Physical Conditions Research Articles

Geographic and psychosocial correlates of homelessness or unstable housing among USveterans in the Midwest.

The purpose of this study was to explore (1) the prevalence of physical and mental health conditions among veterans stratified by homelessness and unstable housing (HUH) in several Midwestern states, and (2) the correlation between HUH and sociodemographic, military, financial, risky behavior, health, and geographical characteristics. The study cohort consisted of 7260 HUH veterans and stably housed veterans in 2018-2022 in Veterans Integrated Service Network (VISN) 23. A multivariate logistic regression analysis was performed which revealed the strongest associations with HUH were any incarceration experience (adjusted odds ratio [AOR] = 0.21) and rural location (AOR = 0.33). Frontier and remote location scores (AOR = 1.23) were associated with increased risk of HUH among veterans. Our results suggest potential differences in risk for HUH among veterans living in rural versus frontier and remote locations, which may be important to consider to provide care to the many veterans in these areas.

Assessment of the Effect of Surface Modification of Metal Oxides on Silver Nanoparticles: Optical Properties and Potential Toxicity.

Silver nanoparticles (AgNPs) have garnered significant interest due to their distinctive properties and potential applications. Traditional fabrication methods for nanoparticles often involve high-energy physical conditions and the use of toxic solvents. Various green synthesis approaches have been developed to circumvent these issues and produce environmentally benign nanoparticles. Our study focuses on the green synthesis of AgNPs using L-ascorbic acid and explores the modification of their properties to enhance antibacterial and anticancer effects. This is achieved by coating the nanoparticles with Zinc oxide (ZnO) and Silica oxide (SiO2), which alters their optical properties in the visible spectrum. The synthesized formulations-AgNPs, zinc oxide-silver nanoparticles (Ag@ZnO), and silica oxide-silver nanoparticles (Ag@SiO2) core/shell nanoparticles-were characterized using a suite of physicochemical techniques, including Transmission Electron Microscopy (TEM), Dynamic Light Scattering (DLS), Zeta potential measurement, UV-Vis spectroscopy, Refractive Index Measurements, and Optical Anisotropy Assessment. TEM imaging revealed particle sizes of 11 nm for AgNPs, 8 nm for Ag@ZnO, and 400 nm for Ag@SiO2. The Zeta potential values for Ag@ZnO and Ag@SiO2 were measured at -17.0 ± 5 mV and -65.0 ± 8 mV, respectively. UV-Vis absorption spectra were recorded for all formulations in the 320 nm to 600 nm wavelength range. The refractive index of AgNPs at 404.7 nm was 1.34572, with slight shifts observed for Ag@ZnO and Ag@SiO2 to 1.34326 and 1.37378, respectively. The cytotoxicity of the nanocomposites against breast cancer cell lines (MCF-7) was assessed using the MTT assay. The results indicated that AgNPs and Ag@ZnO exhibited potent therapeutic effects, with IC50 values of 494.00 µg/mL and 430.00 µg/mL, respectively, compared to 4247.20 µg/mL for Ag@SiO2. Additionally, the antibacterial efficacy of AgNPs was significantly enhanced under visible light irradiation. Ag@ZnO demonstrated substantial antibacterial activity both with and without light exposure, while the Ag@SiO2 nanocomposites significantly reduced the inherent antibacterial activity of silver. Conversely, the Ag@ZnO nanocomposites displayed pronounced antibacterial and anticancer activities. The findings suggest that silver-based nanocomposites, particularly Ag@ZnO, could be practical tools in water treatment and the pharmaceutical industry due to their enhanced therapeutic properties.

Association of type 2 diabetes with family history of diabetes, diabetes biomarkers, mental and physical disorders in a Kenyan setting

This study aimed to determine the degree of family relations and associated socio-demographics characteristics, clinical/physical and mental disorders in type 2 diabetes mellitus in a Kenyan diabetes clinic. This study was part of a large multicentre study whose protocol and results had been published. It took place at the outpatient diabetes clinic at a County Teaching and Referral Hospital in South East Kenya involving 182 participants. We used a socio-demographic questionnaire, the Hamilton Depression (HAM-D) and PHQ-9 rating scales for depression, the MINI International Neuropsychiatric Interview (MINI; V5 or V6) for DSM-5 diagnoses, the WHO-5 Well-being scale and Problem Areas in Diabetes Scale (PAID). We extracted from the notes all physical conditions. We enquired about similar conditions in 1st and 2nd degree relatives. Descriptive, Chi-square test, Fisher’s exact test, one way ANOVA, and Multinomial logistic regression analysis were conducted to test achievements of our specific aims. Of the 182 patients who participated in the study, 45.1% (82/182) reported a family history of diabetes. Conditions significantly (p < 0.05) associated with a degree of family history of diabetes were retinopathy, duration of diabetes (years), hypertension, and depressive disorder. On average 11.5% (21/182) scored severe depression (≥ 10) on PHQ-9 and 85.2% (115/182) scored good well-being (≥ 13 points). All DSM-5 psychiatric conditions were found in the 182 patients in varying prevalence regardless of relations. In addition, amongst the 182 patients, the highest prevalence was poor well-being on the WHO quality of life tool. This was followed by post-traumatic disorders (current), suicidality, and psychotic lifetime on DSM-5. The least prevalent on DSM-5 was eating disorders. Some type 2 diabetes mellitus physical disorders and depression have increased incidence in closely related patients. Overall, for all the patients, the prevalence of all DSM-5 diagnoses varied from 0.5 to 9.9%.

Postoperative complications in patients undergoing Anterior Cruciate Ligament (ACL) Reconstruction

Objective: To discuss the influence of anterior cruciate ligament reconstruction (ACLR) on the prevalence of postoperative osteoarthritis (OA). Methods: Literature review of articles published in the last 10 years in English available in the PubMed and Capes Portal databases. As Boolean operators descriptors “AND”: “Postoperative Complications” AND “Anterior Cruciate Ligament Reconstruction” AND “Osteoarthritis”. Results: Patients were analyzed in an interval of up to 20 years after the ACLR, comparing the risk and association factors that corroborate for the development of OA, such as: ages, physical conditions, injury time, postoperative period. In addition, meniscectomy, which is the total or partial removal of the meniscus, is the most determining factor in the increase of OA cases. Conclusion: It is observed that the performance of the ACLR together with the risk factors and additional injuries influence the increase in the prevalence of osteoarthritis.

Heart Stroke Prediction Using Machine Learning Algorithms

A Stroke is a disease when there is insufficient blood supply to the brain, which causes cell death. It is currently the world’s biggest cause of death. Upon examining the affected individuals, a number of risk variables that are thought to be connected to the cause of stroke have been identified. Numerous studies have been conducted to predict and categorize stroke disorders using the risk variables. The majority of the models are built using machine learning and data mining technologies. In this work, we have employed four machine learning algorithms to identify the type of stroke that may have happened based on medical report data and an individual’s physical condition. We have gathered a sizable amount of hospital entries. This study employs many methodologies, including decision trees, Naive Bayes, ANN algorithm, and Random Forest algorithm. Thus, the aim of this study is to evaluate the mentioned algorithms and determine which one does the task more accurately. After completing all of the evaluations, we can conclude that the Random Forest method has the highest accuracy of all the algorithms with 99%.

Effects of web-based adapted physical activity on hippocampal plasticity, cardiorespiratory fitness, symptoms, and cardiometabolic markers in patients with schizophrenia: a randomized, controlled study.

Among the lifestyle interventions, the physical activity (PA) has emerged as an adjuvant non-pharmacological treatment improving mental and physical health in patients with schizophrenia (SZPs) and increasing the hippocampus (HCP) volume. Previously investigated PA programs have been face-to-face, and not necessary adapted to patients' physiological fitness. We propose an innovative 16-week adapted PA program delivered by real-time videoconferencing (e-APA), allowing SZPs to interact with a coach and to manage their physical condition. The primary goal was to demonstrate a greater increase of total HCP volumes in SZPs receiving e-APA compared to that observed in a controlled group. The secondary objectives were to demonstrate the greater effects of e-APA compared to a controlled group on HCP subfields, cardiorespiratory fitness, clinical symptoms, cognitive functions, and lipidic profile. Thirty-five SZPs were randomized to either e-APA or a controlled group receiving a health education program under the same conditions (e-HE). Variables were assessed at pre- and post-intervention time-points. The dropout rate was 11.4%. Compared to the e-HE group, the e-APA group did not have any effect on the HCP total volumes but increased the left subiculum volume. Also, the e-APA group significantly increased cardiorespiratory fitness (VO2max), improved lipidic profile and negative symptoms but not cognitive functions. This study demonstrated the high feasibility and multiple benefits of a remote e-APA program for SZPs. e-APA may increase brain plasticity and improve health outcomes in SZPs, supporting that PA should be an add-on therapeutic intervention. ClinicalTrial.gov on 25 august 2017 (NCT03261817).

M3DIS - A grid of 3D radiation-hydrodynamics stellar atmosphere models for stellar surveys. I. Procedure, validation, and the Sun

Large-scale stellar surveys, such as SDSS-V, 4MOST, WEAVE, and PLATO, require accurate atmospheric models and synthetic spectra of stars for accurate analyses of fundamental stellar parameters and chemical abundances. The primary goal of our work is to develop a new approach to solve radiation-hydrodynamics (RHD) and generate model stellar spectra in a self-consistent and highly efficient framework. We build upon the Copenhagen legacy RHD code, the MULTI3D non-local thermodynamic equilibrium (NLTE) code, and the DISPATCH high-performance framework. The new approach allows us to calculate 3D RHD models of stellar atmospheres on timescales of a few thousand CPU hours and to perform subsequent spectrum synthesis in local thermodynamic equilibrium (LTE) or NLTE for the desired physical conditions within the parameter space of FGK-type stars. We compare the 3D RHD solar model with other available models and validate its performance against solar observations, including the centre-to-limb variation of intensities and key solar diagnostic lines of H and Fe. We show that the performance of the new code allows to overcome the main bottleneck in 3D NLTE spectroscopy and enables calculations of multi-dimensional grids of synthetic stellar observables for comparison with modern astronomical observations.

Outcomes Following Different Management of Mycotic Infrarenal Abdominal Aortic Aneurysms.

The objective was to present our experience on managing mycotic infrarenal abdominal aortic aneurysm (MIAAA) through a retrospective cohort study. Data of patients with MIAAA managed in our center from July 2016 to October 2022 were retrospectively analyzed. The diagnosis of MIAAA was made based on: (1) preoperative clinical signs of infection; (2) elevated serologic infection parameters; (3) para-aneurysmal infection features on enhanced computed tomography; and (4) positive blood or tissue cultures. All the patients received standard antibiotic therapy. Surgical management including endovascular aneurysm repair (EVAR), initial EVAR followed by open re-operation, and initial open surgical repair (OSR) were conducted according to disease seriosity, physical condition, and patient's will. Infection index and clinical outcome were evaluated during the follow-up time. A total of 23 patients (21 men; averaged=66.3 years, range=49-79 years) were included, with a mean follow-up time of 19.9 months (range=1-75 months). Bacteria culture from blood or tissue specimen was positive in 15 patients (Salmonella, n=8; Escherichia coli, n=3; methicillin-sensitive Staphylococcus aureus [MSSA], n=1; Klebsiella pneumoniae, n=1; Staphylococcus epidermidis, n=1; Mycobacterium tuberculosis, n=1). Seven patients received OSR as the initial surgical intervention, whereas 14 patients chose EVAR instead. The 2 conservatively managed patients (refused surgery) died within 30 days. The 7 patients who received initial OSR survived till now. Among the 14 patients who underwent initial EVAR, infection deteriorated without exception (14/14, 100%). Three of these patients refused re-operation and died within 6 months. Eleven patients received secondary surgical intervention (10 cases of aneurysm and endograft resection, thorough debridement, subclavian to bi-femoral artery bypass, or in situ aorta reconstruction; 1 case of laparoscopic debridement) and 7 survived the follow-up time. The overall mortality rate was 39.1% (9/23). The mortality rates differed greatly following different intervention methods (merely antibiotic management, 100%; initial open operation, 0%; initial EVAR without secondary operation, 100%; initial EVAR plus secondary operation, 36.4%). Open surgical repair is still the first choice for hemodynamically stable and low-risk patients. Merely EVAR is related with disastrous results, which should be reserved as a temporary alternative for patients with ruptured aneurysms, hemodynamic instability or high surgical risk, and followed by timely secondary OSR. The management of mycotic or primary-infected aortic aneurysm is challenging; treatment remains controversial. Our center has reviewed our experience over the past 6 years and found that open surgical repair is still the first choice for hemodynamically stable and low-risk patients. Merely endovascular aneurysm repair (EVAR) is related with disastrous results, which should be reserved as a temporary alternative for patients with ruptured aneurysms, hemodynamic instability or high surgical risk, and followed by timely secondary open surgical repair.

Formulating a Development Path Model for Under-17 Football Players in Indonesia and Malaysia: A Step Towards Excellence

The current research aims to develop a Path Model for Under-17 Football Players in Indonesia and Malaysia. A qualitative approach toward Grounded theory was used to formulate the research. A total of 25 coaches, 15 from Malaysia and ten from Indonesia, participated in the current research, which was determined through a purposive sampling method. The criteria of the participants were having a coaching license and having a minimum of 5 years of coaching experience. The participants were interviewed to formulate the model for the Under-17 Football Players in Indonesia and Malaysia. The data collected was analyzed with qualitative research software, namely N-Vivo 14. In this study's approach to the evolved grounded theory, open encoding techniques, axial encodings, and selective encodes are used for data analysis. The result indicated that the model proposed in the current research consists of three aspects. The first aspect was the issue and challenges for the athlete's development, which consisted of several factors: the coach's competencies, physical, technique, tactical, and psychological condition. The second aspect was the individual psychological trait consisting of several psychological conditions such as cognitive, affective, attitude, personality, and spirituality. The third aspect was the environment. The psychological condition consists of several aspects, such as the policy supporting the athlete's development, the support from the family, and the support from the coach. Keywords: football development, development path, u17 football players, Indonesia, Malaysia

Factors influencing self-care management in adult hemodialysis patients: An integrative review.

Background: End-stage renal disease (ESRD) poses a significant health challenge, with hemodialysis (HD) being the most prevalent therapy. Patients undergoing HD must comply with a strict therapeutic regimen, including dietary control, fluid restriction, and medication adherence. Successful disease management and improved outcomes rely on patients' involvement and participation in their care. Aim: To identify the factors that hinder or facilitate self-care management (SCM) in HD patients. Methodology: This review followed Whittemore and Knafl's integrative review framework. A comprehensive literature search of articles published between 2017 and 2022 was conducted in CINAHL, Medline, and PubMed using the keywords end-stage renal disease, hemodialysis, self-care management, self-care, and self-management. This search yielded 21 suitable articles for review. Results: SCM is influenced by three main factors: facilitators, barriers, and outcomes. Facilitators of SCM include self-care management interventions, patient knowledge, socio-demographic factors, family support, healthcare professionals, peer support, and psychological factors. Barriers encompass psychological and physical conditions. Outcomes include both physiological and psychological aspects. Conclusion: Understanding the factors influencing SCM in HD patients is vital for developing reliable and effective self-care strategies and interventions to enhance both physical and psychological outcomes.

Spatio-temporal dynamics of agricultural and built-up areas in the Niaye area of Pikine urban wetland (Dakar, Senegal)

The Niaye area of Pikine, a wetland with favorable physical and climatic conditions, is a rich and varied ecosystem that guarantees a supply of water and fertile soil, conducive to market gardening. This plays an important socio-economic role in the Dakar region. However, this sensitive and fragile ecosystem is often affected by poor farming practices. The aim of the study was to analyze the spatial evolution of agricultural areas and built-up areas in order to identify related environmental problems. Interview guides, aerial photographs from 1966 and 1978 and Digital Globe Over view 2 satellite images from 2004 and 2022 were used. The interview guides were used to obtain data on the management of the market gardening activity, and also to identify the environmental problems it generates. Satellite data processing revealed, through cartographic analysis, a progressive market gardening dynamic of +5.07%. In addition, the built-up area around the lake has increased by over 200%, resulting in a 68.4% decline in upland vegetation and a migration of market gardeners to the lake. This situation leads to the destruction of market garden crops in the rainy season as the water rises. What's more, the intensification of market gardening in response to the population's growing demand for vegetables has not failed to encourage bad practices, including the use of pesticides and sewage, which is a public health problem and a threat to the future of this wetland.

How Dietary Choices and Nutritional Knowledge Relate to Eating Disorders and Body Esteem of Medical Students? A Single-Center Cross-Sectional Study

Eating disorders and body image concerns are increasingly prevalent issues among young individuals, with medical students being particularly vulnerable due to heightened stress levels. This study enrolled 879 medical students to investigate these concerns. The KomPAN questionnaire was utilized to assess dietary habits and knowledge, the Body Esteem Scale (BES) to evaluate body satisfaction, and The Eating Attitudes Test (EAT-26) to identify eating disorders. A higher level of nutritional knowledge was found to be statistically significantly associated with attempts at excessive calorie restriction among women (β = 0.0864) and negatively among men (β = −0.2039). Moreover, it was negatively associated with self-control of food intake only among men (β = −0.2060). Furthermore, a higher BMI was associated with attempts of excessive calorie restriction in both women and men (β = 0.1052 and β = 0.1656, respectively) and negatively with self-control of food intake (β = −0.0813 and β = −0.1453, respectively). A higher BMI was associated with poorer body esteem across all variables in both genders, except for upper body strength among men. Nutritional knowledge did not correspond with any of these variables, while dietary quality was positively associated with physical condition in women and with physical condition, physical attractiveness, and upper body strength in men. Our study findings suggest that dietary interventions could be improved by considering gender-based behavioral differences and focusing on portion control for individuals with a higher BMI. Caution is warranted in extrapolating the results to the general population due to the specific nature of the study population.

Associations between Fluid Intelligence and Physical Fitness in School Children

Previous research has highlighted that active lifestyles that contribute to improved physical fitness are positively related to cognitive functioning in children and adolescents. Specifically, the increase in physical condition at school age is considered relevant because it is related to better cognitive ability and greater academic performance. Thus, the aim of this study was to analyze the relationships between explosive strength, speed–agility, and fluid reasoning in schoolchildren. To achieve this objective, an associative, comparative, and predictive design was used in this research. A total of 129 children participated in this study (age: M = 9.48; SD = 0.99). To assess fluid reasoning, the Raven test’s Standard Progressive Matrices Subtest and the Wechsler Intelligence Scale for Children (WISC-V) were used. To assess physical fitness, the speed–agility test and the horizontal jump test (ALPHA-fitness battery tests), as well as the ball throw test (2 kg), were used. The results showed that the speed–agility test significantly predicted WISC-V Fluid Reasoning Index scores, and the medicine ball toss test significantly predicted Raven test scores. The results obtained highlight the associations between physical condition at these ages and fluid intelligence. This suggests that promoting active lifestyles that improve physical fitness could have a positive impact on children’s cognitive health.

The elongation factor 1-alpha as storage reserve and environmental sensor in Nicotiana tabacum L. seeds

Given their critical role in plant reproduction and survival, seeds demand meticulous regulatory mechanisms to effectively store and mobilize reserves. Within seeds, the condition of storage reserves heavily depends on environmental stimuli and hormonal activation. Unlike non-protein reserves that commonly employ dedicated regulatory proteins for signaling, proteinaceous reserves may show a unique form of 'self-regulation', amplifying efficiency and precision in this process. Proteins rely on stability to carry out their functions. However, in specific physiological contexts, particularly in seed germination, protein instability becomes essential, fulfilling roles from signaling to regulation. In this study, the elongation factor 1-alpha has been identified as a main proteinaceous reserve in Nicotiana tabacum L. seeds and showed peculiar changes in stability based on tested chemical and physical conditions. A detailed biochemical analysis followed these steps to enhance our understanding of these protein attributes. The protein varied its behavior under different conditions of pH, temperature, and salt concentration, exhibiting shifts within physiological ranges. Notably, distinct solubility transitions were observed, with the elongation factor 1-alpha becoming insoluble upon reaching specific thresholds determined by the tested chemical and physical conditions. The findings are discussed within the context of seed signaling in response to environmental conditions during the key transitions of dormancy and germination.

Persistent currents of ultrarelativistic plasma-encased endofullerene molecules entrapping a H atom

In this work, for the first time in the relevant literature, the persistent currents (PC) and induced magnetic fields (IMF) of an endofullerene molecule entrapping a hydrogen atom, under spherical confinement, are investigated. The endofullerene molecule is enclosed within a spherical region and embedded in a plasma environment. The plasma environment is depicted with the more general exponential cosine screened Coulomb potential, and its relevant effects are analyzed by considering plasma screening parameters. The relevant model for endohedral confinement is the Woods–Saxon confinement potential, which is compatible with experimental data. The effects of various forms of C n are thoroughly elucidated via the analysis of the confinement depth, spherical shell thickness, the inner radius, and the smoothing parameters. To find the bound states in the spherically confined endofullerene, the decoupling of the second-order Dirac equation for the large and small components of the radial atomic wave functions is considered. The Dirac equation with the interaction potential is solved numerically by using the Runge–Kutta–Fehlberg method via the decoupling formalism. The influence of spin orientations on the PC and IMF is also elucidated. The effects of spherical confinement, plasma shielding, and the structural properties of the fullerene on the PC and IMF are thoroughly viewed. Moreover, under given physical conditions, the optimal ranges of these effects are determined.

Age-specific reference scores for the PISQ-12 on female sexual functioning in the Netherlands: a retrospective population-based survey.

Female sexual dysfunction is common in the general population, with age emerging as a significant determinant of sexual activity and functioning. To establish age-specific reference scores for the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in the general Dutch female population. A retrospective, cross-sectional, questionnaire-based study was conducted in the Netherlands. The study population comprised 2518 Dutch-speaking women aged ≥18years, representing a cross section of the general Dutch population. The PISQ-12 was used to assess sexual functioning in heterosexual women. The Groningen Defecation and Fecal Continence questionnaire was utilized to demonstrate demographic factors. We established age-specific reference scores for the PISQ-12 in the general Dutch population. Of the 2518 women, 1592 (63.2%) were sexually active and 926 (36.8%) were not. Further analysis focused on the sexually active group: we found a decrease in mean total PISQ scores, ranging from 38.34 among 18- to 34-year-olds to 36.98 among ≥65-year-olds. Older women scored lower in the behavior domain, specifically pertaining to sexual desire (P < .001) and sexual excitement (P <.001). They also had lower scores in the partner-related domain regarding partner problems of erection (P < .001) and orgasm perception (P < .001). With increasing age, negative emotional reaction scores were higher (P <.001). In the physical domain, we observed significantly different scores for pain during sexual intercourse (P < .001) and restrictions in sexual activity due to fear of urinary leakage (P < .001), with the lowest scores in the youngest group. These age-specific references scores of the PISQ-12 provide an overview of sexual functioning of a general population, which enables caregivers to assess and interpret patients' individual scores more accurately. We included only sexually active women in our subanalyses, potentially introducing selection bias for older women with better physical conditions. The study's strength lies in its extensive sample size, representing a cross section of the general Dutch population. Furthermore, the self-administered questionnaire approach helped minimize embarrassment and obtain realistic responses. Our study demonstrated age-specific PISQ-12 reference scores and highlighted associations between aging and diminishing scores of sexual desire, sexual excitement, erection problems, and orgasm perception, while women aged 18 to 34years reported the lowest scores for pain during intercourse and limited sexual activity due to fear of urinary leakage.

Foster Care and Health in Medicaid-Enrolled Children Experiencing Parental Opioid Use Disorder

The burden of the US opioid crisis has fallen heavily on children, a vulnerable population increasingly exposed to parental opioid use disorder (POUD) in utero or during childhood. A paucity of studies have investigated foster care involvement among those experiencing parental opioid use during childhood and the associated health and health care outcomes. To examine the health and health care outcomes of children experiencing POUD with and without foster care involvement. This population-based cohort study used nationwide Medicaid claims data from January 1, 2014, to December 31, 2020. Participants included Medicaid-enrolled children experiencing parental opioid use-related disorder during ages 4 to 18 years. Data were analyzed between January 2023 and February 2024. Person-years with (exposed) and without (nonexposed) foster care involvement, identified using Medicaid eligibility, procedure, and diagnostic codes. The main outcomes included physical and mental health conditions, developmental disorders, substance use, and health care utilization. The Pearson χ2 test, the t test, and linear regression were used to compare outcomes in person-years with (exposed) and without (nonexposed) foster care involvement. An event study design was used to examine health care utilization patterns before and after foster care involvement. In a longitudinal sample of 8 939 666 person-years from 1 985 180 Medicaid-enrolled children, 49% of children were females and 51% were males. Their mean (SD) age was 10 (4.2) years. The prevalence of foster care involvement was 3% (276 456 person-years), increasing from 1.5% in 2014 to 4.7% in 2020. Compared with those without foster care involvement (8 663 210 person-years), foster care involvement was associated with a higher prevalence of developmental delays (12% vs 7%), depression (10% vs 4%), trauma and stress (35% vs 7%), and substance use-related disorders (4% vs 1%; P < .001 for all). Foster children had higher rates of health care utilization across a wide array of preventive services, including well-child visits (64% vs 44%) and immunizations (41% vs 31%; P < .001 for all). Health care utilization increased sharply in the first year entering foster care but decreased as children exited care. In this cohort study of Medicaid-enrolled children experiencing parental opioid use-related disorder, foster care involvement increased significantly between 2014 and 2020. Involvement was associated with increased rates of adverse health outcomes and health care utilization. These findings underscore the importance of policies that support children and families affected by opioid use disorder, as well as the systems that serve them.

Challenges in Application: Gelation Strategies of DAT-Based Hydrogel Scaffolds.

Decellularized adipose tissue (DAT) has great clinical applicability, owing to its abundant source material, natural extracellular matrix microenvironment, and nonimmunogenic attributes, rendering it a versatile resource in the realm of tissue engineering. However, practical implementations are confronted with multifarious limitations. Among these, the selection of an appropriate gelation strategy serves as the foundation for adapting to diverse clinical contexts. The cross-linking strategies under varying physical or chemical conditions exert profound influences on the ultimate morphology and therapeutic efficacy of DAT. This review sums up the processes of DAT decellularization and subsequent gelation, with a specific emphasis on the diverse gelation strategies employed in recent experimental applications of DAT. The review expounds upon methodologies, underlying principles, and clinical implications of different gelation strategies, aiming to offer insights and inspiration for the application of DAT in tissue engineering and advance research for tissue engineering scaffold development.

Portraits of feminicide: mural painting as protection among migrant women in Quintana Roo, Mexico

ABSTRACT What does it mean to come together as a group of migrant women, to paint the face of a murdered woman, on the wall of a building in a town that was only temporarily her home? And, who does it have meaning for? In this paper, I interrogate this act as a participant in Las RestaurAmoras, the feminist collective responsible for painting murals of victims of feminicide in Quintana Roo, Mexico, in 2021. I argue that the physical and emotional conditions involved in painting the murals caused members of Las RestaurAmoras to forge a deeper connection with each other and the deceased women they painted. This emphasised sameness and belonging between migrant women, both living and deceased. As finished artefacts, I suggest that, as memorialisation, the murals challenge harmful discourse and practice that invisibilises migrant women’s lives and the violence they experience. The murals are a reminder and a demand that femicidal violence must be dealt with urgently. I argue that connection among (migrant) women and emphasising the importance of the lives of (migrant) victims of feminicide are key elements in protection for women in places with high rates of gender-based violence and impunity, in this case, Quintana Roo.

An empirical analysis of factors determining changes in physical exercise during the COVID-19 pandemic

Abstract Aim The main objective of the study was to report the changes that have taken place in the practice of physical exercise during confinement and to examine the factors that favor or detract from it. Material and methods To determine the objective, a survey was carried out in the United States during the pandemic and a sample of 511 participants was obtained. A binary logit model was used to process the data, as well as several independence tests. Results The main result of this study is the increase in the practice of physical activity of the individuals surveyed during the pandemic. Some of the elements that most influenced this increase were annual family income, education level, and eating habits, but these results are subject to change depending on the respondent’s body mass index. On the other hand, the results also show changes in physical exercise habits during the pandemic, especially in the time of the week when it is performed, and these changes are highly correlated with the use of electronic devices, hours of sleep, and physical condition of the respondents before the pandemic. Conclusion Determining the different factors that affect the practice of physical exercise during pandemic periods seems to be important to determine in which populations it is more important to act or what resources are necessary when implementing physical exercise programs in specific situations such as pandemics.