bluuebunny/crossref_metadata_2025 huggingface dataset:
Can In-Line Iodine Value Predictions (NitFomTM) Be Used for Early Classification of Pork Belly Firmness?
Authors: Lam Stephanie , Uttaro Bethany , Bohrer Benjamin M. , Duarte Marcio , Juárez Manuel
Published: January 2022

Commercial technologies for assessing meat quality may be useful for performing early in-line belly firmness classification. This study used 207 pork carcasses to measure predicted iodine value (IV) at the clear plate region of the carcass with an in-line near-infrared probe (NitFomTM), calculated IV of belly fat using wet chemistry methods, determined the belly bend angle (an objective method to measure belly firmness), and took dimensional belly measurements. A regression analysis revealed that NitFomTM predicted IV (R2 = 0.40) and belly fat calculated IV (R2 = 0.52) separately contributed to the partial variation of belly bend angle. By testing different NitFomTM IV classification thresholds, classifying soft bellies in the 15th percentile resulted in 5.31% false negatives, 5.31% false positives, and 89.38% correctly classified soft and firm bellies. Similar results were observed when the classification was based on belly fat IV calculated from chemically analyzed fatty acid composition. By reducing the level of stringency on the percentile of the classification threshold, an increase in false positives and decrease in false negatives was observed. This study suggests the IV predicted using the NitFomTM may be useful for early in-line presorting of carcasses based on expected belly firmness, which could optimize profitability by allocating carcasses to specific cutout specifications.
Pilot Study to Reduce Added Salt on a University Canteen through the Use of an Innovative Dosage Equipment
Authors: Faria Ana Patrícia , Padrão Patrícia , Pinho Olívia , Silva-Santos Tânia , Oliveira Luís , Esteves Sílvia , Pereira João Paulo , Graça Pedro , Moreira Pedro , Gonçalves Carla
Published: January 2022

Background: This study aims to demonstrate the practical application of an innovative easy-to-use equipment to dosage cooking salt, and evaluate the effectiveness in reducing 30% of the added salt in meals and the impact on consumer’s satisfaction and food waste. Methods: Two canteens from one public university where randomized in one control arm and one intervention arm. The first step was to evaluate the salt added to food through atomic emission spectrophotometry in both canteens, and the second step was to perform gradual reductions of up to 30% of cooking salt in the intervention canteen using the Salt Control-C (SC-C) equipment. Consumer acceptability was assessed through satisfaction questionnaires and food waste was evaluated by weighing. Results: The intervention canteen achieved to a reduction of more than 30% of added salt in soup (−34.3% per 100 g), fish dish (−41.1% per 100 g) and meat dish (−48.0% per 100 g), except for the vegetarian dish (6.1% per 100 g). There was no decrease in consumer satisfaction, with a significant satisfaction increase of 15.7% (p = 0.044) regarding the flavor of the main dish. Also, no significant differences were found in food waste. Conclusions: SC-C seems to be effective in reducing 30% of added salt levels in canteen meals, and may be a good strategy to control and reach adequate levels of added salt in meals served outside-the-home, promoting benefits to the individual’s health.
Cumulative Dietary Risk Assessment of Benzophenone-Type Photoinitiators from Packaged Foodstuffs
Authors: Chen Mei-Lien , Chen Chih-Hsien , Huang Yu-Fang , Chen Hsin-Chang , Chang Jung-Wei
Published: January 2022

Photoinitiators used in ultraviolet-cured ink may migrate from food packaging materials into food products. Therefore, we conducted a dietary risk assessment of exposure to benzophenone (BP)-type photoinitiators by quantifying and reducing uncertainties associated with the risk characterization. A total of 362 food packaging samples including 180 cereals, 136 fruit and vegetable juices, and 46 milk samples were subjected to fast pesticides extraction to determine photoinitiator residues. The average daily dose (ADD) of BP was the highest in the age group of zero to three years, with a P97.5 ADD of 2.56 × 10−4 mg/kg bw/day. The ADD of 2-hydroxybenzophenone (2-OHBP) was the highest in the age group of three to six years, with a P97.5 UB ADD of 3.52 × 10−5 mg/kg bw/day. The estimated UB P97.5 ADD for each age group was below the toxicological concern threshold of 0.0015 mg/kg bw/day. The cumulative toxicity of all BPs, evaluated using the MOET value, was at an acceptable level. Although the MOET value of BPs was above the safety limit in the foodstuffs studied herein, this result may be different if Taiwan were to follow regulation guidelines for BP-type photoinitiators based on the specific migration limit for the unmeasured BP residues in other foodstuffs.
Effect of the Post-Harvest Processing on Protein Modification in Green Coffee Beans by Phenolic Compounds
Authors: Campos Gustavo A. Figueroa , Kruizenga Johannes G. K. T. , Sagu Sorel Tchewonpi , Schwarz Steffen , Homann Thomas , Taubert Andreas , Rawel Harshadrai M.
Published: January 2022

The protein fraction, important for coffee cup quality, is modified during post-harvest treatment prior to roasting. Proteins may interact with phenolic compounds, which constitute the major metabolites of coffee, where the processing affects these interactions. This allows the hypothesis that the proteins are denatured and modified via enzymatic and/or redox activation steps. The present study was initiated to encompass changes in the protein fraction. The investigations were limited to major storage protein of green coffee beans. Fourteen Coffea arabica samples from various processing methods and countries were used. Different extraction protocols were compared to maintain the status quo of the protein modification. The extracts contained about 4–8 µg of chlorogenic acid derivatives per mg of extracted protein. High-resolution chromatography with multiple reaction monitoring was used to detect lysine modifications in the coffee protein. Marker peptides were allocated for the storage protein of the coffee beans. Among these, the modified peptides K.FFLANGPQQGGK.E and R.LGGK.T of the α-chain and R.ITTVNSQK.I and K.VFDDEVK.Q of β-chain were detected. Results showed a significant increase (p < 0.05) of modified peptides from wet processed green beans as compared to the dry ones. The present study contributes to a better understanding of the influence of the different processing methods on protein quality and its role in the scope of coffee cup quality and aroma.
Phytochemical Profile of Opuntia ficus-indica (L.) Mill Fruits (cv. ‘Orito’) Stored at Different Conditions
Authors: Hernández Francisca , Andreu-Coll Lucía , Bento-Silva Andreia , Serra Ana Teresa , Mena Pedro , Legua Pilar , Bronze Maria Rosario
Published: January 2022

This research analyzed the phytochemical profile of prickly pear fruits from ‘Orito’ cultivar stored under cold conditions (2 °C, 85–90% RH) and shelf-life conditions at room temperature (stored at 20 °C for three days after cold storage) for 28 days, mimicking the product life cycle. A total of 18 compounds were identified and quantitated through HPLC-DAD-MS/MS (High-Performance Liquid Chromatographic -Diode Array Detector- Mass Spectrometry) analyses. Phenolic acids such as eucomic acid and betalains such as indicaxanthin were the predominant chemical families, and piscidic acid was the most abundant compound. During cold storage, the content of eucomic acid isomer/derivative and syringaresinol increased, and citric acid decreased, which could be caused by the cold activation of the phenylalanine ammonia-lyase (PAL) and polyphenol oxidase (PPO) enzymes. However, no significant differences were found in the content of these compounds during shelf-life storage. These results showed that ‘Orito’ fruit marketability would be possible up to 28 days after harvesting, retaining its profile, which is rich in bioactive compounds.
Surface Color Variations of Ground Beef Packaged Using Enhanced, Recycle Ready, or Standard Barrier Vacuum Films
Authors: Reyes Tristan M. , Smith Hunter R. , Wagoner Madison P. , Wilborn Barney S. , Bonner Tom , Brandebourg Terry D. , Rodning Soren P. , Sawyer Jason T.
Published: January 2022

With current meat industry efforts focused on improving environmental influencers, adopting sustainable packaging materials may be an easier transition to addressing the sustainability demands of the meat consumer. With the growing popularity of vacuum-packaged meat products, the current study evaluated instrumental surface color on fresh ground beef using vacuum packaging films, recycle-ready film (RRF), standard barrier (STB) and enhanced barrier (ENB). Ground beef packaged using ENB barrier film was lighter (L*), redder (a*) and more vivid (chroma) than all other packaging treatments during the simulated display period (p < 0.05). By day 12 of the simulated retail display, the ground beef surface color became lighter (L*), more yellow (b*), less red (a*), less vivid (chroma) and contained greater forms of calculated metmyoglobin, oxymyoglobin (p < 0.05). The current results suggest that barrier properties of vacuum packaging film for ground beef are pivotal for extending the surface color during fresh shelf-life conditions.
Long-Aged Parmigiano Reggiano PDO: Trace Element Determination Targeted to Health
Authors: Santarcangelo Cristina , Baldi Alessandra , Ciampaglia Roberto , Dacrema Marco , Di Minno Alessandro , Pizzamiglio Valentina , Tenore Gian Carlo , Daglia Maria
Published: January 2022

The concentrations of four health-related trace elements were measured using Atomic Absorption Spectroscopy in long-ripened (24- and 40-months) Parmigiano Reggiano (PR) PDO cheese, obtained from both summer and winter milk. To date, there are limited data on PR trace element concentrations, and no data about long-ripened cheese, especially when ripened for 40 months. Thus, the aim of this investigation is to determine chromium, manganese, selenium, and zinc concentrations, improving the available data on these trace elements and increasing knowledge of the biological properties of PR linked to their content in this cheese. The results show that 40-month ripened PR is a source of selenium and chromium, according to definitions under the European Regulation 1924/2006, as a 30 g cheese portion contains 11 ± 2 μg (summer milk) and 10 ± 1 μg (winter milk) of selenium and 8 ± 1 μg (summer and winter milk) of chromium, providing in excess of 8.25 and 6 μg per portion, respectively. This represents 15% of nutrient reference intake values for adults. These findings allow for the claim to be made that PR possesses the health properties ascribed to food sources of selenium and chromium according to European Regulation 432/2012.
On Starlike Functions of Negative Order Defined by q-Fractional Derivative
Authors: Riaz Sadia , Nisar Ubaid Ahmed , Xin Qin , Malik Sarfraz Nawaz , Raheem Abdul
Published: January 2022

In this paper, two new classes of q-starlike functions in an open unit disc are defined and studied by using the q-fractional derivative. The class Sq*˜(α), α∈(−3,1], q∈(0,1) generalizes the class Sq* of q-starlike functions and the class Tq*˜(α), α∈[−1,1], q∈(0,1) comprises the q-starlike univalent functions with negative coefficients. Some basic properties and the behavior of the functions in these classes are examined. The order of starlikeness in the class of convex function is investigated. It provides some interesting connections of newly defined classes with known classes. The mapping property of these classes under the family of q-Bernardi integral operator and its radius of univalence are studied. Additionally, certain coefficient inequalities, the radius of q-convexity, growth and distortion theorem, the covering theorem and some applications of fractional q-calculus for these new classes are investigated, and some interesting special cases are also included.
Eclipsing Binaries in Dynamically Interacting Close, Multiple Systems
Authors: Borkovits Tamás
Published: January 2022

Close, compact, hierarchical, and multiple stellar systems, i.e., multiples having an outer orbital period from months to a few years, comprise a small but continuously growing group of the triple and multiple star zoo. Many of them consist of at least one eclipsing pair of stars and, therefore, exhibit readily observable short-term dynamical interactions among the components. Thus, their dynamical and astrophysical properties can be explored with high precision. In this paper we present an overview of the history of the search for additional components around eclipsing binaries from the first serendipitous discoveries to more systematic recent studies. We describe the different observational detection methods and discuss their connections to the different kinds of astrophysical and dynamical information that can be mined from different datasets. Moreover, the connection amongst the observable phenomena and the long-term dynamics of such systems is also discussed.
Multisource Smart Computer-Aided System for Mining COVID-19 Infection Data
Authors: Abou-Kreisha Mohammad T. , Yaseen Humam K. , Fathy Khaled A. , Ebeid Ebeid A. , ElDahshan Kamal A.
Published: January 2022

In this paper, we approach the problem of detecting and diagnosing COVID-19 infections using multisource scan images including CT and X-ray scans to assist the healthcare system during the COVID-19 pandemic. Here, a computer-aided diagnosis (CAD) system is proposed that utilizes analysis of the CT or X-ray to diagnose the impact of damage in the respiratory system per infected case. The CAD was utilized and optimized by hyper-parameters for shallow learning, e.g., SVM and deep learning. For the deep learning, mini-batch stochastic gradient descent was used to overcome fitting problems during transfer learning. The optimal parameter list values were found using the naïve Bayes technique. Our contributions are (i) a comparison among the detection rates of pre-trained CNN models, (ii) a suggested hybrid deep learning with shallow machine learning, (iii) an extensive analysis of the results of COVID-19 transition and informative conclusions through developing various transfer techniques, and (iv) a comparison of the accuracy of the previous models with the systems of the present study. The effectiveness of the proposed CAD is demonstrated using three datasets, either using an intense learning model as a fully end-to-end solution or using a hybrid deep learning model. Six experiments were designed to illustrate the superior performance of our suggested CAD when compared to other similar approaches. Our system achieves 99.94, 99.6, 100, 97.41, 99.23, and 98.94 accuracy for binary and three-class labels for the CT and two CXR datasets.
Croatian Version of the Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50): Cross-Cultural Adaptation and Psychometric Evaluation
Authors: Placento Harolt , Lovrić Božica , Gvozdanović Zvjezdana , Farčić Nikolina , Jovanović Tihomir , Jovanović Jelena Tomac , Zibar Lada , Prlić Nada , Mikšić Štefica , Jovanović Nina Brkić , Lovrić Robert
Published: January 2022

(1) Background: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50) was originally designed for Spanish-speaking regions, and translations validated for several languages. The aim of the study was to adapt and verify the psychometric characteristics of SAHLSA-50 in the Croatian context; (2) Methods: The cross-sectional study included 590 respondents from the general population older than 18 years of age. Health literacy was measured by two scales: SAHLCA-50 and the Croatian version of the Newest Vital Sign screening test (NVS-HR), which was used as a measure of concurrent validity. Subjective Health Complaints (SHC) and Satisfaction with Life Scale (SWLS) questionnaires were also used to assess convergent validity; (3) Results: Internal consistency reliability of SAHLCA-50 was high and corresponds to the findings of the authors of the original research. The Cronbach alpha coefficient for SAHLCA-50 version was 0.91. The correlation of SAHLCA-50 with the NVS-HR test speaks in favor of concurrent validity. Correlation between health literacy and SHC speaks for convergent validity, just as was expected, while correlation with life satisfaction was not observed; (4) Conclusions: The SAHLCA-50 test can be a good and quick tool to assess health literacy of the adult population in the Croatian language. HL can affect the health and quality of life of the individual and the wider community.
Impact of Right Heart Failure on Clinical Outcome of Left Ventricular Assist Devices (LVAD) Implantation: Single Center Experience
Authors: Terzic Dusko , Putnik Svetozar , Nestorovic Emilija , Jovicic Vladimir , Lazovic Dejan , Rancic Nemanja , Milicevic Vladimir , Ivanisevic Dragan , Karan Radmila , Mikic Aleksandar
Published: January 2022

The aim of this study was to examine the incidence and significance of right heart failure (RHF) in the early and late phase of left ventricular assist device (LVAD) implantation with the identification of predictive factors for the development of RHF. This was a prospective observational analytical cohort study. The study included 92 patients who underwent LVAD implantation and for whom all necessary clinical data from the follow-up period were available, as well as unambiguous conclusions by the heart team regarding pathologies, adverse events, and complications. Of the total number of patients, 43.5% died. The median overall survival of patients after LVAD implantation was 22 months. In the entire study population, survival rates were 88.04% at one month, 80.43% at six months, 70.65% at one year, and 61.96% at two years. Preoperative RHF was present in 24 patients, 12 of whom died and 12 survived LVAD implantation. Only two survivors developed early RHF (ERHF) and two late RHF (LRHF). The most significant predictors of ERHF development are brain natriuretic peptide (BNP), pre-surgery RHF, FAC < 20%, prior renal insufficiency, and total duration of ICU stay (HR: 1.002, 0.901, 0.858, 23.554, and 1.005, respectively). RHF following LVAD implantation is an unwanted complication with a negative impact on treatment outcome. The increased risk of fatal outcome in patients with ERHF and LRHF after LVAD implantation results in a need to identify patients at risk of RHF, in order to administer the available preventive and therapeutic methods.
Comparing Two Approaches for Thyroidectomy: A Health Technology Assessment through DMAIC Cycle
Authors: Ricciardi Carlo , Gubitosi Adelmo , Vecchione Donatella , Cesarelli Giuseppe , De Nola Francesco , Ruggiero Roberto , Docimo Ludovico , Improta Giovanni
Published: January 2022

Total thyroidectomy is very common in endocrine surgery and the haemostasis can be obtained in different ways across surgery; recently, some devices have been developed to support this surgical phase. In this paper, a health technology assessment is conducted through the define, measure, analyse, improve, and control cycle of the Six Sigma methodology to compare traditional total thyroidectomy with the surgical operation performed through a new device in an overall population of 104 patients. Length of hospital stay, drain output, and time for surgery were considered the critical to qualities in order to compare the surgical approaches which can be considered equal regarding the organizational, ethical, and security impact. Statistical tests (Kolmogorov–Smirnov, t test, ANOVA, Mann–Whitney, and Kruskal–Wallis tests) and visual management diagrams were employed to compare the approaches, but no statistically significant difference was found between them. Considering these results, this study shows that the introduction of the device to perform total thyroidectomy does not guarantee appreciable clinical advantages. A cost analysis to quantify the economic impact of the device into the practice could be a future development. Healthy policy leaders and clinicians who are requested to make decisions regarding the supply of biomedical technologies could benefit from this research.
Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study
Authors: Hyun Ah-Hyun , Cho Joon-Yong , Koo Jung-Hoon
Published: January 2022

Pilates is effective for training the core muscles and stabilizing the hip joints, which provides relief from pelvic pain and low back pain during pregnancy. However, there are no specific guidelines on appropriate physical exercises for pregnant women due to the current pandemic. We aimed to apply the exercise standard proposed by the American College of Obstetricians and Gynecologists to home-based tele-Pilates exercise (HTPE), to determine its effect on the physical and mental health of pregnant women. We randomly divided the subjects into the following two groups who completed 8 weeks of HTPE (50 min/day, 2 days/week): (a) Pilates exercise (PE, n = 7) and (B) non-Pilates exercise (CON, n = 7). HTPE was performed by adjusting the program every 3 weeks, based on pain and physical fitness levels. We measured body composition, muscles of the hip joint, pelvic tilt, Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI), before and after HTPE. Following HTPE, while the percentage of body fat and body mass index had significantly decreased, the body fat mass did not change in the PE group (p < 0.05). The PE group showed an increase in strength of the left and right hip flexion and hip abduction, compared to the CON group (p < 0.01). The ODI and PSQI were significantly decreased in the PE group (p < 0.05). Therefore, the 8-week HTPE program is an effective exercise for pregnant woman that reduces body fat metabolism and strengthens muscles of the hip joint, thus alleviating pregnancy-induced low back pain and insomnia.
The First Step to Initiate Pediatric Palliative Care: Identify Patient Needs and Cooperation of Medical Staff
Authors: Bae Su Hyun , Kim Yeo Hyang
Published: January 2022

Few Korean hospitals had experience in pediatric palliative care. Since the beginning of the national palliative care project, interest in pediatric palliative care has gradually increased, but the establishment of professional palliative care is still inadequate due to a lack of indicators. This study aimed to find considerations in the process of initiating palliative care services. The general and clinical characteristics of 181 patients aged less than 24 years who were registered at the pediatric palliative care center from January 2019 to August 2021 were evaluated. Life-limiting condition group 1 had the largest number of patients. The primary need for palliative care was psychological and emotional support, followed by information sharing and help in communication with the medical staff in decision-making processes. Seventy-two patients were technologically dependent, with one to four technical supports for each patient. The registration of patients with cancer increased with time, and the time from disease diagnosis to consultation for pediatric palliative care service was significantly reduced. In conclusion, before starting pediatric palliative care, it is necessary to understand the needs of patients and their families and to cooperate with medical staff.
Oral-Health-Related Quality of Life (OHRQoL) and Anterior Open Bite in Adult Patients: A Case-Control Study
Authors: Curto Adrián , Albaladejo Alberto , Alvarado-Lorenzo Alfonso
Published: January 2022

Oral-health-related quality of life (OHRQoL) is defined as the impact of oral health on activities of daily living. Malocclusions are a public health problem with a high prevalence. Different studies have concluded that malocclusions negatively affect OHRQoL in patients of all ages. The aim of this study was to analyze the influence of having an anterior open bite on the OHRQoL of adult patients. Materials and Methods: A case-control study (1:1) was carried out with a sample size of 80 adults at the University of Salamanca in 2021. The case group (n = 40) was made up of patients with an anterior open bite, and the control group (n = 40) contained patients without an anterior open bite. OHRQoL was assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire. The influences of gender and age on the OHRQoL of the patients were also analyzed. Results: There were no significant differences in gender or age between the case and control groups. An anterior open bite was not found to influence the OHRQoL of adult patients. Age was not shown to significantly influence OHRQoL. Female patients with an anterior open bite had higher scores in the handicap domain of the OHIP-14 questionnaire compared with male patients (p < 0.05). Conclusions: Anterior open bite can influence the OHRQoL of orthodontic patients. Gender can be considered an influencing factor.
Treatments, Perceived Stigma, and Employment Outcomes among Substance Abusers in China
Authors: Han Li , Jia Cindy Xinshan
Published: January 2022

Employment is a vital component of a substance abuser’s recovery, but little is known about how stigma affects employment for substance abusers receiving treatment. The current study investigates the effects of stigma and treatment on employment in the Chinese context. Using a sample of substance abusers (N = 3.978), multiple logistics regressions with moderation effects were employed. The findings show that treatments positively reduce confirmative experiences of anticipated stigma, and promote employment only when respondents do not perceive stigma. The findings highlight the impact of perceived stigma on limiting substance abusers’ chances of being employed, implying that eliminating stigma is the foundation for recovery. Possible strategies that can be explored for reducing stigma are discussed.
Burnout, Depression and Sense of Coherence in Nurses during the Pandemic Crisis
Authors: Pachi Argyro , Sikaras Christos , Ilias Ioannis , Panagiotou Aspasia , Zyga Sofia , Tsironi Maria , Baras Spyros , Tsitrouli Lydia Aliki , Tselebis Athanasios
Published: January 2022

During the COVID-19 pandemic, the risk to nurses’ mental health has increased rapidly. The aim of the study was to investigate the prevalence of depression and burnout and to evaluate their possible association with the sense of coherence in nursing staff during the pandemic crisis. The Copenhagen Burnout Inventory questionnaire, Beck’s Depression Inventory, and the Sense of Coherence questionnaire were completed by 101 male and 559 female nurses. Individual and demographic data were recorded. Regarding depression, 25.5% of respondents exhibited mild depression, 13.5% moderate depression and 7.6% severe depression. In the burnout scale, 47.1% had a pathological value. Female nurses had higher burnout (t test p < 0.01, 49.03 vs. 38.74) and depression (t test p < 0.01, 11.29 vs. 6.93) scores compared to men and lower levels in the sense of coherence (p < 0.05, 59.45 vs. 65.13). Regression evidenced that 43.7% of the variation in the BDI rating was explained by the CBI, while an additional 8.3% was explained by the sense of coherence. Mediation analysis indicated a partial mediation of burnout in the correlation between sense of coherence and depression. The sense of coherence acted as a negative regulator between burnout and depression.
Chemometric Comparison and Classification of 22 Apple Genotypes Based on Texture Analysis and Physico-Chemical Quality Attributes
Authors: Mureșan Andruța E. , Sestras Adriana F. , Militaru Mădălina , Păucean Adriana , Tanislav Anda E. , Pușcaș Andreea , Mateescu Mădălina , Mureșan Vlad , Marc (Vlaic) Romina A. , Sestras Radu E.
Published: January 2022

The large number of cultivars belonging to the cultivated apple (Malus × domestica Borkh.) reflects an extremely wide range of variability, including for fruit quality traits. To evaluate some characteristics of fruit quality, 22 apple genotypes were selected from a collection of germplasms containing more than 600 accessions, based on different considerations, including the use of fruits (dessert, cooking, processing, juice, cider, multipurpose). The mean water content of the studied apple genotypes was 85.05%, with a coefficient of variation (CV) of 2.74%; the mean ash content was 2.32% with a CV of 22.1%, and the mean total soluble solids was 16.22% with a CV of 17.78%, indicating a relatively small difference between genotypes for these indices. On the contrary, relatively large differences were registered between genotypes for fruit weight, volume, and titratable acidity with means of 119.52 g, 155 mL, and 0.55% malic acid, and CVs of 35.17%, 34.58%, and 54.3%, respectively. The results showed that peel hardness varied between 3.80 and 13.69 N, the toughness between 0.2 and 1.07 mm, the flesh hardness between 0.97 and 4.76 N, and the hardness work between 6.88 and 27.84 mJ. The current study can emphasize the possibility of choosing the appropriate apple cultivars to cross in the breeding process and how future strategies can help apple breeders select breeding parents, which are essential key steps when breeding new apple cultivars. In addition, multivariate analysis has proven to be a useful tool in assessing the relationships between Malus genetic resources.
Chemical and Sensorial Characterization of Scented and Non-Scented Alstroemeria Hybrids
Authors: Aros Danilo , Suazo Macarena , Medel Marcela , Ubeda Cristina
Published: January 2022

Floral scent plays an important ecological role attracting pollinators. Its composition has been elucidated for a vast diversity of species and is dominated by volatile organic compounds (VOCs) such as monoterpenoids, sesquiterpenoids, phenylpropanoids and benzenoid compounds. Considering that floral scent is also an important character for the ornamental plant market, this study was aimed at characterizing and comparing the molecular composition of scented and non-scented alstroemeria flowers. Confirmation of floral scent was performed through sensorial analysis, while GC-MS analysis detected monoterpenes and esters as major volatile organic compounds (VOCs). A total of 19 and 17 VOCs were detected in the scented hybrids 13M07 and 14E07, respectively. The non-scented hybrid 13B01 shared 14 VOCs with the scented hybrids, although it showed different relative concentrations. Comparison between scented and non-scented hybrids suggests that diversity and amounts of VOCs are likely due to the ecological role of scent, while the human perception of floral scent is not strictly related to the VOC profile.
Experiencing Stress among Different Professional Groups in the Context of Their Age
Authors: Bartkowiak Grażyna , Krugiełka Agnieszka , Kostrzewa-Demczuk Paulina , Dachowski Ryszard , Gałek-Bracha Katarzyna
Published: January 2022

The subject of this article is the identification of coping with stress and experiencing stress in three groups of the same number of people, different in terms of their occupation: professional soldiers of the Polish Army with the rank of an officer, people employed in managerial positions, and specialists working in independent positions in the context of their age. The analysis of the literature and the research carried out refer to the concept of sustainable development. This indicates the need to take care of limiting excessive stress and improving the mental well-being of all employees, regardless of the demographic characteristics and nature of the work performed. In order to identify possible differences, three types of questionnaires meeting the criteria of psychometric correctness were used (CISS, KPS, PSS-10). The obtained results were subjected to statistical analysis using the FUZZY TOPSIS method based on multi-criteria decision-making and the fuzzy logic, which was first applied in the social science. The obtained data confirmed some differentiation within the three studied groups, as well as the modifying role of age in coping and experiencing stress.
Health-Related Quality of Life (HRQoL) of People over 65 Years of Age
Authors: Krawczyk-Suszek Marlena , Kleinrok Andrzej
Published: January 2022

Quality of life is an important indicator of the treatment process, lifestyle, and influence of many other factors, both exogenous and endogenous, on the body. Determining the quality of life of healthy people (health-related quality of life (HRQoL), considering the influence of various factors, is important due to the possibility of making subsequent comparative analyses regarding the quality of life of people diagnosed with diseases. In addition, it allows us to identify the most crucial factors influencing the HRQoL in the process of “good aging”. The purpose of the study was to present the HRQoL level of healthy people over 65 years of age. HRQoL was measured in five-year age groups (66–70, 71–75, 76–80, >80 years), considering the analyzed factors. Finally, 1038 healthy people were included in the study. The inclusion criteria were as follows: no diagnosed chronic diseases, no permanent treatment in specialist clinics, and no constant administration of medicaments. A comparative analysis was carried out, assuming a 5% conclusion error. The SF-36 questionnaire assessing the main dimensions of the quality of life was the tool used in the study to assess the HRQoL: the physical component summary (PCS), mental component summary (MCS) and index of life quality (ILQ). The factors significantly differentiating the average level of HRQoL were as follows: gender, place of residence, education, employment status, smoking and physical activity. Relationship status (p > 0.05) was one of the analyzed factors that did not influence the differences in the average level of the perceived HRQoL. More than a twofold greater chance of a higher HRQoL was reported in the group of men under 75 years of age (66–70: OR = 2.01; 71–75: OR = 2.52) compared to the group of women. The same relationship was noted in the case of higher education in respondents up to the age of 80 (66–70: OR = 1.56; 71–75: OR = 2.16; 76–80: OR = 2.74). Smoking by people over 80 years of age significantly increased the chances of a higher HRQoL in each of the dimensions (PCS: OR = 4.09; MCS: OR = 12.64; ILQ: OR = 5.79). Age as a non-modifiable factor significantly differentiates the level of the HRQoL of healthy people over 65 years of age. The results of the conducted study on HRQoL can be helpful when comparing the HRQoL of healthy people with a group of people with chronic diseases.
Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China
Authors: Cheng Xueyan , Zhang Liang
Published: January 2022

This study aimed to explore the health service needs of empty nest families from a household perspective. A multistage random sampling strategy was conducted to select 1606 individuals in 803 empty nest households in this study. A questionnaire was used to ask each individual about their health service needs in each household. The consistency rate was calculated based on their consistent answers to the questionnaire. We used a collective household model to analyze individuals’ public health service needs on the family level. According to the results, individuals’ consistency rates of health service needs in empty nest households, such as diagnosis and treatment service (H1), chronic disease management service (H2), telemedicine care (H3), physical examination service (H4), health education service (H5), mental healthcare (H6), and traditional Chinese medicine service (H7) were 40.30%, 89.13%, 98.85%, 58.93%, 57.95%, 72.84%, and 63.40%, respectively. Therefore, family-level health service needs could be studied from a family level. Health service needs of H1, H3, H4, H5, and H7 for individuals in empty nest households have significant correlations with each other (r = 0.404, 0.177, 0.286, 0.265, 0.220, p < 0.001). This will be helpful for health management in primary care in rural China; the concordance will alleviate the pressure of primary care and increase the effectiveness of doctor–patient communication. Health service needs in empty nest households who took individuals’ public needs as household needs (n = 746) included the H4 (43.3%) and H5 (24.9%) and were always with a male householder (94.0%) or at least one had chronic diseases (82.4%). Health service needs in empty nest households that considered one member’s needs as household needs (n = 46) included the H1 (56.5%), H4 (65.2%), H5 (63.0%), and H7 (45.7%), and the member would be the householder of the family (90.5%) or had a disease within two weeks (100.0%). In conclusion, family members’ roles and health status play an important role in health service needs in empty nest households. Additionally, physical examination and health education services are the two health services that are most needed by empty nest households, and are suitable for delivering within a household unit.
Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race
Authors: Lyons Matthew Jay , Fernandez Poole Senaida , Brownson Ross C. , Lyn Rodney
Published: January 2022

Racial disparities in breast cancer present a vexing and complex challenge for public health. A diverse array of factors contributes to disparities in breast cancer incidence and outcomes, and, thus far, efforts to improve racial equity have yielded mixed results. Systems theory offers a model that is well-suited to addressing complex issues. In particular, the concept of a systemic leverage point offers a clue that may assist researchers, policymakers, and interventionists in formulating innovative and comprehensive approaches to eliminating racial disparities in breast cancer. Naming systemic racism as a fundamental cause of disparities, we use systems theory to identify residential segregation as a key leverage point and a driver of racial inequities across the social, economic, and environmental determinants of health. We call on researchers, policymakers, and interventionists to use a systems-informed, community-based participatory approach, aimed at harnessing the power of place, to engage directly with community stakeholders in coordinating efforts to prevent breast cancer, and work toward eliminating disparities in communities of color.
Living through the COVID-19 Pandemic: Impact and Lessons on Dietary Behavior and Physical Well-Being
Authors: Gill Shameena , Adenan Alia Maisara , Ali Adli , Ismail Noor Akmal Shareela
Published: January 2022

The aim of this review is to highlight the spectrum on which human behavior has been affected by blanket restriction measures and on a wider scale, the COVID-19 pandemic. Some of the human behaviors that have been impacted by the COVID-19 lockdown are dietary behavior and nutrition, food options and food delivery usage, physical activity and sedentary behaviors. This is important in planning effective public health strategies with minimal detriment to all subsets of society as well as improving the distribution of government aid to populations that are more severely affected. Our main purpose is to present the literature from a rapidly growing pool of scientific research to hopefully enable a better and more comprehensive understanding of the effects of this pandemic and the lessons learnt from the accompanying restrictions, as well as policy recommendations that can be made in national pandemic responses in the future.
Multimorbidity Patterns and the Disablement Process among Public Long-Term Care Insurance Claimants in the City of Yiwu (Zhejiang Province, China)
Authors: Liu Chundi , Shu Renfang , Liang Hong , Liang Yan
Published: January 2022

This study aimed to identify multimorbidity patterns and explore the disablement process by utilizing the model raised by Verbrugge and Jette as a theoretical framework. This cross-sectional study used public Long-term Care Insurance (LTCI) claimants’ assessment data of Yiwu city in Zhejiang Province, China, for 2604 individuals aged 60 years and older, from September through December 2018. Latent Class Analysis (LCA) was conducted using 10 common chronic conditions. Structural Equation Modeling was used to examine the disablement process. The latent classes of multimorbidity patterns were the “coronary atherosclerotic heart disease” class (19.0%), the “lower limb fractures” class (26.4%), and the “other diseases” class (54.6%). The structural model results show that coronary atherosclerotic heart disease had a significant influence on incontinence, but it was not statistically significant in predicting vision impairment and mobility impairment. Lower limb fractures had significant effects on vision impairment, incontinence, and mobility impairment. Vision impairment, incontinence, and mobility impairment had significant effects on physical activities of daily living (ADLs). Our findings suggest that different impairments exist from specific patterns of multimorbidity to physical ADL disability, which may provide insights for researchers and policy makers to develop tailored care and provide support for physically disabled older people.
Haemophilia in France: Modelisation of the Clinical Pathway for Patients
Authors: Beny Karen , du Sartz de Vigneulles Benjamin , Carrouel Florence , Bourgeois Denis , Gay Valérie , Negrier Claude , Dussart Claude
Published: January 2022

Process-of-care studies participate in improving the efficiency of the care pathway for patient with haemophilia (CPPH) and rationalize the multidisciplinary management of patients. Our objective is to establish a current overview of the different actors involved in the management of patients with haemophilia and to provide an accurate description of the patient trajectory. This is a qualitative exploratory research based on interviews of the principal health professionals of four haemophilia services, between November 2019 and February 2020, in France. Mapping of the CPPH processes within the different institutions and/or services, as well as the rupture zones, were identified. Treatment delivery and biological analyses were carried out exclusively in healthcare institutions. The main liberal health professionals solicited were nurses, physiotherapists and general practitioner. Obstacles and barriers within the specialized service, with other hospital services and external hospital or private services, community health care providers et community environment and individual one was complex and multiples. Our research identified potential concerns that need to be addressed to improve future studies to identify influential elements. Similarly, other qualitative studies will have to be conducted on the perceptions and literacy of patients with haemophilia to develop a global interactive mapping of their trajectories.
A Group Intervention to Promote Resilience in Nursing Professionals: A Randomised Controlled Trial
Authors: Janzarik Gesche , Wollschläger Daniel , Wessa Michèle , Lieb Klaus
Published: January 2022

In this study, a new group intervention program to foster resilience in nursing professionals was tested for efficacy. In total, 72 nurses were recruited and randomised to either an intervention condition or to a wait list control condition. The study had a pre-test, post-test, follow-up design. The eight-week program targeted six resilience factors: cognitive flexibility, coping, self-efficacy, self-esteem, self-care, and mindfulness. Compared to the control group, the intervention group reported a significant improvement in the primary outcome mental health (measured with the General Health Questionnaire) from pre-test (M = 20.79; SD = 9.85) to post-test (M = 15.81; SD = 7.13) with an estimated medium effect size (p = 0.03, η2 = 0.08) at post-test. Further significant improvements were found for resilience and other resilience related outcomes measures. The individual stressor load of the subjects was queried retrospectively in each measurement. Stress levels had a significant influence on mental health. The intervention effect was evident even though the stress level in both groups did not change significantly between the measurements. Follow-up data suggest that the effects were sustained for up to six months after intervention. The resilience intervention reduced mental burden in nurses and also positively affected several additional psychological outcomes.
Analysis of the Changes in Occlusal Plane Inclination in a Class II Deep Bite “Teen” Patient Treated with Clear Aligners: A Case Report
Authors: Staderini Edoardo , Ventura Valentina , Meuli Simonetta , Maltagliati Liliana , Gallenzi Patrizia
Published: January 2022

Background: Optimal management of hypodivergent growing patients demands a strict control of vertical dimension and to exploit the growth potential. If a deep bite malocclusion causes a traumatic contact between the upper and lower incisors and affects the facial appearance, an early interceptive treatment is recommended. The aim of this case report is to outline the clinical management of the occlusal plane of a growing Class II division 1 deep bite patient treated with aligners and Class II elastics. Methods: The treatment lasted 11 months and was divided into two phases. Treatment goals included improvement of the soft tissue profile and basal bone relationships through an increase in the mandibular third of the face and a sagittal advancement of the mandible. The correction of the curve of Spee involved intrusion of the mandibular incisors and extrusion of the mandibular premolars. Results: The cephalometric analysis at the end of the treatment displayed significant differences in the skeletal and occlusal pattern along with aesthetic improvements. Conclusion: The final cephalogram showed a consistency between the planned tooth movement and the clinical results. Although definitive recommendations must be withheld until longer follow-up is available, the patient presented here shows that the treatment protocol yielded positive mandibular growth.
Investigation of Long and Short-Term Water Surface Area Changes in Coastal Ramsar Sites in Turkey with Google Earth Engine
Authors: Dervisoglu Adalet
Published: January 2022

Deltas and lagoons, which contain many flora and fauna, have rich coastal ecological and biological environments, and are wetlands of vital importance for humans. In this study, the current problems in all coastal Ramsar sites in Turkey are summarized, and changes in water surface areas are investigated using Landsat and Sentinel 1/2 satellite images on the Google Earth Engine (GEE) cloud computing platform. Landsat TM and OLI images were used in the long-term analysis, and time series were created by taking annual and July to September averages between 1985 and 2020. In the short-term analysis, monthly averages were determined using Sentinel 2 images between 2016 and 2020. Sentinel-1 Synthetic Aperture Radar (SAR) images were used in the months when optical data were not suitable for use in monthly analysis. The Normalized Difference Water Index (NDWI) was used to extract water surface areas from the optical images. Afterwards, a thresholding process was used for both optical and radar images to determine the changes. The changes were analyzed together with the meteorological data and the information obtained from the management plans and related studies in the literature. Changes in the water surface areas of all coastal Ramsar sites in Turkey were determined from 1985 to 2020 at different rates. There was a decreasing trend in the Goksu and Kızılırmak Deltas, which also have inland wetlands. The decreasing rates from 1985 to 2020 were −24.52% and −2.86%, for annual average water surfaces for the Goksu and Kızılırmak Deltas, respectively, and −21.64% and −6.34% for the dry season averages, respectively. However, Akyatan Lagoon, which also has inland wetlands, showed an increasing trend. Observing the annual average surface area from 1985 to 2020, an increase of 438 ha was seen, corresponding to 7.65%. Every year, there was an increasing trend in the Gediz Delta and Yumurtalık Lagoons, that do not have inland wetlands. The increasing rates from 1985 to 2020 were 46.01% and 17.31% for the annual average surface area, for the Gediz Delta and Yumurtalık Lagoons, respectively, and 38.34% and 21.04% for the dry season average, respectively. The obtained results reveal the importance of using remote sensing methods in formulating strategies for the sustainable management of wetlands.