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Synthesis of Evidence to Support EMS Personnel's Mental Health During Disease Outbreaks: A Scoping Review

  • Bronson B. Du;Sara Rezvani;Philip Bigelow;Behdin Nowrouzi-Kia;Veronique M. Boscart;Marcus Yung;Amin Yazdani
    • Safety and Health at Work
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    • v.13 no.4
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    • pp.379-386
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    • 2022
  • Emergency medical services (EMS) personnel are at high risk for adverse mental health outcomes during disease outbreaks. To support the development of evidence-informed mitigation strategies, we conducted a scoping review to identify the extent of research pertaining to EMS personnel's mental health during disease outbreaks and summarized key factors associated with mental health outcomes. We systematically searched three databases for articles containing keywords within three concepts: EMS personnel, disease outbreaks, and mental health. We screened and retained original peer-reviewed articles that discussed, in English, EMS personnel's mental health during disease outbreaks. Where inferential statistics were reported, the associations between individual and work-related factors and mental health outcomes were synthesized. Twenty-five articles were eligible for data extraction. Our findings suggest that many of the contributing factors for adverse mental health outcomes are related to inadequacies in fulfilling EMS personnel's basic safety and informational needs. In preparation for future disease outbreaks, resources should be prioritized toward ensuring adequate provisions of personal protective equipment and infection prevention and control training. This scoping review serves as a launching pad for further research and intervention development.

Norms about Alcohol Use among US Firefighters

  • Christopher K. Haddock;Nattinee Jitnarin;Raul Caetano;Sara A. Jahnke;Brittany S. Hollerbach;Christopher M. Kaipust;Walker S.C. Poston
    • Safety and Health at Work
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    • v.13 no.4
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    • pp.387-393
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    • 2022
  • Background: Problem drinking is a perennial concern in the US fire service. A large literature has documented the importance of addressing alcohol norms in intervention research. The purpose of this study was to explore alcohol norms in a national cohort of firefighters (FFs) to inform intervention development in this occupational group. Methods: Data were from a national online survey of career and volunteer FFs (N = 674). Participants were recruited through national fire service listservs and a database of FFs who had agreed to be contacted for research. Results: When asked about "acceptable" levels of alcohol consumption, FFs on average suggested levels which exceeded public health guidelines. Further, approximately half of career and volunteer FFs believed that, at least under some circumstances, drinking until intoxicated was normative. When asked how long should elapse between a FFs last drink and reporting for duty, the average suggested lag was 11.2 hours (sd = 4.6). However, among male volunteer FFs who reported heavy drinking, the average was 6.68 hours (sd = 4.77). Conclusions: Given the high prevalence of heavy and binge drinking in the fire service, it is not surprising that the alcohol norms found in this study were consistent with a culture of drinking. Participants' reports of alcohol use among their peers were consistent with the actual prevalence of problem drinking. Thus, education and prevention efforts in this occupation should focus on changing norms about alcohol use, including linking heavy drinking to other health and safety issues they face.

The Effects of Resveratrol on Silica-Induced Lung Oxidative Stress and Inflammation in Rat

  • Maryam Esfahani;Amir Hossein Rahbar;Sara Soleimani Asl;Saed Bashirian;Effat Sadat Mir Moeini;Fereshteh Mehri
    • Safety and Health at Work
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    • v.14 no.1
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    • pp.118-123
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    • 2023
  • Background: Chronic exposure to silica is related with the provocation of an inflammatory response and oxidative stress mechanism. Vitamin D has multiple benefits in biological activities particularly respiratory system disease. Method: In this research, 20 male Wistar rats were randomly allocated into four groups (5 rats /group) as follow: Group1 received saline as (negative control) group. The group 2 received a single IT instillation of silica (positive control) group; the group 3 was co-administrated with single IT silica and Vitamin D (20 mg/kg/day) daily for a period of 90 days. The rats of group 4 received Vitamin D daily for a period of 90 days. Results: Silica significantly increased serum and lung total Oxidant Status (TOS). Meanwhile, silica reduced serum and lung total antioxidant capacity (TAC), GSH and tumor necrosis factor-α (TNF-a). Vitamin D treatment meaningfully reversed oxidative stress, antioxidants status and inflammatory response. Also, Vitamin D improved histopathological changes caused by silica. Conclusion: These findings indicate that Vitamin D exerts protective effects against silica-induced lung injury. It seems that Vitamin D has potential use as a therapeutic object for silica induced lung injure.

Shaping ability and apical debris extrusion after root canal preparation with rotary or reciprocating instruments: a micro-CT study

  • Emmanuel Joao Nogueira Leal da Silva;Sara Gomes de Moura;Carolina Oliveira de Lima;Ana Flavia Almeida Barbosa;Waleska Florentino Misael;Mariane Floriano Lopes Santos Lacerda;Luciana Moura Sassone
    • Restorative Dentistry and Endodontics
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    • v.46 no.2
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    • pp.16.1-16.11
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    • 2021
  • Objectives: The aim of this study was to evaluate the shaping ability of the TruShape and Reciproc Blue systems and the apical extrusion of debris after root canal instrumentation. The ProTaper Universal system was used as a reference for comparison. Materials and Methods: Thirty-three mandibular premolars with a single canal were scanned using micro-computed tomography and were matched into 3 groups (n = 11) according to the instrumentation system: TruShape, Reciproc Blue and ProTaper Universal. The teeth were accessed and mounted in an apparatus with agarose gel, which simulated apical resistance provided by the periapical tissue and enabled the collection of apically extruded debris. During root canal preparation, 2.5% sodium hypochlorite was used as an irrigant. The samples were scanned again after instrumentation. The percentage of unprepared area, removed dentin, and volume of apically extruded debris were analyzed. The data were analyzed using 1-way analysis of variance and the Tukey test for multiple comparisons at a 5% significance level. Results: No significant differences in the percentage of unprepared area were observed among the systems (p > 0.05). ProTaper Universal presented a higher percentage of dentin removal than the TruShape and Reciproc Blue systems (p < 0.05). The systems produced similar volumes of apically extruded debris (p > 0.05). Conclusions: All systems caused apically extruded debris, without any significant differences among them. TruShape, Reciproc Blue, and ProTaper Universal presented similar percentages of unprepared area after root canal instrumentation; however, ProTaper Universal was associated with higher dentin removal than the other systems.

Value of Nutritional Screening Tools Versus Anthropometric Measurements in Evaluating Nutritional Status of Children in a Low/Middle-Income Country

  • Shaimaa Sayed;Mortada H. F. El-Shabrawi ;Eman Abdelmonaem ;Nehal El Koofy;Sara Tarek
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.26 no.4
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    • pp.213-223
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    • 2023
  • Purpose: Pediatric patients in low-income countries are at a high risk of malnutrition. Numerous screening tools have been developed to detect the risk of malnutrition, including the Subjective Global Nutritional Assessment (SGNA), Pediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP), and Screening Tool for Risk of Nutritional Status and Growth (STRONGkids). However, anthropometry remains the main tool for assessing malnutrition. We aimed to identify the value of four nutritional screening tools versus anthropometry for evaluating the nutritional status of children. Methods: We conducted a cross-sectional study of 1,000 children aged 1-12 years who visited the outpatient clinic of Cairo University Pediatric Hospital. Each participant was evaluated using anthropometric measurements (weight, length/height, and weight for length/height) as well as the PYMS, STAMP, STRONGkids, and SGNA screening tools. The sensitivities and specificities of these four tools were assessed using anthropometry as the gold standard. Results: Of the patients, 1.7% were underweight, 10.2% were wasted, and 35% were stunted. STRONGkids demonstrated the highest sensitivity (79.4%) and a high specificity (80.2%) for detecting malnutrition compared with weight for height, followed by STAMP, which demonstrated lower sensitivity (73.5%) but higher specificity (81.4%). PYMS demonstrated the lowest sensitivity (66.7%) and the highest specificity (93.5%), whereas SAGA demonstrated higher sensitivity (77.5%) and lower specificity (85.4%) than PYMS. Conclusion: The use of nutritional screening tools to evaluate the nutritional status of children is valuable and recommended as a simple and rapid method for identifying the risk of malnutrition in pediatric patients.

Development of a YOLO-Based Electric Kick Scooter Photo Recognition System (YOLO 기반 전동 킥보드 사진 인식 시스템 개발)

  • Kim, Chaehyeon;Yu, Sara;Yoon, SeoYoung;Kim, Gayoung;Kong, Hyeonjeong;Lee, Jinbok;Song, Sungmin;Lee, Ki Yong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.622-624
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    • 2022
  • 최근 편리성과 경제성 등의 이유로 개인형 이동장치인 전동 킥보드의 사용이 증가하고 있다. 사용자들은 앱으로 주변의 전동 킥보드 위치를 확인한 뒤, 가까운 기기를 찾아 이용한다. 하지만 전동 킥보드의 위치는 GPS로 표시되기 때문에 10 m 이상의 오차가 날 수 있다. 이를 보완하기 위해 (주)올룰로의 킥고잉은 사용자가 전동 킥보드 반납 시 촬영한 전동 킥보드 사진을 GPS 위치 정보와 함께 제공한다. 이 사진을 통해 다음 사용자는 더욱 정확히 전동 킥보드를 찾을 수 있다. 하지만 일부 사용자들은 전동 킥보드가 존재하지 않는 사진을 올리기도 하며, 따라서 사용자들이 촬영한 사진 중 실제 전동 킥보드가 존재하는 사진들만 제공하는 것은 매우 중요하다. 따라서 본 논문은 사용자들이 촬영한 사진 중 실제 전동 킥보드가 존재하는 사진들만 정확히 인식하는 YOLO 기반 시스템을 개발한다. 제안 방법은 (1) 전동 킥보드를 부분별로 탐지하는 기법과 (2) 전동 킥보드를 촬영된 각도에 따라 세분화하여 인식하는 기법을 사용한다. 실제 사용자들이 촬영한 사진을 사용한 실험 결과, 제안 방법은 기존 방법에 비해 더욱 정확히 전동 킥보드 사진을 인식하는 것을 확인하였다.

Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis

  • Nestor Rios-Osorio ;Hernan Dario Munoz-Alvear ;Fabio Andres Jimenez-Castellanos;Sara Quijano-Guauque ;Oscar Jimenez-Pena ;Herney Andres Garcia-Perdomo ;Javier Caviedes-Bucheli
    • Restorative Dentistry and Endodontics
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    • v.47 no.3
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    • pp.27.1-27.14
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    • 2022
  • Objectives: This systematic review and meta-analysis aimed to assess the association of cigarette smoking with the prevalence of post-endodontic apical periodontitis in humans. Materials and Methods: We searched through PubMed/Medline, Web of Science, and Scopus from inception to December 2020. Risk of bias was performed by using the Newcastle-Ottawa Scale for cross-sectional, cohort, and case-control studies. We performed the statistical analysis in Review Manager 5.3 (RevMan 5.3). Results: 6 studies met the inclusion criteria for qualitative and quantitative synthesis. Statistical analysis of these studies suggests that there were no differences in the prevalence of post endodontic apical periodontitis (AP) when comparing non-smokers vs smoker subjects regarding patients (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.31-1.49; I2 = 58%) and teeth (OR, 1.71; 95% CI, 0.99-2.93; I2 = 72%). Conclusions: Our findings suggest that there was no association between cigarette smoking and post-endodontic apical periodontitis, as we did not find statistical differences in the prevalence of post-endodontic AP when comparing non-smokers vs smoker subjects. Therefore, smoking should not be considered a risk factor associated with endodontic failure.

Multi-Behavior Analysis Based on Google Archiving Data (구글 아카이빙 데이터 기반 멀티 행위 분석)

  • Yeeun Kim;Sara Hong;Seongmin Kim
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.33 no.5
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    • pp.737-751
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    • 2023
  • The importance of digital forensics in the cloud environment is increasing as businesses and individuals move their data from On-premise to the cloud. Cloud data can be stored on various devices, including mobile devices and desktops, and encompasses a variety of user behavior artifacts, such as information generated from linked accounts and cloud services. However, there are limitations in securing and analyzing digital evidence due to environmental constraints of the cloud, such as distributed storage of data and lack of artifact linkage. One solution to address this is archiving services, and Google's Takeout is prime example. In this paper, user behavior data is analyzed for cloud forensics based on archiving data and necessary items are selected from an investigation perspective. Additionally, we propose the process of analyzing selectively collected data based on time information and utilizing web-based visualization to meaningfully assess artifact associations and multi-behaviors. Through this, we aim to demonstrate the value of utilizing archiving data in response to the increasing significance of evidence collection for cloud data.

Identification of novel potential drugs and miRNAs biomarkers in lung cancer based on gene co-expression network analysis

  • Sara Hajipour;Sayed Mostafa Hosseini;Shiva Irani;Mahmood Tavallaie
    • Genomics & Informatics
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    • v.21 no.3
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    • pp.38.1-38.8
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    • 2023
  • Non-small cell lung cancer (NSCLC) is an important cause of cancer-associated deaths worldwide. Therefore, the exact molecular mechanisms of NSCLC are unidentified. The present investigation aims to identify the miRNAs with predictive value in NSCLC. The two datasets were downloaded from the Gene Expression Omnibus (GEO) database. Differentially expressed miRNAs (DEmiRNA) and mRNAs (DEmRNA) were selected from the normalized data. Next, miRNA-mRNA interactions were determined. Then, co-expression network analysis was completed using the WGCNA package in R software. The co-expression network between DEmiRNAs and DEmRNAs was calculated to prioritize the miRNAs. Next, the enrichment analysis was performed for DEmiRNA and DEmRNA. Finally, the drug-gene interaction network was constructed by importing the gene list to dgidb database. A total of 3,033 differentially expressed genes and 58 DEmiRNA were recognized from two datasets. The co-expression network analysis was utilized to build a gene co- expression network. Next, four modules were selected based on the Zsummary score. In the next step, a bipartite miRNA-gene network was constructed and hub miRNAs (let-7a-2-3p, let-7d-5p, let-7b-5p, let-7a-5p, and let-7b-3p) were selected. Finally, a drug-gene network was constructed while SUNITINIB, MEDROXYPROGESTERONE ACETATE, DOFETILIDE, HALOPERIDOL, and CALCITRIOL drugs were recognized as a beneficial drug in NSCLC. The hub miRNAs and repurposed drugs may act a vital role in NSCLC progression and treatment, respectively; however, these results must validate in further clinical and experimental assessments.

Exploring Efficient Solutions for the 0/1 Knapsack Problem

  • Dalal M. Althawadi;Sara Aldossary;Aryam Alnemari;Malak Alghamdi;Fatema Alqahtani;Atta-ur Rahman;Aghiad Bakry;Sghaier Chabani
    • International Journal of Computer Science & Network Security
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    • v.24 no.2
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    • pp.15-24
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    • 2024
  • One of the most significant issues in combinatorial optimization is the classical NP-complete conundrum known as the 0/1 Knapsack Problem. This study delves deeply into the investigation of practical solutions, emphasizing two classic algorithmic paradigms, brute force, and dynamic programming, along with the metaheuristic and nature-inspired family algorithm known as the Genetic Algorithm (GA). The research begins with a thorough analysis of the dynamic programming technique, utilizing its ability to handle overlapping subproblems and an ideal substructure. We evaluate the benefits of dynamic programming in the context of the 0/1 Knapsack Problem by carefully dissecting its nuances in contrast to GA. Simultaneously, the study examines the brute force algorithm, a simple yet comprehensive method compared to Branch & Bound. This strategy entails investigating every potential combination, offering a starting point for comparison with more advanced techniques. The paper explores the computational complexity of the brute force approach, highlighting its limitations and usefulness in resolving the 0/1 Knapsack Problem in contrast to the set above of algorithms.