ABSTRACT
OBJECTIVES: To address the nursing crisis, it is imperative to comprehend the factors that influence nursing competencies, which are crucial for the delivery of quality patient care. BACKGROUND: Facing demographic shifts and increasingly complex healthcare demands, China's nursing sector struggles with workforce shortages and the need to enhance core competencies. This research explores the interplay of social support, psychological resilience, mindfulness and nursing competencies in various hospital environments in China. METHODS: Through a cross-sectional survey, 941 nurses across tertiary, secondary and private healthcare settings completed self-assessment questionnaires. The analysis included multiple linear regression and comparative methods to assess how psychological resilience, mindfulness and social support have an impact on nursing competencies. RESULTS: Findings revealed a strong relationship between psychological resilience and nursing competencies, with resilience being a key predictor. Mindfulness and social support also significantly contributed to competency levels. Nurses in tertiary hospitals showed greater competencies than those in secondary or private facilities. CONCLUSION: Enhancing nursing competencies requires targeted interventions focusing on professional development and supportive workplace cultures. Incorporating psychological resilience, social support and mindfulness into nurse training is crucial for improving practice and policy.
ABSTRACT
Streptococcus thermophilus FUA329 converts ellagic acid (EA) to urolithin A (Uro-A), which is not autonomously converted by the gut microbiota to produce highly bioavailable and multibiologically active Uro-A in urolithin metabotype 0 (UM-0) populations. We consider that Streptococcus thermophilus FUA329 has the potential to be developed as a probiotic. Therefore, we utilized S. thermophilus FUA329 for in vitro cofermentation with gut microbiota. The results revealed that strain FUA329 increased the production of EA-converted Uro-A during in vitro cofermentation with the human gut microbiota of different urolithin metabotypes (UMs), with a significant increase in the production of Uro-A in the experimental group of UM-0. In addition, changes in the in vitro cofermentation microbial community were determined using high-throughput sequencing. Strain FUA329 modulated the structure and composition of the gut microbiota in different UMs, thereby significantly increasing the abundance of beneficial microbiota in the gut microbiota while decreasing the abundance of harmful microbiota. Of greatest interest was the significant increase in the abundance of Actinobacteria phylum after the cofermentation of strain FUA329 with UM-0 gut microbiota, which might be related to the significant increase in the production of Uro-A.
Subject(s)
Gastrointestinal Microbiome , Microbiota , Humans , Streptococcus thermophilus , Coumarins/chemistry , Ellagic AcidABSTRACT
The metabolite urolithin A, a metabolite of the dietary polyphenol ellagic acid (EA), has significant health benefits for humans. However, studies on the gut microbiota involved in ellagic acid metabolism are limited. In this study, we conducted in vitro fermentation of EA using human intestinal microbiome combined with antibiotics (vancomycin, polymyxin B sulfate, and amphotericin B). Liquid chromatography-mass spectrometry (LC-MS/MS) analysis demonstrated that the production capacity of urolithin A by gut microbiota co-treated with polymyxin B sulfate and amphotericin B (22.39 µM) was similar to that of untreated gut microbiota (24.26 µM). Macrogenomics (high-throughput sequencing) was used to analyze the composition and structure of the gut microbiota. The results showed that the abundance of Bifidobacterium longum, Bifidobacterium adolescentis, and Bifidobacterium bifidum in the gut microbiota without antibiotic treatment or co-treated with polymyxin B sulfate and amphotericin B during EA fermentation was higher than that in other antibiotic treatment gut microbiota. Therefore, B. longum, B. adolescentis, and B. bifidum may be new genera involved in the conversion of EA to urolithin A. In conclusion, the study revealed unique interactions between polyphenols and gut microbiota, deepening our understanding of the relationship between phenolic compounds like EA and the gut microbiota. These findings may contribute to the development of gut bacteria as potential probiotics for further development. KEY POINTS: ⢠Intestinal microbiome involved in ellagic acid metabolism. ⢠Gram-positive bacteria in the intestinal microbiome are crucial for ellagic acid metabolism. ⢠Bifidobacterium longum, Bifidobacterium adolescentis, and Bifidobacterium bifidum participate in ellagic acid metabolism.
Subject(s)
Bifidobacterium longum , Coumarins , Gastrointestinal Microbiome , Humans , Ellagic Acid/metabolism , Chromatography, Liquid , Polymyxin B , Amphotericin B , Tandem Mass Spectrometry , Bifidobacterium longum/metabolism , Anti-Bacterial AgentsABSTRACT
BACKGROUND: The development of core competency is crucial for the success of new nurses, enabling them to deliver high-quality care. Psychological capital (PsyCap), encompassing self-efficacy, optimism, hope, and resilience, significantly influences individuals' abilities and achievements across various professions. However, limited research has specifically examined the impact of PsyCap on the core competency of new nurses. This study aims to bridge this gap by investigating the relationship between PsyCap and core competency development in new nurses, providing valuable strategic insights for improving PsyCap and promoting core competence acquisition. METHODS: 142 new nurses were chosen for the investigation using a convenient cluster sampling method. The questionnaire included components on socio-demographic characteristics, the Competency Inventory for Registered Nurses (CIRN), and the PsyCap Questionnaire-24 (PCQ-24). The t-test, One-Way ANOVA, Pearson correlation analysis and hierarchical multiple regression were used for statistical analysis. RESULT: The number of valid questionnaires was 138, and the effective return rate was 97.2%. The overall mean score for core competencies was 171.01 (SD 25.34), and the PsyCap score was 104.76(SD 13.71). The PsyCap of new nurses was highly correlated with core competency, with a correlation coefficient of r = 0.7, p < 0.01. Self-efficacy of PsyCap is a significant independent predictor of core competency (adjust R2 = 0.49). CONCLUSION: Self-efficacy in PsyCap is an important predictor of new nurses' core competency. Nursing managers should pay sufficient attention to the cultivation and development of new nurses' PsyCap, with particular emphasis on enhancing self-efficacy to improve their core competency.
Subject(s)
Nurses , Optimism , Humans , Cross-Sectional Studies , Surveys and Questionnaires , Self EfficacyABSTRACT
Enterococcus faecium FUA027 transforms ellagic acid (EA) to urolithin A (UA), which makes it a potential application in the preparation of UA by industrial fermentation. Here, the genetic and probiotic characteristics of E. faecium FUA027 were evaluated through whole-genome sequence analysis and phenotypic assays. The chromosome size of this strain was 2,718,096 bp, with a GC content of 38.27%. The whole-genome analysis revealed that the genome contained 18 antibiotic resistance genes and seven putative virulence factor genes. E. faecium FUA027 does not contain plasmids and mobile genetic elements (MGEs), and so the transmissibility of antibiotic resistance genes or putative virulence factors should not occur. Phenotypic testing further indicated that E. faecium FUA027 is sensitive to clinically relevant antibiotics. In addition, this bacterium exhibited no hemolytic activity, no biogenic amine production, and could significantly inhibit the growth of the quality control strain. In vitro viability was >60% in all simulated gastrointestinal environments, with good antioxidant activity. The study results suggest that E. faecium FUA027 has the potential to be used in industrial fermentation for the production of urolithin A.
ABSTRACT
Job burnout is an occupational hazard induced by prolonged exposure to excessive work-related stress -a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity. Knowledge jobs involve many health-promoting features, but stress and burnout may be caused by the rapid increase in the knowledge intensity of work, new job demands, and emerging new professional subcultures emphasizing the excessive commitment to work. Although there are studies on job burnout and predictors among nurses worldwide, evidence specific to Chinese nurses is lacking. The purpose of this review is to synthesize current research on predictors related to burnout affecting Chinese nurses. We searched the Chinese databases including National Knowledge Infrastructure (CNKI), WanFang, China Science and Technology Journal Database, and Chinese Biological Medical Database (CBM); and international databases including Cochrane Library, PubMed, EMBASE, and Web of Science published up to 30th August 2022. The 125 studies identified assessed a range of predictors of job burnout. The results showed good working relationships and internally controlled individuals were found to be predictive of job burnout. Moreover, numerous predictors produced contradictory data. There are still challenges with how to systematically operationalize such a complicated phenomenon to effectively prevent or reduce job burnout.
ABSTRACT
Developing chitinase suitable for the bioconversion of chitin to chitin oligosaccharides has attracted significant attention due to its benefits in environmental protection. In this study, chitinase from Aeromonas media CZW001 (AmChi) was purified and characterized. The molecular weight of AmChi was approximately 40 kDa. AmChi exhibited maximum catalytic activity at pH 8.0 with an optimum temperature of 55°C and showed broad stability between 15 and 65°C and between pH 5.0 and 9.0. AmChi was activated by Mg2+ , Na+ , and K+ and inhibited by Hg+ , Co2+ , Fe2+ , Ca2+ , Ag+ , Zn2+ , and EDTA. The main products of AmChi on colloidal chitin were chitinhexaose and chitinpentaose. AmChi had better substrate specificity for powdered chitin than colloidal chitin and had a higher catalytic efficiency toward (GlcNAc)5 than colloidal chitin. AmChi inhibited fungal growth in a dose-dependent manner. These results suggest that AmChi could be used for the enzymatic degradation of chitin to produce chitinhexaose and chitinpentaose, which have several industrial applications.
Subject(s)
Chitinases , Chitinases/chemistry , Temperature , Chitin/chemistry , Chitin/metabolism , Substrate Specificity , Hydrogen-Ion ConcentrationABSTRACT
Urolithin A (UA) has received considerable research attention because of its health benefits. However, only a few strains have been reported to produce UA from ellagic acid (EA), and the molecular mechanisms underlying the gut microbiota-mediated transformation of ellagic acid into urolithin A is limited. In the present study, a single strain FUA027 capable of converting ellagic acid into UA in vitro was isolated from the fecal samples. The strain was identified as Enterococcus faecium through the morphological, physiological, biochemical and genetic tests. UA was produced at the beginning of the stationary phase and its levels peaked at 50 h, with the highest concentration being 10.80 µM. The strain Enterococcus faecium FUA027 is the first isolated strain of Enterococcus sp. producing urolithin A from ellagic acid, which may be developed as probiotics and used to explore molecular mechanisms underlying the biotransformation of ellagic acid into UA.
ABSTRACT
Dietary polyphenol ellagic acid has anti-cancer and anti-inflammatory activities, and these biological activities require the conversion of ellagic acid to urolithins by intestinal microbes. However, few gut microbes are capable of metabolizing ellagic acid to produce urolithins, limiting the beneficial effects of ellagic acid on health. Here, we describe an intestinal bacterium Lactococcus garvieae FUA009 isolated from the feces of a healthy volunteer. It was demonstrated via HPLC and UPLC-MS analysis that the end product of ellagic acid metabolism of FUA009 was urolithin A. In addition, we also examined the whole genome sequence of FUA009 and then assessed the safety and probiotic properties of FUA009 based on a complete genome and phenotype analysis. We indicated that FUA009 was safe, which was confirmed by FUA009 being sensitive to multiple antibiotics, having no hemolytic activity, and being free of aggressive putative virulence factors. Moreover, 19 stress-responsive protein genes and 8 adhesion-related genes were predicted in the FUA009 genome. Furthermore, we demonstrated that FUA009 was tolerant to acid and bile salt by determining the cell viability in a stress environment. In summary, Lactococcus garvieae FUA009, as a novel UA-producing bacterium, not only contributes to the study of the metabolic pathway of ellagic acid but is also expected to be a novel probiotic candidate.
ABSTRACT
BACKGROUND: The association of breastfeeding (BF) for postpartum depression (PPD) remains controversial. Currently there are no specific guidelines on the role of BF in the management of PPD. OBJECTIVES: To determine the association between BF and PPD. METHODS: We searched PubMed, Cochrane Library, and EMBASE up to December 2021 for relevant articles associated between PPD and BF. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated with a random-effects model. RESULTS: A total of 8 studies with 18,570 participants were included. BF was associated with a 14% lower risk of PPD (OR 0.86, 95% CI 0.77-0.94, I2 = 51.78%). For a single BF episode, BF duration of >1 month was associated a 37% lower risk (OR 0.63, 95% CI 0.47-0.79, I2 = 34.98%, P = 0.19), and BF for <1 month was associated with a 6% lower risk (OR 0.94, 95% CI 0.89-0.99, I2 = 0.00%, P = 0.61). Exclusive breastfeeding (EBF) compared with never breastfeeding (NBF) was associated with a 53% lower risk for PPD (OR 0.47, 95% CI 0.27-0.66, I2 = 0.00%, P = 0.98). And EBF compared with partial breastfeeding (PBF) was associated with an 8% lower risk for PPD (OR 0.92, 95% CI 0.86-0.98, I2 = 13.86%, P = 0.31). The subgroups we studied may be a source of heterogeneity. CONCLUSIONS: Our results show an association between PPD and risk for BF. To confirm the conclusion, more studies with large sample sizes are required.
Subject(s)
Breast Feeding , Depression, Postpartum , Depression, Postpartum/epidemiology , Female , Humans , Mothers , Odds RatioABSTRACT
There was currently no consensus on whether chewing gum should be widely instituted as a means to help reduce anxiety and stress. Chewing gum was also not included in guidelines for alleviating anxiety and stress. The purpose of this study was of two aspects: (1) to review the research progress of the relationship between gum chewing and anxiety and stress in recent years and (2) to make a meta-analysis of the effects of mastication on anxiety and stress. We conducted a meta-analysis of studies extracted from PubMed, the Cochrane Library, and Embase to identify randomized controlled trials (RCTs) evaluating the efficacy of chewing gum on anxiety, and stress was evaluated through screening, inclusion, data extraction, and quality assessment. The meta-analysis we performed was using Review Manager 5.3 software. We included a total of 8 RCTs, involving more than 400 adults over 18 years old. Compared with no chewing gum, chewing gum resulted in anxiety (MD = -0.26, 95% CI (-0.48, -0.04), p=0.02, I 2 = 11%), where the heterogeneity was low and statistically significant. While in stress (MD = -0.27, 95% CI (-0.79, -0.25), p=0.31, I 2 = 48%), the heterogeneity was high, and there was of no statistical significance. Based on current evidence, chewing gum is an inexpensive, well-tolerated, safe, and effective way to relieve anxiety and stress. To confirm the conclusion, we still need to conduct more randomized trials.
Subject(s)
Chewing Gum , Ileus , Adolescent , Adult , Anxiety/prevention & control , Humans , Ileus/prevention & control , Postoperative Complications/prevention & control , Randomized Controlled Trials as TopicABSTRACT
Summer fallow is very common in dryland agriculture to conserve rainwater and replenish soil fertility. However, bare land and intensive rainfall during summer fallow might result in a potential risk of N loss. We used a 15N-labelling method to study the loss of residual N fertilizer during summer fallow and its use by next wheat in the Loess Plateau. Our study included three treatments: without the addition of N (N0W0), with the addition of 50 kg ha-1 N (NW0) and with the addition of 50 kg ha-1 N plus 35% more water (NW). The N fertilizer (K15NO3) in solution was injected into the soil at a depth of 35 cm of the polyvinyl chloride (PVC) columns in field. The fates of 15N were followed after summer fallow and in the next season's wheat (Triticum aestivum L.). The summer fallow of this study was a dry summer; however, fertilizer 15N was still leached down to 40-cm depth for the NW0 treatment; and for the NW treatment, the peak of 15N fertilizer was approximately 20 cm deeper. After summer fallow, the loss of the initially applied 15N was 26% in the soil profile for the NW0 treatment; and for the NW treatment, it increased to 37%. Soil 15N abundance in 0-20 cm of the NW0 and NW treatments was higher than the N0W0 treatment, indicating the upward movement of 15N in summer fallow. After the next wheat harvest, 15N uptake by wheat in the NW treatment decreased from 21.0 to 18.6% compared to the NW0 treatment. High rainfall during summer fallow increased residual N loss during summer fallow but decreased its use by the next crop.
Subject(s)
Agriculture/methods , Fertilizers , Nitrogen Isotopes/analysis , Nitrogen/analysis , Soil/chemistry , China , Nitrogen/pharmacokinetics , Rain , Seasons , Triticum/chemistry , Triticum/metabolismABSTRACT
As a persistent organic pollutant in the environment, perfluorooctanoic acid (PFOA) has been extensively investigated. It can accumulate in food chains and in the human body. This work investigated the effect of PFOA on wheat (Triticum aestivum L.) germination and seedling growth by conducting a germination trial and a pot trial. A stimulatory effect of PFOA on seedling growth and root length of wheat was found at <0.2 mg kg(-1), while >800 mg kg(-1) PFOA inhibited germination rate, index, and root and shoot growth. In the pot trial, PFOA concentration in root was double that in the shoot. Soil and plant analyzer development (SPAD) and plant height of wheat seedling were inhibited by adding 200 mg kg(-1) PFOA. Proline content and POD activity in wheat seedlings increased as PFOA increased, while CAT activity decreased. Using logarithmic equations, proline content was selected as the most sensitive index by concentration for 50% of maximal effect (EC50). Hence, the tolerance of wheat seedlings to PFOA levels could be evaluated on the basis of the physiological index.
Subject(s)
Caprylates/toxicity , Fluorocarbons/toxicity , Germination/drug effects , Seedlings/drug effects , Triticum/drug effects , Caprylates/administration & dosage , Dose-Response Relationship, Drug , Environmental Pollutants/toxicity , Fluorocarbons/administration & dosage , Plant Roots/drug effects , Plant Roots/growth & development , Triticum/growth & developmentABSTRACT
We report here the syntheses of mono- to tetravalent glycoclusters containing 1-methylene-C-ß-lactose. The 1-methylene-C-ß-lactose moiety has been synthesized from octa-acetyl-ß-lactose using the key carbonyl insertion reaction and linked to a series of alkynlated scaffolds via CuAAC reaction to afford mono- to tetravalent glycoclusters. The binding affinities of the final products to galectin-3 were found in the range of 10-100 µM.