Effect of Mindfulness-Based Stress Reduction on Anxiety, Depression and Stress in Women With Multiple Sclerosis

Background: Studies suggest that mindfulness-based interventions can improve anxiety, depression and stress in patients with multiple sclerosis (MS). However, no study investigated the effectiveness of this method in patients with a combination of problems such as depression, anxiety and stress simultaneously. However, comorbidities of depression and anxiety in MS are prevalent. Objectives: This study aimed to assess the effects of mindfulness-based stress reduction (MBRS) on anxiety, depression and stress in women with multiple sclerosis. Patients and Methods: This randomized controlled clinical trial was performed in 2013 in Ahvaz MS Society. Forty eight patients were selected by convenient sampling and randomly assigned in experimental and control groups. The patients in the two groups filled out depression, anxiety and stress scale (DASS-21) at initiation of study, 8 weeks later and 1 month after the end of intervention. The experimental group received 8 sessions of MBRS, while the control group treated as usual. Finally, data of 40 patients analyzed using t-test, chi square and repeated measures analysis of variance. Results: In the MBSR group, the mean depression, anxiety and stress were reduced significantly (P < 0.001). The mean depression score was 8.35 ± 1.78 before the intervention and reduced to 4.80 ± 0.83 and 4.45 ± 0.60 after the intervention and follow-up (P < 0.001). Also the mean anxiety score was 8.90 ± 1.97 before the intervention, which was significantly reduced to 4.70 ± 1.38 and 4.55 ± 0.99 after the intervention and follow-up (P < 0.001). The mean stress score was also 8.80 ± 2.35 before treatment and 4.80 ± 1.67 and 4.70 ± 1.34 after the intervention and follow-up (P < 0.001). Conclusions: This study showed that MBSR training can reduce mean depression, anxiety and stress scores in patients with MS. These findings suggest that MBSR is useful for psychological problems such as depression, anxiety and stress in patients with MS

Photoemission studies of the near Fermi level spectral weight shifts in FeSe1-xTex superconductor

Our valence band photoelectron spectroscopic studies show a temperature dependent spectral weight transfer near the Fermi level in the Fe-based superconductor FeSe1-xTex. Using theoretical band structure calculations we have shown that the weight transfer is due to the temperature induced changes in the Fe(Se,Te)4 tetrahedra. These structural changes lead to shifts in the electron occupancy from the xz/yz and x2-y2 orbitals to the 3z2-r2 orbitals indicating a temperature induced crossover from a metallic state to an Orbital Selective Mott (OSM) Phase. Our study presents the observation of a temperature induced crossover to a low temperature OSM phase in the family of Fe chalcogenides.Comment: 10 pages, 4 figure

Concomitant CIS on TURBT does not impact oncological outcomes in patients treated with neoadjuvant or induction chemotherapy followed by radical cystectomy

© Springer-Verlag GmbH Germany, part of Springer Nature 2018Background: Cisplatin-based neoadjuvant chemotherapy (NAC) for muscle invasive bladder cancer improves all-cause and cancer specific survival. We aimed to evaluate whether the detection of carcinoma in situ (CIS) at the time of initial transurethral resection of bladder tumor (TURBT) has an oncological impact on the response to NAC prior to radical cystectomy. Patients and methods: Patients were identified retrospectively from 19 centers who received at least three cycles of NAC or induction chemotherapy for cT2-T4aN0-3M0 urothelial carcinoma of the bladder followed by radical cystectomy between 2000 and 2013. The primary and secondary outcomes were pathological response and overall survival, respectively. Multivariable analysis was performed to determine the independent predictive value of CIS on these outcomes. Results: Of 1213 patients included in the analysis, 21.8% had concomitant CIS. Baseline clinical and pathologic characteristics of the ‘CIS’ versus ‘no-CIS’ groups were similar. The pathological response did not differ between the two arms when response was defined as pT0N0 (17.9% with CIS vs 21.9% without CIS; p = 0.16) which may indicate that patients with CIS may be less sensitive to NAC or ≤ pT1N0 (42.8% with CIS vs 37.8% without CIS; p = 0.15). On Cox regression model for overall survival for the cN0 cohort, the presence of CIS was not associated with survival (HR 0.86 (95% CI 0.63–1.18; p = 0.35). The presence of LVI (HR 1.41, 95% CI 1.01–1.96; p = 0.04), hydronephrosis (HR 1.63, 95% CI 1.23–2.16; p = 0.001) and use of chemotherapy other than ddMVAC (HR 0.57, 95% CI 0.34–0.94; p = 0.03) were associated with shorter overall survival. For the whole cohort, the presence of CIS was also not associated with survival (HR 1.05 (95% CI 0.82–1.35; p = 0.70). Conclusion: In this multicenter, real-world cohort, CIS status at TURBT did not affect pathologic response to neoadjuvant or induction chemotherapy. This study is limited by its retrospective nature as well as variability in chemotherapy regimens and surveillance regimens.Peer reviewedFinal Accepted Versio

Growth of maximum modulus of polynomials with prescribed zeros

Let P(z) be a polynomial of degree n not vanishing in |z| 1 |P(z)| in terms of R,n,k, max|z|=1 |P(z)| and min|z|=k |P(z)|. Among other things our result includes a refinement of a theorem due to Ankeny and Rivilin as a special case. We shall also prove an another result of similar nature

The burden of diabetes mellitus during pregnancy in low- and middle-income countries : a systematic review

Peer reviewedPublisher PD

Improving quality parameters of spinach by adjusting light spectra under moderate water deprivation conditions

Spinach (Spinacia oleracea L.) is a highly valuable leafy vegetable, abundant in vitamins, minerals, and antioxidants, offering various health benefits such as enhancing cardiovascular health, reducing inflammation, and aiding digestion. Consequently, it is crucial to effectively cultivate and maintain spinach's quality. Light plays a pivotal role in the growth and development of plants, including spinach, where different light qualities can influence its morpho-physiological traits and overall quality. To explore this, an experiment was conducted, using three distinct LED lighting sets for spinach cultivation. Light 1 emphasized blue light, Light 2 served as the standard white light control, and Light 3 focused more on red light with occasional brief UV-C flashes. Additionally, mild water deprivation was induced using 2.5% polyethylene glycol (PEG). The results revealed that using a high red-to-blue light ratio with intermittent UV-C radiation significantly reduced various growth parameters of spinach, such as root length, shoot length, root volume, fresh and dry root and shoot weight, as well as total and relative chlorophyll contents, when compared to the control group. Furthermore, water deprivation had a negative impact on spinach's growth, affecting shoot and root length, and fresh and dry weight in all light qualities, proving to be fatal under Light 3 conditions. Therefore, it is essential to carefully select appropriate light qualities throughout the plant's life cycle to enhance the quality of spinach, especially when mild water deprivation is involved. Opting for a higher blue-to-red light ratio was found to be somewhat beneficial in improving the overall quality of spinach

Sub-bituminous coal as a peculiar adsorbent for dye removal from wastewater

Coal, an abundant and cost-effective adsorbent, is explored for its potential in environmentally friendly greenhouse gas storage. Herein, the adsorption of anionic (methyl orange) and cationic (methylene blue) dyes on sub-bituminous coal was intensively studied. This study is the first application of sub-bituminous coal to examine the removal of different concentrations of dyes from water. The properties of the coal were studied using advanced analytical techniques. The initial dye concentration, solution pH, and adsorbent-adsorbate contact time were investigated for their influence on the adsorption efficiency of the dyes. Adsorption kinetics were then studied by applying common kinetic models and the adsorption isotherms were modeled using relevant isotherm models. The results showed that the sub-bituminous coal was an excellent adsorbent to capture methylene blue dye but less effective for methyl orange dye, with adsorption capacities of 25 mg/g and 15.5 mg/g, respectively. The Dubinin-Radushkevich model showed a higher R2 value (0.999) for the adsorption of methyl orange, while the adsorption of methylene blue on the Pan upper coal was better described by the Freundlich model (R2 = 0.999). Additionally, the Pseudo-first-order kinetic model proved favorable for both adsorbates, indicating that the adsorbate molecules were transported to the solid surface by diffusion, and the adsorption process involved physisorption. This study confirms that sub-bituminous coal is a promising economic adsorbent for removing methylene blue dye

Emergent versus delayed lithotripsy for obstructing ureteral stones: a cumulative analysis of comparative studies

Objective To analyze the current evidence on the use of ureteroscopy (URS) and extracorporeal shock wave lithotripsy (ESWL) for the management of obstructing ureteral stones in emergent setting. Methods A systematic literature review was performed up to June 2016 using Pubmed and Ovid databases to identify pertinent studies. The PRISMA criteria were followed for article selection. Separate searches were done using a combinations of several search terms: "laser lithotripsy", "ureteroscopy", "extracorporeal shock wave lithotripsy", "ESWL", "rapid", "immediate", "early", "delayed", "late", "ureteral stones", "kidney stones", "renal stones". Only titles related to emergent/rapid/immediate/early (as viably defined in each study) versus delayed/late treatment of ureteral stones with either URS and/or ESWL were considered for screening. Demographics and operative outcomes were compared between emergent and delayed lithotripsy. RevMan review manager software was used to perform data analysis. Results Four studies comparing emergent (n = 526) versus delayed (n = 987) URS and six studies comparing emergent (n = 356) versus delayed (n = 355) SWL were included in the analysis. Emergent URS did not show any significant difference in terms of stone-free rate (91.2 versus 90.9%; OR 1.04; CI 0.71, 1.52; p = 0.84), complication rate (8.7% for emergent versus 11.5% for delayed; OR 0.94; CI 0.65, 1.36; p = 0.74) and need for auxiliary procedures (OR 0.85; CI 0.42, 1.7; p = 0.85) when compared to delayed URS. Emergent ESWL was associated with a higher likelihood of stone free status (OR 2.2; CI 1.55, 3.17; p < 0.001) and a lower likelihood of need for auxiliary maneuvers (OR 0.49; CI 0.33, 0.72; p < 0.001) than the delayed procedure. No differences in complication rates were noticed between the emergent and delayed ESWL (p = 0.37). Conclusions Emergent lithotripsy, either ureteroscopic or extracorporeal, can be offered as an effective and safe treatment for patients with symptomatic ureteral stone. If amenable to ESWL, based on stone and patient characteristics, an emergent approach should be strongly considered. Ureteroscopy in the emergent setting is mostly reserved for distally located stones. The implementation of these therapeutic approaches is likely to be dictated by their availability.info:eu-repo/semantics/publishedVersio