bluuebunny/crossref_metadata_2025 huggingface dataset:
Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
Authors: González-Suñer Laura , Carbonell-Duacastella Cristina , Aznar-Lou Ignacio , Rubio-Valera Maria , Iglesias-González Maria , Peñarrubia-María Maria Teresa , Gil-Girbau Montserrat , Serrano-Blanco Antoni
Published: January 2021

Major depressive disorder (MDD) is one of the most disabling diseases worldwide, generating high use of health services. Previous studies have shown that Mental Health Services (MHS) use is associated with patient and Family Physician (FP) factors. The aim of this study was to investigate MHS use in a naturalistic sample of MDD outpatients and the factors influencing use of services in specialized psychiatric care, to know the natural mental healthcare pathway. Non-randomized clinical trial including newly depressed Primary Care (PC) patients (n = 263) with a 12-month follow-up (from 2013 to 2015). Patient sociodemographic variables were assessed along with clinical variables (mental disorder diagnosis, severity of depression or anxiety, quality of life, disability, beliefs about illness and medication). FP (n = 53) variables were also evaluated. A multilevel logistic regression analysis was performed to assess factors associated with public or private MHS use. Subjects were clustered by FP. Having previously used MHS was associated with the use of MHS. The use of public MHS was associated with worse perception of quality of life. No other sociodemographic, clinical, nor FP variables were associated with the use of MHS. Patient self-perception is a factor that influences the use of services, in addition to having used them before. This is in line with Value-Based Healthcare, which propose to put the focus on the patient, who is the one who must define which health outcomes are relevant to him.
Socioeconomic Status, Health and Lifestyle Settings as Psychosocial Risk Factors for Road Crashes in Young People: Assessing the Colombian Case
Authors: Serge Andrea , Quiroz Montoya Johana , Alonso Francisco , Montoro Luis
Published: January 2021

The social determinants of health influence both psychosocial risks and protective factors, especially in high-demanding contexts, such as the mobility of drivers and non-drivers. Recent evidence suggests that exploring socioeconomic status (SES), health and lifestyle-related factors might contribute to a better understanding of road traffic crashes (RTCs). Thus, the aim of this study was to construct indices for the assessment of crash rates and mobility patterns among young Colombians who live in the central region of the country. The specific objectives were developing SES, health and lifestyle indices, and assessing the self-reported RTCs and mobility features depending on these indices. A sample of 561 subjects participated in this cross-sectional study. Through a reduction approach of Principal Component Analysis (PCA), three indices were constructed. Mean and frequency differences were contrasted for the self-reported mobility, crash rates, age, and gender. As a result, SES, health and lifestyle indices explained between 56.3–67.9% of the total variance. Drivers and pedestrians who suffered crashes had higher SES. A healthier lifestyle is associated with cycling, but also with suffering more bike crashes; drivers and those reporting traffic crashes have shown greater psychosocial and lifestyle-related risk factors. Regarding gender differences, men are more likely to engage in road activities, as well as to suffer more RTCs. On the other hand, women present lower healthy lifestyle-related indices and a less active implication in mobility. Protective factors such as a high SES and a healthier lifestyle are associated with RTCs suffered by young Colombian road users. Given the differences found in this regard, a gender perspective for understanding RTCs and mobility is highly suggestible, considering that socio-economic gaps seem to differentially affect mobility and crash-related patterns.
The Relationship between Environmental Regulations and Green Economic Efficiency: A Study Based on the Provinces in China
Authors: Luo Gongli , Wang Xiaotong , Wang Lu , Guo Yanlu
Published: January 2021

This study examined the relationship between environmental regulations (ER) and green economic efficiency (GEE) based on the panel data of 30 provinces in China from 2008 to 2017. Firstly, GEE was calculated and evaluated using the super-efficiency SBM model with undesirable outputs. Secondly, the impact of ER on GEE was studied with the Tobit model. Finally, this article draws conclusions based on the above analysis and offers some suggestions for government and enterprise. The results show that the GEE of China is generally low. The GEE of the eastern region is much higher than that of the middle and western regions, with the western region performing slightly better than the middle. From west to east, there is a V shape, with high efficiency in the west and east and low efficiency in the middle. The impact of ER on GEE has the characteristics of nonlinearity and spatial heterogeneity. At the national level, as well as in the middle and western regions, the impact of ER on GEE shows an inverted U shape that first rises and then falls. ER are currently within the range conducive to the development of GEE. If the intensity of ER exceeds the critical value, they will have a negative impact on GEE. In the eastern region, the impact of ER on GEE is shown as a U shape that first falls and then rises. At present, the ER are not of sufficient intensity to contribute to the improvement of GEE. Only when the intensity of the ER exceeds the critical value will they have a positive influence on the GEE.
Scheduled Naps Improve Drowsiness and Quality of Nursing Care among 12-Hour Shift Nurses
Authors: Han Kihye , Hwang Heejeong , Lim Eunyoung , Jung Mirang , Lee Jihye , Lim Eunyoung , Lee Sunhee , Kim Yeon-Hee , Choi-Kwon Smi , Baek Hyang
Published: January 2021

Scheduled naps in the workplace are an effective countermeasure to drowsiness in safety-sensitive industries. This quasi-experimental study with a one-group, pre- and post-test design aimed to examine the effects of scheduled naps on nurses working 12-h shifts. Nurses in two pediatric intensive care units at a tertiary hospital were provided 30-min scheduled nap opportunities during their shifts. A total of 38 nurses completed pre- and post-test work diaries for sleepiness, fatigue, work demands and pace, and quality of nursing care at the end of each shift. The drowsiness of 13 nurses was continuously assessed during their shifts using infrared reflectance oculography. Nurses who reached naps reported improved levels of fatigue on the first night shift and better quality of nursing care the second night and day shifts post-test, while nurses who did not reach naps showed no significant improvements. The oculography successfully assessed drowsiness during 73% and 61% of the pre- and post-test total work hours, respectively. The total cautionary and cautionary or higher levels of drowsiness decreased. Nurse managers should consider scheduled naps in clinical settings to improve nurses’ alertness during their shifts.
Community-Based Approaches to Reducing Health Inequities and Fostering Environmental Justice through Global Youth-Engaged Citizen Science
Authors: King Abby , Odunitan-Wayas Feyisayo , Chaudhury Moushumi , Rubio Maria , Baiocchi Michael , Kolbe-Alexander Tracy , Montes Felipe , Banchoff Ann , Sarmiento Olga , Bälter Katarina , Hinckson Erica , Chastin Sebastien , Lambert Estelle , González Silvia , Guerra Ana , Gelius Peter , Zha Caroline , Sarabu Chethan , Kakar Pooja , Fernes Praveena , Rosas Lisa , Winter Sandra , McClain Elizabeth , Gardiner Paul ,   on behalf of the Our Voice Global Citizen Science Research Network
Published: January 2021

Growing socioeconomic and structural disparities within and between nations have created unprecedented health inequities that have been felt most keenly among the world’s youth. While policy approaches can help to mitigate such inequities, they are often challenging to enact in under-resourced and marginalized communities. Community-engaged participatory action research provides an alternative or complementary means for addressing the physical and social environmental contexts that can impact health inequities. The purpose of this article is to describe the application of a particular form of technology-enabled participatory action research, called the Our Voice citizen science research model, with youth. An overview of 20 Our Voice studies occurring across five continents indicates that youth and young adults from varied backgrounds and with interests in diverse issues affecting their communities can participate successfully in multiple contributory research processes, including those representing the full scientific endeavor. These activities can, in turn, lead to changes in physical and social environments of relevance to health, wellbeing, and, at times, climate stabilization. The article ends with future directions for the advancement of this type of community-engaged citizen science among young people across the socioeconomic spectrum.
Heavy Metal(loid)s Contamination in Ground Dust and Associated Health Risks at a Former Indigenous Zinc Smelting Area
Authors: Li Shan , Bi Xiangyang , Li Zhonggen , Wang Heng , Li Xinyu , Feng Xinbin , Sun Guangyi , Chen Ji , Meng Bo
Published: January 2021

Indigenous zinc smelting (IZS) is a backward technique that releases a great deal of heavy metal(loid)s into the environment. However, the contamination of heavy metal(loid)s in ground dust and the associated health risks in such areas are poorly known. In this study, a former IZS area in Guizhou, China, was surveyed during 2008–2018 with 15 elements (Ag, As, Bi, Cd, Co, Cr, Cu, Hg, In, Ni, Pb, Sb, Sn, Tl, Zn) being analyzed. The results indicate that most elements (e.g., Ag, As, Cd, Cu, Pb, Sb, Sn, Zn) in ground dust decreased significantly after the cessation of the IZS in 2006; nevertheless, some elements still remained at relatively high levels in 2018, e.g., Pb (average: 762 ± 647 mg/kg), Zn (average: 1287 ± 753 mg/kg), Cd (average: 7.76 ± 5.06 mg/kg), and As (average: 41.9 ± 34.8 mg/kg), indicating they might come from the local contaminated soils, slag residues and smelting potteries. In terms of the impacts on human health, children have both higher non-carcinogenic and carcinogenic risks than that of adults, with the latter subpopulation having a lower risk than the threshold values. Pb and As were the two elements with the highest non-carcinogenic risk for children, the hazard index of local children was still higher than the threshold of 1 (e.g., 1.43 for As, 2.09 for Pb) in 2018. The carcinogenic risk of As exposure to children dropped more than two times to 6.42 × 10−7 in 2018, which falls below the tolerable range (10−6–10−4). This study revealed that although the concentration of heavy metal(loid)s in ground dust and linked health risk in the IZS area has reduced dramatically after the cessation of IZS, continued removal of slag residues and smelting potteries is necessary for further decreasing the human health risk.
Clinical Efficacy of Mesenchymal Stem Cells in Bone Regeneration in Oral Implantology. Systematic Review and Meta-Analysis
Authors: Egido-Moreno Sonia , Valls-Roca-Umbert Joan , Céspedes-Sánchez Juan Manuel , López-López José , Velasco-Ortega Eugenio
Published: January 2021

In bone regeneration, obtaining a vital bone as similar as possible to native bone is sought. This review aimed to evaluate the efficacy of stem cells in maxillary bone regeneration for implant rehabilitation and to review the different techniques for obtaining and processing these cells. A systematic review and meta-analysis were performed using the Pubmed/Medline (NCBI), Cochrane, Scielo, and Scopus databases, without restriction on the publication date. The following Mesh terms were used, combined by the Boolean operator “AND”: “dental implants” AND “stem cells” AND “bioengineering”. Applying inclusion and exclusion criteria, five articles were obtained and three were added after manual search. The results from the meta-analysis (18 patients) did not provide significant differences despite the percentage of bone formed in the maxillary sinus, favoring the stem cell group, and the analysis of the percentage of residual Bio-Oss® showed results favoring the control group. Stem cell regeneration usually shows positive vascular and viable bone formation. In conclusion, using mesenchymal stem cells in bone regeneration provides benefits in the quality of bone, similar or even superior to autologous bone, all this through a minimally invasive procedure.
Do Adolescents Who Meet Physical Activity Recommendations on Weekdays Also Meet Them on Weekends? A Cross-Sectional Study in Colombia
Authors: Galindo-Perdomo Fernando , Peiró-Velert Carmen , Valencia-Peris Alexandra
Published: January 2021

The purpose of this study was to examine whether Colombian adolescents fulfill physical activity (PA) recommendations by type of day depending on several variables. A cross-sectional study was carried out on a sample of 2624 adolescents from Neiva (Colombia) using the Seven Day PA Recall and the Family Affluence Scale II self-reported questionnaires. Statistical analyses were performed to find any differences by gender, socioeconomic status, PA recommendations accomplishment, participation in organized and non-organized PA, parents’ involvement in sport, and adolescents’ academic achievement, and to determine the probability of complying with the PA guidelines. Only 12.3% of the participants met the PA recommendations on weekdays and weekends. Girls maintained their (in)active patterns during the week more than boys (84.4% vs. 70.7%, respectively), while more boys than girls changed them according to the type of day (25.3% vs. 19.6%). Participation in organized sports was the predictor variable with the highest probability of both boys and girls complying with the PA recommendations on weekdays. Non-organized activities were more likely to make girls more active on weekends. In conclusion, a wider offer of organized and non-competitive PA over the weekend and broader sports schedules should be provided to youth in Neiva.
A Bi-Objective Home Health Care Routing and Scheduling Model with Considering Nurse Downgrading Costs
Authors: Khodabandeh Pouria , Kayvanfar Vahid , Rafiee Majid , Werner Frank
Published: January 2021

In recent years, the management of health systems is a main concern of governments and decision-makers. Home health care is one of the newest methods of providing services to patients in developed societies that can respond to the individual lifestyle of the modern age and the increase of life expectancy. The home health care routing and scheduling problem is a generalized version of the vehicle routing problem, which is extended to a complex problem by adding special features and constraints of health care problems. In this problem, there are multiple stakeholders, such as nurses, for which an increase in their satisfaction level is very important. In this study, a mathematical model is developed to expand traditional home health care routing and scheduling models to downgrading cost aspects by adding the objective of minimizing the difference between the actual and potential skills of the nurses. Downgrading can lead to nurse dissatisfaction. In addition, skillful nurses have higher salaries, and high-level services increase equipment costs and need more expensive training and nursing certificates. Therefore, downgrading can enforce huge hidden costs to the managers of a company. To solve the bi-objective model, an ε-constraint-based approach is suggested, and the model applicability and its ability to solve the problem in various sizes are discussed. A sensitivity analysis on the Epsilon parameter is conducted to analyze the effect of this parameter on the problem. Finally, some managerial insights are presented to help the managers in this field, and some directions for future studies are mentioned as well.
Examining Obedience Training as a Physical Activity Intervention for Dog Owners: Findings from the Stealth Pet Obedience Training (SPOT) Pilot Study
Authors: Potter Katie , Masteller Brittany , Balzer Laura B.
Published: January 2021

Dog training may strengthen the dog–owner bond, a consistent predictor of dog walking behavior. The Stealth Pet Obedience Training (SPOT) study piloted dog training as a stealth physical activity (PA) intervention. In this study, 41 dog owners who reported dog walking ≤3 days/week were randomized to a six-week basic obedience training class or waitlist control. Participants wore accelerometers and logged dog walking at baseline, 6- and 12-weeks. Changes in PA and dog walking were compared between arms with targeted maximum likelihood estimation. At baseline, participants (39 ± 12 years; females = 85%) walked their dog 1.9 days/week and took 5838 steps/day, on average. At week 6, intervention participants walked their dog 0.7 more days/week and took 480 more steps/day, on average, than at baseline, while control participants walked their dog, on average, 0.6 fewer days/week and took 300 fewer steps/day (difference between arms: 1.3 dog walking days/week; 95% CI = 0.2, 2.5; 780 steps/day, 95% CI = −746, 2307). Changes from baseline were similar at week 12 (difference between arms: 1.7 dog walking days/week; 95% CI = 0.6, 2.9; 1084 steps/day, 95% CI = −203, 2370). Given high rates of dog ownership and low rates of dog walking in the United States, this novel PA promotion strategy warrants further investigation.
Exercise, Immune System, Nutrition, Respiratory and Cardiovascular Diseases during COVID-19: A Complex Combination
Authors: Scudiero Olga , Lombardo Barbara , Brancaccio Mariarita , Mennitti Cristina , Cesaro Arturo , Fimiani Fabio , Gentile Luca , Moscarella Elisabetta , Amodio Federica , Ranieri Annaluisa , Gragnano Felice , Laneri Sonia , Mazzaccara Cristina , Di Micco Pierpaolo , Caiazza Martina , D’Alicandro Giovanni , Limongelli Giuseppe , Calabrò Paolo , Pero Raffaela , Frisso Giulia
Published: January 2021

Coronaviruses (CoVs) represent a large family of RNA viruses that can infect different living species, posing a global threat to human health. CoVs can evade the immune response, replicate within the host, and cause a rapid immune compromise culminating in severe acute respiratory syndrome. In humans, the immune system functions are influenced by physical activity, nutrition, and the absence of respiratory or cardiovascular diseases. This review provides an in-depth study between the interactions of the immune system and coronaviruses in the host to defend against CoVs disease.
The Prevalence of Insulin Resistance and the Associated Risk Factors in a Sample of 14–18-Year-Old Slovak Adolescents
Authors: Jurkovičová Jana , Hirošová Katarína , Vondrová Diana , Samohýl Martin , Štefániková Zuzana , Filová Alexandra , Kachútová Ivana , Babjaková Jana , Argalášová Ľubica
Published: January 2021

The prevalence of cardiometabolic risk factors has increased in Slovakian adolescents as a result of serious lifestyle changes. This cross-sectional study aimed to assess the prevalence of insulin resistance (IR) and the associations with cardiometabolic and selected lifestyle risk factors in a sample of Slovak adolescents. In total, 2629 adolescents (45.8% males) aged between 14 and 18 years were examined in the study. Anthropometric parameters, blood pressure (BP), and resting heart rate were measured; fasting venous blood samples were analyzed; and homeostasis model assessment (HOMA)-insulin resistance (IR) was calculated. For statistical data processing, the methods of descriptive and analytical statistics for normal and skewed distribution of variables were used. The mean HOMA-IR was 2.45 ± 1.91, without a significant sex differences. IR (cut-off point for HOMA-IR = 3.16) was detected in 18.6% of adolescents (19.8% males, 17.6% females). IR was strongly associated with overweight/obesity (especially central) and with almost all monitored cardiometabolic factors, except for total cholesterol (TC) and systolic BP in females. The multivariate model selected variables such as low level of physical fitness, insufficient physical activity, breakfast skipping, a small number of daily meals, frequent consumption of sweetened beverages, and low educational level of fathers as significant risk factors of IR in adolescents. Recognizing the main lifestyle risk factors and early IR identification is important in terms of the performance of preventive strategies. Weight reduction, regular physical activity, and healthy eating habits can improve insulin sensitivity and decrease the incidence of metabolic syndrome, type 2 diabetes, and cardiovascular disease (CVD).
Consumers’ Intention to Adopt Blockchain Food Traceability Technology towards Organic Food Products
Authors: Lin Xin , Chang Shu-Chen , Chou Tung-Hsiang , Chen Shih-Chih , Ruangkanjanases Athapol
Published: January 2021

Establishing a blockchain food traceability system (BFTS) is increasingly important and urgent to resolve the contradiction between consumers’ intention regarding safe food selections and the spread of polluted foods. Using the advantages of blockchain, such as immutability, decentralization, openness, and anonymity, we can build trusted food traceability systems based on these important characteristics. With reliable information, traceability from production to sales can effectively improve food safety. In this research, multiple models, namely, the information success model (ISS) and the Theory of Planned Behavior (TPB) are formed into a conceptual integrated framework to study the intentions’ influenced factors of BFTS technology for Chinese consumers to help ensure food safety and the quality of Chinese organic food products. A face-to-face questionnaire survey with 300 valid responses was analyzed by Partial Least Square from the Chinese consumers focusing on the organic food products. This study found that the attitude and perceived behavioral control qualities significantly and positively affect the usage intention in adopting BFTS, while the subjective norms are positively but not significantly correlation with the usage intention in using BFTS. The above results will inform suggestions for productors and academics along with implications to promote BFTS’ usage intention.
Multidisciplinary Approach to the Child with Sex Chromosomal Mosaicism Including a Y-Containing Cell Line
Authors: Debo Bauke , Van Loocke Marlies , De Groote Katya , De Leenheer Els , Cools Martine
Published: January 2021

Children born with sex chromosomal mosaicism including material derived from the Y chromosome may present with a broad phenotypical spectrum. Both boys and girls can present with Turner features and functional health problems typically associated with Turner syndrome, but the presence of Y-chromosomal material can modify some aspects of the condition. We retrospectively analyzed the results of our cohort of 21 individuals (14 boys, 7 girls) with sex chromosomal mosaicism including Y-derived material followed at Ghent University Hospital according to our local multidisciplinary Turner surveillance protocol. Results were compared with literature data, focusing on similarities and differences between girls and boys with this condition. Age at diagnosis was lower in boys compared to girls but the difference was not significant. Short stature is a key feature of the condition both in girls and boys, but skeletal maturation may be different between groups. The effects of growth-hormone therapy remain unclear. Cardiac (33%), ear-nose- throat (ENT) (77.8%) and renal (28.6%) problems were as prevalent in boys as in girls from our cohort, and did not differ from literature data. In line with literature reports, a significant difference in the presence of premalignant germ cell tumors between males (0%) and females (42.9%) was found (p = 0.026). Taken together, this study demonstrates the similarities between girls with Turner syndrome and children with sex chromosomal mosaicism including Y-derived material, regardless of the child’s gender. Nowadays, girls with Turner syndrome are offered a dedicated multidisciplinary follow-up in many centers. We advocate a similar follow-up program for all children who have sex chromosomal mosaicism that includes Y-derived material, with special attention to growth, cardiac and ear-nose-throat problems, gonadal function and malignancies.
Radon Activity Concentrations in Natural Hot Spring Water: Dose Assessment and Health Perspective
Authors: Nugraha Eka Djatnika , Hosoda Masahiro , Mellawati June , Untara Untara , Rosianna Ilsa , Tamakuma Yuki , Modibo Oumar Bobbo , Kranrod Chutima , Kusdiana Kusdiana , Tokonami Shinji
Published: January 2021

The world community has long used natural hot springs for tourist and medicinal purposes. In Indonesia, the province of West Java, which is naturally surrounded by volcanoes, is the main destination for hot spring tourism. This paper is the first report on radon measurements in tourism natural hot spring water in Indonesia as part of radiation protection for public health. The purpose of this paper is to study the contribution of radon doses from natural hot spring water and thereby facilitate radiation protection for public health. A total of 18 water samples were measured with an electrostatic collection type radon monitor (RAD7, Durridge Co., USA). The concentration of radon in natural hot spring water samples in the West Java region, Indonesia ranges from 0.26 to 31 Bq L−1. An estimate of the annual effective dose in the natural hot spring water area ranges from 0.51 to 0.71 mSv with a mean of 0.60 mSv for workers. Meanwhile, the annual effective dose for the public ranges from 0.10 to 0.14 mSv with an average of 0.12 mSv. This value is within the range of the average committed effective dose from inhalation and terrestrial radiation for the general public, 1.7 mSv annually.
Simulation of Land Use Pattern Evolution from a Multi-Scenario Perspective: A Case Study of Suzhou City in Anhui Province, China
Authors: Zhang Rongtian , Lu Jianfei
Published: January 2021

Land use/land cover change is a frontier issue in the field of geography research. Taking Suzhou City in Anhui Province as the research case, based on thematic mapper /enhanced thematic mapper+ (TM/ETM+) remote sensing data from 1998 to 2018, through the transfer matrix model and modified conversion of land use and its effects at small region extent (CLUE-S) model, the simulation of the land use landscape pattern evolution was studied from a multi-scenario perspective. The results showed that in the past 20 years, landscape patterns have undergone spatial–temporal conversion, which was mainly manifested as the evolution from a cultivated land landscape and other agricultural land to construction land, and there was some transformation between other landscape types, but the transformation degree was not significant. The spatial autocorrelation factor was introduced to correct the CLUE-S model, and the Kappa index reached 0.83, indicating that the modified CLUE-S model had a good simulation accuracy. (I) In the cultivated land protection scenario, limiting the conversion of basic farmland use, and by 2028, the proportion of cultivated land increased by 5.23%, distributed in eastern Suzhou City; (II) in the economic development scenario, by 2028, the construction land area increased by 14.58%, and was distributed in the surrounding regions of the built-up areas; and (III) in the ecological protection scenario, by 2028, wood land, water, and other ecological protection land area increased, and were distributed in the central and eastern part of Suzhou City. Research can provide useful decision-making support for land use optimization and remediation.
Prevalence of SARS-CoV-2 IgG/IgM Antibodies among Danish and Swedish Falck Emergency and Non-Emergency Healthcare Workers
Authors: Laursen Jannie , Petersen Janne , Didriksen Maria , Iversen Kasper , Ullum Henrik
Published: January 2021

Background: Knowledge about the COVID-19 outbreak is still sparse, especially in a cross-national setting. COVID-19 is caused by a SARS-CoV-2 infection. The aim of the study is to contribute to the surveillance of the pandemic by bringing new knowledge about SARS-CoV-2 seropositivity among healthcare workers. It seeks to evaluate whether certain job functions are associated with a higher risk of being infected and to clarify if such association is mediated by the number of individuals that employees meet during a workday. In addition, we investigate regional and national differences in seroprevalence. Methods: This research involved a bi-national prospective observational cohort study including 3272 adults employed at Falck in Sweden and Denmark. Participants were tested for SARS-CoV-2 antibodies every second week for a period of 8 weeks from 22 June 2020 until 10 August 2020. Descriptive statistics as well as multivariable logistic regression analyses were applied. Results: Of the 3272 Falck employees participating in this study, 159 (4.9%) tested positive for SARS-CoV-2 antibodies. The seroprevalence was lower among Danish Falck employees than among those from Sweden (2.8% in Denmark and 8.3% in Sweden). We also found that the number of customer or patient contacts during a workday was the most prominent predictor for seropositivity and that ambulance staff was the most vulnerable staff group. Conclusion: Our study presents geographical variations in seroprevalence within the Falck organization and shows evidence that social interaction is one of the biggest risk factors for becoming infected with SARS-CoV-2.
Regional Strain Pattern Index—A Novel Technique to Predict CRT Response
Authors: Orszulak Michał , Filipecki Artur , Wróbel Wojciech , Berger-Kucza Adrianna , Orszulak Witold , Urbańczyk-Swić Dagmara , Kwaśniewski Wojciech , Płońska-Gościniak Edyta , Mizia-Stec Katarzyna
Published: January 2021

Background: Cardiac resynchronization therapy (CRT) improves outcome in patients with heart failure (HF) however approximately 30% of patients still remain non-responsive. We propose a novel index—Regional Strain Pattern Index (RSPI)—to prospectively evaluate response to CRT. Methods: Echocardiography was performed in 49 patients with HF (66.5 ± 10 years, LVEF 24.9 ± 6.4%, QRS width 173.1 ± 19.1 ms) two times: before CRT implantation and 15 ± 7 months after. At baseline, dyssynchrony was assessed including RSPI and strain pattern. RSPI was calculated from all three apical views across 12 segments as the sum of dyssynchronous components. From every apical view, presence of four components were assessed: (1) contraction of the early-activated wall; (2) prestretching of the late activated wall; (3) contraction of the early-activated wall in the first 70% of the systolic ejection phase; (4) peak contraction of the late-activated wall after aortic valve closure. Each component scored 1 point, thus the maximum was 12 points. Results: Responders reached higher mean RSPI values than non-responders (5.86 ± 2.9 vs. 4.08 ± 2.4; p = 0.044). In logistic regression analysis value of RSPI ≥ 7 points was a predictor of favorable CRT effect (OR: 12; 95% CI = 1.33–108.17; p = 0.004). Conclusions: RSPI could be a valuable predictor of positive outcome in HF patients treated with CRT.
Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial
Authors: Fuentes-Aparicio Laura , Balasch-Bernat Mercè , López-Bueno Laura
Published: January 2021

The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) (n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) (n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient’s satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group (p < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up (p < 0.05). Patient’s satisfaction was higher in the AEPPI group (p < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients’ satisfaction in women with SUI.
Characterization of Ultrafine Particles and VOCs Emitted from a 3D Printer
Authors: Bernatikova Sarka , Dudacek Ales , Prichystalova Radka , Klecka Vit , Kocurkova Lucie
Published: January 2021

Currently, widely available three-dimensional (3D) printers are very popular with the public. Previous research has shown that these printers can emit ultrafine particles (UFPs) and volatile organic compounds (VOCs). Several studies have examined the emissivity of filaments from 3D printing, except glycol modified polyethylene terephthalate (PETG) and styrene free co-polyester (NGEN) filaments. The aim of this study was to evaluate UFP and VOC emissions when printing using a commonly available 3D printer (ORIGINAL PRUSA i3 MK2 printer) using PETG and NGEN. The concentrations of UFPs were determined via measurements of particle number concentration and size distribution. A thermal analysis was carried out to ascertain whether signs of fiber decomposition would occur at printing temperatures. The total amount of VOCs was determined using a photoionization detector, and qualitatively analyzed via gas chromatography-mass spectrometry. The total particle concentrations were 3.88 × 1010 particles for PETG and 6.01 × 109 particles for NGEN. VOCs at very low concentrations were detected in both filaments, namely ethylbenzene, toluene, and xylene. In addition, styrene was identified in PETG. On the basis of our results, we recommend conducting additional measurements, to more accurately quantify personal exposure to both UFPs and VOCs, focusing on longer exposure as it can be a source of potential cancer risk.
Conserved Structural Features of Core Oligosaccharides among the Lipopolysaccharides of Respiratory Pathogens from the Genus Bordetella Analyzed Exclusively by NMR Spectroscopy
Authors: Ucieklak Karolina , Koj Sabina , Niedziela Tomasz
Published: January 2021

Bacterial pathogens expose on the cell surface a variety of complex carbohydrate molecules. Gram-negative bacteria produce lipopolysaccharides, which are the main components of the outer membrane of bacterial envelopes and play a major role in host–pathogen interactions. B. pertussis, B. parapertussis, B. bronchiseptica, and B. holmesii, are mammalian respiratory pathogens, having substantial economic impact on human health and agriculture. B. pertussis is responsible for whooping cough (pertussis) and B. holmesii is the second pertussis etiological factor, but the current anti-pertussis vaccines do not provide cross-protection. The structural data on any given hypothetical carbohydrate antigen is a prerequisite for further analysis of structure-related activities and their interaction with hosts. 1H NMR spectra constitute fingerprints of the analyzed glycans and provide unique identity information. The concept of structure-reporter groups has now been augmented by 1H,13C-correlation spectra of the Bordetella oligosaccharides. The comparative analysis of Bordetellae oligosaccharides (OS) revealed that the hexasaccharide, comprising the α-GlcpN, α-GlcpA, 4,6-disubstituted-β-Glcp, 2,7-disubstituted-l-α-d-Hepp, 3,4-disubstituted-l-α-d-Hepp, and Kdo, constitute the least variable OS segment. This minimal common element in the structure of lipopolysaccharides of Bordetellae could be used to devise a universal cross-protective vaccine component against infections with various bacteria from the genus Bordetella.
Aldose Reductase and the Polyol Pathway in Schwann Cells: Old and New Problems
Authors: Niimi Naoko , Yako Hideji , Takaku Shizuka , Chung Sookja K. , Sango Kazunori
Published: January 2021

Aldose reductase (AR) is a member of the reduced nicotinamide adenosine dinucleotide phosphate (NADPH)-dependent aldo-keto reductase superfamily. It is also the rate-limiting enzyme of the polyol pathway, catalyzing the conversion of glucose to sorbitol, which is subsequently converted to fructose by sorbitol dehydrogenase. AR is highly expressed by Schwann cells in the peripheral nervous system (PNS). The excess glucose flux through AR of the polyol pathway under hyperglycemic conditions has been suggested to play a critical role in the development and progression of diabetic peripheral neuropathy (DPN). Despite the intensive basic and clinical studies over the past four decades, the significance of AR over-activation as the pathogenic mechanism of DPN remains to be elucidated. Moreover, the expected efficacy of some AR inhibitors in patients with DPN has been unsatisfactory, which prompted us to further investigate and review the understanding of the physiological and pathological roles of AR in the PNS. Particularly, the investigation of AR and the polyol pathway using immortalized Schwann cells established from normal and AR-deficient mice could shed light on the causal relationship between the metabolic abnormalities of Schwann cells and discordance of axon-Schwann cell interplay in DPN, and led to the development of better therapeutic strategies against DPN.
Glucocorticoid Receptor Regulates TNFSF11 Transcription by Binding to Glucocorticoid Responsive Element in TNFSF11 Proximal Promoter Region
Authors: Lovšin Nika , Marc Janja
Published: January 2021

Glucocorticoid osteoporosis is a serious side effect of long term glucocorticoid uptake and it is caused by osteoblast apoptosis and imbalance in the major bone remodeling pathway RANK/RANKL/OPG. The impact of glucocorticoid on the maintenance of RANK/RANKL/OPG is well explored; dexamethasone was shown to disturb the ratio between OPG and RANKL level by decreasing the expression level of OPG and increasing level of RANKL. Here, were aimed to decipher whether glucocorticoid receptor directly influences RANKL promoter activity and its transcriptional regulation. We demonstrate that overexpression of glucocorticoid receptor (GR) NR3C1 increased RANKL promoter activity in human osteosarcoma, cervical cancer (2-fold) and adenocarcinoma cells (4.5-fold). Mutational analysis revealed that +352 site in the RANKL promoter is functional glucocorticoid responsive element (GRE) since the effect of GR on RANKL promoter activity was diminished by mutation at this site. Overexpression of NR3C1 upregulated RANKL mRNA expression 1.5-fold in human A549 and HOS cells. On the other hand silencing of NR3C1 caused slight decrease in RANKL mRNA level, suggesting that NR3C1 directly accounts for RANKL transcriptional regulation. Using electrophoretic mobility shift assay we demonstrate that NR3C1 binds to the proximal RANKL promoter region. Our study provides evidences that NR3C1 directly upregulates RANKL transcription in human cell lines and connects the missing link in the mechanism of RANK/RANKL/OPG imbalance of glucocorticoid induced osteoporosis.
Pathomechanism Characterization and Potential Therapeutics Identification for Parkinson’s Disease Targeting Neuroinflammation
Authors: Chen Chiung-Mei , Yen Chien-Yu , Chen Wan-Ling , Lin Chih-Hsin , Wu Yih-Ru , Chang Kuo-Hsuan , Lee-Chen Guey-Jen
Published: January 2021

Parkinson’s disease (PD) is a common neurodegenerative disorder characterized by the loss of dopaminergic (DAergic) neurons and the presence of α-synuclein-containing Lewy bodies. The unstructured α-synuclein forms insoluble fibrils and aggregates that result in increased reactive oxygen species (ROS) and cellular toxicity in PD. Neuroinflammation engaged by microglia actively contributes to the pathogenesis of PD. In this study, we showed that VB-037 (a quinoline compound), glycyrrhetic acid (a pentacyclic triterpenoid), Glycyrrhiza inflata (G. inflata, a Chinese herbal medicine), and Shaoyao Gancao Tang (SG-Tang, a formulated Chinese medicine) suppressed the nitric oxide (NO) production and interleukin (IL)-1β maturation in α-synuclein-stimulated BV-2 cells. Mouse inflammation antibody array further revealed increased IL-1α, IL-1β, tumor necrosis factor (TNF)-α, interferon (IFN)-γ, IL-6, granulocyte-macrophage colony-stimulating factor (GM-CSF) and granulocyte colony-stimulating factor (G-CSF) expression in α-synuclein-inflamed BV-2 cells and compound pretreatment effectively reduced the expression and release of these pro-inflammatory mediators. The test compounds and herbal medicines further reduced α-synuclein aggregation and associated oxidative stress, and protected cells against α-synuclein-induced neurotoxicity by downregulating NLR family pyrin domain containing 1 (NLRP1) and 3 (NLRP3), caspase 1, IL-1β, IL-6, and associated nuclear factor (NF)-κB inhibitor alpha (IκBα)/NF-κB P65 subunit (P65), c-Jun N-terminal kinase (JNK)/proto-oncogene c-Jun (JUN), mitogen-activated protein kinase 14 (P38)/signal transducer and activator of transcription 1 (STAT1) and Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) pathways in dopaminergic neurons derived from α-synuclein-expressing SH-SY5Y cells. Our findings indicate the potential of VB-037, glycyrrhetic acid, G. inflata, and SG-Tang through mitigating α-synuclein-stimulated neuroinflammation in PD, as new drug candidates for PD treatment.
Emerging Role of the Inflammasome and Pyroptosis in Hypertension
Authors: De Miguel Carmen , Pelegrín Pablo , Baroja-Mazo Alberto , Cuevas Santiago
Published: January 2021

Inflammasomes are components of the innate immune response that have recently emerged as crucial controllers of tissue homeostasis. In particular, the nucleotide-binding domain, leucine-rich-containing (NLR) family pyrin domain containing 3 (NLRP3) inflammasome is a complex platform involved in the activation of caspase-1 and the maturation of interleukin (IL)-1β and IL-18, which are mainly released via pyroptosis. Pyroptosis is a caspase-1-dependent type of cell death that is mediated by the cleavage of gasdermin D and the subsequent formation of structurally stable pores in the cell membrane. Through these pores formed by gasdermin proteins cytosolic contents are released into the extracellular space and act as damage-associated molecular patterns, which are pro-inflammatory signals. Inflammation is a main contributor to the development of hypertension and it also is known to stimulate fibrosis and end-organ damage. Patients with essential hypertension and animal models of hypertension exhibit elevated levels of circulating IL-1β. Downregulation of the expression of key components of the NLRP3 inflammasome delays the development of hypertension and pharmacological inhibition of this inflammasome leads to reduced blood pressure in animal models and humans. Although the relationship between pyroptosis and hypertension is not well established yet, pyroptosis has been associated with renal and cardiovascular diseases, instances where high blood pressure is a critical risk factor. In this review, we summarize the recent literature addressing the role of pyroptosis and the inflammasome in the development of hypertension and discuss the potential use of approaches targeting this pathway as future anti-hypertensive strategies.
Evaluation of Computationally Designed Peptides against TWEAK, a Cytokine of the Tumour Necrosis Factor Ligand Family
Authors: Badia-Villanueva Miriam , Defaus Sira , Foj Ruben , Andreu David , Oliva Baldo , Sierra Angels , Fernandez-Fuentes Narcis
Published: January 2021

The tumour necrosis factor-like weak inducer of apoptosis (TWEAK) is a member of the tumour necrosis factor ligand family and has been shown to be overexpressed in tumoral cells together with the fibroblast growth factor–inducible 14 (Fn14) receptor. TWEAK-Fn14 interaction triggers a set of intracellular pathways responsible for tumour cell invasion and migration, as well as proliferation and angiogenesis. Hence, modulation of the TWEAK-Fn14 interaction is an important therapeutic goal. The targeting of protein-protein interactions by external agents, e.g., drugs, remains a substantial challenge. Given their intrinsic features, as well as recent advances that improve their pharmacological profiles, peptides have arisen as promising agents in this regard. Here, we report, by in silico structural design validated by cell-based and in vitro assays, the discovery of four peptides able to target TWEAK. Our results show that, when added to TWEAK-dependent cellular cultures, peptides cause a down-regulation of genes that are part of TWEAK-Fn14 signalling pathway. The direct, physical interaction between the peptides and TWEAK was further elucidated in an in vitro assay which confirmed that the bioactivity shown in cell-based assays was due to the targeting of TWEAK. The results presented here are framed within early pre-clinical drug development and therefore these peptide hits represent a starting point for the development of novel therapeutic agents. Our approach exemplifies the powerful combination of in silico and experimental efforts to quickly identify peptides with desirable traits.
Robert Guthrie and the Trials and Tribulations of Newborn Screening
Authors: Levy Harvey L.
Published: January 2021

Routine newborn screening for many disorders is now so ingrained in newborn care that there is no question about whether it should be done. However, acceptance of newborn screening was not guaranteed when Robert Guthrie introduced it for phenylketonuria (PKU). This article describes the professional and personal story of Guthrie, a physician and microbiologist, who veered from cancer research to a commitment to prevent intellectual disability from PKU. It recounts how Guthrie was able to overcome strong opposition to mandatory screening from prominent physicians and medical societies, so that newborn screening for PKU would be routinely performed throughout the developed world, and would eventually form the basis for the (much more) comprehensive screening conducted today.
Immuno—A New Multidisciplinary Open Access Journal for Immunological Science and Medicine
Authors: Torigoe Toshihiko
Published: January 2021

Welcome to Immuno [...]
Latent Twitter Image Information for Social Analytics
Authors: Razis Gerasimos , Theofilou Georgios , Anagnostopoulos Ioannis
Published: January 2021

The appearance of images in social messages is continuously increasing, along with user engagement with that type of content. Analysis of social images can provide valuable latent information, often not present in the social posts. In that direction, a framework is proposed exploiting latent information from Twitter images, by leveraging the Google Cloud Vision API platform, aiming at enriching social analytics with semantics and hidden textual information. As validated by our experiments, social analytics can be further enriched by considering the combination of user-generated content, latent concepts, and textual data extracted from social images, along with linked data. Moreover, we employed word embedding techniques for investigating the usage of latent semantic information towards the identification of similar Twitter images, thereby showcasing that hidden textual information can improve such information retrieval tasks. Finally, we offer an open enhanced version of the annotated dataset described in this study with the aim of further adoption by the research community.