bluuebunny/crossref_metadata_2025 huggingface dataset:
Hybridization of CSP Plants: Characterization of a Molten Salt Heater for Binary and Ternary Nitrate Salt Mixtures Fueled with Gas/Biogas Heaters
Authors: Giaconia Alberto , Balog Irena , Caputo Giampaolo
Published: November 2021

Hybridization of CSP plants with alternative energy sources (fuels) represents a means to improve flexibility of operation, power dispatchability and utilization factor of the plant. New generation CSP plants make use of molten salts as Heat Transfer Fluid (HTF) besides Thermal Energy Storage (TES) medium. Therefore, proper interfaces should be developed to effectively transfer the heat from the back-up source to the molten salt. This paper presents the results obtained in the experimental validation of an innovative gas-fueled Molten Salt Heater (MSH) prototype. The objective of this research is to validate the MSH design, where the specific properties of molten salts (compared to other HTFs, e.g., thermal oils) have to be taken into account. The developed reduced-scale MSH (90 kW thermal) consists of a heat exchanger with the molten salt flowing inside finned tubes cross-flowed with the hot flue gas generated in an upstream combustion chamber. LPG or a biogas-like mixture has been used as gas fuel. Experimental results have been obtained with two different molten salt mixtures: the “solar salt” binary mixture (NaNO3/KNO3, 60/40%w) typically used in CSP applications (up to 565 °C) and the ternary mixture known as Hitec XL® containing sodium/potassium/calcium nitrates (NaNO3/KNO3/Ca(NO3)2, 15/43/42%w) characterized by lower freezing temperatures. Experimental tests have been carried out changing some operative parameters like the flow rate of the molten salt (0.45–0.94 kg/s), the inlet temperatures of the molten salt (303–445 °C) and of the hot gas (596–632 °C). For both molten salt mixtures, it was demonstrated that heat transfer correlations based on the Dittus-Boelter equation allow to predict experimental results with <10% deviation between experimental and theoretical values of the heat transfer coefficient.
Wake Expansion and the Finite Blade Functions for Horizontal-Axis Wind Turbines
Authors: Wood David
Published: November 2021

This paper considers the effect of wake expansion on the finite blade functions in blade element/momentum theory for horizontal-axis wind turbines. For any velocity component, the function is the ratio of the streamtube average to that at the blade elements. In most cases, the functions are set by the trailing vorticity only and Prandtl’s tip loss factor can be a reasonable approximation to the axial and circumferential functions at sufficiently high tip speed ratio. Nevertheless, important cases like coned or swept rotors or shrouded turbines involve more complex blade functions than provided by the tip loss factor or its recent modifications. Even in the presence of significant wake expansion, the functions derived from the exact solution for the flow due to constant pitch and radius helical vortices provide accurate estimates for the axial and circumferential blade functions. Modifying the vortex pitch in response to the expansion improves the accuracy of the latter. The modified functions are more accurate than the tip loss factor for the test cases at high tip speed ratio that are studied here. The radial velocity is important for expanding flow as it has the magnitude of the induced axial velocity near the edge of the rotor. It is shown that the resulting angle of the flow to the axial direction is small even with significant expansion, as long is the tip speed ratio is high. This means that blade element theory does not have account for the effective blade sweep due to the radial velocity. Further, the circumferential variation of the radial velocity is lower than of the other components.
Dynamic Simulation and Thermoeconomic Analysis of a Hybrid Renewable System Based on PV and Fuel Cell Coupled with Hydrogen Storage
Authors: Calise Francesco , Cappiello Francesco Liberato , Cimmino Luca , Dentice d’Accadia Massimo , Vicidomini Maria
Published: November 2021

The production of “green hydrogen” is currently one of the hottest topics in the field of renewable energy systems research. Hydrogen storage is also becoming more and more attractive as a flexible solution to mitigate the power fluctuations of solar energy systems. The most promising technology for electricity-to-hydrogen conversion, and vice versa, is the reversible solid-oxide cell (SOC). This device is still very expensive, but it exhibits excellent performance under dynamic operating conditions compared to the competing devices. This work presents the dynamic simulation of a prototypal renewable plant combining a 50 kW photovoltaic (PV) field with a 50 kW solid-oxide electrolyzer cell (SOEC) and a compressed hydrogen tank. The electricity is used to meet the energy demand of a dwelling located in the area of Campi Flegrei (Naples). The SOC efficiency is simulated by developing a mathematical model in MATLAB®. The model also calculates the cell operating temperature as a function of the input current. Once the optimal values of the operating parameters of the SOC are calculated, the model is integrated in the transient system simulation tool (TRNSYS) for dynamic analysis. Furthermore, this work presents a parametric analysis of the hydrogen storage system (HSS). The results of the energy and environmental analyses show that the proposed system can reach a primary energy saving by 70% and an amount of saved CO2 of 28 tons/year. Some possible future market scenarios are considered for the economic analysis. In the most realistic case, the optimal configuration shows a simple pay back lower than 10 years and a profit index of 46%.
Large Eddy Simulation of Film Cooling Involving Compound Angle Hole with Bulk Flow Pulsation
Authors: Baek Seung-Il , Ahn Joon
Published: November 2021

The effects of pulsations in the main flow on film cooling from a cylindrical hole with a spanwise injection angle (orientation angle) are analyzed using numerical methods. The hole is located on a flat plate with a 35° inclined injection angle, and the compound angle denotes the orientation and inclination angles. The film cooling flow fields for the sinusoidal flow pulsation of 36 Hz from a cylindrical hole with 0° and 30° orientation angles at the time-averaged blowing ratio of M = 0.5 are simulated via large eddy simulation (LES). The CFD results are validated using the experimental data and compared to the Reynolds-averaged Navier–Stokes (RANS) and URANS results. The results reveal that if the pulsation frequency goes from 0 to 36 Hz, the adiabatic film cooling effectiveness decreases regardless of the compound angle; however, the film cooling for the 30° orientation angle exhibits better performance than that for a simple angle (0°). Moreover, if 36 Hz pulsation is applied, the film cooling effectiveness obtained by unsteady RANS exhibits a large deviation from the experimental data, unlike the LES results. The credibility of the LES results relative to the experimental data is demonstrated by comparing the time-averaged η and the phase-averaged temperature contours. The LES results demonstrate that LES can more accurately predict η than the experimental data; in contrast, URANS results are highly overpredicted around the centerline of the coolant spreading. Thus, LES results are more consistent with the experimental results for the time- and phase-averaged temperature contours than the URANS results.
The Relationships among Social, Environmental, Economic CSR Practices and Digitalization in Polish Energy Companies
Authors: Chwiłkowska-Kubala Anna , Cyfert Szymon , Malewska Kamila , Mierzejewska Katarzyna , Szumowski Witold
Published: November 2021

This paper explores relationships among CSR practices in the social, economic and environmental dimensions and digitization in the Polish energy companies. The study used the CATI method, and the data obtained from 110 companies was analyzed using a set of methods starting with correlation analysis, through regression analysis, including backward stepwise regression. Obtained results led to the formulation of SEM (Structural Equitation Modelling) model that has been tested. Results confirm the influence of social CSR practices on practices in economics and environmental CSR dimensions and on the level of digitalization. Research also suggests that there is essentially no significant impact of the size of the enterprise on the level of digitalization, as well as on any of the analyzed types of CSR practices.
Selected Predictors of Consumer Ethnocentrism in the Food Market (Gender Differences)
Authors: Bryła Paweł
Published: November 2021

This paper aims to identify predictors of consumer ethnocentrism in the food market. An online survey was conducted in a sample of 1000 Polish consumers, which was representative by sex, age, education level, urban–rural divide, and region. The 10-item CETSCALE was applied. In a retrograde stepwise regression model, consumer ethnocentrism in the food market was positively related to tradition and conformity Schwartz values, to the pride of being Polish, and to such product characteristics as the country of origin, distance from the producer, and natural content. It was negatively related to the universalism value and to being a student. To gain further insights into the predictors of consumer ethnocentrism in the food market for either gender, separate regressions were conducted among men and women. Three predictors affected positively and significantly consumer ethnocentrism in the food market both among men and among women, namely the tradition Schwartz value, pride of being Polish, and importance attached to distance covered by the food product from the producer to the shop, which is related to the preference for local food. Moreover, consumer ethnocentrism among men was dependent on their food choice motive–environmental friendliness, whereas consumer ethnocentrism among women was affected by the importance attached to the product’s country of origin, and it was negatively related to women’s younger age.
Influence of Efficiency, Aging and Charging Strategy on the Economic Viability and Dimensioning of Photovoltaic Home Storage Systems
Authors: Munzke Nina , Büchle Felix , Smith Anna , Hiller Marc
Published: November 2021

PV in combination with Li-ion storage systems can make a major contribution to the energy transition. However, large-scale application will only take place when the systems are economically viable. The profitability of such a system is not only influenced by the investment costs and economic framework conditions, but also by the technical parameters of the storage systems. The paper presents a methodology for the simulation and sizing of PV home storage systems that takes into account the efficiency of the storage systems (AC, DC standby consumption and peripheral consumption, battery efficiency and inverter efficiency), the aging of the components (cyclic and calendar battery aging and PV degradation), and the intelligence of the charging strategy. The developed methodology can be applied to all regions. In this paper, a sensitivity analysis of the influence of the mentioned technical parameters on the dimensioning and profitability of a PV home storage is performed. The calculation is done for Germany. Especially, battery aging, battery inverter efficiency and a charging strategy to avoid calendar aging have a decisive influence. While optimization of most other technical parameters only leads to a cost reduction of 1–3%, more efficient inverters can save up to 5%. Even higher cost reductions (more than 20%) can only be achieved using batteries that age less, especially batteries that are less sensitive to calendar aging. In individual cases, a small improvement in the efficiency of the storage system can also lead to higher costs. This is for example the case when smaller batteries are combined with a large PV system and the battery is used more due to the higher efficiency. This results in faster ageing and thus earlier replacement of the battery. In addition, the paper includes a detailed literature overview on PV home storage system sizing and simulation.
Adsorption of Polycyclic Aromatic Hydrocarbons by Natural, Synthetic and Modified Clays
Authors: Satouh Sara , Martín Julia , Orta María del Mar , Medina-Carrasco Santiago , Messikh Nabil , Bougdah Nabil , Santos Juan Luis , Aparicio Irene , Alonso Esteban
Published: November 2021

Polycyclic aromatic hydrocarbons (PAHs) are of major scientific concern owing to their widespread presence in environmental compartments and their potential toxicological effects on humans and biota. In this study, the adsorption capacity of natural (montmorillonite (Mt)), synthetic (Na-Mica-4), and modified (with octadecylamine and octadecyltrimethylamine (ODA-Mt, ODA-Mica-4, and ODTMA-Mt and ODTMA-Mica-4)) clays were assessed and compared for the removal of 16 PAHs. Materials were synthesized and characterized by X-Ray diffraction, Zeta potential, and Fourier-transform infrared spectroscopy. The results showed its correct preparation and the incorporation of PAHs in the structure of the clays after the adsorption tests. The proposed materials were effective PAH adsorbents, with adsorption percentages close to 100%, in particular those using Mt. Mt and Na-Mica-4 presented a better adsorption capacity than their organofunctionalized derivatives, indicating that the adsorption of PAHs may occur both in the surface part and in the interlayer. The proposed adsorbents take the advantage of being a low cost and highly effective. They can be an interesting alternative for wastewater treatment and soil remediation to prevent PAH contamination.
Extending the Storage Time of Clanis bilineata tsingtauica (Lepidoptera; Sphingidae) Eggs through Variable-Temperature Cold Storage
Authors: Zhu Chenxu , Zhao Ming , Zhang Haibo , Zhang Fang , Du Yuzhou , Lu Mingxing
Published: November 2021

Clanis bilineata tsingtauica Mell, 1922 (Lepidoptera, Sphingidae), also known as “Doudan” in China, is an important pest in legume crops. As an edible insect, it is most commonly consumed in Jiangsu, Shandong, and Henan Provinces. Mass rearing requires access to large numbers of eggs. This stage, however, is of short duration and supplies are frequently not sufficient for insect production. Therefore, we identified the cold storage conditions for C. bilineata tsingtauica that can effectively prolong the storage time of the eggs, to make supplies more readily available. We found that when stored at 4 °C, only 7.5% of the eggs hatched after 7 days, while at 10 °C the hatch rate was 78.3%. At 15 °C, the egg hatch rate remained at this same level (77.8% even after 14–20 days). Considering various combinations, we found that optimal egg hatch occurred if eggs were stored at 15 °C for 11 days, and then held at 15–20 °C under dark conditions. Stored as described above, the egg hatch rate was not significantly different from the control group (at 28 °C). These conditions allow for easier mass rearing of C. bilineata tsingtauica by providing a stable supply of eggs.
Integral Representation of the Solutions for Neutral Linear Fractional System with Distributed Delays
Authors: Kiskinov Hristo , Madamlieva Ekaterina , Veselinova Magdalena , Zahariev Andrey
Published: November 2021

In the present paper, first we obtain sufficient conditions for the existence and uniqueness of the solution of the Cauchy problem for an inhomogeneous neutral linear fractional differential system with distributed delays (even in the neutral part) and Caputo type derivatives, in the case of initial functions with first kind discontinuities. This result allows to prove that the corresponding homogeneous system possesses a fundamental matrix C(t,s) continuous in t,t∈[a,∞),a∈R. As an application, integral representations of the solutions of the Cauchy problem for the considered inhomogeneous systems are obtained.
Interventional Procedures for Vertebral Diseases: Spinal Tumor Ablation, Vertebral Augmentation, and Basivertebral Nerve Ablation—A Scoping Review
Authors: Tieppo Francio Vincius , Gill Benjamin , Rupp Adam , Sack Andrew , Sayed Dawood
Published: November 2021

Low back pain is consistently documented as the most expensive and leading cause of disability. The majority of cases have non-specific etiologies. However, a subset of vertebral diseases has well-documented pain generators, including vertebral body tumors, vertebral body fractures, and vertebral endplate injury. Over the past two decades, specific interventional procedures targeting these anatomical pain generators have been widely studied, including spinal tumor ablation, vertebral augmentation, and basivertebral nerve ablation. This scoping review summarizes safety and clinical efficacy and discusses the impact on healthcare utilization of these interventions. Vertebral-related diseases remain a top concern with regard to prevalence and amount of health care spending worldwide. Our study shows that for a subset of disorders related to the vertebrae, spinal tumor ablation, vertebral augmentation, and basivertebral nerve ablation are safe and clinically effective interventions to decrease pain, improve function and quality of life, and potentially reduce mortality, improve survival, and overall offer cost-saving opportunities.
Experiences of Using a Continuous Glucose Monitoring System in Children—A Descriptive Study with Parents in the Republic of Georgia
Authors: Kheladze Nino , Kristensson Lars , Johansson Anders , Crang-Svalenius Elizabeth , Ivarsson Bodil
Published: November 2021

The benefits of medical devices are often multifaceted and may have an important impact on patients’ and relatives’ physical, mental and/or social well-being. Diabetes is a metabolic disorder and a continuous subcutaneous glucose monitoring sensor can suggest increasing treatment satisfaction. The purpose of this study was to describe parents’ experiences during their daily lives and support needs when a child uses a Flash Glucose Monitoring system (FGM). Twenty parents (n = 3 men vs. n = 17 women) to children (age ranged between 22 months and 16 years) with diabetes disease type 1, treated with an FGM unit (used for an average of 7 months (range 1–72)) at home, participated in this study. A qualitative questionnaire survey with open questions including follow-up dialogues was distributed to the parents, and collected data were analysed using qualitative content analysis. Overall satisfaction with the Libre device was Md 10 (IQR 9.25–10). One main theme “Advances in technology significantly improved everyday life” emerged from 2 categories: Improvements in quality of life and Elements of challenges. In conclusion, this qualitative study determined that parents of children with DMT1 experience a great improvement in daily life when given the opportunity to use the Libre device.
Are We Overdoing It? Changes in Diagnostic Imaging Workload during the Years 2010–2020 including the Impact of the SARS-CoV-2 Pandemic
Authors: Winder Mateusz , Owczarek Aleksander Jerzy , Chudek Jerzy , Pilch-Kowalczyk Joanna , Baron Jan
Published: November 2021

Since the 1990s, there has been a significant increase in the number of imaging examinations as well as a related increase in the healthcare expenditure and the exposure of the population to X-rays. This study aimed to analyze the workload trends in radiology during the last decade, including the impact of COVID-19 in a single university hospital in Poland and to identify possible solutions to the challenges that radiology could face in the future. We compared the annual amount of computed tomography (CT), radiography (X-ray), and ultrasound (US) examinations performed between the years 2010 and 2020 and analyzed the changes in the number of practicing radiologists in Poland. The mean number of patients treated in our hospital was 60,727 per year. During the last decade, the number of CT and US examinations nearly doubled (from 87.4 to 155.7 and from 52.1 to 86.5 per 1000 patients in 2010 and 2020 respectively), while X-ray examinations decreased from 115.1 to 96.9 per 1000 patients. The SARS-CoV-2 pandemic did not change the workload trends as more chest examinations were performed. AI, which contributed to the COVID-19 diagnosis, could aid radiologists in the future with the growing workload by increasing the efficiency of radiology departments as well as by potentially minimizing the related costs.
Transfusion-Transmitted Malaria of Plasmodium malariae in Palermo, Sicily
Authors: Pulvirenti Jessica , Musso Maurizio , Fasciana Teresa , Cascio Antonio , Tricoli Maria Rita , Oliveri Natascia , Favarò Maria , Diquattro Orazia , Giammanco Anna
Published: November 2021

Transfusion-transmitted malaria (TTM) is a rare occurrence with serious consequences for the recipient. In non-endemic areas, the incidence of transmission of malaria by transfusion is very low. We report a clinical case of transfusion-transmitted malaria due to Plasmodium malariae, which happened in a patient with acute hemorrhagic gastropathy. Case presentation: In April 2019, a 70-year-old Italian man with recurrent spiking fever for four days was diagnosed with a P. malariae infection, as confirmed using microscopy and real-time PCR. The patient had never been abroad, but about two months before, he had received a red blood cell transfusion for anemia. Regarding the donor, we revealed that they were a missionary priest who often went to tropical regions. Plasmodium spp. PCR was also used on donor blood to confirm the causal link. Discussion and Conclusions: The donations of asymptomatic blood donors who are predominantly “semi-immune” with very low parasitic loads are an issue. The main problem is related to transfusion-transmitted malaria. Our case suggests that P. malariae infections in semi-immune asymptomatic donors are a threat to transfusion safety. Currently, microscopy is considered the gold standard for the diagnosis of malaria but has limited sensitivity to detect low levels of parasitemia. Screening using serological tests and molecular tests, combined with the donor’s questionnaire, should be used to reduce the cases of TTM.
The Effect of Microbial Fertilizer on the Growth, Rhizospheric Environment and Medicinal Quality of Fritillaria taipaiensis
Authors: Zhou Nong , Mu Maojun , Yang Min , Zhou You , Ma Mingguo
Published: November 2021

Fritillaria taipaiensis is a valuable traditional Chinese medicinal plant affected by germplasm degradation during cultivation. To find a suitable solution for this problem, F. taipaiensis was inoculated with exogenous arbuscular mycorrhiza (AM) fungi, potassium-solubilizing bacteria, and phosphorus-solubilizing bacteria in pot experiments. The effects of inoculation on the AM colonization, photosynthetic pigment, and superoxide dismutase contents, rhizospheric enzyme activities, alkaloid, and nucleotide content of F. taipaiensis were studied. The results showed that the inoculation increased mycorrhizal infection intensity of F. taipaiensis. Compared to the control group, the photosynthetic pigment contents in the leaf of the inoculation groups were increased; the content of soluble protein, the activities of the superoxide dismutase, catalase, and peroxidase in leaves were all significantly increased, and the content of malondialdehyde was decreased. The microbial inoculum also increased the content of active ingredients in F. taipaiensis bulbs and increased the enzyme activities, total microorganism number, bacteria/fungi, and actinomycetes/fungi ratios in the rhizosphere. To sum up, microbial fertilizer can significantly improve the rhizospheric environment and medicinal quality of F. taipaiensis. This research provides a theoretical basis and experimental evidence for the sustainable development of an F. taipaiensis industry.
Comparative Transcriptomic Analyses Provide Insights into the Enzymatic Browning Mechanism of Fresh-Cut Sand Pear Fruit
Authors: Fan Jing , Du Wei , Chen Qi-Liang , Zhang Jing-Guo , Yang Xiao-Ping , Hussain Syed Bilal , Hu Hong-Ju
Published: November 2021

Pear (Pyrus spp.) is one of the most commonly consumed temperate fruits, having considerable economic and health importance. Fresh-cut or processed pear fruits are prone to browning because of the abundant phenolic compounds; however, little is known about the molecular mechanisms underlying enzymatic browning of fresh-cut sand pear fruit. In this study, fruits of two sand pear genotypes (low browning cultivar ‘Eli No.2′ and high browning cultivar ‘Weiningdahuangli’) were used to analyze the molecular mechanism of enzymatic browning by SMRT-seq and RNA-seq. The results generated 69,122 consensus isoforms, 21,336 new transcripts, 7105 alternative splicing events, and 254 long non-coding RNAs (lncRNAs). Furthermore, five genes related to enzymatic browning were predicted to be targets of six lncRNAs, and 9930 differentially expressed genes (DEGs) were identified between two different flesh browning cultivars. Meanwhile, most DEGs (e.g., PAL, 4CL, CAD, CCR, CHS, and LAR) involved in the phenylpropanoid biosynthesis pathway were up-regulated, and the expression of PPO and POD were highly expressed in the high-browning cultivar. Interestingly, the transcript level of PbrPPO4 (Pbr000321.4) was significantly higher than other PPO and POD genes, and a high level of total polyphenol and PPO activity were observed in the high browning cultivar. We found that the expression of lncRNA PB.156.1 was significantly positively correlated with the target gene PbrPPO4 (Pbr000321.4). The results suggest that PbrPPO4 might act as a major contributor and a key enzyme encoding gene in regulating fresh-cut sand pear fruit enzymatic browning; the expression of PbrPPO4 was probably regulated by lncRNA PB.156.1. Altogether, the transcriptomic and physiological analyses expand the knowledge of sand pear flesh enzymatic browning at the molecular level and provide a foundation for germplasm resources for molecular breeding of high polyphenol and low browning cultivars in sand pears.
Investigation of Flood Management and Mitigation Measures in Ungauged NATURA Protected Watersheds
Authors: Kastridis Aristeidis , Theodosiou Georgios , Fotiadis Georgios
Published: November 2021

The aim of this study is to investigate the flood management and mitigation measures in ungauged NATURA protected watersheds. The examined watersheds are located in one the most European significant NATURA areas (Prespa Natural Park North Greece). SCS-CN model was applied to perform the hydrological modeling for extreme rainfalls of 50, 100 and 1000 return periods. Extensive field research was conducted to record all the hydrotechnical works of the study area, to evaluate their current condition and measure the respective hydraulic characteristics. The results of the hydrological modeling showed that the flood danger in the study area is generally low. However, almost the half of the hydrotechnical works could not discharge the high and medium probability (50 and 100 years) peak flows. The main causes are the extremely dense riparian vegetation that has been developed on the banks and the thalweg of the riverbeds and in some cases the inappropriate dimensioning of the technical works. The intense development of the riparian vegetation, has increased the roughness coefficient and reduced the dimensions and discharge capability of the technical works, while NATURA restrictions and regulations may be limiting any logging and trimming activities within the streams, especially in priority habitat types. Special Ecological Evaluation studies and educating the public about the necessity of the flood control measures and impact, could provide a framework for a thorough discussion about the flood management in NATURA areas.
Impact of Protracted Displacement on Delay in the Diagnosis Associated with Treatment Outcomes: A Cross-Sectional Study in Internally Displaced Tuberculosis Patients of Pakistan
Authors: Khan Farman Ullah , Khan Faiz Ullah , Hayat Khezar , Chang Jie , Kamran Muhammad , Khan Asad , Malik Usman Rashid , Khan Asif , Fang Yu
Published: November 2021

Human displacement is on the rise globally, and the increase in the burden of tuberculosis (TB) is also attributed to migrations worldwide. A significant number of such displacements occur in regions with considerably higher areas of TB burden. Displacements may delay TB diagnosis and treatment, which will possibly lead to TB transmission among healthy individuals. In this study, we assessed the association of existing determinants after a protracted internal displacement of people with delay in TB diagnosis and treatment outcomes. A cross-sectional study was conducted on internally displaced TB patients (IDPs), registered at selected health facilities in three urban districts of Pakistan from March 2019 to February 2020. The univariate and multivariate logistic regression model was used to assess the delay in diagnosis and treatment outcomes. IDPs with delay in initiation of treatment beyond 30 days were at high possibility of unsuccessful TB treatment outcomes (adjusted odds ratio AOR, 2.60; 95% CI 1.06–6.40). Furthermore, the multivariate regression analysis showed a statistically significant association (p > 0.05) between TB patients who were aged 55 to 65 years (AOR, 2.66; 95% CI 1.00–7.07), female patients (AOR, 2.42; 95% CI 1.21–4.81), visited non-formal health provider (AOR, 8.81; 95% CI 3.99–19.46), self-medication (AOR, 2.72; 95 % CI 1.37–5.37), poor knowledge of TB (AOR, 11.39; 95% CI 3.31–39.1), and perceived stigma (AOR, 8.81; 95% CI 3.99–19.4). Prolonged delay in treatment was associated with unfavorable treatment outcomes among IDPs. Migrants and IDPs are more likely to experience an interruption in care due to overall exclusion from social and health care services. Therefore, it is imperative to understand the barriers to providing public health care services, particularly in preventing and treating TB.
Environmental Regulation, Government Subsidies, and Green Technology Innovation—A Provincial Panel Data Analysis from China
Authors: Wang Pei , Dong Cong , Chen Nan , Qi Ming , Yang Shucheng , Nnenna Amuji Bridget , Li Wenxin
Published: November 2021

Economic development in the “new era” will require green innovation. To encourage the growth of green technology innovation, it has become fashionable to strengthen environmental regulation. However, the impact of environmental regulation on green technology innovation, as well as the role of government subsidies, needs to be examined. Utilizing fixed-effect models and 2SLS models to explore the impact of environmental regulation on green technology innovation in China from 2003 to 2017, this research sought to examine whether environmental regulations impact green technology innovation, as well as the role of government subsidies in the above-mentioned influence path. The findings support the Porter Hypothesis by demonstrating an inverted “U” relationship between environmental regulation and green technology innovation. The impact of environmental regulation on green technology innovation varies by region. To be specific, there is an inverted “U” relationship between environmental regulation and green technology innovation in China’s central and central coast regions. In comparison, the north area, southern coast, and southwest region exhibit a “U” relationship between the two. The relationship is not significant in the Beijing-Tianjin region. Additionally, government subsidies act as an intermediate in this process, positively influencing firms to pursue green technology innovation during the earliest stages of environmental regulation strengthening. However, government subsidies above a certain level are unproductive and should be used appropriately and phased off in due course.
Predictors of Positive and Negative Emotions Experienced by Poles during the Second Wave of the COVID-19 Pandemic
Authors: Twardowska-Staszek Estera , Rostek Irmina , Biel Krzysztof , Seredyńska Anna
Published: November 2021

The objective of the research was to specify the predictors of positive and negative emotions experienced by Poles during the second wave of the COVID-19 pandemic. The researchers used the following standardized measurement tools: emotions (PANAS), mood (UMACL), satisfaction with life (SWLS), optimism (LOT-R), and coping with stress (CISS). They also used a questionnaire to collect sociodemographic information and data concerning COVID-19 infections. In total, 595 participants (80.50% women) aged 18–75 participated in the research. It was concluded that the predictors of positive emotions included a task-oriented coping style, level of satisfaction with life, being a man, hedonic tone in the description of mood, and being an employed student. The negative predictors of positive emotions included emotion-oriented coping and the level of energetic arousal in the description of mood. The predictors of negative emotions were tense arousal in the description of mood, emotion-oriented coping, being over 60 years of age, and changes in respondents’ standard of living. The negative predictors of negative emotions included living in a medium-sized town or in a village. The research conclusions encourage us to pay special attention to possible at-risk groups threatened with mental health disorders and to factors that protect people against negative psychological consequences of the COVID-19 pandemic.
Urinary Tract Involvement in Wolfram Syndrome: A Narrative Review
Authors: La Valle Alberto , Piccolo Gianluca , Maghnie Mohamad , d’Annunzio Giuseppe
Published: November 2021

Wolfram Syndrome (WS) is a rare neurodegenerative disease with autosomal recessive inheritance and characterized by juvenile onset, non-autoimmune diabetes mellitus and later followed by optic atrophy leading to blindness, diabetes insipidus, hearing loss, and other neurological and endocrine dysfunctions. A wide spectrum of neurodegenerative abnormalities affecting the central nervous system has been described. Among these complications, neurogenic bladder and urodynamic abnormalities also deserve attention. Urinary tract dysfunctions (UTD) up to end stage renal disease are a life-threatening complication of WS patients. Notably, end stage renal disease is reported as one of the most common causes of death among WS patients. UTD have been also reported in affected adolescents. Involvement of the urinary tract occurs in about 90% of affected patients, at a median age of 20 years and with peaks at 13, 21 and 33 years. The aim of our narrative review was to provide an overview of the most important papers regarding urological impairment in Wolfram Syndrome. A comprehensive search on PubMed including Wolfram Syndrome and one or more of the following terms: chronic renal failure, bladder dysfunction, urological aspects, and urinary tract dysfunction, was done. The exclusion criteria were studies not written in English and not including urinary tract dysfunction deep evaluation and description. Studies mentioning general urologic abnormalities without deep description and/or follow-up were not considered. Due to the rarity of the condition, we considered not only papers including pediatric patients, but also papers with pediatric and adult case reports
Children’s Diet during the Early Stages of the Nutritional Transition. The Foundlings in the Hospital of Valencia (Spain), 1852–1931
Authors: Medina-Albaladejo Francisco J. , Calatayud Salvador
Published: November 2021

The nutritional transition brought about profound changes in the nutrition of the European population in the 19th and 20th centuries. The predominant consumption of cereals gave way to kilocalorie-, protein-, vitamin- and mineral-rich diets that involved a greater intake of animal products. However, not all population groups underwent this transition at the same pace; socio-economic conditions, sex and age led to important inequalities. This article uses institutional sources to analyse the nutrition of children during the early stages of the nutritional transition and to compare it with that of other age groups (adult psychiatric patients). The study examines the average diets and nutritional balance of foundlings in the Hospital General de Valencia from 1852 to 1931. The main conclusion of the study is that, throughout the period under study, foundlings were exposed to a poor, traditional diet, characterized by structural deficits and imbalances. This may have affected their physical growth, health and biological wellbeing in adulthood, and demonstrates that the nutritional transition was anything but a homogeneous process.
Impact of Supplemental Nutrition Assistance Program Benefit Reduction or Loss on Food-at-Home Acquisitions and Community Food Program Use
Authors: Sanjeevi Namrata
Published: November 2021

Since Supplemental Nutrition Assistance Program (SNAP) benefits are vital for food-at-home (FAH) acquisitions among participating families, changes in participation or benefit amounts may impact FAH purchase and use of community-based food programs (CFP). The association of the loss of or a reduction in SNAP benefits with FAH acquisitions and CFP use was assessed using 2012–2013 National Household Food Acquisition and Purchase Survey data. Households with incomes equal to or below 130% of the Federal Poverty Level were categorized as (1) current SNAP households, (2) households with benefit loss in the preceding year, or (3) households with benefit loss for more than a year. Current SNAP households were classified as receiving (1) lesser-than-usual benefits or (2) usual benefits. Regression analyses examined associations of the loss of or a reduction in benefits with the Healthy Eating Index-2015 (HEI-2015) scores of FAH purchases and CFP use. Benefit loss in the preceding year was related to a lower total HEI-2015 score for FAH acquisitions, whereas benefit reduction was associated with lower green/bean and added sugar scores and increased CFP use. This study suggests that the loss of or a reduction in SNAP benefits may adversely impact the quality of FAH purchases. The findings also suggest that efforts enhancing the nutrition environment of community food sources could support healthy food acquisition by families experiencing benefit reduction.
An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes
Authors: Luccisano Sharon P. , Weber Heinrich C. , Murfet Giuliana O. , Robertson Iain K. , Prior Sarah J. , Hills Andrew P.
Published: November 2021

Maternal obesity in pregnancy, a growing health problem in Australia, adversely affects both mothers and their offspring. Gestational diabetes mellitus (GDM) is similarly associated with adverse pregnancy and neonatal complications. A low-risk digital medical record audit of antenatal and postnatal data of 2132 pregnant mothers who gave birth between 2016–2018 residing in rural-regional Tasmania was undertaken. An expert advisory group guided the research and informed data collection. Fifty five percent of pregnant mothers were overweight or obese, 43.6% gained above the recommended standards for gestational weight gain and 35.8% did not have an oral glucose tolerance test. The audit identified a high prevalence of obesity among pregnant women and low screening rates for gestational diabetes mellitus associated with adverse maternal and neonatal pregnancy outcomes. We conclude that there is a high prevalence of overweight and obesity among pregnant women in rural regional Tasmania. Further GDM screening rates are low, which require addressing.
User-Guided Design of a Digital Tool for Health Promotion and Radiation Protection: Results from an Internet Needs Survey
Authors: Yumiya Yui , Ohba Takashi , Murakami Michio , Nakano Hironori , Nollet Kenneth E. , Goto Aya
Published: November 2021

Background: Digital tools can be powerful and effective in connecting people with life-saving and health-promoting support when facing a health crisis. To develop a digital application for radiation protection and health promotion for evacuees returning home after the Fukushima nuclear accident, we conducted a needs assessment survey and explored the association of people’s eHealth literacy (eHL) level with their digital tool knowledge, attitudes, and practice (KAP). Methods: From 339 responses to an online survey, data from 264 lay persons were analyzed. The KAP items were those used in a prior EU project, and eHL levels were assessed with a Japanese version of the eHealth Literacy Scale. Results: Multivariable analyses showed significant associations between eHL and the digital tool KAP for radiation protection (knowledge: adjusted odds ratio (aOR) = 1.10; attitude: 1.06; practice: 1.10) and for health promotion (knowledge: aOR = 1.13; attitude: 1.06; practice: 1.16). Conclusions: People with a higher eHL had a more positive KAP. For those with a lower eHL, we are formulating easy-to-understand explanations to promote the utilization of the digital tool and enthusiasm for future community-oriented digital tools.
Basketball-Specific Small-Sided Games Training during Ramadan Intermitting Fasting: Do Changes in Body Composition, Sleep Habits, and Perceived Exertion Affect Technical Performance?
Authors: Brini Seifeddine , Castillo Daniel , Raya-González Javier , Castagna Carlo , Bouassida Anissa , Khalifa Riadh , Chortane Sabri Gaied , Clemente Filipe Manuel
Published: November 2021

The objective of this study was to assess the effects of an additional small-sided games (SSGs) training program during Ramadan intermitting fasting (RIF) on technical performance depending on changes in body composition, sleep habits, and ratings of perceived exertion (RPE). Twenty-four professional male basketball players from the Tunisian first division participated in this study. The players were randomly assigned to an intervention group (INT; n = 12) or an active control group (CON; n = 12). Both groups completed a four-week SSG training program (three sessions per week). During the first and fourth weeks of the SSGs training, the two groups were evaluated to detect changes in technical performance, dietary intake, body composition, sleep quality index (PSQI) survey outcomes, RPE, heart rate (HR), and blood lactate concentration [La]. During the fourth week of the RIF period, body composition, dietary intake, sleep latency, sleep duration, and HR significantly decreased only for INT (p < 0.001). However, RPE significantly increased (p < 0.001), and technical performances were negatively affected (p < 0.01). MANCOVA (adjusted for the percentage of change in sleep duration, body mass, and RPE) showed no significant differences in either group. In conclusion, our results showed that the technical performance of professional basketball male players was significantly affected at the end of RIF independently of changes in RPE, sleep habits, and body composition.
Is the Course of COVID-19 Different during Pregnancy? A Retrospective Comparative Study
Authors: Januszewski Marcin , Ziuzia-Januszewska Laura , Jakimiuk Alicja A. , Wierzba Waldemar , Gluszko Anna , Zytynska-Daniluk Joanna , Jakimiuk Artur J.
Published: November 2021

The COVID-19 pandemic has challenged health systems around the world. Maternal-foetal medicine, which has been particularly affected, must consider scientific data on the physiological processes occurring in the pregnant woman’s body to develop relevant standards of care. Our study retrospectively compared the clinical and laboratory characteristics of 52 COVID-19 pregnant patients with 53 controls. Most of the pregnant patients required medical attention during the third trimester and therefore we propose that vaccination is needed prior to the 30th week of pregnancy. We found no differences between the 2 groups in the course of illness classification system, days of hospital stay, need for oxygen supplementation, need for mechanical ventilation, and ICU admission. Moreover, clinical manifestations and imaging findings were comparable. Pregnant patients needed a greater oxygen flow rate and required high flow oxygen therapy more frequently. Considering pregnancy-related physiological adaptations, we found that COVID-19 infection in pregnant patients is associated with higher levels of inflammatory markers, apart from serum ferritin, than in non-pregnant women, and concluded that biomarkers of cardiac and muscle injury, as well as kidney function, may not be good predictors of COVID-19 clinical course in pregnant patients at the time of admission, but more research needs to be conducted on this topic.
A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings
Authors: Barth Cornelia Anne , Donovan-Hall Maggie , Blake Catherine , Jahan Akhtar Noor , Capo-Chichi Joseph Martial , O’Sullivan Cliona
Published: November 2021

Physiotherapy as a health profession is continuously evolving in high-income countries (HIC). The highest burden of disease globally, however, is in low-resource and conflict contexts (LR-CC), resulting in unmet rehabilitation needs. Rehabilitation service models from HIC often face challenges when applied to the fragile health systems of LR-CC. It is important to engage rehabilitation experts living and working in LR-CC to guide service development. This study aims to understand physiotherapists’ views and perspectives of current rehabilitation services, of how these services can be strengthened over the next 10 years and of the role of physiotherapy within this development. Focus group discussions (FGDs) were conducted with 31 physiotherapists from 18 LR-CC using English as a common language. Audio recordings were transcribed verbatim. Data analysis was guided by thematic analysis. Participants provided deep insights into the complexity of developing rehabilitation services within fragile health systems. Participants agreed that physiotherapy lacked recognition and resources to be utilised effectively. Interacting themes as crucial prerequisites for strengthening the sector included (1) significance of context, (2) professional identity, and (3) professionalisation supported by workforce development and advocacy. These results are an important evidence base for informing the development of rehabilitation programmes in LR-CC and for future research.
Anxiety, Depression and Quality of Life—A Systematic Review of Evidence from Longitudinal Observational Studies
Authors: Hohls Johanna Katharina , König Hans-Helmut , Quirke Eleanor , Hajek André
Published: November 2021

This review aimed to systematically review observational studies investigating the longitudinal association between anxiety, depression and quality of life (QoL). A systematic search of five electronic databases (PubMed, PsycINFO, PSYNDEX, NHS EED and EconLit) as well as forward/backward reference searches were conducted to identify observational studies on the longitudinal association between anxiety, depression and QoL. Studies were synthesized narratively. Additionally, a random-effects meta-analysis was performed using studies applying the mental and physical summary scores (MCS, PCS) of the Short Form Health Survey. The review was prospectively registered with PROSPERO and a study protocol was published. n = 47 studies on heterogeneous research questions were included, with sample sizes ranging from n = 28 to 43,093. Narrative synthesis indicated that QoL was reduced before disorder onset, dropped further during the disorder and improved with remission. Before onset and after remission, QoL was lower in comparison to healthy comparisons. n = 8 studies were included in random-effects meta-analyses. The pooled estimates of QoL at follow-up (FU) were of small to large effect sizes and showed that QoL at FU differed by disorder status at baseline as well as by disorder course over time. Disorder course groups differed in their MCS scores at baseline. Effect sizes were generally larger for MCS relative to PCS. The results highlight the relevance of preventive measures and treatment. Future research should consider individual QoL domains, individual anxiety/depressive disorders as well as the course of both over time to allow more differentiated statements in a meta-analysis.