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Logics and methods from this protocol would be useful to replicate the study in many countries globally. Evidence from this study is expected to pave the way to digitally inclusive, healthy aging communities (DIHAC) across Japan and Asia.Self-concept differentiation (SCD) has been of interest to researchers, mainly as a structural concept indicative of social specialization or self-concept fragmentation. Nevertheless, this aspect of self-representation has not been studied in regard to sexuality and the extent to which the sexual self may vary across different roles or situations. With the emergence of the Internet, people found new opportunities to explore and express aspects of their sexuality in multiple online scenes, thus increasing the complexity of human sexual experience and expanding the reach of sexual identity. The aim of this study is to investigate SCD in relation to the sexual self-concept, as experienced in the online and offline environments, and its effects on sexual identity, sexual satisfaction and online sexual behaviors. Data analysis pointed towards a fragmented self-view with high degrees of differentiation between the online and offline sexual self-instances being linked to a weaker sense of sexual identity, less sexual satisfaction in real life and less partnered online interactions. However, there were some indications that these relationships were influenced by how people perceive themselves sexually in one instance compared to the other. The results obtained in this study encourage further research on SCD as an important factor in understanding the real-world consequences of online sexual expression.Cyanobacterial blooms caused by phytoplankton Microcystis have occurred successively since 1980 in Lake Taihu, China, which has led to difficulty collecting clean drinking water. The effects of cyanobacterial scum-derived dissolved organic matter (DOM) on microbial population variations and of algal-derived filtrate and algal residual exudative organic matter caused by the fraction procedure on nutrient mineralization are unclear. This study revealed the microbial-regulated transformation of DOM from a high-molecular-weight labile to a low-molecular-weight recalcitrant, which was characterized by three obvious stages. The bioavailability of DOM derived from cyanobacterial scum by lake microbes was investigated during 80-d dark degradation. Carbon substrates provided distinct growth strategy links to the free-living bacteria abundance variation, and this process was coupled with the regeneration of different forms of inorganic nutrients. The carryover effects of Microcystis cyanobacteria blooms can exist for a long time. We also found the transformation of different biological availability of DOM derived from two different cyanobacterial DOM fractions, which all coupled with the regeneration of different forms of inorganic nutrients. Our study provides new insights into the microbial degradation of cyanobacterial organic matter using a fractionation procedure, which suggests that the exudate and lysate from degradation products of cyanobacteria biomass have heterogeneous impacts on DOM cycling in aquatic environments.

The objective was to identify the relationship between the dietary factors related to increases in the number of dental caries among an adult population group.

A cross-sectional study was conducted involving adult patients and their accompanying person, aged 18 years and above (

= 1730) visiting the dental outpatient department (OPD) of a public sector tertiary healthcare institute in Karachi, Pakistan. A 39-item Food Frequency Questionnaire (FFQ) was administered to the patients, followed by a dental caries assessment using Radke's WHO criteria. Caries assessment data were transformed into the DMFT Index (D = decayed, M = missing, F = filled teeth). Factor analysis (FA) was performed using Stata v. 11.0, followed by assessing the internal consistency of the FFQ. Multilogistic analysis was performed to explore the association between dental caries (cut-off = 5) and other independent variables, considering a

-value < 0.05 as significant.

The mean age of participants in the group was 32.65 ± 10.49 years. The number of female participants (934; 54%) was higher than male participants (796; 46%). Of the total, 951 (52%) participants were married. The internal consistency value for the FFQ, as measured by Cronbach's alpha, was 0.80. In addition to age and gender, out of four dietary patterns, only "cereals" were found to be significantly (

< 0.05) associated with increased DMFT.

This study established that the high intake of cereals is a contributory factor to the high prevalence of dental caries among adults.

This study established that the high intake of cereals is a contributory factor to the high prevalence of dental caries among adults.The impact of the ethylenediaminetetraacetic acid (EDTA) on speciation image of selected trace metals (Zn, Cd, Cu, Pb) in bottom sediments was determined. The influence on the effectiveness of metal removal of extraction multiplicity, type of metal, extraction time and concentration of EDTA were analyzed. With the increase of extraction multiplicity, the concentration of EDTA and contact time, the efficiency of trace metals leaching increased. The speciation analysis revealed that EDTA not only leached metals from bioavailable fractions, but also caused the transition of the metals between the fractions. The biggest amounts of bioavailable forms were found for Cd, less for Zn. The amount of bioavailable fraction was the lowest for Cu and Pb. The two first-order kinetic models fitted well the kinetics of metals extraction with EDTA, allowing the metals fractionation into "labile" (Q1), "moderately labile" (Q2) and "not extractable" fractions (Q3).This study describes the physical activity of university students (PA) and their motives to exercise in the summer of 2021, after the COVID-19 lockdown in Slovenia. Adults over 18 years of age (n = 493; 72% women) completed the International Physical Activity Questionnaire (IPAQ) short form and the Exercise Motivation Inventory-2 (EMI-2) via an anonymous online survey. Since the EMI-2 has never been used with the Slovenian population, the measurement properties of the Slovenian version (EMI-2) were also determined in this study. A forward-backward translation was used for cross-cultural adaptation. The internal consistency of the EMI-2 subscales was high. The results of the study showed that male students spent more minutes per session on intense physical activity and performed this activity more frequently per week, whereas female students were more likely to walk for more than 10 min without a break. PP1 In addition, female participants were more likely than male participants to cite weight management as a motiment of exercise and challenge. In conclusion, understanding the motives for exercise is important for the behavior of PA, especially after a period of inactivity due to lockdown.The continuous development of medical implants offers various benefits for persons with chronic conditions but also challenges an individual's, and the healthcare system's, ability to deal with technical innovation. Accessing and understanding new information, navigating healthcare, and appraising the role of the implant in body perceptions and everyday life requires health literacy (HL) of those affected as well as an HL-responsive healthcare system. The interconnectedness of these aspects to ethically relevant values such as health, dependence, responsibility and self-determination reinforces the need to address HL in implant care. Following a qualitative approach, we conducted group discussions and a diary study among wearers of a cochlear, glaucoma or cardiovascular implant (or their parents). Data were analysed using the documentary method and grounded theory. The data reveal the perceptions of implant wearers regarding the implant on (1) the ability to handle technical and ambiguous information; (2) dependence and responsibility within the healthcare system; and (3) the ethical aspects of HL. Knowing more about the experiences and values of implant wearers is highly beneficial to develop HL from an ethical perspective. Respective interventions need to initially address ethically relevant values in counselling processes and implant care.We investigated whether people with disabilities-cognition, vision, hearing, mobility, or at least one of these disabilities-report more COVID-19-related negative lifestyle changes than those without disabilities, and whether psychological distress (MHI-5) mediates the association between disabilities and negative lifestyle changes. Information about COVID-related lifestyle changes among people with disabilities is scarce. We analyzed population-based data from the 2020 FinSote survey carried out between September 2020 and February 2021 in Finland (n = 22,165, aged 20+). Logistic regressions were applied to investigate the effect of the COVID-19 pandemic and related restrictions on negative lifestyle changes-sleeping problems or nightmares, daily exercise, vegetable consumption, and snacking. To test for a mediation effect of psychological distress, the Karlson-Holm-Breen method was used. People with all disability types reported increased sleeping problems or nightmares, and decreased vegetable consumption during the pandemic more frequently than those without. People with mobility and cognitive disabilities more frequently reported decreased daily exercise. People with cognitive disabilities more often reported increased snacking. Psychological distress mediated associations between disabilities and negative lifestyle changes, with the highest association between cognitive disabilities and increased sleeping problems or nightmares (B = 0.60), and the lowest between mobility disabilities and decreased daily exercise (B = 0.08). The results suggest that strategies to promote healthy lifestyles should consider people with disabilities. Alleviating their psychological distress during crisis situations could be one approach.In children, vasovagal syncope and postural tachycardia syndrome constitute the major types of orthostatic intolerance. The clinical characteristics of postural tachycardia syndrome and vasovagal syncope are similar but their treatments differ. Therefore, their differential diagnosis is important to guide the correct treatment. Therapeutic methods vary in patients with the same diagnosis because of different pathomechanisms. Hence, in patients with vasovagal syncope or postural tachycardia syndrome, routine treatments have an unsatisfactory efficacy. However, biomarkers could increase the therapeutic efficacy significantly, allowing for an accurate and detailed assessment of patients and leading to improved therapeutic effects. In the present review, we aimed to summarize the current state of research into biomarkers for distinguishing the diagnosis of pediatric vasovagal syncope from that of postural tachycardia syndrome. We also discuss the biomarkers that predict treatment outcomes during personalized therapy for each subtype.Background-Public safety personnel (PSP) are at heightened risk of developing mental health challenges due to exposures to diverse stressors including potentially psychologically traumatic experiences. An increased focus on protecting PSP mental health has prompted demand for interventions designed to enhance resilience. While hundreds of available interventions are aimed to improve resilience and protect PSPs' mental health, research evidence regarding intervention effectiveness remains sparse. Methods-Focus groups with PSP elicited a discussion of psychoeducational program content, preferred modes of program delivery, when such training should occur, and to whom it ought to be targeted. Results-The results of thematic analyses suggest that PSP participants feel that contemporary approaches to improving mental health and resilience are lacking. While welcomed, the provision of sporadic one-off mental health and resilience programs by organizations was seen as insufficient, and the available organizational mental health supports were perceived as being questionable.