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(1) Background: Children are the most vulnerable to pollution due to their decreased stature, heightened respiratory rate, and frequent outdoor engagement. PM2.5, nitrogen dioxide (NO2), ozone, and cold weather are associated with pediatric asthma. In this study, we investigated
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(1) Background: Children are the most vulnerable to pollution due to their decreased stature, heightened respiratory rate, and frequent outdoor engagement. PM2.5, nitrogen dioxide (NO2), ozone, and cold weather are associated with pediatric asthma. In this study, we investigated the nexus between air pollution, climate factors, and pediatric asthma emergency room visits (ERVs). (2) Method: Pediatric asthma ERV data for healthcare quality from the Taiwanese National Insurance in the Taipei area were obtained from 2015 to 2019. Air pollution and climate factor data were also collected. Poisson regression was employed to determine the relationships with relative risks (RRs). (3) Results: The incidence of pediatric asthma ERVs decreased, with a crude RR of 0.983 (95% CI: 0.98–0.986, p < 0.001). Fine particulate matter (PM2.5) had an adjusted RR of 1.102 (95% CI: 1.037–1.172, p = 0.002) and a 7.7 µg/m3 increase, and air temperature had an adjusted RR of 0.813 (95% CI: 0.745–0.887, p < 0.001) comparing between the highest and lowest quarter air temperature associated with pediatric asthma ERVs. (4) Conclusions: This inquiry underscores the positive associations of PM2.5 and cold weather with pediatric asthma ERVs. The findings could guide the government to establish policies to reduce air pollution and promote children’s health.
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Sports performance tracking has gained a lot of interest and widespread use in recent years, especially in elite and sub-elite sports. This makes it possible to improve the effectiveness of training, to calibrate and balance workloads according to real energy expenditure, and to
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Sports performance tracking has gained a lot of interest and widespread use in recent years, especially in elite and sub-elite sports. This makes it possible to improve the effectiveness of training, to calibrate and balance workloads according to real energy expenditure, and to reduce the likelihood of injuries due to excessive physical stress. In this context, the aim of this review was to map the scientific literature on wearable devices used in field hockey, evaluating their characteristics and the available evidence on their validity in measuring physiological and movement parameters. A systematic investigation was carried out by employing five electronic databases and search terms that incorporated field hockey, wearables, and performance analysis. Two independent reviewers conducted assessments of the 3401 titles and abstracts for inclusion, and at the end of the screening process, 102 full texts were analyzed. Lastly, a total of 23 research articles that specifically concentrated on field hockey were incorporated. The selected papers dealt with performance monitoring (6 papers), technical analysis and strategy game (6), injury prevention (1), and physiological measurements (10). To appraise the quality of the evaluations, the Oxford quality scoring system scale was employed. The extraction of information was carried out through the utilization of the participants, intervention, comparison, and outcomes (PICOS) format. The analysis encompassed research studies that implemented wearable devices during training and competitive events. Among elite field hockey competitions, GPS units were identified as the predominant wearable, followed by heart rate monitors. The intraclass correlation coefficient (ICC) related to wearable devices showed reasonably high between-trial ICCs ranging from 0.77 to 0.99. The utilization of wearable devices in field hockey primarily centers around the measurement of player activity profiles and physiological demands. The presence of discrepancies in sampling rates and performance bands makes it arduous to draw comparisons between studies. Nevertheless, this analysis attested to the fact that wearable devices are being employed for diverse applications in the realm of field hockey.
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The article aims to compare the properties and quality of two types of organic Japanese soy sauce from the market, declared by manufacturers as koikuchi, and tamari, both conventional and organic, along with an attempt to determine the differentiating factors using modern statistical
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The article aims to compare the properties and quality of two types of organic Japanese soy sauce from the market, declared by manufacturers as koikuchi, and tamari, both conventional and organic, along with an attempt to determine the differentiating factors using modern statistical methods. The amino acid profile showed the highest proportions were glutamic acid and aspartic acid. Tamari sauces could be distinguished from koikuchi by an elevated content of glutamic acid and alanine, while conventional and organic products differed the most in the shares of arginine, aspartic acid, and serine. The total polyphenol content was higher in conventional soy sauces and better antioxidant properties were found in koikuchi. Organic tamari sauces were characterized by higher antioxidant capacities and total flavonoid content. The volatile profile showed a significant difference between organic and conventional sauces. The research did not confirm that the quality of sauces declared as organic was significantly enhanced, and the overall quality of all tested sauces was high, both in terms of microbiological safety and physicochemical parameters.
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The bulk density of the particles, which is directly related to transportation and storage costs, is an important basic characteristic of products as well as an important parameter in many processing systems. This work quantified the relationship between the tapped bulk density of
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The bulk density of the particles, which is directly related to transportation and storage costs, is an important basic characteristic of products as well as an important parameter in many processing systems. This work quantified the relationship between the tapped bulk density of raspberry ketone with different degrees of agglomeration and morphological metrics (particle shape descriptors and roughness descriptors) and size metrics (size descriptors) and developed an artificial neural network (ANN) prediction model for the tapped bulk density of raspberry ketone. Samples prepared under different conditions were sieved and remixed, the tapped bulk density of the particles was then measured, and the descriptor features of the particles were obtained by combining them with image processing. The dimensions of the variables were decreased by principal component analysis and variance processing. To overcome the hyperparameter estimation of the heuristic-based artificial neural networks, the network model architectures were optimized by a neural architecture search strategy combining two-objective optimization. The results demonstrated that the tapped bulk density of raspberry ketone products is not only related to the descriptors of particle size and shape but also has a non-negligible relationship with particle roughness descriptors. The performance of the optimal ANN model demonstrated that the model can well predict the tapped bulk density of raspberry ketone with different degrees of agglomeration. The ANN model obtained by extracting morphology and size metrics through online image analysis can be used to measure the tapped bulk density in real-time and has the potential to be used for developing model-based online process monitoring.
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Marta Siol, Agnieszka Dudek, Joanna Bryś, Diana Mańko-Jurkowska, Eliza Gruczyńska-Sękowska, Sina Makouie, Bharani Kumar Palani, Marko Obranović and Piotr Koczoń
The current investigations were aimed at the determination of the hydrolytic and oxidative stability of commercial pomegranate seed oils provided by four different producers, and to assess the oils’ primary quality parameters. During storage, many changes occur in oils that can significantly affect
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The current investigations were aimed at the determination of the hydrolytic and oxidative stability of commercial pomegranate seed oils provided by four different producers, and to assess the oils’ primary quality parameters. During storage, many changes occur in oils that can significantly affect their quality. The oils were tested for acid and peroxide values, fatty acid profile, and their distribution between the sn-1,3 and sn-2 positions of triacylglycerols. The oxidative stability was also determined, and melting curves were plotted for the oils. The analyzed oils were stored for one month in a dark place at refrigerator temperature. Based on the obtained results, it was found that the acid values for most oils did not exceed the permissible level determined by the Codex Alimentarius. However, in all oils, the peroxide value exceeded the permissible level set by the standard EN ISO 3960:2017-03 and the Codex Alimentarius after the one-month storage period. The examined pomegranate seed oils were found to be valuable sources of polyunsaturated fatty acids, especially punicic acid, which was the most abundant fatty acid present in these oils. In all analyzed oils, linoleic acid predominated in the sn-2 position of the triacylglycerols. Pomegranate seed oils did not exhibit good oxidative stability, as the oxidation induction times for all tested oils were very short. The storage period significantly affected the content of the primary oxidation products and oxidative stability of the oils.
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This research addresses multiple challenges faced by ship networks, including limited bandwidth, unstable network connections, high latency, and command priority. To solve these problems, we used reinforcement learning-based methods to simulate traffic engineering in ship networks. We focused on three aspects—traffic balance, instruction
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This research addresses multiple challenges faced by ship networks, including limited bandwidth, unstable network connections, high latency, and command priority. To solve these problems, we used reinforcement learning-based methods to simulate traffic engineering in ship networks. We focused on three aspects—traffic balance, instruction priority, and complex network structure—to evaluate reinforcement learning performance in these scenarios. Performance: We developed a reinforcement learning framework for ship network traffic engineering that treats the routing policy as the state and the network state as the environment. The agent generates routing changes and uses actions to optimize traffic services. The experimental results show that reinforcement learning optimizes network traffic balance, reasonably arranges instruction priorities, and copes with complex network structures, greatly improving the network’s quality of service (QoS). Through an in-depth analysis of the experimental data, we noticed that network consumption was reduced by 9.1% under reinforcement learning. Reinforcement learning effectively implemented priority routing of high-priority instructions while reducing the occupancy rate of the edge with the highest occupancy rate in the network by 18.53%.
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Huanglongbing (HLB), or citrus greening, is a devastating disease impacting citrus trees worldwide, with severe effects particularly noted in Florida. Current strategies to combat HLB focus on aggressive replanting, despite the high susceptibility of young trees to infection. In this context, it is
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Huanglongbing (HLB), or citrus greening, is a devastating disease impacting citrus trees worldwide, with severe effects particularly noted in Florida. Current strategies to combat HLB focus on aggressive replanting, despite the high susceptibility of young trees to infection. In this context, it is critical to explore agronomic practices that can enhance the health and resistance of young citrus trees to HLB. Here, we demonstrate that treatment with homobrassinolide (HBr), a type of brassinosteroid, in newly planted citrus (Citrus sinensis) trees can delay HLB infection and improve tree health amidst the high psyllid pressure conditions endemic to Florida. Our study reveals a significant reduction in HLB infection rates in HBr-treated trees compared to control trees, with only 25% of treated trees testing positive for HLB by six months, in contrast to 100% infection in untreated trees. This delay in infection may be attributed to HBr inducing an immune response and negatively impacting psyllid performance, as subsequently demonstrated in a greenhouse experiment. Our findings suggest that HBr applications could serve as a viable strategy to enhance the resilience of citrus production against HLB, underscoring the need for further investigation into their mechanisms of action and potential role in a comprehensive pest and disease management strategy.
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Omer M. A. Dagah, Billton Bryson Silaa, Minghui Zhu, Qiu Pan, Linlin Qi, Xinyu Liu, Yuqi Liu, Wenjing Peng, Zakir Ullah, Appolonia F. Yudas, Amir Muhammad, Xianquan Zhang and Jun Lu
Bacterial infections trigger a multifaceted interplay between inflammatory mediators and redox regulation. Recently, accumulating evidence has shown that redox signaling plays a significant role in immune initiation and subsequent immune cell functions. This review addresses the crucial role of the thioredoxin (Trx) system
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Bacterial infections trigger a multifaceted interplay between inflammatory mediators and redox regulation. Recently, accumulating evidence has shown that redox signaling plays a significant role in immune initiation and subsequent immune cell functions. This review addresses the crucial role of the thioredoxin (Trx) system in the initiation of immune reactions and regulation of inflammatory responses during bacterial infections. Downstream signaling pathways in various immune cells involve thiol-dependent redox regulation, highlighting the pivotal roles of thiol redox systems in defense mechanisms. Conversely, the survival and virulence of pathogenic bacteria are enhanced by their ability to counteract oxidative stress and immune attacks. This is achieved through the reduction of oxidized proteins and the modulation of redox-sensitive signaling pathways, which are functions of the Trx system, thereby fortifying bacterial resistance. Moreover, some selenium/sulfur-containing compounds could potentially be developed into targeted therapeutic interventions for pathogenic bacteria. Taken together, the Trx system is a key player in redox regulation during bacterial infection, and contributes to host–pathogen interactions, offering valuable insights for future research and therapeutic development.
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Konstantinos Giakoumidakis, Evridiki Patelarou, Hero Brokalaki, Maria Bastaki, Nikolaos V. Fotos, Parthena Ifantopoulou, Antonios Christodoulakis, Anastasia A. Chatziefstratiou and Athina Patelarou
This study aimed to investigate the knowledge of patients with hypertension about their condition, adherence to antihypertensive medication, and the factors influencing it. A cross-sectional study was conducted in two cardiology outpatient clinics of two tertiary hospitals, in Greece. The study included 188
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This study aimed to investigate the knowledge of patients with hypertension about their condition, adherence to antihypertensive medication, and the factors influencing it. A cross-sectional study was conducted in two cardiology outpatient clinics of two tertiary hospitals, in Greece. The study included 188 patients diagnosed with hypertension. The patients’ knowledge about their disease and adherence to medication were assessed by using the HK-LS and A-14 scales, respectively. Patients had sufficient knowledge levels about their disease, but significantly low levels of adherence to medication. Patients with higher knowledge levels were more adherent to medications [r(188) = 0.885, p < 0.001]. By using multivariate analysis, higher age (p = 0.018), residence in a more populous area (p = 0.041), more years with the disease (p = 0.012), and a lower number of medications (p = 0.03) were associated with higher levels of knowledge. Conversely, younger age (p = 0.036), lower educational levels (p = 0.048), fewer years with the disease (p = 0.001), and a higher number of medications (p = 0.003) were associated with lower adherence to medication. The Greek patients’ hypertension knowledge was sufficient; however, adherence to medication was significantly low. Healthcare managers could utilize our findings to design targeted interventions for improving adherence to medication for these patients.
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Background: The role of music in the NICU continues to evolve, with recent studies documenting the positive impact of music therapy for hospitalized infants and families. With many potential benefits and no substantial adverse effects reported to date in medically stable infants, we
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Background: The role of music in the NICU continues to evolve, with recent studies documenting the positive impact of music therapy for hospitalized infants and families. With many potential benefits and no substantial adverse effects reported to date in medically stable infants, we aimed to create a clinical guideline to integrate this therapy into the NICU operations. Methods: we launched and implemented a pilot music therapy clinical program within a subunit of a level-III NICU, building upon available evidence. Results: In this report, we describe our experience with initial program development and early outcomes in terms of population served, frequency of music therapy, and therapeutic modalities employed to implement service delivery. Conclusion: we highlight the importance of establishing practices that are aligned with currently available data and recommendations, in order to facilitate delivery of a safe, evidence-based, meaningful therapeutic experience with monitoring of preliminary effects of the therapy on all those involved in the experience.
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Hyperpigmentation occurs due to irregular secretion of melanin pigment in the skin. This can affect quality of life depending on its severity, so prevention and management are essential. Oats (Avena sativa L.), a grain consumed worldwide, are known to offer improved health
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Hyperpigmentation occurs due to irregular secretion of melanin pigment in the skin. This can affect quality of life depending on its severity, so prevention and management are essential. Oats (Avena sativa L.), a grain consumed worldwide, are known to offer improved health benefits upon germination and fermentation. This study is aimed to investigate the protective effects of lactobacilli-fermented sprouted oat extracts on oxidative stress and melanin overproduction in vitro. The anti-melanogenic effect was investigated using melanin content and tyrosinase activity assays in B16F10 cells, as well as a mushroom tyrosinase-based enzyme inhibition assay. The results showed that L. casei-fermented oat extracts were the most effective for reducing melanin formation by reducing the mRNA expression of microphthalmia-associated transcription factor, tyrosinase, and tyrosinase-related protein 2 mRNA expression. Furthermore, L. casei fermentation was effective in improving the total phenolic, flavonoid, and avenanthramide A contents of sprouted oat extracts. The results also demonstrated the antioxidant effects of L. casei-fermented sprouted oat extracts in promoting DPPH radical-scavenging activity, superoxide dismutase-like activity, and reduction in reactive oxygen species levels. Overall, the findings indicate that fermented sprouted oat extracts are promising candidates for antioxidant and anti-hyperpigmentation treatments.
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When considering individuals who illegally harvest trees from public lands, author Lyndsie Bourgon “wonder(s) how someone who lives surrounded by the crushing beauty of a redwood forest can simultaneously love it and kill it [...]
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In order to study the effect of the pumping depth and pumping frequency of the flapping hydrofoil device on suspended solids in the waters, this paper takes raceway aquaculture as an example, and introduces a flapping hydrofoil device to improve the discharge of
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In order to study the effect of the pumping depth and pumping frequency of the flapping hydrofoil device on suspended solids in the waters, this paper takes raceway aquaculture as an example, and introduces a flapping hydrofoil device to improve the discharge of suspended solids in the raceway, in response to the problem of the deposition of suspended solids from fish faeces and bait residues in water. The CFD method was used to compare and analyze the discharge of suspended solids at different pumping depths, and the combined effect of the two was studied according to different combinations of pumping frequency and pumping depth. The results proved that the flapping hydrofoil motion can improve the bottom hydrodynamic insufficiency in ecological waters and thus enhance the discharge effect of suspended particles in water. In addition, the pumping depth of the flapping hydrofoil is too deep for the movement to be disturbed by the bottom surface, while the thrust generated by the flapping hydrofoil is weakened if the depth is too shallow. When the pump water depth is 1.1 H, the reversed Kármán vortex street is more stable under the balancing effect of the bottom surface and gravity, and the rate curve of the flapping hydrofoil acting on the discharge of suspended particles is better. From our comprehensive consideration of the joint effect of the pumping depth and pumping frequency, we recommend the use of a 1.1 H of pumping depth and 2.0 Hz pumping frequency in combination to achieve the best effect of discharging suspended particles. This study provides valuable insights into the actual engineering applications of flapping hydrofoil devices for improving water quality and ecological sustainability in raceway aquaculture.
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Complexes of transition and non-transition metals with a wide variety of N-donor ligands (like ammonia, amines, urea derivatives, Schiff bases, or N-heterocycles) comprise a highly important class of compounds in chemistry, biochemistry, material science, and the chemical industry [...]
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Gray mold, caused by Botrytis cinerea, poses significant threats to various crops, while it can be remarkably inhibited by ε-poly-L-lysine (ε-PL). A previous study found that B. cinerea extracts could stimulate the ε-PL biosynthesis of Streptomyces albulus, while it is unclear
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Gray mold, caused by Botrytis cinerea, poses significant threats to various crops, while it can be remarkably inhibited by ε-poly-L-lysine (ε-PL). A previous study found that B. cinerea extracts could stimulate the ε-PL biosynthesis of Streptomyces albulus, while it is unclear whether the impact of the B. cinerea signal on ε-PL biosynthesis is direct or indirect. This study evaluated the role of elevated reactive oxygen species (ROS) in efficient ε-PL biosynthesis after B. cinerea induction, and its underlying mechanism was disclosed with a transcriptome analysis. The microbial call from B. cinerea could arouse ROS elevation in cells, which fall in a proper level that positively influenced the ε-PL biosynthesis. A systematic transcriptional analysis revealed that this proper dose of intracellular ROS could induce a global transcriptional promotion on key pathways in ε-PL biosynthesis, including the embden-meyerhof-parnas pathway, the pentose phosphate pathway, the tricarboxylic acid cycle, the diaminopimelic acid pathway, ε-PL accumulation, cell respiration, and energy synthesis, in which sigma factor HrdD and the transcriptional regulators of TcrA, TetR, FurA, and MerR might be involved. In addition, the intracellular ROS elevation also resulted in a global modification of secondary metabolite biosynthesis, highlighting the secondary signaling role of intracellular ROS in ε-PL production. This work disclosed the transcriptional mechanism of efficient ε-PL production that resulted from an intracellular ROS elevation after B. cinerea elicitors’ induction, which was of great significance in industrial ε-PL production as well as the biocontrol of gray mold disease.
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Anthropologists of religion are preoccupied with questions of identity, community, performance and representation. One way they cope with these concerns is through a reflexive examination of their ethnographic positionality in the field. This provides an opportunity to engage not only with “the other”,
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Anthropologists of religion are preoccupied with questions of identity, community, performance and representation. One way they cope with these concerns is through a reflexive examination of their ethnographic positionality in the field. This provides an opportunity to engage not only with “the other”, but also to explore their own identities and background. This article presents an autoethnographic analysis of Pride Shabbat, a special service held in June to celebrate the intersection of Judaism and queerness. The service took place at Congregation Beit Simchat Torah (CBST) as part of their 50th-anniversary celebration. Since the 1970s, CBST has been known as the largest gay synagogue in the world and provided diverse religious and spiritual services to the Jewish LGBTQ+ community. Based on my participation in this specific event in June 2023, I draw distinct differences between the Israeli Jewish LGBTQ community and the American Jewish LGBTQ community, such as issues related to ageism and multigenerational perceptions within the gay community, the internal dynamic for gender dominance, as well as diverse trajectories of queerness, religiosity and nationality. Symbolically, contrary to the common perception that the diaspora looks to the state of Israel for symbolic and actual existence, this inquiry sheds light on the opposite perspective; the homeland (represented by the ethnographer) absorbs and learns from the queer Jewish practices and experiences taking place within the diaspora (the American Jewish LGBTQ community). This is an opposite movement which reveals the cracks in the perception of the gay community as a transnational community, as well as the tense power relations between Israel and American Jewry.
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Electric vehicle (EV) adoption grows steadily on a global scale, yet there is no consistent experience for EV drivers to charge their vehicles, which hinders the important EV mass market adoption. The Open Charge Point Protocol (OCPP) is the solution to this challenge,
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Electric vehicle (EV) adoption grows steadily on a global scale, yet there is no consistent experience for EV drivers to charge their vehicles, which hinders the important EV mass market adoption. The Open Charge Point Protocol (OCPP) is the solution to this challenge, as it provides standardization and open communication between EV infrastructure components. The interplay of the OCPP with open cross-functional communication standards boosters driver experience on the one hand, while the charging station itself is integrated into a renewable energy ecosystem. This paper presents a deep dive into the combination of the OCPP with the OpenADR protocol, the Open Smart Charging Protocol (OSCP), the ISO 15118, and eRoaming protocols to explore possibilities and limitations. Furthermore, we suggest LoRa communication as an alternative to IP-based communication for deep-in building applications. Hence, this paper reveals the next important steps towards a successful EV mass market transition powered by user-friendliness and green energy.
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Breast cancer is the most prevalent female cancer worldwide with known correlations between the race and tumor characteristics of the patients and prognosis. International and US-based studies, however, have reported a disproportionate representation of Black and Hispanic patients in clinical trials. This is
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Breast cancer is the most prevalent female cancer worldwide with known correlations between the race and tumor characteristics of the patients and prognosis. International and US-based studies, however, have reported a disproportionate representation of Black and Hispanic patients in clinical trials. This is the first study assessing race and ethnicity reporting trends and inclusion in European breast cancer trials. The PubMed and ClinicalTrials.gov databases were systematically searched for trials on breast cancer treatment conducted exclusively in Europe between 2010 and 2022. Of the 97 identified trials, race was reported in 10.31%. Multinational participation, but not the study size or trial phase, was significantly associated with higher race reporting trends. These 10 trials featured a White-predominant population, with 1.08% Asian and 0.88% Black patients included. The acquisition of the race and ethnicity data of patients in European trials is lower compared to the U.S. or worldwide studies and does not permit extensive analysis of minority participation. In a limited analysis, the low rates of minority participation are concerning, based on population-based data on minorities in select European countries. These observations should encourage race reporting practices in European breast cancer trials and adequate minority participation to support the generalizability of the results of the studies and promote healthcare equity.
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This article focuses on individuals with Long COVID after contracting SARS-CoV-2. Although some patients have complications such as diabetes mellitus or tissue damage to the heart or lungs as a result of SARS-CoV-2 infection, our research focuses on individuals who have persistent symptoms
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This article focuses on individuals with Long COVID after contracting SARS-CoV-2. Although some patients have complications such as diabetes mellitus or tissue damage to the heart or lungs as a result of SARS-CoV-2 infection, our research focuses on individuals who have persistent symptoms that are not consistent with major organ dysfunction. The current article reviews methodological and conceptual issues that need to be considered in the development and use of a case definition for Long COVID and discusses the significance of appropriately phrasing questions assessing symptoms, specifying thresholds for when to count a symptom, determining how many symptoms should be required for a diagnosis, assessing symptoms over time, using multiple assessment modalities, and differentiating symptomatology from functionality. Dealing with these issues, particularly triangulating data from multiple sources, allows investigators to develop a more reliable and valid way to assess Long COVID.
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Khanh Nam Do, Linh Thao Thi Le, Son Cong Dang, Ha Thu Thi Nguyen, Giang Thu Nguyen, Hang Van Thi Ngo, Huong Lan Thi Nguyen, Lieu Thu Thi Nguyen, Anh Kim Dang and Huong Thi Le
Background: People living with dementia (PLWD) may experience substantial cognitive decline as the disease progresses, which interferes with their daily activities. This study aimed to assess physical activity (PA) performance and care dependency (CD) and identify factors related to PA among PLWD. Methods:
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Background: People living with dementia (PLWD) may experience substantial cognitive decline as the disease progresses, which interferes with their daily activities. This study aimed to assess physical activity (PA) performance and care dependency (CD) and identify factors related to PA among PLWD. Methods: We conducted a cross-sectional study in 63 PLWD from National Geriatrics Hospital, Vietnam, from 2021 to 2023. We used the Mini Nutritional Assessment (MNA), International Physical Activity Questionnaire (IPAQ), and Care Dependency Scale (CDS) to assess the nutritional status and the levels of PA and CD, respectively. We used the Mann–Whitney test to compare the differences in the PA types and CD levels between dementia levels and a multivariable logistics regression model to analyze factors related to PA. Results: More than half of the subjects had mild dementia. In total, 35% of the PLWD had a low level of PA, and 46.3% were completely independent of care. The mean score in each CDS aspect of the subjects with moderate/severe dementia was statistically significantly lower than that of those with mild dementia (p ≤ 0.05). Lower dependency (OR = 0.9; 95% CI = 0.88–0.99) and malnutrition (OR = 15.4; 95% CI = 1.18–20.21) were associated with insufficient PA in the PLWD. Conclusion: Formal caregivers and healthcare workers should encourage PLWD to perform physical activities at any level and personalize the development of tailored and nutritional care strategies for each individual.
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Elena Alba Álvaro-Alonso, María del Carmen Gómez-Álvarez, Beatriz Segovia-Tapiador, María Isabel Del-Pino-Illaconza, Jorge Valencia, Pablo Ryan, Antonio Aguilar-Ros and Ismael Escobar-Rodríguez
It has been shown that the Medication Regimen Complexity Index (MRCI) is a useful and reliable tool for calculating the complexity of the pharmacotherapeutic regimen (CPR). Furthermore, a high MRCI is associated with lower adherence. However, the MRCI of opioid-dependent patients (ODP) has
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It has been shown that the Medication Regimen Complexity Index (MRCI) is a useful and reliable tool for calculating the complexity of the pharmacotherapeutic regimen (CPR). Furthermore, a high MRCI is associated with lower adherence. However, the MRCI of opioid-dependent patients (ODP) has not been studied. The aim of this study is to calculate the Methadone Maintenance Program (MMP) persistence and the MRCI score in a ODP cohort. Second, to analyze its relationship and association with other variables. To accomplish this research, an observational study including adults with a confirmed diagnosis of opiate-dependency according to the DSM-5 in a MMP center was carried out. To define MMP-persistence, a group was created by the researchers who defined five weighted items according to their agreed importance. Our first contribution was to create a new definition of MMP-persistence. This study also identified age, comorbidities, and received methadone maintenance doses as successful predictors for MMP-persistence. We have also shown that the MRCI does not seem to be a useful tool to determine MMP-persistence, probably because there are multiple factors that influence it in addition to the CPR. It is necessary to continue searching for more precise selection and stratification tools for ODP to improve their persistence.
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The primary goal of this study was to investigate the knowledge, prevalence, and risk factors of cardiovascular diseases among individuals in the Najran region of Saudi Arabia. In the Najran region of Saudi Arabia, an online cross-sectional survey was conducted. Between September and
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The primary goal of this study was to investigate the knowledge, prevalence, and risk factors of cardiovascular diseases among individuals in the Najran region of Saudi Arabia. In the Najran region of Saudi Arabia, an online cross-sectional survey was conducted. Between September and October 2023, a self-administered questionnaire was distributed to a random sample of the general population aged 18 and up. The survey instrument asked about history and exposure, physician-diagnosed illnesses, cardiovascular diseases (CVDs), medication use, and other risk factors. This research had a total of 2046 individuals. Around one-fifth of the study participants reported that they or a family member suffered from CVD, and arrhythmia was the most commonly reported; blood tests, cardiac catheterization, and ECG were the most commonly reported tests performed for CVD patients, around one-tenth of CVD patients reported that they do not have any chronic diseases other than CVD, and the vast majority of the patients confirmed their regular medical appointments. This is one of the first studies to investigate the knowledge, prevalence, and use of CVD drugs among individuals in the Najran region of Saudi Arabia. The study participants’ lack of knowledge about CVD could lead to ineffective preventive measures and poor patient outcomes. The study’s findings underscore the crucial need for more extensive and efficient educational initiatives that consider the targeted population’s talents, attitudes, and perceptions.
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Hualong He, Sulin Cai, Siyuan Chen, Qiang Li, Pengwei Wan, Rumeng Ye, Xiaoyi Zeng, Bei Yao, Yanli Ji, Tingting Cao, Yunchao Luo, Han Jiang, Run Liu, Qi Chen, You Fang, Lu Pang, Yunru Chen, Weihua He, Yueting Pan, Gaozhong Pu, Jiaqin Zeng and Xingjun Tianadd
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Microplastic pollution is a research hotspot around the world. This study investigated the characteristics of microplastic pollution in the freshwater environments of 21 major cities across China. Through indoor and outdoor experimental analysis, we have identified the spatial and temporal distribution characteristics of
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Microplastic pollution is a research hotspot around the world. This study investigated the characteristics of microplastic pollution in the freshwater environments of 21 major cities across China. Through indoor and outdoor experimental analysis, we have identified the spatial and temporal distribution characteristics of microplastic pollution in China’s freshwater environments. Our findings indicate that the average concentration of microplastics in China’s freshwater environments is 3502.6 n/m3. The majority of these microplastics are fibrous (42.5%), predominantly smaller than 3 mm (28.1%), and mostly colored (64.7%). The primary chemical components of these microplastics are polyethylene (PE, 33.6%), polyvinyl chloride (PVC, 21.5%), polypropylene (PP, 16.8%), and polystyrene (PS, 15.6%). The abundance of microplastics in China’s freshwater environments generally tends to increase from west to east and from south to north, with the lowest concentration found in Xining, Qinghai (1737.5 n/m3), and the highest in Jiamusi, Heilongjiang (5650.0 n/m3). The distribution characteristics of microplastics are directly related to land use types, primarily concentrated in areas of intense human activity, including agricultural, transport, and urban land. Seasonal changes affect the abundance of microplastics, peaking in summer, followed by spring and autumn, mainly due to variations in rainfall, showing a positive correlation.
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