bluuebunny/crossref_metadata_2025 huggingface dataset:
Melatonin Protects the Apoptosis of Sheep Granulosa Cells by Suppressing Oxidative Stress via MAP3K8 and FOS Pathway
Authors: Zhai Bo , Li Xu , Zhao Zhongli , Cao Yang , Liu Xinxin , Liu Zheng , Ma Huihai , Lu Wenfa
Published: May 2023

Melatonin is not only a highly effective active oxygen scavenger but also an important reproductive hormone. Melatonin has a regulatory effect on animal reproduction, especially on the ovaries. It can affect the proliferation and apoptosis of cells in follicles. However, the mechanisms of the dual antioxidation and anti-apoptosis effects of melatonin on granulosa cells are still not clear, especially in sheep. Therefore, we investigated the mechanisms of the protective effect of melatonin against oxidative damage in granulosa cells. At a concentration of 250 µmol/L, H2O2 promoted granulosa cell apoptosis; however, 10 ng/mL melatonin effectively alleviated the pro-apoptotic effect of H2O2. Furthermore, through the application of high-throughput sequencing technology, we identified 109 significantly differentially expressed genes (35 upregulated and 74 downregulated genes) involved in the protective effect of melatonin against apoptosis. The expression levels of nine related genes, i.e., ATF3, FIBIN, FOS, HSPA6, MAP3K8, FOSB, PET117, DLX2, and TRIB1, changed significantly. MAP3K8 and FOS gene overexpression impacted the protective effect of melatonin in granulosa cells; the two genes exhibited an upstream and downstream regulatory relationship. Our findings indicated that melatonin alleviated H2O2-induced apoptosis in sheep granulosa cells through the MAP3K8-FOS pathway.
Alterations in Physiological, Biochemical, and Molecular Responses of Impatiens walleriana to Drought by Methyl Jasmonate Foliar Application
Authors: Đurić Marija , Subotić Angelina , Prokić Ljiljana , Trifunović-Momčilov Milana , Milošević Snežana
Published: May 2023

Drought stress affects plant growth and development through several mechanisms, including the induction of oxidative stress. To cope with drought, plants have drought tolerance mechanisms at the physiological, biochemical, and molecular levels. In this study, the effects of foliar application of distilled water and methyl jasmonate (MeJA) (5 and 50 µM) on the physiological, biochemical, and molecular responses of Impatiens walleriana during two drought regimes (15 and 5% soil water content, SWC) were investigated. The results showed that plant response depended on the concentration of the elicitor and the stress intensity. The highest chlorophyll and carotenoid contents were observed at 5% SWC in plants pre-treated with 50 µM MeJA, while the MeJA did not have a significant effect on the chlorophyll a/b ratio in drought-stressed plants. Drought-induced formation of hydrogen peroxide and malondialdehyde in plants sprayed with distilled water was significantly reduced in plant leaves pretreated with MeJA. The lower total polyphenol content and antioxidant activity of secondary metabolites in MeJA-pretreated plants were observed. The foliar application of MeJA affected the proline content and antioxidant enzyme activities (superoxide dismutase, peroxidase, and catalase) in plants that suffered from drought. The expression of abscisic acid (ABA) metabolic genes (IwNCED4, IwAAO2, and IwABA8ox3) was the most affected in plants sprayed with 50 µM MeJA, while of the four analyzed aquaporin genes (IwPIP1;4, IwPIP2;2, IwPIP2;7, and IwTIP4;1), the expression of IwPIP1;4 and IwPIP2;7 was strongly induced in drought-stressed plants pre-treated with 50 µM MeJA. The study’s findings demonstrated the significance of MeJA in regulating the gene expression of the ABA metabolic pathway and aquaporins, as well as the considerable alterations in oxidative stress responses of drought-stressed I. walleriana foliar sprayed with MeJA. The results improved our understanding of this horticulture plant’s stress physiology and the field of plant hormones’ interaction network in general.
TNFα Causes a Shift in Gene Expression of TNFRSF1A and TNFRSF1B Isoforms
Authors: Perik-Zavodskaia Olga , Zhukova Julia , Perik-Zavodskii Roman , Alshevskaya Alina , Lopatnikova Julia , Sennikov Sergey
Published: May 2023

Alternative splicing is a part of mRNA processing that expands the diversity of proteins encoded by a single gene. Studying the full range of proteins–products of translation of alternatively spliced mRNA is extremely important for understanding the interactions between receptor proteins and ligands since different receptor protein isoforms can provide variation in the activation of signaling pathways. In this study, we investigated the expression of isoforms of TNFR1 and TNFR2 receptors before and after exposure to TNFα in two cell lines that had previously demonstrated diverse effects on cell proliferation under TNFα incubation using RT-qPCR. We found that after incubation with TNFα: (1) expression of isoform 3 of the TNFRSF1A gene was increased in both cell lines; (2) the cell line with increased proliferation, K562, had decreased expression of isoforms 1 and 4 of the TNFRSF1A gene and expression of isoform 2 of TNFRSF1B gene was absent at all; (3) the cell line with decreased proliferation—MCF-7 had significantly increased expression of isoform 2 of TNFRSF1B gene. Thus, we can conclude that TNFα exposure to the K562 and MCF-7 cell lines leads to changes in the expression of TNFα receptor isoforms, which, in turn, can appear via diverse proliferative effects.
The Keivy Domain of the Kola Granulite–Gneiss Area on the Baltic Shield: Most Ancient Median Massif of the Continental Crust
Authors: Sorokhtin Nickolay , Kozlov Nikolay , Semiletov Igor , Lobkovsky Leopold , Nikiforov Sergey , Alekseev Dmitry , Ananiev Roman
Published: May 2023

Studies of lithotectonic formations within the Keivy domain of the NE Baltic Shield have shown that the domain was tectonically overlapped by adjacent microcontinents during regional collision processes in the Late Archean. As a consequence, the continental crust of the Keivy domain was submerged, relative to other blocks of the continental crust, and the described domain acquired the features of a classical median massif. Surrounded on all sides by collision systems, the Keivy median massif entered the cratonization regime. This led to intensive processes of denudation of the surrounding domains of the crust and the accumulation of a thick sedimentary cover on the surface. The described processes occurred during the formation of the first supercontinent (Monogea) in the history of the Earth and the manifestation of the Early Precambrian Huronian glaciation, which left its traces on most domains of the Earth’s continental crust. Thus, the processes of peneplain formation within the Keivy massif occurred under the cold weather conditions, high volcanic activity in the peripheral zones, and sedimentary cover saturation with the products of the physical and chemical mineral transformation of tonalite–trondhjemite and greenstone rock assemblages. The unique combination of certain geodynamic and climatic cycles on the Baltic Shield in the Late Archean led to the accumulation of extensive stratiform deposits of alumina raw materials within the Keivy median massif.
“Geo-Archaeo-Routes” on the Island of Lemnos: The “Nalture” Experience as a Holistic Geotouristic Approach within the Geoethical Perspective
Authors: Triantaphyllou Maria V. , Firkasis Nikolaos , Tsourou Theodora , Vassilakis Emmanuel , Spyrou Evangelos , Koukousioura Olga , Oikonomou Argyro , Skentos Athanasios
Published: May 2023

The geosites of Lemnos represent local touristic products that, beyond their high aesthetic value, display significant scientific links to the geological past as well as prehistory and history, archaeology, mythology and religious heritage of the island. The unique wealth of Lemnos geosites in combination with the abundance of archaeological sites, cultural monuments and museums composes the basis of what we define here as “Geo-Archaeo-Routes”: certain routes that can be geographically defined, offered, guided and finally followed by the touristic masses. The outcome of the performed quantitative Lemnos geosite assessment enables decision making, thus providing a toolbox useful for sustainable Geo-Archaeo-tourism development at a local level and forms the basis for designing “Geo-Archaeo-Routes”. “Geo-Archaeo-Routes” are particularly favorable of environmentally friendly alternative types of tourism, attracting naturalists, hikers, fans of cultural or religious tourism and many others who represent a major part of the touristic needs of the 21st century. The established hiking and road “Geo-Archaeo-Routes” on Lemnos Island may represent a distinctive touristic product as they offer a high level of “nalture” entertainment, blending “nature with culture” in the framework of a holistic geotouristic approach.
Enhancing Community Participation through Age-Friendly Ecosystems: A Rapid Realist Review
Authors: Sixsmith Judith , Makita Meiko , Menezes Deborah , Cranwell Marianne , Chau Isaac , Smith Mark , Levy Susan , Scrutton Pat , Fang Mei Lan
Published: May 2023

This rapid realist review explored the key components of age-friendly ecosystems that promote community participation among older adults. The study (undertaken in 2021 and updated in 2023) synthesized evidence from 10 peer-reviewed and grey literature databases to identify the underlying mechanisms and contextual factors that shape why, under what circumstances, and for whom an age-friendly ecosystems might be effective as well as the intervention outcomes. A total of 2823 records were initially identified after deduplication. Title and abstract screening produced a potential dataset of 126 articles, reducing to 14 articles after full text screening. Data extraction focused on the contexts, mechanisms, and outcomes of ecosystems for older adults’ community participation. Analysis suggested that age-friendly ecosystems that aim to promote community participation are characterized by the provision of accessible and inclusive physical environments, the availability of supportive social networks and services, and the creation of opportunities for meaningful engagement in community life. The review also highlighted the importance of recognizing the diverse needs and preferences of older adults and involving them in the design and implementation of age-friendly ecosystems. Overall, the study has provided valuable insights into the mechanisms and contextual factors that contribute to the success of age-friendly ecosystems. Ecosystem outcomes were not well discussed in the literature. The analysis has important implications for policy and practice, emphasizing the need to develop interventions that are tailored to the specific needs and contexts of older adults, and that promote community participation as a means of enhancing health, wellbeing, and quality of life in later life.
Factors Affecting Initiation and Retention of Medication-Assisted Recovery (MAR) within a Pilot Pharmacist-Involved Practice Model at a Federally Qualified Healthcare Center (FQHC) during the COVID-19 Pandemic
Authors: Nguyen Tiffany , Cheetham Thomas Craig , Fawaz Souhiela , Beuttler Richard , Xavioer Sharon
Published: May 2023

Background: During the COVID-19 pandemic, opioid-related overdose deaths increased. Although Medication-Assisted Treatment or Recovery (MAT or MAR) is available, initiation and retention rates vary. The goal of this study was to evaluate clinical, demographic, and Social Determinant of Health factors affecting MAR initiation, on-time initiation of medications, and successful retention in the program. The secondary goal was to evaluate the impact of a novel interprofessional practice model incorporating pharmacists. Methods: A retrospective analysis was conducted using electronic health record data from a pilot MAR Program initiated within a California Federally Qualified Healthcare Center. Results: From September 2019 to August 2020, 48 patients enrolled into the program. On-time initiation of medications occurred in 68% of patients and average program retention was 96.4 ± 95.8 days. Patients currently using opioids (p = 0.005) and those receiving supportive medications (p = 0.049) had lower odds of on-time MAR initiation. There were no statistically significant factors associated with successful retention in the program. The number of visits with members of the interprofessional team did not significantly affect on-time initiation or successful retention. Conclusions: Current opioid use and receipt of supportive medications were associated with lower on-time medication initiation. Further studies are warranted to explore additional factors which may affect initiation and retention.
Educational Videos to Reduce Parental Rejection of Pediatric Cardiac Catheterization during the COVID-19 Pandemic
Authors: Liu Shu-Juan , Chang Yan-Zin , Hwu Lien-Jen , Ku Min-Sho
Published: May 2023

During the COVID-19 pandemic, people voluntarily reduced their necessary healthcare. We examined whether supplying educational digital versatile discs (DVDs) before admission can reduce parental rejection of pediatric cardiac catheterization for congenital heart disease (CHD). Parents of 70 children with CHD selected for cardiac catheterization were randomly allocated to the DVD (received pre-admission DVDs in the outpatient department; 70 parents of 35 children) or non-DVD groups (did not receive the DVDs; 70 parents of 35 children). The parents could reject the admission of their children within 7 days. Cardiac catheterization was rejected by 14 (20.0%) and 26 (37.1%) parents in the DVD and non-DVD groups, respectively (p = 0.025). Parent Perceptions of Uncertainty Scale scores were lower in the DVD (128.3 ± 8.9 points) than in the non-DVD group (134.1 ± 7.3 points; p < 0.001). Decreased uncertainty due to pre-admission DVD watching could have contributed to the increased parental willingness for cardiac catheterization. The effects of pre-admission educational DVDs were more significant among parents with a lower education, rural residence, with only one child, female child, or younger child. Offering educational DVDs to parents of children selected for cardiac catheterization for CHD may decrease the parental rejection rate of the treatment.
Two Puzzles, a Tour Guide, and a Teacher: The First Cohorts’ Lived Experience of Participating in the MClSc Interprofessional Pain Management Program
Authors: Leyland Zoe A. , Walton David M. , Kinsella Elizabeth Anne
Published: May 2023

(1) Background: The Master of Clinical Science program (MClSc) in Advanced Healthcare Practice at (University) introduced a new “Interprofessional Pain Management” (IPM) field in September 2019. The purpose of this study is to inquire into the following research question: What are MClSc Interprofessional Pain Management students’ lived experiences of participating in pain management education? (2) This study followed an interpretivist research design. The text that was considered central to descriptions of the lived experience of participating in the IPM program was highlighted and organized into a spreadsheet and then sorted into themes. (3) Results: Five themes in regard to the lived experiences of participating in the first cohort of the MClSc IPM program were identified: Reflection on Stagnation in Professional Disciplines; Meaning Making Through Dialogue with Like-Minded Learners; Challenging Ideas and Critical Thinking at Play; Interprofessionalism as Part of Ideal Practice; and Becoming a Competent Person-Centred Partner in Pain Care. (4) Conclusions: This program offers a unique approach to learning while creating an online platform to work, collaborate, and challenge like-minded experts in the field of pain. In doing this research, we hope that more practitioners will work towards the goal of becoming competent, person-centered pain care providers.
How Dexamethasone Used in Anti-COVID-19 Therapy Influenced Antihypertensive Treatment in Patients with SARS-CoV-2
Authors: Cârstea Andrei Puiu , Mită Adrian , Fortofoiu Mircea-Cătălin , Doica Irina Paula , Cârstea Doina , Beznă Cristina Maria , Negroiu Cristina Elena , Diaconu Ileana-Diana , Georgescu Andreea-Roberta , Kamal Adina Maria , Mahler Beatrice , Grigorie Adriana-Gabriela , Dobrinescu Gabriel Adrian
Published: May 2023

Background: During the SARS-CoV-2 pandemic period, in the treatment approved by the WHO, along with antivirals, antibiotics, nonsteroidal anti-inflammatory drugs and anticoagulants, dexamethasone was always used. This study started from the professional concern related to the vasopressor effect of cortisone on blood pressure (BP). Methods: The study group was achieved by selecting, from a total of 356 patients hospitalized in the clinic, the patients with known hypertensive status at admission for SARS-CoV-2. Dexamethasone was part of the anti-COVID-19 treatment, with an administration of 4–6–8 mg/day, depending on bodyweight, for 10 days. All patients with hypertension received antihypertensive treatment in adjusted doses according to the recorded BP values. Results: Monitoring of BP in hospitalized patients was performed daily, in the morning and evening. If on the 2nd day of treatment, 84% of the patients partially responded to the treatment with a moderate decrease in BP, on the 3rd therapy day, the situation clearly improved: more than 75% of the patients had values of BP that can be classified as high-normal (38.23%) and normal (40.03%). Conclusions: Dexamethasone for treatment of SARS-CoV-2 infection did not have a notable influence on increasing BP, because the doses were low–moderate and prescribed for a short time.
Evaluating the Effectiveness of Return-to-Work Interventions for Individuals with Work-Related Mental Health Conditions: A Systematic Review and Meta-Analysis
Authors: Nowrouzi-Kia Behdin , Garrido Pablo , Gohar Basem , Yazdani Amin , Chattu Vijay Kumar , Bani-Fatemi Ali , Howe Aaron , Duncan Andrea , Riquelme Maria Paz , Abdullah Faizah , Jaswal Sharan , Lo Joyce , Fayyaz Yusra , Alam Bushra
Published: May 2023

The workplace is a vital setting to support positive mental health. Mental health conditions in the workforce contribute to decreased work engagement and participation. There is existing literature on return-to-work (RTW) interventions for individuals with work-related mental health conditions, however, there lacks consensus on their effectiveness. Therefore, the primary aim of this systematic review was to synthesize the literature and evaluate the effectiveness of return-to-work interventions on return-to-work rates, quality of life, and psychological wellbeing for individuals with work-related mental health conditions. Selected articles were organized and identified using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and the Population/Intervention/Comparison/Outcome (PICO) framework. Quality assessment of the included studies was completed using the Critical Appraisal Skills Programme randomized controlled trials checklist and the Joanna Briggs Institute quasi-experimental studies checklist. A random effects meta-analysis model was performed using DerSimonian-Laird weighting to calculate standard mean difference and risk ratios to assess the impact of RTW interventions on return-to-work rates, absenteeism, stress symptoms, depression symptoms, and quality of life. A total of 28 out of 26,153 articles met the inclusion criteria. Diagnoses for participants in the studies ranged from work-related stress to work-related PTSD following exposure to a psychologically traumatizing event in the workplace. No significant differences were found for the meta-analyses examining return-to-work rates, absenteeism, depression, stress, and quality of life. The most effective interventions were found to be a multi-domain intervention (67% of participants RTW full time) and a health-focused intervention (85% RTW rate). Future research may consider establishing effective interventions to develop programs or policies supporting the RTW of employees and promote mental well-being among employees experiencing work-related mental health conditions.
Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
Authors: Franks Jennifer , Thwaites Claire , Morris Meg E.
Published: May 2023

Low back pain is prevalent in the community and associated with deficits in core muscle strength and activation. Pilates is argued to improve movement and reduce pain, yet there is a limited understanding of the specific effects of Pilates training on core muscle strength or activity. A systematic search of databases (CINAHL, Embase, Ovid MEDLINE) used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods to evaluate randomised controlled trials (RCTs) on the effects of Pilates to improve core muscle activation. Methodological quality was assessed using the Physiotherapy Evidence Database scale (PEDro). The certainty of findings was determined using the Grading of Recommendations Assessment, Development and Evaluation tool. Of the initial yield of 563 articles, eight RCTs met the inclusion criteria. A diverse range of Pilates interventions and outcome measures were utilised to assess effects on core muscle activation and strength. The main finding was that Pilates is not inferior to equivalently dosed exercises, and can be superior to non-equivalent or no exercise, for improving core muscle strength as indicated by muscle thickness. There was emerging evidence that Pilates positively impacts core muscle strength and can be an effective intervention for people living with chronic low back pain.
Evaluation of Standard Precautions Compliance Instruments: A Systematic Review Using COSMIN Methodology
Authors: Lommi Marzia , De Benedictis Anna , Porcelli Barbara , Raffaele Barbara , Latina Roberto , Montini Graziella , Tolentino Diaz Maria Ymelda , Guarente Luca , De Maria Maddalena , Ricci Simona , Giovanniello Dominique , Rocco Gennaro , Stievano Alessandro , Sabatino Laura , Notarnicola Ippolito , Gualandi Raffaella , Tartaglini Daniela , Ivziku Dhurata
Published: May 2023

Background: Standard precautions (SPs) are first-line strategies with a dual goal: to protect health care workers from occupational contamination while providing care to infected patients and to prevent/reduce health care-associated infections (HAIs). This study aimed at (1) identifying the instruments currently available for measuring healthcare professionals’ compliance with standard precautions; (2) evaluating their measurement properties; and (3) providing sound evidence for instrument selection for use by researchers, teachers, staff trainers, and clinical tutors. Methods: We carried out a systematic review to examine the psychometric properties of standard precautions self-assessment instruments in conformity with the COSMIN guidelines. The search was conducted on the databases PubMed, CINAHL, and APA PsycInfo. Results: Thirteen instruments were identified. These were classified into four categories of tools assessing: compliance with universal precautions, adherence to standard precautions, compliance with hand hygiene, and adherence to transmission-based guidelines and precautions. The psychometric properties of instruments and methodological approaches of the included studies were often not satisfactory. Only four instruments were classified as high-quality measurements. Conclusions: The available instruments that measure healthcare professionals’ compliance with standard precautions are of low-moderate quality. It is necessary that future research completes the validation processes undertaken for long-established and newly developed instruments, using higher-quality methods and estimating all psychometric properties.
Age-Dependent Causes of Death among Patients with Breast Cancer Based on Osaka Cancer Registry and Vital Statistics in Japan
Authors: Nagayasu Mayumi , Morishima Toshitaka , Fujii Makoto , Kudo Haruka , Sobue Tomotaka , Ohno Yuko , Miyashiro Isao
Published: May 2023

We aimed to clarify the differences in causes of death among patients with breast cancer according to age at diagnosis and years elapsed since diagnosis. Using data from the Osaka Cancer Registry and Vital Statistics databases, 40,690 female patients diagnosed with primary breast cancer between 1985 and 2006 were included in this study. The statistics on all deaths between 1985 to 2016 were collected, and the observation period was 10 years (2006–2016). Mortality hazards according to age at diagnosis and years elapsed since diagnosis were estimated using a flexible parametric estimation. Of the 40,690 patients, 13,676 (34%) died from all-cause death, and the 10-year survival rate was 65.74% (95% confidence interval: 65.28–66.21). The proportions of deaths were 10,531 (77%) from breast cancer, 1048 (8%) from other cancers, and 2097 (15%) from non-cancer causes. The mortality hazard for deaths from breast cancer was initially high and then declined, whereas that for deaths from other cancers and non-cancer causes was initially low and then increased. The more likely causes of death 5 years after breast cancer diagnosis were other cancers or non-cancer causes among patients aged ≥70 years.
Consequences of Shift Work and Night Work: A Literature Review
Authors: Silva Isabel , Costa Daniela
Published: May 2023

Nonstandard work schedules such as shift work and night work tend to trigger problems for workers in different areas. To illustrate the diversity of areas affected and the relative interest of the scientific community, we conducted a literature review of the effects of shift work and night work on workers. In particular, we intended to identify the main variables addressed in the field of health, the family sphere, and the organizational context. The literature review was carried out using the Web of Science with the following terms: “shift work”, “rotating shifts”, and “night work”. Inclusion criteria incorporated empirical studies and articles written in Portuguese or English published in 2019. We selected 129 of the 619 articles identified. Regarding the impacts of shift work and night work, there existed a high discrepancy of focus between the three defined areas: health, family life, and organizational context. Specifically, health-related variables were the most studied (83.4%), followed by organizational variables (9.2%), and, lastly, family variables (7.4%). Based on these results, it is essential to extend the study of the two underrepresented impacts to other crucial areas, not only for the worker but also for organizations.
The Usage of Digital Health Mobile-Based Applications among Saudi Population
Authors: AlAli Naif , AlKhudairy Yasser , AlSafadi Khalid , Abduljabbar Bandar , Aljerian Nawfal , Albeshry Abdulrahman M. , Alshahrani Najim Z.
Published: May 2023

This study aimed at assessing the extent to which the general Saudi population has embraced digital health medical applications to meet their health-related needs so that the Saudi Ministry of Health and government can appropriately be guided on scaling up digital health across the country. As such, this study was guided by the question of to what extent the Saudi people use digital health mobile-based applications. This was a cross-sectional study utilizing snowballing sampling approach. Frequencies, Chi-square, and Spearman rank correlation statistics were used to offer descriptive and inferential analysis of the variables. The majority of the participants were economically able to afford smart devices that have medical apps, had at least an app on such devices, and highly regarded the benefits of the apps. Unfortunately, their understanding of how to use such apps was limited, and this posed a barrier to embracing digital health alongside difficulty downloading apps and medical ethical concerns. Although there is a willingness, extra effort is needed from the Saudi Ministry of Health and the government to promote the uptake of digital health in Saudi Arabia.
The Impact of Intraocular Treatment on Visual Acuity of Patients Diagnosed with Branch Retinal Vein Occlusions
Authors: Darabuş Diana-Maria , Munteanu Mihnea , Preda Maria-Alexandra , Karancsi Olimpiu Ladislau , Șuță Marius Cristian
Published: May 2023

Branch retinal vein occlusions are a significant cause of vision loss and present several ophthalmic and systemic risk factors, including age, hypertension, hyperlipidemia and glaucoma. Retinal vein occlusion is the second-most-common retinal vascular disease. This study evaluated the effects of Ozurdex in contrast to a combination therapy with anti-vascular endothelial growth factor (VEGF) and cortisone in treatment-naive branch retinal vein occlusions-macular edema (BRVO-ME) cases, at 4-month and 6-month follow-ups. Thirty eyes were included in the study, which were divided into two groups. The first group consisted of 15 eyes, and each received 1 injection of dexamethasone intravitreal implant Ozurdex (DEX). The second group of 15 eyes received 3 intravitreal injections, the first and second with the anti-vascular endothelial growth factor aflibercept and the third one with 4 mg of triamcinolone acetonide (Vitreal S), spaced at one month. The best corrected visual acuity (BCVA) results suggested that the peak efficacy was at 4 months for both groups, with mean values of 0.5 LogMAR and 0.4 LogMAR. Regarding macular edema, there were no significant changes between the 4- and 6-month follow-up periods, with mean values of 361 μm and 390 μm. Six patients experienced transient raised intraocular pressure at one week after treatment. This study highlights the benefits to visual acuity of the combination of anti-vascular endothelial growth factor and cortisone, which represents a viable solution with similar results to Ozurdex therapy.
Patient Safety Culture in the Southern Region of Saudi Arabia: A Survey among Community Pharmacies
Authors: Easwaran Vigneshwaran , Almeleebia Tahani Musleh , Mantargi Mohammad Jaffar Sadiq , Khan Noohu Abdulla , Alshahrani Sultan M. , Orayj Khalid , Alshehri Osama Abdullh Amer , Alqasimi Nawaf Yahya Hassan , AlFlan Saad A.
Published: May 2023

Measuring patient safety culture in the community pharmacy can help with identifying areas for development. The current study is a descriptive, cross-sectional, electronic survey conducted among pharmacists working in community pharmacies located in the southern region of Saudi Arabia. The community pharmacy version of the “Pharmacy Survey on Patient Safety Culture” (PSOPSC) was used to collect data. The positive response rate (PRR) was calculated as per the guidance provided by the Agency for Healthcare Research and Quality (AHRQ). Based on the PRR, two least-achieved items (<25%) were taken for further analysis to identify the possible predictors. A sum of 195 pharmacists were included in this study and most of them were working in chain pharmacies. The highest PRRs were observed with teamwork (94.99), and patient counseling (94.13), followed by physical space and environment (93.07). The lowest PRRs were observed with staffing, work pressure, and pace (47.70), followed by communication openness (72.60). Specific characteristics, such as experience and the number of working hours, are significantly related to a poor PRR. The current study results indicate that the scope for improving patient safety exists in various areas of community pharmacies. However, it is necessary to prioritize the need based on a positive response rate.
Lacquer and Imitation Lacquer Folding Screens in New Spain
Authors: Ocaña-Ruiz Sonia I.
Published: May 2023

Folding screens were very popular in New Spain beginning in the late 16th century. From the second half of the 17th century on, many Chinese and some European lacquer folding screens circulated in New Spain, inspiring the development of Novohispanic lacquer, imitation lacquer, and Chinese-style folding screens. The decorative technique of these Novohispanic folding screens has not been studied, but evidence suggests that some of them were made with techniques that have pre-Columbian roots, others with European lacquer techniques, and others still with paint and varnish adapted to produce a shiny surface resembling that of Asian lacquer. Thus, 18th-century New Spain was the place where there was the widest variety of lacquer folding screens in the world. Hitherto this variety has remained unnoticed, but studying it is essential to understand to what extent the globalization of the taste for lacquer gave rise to innovative solutions in the Americas.
Transcriptomic Analysis Revealed the Discrepancy between Early-Ripening ‘Geneva Early’ and Late-Ripening ‘Hanfu’ Apple Cultivars during Fruit Development and Ripening
Authors: Yue Qianyu , He Jieqiang , Yang Xinyue , Cheng Pengda , Khan Abid , Shen Wenyun , Song Yi , Wang Shicong , Ma Fengwang , Guan Qingmei
Published: May 2023

Apples (Malus × domestica Borkh.) can be categorized into early-, medium-, and late-ripening cultivars based on the length of the fruit developmental phases. The lengthening of the apple ripening period has a direct impact on its economic worth and market competitiveness, although the underlying mechanism is mostly unclear. In the current study, the development and maturation of the early-ripening ‘Geneva Early’ (GE) and late-ripening ‘Hanfu’ (HF) cultivars of apple fruit were studied using transcriptomics to detect and identify the changes of differential genes. Results showed that the two varieties had different ripening periods, but in both, the development process of fruit ripening required cell division, cell expansion, starch accumulation, and secondary metabolite accumulation. In the early stages of fruit development (G1 to G2), the GE’s fruit size was larger than HF’s, and the GO analysis revealed an enrichment in genes involved in the metabolism of fatty acids and carbon molecules. In G2 phase, the GE involved numerous regulatory factors of hormonal pathways, while in HF this phase was mainly enriched in the metabolism of sugars and carbohydrates. The results indicated that during GE development, the relevant genes regulating fruit development were expressed earlier than HF, which made fruit development enter the next development phase earlier, thereby shortening the fruit development phase. These findings contributed to an improved understanding of the molecular basis of apple ripening and provide a reliable reference for apple breeding using genomics.
If Only You Could Catch Me—Catch Me If You Can: Monitoring Aphids in Protected Cucumber Cultivations by Means of Sticky Traps
Authors: Dieckhoff Christine , Meyhöfer Rainer
Published: May 2023

Aphids are important pests in many greenhouse and field crops. For plant protection, early detection of relevant species and reliable assessment of population development throughout the season is mandatory to address countermeasures in time. In practice, coloured sticky cards or pan traps are frequently used as monitoring tools, but as well as the flight activity of focal insects, many other factors influence reliable interpretation of trapping data. Since monitoring data have been more and more integrated into automated decision support systems, soundness of insect count data and interpretation of results needs to be reviewed in more detail. Therefore, we investigated the applicability of yellow sticky traps for monitoring of the cotton aphid, Aphis gossypii in greenhouse cucumber crop. In separate greenhouse chambers, we infested cucumber plants with Aphis gossypii and installed several yellow sticky traps. Insects were counted on the plants and sticky traps on a weekly basis and number of insects were correlated. Our results indicate mismatches between trap catches and aphid population density especially early in the season, which most likely is related to immigration of winged aphids into the greenhouse. The following population build-up of the cotton aphid Aphis gossypii on the cucumber plants correlated quite well with counts of alate cotton aphids on the sticky traps. In conclusion, trapping of winged aphids provides valuable information for integrated pest control in the greenhouse. Nevertheless, to avoid wrong interpretation the taxonomic identity of trapped aphids has to be confirmed at all times. Results are further discussed in the context of factors influencing aphid wing development and attraction to yellow sticky traps. Potential strategies to optimize aphid monitoring with coloured sticky traps are proposed.
Effects of Cerasus humilis (Bge). Sok. Rootstock on Peach Growth, Development, and Expression of Growth-Related Genes
Authors: Li Xiuzhen , Wang Yuhang , Zhao Long , Chen Sudan , Yuan Yanhong , Wei Tonglu , Geng Jie
Published: May 2023

Peach trees play an essential role as an economic crop in China. However, the increasing cost of labor has led to a decline in the benefits of peach cultivation. The use of dwarfing rootstock technology can increase planting density, reduce tree height, decrease labor requirements, and reduce production costs. The Cerasus humilis (Bge). Sok. is a promising dwarfing rootstock for peaches owing to its small tree size, abundant resources, strong resistance, and adaptability. In this study, we investigated the effect of Cerasus humilis rootstocks on peach growth and development, and related gene expression. We used Ruipan 4/Cerasus humilis and Ruipan 4/Amygdalus persica L. as experimental materials to measure the growth and fruiting characteristics of two-year-old Cerasus humilis rootstocks. In addition, we used bioinformatic methods to explore the effect of Cerasus humilis rootstock on peach growth gene expression. Our results showed that Cerasus humilis rootstocks can dwarf peach trees, reduce branches, increase pollen count and stigma receptivity, shorten spore development, and promote protein accumulation in the late stage of fruit maturity. The Cerasus humilis rootstock reduced the growth hormone content in peach trees while upregulating the expression of growth-related PpYucca5 and PpYucca2 genes. PpYucca6 expression was downregulated in the early stage of shoot growth and upregulated in the middle stage. By reducing the content of growth hormones, peach trees can be dwarfed, but their impact on fruit quality is minimal. These results indicate that Cerasus humilis is a suitable peach dwarfing rootstock and can provide a theoretical reference for the future breeding of peach dwarfing rootstocks.
Predicting Optical Water Quality Indicators from Remote Sensing Using Machine Learning Algorithms in Tropical Highlands of Ethiopia
Authors: Leggesse Elias S. , Zimale Fasikaw A. , Sultan Dagnenet , Enku Temesgen , Srinivasan Raghavan , Tilahun Seifu A.
Published: May 2023

Water quality degradation of freshwater bodies is a concern worldwide, particularly in Africa, where data are scarce and standard water quality monitoring is expensive. This study explored the use of remote sensing imagery and machine learning (ML) algorithms as an alternative to standard field measuring for monitoring water quality in large and remote areas constrained by logistics and finance. Six machine learning (ML) algorithms integrated with Landsat 8 imagery were evaluated for their accuracy in predicting three optically active water quality indicators observed monthly in the period from August 2016 to April 2022: turbidity (TUR), total dissolved solids (TDS) and Chlorophyll a (Chl-a). The six ML algorithms studied were the artificial neural network (ANN), support vector machine regression (SVM), random forest regression (RF), XGBoost regression (XGB), AdaBoost regression (AB), and gradient boosting regression (GB) algorithms. XGB performed best at predicting Chl-a, with an R2 of 0.78, Nash–Sutcliffe efficiency (NSE) of 0.78, mean absolute relative error (MARE) of 0.082 and root mean squared error (RMSE) of 9.79 µg/L. RF performed best at predicting TDS (with an R2 of 0.79, NSE of 0.80, MARE of 0.082, and RMSE of 12.30 mg/L) and TUR (with an R2 of 0.80, NSE of 0.81, and MARE of 0.072 and RMSE of 7.82 NTU). The main challenges were data size, sampling frequency, and sampling resolution. To overcome the data limitation, we used a K-fold cross validation technique that could obtain the most out of the limited data to build a robust model. Furthermore, we also employed stratified sampling techniques to improve the ML modeling for turbidity. Thus, this study shows the possibility of monitoring water quality in large freshwater bodies with limited observed data using remote sensing integrated with ML algorithms, potentially enhancing decision making.
Group-Based Pelvic Floor Telerehabilitation to Treat Urinary Incontinence in Older Women: A Feasibility Study
Authors: Le Berre Mélanie , Filiatrault Johanne , Reichetzer Barbara , Dumoulin Chantale
Published: May 2023

Less than half of women with urinary incontinence (UI) receive treatment, despite the high prevalence and negative impact of UI and the evidence supporting the efficacy of pelvic floor muscle training (PFMT). A non-inferiority randomized controlled trial aiming to support healthcare systems in delivering continence care showed that group-based PFMT was non-inferior and more cost-effective than individual PFMT to treat UI in older women. Recently, the COVID-19 pandemic highlighted the importance of providing online treatment options. Therefore, this pilot study aimed to assess the feasibility of an online group-based PFMT program for UI in older women. Thirty-four older women took part in the program. Feasibility was assessed from both participant and clinician perspectives. One woman dropped out. Participants attended 95.2% of all scheduled sessions, and the majority (32/33, 97.0%) completed their home exercises 4 to 5 times per week. Most women (71.9%) were completely satisfied with the program’s effects on their UI symptoms after completion. Only 3 women (9.1%) reported that they would like to receive additional treatment. Physiotherapists reported high acceptability. The fidelity to the original program guidelines was also good. An online group-based PFMT program appears feasible for the treatment of UI in older women, from both participant and clinician perspectives.
Prevalence and Psychosocial Correlates of Diabetes Mellitus in South Africa: Results from the South African National Health and Nutrition Examination Survey (SANHANES-1)
Authors: Sifunda Sibusiso , Mbewu Anthony David , Mabaso Musawenkosi , Manyaapelo Thabang , Sewpaul Ronel , Morgan Justin Winston , Harriman Nigel Walsh , Williams David R. , Reddy Sasiragha Priscilla
Published: May 2023

In South Africa, there are a limited number of population estimates of the prevalence of diabetes and its association with psychosocial factors. This study investigates the prevalence of diabetes and its psychosocial correlates in both the general South African population and the Black South African subpopulation using data from the SANHANES-1. Diabetes was defined as a hemoglobin A1c (HbA1c) ≥6.5% or currently on diabetes treatment. Multivariate ordinary least squares and logistic regression models were used to determine factors associated with HbA1c and diabetes, respectively. The prevalence of diabetes was significantly higher among participants who identified as Indian, followed by White and Coloured people, and lowest among Black South Africans. General population models indicated that being Indian, older aged, having a family history of diabetes, and being overweight and obese were associated with HbA1c and diabetes, and crowding was inversely associated with HbA1c and diabetes. HbA1c was inversely associated with being White, having higher education, and residing in areas with higher levels of neighborhood crime and alcohol use. Diabetes was positively associated with psychological distress. The study highlights the importance of addressing the risk factors of psychological distress, as well as traditional risk factors and social determinants of diabetes, in the prevention and control of diabetes at individual and population levels.
Caregiving + Migrant Background = Double Jeopardy? Associations between Caregiving and Physical and Psychological Health According to Migrant Backgrounds in Norway
Authors: Hynek Kamila , Gotehus Aslaug , Methi Fredrik , Nes Ragnhild Bang , Skirbekk Vegard , Hansen Thomas
Published: May 2023

Informal caregiving can have detrimental consequences for physical and psychological health, but the impacts are highly heterogenous. A largely ignored question is whether these impacts differ with migrant backgrounds, and whether caregiving and a migrant background combine to create double jeopardy. We explored these questions using large-scale data that allows stratification by sex, regional background, and types (inside vs. outside of household) of caregivers. We used cross-sectional 2021 data collected from two Norwegian counties as part of the Norwegian Counties Public Health Survey (N = 133,705, RR = 43%, age 18+). The outcomes include subjective health, mental health, and subjective well-being. The findings show that both caregiving, especially in-household caregiving, and a migrant background relate to lower physical–psychological health. In bivariate analysis, non-Western caregivers, women particularly, reported poorer mental health and subjective well-being (but not physical health) than other caregiver groups. After controlling for background characteristics, however, no interaction exists between caregiver status and migrant background status. Although the evidence does not suggest double jeopardy for migrant caregivers, caution is warranted due to the likely underrepresentation of the most vulnerable caregivers of migrant backgrounds. Continued surveillance of caregiver burden and distress among people of migrant backgrounds is critical to develop successful preventive and supportive intervention strategies for this group, yet this aim hinges on a more inclusive representation of minorities in future surveys.
The Reentry Health Care Hub: Creating a California-Based Referral System to Link Chronically Ill People Leaving Prison to Primary Care
Authors: Divakaran Bethany , Bloch Natania , Sinha Mahima , Steiner Anna , Shavit Shira
Published: May 2023

People released from prison experience high health needs and face barriers to health care in the community. During the COVID-19 pandemic, people released early from California state prisons to under-resourced communities. Historically, there has been minimal care coordination between prisons and community primary care. The Transitions Clinic Network (TCN), a community-based non-profit organization, supports a network of California primary care clinics in adopting an evidence-based model of care for returning community members. In 2020, TCN linked the California Department of Corrections and Rehabilitation (CDCR) and 21 TCN-affiliated clinics to create the Reentry Health Care Hub, supporting patient linkages to care post-release. From April 2020–August 2022, the Hub received 8420 referrals from CDCR to facilitate linkages to clinics offering medical, behavioral health, and substance use disorder services, as well as community health workers with histories of incarceration. This program description identifies care continuity components critical for reentry, including data sharing between carceral and community health systems, time and patient access for pre-release care planning, and investments in primary care resources. This collaboration is a model for other states, especially after the Medicaid Reentry Act and amid initiatives to improve care continuity for returning community members, like California‘s Medicaid waiver (CalAIM).