Sex Differences in Clustering Unhealthy Lifestyles Among Survivors of COVID-19: Latent Class Analysis.

BACKGROUND: The COVID-19 pandemic has underscored the significance of adopting healthy lifestyles to mitigate the risk of severe outcomes and long-term consequences. OBJECTIVE: This study focuses on assessing the prevalence and clustering of 5 unhealthy lifestyle behaviors among Vietnamese adults after recovering from COVID-19, with a specific emphasis on sex differences. METHODS: The cross-sectional data of 5890 survivors of COVID-19 in Vietnam were analyzed from December 2021 to October 2022. To examine the sex differences in 5 unhealthy lifestyle behaviors (smoking, drinking, unhealthy diet, physical inactivity, and sedentary behavior), the percentages were plotted along with their corresponding 95% CI for each behavior. Latent class analysis was used to identify 2 distinct classes of individuals based on the clustering of these behaviors: the "less unhealthy" group and the "more unhealthy" group. We examined the sociodemographic characteristics associated with each identified class and used logistic regression to investigate the factors related to the "more unhealthy" group. RESULTS: The majority of individuals (male participants: 2432/2447, 99.4% and female participants: 3411/3443, 99.1%) exhibited at least 1 unhealthy behavior, with male participants being more susceptible to multiple unhealthy behaviors. The male-to-female ratio for having a single behavior was 1.003, but it escalated to 25 for individuals displaying all 5 behaviors. Male participants demonstrated a higher prevalence of combining alcohol intake with sedentary behavior (949/2447, 38.8%) or an unhealthy diet (861/2447, 35.2%), whereas female participants tended to exhibit physical inactivity combined with sedentary behavior (1305/3443, 37.9%) or an unhealthy diet (1260/3443, 36.6%). Married male participants had increased odds of falling into the "more unhealthy" group compared to their single counterparts (odds ratio [OR] 1.45, 95% CI 1.14-1.85), while female participants exhibited lower odds (OR 0.65, 95% CI 0.51-0.83). Female participants who are underweight showed a higher likelihood of belonging to the "more unhealthy" group (OR 1.11, 95% CI 0.89-1.39), but this was not observed among male participants (OR 0.6, 95% CI 0.41-0.89). In both sexes, older age, dependent employment, high education, and obesity were associated with higher odds of being in the "more unhealthy" group. CONCLUSIONS: The study identified notable sex differences in unhealthy lifestyle behaviors among survivors of COVID-19. Male survivors are more likely to engage in unhealthy behaviors compared to female survivors. These findings emphasize the importance of tailored public health interventions targeting sex-specific unhealthy behaviors. Specifically, addressing unhealthy habits is crucial for promoting post-COVID-19 health and well-being.

Environmental and economic trade-offs of using composted or stockpiled manure as partial substitute for synthetic fertilizer.

Manure generated from livestock production could represent an important source of plant nutrients in substitution of synthetic fertilizer. To evaluate the sustainability of partially substituting synthetic fertilizer with soil organic amendments (OAs) in horticulture, an economic and greenhouse gas (GHG) budget was developed. The boundary for analysis included manure processing (stockpiling vs. composting) and transport and spreading of manure and compost (feedlot and chicken) in intensively cultivated horticultural fields. The OA field application rates were calculated based on the nitrogen supplied by OAs. The GHG budget based on directly measured emissions indicates that the application of composted manure, in combination with reduced fertilizer rate, was always superior to stockpiled manures. Compost treatments showed from 9 to 90% less GHG emissions than stockpiled manure treatments. However, higher costs associated with the purchase and transport of composted manure (three times higher) generated a greater economic burden compared with stockpiled manure and synthetic fertilizer application. The plant nutrient replacement value of the OAs was considered only for the first year of application, and if long-term nutrient release from OAs is taken into account, additional savings are possible. Because the income from soil carbon sequestration initiatives in response to OA application is unlikely to bridge this financial gap, particularly in the short term, this study proposes that future policy should develop methodologies for avoided GHG emissions from OA application. The combined income from soil carbon sequestration and potentially avoided GHG initiatives could incentivize farmers to adopt OAs as a substitute for synthetic fertilizers, thereby promoting more sustainable farming practices.

iBRAB: In silico based-designed broad-spectrum Fab against H1N1 influenza A virus.

Influenza virus A is a significant agent involved in the outbreak of worldwide epidemics, causing millions of fatalities around the world by respiratory diseases and seasonal illness. Many projects had been conducting to investigate recovered infected patients for therapeutic vaccines that have broad-spectrum activity. With the aid of the computational approach in biology, the designation for a vaccine model is more accessible. We developed an in silico protocol called iBRAB to design a broad-reactive Fab on a wide range of influenza A virus. The Fab model was constructed based on sequences and structures of available broad-spectrum Abs or Fabs against a wide range of H1N1 influenza A virus. As a result, the proposed Fab model followed iBRAB has good binding affinity over 27 selected HA of different strains of H1 influenza A virus, including wild-type and mutated ones. The examination also took by computational tools to fasten the procedure. This protocol could be applied for a fast-designed therapeutic vaccine against different types of threats.

Right coronary artery distribution of myocardial bridging: an unusual case presenting with ST-Elevation myocardial infarction.

Myocardial bridging has been observed to provoke symptoms in association with strenuous physical activity and hypertrophic cardiomyopathy; more recently, bridging has been thought to cause coronary vasospasm. Autopsy findings tend to reveal higher incidences of bridging than do angiography series, but both show an almost uniform predilection for left coronary artery distribution--especially in regard to bridging that manifests itself clinically. Herein, we report an unusual case of myocardial bridging with right coronary artery distribution and important clinical implications for physicians' management of similar cases in the future.