bluuebunny/crossref_metadata_2025 huggingface dataset:
Urinary Phthalate Biomarkers during Pregnancy, and Maternal Endocrine Parameters in Association with Anthropometric Parameters of Newborns
Authors: Hlisníková Henrieta , Kolena Branislav , Šidlovská Miroslava , Mlynček Miloš , Petrovičová Ida
Published: March 2022

Adverse birth outcomes present risk factors resulting in neonatal morbidity and mortality. Sufficient maternal hormonal concentrations are crucial for normal foetal development. Previous studies have shown a relationship between phthalate exposure and maternal hormonal levels during pregnancy. This study aims to investigate if neonatal anthropometric parameters are associated with maternal endocrine parameters during the ≤15th week of gestation and the third trimester of pregnancy concerning phthalate exposure in pregnant women from Nitra, Slovakia. We used high-performance liquid chromatography, tandem mass spectrometry (HPLC-MS/MS), and electro-chemiluminescence immunoassay to quantify urinary concentrations of phthalates and serum concentrations of hormones and sex hormone-binding globulin (SHBG), respectively. We observed a mostly positive correlation between neonatal anthropometric parameters (gestational age, birth length, birth weight, head circumference) and maternal concentration of phthalate metabolites (p ≤ 0.05). The hierarchical multivariate regression results showed a statistically significant association between Apgar score at 5 min after delivery, gestational age, birth weight, head circumference, and maternal endocrine parameters during pregnancy (p ≤ 0.05), adjusted to phthalate metabolites. To the best of our knowledge, our study is the first to indicate that prenatal exposure to phthalates may also affect birth outcomes through interaction with the maternal endocrine system.
Children Naturally Evading COVID-19—Why Children Differ from Adults
Authors: Sørensen Camilla Adler , Clemmensen Amanda , Sparrewath Cillia , Tetens Malte Mose , Krogfelt Karen Angeliki
Published: March 2022

Coronavirus Disease 2019 (COVID-19) has spread across the world, caused lockdowns, and has had serious economic and social consequences. COVID-19 manifests differently in children than adults, as children usually have a milder course of disease, mild symptoms if any, and lower fatality rates are recorded among children. SARS-CoV-2 transmission also seems to be different between children and adults. Many factors are proposed to explain the milder outcome in children, e.g., a more appropriate immune response (especially active innate response), trained immunity, a lack of immunosenescence, and the reduced prevalence of comorbidities. A better understanding of the differences in susceptibility and outcome in children compared with adults could lead to greater knowledge of risk factors for complicated COVID-19 cases and potential treatment targets. We highlight proposed reasons as to why children are less affected by COVID-19 than adults.
f-Gintropy: An Entropic Distance Ranking Based on the Gini Index
Authors: Biró Tamás Sándor , Telcs András , Józsa Máté , Néda Zoltán
Published: March 2022

We consider an entropic distance analog quantity based on the density of the Gini index in the Lorenz map, i.e., gintropy. Such a quantity might be used for pairwise mapping and ranking between various countries and regions based on income and wealth inequality. Its generalization to f-gintropy, using a function of the income or wealth value, distinguishes between regional inequalities more sensitively than the original construction.
Scatterers in the Rx Near Field for RF Energy Harvesting Efficiency Enhancement
Authors: Katbay Zahra , Sounas Dimitrios , Ismail Mohammed
Published: March 2022

In this paper, we investigate the enhancement of RF–RF energy harvesting efficiency (erf–rf) in multipath environments in the context of wireless power transfer (WPT). For this, we used a retrodirective transmitting (Tx) antenna array resonating at 2.4 GHz and a receiving (Rx) antenna surrounded by scatterers placed in the Rx near field. The Rx resides in the Tx far field. We showed that in a medium made of a random distribution of scatterers, a time-reversed wave field interacts with the random medium to regenerate not only the propagating waves but also the evanescent waves required to refocus the energy at the receiver location. The system was enclosed inside a 3 m3 cubical reverberating room to create a strong multipath environment. The study was done for homogeneous (free space) and heterogeneous (multipath environment) media. Different WPT scenarios were considered for different applications: 4 × 1, 4 × 2 and 4 × 4 multi input-multi output (MIMO) systems. The simulation results show that using near-field scattering generates signal focusing at the source location, which increases the RF–RF energy harvesting efficiency, especially in a multipath environment. The average received power in the frequency band 2.4–2.5 GHz was greatly enhanced in the presence of the scatterers. The investigated WPT approach showed encouraging results for charging/powering-up sensors, IoT and smart devices in indoor environments.
Meranti (Shorea sp.) Biochar Application Method on the Growth of Sengon (Falcataria moluccana) as a Solution of Phosphorus Crisis
Authors: Wijaya Bangun , Hidayat Wahyu , Riniarti Melya , Prasetia Hendra , Niswati Ainin , Hasanudin Udin , Banuwa Irwan , Kim Sangdo , Lee Sihyun , Yoo Jiho
Published: March 2022

Phosphorus (P) is a limiting nutrient mined from non-renewable sources. P is needed to stimulate trees growth in a forest plantation. P-fertilizer addition in the tropical forest field causes P-leaching flux to watershed and induces eutrophication. The high C contained in meranti (Shorea sp.) biochar can avoid the P-leaching process in the soil with a strategic application method. However, the biochar application method is poorly examined. This research aimed to develop a biochar application method to sequestrate P from the environment and examine its effect on the growth of sengon (Falcataria moluccana). Shorea sp. biochar pyrolyzed at 400 °C and 600 °C were added at a dosage of 0 t ha−1, 25 t ha−1, and 50 t ha−1 for six months in the field. The biochar was placed 20 cm under topsoil without soil mixing. This application method significantly increased total P in the soil without any P-fertilizer addition. The results showed that biochar pyrolyzed at 600 °C and a dosage of 25 t ha−1 increased the total P in the soil and CEC by 192.2 mg kg−1 and 25.98 me 100 g−1, respectively. Biochar with a higher pyrolysis temperature increased higher soil pH. In contrast, the higher dosage increased organic-C higher than the lower dosage application. The most significant P-uptake, height, and diameter increments on F.moluccana were achieved using Shorea sp. biochar pyrolyzed at 600 °C with a dosage of 25 t ha−1 by 0.42 mg kg−1, 222 cm, and 2.75 cm, respectively. The total P in the soil positively correlated with the P-uptake of F. moluccana. Furthermore, using the biochar application method P could be absorbed to the biochar layer and desorbed to the topsoil. Consequently, the biochar application method together with P-fertilizer addition could increase the availability of P in the soil and decrease P-leaching to the environment.
A Lumped-Mass Model of Membrane Humidifier for PEMFC
Authors: Vu Hoang Nghia , Nguyen Xuan Linh , Yu Sangseok
Published: March 2022

Maintaining the performance of a fuel cell stack requires appropriate management of water in the membrane electrode. One solution is to apply an external humidifier to the supply gases. However, the operating conditions change continuously, which significantly affects the humidifier performance and supply gas characteristics. A straightforward humidifier module is needed for integration with the fuel cell system model. In this study, a lumped-mass model was used to simulate a hollow-fiber membrane humidifier and investigate the effects of various input conditions on the humidifier performance. The lumped-mass model can account for heat transfer and vapor transport in the membrane bundle without losing simplicity. The humidifier module was divided into three parts: a heat and mass exchanger in the middle and two manifolds at the ends of the exchanger. These components were modeled separately and linked to each other according to the flow characteristics. Simulations were performed to determine the humidifier response under both steady-state and transient conditions, and water saturation was observed in the outlet manifold that may affect the humidifier performance. The findings on the effects of the operating conditions and humidifier dimensions on the cathode gas can be used to improve humidifier design and control.
A Regressive Model for Periodic Dynamic Instabilities during Condensation of R1234yf and R1234ze Refrigerants
Authors: Kuczyński Waldemar , Kruzel Marcin , Chliszcz Katarzyna
Published: March 2022

This paper presents the results of experimental research and mathematical modelling in terms of the influence periodic dynamic instabilities have on condensation phase change in R1234yf and R1234ze refrigerants in tubular minichannels. The main reason for this research was the fact that under the Montreal Protocol (1986), as well as Regulation No 517/2014 of the European Parliament and of the Council of 16 April 2014, the F-gases such as hydrofluorocarbons (HFC), perfluorocarbons (PFC), sulphur hexafluoride, and other agents containing fluorine have to be withdrawn. This includes one of the most commonly used refrigerants—R134a—which, since 1 January 2017, has already been withdrawn. It also includes the R404A refrigerant. R1234ze and R1234yf are suggested as substitutions for R134a. The basic parameters determining the application of those agents are their global warming potential (GWP) indicator, which is below 150, and reduction in fluorinated greenhouse gases emission by a third, simply by withdrawing them (with 2010 as a reference level). The current state of knowledge enables researchers to foresee the influence of some hydrodynamic instabilities on the condensation of fluorinated refrigerants in minichannels. Therefore, an expansion of this knowledge regarding the suggested substitutes is absolutely necessary. Research concerning the condensation in minichannels under dynamic instabilities was already conducted for the refrigerants currently being withdrawn. However, the influence of those instabilities on a phase change in the suggested pro-ecologic substitutes is not known. It is known that during the condensation of refrigerants under dynamic instabilities, the propagation of instabilities occurs in a waveform. Two-phase media are particularly susceptible to this phenomenon. Propagation of instabilities in the form of acoustic wave or wave change in other parameters such as temperature, the density of mass, or heat flux plays a special role. All of them have their own characteristics, with evidently different propagation velocities. Both mechanisms include irreversible dissipation and dispersion. The dissipative effects, by their irreversibility, cause entropy generation and dump the instability propagation in a two-phase medium. The dispersive effects influence the instability propagation that is a function of the generation frequency. Besides the experimental results, the paper contains a dimensional analysis procedure based on the Π–Buckingham theorem that has allowed for the development of a regressive model for the velocities of pressure dynamic instabilities. The experimental part of this paper was conducted using tubular minichannels with an internal diameter of dID = 1.40–3.3 mm.
Experimental Proof of a Solar-Powered Heat Pump System for Soil Thermal Stabilization
Authors: Sharaborova Elizaveta S. , Shepitko Taisia V. , Loktionov Egor Y.
Published: March 2022

We suggested earlier a new sustainable method for permafrost thermal stabilization that combines passive screening of solar radiation and precipitation with active solar-powered cooling of the near-surface soil layer thus preventing heat penetration in depth. Feasibility of this method has been shown by calculations, but needed experimental proof. In this article, we are presenting the results of soil temperature measurements obtained at the experimental implementation of this method outside of the permafrost area which actually meant higher thermal loads than in permafrost area. We have shown that near-surface soil layer is kept frozen during the whole summer, even at air temperatures exceeding +30 °C. Therefore, the method has been experimentally proven to be capable of sustaining soil frozen. In addition to usual building and structures’ thermal stabilization, the method could be used to prevent the development of thermokarst, gas emission craters, and landslides; greenhouse gases, chemical, and biological pollution from the upper thawing layers, at least in the area of human activities; protection against coastal erosion, and permafrost restoration after wildfires. Using commercially widely-available components, the technology can be scaled up for virtually any size objects.
A Study of the Interface Fluctuation and Energy Saving of Oil–Water Annular Flow
Authors: Jiang Fan , Chang Jiaqing , Huang Haitao , Huang Junhong
Published: March 2022

Oil–water annular flow is an efficient method of heavy oil transportation for energy-saving. To deeply study the influencing factors of the energy savings of oil–water annular flow, this paper compares the interface fluctuation and energy-saving situation of oil–water annular flow under different pipe structures (such as straight pipe, sudden-contraction pipe, and elbow pipe), flow parameters, and fluid properties. In the straight pipe, the flow parameters can impact the oil–water annular flow pattern and the energy savings, and the interface fluctuation is consistent with the energy savings. The stable oil–water core annular flow has slight interface fluctuation and significant energy savings. At the same time, the influences of pipe structure and fluid properties on energy saving are also analyzed. In the sudden-contraction pipe, the oil–water interface fluctuates, largely due to the sharp changes in flow cross-section, which leads to reduced energy savings. In the elbow, the oil–water interface fluctuates greatly due to the influence of centrifugal force caused by flow direction variation, and also leads to a decline in energy savings. The effects of oil property or annulus liquid property on the interface fluctuates, and the energy savings are analyzed; reducing surface tension is an effective measure to provide an energy-saving effect. These results can provide a reference for the design of heavy-oil-transportation pipelines, the analysis of interface fluctuation, and the energy-saving evaluation of oil–water annular flow.
A Critical Review of State-of-the-Art Optimal PMU Placement Techniques
Authors: Ahmed Muhammad Musadiq , Amjad Muhammad , Qureshi Muhammad Ali , Imran Kashif , Haider Zunaib Maqsood , Khan Muhammad Omer
Published: March 2022

Phasor measurement unit (PMU) technology is a need of the power system due to its better resolution than conventional estimation devices used for wide-area monitoring. PMUs can provide synchronized phasor and magnitude of voltage and current measurements for state estimation of the power system to prevent blackouts. The drawbacks of a PMU are the high cost of the device and its installation. The main aspect of using PMUs in electrical networks is the property to observe the adjacent buses, thereby making it possible to observe the system with fewer PMUs than the number of buses through their optimal placement. In the last two decades, exhaustive research has been done on this issue. Considering the importance of this field, a comprehensive review of the progress achieved until now is carried out and the limitations of existing reviews in the literature are highlighted. This paper can be seen as a major attempt to provide an up-to-date review of the research work carried out in this all-important field of PMU placement and indicates that some perspectives of optimal PMU placement still need attention. Eventually, the work will open a new standpoint for the research community to fill the research gap.
Optimal Location and Sizing of Renewable Distributed Generators for Improving Voltage Stability and Security Considering Reactive Power Compensation
Authors: Kwangkaew Akanit , Javaid Saher , Charoenlarpnopparut Chalie , Kaneko Mineo
Published: March 2022

The integration of renewable resources into the existing power distribution system is expanding to reduce gas emissions, treat climate change and satisfy the current global need for clean energy. If the location and size of these renewable generators are determined without considering uncontrollable reactive power compensation caused by their intermittent nature, the resultant power system may suffer from system instability and decreased reliability. Therefore, the issue of optimal location and size of renewable resources attracts great attention. In this paper, a methodology is proposed to optimize the locations and capacities of distributed renewable generators installed in conventional power distribution systems. In particular, uncontrollable reactive power compensation of these renewable resources is considered in this paper and managed through the proposed methodology to ensure power system reliability and stability. As a result, the proposed methodology reminds us of the importance of reactive power compensation by performing better in power losses reduction and the robustness of voltage stability against variable reactive power compensation.
A Conceptual Exploration of How the Pursuit of Sustainable Energy Development Is Implicit in the Genuine Progress Indicator
Authors: Cook David , Davíðsdóttir Brynhildur , Gunnarsdóttir Ingunn
Published: March 2022

The Sustainable Development Goals (SDGs) represent a bridging point between the old, neoclassical, growth-based model of the economy and newer, emerging paradigms, such as the well-being economy. The importance of growth in Gross Domestic Product (GDP) is recognized within the SDGs, however, in addition, Target 19 of Goal 17 advocates the adoption of alternative measures of economic well-being. The Genuine Progress Indicator (GPI) has been found to be the indicator of alternative economic well-being most aligned with the SDGs. On the basis that increased, high-quality energy use leads to expanded macro-economic activity, as measured by GDP, this study conducts a conceptual exploration of the extent to which the pursuit of sustainable energy development (SED) can enhance GPI outcomes. Based on a recent Icelandic GPI study, a total of 46 SED themes were found to be linkable to 16 of its 39 sub-indicators, including 8 cost deductions and 7 benefit additions. The frequency of these was as follows: sustainable energy production (10), sustainable energy consumption (10), energy security (8), nature conservation (8), social benefits (7) and economically efficient energy system (3). The main implication of the study outcomes is that the pursuit of SED is likely to have considerable benefits in terms of fulfilling energy and climate policy, but also co-benefits with regard to the promulgation of economic and societal well-being, as reflected in the GPI. These outcomes, although applicable to Iceland, have ramifications for all nations who are simultaneously striving for greater economic prosperity, whilst tackling climate change and striving to deliver equitable, environmentally sound and resilient energy systems.
Detailed Assessment of Modulation Strategies for Hexverter–Based Modular Multilevel Converters
Authors: Robles-Campos Héctor R. , Mancilla-David Fernando
Published: March 2022

Modular multilevel converters are playing a key role in the present and future development of topologies for medium–to–high–power applications. Among this category of power converters, there is a direct AC–AC modular multilevel converter called “Hexverter”, which is well suited to connect three–phase AC systems operating at different frequencies. This topology is the subject of study in this manuscript. The complete Hexverter system is composed of an Hexverter power converter and several control layers, namely, a “virtual VC2 controller”, a branch current controller in a two–frequency dq reference frame, a modulator, and a voltage balancing algorithm. The paper presents a thorough description and analysis of the entire Hexverter system, providing research contributions in three key aspects: (i) modeling and control in a unified two–frequency dq framework; (ii) developing a “virtual VC2 controller” to dynamically account for Hexverter’s active power losses allowing to achieve active power balance on the fly; and (iii) a comparative evaluation of modulation strategies (nearest level control and phase disposition–sinusoidal pulse width modulation). To this end, a detailed switched simulation was implemented in the PSCAD/EMTDC software platform. The proposed “virtual VC2 controller” is evaluated through the measurement of its settling time and calculation of active power losses. Each modulation technique is assessed through total harmonic distortion and frequency spectrum of the synthesized three–phase voltages and currents. The results obtained suggest that the control scheme is able to properly regulate the Hexverter system under both modulation strategies. Furthermore, the “virtual VC2 controller” is able to accurately determine the active power loss, which allows the assessment of the efficiency of the modulation strategies. The nearest level control technique yielded superior efficiency.
Microbial Quality and Growth Dynamics in Shameta: A Traditional Ethiopian Cereal-Based Fermented Porridge
Authors: Kitessa Daniel A. , Bacha Ketema , Tola Yetenayet B. , Murimi Mary , Gershe Soressa , Guta Meseret
Published: March 2022

Shameta is a traditional, Ethiopian, cereal-based fermented porridge exclusively prepared for lactating mothers. The aim of this study was to determine the microbial quality of Shameta samples collected from households of lactating mothers and to determine microbial dynamics and physicochemical changes during laboratory fermentation of Shameta. Isolation and characterization of the dominant microbes and analysis of the physicochemical properties of samples were done following standard microbiological methods and analytical techniques. Results of this study showed that the highest mean count of lactic acid bacteria (8.33 log cfu/g) was recorded in a sample from laboratory-fermented barley-based Shameta, and the lowest (5.88 log cfu/g) in Shameta made from a mixture of barley and maize (BMS). In both barley-based and maize-based laboratory-prepared Shameta, the microflora were dominated by LAB, followed by yeasts. The dominant LAB were the genus Lactobacillus (74.85%), followed by Enterococcus (15.79%). It could be concluded that Shameta collected from households of lactating mothers are fairly safe for consumption, as the stringent physicochemical conditions of the final product could inhibit the growth of pathogens. However, as Shameta is a traditional fermented porridge fed to lactating mothers, we call for a further improvement to the fermentation process by using defined starter cultures.
Ultrasound-Assisted Extraction, Identification, and Quantification of Antioxidants from ‘Jinfeng’ Kiwifruit
Authors: Mai Ying-Hui , Zhuang Qi-Guo , Li Qiao-Hong , Du Kui , Wu Ding-Tao , Li Hua-Bin , Xia Yu , Zhu Fan , Gan Ren-You
Published: March 2022

Kiwifruit (Actinidia chinensis) is a nutrient-dense fruit abundant in vitamin C and phenolic compounds, and it exhibits strong antioxidant capacity. However, the antioxidants in ‘Jinfeng’ kiwifruit have seldom been extracted and analyzed, and the conditions for the extraction of kiwifruit antioxidants by ultrasound-assisted extraction (UAE) have seldom been investigated. In this study, response surface methodology (RSM) was used to optimize UAE conditions to extract antioxidants from ‘Jinfeng’ kiwifruit. In addition, the antioxidant capacity, contents of total phenolics and total flavonoids, ascorbic acid, and the profiles of antioxidants were also analyzed. The results showed that the optimal UAE conditions included 68% ethanol, liquid/solid ratio at 20 mL/g, extraction time at 30 min, extraction temperature at 42 °C, and ultrasonic power at 420 W. Under these conditions, the ABTS value of kiwifruit was 70.38 ± 1.38 μM TE/g DW, which was 18.5% higher than that of the extract obtained by conventional solvent extraction. The total phenolic and flavonoid contents were 15.50 ± 0.08 mg GAE/g DW and 5.10 ± 0.09 mg CE/g DW, respectively. Moreover, 20 compounds were tentatively identified by UPLC–MS/MS, and the content of main compounds, such as procyanidin B2, neochlorogenic acid, and epicatechin, were determined by HPLC–DAD. This research revealed the profiles of antioxidant phytochemicals in ‘Jinfeng’ kiwifruit, which can be a good dietary source of natural antioxidants with potential health functions.
Storage Conditions and Adsorption Thermodynamic Properties for Purple Corn
Authors: Choque-Quispe David , Ramos-Pacheco Betsy S. , Choque-Quispe Yudith , Aguilar-Salazar Rolando F. , Mojo-Quisani Antonieta , Calla-Florez Miriam , Solano-Reynoso Aydeé M. , Zamalloa-Puma Miluska M. , Palomino-Malpartida Ybar G. , Alcarraz-Alfaro Tarcila , Zamalloa-Puma Alan
Published: March 2022

Adsorption isotherms provide insight into the thermodynamic properties governed by food storage conditions. Adsorption isotherms of purple corn of the Canteño variety were evaluated at 18, 25, and 30 °C, for the equilibrium relative humidity (ERH) range between 0.065 and 0.95. The equilibrium moisture (Xe) was determined by the continuous weight-change method. Seven mathematical models of isotherms were modeled, using the coefficient of determination R2, mean absolute error (MAE), and estimated standard error (ESE) as the convergence criterion. Thermodynamic parameters such as isosteric heat (qst), Gibbs Free Energy (ΔG), differential entropy (ΔS), activation energy (Ea), and compliance with the isokinetic law were evaluated. It was observed that the adsorption isotherms presented cross-linking around 75% ERH and 17% Xe, suggesting adequate storage conditions at these values. The GAB and Halsey models reported better fit (R2 > 97%, MAE < 10%, ESE < 0.014 and random residual dispersion). The reduction of Xe from 17 to 7%, increases qst, from 7.7022 to 0.0165 kJ/g, while ΔG decreases considerably with the increase in Xe, presenting non-spontaneous endergonic behavior, and linear relationship with ΔS, evidencing compliance with the isokinetic theory, governed by qst. Ea showed that more energy is required to remove water molecules from the upper layers bound to the monolayer, evaluated using CGAB. The models predicted the storage conditions, and the thermodynamic parameters show the structural stability of the purple corn grains of the Canteño variety during storage.
Intelligent Dynamic Quality Prediction of Chilled Chicken with Integrated IoT Flexible Sensing and Knowledge Rules Extraction
Authors: Xu Jinchao , Ma Ruiqin , Stankovski Stevan , Liu Xue , Zhang Xiaoshuan
Published: March 2022

With the enhancement of consumers’ food safety awareness, consumers have become more stringent on meat quality. This study constructs an intelligent dynamic prediction model based on knowledge rules and integrates flexible humidity sensors into the non-destructive monitoring of the Internet of Things to provide real-time feedback and dynamic adjustments for the chilled chicken cold chain. The optimized sensing equipment can be attached to the inside of the packaging to deal with various abnormal situations during the cold chain, effectively improving the packaging effect. Through correlation analysis of collected data and knowledge rule extraction of critical factors in the cold chain, the established quality evaluation and prediction model achieved detailed chilled chicken quality level classification and intelligent quality prediction. The obtained results show that the accuracy of the prediction model is higher than 90.5%, and all the regression coefficients are close to 1.00. The relevant personnel (workers and cold chain managers) were invited to participate in the performance analysis and optimization suggestion to improve the applicability of the established prediction model. The optimized model can provide a more efficient theoretical reference for timely decision-making and further e-commerce management.
Brazilian Consumers’ Perception towards Food Labeling Models Accompanying Self-Service Foods
Authors: Felipetto Nariéli , Scheffer Patrícia Arruda , Margutti Karen Mello de Mattos , Silveira Joice Trindade , Marques Clandio Timm , Storck Cátia Regina , Oliveira Viviani Ruffo de , Helbig Elizabete , Ginani Verônica Cortez , Saccol Ana Lúcia de Freitas
Published: March 2022

The study aimed to evaluate consumers’ perception of self-service foods’ nutrition labels. This qualitative and quantitative assessment was performed with potential consumers at food services. Four food labeling formats, traditional, simplified, traffic-light, and warning, were proposed to evaluate three types of sandwiches: simple, chicken, and hamburger. Data were collected via an online survey from April to May 2020. The study included 413 subjects. The respondents preferred the traffic-light format, but there was a good understanding and acceptability of all four models. The traffic-light and warning nutrition labeling models, which showed health warnings, led to a reduction in the choice of the Simple Sandwich and the Hamburger. Most respondents (96.1%, n = 397) agreed that it is necessary to complement the information on food labels with ingredients and the number of calories per serving. Therefore, it is essential to have legislation regulating such issues. Consumers’ choices improved with the increase in the information placed on the products. This research demonstrated that nutrition labels explain what exists currently and that consumers require such information. Thus, food labeling may positively influence consumers’ choices.
Super-Adsorptive Biodegradable Hydrogel from Simply Treated Sugarcane Bagasse
Authors: Mondal Md. Ibrahim H. , Haque Md. Obaidul , Ahmed Firoz , Pervez Md. Nahid , Naddeo Vincenzo , Ahmed Mohammad Boshir
Published: March 2022

There is a great demand for biodegradable hydrogel, and cellulose enriched wastes materials are widely used to serve this purpose for various advance applications (e.g., biomedical and environmental). Sugarcane bagasse is cellulose-enriched agro-waste, abundantly grown in Bangladesh. This study aimed to treat sugarcane bagasse-based agro-waste using a sustainable and ecofriendly approach to produce hydrogel with super-swelling capacity for adsorption of copper, chromium, iron ions, methylene blue and drimaren red dyes. To increase the swelling property of hydrogels, copolymerization of hydrophilic monomers is an effective technique. Therefore, this study aimed to prepare hydrogel via free radical graft-copolymerization reaction among acrylamide, methyl methacrylate and treated bagasse in the presence of N,N-methylene-bis-acrylamide as a crosslinker and potassium persulphate as an initiator. To obtain maximum yield, reaction conditions were optimized. It was found that hydrogel obtained from chemically treated sugarcane bagasse showed maximum water absorption capacity of 228.0 g/g, whereas untreated bagassebased hydrogel could absorb ~50 g/g of water. Maximum adsorption capacity of 247.0 mg/g was found for copper ion. In addition, organic pollutant removal from industrial effluent also showed good performance, removing >90% of methylene blue and 62% of drimaren red dye, with shorter kinetics. The biodegradability study showed that after 90 days of exposure, the hydrogels degraded to about 43% of their own mass. Therefore, the produced hydrogel could be an alternative adsorbent to remove pollutants and also for other potential applications.
Association Study of SLCO1B3 and ABCC3 Genetic Variants in Gallstone Disease
Authors: Banach Bolesław , Modrzejewski Andrzej , Juzyszyn Zygmunt , Kurzawski Mateusz , Sroczynski Tomasz , Pawlik Andrzej
Published: March 2022

There is growing evidence that gallstone formation may be genetically determined. Recent studies have shown that polymorphism of genes encoding proteins involved in bile acid transport may be associated with the risk of gallstone disease. The aim of this study was to investigate the association between SLCO1B3 (rs4149117:G>T, rs7311358:A>G) and ABCC3 (rs4793665:T>C, rs11568591:G>A) genetic variants and susceptibility to cholesterol gallstone disease, as well as gallstone composition. The study included 317 patients suffering from cholelithiasis who underwent cholecystostomy and 249 controls with no evidence of stones, confirmed by ultrasound examination. There were no statistically significant differences in the distribution of studied gene polymorphisms between patients with gallstone disease and healthy controls. No significant associations were observed between studied genotypes and the content of analyzed gallstone components: total cholesterol, bilirubin, CaCO3, nor the total bile acids. There was also no association between bile acid content in gallstones and the polymorphisms studied. The results of this study suggest that polymorphisms of SLCO1B3 and ABCC3 genes are not a valuable marker of gallstone disease susceptibility and do not influence gallstone composition.
Anxiety, Burnout and Depression, Psychological Well-Being as Predictor of Healthcare Professionals’ Turnover during the COVID-19 Pandemic: Study in a Pandemic Hospital
Authors: Tabur Ayhan , Elkefi Safa , Emhan Abdurrahim , Mengenci Cengiz , Bez Yasin , Asan Onur
Published: March 2022

Turnover of healthcare professionals’ is a rapidly growing human resource issue that affects healthcare systems. During the COVID-19 pandemic, healthcare professionals have faced stressful situations that have negatively impacted their psychological health. In this study, we explored impacts of the emotional wellbeing of healthcare professionals on their intention to quit their jobs. A cross-sectional survey design was used for this study. The respondents were selected based on simple random sampling. In total, 345 questionaries were returned and used for the analysis. Respondents were healthcare professionals (nurses, doctors, midwives, technicians, etc.) working in a pandemic hospital in Turkey. A multivariable logistic regression model was used to predict the emotions that encouraged the respondents to intend to quit their jobs. Emotions including anxiety, burnout, and depression were measured using validated scales. We found that the COVID-19 situation increased the turnover intention, especially among doctors and nurses (ORnurse/midwife = 22.28 (2.78–41.25), p = 0.01; ORdoctors = 18.13 (2.22–2.27), p = 0.01) mediating the emotional pressure it was putting them under. Anxiety related to work-pressure and burnout especially were the main emotional predictors of turnover intention. The more severe the anxiety was, the more the professional considered quitting (ORmoderate = 18.96 (6.75–137.69), p = 0.005; ORsevere = 37.94 (2.46–107.40), p = 0.016). Only severe burnout, however, engendered such an intention among them (ORsevere = 13.05 (1.10–33.48), p = 0.000).
Muscle Quality Assessment by Ultrasound Imaging of the Intrinsic Foot Muscles in Individuals with and without Plantar Fasciitis: A Case–Control Study
Authors: Canosa-Carro Lorena , López-López Daniel , de Labra Carmen , Díaz-Meco-Conde Raquel , de-la-Cruz-Torres Blanca , Romero-Morales Carlos
Published: March 2022

Objective: The primary aim of the present study was to compare the echo intensity (EI) and echovariation (EV) of the intrinsic foot muscles (IFMs) between individuals with and without plantar fasciitis (PF), using ultrasound imaging. The secondary objective was to study the intra-rater reliability of the echotexture variables. Methods: A case–control study was conducted with 64 participants, who were divided into the following two groups: A, the PF group (n = 32); B, the healthy group (n = 32). Results: The comparison between the two groups did not identify significant differences (p > 0.05) between the flexor hallucis brevis (FHB), flexor digitorum brevis (FDB), quadratus plantae (QP) and abductor hallucis brevis (AHB) variables for the EI and EV. Moreover, excellent intra-rater reliability was reported for the following ultrasound imaging EI variables: ABH (ICC = 0.951), FHB (ICC = 0.949), FDB (ICC = 0.981) and QP (ICC = 0.984). Conclusions: The muscle quality assessment using the EI and EV variables did not identify differences in the FHB, FDB, AHB and QP muscles between individuals with and without PF through USI evaluation. The reliability of all the IFM measurements was reported to be excellent.
Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
Authors: Becker Joana Proença , Paixão Rui , Quartilho Manuel João
Published: March 2022

In Portugal, forest fires are responsible for disasters that tend to be repeated annually, leading to dramatic consequences, such as those that have occurred in 2017, with the destruction of hundreds of houses and the deaths of dozens of people. Firefighters who are exposed to these potentially traumatic events are considered a high-risk group for the development of stress-related disorders. The aim of this study was to monitor the progress of two firefighters with symptoms of post-traumatic stress disorder (PTSD) treated through dynamic psychotherapy (DP) and to assess the feasibility of implementing this intervention within fire departments. A female firefighter and a male firefighter, with similar sociodemographic characteristics and PTSD symptom severity, were selected to verify the treatment applicability for both genders. The symptomatology changes were assessed through a set of instruments (PHQ-15, PCL-5, BSI, DASS, and CALPAS-P) applied every three months over 15 months (including pre-treatment, treatment period, and post-treatment). DP seemed to be an effective treatment for PTSD symptoms, with patients showing a state of increasing improvement even after the end of treatment. The acceptability to firefighters, the treatment adherence, the therapeutic alliance, and the reduction in PTSD symptoms suggest feasibility for implementing this intervention inside the Portuguese fire departments.
Influence of Personal, Environmental, and Community Factors on Cigarette Smoking in Adolescents: A Population-Based Study from Taiwan
Authors: Liang Yu-Chun , Liao Jung-Yu , Lee Charles Tzu-Chi , Liu Chin-Mei
Published: March 2022

Understanding the factors that influence cigarette smoking among adolescents is critical. We identified personal, community, and environmental factors associated with current cigarette smoking among adolescents. This population-based cross-sectional analysis study was conducted using the 2012 Taiwan Global Youth Tobacco Survey and the sociodemographic statistics of the city or county from Taiwan’s Ministry of the Interior. A total of 27,524 participants (age: 12–18-years) was included. The associated factors were identified through logistic regression. A path analysis was performed to examine the pathway from the associated factors to current cigarette smoking. According to this analysis, the following factors were prominently and positively associated with adolescent cigarette smoking: one personal factor (pocket money), five environmental factors (home secondhand smoke (SHS) exposure, smoker friends, outside SHS exposure, school SHS exposure, and smoker parents), and two community factors (free cigarettes from tobacco companies and indigenous population). By contrast, five personal factors (feeling less comfortable smoking at social occasions, feeling indifferent about smoking or not smoking at social occasions, female sex, feeling that quitting is difficult, and feeling that quitting after having smoked is harmful to health) and one environmental factor (school antismoking education) had negative effects. Thus, comprehensive interventions promoting the perception of harm caused by smoking and interrupting access to cigarettes through social networks can reduce cigarette smoking in adolescents.
A Mobile App for Triangulating Strategies in Phosphate Education Targeting Patients with Chronic Kidney Disease in Malaysia: Development, Validation, and Patient Acceptance
Authors: Teong Lee-Fang , Khor Ban-Hock , Radion Purba Kristo , Gafor Abdul Halim Abdul , Goh Bak-Leong , Bee Boon-Cheak , Yahya Rosnawati , Bavanandan Sunita , Ng Hi-Ming , Sahathevan Sharmela , Narayanan Sreelakshmi Sankara , Daud Zulfitri Azuan Mat , Khosla Pramod , Karupaiah Tilakavati
Published: March 2022

Hyperphosphatemia afflicts end-stage chronic kidney disease (CKD) patients, contributing to comorbidities and mortality. Management strategies are dialysis, phosphate binder, and limiting dietary phosphate intake, but treatment barriers are poor patient compliance and low health literacy arising from low self-efficacy and lack of educational resources. This study describes developing and validating a phosphate mobile application (PMA). The PMA development based on the seven-stage Precaution Adoption Process Model prioritized titrating dietary phosphate intake with phosphate binder dose supported by educational videography. Experts (n = 13) first evaluated the PMA for knowledge-based accuracy, mobile heuristics, and clinical value. Adult HD patients validated the improved PMA using the seven-point mHealth App Usability Questionnaire (MAUQ). Patient feedback (n = 139) indicated agreement for ease of use (69.2%), interface and satisfaction (69.0%), and usefulness (70.1%), while 72.7% said they would recommend this PMA. The expectation confirmation for 25 PMA features ranged from 92.1% (lifestyle) up to 100.0% (language option); and the utilization rate of each feature varied from 21.6% (goal setting and feature-based log) to 91.4% (information on dietary phosphate and phosphate binder). The Conclusions: MyKidneyDiet-Phosphate Tracker PMA was acceptable to adult Malaysian HD patients as part of clinical phosphate management in low-resource settings.
Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences
Authors: Durbin Anna , Amaechi Bennett T. , Abrams Stephen , Mandelis Andreas , Werb Sara , Roebuck Benjamin , Durbin Janet , Wang Ri , Daneshvarfard Maryam , Sivagurunathan Konesh , Bozec Laurent
Published: March 2022

Background: The early identification of children who have experienced adversity is critical for the timely delivery of interventions to improve coping and reduce negative consequences. Self-report is the usual practice for identifying children with exposure to adversity. However, physiological characteristics that signal the presence of disease or other exposures may provide a more objective identification strategy. This protocol describes a case–control study that assesses whether exposure to adversity is more common in children with tooth enamel anomalies compared to children without such anomalies. Methods: For 150 mother–child pairs from a pediatric dental clinic in Toronto, Canada, maternal interviews will assess the child’s adverse and resilience-building experiences. Per child, one (exfoliated or extracted) tooth will be assessed for suspected enamel anomalies. If anomalies are present, the child is a case, and if absent, the child is a control. Tooth assessment modalities will include usual practice for dental exams (visual assessment) and modalities with greater sensitivity to identify anomalies. Conclusion: If structural changes in children’s teeth are associated with exposure to adversity, routine dental exams could provide an opportunity to screen children for experiences of adversity. Affected children could be referred for follow-up.
Trends in Excess Winter Mortality (EWM) from 1900/01 to 2019/20—Evidence for a Complex System of Multiple Long-Term Trends
Authors: Jones Rodney P. , Ponomarenko Andriy
Published: March 2022

Trends in excess winter mortality (EWM) were investigated from the winter of 1900/01 to 2019/20. During the 1918–1919 Spanish flu epidemic a maximum EWM of 100% was observed in both Denmark and the USA, and 131% in Sweden. During the Spanish flu epidemic in the USA 70% of excess winter deaths were coded to influenza. EWM steadily declined from the Spanish flu peak to a minimum around the 1960s to 1980s. This decline was accompanied by a shift in deaths away from the winter and spring, and the EWM calculation shifted from a maximum around April to June in the early 1900s to around March since the late 1960s. EWM has a good correlation with the number of estimated influenza deaths, but in this context influenza pandemics after the Spanish flu only had an EWM equivalent to that for seasonal influenza. This was confirmed for a large sample of world countries for the three pandemics occurring after 1960. Using data from 1980 onward the effect of influenza vaccination on EWM were examined using a large international dataset. No effect of increasing influenza vaccination could be discerned; however, there are multiple competing forces influencing EWM which will obscure any underlying trend, e.g., increasing age at death, multimorbidity, dementia, polypharmacy, diabetes, and obesity—all of which either interfere with vaccine effectiveness or are risk factors for influenza death. After adjusting the trend in EWM in the USA influenza vaccination can be seen to be masking higher winter deaths among a high morbidity US population. Adjusting for the effect of increasing obesity counteracted some of the observed increase in EWM seen in the USA. Winter deaths are clearly the outcome of a complex system of competing long-term trends.
Positional Differences in Physique, Physical Strength, and Lower Extremity Stability in Korean Male Elite High School Basketball Athletes
Authors: Bae Ju-Yong
Published: March 2022

No studies have measured the physical strength and lower extremity stability of elite male high school basketball players. This study aimed to measure the physique, physical strength, and lower extremity stability of such athletes in Korea and analyze the differences according to their play positions. Overall, 204 male elite basketball players participated and were classified as guard (n = 97), forward (n = 69), and center (n = 38) according to their main playing position. All sub-variables of physique were significantly higher in the forward and center groups than in the guard group, and were significantly higher in the center group than in the forward group. Strength was significantly higher in the forward and center groups than in the guard group. Agility and speed were significantly faster in the guard group than in the forward and center groups. Y-balance analysis showed that the composite score of both feet tended to be higher in the order of center, forward, and guard, and it was significantly higher in the guard group than in the center group. These results could be used as basic data for selecting players, determining positions, and setting specific training goals for players of each position to improve physical strength and prevent injuries.