bluuebunny/crossref_metadata_2025 huggingface dataset:
Nutritional Risk Screening in Cancer Patients: The First Step Toward Better Clinical Outcome
Authors: Reber Emilie , Schönenberger Katja A. , Vasiloglou Maria F. , Stanga Zeno
Published: April 2021

Disease-related malnutrition is highly prevalent among cancer patients, with 40–80% suffering from it during the course of their disease. Malnutrition is associated with numerous negative outcomes such as: longer hospital stays, increased morbidity and mortality rates, delayed wound healing, as well as decreased muscle function, autonomy and quality of life. In cancer patients, malnutrition negatively affects treatment tolerance (including anti-cancer drugs, surgery, chemo- and radiotherapy), increases side effects, causes adverse reactions, treatment interruptions, postoperative complications and higher readmission rates. Conversely, anti-cancer treatments are also known to affect body composition and impair nutritional status. Tailoring early nutritional therapy to patients' needs has been shown to prevent, treat and limit the negative consequences of malnutrition and is likely to improve overall prognosis. As the optimisation of treatment outcomes is top priority and evidence for nutritional therapy is growing, it is increasingly recognized as a significant intervention and an autonomous component of multimodal cancer care. The proactive implementation of nutritional screening and assessment is essential for patients suffering from cancer - given the interaction of clinical, metabolic, pharmacological factors with systemic inflammation; and suppressed appetite with accelerated muscle protein catabolism. At the same time, a nutritional care plan must be established, and adequate individualized nutritional intervention started rapidly. Screening tools for nutritional risk should be validated, standardized, non-invasive, quick and easy-to-use in daily clinical practice. Such tools must be able to identify patients who are already malnourished, as well as those at risk for malnutrition, in order to prevent or treat malnutrition and reduce negative outcomes. This review investigates the predictive value of commonly used screening tools, as well as the sensitivity and specificity of their individual components for improving clinical outcomes in oncologic populations. Healthcare professionals' awareness of malnutrition in cancer patients and the pertinence of early nutritional screening must be raised in order to plan the best possible intervention and follow-up during the patients' ordeal with the disease.
Protective Effect of Chrysanthemum morifolium cv. Fubaiju Hot-Water Extracts Against ARPE-19 Cell Oxidative Damage by Activating PI3K/Akt-Mediated Nrf2/HO-1 Signaling Pathway
Authors: Hao Yiming , Li Yanfang , Liu Jie , Wang Ziyuan , Gao Boyan , Zhang Yaqiong , Wang Jing
Published: April 2021

Chrysanthemum morifolium cv. Fubaiju is a kind of widely consumed herb tea with multiple health benefits. The present study was aimed to evaluate the protective capacity of C. morifolium cv. Fubaiju hot-water extracts (CMs) against ARPE-19 cell oxidative damage. The results showed that pretreatment with 100 μg/mL CM could significantly reduce cell oxidative damage and apoptosis. Proapoptotic protein expression such as Bax, cleaved caspase-3, and cleaved poly(ADP-ribose) polymerase (PARP) was significantly decreased after CM addition, while the expression level of antioxidant enzymes including catalase, glutamate-cysteine ligase catalytic subunit (GCLc), superoxide dismutase 2 (SOD2), and NAD(P)H:quinone oxidoreductase 1 (NQO-1) was significantly promoted. Meanwhile, CM treatment upregulated Akt phosphorylation, nuclear factor erythroid 2-related factor 2 (Nrf2) nuclear translocation, and the expression level of antioxidant gene heme oxygenase-1 (HO-1) in a dose-dependent manner under oxidative stress. Knockdown of Nrf2 by targeted small interfering RNA (siRNA) alleviated CM-mediated HO-1 transcription and almost abolished CM-mediated protection against hydrogen peroxide (H2O2)-induced cell damage. Correspondingly, the protective effect of CM was dramatically blocked after interference with phosphatidylinositol 3-kinase (PI3K)/Akt inhibitor LY294002, indicating that the protective effect of CM on cell oxidative damage was attributed to PI3K/Akt-mediated Nrf2/HO-1 signaling pathway.
Physicochemical Parameters and Bioaccessibility of Lactic Acid Bacteria Fermented Chayote Leaf (Sechium edule) and Pineapple (Ananas comosus) Smoothies
Authors: Managa Millicent G. , Akinola Stephen A. , Remize Fabienne , Garcia Cyrielle , Sivakumar Dharini
Published: April 2021

In this study, popularly consumed traditional chayote leaves and locally produced pineapple fruit were used to develop a fermented smoothie using lactic acid bacteria (LAB) strains: Lactobacillus plantarum (L75), Weissella cibaria (W64), and their combination (LW64 + 75). The physicochemical parameters [pH, total soluble solids (TSS), and color], total phenols, and carotenoid contents of the smoothies fermented for 48 h and stored for 7 days at 4°C were compared with the unfermented (control) smoothies. Results indicated that LAB fermentation reduced the pH from 3.56 to 2.50 after 48 h (day 2) compared with the non-fermented smoothie at day 2 (pH 3.37). LAB strain L75 significantly reduced the TSS content of the smoothies to 13.06°Bx after 2 days of fermentation. Smoothies fermented by L75 showed overall acceptability after 7 days of storage compared with the non-fermented puree on day 0. The LW64 + 75 significantly reduced the color change (ΔE), which was similar to the control. L75 increased the phenolic content, and W64 enhanced the total carotenoid content of the smoothies after 2 days of fermentation compared with other treatments. The use of an in vitro model simulating gastrointestinal (GI) digestion showed that fermentation with L75 improved the total phenol recovery by 65.96% during the intestinal phase compared with the control. The dialysis phase mimicked an epithelial barrier, and 53.58% of the recovered free soluble are bioavailable from the L75 fermented smoothies compared with the control. The antioxidant capacity of dialyzable fraction of the L75 fermented smoothie was significantly higher than that of the control and smoothies fermented with W64 or LW64 + 75.
The Clinical Implications of Tumor Mutational Burden in Osteosarcoma
Authors: Xie Lu , Yang Yufei , Guo Wei , Che Dongxue , Xu Jie , Sun Xin , Liu Kuisheng , Ren Tingting , Liu Xingyu , Yang Yi , Ji Tao , Tang Xiaodong
Published: April 2021

Background

Osteosarcoma (OTS) is aggressive bone malignancy without well-recognized prognosis biomarker. Tumor mutational burden (TMB) has been proved as effective biomarker in predicting clinical outcomes in several cancer types. However, its prognostic value in OTS remains unknown. In this study, we aim to evaluate the implication of TMB in OTS patients.

Methods

To depict the landscape of somatic mutations in OTS, we performed Whole-Exome Sequencing (WES) on 31 OTS tissue samples and corresponding White Blood Cells (WBCs) as matched control. TMB was calculated as the total number of somatic alterations in coding regions normalized to the per sequenced genomic megabase (~30.4Mb in WES). The prognostic values of TMB were evaluated by Kaplan-Meier methods and Cox regression models.

Results

The median age was 16.0 years at diagnosis, and 54.8% of patients were male. The most common genetic alterations were mainly involved in cell cycle and DNA damage response and repair, including H3F3A, TP53, MYC, and CDKN2A/B. The median progression-free survival (PFS) was 775.5 days in TMB-High (defined as third quartile of TMB value, <2.565) versus 351 days in TMB-Low (<2.565). All patients with TMB-High are PFS-Long (>400 days), while 36.4% of all patients with TMB-Low were PFS-Long (P=0.003). TMB were significantly greater in PFS-Long than in PFS-Short (<400 days) (P=0.002). Moreover, the median overall survival (OS) was 1,307 days in TMB-High versus 672.5 days in TMB-Low. Furthermore, TMB-High group had significantly improved PFS (P=0.04) and OS (P=0.03).

Conclusions

TMB-High can be used as prognostic marker for OTS. Our findings demonstrate that TMB may be helpful in combination with traditionally clinicopathologic risk factors to optimize risk stratification and guide treatment decisions.
MET-Pyk2 Axis Mediates Acquired Resistance to FGFR Inhibition in Cancer Cells
Authors: Kitowska Kamila , Gorska-Arcisz Monika , Antoun Dima , Zarczynska Izabela , Czaplinska Dominika , Szczepaniak Adrian , Skladanowski Andrzej C. , Wieczorek Maciej , Stanczak Aleksandra , Skupinska Monika , Sadej Rafal
Published: April 2021

Deregulation of fibroblast growth factor receptors (FGFRs) signaling, as a result of FGFR amplification, chromosomal translocation, or mutations, is involved in both initiation and progression of a wide range of human cancers. Clinical data demonstrating the dependence of cancer cells on FGFRs signaling clearly indicate these receptors as the molecular targets of anti-cancer therapies. Despite the increasing number of tyrosine kinase inhibitors (TKIs) being investigated in clinical trials, acquired resistance to these drugs poses a serious therapeutic problem. In this study, we focused on a novel pan-FGFR inhibitor—CPL304110, currently being investigated in phase I clinical trials in adults with advanced solid malignancies. We analyzed the sensitivity of 17 cell lines derived from cancers with aberrant FGFR signaling, i.e. non-small cell lung cancer, gastric and bladder cancer to CPL304110. In order to explore the mechanism of acquired resistance to this FGFR inhibitor, we developed from sensitive cell lines their variants resistant to CPL304110. Herein, for the first time we revealed that the process of acquired resistance to the novel FGFR inhibitor was associated with increased expression of MET in lung, gastric, and bladder cancer cells. Overexpression of MET in NCI-H1703, SNU-16, RT-112 cells as well as treatment with HGF resulted in the impaired response to inhibition of FGFR activity. Moreover, we demonstrated that cells with acquired resistance to FGFR inhibitor as well as cells overexpressing MET displayed enhanced migratory abilities what was accompanied with increased levels of Pyk2 expression. Importantly, inhibition of both MET and Pyk2 activity restored sensitivity to FGFR inhibition in these cells. Our results demonstrate that the HGF/MET-Pyk2 signaling axis confers resistance to the novel FGFR inhibitor, and this mechanism is common for lung, gastric, and bladder cancer cells. Our study suggests that targeting of MET/Pyk2 could be an approach to overcome resistance to FGFR inhibition.
Profiling Oncogenic Germline Mutations in Unselected Chinese Lung Cancer Patients
Authors: Yang Jie , Li Hefei , Li Ben , Li Wei , Guo Qiang , Hu Ling , Song Zizheng , Zhou Bin
Published: April 2021

Introduction

Emerging evidence has suggested that inherited factors are also involved in lung cancer development. However, most studies focused on well-elucidated cancer predisposition genes, the majority of which are tumor suppressor genes. The profile of germline mutations in oncogenic driver genes remains unrevealed, which might also provide potential clinical implications for lung cancer management.

Methods

Sequencing data from 36,813 unselected lung cancer patients who underwent somatic mutation profiling were retrospectively reviewed. All recruited patients had matched white blood cell samples sequenced in parallel using a capture-based panel including eight key lung cancer driver genes (epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), MET proto-oncogene, receptor tyrosine kinase (MET), Kirsten rat sarcoma viral oncogene homolog (KRAS), Erb-B2 receptor tyrosine kinase 2(ERBB2), ROS proto-oncogene 1, receptor tyrosine kinase (ROS1), ret proto-oncogene (RET), and B-Raf proto-oncogene, serine/threonine kinase (BRAF)). Likely pathogenic/pathogenic (LP/P) variants were called according to the classification criteria of the American College of Medical Genetics and Genomics. Variants of uncertain significance (VUS) located in the kinase domains of driver genes and occurring recurrently (n ≥3) were also included for further analyses.

Results

Seven different LP/P variants in EGFR, MET, or RET were identified in 0.03% of lung cancer patients (n = 14) and 25 different VUS in the kinase domains of seven driver genes (except KRAS) were found with a prevalence of 0.3% (n = 117).Collectively, germline mutations were most frequently seen in ROS1 (n = 31, 0.084%), followed by MET (n = 23, 0.062%), EGFR (n = 22, 0.06%), ALK (n = 22, 0.06%) and RET (n = 17, 0.046%). LP/P variants and VUS fell the most commonly in EGFR (n = 10, 72%) and ROS1 (n = 31, 26%), respectively. Of the 10 patients with EGFR LP/P germline mutation, 70% also acquired somatic EGFR driver mutation exon21 p.L858R or exon19 deletion at baseline; while the three patients with pathogenic germline RET mutation displayed distinct baseline somatic profiles of rare EGFR mutation or KRAS exon2 p.G12C. We discovered 11 germline mutations that also occurred somatically, including four LP/P variants and seven VUS.

Conclusion

We present the first study to systemically characterize the germline mutation in oncogenic driver genes in a large cohort of unselected patients with lung cancers.
MYD88 Is a Potential Prognostic Gene and Immune Signature of Tumor Microenvironment for Gliomas
Authors: Guo Qinglong , Xiao Xing , Zhang Jinsen
Published: April 2021

Purpose

To explore the profiles of immune and stromal components of the tumor microenvironment (TME) and their related key genes in gliomas.

Methods

We applied bioinformatic techniques to identify the core gene that participated in the regulation of the TME of the gliomas. And immunohistochemistry staining was used to calculate the gene expressions in clinical cases.

Results

The CIBERSORT and ESTIMATE were used to figure out the composition of TME in 698 glioma cases from The Cancer Genome Atlas (TCGA) database. Differential expression analysis identified 2103 genes between the high and the low-score group. Then the Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis, univariate Cox regression analysis, and protein–protein interaction (PPI) network construction were conducted based on these genes. MYD88 was identified as the key gene by the combination univariate Cox and PPI analysis. Furthermore, MYD88 expression was significantly associated with the overall survival and WHO grade of glioma patients. The genes in the high-expression MYD88 group were mainly in immune-related pathways in the Gene Set Enrichment Analysis (GSEA). We found that macrophage M2 accounted for the largest portion with an average of 27.6% in the glioma TIICs and was associated with high expression of MYD88. The results were verified in CGGA database and clinical cases in our hospital. Furthermore, we also found the MYD88 expression was higher in IDH1 wild types. The methylation rate was lower in high grade gliomas.

Conclusion

MYD88 had predictive prognostic value in glioma patients by influencing TIICs dysregulation especially the M2-type macrophages.
The Importance of Reverberation for the Design of Neonatal Incubators
Authors: Puyana-Romero Virginia , Núñez-Solano Daniel , Fernández-Zacarías Francisco , Jara-Muñoz Edgar , Hernández-Molina Ricardo
Published: April 2021

Low frequency noises are predominant in neonatal intensive care units (NICUs). Some studies affirm that neonates can perceive noises from 113 Hz, and can therefore be affected by sound sources with high spectral content at low frequencies (e.g., incubator engine, air fan). Other studies suggest that reverberation amplifies noise within incubators. In this paper, the reverberation time (T, T30) within an incubator with standard dimensions was measured in one-third octave bands. To get reliable results, the T was measured in 15 positions at the neonate's ear height, in a room with low T values (to reduce the influence of the room in the results), using an impulsive sound method. Results show a heterogeneous T distribution at the neonate's ear height, with maximum average T differences between positions of 1.07 s. The highest average T of all microphone positions is 2.27 s at 125 Hz, an extremely high mean value for such a small space. As the frequency of electrical devices in America is 60 Hz, some harmonics lay within the one-third octave band of 125 Hz, and therefore may create a very reverberant and inappropriate acoustic environment within the audible spectrum of neonates. As the acoustic environment of the incubator and the room are coupled, it is expected that the results are higher in the NICUs than in the room where the measurements were conducted, as NICUs are more reverberant. Therefore, it is recommended that the T will be limited in the international standards, and that incubator designers take it into account.
6′-O-Galloylpaeoniflorin Attenuates Osteoclasto-genesis and Relieves Ovariectomy-Induced Osteoporosis by Inhibiting Reactive Oxygen Species and MAPKs/c-Fos/NFATc1 Signaling Pathway
Authors: Liu Wenjie , Xie Gang , Yuan Guixin , Xie Dantao , Lian Zhen , Lin Zihong , Ye Jiajie , Zhou Wenyun , Zhou Weijun , Li Henghui , Wang Xinjia , Feng Haotian , Liu Ying , Yao Guanfeng
Published: April 2021

Emerging evidence suggests bright prospects of some natural antioxidants in the treatment of osteoporosis. 6′-O-Galloylpaeoniflorin (GPF), an antioxidant isolated from peony roots (one of very widely used Oriental medicines, with various anti-inflammatory, antitumor, and antioxidant activities), shows a series of potential clinical applications. However, its effects on osteoporosis remain poorly investigated. The current study aimed to explore whether GPF can attenuate osteoclastogenesis and relieve ovariectomy-induced osteoporosis via attenuating reactive oxygen species (ROS), and investigate the possible mechanism. After the culture of primary murine bone marrow-derived macrophages/monocytes were induced by the use of macrophage colony-stimulating factor (M-CSF) and the receptor activator of NF-κB ligand (RANKL) and then treated with GPF. Cell proliferation and viability were assessed by Cell Counting Kit-8 (CCK-8) assay. Thereafter, the role of GPF in the production of osteoclasts and the osteogenic resorption of mature osteoclasts were evaluated by tartrate-resistant acid phosphatase (TRAP) staining, podosome belt formation, and resorption pit assay. Western blotting and qRT-PCR examination were performed to evaluate proteins’ generation and osteoclast-specific gene levels, respectively. The ROS generation in cells was measured in vitro by 2′,7′-Dichlorodi-hydrofluorescein diacetate (DCFH-DA). Ovariectomy-induced osteoporosis mouse administered with GPF or vehicle was performed to explore the in vivo potential of GPF, then a micro-CT scan was performed in combination with histological examination for further analysis. GPF suppressed the formation of osteoclasts and podosome belts, as well as bone resorption when induced by RANKL through affecting intracellular ROS activity, MAPKs signaling pathway, and subsequent NFATc1 translocation and expression, as well as osteoclast-specific gene expression in vitro. In vivo study suggested that exposure to GPF prevented osteoporosis-related bone loss in the ovariectomized mice. These findings indicate that GPF attenuates osteoclastogenesis and relieves ovariectomy-induced osteoporosis by inhibiting ROS and MAPKs/c-Fos/NFATc1 signaling pathway. This suggested that GPF may be potentially used to treat bone diseases like periodontitis, rheumatoid arthritis, and osteoporosis associated with osteoclasts.
Diving Responses in Experienced Rebreather Divers: Short-Term Heart Rate Variability in Cold Water Diving
Authors: Lundell Richard V. , Tuominen Laura , Ojanen Tommi , Parkkola Kai , Räisänen-Sokolowski Anne
Published: April 2021

Introduction

Technical diving is very popular in Finland throughout the year despite diving conditions being challenging, especially due to arctic water and poor visibility. Cold water, immersion, submersion, hyperoxia, as well as psychological and physiological stress, all have an effect on the autonomic nervous system (ANS).

Materials and methods

To evaluate divers’ ANS responses, short-term (5 min) heart rate variability (HRV) during dives in 2–4°C water was measured. HRV resting values were evaluated from separate measurements before and after the dives. Twenty-six experienced closed circuit rebreather (CCR) divers performed an identical 45-meter decompression dive with a non-physical task requiring concentration at the bottom depth.

Results

Activity of the ANS branches was evaluated with the parasympathetic (PNS) and sympathetic (SNS) indexes of the Kubios HRV Standard program. Compared to resting values, PNS activity decreased significantly on immersion with face out of water. From immersion, it increased significantly with facial immersion, just before decompression and just before surfacing. Compared to resting values, SNS activity increased significantly on immersion with face out of water. Face in water and submersion measures did not differ from the immersion measure. After these measurements, SNS activity decreased significantly over time.

Conclusion

Our study indicates that the trigeminocardiac part of the diving reflex causes the strong initial PNS activation at the beginning of the dive but the reaction seems to decrease quickly. After this initial activation, cold seemed to be the most prominent promoter of PNS activity – not pressure. Also, our study showed a concurrent increase in both SNS and PNS branches, which has been associated with an elevated risk for arrhythmia. Therefore, we recommend a short adaptation phase at the beginning of cold-water diving before physical activity.
Free Fatty Acid Receptors as Mediators and Therapeutic Targets in Liver Disease
Authors: Secor Jordan D. , Fligor Scott C. , Tsikis Savas T. , Yu Lumeng J. , Puder Mark
Published: April 2021

Free fatty acid receptors (FFARs) are a class of G protein-coupled receptors (GPCRs) that have wide-ranging effects on human physiology. The four well-characterized FFARs are FFAR1/GPR40, FFAR2/GPR43, FFAR3/GPR41, and FFAR4/GPR120. Short-chain (<6 carbon) fatty acids target FFAR2/GPR43 and FFAR3/GPR41. Medium- and long-chain fatty acids (6–12 and 13–21 carbon, respectively) target both FFAR1/GPR40 and FFAR4/GPR120. Signaling through FFARs has been implicated in non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), intestinal failure-associated liver disease (IFALD), and a variety of other liver disorders. FFARs are now regarded as targets for therapeutic intervention for liver disease, diabetes, obesity, hyperlipidemia, and metabolic syndrome. In this review, we provide an in-depth, focused summary of the role FFARs play in liver health and disease.
Behavioral Reluctance in Adopting Open Access Publishing: Insights From a Goal-Directed Perspective
Authors: Köster Massimo , Moors Agnes , De Houwer Jan , Ross-Hellauer Tony , Van Nieuwerburgh Inge , Verbruggen Frederick
Published: April 2021

Despite growing awareness of the benefits of large-scale open access publishing, individual researchers seem reluctant to adopt this behavior, thereby slowing down the evolution toward a new scientific culture. We outline and apply a goal-directed framework of behavior causation to shed light on this type of behavioral reluctance and to organize and suggest possible intervention strategies. The framework explains behavior as the result of a cycle of events starting with the detection of a discrepancy between a goal and a status quo and the selection of behavior to reduce this discrepancy. We list various factors that may hinder this cycle and thus contribute to behavioral reluctance. After that, we highlight potential remedies to address each of the identified barriers. We thereby hope to point out new ways to think about behavioral reluctances in general, and in relation to open access publishing in particular.
The Sum of Fears in Cancer Patients Inside the Context of the COVID-19
Authors: Bandinelli Lucas , Ornell Felipe , von Diemen Lisia , Kessler Felix Henrique Paim
Published: April 2021

The pandemic resulting from COVID-19 has led to the collapse of the health system in dozens of countries. Parallel to clinical risk, the appearance or intensification of psychiatric symptoms has also been documented. The identification of groups at risk is essential for the establishment of preventive and therapeutic strategies. Cancer patients appear to be especially vulnerable both from a clinical and psychiatric perspective. Problems related to contamination and the cancer treatments themselves are intertwined, causing a sum of patients' fears to arise, which can cause mental effects. This study aims to review and investigate the impact of COVID-19 on the mental health of cancer patients and indicate possible support strategies.
Impaired Emotional Self-Referential Processing in First-Episode Schizophrenia
Authors: Zhao Yanli , Wang Zhiren , Zhang Yueyao , Zhang Yuanyuan , Zhang Jinguo , Li Dong , Xiao Chunling , Tan Shuping , Zhang Dandan
Published: April 2021

Impairments in self-representation are relevant to the expression of psychosis. To date, the characteristics and neural mechanisms of self-impairment in schizophrenia remain unclear. To this end, we used event-related potentials (ERPs) to measure brain activity in 56 first-episode patients with schizophrenia and 56 healthy controls. Participants judged personal trait adjectives regarding themselves, their mothers, or a public person, followed by an unexpected old/new recognition test. The recognition score for mother-reference adjectives was lower than that for self-reference adjectives in patients, while the control group showed comparatively high recognition scores for both self- and mother-referential adjectives. In addition, control subjects recognized more negative words, while patients remembered more positive words. ERP data revealed that controls exhibited typical task effects (self-reference = mother-reference > other-reference) during both automatic attention and effortful encoding periods [indexed by P2 and the late positive potential (LPP), respectively]. In contrast, patients only exhibited the task effect in the P2 amplitude. Moreover, controls exhibited larger P2 amplitudes during encoding negative than positive words, whereas patients had enhanced LPP amplitudes during memory retrieval of positive compared to negative words. These findings demonstrated self-representation dysfunction in first-episode schizophrenic patients in mother (the intimate other) referential processing and the absence of a negative memory bias.
What You Believe Can Affect How You Feel: Anger Among Caregivers of Elderly People With Dementia
Authors: Wang Haoran , Cui Hongmei , Wang Meng , Yang Chunyan
Published: April 2021

Background and Purpose: Anger has been recognized as a commonly experienced emotion among caregivers of elderly people with dementia. While several cognitive behavioral therapy (CBT)-based intervening methods have been developed, limited research has systematically examined the associations between dementia-related cognition and caregiving anger. Currently, we focused on three representative and well-studied cognitive constructs, person-centered attitude (PCA), dementia representation (DR), and empathy, exploring how they related to caregiving anger.

Methods & Results: In total, 327 caregivers (239 female) participated in the study and finished online questionnaires. Multi-variable regression analyzes showed that PCA (βPCA = −0.22**) and empathy (βempathy = −0.18**) could negatively predict caregiving anger. However, all DR dimensions had no influence on caregiving anger except coherence (βcoherence = −0.24**) in the current study.

Conclusion: Generally, lower caregiving anger was associated with: (1) being more empathic; (2) having a person-centered attitude; and (3) having a comprehensive understanding of dementia. The results of this study provide detailed suggestions for the development of anger management programs for caregivers of people with dementia.
Coping With the COVID-19 Pandemic: Examining Gender Differences in Stress and Mental Health Among University Students
Authors: Prowse Rebecca , Sherratt Frances , Abizaid Alfonso , Gabrys Robert L. , Hellemans Kim G. C. , Patterson Zachary R. , McQuaid Robyn J.
Published: April 2021

The COVID-19 pandemic has imposed a wide variety of unprecedented challenges, many of which appear to be disproportionately affecting the mental health and well-being of young adults. While there is evidence to suggest university students experience high rates of mental health disorders, less is known about the specific impacts of the COVID-19 pandemic on student mental health and how they are coping with this stress. To address this gap, we conducted an online study among undergraduate students (n = 366) to examine the impact of the COVID-19 pandemic on academics, social isolation, and mental health, as well as the extent to which they have been implementing a variety of coping strategies. The pandemic had a more pronounced negative effect on female students' academics, social isolation, stress and mental health compared to male counterparts. Moreover, for females, frequent use of social media as a coping mechanism was associated with greater perceived negative impacts on their academic performance and stress levels, compared to males. However, frequent social media use related to similar negative mental health effects for both males and females. While male and female students both reported using substances to cope, for males the use of cannabis was associated with greater negative impacts on academic outcomes, stress and mental health compared to females. These findings highlight the need for adequate student support services across the post-secondary sector, and point to the importance of gender informed interventions to address the impacts of the COVID-19 pandemic.
Trends in Tobacco Smoking in Pregnant Women: Data From French National Perinatal Surveys
Authors: Demiguel Virginie , Blondel Béatrice , Bonnet Camille , Nguyen-Thanh Viêt , Saurel-Cubizolles Marie-Josèphe , Regnault Nolwenn
Published: April 2021

Objectives: To describe maternal smoking trends in France between 1972 and 2016, and identify whether maternal characteristics associated with smoking in the 3rd trimester of pregnancy evolved between 2010 and 2016.

Methods: Using French National Perinatal Surveys, we estimated proportions of smokers and the number of cigarettes smoked both just before pregnancy and during the 3rd trimester from 1972 to 2016. We used a Poisson model with robust variance to estimate prevalence ratios for smoking during pregnancy.

Results: Proportions of mothers quitting smoking were relatively stable (46.0% in 1972 and 45.8% in 2016). The number of cigarettes smoked just before pregnancy and in the 3rd trimester decreased from 1995 onward. However, proportions of smokers remained high before (30.1%) and during the 3rd trimester in 2016 (16.2%). Smoking in the 3rd trimester was associated with a lower education level and lower income in both 2010 and 2016, whereas the association with age, country of birth and parity varied according to the survey year.

Conclusion: Early targeted interventions are needed for smokers who plan to have a child and must take smokers’ characteristics during pregnancy into account.
Mutation Spectrum of EGFR From 21,324 Chinese Patients With Non-Small Cell Lung Cancer (NSCLC) Successfully Tested by Multiple Methods in a CAP-Accredited Laboratory
Authors: Mao Linlin , Zhao Weiwei , Li Xiaoxia , Zhang Shangfei , Zhou Changhong , Zhou Danyan , Ou Xiaohua , Xu Yanyan , Tang Yuanxiao , Ou Xiaoyong , Hu Changming , Ding Xiangdong , Luo Pifu , Yu Shihui
Published: April 2021

Genotyping epidermal growth factor receptor (EGFR) gene in patients with advanced non-small cell lung cancers (NSCLC) is essential for identifying those patients who may benefit from targeted therapies. Systemically evaluating EGFR mutation detection rates of different methods currently used in clinical setting will provide valuable information to clinicians and laboratory scientists who take care of NSCLC patients. This study retrospectively reviewed the EGFR data obtained in our laboratory in last 10 years. A total of 21,324 NSCLC cases successfully underwent EGFR genotyping for clinical therapeutic purpose, including 5,244 cases tested by Sanger sequencing, 13,329 cases tested by real-time PCR, and 2,751 tested by next-generation sequencing (NGS). The average EGFR mutation rate was 45.1%, with 40.3% identified by Sanger sequencing, 46.5% by real-time PCR and 47.5% by NGS. Of these cases with EGFR mutations identified, 93.3% of them harbored a single EGFR mutation (92.1% with 19del or L858R, and 7.9% with uncommon mutations) and 6.7% harbored complex EGFR mutations. Of the 72 distinct EGFR variants identified in this study, 15 of them (single or complex EGFR mutations) were newly identified in NSCLC. For these cases with EGFR mutations tested by NGS, 65.3% of them also carried tumor-related variants in some non-EGFR genes and about one third of them were considered candidates of targeted drugs. NGS method showed advantages over Sanger sequencing and real-time PCR not only by providing the highest mutation detection rate of EGFR but also by identifying actionable non-EGFR mutations with targeted drugs in clinical setting.
Influence of Cooling and Heating Systems on Pen Fouling, Lying Behavior, and Performance of Rearing Piglets
Authors: Opderbeck Svenja , Keßler Barbara , Gordillio William , Schrade Hansjörg , Piepho Hans-Peter , Gallmann Eva
Published: April 2021

The rearing of piglets is a demanding phase of pig production partly because of the changing temperature requirements of the piglets during rearing. Piglets need high temperatures in the resting area, especially at the beginning, while the optimal temperature is lower toward the end of rearing. To meet the changing temperature demands of the piglets and also to optimize the pen structure, one floor cooling and two heating systems were examined in this study. In two rearing compartments, four pens with 48 piglets each were equipped with a heated cover above a heated/cooled lying area. The lying behavior and performance of 1152 piglets, in addition to the pen fouling, were recorded over six rearing periods. There was no difference between the two heating systems in the lying behavior. However, the acceptance of the lying area was very high in all pens and periods with heating. The cooling had a significant influence on the lying behavior depending on the rearing week. Significantly more piglets lay on the cooled lying area compared with the control pen during the last weeks. The fouling of the pens was not affected by the cooling or heating systems; however, the fouling in all pens was very low. The tested pen structure in combination with a heating and cooling system is a well-functioning way of integrating a solid lying area.
Understanding the Importance of International Quality Standards Regarding Global Trade in Food and Agricultural Products: Analysis of the German Media
Authors: Pietrzyck Katja , Berke Nora , Wendel Vanessa , Steinhoff-Wagner Julia , Jarzębowski Sebastian , Petersen Brigitte
Published: April 2021

Rapid globalization of the agrifood industry has important impacts on international trade and quality management (QM). Likewise, the European Union has negotiated a series of bilateral free trade agreements. Of note was the Transatlantic Trade and Investment Partnership (TTIP) with the United States of America, where the debate focused on the mutual recognition and harmonization of quality standards, especially for agricultural and food products. This topic offered the mainstream media excellent substances for coverage. This paper explores German print media, television, and radio on the importance of international quality standards in the agrifood sectors in light of the TTIP. A quantitative and qualitative empirical content analysis was performed to investigate media reporting regarding (a) it is scientific character, (b) the use of the term “quality standards” of the agrifood industry, and (c) the reporting on the agrifood industry and QM linked with TTIP, focused on harmonization. The results showed that interrelations between QM and global trade were not presented to recipients in-depth. A trend toward information asymmetries in recipient’s knowledge is indicated. The study addresses recommendations for future collaborations between media, policy-makers, and further cooperation in the mutual recognition and harmonization of quality standards and control procedures within global trade.
Yield Enhancement of Biostimulants, Vitamin B12, and CoQ10 Compared to Inorganic Fertilizer in Radish
Authors: Rehim Abdur , Amjad Bashir Muhammad , Raza Qurat-Ul-Ain , Gallagher Kevin , Berlyn Graeme P.
Published: April 2021

Two pot experiments were conducted to evaluate the response of radish crops against different plant growth regulators, biostimulants, and leaf extracts at Yale University, USA. The first experiment examined the marginal effect of vitamin B12 when added to the Berlyn Laboratory’s proprietary biostimulant formula (GPB Core). Increasing concentrations of vitamin B12 were added, as investigated in groups SL (0 mg/L), SB1 (0.5 mg/L), SB2 (1.0 mg/L), and SB3 (1.5 mg/L). The addition of vitamin B12 conferred no significant incremental benefit over the GPB Core. However, the GPB Core formula (SL) increased fresh shoot biomass by 172.9%, dry shoot biomass by 136.4%, fresh root biomass by 64.7%, and dry root biomass by 29.1% over plant treated with inorganic fertilizer alone (p < 0.01). The second experiment examined the combined marginal effect of vitamin B12 and coenzyme Q10 (CoQ10) when added to the GPB Core. The three experimental groups included the GPB Core plus inorganic fertilizer (S+); GPB Core, vitamin B12, CoQ10, and inorganic fertilizer (SBQ+); and GPB Core, vitamin B12, CoQ10, and no inorganic fertilizer (SBQ0). SBQ0 outperformed the inorganic fertilizer control in fresh shoot, dry shoot, fresh root, and dry root biomass by 190.3%, 127.1%, 128.5%, and 41.3%, respectively (p < 0.01), indicating that inorganic fertilizer can be replaced by biostimulants while simultaneously increasing yield. Additionally, the differences between SBQ+ and SBQ0 in the biomass metrics were statistically insignificant, indicating that in the presence of biostimulants, inorganic fertilizers confer a slight marginal benefit. There was no evidence, however, that the addition of CoQ10 and vitamin B12 conferred benefits over S+. Overall, the application of biostimulants statistically significantly improves radish biomass. Both experiments indicate that under low stress conditions, biostimulants can replace inorganic fertilizer while simultaneously increasing yield.
The Effect of Different Drying Methods on Primary and Secondary Metabolites in Korean Mint Flower
Authors: Park Chang Ha , Yeo Hyeon Ji , Park Chanung , Chung Yong Suk , Park Sang Un
Published: April 2021

Edible flowers have been used in the food and beverage industries because of their high nutritional value, flavor, and scent. For the storage of edible flowers used in these industries, drying is a necessity to store the materials more easily and prevent the damage of metabolites in the flowers. However, drying may affect metabolite retention because drying conditions can differ according to the various methods. In this study, Agastache rugosa flowers were dried using four different methods (oven drying at 25 ± 1 °C, 50 ± 1 °C, 80 ± 1 °C, and freeze drying) and primary and secondary metabolites were analyzed using high-performance liquid chromatography (HPLC) and gas chromatography time-of-flight mass spectrometry (GC-TOF/MS). Freeze-dried flower samples contained higher levels of carotenoids (lutein, 13Z-β-carotene, β-carotene, and 9Z-β-carotene) and phenolics (rosmarinic acid, ferulic acid, and sinapic acid). Contrarily, the 80 °C oven-dried flower samples contained higher levels of most amino acids and flavonoids (including acacetin and tilianin) and at 25 °C and 50 °C contained higher levels of carbohydrates. Therefore, freeze-drying is a suitable method for retaining carotenoids and phenolics. In contrast, oven drying at 50 °C was highly recommended to retain amino acids and flavonoids.
Application of UV-C Irradiation to Rosa x hybrida Plants as a Tool to Minimise Macrosiphum rosae Populations
Authors: Darras Anastasios I. , Skouras Panagiotis J. , Assimomitis Panagiotis , Labropoulou Chara , Stathas George J.
Published: April 2021

UV-C irradiation is known to enhance plant resistance against insect pests. In the present study, we evaluated the effects of low doses of UV-C on Macrosiphum rosae infesting greenhouse rose (Rosa x hybrida) plants. The application of 2.5-kJ/m2 UV-C irradiation on rose leaves before infestation induced anti-herbivore resistance and negatively affected the aphid fecundity. No eggs and first instar nymphs were recorded on irradiated leaves, whereas an average of 4.3 and 2.7 eggs and 6.7 and 14 first instars were recorded on vars. “Etoile Brilante” and “Arlen Francis” untreated leaves, respectively. UV-C irradiation reduced the aphid population from naturally infested rose plants by up to 58%. In a greenhouse pot trial (GPT) in 2019, UV-C irradiation minimised the initial aphid population six hours after treatment. UV-C elicited host resistance and, also, helped in aphid repulsion without killing the adult individuals. UV-C did not affect the physiological responses of rose plants. The net CO2 assimilation of the UV-C irradiated plants ranged between 10.55 and 15.21 μmol/m2. sec for “Arlen Francis” and between 10.51 and 13.75 μmol/m2. sec for “Etoile Brilante” plants. These values, with only a few exceptions, were similar to those recorded to the untreated plants.
Comparison of Productivity and Physiological Traits of Faba Bean (Vicia faba L.) Varieties under Conditions of Boreal Climatic Zone
Authors: Janusauskaite Daiva , Razbadauskiene Kristyna
Published: April 2021

This study aimed to evaluate and compare the physiological traits, productivity, and seed quality of nine faba bean varieties grown in a field trial under the Boreal climate conditions. A two-factor field experiment was laid out in a split-plot design: The seeds in the main plots were sown and treated with seed fungicide (SF) and untreated (without SF) (factor A). The sub-plots were assigned to nine varieties (factor B). The physiological traits of faba bean significantly varied among the varieties, and the behavior of faba bean varieties differed between the two growing seasons. The values of physiological traits for varieties Julia and Boxer significantly surpassed the trial mean under wet conditions, while the trait values for Fuego and Bioro were surpassed under conditions of a lack of moisture. Fungicidal seed treatment had a negligible effect on the physiological traits, while it had a significant negative influence on the leaf area index at the beginning of the flowering stage. SF had a noticeable effect on seed yield only for the varieties Nida DS and Fuego. The findings of the study revealed that Fuego and Isabell were the most suitable faba bean varieties for cultivation in the Boreal climate zone as they were distinguished from the other tested ones by the highest seed yields.
Potential Application of Cornelian Cherry Extract on Broiler Chickens: Growth, Expression of Antioxidant Biomarker and Glucose Transport Genes, and Oxidative Stability of Frozen Meat
Authors: Ibrahim Doaa , Moustafa Amira , Metwally Aya Sh. , Nassan Mohamed A. , Abdallah Karima , Eldemery Fatma , Tufarelli Vincenzo , Laudadio Vito , Kishawy Asmaa T. Y.
Published: April 2021

The use of natural plant extracts in poultry feed could improve their productivity as well as the oxidative stability of stored derived meat. The roles of cornelian cherry extract (CCE) in growth, cecal microbes, and meat antioxidative markers of broiler chickens were evaluated. A total of 500 Ross 308 broiler chicks were fed diets supplemented with CCE (0, 50, 100, 200, 400 mg/kg of diet) for 38 days. The highest levels of weight gain and feed utilization were observed in a group fed 200 mg/kg of CCE. Maximum upregulation of glucose transporters—1 and 2 and sodium-dependent glucose transporter genes—were found in the group fed 200 mg/kg of CCE. Lactobacilli and Bifidobacterium colonization increased as the CCE levels increased. The greatest upregulation of antioxidant genes (glutathione peroxidase, catalase, and superoxide dismutase) in breast meat was observed in groups fed CCE (200 and 400 mg/kg). Dietary CCE significantly delayed the lipid oxidation of breast meat compared with that of the control group. The total phenolic content, 2,2-Diphenyl-1-Picrihydrzyl (DPPH) radical scavenging activity and reducing power in meat improved with higher levels of CCE. Dietary CCE improved the growth, performance of broilers, and meat antioxidant stability after 90 days of storage.
Alternatives to Piglet Castration: From Issues to Solutions
Authors: Weiler Ulrike , Font-i-Furnols Maria , Tomasevič Igor , Bonneau Michel
Published: April 2021

Because castrated male pigs convert feed into meat less efficiently than entire males, they are less efficient regarding the utilization of resources [...]
Increase and Change in the Pattern of Antibiotic Use in Serbia (2010–2019)
Authors: Tomas Ana , Pavlović Nebojša , Stilinović Nebojša , Horvat Olga , Paut-Kusturica Milica , Dugandžija Tihomir , Tomić Zdenko , Sabo Ana
Published: April 2021

The aim of this study was to determine and describe trends in antibiotics utilization in Serbia over a ten-year period. Data were retrieved from publicly available annual reports (2010–2019). The results were expressed as Defined Daily Dose (DDD) per 1000 inhabitants per day (DID). All calculations were performed using the DDD values for the 2020 Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) version for each year of the study, to account for the DDD changes during the study period. Antibiotics were classified using the WHO Access, Watch, Reserve (AWaRe) classification. Total utilization of antibacterials for systemic use increased from 17.25 DID in 2010 to 28.65 DID in 2019. A statistically significant increasing trend in the use of the Watch category antibiotics was observed. A tendency towards use of broad-spectrum antibiotics, apparent by a statistically significant increase in the rate of utilization of broad-spectrum macrolides, quinolones and third-generation cephalosporins vs. narrow-spectrum ones, as well as a significant increasing trend in the use of quinolones was identified. Total antibiotic utilization was found to be well above the European average. Several specific problem areas were identified, which requires further efforts to improve antibiotic prescribing. The present study provides the information needed to facilitate antibiotic stewardship in Serbia further and proposes specific interventions to optimize antibiotic use in Serbia.