bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors Shaping A/W Heat Pumps CO₂ Emissions—Evidence from Poland
Authors: Jadwiszczak Piotr , Jurasz Jakub , Kaźmierczak Bartosz , Niemierka Elżbieta , Zheng Wandong
Published: March 2021

Heating and cooling sectors contribute to approximately 50% of energy consumption in the European Union. Considering the fact that heating is mostly based on fossil fuels, it is then evident that its decarbonization is one of the crucial tasks for achieving climate change prevention goals. At the same time, electricity sectors across the globe are undergoing a rapid transformation in order to accommodate the growing capacities of non-dispatchable solar and wind generators. One of the proposed solutions to achieve heating sector decarbonization and non-dispatchable generators power system integration is sector coupling, where heat pumps are perceived as a perfect fit. Air source heat pumps enable a rapid improvement in local air quality by replacing conventional heating sources, but at the same time, they put additional stress on the power system. The emissions associated with heat pump operation are a combination of power system energy mix, weather conditions and heat pump technology. Taking the above into consideration, this paper presents an approach to estimate which of the mentioned factors has the highest impact on heat pump emissions. Due to low air quality during the heating season, undergoing a power system transformation (with a relatively low share of renewables) in a case study located in Poland is considered. The results of the conducted analysis revealed that for a scenario where an air-to-water (A/W) heat pump is supposed to cover space and domestic hot water load, its CO2 emissions are shaped by country-specific energy mix (55.2%), heat pump technology (coefficient of performance) (33.9%) and, to a lesser extent, by changing climate (10.9%). The outcome of this paper can be used by policy makers in designing decarbonization strategies and funding distribution.
A Heuristic Algorithm for Combined Heat and Power System Operation Management
Authors: Shehzad Muhammad Faisal , Dan Mainak , Mariani Valerio , Srinivasan Seshadhri , Liuzza Davide , Mongiello Carmine , Saraceno Roberto , Glielmo Luigi
Published: March 2021

This paper presents a computationally efficient novel heuristic approach for solving the combined heat and power economic dispatch (CHP-ED) problem in residential buildings considering component interconnections. The proposed solution is meant as a substitute for the cutting-edge approaches, such as model predictive control, where the problem is a mixed-integer nonlinear program (MINLP), known to be computationally-intensive, and therefore requiring specialized hardware and sophisticated solvers, not suited for residential use. The proposed heuristic algorithm targets simple embedded hardware with limited computation and memory and, taking as inputs the hourly thermal and electrical demand estimated from daily load profiles, computes a dispatch of the energy vectors including the CHP. The main idea of the heuristic is to have a procedure that initially decomposes the three energy vectors’ requests: electrical, thermal, and hot water. Then, the latter are later combined and dispatched considering interconnection and operational constraints. The proposed algorithm is illustrated using series of simulations on a residential pilot with a nano-cogenerator unit and shows around 25–30% energy savings when compared with a meta-heuristic genetic algorithm approach.
Recent Advances in Unmanned Aerial Vehicle Forest Remote Sensing—A Systematic Review. Part I: A General Framework
Authors: Dainelli Riccardo , Toscano Piero , Di Gennaro Salvatore Filippo , Matese Alessandro
Published: March 2021

Natural, semi-natural, and planted forests are a key asset worldwide, providing a broad range of positive externalities. For sustainable forest planning and management, remote sensing (RS) platforms are rapidly going mainstream. In a framework where scientific production is growing exponentially, a systematic analysis of unmanned aerial vehicle (UAV)-based forestry research papers is of paramount importance to understand trends, overlaps and gaps. The present review is organized into two parts (Part I and Part II). Part II inspects specific technical issues regarding the application of UAV-RS in forestry, together with the pros and cons of different UAV solutions and activities where additional effort is needed, such as the technology transfer. Part I systematically analyzes and discusses general aspects of applying UAV in natural, semi-natural and artificial forestry ecosystems in the recent peer-reviewed literature (2018–mid-2020). The specific goals are threefold: (i) create a carefully selected bibliographic dataset that other researchers can draw on for their scientific works; (ii) analyze general and recent trends in RS forest monitoring (iii) reveal gaps in the general research framework where an additional activity is needed. Through double-step filtering of research items found in the Web of Science search engine, the study gathers and analyzes a comprehensive dataset (226 articles). Papers have been categorized into six main topics, and the relevant information has been subsequently extracted. The strong points emerging from this study concern the wide range of topics in the forestry sector and in particular the retrieval of tree inventory parameters often through Digital Aerial Photogrammetry (DAP), RGB sensors, and machine learning techniques. Nevertheless, challenges still exist regarding the promotion of UAV-RS in specific parts of the world, mostly in the tropical and equatorial forests. Much additional research is required for the full exploitation of hyperspectral sensors and for planning long-term monitoring.
Tree Height Measurements in Degraded Tropical Forests Based on UAV-LiDAR Data of Different Point Cloud Densities: A Case Study on Dacrydium pierrei in China
Authors: Peng Xi , Zhao Anjiu , Chen Yongfu , Chen Qiao , Liu Haodong
Published: March 2021

Tropical forest degradation is a major contributor to greenhouse gas emissions. Tree height can be used as an important predictor of forest growth, and yield models can provide basic data for forest degradation assessments. As an important parameter of unmanned aerial vehicle-light detection and ranging (UAV-LiDAR), it is not clear how the point cloud density affects the extraction accuracy of tree height in degraded tropical rain forests. To solve this problem, we collected UAV-LiDAR data at a flight altitude of 150 m, and then resampled the UAV-LiDAR data obtained according to the point cloud density percentage resampling method and obtained UAV-LiDAR data for five different point cloud densities, namely, 12, 17, 28, 64, and 108 points/m2. On the basis of the resampled LiDAR data, we generated a canopy height model (CHM) to extract the height of Dacrydium pierrei (D. pierrei). The results show that (1) With the increase in the point cloud density, the accuracy of tree height extraction gradually increased, with a maximum accuracy at 108 points/m2 (root mean squared error (RMSE)% = 22.78%, bias% = 14.86%). The accuracy (RMSE%) increased by 6.92% as the point cloud density increased from 12 points/m2 to 17 points/m2, but only increased by 0.99% as the point cloud density increased from 17 points/m2 to 108 points/m2, indicating that 17 points/m2 is a critical point for tree height extraction of D. pierrei. (2) Compared with the results from broad-leaved forests, the accuracy of D. pierrei height extraction from coniferous forest was higher. With the increase in point cloud density, the difference in the accuracy of D. pierrei height between two stands gradually increased. When the point cloud density was 108 points/m2, the differences in RMSE% and bas% were 3.55% and 6.22%, respectively. When the point cloud density was 12 points/m2, the differences in RMSE% and bias% were 2.71% and 4.69%, respectively. Our research identified the lowest LiDAR data point cloud density required to ensure a certain accuracy in tree height extraction, which will help scholars formulate UAV-LiDAR forest resource survey plans.
Role of Suillus placidus in Improving the Drought Tolerance of Masson Pine (Pinus massoniana Lamb.) Seedlings
Authors: Li Min , Wang Haoyun , Zhao Xizhou , Lu Zhongke , Sun Xueguang , Ding Guijie
Published: March 2021

Masson pine is an important afforestation species in southern China, where seasonal drought is common. The present study focused on the effects of Suillus placidus, an ectomycorrhizal fungus, inoculation on the growth and physiological and biochemical performance of masson pine seedlings under four different watering treatments (well-watered, mild drought, moderate drought, and severe drought) to evaluate the symbiotic relationship between S. placidus and masson pine seedlings. Ectomycorrhizal-inoculated (ECM) and non-inoculated (NM) seedlings were grown in pots and maintained for 60 days using the weighing method. Results showed that seedlings’ growth, dry weight, RWC, chlorophyll content, PSII efficiency, and photosynthesis decreased as drought stress intensified in both ECM and NM plants. This suggests that drought stress significantly limits the growth and photosynthetic performance of masson pine seedlings. Nevertheless, increased An/gs and proline contents in both NM and ECM prevented oxidative damage caused by drought stress. In addition, increased peroxidase (POD) activity is an essential defense mechanism of ECM seedling under drought stress. Compared with NM, ECM seedlings showed faster growth, higher RWC, and photosynthetic performance, and lower lipid peroxidation in cell membranes under drought stress, as indicated by higher POD activity and lower proline and malondialdehyde (MDA). Our experiment found that S. placidus inoculation can enhance the drought resistance of masson pine seedlings by increasing antioxidant enzyme activity, water use efficiency, and proline content, thereby enhancing growth under water-deficiency conditions. S. placidus can be used to cultivate high-quality seedlings and improve their survival in regions that experience seasonal droughts.
Radial Growth Response of European Larch Provenances to Interannual Climate Variation in Poland
Authors: Szymański Norbert , Wilczyński Sławomir
Published: March 2021

The present study identified the similarities and differences in the radial growth responses of 20 provenances of 51-year-old European larch (Larix decidua Mill.) trees from Poland to the climatic conditions at three provenance trials situated in the Polish lowlands (Siemianice), uplands (Bliżyn) and mountains (Krynica). A chronology of radial growth indices was developed for each of 60 European larch populations, which highlighted the interannual variations in the climate-mediated radial growth of their trees. With the aid of principal component, correlation and multiple regression analysis, supra-regional climatic elements were identified to which all the larch provenances reacted similarly at all three provenance trials. They increased the radial growth in years with a short, warm and precipitation-rich winter; a cool and humid summer and when high precipitation in late autumn of the previous year was noted. Moreover, other climatic elements were identified to which two groups of the larch provenances reacted differently at each provenance trial. In the lowland climate, the provenances reacted differently to temperature in November to December of the previous year and July and to precipitation in September. In the upland climate, the provenances differed in growth sensitivity to precipitation in October of the previous year and June–September. In the mountain climate, the provenances responded differently to temperature and precipitation in September of the previous year and to precipitation in February, June and September of the year of tree ring formation. The results imply that both climatic factors and origin (genotype), i.e., the genetic factor, mediate the climate–growth relationships of larch provenances.
Deciphering the Role of Residues Involved in Disorder-To-Order Transition Regions in Archaeal tRNA Methyltransferase 5
Authors: Srivastava Ambuj , Yesudhas Dhanusha , Ahmad Shandar , Gromiha M. Michael
Published: March 2021

tRNA methyltransferase 5 (Trm5) enzyme is an S-adenosyl methionine (AdoMet)-dependent methyltransferase which methylates the G37 nucleotide at the N1 atom of the tRNA. The free form of Trm5 enzyme has three intrinsically disordered regions, which are highly flexible and lack stable three-dimensional structures. These regions gain ordered structures upon the complex formation with tRNA, also called disorder-to-order transition (DOT) regions. In this study, we performed molecular dynamics (MD) simulations of archaeal Trm5 in free and complex forms and observed that the DOT residues are highly flexible in free proteins and become stable in complex structures. The energetic contributions show that DOT residues are important for stabilising the complex. The DOT1 and DOT2 are mainly observed to be important for stabilising the complex, while DOT3 is present near the active site to coordinate the interactions between methyl-donating ligands and G37 nucleotides. In addition, mutational studies on the Trm5 complex showed that the wild type is more stable than the G37A tRNA mutant complex. The loss of productive interactions upon G37A mutation drives the AdoMet ligand away from the 37th nucleotide, and Arg145 in DOT3 plays a crucial role in stabilising the ligand, as well as the G37 nucleotide, in the wild-type complex. Further, the overall energetic contribution calculated using MMPBSA corroborates that the wild-type complex has a better affinity between Trm5 and tRNA. Overall, our study reveals that targeting DOT regions for binding could improve the inhibition of Trm5.
Screening for Plasminogen Mutations in Hereditary Angioedema Patients
Authors: Farkas Henriette , Dóczy Anna , Szabó Edina , Varga Lilian , Csuka Dorottya
Published: March 2021

Hereditary angioedema (HAE) is a rare disease belonging to the group of bradykinin-mediated angioedemas, characterized by recurring edematous episodes involving the subcutaneous and/or submucosal tissues. Most cases of HAE are caused by mutations in the SERPING1 gene encoding C1-inhibitor (C1-INH-HAE); however, mutation analysis identified seven further types of HAE: HAE with Factor XII mutation (FXII-HAE), with plasminogen gene mutation (PLG-HAE), with angiopoietin-1 gene mutation (ANGPT1-HAE), with kininogen-1 gene mutation (KNG1-HAE), with a myoferlin gene mutation (MYOF-HAE), with a heparan sulfate-glucosamine 3-sulfotransferase 6 (HS3ST6) mutation, and hereditary angioedema of unknown origin (U-HAE). We sequenced DNA samples stored from 124 U-HAE patients in the biorepository for exon 9 of the PLG gene. One of the 124 subjects carried the mutation causing a lysine to glutamic acid amino acid exchange at position 330 (K330E). Later, the same PLG mutation was identified in the patient’s son. The introduction of new techniques into genetic testing has increased the number of genes identified. As shown by this study, a biorepository creates the means for the ex-post analysis of recently identified genes in stored DNA samples of the patients. This makes the diagnosis more accurate with the possibility of subsequent family screening and the introduction of appropriate therapy.
KLF15 Loss-of-Function Mutation Underlying Atrial Fibrillation as well as Ventricular Arrhythmias and Cardiomyopathy
Authors: Li Ning , Xu Ying-Jia , Shi Hong-Yu , Yang Chen-Xi , Guo Yu-Han , Li Ruo-Gu , Qiu Xing-Biao , Yang Yi-Qing , Zhang Min
Published: March 2021

Atrial fibrillation (AF) represents the most common type of clinical cardiac arrhythmia and substantially increases the risks of cerebral stroke, heart failure and death. Accumulating evidence has convincingly demonstrated the strong genetic basis of AF, and an increasing number of pathogenic variations in over 50 genes have been causally linked to AF. Nevertheless, AF is of pronounced genetic heterogeneity, and the genetic determinants underpinning AF in most patients remain obscure. In the current investigation, a Chinese pedigree with AF as well as ventricular arrhythmias and hypertrophic cardiomyopathy was recruited. Whole exome sequencing and bioinformatic analysis of the available family members were conducted, and a novel heterozygous variation in the KLF15 gene (encoding Krüppel-like factor 15, a transcription factor critical for cardiac electrophysiology and structural remodeling), NM_014079.4: c.685A>T; p.(Lys229*), was identified. The variation was verified by Sanger sequencing and segregated with autosomal dominant AF in the family with complete penetrance. The variation was absent from 300 unrelated healthy subjects used as controls. In functional assays using a dual-luciferase assay system, mutant KLF15 showed neither transcriptional activation of the KChIP2 promoter nor transcriptional inhibition of the CTGF promoter, alone or in the presence of TGFB1, a key player in the pathogenesis of arrhythmias and cardiomyopathies. The findings indicate KLF15 as a new causative gene responsible for AF as well as ventricular arrhythmias and hypertrophic cardiomyopathy, and they provide novel insight into the molecular mechanisms underlying cardiac arrhythmias and hypertrophic cardiomyopathy.
Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power
Authors: Ramos-Roure Francesc , Feijoo-Cid Maria , Manresa-Dominguez Josep Maria , Segura-Bernal Jordi , García-Sierra Rosa , Fernández-Cano Maria Isabel , Toran-Monserrat Pere
Published: March 2021

There is a gap between the preferences of immigrant patients and their experiences with intercultural communication. This study aims to explore the experiences and perspectives of long-stay immigrants on intercultural communication in encounters with primary care (PC) nurses. Participants were selected by purposive sampling at the Maresme Primary Care Center. A focus group and five in-depth interviews with long-stay immigrants from eight countries were carried out. Data collection was guided by a script previously validated by a group of experts. We conducted a qualitative analysis following Charmaz’s approach, and data saturation was reached with 11 patients (one focus group and five interviews). Long-stay immigrants would like closer and more personalized communication exchanges with greater humanity, as well as polite and respectful manners as they perceive signs of an asymmetrical care relationship. Those who had negative communication experiences tried to justify some of the behaviors as a result of having free access to public health services. This is one of the few existing studies from the point of view of long-stay immigrants. Achieving effective intercultural communication requires a process of self-reflection, awareness-raising and commitment, both on a personal and institutional level, to eliminate the asymmetry in the nurse-patient relationship. Nurses should be trained in person-centered intercultural communication.
Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses
Authors: Jung Sun-Young , Park Jin-Hwa
Published: March 2021

Emergency department nurses are confronted with unpredictable diseases and disasters and work-related traumatic stress events. This study aimed to examine the relationship between nursing work environment, relationship with the head nurse, resilience, and posttraumatic growth among emergency department nurses. Data were collected from December 2018 to February 2019 through a self-administered survey questionnaire. Participants comprised 127 nurses working in the emergency department. The collected data were analyzed using t-test, analysis of variance with Scheffé’s test, Pearson’s correlations, and hierarchical multiple regression. The mean posttraumatic growth score of emergency department nurses was 2.59 ± 0.64 out of a possible 5.00. The posttraumatic growth showed a statistically significant difference according to age in the emergency department nurse. Resilience was the most significant variable controlling other variables, accounting for 29% of the variability. The findings support that intervention programs should be developed to encourage a positive relationship with the head nurse and enhance resilience in emergency department nurses.
Non-Institutional Childbirths and the Associated Socio-Demographic Factors in Gambella Regional State, Ethiopia
Authors: Gora Gnkambo Agwa , Umer Muhammad Farooq , Ojulu Peter Obang , Betaw Sintayehu Tsegaye , Cham Akwoma Okugn , Gora Ojulu Agwa , Qi Xin
Published: March 2021

The decades-long global efforts to reduce maternal morbidity and mortality have shown overall progress, but most developing countries are still lagging significantly. This study aimed to assess the prevalence of non-institutional childbirths in the Gambella State and to identify socio-demographic factors responsible for non-institutional utilization of available birth services by reproductive-aged mothers. A community-based cross-sectional study design was adopted using a multi-stage random sampling technique. Binary logistic regression was used to identify factors associated with the selected place of birth. EpiData version 3.1 and SPSS version 13.0 were applied for data entry and analyses. All the 657 eligible mothers recruited for this study responded to the interview. 71% of the total respondents had non-institutional childbirths (NICB), and the rest had their most recent childbirth in an institution with skilled healthcare providers’ assistance. Socio-demographic factors were significantly associated with NICB. Nuer (AOR = 2.12, 95% CI: 1.23–3.63) and Majang ethnic (AOR = 1.98, 95% CI: 1.02–3.83) groups had higher rates of NICB than the rest of the study population. The prevalence of non-institutional childbirths in Gambella remained two times higher than the institutional childbirths.
The Scientific Basis for Occupational Exposure Limits for Hydrogen Sulphide—A Critical Commentary
Authors: Elwood Mark
Published: March 2021

Objectives: Occupational exposure limits for hydrogen sulphide (H2S) vary considerably; three expert group reports, published from 2006 to 2010, each recommend different limits. Some jurisdictions are considering substantial reductions. Methods: This review assesses the scientific evidence used in these recommendations and presents a new systematic review of human studies from 2006–20, identifying 33 studies. Results: The three major reports all give most weight to two sets of studies: of physiological effects in human volunteers, and of effects in the nasal passages of rats and mice. The human studies were done in one laboratory over 20 years ago and give inconsistent results. The breathing style and nasal anatomy of rats and mice would make them more sensitive than humans to inhaled agents. Each expert group applied different uncertainly factors. From these reports and the further literature review, no clear evidence of detrimental health effects from chronic occupational exposures specific to H2S was found. Detailed studies of individuals in communities with natural sources in New Zealand have shown no detrimental effects. Studies in Iceland and Italy show some associations; these and various other small studies need verification. Conclusions: The scientific justification for lowering occupational exposure limits is very limited. There is no clear evidence, based on currently available studies, that lower limits will protect the health of workers further than will the current exposure limits used in most countries. Further review and assessment of relevant evidence is justified before exposure limits are set.
The Moderating Role of Parenting Dimensions in the Association between Traditional or Cyberbullying Victimization and Mental Health among Adolescents of Different Sexual Orientation
Authors: DeSmet Ann , Rodelli Maddalena , Walrave Michel , Portzky Gwendolyn , Dumon Eva , Soenens Bart
Published: March 2021

Cyberbullying victimization is associated with mental health problems and reported to occur more in nonheterosexual orientation youth (lesbian, gay, bisexual, and questioning (LGBQ)) than among heterosexual youth. Parental support may protect against mental health problems after being victimized, but nonsupportive parental influences may also exacerbate harm. This study investigated whether parenting dimensions (autonomy support, psychological control) moderated the associations between bullying victimization and mental health problems among heterosexual and LGBQ adolescents. An anonymous survey was completed by 1037 adolescents (M age = 15.2 ± 1.9, 50% female). Regression analyses examined associations between victimization, sexual orientation, and mental health problems, and investigated the moderating role of parenting. Both forms of victimization were associated with higher mental health problems. LGBQ youth experienced more depressive symptoms and suicidal ideation than heterosexual youth. Lower levels of parental psychological control and higher levels of autonomy support were related to having fewer mental health problems. However, perceived autonomy support appeared less protective when adolescents experienced more frequent victimization. Moreover, parental psychological control was related to heightened risk for suicidal plans specifically among LGBQ youth and also exacerbated the association between cyberbullying victimization and stress among LGBQ youth. These findings underscore the need to address parenting in whole-school antibullying and mental health promotion programs.
Clear Aligners: Between Evolution and Efficiency—A Scoping Review
Authors: Putrino Alessandra , Barbato Ersilia , Galluccio Gabriella
Published: March 2021

In recent years, clear aligners have diversified and evolved in their primary characteristics (material, gingival margin design, attachments, divots, auxiliaries), increasing their indications and efficiency. We overviewed the brands of aligners used in Italy and reviewed the literature on the evolution of clear aligners based on their characteristics mentioned above by consulting the main scientific databases (PubMed, Scopus, Lilacs, Google Scholar, Cochrane Library). Inclusion and exclusion criteria were established. The data were collected on a purpose-made data collection form and analyzed descriptively. From the initial 580 records, 527 were excluded because they were not related to the subject of the review or because they did not meet the eligibility criteria. The remaining 31 studies were deemed comprehensive for the purpose of the review, although the “gingival margin design” feature and “auxiliaries” tool are not well represented in the more recent literature. Current knowledge on invisible aligners allows us to have a much clearer idea of the basic characteristics of aligner systems. There remains a need to deepen the use of systems other than Invisalign™ to give greater evidence to aligners that are very different based on the characteristics analyzed here and that are very widespread on the market.
Long-Term Interannual and Seasonal Links between the Nutrient Regime, Sestonic Chlorophyll and Dominant Bluegreen Algae under the Varying Intensity of Monsoon Precipitation in a Drinking Water Reservoir
Authors: Kim Ji Yoon , Atique Usman , Mamun Md , An Kwang-Guk
Published: March 2021

Long-term variations in reservoir water chemistry could provide essential data in making sustainable water quality management decisions. Here, we analyzed the spatiotemporal variabilities of nutrients, sestonic chlorophyll-a (CHL-a), nutrient enrichment, dominant algal species, and overall chemical water health of the third-largest drinking water reservoir in South Korea during 2000–2020. Our results distinctly explained the strong influence of monsoon rainfall on spatial and annual water chemistry variations. We observed a consistent increase in the chemical oxygen demand alluding to organic matter pollutants, while a steady declining trend in the sestonic CHL-a. The long-term total phosphorus (TP) level showed a steady reduction from the riverine zone to the lacustrine area. However, a higher total coliform bacteria (TCB) was observed at the water intake tower sites. TP displayed a strong link to algal CHL-a and ambient nitrogen phosphorus ratios, suggesting a robust phosphorus-limitation state. The severe phosphorus-limitation was also corroborated by the findings of trophic state index deviation. The high and low flow dynamics exhibited the strong influence of intensive rainfall carrying many nutrients and sediments and flushing out the sestonic CHL-a. Successive eutrophic conditions prevailed along with dominating blue-green algae species (Microcystis and Anabaena). We observed a strong positive correlation (r = 0.62) between water temperature and CHL-a and between total suspended solids and TP (r = 0.65). The multi-metric water pollution index characterized the overall water quality as ‘good’ at all the study sites. In conclusion, the long-term spatiotemporal variabilities of the ecological functions based on the nutrient-CHL-a empirical models are regulated mainly by the intensive monsoon precipitation. The drinking water could become hazardous under the recurrent eutrophication events and chemical degradations due to uncontrolled and untreated inflow of sewage and wastewater treatment plant effluents. Therefore, we strongly advocate stringent criteria to mitigate phosphorus and organic pollutant influx for sustainable management of Daecheong Reservoir.
Religious Affiliations Influence Health-Related and General Decision Making: A Brazilian Nationwide Survey
Authors: Borges Marcelo , Lucchetti Giancarlo , Leão Frederico C. , Vallada Homero , Peres Mario F. P.
Published: March 2021

Approximately 90% of the world’s population is involved in some spiritual/religious practice, and this dimension has a relevant role in life. Many studies demonstrate the associations between spirituality/religiosity (S/R), and physical, mental, and social health. Systematic reviews have indicated positive associations; however, the mechanisms behind religious coping are not fully understood. The present study aimed to examine the role of religious affiliation in general (ordinary) and health-related decisions. A nationwide, population-based, cross-sectional study was conducted in Brazil using a self-administered online survey. How much religious affiliation influences decision making was investigated. A total of 1133 participants were included, who were classified as Catholics (43.9%), Evangelicals (18.7%), spiritualists (12.8%), non-religious (11.9%), and others (12.7%). Most participants (66.5%) believed that their religious affiliations had moderate to high influences on their decisions. Participants rated the influence as high in marriage (62.7%), in donations (60.1%), in volunteering (55%), in friendships (53.9%), and in work (50.5%). Concerning health-related decisions, the influence was rated as high in drug use (45.2%), in accepting medical recommendations (45%), and in smoking (43.2%). The influence of religious affiliation on general decision making was significantly correlated for dietary restrictions (r = 0.462), alcohol consumption (r = 0.458), drug use (r = 0.441), tobacco consumption (r = 0.456), and refusal of medical recommendations (r = 0.314). Improving the understanding of how a patient’s beliefs, practices, and experiences affect their health may help healthcare practitioners to take into account religious considerations, not only regarding influences on habits but also regarding adherence to medical treatment advice.
Load Transference with the Gain of Excessive Body Mass: A Two-Year Longitudinal Study
Authors: Li Ruoyi , Liu Qingyun , Chen Xuecan , Yan Shiyang , Zhao Yihong , Zhang Linshan , Badurova Jitka , Yang Luming , Fan Haojun
Published: March 2021

Previous studies investigating the effect of excessive weight on the foot have commonly been cross-sectional; therefore, it is still unclear how the foot function gradually changes with the increased body mass that is physiologically gained over time. This study aimed to use a load transfer method to identify the mechanism of how the foot function changed with the increased excessive body mass over two years. Taking normal weight as the baseline, fifteen children became overweight or obese (group 1), and fifteen counterparts maintained normal weight (group 0) over the two years. Barefoot walking was assessed using a Footscan® plate system. A load transfer method was used based upon the relative force–time integral (FTI) to provide an insight into plantar load transference as children increased in weight. Significantly increased FTIs were found at the big toe (BT), medial metatarsal (MM), lateral metatarsal (LM), and lateral heel (HL) in group 1, while at BT, MM, medial heel (HM), and HL in group 0. Foot load showed a posterior to anterior transferal from midfoot (2.5%) and heel (7.0%) to metatarsal and big toe in group 1. The control group, however, shifted the loading within the metatarsal level from LM to HM (4.1%), and equally relieved weight from around the midfoot (MF) (3.0%) to BT, MM, HM and HL. Earlier weight loss intervention is required to prevent further adverse effects on foot functions caused by excessive weight-bearing.
Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence
Authors: Conversano Ciro , Orrù Graziella , Pozza Andrea , Miccoli Mario , Ciacchini Rebecca , Marchi Laura , Gemignani Angelo
Published: March 2021

Background: Hypertension is among the most important risk factors for cardiovascular diseases, which are considered high mortality risk medical conditions. To date, several studies have reported positive effects of mindfulness-based stress reduction (MBSR) interventions on physical and psychological well-being in other medical conditions, but no meta-analysis on MBSR programs for hypertension has been conducted. Objectives: The objective of this study was to determine the effectiveness of MBSR programs for hypertension. Methods: A systematic review and meta-analysis of randomized controlled trials examining the effects of MBSR on systolic and diastolic blood pressure (BP), anxiety, depression, and perceived stress in people with hypertension or pre-hypertension was conducted. The PubMed/MEDLINE and PsycINFO databases were searched in November 2020 to identify relevant studies. Results: Six studies were included. The comparison of MBSR versus control conditions on diastolic BP was associated with a statistically significant mean effect size favoring MBSR over control conditions (MD = −2.029; 95% confidence interval (CI): −3.676 to −0.383, p = 0.016, k = 6; 22 effect sizes overall), without evidence of heterogeneity (I2 = 0.000%). The comparison of MBSR versus control conditions on systolic BP was associated with a mean effect size which was statistically significant only at a marginal level (MD = −3.894; 95% CI: −7.736–0.053, p = 0.047, k = 6; 22 effect sizes overall), without evidence of high heterogeneity (I2 = 20.772%). The higher the proportion of participants on antihypertensive medications was, the larger the effects of MBSR were on systolic BP (B = −0.750, z = −2.73, p = 0.003). Conclusions: MBSR seems to be a promising intervention, particularly effective on the reduction of diastolic BP. More well-conducted trials are required.
Survey of Radon Concentrations in the University of Granada in Southern Spain
Authors: Calvente Irene , Núñez María Isabel , Chahboun Karimi Rachid , Villalba-Moreno Juan
Published: March 2021

The objective of this pilot study was to gather and analyze data on radon concentrations in workplaces in three buildings of Granada University (Southern Spain) constructed in different centuries. All measurements were made at basement or ground floor level under normal use conditions except for one space (mineral store), in which measurements were compared between the door closed and open. Measurements were conducted during different time periods between October 2013 and March 2019 with a Radon-Scout PLUS portable Radonmonitor. The duration of continuous recordings at different sites ranged between 42 and 1104 h. Mean accumulated radon concentrations ranged between 12 and 95 Bq/m3, below the maximal level of 300 Bq/m3 set by the World Health Organization (WHO). Relatively high values were recorded in the oldest building (15th century), which was also poorly ventilated. Ventilation appeared to be an important factor in reducing radon levels, especially in areas less exposed to radon, such as Southern Spain.
Association of Allergic Diseases and Related Conditions with Dietary Fiber Intake in Korean Adults
Authors: Lee Hoyoung , Lee Kijeong , Son Serhim , Kim Young-Chan , Kwak Ji Won , Kim Hyeon Geun , Lee Sang Hag , Kim Tae Hoon
Published: March 2021

An association between fiber intake and allergic diseases in children has been reported; however, many studies have not been conducted to assess this association in adults. We aimed to evaluate the association between dietary fiber intake and allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) among 10,479 adults using data from the Korean National Health and Nutrition Examination Survey (2010–2011). As dietary fiber intake increased, the prevalence of asthma (Q4 adjusted odds ratio (OR): 0.656; 95% confidence interval (CI): 0.48–0.91, p for trend < 0.0001) and atopic dermatitis (Q3 crude OR: 0.746; 95% CI: 0.57–0.98; Q4 adjusted OR: 0.712; 95% CI: 0.50–1.01, p for trend < 0.0001) decreased. The prevalence of allergic rhinitis (Q2 adjusted OR: 0.840; 95% CI: 0.70–1.00, p for trend < 0.0001) tended to decrease, especially in males. Subgroup analysis revealed that fiber intake reduced allergic rhinitis symptoms, including watery rhinorrhea (Q3 adjusted OR: 0.734; 95% CI: 0.55–0.97; Q4 adjusted OR: 0.722; 95% CI: 0.54–0.97) and dog allergen sensitization (Q3 adjusted OR: 0.319; 95% CI: 0.13–0.82; Q4 adjusted OR: 0.338; 95% CI: 0.13–0.86), exclusively in males. Thus, dietary fiber intake influences allergic diseases in adults, especially males.
Planning the Future Oral Health Workforce: A Rapid Review of Supply, Demand and Need Models, Data Sources and Skill Mix Considerations
Authors: Balasubramanian Madhan , Hasan Aliya , Ganbavale Suruchi , Alolayah Anfal , Gallagher Jennifer
Published: March 2021

Over the last decade, there has been a renewed interest in oral health workforce planning. The purpose of this review is to examine oral health workforce planning models on supply, demand and needs, mainly in respect to their data sources, modelling technique and use of skill mix. A limited search was carried out on PubMed and Web of Science for published scientific articles on oral health workforce planning models between 2010 to 2020. No restrictions were placed on the type of modelling philosophy, and all studies including supply, demand or needs based models were included. Rapid review methods guided the review process. Twenty-three studies from 15 countries were included in the review. A majority were from high-income countries (n = 17). Dentists were the sole oral health workforce group modelled in 13 studies; only five studies included skill mix (allied dental personnel) considerations. The most common application of modelling was a workforce to population ratio or a needs-based demand weighted variant. Nearly all studies presented weaknesses in modelling process due to the limitations in data sources and/or non-availability of the necessary data to inform oral health workforce planning. Skill mix considerations in planning models were also limited to horizontal integration within oral health professionals. Planning for the future oral health workforce is heavily reliant on quality data being available for supply, demand and needs models. Integrated methodologies that expand skill mix considerations and account for uncertainty are essential for future planning exercises.
Practitioners’ Experiences of the Influence of Bonsai Art on Health
Authors: Hermann Caroll , Edwards Stephen D
Published: March 2021

Bonsai art refers to the cultivation of a miniature tree. This study was motivated by the hypothesis that bonsai art may also be an ecopsychological, therapeutic practice that can have meaningful healing qualities. An international online survey elicited the meaning of bonsai art for 255 skilled bonsai practitioners. Questionnaires and interviews were used to elicit the experiences of participants. The findings supported the hypothesis that, for skilled practitioners, bonsai art was associated with meaningful healing experiences. In particular, the evidence suggests that bonsai art facilitates improved ecological, spiritual and emotional awareness, as well as various healing dimensions, including aesthetic creativity, resilience, adaptability, and social, physical, and personal health. It is viewed as an intervention technique that requires few resources, is easy to apply, and has a minimal impact on any environmental setting. The conclusions drawn point to the ethically sound health promotion value of bonsai art in various settings, such as psychiatric hospitals, retirement homes, rehabilitation centres and prisons.
Systematic Review: Recommendations of Levels of Physical Activity among Colorectal Cancer Patients (2010–2019)
Authors: Hong Jineui , Park Jungmin
Published: March 2021

Background: It is necessary to engage in an appropriate level of physical activity to improve the prognoses of colorectal cancer patients, yet no guidelines currently exist. The goals of this systematic review are to determine the impact of levels of physical activity on the prognoses of colorectal cancer patients and to suggest recommended guidelines for levels of physical activity. Methods: This systematic review was conducted along PRISMA guidelines. Per the inclusion criteria, papers published in academic journals in English from 2010 to 2019 were selected. A literature search was performed on PubMed (Medline), and the results of the selected studies were qualitatively synthesized. Results: Of the 13 cohort studies included in this systematic review, most studies were conducted in the United States (N = 7). Immobility or low levels of physical activity adversely affected the prognoses of colorectal cancer patients. Contrarily, high levels of physical activity increased the survival rate in people with colorectal cancer. Conclusion: For colorectal cancer patients, a level of physical activity of 17.5 to 35 MET hours per week is strongly recommended, which has been shown to reduce mortality by approximately 30 to 40%. Patients with limited physical capacity should maintain a minimum level of physical activity (≥3.5 MET hours/week).
Furloughs, Teleworking and Other Work Situations during the COVID-19 Lockdown: Impact on Mental Well-Being
Authors: Escudero-Castillo Israel , Mato-Díaz Fco. Javier , Rodriguez-Alvarez Ana
Published: March 2021

As a consequence of the Spring 2020 lockdown that occurred in Spain due to the COVID-19 pandemic, many people lost their jobs or had to be furloughed. The objective of this study is to analyse the influence of the latter changes in labour market status on psychological well-being. For this purpose, an ad-hoc questionnaire featuring socio-demographic and mental health criteria was created. Granted that the pandemic can be viewed as an exogenous shock, the bias caused by the bidirectional problems between the work situation and mental well-being can be tackled. Results indicate that the lockdown exerted a greater negative effect on the self-perceived well-being of unemployed and furloughed persons than on those in employment. Moreover, among those in continuous employment, teleworkers experienced a lesser degree of self-perceived well-being post lockdown as compared to those people remaining in the same work location throughout the COVID-19 crisis. Finally, the lockdown provoked worse effects on the self-perceived well-being of women as compared to men, a result that appears to be related to gender differences in household production. In conclusion, these results could be especially relevant given that the evolution of the pandemic is having ongoing effects on employment and, therefore, on the mental health of workers.
Smoking Cessation Intention and Its Association with Advice to Quit from Significant Others and Medical Professionals
Authors: Hwang Jun Hyun , Park Soon-Woo
Published: March 2021

Few studies have simultaneously considered the effects of significant others and medical professionals’ advice to quit smoking on smoking cessation intention. The present study involved 3841 current adult Korean smokers, divided into four groups with an intention to quit within 1 month, within 6 months, someday, and without intention to quit. Multinomial multiple logistic regression analysis was conducted according to smoking cessation intention level, adjusted for potential confounders, including past smoking cessation attempts. Smokers who had been advised to quit smoking by both significant others and medical professionals, significant others only, and medical professionals only were 2.63 (95% confidence interval (CI): 1.62–4.29), 1.84 (95% CI: 1.17–2.89), and 1.44 (95% CI: 0.70–2.94) times more likely to intend to quit within 1 month, respectively, than those who were not advised to quit. The odds ratios of an intention to quit within 6 months were 2.91 (95% CI: 1.87–4.54), 2.49 (95% CI: 1.69–3.68), and 0.94 (95% CI: 0.44–2.05), respectively. To promote smokers’ intention to quit, the role of significant others should be considered. Medical professionals’ advice to quit smoking remains important, increasing the effects of significant others’ advice.
Analysis of Heart-Rate Variability during Angioedema Attacks in Patients with Hereditary C1-Inhibitor Deficiency
Authors: Perego Francesca , De Maria Beatrice , Bova Maria , Petraroli Angelica , Marcelli Cesoni Azzurra , De Grazia Valeria , Zingale Lorenza Chiara , Porta Alberto , Spadaro Giuseppe , Dalla Vecchia Laura Adelaide
Published: March 2021

C1-inhibitor hereditary angioedema (C1-INH-HAE) is a rare disease characterized by self-limiting edema associated with localized vasodilation due to increased levels of circulating bradykinin. C1-INH-HAE directly influences patients’ everyday lives, as attacks are unpredictable in frequency, severity, and the involved anatomical site. The autonomic nervous system could be involved in remission. The cardiac autonomic profile has not yet been evaluated during the attack or prodromal phases. In this study, a multiday continuous electrocardiogram was obtained in four C1-INH-HAE patients until attack occurrence. Power spectral heart rate variability (HRV) indices were computed over the 4 h preceding the attack and during the first 4 h of the attack in three patients. Increased vagal modulation of the sinus node was detected in the prodromal phase. This finding may reflect localized vasodilation mediated by the release of bradykinin. HRV analysis may furnish early markers of an impending angioedema attack, thereby helping to identify patients at higher risk of attack recurrence. In this perspective, it could assist in the timing, titration, and optimization of prophylactic therapy, and thus improve patients’ quality of life.