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Objective: To test the validity and practicality of a simple, rapid autonomic cardiovascular evaluation (RACE).
Introduction: Assessment of the autonomic nervous system is costly and time consuming. Consequently, briefer measures are often utilized as evaluations of autonomic function. We therefore set out to assess the validity and practicality of a simple, rapid autonomic cardiovascular evaluation protocol which mimicked the bedside evaluations used in many healthcare centers.
Design/methods: Every eligible patient undergoing full autonomic testing (FAT) in our laboratory was enrolled. The protocol, performed blinded to FAT results, consisted of one breath in the supine position, and supine and standing (1 and 3 min) pressures and pulse. Results were scored for cardiac variation during the breath, a drop in pressure during the stand. Pulse increase was also scored. Aggregate RACE score was regressed against a similarly scored FAT.
Results: The single breath response correlated poorly with the standard response to deep breathing with convergent results in only 26/37 patients, with a specificity of 30%, and sensitivity of 85%. HR and BP changes standing showed little regression against matching values during FAT. Only 5/11 patients who met the criteria for postural tachycardia syndrome by FAT demonstrated a >20 bpm increase in HR by 3 min standing. Finally, aggregate scores for FAT and RACE correlated poorly.
Discussion: The RACE does not satisfy the criteria to serve as a robust dysautonomia screen. Full autonomic testing provides more complete and accurate information than simple bedside assessment.
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http://dx.doi.org/10.1016/j.autneu.2006.07.001 | DOI Listing |
Plant Methods
December 2024
School of Computer Science, Wuhan University, Wuhan, 430072, Hubei, China.
Background: Pest infestation poses a major challenge in the field of global plant protection, seriously threatening crop safety. To enhance crop protection and optimize control strategies, this study is dedicated to the precise identification of various pests that harm crops, thereby ensuring the efficient use of agricultural pesticides and achieving optimal plant protection.
Results: Currently, pest identification technologies lack accuracy, especially in recognizing pests across different growth stages.
BMC Med Inform Decis Mak
December 2024
Department of Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Background: Psychological disorders, such as anxiety and depression, are considered to be one of the causes of noncardiac chest pain (NCCP). And these patients can be challenging to differentiate from coronary artery disease (CAD), leading to a considerable number of patients still undergoing angiography. We aim to develop a practical prediction model and nomogram using cardiopulmonary exercise testing (CPET), to help identify these patients.
View Article and Find Full Text PDFBMC Genomics
December 2024
Biotechnology and Nuclear Technology Research Institute, Sichuan Academy of Agricultural Sciences, Chengdu, 610011, China.
Sweetpotato (Ipomoea batatas L.), an important food and industrial crop in the world, has a highly heterozygous hexaploid genome, making the development of single nucleotide polymorphism (SNP) markers challenging. Identifying SNP loci and developing practical SNP markers are crucial for genomic and genetic research on sweetpotato.
View Article and Find Full Text PDFBull Menninger Clin
December 2024
Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, Connecticut.
Social support is widely beneficial for individuals suffering from mental health disorders. Preliminary work suggests that it is influential in the treatment of obsessive-compulsive disorder (OCD), but no studies have investigated the importance of social support as it relates to readiness to change (RTC, a relevant variable in treatment-seeking populations. The present study aimed to investigate this relationship as well as broadly characterize support-seeking experiences in those with OCD.
View Article and Find Full Text PDFJMIR Public Health Surveill
December 2024
Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, United States.
Background: Convenience, privacy, and cost-effectiveness associated with web-based data collection have facilitated the recent expansion of web-based survey research. Importantly, however, practical benefits of web-based survey research, to scientists and participants alike, are being overshadowed by the dramatic rise in suspicious and fraudulent survey submissions. Misinformation associated with survey fraud compromises data quality and data integrity with important implications for scientific conclusions, clinical practice, and social benefit.
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