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19 pages, 1658 KiB  
Article
Long-Term Effects of Forest Management on Boreal Forest Soil Organic Carbon
by Holly D. Deighton, F. Wayne Bell and Zoë Lindo
Forests 2025, 16(6), 902; https://doi.org/10.3390/f16060902 - 28 May 2025
Viewed by 479
Abstract
Boreal forests have historically been regarded as some of the largest terrestrial carbon (C) sinks. However, increased soil organic matter (SOM) decomposition due to forest harvesting and post-harvest silviculture (e.g., site preparation, planting, and managing for competing vegetation) may exacerbate the effects of [...] Read more.
Boreal forests have historically been regarded as some of the largest terrestrial carbon (C) sinks. However, increased soil organic matter (SOM) decomposition due to forest harvesting and post-harvest silviculture (e.g., site preparation, planting, and managing for competing vegetation) may exacerbate the effects of climate warming and shift boreal forests from being C sinks to C sources. We used an established stand-scale, fully replicated, experimental study to identify how two levels of forest management (harvesting = Harvest Only, and harvesting with post-harvest silviculture = Harvest Plus) influence SOC dynamics at three boreal forest sites varying in soil texture. Each site was surveyed for forest floor (litter and F/H horizons) and mineral soils pre-harvest (0) and 5, 14, and 20 years post-harvest. We predicted that sites harvested and left to revegetate naturally would have the lowest SOC stocks after 20 years, as sites that were planted and managed for competing vegetation would recover faster and contribute to a larger nutrient pool, and that the sand-dominated site would have the largest SOC losses following harvest due to the inherently lower ability of sand soils to chemically and/or physically protect SOC from decomposition following harvest. Over a 20-year period, both forest management treatments generally resulted in reduced total (litter, F/H, and mineral horizon) SOC stocks compared with the control: the Harvest Only treatment reduced overall SOC stocks by 15% at the silt-dominated site and 31% at the clay-dominated site but increased overall SOC stocks by 4% at the sand-dominated site, whereas the Harvest Plus treatment reduced overall SOC stocks by 32% at the sand- and silt-dominated sites and 5% at the clay-dominated site. This suggests that harvesting and leaving plots to revegetate naturally on sand-dominated sites and harvesting followed by post-harvest silviculture on clay-dominated sites may minimize total SOC losses at similar sites, though a full replicated field experiment is needed to test this hypothesis. Most treatment effects in this study were observed only in the second decade post-harvest (14 and 20 years post-harvest), highlighting the importance of long-term field experiments on the effects of forest harvesting and post-harvest silviculture. This research improves our understanding of the relationship between C dynamics, forest management, and soil texture, which is integral for developing sustainable management strategies that optimize C sequestration and contribute to the resilience of boreal forest ecosystems in the face of climate change. Full article
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15 pages, 2199 KiB  
Article
Development and Validation of a Combined RT-LAMP Assay for the Rapid and Sensitive Detection of Dengue Virus in Clinical Samples from Colombia
by Leidy Hurtado-Gómez, Katherine Escorcia-Lindo, Juan Sebastian Rosero, Nataly Solano Llanos, Camilo Barrios Sánchez, Anderson Díaz Pérez, Yirys Díaz-Olmos, Jennifer García, Yesit Bello-Lemus, Leonardo C. Pacheco-Londoño, Antonio J. Acosta Hoyos and Lisandro A. Pacheco-Lugo
Diagnostics 2025, 15(5), 570; https://doi.org/10.3390/diagnostics15050570 - 27 Feb 2025
Viewed by 1752
Abstract
Background: Dengue virus (DENV) infection is a significant public health concern in several tropical and subtropical regions, where early and rapid detection is crucial for effective patient management and controlling the spread of the disease. Particularly in resource-limited, rural healthcare settings where [...] Read more.
Background: Dengue virus (DENV) infection is a significant public health concern in several tropical and subtropical regions, where early and rapid detection is crucial for effective patient management and controlling the spread of the disease. Particularly in resource-limited, rural healthcare settings where dengue is endemic, there exists a need for diagnostic methods that are both easy to perform and highly sensitive. Objective: This study focuses on the development and validation of a single-tube reverse transcription loop-mediated isothermal amplification termed TURN-RT-loop-mediated isothermal amplification (LAMP) for the detection of DENV. Methodology: The TURN-RT-LAMP assay designed in this study combines two sets of primers targeting the 5′- and 3′-UTR of DENV, with the aim to increase the sensitivity of detection. Results: Clinical validation of the TURN-RT-LAMP assay using samples collected from febrile individuals with a serological or antigenic diagnosis revealed a sensitivity of >96%. The performance of this assay was statistically compared with that of the standard diagnostic method, quantitative reverse transcription-polymerase chain reaction. Conclusions: The results support the potential of RT-LAMP as a rapid, sensitive, and specific tool for the diagnosis and surveillance of dengue, particularly suitable for field use in low-resource settings. Full article
(This article belongs to the Section Point-of-Care Diagnostics and Devices)
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15 pages, 2362 KiB  
Article
Sustainable Integration of Ora-Pro-Nobis (Pereskia aculeata Miller) in Gluten-Free and Lactose-Free Sweet Bread: Impacts on Quality and Functional Properties
by Luciene Dias Santos Silva, Flaviana Coelho Pacheco, Thais Odete de Oliveira, Eliane Mauricio Furtado Martins, Maurilio Lopes Martins, Wellington de Freitas Castro, Mária Herminia Ferrari Felisberto and Bruno Ricardo de Castro Leite Júnior
Sustainability 2025, 17(3), 1338; https://doi.org/10.3390/su17031338 - 6 Feb 2025
Cited by 1 | Viewed by 1236
Abstract
Ora-pro-nobis (OPN) enriches gluten- and lactose-free bread, while improving nutritional quality and sustainability due to its high nutritional value, adaptability to diverse climates, and low resource requirements for cultivation. This study evaluated the impact of incorporating different concentrations of OPN (0–24%) on the [...] Read more.
Ora-pro-nobis (OPN) enriches gluten- and lactose-free bread, while improving nutritional quality and sustainability due to its high nutritional value, adaptability to diverse climates, and low resource requirements for cultivation. This study evaluated the impact of incorporating different concentrations of OPN (0–24%) on the physicochemical (e.g., centesimal composition, specific volume, and color analysis), functional (e.g., total phenolic compounds and antioxidant capacity), and sensory quality (e.g., acceptance test and purchase intent) of gluten-free and lactose-free sweet bread. The results revealed that the addition of OPN led to a 63% increase in protein content and a 65% increase in ash content (p < 0.05). Higher OPN concentrations also enhanced the specific volume by up to 35% (p < 0.05), yielding softer and more voluminous loaves. Texture analysis showed reductions in crumb hardness and chewiness by up to 74.8% and 59.4%, respectively (p < 0.05), attributed to OPN’s water retention and gas-trapping abilities during fermentation. Furthermore, OPN addition resulted in a darker crust and a dark green crumb, with a remarkable increase in total phenolic compounds (up to 464%) and antioxidant capacity (up to 503%) (p < 0.05). Sensory evaluations indicated that OPN did not affect the overall impression compared to the control bread (p > 0.05), with all samples achieving purchase intention scores >3.0 points. Thus, incorporating OPN in gluten-free and lactose-free bread not only enhances nutritional and functional properties but also supports sustainable food production, presenting an innovative solution for consumers with dietary restrictions seeking health-oriented, eco-friendly products. Full article
(This article belongs to the Special Issue Innovative Ingredients and Sustainable Practices for Food Production)
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20 pages, 7410 KiB  
Review
Toward Automated Fabric Defect Detection: A Survey of Recent Computer Vision Approaches
by Rui Carrilho, Ehsan Yaghoubi, José Lindo, Kailash Hambarde and Hugo Proença
Electronics 2024, 13(18), 3728; https://doi.org/10.3390/electronics13183728 - 20 Sep 2024
Cited by 6 | Viewed by 3983
Abstract
Defect detection is a crucial part of the pipeline in many industries. In the textile industry, it is especially important, as it will affect the quality and price of the final product. However, it is mostly performed by human agents, who have been [...] Read more.
Defect detection is a crucial part of the pipeline in many industries. In the textile industry, it is especially important, as it will affect the quality and price of the final product. However, it is mostly performed by human agents, who have been reported to have poor performance, along with requiring a costly and time-consuming training process. As such, methods to automate the process have been increasingly explored throughout the last 20 years. While there are many traditional approaches to this problem, with the advent of deep learning, machine learning-based approaches now constitute the majority of all possible approaches. Other articles have explored traditional approaches and machine learning approaches in a more general way, detailing their evolution over time. In this review, we summarize the most important advancements in the last 5 years and focus mostly on machine learning-based approaches. We also outline the most promising avenues of research in the future. Full article
(This article belongs to the Special Issue New Trends in AI-Assisted Computer Vision)
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14 pages, 1063 KiB  
Article
Health Status and COVID-19 Epidemiology in an Inland Region of Portugal: A Retrospective Study
by Jorge Lindo, Patrícia Coelho, Catarina Gavinhos, Manuel Martins, Joana Liberal, António Jorge Ferreira, Teresa Gonçalves and Francisco Rodrigues
Int. J. Environ. Res. Public Health 2024, 21(8), 1033; https://doi.org/10.3390/ijerph21081033 - 6 Aug 2024
Cited by 2 | Viewed by 1974
Abstract
Multiple factors, from socioeconomic development to genetic background, can affect the regional impact of some diseases, and this has also been seen during the COVID-19 pandemic. The objective of this retrospective study was to characterize a population in the interior of Portugal regarding [...] Read more.
Multiple factors, from socioeconomic development to genetic background, can affect the regional impact of some diseases, and this has also been seen during the COVID-19 pandemic. The objective of this retrospective study was to characterize a population in the interior of Portugal regarding health status and COVID-19 epidemiology. Between October 2021 and January 2023, 1553 subjects residing in Beira Baixa, Portugal, were included. Using a self-report approach, demographic and clinical data were obtained. Blood group, blood pressure, peripheral oxygen saturation and anti-spike protein immunoglobulin concentration were also analyzed. Statistical analysis was performed using IBM SPSS Statistics. The average age of the participants was 48.95 (±14.43) years, with 64% being male and 36% being female. The most prevalent comorbidities were hypertension (19.2%), dyslipidemia (12.6%) and diabetes mellitus (6.6%). Half of the population was overweight, and more than half of the subjects had no history of tobacco consumption. Among the participants, 33% were infected with SARS-CoV-2: 70.1% had mild disease, 14.1% moderate disease and 1.4% severe disease. There was a very significant adherence to vaccination (97%). Previously infected or vaccinated people had higher anti-spike protein immunoglobulin values; this value depended on the vaccine administered (p < 0.001). Patients with autoimmune diseases and smokers had lower levels of anti-S IgG antibodies (p = 0.030 and p = 0.024, respectively). The severity of COVID-19 did not affect the concentration of anti-S IgG (p = 0.430). This study highlights the general health statuses and the impact of COVID-19 on a population in the Portuguese interior. Knowledge of the circulation and impact of the virus in this specific population can alert and assist in better interventions being conducted by health authorities. Full article
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12 pages, 295 KiB  
Article
Genetic Polymorphisms of P2RX7 but Not of ADORA2A Are Associated with the Severity of SARS-CoV-2 Infection
by Jorge Lindo, Célia Nogueira, Rui Soares, Nuno Cunha, Maria Rosário Almeida, Lisa Rodrigues, Patrícia Coelho, Francisco Rodrigues, Rodrigo A. Cunha and Teresa Gonçalves
Int. J. Mol. Sci. 2024, 25(11), 6135; https://doi.org/10.3390/ijms25116135 - 2 Jun 2024
Cited by 2 | Viewed by 2184
Abstract
SARS-CoV-2 infection ranges from mild to severe presentations, according to the intensity of the aberrant inflammatory response. Purinergic receptors dually control the inflammatory response: while adenosine A2A receptors (A2ARs) are anti-inflammatory, ATP P2X7 receptors (P2X7Rs) exert pro-inflammatory effects. The aim of this study [...] Read more.
SARS-CoV-2 infection ranges from mild to severe presentations, according to the intensity of the aberrant inflammatory response. Purinergic receptors dually control the inflammatory response: while adenosine A2A receptors (A2ARs) are anti-inflammatory, ATP P2X7 receptors (P2X7Rs) exert pro-inflammatory effects. The aim of this study was to assess if there were differences in allelic and genotypic frequencies of a loss-of-function SNP of ADORA2A (rs2298383) and a gain-of-function single nucleotide polymorphism (SNP) of P2RX7 (rs208294) in the severity of SARS-CoV-2-associated infection. Fifty-five individuals were enrolled and categorized according to the severity of the infection. Endpoint genotyping was performed in blood cells to screen for both SNPs. The TT genotype (vs. CT + CC) and the T allele (vs. C allele) of P2RX7 SNP were found to be associated with more severe forms of COVID-19, whereas the association between ADORA2A SNP and the severity of infection was not significantly different. The T allele of P2RX7 SNP was more frequent in people with more than one comorbidity and with cardiovascular conditions and was associated with colorectal cancer. Our findings suggest a more prominent role of P2X7R rather than of A2AR polymorphisms in SARS-CoV-2 infection, although larger population-based studies should be performed to validate our conclusions. Full article
11 pages, 1396 KiB  
Review
Microbiota Transplantation as an Adjunct to Standard Periodontal Treatment in Periodontal Disease: A Systematic Review
by Cherry Erlin Lindo, James Sebastian, Karina Natalie Kuntjoro, Valencia Audrey Halim, Fatimah Maria Tadjoedin, Sandra Olivia Kuswandani and Benso Sulijaya
Medicina 2024, 60(4), 672; https://doi.org/10.3390/medicina60040672 - 21 Apr 2024
Cited by 5 | Viewed by 2623
Abstract
Periodontitis is a disease linked to severe dysbiosis of the subgingival microbiome. The treatment of periodontitis aims to change the dysbiosis environment to a symbiosis environment. We hypothesized that oral microbiota transplantation can lead to a significant improvement in periodontitis. Therefore, the aim [...] Read more.
Periodontitis is a disease linked to severe dysbiosis of the subgingival microbiome. The treatment of periodontitis aims to change the dysbiosis environment to a symbiosis environment. We hypothesized that oral microbiota transplantation can lead to a significant improvement in periodontitis. Therefore, the aim of this study was to determine the effectiveness of microbiota transplantation after standard periodontal treatment in periodontitis patients. The search strategy was carried out by using the Boolean term “AND” to combine the keywords, which were “periodontitis AND microbiota transplantation”. Due to the limited resources of the study, we included both in vitro and in vivo investigations in this systematic review. The QUIN risk of bias tool was employed to assess the risk of bias in in vitro studies, while SYRCLE’s risk of bias assessment was used for in vivo studies. Oral microbiota transplants (OMTs) have shown potential in treating periodontitis. OMTs significantly reduced periodontitis-associated pathogenic microbial species (P. endodontalis, Prevotella intermedia, T. vincentii, Porphyromonas sp.) and increased beneficial bacteria (P. melaninogenica, Fusobacterium nucleatum, P. catoniae, Capnocytophaga ochracea, C. sputigena, C. gingivalis, Haemophilus parainfluenzae, and Neisseria elongata) upon in vitro testing. Furthermore, in the in vivo tests, single adjunctive OMT also had an effect on the oral microbiota composition compared to the full-mouth mechanical and antimicrobial debridement. OMTs may be cheaper and more effective at addressing high-risk individuals. At present, it is not possible to provide OMT clinical advice due to the lack of available information. This treatment needs to be subjected to more safety and efficacy testing before being included human clinical trials. Full article
(This article belongs to the Section Dentistry and Oral Health)
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13 pages, 1093 KiB  
Review
Seroprevalence and Genotype Diversity of Hepatitis C Virus in the Caribbean—A Review
by Michelle G. Brown, John F. Lindo, Ivan E. Vickers, Kereann Nelson, Yakima Phillips, Cameil Wilson-Clarke, Samuel Gavi, Gene D. Morse and Andrew H. Talal
Trop. Med. Infect. Dis. 2023, 8(7), 370; https://doi.org/10.3390/tropicalmed8070370 - 17 Jul 2023
Cited by 1 | Viewed by 2902
Abstract
Hepatitis C (HCV) continues to present a global public health challenge, with no vaccine available for prevention. Despite the availability of direct-acting antivirals (DAAs) to cure HCV, it remains prevalent in many regions including the Caribbean. As efforts are made to eliminate HCV [...] Read more.
Hepatitis C (HCV) continues to present a global public health challenge, with no vaccine available for prevention. Despite the availability of direct-acting antivirals (DAAs) to cure HCV, it remains prevalent in many regions including the Caribbean. As efforts are made to eliminate HCV from the region, existing barriers, such as the high cost of DAAs and lack of an established database of HCV cases within the Caribbean, must be addressed. This review seeks to assess epidemiologic trends (seroprevalence and genotypic diversity) of HCV in the Caribbean and identify gaps in surveillance of the disease. The literature for the period 1 January 2005 to October 2022 was reviewed to gather country-specific data on HCV across the Caribbean. References were identified through indexed journals accessed through established databases using the following keywords: Caribbean, genotype distribution, and general epidemiologic characteristics. The usage pattern of HCV drugs was determined from information obtained from pharmacists across the Caribbean including Jamaica. The prevalence of HCV in the Caribbean was 1.5%; the region should therefore be considered an area of moderate HCV prevalence. The prevalence of HCV among intravenous drug users (21.9–58.8%), persons living with HIV/AIDS (0.8 to 58.5%), prisoners (32.8–64%), and men who have sex with men (MSM) (0.8–6.9%) was generally higher than in the general population (0.8–2.3%). Genotype 1 (83%) was most prevalent followed by genotypes 2 (7.2%) and 3 (2.1%), respectively. Less than 50% of countries in the Caribbean have reliable or well-curated surveillance data on HCV. Drugs currently being used for treatment of HCV infections across the Caribbean include Epclusa (sofosbuvir/velpatasvir) and Harvoni (ledipasvir/sofosbuvir). Some of these drugs are only available in the private sector and are sourced externally whenever needed. While trends point to a potentially higher prevalence of HCV, it will require well-designed random surveys to obtain better estimates of the infection seroprevalence, supported by strong public health laboratory systems. DAAs that are pan-genotypic should translate into treatments that are affordable, accessible, and available to improve cure rates and reduce the HCV burden in the population. Full article
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17 pages, 696 KiB  
Article
Impact of Wound Dressing Changes on Nursing Workload in an Intensive Care Unit
by Juliana Dias dos Reis, Pedro Sa-Couto, José Mateus, Carlos Jorge Simões, Alexandre Rodrigues, Pedro Sardo and João Lindo Simões
Int. J. Environ. Res. Public Health 2023, 20(7), 5284; https://doi.org/10.3390/ijerph20075284 - 28 Mar 2023
Cited by 8 | Viewed by 3977
Abstract
The objective of this study is to understand how the type of wound dressing changes (routine or frequent) in patients admitted to intensive care units influences nurses’ workload. This study used a database of retrospective and analytical observational study from one Portuguese intensive [...] Read more.
The objective of this study is to understand how the type of wound dressing changes (routine or frequent) in patients admitted to intensive care units influences nurses’ workload. This study used a database of retrospective and analytical observational study from one Portuguese intensive care unit. The sample included 728 adult patients admitted between 2015 and 2019. The nursing workload was assessed by the TISS-28 scale, both at admission and at discharge. The linear regression results show that patients with frequent dressing changes are associated with a higher nursing workload, both at admission (Coef. 1.65; 95% CI [0.53; 2.77]) and discharge (Coef. 1.27; 95% CI [0.32; 2.22]). In addition, age influences the nursing workload; older people are associated with a higher nursing workload (at admission Coef. 0.07; 95% CI [0.04; 0.10]; at discharge Coef. 0.08; 95% CI [0.05; 0.10]). Additionally, an increase in nursing workload at admission would significantly increase the nursing workload at discharge (Coef. 0.27; 95% CI [0.21; 0.33]). The relative stability of the nursing workload over the studied years is also another important finding (the influence of studied years is non-significant). In conclusion, patients with frequent dressing changes presented higher TISS-28 scores when compared with patients with an exchange of routine dressings, which leads to a higher nursing workload. Full article
(This article belongs to the Special Issue Advances in Critical Care and Future Perspectives)
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19 pages, 4154 KiB  
Article
Effect of Farnesol in Trichoderma Physiology and in Fungal–Plant Interaction
by Rosa E. Cardoza, Susan P. McCormick, Laura Lindo, Sara Mayo-Prieto, David González-Cazón, Natalia Martínez-Reyes, Guzmán Carro-Huerga, Álvaro Rodríguez-González, Robert H. Proctor, Pedro A. Casquero and Santiago Gutiérrez
J. Fungi 2022, 8(12), 1266; https://doi.org/10.3390/jof8121266 - 30 Nov 2022
Cited by 4 | Viewed by 2865
Abstract
Farnesol is an isoprenoid intermediate in the mevalonate (MVA) pathway and is produced by the dephosphorylation of farnesyl diphosphate. Farnesol plays a central role in cell growth and differentiation, controls production of ubiquinone and ergosterol, and participates in the regulation of filamentation and [...] Read more.
Farnesol is an isoprenoid intermediate in the mevalonate (MVA) pathway and is produced by the dephosphorylation of farnesyl diphosphate. Farnesol plays a central role in cell growth and differentiation, controls production of ubiquinone and ergosterol, and participates in the regulation of filamentation and biofilm formation. Despite these important functions, studies of farnesol in filamentous fungi are limited, and information on its effects on antifungal and/or biocontrol activity is scarce. In the present article, we identified the Trichoderma harzianum gene dpp1, encoding a diacylglycerol pyrophosphatase that catalyzes production of farnesol from farnesol diphosphate. We analyzed the function of dpp1 to address the importance of farnesol in Trichoderma physiology and ecology. Overexpression of dpp1 in T. harzianum caused an expected increase in farnesol production as well as a marked change in squalene and ergosterol levels, but overexpression did not affect antifungal activity. In interaction with plants, a dpp1-overexpressing transformant acted as a sensitizing agent in that it up-regulated expression of plant defense salicylate-related genes in the presence of a fungal plant pathogen. In addition, toxicity of farnesol on Trichoderma and plants was examined. Finally, a phylogenetic study of dpp1 was performed to understand its evolutionary history as a primary metabolite gene. This article represents a step forward in the acquisition of knowledge on the role of farnesol in fungal physiology and in fungus-environment interactions. Full article
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11 pages, 1092 KiB  
Review
Exploring the Origin and Physiological Significance of DNA Double Strand Breaks in the Developing Neuroretina
by Noemí Álvarez-Lindo, Teresa Suárez and Enrique J. de la Rosa
Int. J. Mol. Sci. 2022, 23(12), 6449; https://doi.org/10.3390/ijms23126449 - 9 Jun 2022
Cited by 3 | Viewed by 2475
Abstract
Genetic mosaicism is an intriguing physiological feature of the mammalian brain that generates altered genetic information and provides cellular, and prospectively functional, diversity in a manner similar to that of the immune system. However, both its origin and its physiological significance remain poorly [...] Read more.
Genetic mosaicism is an intriguing physiological feature of the mammalian brain that generates altered genetic information and provides cellular, and prospectively functional, diversity in a manner similar to that of the immune system. However, both its origin and its physiological significance remain poorly characterized. Most, if not all, cases of somatic mosaicism require prior generation and repair of DNA double strand breaks (DSBs). The relationship between DSB generation, neurogenesis, and early neuronal cell death revealed by our studies in the developing retina provides new perspectives on the different mechanisms that contribute to DNA rearrangements in the developing brain. Here, we speculate on the physiological significance of these findings. Full article
(This article belongs to the Special Issue Common Molecular Mechanisms in Embryonic Development)
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22 pages, 614 KiB  
Article
Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study
by Ana Margarida Alves, Alexandre Rodrigues, Pedro Sa-Couto and João Lindo Simões
Int. J. Environ. Res. Public Health 2022, 19(1), 170; https://doi.org/10.3390/ijerph19010170 - 24 Dec 2021
Cited by 5 | Viewed by 4352
Abstract
The objective of this analytical and interventional prospective quantitative study was to assess the effect of an educational intervention performed by nurses for mental adjustment to chronic disease in patients with hypertension. A convenience sample was studied, composed of 329 participants with chronic [...] Read more.
The objective of this analytical and interventional prospective quantitative study was to assess the effect of an educational intervention performed by nurses for mental adjustment to chronic disease in patients with hypertension. A convenience sample was studied, composed of 329 participants with chronic hypertension, followed in a primary healthcare unit in the Central Region of Portugal. Data collection was carried out by applying the Mental Adjustment to Disease Scale (MADS) before and 1 month after the educational nursing intervention between September 2017 and February 2018. Prior to the application of the educational intervention, 43.5% of the participants were classified as “unadjusted” in at least one of the subscales of MADS. After the educational intervention, 21.3% of the participants classified as “unadjusted” became “adjusted” in all MADS subscales. The success rate of the intervention varied from 26.9% (in the fatalism subscale) to 44.6% (for the anxious concern subscale). Participants were more likely to be mentally “unadjusted” to hypertension if they lived with other family members, had an active professional situation before the diagnosis of hypertension, still had an active professional situation now, were under 65 years old, had a shorter time to diagnosis (1–2 years), and measured blood pressure less regularly. The educational intervention performed by nurses is relevant for the mental adjustment of hypertensive patients, contributing to increased knowledge, as well as improvement in preventive and self-care practices, facilitating the experience of the health/disease transition process. Full article
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28 pages, 8710 KiB  
Article
Optimization-Based Proposed Solution for Water Shortage Problems: A Case Study in the Ismailia Canal, East Nile Delta, Egypt
by Elsayed M. Ramadan, Heba F. Abdelwahab, Zuzana Vranayova, Martina Zelenakova and Abdelazim M. Negm
Water 2021, 13(18), 2481; https://doi.org/10.3390/w13182481 - 9 Sep 2021
Cited by 9 | Viewed by 6296
Abstract
Water conflicts in transboundary watersheds are significantly exacerbated by insufficient freshwater sources and high water demands. Due to its increasing population and various development projects, as well as current and potential water shortages, Egypt is one of the most populated and impacted countries [...] Read more.
Water conflicts in transboundary watersheds are significantly exacerbated by insufficient freshwater sources and high water demands. Due to its increasing population and various development projects, as well as current and potential water shortages, Egypt is one of the most populated and impacted countries in Africa and the Middle East in terms of water scarcity. With good future planning, modeling will help to solve water scarcity problems in the Ismailia canal, which is one of the most significant branches of the Nile River. Many previous studies of the Nile river basin depended on quality modeling and hydro-economic models which had policy or system control constraints. To overcome this deficit position and number, the East Nile Delta area was investigated using LINDO (linear interactive, and discrete optimizer) software; a mathematical model with physical constraints (mass balances); and ArcGIS software for canals and water demands from the agriculture sector, which is expected to face a water shortage. Using the total capital (Ismailia canal, groundwater, and water reuse) and total demand for water from different industries, the software measures the shortage area and redistributes the water according to demand node preferences (irrigation, domestic, and industrial water demands). At the irrigation network’s end, a water deficit of 789.81 MCM/year was estimated at Al-Salhiya, Ismailia, El Qantara West, Fayed, and Port Said. The model was then run through three scenarios: (1) the Ismailia Canal Lining’s effect, (2) surface water’s impact, and (3) groundwater’s impact. Water scarcity was proportional to lining four sections at a length of 61.0 km, which is considered to be optimal—based on the simulation which predicts that the Ismailia canal head flow will rise by 15%, according to scenarios—and the most effective way to reduce water scarcity in the face of climate change and limited resources as a result of the increasing population and built-in industrial projects in Egypt. Full article
(This article belongs to the Special Issue Assessment and Management of Flood Risk in Urban Areas)
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10 pages, 1881 KiB  
Article
Current Practices and Challenges in the Diagnosis and Management of PKU in Latin America: A Multicenter Survey
by Soraia Poloni, Bruna Bento dos Santos, Ana Chiesa, Norma Specola, Marcela Pereyra, Manuel Saborío-Rocafort, María Florencia Salazar, María Jesús Leal-Witt, Gabriela Castro, Felipe Peñaloza, Sunling Palma Wong, Ramsés Badilla Porras, Lourdes Ortiz Paranza, Marta Cristina Sanabria, Marcela Vela Amieva, Marco Morales, Amanda Rocío Caro Naranjo, Antonieta Mahfoud, Ana Rosa Colmenares, Aida Lemes, José Fernando Sotillo-Lindo, Ceila Perez, Laritza Martínez Rey, Georgina María Zayas Torriente, Lilia Farret Refosco, Ida Vanessa Doederlein Schwartz and Veronica Cornejoadd Show full author list remove Hide full author list
Nutrients 2021, 13(8), 2566; https://doi.org/10.3390/nu13082566 - 27 Jul 2021
Cited by 12 | Viewed by 5385
Abstract
This study aimed to describe the current practices in the diagnosis and dietary management of phenylketonuria (PKU) in Latin America, as well as the main barriers to treatment. We developed a 44-item online survey aimed at health professionals. After a pilot test, the [...] Read more.
This study aimed to describe the current practices in the diagnosis and dietary management of phenylketonuria (PKU) in Latin America, as well as the main barriers to treatment. We developed a 44-item online survey aimed at health professionals. After a pilot test, the final version was sent to 25 practitioners working with inborn errors of metabolism (IEM) in 14 countries. Our results include 22 centers in 13 countries. Most countries (12/13) screened newborns for PKU. Phenylalanine (Phe) targets at different ages were very heterogeneous among centers, with greater consistency at the 0–1 year age group (14/22 sought 120–240 µmol/L) and the lowest at >12 years (10 targets reported). Most countries had only unflavored powdered amino acid substitutes (10/13) and did not have low-protein foods (8/13). Only 3/13 countries had regional databases of the Phe content of foods, and only 4/22 centers had nutrient analysis software. The perceived obstacles to treatment were: low purchasing power (62%), limited/insufficient availability of low-protein foods (60%), poor adherence, and lack of technical resources to manage the diet (50% each). We observed a heterogeneous scenario in the dietary management of PKU, and most countries experienced a lack of dietary resources for both patients and health professionals. Full article
(This article belongs to the Special Issue Diet Therapy and Nutritional Management of Phenylketonuria)
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12 pages, 2390 KiB  
Review
Understanding the Adaptive Evolutionary Histories of South American Ancient and Present-Day Populations via Genomics
by John Lindo and Michael DeGiorgio
Genes 2021, 12(3), 360; https://doi.org/10.3390/genes12030360 - 2 Mar 2021
Cited by 3 | Viewed by 4131
Abstract
The South American continent is remarkably diverse in its ecological zones, spanning the Amazon rainforest, the high-altitude Andes, and Tierra del Fuego. Yet the original human populations of the continent successfully inhabited all these zones, well before the buffering effects of modern technology. [...] Read more.
The South American continent is remarkably diverse in its ecological zones, spanning the Amazon rainforest, the high-altitude Andes, and Tierra del Fuego. Yet the original human populations of the continent successfully inhabited all these zones, well before the buffering effects of modern technology. Therefore, it is likely that the various cultures were successful, in part, due to positive natural selection that allowed them to successfully establish populations for thousands of years. Detecting positive selection in these populations is still in its infancy, as the ongoing effects of European contact have decimated many of these populations and introduced gene flow from outside of the continent. In this review, we explore hypotheses of possible human biological adaptation, methods to identify positive selection, the utilization of ancient DNA, and the integration of modern genomes through the identification of genomic tracts that reflect the ancestry of the first populations of the Americas. Full article
(This article belongs to the Special Issue The Peopling of the Americas: A Genetic Perspective)
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