Background and Objectives: Spinocerebellar ataxia (SCA) is a progressive neurodegenerative disease often accompanied by depression. This cross-sectional study investigated the prevalence.....
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Background and Objectives: Spinocerebellar ataxia (SCA) is a progressive neurodegenerative disease often accompanied by depression. This cross-sectional study investigated the prevalence of depression and the associated mental health factors in SCA patients.
Material andMethods: Eleven Thai SCA patients completed questionnaires assessing depression, anxiety, inner strengths, perceived social support, personality traits and perceived
stress. Results: Participants’ average age was 50.27 years old. The prevalence of depression
was 27.27%. Depression scores were positively correlated with OI-anxiety score (r = 0.887,
95%CI 0.586 to 0.968), perceived stress (r = 0781, 95%CI 0.305 to 0.936) and personality traits
including aggression (r = 0.73, 95% CI 0.197 to 0.920), activity (r = 0.651, 95%CI 0.052 to
0.893) and neuroticism (r = 0.80, 95% CI 0.351 to 0.942). Conversely, depression negatively
correlated with inner strengths (r = −0.70, 95%CI −0.910 to −0.139) and perceived social
support, particularly from family (r = −0.88, 95%CI −0.966 to −0.564). Conclusions: These
findings highlight the need for comprehensive mental health assessment and intervention
in SCA patients. Strengthening inner strengths, promoting social support, and managing
negative mental health factors may improve quality of life for patients with SCA. Keywords: spinocerebellar ataxia; depression; anxiety; mental health
Background/Objectives: A reliable assessment of gluten-free diet (GFD) adherence is essential for managing celiac disease (CD). This study aimed to validate the Hellenic
version of the Celiac Disease.....
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Background/Objectives: A reliable assessment of gluten-free diet (GFD) adherence is essential for managing celiac disease (CD). This study aimed to validate the Hellenic
version of the Celiac Disease Adherence Test (H-CDAT) to evaluate adherence levels and
explore the impact of dietary adherence on health-related quality of life (HRQoL)—both
of which have never been objectively assessed in Greek CD patients. Methods: The study
included 102 adult CD patients who completed H-CDAT, diet-related questions, and the
36-Item Short Form Health Survey (SF-36). Results: H-CDAT demonstrated good psychometric properties and showed multiple strong correlations with HRQoL dimensions.
H-CDAT adherence was Good in 38.2%, Moderate in 42.2%, and Poor in 19.6% of patients,
despite their perception of effective adherence, with 51% never having visited a dietitian
for guidance on a GFD. Patients scored significantly lower across most HRQoL dimensions
compared to the general Greek population. When stratified into the three adherence categories, striking differences emerged between Good and Moderate adherence across both
physical and mental health domains, highlighting that moderate adherence is not sufficient
for optimal health outcomes. Conclusions: These findings emphasize the critical role of
strict GFD adherence in improving overall health and underscore the importance of dietetic
intervention for achieving optimal patient outcomes. Keywords: celiac disease; gluten-free diet; dietary adherence; celiac dietary adherence test;
health-related quality of life; validation; nutrition
Authors: Patricia De Sequera, José M. Martínez-Sesmero, Isabel Romo, Ana Calvo, Susana Aceituno, Olga Ruiz-Andrés and Juan C. Julián-Mauro
Abstract:
Objectives: Chronic kidney disease-associated pruritus (CKD-aP) is underdiagnosed and not fully understood by healthcare professionals, which leads to poor patient
management and impacts patients’ quality of.....
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Authors: Patricia De Sequera, José M. Martínez-Sesmero, Isabel Romo, Ana Calvo, Susana Aceituno, Olga Ruiz-Andrés and Juan C. Julián-Mauro
Objectives: Chronic kidney disease-associated pruritus (CKD-aP) is underdiagnosed and not fully understood by healthcare professionals, which leads to poor patient
management and impacts patients’ quality of life (QoL). The aim of this study was to analyse unmet needs in CKD-aP management and explore the attributes/characteristics that
the ideal CKD-aP treatment should have from the perspective of a group of nephrologists,
hospital pharmacists, nurses, patient representatives, and regional health authorities in
Spain. Methods: A descriptive, cross-sectional study was conducted using an e-survey
including ad hoc questions (6-point Likert scale) related to unmet needs in CKD-aP and
best–worst scaling (BWS) to prioritise the attributes/characteristics of the ideal CKD-aP
treatment. The survey was developed from a literature review, a patient focus group, and a
multidisciplinary expert committee. Results: A total of 21 people participated, and it was
considered, among other aspects, that CKD-aP had a significant impact on patient QoL
(4.29/5), but the diagnosis rate and knowledge level of agents involved, as well as current
treatment efficacy and safety, were low (1.71/5, 2.19/5, 1.91/5, and 2.67/5, respectively).
The attributes “improves overall QoL (physical and mental)”, “reduces itch with statistical
significance”, and “treatment is supported by clinical development/high evidence and
has AEMPS (Spanish Agency for Medicines and Medical Devices)-approved indication
for pruritus” were selected as the most valued attributes. There was a positive balance
between best–worst scores (86-5, 71-2, and 78-13 points, respectively). Conclusions: The
results show the need to undertake actions to drive relevant changes in current clinical
practice to improve CKD-aP diagnosis and management.
Authors: Andrii Biloshchytskyi, Oleksandr Kuchanskyi, Alexandr Neftissov, Yurii Andrashko, Svitlana Biloshchytska and Ilyas Kazambayev
Abstract:
The population life and health quality are significantly reduced due to water resources
pollution caused by heavy metals, especially in urban agglomerations located close to metal ore
mining and.....
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Authors: Andrii Biloshchytskyi, Oleksandr Kuchanskyi, Alexandr Neftissov, Yurii Andrashko, Svitlana Biloshchytska and Ilyas Kazambayev
The population life and health quality are significantly reduced due to water resources
pollution caused by heavy metals, especially in urban agglomerations located close to metal ore
mining and processing facilities. The greatest environmental pollution occurs during the extraction
of Cu, Zn, and Pb. In this study, a fractal R/S analysis of wastewater discharge indicators time
series from a metal ore mining facility located in the Sayak ore district in the Republic of Kazakhstan
(turbidity, electrical conductivity, flow magnitude, and pH level) was carried out. A sharp increase
in the flow rate was recorded from 10 to 15 July 2024 and an increase in the electrical conductivity
from 4 to 26 July 2024. However, the latest type of indicator assessment does not exceed the critical
level for life. The presence of electrical conductivity indicators time series long-term memory and
persistence was also recorded (the Hurst exponent for the electrical conductivity time series is fixed
in the 0.56 to 0.59 range and does not go below the threshold value for randomness according to the
Anis-Lloyd formula). Thus, the value-changing process is controlled and stable, and minor changes
in turbidity indicate that these releases do not significantly harm the environment. Despite this, the
results obtained do not allow for a comprehensive analysis of the state of releases as the data from all
deposits is not available. Therefore, due to the time constraints of the data provided for analysis, it is
difficult to fully assess the impact of specific metal ore mining facilities on the environmental safety
of the Balkhash urban region. In addition, many studies indicate very high risks of chronic diseases
for the population living in this region. The findings of this study enable us to conclude that the
application of fractal analysis and the calculation of fractal characteristics for time series of emissions
can serve as an indicator of the environmental status within the given area. This information can be
used by environmental services to build reliable environmental pollution monitoring systems.
Keywords: mining wastewater; R/S analysis; Balkhash urban region; Hurst exponent; Sayak ore
district; time series analysis
Background/Objectives: As people age, their environment plays a critical role in shaping
their health. With Thailand’s rapidly aging population, it is crucial to understand how different living
environments affect.....
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Background/Objectives: As people age, their environment plays a critical role in shaping
their health. With Thailand’s rapidly aging population, it is crucial to understand how different living
environments affect the well-being of older adults. This study examines differences in biopsychosocial
health indicators between older adults living in village communities and private housing estates in
Chiang Mai, Thailand. Methods: A cross-sectional study was conducted using baseline data from the
Community-Integrated Intermediary Care (CIIC) Service Model, a Cluster Randomized Controlled
Trial in Thailand (TCTR20190412004). The study included 2788 older adults (aged 60+). Of these,
89.49% resided in village communities, and 10.51% in private housing estates. Validated instruments
were used to assess health indicators. Descriptive statistics, multivariate analysis of variance, and
multiple logistic regression analyses were performed. Results: Older adults in private housing estates
had significantly lower odds of experiencing pain or discomfort (Adj OR: 0.64, 95% CI: 0.49–0.84) and
were 1.36 times more likely to report positive perceived health. However, they had lower odds of
perceiving themselves as physically and socially active (Adj OR: 0.74, 95% CI: 0.57–0.97) and were
0.30 times less likely to rate their quality of life higher (Adj OR: 0.30, 95% CI: 0.22–0.40) compared
to their village community counterparts. Conclusions: The residential environment significantly
influences older adults’ health and well-being. Tailored health promotion interventions should
leverage the unique strengths of both village communities and private housing estates to enhance
social connections, physical activity, and quality of life, promoting healthy, active aging across
diverse settings.
Keywords: healthy aging; active aging; built environment; gated communities; residential type;
health promotion
Authors: Itzel Ivonn López-Tenorio, Óscar Rodrigo Aguilar-Villegas, Yoshua Espinoza-Palacios, Lorena Segura-Real, Berenice Peña-Aparicio, Amedeo Amedei and María Magdalena Aguirre-García
Abstract:
Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality
worldwide. These conditions have numerous health consequences and significantly impact patients’
lifestyles. Effective long-term treatment is essential since.....
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Authors: Itzel Ivonn López-Tenorio, Óscar Rodrigo Aguilar-Villegas, Yoshua Espinoza-Palacios, Lorena Segura-Real, Berenice Peña-Aparicio, Amedeo Amedei and María Magdalena Aguirre-García
Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality
worldwide. These conditions have numerous health consequences and significantly impact patients’
lifestyles. Effective long-term treatment is essential since NCDs are irreversible. Therefore, primary
healthcare must be both exclusive and of the highest quality, ensuring comprehensive care. The
primary goal should be to improve quality of life with a focus on patients, families, and communities,
as most of these diseases can be prevented and controlled, although not cured. Several factors have
been linked to individual health, including social, cultural, and economic aspects, lifestyle, and certain
environmental factors, including work, that can have positive or negative effects. More of these
variables may contribute to the onset of NCDs, which are defined by their chronic nature, propensity
for prolongation, and generally slow rate of progression. Examples of NCDs include hypertension,
type 2 diabetes (T2D), dyslipidemia, and fatty liver disease linked to metabolic dysfunction. The
onset of these diseases has been associated with an imbalance in certain microbial niches, such as the
gut, which hosts billions of microorganisms performing multiple metabolic functions, such as the
production of metabolites like bile acids (BAs), short-chain fatty acids (SCFAs), and trimethylamine
N-oxide (TMAO). Therefore, lifestyle changes and personal habits can significantly impact the gut
microbiota (GM), potentially preventing chronic diseases associated with metabolism. NCDs are
highly prevalent worldwide, prompting increased attention to strategies for modifying the intestinal
microbiota (IM). Approaches such as probiotics, prebiotics, synbiotics, and fecal transplantation
(FMT) have demonstrated improvements in the quality of life for individuals with these conditions.
Additionally, lifestyle changes and the adoption of healthy habits can significantly impact IM and
may help prevent chronic diseases related to metabolism. Therefore, the main aim of this review
is to analyze and understand the importance of microbiota intervention in the prevention of noncommunicable diseases. R3:A1
Authors: Gabriela López-Almada, María Esther Mejía-León and Norma Julieta Salazar-López
Abstract:
Obesity is a pandemic currently affecting the world’s population that decreases the quality
of life and promotes the development of chronic non-communicable diseases. Lactobacillus.....
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Authors: Gabriela López-Almada, María Esther Mejía-León and Norma Julieta Salazar-López
Obesity is a pandemic currently affecting the world’s population that decreases the quality
of life and promotes the development of chronic non-communicable diseases. Lactobacillus rhamnosus
is recognized for multiple positive effects on obesity and overall health. In fact, such effects may
occur even when the microorganisms do not remain alive (paraprobiotic effects). This raises the
need to elucidate the mechanisms by which obesity-associated factors can be modulated. This
narrative review explores recent findings on the effects of L. rhamnosus, particularly, its postbiotic and
paraprobiotic effects, on the modulation of adiposity, weight gain, oxidative stress, inflammation,
adipokines, satiety, and maintenance of intestinal integrity, with the aim of providing a better
understanding of its mechanisms of action in order to contribute to streamlining its clinical and
therapeutic applications. The literature shows that L. rhamnosus can modulate obesity-associated
factors when analyzed in vitro and in vivo. Moreover, its postbiotic and paraprobiotic effects may
be comparable to the more studied probiotic actions. Some mechanisms involve regulation of gene
expression, intracellular signaling, and enteroendocrine communication, among others. We conclude
that the evidence is promising, although there are still multiple knowledge gaps that require further
study in order to fully utilize L. rhamnosus to improve human health.