Search Results (43)

Background/Objective: Puberphonia is a voice disorder characterized by the persistence of a high-pitched voice in sexually mature males. In phoniatrics and speech-language pathology, it is also known as post-mutational voice instability, mutational falsetto, persistent fistulous voice, or functional falsetto. The absence of an age-appropriate vocal pitch may adversely affect psychological well-being and hinder personal, social, and occupational functioning. The aim of this study was to evaluate of the impact of phoniatric and logopedic rehabilitation on voice quality in patients with puberphonia. Methods: The study included 18 male patients, aged 16 to 34 years, rehabilitated for voice mutation disorders. Phoniatric and logopedic rehabilitation included voice therapy tailored to each subject. A logopedist led exercises aimed at lowering and stabilizing the pitch of the voice and improving its quality. A phoniatrician supervised the therapy, monitoring the condition of the vocal apparatus and providing additional diagnostic and therapeutic recommendations as needed. The duration and intensity of the therapy were adjusted for each patient. Before and after voice rehabilitation, the subjects completed the following questionnaires: the Voice Handicap Index (VHI), the Vocal Tract Discomfort (VTD) scale, and the Voice-Related Quality of Life (V-RQOL). They also underwent an acoustic voice analysis. Results: Statistical analysis of the VHI, VTD, and V-RQOL scores, as well as the voice’s acoustic parameters, showed statistically significant differences before and after rehabilitation (p < 0.005). Conclusions: Phoniatric and logopedic rehabilitation is an effective method of reducing and maintaining a stable, euphonic male voice in patients with functional puberphonia. Effective voice therapy positively impacts selected aspects of psychosocial functioning reported by patients, improves voice-related quality of life, and reduces physical discomfort in the vocal tract. Full article

Falls are a major safety concern in physically demanding occupations such as roofing, where workers operate on inclined surfaces under unstable postures. While inertial measurement units (IMUs) are widely used in wearable fall detection systems, they often fail to capture early indicators of instability related to foot–ground interactions. This study evaluates the effectiveness of plantar pressure sensors, alone and combined with IMUs, for fall detection on sloped surfaces. We collected data in a controlled laboratory environment using a custom-built roof mockup with incline angles of 0°, 15°, and 30°. Participants performed roofing-relevant activities, including standing, walking, stooping, kneeling, and simulated fall events. Statistical features were extracted from synchronized IMU and plantar pressure data, and multiple machine learning models were trained and evaluated, including traditional classifiers and deep learning architectures, such as MLP and CNN. Our results show that integrating plantar pressure sensors significantly improves fall detection. A CNN using just three IMUs and two plantar pressure sensors achieved the highest F1 score of 0.88, outperforming the full 17-sensor IMU setup. These findings support the use of multimodal sensor fusion for developing efficient and accurate wearable systems for fall detection and physical health monitoring. Full article

This case report examines the impact of robotic-assisted therapy (Lokomat) on functional recovery in a 28-year-old male patient with acute dermatomyositis (DM), an autoimmune inflammatory myopathy causing progressive muscle weakness and disability. The patient underwent 21 sessions of robotic therapy combined with physical therapy, and occupational therapy over seven weeks. Assessments were conducted at baseline, week 10, and week 21 using standardized measures for balance, muscle strength, and functionality. Results demonstrated significant improvements across all domains: balance scores progressed from severe impairment (4/56 Berg, 0/28 Tinetti) to near-normal function (55/56, 24/28, respectively); muscle strength increased from grade 1/5 to 4/5 (MMT-8) in all tested muscle groups; and functionality improved from moderate dependence (59/126 FIM) to complete independence (126/126). The trunk functionality scores showed remarkable recovery from 12/100 to 100/100 (TCT), indicating restored trunk control. Lokomat-assisted therapy combined with conventional rehabilitation effectively improves proximal weakness and postural instability in DM. Robotic therapy enhances motor learning via repetitive movements and reduces therapist workload. Though limited by a single-case design, this study offers preliminary evidence for robotic rehabilitation in DM, previously unexplored. Controlled studies are needed to standardize protocols and validate results in larger cohorts. Advanced technologies show promise for functional recovery in inflammatory myopathies. Full article

Background: Excessive work-related demands and inadequate support systems are important risks for employees’ health status and quality of life. Although an abundance of data exists about leadership and the occupational health of various vocational groups, there are relatively few studies on leaders’ well-being and related psychosocial hazards in educational organizations, such as primary schools. Methods: Work-related distressing experiences in primary school principals focusing on associated factors and the impact of these experiences on them were investigated. A qualitative methodology with a census and purposeful sampling was applied, utilizing the inductive content analysis approach. Overall, 20 males and 6 females participated, all employed in a rural region of Greece. Following informed consent, data collection was achieved through three focus groups with repetitive interviews. Results: The absence of a robust and well-defined legal framework to govern the authority, duties, and responsibilities of principals, evident in the lack of legally established procedures and protocols, was identified as the root cause of the participants’ distressing experiences. Three distressing phenomena were identified: (a) Challenging interpersonal relations due to lack of a regulatory system regarding school functioning; (b) Current educational policy and legal framework, characterized by too many responsibilities and no adequate power; (c) Irrelevant topics and time frame for continuing education projects toward principals. Conclusions: The study findings highlight the critical challenges faced by primary school principals due to the absence of a clear legal framework and the instability of educational policies. The findings suggest that policy reforms are needed to provide principals with greater clarity in their roles and responsibilities. Additionally, addressing the constant changes in educational policy could help create a more stable and manageable school environment. A participatory action research project, including stakeholders from primary school leaders, managers, pupils, and parents, is proposed, focused on the development of a comprehensive plan to overcome the challenges of the current context, also aiming to enhance empathy in all parties. Full article

Exposure to low-dose ionizing radiation in occupational settings raises concerns about chromosomal aberrations (CAs) and their potential impact on genomic stability. Copy number variations (CNVs), structural genomic changes, influence susceptibility to environmental stressors and radiation-induced damage. This study analyzed CAs in 180 nuclear power plant workers exposed to occupational radiation and 45 controls, stratified by GSTM1 and GSTT1 CNVs. Workers exhibited significantly higher frequencies of chromatid-type and chromosome-type aberrations, of 5.47 and 3.01 per 500 cells, respectively, compared to 3.57 and 0.64 in controls (p < 0.001 for both). In the relatively high-exposure group, chromatid-type aberrations decreased with increasing GSTM1 and GSTT1 copy numbers. For GSTM1, individuals with zero copies showed 6.37 ± 3.47 aberrations per 500 cells, compared to 5.02 ± 3.05 for one copy and 4.67 ± 2.40 for two or more copies (p = 0.06). A similar trend was observed for GSTT1, with 6.00 ± 3.29 aberrations per 500 cells for zero copies, 5.38 ± 2.79 for one copy, and 4.11 ± 4.26 for two or more copies (p = 0.05). Poisson regression analysis further supported these findings after adjusting for potential confounders such as age, smoking status, and alcohol intake. Workers with null genotypes exhibited a 1.36-fold increase in chromatid-type aberrations compared to those with higher copy numbers under relatively high-exposure conditions, suggesting a synergy effect between GSTM1 and GSTT1 null genotypes in modulating radiation-induced aberrations. These findings underscore the role of genetic susceptibility, particularly involving GSTM1 and GSTT1 CNVs, in modulating radiation-induced chromosomal damage. The observed gene–environment interaction in the relatively high-exposure group suggests that pre-existing CNVs contribute to chromosomal instability under radiation exposure. Full article

Background/Objectives: Supporting the mental well-being of students through their educational journey is of vital importance. The objective of this study was to investigate the relationship between metacognition, personality traits, and various factors affecting mental health in a cohort of physical therapy (PT) and occupational therapy (OT) students. Methods: This cross-sectional observational study involved a self-administered questionnaire (distributed in October to November 2020) that gathered demographic information and included six scales measuring personality characteristics, health literacy, self-management skills, exercise habits (benefits and barriers), cognitive thinking, and cognitive deliberateness and impulsivity. Results: A cohort of 195 PT and OT students participated in the study. The findings revealed significant associations between metacognition and personality, particularly the association between low cognitive self-confidence and high emotional instability. This link suggests that students who struggle with cognitive self-confidence may also experience greater emotional instability, highlighting a need for targeted mental health support. Additionally, health literacy was negatively correlated with anxiety, while metacognition was positively correlated with perceived exercise benefits. Conclusions: This study highlights the importance of individualized metacognitive approaches to support students’ mental well-being. Interventions should focus on strengthening cognitive self-confidence through methods such as resilience training, cognitive restructuring, and mindfulness practices to help manage emotional instability. Furthermore, promoting physical activity, particularly among female students, and incorporating gender-specific strategies could enhance mental health outcomes. Full article

Monitoring indoor air quality (IAQ) in schools is critical because children spend most of their daytime inside. One of the main air pollutant sources in urban areas is road traffic, which greatly influences air quality. Thus, this study addresses, in depth, the linkages of meteorology, ambient air pollution, and indoor activities with IAQ in a traffic-influenced school situated south of Madrid. The measurement period was from 22 November to 21 December 2017. Simultaneous measurements of indoor and outdoor PM₁, PM_2.5, and PM₁₀ mass concentrations, ultrafine particle number concentration (PNC) and equivalent black carbon (eBC) were analyzed under different meteorological conditions. PNC and eBC outdoor concentrations and their temporal trend were similar among the sampling points, with all sites being influenced in the same way by traffic emissions. Strong correlations were found between indoor and outdoor concentrations, indicating that indoor pollution levels were significantly affected by outdoor sources. Especially, PNC and eBC had the same indoor/outdoor (I/O) trend, but indoor concentrations were lower. The time delay in indoor vs. outdoor concentrations varied between 0.5 and 2 h, depending on wind speed. Significant differences were found between different meteorological conditions (ANOVA p-values < 2.14 × 10⁻⁶). Atmospheric stability periods led to an increase in indoor and outdoor pollutant levels. However, the highest I/O ratios were found during atmospheric instability, especially for eBC (an average of 1.2). This might be related to rapid changes in the outdoor air concentrations induced by meteorology. Significant variations were observed in indoor PM₁₀ concentrations during classroom occupancy (up to 230 µg m⁻³) vs. non-occupancy (up to 19 µg m⁻³) days, finding levels higher than outdoor ones. This was attributed to the scholarly activities in the classroom. Conversely, PNC and eBC concentrations only increased when the windows of the classroom were open. These findings have helped to establish practical recommendations and measures for improving the IAQ in this school and those of similar characteristics. Full article

Chromate has been shown to dysregulate epigenetic mechanisms such as DNA methylation, leading to changes in gene expression and genomic instability. However, most in vitro studies are limited to short incubation periods, although chronic exposure may be more relevant for both environmental and occupational exposure. In this study, human adenocarcinoma A549 cells were treated with 1, 2 or 5 µM chromate for 24 h and compared with incubations with 0.2, 0.5 or 1 µM chromate for 1 to 5 weeks. Chromium accumulated in a pronounced time- and concentration-dependent manner after short-term treatment, whereas a plateau of intracellular chromium content was observed after long-term treatment. While short-term treatment induced a G2 arrest of the cell cycle, this effect was not observed after long-term treatment at lower concentrations. The opposite was observed for global DNA methylation: while short-term treatment showed no effect of chromate, significant dose-dependent hypomethylation was observed in the long-term experiments. Time-dependent effects were also observed in a high-throughput RT-qPCR gene expression analysis, particularly in genes related to the inflammatory response and DNA damage response. Taken together, the results suggest specific differences in toxicity profiles when comparing short-term and long-term exposure to chromate in A549 cells. Full article

Previous research has focused on understanding the occurrence of intense and fluctuating emotions and the ability to manage these emotions and affective states. These phenomena have been, respectively, labeled as affective instability and emotion regulation and have been studied among individuals diagnosed with borderline personality disorder (BPD), attention-deficit/hyperactivity disorder (ADHD), bipolar disorder (BD), and post-traumatic stress disorder (PTSD). Previous findings suggest that affective instability may be associated with poorer psychological well-being. The present study aims to investigate the general tendency of affective instability and capacity for emotional regulation among college students, regardless of a previous psychological diagnosis, and to understand the relationship between these processes and psychological well-being. Three questionnaires were administered to measure levels of affective instability, the ability to manage fluctuating affective states, and overall psychological well-being. The findings suggest that (1) individuals with diagnoses experience affective lability and difficulty regulating emotions at a greater rate than those without, (2) higher affective lability scores are consistent with more significant emotion dysregulation and lower overall psychological well-being, and (3) scores on the Affective lability Scale (ALS) and the Difficulties in Emotional Regulation Scale (DERS) are reliable predictors of one’s estimated Global Assessment of Functioning (GAF) scores. Although causation has not been established, the evidence suggests that individuals with diagnoses experience greater difficulty in regulating their emotions, have greater affective lability, and experience diminished psychological well-being and day-to-day functionality. Certain anecdotal evidence suggests that emotional lability can be endogenous and affect multiple aspects of an individual’s social, occupational, and personal life. By revising the existing literature and the present findings, the authors provide insights into the significance of endogenous factors in the context of affective lability and offer suggestions for future research. Full article

Background/Objectives: This study is based on data collected from a medical health record review to assess whether multidisciplinary intensive rehabilitation treatment in Parkinson’s disease (PD) patients can improve global cognitive functioning and executive functions. Methods: The data related to PD patients were extrapolated from a clinical database called “NeuroRehab”. A total of 104 PD patients (51 males; 53 females) performed 6 weeks of multidisciplinary intensive rehabilitation treatment in clinical practice from January 2019 to May 2023. This training program was characterized by three daily sessions of 60 min of activities (muscle relaxation and stretching exercises, moderate physical aerobic exercise, and occupational therapy). The patients were classified and stratified according to disease severity (according to the Hoehn and Yahr scale), postural instability and gait difficulty (PIGD) or tremor-dominant (TD) subtypes, disease duration (DD), and the presence of dyskinesias. The effect of multidisciplinary intensive rehabilitation treatment on cognitive and executive functions was evaluated through the administration of cognitive tests, such as the Mini–Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Frontal Assessment Battery (FAB). All the parameters were evaluated at the baseline (T0) and at the end of the rehabilitation program (T1). Results: The multidisciplinary intensive rehabilitation treatment significantly improved cognitive performance. The MMSE, MoCA, and FAB test scores after the rehabilitation program (T1) were significantly higher compared to the scores obtained at the baseline (T0). Moreover, further analyses on subgroups of the patients who scored below the cut-off in the MMSE showed that at least 50% of patients overcame the cut-off score. Interestingly, the same analyses performed for the MoCA and FAB revealed a higher rate of improvement in cognitive functions, with normal scores in both tests after 6 weeks of multidisciplinary intensive rehabilitation treatment. Conclusions: This study revealed the potential effects of a 6-week multidisciplinary rehabilitation program in improving cognitive status in a PD inpatient cohort. Full article

Political events significantly impact economic indices, including agricultural commodities. While Granger causality is a well-established method for analyzing interdependencies between time series data, its traditional application can be challenging to interpret across multiple periods. This research enhances the Granger causality method to quantify changes in the interlinkages among variables over time, offering a more intuitive framework for analyzing how political events affect economic indices. The proposed method involves conducting Granger causality tests across different periods, forming vectors from the results to capture transitions from Granger-causing to non-Granger-causing variables. These vector amplitudes provide quantitative measures of changes with explanatory power over time. The dataset includes eight variables over a decade, focusing on the following major geopolitical events: the Russian occupation of Crimea in 2014 and the invasion of Ukraine in 2022, with an intermediate “no-shocks” period as the reference. The results show significant changes in the interlinkages among the variables during crisis periods compared to stable periods. This enhanced method provides valuable insights, informing trading strategies and risk management during periods of geopolitical instability. This innovative approach offers a novel tool for market participants to better understand and respond to economic shocks caused by political events. Full article

Sinonasal intestinal-type adenocarcinoma (ITAC) is a very rare, closely occupational-related tumor with strong histological similarities to colorectal cancer (CRC). In the latter, tumor budding (TB) is widely recognized as a negative prognostic parameter. The aim of this study was to evaluate the prognostic role of TB in ITAC and to correlate it with other established or emerging biomarkers of the disease, such as p53 and deficient DNA mismatch repair (MMR) system status/microsatellite instability (MSI). We retrospectively analyzed 32 consecutive specimens of patients with ITAC diagnosis treated in two institutions in Northern Italy. We reviewed surgical specimens for TB evaluation (low-intermediate/high); p53 expression and MMR proteins were evaluated via immunohistochemistry. Results were retrospectively stratified using clinical data and patients’ outcomes. According to bud counts, patients were stratified into two groups: intermediate/high budding (>4 TB) and low budding (≤4 TB). Patients with high TB (>4) have an increased risk of recurrence and death compared to those with low TB, with a median survival of 13 and 54 months, respectively. On multivariate analysis, considering TB, therapy, and stage as covariates, TB emerged as an independent prognostic factor net of the stage of disease or type of therapy received. No impact of p53 status as a biomarker of prognosis was observed and no alterations regarding MMR proteins were identified. The results of the present work provide further significant evidence on the prognostic role of TB in ITAC and underline the need for larger multicenter studies to implement the use of TB in clinical practice. Full article

The prevalence of intelligent transportation systems in alleviating traffic congestion and reducing the number of traffic accidents has risen in recent years owing to the rapid advancement of information and communication technology (ICT). Nevertheless, the increase in Internet of Vehicles (IoV) users has led to massive data transmission, resulting in significant delays and network instability during vehicle operation due to limited bandwidth resources. This poses serious security risks to the traffic system and endangers the safety of IoV users. To alleviate the computational load on the core network and provide more timely, effective, and secure data services to proximate users, this paper proposes the deployment of edge servers utilizing edge computing technologies. The massive image data of users are processed using an image compression algorithm, revealing a positive correlation between the compression quality factor and the image’s spatial occupancy. A performance analysis model for the ADHOC MAC (ADHOC Medium Access Control) protocol is established, elucidating a positive correlation between the frame length and the number of service users, and a negative correlation between the service user rate and the compression quality factor. The optimal service user rate, within the constraints of compression that does not compromise detection accuracy, is determined by using the target detection result as a criterion for effective compression. The simulation results demonstrate that the proposed scheme satisfies the object detection accuracy requirements in the IoV context. It enables the number of successfully connected users to approach the total user count, and increases the service rate by up to 34%, thereby enhancing driving safety, stability, and efficiency. Full article

As the global population experiences a notable surge in aging demographics, the need to understand the intricate molecular pathways exacerbated by age-related stresses, including epigenetic dysregulation, becomes a priority. Epigenetic mechanisms play a critical role in driving age-related diseases through altered gene expression, genomic instability, and irregular chromatin remodeling. In this review, we focus on histones, a central component of the epigenome, and consolidate the key findings of histone loss and genome-wide redistribution as fundamental processes contributing to aging and senescence. The review provides insights into novel histone expression profiles, nucleosome occupancy, disruptions in higher-order chromatin architecture, and the emergence of noncanonical histone variants in the aging cellular landscape. Furthermore, we explore the current state of our understanding of the molecular mechanisms of histone deficiency in aging cells. Specific emphasis is placed on highlighting histone degradation pathways in the cell and studies that have explored potential strategies to mitigate histone loss or restore histone levels in aging cells. Finally, in addressing future perspectives, the insights gained from this review hold profound implications for advancing strategies that actively intervene in modulating histone expression profiles in the context of cellular aging and identifying potential therapeutic targets for alleviating a multitude of age-related diseases. Full article

Hexavalent chromium [Cr(VI)] is a known human lung carcinogen with widespread exposure in environmental and occupational settings. Despite well-known cancer risks, the molecular mechanisms of Cr(VI)-induced carcinogenesis are not well understood, but a major driver of Cr(VI) carcinogenesis is chromosome instability. Previously, we reported Cr(VI) induced numerical chromosome instability, premature centriole disengagement, centrosome amplification, premature centromere division, and spindle assembly checkpoint bypass. A key regulator of these events is securin, which acts by regulating the cleavage ability of separase. Thus, in this study we investigated securin disruption by Cr(VI) exposure. We exposed human lung cells to a particulate Cr(VI) compound, zinc chromate, for acute (24 h) and prolonged (120 h) time points. We found prolonged Cr(VI) exposure caused marked decrease in securin levels and function. After prolonged exposure at the highest concentration, securin protein levels were decreased to 15.3% of control cells, while securin mRNA quantification was 7.9% relative to control cells. Additionally, loss of securin function led to increased separase activity manifested as enhanced cleavage of separase substrates; separase, kendrin, and SCC1. These data show securin is targeted by prolonged Cr(VI) exposure in human lung cells. Thus, a new mechanistic model for Cr(VI)-induced carcinogenesis emerges with centrosome and centromere disruption as key components of numerical chromosome instability, a key driver in Cr(VI) carcinogenesis. Full article