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1.
BMC Pregnancy Childbirth ; 24(1): 218, 2024 Mar 25.
Article En | MEDLINE | ID: mdl-38528502

BACKGROUND: Being exposed to crises during pregnancy can affect maternal health through stress exposure, which can in return impact neonatal health. We investigated temporal trends in neonatal outcomes in Switzerland between 2007 and 2022 and their variations depending on exposure to the economic crisis of 2008, the flu pandemic of 2009, heatwaves (2015 and 2018) and the COVID-19 pandemic. METHODS: Using individual cross-sectional data encompassing all births occurring in Switzerland at the monthly level (2007-2022), we analysed changes in birth weight and in the rates of preterm birth (PTB) and stillbirth through time with generalized additive models. We assessed whether the intensity or length of crisis exposure was associated with variations in these outcomes. Furthermore, we explored effects of exposure depending on trimesters of pregnancy. RESULTS: Over 1.2 million singleton births were included in our analyses. While birth weight and the rate of stillbirth have remained stable since 2007, the rate of PTB has declined by one percentage point. Exposure to the crises led to different results, but effect sizes were overall small. Exposure to COVID-19, irrespective of the pregnancy trimester, was associated with a higher birth weight (+12 grams [95% confidence interval (CI) 5.5 to 17.9 grams]). Being exposed to COVID-19 during the last trimester was associated with an increased risk of stillbirth (odds ratio 1.24 [95%CI 1.02 to 1.50]). Exposure to the 2008 economic crisis during pregnancy was not associated with any changes in neonatal health outcomes, while heatwave effect was difficult to interpret. CONCLUSION: Overall, maternal and neonatal health demonstrated resilience to the economic crisis and to the COVID-19 pandemic in a high-income country like Switzerland. However, the effect of exposure to the COVID-19 pandemic is dual, and the negative impact of maternal infection on pregnancy is well-documented. Stress exposure and economic constraint may also have had adverse effects among the most vulnerable subgroups of Switzerland. To investigate better the impact of heatwave exposure on neonatal health, weekly or daily-level data is needed, instead of monthly-level data.


COVID-19 , Premature Birth , Pregnancy , Female , Infant, Newborn , Humans , Stillbirth/epidemiology , Premature Birth/epidemiology , Cross-Sectional Studies , Switzerland/epidemiology , Birth Weight , Pandemics , COVID-19/epidemiology , Pregnancy Outcome/epidemiology
2.
Chemosphere ; 349: 140986, 2024 Feb.
Article En | MEDLINE | ID: mdl-38109973

Knowledge of precipitation composition is important, among other things, to reveal changes in atmospheric chemistry. Here we present the long-term time trends in ratios of major ions in precipitation, namely nitrate to sulphate (NO3-/SO42-), ammonium to sulphate (NH4+/SO42-) and ammonium to nitrate (NH4+/NO3-). For this we explore the long-term time series recorded by the Czech Hydrometeorological Institute at eight monitoring sites situated in urban, rural and mountain regions of the Czech Republic between 1980 and 2020. To that end, we use innovative Bayesian inference with the Integrated Nested Laplace Approximation (INLA) computational method appropriate for investigating complicated large-scale data. Our results indicated: (i) increasing NO3-/SO42- ratio in precipitation over time and distinct seasonal behaviour with higher values in winter and lower values in summer, (ii) increasing NH4+/SO42- ratio in precipitation and distinct seasonal behaviour with higher values in summer and lower values in winter and (iii) relatively stable NH4+/NO3- ratio in precipitation with a mild recent increase and distinct seasonal behaviour with higher values in summer and lower values in winter. This behaviour pattern holds true for all the sites analysed, irrespective of their geographical position, altitude or environment. Though explored in detail rarely, the ion ratios are important to study as they reflect changes in atmospheric chemistry, mirroring changes in emissions and meteorology and suggesting changing impacts on ecosystems and the environment.


Air Pollutants , Ammonium Compounds , Nitrates/analysis , Bayes Theorem , Ecosystem , Environmental Monitoring , Ions/chemistry , Seasons , Sulfates/analysis , Air Pollutants/analysis
3.
BMC Res Notes ; 16(1): 238, 2023 Sep 29.
Article En | MEDLINE | ID: mdl-37773138

OBJECTIVES: The electroretinogram is a clinical test commonly used in the diagnosis of retinal disorders with the peak time and amplitude of the a- and b-waves used as the main indicators of retinal function. However, subtle changes that affect the shape of the electroretinogram waveform may occur in the early stages of disease or in conditions that have a neurodevelopmental or neurodegenerative origin. In such cases, we introduce a statistical approach to mathematically model the shape of the electroretinogram waveform that may aid clinicians and researchers using the electroretinogram or other biological signal recordings to identify morphological features in the waveforms that may not be captured by the time or time-frequency domains of the waveforms. We present a statistical graphics-based analysis of the ascending limb of the b-wave (AL-b) of the electroretinogram in children with and without a diagnosis of autism spectrum disorder (ASD) with a narrative explanation of the statistical approach to illustrate how different features of the waveform based on location and scale derived from raw and registered time series can reveal subtle differences between the groups. RESULTS: Analysis of the raw time trajectories confirmed findings of previous studies with a reduced and delayed b-wave amplitude in ASD. However, when the individual time trajectories were registered then group differences were visible in the mean amplitude at registered time ~ 0.6 suggesting a novel method to differentiate groups using registration of the ERG waveform.


Autism Spectrum Disorder , Child , Humans , Time Factors , Electroretinography/methods , Retina , Research Design , Photic Stimulation/methods
4.
Bioengineering (Basel) ; 10(8)2023 Jul 29.
Article En | MEDLINE | ID: mdl-37627785

To compare the therapeutic efficacy of cryopreserved amniotic membrane (AM) grafts and standard of care (SOC) in treating nonhealing wounds (NHW) through a prospective multicenter clinical trial, 42 patients (76% polymorbid) with 54 nonhealing wounds of various etiologies (mainly venous) and an average baseline size of 20 cm2 were included. All patients were treated for at least 6 weeks in the center before they were involved in the study. In the SOC group, 29 patients (36 wounds) were treated. If the wound healed less than 20% of the baseline size after 6 weeks, the patient was transferred to the AM group (35 patients, 43 wounds). Weekly visits included an assessment of the patient's condition, photo documentation, wound debridement, and dressing. Quality of life and the pain degree were subjectively reported by patients. After SOC, 7 wounds were healed completely, 1 defect partially, and 28 defects remained unhealed. AM application led to the complete closure of 24 wounds, partial healing occurred in 10, and 9 remained unhealed. The degree of pain and the quality of life improved significantly in all patients after AM application. This study demonstrates the effectiveness of cryopreserved AM grafts in the healing of NHW of polymorbid patients and associated pain reduction.

5.
Article En | MEDLINE | ID: mdl-37502671

The advent of technological developments is allowing to gather large amounts of data in several research fields. Learning analytics (LA)/educational data mining has access to big observational unstructured data captured from educational settings and relies mostly on unsupervised machine learning (ML) algorithms to make sense of such type of data. Generalized additive models for location, scale, and shape (GAMLSS) are a supervised statistical learning framework that allows modeling all the parameters of the distribution of the response variable with respect to the explanatory variables. This article overviews the power and flexibility of GAMLSS in relation to some ML techniques. Also, GAMLSS' capability to be tailored toward causality via causal regularization is briefly commented. This overview is illustrated via a data set from the field of LA. This article is categorized under:Application Areas > Education and LearningAlgorithmic Development > StatisticsTechnologies > Machine Learning.

6.
Environ Sci Pollut Res Int ; 30(33): 80014-80028, 2023 Jul.
Article En | MEDLINE | ID: mdl-37291343

The representativeness of ambient air quality of an in situ measurement is key in the use and correct interpretation of the measured concentration values. Though the horizontal representativeness aspect is generally not neglected in air pollution studies, a detailed, high-resolution vertical distribution of ambient air pollutant concentrations is rarely addressed. The aim of this study is twofold: (i) to explore the vertical distribution of ground-level ozone (O3) concentrations measured at four heights above the ground-namely at 2, 8, 50, and 230 m-and (ii) to examine in detail the vertical O3 concentration gradient in air columns between 2 and 8, 8 and 50, and 50 and 230 m above the ground. We use the daily mean O3 concentrations measured continuously at the Kosetice station, representing the rural Central European background ambient air quality observed during 2015-2021. We use the semiparametric GAM (generalised additive model) approach (with complexity or roughness-penalised splines implementation) to analyse the data with sufficient flexibility. Our models for both O3 concentrations and O3 gradients use (additive) decomposition into annual trend and seasonality (plus an overall intercept). The seasonal and year-to-year patterns of the modelled O3 concentrations look very similar at first glance. Nevertheless, a more detailed look through O3 gradients shows that they differ substantially with respect to their seasonal and long-term dynamics. The vertical O3 concentration gradient in 2-230 m is not uniform but changes substantially with increasing height and shows by far the highest dynamics near the ground between 2 and 8 m, differing in both the seasonal and annual aspects for all the air columns inspected. We speculate that non-linear changes of both seasonal and annual components of vertical O3 gradients are due to atmospheric-terrestrial interactions and to meteorological factors, which we will explore in a future study.


Air Pollutants , Air Pollution , Ozone , Ozone/analysis , Air Pollution/analysis , Air Pollutants/analysis , Meteorological Concepts , Environmental Monitoring
7.
Epilepsia Open ; 8(3): 1021-1027, 2023 09.
Article En | MEDLINE | ID: mdl-37345572

OBJECTIVE: The ketogenic diet (KD) is a diet low in carbohydrates and rich in fats which has long been used to treat refractory epilepsy. The metabolic changes related to the KD may increase the risk of hypoglycemia, especially during the first days. The study focused on the impact of KD initiation on glycemia in non-diabetic patients with refractory epilepsy. METHODS: The subjects were 10 pediatric patients (6 boys, mean age 6.1 ± 2.4 years), treated for intractable epilepsy. Blinded continuous glucose monitoring system (CGM) Dexcom G4 was used. Patients started on their regular diet in the first 36 hours of monitoring, followed by an increase in lipids intake and a gradual reduction of carbohydrates (relations 1:1; 2:1; 3:1; 3.5:1). We analyzed changes in glycemia during fat: nonfat ratio changes using a generalized linear model. RESULTS: The mean monitored time per person was 6 days, 10 hours and 44 minutes. The mean ± SD glycemia for the regular diet was 4.84 ± 0.20 mmol/L, for the carbohydrates/fat ratio of 1:1 it was 4.03 ± 0.16, for the ratio of 2:1 it was 3.57 ± 0.10, for the ratio 3:1 it was 3.39 ± 0.13 and for the final ratio of 3.5:1 it was 2.79 ± 0.06 mmol/L (P < 0.001). The portions of time spent in glycemia ≤3.5 mmol/L (≤2.5 mmol/L respectively) were: on the normal diet 0.88% (0.31%) of the monitored period, during 1:1 KD ratio 1.92% (0.95%), during 2:1 ratio 3.18% (1.02%), and during 3:1 and 3.5:1 ratios 13.64% (2.36%) of the monitored time (P < 0.05). SIGNIFICANCE: Continuous glucose monitoring system shows the dynamic of glucose concentration in ketogenic diet treatment initiation. It may be a useful tool to control the effects of this diet on glucose metabolism, especially in hypoglycemia detection.


Diet, Ketogenic , Drug Resistant Epilepsy , Hypoglycemia , Male , Humans , Child , Child, Preschool , Diet, Ketogenic/methods , Blood Glucose , Blood Glucose Self-Monitoring , Dietary Fats/metabolism , Prospective Studies
8.
Cells ; 12(9)2023 04 23.
Article En | MEDLINE | ID: mdl-37174620

The volume reduction of the gray matter structures in patients with Alzheimer's disease is often accompanied by an asymmetric increase in the number of white matter fibers located close to these structures. The present study aims to investigate the white matter structure changes in the motor basal ganglia in Alzheimer's disease patients compared to healthy controls using diffusion tensor imaging. The amounts of tracts, tract length, tract volume, quantitative anisotropy, and general fractional anisotropy were measured in ten patients with Alzheimer's disease and ten healthy controls. A significant decrease in the number of tracts and general fractional anisotropy was found in patients with Alzheimer's disease compared to controls in the right caudate nucleus, while an increase was found in the left and the right putamen. Further, a significant decrease in the structural volume of the left and the right putamen was observed. An increase in the white matter diffusion tensor imaging parameters in patients with Alzheimer's disease was observed only in the putamen bilaterally. The right caudate showed a decrease in both the diffusion tensor imaging parameters and the volume in Alzheimer's disease patients. The right pallidum showed an increase in the diffusion tensor imaging parameters but a decrease in volume in Alzheimer's disease patients.


Alzheimer Disease , White Matter , Humans , Diffusion Tensor Imaging/methods , Alzheimer Disease/diagnostic imaging , White Matter/diagnostic imaging , Gray Matter/diagnostic imaging , Putamen/diagnostic imaging
10.
JMIR Form Res ; 7: e35064, 2023 Apr 28.
Article En | MEDLINE | ID: mdl-37115601

BACKGROUND: Today's diabetes-oriented telemedicine systems can gather and analyze many parameters like blood glucose levels, carbohydrate intake, insulin doses, and physical activity levels (steps). Information collected can be presented to patients in a variety of graphical outputs. Despite the availability of several technical means, a large percentage of patients do not reach the goals established in their diabetes treatment. OBJECTIVE: The objective of the study was to evaluate the benefits of the Diani telemedicine system for the treatment of patients with type 1 diabetes mellitus. METHODS: Data were collected during a 24-week feasibility study. Patients responded to the World Health Organization Quality of Life - BREF (WHOQOL-BREF) questionnaire and a system evaluation questionnaire. The level of glycated hemoglobin (HbA1c) and the patient's body weight were measured, and the patient's use of the telemedicine system and their daily physical activity level were monitored. All data were sent from the patient's device to the Diani server using a real-time diabetes diary app. Wilcoxon and Friedman tests and the linear mixed effects method were used for data analysis. RESULTS: This study involved 10 patients (men: n=5; women: n=5), with a mean age of 47.7 (SD 19.3) years, a mean duration of diabetes of 10.5 (SD 8.6) years, and a mean HbA1c value of 59.5 (SD 6.7) mmol/mol. The median number of days the patients used the system was 84. After the intervention, the mean HbA1c decreased by 4.35 mmol/mol (P=.01). The patients spent 18.6 (SD 6.8) minutes on average using the app daily. After the intervention, the number of patients who measured their blood glucose level at least 3 times a day increased by 30%. The graphical visualization of the monitored parameters, automatic transmission of measured data from the glucometer, compatibility, and interconnection of individual devices when entering data were positively evaluated by patients. CONCLUSIONS: The Diani system was found to be beneficial for patients with type 1 diabetes mellitus in terms of managing their disease. Patients perceived it positively; it strengthened their knowledge of diabetes and their understanding of the influences of the measured values on the management of their disease. Its use had a positive effect on the HbA1c level.

11.
Mov Ecol ; 11(1): 16, 2023 Mar 22.
Article En | MEDLINE | ID: mdl-36949527

BACKGROUND: Animal migrations are periodic and relatively predictable events, and their precise timing is essential to the reproductive success. Despite large scientific effort in monitoring animal reproductive phenology, identification of complex environmental cues that determine the timing of reproductive migrations and temporal changes in the size of reproductive aggregations in relation to environmental variables is relatively rare in the current scientific literature. METHODS: We tagged and tracked 1702 individuals of asp (Leuciscus aspius), a large minnow species, and monitored with a resolution of one hour the size of their reproductive aggregations (counts of sexes present at the breeding grounds standardized by the sum of individuals in the season) over seven breeding seasons using passive integrated transponder tag systems. We examined the size of reproductive aggregations in relation to environmental cues of day number within a reproductive season (intra-year seasonality), water temperature, discharge, hour in a day (intra-day pattern), temperature difference between water and air, precipitation, atmospheric pressure, wind speed and lunar phase. A generalized additive model integrating evidence from seven breeding seasons and providing typical dynamics of reproductive aggregations was constructed. RESULTS: We demonstrated that all environmental cues considered contributed to the changes in the size of reproductive aggregations during breeding season, and that some effects varied during breeding season. Our model explained approximately 50% of the variability in the data and the effects were sex-dependent (models of the same structure were fitted to each sex separately, so that we effectively stratified on sex). The size of reproductive aggregations increased unimodally in response to day in season, correlated positively with water temperature and wind speed, was highest before and after the full moon, and highest at night (interacting with day in a season). Males responded negatively and females positively to increase in atmospheric pressure. CONCLUSION: The data demonstrate complex utilization of available environmental cues to time reproductive aggregations in freshwater fish and their interactions during the reproductive season. The study highlights the need to acquire diverse data sets consisting of many environmental cues to achieve high accuracy of interpretation of reproductive timing.

12.
PLoS One ; 18(2): e0281506, 2023.
Article En | MEDLINE | ID: mdl-36780494

BACKGROUND: Research confirms the negative relationship between early marriage and mothers' and children's health outcomes. This is why studies of the changes in age at marriage are an important task from the point of view of the health status and well-being of a mother and her offspring, especially in groups represented by extremely disadvantaged social strata in India. The results of such studies may influence the future family planning policy in the country. OBJECTIVES: This study aims to investigate the trend of age at marriage among the Scheduled Castes (SCs) women from two Indian states: Madhya Pradesh and Uttar Pradesh relative to the level of education and also to socioeconomic changes in the states. These states manifest the highest proportion of girls getting married below the age of 18 years-far above the proportion observed in entire India. METHODS: Women from Scheduled Caste, N = 1,612, aged 25-65, born in 1950-1990 were investigated. A modern semiparametric regression approach was used. To capture the relationship between age at marriage and year of birth, categories of women's level of education (illiterate; primary: 1st-5th standards; middle school: 6th-8th standards; high school: 9th-10th standards; higher secondary: 11th-12th standards), and categories of the profession (women working in the agricultural sector or the non-agricultural sector), flexible framework of the Generalized Additive Model (GAM) was applied. RESULTS: A significant impact of the cohort defined by the year of birth (<0.001), and women's education (<0.001) on age at marriage was noted, while the influence of women's occupation was not significant (p = 0.642). Mean age at marriage differed significantly with different education level. Women who graduated from primary school married 0.631 years later on average than illiterate ones, while those who graduated from middle schools, high schools (9th-10th standards) and higher secondary schools married significantly later than illiterate ones by 1.454 years and 2.463 years, respectively. Age at marriage increased over time: from slightly above 15 years in the cohort of illiterate women born in 1950 to almost 19 years in quite well-educated women born in 1990. The average age at marriage estimated for four education levels in 1990 ranged between 16.39 years (95%CI: 15.29-17.50) in the group of illiterate women and 18.86 years (95%CI: 17.76-19.95) in women graduated from high and higher secondary schools. CONCLUSION: The rise of age at marriage can be partly explained by the increase of females enrolled in schools, the alleviation of poverty, and the implementation of social programs for women.


Family Planning Policy , Social Class , Humans , Adult , Pregnancy , Child , Female , Aged , Adolescent , Educational Status , Schools , Parturition , India , Socioeconomic Factors , Developing Countries
13.
Sci Total Environ ; 865: 161198, 2023 Mar 20.
Article En | MEDLINE | ID: mdl-36592901

To examine the suitability of fish scales as potential tracers of nutrient pollution, we analysed the nitrogen and carbon stable isotope values (δ15N and δ13C) in scales of a generalist fish species, roach Rutilus rutilus, collected from 22 Czech reservoirs covering wide gradients of catchment land use and nutrient enrichment. Using generalised additive mixed models in the first step and generalised linear mixed models in the second step, we evaluated the response of roach scale stable isotope values to catchment land use variables (percentage of agricultural land and human population density) and in-reservoir water quality variables. Roach scale δ15N values varied by 15 ‰ among the reservoirs and were strongly, linearly, and positively associated with the percentage of agricultural land in the reservoir catchments, pointing to agriculture as the dominant source of nitrogen pollution in the investigated systems. Roach scale δ13C values differed by 8 ‰ among the studied reservoirs and were not related to catchment land use variables or in-reservoir primary production (chlorophyll-a levels). Possible variation in roach foraging strategies (littoral versus pelagic) between reservoirs or the contrasting effects of eutrophication-related autotrophic and heterotrophic processes on baseline δ13C values may explain the lack of relationships between roach scale δ13C values and the explanatory variables. In summary, our findings show that fish scale δ15N values are sensitive bioindicators of catchment-derived anthropogenic nitrogen inputs to freshwater ecosystems. Because scales can be sampled in a nonlethal way and δ15N analysis is relatively inexpensive, we suggest that measuring the δ15N values of fish scales could be an effective method for monitoring nitrogen pollution in aquatic environments.


Cyprinidae , Ecosystem , Animals , Humans , Nitrogen Isotopes/analysis , Environmental Monitoring/methods , Nitrogen/analysis , Carbon Isotopes/analysis
14.
Am J Hum Biol ; 35(2): e23817, 2023 02.
Article En | MEDLINE | ID: mdl-36219696

OBJECTIVE: To address the relationship between socioeconomic factors and age of menarche among Polish women born and reared in periods that varied considerably in environmental stresses: the Great Depression of the 1930s, the interval of World War II, and the interval of communist rule following World War II through the 1950s. METHODS: The data set included information on age at menarche and socioeconomic status (SES) of 718 women born during the Great Depression (n = 182), WWII (n = 189), and post-WWII through the 1950s (n = 347). A structured semi-parametric statistical model (generalized additive model [GAM] class) was used for analysis. An ANOVA-like linear model was used to test for marginal effects of SES-related factors and their interactions together with nonparametric seasonal effect. RESULTS: The influence of period of birth, month of birth, region of early childhood, and father's education, and the interaction between period of birth and father's education on age at menarche were statistically significant. During the economic crisis and the interval of WWII, differences in ages at menarche between the extreme categories of father's education were marked. The differences in ages at menarche between women from the lowest and highest social groups were markedly reduced among women born during the post-war interval. In addition, women born in February-March attained menarche earlier than women born in September-October. CONCLUSIONS: Unpredictable conditions associated with the economic crisis and war conditions had a stronger impact on age at menarche among women from families of lower SES compared to women from better economic circumstances. Individuals born and reared in low SES conditions likely suffered more severe deterioration across the spectrum of the standard of living and quality of life compared to those with a higher SES.


Menarche , Quality of Life , Humans , Female , Child, Preschool , Poland , Age Factors , Socioeconomic Factors , Social Class
15.
Article En | MEDLINE | ID: mdl-36231219

Apart from influencing the health of the worldwide population, the COVID-19 pandemic changed the day-to-day life of all, including children. A sedentary lifestyle along with the transformation of eating and sleep habits took place in the child population. These changes created a highly obesogenic environment. Our aim was to evaluate the current weight in the child population and identify the real effects of the pandemic. Height and weight data were collected by pediatricians from the pre-COVID-19 and post-COVID-19 periods from 3517 children (1759 boys and 1758 girls) aged 4.71 to 17.33 years. We found a significant rise in the z-score BMI between pediatric visits in the years 2019 and 2021 in both sexes aged 7, 9, 11, and 13 years. Especially alarming were the percentages of (severely) obese boys at the ages of 9 and 11 years, which exceed even the percentages of overweight boys. With the use of statistical modeling, we registered the most dramatic increment at around 12 years of age in both sexes. Based on our research in the Czech Republic, we can confirm the predictions that were given at the beginning of the pandemic that COVID-19-related restrictions worsened the already present problem of obesity and excess weight in children.


COVID-19 , Pediatric Obesity , Body Mass Index , COVID-19/epidemiology , Child , Czech Republic/epidemiology , Female , Humans , Male , Obesity/epidemiology , Overweight/epidemiology , Pandemics , Pediatric Obesity/epidemiology , Prevalence
16.
Eur J Public Health ; 32(6): 955-961, 2022 11 29.
Article En | MEDLINE | ID: mdl-35993882

BACKGROUND: Owing to the coronavirus disease pandemic, the Swiss goverment imposed a shutdown twice in 2020, which may have changed diet and physical activity. Regarding the question of weight change during the pandemic, little information based on measured weight data is available. We aimed to investigate whether the body mass indices (BMIs) of young Swiss men after the two shutdowns in spring and fall 2020 differed from those of young men examined before the shutdowns. METHODS: We analysed young Swiss men's BMIs taken during mandatory recruitment for the Swiss Armed Forces at the cross-sectional (not individual longitudinal) monitoring level and across weeks of conscription between January 2010 and July 2021 (n = 373 016). These data allow for continuous health monitoring of young men at almost the population level (coverage, >90%). For statistical modelling, we used the generalized additive model (GAM) framework. RESULTS: We showed that the BMIs of the conscripts examined in the 15 weeks after the two shutdowns in spring and autumn 2020 were not or only slightly different from their baseline values. Sensitivity analyses revealed that this conclusion also holds if the BMI distribution or prevalence of excess weight is assessed. The GAM further showed the significant effects of individual and area-based measures of socioeconomic position and age on BMI. CONCLUSION: Our results suggest that lifestyle changes during the pandemic in young men might have been too modest to be reflected in body weight. However, longitudinal data and/or data on women, children, or the elderly may lead to different conclusions.


COVID-19 , Pandemics , Male , Child , Humans , Female , Aged , Body Mass Index , Cross-Sectional Studies , Switzerland/epidemiology , Obesity/epidemiology , COVID-19/epidemiology
17.
Spat Spatiotemporal Epidemiol ; 41: 100501, 2022 06.
Article En | MEDLINE | ID: mdl-35691639

OBJECTIVES: Smoking-related mortality varies over different social, environmental, and policy contexts. However, spatial patterns, examined at a small area level, have been seldom considered. Therefore, the study provides a detailed analysis of socio-spatial inequalities in premature mortality related to smoking in the contemporary Czech adult population. DESIGN, SETTINGS, AND METHODS: We conducted a population-based, cross-sectional study to investigate the spatial pattern of the age-adjusted smoking-related mortality across Czechia. The spatial inequalities, as measured at the municipality level, were investigated using geostatistical modeling techniques. The ecological regression of the local mortality risk on socioeconomic composition of municipalities was also conducted. The target population was defined as permanent adult residents of Czechia aged 25-64 years in the period of 2011-2015. RESULTS: Among both sexes, a significant spatial gradient in the South-East (lower relative risk) - North-West (higher relative risk) axis was detected. The local mortality risk was significantly related to the level of relative deprivation of the municipalities (a composite index comprised from unemployment rate and level of education): adjusted RR among males (for an increase by 1 SD): 1.21 [95% CI: 1.158-1.256], p < 0.001; adjusted RR among females (for an increase by 1 SD): 1.14 [95% CI: 1.090-1.186], p < 0.001. Mortality among males was approximately twice as high as opposed to females. Regarding the spatial inequalities of the phenomena, however, only rather minor sex-specific patterns were identified. Contrasted to males, mortality among females was unrelated to unemployment rates. CONCLUSIONS: Consistent spatial patterns of the premature mortality were identified. The mortality risk was significantly related to socioeconomic composition of the Czech municipalities. The higher the level of local deprivation, the higher the local mortality risk. The results of the study can be found beneficial for planning of both socially and spatially integrated public health policy.


Mortality, Premature , Smoking , Adult , Cause of Death , Cross-Sectional Studies , Czech Republic/epidemiology , Female , Humans , Male , Mortality , Registries , Risk Factors , Small-Area Analysis , Socioeconomic Factors
18.
Sci Rep ; 12(1): 8612, 2022 05 23.
Article En | MEDLINE | ID: mdl-35606377

Reservoirs interrupt natural riverine continuity, reduce the overall diversity of the environment, and enhance the spread of non-native fish species through suitable environments. Under favourable conditions, invasive species migrate to tributaries to benefit from local resource supplies. However, the changes in physical conditions in reservoirs that motivate fish species to migrate remain poorly understood. We analysed migration between a reservoir and its tributary in three non-native (asp Leuciscus aspius, ide Leuciscus idus, and bream Abramis brama) and two native (chub Squalius cephalus and pike Esox lucius) species equipped with radio tags. This 5-year study revealed that an increasing day length was the most general predictor of migration into the tributary in all observed species except E. lucius. Only L. aspius responded to the substantially increasing water level in the reservoir, while the migration of L. idus and S. cephalus was attenuated. Abramis brama and S. cephalus occurred more frequently in tributaries with an increase in temperature in the reservoir and vice versa, but if the difference in temperature between the reservoir and its tributary was small, then A. brama did not migrate. Our results showed that migration from the reservoir mainly followed the alterations of daylight, while responses to other parameters were species specific. The interindividual heterogeneity within the species was significant and was not caused by differences in length or sex. Our results contribute to the knowledge of how reservoirs can affect the spread of non-native species that adapt to rapid human-induced environmental changes.


Cyprinidae , Water Pollutants, Chemical , Animals , Environmental Monitoring/methods , Fishes , Introduced Species , Seasons , Water Pollutants, Chemical/analysis
19.
Sci Total Environ ; 807(Pt 2): 150799, 2022 Feb 10.
Article En | MEDLINE | ID: mdl-34626626

Fog is an important atmospheric phenomenon highly relevant to ecosystems and/or the environment. Two essential prerequisites of fog formation are the presence of fog condensation nuclei and water in the atmosphere. The aim of our study was to examine in detail how fog occurrence is influenced by water areas in the immediate vicinity of the fog observation site. We have used as input data long-term observations on fog occurrence measured at 56 professional meteorological stations in Romania in 1981-2017 and GIS-derived information on water areas and on two topographical indices, TWI and TPI, in the neighbourhood of these stations. We formulated three alternative models of different complexity based on a semiparametric generalised additive logistic model for the probability of fog occurrence with potentially nonlinear, smooth effects modelled via penalised splines. A radius of 9 km appeared to be the most influential when considering the water area in a circle around the fog observation station. Based on our results, we concluded that (i) the water area in the vicinity of the station is a factor influencing fog occurrence, (ii) the water's effect differs according to water type (freshwater or seawater proximity), and (iii) GIS-derived topographical indices are informative for the explanation of fog occurrence and their inclusion enhanced the fit of the models substantially. Our findings, based on a reliable long-term data set of fog occurrence and recent GIS-derived data, explored by a relevant statistical approach will enhance further considerations related to fog formation and its environmental consequences.


Atmosphere , Ecosystem , Fresh Water , Meteorology , Water
20.
Sci Total Environ ; 806(Pt 2): 150649, 2022 Feb 01.
Article En | MEDLINE | ID: mdl-34597557

The hydropeaking regime below hydropower facilities represents a serious threat to riverine fauna and may cause declines in populations living under its influence. However, the knowledge on direct fish responses to the threat of hydropeaking is limited. Here, we aimed to test whether the hydropeaking generated 12 km upstream may have a negative effect on the position of actively spawning rheophilic fish, asp, Leuciscus aspius. Two passive telemetry antenna arrays were used to record fish position on the spawning ground. We monitored the position of spawning fish (545, 764 and 852 individuals) in three one-month long spawning seasons in 2017-2019 and related the changes in detection probability on the two antenna arrays to flow conditions, temperature, time of a day and individual fish ID. The fish detection on the spawning ground was negatively affected by the flow change (both increase and decrease) in time. Moreover, the probability of fish detection was also influenced by water temperature, the time of the day and, as seen from the magnitude of individual random effect variability, the detection probability was rather individual-specific. Hydropeaking resulted in the change of spawning behaviour and likely caused interruption of spawning or shifting spawning outside the optimal area for egg development. We therefore advise to reduce the hydropeaking regime during the rheophilic fish spawning season under fisheries or conservation interests.


Cypriniformes , Animals , Humans , Reproduction , Rivers , Seasons , Telemetry , Temperature
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