bluuebunny/crossref_metadata_2025 huggingface dataset:
Telemedicine Is an Effective Tool to Monitor Disease Activity in IBD Patients in the COVID-19 Era: A Single Centre Experience Based on Objective Data
Authors: Sinagra Emanuele , Busacca Anita , Guida Laura , Carrozza Lucio , Brinch Daniele , Crispino Federica , Maida Marcello , Battaglia Salvatore , Celsa Ciro , Cammà Calogero , Cappello Maria
Published: March 2022

Background: The COVID-19 outbreak has led IBD clinics to adopt a remote monitoring approach in order to guarantee an adequate follow-up of patients with inflammatory bowel disease (IBD) and ensure the rules of social distancing. Aim: The aim of the study was to perform a survey on IBD patients who underwent remote monitoring in our tertiary referral center, to assess adherence, patients’ perceptions and satisfaction, and finally their opinions for future monitoring. Furthermore, we evaluated changes in disease activity and Quality of Life (QoL) using validated questionnaires. Methods: Consecutive patients with IBD scheduled for follow-up visits were switched to remote monitoring through e-mail from March 2020 to February 2021. Patients were asked to complete a questionnaire focusing on the following elements of the intervention: (1) self-assessment questions, (2) action plans, and (3) educational messages. Results: Four hundred and twenty four Caucasian patients completed the survey. 233 (55.1%) were male, 220 (52.0%) had Crohn’s Disease (CD). Median baseline Mayo Score and Harvey Bradshaw Index were 3 and 4, respectively. 9 (2.1%) patients were referred to the emergency department because of disease flares. 410 (96.9%) patients were satisfied with telemedicine, and 320 (76.5%) patients reported that they would maintain this approach also after COVID-19 pandemic. Overall, on univariate logistic regression analysis, none of the variables were related to patients’ satisfaction or to an improved QoL. The presence of ulcerative colitis was associated with the need for treatment change. Conclusions: Our results suggest that a telemedicine approach is well accepted by patients with IBD and could represent an effective tool in monitoring disease activity. Further controlled studies are warranted to properly assess if telemedicine can replace face-to-face consultations in IBD.
Editorial on Special Issue “Organogels: State of the Art”
Authors: Di Chenna Pablo Héctor
Published: March 2022

Organogels are a very diverse and fascinating class of soft materials that, over the last 30 years, have evolved to be one of the most interesting subjects in materials science [...]
Interaction of TX-100 and Antidepressant Imipramine Hydrochloride Drug Mixture: Surface Tension, 1H NMR, and FT-IR Investigation
Authors: Rub Malik Abdul , Azum Naved , Kumar Dileep , Asiri Abdullah M.
Published: March 2022

Interfacial interaction amongst the antidepressant drug-imipramine hydrochloride (IMP) and pharmaceutical excipient (triton X-100 (TX-100-nonionic surfactant)) mixed system of five various ratios in dissimilar media (H2O/50 mmol·kg−1 NaCl/250 mmol·kg−1 urea) was investigated through the surface tension method. In addition, in the aqueous solution, the 1H-NMR, as well as FT-IR studies of the studied pure and mixed system were also explored and deliberated thoroughly. In NaCl media, properties of pure/mixed interfacial surfaces enhanced as compared with the aqueous system, and consequently the synergism/attractive interaction among constituents (IMP and TX-100) grew, whereas in urea (U) media a reverse effect was detected. Surface excess concentration (Γmax), composition of surfactant at mixed monolayer (X1σ), activity coefficient (f1σ (TX-100) and f2σ (IMP)), etc. were determined and discussed thoroughly. At mixed interfacial surfaces interaction, parameter (βσ) reveals the attractive/synergism among the components. The Gibbs energy of adsorption (ΔGadso) value attained was negative throughout all employed media viewing the spontaneity of the adsorption process. The 1H NMR spectroscopy was also employed to examine the molecular interaction of IMP and TX-100 in an aqueous system. FT-IR method as well illustrated the interaction amongst the component. The findings of the current study proposed that TX-100 surfactant could act as an efficient drug delivery vehicle for an antidepressant drug. Gels can be used as drug dosage forms due to recent improvements in the design of surfactant systems. Release mechanism of drugs from surfactant/polymer gels is dependent upon the microstructures of the gels and the state of the drugs within the system.
Preparation of Styrene-Butadiene Rubber (SBR) Composite Incorporated with Collagen-Functionalized Graphene Oxide for Green Tire Application
Authors: Khan Anish , Kian Lau Kia , Jawaid Mohammad , Khan Aftab Aslam Parwaz , Alotaibi Maha Moteb , Asiri Abdullah M. , Marwani Hadi M.
Published: March 2022

Styrene-butadiene rubber (SBR) is a synthetic polymer primarily used in the tire industry, due to its good collaborative properties with additives and fillers. In the present work, we aim to synthesize an SBR composite reinforced with graphene oxide filler to be made biodegradable. In composite preparation, we fabricated styrene-butadiene rubber/graphene oxide/collagen (SBR/GO/COL) composites by adding a biodegradable biomolecule of elastin collagen fillers at 1.5 wt% and 2.5 wt%. Those prepared SBR/GO/COL composites, along with pure SBR and SBR/GO as control samples, were characterized using advanced analysis techniques, and their biodegradability was also evaluated. From microscopy examination results, the morphology of pure SBR had been improved after the addition of GO for SBR/GO composite by revealing a compact structure with a smoother surface. As for the SBR/GO/1.5COL sample, the 1.5 wt% COL filler was found to be effectively embedded in the SBR/GO matrix. However, the 2.5 wt% COL amount led to the formation of an aggregated structure in the SBR/GO/2.5COL sample due to the unreacted interface between COL filler and SBR/GO. The porosity had also been improved for SBR/GO/1.5COL sample, imparting it with a surface area suitable for tires in the automobile industry. From elemental analysis, the presence of nitrogen was detected for the collagen-filled SBR composite, proving the successful incorporation of collagen fibrils. The physicochemical analysis also detected a trace of graphene oxide and collagen functional groups in the SBR composite. In addition, the thermal analysis revealed those collagen-filled composites had stable heat tolerance behavior, which is suitably used in extreme weather conditions. Moreover, the SBR/GO/1.5COL sample exhibited good characteristics in both mechanical and biodegradable properties. Thus, the product of SBR/GO/1.5COL could be regarded as a promising composite for green tires in the auto industry in the future.
Comparison of the Physicochemical Properties of Carboxymethyl Agar Synthesized by Microwave-Assisted and Conventional Methods
Authors: Qi Bo , Yang Shaoling , Zhao Yongqiang , Wang Yueqi , Yang Xianqing , Chen Shengjun , Wu Yanyan , Pan Chuang , Hu Xiao , Li Chunsheng , Wang Lunan
Published: March 2022

The microwave-assisted carboxymethylation of agar to improve its physicochemical properties was investigated. Microwave power, reaction time, and temperature, ethanol concentration, and amounts of chloroacetic acid and sodium hydroxide were assessed for their effects on synthetic yield and degree of substitution (DS). All factors were positively correlated with DS within a certain range. Using optimized conditions, samples with different DS were prepared, and the physicochemical properties of unmodified and carboxymethyl agars prepared by microwave and conventional methods were compared. Carboxymethylation significantly changed the physicochemical properties of the agar, improving gel transparency and reducing dissolution temperature, gel strength, gel hardness, molecular weight, and molecular size; DS was the key factor. Specifically, higher DS values resulted in greater changes. The microwave-assisted method significantly shortened the reaction time and preserved molecular weight, gel strength, and texture hardness of the agar. Therefore, as an environmentally friendly method, microwave-assisted synthesis shows great promise for producing carboxymethyl agar.
UV-VIS Curable PEG Hydrogels for Biomedical Applications with Multifunctionality
Authors: Sabel-Grau Tina , Tyushina Arina , Babalik Cigdem , Lensen Marga C.
Published: March 2022

Multifunctional biomedical materials capable of integrating optical functions are highly desirable for many applications, such as advanced intra-ocular lens (IOL) implants. Therefore, poly(ethylene glycol)-diacrylate (PEG-DA) hydrogels are used with different photoinitiators (PI). In addition to standard UV PI Irgacure, Erythrosin B and Eosin Y are used as PI with high sensitivity in the optical range of the spectrum. The minimum PI concentrations for producing new hydrogels with PEG-DA and different PIs were determined. Hydrogel films were obtained, which were applicable for light-based patterning and, hence, the functionalization of surface and volume. Cytotoxicity tests confirm cytocompatibility of hydrogels and compositions. Exploiting the correlation of structure and function allows biomedical materials with multifunctionality.
Syneresis Behavior of Polymer Gels Aged in Different Brines from Gelants
Authors: Guo Hongbin , Ge Jijiang , Wu Qianhui , He Ziyu , Wang Wei , Cao Guojuan
Published: March 2022

Gel syneresis is a common problem in gel treatment for oil recovery applications. In this study, a stable gel was prepared in a soft brine by using a water-soluble phenolic resin as a crosslinker, nanoparticles as a stabilizer, and partially hydrolyzed polyacrylamide (HPAM) or copolymers with different contents of 2-acrylamido-2-methylpropane sulfonic acid (AMPS) groups as polymers. The syneresis behavior of the gels formed in a soft brine was evaluated upon aging in hard brines. The results show that when the salinity of the hard brine is lower than 30,000 mg/L, the gel expands, and its strength decreases; when the salinity of the hard brine is higher than 50,000 mg/L, the gel exhibits syneresis, and its strength increases. The effects of various influencing factors on the gel syneresis behavior were also evaluated. It was found that optimizing the polymer structure and adding nanoparticles can effectively overcome gel syneresis and enhance gel stability. Based on the research described in this paper, some proposals for designing salt-resistant polymer gels are presented.
Comparative Study of Polysaccharide-Based Hydrogels: Rheological and Texture Properties and Ibuprofen Release
Authors: Mikušová Veronika , Ferková Jarmila , Žigrayová Dominika , Krchňák Daniel , Mikuš Peter
Published: March 2022

Polysaccharides are attractive gelling agents in pharmacy due to their safety, biocompatibility, biodegradability, relatively easy way of preparation, and low price. Due to their variable physical-chemical properties, polysaccharides have potentialities to be used for designing new drug delivery systems for controlled drug release. In this comparative study, rheological and texture properties as well as the in vitro release of model drug ibuprofen (IBU) with 11 polysaccharide-based hydrogels were investigated. The in vitro release of IBU significantly differed between (i) neutral (hydroxy/alkylcelluloses), (ii) anionic (carboxyalkylcellulose and its sodium salt, tragacanth, carrageenan, xanthan gum), and (iii) cationic (chitosans) hydrogels due to different contribution of provided interactions and viscosity within the hydrogel groups. The drug release kinetics of each hydrogel system was evaluated for five kinetic models. Several combinations of cationic hydrogels with neutral or anionic ones were performed to illustrate possibilities of providing modified IBU release profiles. In this context, chitosan was presented as an effective modifier of diffusion profiles for negatively charged drugs formulated into combined polymeric systems, providing their prolonged release. The most appropriate hydrogel for the topical application (i.e., providing favorable rheological and texture properties along with the highest drug release) was selected from a studied series of polysaccharide-based hydrogels.
Reframing the History of American Genealogy: On the Paradigm of Democratization and the Capitalization of Longing
Authors: Hjorthén Adam
Published: March 2022

Genealogy is one of the most popular sociocultural pursuits in modern U.S. history. During recent decades, scholars of the history of American genealogy and family history have forwarded an argument that its development since the 19th century is characterized by “democratization”. Surveying the scholarship, this article critically examines what that argument really means, what it unveils about historical change, and what it does not adequately recognize. The article argues that “democratization” is inadequate for making precise explanations about historical causes, causalities, and consequences. As an alternative to the democratization argument, it is suggested that research on the history of American genealogy should be inspired by recent studies of contemporary genealogy by sociologists, anthropologists, and cultural geographers, as well as by philosophical studies on the human longing for ancestry. By doing so, it becomes possible to engage with the crucial question of power in the historical inquiry. This approach is explored through the genealogical work of the Church of Jesus Christ of Latter-day Saints. Rather than looking at genealogy through the lens of grassroots individuals, we need to acknowledge the connection between personal longing for ancestry and the ways in which powerful organizations, institutions, media, and businesses have sought to capitalize on this longing.
Recent Development of Prodrugs of Gemcitabine
Authors: Pandit Bhoomika , Royzen Maksim
Published: March 2022

Gemcitabine is a nucleoside analog that has been used widely as an anticancer drug for the treatment of a variety of conditions, including ovarian, bladder, non-small-cell lung, pancreatic, and breast cancer. However, enzymatic deamination, fast systemic clearance, and the emergence of chemoresistance have limited its efficacy. Different prodrug strategies have been explored in recent years, seeking to obtain better pharmacokinetic properties, efficacy, and safety. Different drug delivery strategies have also been employed, seeking to transform gemcitabine into a targeted medicine. This review will provide an overview of the recent developments in gemcitabine prodrugs and their effectiveness in treating cancerous tumors.
miR-185-5p Regulates Inflammation and Phagocytosis through CDC42/JNK Pathway in Macrophages
Authors: Ma Xirui , Liu Huifang , Zhu Jing , Zhang Caoxu , Peng Yajie , Mao Ziming , Jing Yu , Chen Fengling
Published: March 2022

Macrophage activation is an essential component of systemic chronic inflammation and chronic inflammatory diseases. Emerging evidence implicates miR-185-5p in chronic inflammation diseases. However, the regulatory role of miR-185-5p in macrophage pro-inflammatory activation has not been studied previously. Here, we identified that miR-185-5p was one of the top genes and effectively downregulated in two macrophage miRNA expression datasets from GEO. Under LPS stress, miR-185-5p overexpression reduced pro-inflammatory cytokine expression, suppressed phagocytosis in RAW264.7 macrophage. miR-185-5p inhibitors augmented pro-inflammatory effects of LPS in macrophage. Mechanically, miR-185-5p sponged and negatively regulated the protein expression of CDC42. Ablation of CDC42 with selective CDC42 inhibitor CASIN reversed the pro-inflammatory effect of miR-185-5p inhibitors through inhibiting MAPK/JNK pathways. Collectively, these data demonstrate that miR-185-5p exhibited anti-inflammatory functions in LPS-induced RAW264.7 macrophages at least partially through CDC42/JNK pathways. Our findings yield insights into the understanding of miR-185-5p-regulated network in macrophages inflammation, which is beneficial for exploring miRNA-protein interaction in atherosclerotic inflammation.
A Review of Relationship between Texture Characteristic and Mechanical Properties of Rock
Authors: Askaripour Mahdi , Saeidi Ali , Mercier-Langevin Patrick , Rouleau Alain
Published: March 2022

The textural characteristics of rocks influence their petrophysical and mechanical properties. Such parameters largely control rock mass stability. The ability to evaluate both immediate and long-term rock behaviors based on the interaction between various parameters of rock texture, petrophysical and mechanical properties is therefore crucial to many geoengineering facilities. However, due to the common lack of high-quality core samples for geomechanics and rock texture laboratory tests, single and multivariable regression analyses are conducted between mechanical properties and textural characteristics based on experimental test data. This study presents a review of how rock texture characteristics influence the geomechanical properties of a rock, and summarizes the regression equations between two aspects. More specifically, a review of the available literature on the effects of mineralogy, grain size, grain shape, packing density, foliation index, porosity, degree of weathering, and other rock physical characteristics on geomechanics is presented. Similarly, a review of the literature discussing the failure criteria of anisotropic rocks, both continuous and discontinuous, is also presented. These reviews are accompanied by a comparison of the fundamentals of these methods, describing their equations and discussing their advantages and disadvantages. This exercise has the objective of providing better guidelines on how to use these criteria, allowing for safer underground excavations via an improved understanding of how rock texture parameters affects the mechanical behavior of rocks.
Microalga Biofertilizer Triggers Metabolic Changes Improving Onion Growth and Yield
Authors: Cordeiro Ely Cristina Negrelli , Mógor Átila Francisco , de Oliveira Amatussi Juliana , Mógor Gilda , de Lara Gabriel Bocchetti , Marques Harielly Marianne Costa
Published: March 2022

Seeking the development of nature-friendly agronomic techniques, the use of natural sources to promote plant growth and increase agricultural yield has gained relevance. In this context, the use of biofertilizers or biostimulants obtained from microalgae has been studied, as these microorganisms have in their composition a great diversity of bioactive molecules. This study aimed to evaluate the effect of microalga Asterarcys quadricellulare (CCAP 294/1) on organic onion production, verifying its action on metabolism, growth and yield of two cultivars. Thus, two experiments were carried out: (i) foliar applications on onion plants grown in pots in a greenhouse; (ii) foliar applications on field-grown onion under an organic system. Both experiments were undertaken using solutions with spray-dried microalga biomass at concentrations of 0.05, 0.15, 0.25 and 0.4 g L−1. Biometric variables, yield of bulbs and biochemical variables were evaluated indicating that the use of A. quadricellulare promoted plant growth and increases in bulb caliber and yield of both onion cultivars. The microalga biomass stimulated plant metabolism by increases in contents of chlorophyll, carotenoids, amino acids, and the nitrate reductase enzyme activity in leaves, also free amino acids and total sugar contents in bulbs, highlighting the biomass concentration of 0.25 g L−1.
An Integrative Volatile Terpenoid Profiling and Transcriptomics Analysis in Hoya cagayanensis, Hoya lacunosa and Hoya coriacea (Apocynaceae, Marsdenieae)
Authors: Basir Syazwani , Akbar Muhamad Afiq , Talip Noraini , Baharum Syarul Nataqain , Bunawan Hamidun
Published: March 2022

Hoya’s R.Br. attractive flower shapes and unique scents make it suitable to be exploited as a new source of tropical fragrance. Therefore, this study aims to elucidate the biosynthesis of secondary metabolites using phytochemical and transcriptomic approaches to understand the mechanisms of scents biosynthesis, especially terpenoid in Hoya. Three Hoya flower species were selected in this study: Hoya cagayanensis, Hoya lacunosa, and Hoya coriacea. The secondary metabolite profiles characterizing scents on flowers were performed using head space solid phase microextraction (HS-SPME). Gas chromatography-mass spectrometry (GC-MS) revealed 23 compounds from H. cagayanensis, 14 from H. lacunose, and 36 from H. coriacea. Volatiles from the three species had different fragrance profiles, with β-ocimene and methyl salicylate compounds dominating the odor in H. cagayanensis. The 1-octane-3-ol was found highest in H. lacunosa, and (Z)-acid butyric, 3-hexenyl ester was found highest in H. coriacea. Subsequent studies were conducted to identify the biosynthesis pathway of secondary metabolites responsible for the aroma profile released by Hoya flowers through transcriptome sequencing using the Illumina Hiseq 4000 platform. A total of 109,240 (75.84%) unigenes in H. cagayanensis, 42,479 (69.00%) in H. lacunosa and 72,610 (70.55%) in H. coriacea of the total unigenes were successfully annotated using public databases such as NCBI-Nr, KEGG, InterPro, and Gene Ontology (GO). In conclusion, this study successfully identified the complete outline of terpenoid biosynthesis pathways for the first time in Hoya. This discovery could lead to the exploitation of new knowledge in producing high-value compounds using the synthetic biology approach.
Comparison of Chemical Properties between Traditional and Commercial Vinegar
Authors: Cosmulescu Sina , Stoenescu Ana-Maria , Trandafir Ion , Tuțulescu Felicia
Published: March 2022

Fruits of wild fruit species are considered healthy foods with the potential to treat and prevent chronic diseases. In recent years, the food industry and consumers have become increasingly interested in the nutritional value and safety of food and ingredients. A traditional method of processing fruits from spontaneous flora is in the form of vinegar by simple and easy techniques. The aim of this paper was to analyze the chemical composition of homemade vinegars obtained by traditional methods from the fruits of some wild fruit species, compared with commercial vinegars. To evaluate the characteristics of the two types of vinegar, analyses were performed regarding the physicochemical properties (density, soluble dry matter, total titratable acidity, and pH) and the content of phenolic compounds using HPLC. In terms of pH, it varied between 2.58 and 3.67 for homemade vinegar and between 2.22 and 2.86 for commercial vinegar. The density of vinegar varied between 1015 and 1070 kg/m3 in the case of homemade vinegar and between 1013 and 1030 kg/m3 in the case of commercial vinegar. The phenolic compounds, gallic acid, neochlorogenic acid, catechin hydrate, chlorogenic acid, vanillic acid, caffeic acid, syringic acid, epicatechin, p-coumaric acid, ferulic acid, sinapic acid, salicylic acid, ellagic acid, rutin, and myricetin were found in homemade vinegar. Fewer phenolic compounds were identified in commercial vinegars. The data obtained highlight the high quality of homemade traditional vinegars compared with commercial ones. The biochemical composition of vinegars traditionally obtained from wild fruits, through simple recipes, demonstrates their role and importance for human well-being and the potentially beneficial effects on health.
Alveolar Proteinosis Secondary to M. tuberculosis, in a Patient with Transient CD4 Lymphocytopenia Due to Cryptococcus neoformans Infection: First Case in the Literature
Authors: Martin Arsanios Daniel Augusto , Cubides-Díaz Diego Alejandro , Muñoz-Angulo Natalia , Perez-Hernandez Maria Alejandra , Zamora Posada Marlyn , Torres Mónica Briceño , Calderón Vargas Carlos Mauricio
Published: March 2022

Transient CD4 lymphocytopenia is defined as the transitory presence of CD4+ T lymphocyte fewer than 300 cells/mm3 or less than 20% of T cells without HIV infection. It can occur due to multiple causes; however, it is rare for it to occur due to opportunistic infections. Few cases have been described in the literature where antimicrobial treatment normalizes the CD4 count, being more frequent in Mycobacterium tuberculosis infections. To date, this phenomenon has not been described in Cryptococcus neoformans infections. This would be the first reported case according to our knowledge, of a patient who normalizes CD4 count after antifungal treatment, later developing alveolar proteinosis due to M. Tuberculosis.
The Relationship between Religious Beliefs and Attitudes towards Public Health Infection Prevention Measures among an Ultra-Orthodox Jewish Population during the COVID-19 Pandemic
Authors: Adini Bruria , Cohen Yoel , Spitz Ahuva
Published: March 2022

The ultra-Orthodox population in Israel was heavily impacted by COVID-19; it is important to understand the factors that contributed to this. There may be a friction between religious versus governmental guidelines that may reduce adherence to COVID mitigation guidelines, such as social distancing and masking. The purpose of this study is to explore this tension and the extent to which it existed in the surveyed sample. The study identified attitudes of ultra-Orthodox individuals concerning religious and public health measures to mitigate COVID-19 infection. A closed-ended questionnaire was completed by 405 ultra-Orthodox Jews. Most respondents believe that religious learning protects from harm (91%); 74% believe that periodically there are inconsistencies between religious guidelines and medical guidelines; 59% believe that preventive medicine may clash with “Divine protection”. Some public health measures applied to contain the pandemic threaten religious lifestyle; this is a source of dissonance among ultra-religious populations, which may substantially decrease willingness to comply with public health measures.
Rethinking the Connections between Ecosystem Services, Pollinators, Pollution, and Health: Focus on Air Pollution and Its Impacts
Authors: Plutino Manuela , Bianchetto Elisa , Durazzo Alessandra , Lucarini Massimo , Lucini Luigi , Negri Ilaria
Published: March 2022

Ecosystems provide many services that are essential for human activities and for our well-being. Many regulation services are interconnected and are fundamental in mitigating and hindering the negative effects of several phenomena such as pollution. Pollution, in particular airborne particulate matter (PM), represents an important risk to human health. This perspective aims at providing a current framework that relates ecosystem services, regulating services, pollination, and human health, with particular regards to pollution and its impacts. A quantitative literature analysis on the topic has been adopted. The health repercussions of problems related to ecosystem services, with a focus on the effects of atmospheric particulate matter, have been highlighted in the work throughout a case study. In polluted environments, pollinators are severely exposed to airborne PM, which adheres to the insect body hairs and can be ingested through contaminated food resources, i.e., pollen and honey. This poses a serious risk for the health of pollinators with consequences on the pollination service and, ultimately, for human health.
Effects of Spaghetti Differing in Soluble Fiber and Protein Content on Glycemic Responses in Humans: A Randomized Clinical Trial in Healthy Subjects
Authors: Papakonstantinou Emilia , Xaidara Marina , Siopi Vassiliki , Giannoglou Marianna , Katsaros George , Theodorou Georgios , Maratou Eirini , Poulia Kalliopi-Anna , Dimitriadis George D. , Skandamis Panagiotis N.
Published: March 2022

This randomized, single blind, cross-over study investigated the glycemic responses to three spaghetti No 7 types differing in dietary protein and soluble fiber content. Fourteen clinically and metabolically healthy, fasting individuals (25 ± 1 years; ten women; BMI 23 ± 1 kg/m2) received isoglucidic test meals (50 g available carbohydrate) and 50 g glucose reference, in random order. GI was calculated using the FAO/WHO method. Capillary blood glucose and salivary insulin samples were collected at 0, 15, 30, 45, 60, and 120 min. Subjective appetite ratings (hunger, fullness, and desire to eat) were assessed by visual analogue scales (VAS, 100 mm) at baseline and 120 min. All three spaghetti types (regular, whole wheat, and high soluble fiber–low carbohydrates) provided low GI values (33, 38, and 41, respectively, on glucose scale) and lower peak glucose values compared to glucose or white bread. No differences were observed between spaghetti No 7 types for fasting glucose, fasting and post-test-meal insulin concentrations, blood pressure (systolic and diastolic), and subjective appetite. Conclusions: all spaghetti No 7 types, regardless of soluble fiber and/or protein content, attenuated postprandial glycemic response, which may offer advantages to glycemic control.
Cognitive Behavioral Therapy-Based Comprehensive Self-Management Program Improves Presenteeism in Persons with Irritable Bowel Syndrome: A Secondary Data Analysis
Authors: Yang Pei-Lin , Matthews Sarah W. , Burr Robert L. , Cain Kevin C. , Barney Pamela G. , Zia Jasmine K. , Heitkemper Margaret H. , Kamp Kendra J.
Published: March 2022

Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavioral therapy, diet education and relaxation) versus usual care on work- and activity-impairments in adults with IBS. This secondary data analysis used daily diaries and Work Productivity and Activity Impairment in Irritable Bowel Syndrome (WPAI-IBS) questionnaire data collected at baseline, 3, 6 and 12 months post-randomization from 160 adults with IBS. Mixed-effects modeling was used to compare the effect of CSM versus usual care on work- and activity-related outcomes. The effect of CSM was shown to be superior to usual care in improving WPAI-IBS and diary-measured presenteeism, overall work productivity loss and activity impairment with sustained effects up to 12 months post-randomization (all p < 0.05). Moreover, the CSM intervention was found to be particularly beneficial for IBS patients with greater baseline work and activity impairments (all p < 0.05). The CSM intervention may bring benefits to individuals and society through improving symptoms and reducing presenteeism associated with IBS.
Blood Culture Contamination: A Single General Hospital Experience of 2-Year Retrospective Study
Authors: Tenderenda Anna , Łysakowska Monika , Dargiewicz Robert , Gawron-Skarbek Anna
Published: March 2022

In the event of blood culture contamination (BCC), blood culture (BC) needs to be repeated. This may delay appropriate treatment, prolong hospitalization and, consequently, increase its costs. The aim of the study was to assess the frequency of BCC and associated factors in a general hospital in Poland based on reports of BC in samples submitted for laboratory testing in 2019–2020. BCC is recognized when bacteria (especially those belonging to natural human microbiota) are isolated from a single sample and no clinical signs indicated infection. True positive BC is confirmed by the growth of bacteria in more than one set of blood samples with the corresponding clinical signs present. The structure of BC sets, microorganisms, and laboratory costs of BCC were analyzed. Out of 2274 total BC cases, 11.5% were true positive BC and 9.5% were BCC. Of all the BCC identified in the entire hospital, 72% was from Internal Medicine (IM) and Intensive Care Unit (ICU) combined. When single sets for BC were used in IM in 2020, the use increased to 85% compared with 2019 (p < 0.05). The predominant isolates were coagulase-negative staphylococci (84%). The estimated extra laboratory costs of BCC exceeded EUR 268,000. The BCC was a more serious problem than expected, including non-recommended using of single BC sets. Compliance with the BC collection procedure should be increased in order to reduce BCC and thus extra hospital costs.
Characterizing the Health of Older Rural Australians Attending Rural Events: Implications for Future Health Promotion Opportunities
Authors: Schumacher Tracy L. , Alston Laura , Wakely Luke , Latter Rachel , Squires Kelly , Heaney Susan , Brown Leanne J.
Published: March 2022

This paper describes the health of older Australians (>65 years) attending rural events to inform health promotion interventions for rural populations. This cross-sectional study collected survey data and objective health measures between 2017 and 2020 at two events held in rural New South Wales, Australia. Participants included in the analysis were adults > 65 years of age. Data included demographic and health information, anthropometric measures (height, weight, waist circumference), and dietary and physical activity data. A total of 256 people > 65 years participated. Our sample, which was mostly male (59.0%), contained people aged between 66 and 75 years (72.3%). Participants lived in either a large rural (34.0%) or small rural town (22.3%), with low levels of education (60.9% did not complete high school). Dietary quality was rated as below average. All but 17.2% of the participants reported having a health condition. The risk of a health condition was associated with increasing age, lower education, and higher waist circumference, but not remoteness. Rural events may provide an opportunity to access, engage with, and understand the health of older rural Australians, especially males. They may offer ideal contexts for health and nutrition promotion opportunities in rural areas where access to health professionals is limited.
Assessment of the Impact of Selected Industrial Wastewater on the Nitrification Process in Short-Term Tests
Authors: Paśmionka Iwona B. , Gospodarek Janina
Published: March 2022

Many chemical compounds can inhibit the nitrification process, especially organic compounds used in the chemical industry. This results in a decrease in the nitrification intensity or even a complete termination of this process. As the technological design of the selected municipal and industrial wastewater treatment plant (WWTP) assumed the dephosphation process, without taking into account nitrification, it was necessary to reduce the concentration of ammonium nitrogen in the treated sewage supplied to the Vistula River. Therefore, the aim of the research was to determine the inhibition of nitrification in the activated sludge method under the influence of industrial wastewater from the production of various organic compounds and to select the most toxic wastewater in relation to nitrifiers. The assessment of nitrification inhibition was carried out on the basis of the method of short-term (4-h) impact of the tested sewage on nitrifying bacteria in the activated sludge. The research covered nine different types of chemical sewage, including wastewater from the production of synthetic rubbers, styrene plastics, adhesives, solvents and emulsifiers. The nitrification process was inhibited to the highest degree by wastewater from the production of styrene-butadiene rubbers (72%). Only wastewater from the production of methacrylate (polymethyl methacrylate) had the lowest degree of inhibition: 16%. These wastewaters also have a toxic effect on the entire biocenosis and adversely affect the structure of activated sludge flocs. The attempts to filter toxic wastewater through the ash basins significantly relieved the inhibition of nitrification.
Knowledge, Attitudes, and Behaviors Regarding Chemical Exposure among a Population Sample of Reproductive-Aged Women
Authors: Ricke Isabel J. , Oglesby Ashley , Lyden Grace R. , Barrett Emily S. , Moe Stacey , Nguyen Ruby H. N.
Published: March 2022

We examined the knowledge and attitudes of reproductive-age women toward environmental chemicals and determined how these affect consumer behaviors. At the 2018 Minnesota State Fair, a large community sample of reproductive-age women was recruited to complete a survey on environmental health attitudes and behaviors. Descriptive statistics, chi-square tests, and logistic regression models were used to characterize current attitudes about chemicals. Multivariable logistic regression models examined how sociodemographic characteristics predict knowledge, attitudes, and consumer behaviors. A total of 871 women completed the survey; 74% strongly agreed that chemicals in the environment are dangerous, and 44% of women reported having heard of phthalates, while only 29% reported always practicing at least one environmentally healthy behavior (such as consuming food and beverages from safe plastics). Older age (35–39 versus 18–24: aOR 2.3, 95% CI 1.3, 4.3; 40–44 versus 18–24; aOR 2.0, 95% CI 1.2, 3.2) and working in a healthcare profession (aOR: 1.7, 95% CI: 1.2, 2.5) were associated with strong agreement that chemicals in the environmental are dangerous. Women who strongly agreed chemicals are dangerous were more likely to practice consumer behaviors to reduce their exposure. Interventions targeting knowledge and attitudes towards environmental chemicals could be an effective strategy for reducing harmful exposures.
Evaluations of Spatial Accessibility and Equity of Multi-Tiered Medical System: A Case Study of Shenzhen, China
Authors: Tian Meng , Yuan Lei , Guo Renzhong , Wu Yongsheng , Liu Xiaojian
Published: March 2022

The Chinese government has implemented a medical system reform to improve the equity of healthcare resources since 2009. We selected Shenzhen as our study area and evaluated the accessibility and equity of the multi-tiered medical system in China using a novel multi-tiered two-step floating catchment area (MT2SFCA) method. We proposed the benchmark and applied the independent variables of travel time and facility attractiveness, along with a combination of the two factors, as tolerances to determine the new logistic cumulative distribution decay functions. Community health centers (CHCs) and hospitals were included while integrating their features. Results revealed that the MT2SFCA method was able to determine the particular advantages of CHCs and hospitals in the multi-tiered medical system. The CHCs offset the lower accessibility of hospitals in suburban areas and hospitals balanced the regional inequity caused by the CHC. Travel time is the main consideration of patients who have access to CHCs, whereas facility features are the main considerations of patients who have access to hospitals. Notably, both CHCs and hospitals are crucial for the whole multi-tiered medical system. Finally, we suggested modifications in different travel modes, weights of contributing factors, and the validation of decay functions to improve the MT2SFCA method.
Antiviral Drugs in Influenza
Authors: Świerczyńska Magdalena , Mirowska-Guzel Dagmara M. , Pindelska Edyta
Published: March 2022

Flu is a serious health, medical, and economic problem, but no therapy is yet available that has satisfactory results and reduces the occurrence of these problems. Nearly 20 years after the registration of the previous therapy, baloxavir marboxil, a drug with a new mechanism of action, recently appeared on the market. This is a promising step in the fight against the influenza virus. This article presents the possibilities of using all available antiviral drugs specific for influenza A and B. We compare all currently recommended anti-influenza medications, considering their mechanisms of action, administration, indications, target groups, effectiveness, and safety profiles. We demonstrate that baloxavir marboxil presents a similar safety and efficacy profile to those of drugs already used in the treatment of influenza. Further research on combination therapy is highly recommended and may have promising results.
Land-Use Change Enhanced SOC Mineralization but Did Not Significantly Affect Its Storage in the Surface Layer
Authors: Zhang Haikuo , Zheng Xuli , Cai Yanjiang , Chang Scott X.
Published: March 2022

To achieve carbon (C) neutrality and mitigate climate change, it is crucial to understand how converting natural forests to agricultural plantations influences soil organic C (SOC) mineralization. In this study, we investigated the impact of converting evergreen broadleaf forests (EBF) to extensively managed Moso bamboo (Phyllostachys edulis (Carriere) J. Houzeau) plantations (MBP) in subtropical China on SOC mineralization rate; the concentrations of labile SOC fractions such as dissolved organic C (DOC), microbial biomass C (MBC), and readily oxidizable C (ROC); the activities of C-degrading enzymes (cellobiohydrolase and phenol oxidase); and the abundance of C-degrading enzyme-encoding genes (cbhI and lcc). Three paired soil samples were taken from the surface layer (0–20 cm) of adjacent EBF-MBP sites in Anji County, Zhejiang province. Results showed that converting EBF to MBP significantly increased the SOC mineralization rate as well as soil pH, MBC, cellobiohydrolase, and phenol oxidase activities, and cbhI gene abundance, but did not change other soil properties described above. In addition, structural equation modelling (SEM) showed that the conversion increased SOC mineralization rate through increasing soil pH, cbhI gene abundance, MBC, and cellobiohydrolase and phenol oxidase activities. Our novel finding that converting EBF to extensively managed MBP enhanced SOC mineralization via increasing the activities of C-degrading enzymes suggests that C-degrading enzymes were a key factor regulating SOC mineralization in the extensively managed subtropical bamboo plantations.
Assessing Entomological and Epidemiological Efficacy of Pyriproxyfen-Treated Ovitraps in the Reduction of Aedes Species: A Quasi-Experiment on Dengue Infection Using Saliva Samples
Authors: Ligsay Antonio D. , Tambio Kristan Jela M. , Aytona Michelle Joyce M. , Alejandro Grecebio Jonathan D. , Regencia Zypher Jude G. , Baja Emmanuel S. , Paul Richard Edward L.
Published: March 2022

Our study assessed the impact of using ovitraps with pyriproxyfen on mosquito populations and the feasibility of using human saliva samples to test for seroconversion to dengue virus (DENV). We used a quasi-experimental research design by forming the intervention (n = 220) and the control (n = 223) groups in neighboring Taguig City, Philippines, over 4 months. Socio-demographic data, entomological indices, and IgG antibodies against DENV were measured. Associations between the implementation of ovitraps dosed with pyriproxyfen and mosquito densities (percentage positive ovitraps and container indices) and DENV seroconversion were calculated post-intervention in Months 2, 3, and 4. Among the participants recruited at baseline, 17 and 13 were seropositive for dengue (DENV) in the intervention and control groups, respectively. Both entomological indices were lower in the treated area than the control site at post-intervention Months 2, 3, and 4, but not earlier. Dengue seroconversions rates decreased in the treated population, but not significantly so. In conclusion, the use of PPF-treated ovitraps may have impacted the mosquito population, but not seroconversion rates. Compliance in providing saliva samples and the ability to detect IgG antibodies within these samples was encouraging and suggests that further studies on larger populations for longer durations are warranted.
Prognostic Factors for Bladder Cancer Patients in Malaysia: A Population-Based Study
Authors: Nik Ab Kadir Mohd Nasrullah , Hairon Suhaily Mohd , Yaacob Najib Majdi , Ab Manan Azizah , Ali Nabihah
Published: March 2022

Background: Malaysia has the third highest crude mortality rates of bladder cancer within Southeast Asia. We aimed to identify the prognostic factors for bladder cancer patients in Malaysia. Methods: A retrospective population-based study was conducted among patients diagnosed between 2007 and 2011. Death date until 31 December 2016 was updated. Cox proportional hazard regression analysis was performed to examine clinical variables as prognostic factors of death. Results: Identified prognostic factors of 1828 analyzed patients were age groups, ethnicity, morphology, stage, and surgery. As compared to patients aged 15–44, the adjusted Hazard Ratio for those aged 45–54, 55–64, 65–74, and ≥75 were 1.59, 1.87, 2.46, and 3.47, respectively. Malay and other ethnic groups had 1.22- and 1.40-times the risk of death compared to Chinese. Patients with squamous cell carcinoma were at 1.47-times the hazard of death compared to urothelial carcinoma patients. Stages II, III and IV patients had 2.20-, 2.98-, and 4.12-times the risk of death as compared to stage I. Patients who did not receive surgery were at 50% increased hazard of death. Conclusion: Early detection and/or surgery, especially for those more than 75 years old, Malay, and squamous cell carcinoma could potentially improve survival. The findings could inform national cancer control programs.
Who Are More Likely to Have Quit Intentions among Malaysian Adult Smokers? Findings from the 2020 ITC Malaysia Survey
Authors: Hasan Siti Idayu , Kaai Susan C. , Amer Nordin Amer Siddiq , Mohd Hairi Farizah , Danaee Mahmoud , Yee Anne , Ahmad Tajuddin Nur Amani , Kamaludin Ina Sharyn , Grey Matt , Yan Mi , Driezen Pete , Thompson Mary E. , Quah Anne C. K. , Fong Geoffrey T.
Published: March 2022

Increasing quitting among smokers is essential to reduce the population burden of smoking-related diseases. Smokers’ intentions to quit smoking are among the strongest predictors of future quit attempts. It is therefore important to understand factors associated with intentions to quit, and this is particularly important in low- and middle-income countries, where there have been few studies on quit intentions. The present study was conducted to identify factors associated with quit intentions among smokers in Malaysia. Data came from the 2020 International Tobacco Control (ITC) Malaysia Survey, a self-administered online survey of 1047 adult (18+) Malaysian smokers. Smokers who reported that they planned to quit smoking in the next month, within the next six months, or sometime beyond six months were classified as having intentions to quit smoking. Factors associated with quit intentions were examined by using multivariable logistic regression. Most smokers (85.2%) intended to quit smoking. Smokers were more likely to have quit intentions if they were of Malay ethnicity vs. other ethnicities (adjusted odds ratio (AOR) = 1.82, 95% confidence interval (CI) = 1.03–3.20), of moderate (AOR = 2.11, 95% CI = 1.12–3.99) or high level of education vs. low level of education (AOR = 1.97, 95% CI = 1.04–3.75), if they had ever tried to quit smoking vs. no quit attempt (AOR = 8.81, 95% CI = 5.09–15.27), if they received advice to quit from a healthcare provider vs. not receiving any quit advice (AOR = 3.78, 95% CI = 1.62–8.83), and if they reported worrying about future health because of smoking (AOR = 3.11, 95% CI = 1.35–7.15 (a little worried/moderately worried vs. not worried); AOR = 7.35, 95% CI = 2.47–21.83 (very worried vs. not worried)). The factors associated with intentions to quit smoking among Malaysian smokers were consistent with those identified in other countries. A better understanding of the factors influencing intentions to quit can strengthen existing cessation programs and guide the development of more effective smoking-cessation programs in Malaysia.