Tag: nevin manimala

Wiad Lek. 2023;76(6):1428-1435. doi: 10.36740/WLek202306115.

ABSTRACT

OBJECTIVE: The aim: To investigate the impact of professional stress on the mental health of law enforcement officers.

PATIENTS AND METHODS: Materials and methods: The research involved two groups of law enforcement officers (aged 25-40): the first group with up to 7 years of service activities (n = 52), the second group – 8-15 years (n = 48). Research methods: bibliosemantic, questionnaire, testing, method of system analysis and generalization, mathematical and statistical.

RESULTS: Results: It was found that law enforcement officers of both groups identified indicators of a significant professional workload, lack of adequate rest, and the nature of communication with participants in professional relationships among the factors of professional stress. It is proved that the mental health of law enforcement officers deteriorates under the influence of professional stress with the experience of their professional activities. Law enforcement officers with 8-15 years of service experience have significantly (p < 0.05-0.001) worse indicators of anxiety, aggressiveness, motivation, personal detachment, impulsive¬ness, vigor, and work efficiency.

CONCLUSION: Conclusions: It was established that the professional stress of law enforcement officers is the result of an imbalance between the internal resources of the individual and the requirements of the external environment, embodied in the peculiarities of law enforcement activities. Law enforcement officers are char¬acterized by the presence of professional stress of average and high severity, which increases with the experience of their service activities. A set of measures was proposed to provide psychological assistance to law enforcement officers to effectively counteract professional stress and improve their mental health.

PMID:37463378 | DOI:10.36740/WLek202306115

Wiad Lek. 2023;76(6):1406-1412. doi: 10.36740/WLek202306112.

ABSTRACT

OBJECTIVE: The aim: To perform a clinical analysis of bronchiectasis in adults, to analyze the effectiveness of nebulizer therapy with hypertonic NaCl solution with hyaluronic acid.

PATIENTS AND METHODS: Materials and methods: All patients were performed clinical-functional examination (MRC dyspnea index, Sp O2, 6-minute walking test, external respiration function); calculated the index BODE, analyzed the SGRQ, studied the results of sputum. Statistical data analysis was performed using the Microsoft Excel for Microsoft 365 MSO 16.0.13530.2040418 package of statistical functions.

RESULTS: Results: The main symptom in 100% of cases was chronic cough with production of sputum. Patients were concerned about shortness of breath (91.7%), episodic hemoptysis (29.2%), systemic symptoms (fatigue, weight loss). Hypertonic NaCl solution has a direct mucolytic effect, osmotic and anti-edematous effect. Protection of the mucous membrane of the respiratory tract makes hyaluronic acid an ideal additional component of hypertonic saline solution. All patients showed a positive effect of treatment immediately. After 2 weeks, the respiratory rate decreased, the FEV1 index increased at 8.6 (p<0.05), SpO2 increased up to 93.75 ± 7.13%, the number of points according to the SGRQ decreased, BODE index also decreased.

CONCLUSION: Conclusions: Leading clinical signs of bronchiectasis were: a chronic cough with daily sputum production (100% of patients), shortness of breath (91.7%). The use of nebulizer inhalations decreased shortness of breath at 17.6% (р<0.05), improved external respiratory function indices (FVCL increased at 9.7% (р<0.01), FEV1 at 8.6% (р<0.01)) and blood oxygen saturation increased at 4.9% (р<0.05)). The offered complex increased tolerance to physical exertion (the 6-minute walk test and 4-year survival (BODE prognostic index).

PMID:37463375 | DOI:10.36740/WLek202306112

Wiad Lek. 2023;76(6):1400-1405. doi: 10.36740/WLek202306111.

ABSTRACT

OBJECTIVE: The aim: To study the family influence on the formation of children’s motivation for a healthy lifestyle.

PATIENTS AND METHODS: Materials and methods: The medical and sociological study among parents was conducted to assess their children’s adherence to the principles of a healthy lifestyle and the influence of the family on the formation of children’s motivation for a healthy lifestyle. The survey was conducted using a specially designed questionnaire using Google Forms. The design of the questionnaire was typical and contained the following structural components: addressing the respondent, obtaining informed consent to participate in the survey, and blocks with targeted questions (25 questions in total). The research involved 150 parents (including 54.7 % (82 people) of women and 45.3 % (68 people) of men). Methods: bibliosemantic, system-oriented analysis and logical generalization, medical and sociological (questionnaire), statistical data processing.

RESULTS: Results: It has been found that positive attitudes towards a healthy lifestyle prevail in the families of the respondents (44.0 %), 42.0 % of parents indicated that their family members regularly adhere to a healthy lifestyle. Herewith, 48.0 % are interested in teaching their children about a healthy lifestyle. The main motives that most parents form in their children regarding a healthy lifestyle are maintaining and promoting health (38.0 %), improving physical condition (16.0 %), and creating a healthy family (10.0 %). However, almost a third of parents do not instill responsibility for their children’s life and health due to a lack of time and knowledge about a healthy lifestyle.

CONCLUSION: Conclusions: To foster a positive attitude toward a healthy lifestyle in children, parents should set their example, create favorable conditions for a healthy lifestyle, and follow traditions related to active recreation, sensible nutrition, and the absence of bad habits. Children’s motivation for a healthy lifestyle is the main responsibility of the family.

PMID:37463374 | DOI:10.36740/WLek202306111

Wiad Lek. 2023;76(6):1371-1377. doi: 10.36740/WLek202306107.

ABSTRACT

OBJECTIVE: The aim: To compare the number of fungi of the genus Malassezia on inflated and healthy areas of the skin and to correlate them with the severity of seborrheic dermatitis.

PATIENTS AND METHODS: Materials and methods: 168 patients with typical manifestations of seborrheic dermatitis on the scalp and face and 30 healthy individuals were recruited. SD severity was assessed by SEDASI. Samples from lesions on scalp, face and intact chest skin were cultivated and/or stained with methylene blue or cotton and inoculated onto Malassezia Leeming & Notman Agar Modified (MLNA).

RESULTS: Results: A statistical difference in colonization intensity between all body zones (Dwass-Steel-Critchlow-Flinger pairwise comparisons p≤0,001). Face zone with lesions of SD patients was two times more colonized with funguses than in the control group (38,5 vs 16,5 p=0,003). The sternal area with no skin lesions was more colonized in the SD group (25,0 vs 9,0 p=0,013). The SEDASI was positively correlated with the amount of CFU on the face (Spearman’s rho 0,849; p≤0,001) and trunk (0,714; p≤0,001).

CONCLUSION: Conclusions: Our results demonstrate that inflamed seborrheic areas are more colonized with Malassezia fungi than intact areas. The intensity of Malassezia growth is correlated with the severity of the symptoms of seborrheic dermatitis. The level of colonization may be a potential biomarker to indicate the efficiency of new treatment approaches.

PMID:37463370 | DOI:10.36740/WLek202306107

Wiad Lek. 2023;76(6):1359-1362. doi: 10.36740/WLek202306105.

ABSTRACT

OBJECTIVE: The aim: To establish the characteristics of the gingival mucosa cellular composition in school-age children.

PATIENTS AND METHODS: Materials and methods: We made a dental and cytological examination on 150 Ukrainian (Poltava city) children aged 6, 12, and 15 years. Smears were got by scraping from the gum mucosa and stained with a May-Grunwald solution. Cytograms were made by using a Biorex-3 BM-500T microscope with a DCM-900 digital microphotographic attachment. The programs were adapted for these types of studies. We used a magnification of 1000. The t-test for paired samples was used to compare values. The difference was considered statistically significant at P<0.05.

RESULTS: Results: The number of superficial epitheliocytes in children aged 12 and 15 was significantly higher than in 6-year-olds but did not differ from each other.

CONCLUSION: Conclusions: The process of physiological keratinization of the cells of the gingival mucosa in schoolchildren is diverse and keratinization occurs both due to the phenomenon of physiological necrosis, namely, apoptosis of surface cells and due to orthokeratosis. From the age of 6, the average number of surface cells in cytograms decreases, while the number of intermediate and dead keratinized cells increases up to 12 years and remains on the previous level in children of 15 years.

PMID:37463368 | DOI:10.36740/WLek202306105

Wiad Lek. 2023;76(6):1332-1341. doi: 10.36740/WLek202306102.

ABSTRACT

OBJECTIVE: The aim of the present study is to examine mental health, quality of life, acedia and spiritual dryness in patients suffering from chronic diseases.

PATIENTS AND METHODS: Materials and method: Data were collected by special design instrument for the needs of the present study. Descriptive statistics and inferential statistics were applied and the analysis was carried out with IBM SPSS 26 and JASP 0.14.01.

RESULTS: Results: From the total of 210 participants, 106 (50.4%) were male, the mean age was 62.9 years, and the majority of them were diagnosed with type 2 diabetes. 50 (23.8%) of the participants suffer from anxiety and 39 (18.6%) from depression. In addition, 17.1% experience phases of spiritual dryness frequently or regularly. Physical quality of life component, was associated with the following variables: live from faith, psychological wellbeing, type of disease and age. This model can predict 31.1% of the variance. In terms of psychological wellbeing, the variables living arrangement, awe/gratitude, anxiety, and spiritual dryness can interpret 41.5% of the variance. When it comes to depression, we found that wellbeing, awe/gratitude are predictors of depressive symptoms, explaining at least 14.1% of the variance. Finally, anxiety can be predicted by wellbeing, awe/gratitude, and the type of the disease, interpreting 17.2% of the variance.

CONCLUSION: Conclusions: Patients suffering from chronic diseases are experiencing spiritual dryness and acedia symptoms, and those aspects can be associated with various domains of health and wellbeing.

PMID:37463365 | DOI:10.36740/WLek202306102

J Am Soc Mass Spectrom. 2023 Jul 18. doi: 10.1021/jasms.3c00072. Online ahead of print.

ABSTRACT

Skeletal muscle is a major regulatory tissue of whole-body metabolism and is composed of a diverse mixture of cell (fiber) types. Aging and several diseases differentially affect the various fiber types, and therefore, investigating the changes in the proteome in a fiber-type specific manner is essential. Recent breakthroughs in isolated single muscle fiber proteomics have started to reveal heterogeneity among fibers. However, existing procedures are slow and laborious, requiring 2 h of mass spectrometry time per single muscle fiber; 50 fibers would take approximately 4 days to analyze. Thus, to capture the high variability in fibers both within and between individuals requires advancements in high throughput single muscle fiber proteomics. Here we use a single cell proteomics method to enable quantification of single muscle fiber proteomes in 15 min total instrument time. As proof of concept, we present data from 53 isolated skeletal muscle fibers obtained from two healthy individuals analyzed in 13.25 h. Adapting single cell data analysis techniques to integrate the data, we can reliably separate type 1 and 2A fibers. Ninety-four proteins were statistically different between clusters indicating alteration of proteins involved in fatty acid oxidation, oxidative phosphorylation, and muscle structure and contractile function. Our results indicate that this method is significantly faster than prior single fiber methods in both data collection and sample preparation while maintaining sufficient proteome depth. We anticipate this assay will enable future studies of single muscle fibers across hundreds of individuals, which has not been possible previously due to limitations in throughput.

PMID:37463334 | DOI:10.1021/jasms.3c00072

J Phys Chem A. 2023 Jul 18. doi: 10.1021/acs.jpca.3c02266. Online ahead of print.

ABSTRACT

The density functional theory combined with statistical thermodynamic analyses of M@C₇₈ (M = U and Th) demonstrated that four isomers, M@D_3h(24109)-C₇₈, M@C_2v(24107)-C₇₈, M@C₁(22595)-C₇₈, and M@C₁(23349)-C₇₈, and a nonclassical isomer, M@C₁(id7)-C₇₈, containing one heptagon ring possess outstanding thermodynamic stabilities in the two M@C₇₈ series. Especially, the M@C₁(id7)-C₇₈ isomer is the first nonclassical C₇₈ fullerene that can exist stably. Importantly, these five fullerene cages are found to be related in the form of Stone-Wales (SW) transformations. Geometric analyses disclosed that, unlike lanthanide metals, actinide metals are more likely to bond with sumanene-type hexagonal rings when they are encapsulated in IPR C₇₈ cages. Frontier molecular orbital analysis showed that both U and Th atoms donate four electrons to the C₇₈ carbon cages.

PMID:37463332 | DOI:10.1021/acs.jpca.3c02266

ACS Appl Mater Interfaces. 2023 Jul 18. doi: 10.1021/acsami.3c03693. Online ahead of print.

ABSTRACT

Lung cancer (LC) is a major cause of mortality among malignant tumors. Early diagnosis through lipidomic profiling can improve prognostic outcomes. In this study, a uniform PbS/Au-layered substrate that enhances the laser desorption/ionization process, an interfacial process triggered on the substrate surface upon laser excitation, was designed to efficiently characterize the lipidomic profiles of LC patient serum. By controlling the stacking arrangement and particle sizes of PbS QDs and AuNPs, the optimized substrate promotes the generation of excited electrons and creates an enhanced electric field that polarizes analyte molecules, facilitating ion adduction formation ([M + Na]⁺ and [M + K]⁺) and enhancing detection sensitivity down to the femtomole level. Combining multivariate statistics and machine learning, a distinct lipidomic biomarker panel is successfully identified for the early diagnosis and staging of LC, with an accurate prediction validated by an area under the curve of 0.9479 and 0.9034, respectively. We also found that 18 biomarkers were significantly correlated with six metabolic pathways associated with LC. These results demonstrate the potential of this innovative PbS/Au-layered substrate as a sensitive platform for accurate diagnosis of LC and facilitate the development of lipidomic-based diagnostic tools for other cancers.

PMID:37463316 | DOI:10.1021/acsami.3c03693

Health Lit Res Pract. 2023 Jul;7(3):e130-e138. doi: 10.3928/24748307-20230621-01. Epub 2023 Jul 7.

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has seen a rise in the spread of misleading and deceptive information, leading to a negative impact on the acceptance of the COVID-19 vaccine and public opinion. To address this issue, the importance of public e-Health literacy cannot be overstated. It empowers individuals to effectively utilize information technology and combat the dissemination of inaccurate narratives.

OBJECTIVE: This study aimed to investigate the relationship between the ability to identify disingenuous news, electronic health literacy, and the inclination to receive the COVID-19 immunization.

METHODS: In this descriptive-analytical cross-sectional study conducted during summer 2021 in Isfahan, Iran, 522 individuals older than age 18 years, seeking medical attention at health centers, were surveyed. The participants were selected through a meticulous multistage cluster sampling process from the pool of individuals referred to these health centers. Along with demographic information, data collection instruments included the standard e-Health literacy questionnaire and a researcher-developed questionnaire designed to identify misinformation. The collected questionnaires were entered into SPSS 24 for statistical analysis, which included the Kruskal-Wallis test, the Chi-square test, the Spearman test, and logistic regression models.

KEY RESULTS: The study findings revealed a statistically significant relationship between acceptance of the COVID-19 vaccine and the ability to identify deceptive news. An increase of one unit in the score for recognizing misinformation led to a 24% and 32% reduction in vaccine hesitancy and the intention to remain unvaccinated, respectively. Furthermore, a significant correlation was found between the intention to receive the vaccine and e-Health literacy, where an increase of one unit in e-Health literacy score corresponded to a 6% decrease in the intention to remain unvaccinated. Additionally, the study found a notable association between the ability to detect false and misleading information and e-Health literacy. Each additional point in e-Health literacy was associated with a 0.33% increase in the capacity to identify fake news (Spearman’s Rho = 0.333, p < .001).

CONCLUSION: The study outcomes demonstrate a positive correlation between the COVID-19 vaccine acceptance, the ability to identify counterfeit news, and proficiency in electronic health literacy. These findings provide a strong foundation for policymakers and health care practitioners to develop and implement strategies that counter the dissemination of spurious and deceitful information related to COVID-19 and COVID-19 immunization. [HLRP: Health Literacy Research and Practice. 2023;7(3):e130-e138.].

PMID:37463291 | DOI:10.3928/24748307-20230621-01