The Effect of Polyphenols, Minerals, Fibers, and Fruits on Irritable Bowel Syndrome: A Systematic Review

Background: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder characterized by abdominal pain, bloating, and changes in bowel habits. Various dietary factors have been implicated in the pathogenesis and management of IBS symptoms. This systematic review aims to evaluate the effects of polyphenols, minerals, fibers, and fruits on the symptoms and overall well-being of individuals with IBS. Materials and Methods: A comprehensive literature search was conducted in several electronic databases, including PubMed, Scopus, and Web of Science. Studies published up until July 2023 were included. Results: The selected studies varied in terms of study design, participant characteristics, intervention duration, and outcome measures. Overall, the findings suggest that dietary interventions involving polyphenols, minerals, fibers, and fruits can have a positive impact on IBS symptoms. Dietary fiber supplementation, particularly soluble fiber, has been associated with reduced bloating and enhanced stool consistency. Conclusions: This systematic review provides evidence supporting the beneficial effects of polyphenols, minerals, fibers, and fruits in IBS patients. These dietary components hold promise as complementary approaches for managing IBS symptoms. However, due to the heterogeneity of the included studies and the limited number of high-quality randomized controlled trials, further well-designed trials are warranted to establish the optimal dosages, duration, and long-term effects of these interventions. Understanding the role of specific dietary components in IBS management may pave the way for personalized dietary recommendations and improve the quality of life for individuals suffering from this complex disorder

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Determinants of Choice and Wine Consumption Behaviour: A Comparative Analysis between Two Counties of Romania

Wine, one of the world’s oldest and most popular beverages, has a distinct variety matching a diverse base of consumers worldwide. The study was conducted in two counties of Romania in order to identify consumers’ perception towards wine consumption, as well as the driving factors behind wine consumption and the decision process of choosing a certain type of wine. Thus, four factors were identified through principal component analysis: intrinsic cues and consumers’ experience, extrinsic cues and origin, notoriety and the label and package of the wine, correlating them with the socio-demographic characteristics of our respondents. It might be concluded that the intrinsic cues and consumer experience ranked highest among the priorities of the participants between 35 and 45 years old when choosing a certain type of wine. Additionally, notoriety was more valued by people with higher income, and people with experience in the domain inclined to pay more for a bottle of wine

Theoretical Study on the Effect of Parallel Air Chambers Embedded in Rockwool Panels on the Energy Consumption of a Low-Energy High School

In the construction industry, sustainability is evaluated, not only in terms of harmful emissions generated during the operation phase, but also in terms of the embodied emissions belonging to building materials and technical equipment. As a consequence, the implementation of highly efficient building materials has become crucial. The objective of this study is to investigate an insulation system based on parallel air chambers embodied in rockwool panels, and to correlate the implications of its implementation compared to an existing insulation system. The analysis was conducted on the first administrative/public building completed in Romania, according to passive house standards. The study begins with experimental investigations of insulation systems under laboratory conditions. Thus, the influence of air layers on the thermal properties of existing rockwool panels was assessed. On the basis of the experimental results, the theoretical energy demand of the high school building and life cycle analysis are determined using simulation software for both insulation solutions: existing insulation composed of solid rockwool panels, and rockwool panels with embedded air layers. The thickness of the insulating air layers is optimized, and with the help of Rayleigh–Bénard equations for each of the five climate zones that were further determined. Taken together, it is expected to achieve a better insulation system by maintaining constant embedded emissions. In conclusion, assuming a 50-year life cycle for the high school building, the insulation system composed of rockwool with embedded air layers brings about a reduction in the total energy consumption of approximately 9.82%, compared to the case of a standard insulation system based on solid rockwool panels without additional air layers

Consumers’ Perception towards Organic Products before and after the COVID-19 Pandemic: A Case Study in Bihor County, Romania

Organic products have grown ever more popular in recent years due to increased concerns regarding one’s health, the environment, and sustainability. The COVID-19 pandemic has only accelerated this growth, prompting producers to adapt to a rapidly growing market while maintaining the same standard of quality. We have conducted a questionnaire-based pilot study on 190 organic food consumers from Bihor county, Romania, in order to analyze the main factors influencing customers’ beliefs regarding organic food consumption, as well as assess the extent to which their consumption frequency changed after the pandemic. A principal component analysis was performed, dividing the factors into two categories referring to intrinsic and extrinsic characteristics of the products, respectively. It was noticed that the most important cues were ranked the same by our 190 respondents, regardless of their socio-demographical background. At the same time, people who consumed organic products more frequently before the pandemic have either maintained or increased their consumption, while more indifferent consumers maintained or decreased the proportion of organic foods in their diet

Household Attitudes and Behavior towards the Food Waste Generation before and during the COVID-19 Pandemic in Romania

Food waste represents an important aspect with social, economic, and environmental implications. As previous studies underlined, the COVID-19 pandemic led to changes in the food consumption patterns among consumers. The aim of the study was to investigate the main changes in household food waste management during the COVID-19 pandemic in Romania compared with the period before the COVID-19 pandemic. Factors affecting food waste were also analyzed. Data were collected among Romanian households using an online administrated questionnaire. The 784 usable questionnaires were analyzed using descriptive statistics and Cluster analysis. Consumers’ food shopping habits have become more sustainable during the pandemic, with a positive impact on waste management. The amount of the food losses decreased, people found ways to valorize the food scraps. The Cluster analysis of 25 food waste behavior factors lead to a 3 clusters solution: “wasters” (n = 264), “careless consumers” (n = 227), “careful consumers” (n = 359). While the “wasters” group was represented by consumers who chose to plan the shopping and the menu for the next period, were represented mainly by males with a lower level of education, the “careless consumers” did not choose to plan before going shopping, they discharge lower quantities of food compared with the first group. The “careful consumers” proved to be the most organized one, being preoccupied about the menu planning and reuse of leftovers. People became more conscious about their shopping habits; however, not all groups greatly improved their habits. The results indicate that more actions are needed to increase the awareness at the household level regarding food waste management and sustainable consumption during changing times

Household Attitudes and Behavior towards the Food Waste Generation before and during the COVID-19 Pandemic in Romania

Food waste represents an important aspect with social, economic, and environmental implications. As previous studies underlined, the COVID-19 pandemic led to changes in the food consumption patterns among consumers. The aim of the study was to investigate the main changes in household food waste management during the COVID-19 pandemic in Romania compared with the period before the COVID-19 pandemic. Factors affecting food waste were also analyzed. Data were collected among Romanian households using an online administrated questionnaire. The 784 usable questionnaires were analyzed using descriptive statistics and Cluster analysis. Consumers’ food shopping habits have become more sustainable during the pandemic, with a positive impact on waste management. The amount of the food losses decreased, people found ways to valorize the food scraps. The Cluster analysis of 25 food waste behavior factors lead to a 3 clusters solution: “wasters” (n = 264), “careless consumers” (n = 227), “careful consumers” (n = 359). While the “wasters” group was represented by consumers who chose to plan the shopping and the menu for the next period, were represented mainly by males with a lower level of education, the “careless consumers” did not choose to plan before going shopping, they discharge lower quantities of food compared with the first group. The “careful consumers” proved to be the most organized one, being preoccupied about the menu planning and reuse of leftovers. People became more conscious about their shopping habits; however, not all groups greatly improved their habits. The results indicate that more actions are needed to increase the awareness at the household level regarding food waste management and sustainable consumption during changing times