title: PeerJ description: Articles published in PeerJ link: https://peerj.com/articles/index.rss3?journal=peerj&page=728 creator: info@peerj.com PeerJ errorsTo: info@peerj.com PeerJ language: en title: Effects of exergaming on executive function of older adults: a systematic review and meta-analysis link: https://peerj.com/articles/13194 last-modified: 2022-04-11 description: BackgroundExecutive function (EF) involves a series of high-level processes, such as inhibition, switching, and updating. Aging-related cognitive decline has been shown to be strongly associated with EF worsening. The aims of this study were to perform a meta-analysis to evaluate the effects of exergaming, an emerging intervention, on EF performance in older adults and to conduct a moderator analysis of exergaming effects on EF.MethodsRandomized controlled trials examining exergaming influences on EF in older adults were collated by searching the Web of Science, Elsevier Science, PubMed, and Google Scholar databases. Statistical data were quantified in Comprehensive Meta-analysis software. Overall EF and EF domains (inhibition, switching, and updating) were analyzed separately.ResultsA total of 15 studies were included. The meta-analysis results indicated that exergaming had a significant influence on overall EF in the older adult (standardized mean difference (SMD) = 0.349, 95% confidence interval (CI) [0.191–0.506], p < 0.001). The same effects were also found in EF domains of inhibition (SMD = 0.415, 95% CI [0.102–0.729], p = 0.009), switching (SMD = 0.243, 95% CI [0.071–0.415], p = 0.005), and updating (SMD = 0.366, 95% CI [0.140–0.592], p = 0.002). The effects of exergaming on overall EF were found to be moderated by the frequency of the intervention (Q(1) = 3.537, p = 0.06).ConclusionExergaming was confirmed to improve overall EF, as well as in older adults, and the effect of exergaming on EF was shown to be moderated by intervention frequency. creator: Jiahui Jiang creator: Wei Guo creator: Biye Wang uri: https://doi.org/10.7717/peerj.13194 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Jiang et al. title: A model of multiple tumor marker for lymph node metastasis assessment in colorectal cancer: a retrospective study link: https://peerj.com/articles/13196 last-modified: 2022-04-11 description: BackgroundAssessment of colorectal cancer (CRC) lymph node metastasis (LNM) is critical to the decision of surgery, prognosis, and therapy strategy. In this study, we aimed to develop and validate a multiple tumor marker nomogram for predicting LNM in CRC patients.MethodsA total of 674 patients who met the inclusion criteria were collected and randomly divided into primary cohort and internal test cohort at a ratio of 7:3. An external test cohort enrolled 178 CRC patients from the West China Hospital. Clinicopathologic variables were obtained from electronic medical records. The least absolute shrinkage and selection operator (LASSO) and interquartile range analysis were carried out for variable dimensionality reduction and feature selection. Multivariate logistic regression analysis was conducted to develop predictive models of LNM. The performance of the established models was evaluated by the receiver operating characteristic (ROC) curve, calibration belt, and clinical usefulness.ResultsBased on minimum criteria, 18 potential features were reduced to six predictors by LASSO and interquartile range in the primary cohort. The model demonstrated good discrimination and ROC curve (AUC = 0.721 in the internal test cohort, AUC = 0.758 in the external test cohort) in LNM assessment. Good calibration was shown for the probability of CRC LNM in the internal and external test cohorts. Decision curve analysis illustrated that multi-tumor markers nomogram was clinically useful.ConclusionsThe study proposed a reliable nomogram that could be efficiently and conveniently utilized to facilitate the assessment of individually-tailored LNM in patients with CRC, complementing imaging and biopsy tests. creator: Jiangping Fu creator: Mengjie Tu creator: Yin Zhang creator: Yan Zhang creator: Jiasi Wang creator: Zhaoping Zeng creator: Jie Li creator: Fanxin Zeng uri: https://doi.org/10.7717/peerj.13196 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Fu et al. title: A long noncoding RNA GTF2IRD2P1 suppresses cell proliferation in bladder cancer by inhibiting the Wnt/β‑catenin signaling pathway link: https://peerj.com/articles/13220 last-modified: 2022-04-11 description: BackgroundThere is growing evidence that long non-coding RNAs (LncRNAs) are key in the development of a variety of human tumors. However, the role of lncRNA GTF2IRD2P1 has not been well studied in cancer. The impact of GTF2IRD2P1 on the biological function and clinical relevance in bladder cancer is largely unknown. This study aimed to investigate the biological role of GTF2IRD2P1 in bladder evolution and carcinogenesis.MethodsWe used bioinformatics to obtain the lncRNA GTF2IRD2P1 from bladder urothelial carcinoma (BLCA) in The Cancer Genome Atlas (TCGA) database. The expression of lncRNA GTF2IRD2P1 was detected by qRT-PCR. The CCK8 assay and flow cytometry were used to detect the lncRNA GTF2IRD2P1 function on the proliferation of bladder cancer cells. A western blot was used to calculate the protein level of cell cycle proteins and Wnt signaling pathway proteins. The effect of lncRNA GTF2IRD2P1 on tumorigenesis of bladder cancer was confirmed by a xenograft nude mouse model.ResultsGTF2IRD2P1 expression was found to be lower in both human bladder cancer tissues and cell lines (UM-UC-3, RT4, and 5637), and elevated in T24 compared to the corresponding normal controls. GTF2IRD2P1 expression was also enhanced after transfection of UM-UC-3 cells with the overexpression vector. Meanwhile, overexpression of GTF2IRD2P1 inhibited the proliferation of UM-UC-3 and prolonged the cell cycle. The silencing of GTF2IRD2P1 significantly increased the proliferation and shortened the cell cycle of T24 cells and induced Wnt signaling activity to promote the progression of bladder cancer. Similarly, the transplanted tumor nude mouse model demonstrated that silencing GTF2IRD2P1 strengthens the progression of bladder cancer by targeting the Wnt signaling pathway. creator: Zhuo Huang creator: Hongbin Gao creator: Liangliang Qing creator: Biao Wang creator: Chaoyong He creator: Ning Luo creator: Chuncheng Lu creator: Shipeng Fan creator: Peng Gu creator: Hui Zhao uri: https://doi.org/10.7717/peerj.13220 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Huang et al. title: The effect of the COVID-19 pandemic on health care workers’ anxiety levels: a meta-analysis link: https://peerj.com/articles/13225 last-modified: 2022-04-11 description: BackgroundThe COVID-19 pandemic has been declared a public health emergency of international concern, causing excessive anxiety among health care workers. Additionally, publication bias and low-quality publications have become widespread, which can result in the dissemination of unreliable information. A meta-analysis was performed for this study with the following two aims: (1) to examine the prevalence of anxiety among health care workers and determine whether it has increased owing to the COVID-19 pandemic and (2) to investigate whether there has been an increase in publication bias.MethodsAll relevant studies published between 2015 and 2020 were searched in electronic databases (namely Web of Science, PubMed, Embase, PsycInfo, PsyArXiv, and medRxiv). The heterogeneity of the studies was assessed using the I2 statistic. The effect size (prevalence rate of anxiety) and 95% CI for each study were also calculated. We used moderator analysis to test for the effect of the COVID-19 pandemic on health care workers’ anxiety levels and to detect publication bias in COVID-19 studies. We assessed publication bias using funnel plots and Egger’s regression.ResultsA total of 122 studies with 118,025 participants met the inclusion criteria. Eighty-eight articles (75,066 participants) were related to COVID-19, 13 articles (9,222 participants) were unrelated to COVID-19 (i.e., articles related to other outbreaks, which were excluded), and 21 preprints (33,737 participants) were related to COVID-19. The pooled meta-analysis prevalence was 33.6% (95% CI [30.5−36.8]; 95% PI [6.5−76.3]). Moderator analysis revealed no significant differences between articles related to COVID-19 and those unrelated to COVID-19 (p = 0.824). Moreover, no significant differences were found between articles and preprints related to COVID-19 (p = 0.843). Significant heterogeneity was observed in each subgroup. An Egger’s test revealed publication bias in both articles and preprints related to COVID-19 (p < 0.001).ConclusionsDetermining whether the anxiety state of health care workers is altered by the COVID-19 pandemic is currently difficult. However, there is evidence that their anxiety levels may always be high, which suggests that more attention should be paid to their mental health. Furthermore, we found a substantial publication bias; however, the quality of the studies was relatively stable and reliable. creator: Lunbo Zhang creator: Ming Yan creator: Kaito Takashima creator: Wenru Guo creator: Yuki Yamada uri: https://doi.org/10.7717/peerj.13225 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Zhang et al. title: Diel gene expression improves software prediction of cyanobacterial operons link: https://peerj.com/articles/13259 last-modified: 2022-04-11 description: Cyanobacteria are important participants in global biogeochemical process, but their metabolic processes and genomic functions are incompletely understood. In particular, operon structure, which can provide valuable metabolic and genomic insight, is difficult to determine experimentally, and algorithmic operon predictions probably underestimate actual operon extent. A software method is presented for enhancing current operon predictions by incorporating information from whole-genome time-series expression studies, using a Machine Learning classifier. Results are presented for the marine cyanobacterium Crocosphaera watsonii. A total of 15 operon enhancements are proposed. The source code is publicly available. creator: Philip Heller uri: https://doi.org/10.7717/peerj.13259 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Heller title: Times and partners are a-changin’: relationships between declining food abundance, breeding success, and divorce in a monogamous seabird species link: https://peerj.com/articles/13073 last-modified: 2022-04-08 description: Seabirds exhibit considerable adjustment capacity to cope with environmental changes during the breeding season and to maximize lifetime reproductive output. For example, divorce has been proposed to be an adaptive behavioral strategy in social monogamous species, as a response to poor conditions and low breeding success. Here, we studied divorce at the population and individual levels in northern gannets (Morus bassanus, hereafter gannets) nesting on Bonaventure island (Quebec, Canada). At the population level, we used Granger’s method for detecting and quantifying temporal causality between time series (from 2009 to 2019) of divorce rate and breeding success of gannets (n = 809) and we evaluated the relationship between breeding success and biomass of their two principal prey (Atlantic mackerel, Scomber scombrus, and Atlantic herring, Clupea harengus). Our results indicated that breeding success is mainly influenced by the spawning-stock biomass of Atlantic mackerel, and a decrease in breeding success is followed by an increase in divorce rate with a 1-year lag. However, the effect of the interaction between breeding success and year on the proportion of individuals that divorced showed significant inter-annual variation. At the individual level, our results support the adaptive strategy hypothesis of divorce. Indeed, gannets that changed partners did so following a reproductive failure, and there was an increase in breeding success 1 year following the divorce. Being central place foragers, opportunities for dispersal and adaptation are often limited for breeding seabirds in a context of low food abundance. We suggest that behavioral flexibility expressed as divorce would be an efficient short-term strategy for maintaining reproductive performance. creator: David Pelletier creator: Magella Guillemette uri: https://doi.org/10.7717/peerj.13073 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Pelletier and Guillemette title: The effect of delirium information training given to intensive care nurses on patient care: quasi-experimental study link: https://peerj.com/articles/13143 last-modified: 2022-04-08 description: BackgroundTraining programs aiming to improve delirium diagnosis and management skills increase nurses’ care efficiency and improve patients’ health outcomes. This study was conducted to examine the effect of delirium information training on patient care by intensive care nurses.MethodsIn the research, one group pretest-posttest quasi-experimental design was used. The study sample consisted of 30 nurses working in four intensive care units of a university hospital between November 05, 2018, and February 15, 2019. The Personal Information Form, the Checklist for the Care of the Patient in Delirium, and the Confusion Assessment Scale for the Intensive Care Unit were used to collect the data. Intensive care nurses were provided with information training supported by a training booklet in two sessions of 40 min each.ResultsIn the study, according to the Checklist for the Care of the Patient in Delirium, while the pre-test point average of the nurses was 6.17 ± 2.29, the post-test point average had increased to 11.17 ± 1.51 (p < 0.001). After the training, it was determined that there was a significant increase in the percentage of nurses who stated that they evaluated and detected whether their patients had pain, hallucinations, and delusions (p < 0.001). As a result, it has been determined that providing delirium information training to intensive care nurses positively affects the care of patients with delirium. In addition, it has been determined that with the Confusion Assessment Scale for Intensive Care Unit, nurses can provide the care they need to patients at risk in terms of delirium by identifying delirium. creator: Fulya Yıldırım creator: Serpil Türkleş creator: Hilal Altundal Duru uri: https://doi.org/10.7717/peerj.13143 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Yıldırım et al. title: Quantitative trait loci mapping and candidate gene analysis of stoma-related traits in wheat (Triticum aestivum L.) glumes link: https://peerj.com/articles/13262 last-modified: 2022-04-08 description: The photosynthesis of wheat glumes makes important contributions to the yield. Stomata play a crucial role in regulating photosynthesis and transpiration in plants. However, the genetic base of wheat glume stomata is not fully understood. In this study, stomatal length (SL), stomatal width (SW), stomatal density (SD), potential conductance index (PCI) of stomata, stomatal area (SA), and stomatal relative area (SRA) were measured in different parts of wheat glumes from a doubled haploid (DH) population and their parents. Quantitative trait loci (QTLs) of these traits were anchored on a high-density genetic linkage map of the DH population. A total of 61 QTLs for stoma-related traits were mapped onto 16 chromosomes, and each one accounted for 3.63 to 19.02% of the phenotypic variations. Two QTL hotspots were detected in two marker intervals, AX-109400932∼AX-110985652 and AX-108972184∼AX-108752564, on chromosome 6A. Five possibly candidate genes (TraesCS6A02G105400, TraesCS6A02G106400, TraesCS6A02G115100, TraesCS6A02G115400, and TraesCS6A02G116200) for stoma-related traits of wheat glumes were screened out , according to their predicted expression levels in wheat glumes or spikes. The expression of these genes may be induced by a variety of abiotic stresses. These findings provide insights for cloning and functional characterization of stoma-related candidate genes in wheat glumes. creator: Ning Li creator: Fanfan Dong creator: Tongtong Liu creator: Jinwen Yang creator: Yugang Shi creator: Shuguang Wang creator: Daizhen Sun creator: Ruilian Jing uri: https://doi.org/10.7717/peerj.13262 license: https://creativecommons.org/licenses/by/4.0/ rights: ©2022 Li et al. title: The association between Geographic Information System-based neighborhood built environmental factors and accelerometer-derived light-intensity physical activity across the lifespan: a cross-sectional study link: https://peerj.com/articles/13271 last-modified: 2022-04-08 description: BackgroundEvidence on associations between environmental factors and accelerometer-derived light-intensity physical activity (LPA) is scarce. The aim of this study was to examine associations between Geographic Information System (GIS)-based neighborhood built environmental factors and accelerometer-derived LPA, and to investigate the moderating effect of age group (adolescents, adults, older adults) on these associations.MethodsObjective data were used from three similar observational studies conducted in Ghent (Belgium) between 2007 and 2015. Accelerometer data were collected from 1,652 participants during seven consecutive days, and GIS-based neighborhood built environmental factors (residential density, intersection density, park density, public transport density, entropy index) were calculated using sausage buffers of 500 m and 1,000 m around the home addresses of all participants. Linear mixed models were performed to estimate the associations.ResultsA small but significant negative association was observed between residential density (500 m buffer) and LPA in the total sample (B = −0.002; SE = 0.0001; p = 0.04), demonstrating that every increase of 1,000 dwellings per surface buffer was associated with a two minute decrease in LPA. Intersection density, park density, public transport density and entropy index were not related to LPA, and moderating effects of age group were absent.ConclusionsThe small association, in combination with other non-significant associations suggests that the neighborhood built environment, as classically measured in moderate-to-vigorous intensity physical activity research, is of limited importance for LPA. More research is needed to unravel how accelerometer-derived LPA is accumulated, and to gain insight into its determinants. creator: Sofie Compernolle creator: Lieze Mertens creator: Jelle Van Cauwenberg creator: Iris Maes creator: Delfien Van Dyck uri: https://doi.org/10.7717/peerj.13271 license: https://creativecommons.org/licenses/by/4.0/ rights: ©2022 Compernolle et al. title: The regulation of hsacirc_004413 promotes proliferation and drug resistance of gastric cancer cells by acting as a competing endogenous RNA for miR-145-5p link: https://peerj.com/articles/12629 last-modified: 2022-04-07 description: BackgroundWhether circRAN, which acts as a microRNA sponge, plays a role in 5-fluorouracil (5-Fu) resistant gastric cancer has not been reported. In this study, a 5-Fu resistant cell line with an IC50 of 16.59 µM was constructed.MethodsUsing comparative analysis of circRNA in the transcriptomics of resistant and sensitive strains, 31 differentially expressed circRNAs were detected, and the microRNA interacting with them was predicted.ResultsHsacirc_004413 was selected for verification in drug resistant and sensitive cells. By interfering with hsacirc_004413 using antisense RNA, the sensitivity of drug resistant cells to 5-Fu was significantly promoted, and the apoptosis and necrosis of the cells were significantly increased. In sensitive cells, inhibition by inhibitors enhanced the resistance of cells to 5-Fu. We hypothesize that hsacirc_004413 makes gastric cancer cells resistant to 5-Fu mainly through adsorption of miR-145-5p. creator: Fusheng Zhou creator: Weiqun Ding creator: Qiqi Mao creator: Xiaoyun Jiang creator: Jiajie Chen creator: Xianguang Zhao creator: Weijia Xu creator: Jiaxin Huang creator: Liang Zhong creator: Xu Sun uri: https://doi.org/10.7717/peerj.12629 license: https://creativecommons.org/licenses/by/4.0/ rights: © 2022 Zhou et al.