bluuebunny/crossref_metadata_2025 huggingface dataset:
Association between Dentofacial Features and Bullying from Childhood to Adulthood: A Systematic Review
Authors: Broutin Alice , Blanchet Isabelle , Canceill Thibault , Noirrit-Esclassan Emmanuelle
Published: May 2023

Bullying occurs when an individual is repeatedly victimised by negative actions performed by peers. As oral features, like malocclusion and dental structural defects, can promote psychological distress, which is also found in those who are bullied, we aimed to study the association between orofacial conditions and bullying. A systematic review (PROSPERO CRD42022331693), including articles dealing with bullying and dentofacial traits, was performed following the PRISMA chart. The iterative search of eligible publications was carried out on 27 March 2023 on four databases (PubMed, PubPsych, Web of Science and Cochrane Reviews) and in the grey literature. Among the 25 articles included, 4 referred to qualitative studies, which analysed 632 interviews with children, 8 interviews with parents, 292 letters, and 321 Twitter posts. The other 21 were cross-sectional studies, which included 10,026 patients from 7 to 61 years old. Two of the qualitative studies and seven of the cross-sectional studies rated a low risk of bias, according to Joanna Briggs Institute’s Critical Appraisal Tools. The majority of studies (88%) reported a relationship between malocclusion or structural defects and exposure to bullying among young adolescents. Structural dental abnormalities and severe malocclusion should be managed, among others, for psychological questions because they crystallise the loss of self-confidence and increase the risk of bullying.
Predictive Validity of a New Triage System for Outcomes in Patients Visiting Pediatric Emergency Departments: A Nationwide Study in Korea
Authors: Bae Woori , Choi Arum , Youn Chun Song , Kim Sukil , Park Kyu Nam , Kim Kyunghoon
Published: May 2023

Triage is essential for rapid and efficient intervention in patients visiting an emergency department. In Korea, since 2016, the Pediatric Korean Triage and Acuity Scale (PedKTAS) has been implemented nationwide for the triage of patients visiting pediatric emergency departments (PEDs). The aim of this study was to evaluate the validity of the PedKTAS in patients who visit PEDs. This study was a retrospective observational study of national registry data collected from all emergency medical centers and institutions throughout Korea. We analyzed data from patients aged <15 years who visited emergency departments nationwide from January 2016 to December 2019. The hospitalization and intensive care unit (ICU) admission rates were analyzed on the basis of triage level. In total, 5,462,964 pediatric patients were included in the analysis. The hospitalization rates for PedKTAS Levels 1–5, were 63.5%, 41.1%, 17.0%, 6.5%, and 3.7%, respectively, and were significantly different (p < 0.001). The ICU admission rates for PedKTAS Levels 1–5 were 14.4%, 6.0%, 0.3%, 0.1%, and 0.1%, respectively, and were significantly different (p < 0.001). The hospitalization and ICU admission rates were highest for PedKTAS Level 1, and differences were significant based on the level. We identified that the PedKTAS is suitable for predicting the emergency status of pediatric patients who visit PEDs.
Nutrient Status among Latvian Children with Phenylketonuria
Authors: Lubina Olga , Gailite Linda , Borodulina Julija , Auzenbaha Madara
Published: May 2023

(1) Introduction: Phenylketonuria (PKU) is an autosomal recessive inborn error of phenylalanine metabolism. The main treatment for PKU is to manage nutrition, thereby restricting phenylalanine intake. Part of patient management is analyzing eating habits to substitute missing nutrients and limit the overdose of nutrients. This is mainly done by analyzing food diaries. This is the first review of Latvian PKU patients eating habits performed by analyzing 72-h food diaries (FD). (2) Materials and Methods: This study included individuals between the ages of 18 and 31 years, PKU patients and 31 age- and sex-matched control groups. All respondents kept 72-h food diaries (FD) and underwent testing for zinc, selenium and ferritin levels in the blood. Food diary data were analyzed by Nutritics software to calculate the theoretical intake of nutrients, and these values were compared with the Ministry of Health of the Republic of Latvia’s recommended values. (3) Results: A lack of motivation and diet therapy compliance in PKU patients was observed during this research. A total of 32% of PKU patients refused to fill out their FD or filled it out incorrectly. The analysis of nutrient intake was observed, and there was a statistically significant difference between PKU patients in the 1–3 age group and the control group in fat intake. Fat intake in PKU patients was below MRHL recommendations. The intake of iron was found to be surplus in all PKU patients in the age group of 1–3, 91% of PKU patients in the age group of 4–6 years, 63% in the age group of 7–12 and 71% in the 13–18 year age group. Although there were no instances in the PKU patients nor the control group who had ferritin levels above the normal range. Selenium intake was surplus in 80% of PKU patients in the 1–3 age group, 91% in PKU patients in the 4–6 age group, 88% in the 7–12 age group and 86% in the 13–18 age group. None of the patients had Se levels in the blood above the normal range. Zn intake was surplus in 100% of PKU patients in the 1–3 age group, 82% in PKU patients in the 4–6 age group, 88% in the 7–12 age group and 57% in the 13–18 age group, and no PKU patients had high Zn levels. None of the control group participants had levels below the normal range of Zn and Se while 11% of PKU patients in the 13–18 age group had inadequate levels of Se, although Se intake based on their FD was optimal. (4) Conclusions: Regular PKU patient nutritional status evaluation is important to define and prevent possible nutrient deficiency, and further investigation should be continued to find out the mechanism of nutrient absorption in PKU patients. To prevent macronutrient deficiency such as fat and micronutrient deficiency in PKU patients, one could use supplements or try an improved nutrient content of Phe-free formula in the future.
The Psychological Burden of Families with Diabetic Children: A Literature Review Focusing on Quality of Life and Stress
Authors: Theofilou Paraskevi , Vlastos Dimitris D.
Published: May 2023

Chronic diseases, such as childhood diabetes mellitus (DM), are a complex and continuous struggle as well as a great challenge both for the children who face the disease and for their parents. DM is characterized by the complex management of therapeutic treatments, thus causing physical and psychological complications infamily members. There are many families who, upon hearing the diagnosis of their child with DM, stand still in front of these new facts as their lives change. All these unprecedented conditions cause parents intense stress and discomfort, leading them to a mental burden, as the only thing that concerns them upon diagnosis is how the family will survive in the face of the current conditions they are experiencing as well as the future of the sick child. The purpose of this brief literature review is to present the research findings related to the psychological burden of families withchildren with DM, focusing on the quality of life and stress.
Phylogenetic Constitution and Survival of Microbial Biofilms Formed on the Surface of Polyethylene Composites Protected with Polyguanidine Biocides
Authors: Zhurina Marina , Bogdanov Kirill , Mendeleev Dmitry , Tikhomirov Vsevolod , Pleshko Elizaveta , Gannesen Andrei , Kurenkov Victor , Gerasin Victor , Plakunov Vladimir
Published: May 2023

A series of biocide-containing polyethylene composites were obtained using novel guanidine-containing copolymers immobilized on an inert mineral carrier. Multispecies microbial communities were isolated from the surface of polyethylene samples either incubated or found in the environment, and their taxonomic composition was determined. Biofilms reconstructed using microorganisms obtained from different ecotopes were shown to intensively foul polyethylene surfaces. The presence of polyguanidine biocide suppressed the growth and survival of both binary and multispecies biofilms, with a cumulative effect during long-term incubation. When microorganisms were co-cultivated in binary biofilms, the phenomenon of a decrease in biocide effectiveness was demonstrated. This protective effect is potentially based on cooperative interactions inside the binary biofilm community. Scanning electron microscopy showed a pronounced difference in the architecture of reconstructed biofilms incubated in the presence of biocide in comparison to control samples, where biocide suppressed the formation of dense and well-organized three-dimensional structures. Biofilm disruption by immobilized biocides occurred primarily during the later stages of biofilm formation, probably caused by polycation interaction with their negatively charged extracellular components.
Implications of COVID-19 Pandemic on Pregnancy: Current Status and Controversies
Authors: Greenberg Grace C. , Vishwakarma Nandini , Tirupattur Myna Prakash , Sprague Hannah M. , Katwa Laxmansa C.
Published: May 2023

The COVID-19 pandemic unnerved the global population in 2019 and has continued to evolve ever since. Throughout this time, investigations concerning the health of the groups most susceptible to this virus, including the elderly, those with compromised immunity or chronic diseases, and pregnant women, have taken place. Numerous articles have been formulated on the effects of COVID-19 infection on maternal, fetal, and neonatal health, but there are many controversies that still exist within the current literature. Even three years later, it is not fully understood how a maternal infection or vaccination of COVID-19 can impact pregnancy and the fetus, and these topics require further investigation and conclusive results. The aim of this article is to explain the risks for a mother and the neonate, during and after pregnancy, with the emergence of the COVID-19 pandemic. Additionally, this report presents the current state of the literature on whether vaccination during pregnancy is more beneficial or harmful. Finally, this review examines studies regarding the exacerbation of the effects of COVID-19 on pregnancies in various organ systems, particularly the cardiovascular system, in relevance to pre-existing and emerging conditions and the ethnicity of the mother.
Evaluation of the Liquid Colony™ Produced by the FAST System for Shortening the Time of Bacterial Identification and Phenotypic Antimicrobial Susceptibility Testing and Detection of Resistance Mechanisms from Positive Blood Cultures
Authors: Bonaiuto Chiara , Baccani Ilaria , Chilleri Chiara , Antonelli Alberto , Giani Tommaso , Rossolini Gian Maria
Published: May 2023

Background: the aim of this study was to evaluate the performance of the Liquid Colony™ (LC) generated directly from positive blood cultures (PBCs) by the FAST System (Qvella, Richmond Hill, ON, Canada) for rapid identification (ID) and antimicrobial susceptibility testing (AST) compared with the standard of care (SOC) workflow. Methods: Anonymized PBCs were processed in parallel by the FAST System and FAST PBC Prep cartridge (35 min runtime) and SOC. ID was performed by MALDI-ToF mass spectrometry (Bruker, Billerica, MA, USA). AST was performed by reference broth microdilution (Merlin Diagnostika, Bornheim, Germany). Carbapenemase detection was carried out with the lateral flow immunochromatographic assay (LFIA) RESIST-5 O.O.K.N.V. (Coris, Gembloux, Belgium). Polymicrobial PBCs and samples containing yeast were excluded. Results: 241 PBCs were evaluated. ID results showed 100% genus-level concordance and 97.8% species-level concordance between LC and SOC. The AST results for Gram-negative bacteria showed a categorical agreement (CA) of 99.1% (1578/1593), with minor error (mE), major error (ME), and very major error (VME) rates of 0.6% (10/1593), 0.3% (3/1122), and 0.4% (2/471), respectively. The results from Gram-positive bacteria showed a CA of 99.6% (1655/1662), with mE, ME, and VME rates of 0.3% (5/1662), 0.2% (2/1279), and 0.0% (0/378), respectively. Bias evaluation revealed acceptable results for both Gram-negatives and Gram-positives (−12.4% and −6.5%, respectively). The LC yielded the detection of 14/18 carbapenemase producers by LFIA. In terms of turnaround time, the ID, AST, and carbapenemase detection results were generally obtained one day earlier with the FAST System compared with the SOC workflow. Conclusions: The ID, AST, and carbapenemase detection results generated with the FAST System LC were highly concordant with the conventional workflow. The LC allowed species ID and carbapenemase detection within around 1 h after blood culture positivity and AST results within approximately 24 h, which is a significant reduction in the turnaround time of the PBC workflow.
Exploring the Potential Driver Gene Mutations That Promote Renal Cancer Cell Metastasis and Implantation Based on Circulating Tumor Cells Culture
Authors: Hong Baoan , Zhang Xuezhou , Du Xin , Yang Dazhi , Hu Zhiyuan , Zhang Xiuli , Zhang Ning
Published: May 2023

Studies have shown that the circulating tumor cell (CTC) is a necessary condition for the invasion and distant metastasis of renal cell carcimona (RCC). However, few CTCs-related gene mutations have been developed which could promote the metastasis and implantation of RCC. The objective of this study is to explore the potential driver gene mutations that promote RCC metastasis and implantation based on CTCs culture. Fifteen patients with primary mRCC and three healthy subjects were included, and peripheral blood was obtained. After the preparation of synthetic biological scaffolds, peripheral blood CTCs were cultured. Successful cultured CTCs were applied to construct CTCs-derived xenograft (CDX) models, followed by DNA extraction, whole exome sequencing (WES) and bioinformatics analysis. Synthetic biological scaffolds were constructed based on previously applied techniques, and peripheral blood CTCs culture was successfully performed. We then constructed CDX models and performed WES, and explored the potential driver gene mutations that may promote RCC metastasis and implantation. Bioinformatics analysis showed that KAZN and POU6F2 may be closely related to the prognosis of RCC. We successfully performed the culture of peripheral blood CTCs and, on this basis we initially explored the potential driver mutations for the metastasis and implantation of RCC.
Role of Imaging in the Management of Patients with SARS-CoV-2 Lung Involvement Admitted to the Emergency Department: A Systematic Review
Authors: Maino Cesare , Franco Paolo Niccolò , Talei Franzesi Cammillo , Giandola Teresa , Ragusi Maria , Corso Rocco , Ippolito Davide
Published: May 2023

During the waves of the coronavirus disease (COVID-19) pandemic, emergency departments were overflowing with patients suffering with suspected medical or surgical issues. In these settings, healthcare staff should be able to deal with different medical and surgical scenarios while protecting themselves against the risk of contamination. Various strategies were used to overcome the most critical issues and guarantee quick and efficient diagnostic and therapeutic charts. The use of saliva and nasopharyngeal swab Nucleic Acid Amplification Tests (NAAT) in the diagnosis of COVID-19 was one of the most adopted worldwide. However, NAAT results were slow to report and could sometimes create significant delays in patient management, especially during pandemic peaks. On these bases, radiology has played and continues to play an essential role in detecting COVID-19 patients and solving differential diagnosis between different medical conditions. This systematic review aims to summarize the role of radiology in the management of COVID-19 patients admitted to emergency departments by using chest X-rays (CXR), computed tomography (CT), lung ultrasounds (LUS), and artificial intelligence (AI).
Hybrid Data Augmentation and Dual-Stream Spatiotemporal Fusion Neural Network for Automatic Modulation Classification in Drone Communications
Authors: Gong An , Zhang Xingyu , Wang Yu , Zhang Yongan , Li Mengyan
Published: May 2023

Automatic modulation classification (AMC) is one of the most important technologies in various communication systems, including drone communications. It can be applied to confirm the legitimacy of access devices, help drone systems better identify and track signals from other communication devices, and prevent drone interference to ensure the safety and reliability of communication. However, the classification performance of previously proposed AMC approaches still needs to be improved. In this study, a dual-stream spatiotemporal fusion neural network (DSSFNN)-based AMC approach is proposed to enhance the classification accuracy for the purpose of aiding drone communication because SDDFNN can effectively mine spatiotemporal features from modulation signals through residual modules, long-short term memory (LSTM) modules, and attention mechanisms. In addition, a novel hybrid data augmentation method based on phase shift and self-perturbation is introduced to further improve performance and avoid overfitting. The experimental results demonstrate that the proposed AMC approach can achieve an average classification accuracy of 63.44%, and the maximum accuracy can reach 95.01% at SNR = 10 dB, which outperforms the previously proposed methods.
Feasibility of Mindfulness for Burn Survivors and Parents of Children with Burns
Authors: Papamikrouli Eleni , Kool Marianne B. , van Schie Carine , Van Loey Nancy E. E.
Published: May 2023

Burn survivors, spouses, and parents of children with burns may experience psychological distress for a prolonged period. Mindfulness-Based Stress Reduction (MBSR) is an intervention that can improve psychological well-being. This study aimed to examine the effectiveness of an MBSR group intervention in a convenience sample. An MBSR group intervention was conducted for burn survivors (n = 8) and parents of children with burns (n = 9), each comprising eight sessions. The participants completed the Beck Depression Inventory-II-NL, PTSS Checklist DSM-5, Five Facet Mindfulness Questionnaire-Short Form, Self-Compassion Scale-Short form, and evaluation questions at baseline, immediately after, and three months post-intervention. All participants completed the intervention. The intervention was rated very useful (M = 8.8), and the participants were very satisfied (M = 8.8). The highest effect was observed in the parents’ group on mindfulness skills and self-compassion. For both groups, there was an increase in personal goal scores immediately after the intervention. Qualitative data show that the participants in both groups experienced more inner peace, more awareness of thoughts and emotions, and more self-compassion. This exploratory study suggests that a mindfulness intervention is feasible and can be effective in improving mindfulness skills and self-compassion, particularly in parents of children with burns.
A 5.9 GHz Channel Characterization at Railroad Crossings for Train-to-Infrastructure (T2I) Communications
Authors: Choi Junsung , Ahn Seungyoung
Published: May 2023

Intelligent transport systems (ITSs) rely on wireless communications that provide many services to ground and aerial vehicles. We believe that vehicular communication protocols can evolve the train communication systems into the next generation. However, we found that channel models in train track environments at the 5.9 GHz frequency band are scarcer than in vehicular environments. Therefore, we conduct channel measurements at the 5.86–5.91 GHz ITS band at various railroad crossings in the United States. This allows us to extract the channel parameters and evaluate the propagation channel characteristics. The evaluations show a certain similarity between the train track channel characteristics and the vehicular communications channel characteristics. The railroad channel with an omnidirectional antenna is similar to a suburban environment in the vehicular channel, and with a bidirectional antenna, it is similar to a highway LoS environment in the vehicular channel. However, more importantly, the population of the surrounding buildings and the size of the LoS window can highly affect the RF propagation characteristics.
Mineralocorticoid Receptor Mediates Cortisol Regulation of Ionocyte Development in Tilapia (Oreochromis mossambicus)
Authors: Wu Chien-Yu , Lee Tsung-Han , Tseng Deng-Yu
Published: May 2023

Cortisol is the predominant corticosteroid in ray-finned fish since it does not possess the aldosterone synthase necessary to produce specific mineralocorticoids. Cortisol is traditionally believed to function as a fish mineralocorticoid. However, the effects of cortisol are mediated through corticosteroid receptors in other vertebrates, and there is an ongoing debate about whether cortisol acts through the glucocorticoid receptor (GR) or the mineralocorticoid receptor (MR) in teleosts. To investigate this issue, we conducted a study using euryhaline Mozambique tilapia (Oreochromis mossambicus) as the experimental species. The experiment was designed to investigate the effect of cortisol on ionocyte development at both the cellular and gene expression levels in tilapia. We administered exogenous cortisol and receptor antagonists, used immunohistochemistry to quantify ionocyte numbers, and performed real-time PCR to assess the expression of the differentiation factor tumor protein 63 (P63) mRNA, an epidermal stem cell marker. We observed that cortisol increased the number of Na+-K+-ATPase (NKA)-immunoactive ionocytes (increased by 1.6-fold) and promoted the gene expression of P63 mRNA (increased by 1.4-fold). Furthermore, we found that the addition of the mineralocorticoid receptor antagonist Spironolactone inhibited the increase in the number of ionocytes (decreased to the level of the control group) and suppressed the gene expression of P63 (similarly decreased to the level of the control group). We also provided evidence for gr, mr, and p63 localization in epidermal cells. At the transcript level, mr mRNA is ubiquitously expressed in gill sections and present in epidermal stem cells (cells labeled with p63), supporting the antagonism and functional assay results in larvae. Our results confirmed that cortisol stimulates ionocyte differentiation in tilapia through the MR, rather than the GR. Therefore, we provide a new direction for investigating the dual action of osmotic regulation and skin/gill epithelial development in tilapia, which could help resolve previously inconsistent and conflicting findings.
Development of Gluten-Free Bread Using Teosinte (Dioon mejiae) Flour in Combination with High-Protein Brown Rice Flour and High-Protein White Rice Flour
Authors: Delarca Ruiz Franklin , Aleman Ricardo S. , Kazemzadeh Pournaki Shirin , Sarmiento Madrid Mallerly , Muela Andrea , Mendoza Yeimi , Marcia Fuentes Jhunior , Prinyawiwatkul Witoon , King Joan M.
Published: May 2023

Gluten-free bread is an important product that is under development using different sources, such as rice and starchy plants. Teosinte seeds are utilized by ethnic groups in Honduras to produce gluten-free flour to prepare traditional baked goods and beverages. The quality of gluten-free products could vary depending on flour properties, such as amylose content, particle size, and water absorption capacity. A good strategy for developing baked goods is to mix different cereal grain sources to optimize their physicochemical properties. As a result, the current study aimed to develop bread from novel flours including teosinte (TF), high-protein brown rice (BRF), and high-protein white rice (WRF). Breads were analyzed for hardness, specific volume, and color utilizing a Simplex-Centroid mixture design coupled with the desirability function. Pasting, and rheological characteristics of the flours, were also analyzed. For flour characteristics, TF addition to BRF or WRF decreased the peak, trough, breakdown, setback, and final viscosities, which would result in a more stable bread and decrease the flow index of rice flour dispersions. BRF and WRF had similar pasting properties, except that BRF had a lower breakdown viscosity. For bread characteristics, TF addition to BRF or WRF increased the specific volume and hardness of the bread compared to rice flour alone. L* of the crust and crumb a* values were increased with greater TF in the mixture, whereas TF decreased the crust a*and b* values and crumb L* values when mixed with BRF or WRF compared to rice flours alone. WRF and BRF were similar in crumb color (L* and a*), except that BRF had greater crumb yellowness (b*). Teosinte flour can be used in combination with rice flour to produce bread with good quality.
Synthesis and Characterisation of Hydrogels Based on Poly (N-Vinylcaprolactam) with Diethylene Glycol Diacrylate
Authors: Halligan Elaine , Tie Billy Shu Hieng , Colbert Declan Mary , Alsaadi Mohamad , Zhuo Shuo , Keane Gavin , Geever Luke M.
Published: May 2023

Poly (N-vinylcaprolactam) is a polymer that is biocompatible, water-soluble, thermally sensitive, non-toxic, and nonionic. In this study, the preparation of hydrogels based on Poly (N-vinylcaprolactam) with diethylene glycol diacrylate is presented. The N-Vinylcaprolactam-based hydrogels are synthesised by using a photopolymerisation technique using diethylene glycol diacrylate as a crosslinking agent, and Diphenyl (2, 4, 6-trimethylbenzoyl) phosphine oxide as a photoinitiator. The structure of the polymers is investigated via Attenuated Total Reflectance–Fourier Transform Infrared Spectroscopy. The polymers are further characterised using differential scanning calorimetry and swelling analysis. This study is conducted to determine the characteristics of P (N-vinylcaprolactam) with diethylene glycol diacrylate, including the addition of Vinylacetate or N-Vinylpyrrolidone, and to examine the effects on the phase transition. Although various methods of free-radical polymerisation have synthesised the homopolymer, this is the first study to report the synthesis of Poly (N-vinylcaprolactam) with diethylene glycol diacrylate by using free-radical photopolymerisation, using Diphenyl (2, 4, 6-trimethylbenzoyl) phosphine oxide to initiate the reaction. FTIR analysis shows that the NVCL-based copolymers are successfully polymerised through UV photopolymerisation. DSC analysis indicates that increasing the concentration of crosslinker results in a decrease in the glass transition temperature. Swelling analysis displays that the lower the concentration of crosslinker present in the hydrogel, the quicker the hydrogels reach their maximum swelling ratio.
Excess Weight in Relation to Lifestyle Habits in Spanish First-Year University Students: Differences between Pre- and Post-COVID-19—A Serial Cross-Sectional Study Based on uniHcos Project
Authors: Hernández-Segura Natalia , Botella-Juan Lorena , Amezcua-Prieto Carmen , Morales-Suárez-Varela María , Mateos-Campos Ramona , Fernández-Villa Tania , Ortiz-Moncada Rocío , Almaraz Ana , Narciso-Rufo Alicia , Ayán-Pérez Carlos , Molina Antonio José ,   UniHcos Project Working Group
Published: May 2023

The objective of this research was to study the relationship between the body weight and diet, physical activity, and other habits among freshmen students by sex, and to determine whether these habits have changed during the post-era of the COVID-19 pandemic. A serial cross-sectional study with data from 11 Spanish universities was carried out. In total, 10,096 first-year university students (73.2% female, mean age = 19.0 ± 1.5 years) completed an online self-administered questionnaire between 2012 and 2022. For some analyses, questionnaires were categorized by the year in which the survey was filled out as Before COVID-19, Lockdown, and New Normal. In total, 72.9% of participants were within the normal weight range, and 17.7% of men and 11.8% of women were overweight (p < 0.001). The students who did not meet the WHO criteria of physical activity, spent more than 7 h per day sitting, and skipped breakfast had a higher prevalence of obesity (p < 0.05). According to the period of study, the prevalence of overweight/obesity Before COVID-19 was 16.1% (95% CI: 15.4–16.9%), while in Lockdown the prevalence was significantly higher (20.2, 95% CI: 17.1–23.8) and in New Normal it was 18.9% (CI: 15.7–22.5). Moreover, the study suggests that during the Lockdown period, there was a reduction in the practice of physical activity and an increase in the prevalence of a healthy diet. For all these, it is necessary to propose public health interventions that improve the lifestyles of university students.
The Relationship between Self-Perceived Health and Physical Activity in the Mental Health of Korean Cancer Survivors
Authors: Kwak Sungjung , Shin Jieun , Kim Jong-Yeup
Published: May 2023

The purpose of this study was to investigate the relationship between self-perceived health and physical activity on the mental health of cancer survivors using the 2014, 2016, 2018, 2020 National Health and Nutrition Examination Survey (NHANES) data. The study included 378 participants aged 19 years or older who had been diagnosed with cancer, selected from the participants of the 2014, 2016, 2018, 2020 National Health and Nutrition Examination Survey. Our questions included self-perceived health status, physical activity (aerobic exercise, muscle strengthening exercise, walking and sedentary time), and mental health (depression, stress). The statistical analysis was performed using SAS 9.4 (SAS Institute Inc, Cary, NC, USA), and a complex sample analysis was performed using weights according to the KNHANES raw data usage guidelines from the Korea Centers for Disease Control and Prevention. The results of the data analyses showed that cancer survivors with self-perceived good health showed eight times lower levels of stress and five times lower levels of depression. In addition, the stress of cancer survivors with self-perceived good health was measured as about two times lower during the walking exercise. The depression index was measured as lower in the case of the walking exercise than in the case of the non-walking exercise. In conclusion, to manage depression and stress in cancer survivors, it is recommended to regularly monitor their subjective health condition, encourage positive evaluations of their health, and suggest continued participation in activities such as walking.
Survival and Its Correlates in Multiple Sclerosis Patients under a Universal Health Insurance Program in Taiwan: An 18-Year Nationwide Cohort Study
Authors: Liao Chun-Ming , Chen Chia-Yu , Kung Pei-Tseng , Kuo Wei-Yin , Chuang Hui-Chuan , Tsai Wen-Chen
Published: May 2023

Despite the global decline in the standardized mortality rate of multiple sclerosis (MS), recent research on MS patient survival, especially in Taiwan, remains limited. This study aimed to investigate survival, mortality causes, and associated factors among MS patients in Taiwan. The Taiwan National Health Insurance Research Database was used as the primary data source, and a Cox proportional hazard model was employed to estimate and analyze factors related to survival. We analyzed data from 1444 MS patients diagnosed between 2000 and 2018. Age at diagnosis was positively correlated with the risk of death. Among the 190 patients who died, the leading causes of disease-related deaths were nervous system diseases (n = 83, 43.68%), followed by respiratory system diseases and certain infectious and parasitic diseases. The 8-, 13-, and 18-year survival rates for MS patients were 0.97, 0.91, and 0.81, respectively. This study highlights that the MS patient’s socioeconomic status, environmental factors, comorbidity severity, and related medical variables were not significantly associated with survival.
Effects of Tai Chi on Postural Control in People with Peripheral Neuropathy: A Systematic Review with Meta-Analysis
Authors: Mao Wenhui , Wang Ting , Sun Mengzi , Zhang Fangtong , Li Li
Published: May 2023

Background: Effects of Tai Chi on people with peripheral neuropathy (PN) are not yet apparent. This systematic review was conducted to evaluate the effects of Tai Chi on postural control in people with PN. Methods: Literature was screened in seven databases for relevant randomized controlled trials. The reports and methodological quality were evaluated. A meta-analysis was performed using RevMan5.4 software. Results: Ten reports were included, involving a total of 344 subjects. The meta-analysis found that Tai Chi therapy for people with PN resulted in a smaller sway area, in the double-leg stance with eyes closed test (SMD = −2.43, I2 = 0%), than that observed in the control group, greater distance covered in the six-minute walking test (SMD = −0.46, I2 = 49%) and faster performance in the timed-up-and-go test (SMD = 0.68, I2 = 50%), than the baseline. Conclusions: Tai chi effectively enhanced dynamic postural control in people with PN. However, no better effects on postural control from Tai Chi than from other rehabilitation approaches were observed in this study. Further high-quality trials are needed to better understand Tai Chi’s effects on individuals with PN.
Biochemical and Yield Component of Hybrid Chili (Capsicum annuum L.) Resulting from Full Diallel Crosses
Authors: Syukur Muhamad , Maharijaya Awang , Nurcholis Waras , Ritonga Arya Widura , Istiqlal Muhammad Ridha Alfarabi , Hakim Abdul , Sulassih Sulassih , Perdani Ambar Yuswi , Pangestu Arya Yuda , Hatta Andi Nadia Nurul Lathifa , Sahid Zulfikar Damaralam
Published: May 2023

Chili (Capsicum annuum), economically important, is one of the world’s most popular horticultural plants. Functional biochemical components, such as polyphenol content, antioxidants, and α-glucosidase inhibitory properties, are found in chili. The purpose of this study was to evaluate a chili hybrid that resulted through full diallel crosses for its yield components, total phenolic (TPC) and flavonoid content (TFC), antioxidants, and α-glucosidase inhibitory (AGI) activities. The Folin-Ciocalteu and AlCl3-colorimetric assays were, respectively, used for TPC and TFC analyses. Using 2,2-diphenyl-1-picrylhydrazy (DPPH) and ferric reducing antioxidant power assay (FRAP) techniques, the antioxidant activity of a sample was determined. The bioassay of α-glucosidase inhibition was used to evaluate the antidiabetic activity of the sample. The twenty-five genotypes (hybrid and parent) have diverse yield components and biochemical contents. The highest fruit weight per plant was found in IPB074005 (1008.85 g). IPB114367 showed a high AGI (80.25%), antioxidant FRAP (43.42 µmol TE g−1 DW), TFC (3.97 mg QE g−1 DW), and TPC (37.51 mg GAE g−1 DW). These findings suggested that hybrid plants that suppress α-glycosidase and oxidative stress may prevent diabetes and its complications. This vital information could help design replacement drugs and diabetes diets.
Biodegradable Food Packaging of Wild Rocket (Diplotaxis tenuifolia L. [DC.]) and Sea Fennel (Crithmum maritimum L.) Grown in a Cascade Cropping System for Short Food Supply Chain
Authors: Gómez Perla A. , Egea-Gilabert Catalina , Giménez Almudena , Benaissa Rachida Rania , Amoruso Fabio , Signore Angelo , Gallegos-Cedillo Victor M. , Ochoa Jesús , Fernández Juan A.
Published: May 2023

The environmental impact of food products is significantly affected by their packaging. Therefore, this study aimed to assess the effect of PLA (polylactic acid) film, as an alternative to petroleum-based bags, on the shelf-life of fresh-cut wild rocket and sea fennel grown in a cascade cropping system (CCS). To this end, wild rocket (main crop) was cultivated using either peat or compost as a growing medium. Sea fennel (secondary crop) was subsequently grown in a floating system with leachates from the primary crop as a nutrient solution. The leaves of both crops were harvested and packaged in OPP- (oriented polypropylene) or PLA-based bags and stored for 7 days at 4 °C. The leaves of wild rocket and sea fennel showed lower dehydration and lower respiration when compost was used as a growing medium or leachate. Wild rocket in compost increased in nitrate and vitamin C contents at harvest while leachates had scarce influence on their contents in sea fennel. After storage, regardless of the crop, no relevant detrimental changes were observed on leaves packaged with PLA, being a product microbiologically safer when compared to OPP. The bag type had almost no influence on most relevant phytochemical compounds. In conclusion, the use of a PLA-based film on minimally processed wild rocket and sea fennel leaves is a sustainable alternative to petroleum-based plastic for a short food supply chain.
Honey Production and Climate Change: Beekeepers’ Perceptions, Farm Adaptation Strategies, and Information Needs
Authors: Landaverde Rafael , Rodriguez Mary T. , Parrella Jean A.
Published: May 2023

Because climate change has severely impacted global bee populations by depleting their habitats and food sources, beekeepers must implement management practices to adapt to changing climates. However, beekeepers in El Salvador lack information about necessary climate change adaptation strategies. This study explored Salvadoran beekeepers’ experiences adapting to climate change. The researchers used a phenomenological case study approach and conducted semi-structured interviews with nine Salvadoran beekeepers who were members of The Cooperative Association for Marketing, Production, Savings, and Credit of Beekeepers of Chalatenango (ACCOPIDECHA). The beekeepers perceived water and food scarcity, as well as extreme weather events (e.g., increasing temperature, rain, winds), as the leading climate change-induced challenges to their production. Such challenges have augmented their honey bees’ physiological need for water, limited their movement patterns, decreased apiary safety, and increased the incidence of pests and diseases, all of which have led to honey bee mortality. The beekeepers shared adaptation strategies, including box modification, apiary relocation, and food supplementation. Although most beekeepers accessed climate change information using the internet, they struggled to understand and apply pertinent information unless they received it from trusted ACCOPIDECHA personnel. Salvadoran beekeepers require information and demonstrations to improve their climate change adaptation strategies and implement new ones to address the challenges they experience.
Use of Distal Tibial Cortical Bone Thickness and FRAX Score for Further Treatment Planning in Patients with Trimalleolar Ankle Fractures
Authors: Pflüger Patrick , Harder Felix N. , Müller Karoline , Willinger Lukas , Biberthaler Peter , Crönlein Moritz
Published: May 2023

Trimalleolar ankle fractures show a bimodal age distribution, affecting younger men and older women. Postmenopausal women often exhibit low bone mineral density, which contributes to a higher prevalence of osteoporotic-related fractures. The primary goal of this study was to analyse the association of patient characteristics with the cortical bone thickness of the distal tibia (CBTT) in trimalleolar ankle fractures. Methods: A total of 193 patients with a trimalleolar ankle fracture treated between 2011 and 2020 were included. Patient registries were reviewed regarding demographics, mechanism, and type of injury. The CBTT was assessed in radiographs and CT images. The FRAX score was calculated to estimate the probability for an osteoporotic fracture. A multivariable regression model was calculated to identify independent variables affecting the cortical bone thickness of the distal tibia. Results: Patients older than 55 years were 4.22 (95% CI: 2.12; 8.38) times more likely to be female. In the multivariable regression analysis, female sex (β −0.508, 95% CI: −0.739; −0.278, p < 0.001) and a higher age (β −0.009, 95% CI: −0.149; −0.003, p = 0.002) were independent variables associated with a lower CBTT. Patients with a CBTT < 3.5 mm had a higher 10-year probability for a major osteoporotic fracture (12% vs. 7.75%; p = 0.001). Conclusions: The assessment of the peripheral bone quality in routine computed tomography demonstrated that higher age and female sex are significantly associated with reduced cortical bone thickness of the distal tibia. Patients with a lower CBTT showed a higher probability for a subsequent osteoporotic fracture. In female patients with reduced distal tibial bone quality and associated risk factors, an osteoporosis assessment should be evaluated.
Risk Stratification in Transthyretin Cardiac Amyloidosis: The Added Value of Lung Spirometry
Authors: Banydeen Rishika , Eggleston Reid , Deney Antoine , Monfort Astrid , Ryu Jay H. , Vergaro Giuseppe , Castiglione Vincenzo , Lairez Olivier , Emdin Michele , Inamo Jocelyn , Baqir Misbah , Neviere Remi
Published: May 2023

Transthyretin cardiac amyloidosis (ATTR-CA) is an increasingly recognized disease that often results in heart failure and death. Traditionally, biological staging systems are used to stratify disease severity. Reduced aerobic capacity has recently been described as useful in identifying higher risk of cardiovascular events and death. Assessment of lung volume via simple spirometry might also hold prognostic relevance. We aimed to assess the combined prognostic value of spirometry, cardiopulmonary exercise testing (CPET) and biomarker staging in ATTR-CA patients in a multi-parametric approach. We retrospectively reviewed patient records with pulmonary function and CPET testing. Patients were followed until study endpoint (MACE: composite of heart-failure-related hospitalization and all-cause death) or censure (1 April 2022). In total, 82 patients were enrolled. Median follow-up was 9 months with 31 (38%) MACE. Impaired peak VO2 and forced vital capacity (FVC) were independent predictors of MACE-free survival, with peak VO2 < 50% and FVC < 70% defining the highest risk group (HR 26, 95% CI: 5–142, mean survival: 15 months) compared to patients with the lowest risk (peak VO2 ≥ 50% and FVC ≥ 70%). Combined peak VO2, FVC and ATTR biomarker staging significantly improved MACE prediction by 35% compared to ATTR staging alone, with 67% patients reassigned a higher risk category (p < 0.01). In conclusion, combining functional and biological markers might synergistically improve risk stratification in ATTR-CA. Integrating simple, non-invasive and easily applicable CPET and spirometry in the routine management of ATTR-CA patients might prove useful for improved risk prediction, optimized monitoring and timely introduction of newer-generation therapies.
Ship Intrusion Collision Risk Model Based on a Dynamic Elliptical Domain
Authors: Li Weifeng , Zhong Lufeng , Liu Yaochen , Shi Guoyou
Published: May 2023

To improve navigation safety in maritime environments, a key step is to reduce the influence of human factors on the risk assessment of ship collisions by automating the decision-making process as much as possible. This paper optimizes a dynamic elliptical ship domain based on Automatic Identification System (AIS) data, combines the relative motion between ships in different encounter situations and the level of ship intrusion in the domain, and proposes a ship intrusion collision risk (SICR) model. The simulation results show that the optimized ship domain meets the visualization requirements, and the intrusion model has good collision risk perception ability, which can be used as the evaluation standard of ship collision risk: when the SICR is 0.5–0.6, the ship can establish a collaborative collision avoidance decision-making relationship with other ships, and the action ship can take effective collision avoidance action at the best time when the SICR is between 0.3 and 0.5. The SICR model can give navigators a more accurate and rapid perception of navigation risks, enabling timely maneuvering decisions, and improving navigation safety.
Morphological and Phylogenetic Characterisations Reveal Four New Species in Leptosphaeriaceae (Pleosporales, Dothideomycetes)
Authors: Gao Ying , de Farias Antonio Roberto Gomes , Jiang Hong-Bo , Karunarathna Samantha C. , Xu Jian-Chu , Tibpromma Saowaluck , Gui Heng
Published: May 2023

Leptosphaeriaceae is a widely distributed fungal family with diverse lifestyles. The family includes several genera that can be distinguished by morphology and molecular phylogenetic analysis. During our investigation of saprobic fungi on grasslands in Yunnan Province, China, four fungal taxa belonging to Leptosphaeriaceae associated with grasses were collected. Morphological observations and phylogenetic analyses of the combined SSU, LSU, ITS, tub2, and rpb2 loci based on maximum likelihood and Bayesian inference were used to reveal the taxonomic placement of these fungal taxa. This study introduces four new taxa, viz. Leptosphaeria yunnanensis, L. zhaotongensis, Paraleptosphaeria kunmingensis, and Plenodomus zhaotongensis. Colour photo plates, full descriptions, and a phylogenetic tree to show the placement of the new taxa are provided.
Retromode Scanning Laser Ophthalmoscopy for Choroidal Nevi: A Preliminary Study
Authors: Azzolini Claudia , Di Nicola Maura , Pozzo Giuffrida Francesco , Cappelli Francesca , Bellina Claudia , Viola Francesco , Chelazzi Paolo
Published: May 2023

The purpose of the present study was to document pathological findings on retromode imaging in choroidal nevi and evaluate its diagnostic validity, using the confocal scanning laser ophthalmoscope Nidek Mirante (cSLO). A total of 41 choroidal nevi from 41 patients were included. All patients underwent multicolor fundus (mCF), infrared reflectance (IR), green fundus autofluorescence (FAF), dark-field (DF) and retromode (RM) imaging and optical coherence tomography (OCT) scans. We investigated retromode images to evaluate choroidal nevus features by comparing the results with those of mCF, IR, FAF, DF and OCT. In 100% of available images, retromode scanning laser ophthalmoscopy was able to detect choroidal nevi with a characteristic “hypo-retro-reflective” pattern, even the cases not visible on mCF, IR and FAF images. It also made it possible to delineate the margins of lesions with the highest rate of sharpness and accuracy among the imaging modalities examined. These findings seem to demonstrate how RM-SLO is an innovative diagnostic tool to detect and follow up choroidal nevi in a fast, reliable and non-invasive way.
Bioinformatics Analysis of WRKY Family Genes in Flax (Linum usitatissimum)
Authors: An Xia , Liu Qin , Jiang Hui , Dong Guoyun , Tian Danqing , Luo Xiahong , Chen Changli , Li Wenlue , Liu Tingting , Zou Lina , Ying Jinyao , Zhou Huaping , Zhu Xuan , Chen Xiaoyan
Published: May 2023

WRKY gene family is one of the largest transcription factor families involved in various physiological processes of plants. Flax (Linum usitatissimum) is an important stem fiber crop, and it is also an economically important crop in natural fiber and textile industries around the world. In this study, 105 WRKY genes were obtained by screening the whole genome of flax. There were 26 in group I, 68 in group II, 8 in group III and 3 in group UN. The characteristics of the WRKY motif and gene structure in each group are similar. The promoter sequence of WRKY genes includes photoresponsive elements, core regulatory elements and 12 cis-acting elements under abiotic stress. Similar to A. thaliana and Compositae plants, WRKY genes are evenly distributed on each chromosome, with segmental and tandem repeated events, which play a major role in the evolution of WRKY genes. The flax WRKY gene family is mainly concentrated in group I and group II. This study is mainly based on genome-wide information to classify and analyze the flax WRKY gene family, laying a foundation for further understanding the role of WRKY transcription factors in species evolution and functional analysis.