectional study in Beijing, China

Exposure to mycotoxins is unavoidable in daily life through ingestion, dermal, and inhalation routes. Toxicological studies found that exposure to mycotoxins might affect male reproductive function. However, there is still a lack of population evidence. We aimed to assess the association of individual and joint exposure to spectrum of mycotoxins with semen quality. The present study included 192 participants in Beijing, China. We measured conventional semen parameters and assessed semen quality. Sixty-seven traditional or emerging mycotoxins were determined to describe the spectrum of mycotoxins. The participants were widely exposed to multiple mycotoxins, and nearly half were simultaneously exposed to more than six mycotoxins. After adjusting potential confounders, logistic regression indicated that the number and concentration of plasma mycotoxin were correlated to the risk of low semen quality. Plasma beauvericin and citrinin concentrations were associated with lower semen quality. The least absolute shrinkage and selection operator regression showed similar results to logistic regression. Quantile-based g-computation and Bayesian kernel machine regression models found that the mixture of mycotoxins was harmful to semen quality, especially in sperm motility. In conclusion, both individual and mixture of mycotoxin exposure were correlated with lower semen quality. More regulations and measures should be taken to reduce mycotoxin contamination.

Spectrum of sleep-disordered breathing and quality of sleep in adolescent and adult patients with spinal muscular atrophy.

Sleep-disordered breathing is common among children with spinal muscular atrophy, but has been hardly studied among adult subjects. Little is known about sleep quality in spinal muscular atrophy. The aims of this study were to evaluate occurrence and characteristics of sleep-disordered breathing and subjective sleep quality among adolescent and adult patients with spinal muscular atrophy type 2 or 3. Twenty patients aged 33.9 ± 15.2 years were studied. They underwent nocturnal cardiorespiratory monitoring, lung and muscular function evaluation, and were administered the Pittsburgh Sleep Quality Index questionnaire. Nineteen patients showed sleep-disordered breathing, with obstructive events in seven subjects and non-obstructive events in the remaining 12. In the latter group, 10 patients showed pseudo-obstructive hypopneas. Patients with non-obstructive sleep-disordered breathing were younger (p = 0.042), had a lower body mass index (p = 0.0001), were more often affected by spinal muscular atrophy type 2 (p = 0.001), and showed worse impairment of respiratory function than patients with obstructive sleep-disordered breathing. Ten patients were classified as poor sleepers and 10 patients good sleepers. In the whole sample, sniff nasal inspiratory pressure proved to be the only independent predictor of sleep quality (p = 0.009). In conclusion, sleep-disordered breathing is common even among adult patients with spinal muscular atrophy type 2 and 3, and may show either obstructive or different types on non-obstructive features. A worse respiratory muscle function is associated to non-obstructive sleep-disordered breathing and poorer sleep quality. Sleep quality should receive greater attention especially in patients with spinal muscular atrophy type 2, who have a poorer respiratory muscle function, as it could affect their quality of life.

Applications of chemically modified screen-printed electrodes in food analysis and quality monitoring: a review.

Food analysis and food quality monitoring are vital aspects of the food industry, ensuring the safety and authenticity of various food products, from packaged goods to fast food. In this comprehensive review, we explore the applications of chemically modified Screen-Printed Electrodes (SPEs) in these critical domains. SPEs have become extremely useful devices for ensuring food safety and quality assessment because of their adaptability, affordability, and convenience of use. The Introduction opens the evaluation, that covers a wide spectrum of foods, encompassing packaged, junk food, and food quality concerns. This sets the stage for a detailed exploration of chemically modified SPEs, including their nature, types, utilization, and the advantages they offer in the context of food analysis. Subsequently, the review delves into the multitude applications of SPEs in food analysis, ranging from the detection of microorganisms such as bacteria and fungi, which are significant indicators of food spoilage and safety, to the identification of pesticide residues, food colorants, chemicals, toxins, and antibiotics. Furthermore, chemically modified SPEs have proven to be invaluable in the quantification of metal ions and vitamins in various food matrices, shedding light on nutritional content and quality.

Disc wind or disc line? The extraordinary Fe-K feature of Mrk 1513

We discuss the origin of a very unusual spectral structure observed in the Fe-K band of the Seyfert galaxy Mrk 1513, a local (z = 0.063) active galactic nucleus (AGN) that is efficiently accreting matter onto its central supermassive black hole (Lbol/LEdd ∼ 0.5). We consider the highest quality X-ray observation of this source available to date, performed in 2003 by XMM–Newton. The hard X-ray spectrum is characterised by a remarkable spectral drop at ∼7 keV, which can be interpreted as either the onset of a broad absorption trough or the blue wing of a relativistic emission line. Overall, this complex feature is significant at > 5σ, and it is qualitatively reminiscent of a P Cygni profile. A serendipitous spectrum of lower quality taken by XMM–Newton in 2015 qualitatively confirms the presence of similar Fe-K structures. Although it is not possible to distinguish between the two physical scenarios on sheer statistical grounds with the current data, several considerations lend weight to the possibility that Mrk 1513 is actually hosting a persistent outflow at accretion-disc scales, thus adding to the select number of known AGN in which a wide-angle X-ray wind has been identified so far.

1020. A Novel Quality Control Solution for Gram Stain Through Integration of Deep Learning Vision Technology: A Proof-of-Concept

Abstract Background Gram stain (GS) is essential for preliminary bacterial identification. The lack of a standardized quality control method for GS is a significant drawback. By utilizing a deep convolutional neural network (CNN) design, we present a proof-of-concept for a novel solution to GS quality assurance. Using this approach, current manual GS, and potentially automated GS methods, may possess a standardized method of quality control. Methods Twenty-nine GS from positive blood cultures encompassing the spectrum of GS quality (acceptable, over/under decolorization, smear thickness, stain artifact) were selected by two expert microbiologists. A total of 197 images were obtained using a Cognex D-900 camera and Olympus BX-43 microscope at 1000X magnification. Images were classified using deep learning software (Cognex, ViDi Suite 4.1). Eighty-one images were classified as suboptimal and 116 were classified as optimal by expert review. To address background variation due to manual GS, we implemented a screening classification tool to separate images into 5 distinct classes (pale, rose, orange, indigo, variegated). The training and test sets consisted of 100 and 97 images respectively. Using a chaining technique, a second classification tool was added after the screening classification tool. The second tool further divided the 197 images into two dataset classes: optimal and suboptimal. The second tool used 105 images for training and 92 images for the test set. Model performance was compared to expert microbiology review, with GS verified by organism identification using MALDI-TOF. Results Cognex ViDi Suite 4.1 could discriminate between optimal and suboptimal GS images. The chained classification tool was able to be trained with 100% recall and 100% accuracy, with a resulting F-score of 1.00. Figure 1 VisionPro GUI with optimal image (MRSA) Conclusion Deep learning enabled image analysis is an effective method for sorting GS which are acceptable for further interpretation and suboptimal smears which require rework. Additional study is warranted to develop deep learning image analysis tools for the interpretation of GS on multiple specimen types and incorporate into automated GS systems. Disclosures Jane Hata, PhD , D(ABMM), Roche Molecular Systems: Grant/Research Support Kyle Magee, MLS(ASCP), SeluxDx: Employee

How Do Active and Passive Cigarette Smokers in Iran Evaluate Their Health? A Sex-Specific Analysis on the Full-Spectrum of Quality of Life.

This study aimed to determine the sex-specific effects of active and passive cigarette smoking on the full spectrum of health-related quality of life (HRQoL) among a sizeable adult population. This study was conducted within the Tehran Lipid and Glucose Study (TLGS) framework. Participants included 7478 adults in the last examination of the TLGS. We used a quantile regression model to compare sex-specific HRQoL distributions among non-, current, and passive smokers. Two-step cluster analysis was used to consider the synergic effects of confounder variables. In men, current smoking was negatively associated with only mental HRQoL in all percentiles of its distribution with a decrease in absolute estimation values from the lowest (5th: β = -6.59, p < .001) to the highest (90th: β=-0.93, p = .027). Also, passive smoking was negatively associated with men's physical HRQoL in the upper percentiles of its distribution (75th: β = -1.12, p = .010; 90th: β = -1.26, p = .016). In women, the current (β = -4.17 to -4.45 for 25th to 90th percentiles) and passive smokers (β = -2.05 to -4.25 for 10th to 90th percentiles) had lower mental HRQoL in the mentioned percentiles. Also, the current smoking had a negative association with the 5th percentile (β = -2.04, p = .008), and a positive association with the 50th (β = 1.94, p < .008) and 75th percentile of physical HRQoL (β = 2.25, p = .004). The present study showed the harmful effect of smoking on mental HRQol in all participants. In contrast, the physical effect of smoking was only observed in female active smokers and at the extreme levels of the physical HRQoL spectrum. According to the harmful effect of smoking on HRQoL, understanding active and passive smokers' perceptions of how smoking impacts their health is critical for tobacco control programs. Since most previous studies of smoking and HRQoL have mainly focused on the extreme parts or central values of the HRQoL distribution, the use of a multiple regression approach enables the evaluation of other parts of the conditional distribution of the outcome variable. This study demonstrated the prominent effect of smoking on the mental HRQoL as well as the more serious public health burden of passive smoking in women.

Textbook Outcome as a Quality Metric in Living and Deceased Donor Kidney Transplantation.

BACKGROUND:Quality in kidney transplantation is measured using 1-year patient and graft survival. Because 1-year patient and graft survival exceed 95%, this metric fails to measure a spectrum of quality. Textbook outcomes (TO) are a composite quality metric offering greater depth and resolution. We studied TO after living donor (LD) and deceased donor (DD) kidney transplantation.STUDY DESIGN:United Network for Organ Sharing data for 69,165 transplant recipients between 2013 and 2017 were analyzed. TO was defined as patient and graft survival of 1 year or greater, 1-year glomerular filtration rate of greater than 40 mL/min, absence of delayed graft function, length of stay of 5 days or less, no readmissions during the first 6 months, and no episodes of rejection during the first year after transplantation. Bivariate analysis identified characteristics associated with TO, and covariates were incorporated into multivariable models. Five-year conditional survival was measured, and center TO rates were corrected for case complexity to allow center-level comparisons.RESULTS:The national average TO rates were 54.1% and 31.7% for LD and DD transplant recipients. The hazard ratio for death at 5 years for recipients who did not experience TO was 1.92 (95% CI 1.68 to 2.18, p ≤ 0.0001) for LD transplant recipients and 2.08 (95% CI 1.93 to 2.24, p ≤ 0.0001) for DD transplant recipients. Center-level comparisons identify 18% and 24% of centers under-performing in LD and DD transplantation. High rates of TO do not correlate with transplantation center volume.CONCLUSION:Kidney transplant recipients who experience TO have superior long-term survival. Textbook outcomes add value to the current standards of 1-year patient and graft survival.

0419 Characterization of Sleep Quality in Patients with Idiopathic Hypersomnia using Cardiopulmonary Coupling

Abstract Introduction Idiopathic Hypersomnia (IH) is characterized clinically by excessive daytime sleepiness, prolonged or unrefreshing sleep, and sleep inertia. The ICSD-3 classifies IH as having expected proportions of NREM and REM sleep, normal REM latency and relatively high sleep efficiency. However, there is limited granular data on sleep quality in these patients and whether this disease state comprises of patients with a homogenous spectrum of sleep quality. The aim of this study is to describe the sleep quality in patients with IH using the ECG derived sleep spectrogram. Methods This is a single center cross sectional study where we identified 37 consecutive extended sleep studies for patients with 10 or more hours of total sleep time (TST). The sleep spectrogram is an ECG or plethysmography based system which evaluates sleep stability based on the principle of autonomic and respiratory oscillations (cardiopulmonary coupling). High frequency coupling (HFC) is associated with stable NREM sleep. Sleep quality index (SQI) is strongly weighted by HFC. We a priori decided to divide this population into 2 groups based on SQI ≥55 (there is published supportive data for using this threshold in adults) and compare them using T-test. Multivariable logistic regression was performed adjusting for age, sex, TST and apnea-hypopnea index-3% (AHI) &amp;lt;10 to assess predictors of high or low SQI which was discovered. Results The mean age for the cohort was 35.4 years (SD 16.2), of which 30 (81%) were females. Mean TST was 660 minutes (SD 16.2) with mean sleep efficiency of 86% (SD 9) and mean SQI of 59% (SD 19.1). Mean AHI was 10.4 (SD 12.3). Stratifying the cohort based on SQI gave us 2 distinct groups with mean SQI of 71.5 (SD 9.3) in group with SQI≥55 and mean SQI of 38.5 (SD 11.6) in group with SQI &amp;lt;55 [p-value &amp;lt;0.001]. In a logistic regression analysis, the SQI was not predicted by AHI &amp;lt;10, age, gender or total sleep time. Conclusion Based on our cohort, at least two clusters were identified in IH. We anticipate that the findings here will lead to further insights in IH physiology and phenotypes. Support (If Any)

Diet Quality and Health in Older Americans.

Adequate nutrition is an essential component of healthy ageing. This study documents the quality of diets among older Americans and implications of healthy eating for their physical and mental health. Using a nationally representative longitudinal sample of adults aged ≥50 years, from the Health and Retirement Study (HRS) 2010–2016 and food intake data from the 2013 Health Care and Nutrition Study (HCNS), the study evaluates the onset of health problems along the spectrum of diet quality measured by the Healthy Eating Index (HEI)-2015. Older adults adhering to healthier diets, in the high HEI group, have a significantly lower risk of developing limitations in activities of daily living (15.2% vs. 19.6%, p < 0.01) and depression (11.8% vs. 14.9%, p < 0.01), as compared to participants with low HEI scores. Consuming healthier diets also predicts more favorable health outcomes, as measured by blood-based biomarkers, including C-reactive protein (3.3 vs. 3.8, p < 0.05), cystatin C (1.1 vs. 1.2, p < 0.1), total cholesterol (192.1 vs. 196.4, p < 0.1), and high-density lipoprotein (57.2 vs. 53.8, p < 0.01). Most older Americans can benefit from improving diet to reduce their risk of disability, chronic disease, and depression.

Interobserver Variability of Hip Dysplasia Indices on Sweep Ultrasound for Novices, Experts, and Artificial Intelligence.

Ultrasound for developmental dysplasia of the hip (DDH) is challenging for nonexperts to perform and interpret. Recording "sweep" images allows more complete hip assessment, suitable for automation by artificial intelligence (AI), but reliability has not been established. We assessed agreement between readers of varying experience and a commercial AI algorithm, in DDH detection from infant hip ultrasound sweeps. We selected a full spectrum of poor-to-excellent quality images and normal to severe dysplasia, in 240 hips (120 single 2-dimensional images, 120 sweeps). For 12 readers (radiologists, sonographers, clinicians and researchers; 3 were DDH subspecialists), and a ultrasound-FDA-cleared AI software package (Medo Hip), we calculated interobserver reliability for alpha angle measurements by intraclass correlation coefficient (ICC2,1) and for DDH classification by Randolph Kappa. Alpha angle reliability was high for AI versus subspecialists (ICC=0.87 for sweeps, 0.90 for single images). For DDH diagnosis from sweeps, agreement was high between subspecialists (kappa=0.72), and moderate for nonsubspecialists (0.54) and AI (0.47). Agreement was higher for single images (kappa=0.80, 0.66, 0.49). AI reliability deteriorated more than human readers for the poorest-quality images. The agreement of radiologists and clinicians with the accepted standard, while still high, was significantly poorer for sweeps than 2D images (P<0.05). In a challenging exercise representing the wide spectrum of image quality and reader experience seen in real-world hip ultrasound, agreement on DDH diagnosis from easily obtained sweeps was only slightly lower than from single images, likely because of the additional step of selecting the best image. AI performed similarly to a nonsubspecialist human reader but was more affected by low-quality images.

Use of Dicyclopentadiene and Methyl Dicyclopentadiene for the Synthesis of Unsaturated Polyester Resins.

Dicyclopentadiene (DCPD) modified unsaturated polyester resins (UPRs) are mostly used for hulls, decks, and bathroom facilities. Main advantages of these polymers over orthophthalic or isophthalic polyesters are their relatively low shrinking, reduced styrene emission, lower cost, and fast curing in thin layers. On the other hand, once cured, these materials are more brittle and have lower glass transition temperatures and lower chemical resistance due to their different chemical constitutions. DCPD UPRs with standard grades are usually produced with high-quality DCPD (over a 85% purity) using the so-called “water process”, a synthesis consisting of two reaction steps. An adduct of maleic anhydride with DCPD is firstly formed with water, and then, it reacts with the other esterification monomers such as acids and glycols. DCPD raw materials used in this study were prepared by a unique distillation process developed by ORLEN Unipetrol and University of Chemistry and Technology, Prague. This technology allows producing a wide spectrum of DCPD quality by adjusting the content of another norbornene dimer: methyl dicyclopentadiene (MeDCPD). The influence of MeDCPD on unsaturated polyester properties was examined throughout this study. It has been discovered that in low concentrations, MeDCPD had a slight influence on flexural mechanical properties whereas its concentrations up to 65% led to a softer and brittle material. Nevertheless, by adjusting the unsaturation degree, it has been shown that MeDCPD may be successfully implanted in UPR formulation.

Studying some possible irritable bowel syndrome manifestations in COVID-19 patients

The starting point of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic is a highly debated topic today. Despite the fact that a multitude of hypotheses have been issued in this context, this new strain beta-coronavirus is not only highly contagious, but also rapidly transmitted interpersonally through the perpetually disrupting the homeostasis. It constantly affects the lungs, and also the digestive tract according to the latest reports following its binding to the angiotensin-converting enzyme 2 (ACE2) receptors. Material and methods: In the present study we aimed to explain and describe some gastrointestinal deficiencies exhibited by the positive patients Therefore, the Visual Analogue Scale-IBS (VAS-IBS) questionnaire was applied to a group of positive patients (n = 22) and compared to their sex-matched controls (n = 22). The confirmation for the SARS-CoV-2 infection was carried out by specific RT-qPCR testing. Results: We observed that the overall scores attributed to the spectrum of Physical symptoms, Mental health and Quality of life are significantly different among the COVID-19 group dependent on sex than in the control group. However, we did not find significant differences in terms of shape and stool consistencies (as evaluated by Bristol scale). Conclusions: In this study, we showed that several gastrointestinal symptoms (as evaluated by VAS-IBS scale) could occur during or following SARS-CoV-2 infection.

Spectrum of Quality of Life after Valve Surgery in Patients with Rheumatic Heart Disease.

Background and Aims: Improvement in quality of life is one of the principal goals of valve surgery. The purpose of this study was to assess the quality of life in patients living with mechanical heart valves.&#x0D; Methods: We conducted a cross-sectional descriptive study among 131 (42 Males, and 89 Female) patients, who had undergone valve procedures at different times in clinic visit of department of cardiac surgery, unit I of Shahid Gangalal National Heart Centre from August 1 till August 29, 2019. Quality of life index was measured using Ferrans and Power quality of life index, cardiac version IV via written questionnaire or verbal interview.&#x0D; Results: Mean age was 40.57±1.4 (16-75) years. Mean duration of follow up was 4.68±4.03 years (3 months to 18 years). Subjects reported the lowest quality of life scores in the health and functioning domain prior to surgery (15.61±1.30), which improved 47.15% after surgery (22.95±0.45), psychological/spiritual domain improved 16.68%, social and economic domain 26.24%, family domain 11.49%, with overall improvement 28.62%. Women had significantly lower mean overall quality of life index (22.99±03.58) (95% confidence interval 22.24-23.75) compared to male counterparts (24.21±4.11) (95% confidence interval 22.92-25.49) (p&lt;0.05). Family domain had the highest score at the latest follow up (28.84±1.63). There was a statistically significant correlation between the duration of operation and overall quality of life index (Pearson's rho 0.217, p&lt;0.01). There was no significant difference with the patients’ age.&#x0D; Conclusion: This study confers significant improvement of quality of life after valve surgery with time. Age does not appear to limit the quality of life. Family support seems to be the biggest strength in our population.

Impact of sleep disturbances and autonomic dysfunction on the quality of life of patients with fibromyalgia.

Fibromyalgia, a painful musculoskeletal disorder is associated with sleep disturbances as well as autonomic dysfunction. Pathophysiology of fibromyalgia is yet not clear and neuroanatomical proximity of sleep and autonomic centre prompts probable involvement of the two impacting the quality of life of fibromyalgia patients. Present study was done with the objective to explore the extent of sleep disturbances and/or autonomic dysfunction in fibromyalgia and asses their impact on quality of life of fibromyalgia patients. Thirty consecutive fibromyalgia patients (diagnosed by ACR 2010) from out-patient department and 30 age-gender matched controls were enrolled after the ethical clearance. All participants were evaluated for: (1) sleep using Pittsburgh sleep quality index and medical outcomes study sleep scale-12 Revised, (2) Quality of life by 36 item short-form health survey-36v2TM and revised fibromyalgia impact questionnaire (only patients). Autonomic functions of patients were evaluated by standard cardiovascular autonomic function tests by Ewing's battery and heart rate variability (5-min) measurement. Fibromyalgia patients had increased sleep disturbances compared to controls (39.46±11, 59.61±2.31; p=0.0001) and very poor sleep quality (13.63±4.15, 3.03±1.56; p=0.0001) as well as quality of life (p=0.0001) which further deteriorated with increasing severity of fibromyalgia. Twelve patients had autonomic dysfunction but it was neither associated with sleep disturbances nor with quality of life. Mild to moderate grade fibromyalgia patients have significant sleep disturbance, poor sleep quality which remarkably impacts their quality of life. Autonomic dysfunction is not an early feature of disease. The study suggests that full spectrum of sleep disturbances and sleep quality should be explored in fibromyalgia syndrome (FMS) patients.

THE ROLE OF QUALITY OF LIFE IN MELATONIN CONTENT AS A REGULATOR OF DEFENSE AND AGGRESSION FACTORS IN GASTROESOPHAGEAL REFLUX DISEASE PATIENTS WITH SLEEP APNEA SYNDROME

The aim of the study: to study the effect of the quality of life on the melatonin content, and at the same time to assess the state of the factors of aggression and protection of the esophageal mucosa in patients with GERD without comorbidities and with concomitant obstructive sleep apnea/hypopnea syndrome (OSAHS).&#x0D; Methods. 45 patients were taken for the study. 23 of them had GERD concomitant COPD, 22 were with isolated GERD with a non-erosive form.&#x0D; Melatonin levels were determined using the enzyme immunoassay method (ELIZA). Quality of life was assessed using the SF-36 questionnaire. Antioxidant protection of the mucous membrane (protection factor) – was assessed by the activity of superoxide dismutase (SOD). SOD activity in blood serum was determined by calorimetric method. Determination of the DC level was carried out in the blood by the spectrofluorimetric method.&#x0D; Results. The study showed that in patients with GERD with concomitant COPD, there is a significant decrease in the indicators of antioxidant activity and melatonin, both with indicators from the control group and with indicators of patients with GERD without comorbidity.&#x0D; At the same time, in patients with GERD without comorbidities, an increase in the level of DC was observed in comparison with the control group and patients with GERD with concomitant pathology and acidity of gastric juice.&#x0D; When analyzing the indicators of QOL in patients with GERD with concomitant pathology, there is a significantly more pronounced decrease in mental health, role emotional functioning and vitality.&#x0D; Conclusions. It has been established that in patients with GERD in the stage of exacerbation of the disease, there is a statistically significant decrease in QOL indicators with a high degree of reliability, manifesting itself in patients without combined pathology in the spectrum of indicators of the physical component of health, and in patients with GERD with concomitant obstructive sleep syndrome – in the spectrum of the psychological component quality of life.&#x0D; It has been shown that with a decrease in QOL in patients with GERD, the level of melatonin decreases, the decrease in which more clearly increases in patients with concomitant obstructive sleep apnea.&#x0D; Simultaneously with a drop in the level of melatonin in patients with GERD without associated pathology, the aggression factor increases with a high degree of certainty - that is, a decrease in the pH of gastric juice and an increase in the content of DC, while in patients with GERD with concomitant sleep apnea syndrome, the factor decreases with a high degree of certainty. Protection of the esophageal mucosa – (that is, a decrease in SOD activity), which must be taken into account when treating this category of patients.

Simultaneous estimation procedure reveals the object-based, but not space-based, dependence of visual working memory representations

Visual working memory (VWM) allows us to actively represent a limited amount of visual information in mind. Although its severe capacity limit is widely accepted, researchers disagree on the nature of its representational unit. Object-based theories argue that VWM organizes feature representations into integrated representations, whereas feature-based theories argue that VWM represents visual features independently. Supporting a feature-based account of VWM, recent studies have demonstrated that features comprising an object can be forgotten independently. Although evidence of feature-based forgetting invalidates a pure object-based account of VWM that assumes perfect integration of feature representations, it is possible that feature representations may be organized in a dependent manner on the basis of objects when they exist in memory. Furthermore, many previous studies prompted participants to recall object features independently by sequentially displaying a response probe for each feature (i.e., sequential estimation procedure), and this task demand might have promoted the independence of feature representations in VWM. To test these possibilities, we created a novel task to simultaneously capture the representational quality of two features of the same object (i.e., simultaneous estimation procedure) and tested their dependence across the entire spectrum of representational quality. Here, we found that the quality of feature representations within the same object covaried reliably in both sequential and simultaneous estimation procedures, but this representational dependence was statistically stronger in the simultaneous estimation procedure than in the sequential estimation procedure. Furthermore, we confirmed that neither the shared spatial location nor simultaneous estimation of two features was sufficient to induce representational dependence in VWM. Thus, our results demonstrate that feature representations in VWM are organized in a dependent manner on the basis of objects, but the degree of dependence can vary based on the current task demand.

Subjective Video QoE With a Hybrid Cognitive-Motor Task

This paper reports on the subjective video quality analysis with and without a parallel task. It aims to understand how the quality perceived by the human observer brain is affected when the subject is not entirely focused on the judgment task. For this purpose, two subjective video quality tests were performed according to the ITU-T P.910 recommendation - Subjective video quality assessment methods for multimedia applications. They consisted of two parts involving a total of 24 subjects. Unlike the first test, the second test included an additional (parallel) psychomotor task where subjects had to sort different colors of pasta into three bowls. Various analyses were provided, including preliminary analysis, group analysis, and RMSE analysis. Surprisingly, the results show that not all the spectrum of quality is affected equally by parallel task introduction.

Digitalization Strategy and Convergence of Media Adaptation in the Digital Era (case study on TVRI Yogyakarta)

Recently, the digital era is evidenced by new technologies that contribute to the development of all activities of human life. Currently, the television industry is affected by the presence of digital television and media convergence due to the rapid technological development and the existence of the 4.0 industry revolution. The media industry is required to move on with the updated technology to provide its content in a good and rapid way. This study aims to analyze the issues facing TVRI Yogyakarta while trying to adapt the digitalization strategy and convergence of media in the digital era. In this study, the researcher used a qualitative method. The results found out that digital technology uses a spectrum of higher quality in terms of video, audio, and television data sets, Digital Television Broadcasting (DVB) can support more than one program on the same bandwidth channel. Shifting from analog to digital and competition are some of the problems faced by TVRI Yogyakarta while trying to adapt the digitalization strategy. To avoid facing digitalization strategy challenges, all Public Broadcasting Institutions engaged in television need to prepare themselves well to remain competitive and show their quality.