Poor Quality Research Articles

Influence of chronotype on sleep quality and menstrual regularity in nurses on monthly shift rotations

Abstract Objectives This study was to investigate factors that influence the sleep quality and menstrual cycles of female rotating-shift nurses. Methods A cross-sectional study was conducted in which 213 female rotating-shift nurses between the ages of 20 and 45 were recruited from a medical center in Taiwan from November 1, 2023, to December 31, 2023. Binary logistic regression analysis was performed with regard to sleep quality or menstrual cycle. Results Female rotating-shift nurses who perceived a higher level of stress (p < .001), were late chronotypes (p = .020), or were working the night shift (p = .006) were more likely to have poor sleep quality. Late-type nurses working the day shift were more likely to have poor sleep quality than were early- and intermediate-type nurses (p < .001). With regard to menstrual cycles, female rotating-shift nurses who perceived a higher level of stress (p = .008), were working the night shift (p < .001), or had poor sleep quality (p = .001) were more likely to have irregular menstrual cycles. Late-type nurses working the day shift were more likely to have irregular menstrual cycles than were early- and intermediate-type nurses (p = .013). Conclusions A higher likelihood of poor sleep quality was found in female rotating-shift nurses when they perceived high levels of stress, and the interactions between chronotype and shift type could influence sleep quality. Shift type and the interactions between chronotype and shift type could also influence menstrual regularity.

Concussion history is associated with poor sleep quality in adolescent athletes: a cross-sectional study

Concussion history is associated with poor sleep quality in adolescent athletes: a cross-sectional study

Innovators and transformers: a benchmarking study of online carbon emission calculators for freight transport

PurposeCarbon emissions commonly serve as an indicator for environmental friendliness, and so more and more carbon emission calculators (CECs) are offered that allow an estimation of the environmental footprint of freight transport operations. Unfortunately, their exact measurement is challenging due to the availability or poor quality of necessary input data and a multitude of possible calculation methods that may result in highly inaccurate to very misleading figures.Design/methodology/approachA structured online search was conducted to identify suitable online carbon emission calculators (OCECs) for further assessment in the form of a benchmark case that includes different modes of transport from road and rail to air and sea between China and Europe. Further comparison resulted in a ranking of OCECs along the categories of transparency (routing system, data sources and calculation method), completeness (input options) and accuracy (data output).FindingsDifferent predefined inputs and calculation methods employed by the OCECs assessed inevitably result in a wide spread of more or less reliable carbon footprint measurement results.Practical implicationsAll potential users of CECs, including policymakers, actors from the transport industry and other stakeholders, are well advised to question greenhouse gas (GHG) emission statements that are not backed by transparent procedures and internationally recognized calculation standards.Originality/valueThis study, including a benchmark case and a ranking, offers a guideline for potential users of CEC to avoid major pitfalls coming along with the present carbon footprint measurement of freight transport operations.

Cardiovascular Effectiveness and Safety of Antidiabetic Drugs in Patients with Type 2 Diabetes and Peripheral Artery Disease: Systematic Review

Peripheral artery disease (PAD) is an atherosclerotic condition commonly complicating type 2 diabetes (T2D), leading to poor quality of life and increased risk of major adverse lower-limb (MALE) and cardiovascular (CV) events (MACE). Therapeutic management of PAD in T2D patients is much more arduous, often due to bilateral, multi-vessel, and distal vascular involvement, in addition to increased systemic polyvascular atherosclerotic burden. On the other hand, the pathophysiological link between PAD and T2D is very complex, involving mechanisms such as endothelial dysfunction and increased subclinical inflammation in addition to chronic hyperglycemia. Therefore, the clinical approach should not ignore vascular protection with the aim of reducing limb and overall CV events besides a mere glucose-lowering effect. However, the choice of the best medications in this setting is challenging due to low-grade evidence or lacking targeted studies in PAD patients. The present review highlighted the strong relationship between T2D and PAD, focusing on the best treatment strategy to reduce CV risk and prevent PAD occurrence and worsening in patients with T2D. The Medline databases were searched for studies including T2D and PAD up to June 2024 and reporting the CV effectiveness and safety of the most used glucose-lowering agents, with no restriction on PAD definition, study design, or country. The main outcomes considered were MACE—including nonfatal acute myocardial infarction, nonfatal stroke, and CV death—and MALE—defined as lower-limb complications, amputations, or need for revascularization. To the best of our current knowledge, GLP-1 receptor agonists and SGLT2 inhibitors represent the best choice to reduce CV risk in T2D and PAD settings, but a personalized approach should be considered. GLP-1 receptor agonists should be preferred in subjects with prevalent atherosclerotic burden and a history of previous MALE, while SGLT2 inhibitors should be used in those with heart failure if overall CV benefits outweigh the risk of lower-limb complications.

The Prevalence and Determinants of Mental Health Problems in Lebanon: A Meta-Analytic Study of 3957 Healthcare Workers.

Healthcare workers are continuously exposed to challenging environments, making them liable for poor mental health. The COVID-19 pandemic exacerbated this problem, however available data in Lebanon is scarce. We conducted this investigation to provide comprehensive evidence on the mental health of Lebanese healthcare workers. In this systematic review, we analyzed 3957 workers reported in 15 cross-sectional studies (10 during and five before the pandemic), identified after searching four databases. Examined mental health problems included depression, anxiety, stress, posttraumatic stress disorder (PTSD), and poor sleep quality. STATA software was used to pool the prevalence across studies. Subgroup analyses were performed based on the pandemic status, severity of mental health problems, and healthcare worker type. Gender and marital status were analyzed as potential risk factors. The methodological quality of all included studies was good as per the National Institute of Health risk of bias tool. Anxiety, depression, stress, PTSD, insomnia, and poor sleep quality were reported in 50%, 52%, 50%, 35%, 45%, and 41% of the population, respectively. Most cases had mild anxiety (40%), mild depression (45%), but severe stress (27%). Depression and anxiety were highest among pharmacists (69% and 56%) and nurses (49% and 45%), respectively. Compared to the pre-pandemic period, depression (36% vs. 62%) and anxiety (30% vs. 56%) rates were higher during the pandemic, while stress levels were lower (62% vs. 45%). Both gender and marital status were insignificant predictors of depression, anxiety, stress, or PTSD. Depression, anxiety, posttraumatic stress, insomnia, and poor sleep quality are experienced by approximately one in every two Lebanese healthcare workers. The rate of depression and anxiety almost doubled during the pandemic with higher rates among pharmacists and nurses than physicians and residents. Both gender and marital status were deemed insignificant predictors of reported mental health problems.

Assessment of water quality in the Great Zab River (Erbil city, Iraq) exposed to wastewater from different industries using the WQI and GIS-based Python script approaches

ABSTRACT This study was conducted to assess the water quality of the Great Zab River (GZR) under potential pollutant pressure from some industries. The Water Quality Index (WQI) was used to evaluate the results of the water quality monitoring study. WQI and Geographical Information System (GIS)-based python scripts were used to evaluate the results. Results indicate varying water qualities, ranging from moderate to poor, with fluctuations attributed to pollution from industrial plants mixing with river water. The WQI rating of the GZR before industrial discharges was 57.48, and in the lower part, after discharges, the WQI rating was 56.00, indicating marginal water quality. In contrast, the areas near the Cola Factory, where the river confluence occurs, have WQI values of 43.32 and 44.97, representing unacceptable, poor water quality. The study highlights that the refinery, cola factory, and power plant locations significantly impact the river's water quality. These findings underscore the urgent need to adopt ecological practices, establish environmental regulations, and implement sustainable technologies to preserve the river's natural state. Concise measures aimed at eliminating pollutant sources and enhancing environmental awareness within communities are essential for the conservation of the GZR and the protection of its surrounding ecosystems.

Air quality and mental illness: role of bioaerosols, causal mechanisms and research priorities.

Poor air quality can both trigger and aggravate lung and heart conditions, as well as affecting child development. It can even lead to neurological and mental health problems. However, the precise mechanisms by which air pollution affect human health are not well understood. To promote interdisciplinary dialogue and better research based on a critical summary of evidence on air quality and health, with an emphasis on mental health, and to do so with a special focus on bioaerosols as a common but neglected air constituent. A rapid narrative review and interdisciplinary expert consultation, as is recommended for a complex and rapidly changing field of research. The research methods used to assess exposures and outcomes vary across different fields of study, resulting in a disconnect in bioaerosol and health research. We make recommendations to enhance the evidence base by standardising measures of exposure to both particulate matter in general and bioaerosols specifically. We present methods for assessing mental health and ideal designs. There is less research on bioaerosols, and we provide specific ways of measuring exposure to these. We suggest research designs for investigating causal mechanisms as important intermediate steps before undertaking larger-scale and definitive studies. We propose methods for exposure and outcome measurement, as well as optimal research designs to inform the development of standards for undertaking and reporting research and for future policy.

Enhancing phosphorus removal: the impact of alkaline environment in eutrophic water systems

Abstract Excessive phosphorus input leads to poor water quality and eutrophication. However, limited research has directly explored the influence of pH on phosphorous in actual aquatic systems. This study investigated the effect of pH on phosphorus removal in synthetic, eutrophic, and black-odorous water. The pH levels ranging from 3.5 to 12.0 were adjusted using H2SO4, NaOH, and cement with a 0.5±0.03 interval, followed by a 25±1 °C static water bath for 24 h. Results showed that NaOH-adjusted pH removed >65% TP from eutrophic water (pH ≥9.50) and black-odorous water (pH ≥11.0). Meanwhile, cement-adjusted pH removed >84%, >90%, and >82% TP from the synthetic solution (pH ≥11.0), eutrophic water (pH ≥9.5), and black-odorous water (pH ≥9.5), respectively. The alkaline environment enhanced the formation of Ca-P in eutrophic water and black-odorous water, and cement strengthened the chemical precipitation of phosphorus by providing additional Ca2+. This study lays the groundwork for pH adjustment strategies in eutrophic water, holding significant implications for water resource management and environmental protection.

Work-related stress and sleep quality—the mediating role of rumination: a longitudinal analysis

Abstract Objective This study investigates the mediating role of rumination in the relationship between work-related stress and sleep quality. Sleep quality is a critical component of mental health and wellbeing. Work-related stress is a potential risk factor for poor sleep quality, and this research focuses on how the constructs of rumination—affective rumination, detachment, and problem-solving rumination—may mediate this association. Methods Data from the Dresden Burnout Study were analyzed cross-sectionally and longitudinally over three timepoints. The sample included 360 full- and parttime employees. Work-related stress was assessed using the effort–reward Imbalance Questionnaire, sleep quality using the Pittsburgh Sleep Quality Index, and rumination using the Work-Related Rumination Questionnaire. Results The study found that work-related stress was positively correlated with reduced sleep quality, both cross-sectionally and longitudinally. In addition, work-related stress predicted increased levels of affective rumination and detachment but not of problem-solving rumination. Affective rumination and detachment partially mediated the relationship between work-related stress and sleep quality, suggesting that individuals who experience higher levels of work-related stress are more likely to engage in ruminative thoughts about their work experiences, which, in turn, leads to reduced sleep quality. Conclusion These findings highlight the importance of considering cognitive processes such as rumination when addressing sleep disturbance related to work stress. Future research should include objective measures of sleep quality and consider shorter intervals to capture immediate changes in stress and sleep patterns. By addressing these factors, healthcare professionals can better support those suffering from sleep disturbance due to work-related stress. Ultimately, this may have a positive impact on their overall wellbeing and productivity at work.

Cyber catalogue and revision of the nematode genus Enchodelus (Dorylaimida, Nordiidae)

The genus Enchodelus is an intriguing free-living dorylaimid nematode taxon. Its representatives display a distinct distributional pattern as they are mainly spread in high altitudinal enclaves of the Northern Hemisphere, being often associated with mosses and cliff vegetation. Although their feeding habits have not been studied with experimental protocols, it is traditionally assumed that they are omnivorous. The genus Enchodelus has not been recently revised; descriptions of many ‘old species’ (that have been described long ago and have not been reported since their original discovery) are of poor quality, hardly discoverable and do not conform to the nowadays taxonomical standards. Thus, a comprehensive compilation and analysis of their literature data is indispensable to provide new insights into the taxonomy of the genus and to elucidate its evolutionary relationships. This contribution provides a cyber catalogue of all Enchodelus species, 28 in total. It compiles available information from the key European Research Infrastructures, such as TreatmentBank, Swiss Institute of Bioinformatics Literature Services (SIBiLS), the Catalogue of Life (CoL), Global Biodiversity Information Facility (GBIF), European Nucleotide Archive (ENA) and Biodiversity Literature Repository (BLR). Data about their distribution (geographical records and habitats) are incorporated too and all brought together. It is completed with discussion and notes for some species, along with information on species distributions and microhabitats. Here, all available information on Enchodelus species is brought together. This will contribute to a more complete assessment of species diversity and distribution and support further biogeographical and ecological research. Besides, type material Enchodelus vestibulifer Altherr, 1952, deposited in the Museo Cantonale di Storia Naturale di Lugano (Switzerland), is re-examined and the species is considered as incertae sedis. Further, a new species of the genus found in Caucasus, Georgia is described after its morphological and molecular study; also morphological and molecular data for E. macrodorus (de Man, 1880) Thorne, 1939, the type species of the genus, collected from Spain are provided.

Land-Use Pattern-Based Spatial Variation of Physicochemical Parameters and Efficacy of Safe Drinking Water Supply along the Mahaweli River, Sri Lanka

Exploration of the pollution status of river-based water sources is important to ensure quality and safe drinking water supply for the public. The present study investigated physicochemical parameters of surface water in the upper segment of River Mahaweli, which provides drinking water to the Nuwara Eliya and Kandy districts of Sri Lanka. River surface water from 15 intakes and treated water from 14 Water Treatment Plants (WTPs) were tested for pH, water temperature, turbidity, EC, COD, 6 anions, 21 cations, 3 pesticides, and 30 antibiotics once every 3 months from June 2022 to July 2023. Except for turbidity and iron concentrations, all other parameters were within the permissible range as per the Sri Lanka Standard Specification for Potable Water (SLS 614:2013). The uppermost Kotagala WTP raw water had a high concentration of iron due to runoff from areas with abundant iron-bearing minerals. Turbidity increased as the river flowed downstream, reaching its highest value of 13.43 NTU at the lowermost Haragama. Four intakes had raw surface water suitable for drinking as per the Water Quality Index (WQI). Pollution increased gradually towards downstream mainly due to agricultural runoff, industrial effluents, and urbanization. Poor water quality at the upstream Thalawakale-Nanuoya intake was due to highly contaminated effluent water coming from Lake Gregory in Nuwara Eliya. Cluster analysis categorized WTP locations in the river segment into 3 clusters as low, moderate, and high based on contaminations. Principal component analysis revealed that the significance of the 41.56% variance of the raw water was due to the pH and the presence of heavy metals V, Cr, Ni, Rb, Co, Sr, and As. All treated water from 15 WTPs had very good to excellent quality. In general, heavy metal contamination was low as indicated by the heavy metal pollution index (HPI) and heavy metal evaluation index (HEI). The treatment process could remove up to 94.7% of the turbidity. This is the first attempt to cluster the river catchment of the Mahaweli River based on physicochemical parameters of river water. We present here the land-use pattern-based pollution of the river and efficacy of the water treatment process using the Mahaweli River Basin as a case study. Regular monitoring and treatment adjustments at identified points are recommended to maintain the delivery of safe drinking water.

Evaluation of the clinical efficacy of Pediococcus acidilactici CCFM6432 in alleviating depression

Aim: Accumulating evidence highlights the crucial role of the “gut-brain axis” and emphasizes the potential of dietary interventions to improve brain health through this pathway. This study assesses the effects of the probiotic Pediococcus acidilactici CCFM6432 on mood, sleep, and gastrointestinal function in patients with depressive disorder. Methods: This clinical trial is a randomized, placebo-controlled study (Registration: ChiCTR2300071025). It enrolled 39 adult patients diagnosed with depressive disorder, who were randomly assigned to either the placebo control group (n = 19) or the CCFM6432 intervention group (n = 20). The intervention period spanned four weeks. Assessments were conducted at both the beginning and end of the trial, including comprehensive questionnaire evaluations and the collection of serum and fecal samples. Results: In comparison to the placebo, treatment with CCFM6432 significantly decreased depression and anxiety scores, as well as ameliorated gastrointestinal dysfunction and poor sleep quality commonly associated with mood disorders. Microbiota analysis revealed an increase in species richness without notable changes in overall diversity, yet Pediococcus species was found to be more abundant post-treatment. Functional analysis indicated reduced activity in the NOD-like receptor signaling pathway, suggesting anti-inflammatory effects induced by the probiotic. Metabolomic profiling identified elevated levels of fecal lactic acid, which correlated with lower Hospital Anxiety and Depression Scale (HADS) scores, thereby linking probiotic metabolism to mood enhancement. Conclusion: These findings imply that CCFM6432 may improve brain function by modulating gut microbiota and their mediated immune homeostasis, underscoring its potential as an adjunctive treatment for mental disorders.

Characterization of indoor airborne particulate matter and bioaerosols in wood-fired pizzeria kitchens

Indoor air quality can be affected by the presence of atmospheric pollutants, which impact severely in human health. The objectives were to show the characterization of particle number (PN0.3–PN2.5), particles mass (PM1.0, PM2.5, PM10), Black Carbon (BC), Brown Carbon (BrC) and bioaerosols (fungi and bacteria) in indoor environments of three pizzerias that have wood ovens as fuel at Londrina, Brazil. Mean Particle mass concentration varied amongst the pizzerias (28.9–42.4 µg m−3 for PM2.5) with the levels of BC and BrC reaching up to 42.9 µg m−3 and 29.4 µg m−3, respectively. These were correlated with the air ventilation of the place, the amount of wood burned, and service mode (e.g., all-can-eat). Furthermore, an average of 934 ± 404 CFU m−3 of bacteria was found in all places and Aspergillus, Penicillium, and Cladosphialophora were the most important fungal genera found. Inside kitchens, the concentrations of PM2.5, BC, BrC, bacteria and fungi were 29.6, 3.0, 2.8 µg m−3, 876, and 1261 CFU m−3, with a mean ratio of BrC/PM2.5 of 0.06, that indicates this as a significant source for BrC. Finally, the concentrations of PM and bioaerosols found inside kitchens demonstrate pollution levels much higher than those recommended by national and international guidelines. Consequently, problems associated with poor indoor air quality will only be solved when adequate kitchen designs are considered. From the results of this work is possible to conclude that the building characteristics of kitchen and the burning process carried out are important factors for the concentrations of pollutants analyzed in the indoor air of wood-burning kitchens.

INVESTIGATION OF THE RHEOLOGICAL, NUTRITIONAL, AND SENSORY PROPERTIES OF THE GLUTEN-FREE BREAD PRODUCED FROM RICE, BEAN, AND CHICKPEA FLOUR

In recent years, the demand for gluten-free products has been constantly increasing due to the increase in the number of people suffering from celiac disease. Bread is the main product consumed in our country; therefore, gluten-free bread for celiac patients on the market is mostly of poor quality and low nutritional value, while gluten-free flour has a very high price. The purpose of this work was to investigate the rheological properties of dough, the nutritional value of bread, as well as the sensory properties of gluten-free bread produced from mixtures of raw materials such as rice, chickpea, and bean flour, corn starch, and egg powder. The results showed that the gluten-free bread had different rheological properties, and only mixes M5 and M6 had similar rheological properties, such as dough development, stability, and degree of softening, to the control bread M1. Gluten-free bread from mixtures M2 and M3 had higher contents of protein, fat, cellulose, and minerals, while bread from mixtures M5 and M6 had medium contents. Bread M2 and M3 had acidity levels above the allowed limits which made them unusable or had a short shelf life. Sensory analyses showed that bread M5 had similar sensory properties to the control bread M1 and fell into the same quality category; also, bread from the M5 mixture has a much better taste and aroma. For consumption, we recommend using gluten-free bread from the M5 mixture, which in its composition has 80% rice flour, 7.5% chickpea flour, 5% bean flour, and 7.5% egg powder.

Pollution source characterization and evaluation of groundwater quality utilizing an integrated approach of Water Quality Index, GIS and multivariate statistical analysis

ABSTRACT The Mid-Gangetic Plain, a vital farmland in India, faces increasing groundwater quality deterioration due to anthropogenic activities. This study aimed to assess groundwater quality and contamination sources in the region utilizing statistical methods. A total of 78 groundwater samples were collected and analyzed using standard methods. The hydrochemistry analysis of samples revealed that several parameters such as Ca2+, Mg2+, HCO3−, NO3−, F− and PO43− surpassed the limits prescribed by the Bureau of Indian Standards (BIS). The principal component analysis yielded three significant factors, explaining 68.96% variation, highlighting geogenic and anthropogenic influences on groundwater chemistry. Hierarchical cluster analysis categorized groundwater into three clusters based on the parameters with similar trends of variation. Furthermore, Discriminant analysis identified four significant variables (Mg2+, F−, Cl− and NO3−) responsible for creating the distinction among the identified clusters. Hydrogeochemical categorization and multivariate statistical analyses indicated that rock–water interaction, weathering, leaching and anthropogenic activities collectively influenced groundwater quality throughout the studied region. The Water Quality Index reveals that 59% of samples have good water quality, while 41% exhibit poor quality predominantly concentrated in the south-western, south-eastern and central regions. This study demonstrates the efficacy of statistical techniques to interpret complex datasets and grasp water quality dynamics, enhancing groundwater management.

The DySLOH Study: Comparative Evaluation of the Results between the ProFlor and Lichtenstein Techniques for Open Inguinal Hernia Repair—A Randomized Controlled Trial

Background: The Lichtenstein open anterior approach with static flat meshes, the most popular inguinal hernia repair technique, has raised concerns regarding mesh fixation, defect patency, and poor quality biological response. To address these issues, the 3D dynamic ProFlor scaffold promoting a fixation-free hernia defect obliteration has been developed as an alternative. Methods: The results of open inguinal hernia repair with the ProFlor approach compared with those of the Lichtenstein repair were evaluated. Results: In a time frame of 24 months, two cohorts of patients were enrolled, 95 in the ProFlor group and 93 in the Lichtenstein group. ProFlor demonstrated superior outcomes compared to the Lichtenstein technique, with shorter procedure times, decreased intraoperative complications, and lower rates of postoperative complications. Additionally, ProFlor provided enhanced postoperative pain relief, a faster return to daily activities, and no long-term discomfort. No chronic pain was reported in the ProFlor group and 11.8% reported chronic pain in the Lichtenstein group. Conclusions: The results highlight the need to reevaluate the conventional Lichtenstein approach and align it with recent scientific progress. Further consideration of the evolving understanding of inguinal pathophysiology and groin protrusion genesis is crucial for advancing surgical techniques.

Depressive symptoms' trajectories since adolescence and sleep quality in early adulthood: results from the EPITeen cohort.

We aimed to estimate the association between depressive symptoms' trajectories during adolescence and young adulthood and sleep quality in early adulthood. Data from 802 participants of the EPITeen study, evaluated at 13, 17 and 21 years of age, were analysed. Depressive symptoms were assessed using the Beck Depression Inventory-II and three trajectory classes from adolescence to adulthood were previously identified (High, Moderate, Low). The prevalences of poor sleep quality, overall (score>5) and in its specific dimensions: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep drugs and daytime dysfunction (score≥2), at 21 years of age were evaluated using the Pittsburgh Sleep Quality Index. Associations were estimated using adjusted odds ratio (OR) and the respective 95 % confidence intervals (CI). At 21 years of age, 29.8 % young adults presented poor sleep quality, which was significantly different between those in the Low and High depressive trajectories (14.3 and 53.1 %, respectively, p<0.001). Compared with participants in the Low trajectory, those in the High trajectory were more likely to present poorer sleep quality at 21 years of age (OR=6.34 95 % CI: 3.94-10.21), particularly worse levels of sleep disturbance (OR=5.89 95 % CI: 2.84-12.21), daytime dysfunction (OR=7.63 95 % CI: 3.63-16.06) and subjective sleep quality (OR=6.61 95 % CI: 3.69-11.85). Poor sleep quality in early adulthood was more frequent among individuals who had high levels of depressive symptoms since adolescence. Monitoring depression until adulthood may help to identify those at higher risk of sleep problems which, in turn, can lead to worse health outcomes over time.

Is orthorexia nervosa a hidden threat impacting quality of life in IBS patients?

The potential link between functional gastrointestinal disorders and eating disorders has been reported recently. The present study aimed to explore the relationship between orthorexic tendencies and irritable bowel syndrome (IBS)-related quality of life in IBS patients. This cross-sectional study was conducted with 121 IBS patients. The data were collected using Orthorexia Nervosa-11 (ORTO-11) to assess orthorexic tendencies, Irritable Bowel Syndrome Quality of Life Scale (IBS-QoL) to measure quality of life, and Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS) to measure IBS symptoms. Food consumption record was taken to assess diet quality with the Healthy Eating Index 2015 (HEI-2015). The relationship between measured variables was assessed. The mean ORTO-11 score of the patients was 24.76 ± 3.99. Most patients had poor diet quality (52.00%). A moderate positive correlation was found between ORTO-11 and IBS-QoL (model 0, p < 0.005 and model 1, p < 0.001) and a strong negative correlation between IBS-SSS and IBS-QoL (p < 0.001). In conclusion, we can conclude that both altered IBS symptoms and orthorexic tendencies affect the quality of life of irritable bowel patients independently of each other. These findings provide valuable insights into the treatment of IBS and inform clinicians and researchers in the fields of gastroenterology, nutrition, psychiatry,and psychology.

Plants of the USA: recordings on native North American useful species by Alexander von Humboldt

BackgroundThe German naturalist Alexander von Humboldt conducted an expedition through the American continent, alongside Aimé Bonpland, from 1799 to 1804. Before finally returning to Europe, they decided to take a side trip to the USA between May 20 and July 7, 1804. Humboldt’s most detailed account of his time in the USA consists of a manuscript entitled “Plantae des États-Unis” (1804), containing information on useful plants and timber of the country. The aim of this paper is to retrieve, for the first time, ethnobotanical information regarding North American plants and their uses inside this Humboldt’s manuscript as well as to highlight the erasure and invisibilization of North American Indigenous knowledge within historical documents and bibliography, mainly during the nineteenth century.Methods“Plantae des États-Unis” (digitized version and its transcription) was carefully analyzed, and information on plant species mentioned in the manuscript (including botanical and vernacular names, traditional uses, and general observations) was retrieved. Traditional uses were correlated with ethnobotanical data from the Native American Ethnobotany Database and encyclopedic literature on North American plants from the nineteenth and early twentieth centuries, as well as recent pharmacological studies searched in scientific papers.ResultsIn the manuscript are mentioned 28 species distributed in 15 botanical families, with Fagaceae (9 Quercus species) being the most representative. All species are USA natives, except for one undetermined species (only the genus was mentioned, Corylus). Four species were directly mentioned as medicinal (Toxicodendron radicans, Liriodendron tulipifera, Actaea racemosa, and Gillenia stipulata), while other four were described as tanning agents (astringent) (Cornus florida, Diospyros virginiana, Quercus rubra, and Quercus velutina). Two species were described as bitter (Xanthorhiza simplicissima and A. racemosa). Nine Quercus species were described, but five were reported as the most useful oaks for cultivation in Europe (Quercus bicolor, Quercus castanea, Quercus virginiana, Quercus michauxii, and Quercus alba); three of them were used for ship construction (Q. virginiana, Q. michauxii, and Q. alba), two as astringent (Q. rubra and Q. stellata), and one had wood of poor quality (Quercus phellos). One species was described as a yellow dye (Hydrastis canadensis), and the other was mentioned as toxic (Aesculus pavia). Ten species did not have any useful applications listed.ConclusionsAlthough “Plantae des États-Unis” is a brief collection of annotations, these data reveal a historical scenario of outstanding plants with social and economic interest in the USA at the beginning of the nineteenth century. The data highlight a clear process of suppression of the traditional knowledge of Native North American Indigenous peoples in past historical records and literature, due to the lack of acknowledgment by white European settlers and American-born explorers. This ethnobotanical inventory may help us understand the relationship between plants and Native North American Indigenous peoples, as well as European naturalists and settlers, and USA-born people in the past, and reflect on the importance of Indigenous traditional knowledge, bioeconomy, sustainable management, and conservation of biodiversity in the present and future.

Circulation of COVID-19-Related Medicines on Japanese Websites during the COVID-19 Pandemic and Their Quality and Authenticity.

Substandard and falsified medical products for treating COVID-19 have spread worldwide. These medicines have entered Japan through personal importation of products purchased via the Internet. In this study, we investigated the circulation of 19 COVID-19-related medicines on the Internet in Japan and evaluated the pharmaceutical quality and authenticity of 2 medicines (dexamethasone tablets and ivermectin tablets) obtained online. We purchased 23 samples of 0.5-mg dexamethasone tablets and 13 samples of 3-mg ivermectin tablets from the Internet in December 2020 and July 2022. We investigated the quality and authenticity of the obtained samples through visual observation and tested their authenticity. We conducted pharmacopoeia compliance testing (quantitative assay, content uniformity tests, and dissolution tests) using the high-performance liquid chromatography-photodiode array detector method. No prescription was ever required at the time of purchase. Visual observation revealed that most samples lacked a package insert and some samples had packaging deficiencies. In terms of authenticity, eight ivermectin samples were genuine; the authenticity of the other samples remained uncertain. Four dexamethasone samples and three ivermectin samples failed quality testing based on pharmacopeia validation standards. Our findings illustrate that dexamethasone and ivermectin tablets of poor quality are available online. It is important to increase consumer awareness and provide information about these medicines to prevent the purchase of substandard medicines via the Internet.