bluuebunny/crossref_metadata_2025 huggingface dataset:
Model Predictive Control versus Traditional Relay Control in a High Energy Efficiency Greenhouse
Authors: Bersani Chiara , Fossa Marco , Priarone Antonella , Sacile Roberto , Zero Enrico
Published: June 2021

The sustainable agriculture cultivation in greenhouses is constantly evolving thanks to new technologies and methodologies able to improve the crop yield and to solve the common concerns which occur in protected environments. In this paper, an MPC-based control system has been realized in order to control the indoor air temperature in a high efficiency greenhouse. The main objective is to determine the optimal control signals related to the water mass flow rate supplied by a heat pump. The MPC model allows a predefined temperature profile to be tracked with an energy saving approach. The MPC has been implemented as a multiobjective optimization model that takes into account the dynamic behavior of the greenhouse in terms of energy and mass balances. The energy supply is provided by a ground coupled heat pump (GCHP) and by the solar radiation while the energy losses related to heat transfers across the glazed envelope. The proposed MPC method was applied in a smart innovative greenhouse located in Italy, and its performances were compared with a traditional reactive control method in terms of deviation of the indoor temperature in respect to the desired one and in terms of electric power consumption. The results demonstrated that, for a time horizon of 20 h, in a greenhouse with dimensions 15.3 and 9.9 m and an average height of 4.5 m, the proposed MPC approach saved about 30% in electric power compared with a relay control, guaranteeing a consistent and reliable temperature profile in respect to the predefined tracked one.
Assessment of Passive Retrofitting Scenarios in Heritage Residential Buildings in Hot, Dry Climates
Authors: Ibrahim Hanan S.S. , Khan Ahmed Z. , Mahar Waqas Ahmed , Attia Shady , Serag Yehya
Published: June 2021

Retrofitting heritage buildings for energy efficiency is not always easy where cultural values are highly concerned, which requires an integrated approach. This paper aims to assess the potential of applying passive retrofitting scenarios to enhance indoor thermal comfort of heritage buildings in North Africa, as a hot climate, a little attention has been paid to retrofit built heritage in that climate. A mixed-mode ventilation residential building in Cairo, Egypt, was selected as a case study. The study combines field measurements and observations with energy simulations. A simulation model was created and calibrated on the basis of monitored data in the reference building, and the thermal comfort range was evaluated. Sets of passive retrofitting scenarios were proposed. The results (based on the ASHRAE-55-2020 adaptive comfort model at 90% acceptability limits) showed that the annual thermal comfort in the reference building is very low, i.e., 31.4%. The application of hybrid passive retrofitting scenarios significantly impacts indoor thermal comfort in the reference building, where annual comfort hours of up to 66% can be achieved. The originality of this work lies in identifying the most effective energy measures to improve indoor thermal comfort that are optimal from a conservation point of view. The findings contribute to set a comprehensive retrofitting tool that avoids potential risks for the conservation of residential heritage buildings in hot climates.
Predicting the Potential Geographic Distribution and Habitat Suitability of Two Economic Forest Trees on the Loess Plateau, China
Authors: Xu Wei , Jin Jingwei , Cheng Jimin
Published: June 2021

The Loess Plateau is one of the most fragile ecosystems in the world. In order to increase the biodiversity in the area, develop sustainable agriculture and increase the income of the local people, we simulated the potential geographic distribution of two economic forest trees (Malus pumila Mill and Prunus armeniaca L.) in the present and future under two climate scenarios, using the maximum entropy model. In this study, the importance and contributions of environmental variables, areas of suitable habitats, changes in habitat suitability, the direction and distance of habitat range shifts, the change ratios for habitat area and land use proportions, were measured. According to our results, bioclimatic variables, topographic variables and soil variables play a significant role in defining the distribution of M. pumila and P. armeniaca. The min temperature of coldest month (bio6) was the most important environmental variable for the distribution of the two economic forest trees. The second most important factors for M. pumila and P. armeniaca were, respectively, the elevation and precipitation of the driest quarter (bio17). At the time of the study, the area of above moderately suitable habitats (AMSH) was 8.7967 × 104 km2 and 11.4631 × 104 km2 for M. pumila and P. armeniaca. The effect of Shared Socioeconomic Pathway (SSP) 5-85 was more dramatic than that of SSP1-26. Between now and the 2090s (SSP 5-85), the AMSH area of M. pumila is expected to decrease to 7.5957 × 104 km2, while that of P. armeniaca will increase to 34.6465 × 104 km2. The suitability of M. pumila decreased dramatically in the south and southeast regions of the Loess Plateau, increased in the middle and west and resulted in a shift in distance in the range of 78.61~190.63 km to the northwest, while P. armeniaca shifted to the northwest by 64.77~139.85 km. This study provides information for future policymaking regarding economic forest trees in the Loess Plateau.
Modeling of the Effects of Pleat Packing Density and Cartridge Geometry on the Performance of Pleated Membrane Filters
Authors: Persaud Dave , Smirnov Mikhail , Fong Daniel , Sanaei Pejman
Published: June 2021

Pleated membrane filters are widely used to remove undesired impurities from a fluid in many applications. A filter membrane is sandwiched between porous support layers and then pleated and packed into an annular cylindrical cartridge with a central hollow duct for outflow. Although this arrangement offers a high surface filtration area to volume ratio, the filter performance is not as efficient as those of equivalent flat filters. In this paper, we use asymptotic methods to simplify the flow throughout the cartridge to systematically investigate how the number of pleats or pleat packing density affects the performance of the pleated membrane filters. The model is used to determine an optimal number of pleats in order to achieve a particular optimum filtration performance. Our findings show that only the “just right”—neither too few nor too many—number of pleats gives optimum performance in a pleated filter cartridge.
Recent Research Advances in Meat Products
Authors: Pateiro Mirian , Domínguez Rubén , Lorenzo José M.
Published: June 2021

Recent trends in meat products have their origin in the new needs of consumers that are related to nutrition, health concerns, well-being and natural products [...]
Amino Acid Sequences of Lactoferrin from Red Deer (Cervus elaphus) Milk and Antimicrobial Activity of Its Derived Peptides Lactoferricin and Lactoferrampin
Authors: Wang Ye , Morton James D. , Bekhit Alaa EL-Din A. , Carne Alan , Mason Susan L.
Published: June 2021

Although the bioactivities of bovine lactoferrin have been extensively investigated, little is known about deer milk lactoferrin bioactivity and its amino acid sequence. This research investigated the amino acid sequence of deer lactoferrin and the antimicrobial activities of two lactoferrin-encrypted peptides; lactoferricin (Lfcin) and lactoferrampin (Lfampin). Deer lactoferrin was found to have a molecular weight of 77.1 kDa and an isoelectric point of 7.99, which are similar to that of bovine lactoferrin, 78 kDa and pI 7.9. Deer lactoferrin contains 707 amino acids, one amino acid less than bovine lactoferrin, and has 92% homology with bovine lactoferrin. Deer lactoferricin exhibited strong antimicrobial activity against E. coli American Type Culture Collection (ATCC) 25922 and L. acidophilus ATCC 4356. The antimicrobial activities of deer and bovine Lfcin and Lfampin were compared. Based on MIC, deer Lfcin was found to be a more effective inhibitor of L. acidophilus ATCC 4356 than bovine Lfcin, but bovine Lfcin and Lfampin were more effective against E. coli ATCC 25922 than deer Lfcin and Lfampin. The deer Lfcin sequence differed at seven amino acids from bovine Lfcin and this decreased the net positive charge and increased the hydrophobicity. Deer Lfampin contained two differences in amino acid sequence compared to bovine Lfampin which decreased the net positive charge. These amino acid sequence differences likely account for differences in antibacterial activity. Positive charge and hydrophobic residues provide the amphipathic character of these helical peptides, and are considered important for binding of antimicrobial peptides. In silico modelling of deer Lfcin indicated an identical α-helical structure compared to bovine Lfcin.
Heavy-Metal Contents and the Impact of Roasting on Polyphenols, Caffeine, and Acrylamide in Specialty Coffee Beans
Authors: Várady Matúš , Ślusarczyk Sylwester , Boržíkova Jana , Hanková Katarína , Vieriková Michaela , Marcinčák Slavomír , Popelka Peter
Published: June 2021

The aim of this study was to determine the effect of roasting on the contents of polyphenols (PPH), acrylamide (AA), and caffeine (CAF) and to analyze heavy metals in specialty coffee beans from Colombia (COL) and Nicaragua (NIC). Samples of NIC were naturally processed and COL was fermented anaerobically. Green beans from COL (COL-GR) and NIC (NIC-GR) were roasted at two levels, light roasting (COL-LIGHT and NIC-LIGHT) and darker roasting (COL-DARK and NIC-DARK), at final temperatures of 210 °C (10 min) and 215 °C (12 min), respectively. Quantitative analyses of PPH identified caffeoylquinic acids (CQA), feruloylquinic acids, and dicaffeoylquinic acids. Isomer 5-CQA was present at the highest levels and reached 60.8 and 57.7% in COL-GR and NIC-GR, 23.4 and 29.3% in COL-LIGHT and NIC-LIGHT, and 18 and 24.2% in COL-DARK and NIC-DARK, respectively, of the total PPH. The total PPH contents were highest in COL-GR (59.76 mg/g dry matter, DM). Roasting affected the contents of PPH, CAF, and AA (p < 0.001, p < 0.011 and p < 0.001, respectively). Nickel and cadmium contents were significantly higher in the COL-GR than in the NIC-GR beans. Darker roasting decreased AA content, but light roasting maintained similar amounts of CAF and total PPH.
Investigation of Immunomodulatory and Gut Microbiota-Altering Properties of Multicomponent Nutraceutical Prepared from Lactic Acid Bacteria, Bovine Colostrum, Apple Production By-Products and Essential Oils
Authors: Grigas Juozas , Ruzauskas Modestas , Pautienius Arnoldas , Bartkiene Elena , Lele Vita , Starkute Vytaute , Zavistanaviciute Paulina , Zokaityte Egle , Bernatoniene Jurga , Ivanauskas Liudas , Jakstas Valdas , Stankevicius Arunas
Published: June 2021

Dietary components, such as lactic acid bacteria (LAB), bovine colostrum, apple production by-products, and essential oils, can favorably alter the host immune system and gut microbiota, however, their cumulative effect as multicomponent nutraceutical supplement has not been investigated. Therefore, the present study is the first one to evaluate a combination of LAB, bovine colostrum, dehydrated apple pomace, and essential oils for their immunomodulatory and prebiotic properties in the swine model. This study shows that supplementary feeding of pigs using multicomponent nutraceutical resulted in a statistically significant decrease in proportions of T cytotoxic and double-positive (CD4+CD8+low) cells within the CD3+ cell population at 28 DPI, compared to the beginning of the experiment (0DPI). Conversely, a statistically significant increase in proportions of B cells (accompanied by an increase in IgG concentration) and macrophage/monocyte cells within viable cell population at 28 DPI, compared to the beginning of the experiments, was observed. Furthermore, changes in the bacterial composition of gut microbiota in pigs fed with multicomponent nutraceutical changed significantly, with a 1.78 times higher number of probiotic strains (Bifidobacterium, Streptococcus, Faecilbacterium) at the end of the experiment, compared to control group animals. This study shows a positive effect of the nutraceutical formula used on the changes of gut microbiota by facilitating an increase in probiotic bacteria strains and possible anti-inflammatory properties.
Sensitivity of Earthquake Damage Estimation to the Input Data (Soil Characterization Maps and Building Exposure): Case Study in the Luchon Valley, France
Authors: Fayjaloun Rosemary , Negulescu Caterina , Roullé Agathe , Auclair Samuel , Gehl Pierre , Faravelli Marta
Published: June 2021

This article studies the effects of the soil data and exposure data of residential building inventories, as well as their spatial resolution, on seismic damage and loss estimates for a given earthquake scenario. Our aim is to investigate how beneficial it would be to acquire higher resolution inventories at the cost of additional effort and resources. Seismic damage computations are used to evaluate the relative influence of varying spatial resolution on a given damage model, where other parameters were held constant. We use soil characterization maps and building exposure inventories, provided at different scales from different sources: the European database, a national dataset at the municipality scale, and local field investigations. Soil characteristics are used to evaluate site effects and to assign amplification factors to the strong motion applied to the exposed areas. Exposure datasets are used to assign vulnerability indices to sets of buildings, from which a damage distribution is produced (based on the applied seismic intensity). The different spatial resolutions are benchmarked in a case-study area which is subject to moderate-to-average seismicity levels (Luchon valley in the Pyrénées, France). It was found that the proportion of heavily damaged buildings is underestimated when using the European soil map and the European building database, while the more refined databases (national/regional vs. local maps) result in similar estimates for moderate earthquake scenarios. Finally, we highlight the importance of pooling open access data from different sources, but caution the challenges of combining different datasets, especially depending on the type of application that is pursued (e.g., for risk mitigation or rapid response tools).
Nitrogen Uptake Efficiency of Olive Cultivars
Authors: Fernández-Escobar Ricardo , Antonaya-Baena Felisa , Almeida-Lavado Sergio
Published: June 2021

Maximizing nitrogen uptake efficiency is a sustainable objective to reduce the amount of nitrogen fertilizers applied in olive orchards. Many factors affect this parameter, but nothing is known about whether there are differences among cultivars related to nitrogen uptake efficiency in the olive, and if there are interactions with soil type. To clarify these questions, two groups of experiments were conducted. In the first group, four experiments were carried out in which 20 olive cultivars were compared. In the second group, three experiments were carried out to study the interaction with the type of soil. In all experiments, mist-rooted olive cuttings were growing in 1.1 L pots containing a mixture of sand and peat (2:1 by volume). Depending on the experiment, plants were placed in a shadehouse or in growth chambers at 25/15 °C (day/night) with a 14 h photoperiod and 70% humidity. Plants received weekly applications of 100 ppm N throughout the irrigation water, alternating with one or two applications of 150 mL of tap water. Some plants of each cultivar did not receive nitrogen and served as a control for NUE calculation. A nutrient solution without nitrogen was applied every four weeks to prevent nutritional deficiencies. Results indicated that there are differences among cultivars in the efficiency of uptake nitrogen. The Spanish cultivars ‘Picual’, ‘Arbequina’ and ‘Manzanilla de Sevilla’, together with the Greek cultivar ‘Koroneiki’ and the Italian ‘Frantoio’, were the cultivars with high NUE in this work. Soil type did not affect NUE, and no interaction between soil type and cultivar was observed.
Relative Age Effect in Physical Fitness of South Portugal Students between 10 and 18 Years Old
Authors: Folgado Hugo , Bravo Jorge , Quintas Ana , Raimundo Armando , Gonçalves Bruno
Published: June 2021

Relative age is a phenomenon broadly studied in sport sciences. Youth sports participants born earlier in the selection year tend to present a maturational advantage over their peers. As it is also dependent on physical performance, older physical education students may also benefit from this effect in this school subject. The main goal of this manuscript was to determine whether the relative age effect is present within physical fitness outcomes of Portuguese children and adolescents. The physical–aerobic fitness, strength, flexibility and body composition of 885 students (490 females and 395 males) were collected and compared by quarters of birth, segmented by gender and age groups (10–12; 12–14; 14–16 and 16–18 years). The results reveal a moderate to small effect in physical fitness outcomes, with a trend for children and adolescents born in the early part of the year to present higher performance levels. These differences were more evident in ages closer to the physical maturational onset (12–14 y) and more apparent in male students. This physical fitness advantage may lead to a biased assessment and development of students born earlier in the year.
A Rapid Culture Method for the Detection of Campylobacter from Water Environments
Authors: Strakova Nicol , Korena Kristyna , Gelbicova Tereza , Kulich Pavel , Karpiskova Renata
Published: June 2021

The natural environment and water are among the sources of Campylobacter jejuni and Campylobacter coli. A limited number of protocols exist for the isolation of campylobacters in poorly filterable water. Therefore, the goal of our work was to find a more efficient method of Campylobacter isolation and detection from wastewater and surface water than the ISO standard. In the novel rapid culture method presented here, samples are centrifuged at high speed, and the resuspended pellet is inoculated on a filter, which is placed on Campylobacter selective mCCDA agar. The motile bacteria pass through the filter pores, and mCCDA agar suppresses the growth of background microbiota on behalf of campylobacters. This culture-based method is more efficient for the detection and isolation of Campylobacter jejuni and Campylobacter coli from poorly filterable water than the ISO 17995 standard. It also is less time-consuming, taking only 72 h and comprising three steps, while the ISO standard method requires five or six steps and 144–192 h. This novel culture method, based on high-speed centrifugation, bacterial motility, and selective cultivation conditions, can be used for the detection and isolation of various bacteria from water samples.
The Mental Well-Being of Health Care Workers during the Peak of the COVID-19 Pandemic—A Nationwide Study in Poland
Authors: Babicki Mateusz , Szewczykowska Ilona , Mastalerz-Migas Agnieszka
Published: June 2021

Introduction: The current epidemiological situation has quickly led to several changes in the daily functioning of people around the world, especially among medical personnel, who in this difficult period were burdened with new professional duties, which significantly affects their mental health. Materials: This study aims to assess the mental health of health professionals at a critical point in their workload, to compare the results with those the general population, and to explore the potential determinants affecting it. The CAWI survey includes a sociodemographic section, work experience and a standardised psychometric tool (GHQ-28). Data were collected during the second wave of the COVID-19 pandemic in Poland (3–29 November 2020), which had the highest mortality rates and SARS-CoV-2 morbidity rates, as well as during the period of a significant increase in deaths, compared to the corresponding pre-pandemic period. Results: A total of 2150 surveys were eligible for analysis. Among them, 848 (39.4%) were active health professionals. In the analysis of the scores of the GHQ-28 scale and its sub-scales, evaluating anxiety/insomnia and somatic symptoms, medical workers scored significantly higher scores than non-medical professions (p < 0.001). Frontline medical workers (p < 0.001) and those who were forcibly seconded to work with COVID-19-infected patients (p = 0.011) achieved significantly higher GHQ-28 scores. Conclusions: The COVID-19 pandemic has had a significant impact on mental deterioration among health professionals, especially among those directly working with SARS-CoV-2-infected patients and those who were forcibly seconded to work with such patients. To mitigate the effects of the pandemic, appropriate psychological care for medical personnel needs to be implemented.
A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation
Authors: Lenzer Benedikt , Hoffmann Christina , Hoffmann Peter , Müller-Werdan Ursula , Rupprecht Manuel , Witt Christian , Herzig Cornelius , Liebers Uta
Published: June 2021

This study explores the concerns, needs, and expectations of inpatients with the goal to develop a patient-centered climate change adaptation agenda for hospitals. Statements of patients from geriatrics, internal medicine, psychiatry, and surgery (N = 25) of a German tertiary care hospital were analyzed using semi-structured interviews and the framework method. Areas of future adaptation were elaborated in joint discussions with transdisciplinary experts. Concerns included the foresight of severe health problems. The requested adaptations comprised the change to a patient-centered care, infrastructural improvements including air conditioning, and adjustments of the workflows. Guidelines for the behavior of patients and medical services appropriate for the climatic conditions were demanded. The patient-centered agenda for adaptation includes the steps of partnering with patients, reinforcing heat mitigation, better education for patients and medical staff, and adjusting work processes. This is the first study demonstrating that hospital patients are gravely concerned and expect adjustments according to climate change. Since heat is seen as a major risk by interviewees, the fast implementation of published recommendations is crucial. By synthesizing inpatients’ expectations with scientific recommendations, we encourage patient-centered climate change adaptation. This can be the start for further collaboration with patients to create climate change resilient hospitals.
Toxic Elements in Traditional Kohl-Based Eye Cosmetics in Spanish and German Markets
Authors: Navarro-Tapia Elisabet , Serra-Delgado Mariona , Fernández-López Lucía , Meseguer-Gilabert Montserrat , Falcón María , Sebastiani Giorgia , Sailer Sebastian , Garcia-Algar Oscar , Andreu-Fernández Vicente
Published: June 2021

Kohl is a traditional cosmetic widely used in Asia and Africa. In recent years, demand for kohl-based eyelids and lipsticks has increased in Europe, linked to migratory phenomena of populations from these continents. Although the European legislation prohibits the use of heavy metals in cosmetics due to the harmful effects to human health, particularly to pregnant women and children, these elements are still present in certain products. The European Union recommended levels are Pb < 20 ppm, As < 5 ppm, Cd < 5 ppm, Sb < 100 ppm, and Ni < 200 ppm. In Germany, levels are more restrictive: Pb < 2 ppm, As < 0.5 ppm, Cd < 0.1 ppm, Sb < 0.5 ppm, and Ni < 10 ppm. Here, we analyzed 12 kohl-based cosmetics in different presentations (powder, paste, and pencil) that were purchased in Spanish and German local shops. An inductively coupled plasma optical emission spectrophotometer was used to identify toxic elements and heavy metals. Levels of Pb ranged between 1.7 and 410,000 ppm in six of the study samples, four of which had levels above the recommended limit of at least two heavy metals. Arsenic (a carcinogenic element) values were within the range allowed by the EU in only 58% of the studied samples. Moreover, two products doubled this limit, reaching levels of 9.2 and 12.6 ppm. In one of the products, cadmium, related to toxic keratitis, was four times higher (20.7 ppm) than that allowed, while in two other products, these limits were doubled (11.8 and 12.7 ppm). Our results indicate the need to supervise the manufacture of kohl-based traditional products and the analysis of their composition prior distribution in European countries.
COVID-19 Impact on Musculoskeletal Regenerative Medicine Research: Maintaining Lab Continuity
Authors: Roseti Livia , Grigolo Brunella
Published: June 2021

Background: Research in the fields of musculoskeletal tissue engineering and regenerative medicine may suffer a slowdown during the ongoing COVID-19 pandemic emergency. This is likely to harm the development of new therapeutic strategies and their translation into the clinic in the long term. Recently, the need to maintain continuity in research activities in those fields has assumed even greater importance due to the accumulation of data concerning the effects of SARS-CoV-2 on the musculoskeletal system. This study is aimed at the identification of a series of safe handling practices against COVID-19 diffusion to apply in a research environment, thus allowing the maintenance of research lab activities. Methods: The control measures to apply to mitigate the COVID-19 risk were identified and categorized utilizing the Hierarchy of Controls. We also compared our analysis with that assessed before the pandemic to consider the additional risk of COVID-19. Results: Results highlighted that the most relevant implemented measures to control SARS-CoV-2 were based on protecting people through engineering (e.g., ventilation and social distancing), and administrative (e.g., hand sanitization, work shifts) measures or Personnel Protective Equipment, rather than eliminating hazards at the source (e.g., smart working). Conclusions: Work continuity in research labs during the COVID-19 emergency should be guaranteed by ensuring the protection of researchers in the workplace and considering the physical environment, the type of operators and work activity, and the proven ability of workers to face biological risks. The increased knowledge and awareness on lab’ risks should be useful to prevent and mitigate future viral outbreaks.
Social and Structural Determinants of Health Inequities: Socioeconomic, Transportation-Related, and Provincial-Level Indicators of Cost-Related Forgone Hospital Care in China
Authors: Towne Samuel D. , Liu Xiaojun , Li Rui , Smith Matthew Lee , Maddock Jay E. , Tan Anran , Hayek Samah , Zelber-Sagi Shira , Jiang Xiaoqing , Ruan Haotian , Yuan Zhaokang
Published: June 2021

Despite near universal health insurance coverage in China, populations with low incomes may still face barriers in access and utilization of affordable health care. We aimed to identify the likelihood of forgone medical care due to cost by surveying individuals from the community to assess: (1) The percent with forgone medical care due to cost; and (2) Factors associated with forgone medical care due to cost. Surveys conducted (2016–2017) in Mandarin included demographic and medical care utilization-related items. Theoretically-informed, fully-adjusted analyses were employed. Approximately 94% of respondents had health insurance, which is somewhat similar to national estimates. Overall, 24% of respondents resided in rural areas, with 18% having less than a high school education, and 49% being male. More than 36% reported forgone medical care due to cost in the past 12 months. In fully-adjusted analyses, having lower education, generally not being satisfied with the commute to the hospital, and being a resident of a province with a lower density of physicians were associated with forgone medical care. Cost-related disparities in the access and utilization of needed medical care persist, even with near universal health insurance, which may be due to one’s satisfaction with travel time to healthcare and other community assets.
Effects of Long-Term Freeze–Thaw Cycles on the Properties of Stabilized/Solidified Lead-Zinc-Cadmium Composite-Contaminated Soil
Authors: Yang Zhongping , Chang Jiazhuo , Wang Yao , Li Xuyong , Li Shu
Published: June 2021

Lead, zinc, and cadmium were used to prepare a composite-contaminated soil to replicate common situations, in which soil is usually simultaneously contaminated by multiple metals. To examine the long-term durability of stabilized/solidified (S/S) contaminated soil, specimens were subjected to a series of freeze–thaw (F-T) cycles, up to ninety times (one day per cycle), prior to testing. Triaxial compression tests, soil column leaching tests, and X-ray diffraction analysis were then employed to study the mechanical properties, environmental influences, and micro-mechanisms of the S/S lead-zinc-cadmium composite-contaminated soils after long-term F-T. The results showed that triaxial compressive strength increases within three F-T cycles, then decreases before slightly increasing or stabilizing after thirty F-T cycles. The stage of decreased cohesion thus occurs between three and fourteen F-T cycles, with variation in other factors similar to that of the triaxial compressive strength. The cohesion mainly increases between three and seven cycles. The soil column leaching test showed that the permeability of soil is more than four times higher than that of soil not subject to freeze–thaw cycles after ninety F-T cycles. XRD tests further revealed that the chemical composition of S/S contaminated soil and the occurrence of each heavy metal (HM) remained unchanged under F-T treatment.
Validation of the Infant and Young Child Development (IYCD) Indicators in Three Countries: Brazil, Malawi and Pakistan
Authors: Gladstone Melissa , Lancaster Gillian , McCray Gareth , Cavallera Vanessa , Alves Claudia R. L. , Maliwichi Limbika , Rasheed Muneera A. , Dua Tarun , Janus Magdalena , Kariger Patricia
Published: June 2021

Background: The early childhood years provide an important window of opportunity to build strong foundations for future development. One impediment to global progress is a lack of population-based measurement tools to provide reliable estimates of developmental status. We aimed to field test and validate a newly created tool for this purpose. Methods: We assessed attainment of 121 Infant and Young Child Development (IYCD) items in 269 children aged 0–3 from Pakistan, Malawi and Brazil alongside socioeconomic status (SES), maternal educational, Family Care Indicators and anthropometry. Children born premature, malnourished or with neurodevelopmental problems were excluded. We assessed inter-rater and test-retest reliability as well as understandability of items. Each item was analyzed using logistic regression taking SES, anthropometry, gender and FCI as covariates. Consensus choice of final items depended on developmental trajectory, age of attainment, invariance, reliability and acceptability between countries. Results: The IYCD has 100 developmental items (40 gross/fine motor, 30 expressive/receptive language/cognitive, 20 socio-emotional and 10 behavior). Items were acceptable, performed well in cognitive testing, had good developmental trajectories and high reliability across countries. Development for Age (DAZ) scores showed very good known-groups validity. Conclusions: The IYCD is a simple-to-use caregiver report tool enabling population level assessment of child development for children aged 0–3 years which performs well across three countries on three continents to provide reliable estimates of young children’s developmental status.
Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia
Authors: Seok Yoonhee , Suh Eunyoung E. , Yu Soo-Young , Park JeongYun , Park Hyunjin , Lee Eunsil
Published: June 2021

This study presents an anticipatory integrated education program for nausea, vomiting, and dizziness prevention (anti-NVD education program) for patients undergoing abdominal surgery under general anesthesia. The anti-NVD education program for nephrectomy patients consisted of the following: the causes of postoperative nausea, vomiting, and dizziness; effective deep breathing and how to use an inspirometer; postoperative nausea and vomiting; effective methods of patient-controlled analgesia; and the stepwise standing up method to prevent dizziness. A study was conducted among 79 adults (experimental group: n = 40, control group: n = 39). The degree of nausea and dizziness was measured using a numerical rating scale (NRS), and vomiting and the frequency of antiemetic use were measured in terms of the number of patients. The experimental group, which received the anti-NVD education, showed remarkably lower levels of nausea (p = 0.013) and dizziness (p < 0.001) than the control group. The frequency of antiemetic use 48 hours after surgery was significantly lower in the experimental group (p = 0.03). This study proved the efficacy of the anti-NVD education program for reducing postoperative nausea and dizziness. This program can be used as a noninvasive nursing intervention to prevent nausea, vomiting, and dizziness among patients undergoing abdominal surgery.
The Moderating Role of Caregiving on Fear of COVID-19 and Post-Traumatic Stress Symptoms
Authors: Carballo José Luis , Coloma-Carmona Ainhoa , Arteseros-Bañón Sara , Pérez-Jover Virtudes
Published: June 2021

Caregiving has been associated with increased levels of fear and post-traumatic stress symptoms (PTSS) during COVID-19 pandemic. However, there is a lack of studies that analyze when the relationship between fear and PTSS occur, using informal caregiving as a moderator variable. To explore this moderating role, we conducted a cross-sectional online study between November 2020 and January 2021. A total of 503 men and women from the Spanish general population completed the survey. Sociodemographic and Covid-19-related data, fear of COVID-19, PTSS symptoms, and current psychological history were assessed. Prevalence of informal caregiving in the sample was 16.5%. Increased levels of fear and PTSS were found in caregivers compared to non-caregivers. Female gender and high number of COVID-19 related risk factors was also associated with fear and PTSS severity. The moderation analyses showed an interaction effect between caregiving and fear of COVID-19 when predicting PTSS symptoms. Particularly, results showed that informal caregivers reported greater PTSS symptoms, when compared to non-caregivers with same levels of fear of COVID-19. This evidence suggests that being a caregiver could increase the fear’s impact on PTSS severity in the context of pandemics. Further studies with larger samples are needed to confirm these findings.
Work–Family Balance among Dual-Earner Couples in South Korea: A Latent Profile Analysis
Authors: Ji Sun-Young , Jung Hye-Sun
Published: June 2021

The declining birth rate in South Korea is concerning and linked to stress in the work–family balance, which is known to affect family planning. Therefore, providing proper support to double-earner couples might help improve the fertility rate. Work–family balance refers to the ability of individuals to perform their roles at work and home with equal involvement. This study identifies two aspects: gains and strains. Latent profile analysis is employed to create a typology that can account for the diversity in work–family balance. This approach is person-centered rather than variable-centered, and it identifies clusters of individuals that differ qualitatively, thereby examining the strains and gains experienced by double-earner couples. We classify the types of work–family balance and identify the attributes of each profile. The findings showed that men were more likely to belong to the high-gain class when they had a temporary position, multiple children, good health, low depression, higher life satisfaction levels, and strong social support. Women were more likely to belong to the high-gain class when they experienced high happiness levels and strong social support. Based on these profiles, we provide recommendations to enhance work–family balance, thereby contributing to strategies to overcome low birth rates.
A Novel Guided Zygomatic and Pterygoid Implant Surgery System: A Human Cadaver Study on Accuracy
Authors: Grecchi Francesco , Stefanelli Luigi V. , Grivetto Fabrizio , Grecchi Emma , Siev Rami , Mazor Ziv , Del Fabbro Massimo , Pranno Nicola , Franchina Alessio , Di Lucia Vittorio , De Angelis Francesca , Goker Funda
Published: June 2021

The aim of this human cadaver study was to assess the accuracy of zygomatic/pterygoid implant placement using custom-made bone-supported laser sintered titanium templates. For this purpose, pre-surgical planning was done on computed tomography scans of each cadaver. Surgical guides were printed using direct metal laser sintering technology. Four zygomatic and two pterygoid implants were inserted in each case using the guided protocol and related tools. Post-operative computed tomography (CT) scans were obtained to evaluate deviations between the planned and inserted implants. Accuracy was measured by overlaying the real position in the post-operative CT on the virtual presurgical placement of the implant in a CT image. Descriptive and bivariate analyses of the data were performed. As a result, a total of 40 zygomatic and 20 pterygoid implants were inserted in 10 cadavers. The mean deviations between the planned and the placed zygomatic and pterygoid implants were respectively (mean ± SD): 1.69° ± 1.12° and 4.15° ± 3.53° for angular deviation. Linear distance deviations: 0.93 mm ± 1.23 mm and 1.35 mm ± 1.45 mm at platform depth, 1.35 mm ± 0.78 mm and 1.81 mm ± 1.47 mm at apical plane, 1.07 mm ± 1.47 mm and 1.22 mm ± 1.44 mm for apical depth. In conclusion, the surgical guide system showed accuracy for all the variables studied and allowed acceptable and accurate implant placement regardless of the case complexity.
Education of Adolescents in the Prevention of HIV/AIDS in the Czech Republic
Authors: Macounová Petra , Tomášková Hana , Šnajdrová Anna , Stanovská Markéta , Polochová Martina , Tomášek Ivan , Maďar Rastislav
Published: June 2021

The number of HIV-positive people in the Czech Republic has trebled over the last decade. An educational programme aimed at the prevention of HIV and STDs in adolescents between 13 and 19 years of age is underway in the Moravian-Silesian Region in the Czech Republic. All schools in the region have been offered the chance to participate in the programme (on a voluntary basis). The programme consists of an educational lecture and a game with interactive elements; the students perform various tasks in groups. An anonymous paired questionnaire (input/output) was used to assess the efficacy of the programme. In order to evaluate the programme efficacy, descriptive statistics, non-parametric Wilcoxon paired test at the level of significance of 5%, and a model of logistic regression for a dichotomous variable were used. A total of 1210 students took part in the programme. The students’ knowledge improved, on average, by 15.5%. The highest efficacy was observed in the age group of 13–14-year-olds, where the improvement reached 17.9%. The educational programme was effective in raising awareness about STDs. Due to the observed increase in knowledge especially among the youngest participants (13–14 years old), we recommend aiming further interventions at the youngest age groups.
Influencing Factors of Psychosocial Stress among Korean Adults during the COVID-19 Outbreak
Authors: Kim Jina , Lee Ogcheol
Published: June 2021

The restriction of an individual’s daily life due to the strengthening of quarantine and lockdown increases psychosocial stress. This study aimed to determine the factors that influence psychosocial stress during a period of strict quarantine and lockdown to curb the COVID-19 pandemic in Korea. A total of 338 adults participated in a cross-sectional online survey conducted from 19–25 May 2020, which measured knowledge of COVID-19, health belief, resilience, and psychosocial stress. According to the results, there was no difference between the participants’ scores from the Daegu area (with concentrated confirmed COVID-19 cases) and the non-Daegu area except for health belief. Eighty-two percent of participants constituted the high-risk group for psychosocial stress. Individual resilience was positively correlated with health belief and negatively correlated with psychosocial stress (p < 0.001). Further, the following factors affected the level of psychosocial stress: resilience, subjective health status, and monthly household income, with an explanatory power of 39.8%. Therefore, those with higher subjective health and higher monthly household income experienced higher psychosocial stress, whereas higher resilience indicated lower psychosocial stress.
Sleep Duration and Waking Activities in Relation to the National Sleep Foundation’s Recommendations: An Analysis of US Population Sleep Patterns from 2015 to 2017
Authors: Mireku Michael Osei , Rodriguez Alina
Published: June 2021

The objective was to investigate the association between time spent on waking activities and nonaligned sleep duration in a representative sample of the US population. We analysed time use data from the American Time Use Survey (ATUS), 2015–2017 (N = 31,621). National Sleep Foundation (NSF) age-specific sleep recommendations were used to define recommended (aligned) sleep duration. The balanced, repeated, replicate variance estimation method was applied to the ATUS data to calculate weighted estimates. Less than half of the US population had a sleep duration that mapped onto the NSF recommendations, and alignment was higher on weekdays (45%) than at weekends (33%). The proportion sleeping longer than the recommended duration was higher than those sleeping shorter on both weekdays and weekends (p < 0.001). Time spent on work, personal care, socialising, travel, TV watching, education, and total screen time was associated with nonalignment to the sleep recommendations. In comparison to the appropriate recommended sleep group, those with a too-short sleep duration spent more time on work, travel, socialising, relaxing, and leisure. By contrast, those who slept too long spent relatively less time on each of these activities. The findings indicate that sleep duration among the US population does not map onto the NSF sleep recommendations, mostly because of a higher proportion of long sleepers compared to short sleepers. More time spent on work, travel, and socialising and relaxing activities is strongly associated with an increased risk of nonalignment to NSF sleep duration recommendations.
Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department
Authors: Lin Cheng-Fu , Lin Po-Chen , Hu Sung-Yuan , Tsan Yu-Tse , Liao Wei-Kai , Lin Shih-Yi , Lin Tzu-Chieh
Published: June 2021

Visits by older people to the Emergency Department (ED) have increased in recent decades with higher revisiting and admission rates after discharge, particularly for those with frailties. This study used a before–after design aimed at evaluating Comprehensive Geriatric Assessment (CGA) screening in older ED patients (aged ≥ 75 years) during the 12-month preintervention period. Additionally, a CGA-based structured follow-up program after ED discharge was executed during the next 12-month intervention period. Amongst the 358 participants (median age 82 years), involving 122 in the preintervention period and 236 in the intervention period, 77 participants (21.5%) were identified as pre-frailty, while 274 (76.5%) were identified as frail using the Fried frailty phenotype. One-hundred ten (110) (30.7%) patients revisited the ED with 73 (20.4%) being admitted and 20 (5.6%) dying within three months after ED discharge. Compared with preintervention and intervention period, it was shown that the rates of admission at the index ED visit (50.8% vs. 23.1%), and mortality (10.7% vs. 3.0%), were both were significantly reduced. Using multivariate regression analysis, it was shown frailty was significantly associated with three-month mortality after adjusting for potential confounders. On the contrary, the program significantly decreased admission and death rate. It is suggested that frailty was prevalent amongst the older ED patients, and should be screened for in order to decrease revisits/admissions after ED discharge.
Effects of Adolescents’ Lifestyle Habits and Body Composition on Bone Mineral Density
Authors: Han Chang-Sook , Kim Hyo-Kyung , Kim Suhee
Published: June 2021

The incidence of osteoporosis is increasing as the population ages, as is the need to manage and prevent it. Adolescence is the period when the fastest development of bone mass takes place. Increasing adolescents’ maximum bone mass and avoiding the risk factors for its loss are effective for preventing osteoporosis. This study investigated the factors influencing adolescents’ bone mineral density (BMD). The participants were 126 middle- and high-school students from Gangwon-do; 47.6% (n = 60) were male, with an average age of 15 (range 12–18) years of age. It was found that age, carbonated beverages, snacks, and calcium supplements were variables that showed significant differences in adolescents’ BMD. Additionally, through correlation analysis, it was found that height, weight, body mass index (BMI), body water, protein, minerals, body fat mass, and skeletal muscle mass were correlated with BMD. Multiple regression analysis identified age, calcium supplements, BMI, body fat mass, and skeletal muscle mass as BMD-associated factors. These results show that adolescents’ BMD is higher with lower body fat mass, higher BMI and skeletal muscle mass, and a higher intake of calcium supplements.
Between Joy and Sympathy: Smiling and Sad Recipient Faces Increase Prosocial Behavior in the Dictator Game
Authors: Weiß Martin , Hein Grit , Hewig Johannes
Published: June 2021

In human interactions, the facial expression of a bargaining partner may contain relevant information that affects prosocial decisions. We were interested in whether facial expressions of the recipient in the dictator game influence dictators’ behavior. To test this, we conducted an online study (n = 106) based on a modified version of a dictator game. The dictators allocated money between themselves and another person (recipient), who had no possibility to respond to the dictator. Importantly, before the allocation decision, the dictator was presented with the facial expression of the recipient (angry, disgusted, sad, smiling, or neutral). The results showed that dictators sent more money to recipients with sad or smiling facial expressions and less to recipients with angry or disgusted facial expressions compared with a neutral facial expression. Moreover, based on the sequential analysis of the decision and the interaction partner in the preceding trial, we found that decision-making depends upon previous interactions.