bluuebunny/crossref_metadata_2025 huggingface dataset:
Probing Plasma Composition with the Next Generation Event Horizon Telescope (ngEHT)
Authors: Emami Razieh , Anantua Richard , Ricarte Angelo , Doeleman Sheperd S. , Broderick Avery , Wong George , Blackburn Lindy , Wielgus Maciek , Narayan Ramesh , Tremblay Grant , Alcock Charles , Hernquist Lars , Smith Randall , Liska  Matthew , Natarajan Priyamvada , Vogelsberger Mark , Curd Brandon , Kramer  Joana A.
Published: January 2023

We explore the plasma matter content in the innermost accretion disk/jet in M87* as relevant for an enthusiastic search for the signatures of anti-matter in the next generation of the Event Horizon Telescope (ngEHT). We model the impact of non-zero positron-to-electron ratio using different emission models, including a constant electron to magnetic pressure (constant βe model) with a population of non-thermal electrons as well as an R-beta model populated with thermal electrons. In the former case, we pick a semi-analytic fit to the force-free region of a general relativistic magnetohydrodynamic (GRMHD) simulation, while in the latter case, we analyze the GRMHD simulations directly. In both cases, positrons are being added at the post-processing level. We generate polarized images and spectra for some of these models and find out that at the radio frequencies, both of the linear and the circular polarizations are enhanced with every pair added. On the contrary, we show that, at higher frequencies, a substantial positron fraction washes out the circular polarization. We report strong degeneracies between different emission models and the positron fraction, though our non-thermal models show more sensitivities to the pair fraction than the thermal models. We conclude that a large theoretical image library is indeed required to fully understand the trends probed in this study, and to place them in the context of a large set of parameters which also affect polarimetric images, such as magnetic field strength, black hole spin, and detailed aspects of the electron temperature and the distribution function.
State of the Art of Hydrogel Wound Dressings Developed by Ionizing Radiation
Authors: Demeter Maria , Scărișoreanu Anca , Călina Ion
Published: January 2023

The development of an ideal hydrogel wound dressing with excellent characteristics is currently a significant demand in wound therapy. The ideal hydrogel wound dressing must provide a moist environment between the wound and the dressing, promote wound healing, absorb excess exudate and toxins, be completely sterile, and not adhere to the wound. The evolution and current status of research on hydrogel wound dressings obtained exclusively through production by ionizing radiation are discussed in this paper review, along with the preparation methods, properties, standard characterization techniques, and their applications in wound dressing. First, we described the methods for synthesizing hydrogel wound dressings with ionizing radiation. Then, standard methods of characterization of hydrogel wound dressings such as gel fraction, swelling degree, sol–gel analysis, rheological properties, morphology, moisture retention capability, and water vapor transmission rate have been investigated. In the end, specific attention was paid to the drug release, antibacterial performance, and cytotoxicity of hydrogels. Moreover, the application of hydrogel in regenerative medicine as wound healing dressing was covered.
Occurrence of Postoperative Delirium and the Use of Different Assessment Tools
Authors: Kirfel Andrea , Jossen Diane , Menzenbach Jan , Mayr Andreas , Wittmann Maria
Published: January 2023

(1) Background: Postoperative delirium (POD) poses a high risk of worsening outcomes for patients and is also a burden for hospitals. The leading guidelines recommend standardized POD assessment and prevention. The aim of this subgroup analysis of the PRe-Operative Prediction of Postoperative DElirium by Appropriate SCreening (PROPDESC) trial was to compare different delirium assessments and to analyse the frequency of POD on five postoperative days. (2) Methods: This prospective observational trial enrolled 1097 patients in a university hospital from 2018 until 2019. The following POD assessment tools were used for five consecutive days: Confusion Assessment Method for ICU (CAM-ICU) or Confusion Assessment Method for normal ward (CAM), 4 A’s Test (4AT) and Delirium Observation Screening (DOS) scale. (3) Results: In a 5-day visit interval, most new POD developments occurred on the first and second postoperative day. A clear recommendation for a specific POD assessment tool based on our results cannot be given. (4) Conclusions: According to guidelines, a POD assessment should take place on the first five postoperative days, but of these, the first two are those of highest POD occurrence. The POD assessment tool used should at best include direct patient questioning and aspects of patient observation.
Artificial Intelligence and Machine Learning Based Intervention in Medical Infrastructure: A Review and Future Trends
Authors: Kumar Kamlesh , Kumar Prince , Deb Dipankar , Unguresan Mihaela-Ligia , Muresan Vlad
Published: January 2023

People in the life sciences who work with Artificial Intelligence (AI) and Machine Learning (ML) are under increased pressure to develop algorithms faster than ever. The possibility of revealing innovative insights and speeding breakthroughs lies in using large datasets integrated on several levels. However, even if there is more data at our disposal than ever, only a meager portion is being filtered, interpreted, integrated, and analyzed. The subject of this technology is the study of how computers may learn from data and imitate human mental processes. Both an increase in the learning capacity and the provision of a decision support system at a size that is redefining the future of healthcare are enabled by AI and ML. This article offers a survey of the uses of AI and ML in the healthcare industry, with a particular emphasis on clinical, developmental, administrative, and global health implementations to support the healthcare infrastructure as a whole, along with the impact and expectations of each component of healthcare. Additionally, possible future trends and scopes of the utilization of this technology in medical infrastructure have also been discussed.
Motor-Sparing Effect of Adductor Canal Block for Knee Analgesia: An Updated Review and a Subgroup Analysis of Randomized Controlled Trials Based on a Corrected Classification System
Authors: Fan Chiang Yu-Hsuan , Wang Ming-Tse , Chan Shun-Ming , Chen Se-Yi , Wang Man-Ling , Hou Jin-De , Tsai Hsiao-Chien , Lin Jui-An
Published: January 2023

Objective: Discrepancies in the definition of adductor canal block (ACB) lead to inconsistent results. To investigate the actual analgesic and motor-sparing effects of ACB by anatomically defining femoral triangle block (FTB), proximal ACB (p-ACB), and distal ACB (d-ACB), we re-classified the previously claimed ACB approaches according to the ultrasound findings or descriptions in the corresponding published articles. A meta-analysis with subsequent subgroup analyses based on these corrected results was performed to examine the true impact of ACB on its analgesic effect and motor function (quadriceps muscle strength or mobilization ability). An optimal ACB technique was also suggested based on an updated review of evidence and ultrasound anatomy. Materials and Methods: We systematically searched studies describing the use of ACB for knee surgery. Cochrane Library, PubMed, Web of Science, and Embase were searched with the exclusion of non-English articles from inception to 28 February 2022. The motor-sparing and analgesic aspects in true ACB were evaluated using meta-analyses with subsequent subgroup analyses according to the corrected classification system. Results: The meta-analysis includes 19 randomized controlled trials. Compared with the femoral nerve block group, the quadriceps muscle strength (standardized mean difference (SMD) = 0.33, 95%-CI [0.01; 0.65]) and mobilization ability (SMD = −22.44, 95%-CI [−35.37; −9.51]) are more preserved in the mixed ACB group at 24 h after knee surgery. Compared with the true ACB group, the FTB group (SMD = 5.59, 95%-CI [3.44; 8.46]) has a significantly decreased mobilization ability at 24 h after knee surgery. Conclusion: By using the corrected classification system, we proved the motor-sparing effect of true ACB compared to FTB. According to the updated ultrasound anatomy, we suggested proximal ACB to be the analgesic technique of choice for knee surgery. Although a single-shot ACB is limited in duration, it remains the candidate of the analgesic standard for knee surgery on postoperative day 1 or 2 because it induces analgesia with less motor involvement in the era of multimodal analgesia. Furthermore, data from the corrected classification system may provide the basis for future research.
Long COVID Symptomatology and Associated Factors in Primary Care Patients: The EPICOVID-AP21 Study
Authors: Romero-Rodríguez Esperanza , Perula-de-Torres Luis Ángel , González-Lama Jesús , Castro-Jiménez Rafael Ángel , Jiménez-García Celia , Priego-Pérez Carmen , Vélez-Santamaría Rodrigo , Simón-Vicente Lucía , González-Santos Josefa , González-Bernal Jerónimo J.
Published: January 2023

Persistent COVID-19 condition includes a wide variety of symptoms and health problems of indeterminate duration. The present study examined the sociodemographic and clinical characteristics of the population with Long COVID seen in Primary Care using a questionnaire based on the existing scientific literature. It was an observational and descriptive study of the characteristics of the Spanish population with Long COVID over 14 years of age. The responses were analysed by means of a descriptive analysis of the variables recorded, in addition to a bivariate analysis to determine the existence of a relationship between persistent COVID-19 and variables such as gender, age, vaccination status or concomitant pathology. The results obtained clearly describe the sociodemographic characteristics of the population, highlighting the predominance of female gender and the prevalence of tiredness and fatigue. Furthermore, relevant information was obtained on the differences in symptomatology according to gender, age, previous pathologies and alterations derived from infection and/or vaccination. These data are important for better detection, diagnosis and treatment of Long COVID and the improvement of the quality of life of this population.
Comprehensive Thermodynamic Study of Alkyl-Cyclohexanes as Liquid Organic Hydrogen Carriers Motifs
Authors: Verevkin Sergey P. , Samarov Artemiy A. , Vostrikov Sergey V. , Wasserscheid Peter , Müller Karsten
Published: January 2023

Alkyl-cyclohexanes can be considered as suitable model compounds to understand the thermochemistry of aromatic compounds and their hydrogenated counterparts discussed as Liquid Organic Hydrogen Carrier systems. Thermochemical measurements on these hydrogen-rich compounds are thwarted by complications due to the 99.9 % purity limitation and sample size specific to these methods. However, the data on vaporisation and formation enthalpies are necessary to optimize the hydrogenation/dehydrogenation processes. In this work, various empirical and theoretical methods are described to reliably assess the gas phase enthalpies of formation and vaporization enthalpies of alkyl-substituted cyclohexanes. The empirical and quantum-chemical methods have been validated against reliable literature data and provide reasonable estimates with an accuracy comparable to that of the experimental data. The liquid phase enthalpies of formation of differently shaped alkyl-cyclohexanes were derived and used to estimate the energetics of their dehydrogenation reactions. The influence of alkyl substituents on the reaction enthalpy is discussed. The vapour pressures of typical hydrogen-rich compounds at technically relevant temperatures were calculated and compared to vapour pressures of biodiesel fuels measured in this work using the static method.
Identification of a Novel Gene Signature with DDR and EMT Difunctionalities for Predicting Prognosis, Immune Activity, and Drug Response in Breast Cancer
Authors: Zhang Pan , Li Quan , Zhang Yuni , Wang Qianqian , Yan Junfang , Shen Aihua , Hu Burong
Published: January 2023

Breast cancer, with an overall poor clinical prognosis, is one of the most heterogeneous cancers. DNA damage repair (DDR) and epithelial–mesenchymal transition (EMT) have been identified to be associated with cancer’s progression. Our study aimed to explore whether genes with both functions play a more crucial role in the prognosis, immune, and therapy response of breast cancer patients. Based on the Cancer Genome Atlas (TCGA) cancer database, we used LASSO regression analysis to identify the six prognostic-related genes with both DDR and EMT functions, including TP63, YWHAZ, BRCA1, CCND2, YWHAG, and HIPK2. Based on the six genes, we defined the risk scores of the patients and reasonably analyzed the overall survival rate between the patients with the different risk scores. We found that overall survival in higher-risk-score patients was lower than in lower-risk-score patients. Subsequently, further GO and KEGG analyses for patients revealed that the levels of immune infiltration varied for patients with high and low risk scores, and the high-risk-score patients had lower immune infiltration’s levels and were insensitive to treatment with chemotherapeutic agents. Furthermore, the Gene Expression Omnibus (GEO) database validated our findings. Our data suggest that TP63, YWHAZ, BRCA1, CCND2, YWHAG, and HIPK2 can be potential genetic markers of prognostic assessment, immune infiltration and chemotherapeutic drug sensitivity in breast cancer patients.
Soil Erosion Characteristics and Scenario Analysis in the Yellow River Basin Based on PLUS and RUSLE Models
Authors: Li Yanyan , Zhang Jinbing , Zhu Hui , Zhou Zhimin , Jiang Shan , He Shuangyan , Zhang Ying , Huang Yicheng , Li Mengfan , Xing Guangrui , Li Guanghui
Published: January 2023

Soil erosion is an important global environmental issue that severely affects regional ecological environment and socio-economic development. The Yellow River (YR) is China’s second largest river and the fifth largest one worldwide. Its watershed is key to China’s economic growth and environmental security. In this study, six impact factors, including rainfall erosivity (R), soil erosivity (K), slope length (L), slope steepness (S), cover management (C), and protective measures (P), were used. Based on the revised universal soil loss equation (RUSLE) model, and combined with a geographic information system (GIS), the temporal and spatial distribution of soil erosion (SE) in the YR from 2000 to 2020 was estimated. The patch-generating land use simulation (PLUS) model was used to simulate the land-use and land-cover change (LUCC) under two scenarios (natural development and ecological protection) in 2040; the RUSLE factor P was found to be associated with LUCC in 2040, and soil erosion in the Yellow River Basin (YRB) in 2040 under the two scenarios were predicted and evaluated. This method has great advantages in land-use simulation, but soil erosion is greatly affected by rainfall and slope, and it only focuses on the link between land-usage alteration and SE. Therefore, this method has certain limitations in assessing soil erosion by simulating and predicting land-use change. We found that there is generally slight soil erosivity in the YRB, with the most serious soil erosion occurring in 2000. Areas with serious SE are predominantly situated in the upper reaches (URs), followed by the middle reaches (MRs), and soil erosion is less severe in the lower reaches. Soil erosion in the YRB decreased 11.92% from 2000 to 2020; thus, soil erosion has gradually reduced in this area over time. Based on the GIS statistics, land-use change strongly influences SE, while an increase in woodland area has an important positive effect in reducing soil erosion. By predicting land-use changes in 2040, compared to the natural development scenario, woodland and grassland under the ecological protection scenario can be increased by 1978 km2 and 2407 km2, respectively. Soil erosion can be decreased by 6.24%, indicating the implementation of woodland and grassland protection will help reduce soil erosion. Policies such as forest protection and grassland restoration should be further developed and implemented on the MRs and URs of the YR. Our research results possess important trend-setting significance for soil erosion control protocols and ecological environmental protection in other large river basins worldwide.
China Requires a Sustainable Transition of Vegetable Supply from Area-Dependent to Yield-Dependent and Decreased Vegetable Loss and Waste
Authors: Tang Ying , Dong Jinlong , Gruda Nazim , Jiang Haibo
Published: January 2023

China, the largest country in vegetable supply, faces a transition to sustainable vegetable production to counteract resource waste and environmental pollution. However, there are knowledge gaps on the main constraints and how to achieve sustainable vegetable supply. Herein, we integrated the vegetable production and supply data in China, compared its current status with five horticulture-developed countries US, the Netherlands, Greece, Japan and South Korea, using data from the Food and Agriculture Organization (FAO) and National Bureau of Statistics of China, and predicted the vegetable supply in 2030 and 2050 by a model prediction. The vegetable supply in China increased from 592 g capita−1 d−1 in 1995 to 1262 g capita−1 d−1 in 2018 and will keep constant in 2030 and 2050. Compared to the five countries, the greater vegetable supply is primarily achieved by higher harvested areas rather than higher yield. However, it is predicted that the harvested areas will decrease by 13.6% and 24.7% in 2030 and 2050. Instead, steady increases in vegetable yield by 11.8% and 28.3% are predicted for this period. The high vegetable supply and greater vegetable preference indicated by the high vegetable-to-meat production ratio cannot guarantee recommended vegetable intake, potentially due to the high rate of vegetable loss and waste. Under the scenarios of decreased vegetable loss and waste, the harvested area will decrease by 37.3–67.2% in 2030 and 2050. This study points out that the sustainable transition of Chinese vegetable supply can be realized by enhancing yield and limiting vegetable loss and waste instead of expanding the harvested area.
Vegetation Dynamics and Food Security against the Background of Ecological Restoration in Hubei Province, China
Authors: Zhang Yu , Gong Na , Zhu Huade
Published: January 2023

A series of ecological restoration projects have been proposed to solve ecological problems resulting from human activities. The project of returning farmlands to forests, initiated in 1999, was the most widely implemented ecological restoration project in China. Large amounts of cropland with steep slopes have been converted to forests or grasslands to promote vegetation restoration, reduce soil erosion, and control nonpoint source pollution. Therefore, identifying the dynamics of vegetation and food security is crucial for further decision making. Based on the mean normalized difference vegetation index (NDVI) and grain yield data, this study explored the vegetation dynamics and food security of Hubei Province against the background of ecological restoration. The results show that, on a whole, the NDVI significantly increased from 2000 to 2018. The spatial agglomeration of the NDVI decreased between 2000 and 2008 and then increased from 2009 onwards. High–high NDVI agglomerations were more concentrated in mountainous areas. Food security was not threatened, and the grain yield in Hubei Province and most of the cities exhibited significant upward trends, as a whole. The change trend of the grain yield was not stable during the period from 2000 to 2018. The grain yield for Hubei Province and almost all of the cities decreased during the first 5 to 11 years, probably due to the sharp decrease in the sloping cropland areas against the background of ecological restoration. Grain yield was more sensitive and had a longer downward trend in regions with steeper slopes. Increasing trends in grain yield were detected during the last 6 to 10 years for most of the cities, and this can mainly be attributed to the newly added croplands that were created from land with other kinds of land uses, the increase in grain productivity, and strict cropland protection policies. The project of returning farmlands to forests is suggested as a long-term policy from the perspective of ecological restoration, and effective measures should also be continuously taken to maintain grain production and food security.
Overdose Detection Technologies to Reduce Solitary Overdose Deaths: A Literature Review
Authors: Lombardi Alexa Rose , Arya Ritikraj , Rosen Joseph G. , Thompson Erin , Welwean Ralph , Tardif Jessica , Rich Josiah D. , Park Ju Nyeong
Published: January 2023

Drug overdoses were a leading cause of injury and death in the United States in 2021. Solitary drug use and solitary overdose deaths have remained persistent challenges warranting additional attention throughout the overdose epidemic. The goal of this narrative review is to describe recent global innovations in overdose detection technologies (ODT) enabling rapid responses to overdose events, especially for people who use drugs alone. We found that only a small number of technologies designed to assist in overdose detection and response are currently commercially available, though several are in the early stages of development. Research, development, and scale-up of practical, cost-effective ODTs remains a public health imperative. Equipping places where people live, learn, work, worship, and play with the necessary tools to detect and prevent overdose deaths could complement ongoing overdose prevention efforts.
A Multi-Level Analysis of Individual and Neighborhood Factors Associated with Patient Portal Use among Adult Emergency Department Patients with Multimorbidity
Authors: Wang Hao , Shen Chan , Barbaro Michael , Ho Amy F. , Pathak Mona , Dunn Cita , Sambamoorthi Usha
Published: January 2023

Background: Patient portals tethered to electronic health records (EHR) have become vital to patient engagement and better disease management, specifically among adults with multimorbidity. We determined individual and neighborhood factors associated with patient portal use (MyChart) among adult patients with multimorbidity seen in an Emergency Department (ED). Methods: This study adopted a cross-sectional study design and used a linked database of EHR from a single ED site to patients’ neighborhood characteristics (i.e., zip code level) from the American Community Survey. The study population included all adults (age > 18 years), with at least one visit to an ED and multimorbidity between 1 January 2019 to 31 December 2020 (N = 40,544). Patient and neighborhood characteristics were compared among patients with and without MyChart use. Random-intercept multi-level logistic regressions were used to analyze the associations of patient and neighborhood factors with MyChart use. Results: Only 19% (N = 7757) of adults with multimorbidity used the patient portal. In the fully adjusted multi-level model, at the patient level, having a primary care physician (AOR = 5.55, 95% CI 5.07–6.07, p < 0.001) and health insurance coverage (AOR = 2.41, 95% CI 2.23–2.61, p < 0.001) were associated with MyChart use. At the neighborhood level, 4.73% of the variation in MyChart use was due to differences in neighborhood factors. However, significant heterogeneity existed in patient portal use when neighborhood characteristics were included in the model. Conclusions: Among ED patients with multimorbidity, one in five adults used patient portals. Patient-level factors, such as having primary care physicians and insurance, may promote patient portal use.
Filling the Gap between Research and Market: Portable Architecture for an Intelligent Autonomous Wheelchair
Authors: García Juan Carlos , Marrón-Romera Marta , Melino Alessandro , Losada-Gutiérrez Cristina , Rodríguez José Manuel , Fazakas Albert
Published: January 2023

Under the umbrella of assistive technologies research, a lot of different platforms have appeared since the 1980s, trying to improve the independence of people with severe mobility problems. Those works followed the same path coming from the field of robotics trying to reach users’ needs. Nevertheless, those approaches rarely arrived on the market, due to their specificity and price. This paper presents a new prototype of an intelligent wheelchair (IW) that tries to fill the gap between research labs and market. In order to achieve such a goal, the proposed solution balances the criteria of performance and cost by using low-cost hardware and open software standards in mobile robots combined together within a modular architecture, which can be easily adapted to different profiles of a wide range of potential users. The basic building block consists of a mechanical chassis with two electric motors and a low-level electronic control system; driven by a joystick, this platform behaves similar to a standard electrical wheelchair. However, the underlying structure of the system includes several independent but connected nodes that form a distributed and scalable architecture that allows its adaptability, by adding new modules, to tackle autonomous navigation. The communication among the system nodes is based on the controller area network (CAN) specification, an extended standard in industrial fields that have a wide range of low-cost devices and tools. The system was tested and evaluated in indoor environments and by final users in order to ensure its usability, robustness, and reliability; it also demonstrated its functionality when navigating through buildings, corridors, and offices. The portability of the solution proposed is also shown by presenting the results on two different platforms: one for kids and another one for adults, based on different commercial mechanical platforms.
Factors Influencing Sustainable Development Literacy among Engineering Undergraduates in China: Based on the College Impact Model
Authors: Qi Shuyu , Huang Danning , Ma Qiutong , Zhou Mi
Published: January 2023

Achieving carbon neutrality is a major strategy to combat climate change and achieve sustainable development. Training engineering undergraduates with sustainable development literacy is an important way to achieve this goal in the field of higher education. Based on the college impact model, this research surveyed 1070 engineering undergraduates in Chinese universities to explore the influence of institutional support on undergraduates’ sustainable development literacy, and the empirical analysis was conducted using Structural Equation Modeling. The results showed that institutional support positively and significantly influenced the sustainability development literacy of engineering undergraduates, and student engagement had a mediating role in the relationship between institutional support and sustainability development literacy. Relevant recommendations for cultivating engineering undergraduates with high-level sustainability development literacy are proposed here.
Increases in Prevalent Depressed Mood and Suicidal Ideation among Workers during the COVID-19 Pandemic—Findings from the California Health Interview Survey
Authors: Gibb Kathryn , Bui David Pham , Vergara Ximena P.
Published: January 2023

Limited data exist on COVID-19’s mental health impact on non-healthcare workers. We estimated the prevalence of depressed mood and suicidal ideation experienced in the past year among California workers and assessed whether the prevalence changed during the COVID-19 pandemic. We analyzed 2013–2020 California Health Interview Survey data using survey-weighted methods to assess the change in the prevalence of depressed mood and suicidal ideation from 2019 to 2020 for working adults by demographics and occupational groups. We used trend-adjusted quasi-Poisson regressions and report rate ratios (RR), comparing the prevalence of outcomes during 2020 to the pre-pandemic period (2013–2019). We identified priority occupation groups with a higher-than-average outcome prevalence in 2020 and rate increases after adjusting for pre-pandemic trends. Our analysis included 168,768 respondents, of which 65% were workers. Production and service workers were the priority occupation groups for depressed mood (RR: 1.46, CI: 1.1–1.9; RR: 1.23, CI: 1.1–1.4) and suicidal ideation (RR: 1.86, CI: 1.0–3.6; RR: 1.47, CI: 1.1–1.9). Workers aged 45–65 years experienced over a 30% relative increase in both outcomes from 2019 to 2020. Depressed mood and suicidal ideation in the past year increased for production, service, and older workers during the pandemic. These groups should be considered for mental health interventions.
Cardiovascular Risk Assessment among Farmers in French Guiana in 2018—A Screening Program
Authors: Martinot Amélie , Adenis Antoine , Brousse Paul , Govindin Yoland , Rousseau Cyril , Thomas Nadia , Nacher Mathieu , Bonifay Timothee
Published: January 2023

Context: There is a general health decline among farmers and the leading cause of death in this population remains cardiovascular (CV) diseases. The situation is similar in the Guianese general population, with a preoccupying increase in CV diseases. However, there are no data on farmers’ health. Methods: A cross-sectional study analyzed data from the “Novembre Vert” action conducted in 2018 in French Guiana. Beneficiaries and farmers affiliated to the Mutualité Sociale Agricole who completed the survey were included. The objective was to assess their CV risk. Results: 603 farmers were included. The sex-ratio was 1.6 and the median age was 52. Over 70% of the participants had a Body Mass Index ≥ 25, with a greater risk of obesity in the female population. High blood pressure (HBP) affected 53.1% of farmers and 80.1% were diagnosed during screening. About 13.5% had diabetes. Overall, 27% of participants were at high or very high CV risk. CV risk was 3 times greater in men. Conclusion: HBP (53.1%), obesity (30.3%) and diabetes (13.5%) prevalence are particularly worrying and underline the importance of policies to reduce cardiovascular morbimortality among farmers.
Novel Comparative Study for the Detection of COVID-19 Using CT Scan and Chest X-ray Images
Authors: Hayat Ahatsham , Baglat Preety , Mendonça Fábio , Mostafa Sheikh Shanawaz , Morgado-Dias Fernando
Published: January 2023

The number of coronavirus disease (COVID-19) cases is constantly rising as the pandemic continues, with new variants constantly emerging. Therefore, to prevent the virus from spreading, coronavirus cases must be diagnosed as soon as possible. The COVID-19 pandemic has had a devastating impact on people’s health and the economy worldwide. For COVID-19 detection, reverse transcription-polymerase chain reaction testing is the benchmark. However, this test takes a long time and necessitates a lot of laboratory resources. A new trend is emerging to address these limitations regarding the use of machine learning and deep learning techniques for automatic analysis, as these can attain high diagnosis results, especially by using medical imaging techniques. However, a key question arises whether a chest computed tomography scan or chest X-ray can be used for COVID-19 detection. A total of 17,599 images were examined in this work to develop the models used to classify the occurrence of COVID-19 infection, while four different classifiers were studied. These are the convolutional neural network (proposed architecture (named, SCovNet) and Resnet18), support vector machine, and logistic regression. Out of all four models, the proposed SCoVNet architecture reached the best performance with an accuracy of almost 99% and 98% on chest computed tomography scan images and chest X-ray images, respectively.
Bibliometric Analysis Reveals the Progress of PM2.5 in Health Research, Especially in Cancer Research
Authors: Xie Yaxuan , Shi Kejian , Yuan Yuncong , Gu Meijia , Zhang Shihan , Wang Kai , Fu Liangying , Shen Chao , Yuan Zhanpeng
Published: January 2023

PM2.5 has an aerodynamic diameter of less than or equal to 2.5 microns due to its inherent physical and chemical properties so that it can enter the alveoli through the respiratory tract for blood gas exchange. Numerous studies have shown that PM2.5 is a serious air pollutant that poses a wide range of health risks, especially for cancer. Bibliometric methods were employed to have comprehensively analyzed the research of PM2.5 in cancer for about a decade in Web of Science to identify hotspots and trends using VOSviewer, CiteSpace, and R. The field has undergone overall growth in the past decade. As research on PM2.5 in health deepens, cancer related to it expanded beyond the respiratory system to the digestive system, urinary system, female gonadal axis, breast cancer and other cancers. Another observation is that research on PM2.5 in cancer has progressed in the mechanisms of deterioration, such as the role of matrix metalloproteinases in cancer. In addition, research on the risks of PM2.5 in combination with polycyclic aromatic hydrocarbons and heavy metals has also emerged. Results showed that there are relatively more studies on PM2.5 in high-latitude countries, which may be due to different national conditions, such as climate and coal combustion. Our research has combed through the progress of PM2.5 in cancer research and provided a supplement for developing pollution prevention ideas with different national conditions in this field.
Degradation of Agro-Industrial Wastewater Model Compound by UV-A-Fenton Process: Batch vs. Continuous Mode
Authors: Jorge Nuno , Teixeira Ana R. , Fernandes José R. , Oliveira Ivo , Lucas Marco S. , Peres José A.
Published: January 2023

The degradation of a model agro-industrial wastewater phenolic compound (caffeic acid, CA) by a UV-A-Fenton system was investigated in this work. Experiments were carried out in order to compare batch and continuous mode. Initially, batch experiments showed that UV-A-Fenton at pH 3.0 (pH of CA solution) achieved a higher generation of HO•, leading to high CA degradation (>99.5%). The influence of different operational conditions, such as H2O2 and Fe2+ concentrations, were evaluated. The results fit a pseudo first-order (PFO) kinetic model, and a high kinetic rate of CA removal was observed, with a [CA] = 5.5 × 10−4 mol/L, [H2O2] = 2.2 × 10−3 mol/L and [Fe2+] = 1.1 × 10−4 mol/L (kCA = 0.694 min−1), with an electric energy per order (EEO) of 7.23 kWh m−3 order−1. Under the same operational conditions, experiments in continuous mode were performed under different flow rates. The results showed that CA achieved a steady state with higher space-times (θ = 0.04) in comparison to dissolved organic carbon (DOC) removal (θ = 0–0.020). The results showed that by increasing the flow rate (F) from 1 to 4 mL min−1, the CA and DOC removal rate increased significantly (kCA = 0.468 min−1; kDOC = 0.00896 min−1). It is concluded that continuous modes are advantageous systems that can be adapted to wastewater treatment plants for the treatment of real agro-industrial wastewaters.
Comparison of the Physical Care Burden on Formal Caregivers between Manual Human Care Using a Paper Diaper and Robot-Aided Care in Excretion Care
Authors: Ko Jeong-Bae , Kong Yong-Ku , Choi Kyeong-Hee , Lee Chang-Ki , Keum Hyun-Ji , Hong Jae-Soo , Won Byeong-Hee
Published: January 2023

Although the older population has been rapidly growing, the availability of formal caregivers remains limited. Assistance provided by care robots has helped lower this burden; however, whether using a care robot while providing excretion care (EC) is quantitatively increasing or decreasing caregivers’ physical care burden has not been extensively studied. This study aimed to quantitatively compare the physical burden experienced by caregivers while providing manual excretion care (MC) using a paper diaper versus robot-aided care (RC). Ten formal caregivers voluntarily participated in the experiment. MC and RC tasks were structuralized according to phases and classified by characteristics. The experiment was conducted in a smart care space. The physical load of formal caregivers was estimated by muscular activity and subjective rating of perceived physical discomfort. The results demonstrated that although the physical load on the lower back and upper extremities during the preparation and post-care phases were greater in RC than MC, RC markedly alleviated caregivers’ physical load when performing front tasks. In the preparation-care phases, the physical loads on the lower back and upper extremities were approximately 40.2 and 39.6% higher in the case of RC than MC, respectively. Similar to the preparation-care phases, the physical loads on the lower back and upper extremities during post-care phases were approximately 39.5 and 61.7% greater in the case of RC than MC, respectively. On the other hand, in the front-care phases, the physical loads on the lower back and upper extremities were approximately 25.6 and 34.9% lower in the case of RC than MC, respectively. These findings can quantitatively explain the effectiveness and features of a care robot to stakeholders and provide foundational research data for the development of EC robots. This study emphasizes the implementation and promotion of the dissemination, popularization, and development of care robots to fulfill formal caregiving needs.
Cardiac Behavior and Heart Rate Variability in Elderly Hypertensive Individuals during Aerobic Exercise: A Non-Randomized Controlled Study
Authors: de Andrade Paulo Evaristo , Zangirolami-Raimundo Juliana , Morais Tassiane Cristina , De Abreu Luiz Carlos , Siqueira Carlos Eduardo , Sorpreso Isabel Cristina Esposito , Soares Júnior José Maria , Raimundo Rodrigo Daminello
Published: January 2023

Background: High blood pressure is an important public health problem due to its high prevalence, the difficulty to control it, and its high contribution to morbidity. A series of changes may be linked to the aging process, compromising cardiac conduction, and reducing cardiovascular baroreceptor function. Advancing age promotes a decline in heart rate variability and this decrease can increase the probability of cardiovascular disease. The aim of this study was to analyze the autonomic modulation of heart rate in hypertensive elderly individuals during and after a session of aerobic exercise, and to compare it with elderly individuals without cardiovascular or metabolic disease. Our study was a non-randomized controlled study with hypertensive elderly (HBP group) and elderly without cardiovascular and/or metabolic diseases (control group). Data on blood pressure and heart rate variability (HRV) were collected before, during, and after 30 min of aerobic physical exercise on a treadmill. There was a reduction in HF (ms2) and SD1 (ms) in the 5 min of recovery for the elderly in the control group. The elderly in the control group also had greater RMSSD and SD1 30 min post-exercise when compared to the initial mins of recovery. We concluded that there was no difference in autonomic modulation and global heart rate variability between elderly individuals without cardiovascular and metabolic diseases and hypertensive individuals after a bout of aerobic exercise. Elderly individuals without metabolic diseases showed a decrease in parasympathetic modulation and global variability between the time of rest and 5 min of recovery. However, up to 30 min of post-exercise recovery, they restored parasympathetic activity.
How Brazilian Schoolchildren Identify, Classify, and Label Foods and Beverages—A Card Sorting Methodology
Authors: Pereira Luciana Jeremias , Lopes Clarice Perucchi , Martins Mayara Lopes , de Fragas Hinnig Patrícia , Di Pietro Patricia Faria , de Moura Araujo Pedro Henrique , de Andrade Dalton Francisco , De Assis Maria Alice Altenburg , Vieira Francilene Gracieli Kunradi
Published: January 2023

This study examined how Brazilian schoolchildren identified, classified, and labeled foods and beverages. Semi-structured interviews were conducted with 133 schoolchildren aged 7 to 10 years old from a public school located in southern Brazil in 2015. A set of cards with pictures of 32 food and beverage items from the web-based Food Intake and Physical Activity of Schoolchildren tool (Web-CAAFE) were used. Participants identified each item, formed groups for them based on similarity, and assigned labels for those groups. Student’s t-tests and analysis of variance (ANOVA) tests were used to verify the mean difference between the groups of items. K-means cluster analysis was applied to identify similar clusters. Schoolchildren made an average of 9.1 piles of foods and beverages that they thought were similar (±2.4) with 3.0 cards (±1.8) each. Five groups were identified: meats, snacks and pasta, sweets, milk and dairy products, and fruits and vegetables. The most frequently used nomenclature for labeling groups was taxonomic-professional (47.4%), followed by the specific food item name (16.4%), do not know/not sure (13.3%), and evaluative (health perception) (8.8%). The taxonomic-professional category could be applied to promote improvements in the identification process of food and beverage items by children in self-reported computerized dietary questionnaires.
Initial Impact of Perinatal Loss on Mothers and Their Partners
Authors: Delgado Laia , Cobo Jesus , Giménez Cristina , Fucho-Rius Genís Felip , Sammut Stephanie , Martí Laia , Lesmes Cristina , Puig Salut , Obregón Noemí , Canet Yolanda , Palao Diego J.
Published: January 2023

(1) Background: Perinatal Loss affects one in ten women worldwide. It is known to have a deep impact on the physical and psychological wellbeing of the mother. Moreover, there is a lack of information in regard to gender differences. The role of culture, environment, personal characteristics, and gender is yet to be determined in most reports; (2) Objective and Methods: Our aim is to study the initial impact of perinatal losses in an unselected sample of couples, focusing on gender differences. We conducted a longitudinal prospective study with 29 mothers and 17 fathers. Upon discharge from the hospital, they filled out the Edinburgh Postnatal Depression Scale (EPDS), among others. After one-month post-loss, they performed the EPDS and the Short Version of the Perinatal Grief Scale. We used descriptive statistics for the sample and non-parametric tests for the comparison of gender; (3) Results: We found no gender differences in initial depressive symptoms, nor in depressive symptoms, perinatal grief symptoms, or grief level (total scores or complicated grief) one month after the loss; (4) Conclusions: we need to better understand the psychological evolution of couples in cases of perinatal loss without falling into preconceived ideas about the influence of gender.
Biodegradable Electrospun Nanofiber Membranes as Promising Candidates for the Development of Face Masks
Authors: Shen Rujun , Guo Yunlong , Wang Shuaijie , Tuerxun Ayikezi , He Jiaqi , Bian Ye
Published: January 2023

Aerosol particles, such as the widespread COVID-19 recently, have posed a great threat to humans. Combat experience has proven that masks can protect against viruses; however, the epidemic in recent years has caused serious environmental pollution from plastic medical supplies, especially masks. Degradable filters are promising candidates to alleviate this problem. Degradable nanofiber filters, which are developed by the electrospinning technique, can achieve superior filtration performance. This review focuses on the basic introduction to air filtration, the general aspects of face masks, and nanofibers. Furthermore, the progress of the state of art degradable electrospun nanofiber filters have been summarized, such as silk fibroin (SF), polylactic acid (PLA), chitosan, cellulose, and zein. Finally, the challenges and future development are highlighted.
The Effect of Servant Leadership on Work Resilience: Evidence from the Hospitality Industry during the COVID-19 Period
Authors: Cai Zhenyao , Mao Yimin , Gong Ting , Xin Ying , Lou Jiayun
Published: January 2023

The COVID-19 pandemic is a tremendous crisis for public health, which also has a profound impact on business and social activities because many countries restrict travel and social gatherings to avoid the spread of COVID-19. Workers suffer from mental health problems including depression and anxiety due to the uncertain work environment. Hence, psychological resilience, a positive psychological response to these challenges, is essential to the success of employees and companies. Drawing on the conservation of resources theory (COR), this paper investigates how the leadership style (i.e., servant leadership) enhances the work resilience of hospitality employees through two time-lagged empirical studies. Specifically, study 1 demonstrates a positive relationship between servant leadership and employees’ work resilience. Study 2 replicates study 1’s result and further demonstrates that emotional exhaustion mediates the relationship between servant leadership and employees’ work resilience. Furthermore, study 2 finds a significant moderating effect of job complexity. The findings of this paper provide empirical evidence for practitioners to manage employees’ resilience and psychological resources.
Do Freshwater and Marine Bivalves Differ in Their Response to Wildfire Ash? Effects on the Antioxidant Defense System and Metal Body Burden
Authors: Jesus Fátima , Mesquita Filipa , Virumbrales Aldama Elisa , Marques Ana , Gonçalves Ana M. M. , Magalhães Luísa , Nogueira António J. A. , Ré Ana , Campos Isabel , Pereira Joana Luísa , Gonçalves Fernando J. M. , Abrantes Nelson , Serpa Dalila
Published: January 2023

Wildfires constitute a source of contamination to both freshwater and marine ecosystems. This study aimed to compare the antioxidant defense response of the freshwater clam Corbicula fluminea and the marine cockle (Cerastoderma edule) to wildfire ash exposure and the concomitant metal body burden. Organisms were exposed to different concentrations (0%, 12.5%, 25%, 50%, and 100%) of aqueous extracts of Eucalypt ash (AEAs) from a moderate-to-high severity wildfire. The activity of various enzymes, as well as lipid peroxidation, protein content, and metal body burden, were determined after 96 h of exposure. A significant increase in the protein content of soft tissues was observed for C. edule at AEA concentrations ≥ 25%, unlike for C. fluminea. Similarly, significant effects on lipid peroxidation were observed for cockles, but not for clams. For both species, a significant effect in the total glutathione peroxidase activity was observed at AEA concentrations ≥ 25%. Relative to the control, AEAs-exposed clams showed higher Cd content, whereas AEAs-exposed cockles showed higher Cu content, thus exhibiting different responses to the exposure to wildfire ash. The susceptibility of bivalves to ashes, at environmentally relevant concentrations, raises concern about the effects of post-fire runoff to bivalve species.