The effect of self-efficacy expectations in the adherence to a gluten free diet in celiac disease

Objective: To analyse the effect of general and specific self-efficacy on the adherence to a gluten free diet (GFD) in patients with celiac disease along with the effect of other relevant variables. Design: 271 patients with celiac disease participated in this transversal descriptive study and completed a series of questionnaires regarding adherence (CDAT), general self-efficacy (GSES) and specific self-efficacy (Celiac-SE) and quality of life (CD-Qol), among others. Main Outcome Measures: Dependent variable was adherence to the Gluten Free Diet (GFD). Main independent variables were general self-efficacy, specific self-efficacy and quality of life. Model tests were conducted using regression analysis. Results: 71.9% of patients show an excellent or good adherence to the diet. Higher levels of adherence are positively associated to a high expectancy of specific self-efficacy, to the perceived adoption of recommended behaviours, risk perception and better quality of life (these variables accounted for 36.4% of the variance in the adherence to a GFD, p <.001). Conclusions: Specific self-efficacy rather than general has a predictive value in adherence to a GFD. Therefore, we need to develop and transculturally adapt new instruments to assess specific self-efficacy. Celiac-SE has proved to be a useful scale for this objective

Development and validation of a specific self-efficacy scale in adherence to a gluten-free diet

The aim of this study was to develop a scale to assess the levels of specific self-efficacy in order to enhance adherence to a gluten-free diet and the life quality of celiac patients. Celiac disease is a chronic small intestinal immune-mediated enteropathy precipitated by exposure to dietary gluten in genetically predisposed people. The only treatment is a strict lifelong gluten-free diet. Within the framework of Social Cognitive Theory, expectation of self-efficacy is understood as the degree in which a person believes himself to be capable of performing a certain task (e.g., adhering to a gluten-free diet), a construct which has been widely studied in its relation with adopting healthy behaviors, but scarcely in relation to celiac disease. A validation study was carried out in various stages: preparation of the protocol; construction of the questionnaire and a pilot run with 20 patients; validation of the scale with 563 patients and statistical analysis. A 25-item scale was developed. Feasibility was excellent (99.82% of participants completed all the questions). Factorial analysis pointed to the existence of five factors that explained 70.98% of the variance with a Cronbach alpha of 0.81 for the scale overall and between 0.64 and 0.90 for each factor. The scale showed a Spearman''s Rho coefficient of 0.279 with the General self-efficacy Scale. This easily administered scale provides good psychometric properties for evaluating specific self-efficacy of celiac patients in adhering to treatment. It seeks to be the first scale that provides not only a measurement of specific self-efficacy in celiac disease, but also to determine its levels for each of the areas as a first step toward designing interventions of self-management and empowerment programs to cope with the disease

Spectral information to get beyond color in the analysis of water‑soluble varnish degradation

Spectral images were captured of paper samples varnished with two water-soluble materials: gum arabic and egg white. The samples were submitted to degradation processes that partially or totally eliminated the varnish from the substrate (water immersion and ageing). The spectral information was used to obtain average color data and to characterize the spatial and color inhomogeneity across pixels, showing that the pixel spectral data are critical for an accurate characterization of the degradation process of the varnishes. Since the varnishes typically become yellower with ageing, this study introduces two novel and simple-to-compute yellowness indices based on the spectral information, which are validated against a standard colorimetric index (ASTM-E313 2015). The potential uses of spectral information are demonstrated with several pieces of a real antique map sample by comparing the spectral information measured before and after cleaning the sample. To sum up, the main contributions of this study are the characterization of the spatial homogeneity through pixel-based spectral and color information and the proposal of spectral-based yellowing indices for two critical applications (ageing process follow-up and effect of cleaning), as demonstrated with synthetic and historical samples of varnished paper respectively.Spanish Ministry of Economy and Competitiveness, under research Grant DPI2015-64571-R. Spanish State Agency of Research (AEI) and the Ministry for Economy, Industry and Competitiveness (MIMECO) by means of the Grant Number FIS2017-89258-P with European Union FEDER (European Regional Development Funds) support

Influence of Compliance to Diet and Self-Efficacy Expectation on Quality of Life in Patients with Celiac Disease in Spain

The purpose of this study is to understand the health-related quality of life (HRQoL) in patients with celiac disease (CD) and analyze its main determinants. A transversal descriptive study of 738 patients with celiac disease was carried out. A series of questionnaires were answered related to their HRQoL, adherence to a gluten-free diet (GFD), and self-efficacy beliefs among other relevant variables. Regression analyses were carried out in order to explore the predictive variables in adherence to the GFD and HRQoL. A total of 61.2% showed a good HRQoL, and the main predictors of HRQoL were specific self-efficacy, adherence to the diet, risk perception, time since diagnosis, and age. While 68.7% of participants showed good or excellent adherence to the GFD, and the main predictors of adherence were specific self-efficacy, perceived adoption of recommended behaviors, HRQoL and gender. The HRQoL of patients with CD, and adherence to the GFD in Spain, are good. It is the self-efficacy expectation, measured specifically and not generally, which is the best predictor of both adherence and HRQoL. It is necessary to develop programs to improve the HRQoL of patients with CD that focus on improving specific self-efficacy

Critical Care Requirements Under Uncontrolled Transmission of SARS-CoV-2

Objectives. To estimate the critical care bed capacity that would be required to admit all critical COVID-19 cases in a setting of unchecked SARS-CoV-2 transmission, both with and without elderly-specific protection measures. Methods. Using electronic health records of all 2432 COVID-19 patients hospitalized in a large hospital in Madrid, Spain, between February 28 and April 23, 2020, we estimated the number of critical care beds needed to admit all critical care patients. To mimic a hypothetical intervention that halves SARS-CoV-2 infections among the elderly, we randomly excluded 50% of patients aged 65 years and older. Results. Critical care requirements peaked at 49 beds per 100 000 on April 1-2 weeks after the start of a national lockdown. After randomly excluding 50% of elderly patients, the estimated peak was 39 beds per 100 000. Conclusions. Under unchecked SARS-CoV-2 transmission, peak critical care requirements in Madrid were at least fivefold higher than prepandemic capacity. Under a hypothetical intervention that halves infections among the elderly, critical care peak requirements would have exceeded the prepandemic capacity of most high-income countries. Public Health Implications. Pandemic control strategies that rely exclusively on protecting the elderly are likely to overwhelm health care systems.S

HIV-1/HAART-Related Lipodystrophy Syndrome (HALS) Is Associated with Decreased Circulating sTWEAK Levels

Background and Objectives Obesity and HIV-1/HAART-associated lipodystrophy syndrome (HALS) share clinical, pathological and mechanistic features. Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is a multifunctional cytokine that plays an important role in obesity and related diseases. We sought to explore the relationship between HALS and circulating levels of soluble (s) TWEAK and its scavenger receptor sCD163. Methods This was a cross-sectional multicenter study of 120 HIV-1-infected patients treated with a stable HAART regimen; 56 with overt HALS and 64 without HALS. Epidemiological and clinical variables were determined. Serum levels of sTWEAK and sCD163 levels were measured by ELISA. Results were analyzed with Student's t-test, Mann-Whitney U and χ2 test. Pearson and Spearman correlation were used to estimate the strength of association between variables. Results Circulating sTWEAK was significantly decreased in HALS patients compared with non-HALS patients (2.81±0.2 vs. 2.94±0.28 pg/mL, p = 0.018). No changes were observed in sCD163 levels in the studied cohorts. On multivariate analysis, a lower log sTWEAK concentration was independently associated with the presence of HALS (OR 0.027, 95% CI 0.001-0.521, p = 0.027). Conclusions HALS is associated with decreased sTWEAK levels

Oribatid mites in different Mediterranean crop rotations fertilized with animal droppings

Unsustainable soil management is one of the drivers of soil degradation, but impact assessment requires the development of indicators. Oribatids might be considered as early indicators of disturbances due to the stability of their community. The aim of this study was to investigate the feasibility of oribatids as bioindicators of sustainable agricultural practices. Under a dry Mediterranean climate, three fertilization experiments – two under a two-crop rotation system and one under maize monoculture and established 12 years earlier – were sampled 3× for oribatid identification during the last annual cropping cycle. The hypothesis was that different nutrient and crop managements affect the number of oribatid species and individuals present, and these parameters could be used as indicators of soil degradation. In total, 18 oribatid species were identified, and 1974 adult individuals were recovered. Maximum abundance was found prior to sowing. Pig slurry (PS) vs. control, and dairy cattle manure (CM) vs. mineral fertilization increased oribatid abundance. This increase was evident when the average applied rates with PS were ca. 2 Mg of organic matter (OM) ha− 1 yr− 1, or higher than ca. 4 Mg OM ha− 1 yr− 1 for CM. When the preceding crop was wheat and PS or CM were used, Oribatula (Zygoribatula) excavata (which reproduces sexually) predominated. In maize monoculture fertilized with CM, Tectocepheus sarekensis and Acrotritia ardua americana (which can reproduce through parthenogenesis) prevailed vs. Oribatula, which indicated a heavily disturbed soil. Under this specific Mediterranean environment, the predominance of certain parthenogenic oribatid species and the number of individuals provide advanced warning on soil degradation.info:eu-repo/semantics/publishedVersio

La Cuevona de Avín (Avín, Asturias, North Spain): A new Late Pleistocene site in the lower valley of the River Güeña

The archaeological investigations carried out in the last twenty years in the Lower Valley of the River Güeña (Asturias, central part of northern Spain) have documented different prehistoric sites, particularly with Middle and Upper Palaeolithic occupations. This paper presents the first results of the archaeological excavation carried out in the cave of La Cuevona de Avín. From the systematic study of the biotic and abiotic remains, a total of three occupation phases (Phases 1 to 3) have been determined, dated in the Late Pleistocene. The lithic studies indicate the use of local raw materials (mainly quartzite), but also regional ones (different types of flint) in the whole sequence. Retouched implements are typologically representative only during the Upper Magdalenian (Phase II) and use-wear analysis indicates the manufacture and use of artefacts in situ during this phase. Archaeozoological studies reveal continuity in subsistence strategies throughout the sequence, noting specialization in red deer hunting during the Azilian (Phase I), and more diversified prey in the older phases of the sequence. © 2022 The Author(s

Engineering of gibberellin levels in citrus by sense and antisense

http://jxb.oxfordjournals.org/Carrizo citrange (Citrus sinensis x Poncirus trifoliata) is a citrus hybrid 4 widely used as a rootstock, whose genetic manipulation to improve 5 different growth characteristics is of high agronomic interest. In this work 6 we have produced transgenic Carrizo citrange plants overexpressing 7 sense and antisense CcGA20ox1 (a key enzyme of GA biosynthesis) 8 under control of the 35S promoter to modify plant architecture. As 9 expected, taller (sense) and shorter (antisense) phenotype correlated with 10 higher and lower levels, respectively, of active GA1 in growing shoots. In 11 contrast, other phenotypic characteristics seemed to be specific of citrus, 12 or different to those described for similar transgenics in other species. For 13 instance thorns, typical organs of citrus at juvenile stages, were much 14 longer in sense and shorter in antisense plants, and xylem tissue was 15 reduced in leaf and internode of sense plants. Antisense plants presented 16 a bushy phenotype, suggesting a possible effect of GAs on auxin 17 biosynthesis and/or transport. The main foliole of sense plants was longer, 18 although total leaf area was reduced. Leaf thickness was smaller in sense 19 and bigger in antisense plants due to changes in the spongy parenchyma. 20 Internode cell length was not altered in transgenic plants, indicating that in 21 citrus GAs regulate cell division rather than cell elongation. Interestingly, 22 the described phenotypes were not apparent when transgenic plants were 23 grafted on non-transgenic rootstock. This suggests that roots contribute to 24 the GA economy of aerial parts in citrus and opens the possibility of using 25 the antisense plants as dwarfing rootstocks.We thank J.A. Pina for technical assistance, and Dr. E. Carbonell and J. 34 Pérez for statistical analyses. This research was supported in part by grants CICYT AGL2003-01644, 1 INIA RTA04-13 and BIO2003-00151. C. 2 Fagoaga was recipient of an INIA-CCAA postdoctoral contract. I. Lliso was 3 recipient of an IVIA predoctoral fellowship. D.J. Iglesias and F.R. Tadeo 4 were recipients of INIA-CCAA and “Ramón y Cajal” MEC postdoctoral 5 contracts, respectively. 6 7Peer reviewe

Graphite oxide as a support for palladium and rhodium complexes, assessed as catalysts for the partial hydrogenation of 1-heptyne

Graphite oxide (GO) was used to anchor [PdCl2(TDA)2] and [RhCl(TDA)3] (TDA =NH2(CH2)12CH3) with 2wt % of metal load. Elemental analysis (EA), FTIR, XPS, XRD and atomic absorption spectroscopy (AA) were the techniques employed for characterization. FTIR and XRD revealed that both complexes were mainly immobilized on the GO surface. The partial hydrogenation of 1-heptyne was the test reaction to evaluate the catalytic behavior of these heterogenized complexes under mild conditions of temperature and pressure in a semi continuous process. The results were compared with those obtained with the Wilkinson catalyst under the same operational conditions. AA analysis revealed that there is no leaching of the complexes during the heterogeneous catalytic evaluations. [RhCl(TDA)3]/GO was the best catalyst due to electronic and steric effects as well as the influence of the support