Face mask use in healthcare settings: effects on communication, cognition, listening effort and strategies for amelioration

Aim To investigate mask use and the difficulties it may pose during communication in healthcare settings. Methods A survey utilizing a series of Likert scales was administered. Mask use challenges between clinicians and their patients were examined in the domains of communication, listening effort, cognition, and rehabilitation. Results Across 243 participants, mask use significantly increased listening effort, with hearing loss having an additive effect on listening effort. Listening effort was also significantly associated with more trouble understanding conversation, decreased interest in conversation, more difficulty connecting with patients, changes in cognition for both providers and patients, and changes in the clinical efficiency of providers. Hearing loss had an additive effect for trouble understanding conversations and changes in clinical efficiency. Conclusion These results provide information about the clinical strain introduced from mask use in healthcare settings. Overall, results show that in healthcare settings there is increased cognitive load and listening effort for both patients and providers, as well as changes in clinical efficiency for providers when utilizing masks. These effects are often greater with hearing loss. Results showed that patients reported written and visual instructions would be most beneficial to include in appointments among the other rehabilitative strategies which are discussed.

Partial Results Regarding the Genetic Determinism of Growth Process in a Native Horse Breed using Wither’s Height

Study of variability in domestic animal populations is the foundation of quantitative genetics. Based on statistical methods, the weights of the total phenotype variation that belong to its different fractions (causal components) are quantified: variation due to gene additive effect, variation due to allelic and non-allelic interactions, variation due to environment (general and special), variation due to genotype-environment interaction and possibly variation due to the association between genotype and environment. In this study, during 2017-2020, we used the method of analysis of variance with two sources of variation. The material was represented by 538 individuals from Hucul horse breed analyzed at 18, 30 and 42 months old). The heritability of character was 0.3402±0.1546 (18 months), 0.5549±0.2225 (30 months), 0.4506±0.1895 (42 months), suggest that this is a hereditary condition that follows a quantitative model of inheritance, where the influence of additive genetic factors is moderate to intense. We can conclude that, in this native breed and for this character, a significant share of the phenotypic value is due to the additive effect of genes.

The Beneficial Additive Effect of Silymarin in Metformin Therapy of Liver Steatosis in a Pre-Diabetic Model

The combination of plant-derived compounds with anti-diabetic agents to manage hepatic steatosis closely associated with diabetes mellitus may be a new therapeutic approach. Silymarin, a complex of bioactive substances extracted from Silybum marianum, evinces an antioxidative, anti-inflammatory, and hepatoprotective activity. In this study, we investigated whether metformin (300 mg/kg/day for four weeks) supplemented with micronized silymarin (600 mg/kg/day) would be effective in mitigating fatty liver disturbances in a pre-diabetic model with dyslipidemia. Compared with metformin monotherapy, the metformin–silymarin combination reduced the content of neutral lipids (TAGs) and lipotoxic intermediates (DAGs). Hepatic gene expression of enzymes and transcription factors involved in lipogenesis (Scd-1, Srebp1, Pparγ, and Nr1h) and fatty acid oxidation (Pparα) were positively affected, with hepatic lipid accumulation reducing as a result. Combination therapy also positively influenced arachidonic acid metabolism, including its metabolites (14,15-EET and 20-HETE), mitigating inflammation and oxidative stress. Changes in the gene expression of cytochrome P450 enzymes, particularly Cyp4A, can improve hepatic lipid metabolism and moderate inflammation. All these effects play a significant role in ameliorating insulin resistance, a principal background of liver steatosis closely linked to T2DM. The additive effect of silymarin in metformin therapy can mitigate fatty liver development in the pre-diabetic state and before the onset of diabetes.

Seed-coat thickness explains contrasting germination responses to smoke and heat by Leucadendron species

Fire stimulates germination of most seeds in fire-prone vegetation. Fruits of Leucadendron (Proteaceae) are winged achenes or nutlets that correlate with their requirements for smoke and/or heat in promoting germination. We describe five possible smoke–heat dormancy-release/germination syndromes among plants, of which Leucadendron displays three (no response, smoke only, smoke and heat). As seed-coat thickness varies with seed-storage location (plant or soil) and morphology (winged or wingless), we tested its possible role in water uptake and germination. Species with winged seeds achieved 100% germination in the absence of smoke/heat, seed coats were an order of magnitude thinner, and their permeability greatly exceeded that of nutlets. As seed-coat thickness increased a) imbibitional water uptake declined at a decreasing rate, and b) the response to smoke, and to a lesser extent heat, increased linearly to reach levels of germination approaching those of winged seeds. For species responsive to smoke and heat, there was no additive effect when applied together, suggesting that they may have promoted the same physiological process. By what mechanisms a) the smoke response is greater the thicker the seed coat, and b) smoke chemicals could increase water permeability to explain the non-additive effect of smoke and heat, warrant further investigation.

Compatibility of entomopathogenic nematodes with insecticides against the cabbage white butterfly, Pieris rapae L. (Lepidoptera: Pieridae)

Background Compatibility of entomopathogenic nematodes (EPNs) with insecticides is a crucial mainstay of integrated pest management (IPM) programs. This study was designed to evaluate the joint action of EPN species and insecticides when employed to deter 3rd and 4th larval instars of cabbage white butterfly, Pieris rapae L. (Lepidoptera: Pieridae) under laboratory conditions. EPNs [Steinernema carpocapsae (All strain), S. feltiae (Filipjev), Heterorhabditis bacteriophora (HP88), and H. bacteriophora (Ar-4)], at concentrations of 50, 100, and 125 IJs/larva, were tested with 3 insecticides (lambda-cyhalothrin, emamectin benzoate, and indoxacarb) at LC25 and LC50 values. Additionally, expression profiles of 2 detoxification genes (CYP6AE120 and PrGSTs1) when the 4th instar larvae were treated by H. bacteriophora (HP88) and lambda-cyhalothrin were examined. Results Data indicated that statistically significant mortality of 2 larval instars of P. rapae was observed in vitro among EPN species and pesticide concentrations. At concentration of 50 IJs/larva, LT50 values were 2.385 and 3.92 days for S. carpocapsae (All strain) and H. bacteriophora(Ar-4), respectively, on 3rd instar larvae; also, these values were 3.506 and 3.107 days for S. feltiae and H. bacteriophora (Ar-4), respectively, on 4th instar larvae Lambda-cyhalothrin was the most toxic insecticide, followed by emamectin benzoate and indoxacarb at LC25 and LC50, respectively. An additive effect was observed between EPN species with LC25 and LC50 of the tested insecticides, except for lambda-cyhalothrin at LC50 with H. bacteriophora (Ar-4), and indoxacarb, with all EPNs showing antagonistic effects on mortality of 3rd instar larvae after 3 days post-treatment. The interaction between the tested pesticides at LC25 and LC50 and EPN species, showed an additive effect, excluding lambda-cyhalothrin at LC25 with S. carpocapsae (All strain) and LC25 of indoxacarb with H. bacteriophora (Ar-4), which showed potentiation effects. The interaction of S. feltiae (Filipjev) with tested insecticides at LC50 exhibited an antagonistic effect on the mortality of 4th instar P. rapae larvae after 3 days post-treatment. The expression of both CYP6AE120 and PrGSTs1 was significantly up-regulated with lambda-cyhalothrin, followed by H. bacteriophora (HP88) compared to control. Conclusions The findings suggested that combining EPNs and the pesticide concentrations can be a practical strategy for managing P. rapae and could pave the way to using new control technologies in protecting organic farm vegetables from lepidopteran pests.

Poly(3,4-ethylenedioxythiophene) Electrosynthesis in the Presence of Mixtures of Flexible-Chain and Rigid-Chain Polyelectrolytes

The electrochemical synthesis of poly(3,4-ethylenedioxythiophene) (PEDOT) was first carried out in the presence of mixtures of flexible-chain and rigid-chain polyacids and their Na-salts. Earlier on with the example of polyaniline, we have shown the non-additive effect of the rigid-chain component of polyacid mixtures on the electrodeposition of polyaniline films, their morphology and spectroelectrochemical properties. In this study, we confirmed the non-additive effect and showed that such mixed PEDOT–polyelectrolyte films possess unique morphology, spectroelectrochemical and ammonia sensing properties. The electrosynthesis was carried out in potential cycling, galvanostatic and potentiostatic regimes and monitored by in situ UV–Vis spectroscopy. UV–Vis spectroelectrochemistry of the obtained PEDOT–polyelectrolyte films revealed the dominating influence of the rigid-chain polyacid on the electronic structure of the mixed complexes. The mixed PEDOT–polyacid films demonstrated the best ammonia sensing performance (in the range of 5 to 25 ppm) as compared to the films of individual PEDOT–polyelectrolyte films.