Search Results (121)

Workplace violence (WPV) against healthcare workers (HCWs) in infectious disease hospitals, particularly in high-risk settings, remains a critical yet understudied occupational hazard. A mixed-methods study was conducted at a Chinese infectious disease hospital, combining quantitative surveys (N = 675) and semi-structured interviews (28 HCWs, 17 patients/families). Logistic regression was used to analyze WPV incidence and predictors, while a thematic analysis of interview data identified contextual drivers. Psychological violence (34.1%) was significantly more prevalent than physical violence (2.2%), with outpatient departments (44.1%) and temporary staff (OR = 1.72) at the highest risk. Qualitative themes revealed systemic triggers, including communication breakdowns, environmental stressors, and organizational gaps in safety protocols and reporting. This study addressed a critical gap by incorporating the perspectives of HCWs and patients, revealing that WPV perceptions vary due to differing expectations and experiences. From these results, the CARE (Communication, Advocacy, Respect, Education) framework proposes actionable strategies: standardized SBAR communication protocols, enhanced security protocols in high-risk units, and mandatory anti-violence training. These findings underscore the need to strengthen the occupational health system to mitigate WPV and to improve healthcare quality. Full article

Background: Mental health issues among medical students have gained increasing attention globally, with studies indicating a high prevalence of psychological disorders within this population. The use of antidepressants and anti-anxiety medications has become a common response to these mental health challenges. However, it is crucial to understand the extent of their usage and associated effects on students’ mental health and academic performance. This cross-sectional study explored the use of antidepressants and anti-anxiety drugs and their impact on the mental health of medical students in Saudi Arabia. Methods: A cross-sectional survey of 561 medical students from 34 universities was conducted between March and July 2024. An anonymous online questionnaire was used to collect sociodemographic, mental health, and medication usage-related information. Results: Most of the participants were female (71.5%) and aged 21–25 years (62.7%). Approximately 23.8% of them used antidepressants, 5.6% reported using anti-anxiety medications, and 14.0% used both types of medication. Among the medication users, 71.7% were using selective serotonin reuptake inhibitors (SSRIs), and 28.3% were using other medications. Adverse drug reactions were reported by 58.8% of the participants, and 39.6% changed drugs with inadequate efficacy. Notably, 49.0% of the respondents who have ever used medications discontinued their medication without consulting a healthcare professional. Despite these challenges, 62.0% of the participants felt that their medications had a positive impact on their academic performance, 73.4% believed that the benefits outweighed the drawbacks, and 76.2% expressed a willingness to continue taking their medication. In particular, 77.6% agreed that treatment with these drugs could prevent mental breakdowns. Sleep duration, physical activity, and family history of psychiatric disorders were significantly associated with medication use, with p values of 0.002, 0.014, and 0.042, respectively. Conclusions: These results shed light on the need to understand the prescribing practices of antidepressant and anti-anxiety drugs among medical students while promoting the appropriate use of these medications among the students. There is a need to incorporate mental health interventions into counseling services and awareness programs to support students. Future longitudinal studies are needed to explore long-term trends. Full article

Estrogens are considered the most important risk factor for the development of breast cancer. Therefore, attempts are being made to reduce their level through diminished synthesis on one hand and to protect against the formation of DNA-damaging estrogen metabolites on the other. Cytochromes P450 (CYPs) play key roles in estrogen synthesis and catabolism, leading to potentially carcinogenic metabolites. CYP19 (aromatase) catalyzes the conversion of androgens to estrogens. The estrogen receptor-dependent pathway induces cell growth. CYP1 family enzymes, particularly CYP1B1, are involved in the redox cycling of estrogen metabolites and the subsequent estrogen–DNA adducts formation. Naturally occurring phytochemicals of different classes were shown to modulate the CYP expression and activity in cell-free systems or breast cancer cells. One of the most promising CYP19 inhibitors is chrysin (flavone), while stilbenes seem to be the most effective CYP1B1 inhibitors. In most cases, their effect is not specific. Therefore, different approaches are made to find the best candidate for the drug prototype of a new therapeutic or chemopreventive agent and to improve its pharmacokinetic parameters. This review presents and discusses the possible effects on major CYPs involved in estrogen metabolism by phytochemicals from the most investigated classes, namely flavonoids, stilbenes, and glucosinolates breakdown products. Full article

This paper explores the experiences of parents of children with autistic spectrum disorder (ASD) who have participated in parenting programmes in the UK. The parents attended generic programmes before they were able to access more specific programmes geared towards the needs of children with ASD. The parents found that the generic programmes were detrimental to the needs of their children and disruptive of family life, resulting in parental relationship breakdown in some instances. Whilst the ASD-specific programmes did provide some level of support, the most decisive factor was the sharing of experiences amongst those parents as well as the ongoing support that this fostered. The conclusion of this study is that the neoliberal responsibilisation of parents via parenting programmes is undermining the support networks of parents of children with ASD, and an asset-based community development approach would be more beneficial. Full article

Turbo Codes (TCs) are a family of convolutional codes that provide powerful Forward Error Correction (FEC) and operate near the Shannon limit for channel capacity. In the context of modern communication systems, such as those conforming to the DVB-RCS2 standard, Turbo Encoders (TEs) play a crucial role in ensuring robust data transmission over noisy satellite links. A key computational bottleneck in the Turbo Encoder is the non-uniform interleaving stage, where input bits are rearranged according to a dynamically generated permutation pattern. This stage often requires the intermediate storage of data, resulting in increased latency and reduced throughput, especially in embedded or real-time systems. This paper introduces a vector processing algorithm designed to accelerate the interleaving stage of the Turbo Encoder. The proposed algorithm is tailored for vector DSP architectures (e.g., CEVA-XC4500), and leverages the hardware’s SIMD capabilities to perform the permutation operation in a structured, phase-wise manner. Our method adopts a modular Load–Execute–Store design, facilitating efficient memory alignment, deterministic latency, and hardware portability. We present a detailed breakdown of the algorithm’s implementation, compare it with a conventional scalar (serial) model, and analyze its compatibility with the DVB-RCS2 specification. Experimental results demonstrate significant performance improvements, achieving a speed-up factor of up to 3.4× in total cycles, 4.8× in write operations, and 7.3× in read operations, relative to the baseline scalar implementation. The findings highlight the effectiveness of vectorized permutation in FEC pipelines and its relevance for high-throughput, low-power communication systems. Full article

Toona sinensis (A. Juss.) Roem, classified under the Toona genus of the Meliaceae family, is a fast-growing, woody species endemic to China, valued as both a vegetable crop and medicinal plant. Its seeds achieve rapid germination through a cascade of interconnected physiological, metabolic, and hormonal adaptations. Initially, physiological hydration is driven and accelerated by only two distinct phases of water imbibition. This hydration surge triggers storage reserve mobilization, with soluble sugars, proteins, and lipids undergoing rapid degradation during imbibition, while starch catabolism proceeds gradually—a pattern mirrored by progressive increases in enzymatic activities (amylase, protease, and acid phosphodiesterase (ACP)) that correlate with reserve reallocation. Concurrently, a metabolic shift from glycolysis to the pentose phosphate pathway (PPP) optimizes energy utilization, supporting germination acceleration. These biochemical changes are orchestrated by hormonal coordination: elevated gibberellin A₃ (GA₃), zeatin riboside (ZR), and indole-3-acetic acid (IAA) levels, coupled with rising GA₃/ABA, IAA/ABA, and ZR/ABA ratios, temporally aligned with germination progression. Finally, structural evidence confirms successful germination completion, as cotyledon lipid droplet breakdown and starch granule synthesis directly correlate with embryonic elongation. Together, these mechanisms underscore T. sinensis’ adaptive strategy, integrating physiological plasticity, metabolic flexibility, and endocrine precision to ensure efficient germination. Full article

Organophosphorus (OP) pesticides are a class of chemicals that are extensively used worldwide. The exposure to and use of organophosphates can be assessed by analyzing their metabolites and degradation products, such as dialkyl phosphate (DAP), dialkyl thiophosphate (DATP), and dialkyl dithiophosphate (DADTP). However, since these metabolites/hydrolysis products can result from the metabolism or breakdown of several organophosphorus pesticide families, they serve as nonspecific biomarkers and do not indicate the specific pesticide involved in exposure. In an earlier study, chemical derivatization using N-(2-(bromomethyl)benzyl)-N,N-diethylethanaminium bromide (CAX-B) was described to improve the signal intensity of numerous organophosphorus (OP) acids in liquid chromatography tandem mass spectrometry (LC-ESI-MS/MS) analysis. In the present study, CAX-B was employed to derivatize a set of seven phenolic compounds corresponding to the complementary portion of OP pesticides. The derivatization process using CAX-B was performed in acetonitrile with potassium carbonate at 50 °C for 30 min. LC-Orbitrap-ESI-MS/MS was used to analyze the resulting phenol derivatives and their fragmentation patterns were studied. Notably, the derivatized phenols were markedly more sensitive than the underivatized phenols when LC-ESI-MS/MS was used in MRM technique, without being affected by the sample matrix (soil or plant extracts). This derivatization technique aids in identifying OP pesticides, offers insights into their subfamily, and pinpoints a specific compound through the analysis of corresponding phenol derivative. Full article

Background/Objectives: Hepatic glycogen storage diseases (GSDs) are inherited metabolic disorders that affect glycogen synthesis or breakdown, primarily involving the liver and muscles. Treatment typically consists of strict dietary management, including the consumption of uncooked cornstarch. However, there is limited research on feeding challenges and the associated stress experienced by parents of children with GSDs. This study aims to assess feeding difficulties in children with GSDs and the level of parental stress. Methods: A total of 29 caregivers of children aged 6 months to <7 years participated. Feeding difficulties were evaluated using the Brazilian Infant Feeding Scale (Escala Brasileira de Alimentação Infantil—EBAI), while parental stress was measured using the Parental Stress Scale (Escala de Estresse Parental—EEPa). Data were collected in 2020, and the study was approved by the ethics committee. Results: The majority of the children were male (19/10), with a mean age of 47.75 months and an average age of diagnosis of 8.39 months. GSD type Ia (n = 15) and type Ib (n = 5) were the most prevalent, followed by types III and IX (n = 2). Among the participants, 22 out of 29 (76%) reported feeding difficulties, categorized as mild (n = 7, 24%), moderate (n = 7, 24%), and severe (n = 8, 28%). EBAI scores were higher in female patients and in those who did not eat meals with their family. Only one caregiver exhibited high levels of parental stress, as measured by the EEPA scale. No significant correlation was found between feeding difficulties and parental stress. Conclusions: The findings confirm a high prevalence of feeding issues in children with GSDs, which significantly affects caregivers’ quality of life. Although no significant link between feeding difficulties and parental stress was identified, further research is needed to improve GSD management and provide better support for caregivers. Full article

Background/Objectives: Oral health is a complex concept involving physical, psychological, emotional, and social components. A key factor in maintaining oral tissue integrity is redox balance, which is disrupted by oxidative stress (OS) through an imbalance between reactive oxygen species (ROS) and antioxidant defenses. This study examines the contribution of endogenous and exogenous sources to OS and explores the therapeutic potential of medicinal plants from the Asteraceae and Lamiaceae families in restoring redox homeostasis and improving oral health. Methods: A literature review was conducted, analyzing the role of OS in oral diseases and the antioxidant mechanisms of selected Asteraceae species. Special attention was given to their phytochemical contents—polyphenols, flavonoids, and essential oils—and their biological relevance to oral health. Results: OS plays a critical role in the onset and progression of oral conditions such as caries, periodontitis, gingivitis, aphthous ulcers, abscesses, precancerous lesions, and oral cancers. ROS and reactive nitrogen species (RNS) cause inflammation, tissue breakdown, and salivary gland dysfunction. Asteraceae plants like Matricaria chamomilla, Calendula officinalis, Cichorium intybus, Taraxacum officinale, Arctium lappa, Achillea millefolium, and Solidago virgaurea demonstrate notable antioxidant, anti-inflammatory, and antimicrobial properties that help counteract OS and support oral homeostasis. Conclusions: Asteraceae and Lamiaceae species show high therapeutic potential in addressing OS-related oral disorders. Their bioactive compounds aid in restoring redox balance and protecting oral tissues. These findings support the integration of phytotherapeutic agents into oral healthcare and call for further clinical validation of plant-based strategies for disease prevention and management. Full article

Background: This study explored the experiences and insights of providers who support fathers experiencing family breakdown, separation, and divorce (FBSD). Methods: Nine practitioners who work for organizations in the United Kingdom supporting fathers experiencing FBSD were interviewed using deliberative inquiry. The data were analyzed using reflexive thematic analysis to identify key themes. Results: The findings highlighted four primary themes: ‘Support Needed by Fathers’, ‘Barriers for Organizations’, ‘Best Practice’, and ‘Recommendations’. Conclusions: The results mirror previous findings with fathers themselves and illuminate the immense challenges faced by organizations supporting them. Participants offered valuable insights into the necessary reform and change required to improve the experiences of separated fathers and their ability to support them. Full article

Background: This study explores the impact of family breakdown, separation, post-separation abuse, and negotiating of co-parenting arrangements on fathers’ physical and mental health, as well as their coping mechanisms and experiences of support, both informal and formal. Methods: Using data from a survey of 141 fathers and interviews with 30 participants, we examined the impact of family breakdown on fathers and their children and how they coped and were supported. The data were analysed using reflexive thematic analysis to identify key themes. Results: Findings highlighted four primary themes: the impact on fathers, the impact on children, fathers’ strategies for coping, and fathers’ experience of formal and informal support. Conclusions: The results indicate that fathers need greater support mechanisms post-separation, in ways that specifically appreciate their unique experiences as men and fathers. Full article

Xylanases are crucial for the breakdown of hemicellulose, enabling the conversion of lignocellulosic biomass into fermentable sugars for biofuels and other industrial applications. For the first time, we investigated the biochemical and genetic characteristics of 22 xylanase genes from Thermothelomyces fergusii within glycoside hydrolase (GH) families GH10, GH11, and GH43. Xylanase genes structural diversity clustered the phylogenetic tree into GH10, GH11, GH43-I, and GH43-II groups. Structural analysis revealed that all TfGH10 and TfGH11 genes contained conserved GH domains, with CBM1 present in TfGH10-5 and TfGH11-4. Secondary domains, including CBM35, CBM42, and CBM91, were found in the GH43 gene family. The presence of key glutamic (Glu) and aspartic (Asp) residues in active sites is essential for substrate binding and catalysis. RT-qPCR analysis revealed substrate-dependent gene expression, with peak upregulation on day three in beechwood xylan (BWX) cultures and day two in corncob xylan (CCX) and rice straw (RS) cultures. Consistent with these findings, enzymatic assays demonstrated the highest xylanase activity in BWX-induced cultures, followed by RS and CCX, underscoring the differential regulation of these enzymes in response to distinct hemicellulosic substrates. These findings provide valuable insights into the structural, functional, and regulatory mechanisms of T. fergusii xylanases, facilitating their industrial application. Full article

Background and Objectives: One of the most common causes of drug-induced angioedema (AE-DI) is related to reduced bradykinin breakdown after the use of certain medications. This is the case for forms of AE-DI due to the use of angiotensin-converting enzyme inhibitors (ACEi), which are used for the treatment of cardiovascular conditions. The causes of AE are not clear in these patients. Given the limited number of AE-ACEi genetic loci identified by genome-wide association studies, we opted to assess the utility of NGS of a panel of relevant genes to identify candidate genetic risk factors in severely affected patients. Methods: Five hypertensive patients from unrelated families with clinical AE-ACEi were included in the study. Whole-exome sequencing, variant calling, and annotation techniques were used. ANNOVAR v18.04.16 was used to annotate the variant calls. The resulting variants for each patient were assessed using the Hereditary Angioedema Database Annotation tool and Franklin genomic platform for variant prioritization and clinical impact interpretation. Results: The genetic variant rs6025 in the F5 gene was identified in all recruited samples, which has been associated with an increase in blood clotting in AE-ACEi patients. In two patients, a common synonymous genetic variant of the ACE gene was found (rs4343). Finally, we identified the ACE genetic variant rs142947404 in only one patient. This variant has not been assessed in AE-ACEi. Conclusions: More studies will be needed to clarify the genetics involved in AE-DI. In this way, we will be able to try to predict future episodes of angioedema due to the use of ACEi. Full article

The care of chronically ill and older adults affects families in terms of physical, emotional, relational, and social impact; the functioning of the family; and an alteration in family dynamics. This study aimed to evaluate the experiences of family caregivers of older patients in depth. A qualitative study was conducted, consisting of twenty-four narrative interviews with caregivers of chronically ill and older adults, consisting of twenty-three women and one man. The caregivers were all close relatives of the patients. The main results were as follows: (i) caregiving is predominantly performed by females; (ii) the caregiver experiences an ‘indirect’ illness; (iii) the family undergoes changes in roles, responsibilities, and relationships; (iv) support needs emerge, especially those of a social, family, work, and economic nature; and (v) resources are also activated, linked to the presence or absence of self-care. Illnesses directly impact the primary caregiver, but they also have repercussions on the entire family unit, which may activate coping strategies or lead to breakdown. It is crucial to accurately monitor the new family dynamics in order to find suitable solutions to support the family of chronically ill and older patients, underscoring the importance of work in this area. Full article

Background: In the United Kingdom, specialist teams managing crises in dementia make efforts to reduce inpatient admissions by supporting people to live for longer in their own homes. However, fluctuations in the health and social circumstances of both the person with dementia and/or their family caregiver can lead to ‘crisis’: a breakdown in home care often leading to inpatient admissions. At this point, a team managing crises in dementia (TMCD) might become involved. These multidisciplinary teams begin with a rapid assessment to establish the needs of the person with dementia and their caregiver(s), followed by intensive but short-term interventions to reduce the risk of inpatient admission. There is little evidence as to how family caregiver experience input from a TMCD. Methods: A thematic analysis of qualitative interviews with caregivers supporting a family member with dementia to live at home and who have received support from a TMCD. Results: The personal troubles of family caregivers are intertwined with their experience of engaging with and trying to gain support from human services, particularly TMCDs. While respondents describe how specific individuals have addressed or added to the troubles they face, the most impactful interventions from their perspectives are medication for managing challenging behaviour and knowing that there is a service they can telephone in a crisis. Conclusions: Efforts to reduce inpatient admissions by supporting people to live in their own homes for as long as is practicable, even when carers may have reached the limits of their caring capacities, can, at best, only delay inpatient to long-stay residential accommodation. This is because when one frail older person has the responsibility of caring for another frail older person, even with support from TMCD and other health and social care services, crises are difficult to manage. Full article