Low and high glycemic index drinks differentially affect sleep polysomnography and memory consolidation: A randomized controlled trial.

Limited research has examined the effect of meal composition on sleep. Based on previous research, we hypothesized that a low glycemic index (LGI) drink containing 50 g isomaltulose (Palatinose, GI = 32) would result in more N3 sleep, less rapid eye movement (REM) sleep, and better memory consolidation than a high glycemic index (HGI) drink containing 50 g glucose (GI = 100). Healthy males (n = 20) attended the laboratory on three occasions at least a week apart (one acclimatization night and two test nights).

Calcified left ventricular apical aneurysm with intramural thrombus: a case report.

Background: Left ventricular aneurysms (LVAs) are a well-appreciated complication of acute myocardial infarction. Ventricular aneurysms involving the left ventricle (LV) typically evolve as a result of anterior myocardial infarction and are associated with greater morbidity, complication rates, and hospital resource utilization. Incidence of LVA is decreasing with advent of modern reperfusion therapies; however, in the setting of excess morbidity, clinicians must maintain an appreciation for their appearance to allow timely diagnosis and individualized care.

The role of interoception in age-related obesity: A structural equation modelling study.

The obesity pandemic and its adverse effect on health and quality of life are well established. In younger populations, interoception and aberrant eating behaviour contribute to overconsumption and being overweight. Although the incidence of obesity is higher in older individuals, they remain under-researched in the obesity literature.

Concurrent left ventricular and left anterior coronary artery thrombus: is COVID-19 an innocent bystander?

We present the angiographic findings of a case of myocardial infarction associated with COVID-19 with a heavy burden of thrombus, despite only minor obstructive coronary disease.

Carbohydrate and sleep: An evaluation of putative mechanisms.

Sleep problems are extremely common in industrialized countries and the possibility that diet might be used to improve sleep has been considered. The topic has been reviewed many times, resulting in the frequent suggestion that carbohydrate increases the uptake of tryptophan by the brain, where it is metabolized into serotonin and melatonin, with the suggestion that this improves sleep. An alternative mechanism was proposed based on animal literature that has been largely ignored by those considering diet and sleep.

Weaker connectivity in resting state networks is associated with disinhibited eating in older adults.

Background/objectives: Obesity affects more than forty percent of adults over the age of sixty. Aberrant eating styles such as disinhibition have been associated with the engagement of brain networks underlying executive functioning, attentional control, and interoception. However, these effects have been exclusively studied in young samples overlooking those most at risk of obesity related harm.

The SEEKING Drive and Its Fixation: A Neuro-Psycho-Evolutionary Approach to the Pathology of Addiction.

Neuro-ethological studies conducted by Panksepp and his colleagues have provided an understanding of how the activity of the mesolimbic dopaminergic (ML DA) system leads to the emotional disposition to SEEK/Explore, which is involved in all appetitive motivated behavior and mental activity. In pathological addiction phenomena, this emotional disposition "fixes" itself on certain obsessive-compulsive habits, losing its versatility and its natural predisposition to spontaneous and unconditioned activation. Overall, the result is a consistent disinterest in everything that is not the object of addiction.

Comparative analysis of two isocyanate-free urethane-based gels for antifouling applications.

Amphiphilic gels consisting of acrylamide (AAM)/2-hydroxyethyl methacrylate (HEMA), hexafluorobutyl methacrylate (HFBMA) and non-isocyanate urethane dimethacrylate (NIUDMA) of varying molecular weights were compared. A three-level Taguchi analysis was performed using the amount of AAM/HEMA, HFBMA, NIUDMA and reaction time as dependent variables to determine the optimal formulation of the gels with maximized toughness and elastic modulus. The results were compared with commercial AF/FR Intersleek® coatings (IS 700, IS 900 and IS 1100SR) for their antifouling performance against a marine microalga (), a marine bacterium () and adult barnacles ().

Anti-biofouling properties of poly(dimethyl siloxane) with RAFT photopolymerized acrylate/methacrylate surface grafts against model marine organisms.

Biofouling of man-made surfaces by marine organisms is a global problem with both financial and environmental consequences. However, the development of non-toxic anti-biofouling coatings is challenged by the diversity of fouling organisms. One possible solution leverages coatings composed of diverse chemical constituents.

Tough amphiphilic antifouling coating based on acrylamide, fluoromethacrylate and non-isocyanate urethane dimethacrylate crosslinker.

This study is focused on the development of tougher gels using combinations of acrylamide, fluoromethacrylate and a non-isocyanate urethane dimethacrylate (NIUDMA) crosslinker. The NIUDMA was tailored with 2, 3-epoxypropoxy propyl-polydimethylsiloxane segments E9 (MW = 0.36 kg mol), E11 (MW = 0.

Surface texture limits transfer of S. aureus, T4 bacteriophage, influenza B virus and human coronavirus.

Spread of pathogens on contaminated surfaces plays a key role in disease transmission. Surface technologies that control pathogen transfer can help control fomite transmission and are of great interest to public health. Here, we report a novel bead transfer method for evaluating fomite transmission in common laboratory settings.

Microtopographical patterns promote different responses in fibroblasts and Schwann cells: A possible feature for neural implants.

The chronic reliability of bioelectronic neural interfaces has been challenged by foreign body reactions (FBRs) resulting in fibrotic encapsulation and poor integration with neural tissue. Engineered microtopographies could alleviate these challenges by manipulating cellular responses to the implanted device. Parallel microchannels have been shown to modulate neuronal cell alignment and axonal growth, and Sharklet™ microtopographies of targeted feature sizes can modulate bio-adhesion of an array of bacteria, marine organisms, and epithelial cells due to their unique geometry.

Patency When Grafted to Coronary Stenosis More Than 50% in LIMA-RA-Y Grafts.

Background: Recent coronary surgery practice is to graft arterial conduits to more severely stenosed coronary targets than in the past. We aimed to investigate postoperative arterial graft patency with native coronary stenosis at the time of surgery, using the left internal mammary artery and radial artery (RA) as a composite Y graft (LIMA-RA-Y). In the study timeframe, it was routine clinical practice to graft coronary arteries with >50% stenosis.

Engineered Chemical Nanotopographies: Reversible Addition-Fragmentation Chain-Transfer Mediated Grafting of Anisotropic Poly(acrylamide) Patterns on Poly(dimethylsiloxane) To Modulate Marine Biofouling.

Effectively negating the deleterious impact of marine biofouling on the world's maritime fleet in an environmentally conscientious manner presents a difficult challenge due to a variety of factors including the complexity and diversity of fouling species and the differing surface adhesion strategies. Understanding how surface properties relate to biofouling can inform and guide the development of new antibiofouling coatings to address this challenge. Herein, we report on the development of a living photopolymerization strategy used to tailor the surface properties of silicone rubber using controlled anisotropic poly(acrylamide) patterns and the resulting antibiofouling efficacy of these surfaces against zoospores of the model marine fouling organism, .

Effects of inter-organism interactions in biofouling on microtopographic surfaces.

An extended model of the surface energetic attachment (SEA) model is introduced to study the fouling of marine organisms on microtopographic surfaces, taking into account the excluded volume interaction and the attraction between the organisms. It is shown that the excluded volume interaction leads to changes in the site-typed attachment probabilities which increase with the average spore density on the surface. As a result of these changes, the spore density map is flattened under very high density fouling.

An Unusual Case of Shock Following an Elective Caesarean Delivery.

Background: The differential diagnosis of peripartum chest pain and cardiogenic shock is broad and includes pulmonary embolism, amniotic fluid embolism, peripartum and Takotsubo cardiomyopathy, myocardial infarction, and anaesthetic complications.

Case: A 31-year-old woman with Addison's disease underwent an elective caesarean section that was complicated by chest pain and cardiogenic shock. After initial resuscitation, she was transferred to a tertiary hospital, and urgent transthoracic echocardiography revealed severe systolic dysfunction.

Impact of the Cox-Maze IV Procedure on Left Atrial Mechanical Function.

Background: The Cox-Maze IV procedure is a proven surgical treatment for atrial fibrillation (AF). Previous studies on the procedure and its effect on left atrial mechanical function have yielded mixed results.

Methods: Sixty-four (64) patients underwent Cox-Maze IV at St Vincent's Hospital, Melbourne between March 2010 and May 2016.

21-Year Survival of Left Internal Mammary Artery-Radial Artery-Y Graft.

Background: In 1999, Royse et al. reported on the left internal mammary artery, radial artery, Y-graft technique (LIMA-RA-Y), which achieves total arterial revascularization (TAR). However, the most common coronary reconstruction remains LIMA and supplementary saphenous vein grafts (LIMA + SVG).

Surface micropattern reduces colonization and medical device-associated infections.

Purpose: Surface microtopography offers a promising approach for infection control. The goal of this study was to provide evidence that micropatterned surfaces significantly reduce the potential risk of medical device-associated infections.

Methodology: Micropatterned and smooth surfaces were challenged in vitro against the colonization and transference of two representative bacterial pathogens - Staphylococcus aureus and Pseudomonas aeruginosa.

Marine anti-biofouling efficacy of amphiphilic poly(coacrylate) grafted PDMSe: effect of graft molecular weight.

There is currently strong motivation due to ecological concerns to develop effective anti-biofouling coatings that are environmentally benign, durable, and stable for use by the maritime industry. The antifouling (AF) and fouling-release (FR) efficacy of amphiphilic, charged copolymers composed of ~52% acrylamide, ~34% acrylic acid, and ~14% methyl acrylate grafted to poly(dimethyl siloxane) (PDMSe) surfaces were tested against zoospores of the green alga Ulva linza and the diatom Navicula incerta. The biofouling response to molecular weight variation was analyzed for grafts ranging from ~100 to 1,400 kg mol, The amphiphilic coatings showed a marked improvement in the FR response, with a 55% increase in the percentage removal of diatoms and increased AF efficacy, with 92% reduction in initial attachment density of zoospores, compared to PDMSe controls.

A Pilot Assessment of 3 Point-of-Care Strategies for Diagnosis of Perioperative Lung Pathology.

Background: Lung ultrasonography is superior to clinical examination and chest X-ray (CXR) in diagnosis of acute respiratory pathology in the emergency and critical care setting and after cardiothoracic surgery in intensive care. Lung ultrasound may be useful before cardiothoracic surgery and after discharge from intensive care, but the proportion of significant respiratory pathology in this setting is unknown and may be too low to justify its routine use. The aim of this study was to determine the proportion of clinically significant respiratory pathology detectable with CXR, clinical examination, and lung ultrasound in patients on the ward before and after cardiothoracic surgery.