The Study of the Correlation Betweenthe on the Diet, Sleep Quality and Perceived Stress among College Students in Taichung during the COVID-19 Pandemic Distance Learning.

Research indicates the COVID-19 epidemic changes people's health and diet, However, this has not yet been well discussed in Taiwan, especially in college students. Therefore, the purpose of this study is to investigate the impact of distance learning on college students' dietary patterns, sleep quality and perception of stress during the COVID-19 epidemic in Taiwan. 265 college students from a university in Taichung were recruited in this study. The self-administered online questionnaire was used to investigate the changes in eating behavior, sleep quality, and perception of stress before and one month after distance learning, and further analyzed the relationship among them. The questionnaire contains demographic information, dietary questionnaires (including six categories of food intake behaviors, convenience food intake frequency), the Pittsburgh Sleep Quality Index (PSQI) and Perceived Stress Scale (Chinese 14-item PSS). The results showed that the proportion of college students to meet the recommended Taiwan Dietary Guidelines amount in vegetables (21.9%), fruits (27.5%), meats and dairy products (15.8%), and nuts and seeds (11.3%) were lower during distance learning. The frequency of convenient food intake was lower during distance learning (13.31 +/- 6.10 points;never to occasionally). During the distance learning period, there was a significant negative correlation between dietary patterns and sleep quality (r = -0.160, p = 0.009), It shows that college students with higher dietary pattern scores have better sleep quality. During the distance learning period, there was a significant positive correlation between sleep quality and perceived stress (r = 0.320, p < 0.001), It shows that college students with higher levels of stress had poorer sleep quality. This study found that the lower the perceived stress of college students, the better their diet and sleep quality;conversely, the higher the perceived stress, the worse their diet and sleep quality. Studies have shown that a healthy, balanced diet can reduce the risk of getting various diseases. Therefore, in the post-epidemic era, it is recommended that schools increase the accessibility and availability of vegetables, fruits, dairy products, nuts and seeds on campus to make it easier for teachers and students to obtain such healthy food in order to achieve the goal of promoting balanced diet.Copyright © 2022 Nutrition Society in Taipei. All rights reserved.

Effects of training and protein/carbohydrate supplementation by food on strength, body composition and bone metabolism in postmenopausal women

Background: Menopause is associated with impairments of health, e.g. cardiovascular disease, changes in body composition, decrease in bone density. Physical activity and nutrition strategies have been demonstrated to counteract some of these disabilities. Aim of the present study was to analyze the impact of 3 months of strength and endurance training combined with protein/carbohydrate supplementation on strength, body composition and bone metabolism in postmenopausal women. Method(s): 62 postmenopausal women were recruited. Measurements: Body composition by BIA. Strength of leg, chest and handgrip. delta44Ca/42Ca in blood and urine as proxies for bone metabolism, samples were analyzed by mass spectrometry. Participants completed 2/week endurance training (walking) for 60 minutes (60-75% km/h of 4mmol threshold) and a whole-body strength training 1/week for 60 minutes (online). In addition, the intervention group (IG) received 100g of sour milk cheese and 76g of white bread (35.3 g carbohydrate, 36.1 g protein, 3.5 g fat, 321 kcal) after each training. Result(s): Training results in an anabolic effect on bone metabolism, here protein/carbohydrate supplementation does not show additive effects. Training resulted in an increase of leg and hand grip strength. For hand grip strength an additive effect could be demonstrated after protein/carbohydrate supplementation. Both groups increased muscle mass and reduced fat mass, although the results were not significant. Discussion(s): Training was effective, showing an increase in strength. Additive effects of the nutritional intervention could be only observed for hand grip strength. This may be due to a weak compliance of the protein/carbohydrate supplementation by a meal while corona pandemic. Also, because of the endurance parts, the training was not specifically designed to increase strength. Nevertheless, even this mild training has a remarkably strong impact on bone metabolism. Conclusion(s): Even if the effects are faint, the data of this study provide evidence that protein/carbohydrate supplementation, also by food, supports the events of training on strength. Training has a strong impact on bone metabolism in postmenopausal women. The subjects respond very individually to training and nutrition interventions. Training consequentially is to be personalized.Copyright © 2023

Brucellosis relapse seven years after first infection in a COVID-19 patient: A case report

Coronavirus disease 2019 (COVID-19) emerged in China and then has spread worldwide. It has been seen in Turkey since March. Brucellosis is a zoonotic disease which is observed in Turkey endemically. Here, we report the firstcase of Brucellosis relapse in a COVID-19 patient. A 39-year-old female had cough, dispnea, fatigue and backpain and miyalgia for one week was admitted. She had leucopenia and lymphopenia in whole blood count. She had a contact history with her COVID-19 positive sister. COVID-19 polymerase chain reaction (PCR) test resulted positive. She received hydroxychloroquine treatment for five days. Her COVID-19 PCR became negative and laboratory improved. Her miyalgia, back pain and fatigue got worse. When her medical history was elaborated, she had a brucellosis history seven years ago. She was completely treated and her Brucella serology tests were negative in 2015. She stated that she didn't consume any unpasteurized milk product recently. Rose-Bengal and Coombs agglutination tests were positive (1:320 titers). She was initialized on treatment and symptoms started to resolve after 15 days of treatment. Severe COVID-19 patients show lymphopenia, particularly reduction of T-cells. Cell mediated immunity is crucial against brucellosis. During pandemic, endemic infections like brucellosis can be observed in patients due to lymphopenia. Further immunological studies are needed.Copyright © 2022, Kuwait Medical Association. All rights reserved.

Exploring trade prospects of Chhurpi and the present status of Chhurpi producers and exporters of Nepal

Chhurpi is the hardest cheese known in the world that is typically made in the mountain region of Nepal by coagulating milk with the help of coagulating agents and thereby partly draining the whey from the milk of Yaks, Chauris, Cows, and Buffaloes. Especially hard Chhurpi of Nepal is gaining popularity abroad as a dog food. However, the crosscutting issues of Chhurpi production and trade have remained largely unexplored. Therefore, to increase our understanding and add some information on the Chhurpi enterprise in Nepal, the present study was undertaken to investigate the current status of producers and exporters of Chhurpi and the crosscutting issues of the Chhurpi trade. The study was conducted during the month of July/August (2021) by preparing a different set of questionnaires for exporters and producers, for which five municipalities of Ilam were purposively selected for producers, while Kathmandu was selected for exporters as a study area. The study was performed during COVID-19 pandemic, so a survey was done via telephonic and electronic means at the Institute of Agricultural Sciences, Banaras Hindu University. After analysis of obtained data, results revealed that exporting companies are making annual average growth of 10–11% from the last five fiscal years resulting in an increment of export. With an increase in annual sales, exporters are earning 10–15% profit of sales which is surging each year. The percentage of annual export decreased recently in the fiscal year 2020/21 due to COVID-19 as demand was low so production was made lower. The study area was dominated by educated, middle-aged respondents who mostly were males. Brahmin and Chhetri were major ethnic groups among producers most of whom are involved in cooperatives. Most of the producers were earning up to NPR 5 lakhs (USD 3817) annually only from Chhurpi. Price variation among wholesalers and retailers was prevalent in the production area. Most producers have reared cattle and their major problem includes feed shortage, disease in animal and breed improvement. Production areas should be made Foot and Mouth Disease free zone by the government through specific laws to further increase export to new countries. © 2022, The Author(s).

Effects of confinement due to COVID-19 in the child population of Alava on vitamin D status, weight and body composition

The coronavirus disease (COVID-19) pandemic brought with it a state of alarm as of March 14, 2020, which implied a restriction on the mobility of the general population and home confinement. One of the main concerns raised by isolation was the substantial reduction in energy expenditure due to children spending more time sitting or participating in activities that involve very low rates of energy expenditure, such as watching television, managing the different networks social One of the nutrients that could be affected due to these changes in lifestyle is vitamin D The longitudinal observational study of a single cohort was carried out in boys and girls from Alava aged between 3-16 years, whose follow-up is carried out in the outpatient clinics of the University Hospital of Alava. For this study, data from a period prior to the lockdown (November 2019-February 2020) was compared with data from the period after the lockdown (May 2020- June 2020). Once the favorable opinion was obtained and after consulting the database of the Pediatric consultation of the University Hospital of Alava, it was observed that 230 girls and boys met the parameters for inclusion in the study. After eliminating those who did not have a previous or subsequent analysis of vitamin D, the sample size was reduced to 76 Results: - An increase in size: they are in the growth phase. - An increase in weight - An increase in the body mass index: In this case, this index also increased from 19.5to19.9 - A drop in physical activity - An increase in the number of hours that participants spent on electronic devices. - An increase in the percentage of girls and boys who help in the kitchen: After confinement, the percentage increased to 70%. - An increase in the weekly consumption of snacks(p<0.005). - There were no changes in the number of daily meals, servings of fruit, vegetables, dairy products, fish, red meat, eggs or sugary drinks- There were no differences in the number of hours the participants slept before and during the lockdown. - An increase in glucoset (p<0.005) although both parameters are within normal values. - An increase in vitamin D: 22.35 ng/dL on average, which rose to 25.57 ng/dL.This difference is significant (p<0.005), although both parameters are within normal levels.This increase may be due to the fact that after confinement the population wanted to go out and took more time in the street.In addition, shops and interior sites were closed.

Dietary intake and eating behavior in the Chilean population during the COVID-19 lockdown

Lockdown and social distancing due to COVID-19 affected the mental health and lifestyle of the population. However, there is insufficient evidence of alterations in eating behavior. Our study seeks to describe the relationship between eating behavior and eating habits among Chilean adults during the confinement period. A sample of 760 Chilean subjects was analyzed, who answered surveys using Google Forms, considering demographic characteristics, social distancing, dietary habits and EB. More than half of the participants consider that their dietary intake increased during confinement. Changes in dietary intake were analyzed according to food group, and a decrease in the consumption of fish, fruits and dairy products was observed, while legumes, processed foods and soft drinks showed an increase, which represents risk factors for the development of cardiovascular diseases. When analyzing eating behavior, a greater difficulty in stopping eating was observed when faced with external stimuli;increased intake associated with complex emotional situations, and when iso-lating the group that decreased their intake of unhealthy foods, a greater ability to limit their intake for weight control was reported. Our results are similar to other studies, and they reinforce that confinement is related to eating behavior, leading to changes in eating habits, which indicates that, at the public health level, post-pandemic nutritional strategies, should be focused on regulating eating behavior in order to guide habits towards healthy eating. Copyright © 2022, Sociedad Chilena de Nutricion Bromatologia y Toxilogica. All rights reserved.

Systematic Reviews of Different Types of Drug Delivery in the Treatment and Prevention of Oral and Dental and Cardiorespiratory Diseases in Patients and Animals Involved in the Disease

This study has systematically investigated the types of drug delivery in the treatment and prevention of oral and dental and cardiorespiratory diseases in patients and animals involved in the disease. Early recognition of risk factors and primary prevention significantly reduces complications and mortality in chronic heart diseases. Lifestyle modification with diet, exercise and smoking cessation is very important to reduce cardiovascular risk factors. In the first days of the disease, when the patient has mild symptoms and has not yet developed respiratory symptoms, you can start treatment with painkillers for headache, sore throat and body pain, along with taking antitussive medicine and vitamin D and C although scientifically the effect of vitamin C. It is not proven, but considering that we still do not have extensive studies on this disease, it seems that taking vitamins may help the patient. Sometimes, some patients themselves start treatment with azithromycin, while this antibiotic has an effect on antibacterial infections and has no effect on the disease of Covid-19. Favipiravir treatment should be started in high-risk outpatients with corona. Of course, along with treatment with favipiravir and similar antiviral effects, it can be effective in the treatment of corona. Famotidine and melatonin, which help improve sleep and are said to have antiviral effects. Of course, melatonin medicine should be taken at around 11 to 12 at night. Because it affects the sleep and wake cycle. Montelukast along with fexofenadine, can have antiviral effects for covid-19 patients. Since the beginning of the Corona pandemic, the world has emphasized on the monthly consumption of vitamin D, but if you do not have a monthly intake, use 1000 milligrams daily or up to 50 thousand units every week and after some time continue to consume vitamin D on a monthly basis. It is also recommended to take vitamin C and magnesium, and it is better for patients to eat foods rich in protein, potassium, and dairy products.

Upgrading Indonesian Dairy Farmer Value Chain based on Economic Resilience Approach during Covid-19

The Indonesian dairy industry is one of the many industries that suffered during the Covid-19 pandemic. Also, dairy farmers experience a low level of economic resilience. To find an answer to this challenge, the author adopts an innovative approach in this research by using the parameters of economic resilience to ensure the sustainability of the dairy farmer's business. It uses mathematical modelling for estimating the ratio of economic resilience (R = 0.96), and based on that;it becomes an indicator for upgrading the dairy farmer's value chain. In addition, we found strategies for increasing the bargaining power of the dairy processing companies by strengthening the role of cooperative as a manifestation of horizontal integration.

Diet and Lifestyle Guidelines for Immunomodulation with Reference to Corona Virus Pandemic: A Scientific Statement of the International College of Nutrition

The immune system is comprised of lymph glands, lymph nodes, thymus gland, spleen, bone marrow, lymphocytes, and molecules such as antibodies and cytokines. It has a vast array of functionally different cells such as T and B lymphocytes, macrophages, neutrophils and mast cells. The ontogenesis of the immune system is comprised of the innate immune cells and the adaptive immune cells, where innate immune cells are the first defense mechanisms to respond to pathogenic environmental factors. There are multiple components of the adaptive immune cells, including immunoglobulins (Igs), T-cell receptors (TCR), and major histocompatibility complex (MHC) responsible for adaptive immunity. However, many elements of both the innate and adaptive immune systems are conserved in our bodies. The adaptive immunity is a type of immunity that develops when a person’s immune cells respond to a pathogen such as microorganism or vaccination. Environmental factors such as pathogenic bacteria or viruses, solar exposure, age, exercise, stress, diet, sleep quality and air pollutants can influence the immune system. There may be marked decline in the immune function due to attack of COVID-19. Most patients with mild COVID-19 develop an appropriate immune response that culminates with viral clearance. However, severe disease manifestations have been linked to lymphopenia and immune hyper-responsiveness leading to cytokine storm. It has been observed that in COVID-19, alveolar macrophages are epigenetically altered after inflammation, leading to long-term lung immune-paralysis. Western diets are known to have adverse effects on the immune function. However, Mediterranean-type diets rich in short-and long-chain polyunsaturated fatty acids (PUFA), vegetables, nuts and fruits, dairy products and fish and red wine, due to high content of vitamins, minerals and flavonoids may be useful in boosting immunity. Moderate physical activity may also cause an extensive increase in numerous and varied lipid super-pathway metabolites, including oxidized derivatives called oxylipins. Emerging evidence suggests that dietary supplements containing flavonoids, carotenoids, coenzyme Q10 (CoQ10), vitamins, minerals and antioxidants modulate gene and protein expression and thereby modify endogenous metabolic pathways, and consequently enhance the immunity. Mediterranean-type diet and multiple bioactive nutrients, fatty acids, amino acids, vitamins and minerals as well as moderate physical activity may be crucial for enhancing immunomodulation.

Determining Associations Between Dietary Vitamin D Intake and Episodes of Infection, Rejection and Length of Stay in Hospital in Kidney and Kidney-Pancreas Transplant Patients

Background: Vitamin D is a pleiotropic hormone and plays a major role in protecting the body against infection and regulating inflammation. Research suggests that kidney [K] recipients with low levels of 25 hydroxyvitamin D3 (25(OH)D3) have a higher incidence of infections and rejection. Furthermore, research indicates low dietary vitamin D intake is positively associated with a lowered 25(OH)D3 serum levels. However, no research exists examining vitamin D intake and length of stay in the hospital [LOS(H)] in the K and K-pancreas [KP] population. Objective: The objective was to determine the associations between dietary vitamin D intake and episodes of infection, rejection, and LOS(H) in K+KP transplant recipients. Methods: Methods: A prospective investigation of 110 K+KP transplant patients with follow-up at 3, 6, 9, and 12-months posttransplant was undertaken. Due to barriers encountered by the COVID-19 pandemic, data was collected at baseline and 3 months only. Dietary vitamin D intake was obtained through modified Automated Multi-pass Method 24-hour (24HR) dietary recall at baseline which were analyzed by ESHA Food Processor. Vitamin D intake amounts did not include intake from supplementation. Episodes of infection, rejection and LOS(H) were recorded at 3 months post-transplant. Demographic data was determined using frequencies and means ± SD. Associations were determined using Spearman's correlations. Statistical analysis was preformed using SPSS v27 and statistical significance was determined using p < 0.05. Results: Results/Discussion: 100K and 10KP were available for evaluation. Participants were 64% male and 36% female, mean age: 50.5 ± 13.9 years, and BMI: 28.6 ± 5.5kg/m2. 99% of our patient population did not meet their recommended dietary allowance [RDA] for vitamin D intake by food alone, thus, it is possible that a portion of our patient population would have deficient serum 25(OH)D3 levels. No significant associations were found between vitamin D intake and episodes of infection, rejection, or LOS(H) at 3 months. We report 25% vitamin D intake from dairy products and only 2% from margarine. Lower intake of dairy products may be related to the recommendation of a potassiumrestricted nutrition care plan in the K+KP population. Conclusion: Conclusion: We report no association between vitamin D intake and episodes of infection, rejection, or LOS(H) likely due to the fact that the majority of our population's dietary intake did not meet vitamin D intake recommendations. Our future research will focus on improving patient vitamin D intake, supplementation and investigating 25(OH)D3 levels in association with episodes of infection, rejection, and LOS(H).

Guest editorial

[...]some call the field data analytics. [...]modeling is a key component of the analytics field. In particular, the methodology is useful to deal with inaccurate judgment and different perceptions. [...]the model assigns risk levels to each model input.

Recent developments in dairy kefir-derived lactic acid bacteria and their health benefits

Kefir is one of the most consumed traditional fermented dairy products and it has a complex probiotic and nutritional composition. Kefir grain contains casein and other milk solids together with the yeasts and lactobacilli that cause the characteristic kefir fermentation and serve as a starter to induce this fermentation when introduced into fresh milk. Both kefir and kefir grains have a rich microbiota and their composition is affected by many parameters like kefir origin, production method (artisanal or industrial), kefir grain: milk ratio, type of milk, fermentation conditions, inoculum source, equipment used in production and storage conditions. Lactic acid bacteria (LAB) are a significant part of the kefir's microbial composition and the health-promoting effects. Kefir-derived LAB have beneficial effects on colorectal cancer, cardiovascular diseases, type 2 diabetes mellitus, obesity, kidney diseases, modulation of the immune system as well as intestinal microbiota through different biological mechanisms. In addition, bioactive peptides and metabolic products of kefir have shown promising results as health beneficial components along with certain antiviral effects including COVID-19. Therefore, this article is up-to-date information about the production, processing as well as health benefits of dairy kefir-derived LAB with future prospect of work.