Strong Inverse Correlation Research Articles

Academic Stress and Study Habits in Peruvian University Students

The current research aims to analyze the relationship between academic stress and study habits in Peruvian university students. A quantitative method was employed, with a non-experimental design, basic research type, and relational level. The study was conducted with a population of 133 students from various specialties at the Faculty of Education of the Catholic University of Santa María in Arequipa, selecting a sample of 99 students for the study. For data collection, two instruments were applied: the Likert scale questionnaire called SISCO Inventory, consisting of 29 questions to assess the level of stress, and another Likert scale questionnaire, called Study Habits Inventory, comprising 53 questions to evaluate the knowledge about study habits. After conducting the correlation between the variables under study, it was determined that there is a very strong inverse correlation between academic stress and study habits, approaching a perfect correlation. The correlation coefficient obtained was r^2 = (-0.840)^2 = 0.706. This indicates that 70.6% of academic stress affects the study habits of students at the School of Education of the aforementioned university. The significance level of this correlation is very strong, implying that the higher the level of academic stress, the worse the study habits of the students, and vice versa.

The impact of lignin content on the biodegradation of virgin paper pulps in soil and marine environment

Paper pulp is a lignocellulosic fibrous material used in the industrial production of paper and board products. In addition to cellulose and hemicellulose, paper pulp contains 1 to 20% lignin, depending on the raw materials and pulping process used. Lignin is a heterogenous aromatic polymer that is hydrophobic and more resistant to microbial degradation compared to the easily biodegradable cellulose and hemicellulose. In this study, the biodegradation of paper pulps containing varying amounts of lignin was examined in soil and marine environments using ISO testing methods. Lignin significantly reduced the mineralization of paper pulps to CO2 in both environmental conditions, and a strong inverse correlation between lignin content and the mineralization to CO2 was observed. A similar impact was observed with natural materials containing lignin, such as birch sawdust. Since the calculation of biodegradability in most ISO and EN standards is based solely on the concept of mineralization to CO2, materials containing lignin can receive poor values in these tests. The implications of this for standardized requirements of biodegradability and possible options to overcome testing deficiencies are discussed.

SunGold Kiwifruit Consumption Restores Adequate to Optimal Vitamin C Status in People with a History of Severe Respiratory Infections.

Severe respiratory infections are characterised by depleted vitamin C and elevated inflammation and oxidative stress. The aim of this study was to recruit people with a history of severe respiratory infections to undergo a six-week intervention with SunGold kiwifruit to determine if this could restore adequate vitamin C status. Secondary outcomes included changes in inflammatory and oxidative stress biomarkers, self-reported fatigue and subjective mood, and the incidence, duration and severity of respiratory symptoms. The total cohort comprised 20 adults (65% female, age range 31-84 years). The participants had a low median fruit and vegetable intake of 2.3 servings/day and a correspondingly low vitamin C intake of 46 mg/day. Circulating vitamin C status was a median of 45 µmol/L and was in the hypovitaminosis range in 25% of the cohort. Following intervention with two SunGold kiwifruit/day (equivalent to ~300 mg vitamin C), there was an increase in plasma vitamin C concentrations to >60 µmol/L (p < 0.05). Approximately 20% of the participants were unable to reach adequate vitamin C status (≥50 µmol/L), possibly due to current smoking, which enhances vitamin C turnover, and a strong inverse correlation between body weight and vitamin C status (r = -0.734, p < 0.05). Following the intervention, there were indications towards decreases in the inflammatory biomarkers C-reactive protein and TNFα (p > 0.05), but no changes in oxidative stress biomarkers (F2isoprostanes, protein carbonyls). There were decreases in fatigue and depression (p < 0.05) and a lower number of individual respiratory symptoms reported during the kiwifruit intervention phase (8.5 vs. 10, p = 0.05). Overall, the consumption of two SunGold kiwifruit per day for six weeks was able to restore adequate to saturating vitamin C status in ~80% of the participants. Smokers and people with higher body weight may need larger doses and/or longer duration of supplementation. The contribution of vitamin C to reducing fatigue, depression, and number of respiratory symptoms warrants further investigation.

Occupational daily walking steps have inverse relationship with papillary thyroid cancer risk and progression: a retrospective analysis.

Investigate the impact of daily occupational walking steps on the progression of papillary thyroid cancer (PTC), a topic hitherto underresearched. The authors analyzed the data from 800 individuals with PTC across stages 0-IV. Participants were evenly divided into 2 distinct occupational groups: office workers and construction workers (N = 400 each). Data included comprehensive records of daily walking steps, demographic information, and clinical indicators. Pearson's correlation coefficients or analysis of variance (ANOVA) were employed to assess the linkage between daily walking steps and PTC risk and stage, as well as associated biochemical markers. The analysis revealed a significant inverse relationship between daily walking steps and PTC risk. A higher frequency of daily steps was associated with reduced chances of PTC onset and a lower diagnostic stage of the disease. This protective effect of physical activity was particularly pronounced in the construc- tion worker cohort. Subsequent evaluations showed that construction workers who consistently logged higher daily steps had markedly lower levels of thyroid-stimulating hormone (TSH), free triiodothyronine, free thyroxine, thyroid peroxidase antibody, thyroglobulin antibody, and thy- roglobulin (Tg). Notably, daily walking steps exhibited a strong inverse correlation with body mass index (BMI), age, PTC volumes, and levels of TSH and Tg across both occupational groups (ρ < -0.37). The increase in daily steps was associated with the reduction in PTC stages (p < 0.001). The research underscores the potential benefits of increased daily walking steps, suggesting that they may play a protective role in reducing PTC risk and moderating its progression. Int J Occup Med Environ Health. 2024;37(1):58-71.

Immunogenicity phase II study evaluating booster capacity of nonadjuvanted AKS-452 SARS-Cov-2 RBD Fc vaccine.

AKS-452, a subunit vaccine comprising an Fc fusion of the ancestral wild-type (WT) SARS-CoV-2 virus spike protein receptor binding domain (SP/RBD), was evaluated without adjuvant in a single cohort, non-randomized, open-labelled phase II study (NCT05124483) at a single site in The Netherlands for safety and immunogenicity. A single 90 µg subcutaneous booster dose of AKS-452 was administered to 71 adults previously primed with a registered mRNA- or adenovirus-based vaccine and evaluated for 273 days. All AEs were mild and no SAEs were attributable to AKS-452. While all subjects showed pre-existing SP/RBD binding and ACE2-inhibitory IgG titers, 60-68% responded to AKS-452 via ≥2-fold increase from days 28 to 90 and progressively decreased back to baseline by day 180 (days 28 and 90 mean fold-increases, 14.7 ± 6.3 and 8.0 ± 2.2). Similar response kinetics against RBD mutant proteins (including omicrons) were observed but with slightly reduced titers relative to WT. There was an expected strong inverse correlation between day-0 titers and the fold-increase in titers at day 28. AKS-452 enhanced neutralization potency against live virus, consistent with IgG titers. Nucleocapsid protein (Np) titers suggested infection occurred in 66% (46 of 70) of subjects, in which only 20 reported mild symptomatic COVID-19. These favorable safety and immunogenicity profiles support booster evaluation in a planned phase III universal booster study of this room-temperature stable vaccine that can be rapidly and inexpensively manufactured to serve vaccination at a global scale without the need of a complex distribution or cold chain.

Quantification of SARS‐CoV‐2 viral load in patients using time‐to‐results in antigen lateral flow tests

AbstractBased upon clinical observations and recent reports, we anticipated there would be an inverse dose–response relationship between the severe acute respiratory syndrome‐coronavirus 2 (SARS‐CoV‐2) viral load and the time‐to‐positivity after application of the nasal swab sample in two popular home coronavirus disease 2019 (COVID‐19) antigen tests, BinaxNOW COVID‐19 Antigen Self‐Test and Flowflex COVID‐19 Antigen Home Test, both of which are sensitive to the nucleocapsid protein (NP). The relationship among the concentration of NP, WA1, and Omicron XBB.1.5 viral strains and the time‐to‐positive result by visual assessment in the tests was examined. The correlation between reverse transcription‐polymerase chain reaction cycle threshold (Ct) values and time‐to‐positivity in clinical samples (training set) also was determined. Strong inverse correlations were obtained between the concentration of the NP, WA1, XBB.1.5, Ct values for dilutions of both WA1 and XBB.1.5, as well as Ct values from the clinical samples and time‐to‐positivity in both antigen tests. The correlation between the actual and predicted Ct values interpolated from the training set was high with both tests in a second set of clinical samples. These results, together with those of other investigations with similar tests, suggest that the time‐to‐positive visual result in most, if not all, lateral flow COVID‐19 antigen tests can be utilized to estimate SARS‐CoV‐2 viral concentrations.

Evaluating the Enzyme Activities and Soil Physicochemical Properties of Four Typical Halophytic Communities in Saline-Sodic Soil

Four typical halophytic communities found in saline-sodic soil, including Phragmites australis, Suaeda glauca, Leymus chinensis, and Puccinellia parl, were investigated in this study. A comparison was made among the electrical conductivity (EC) value, pH value, soil organic carbon (SOC), and soil enzyme activity across various soil depths. The findings of this study indicate that the EC and pH levels of the soil at the 0–40 cm depth vary among the four communities, with Suaeda glauca having the highest values, followed by Puccinellia parl, Phragmites australis, and Leymus chinensis. The highest value of SOC among the four communities was observed in the Leymus chinensis community (0.85–0.94 g/kg), followed by the Phragmites australis community (0.50–0.77 g/kg), and the lowest levels were observed in the Puccinellia parl community (0.37–0.78 g/kg). As the soil depth increases, there is a decline in the amount of SOC. With an increase in soil depth, the content of SOC in the soil decreased, and the content of total nitrogen (TN) and the activity of six enzymes in the soil of each community increased. Furthermore, at the soil layer of 0–20 cm, the TN content in the soils was negatively correlated with pH and EC (p &lt; 0.01), and so was the total phosphorus (TP). Additionally, the TP content is considerably positively connected with alkaline phosphatase (ALP) activity, whereas the TN content is significantly positively correlated with Soil Urease (S-UE) activity. Within the soil depth of 20–40 cm, the levels of TN, TP, and SOC exhibit a negative association with pH and EC. However, this link is weaker compared to that observed in the surface soil. A strong inverse correlation (p &lt; 0.05) exists between the TP concentration and the ALP activity. The objective of this study was to investigate the use of halophytes in various saline-sodic soils for diverse avenues of restoration, and to establish a database on the role and efficacy of plant roots in enhancing saline-sodic soil.

The Influence of Anthropometrics on Cardiac Mechanics in Healthy Women With Opposite Obesity Phenotypes (Android vs Gynoid).

The possible influence exerted by mechanical factors and/or compressive phenomena on myocardial strain parameters in healthy individuals with opposite obesity phenotypes (android vs gynoid) has never been previously investigated. Accordingly, we aimed at evaluating the relationship between anthropometrics, such as the waist-to-hip ratio (WHR), modified Haller index (MHI, the ratio of chest transverse diameter over the distance between sternum and spine), and epicardial adipose tissue (EAT), and left ventricular (LV)-global longitudinal strain (GLS), in healthy women with opposite obesity phenotypes (android vs gynoid). Forty healthy women with obesity (body mass index (BMI) ≥30 Kg/m2)and WHR ≥0.85 ("android group") (52.5±13.2 yrs), 40 age- and BMI-matched healthy women with obesityand WHR <0.78 ("gynoid group") (49.8±13.4 yrs) and 40 age-matched healthy women without obesity (BMI <30 Kg/m2) (controls) (50.3±12.5 yrs) were retrospectively analyzed. All women underwent transthoracic echocardiography implemented with echocardiographic strain analysis of all cardiac chambers. Correlation between LV-GLS and anthropometrics (WHR, MHI, and EAT) was assessed in both groups of obese women. Age, WHR, homeostasis model assessment for insulin resistance (HOMA-IR), and left ventricular mass index (LVMi) were included in the logistic regression analysis performed for evaluating the independent predictors of reduced LV-GLS magnitude (less negative than -20%) in women with android obesity. Compared to the other groups of women, those with android obesity were found with significantly greater LVMi, higher LV filling pressures, and lower biventricular and biatrial deformation indices. A strong inverse correlation between LV-GLS and all anthropometrics (WHR, MHI, and EAT) was demonstrated in both groups of women with obesity. Univariate logistic regression analysis revealed that WHR (OR 1.58, 95%CI 1.22-2.03, p<0.001) and LVMi (OR 1.09, 95%CI 1.02-1.16, p=0.006) were independently correlated with LV-GLS impairment in women with android obesity. On multivariate logistic regression analysis, the WHR maintained a statistically significant association with the above-mentioned outcome (OR 1.68, 95%CI 1.14-2.48, p=0.009). Receiver operating characteristic (ROC) curve analysis showed that a WHR value ≥1.01 had 93% sensitivity and 100% specificity for detecting LV-GLS impairment in women with android obesity (AUC=0.98; 95%CI 0.96-1.00). Anthropometrics may strongly influence cardiac mechanics in healthy women with obesity. The WHR is associated with reduced LV-GLS magnitude in healthy women with android obesity, independent of age, glycometabolic status, and LV size.

Association Between High Blood Folate Levels and Glaucoma in a Representative Korean Population.

This study aimed to investigate the association between folate levels and the prevalence of glaucoma. This nationwide population-based cross-sectional study included 1790 participants aged ≥40 years. We analyzed data regarding the participants obtained in the 2016-2018 Korean National Health and Nutrition Examination Survey. The diagnosis of glaucoma was defined according to the International Society of Geographical and Epidemiological Ophthalmology criteria. Logistic regression analyses were used to investigate the relationship between blood folate levels and glaucoma. There was a significantly lower prevalence of glaucoma in the highest quartile of blood folate levels than in the lowest quartile, after adjusting for confounding factors such as age, sex, systemic hypertension, diabetes, hypercholesterolemia, and smoking (odds ratio [OR] = 0.470; 95% confidence interval [CI], 0.291-0.759; P for trend = 0.017). There was a significantly lower risk of glaucoma in the highest quartile of blood folate levels than in the lowest quartile among women (OR = 0.188; 95% CI, 0.099-0.357; P for trend <0.001) and younger participants (OR =0.443; 95% CI, 0.229-0.856; P for trend = 0.045). Our findings indicate a strong inverse correlation between blood folate levels and glaucoma.

Method of comprehensive physiotherapy of dental patients after COVID-19

To describe the mechanism of action and clinical effectiveness of the developed combined physiotherapy method, including the induced technique of piracetam iontophoresis on the frontooccipital technic and acupuncture laser therapy in dental patients with complaints of edentulism progression after COVID-19 on the basis of the analysis of single studies on the post-COVID loss of teeth treatment. A number of patients equal 120 who complained of tooth loss after COVID-19 during the past 6 months were examined. The following initial and end points were considered: dental bleeding and inflammation scores, vascular and endothelial dysfunction markers - levels of intercellular adhesion molecules and their receptors (SlCAM-1, SVCAM-1, VEGF-A, ET-1) before and after treatment. Negative correlation between VEGF-A (pg/ml) concentration in peripheral blood serum and sVCAM-1 (ng/ml) level in the examined patients (r=0.4830, p<0.05) and strong inverse correlation between slCAM-1 (ng/ml) level and sVCAM-1 (r=0.7696, p<0.01) have been established. More significant effects after application of the combined induced method on the head's structures and laser acupuncture have been noted than after acupuncture laser exposure and after inducing technique separately, namely in the form of dental inflammation score correction by 1.76 times (p<0.001), decrease of bleeding score by 2.6 (p<0.05), decrease of concentration of SVCAM-1 by 1.7 times and SlCAM-1 by 2 times (p<0.001), increase of endothelin level by 1.7 times as well as the initial low VEGF-A (pg/ml) by 1.5 times (p<0.01). The developed physiotherapeutic complex, which includes laser acupuncture physiotherapy and induced technique of 5% piracetam iontophoresis, can potentially be considered as a physioprophylactic and therapeutic model of post-COVID edentulism.

Association of Ejection Fraction with Reperfusion Parameters Before and After Primary Percutaneous Coronary Intervention

Background: Resolution of ST-segment (STR) and thrombolysis in myocardial infarction (TIMI) and frame count (TFC) are useful parameters to evaluate the reperfusion status following primary percutaneous coronary intervention (PPCI) in ST-elevation myocardial infarction (STEMI) patients. Objectives: Here, the association of ejection fraction (EF), as a parameter of systolic function, with TFC and STR was assessed in patients with STEMI who underwent PPCI. Methods: Ejection fraction was evaluated by transthoracic echocardiography using Simpson’s biplane method before PPCI in the first 24 hours after the admission of STEMI patients. Also, STR and TFC were assessed in all patients after PPCI. Then, the association of EF with STR and TFC was examined before and after the operation. Results: STEMI patients with STR less or greater than 50% were comparable in terms of clinical and demographic characteristics and laboratory indices. Our results showed a weak inverse correlation between EF before PPCI and TFC (r = -0.2336, P = 0.0002). However, there was a strong inverse correlation between EF after PPCI and TFC (P &lt; 0.0001, r = -0.3137). The results of correlation analysis showed that the mean EF (pre- and post-PPCI) was significantly higher in patients with STR of ≥50% compared to those with STR &lt; 50%. Conclusions: The results of this study showed that EF after PPCI, as an echocardiographic indicator, could reflect the status of cardiac and microvascular perfusion. We also found that cardiac status on ECG could better reflect EF.

Genomic Selection as an Approach to Select for Reduced Aflatoxin Contamination in Peanut Under Terminal Drought Stress

Pre-harvest aflatoxin contamination (PAC) occurs when the peanut is exposed to severe drought and heat stress prior to harvest. Development of genotypes that are either resistant or limiting to Aspergillus infection and/or that can curtail aflatoxin production is a key objective in peanut breeding. Using SNP markers and phenotype data on aflatoxin resistance collected in previous years, we utilized genomic selection (GS) to study PAC resistance in peanut. The technique was validated in the Florida-07 x GP-NC WS 16 recombinant inbred population by assessing high heritability traits. GS was then deployed to study PAC resistance in the Tifrunner x C76-16 and Florida-07 x C76-16 populations. The resultant models yielded prediction accuracy values of 0.24 and 0.23 which while low, were comparable to the heritability values of 0.31 and 0.1 for each population, respectively. Using genomic estimated breeding values (GEBVs), entries were selected for two drought shelter studies. Manual scoring and multispectral imaging were used to acquire end season drought stress data. Low correlation values (-0.15 for shelter A and 0.32 for shelter B) were observed between the GEBVs and actual end season aflatoxin content. Correlations between visual drought ratings and PAC were also low (0.23 and 0.16 for shelter A and B respectively). While strong inverse correlations were observed between GNDVI and visual drought ratings (-0.74 and -0.73 for shelters A and B respectively), GNDVI did not confer a clear advantage for selection of PAC resistance. Ideally, the use of genome-spanning markers in GS may enable selection for a difficult to phenotype trait like PAC resistance. Although this study did not show clear advantages of the method over conventional selection, it is an important step for implementation of GS and the use of GEBVs for trait selection in peanut.

Assessment of the significance of dilated perivascular spaces and nocture arterial hypertension in the development of Alzheimer's disease

To study the severity and localization of dilated perivascular spaces (DPVS), the levels of protein markers of amyloidosis and neurodegeneration in the cerebrospinal fluid (CSF) at different daily blood pressure (BP) profiles in patients with Alzheimer's disease (AD) and other types of cognitive impairment. A total of 119 people, aged 53 to 92 years, including 55 patients with AD, 27 patients with vascular cognitive disorders (VCD), 19 patients with frontotemporal degeneration (FTD). All patients underwent BP monitoring for 24 hours using a standard oscillometric measurement method, lumbar puncture to assess Aβ-42 and Aβ-40 amyloid protein, total and phosphorylated tau protein in the CSF, magnetic resonance imaging tomography of the brain with subsequent assessment of the severity of expansion and localization of DPVS according to the G.M. Potter scale. In 58.3% of patients with AD, there is no adequate reduction in BP at night in comparison with patients with VCD (p<0.05). A significant degree of expansion of the DPVS turned out to be most typical for patients with AD: grade 3 was detected in 45.7% of patients, and the maximum, grade 4, was detected in 13.4%. At the same time, DPVSs were significantly more often detected in the group of subjects with insufficient reduction in diastolic BP (DBP) at night. A strong inverse correlation was established between the level of Aβ-42 in the CSF and the variability of DBP at night (r= -0.92; p<0.05). The decrease in the level of Aβ-42 in AD, especially at the prodromal stage, is directly related to the low variability of DBP at night, which is more characteristic of an insufficient decrease or increase in BP during night sleep. Patients with AD were characterized by an insufficient decrease in BP at night, which is associated with the severity and degree of maximum expansion of the DPVS. A decrease in the level of Aβ-42 amyloid protein in the CSF strongly correlates with the variability of DBP at night.

The effect of insomnia on mild cognitive impairment in patients with vascular risks: results of a three-year longitudinal study

To assess the dynamics of sleep parameters based on the analysis of three items of HDRS-17, designed to measure the severity of insomnia, during 36 months of follow-up and their relationship with indicators of the cognitive phenotype in patients with vascular risk factors. The longitudinal study included 51 patients (mean age 57.7±6.2 years, 19 (37.3%) men)) who met the inclusion criteria. All participants underwent a general clinical examination with assessment of vascular risks and neuropsychological testing using the Montreal Cognitive Assessment (MoCA) and HDRS-17 at baseline and after 36 months. During the study, patients received stable basic therapy to prevent modifiable vascular risk factors. Sleeping pills were taken sporadically when there were complaints of problems falling asleep. During the 36-month study, as vascular cognitive impairment progressed from 23.7±2.6 to 22.1±2.4 points on the MoCA scale (p=0.01), mainly due to decreased attention (p=0.01), executive functions (EF) (p=0.01), memory (p=0.02), speech (p=0.02), an increase in sleep disturbances was observed (item 4: 0.8±0.02 to 1.9±0.1 points, p=0.01; point 5: 0.6±0.02 to 1.7±0.1 points, p=0.01) and depression (7.5±0.5 to 13.7±3.0 points, p=0.01) in patients with vascular risks. A strong inverse correlation was revealed between the values of items 4, 5, 6 on the HDRS-17 and the average MoCA-total scores (r=-0.85; r=-0.87; r=-0.8 (p<0.05)), memory index (r=-0.8; r=-0.75; r=-0.81 (p<0.05)), attention index (r=-0.88; r=-0.86; r=-0.83 (p<0.05)), index of executive functions (r=-0.87; r=-0.85; r=-0.8 (p<0.05)), respectively. The progression of cognitive impairment is associated with worsening insomnia disorders and depression in patients with vascular risks.

Caregiver Burden and Its Correlates in Caring for Adults With Epilepsy in a Nigerian Tertiary Hospital: A Cross-Sectional Study

Background Epilepsy is a chronic neurological disorder that imposes a substantial burden on caregivers of patients with the condition. There is a lack of research in sub-Saharan Africa assessing the burden of informal caregiving in epilepsy. Aims This study investigated caregiver burden among carers of people with epilepsy, focusing on its patterns, severity, correlates, and impact on caregiver quality of life. Methods A descriptive cross-sectional study was conducted among 246 adult attendees (patients with epilepsy and their caregivers in a 1:1 ratio) at a neurology outpatient clinic. Patients aged 18 to 65, and their caregivers, who were at least 18 years old, were recruited consecutively. A socio-demographic questionnaire and the National Hospital Seizure Severity Scale assessed demographics and illness severity, respectively. The socio-demographic questionnaire, Zarit Burden Interview, and WHO Quality of Life-Bref scale were used to assess the carers’ demographics, burden of care, and quality of life, respectively. Results The mean burden score was 26.5 ± 13.3. Fifty-three caregivers (43.1%) reported a mild-to-moderate burden, while twenty-one (17.0%) reported moderate-to-severe and severe burdens. Caregiver burden was significantly negatively correlated with carers’ quality of life across almost all domains, with the strongest inverse correlation in the psychological domain (r = -0.4, p = 0.01). There was no statistically significant relationship between caregiver burden and respondents’ demographics or clinical variables, except for the epilepsy severity index of the patients (p = 0.01). Conclusion This study provides valuable insights into the burden of care experienced by family members of individuals with epilepsy, highlighting the negative impact on the caregivers' quality of life. Healthcare providers should focus not only on alleviating the suffering of patients with epilepsy but also consider the well-being of caregivers in their treatment plans.

Endothelial Dysfunction in Type 2 Diabetes Patients and its Association with Microvascular Complications: A Cross-sectional Study

Introduction: The prevalence of Type 2 Diabetes Mellitus (T2DM) is increasing worldwide. Microangiopathic and macroangiopathic complications are the main causes of morbidity and mortality in diabetes. Endothelial dysfunction is important in the early pathophysiology of vascular complications. Screening is very important in order to prevent these complications. Aim: To investigate endothelial dysfunction, as measured by Flow Mediated Vasodilation (FMD) of the brachial artery, in diabetic individuals. It also aims to explore the correlation between FMD and Glycated Haemoglobin (HbA1c), as well as the association between FMD and microvascular complications such as diabetic neuropathy, diabetic retinopathy, and albuminuria. Materials and Methods: This cross-sectional study was conducted at Mahatma Gandhi Medical College and Research Institute, Puducherry, India, between 2020 and 2021 on 160 patients. All patients diagnosed with T2DM, attending the Outpatient Department (OPD) or admitted to the ward, were enrolled in the study using consecutive sampling. FMD was measured for each patient, and Urine Albumin Creatinine Ratio (UACR) was also assessed. Diabetic retinopathy was evaluated through fundus examination, and diabetic neuropathy was screened using the monofilament test. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 27.0 to determine the correlation between FMD and these variables. Results: A total of 160 patients were enrolled in this study, including 104 (65%) males and 56 (35%) females. The median age was 52 years, and the participants had a median Body Mass Index (BMI) of 29.5 kg/m2 . The median HbA1c was 8.7%. The median Fasting Blood Sugar (FBS) and Postprandial Blood Sugar (PPBS) levels were 145 mg/dL and 242 mg/dL, respectively. The median FMD among all patients was 5.6%, with an Interquartile Range (IQR) of 4.9% to 6.6%. There was an inverse correlation between HbA1C and FMD values, with a correlation coefficient of -0.718 (p-value &lt;0.01), indicating a strong and significant inverse correlation. Patients with significant macroalbuminuria had a lower median FMD compared to non albuminuric patients, and this difference was statistically significant. The median FMD was also lower in patients with diabetic neuropathy and retinopathy. Conclusion: The study findings suggest that endothelial dysfunction, as measured by FMD, is significantly impaired in patients with elevated HbA1c and microvascular complications of diabetes mellitus.

Predictable electronic tuning of FeII and RuII complexes via choice of azine: correlation of ligand pKa with Epa(MIII/II) of complex.

Five new mononuclear ruthenium(II) tris-ligated complexes have been synthesised, varying through the choice of azine in the family of 3-azinyl-4-(4-methylphenyl)-5-phenyl-4H-1,2,4-triazole ligands (Lazine): [Ru(Lpyridine)](PF6)2 (1), [Ru(Lpyridazine)](PF6)2 (2), [Ru(L4-pyrimidine)](PF6)2 (3), [Ru(Lpyrazine)](PF6)2 (4), [Ru(L2-pyrimidine)](PF6)2 (5). Three of them, 1·2MeCN·Et2O, 3·2MeCN·Et2O and 4·2MeCN, have been structurally characterised, confirming the presence of the meridional isomer, as was previously reported for the FeII analogues. Cyclic voltammetry studies, in dry CH3CN vs. Ag/0.01 M AgNO3, show that all five RuII complexes undergo a reversible RuIII/RuII process, with the midpoint potential (Em) increasing from 0.87 to 1.18 V as the azine is changed: pyridine < pyridazine < 2-pyrimidine < 4-pyrimidine < pyrazine. A strong inverse linear correlation (R2 = 0.98) is found between the RuIII/RuII redox potential and the calculated HOMO orbital energies, which is consistent with the expectation that it is easier to oxidise (lower Em) a metal ion with a higher HOMO orbital energy. The same trend was reported earlier for the family of analogous FeII complexes, albeit at lower values of Em in all cases. In addition, the ionisation potentials of the RuII complexes, as well as those of the other group 8 analogues (FeII and OsII), showed a linear relationship with Epa. As the MIII/II redox potentials of a family of complexes has been previously reported to correlate with ligand pKa values, a computational protocol to calculate, in silico, the pKa of the Lazine family of ligands was developed. A strong linear relationship was found between the readily calculated pKa of the Lazine ligand and the Epa of the MII complex, for all three families of complexes (R2 = 0.98).

Association between the cardiometabolic index and osteoporosis: a cross-sectional study of the NHANES.

The cardiometabolic index (CMI) is a novel metabolic biomarker, but research on its association with osteporosis (OP) is limited. The objective of this research was to clarify the relationship between CMI and OP in the older adult population of the United States. This study conducted a cross-sectional analysis using NHANES data 2007-2018 with exclusion of 2011-2012 and 2015-2016 cycles. Logistic regression was used to investigate the relationship between CMI and OP prevalence. Restricted cubic spline curve (RCS) and threshold saturation analyses were performed to explore the nonlinear association between CMI and OP prevalence. Subgroup analyses, sensitivity analyses, and additional analyses were conducted to ensure the robustness and reliability of the findings. The study included 4,191 participants, revealing that those with OP had significantly lower CMI levels. Logistic regression revealed a strong inverse correlation between Log CMI and OP (OR = 0.72, 95% CI = 0.59-0.88), which persisted after adjusting for covariates. RCS analysis revealed a nonlinear inverse relationship with the critical threshold at CMI = 0.93. Below this threshold, each unit increase in CMI was associated with a 37% reduction in OP prevalence, but changes above this threshold were not significant. Subgroup and sensitivity analyses confirmed the robustness of the findings. Elevated CMI exhibited a robust inverse correlation with the prevalence of OP in the older adult U.S. population. Maintaining a moderate CMI significantly diminishes the risk of developing OP.

Untargeted Serum Proteomics Profiling in Female Patients with Idiopathic Scoliosis

Background: Idiopathic scoliosis is a common structural spine curvature of unknown etiology. Scoliosis onset and progression are likely related to the interplay between genetics and the environment. Serum protein levels are influenced by both genetic and environmental factors and thus, are a promising methodology. Aims: We aimed to determine whether serum protein levels differed between idiopathic scoliosis cases and controls. In scoliosis cases, we also aimed to determine if protein levels were correlated with curve severity. Methods: In the discovery population, serum blood samples were obtained from 7 females with severe scoliosis and 11 unaffected female controls. Liquid chromatography-mass spectroscopy was used to quantify protein levels. Wilcoxon rank sum tests were used to test for differences between cases and controls. Within scoliosis cases, Spearman correlation coefficients were used to test the correlation between curve severity and age-adjusted protein levels. Candidate proteins were defined as proteins that significantly differed between cases and controls and were moderately or strongly correlated with curve severity (ρ&gt;0.30). We validated candidate proteins using the SomaScan Discovery v4.1 proteomics platform with serum from 11 females with scoliosis. Results: In the discovery analysis, 10 proteins differed between cases and controls (p&lt;0.05) and were correlated with protein levels (ρ=0.36-0.65). Of these candidate proteins, one protein, alpha 2-HS glycoprotein (AHSG), was significantly correlated with curve severity (p=0.0323) in the validation population. Fixed effects meta-analysis showed a strong inverse correlation between curve severity and decreasing alpha 2-HS glycoprotein levels (meta-combined ρ: -0.67, p=0.0052). Conclusion: Alpha 2-HS glycoprotein met our criteria for significance in both the discovery and validation populations. Developing a proteomic signature for idiopathic scoliosis has important clinical implications. This study supports the feasibility of untargeted proteomics and provides evidence for the potential role of alpha 2-HS glycoprotein levels in scoliosis etiology.

A decrease in serum dihydrotestosterone levels in 9-year-old Vietnamese children from a dioxin exposure area.

Dioxin is an environmental pollutant as well as an endocrine disruptor in humans. Our longitudinal study wants to clarify the relationship between dioxin exposure and endocrine disorders in children living in the Vietnamese dioxin hotspot. Seventeen congeners of polychlorinated dibenzo-p-dioxins/polychlorinated dibenzo-furans (PCDDs/PCDFs) in maternal breast milk and seven serum steroid hormones in children of 43 and 46 mothers and their 9-year-old children from the non-exposure and the hotspot areas were measured, respectively. The steroid metabolic enzyme ratios were calculated based on the hormone level ratio. Most dioxin/furan congeners and toxic equivalents (TEQs) levels were significantly higher in the hotspot than in the non-exposure area, except for 2,4,7,8-TeCDF. The height and weight of girls from the hotspot area were substantially lower and inversely correlated with dioxin congener levels/total TEQs level dioxin. The dihydrotestosterone (DHT) levels in the hotspot were markedly lower than those in non-exposed in both genders. The cortisol concentrations were significantly higher in the hotspot than those from the non-exposure area only in the girls. The DHT/testosterone ratios that exhibited the 5α- or 5β-reductase activity declined by 50% in the hotspot area for both genders. The DHT levels showed strong inverse correlations with almost the PCDDs/PCDFs congeners and total TEQs dioxin in breast milk. This finding suggests that dioxin exposure in maternal breast milk might impact children's endocrine system until 9 years old, especially on the DHT biosynthesis.