bluuebunny/crossref_metadata_2025 huggingface dataset:
COVID-19 Pandemic-Related Sleep and Mental Health Disparities among Students at a Hispanic and Minority-Serving Institution
Authors: Becerra Monideepa B. , Gumasana Rushil J. , Mitchell Jasmine A. , Truong Jeffrey Bao , Becerra Benjamin J.
Published: June 2022

Background: The COVID-19 pandemic has impacted nearly all sectors of our population, including college students, who continue to share disproportionate rate of disparities. In this study, we aimed to identity key sleep health characteristics, including markers for obstructive sleep apnea, as well as its relation to mental health, physical health, and academic performance. Methods: A cross-sectional study design with online survey dissemination was used. Descriptive, bivariate, and multivariable binary logistic regression analyses were conducted among a predominantly minority population. Results: Results show that nearly 78% of the population reported that the pandemic impacted their mental or physical health, while over 83% reported daytime tiredness/fatigue/sleepiness, and another 61% reported sleeping less than seven hours during weekdays. Among other associations, pandemic-related poor sleep health, including sleeping less than seven hours, was associated with daytime tiredness/fatigue/sleepiness, psychological distress, as well as low mental health and physical health. A severe marker for obstructive sleep apnea, having stopped breathing during sleep, was also associated with psychological distress during the pandemic. Conclusions: Sleep health interventions are critical for optimizing college student health and well-being, including improving mental health outcomes.
Comparative Effectiveness of Various Eradication Regimens for Helicobacter Pylori Infection in the Northeastern Region of Poland
Authors: Wasielica-Berger Justyna , Gugnacki Patryk , Mlynarczyk Maryla , Rogalski Pawel , Swidnicka-Siergiejko Agnieszka , Antonowicz Stefania , Krzyzak Michalina , Maslach Dominik , Dabrowski Andrzej , Daniluk Jaroslaw
Published: June 2022

Purpose: Due to the lack of systematic data on antibiotic sensitivity, the treatment of the highly prevalent and pathogenic Helicobacter pylori (H. pylori) infection still poses a significant problem. Therefore, the aim of our study was to compare the efficacy of the three most commonly used anti-H. pylori therapies in northeastern Poland. Patients and Methods: This was a retrospective, single-center study performed on 289 outpatients with an H. pylori infection. Patients received one of the following three treatment regimens: (1) bismuth quadruple therapy (BQT) for 10 days, (2) metronidazole-based triple therapy (M-TT) for 10 or 14 days, and (3) levofloxacin-based triple therapy (L-TT) for 10 or 14 days. Results: BQT, M-TT, and L-TT accounted for 93.2% of prescribed anti-H. pylori therapies. The overall success rate for all treatment regimens was 84.1% (243/289). The effectiveness of first- and second-line therapy was similar and reached 83.8% and 86.2%, respectively. The efficacy of the individual treatment regimens was as follows: (1) BQT—89.4% (84/94), (2) M-TT—80.6% (112/139) and 78.8% (26/33) for 10 and 14 days, respectively, and (3) L-TT—84.6% (11/13) and 100% (10/10) for 10 and 14 days, respectively. The overall duration of treatment and type and dose of proton pump inhibitor (PPI) had no effect on the treatment efficacy. Conclusions: In the northeastern part of Poland, 10-day BQT and 10- or 14-day L-TT are effective treatment regimens for H. pylori eradication and have appear to be superior to M-TT. Practitioners in our clinic followed mostly local anti-H. pylori therapy guidelines.
The Influence of Depressive Mood on Mortality in Elderly with Different Health Status: Evidence from the Taiwan Longitudinal Study on Aging (TLSA)
Authors: Tsai Shen-Ju , Hsiao Yu-Han , Liao Miao-Yu , Lee Meng-Chih
Published: June 2022

Depression and related syndromes are well identified in older adults. Depression has been reported to increase the incidence of a multitude of somatic disorders. In older adults, the severity of depression is associated with higher mortality rates. The aim of the study is to examine whether the effect of depression screening on mortality is different between individuals with different physical health status. In order to meet this aim, we will first reprove the relationship between depression and mortality rate, and then we will set a subgroup analysis by using self-reported health (SRH) status. Our data source, Taiwan Longitudinal Study on Aging (TLSA), is a population-based prospective cohort study that was initiated by the Health Promotion Administration, Ministry of Health and Welfare, Taiwan. The depression risk was evaluated by 10-items Center for Epidemiologic Studies Depression (CES-D-10), we set 3 CES-D-10 cutting points (5, 10, and 12) and cut our subjects into four groups. Taking mortality as an end point, we use the Taiwan National Death Registry (TNDR) record from 1999 to 2012. Self-rated health (SRH) was taken as an effect modifier between depression and mortality in the elderly group, and stratification took place into three groups (good, fair, poor). The case numbers of 4 CES-D-10 groups were 2253, 939, 285 and 522, respectively. After dividing into 4 CES-D-10 groups, the mortality prevalence rose as the CES-D-10 level grew (40.7%, 47.82%, 54.39% and 67.62%, respectively). In the subgroup analysis, although the p-value of log-rank test showed <0.05 in three groups, as the SRH got worse the Hazard Ratio became more significant (p = 0.122, 0.033, <0.001, respectively). Kaplan–Meier (K-M) survival estimates for different CES-D groups in SRH were poor, and we can see the curves representing second and third CES-D group going almost together, which may suggest the cutting point of CES-D-10 in predicting depression risk should be adjusted in the relatively unhealthy elderly. The importance of the relationship between depression and mortality is re-emphasized in our study. Moreover, through joining SRH in our analysis, we can conclude that in self-rated poor health any sign of depression may lead to a rise in mortality. Therefore, we should pay attention to the old age group’s psychological status, and remember that depressive mood should be scrutinized more carefully in the elderly who feel themselves to be unhealthy.
On the Association between Implant-Supported Prosthesis and Glycemic Control (HbA1c Values)
Authors: Masri Daya , Masri-Iraqi Hiba , Nissan Joseph , Nemcovsky Carlos , Gillman Leon , Naishlos Sarit , Chaushu Liat
Published: June 2022

Background: Dietary habits, food intake and oral health are important factors for general health. The aim of these present study was to assess the association between implant-supported fixed oral rehabilitation and glycemia, by monitoring HbA1c values before and after implant-supported prostheses (ISP) delivery to diabetic individuals. Methods: Retrospective, cohort study based on dental records. All treatments were performed by experienced oral and maxillofacial surgeons and experienced prosthodontists. Inclusion criteria: ISP delivery, diagnosis of diabetes in the medical files, consecutive individuals. Variables included—primary outcome—differences (delta) in HbA1c values prior to implant placement and one year after ISP delivery, early implant failure (EIF). Confounding factors included age, gender, physical status, smoking, implant jaw location, implant length, implant width, total implant count per individual. Results: Statistically significant (p < 0.01) decrease in HbA1c from 7.10 ± 1.09% to 6.66 ± 1.02% following ISP delivery was recorded. The mean HbA1c delta was 0.44 ± 0.73%, where 39.0% of the patients had a significant improvement (delta decrease > 0.5%). Univariate and multivariate model using logistic regression at individual level showed that initial high HbA1c levels was the only factor positively predicting improvement (OR = 1.96, CI [1.22, 3.14], p < 0.01). Univariate model at implant level demonstrated that implants placed in the anterior maxilla also contributed to significant improvement in HbA1c values. Multivariate analysis at implant level was similar to individual level. Number of missing teeth did not affect the results significantly. Conclusion: ISP delivery to partially or completely edentulous diabetic individuals may improve HbA1c balance. The mechanism awaits future elucidation.
The Associations among Gender, Age, eHealth Literacy, Beliefs about Medicines and Medication Adherence among Elementary and Secondary School Teachers
Authors: Huang Chiao Ling , Chiang Chia Hsing , Yang Shu Ching , Wu Fu-Zong
Published: June 2022

Background: A lack of health literacy may negatively impact patient adherence behavior in health care delivery, leading to a major threat to individual health and wellbeing and an increasing financial burden on national healthcare systems. Therefore, how to cultivate citizens’ health literacy, especially electronic health (eHealth) literacy that is closely related to the Internet, may be seen as a way to reduce the financial burden of the national healthcare systems, which is the responsibility of every citizen. However, previous studies on medication adherence have mostly been conducted with chronic disease patient samples rather than normal samples. Teachers are not only the main body of school health efforts, but also role models for students’ healthy behavior. Therefore, understanding differences in eHealth literacy beliefs among schoolteachers would be helpful for improving the existing health promoting programs and merit specific research. Aims: The present study identified the relationships among gender, age, electronic health (eHealth) literacy, beliefs about medicines, and medication adherence among elementary and secondary school teachers. Methods: A total of 485 teachers aged 22–51 years completed a pen-and-paper questionnaire. The instruments included an eHealth literacy scale, a belief about medicines scale and a medication adherence scale. Results: The results showed a significant difference between genders in necessity beliefs about medication (t = 2.00, p < 0.05), and a significant difference between ages in functional eHealth literacy (F = 3.18, p < 0.05) and in necessity beliefs about medication (Welch = 7.63, p < 0.01). Moreover, age (β = 0.09), functional eHealth literacy (β = 0.12), and necessity beliefs about medication (β = 0.11) positively predicted medication adherence, while concerns about medication (β = −0.23) negatively predicted medication adherence. Conclusions: The results showed that male teachers had stronger concerns about medication than female teachers. Teachers aged 42–51 years had lower functional eHealth literacy and stronger necessity beliefs about medication than teachers aged 22–31 years. In addition, teachers who were older, had higher functional eHealth literacy, had stronger necessity beliefs about medication, and had fewer concerns about medication tended to take their medications as prescribed. These findings revealed that helping teachers develop high eHealth literacy and positive beliefs about medicines is an effective strategy for improving medication adherence.
Assessing the Environmental-Health-Economic Co-Benefits from Solar Electricity and Thermal Heating in Ulaanbaatar, Mongolia
Authors: Farzaneh Hooman , Dashti Mehrnoosh , Zusman Eric , Lee So-Young , Dagvadorj Damdin , Nie Zifei
Published: June 2022

This article quantifies the environmental, health, and economic co-benefits from the use of solar electricity and heat generation in the Ger area (a sub-district of traditional residences and private houses) in Ulaanbaatar (UB), Mongolia. The quantification of the featured co-benefits is based on calculating emissions reductions from the installation of the solar photovoltaic (PV) and solar water heaters. A user-friendly spreadsheet tool is developed to shed much-needed light on the steps involved in estimating these co-benefits. The tool simulates the hourly electricity and thermal energy generation, taking into account local meteorological conditions, local geographical data, and technical specifications of the solar power and heat generation systems. The tool is then employed to evaluate two intervention scenarios: (1) Installing 100 MW solar electricity, including both rooftop PV and community grids, to reduce the peak-load burden on the grid; (2) Providing solar thermal heaters for 20,000 households to replace the heating load demand from the existing heat only boilers (HOBs) in UB. The modelling results reveal a significant reduction in GHG emissions and fine particulate matter (PM2.5) (PM that is 2.5 microns or less in diameter) by 311,000 tons and 767 tons, respectively, as well as nearly 6500 disability-adjusted life years (DALYs) and an annual saving of USD 7.7 million for the local economy. The article concludes that the mainstreaming spreadsheet-based estimation tools like the one used in this article into decision-making processes can fill important research gaps (e.g., usability of assessment tools) and help translate co-benefits analyses into action in Mongolia and beyond.
Assessing Institutional Stakeholders’ Perception and Limitations on Coping Strategies in Flooding Risk Management in West Africa
Authors: Kouamé Parfait K. , Fokou Gilbert , Koffi Amoin Jeanne d’Arc , Sani Amidou , Bonfoh Bassirou , Dongo Kouassi
Published: June 2022

Despite efforts at the national and international levels to mitigate adverse effects of climate change on the environment and human health in developing countries, there is still a paucity of data and information concerning stakeholder’s engagement and their level of collaboration, responses and assistance in West Africa. This study aimed at assessing the perception of institutional stakeholders and limitations on coping strategies in flooding risk management in Abidjan (Côte d’Ivoire) and Lomé (Togo). Using a transdisciplinary framework, the methodological approach basically relied on qualitative data collected through desk review and key informant interviews with various stakeholders, covering a range of topics related to flooding risk. Findings show that flooding experiences cause serious environmental and health problems to populations. Poor hygiene practices and contacts with contaminated water are the main causes of risks. Collaboration between stakeholders is limited, reducing the efficiency of planned interventions. Furthermore, health risk prevention strategies are still inadequately developed and implemented. Findings also show limited capacities of affected and displaced people to cope and plan for their activities. Engaging various stakeholders in the health risk prevention plans is likely to improve the efficiency of coping strategies in flooding risk management in West Africa.
Comprehensive Monitoring and Benefit Evaluation of Converting Farmlands into Forests and Grasslands in China
Authors: Li Shidong , Wang Bing , Zhang Sheng , Chen Yingfa , Zhao Guangshuai
Published: June 2022

Conversion of farmlands to forests and grasslands (CFFG) is one of the major ecological projects with the largest investment, strongest policy, widest coverage and highest degree of participation in China, and even in the world. In order to scientifically evaluate the benefits and dynamic changes, better serve the decision-making, consolidate the achievements and promote the high-quality development of this project, it is of great significance to organize the monitoring and evaluation of its benefits. On the basis of reviewing and summarizing the monitoring and evaluation history of the benefits, this study established an indicator system for comprehensive monitoring and evaluation, composed of three components of benefits, 10 categories and 48 indicators, including 23 indicators of ecological benefits, 11 indicators of economic benefits and 14 indicators of social benefits. These methods of monitoring and evaluation are applied to the systematic and full coverage monitoring and evaluation of the national project of CFFG for the first time. There are four aspects of the innovation of this research: First, it is the first time that a comprehensive ecological, economic and social benefit evaluation indicator system has been established. Second, it is the first time that quantitative evaluation methods have been established. Third, it is the first comprehensive quantitative assessment of the CFFG project. Fourth, this is a full-scale evaluation of the project for the first time. The evaluation results show that the total value of the three benefits from the CFFG project is 2405.046 billion Yuan (354.4129 billion US$)·y−1, of which the ecological benefit is 1416.864 billion Yuan (208.7922 billion US$)·y−1, the economic benefit is 255.486 billion Yuan (37.649 billion US$)·y−1 and the social benefit is 732.696 billion Yuan (107.9717 billion US$)·y−1, accounting for 58.92%, 10.62% and 30.46%, respectively, of the total benefits. Our results provide detailed evaluation of the achievement and benefits of the CFFG project.
Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy
Authors: Phyu Sitt Nyein , Peungsuwan Punnee , Puntumetakul Rungthip , Chatchawan Uraiwan
Published: June 2022

Type 2 diabetic peripheral neuropathy is known to cause balance limitations in static, dynamic, and functional activity. The Mini-BESTest, a shortened version of BESTest, was evolved to identify balance disorders within a short duration. No prior studies have yet been conducted to assess the usefulness of Mini-BESTest in the diagnosis of type 2 diabetic peripheral neuropathy. The current study aimed to examine the reliability and discriminant validity by comparing the Mini-BESTest scores between type 2 diabetic patients with peripheral neuropathy, divided into two 2 groups based on reporting scores of <4 and ≥4 in the MNSI questionnaire, respectively. Therefore, a cross-sectional study design was conducted including 44 type 2 diabetic patients (4 males and 40 females; aged 56.61 ± 7.7 years old). Diabetic peripheral neuropathy was diagnosed by physical assessment using the Michigan Neuropathy Screening Instrument (MNSI). Inter-rater (two physiotherapists) and Intra-rater (7–10 days) reliability of the Mini-BESTest were explored with intraclass correlation coefficients (ICC2,1) and (ICC3,1). The Mini-BESTest presented an excellent inter-rater reliability (ICC2,1= 0.95, 95% CI = 0.91–0.97, SEM = 0.61) and an excellent intra-rater reliability (ICC3,1 = 0.93, 95% CI = 0.87–0.96, SEM = 0.66), with confirmation by a good agreement presented by the Bland–Altman plots. The internal consistency measured with the overall Cronbach’s alpha showed an acceptable agreement (0.73). The MDC was 2.16. In addition, the Mini-BESTest scores in the type 2 diabetic neuropathy patients reporting MNSI questionnaire scores <4 was found to be significantly higher when compared with those reporting scores ≥4. The Mini-BESTest can be used as a highly reliable and valid clinical application in the population with type 2 diabetic peripheral neuropathy.
Self-Rated Health Status of Upper Secondary School Pupils and Its Associations with Multiple Health-Related Factors
Authors: Cocca Armando , Niedermeier Martin , Prünster Vera , Wirnitzer Katharina , Drenowatz Clemens , Greier Klaus , Labek Karin , Ruedl Gerhard
Published: June 2022

Health is an essential part of any individual, and gains particular importance in youth, as a good health at this age is more likely to reduce health risks both in the short and long term. The aim of this study was to assess the impact of physical and contextual parameters on youths’ perceived health. A total of 919 adolescents completed questionnaires on self-rated health status, electronic media use, leisure time and club physical activity, alcohol and tobacco consumption, and back pain, as well as performed the German Motor Performance Test. Participants with very good health had significantly higher physical fitness, leisure time exercise, and participated in sports clubs more often than those with poorer health. Electronic media use was significantly higher for those with poor/very poor health. Future intervention programs to improve youth health status should not only focus on active lifestyle but might also consider the impact of socioenvironmental factors, such as daily media use.
Analysis of Atmospheric CO2 and CO at Akedala Atmospheric Background Observation Station, a Regional Station in Northwestern China
Authors: Zhao Zhujun , He Qing , Lu Zhongqi , Zhao Quanwei , Wang Jianlin
Published: June 2022

Air samples were collected by flasks and analyzed via a Picarro G2401 gas analyzer for carbon dioxide (CO2) and carbon monoxide (CO) at the Akedala Atmospheric Background Station in Xinjiang, China, from September 2009 to December 2019, to analyze the changes in the characteristics of atmospheric CO2 and CO and determine the sources. The results show that the annual average CO2 concentration showed an increasing trend (growth rate: 1.90 ppm year−1), ranging from 389.80 to 410.43 ppm, and the annual average CO concentration also showed an increasing trend (growth rate: 1.78 ppb year−1), ranging from 136.30 to 189.82 ppb. The CO2 concentration and growth rate were the highest in winter, followed by autumn, spring, and summer. The CO concentration and growth rate were also the highest in winter due to anthropogenic emissions, ecosystem effects, and diffusion conditions. The main trajectories of CO2 and CO determined by the Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) model were parallel to the Irtysh River valley and then passed through the Old Wind Pass. Furthermore, the main source regions of CO2 and CO at the Akedala Station were eastern Kazakhstan, southern Russia, western Mongolia, and the Xinjiang Tianshan North Slope Economic Zone of China. This study reflects the characteristics of long-term changes in CO2 and CO concentrations at the Akedala station and provides fundamental data for the studies on environmental changes and climate change in Central Asia.
Eco-Efficiency and Its Drivers in Tourism Sectors with Respect to Carbon Emissions from the Supply Chain: An Integrated EEIO and DEA Approach
Authors: Xia Bing , Dong Suocheng , Li Zehong , Zhao Minyan , Sun Dongqi , Zhang Wenbiao , Li Yu
Published: June 2022

Eco-efficiency analysis can provide useful information about sustainability in the tourism industry, which has an important role in both global economy recovery and Sustainable Development Goals (SDGs), generating considerable indirect carbon emissions with respect to the supply chain due to its significant connections to other industries. This study, from the perspective of tourism sectors, including tourism hotels, travel agencies, and scenic spots, integrated the environmentally extended input–output analysis (EEIO) and data envelopment analysis (DEA) models to develop a research framework, analyzing the indirect carbon emissions of the tourism supply chain, evaluating eco-efficiency with respect to both direct carbon emissions and total carbon emissions (including direct and indirect parts), and exploring the driving factors of eco-efficiency of tourism sectors using Tobit regression models. This study took Gansu as a case, a province in China characterized by higher carbon intensity, an underdeveloped economy, and rapid tourism growth. The results demonstrate that (1) tourism hotels contribute the most carbon emissions in tourism sectors, especially indirectly due to the supply chain, with carbon emissions mainly resulting from the manufacturing of food and tobacco; (2) the eco-efficiency of tourism sectors in Gansu presents a U-shaped curve, which is consistent with Kuznets’ theory; and (3) energy technology is key to improving the eco-efficiency of tourism sectors. The research results provide a clear path for the reduction of carbon emissions and the improvement of eco-efficiency in Gansu tourism sectors. Against the backdrop of global climate change and the post-COVID-19 era, our research framework and findings provide a reference for similar regions and countries who are in urgent need of rapid tourism development to effect economic recovery.
Preparation of Recombinant Human Collagen III Protein Hydrogels with Sustained Release of Extracellular Vesicles for Skin Wound Healing
Authors: Xu Lanju , Liu Yufei , Tang Lizong , Xiao Hui , Yang Zhuo , Wang Shufang
Published: June 2022

Existing treatment methods encounter difficulties in effectively promoting skin wound healing, making this a serious challenge for clinical treatment. Extracellular vesicles (EVs) secreted by stem cells have been proven to contribute to the regeneration and repair of wound tissue, but they cannot be targeted and sustained, which seriously limits their current therapeutic potential. The recombinant human collagen III protein (rhCol III) has the advantages of good water solubility, an absence of hidden viral dangers, a low rejection rate and a stable production process. In order to achieve a site-specific sustained release of EVs, we prepared a rhCol III hydrogel by cross-linking with transglutaminase (TGase) from Streptomyces mobaraensis, which has a uniform pore size and good biocompatibility. The release profile of the rhCol III-EVs hydrogel confirmed that the rhCol III hydrogel could slowly release EVs into the external environment. Herein, the rhCol III-EVs hydrogel effectively promoted macrophage changing from type M1 to type M2, the migration ability of L929 cells and the angiogenesis of human umbilical vein endothelial cells (HUVECs). Furthermore, the rhCol III-EVs hydrogel is shown to promote wound healing by inhibiting the inflammatory response and promoting cell proliferation and angiogenesis in a diabetic rat skin injury model. The reported results indicate that the rhCol III-EVs hydrogel could be used as a new biological material for EV delivery, and has a significant application value in skin wound healing.
Function of Graphene Oxide as the “Nanoquencher” for Hg2+ Detection Using an Exonuclease I-Assisted Biosensor
Authors: Sun Ting , Li Xian , Jin Xiaochuan , Wu Ziyi , Chen Xiachao , Qiu Jieqiong
Published: June 2022

Graphene oxide is well known for its excellent fluorescence quenching ability. In this study, positively charged graphene oxide (pGO25000) was developed as a fluorescence quencher that is water-soluble and synthesized by grafting polyetherimide onto graphene oxide nanosheets by a carbodiimide reaction. Compared to graphene oxide, the fluorescence quenching ability of pGO25000 is significantly improved by the increase in the affinity between pGO25000 and the DNA strand, which is introduced by the additional electrostatic interaction. The FAM-labeled single-stranded DNA probe can be almost completely quenched at concentrations of pGO25000 as low as 0.1 μg/mL. A simple and novel FAM-labeled single-stranded DNA sensor was designed for Hg2+ detection to take advantage of exonuclease I-triggered single-stranded DNA hydrolysis, and pGO25000 acted as a fluorescence quencher. The FAM-labeled single-stranded DNA probe is present as a hairpin structure by the formation of T–Hg2+–T when Hg2+ is present, and no fluorescence is observed. It is digested by exonuclease I without Hg2+, and fluorescence is recovered. The fluorescence intensity of the proposed biosensor was positively correlated with the Hg2+ concentration in the range of 0–250 nM (R2 = 0.9955), with a seasonable limit of detection (3σ) cal. 3.93 nM. It was successfully applied to real samples of pond water for Hg2+ detection, obtaining a recovery rate from 99.6% to 101.1%.
Regulatory and Enterotoxin Gene Expression and Enterotoxins Production in Staphylococcus aureus FRI913 Cultures Exposed to a Rotating Magnetic Field and trans-Anethole
Authors: Kwiatkowski Paweł , Tabiś Aleksandra , Fijałkowski Karol , Masiuk Helena , Łopusiewicz Łukasz , Pruss Agata , Sienkiewicz Monika , Wardach Marcin , Kurzawski Mateusz , Guenther Sebastian , Bania Jacek , Dołęgowska Barbara , Wojciechowska-Koszko Iwona
Published: June 2022

The study aimed to examine the influence of a rotating magnetic field (RMF) of two different frequencies (5 and 50 Hz) on the expression of regulatory (agrA, hld, rot) and staphylococcal enterotoxin (SE—sea, sec, sel) genes as well as the production of SEs (SEA, SEC, SEL) by the Staphylococcus aureus FRI913 strain cultured on a medium supplemented with a subinhibitory concentration of trans-anethole (TA). Furthermore, a theoretical model of interactions between the bacterial medium and bacterial cells exposed to RMF was proposed. Gene expression and SEs production were measured using quantitative real-time PCR and ELISA techniques, respectively. Based on the obtained results, it was found that there were no significant differences in the expression of regulatory and SE genes in bacteria simultaneously cultured on a medium supplemented with TA and exposed to RMF at the same time in comparison to the control (unexposed to TA and RMF). In contrast, when the bacteria were cultured on a medium supplemented with TA but were not exposed to RMF or when they were exposed to RMF of 50 Hz (but not to TA), a significant increase in agrA and sea transcripts as compared to the unexposed control was found. Moreover, the decreased level of sec transcripts in bacteria cultured without TA but exposed to RMF of 50 Hz was also revealed. In turn, a significant increase in SEA and decrease in SEC and SEL production was observed in bacteria cultured on a medium supplemented with TA and simultaneously exposed to RMFs. It can be concluded, that depending on SE and regulatory genes expression as well as production of SEs, the effect exerted by the RMF and TA may be positive (i.e., manifests as the increase in SEs and/or regulatory gene expression of SEs production) or negative (i.e., manifests as the reduction in both aforementioned features) or none.
Physiology, Biochemistry and Pharmacology of Transporters for Organic Cations 2.0
Authors: Ciarimboli Giuliano
Published: June 2022

This editorial summarizes the 12 scientific papers published in the Special Issue “Physiology, Biochemistry, and Pharmacology of Transporters for Organic Cations 2 [...]
Nerve Growth Factor (NGF) as Partaker in the Modulation of UV-Response in Cultured Human Conjunctival Fibroblasts
Authors: Esposito Graziana , Balzamino Bijorn Omar , Rocco Maria Luisa , Aloe Luigi , Micera Alessandra
Published: June 2022

Corroborating data sustain the pleiotropic effect of nerve growth factor (NGF) in the protection of the visual system from dangerous stimuli, including ultraviolet (UV). Since UV exposure might promote ocular surface changes (conjunctival inflammation and matrix rearrangement), as previously reported from in vivo studies sustaining some protective NGF effects, in vitro cultures of human conjunctival fibroblasts (FBs) were developed and exposed to a single UV exposure over 15 min (0.277 W/m2), either alone or supplemented with NGF (1–10–100 ng/mL). Conditioned media and cell monolayers were collected and analyzed for protein release (ELISA, ELLA microfluidic) and transcript expression (real-time PCR). A specific “inflammatory to remodeling” pattern (IL8, VEGF, IL33, OPN, and CYR61) as well as a few epigenetic transcripts (known as modulator of cell differentiation and matrix-remodeling (DNMT3a, HDAC1, NRF2 and KEAP1)) were investigated in parallel. UV-exposed FBs (i), showed no proliferation or significant cytoskeleton rearrangement; (ii), displayed a trkANGFR/p75NTR phenotype; and (iii), synthesized/released IL8, VEGF-A, IL33, OPN, and CYR61, as compared to unexposed ones. NGF addition counteracted IL8, IL33, OPN, and CYR61 protein release merely at lower NGF concentrations but not VEGF. NGF supplementation did not affect DNMT3a or HDAC1 transcripts, while it significantly upregulated NRF2 at lowest NGF doses and did not change KEAP1 expression. Taken together, a single UV exposure activated conjunctival FBs to release pro-inflammatory/fibrogenic factors in association with epigenetic changes. The effects were selectively counteracted by NGF supplementation in a dose-dependent fashion, most probably accountable to the trkANGFR/p75NTR phenotype. Further in vitro studies are underway to better understand this additional NGF pleiotropic effect. Since UV-shield impairments represent a worldwide alert and UV radiation can slowly affect ocular surface homeostasis (photo-ageing, cataract) or might exacerbate ocular diseases with a preexisting fibrosis (pterygium, VKC), these findings on NGF modulation of UV-exposed FBs might provide additional information for protecting the ocular surface (homeostasis) from low-grade long-lasting UV insults.
The Sedentary Lifestyle and Masticatory Dysfunction: Time to Review the Contribution to Age-Associated Cognitive Decline and Astrocyte Morphotypes in the Dentate Gyrus
Authors: Siqueira Mendes Fabíola de Carvalho Chaves de , Almeida Marina Negrão Frota de , Falsoni Manoela , Andrade Marcia Lorena Ferreira , Felício André Pinheiro Gurgel , Paixão Luisa Taynah Vasconcelos Barbosa da , Júnior Fábio Leite do Amaral , Anthony Daniel Clive , Brites Dora , Diniz Cristovam Wanderley Picanço , Sosthenes Marcia Consentino Kronka
Published: June 2022

As aging and cognitive decline progresses, the impact of a sedentary lifestyle on the appearance of environment-dependent cellular morphologies in the brain becomes more apparent. Sedentary living is also associated with poor oral health, which is known to correlate with the rate of cognitive decline. Here, we will review the evidence for the interplay between mastication and environmental enrichment and assess the impact of each on the structure of the brain. In previous studies, we explored the relationship between behavior and the morphological features of dentate gyrus glial fibrillary acidic protein (GFAP)-positive astrocytes during aging in contrasting environments and in the context of induced masticatory dysfunction. Hierarchical cluster and discriminant analysis of GFAP-positive astrocytes from the dentate gyrus molecular layer revealed that the proportion of AST1 (astrocyte arbors with greater complexity phenotype) and AST2 (lower complexity) are differentially affected by environment, aging and masticatory dysfunction, but the relationship is not straightforward. Here we re-evaluated our previous reconstructions by comparing dorsal and ventral astrocyte morphologies in the dentate gyrus, and we found that morphological complexity was the variable that contributed most to cluster formation across the experimental groups. In general, reducing masticatory activity increases astrocyte morphological complexity, and the effect is most marked in the ventral dentate gyrus, whereas the effect of environment was more marked in the dorsal dentate gyrus. All morphotypes retained their basic structural organization in intact tissue, suggesting that they are subtypes with a non-proliferative astrocyte profile. In summary, the increased complexity of astrocytes in situations where neuronal loss and behavioral deficits are present is counterintuitive, but highlights the need to better understand the role of the astrocyte in these conditions.
Can Mixed Intercropping Protect Cereals from Aphid-Borne Viruses? An Experimental Approach
Authors: Grauby Sarah , Ferrer Aurélie , Tolon Vincent , Roume Anthony , Wezel Alexander , Jacquot Emmanuel
Published: June 2022

Intercropping, i.e., association of two or more species, is promising to reduce insect populations in fields. The cereal aphid Rhopalosiphum padi, a vector of the Barley yellow dwarf virus PAV (BYDV-PAV), represents a major threat for cereal grain production. In this study, we tested the potential of winter barley intercropped with clover to reduce the size of R. padi populations and to lower the BYDV-PAV incidence in fields. We used arenas (i.e., sets of 36 barley plants) intercropped with or without clover plants (at different sown densities). In each arena, a single viruliferous founder, R. padi, (with an alate or a wingless morph) was deposited to introduce aphids and viruses in the experiment. Thirteen days later, the number of aphids in the arena, the percentage of plants hosting aphids and the infection rates were monitored. Data produced through this experimental design showed that clover alters the distribution of the aphid progeny (lower aphid spread) produced by an alate founder morph. Moreover, clover reduces the size of aphid populations produced by a wingless founder morph. However, despite the effects of clover on biological parameters of R. padi, the presence of clover in barley arena did not modify BYDV infections, suggesting complex mechanisms between partners of the BYDV pathosystem for plant-to-plant virus spread.
Maternal Glycemic Spectrum and Adverse Pregnancy and Perinatal Outcomes in a Multiracial US Cohort
Authors: Kwapong Yaa Adoma , Boakye Ellen , Wang Guoying , Hong Xiumei , Lewey Jennifer , Mamas Mamas Andreas , Wu Pensee , Blaha Michael Joseph , Nasir Khurram , Hays Allison Gamboa , Blumenthal Roger Scott , Wang Xiaobin , Sharma Garima
Published: June 2022

Diabetes mellitus (pregestational (PDM) and gestational (GDM)) is associated with adverse pregnancy outcomes (APOs). However, studies exploring the association of APOs with maternal glycemia among women without PDM/GDM are limited. We utilized data from 4119 women (307—PDM; 582—GDM; 3230—non-PDM/GDM) in the Boston Birth Cohort (1998–2016). Women in the non-PDM/GDM group were subdivided by tertiles of 1 h, 50 g oral glucose load test at 24–32 weeks: T1: 50–95 mg/dL (n = 1166), T2: 96–116 mg/dL (n = 1151), T3: 117–201 mg/dL (n = 913). Using multivariable logistic regression, we examined the association of maternal glycemia with APOs—preterm birth (PTB) and hypertensive disorders of pregnancy (HDP)—and adverse perinatal outcomes—high birth weight (HBW), cesarean section (CS), and sub-analyses by race-ethnicity. Compared to women in T1, women in T2 and T3 had a higher prevalence of pre-existing hypertension (T1: 2.8% vs. T2: 5.2% vs. T3: 6.3%) and obesity (T1: 13.3% vs. T2: 18.1% vs. T3: 22.9%). Women in T2 and T3 had higher odds of HBW (adjusted odds ratio aOR T2: 1.47 [1.01–2.19] T3: 1.68 [1.13–2.50]) compared to women in T1. Additionally, women in T2, compared to T1, had higher odds of HDP (aOR 1.44 [1.10–1.88]). Among non-Hispanic Black (NHB) women, those in T2 and T3 had higher odds of HDP compared to T1 (aOR T2 1.67 [1.13–2.51]; T3: 1.68 [1.07–2.62]). GDM and PDM were associated with higher odds of HBW, CS, PTB, and HDP, compared to women in T1. In this predominantly NHB and Hispanic cohort, moderate maternal glycemia without PDM/GDM was associated with higher odds of HBW and HDP, even more strongly among NHB women. If confirmed, a review of current guidelines of glucose screening and risk stratification in pregnancy may be warranted.
Combined Assessment of the Obstetrical Conjugate and Fetal Birth Weight Predicts Birth Mode Outcome in Vaginally Intended Breech Deliveries of Primiparous Women—A Frabat Study
Authors: Zander Nadja , Raimann Florian J. , Al Naimi Ammar , Brüggmann Dörthe , Louwen Frank , Jennewein Lukas
Published: June 2022

(1) Background: Guidelines on vaginal breech delivery require birth weight restrictions and neglect the impact of pelvic measurements despite contradicting evidence. There is a great need for more evidence on delivery outcome predicting factors for patients counselling. (2) Methods: We performed a prospective cohort study on 748 primiparous women intending vaginal breech birth and analyzed combined influence of fetal birth weight (BW) and the obstetric conjugate (conjugate vera obstetrica, CVO) on delivery outcome. (3) Results: We generated a BW/CVO ratio and devided our study cohort at median (257.8 g/cm) into a low ratio group (LR, with low birth weight and wide obstetric conjugate) and a high ratio group (HR, high birth weight and narrow obstetric conjugate). Cesarean section (CS) rate was significantly higher in HR (50.3%) as compared to LR (28.3%, p < 0.0001). Fetal morbidity was not different. In vaginally completed deliveries duration of birth was significantly longer in vHR (557 min) as in vLR (414 min, p < 0.001). Manual assistance to deliver the arms (‘Louwen maneuver’) positively correlated with birth weight (r2 = 0.215; p = 0.005) and the BW/CVO ratio (r2 = 0.0147; p = 0.02). (4) Conclusions: A high fetal birth weight combined with a tiny CVO predicts higher cesarean section probability, longer birth duration and the necessity to perform arm delivery assistance. Birth weight and pelvic measurements should be topics of great importance in patients counselling.
How Long Does It Take to Regain Normocalcaemia in the Event of Postsurgical Hypoparathyroidism? A Detailed Time Course Analysis
Authors: Guglielmetti Laura , Schmidt Sina , Busch Mirjam , Wagner Joachim , Naddaf Ali , Leitner Barbara , Harsch Simone , Zielke Andreas , Smaxwil Constantin
Published: June 2022

Background: Postsurgical hypoparathyroidism (PH) is the most common side effect of bilateral thyroid resections. Data regarding the time course of recovery from PH are currently unavailable. Therefore, a detailed analysis of the time course of PH recovery and conditions associated with rapid recovery was conducted. Methods: This is a retrospective analysis of prospectively documented data. Patients with biochemical signs of PH or need for calcium supplementation were followed-up for 12 months. Logistic regression analyses were used to identify covariates of early as opposed to late recovery from PH. Results: There were 1097 thyroid resections performed from 06/2015 to 07/2016 with n = 143 PH. Median recovery time was 8 weeks and six patients (1.1% of total thyroid resections) required calcium supplementation > 12 months. Recovery of PH within 4 and 12 weeks was characterized by high PTH levels on the first postoperative day (4 weeks: OR 1.13, 95% CI 1.06–1.20; 12 weeks: OR 1.08, 95%CI 1.01–1.16). Visualization of all PTGs emerged as an independent predictor of recovery within 12 months (OR 2.32, 95% CI 1.01–4.93) and 24 weeks (OR 2.69, 95% CI 1.08–6.69). Conclusion: In the setting of specialized high-volume endocrine surgery, permanent PH is rare. However, every second patient will require more than 2 months of continued medical surveillance. Early recovery was associated with only moderately decreased postsurgical PTH-levels. Successful late recovery appeared to be associated with the number of parathyroid glands visualized during surgery.
Direct Estimation of Choroidal Thickness in Optical Coherence Tomography Images with Convolutional Neural Networks
Authors: Rong Yibiao , Jiang Zehua , Wu Weihang , Chen Qifeng , Wei Chuliang , Fan Zhun , Chen Haoyu
Published: June 2022

Automatic and accurate estimation of choroidal thickness plays a very important role in a computer-aided system for eye diseases. One of the most common methods for automatic estimation of choroidal thickness is segmentation-based methods, in which the boundaries of the choroid are first detected from optical coherence tomography (OCT) images. The choroidal thickness is then computed based on the detected boundaries. A shortcoming in the segmentation-based methods is that the estimating precision greatly depends on the segmentation results. To avoid the dependence on the segmentation step, in this paper, we propose a direct method based on convolutional neural networks (CNNs) for estimating choroidal thickness without segmentation. Concretely, a B-scan image is first cropped into several patches. A trained CNN model is then used to estimate the choroidal thickness for each patch. The mean thickness of the choroid in the B-scan is obtained by taking the average of the choroidal thickness on each patch. Then, 150 OCT volumes are collected to evaluate the proposed method. The experiments show that the results obtained by the proposed method are very competitive with those obtained by segmentation-based methods, which indicates that direct estimation of choroidal thickness is very promising.
Combined First Month Body Weight Loss and Development of Tolerance as Predictors of 6-Month Efficacy of Mazindol in Mild and Moderate Obese Subjects
Authors: Huerta-Cruz Juan Carlos , Rocha-González Héctor Isaac , Kammar-García Ashuin , Canizales-Quinteros Samuel , Barranco-Garduño Lina Marcela , Reyes-García Juan Gerardo
Published: June 2022

The weight loss response to anti-obesity drugs is highly variable and poorly understood, which does not allow us to know, in advance, in which subjects the drug will be effective and in which it will not. The objective of this study was to explore the body weight reduction in kilograms in the first month (1mo-BWRkg) and the development of tolerance as predictors of 6-month efficacy for treatment with 1 mg mazindol twice a day. One hundred ninety-six obese subjects were individually or jointly analyzed. Approximately 60% of subjects developed tolerance to mazindol and achieved increasing proportional levels of 6-month efficacy according to 1mo-BWRkg intervals (<1 kg, 1 to <2 kg, 2 to <4 kg and ≥4 kg). Both moT and 1mo-BWRkg were significantly correlated with the mean percentage body weight reduction (BWR%) after 6-months of treatment. The qualitative analysis of both predictors on the progressive efficacy of mazindol was used to classify patients according to expected efficacy (inefficient, slightly effective, partially effective, or fully effective), based on the mean percentage efficacy and the number of subjects reaching a BWR% of <5%, 5 to <10%, 10 to <15% or ≥15%. In conclusion, combined 1mo-BWRkg and moT were early predictors for the progressive efficacy of 6-month mazindol anti-obesity therapy. This finding represents progress in predictive, preventive, and personalized medicine which could serve for estimating the expectations of individual efficacy with the use of the drug. and highlights the basic principle of personalized medicine, “one size does not fit all”.
Alternative Insertion Site of Nexplanon: Description of a Case Report and Systematic Review of the Literature
Authors: Stabile Guglielmo , Foti Carmelina , Mordeglia Denise , De Santo Davide , Mangino Francesco Paolo , Laganà Antonio Simone , Ricci Giuseppe
Published: June 2022

The etonogestrel (ENG) implant is among the most effective reversible contraceptives. It can be a good option for patients with different chronic diseases due to no clinically significant effects on lipid metabolism or liver function. Some limitations in the use of this type of device are represented by social and psychiatric disorders, where the easy accessibility of the device becomes a negative feature. In these patients several cases of self-removal or damage to the device have been reported. We report the successful insertion of the Nexplanon® device into the scapular region in a young woman with a chronic psychiatric disorder. To verify the presence in the literature of other possible implantation sites, we performed a systematic review of the literature on Pubmed, Google scholar and Scopus from 2000 to 2021 using different combinations of the following terms: (Nexplanon), (contraceptive implant), (insertion). Two manuscripts with three cases were detected. Nexplanon® was implanted in the upper back. In all cases, there were no complications during the insertions and the follow up demonstrated no side effects with contraceptive efficacy. Our report and review is a further confirmation that the scapular region can become a valid insertion site, maintaining good efficacy and safety of the subcutaneous device.