bluuebunny/crossref_metadata_2025 huggingface dataset:
Parental Self-Compassion and Child Adjustment: The Mediating Role of Parental Depressive Symptoms
Authors: Cheung Rebecca Y. M. , Li Zechen , Ho Audrey Pui Lam
Published: April 2022

Previous research suggests that self-compassion is associated with mental health and well-being. However, little has been done to understand the role of self-compassion in the family context. Hence, the present study investigated the associations between parents’ self-compassion, parent’s depressive symptoms, and child adjustment. A total 189 Chinese parents (101 mothers) whose children were 2–8 years old were recruited to complete a questionnaire, including measures of parents’ self-compassion, depressive symptoms, and children’s prosocial behavior, internalizing problems, and externalizing problems. Findings indicated mediation effects, in that parents’ depressive symptoms mediated the association between their self-compassion and child adjustment outcomes, namely children’s internalizing and externalizing problems, after controlling for the effects of monthly family income, child gender, and parent gender. Competing hypothesis suggested that parents’ self-compassion did not moderate between parents’ depressive symptoms and child adjustment outcomes. Hence, the association between parental depressive symptoms and child adjustment was not dependent on the level of parents’ self-compassion. As an implication, researchers and practitioners should be made aware of the benefits of parents’ self-compassion on parents’ mental health and child adjustment.
Analysis of Thermal and Roughness Effects on the Turbulent Characteristics of Experimentally Simulated Boundary Layers in a Wind Tunnel
Authors: Demarco Giuliano , Martins Luis Gustavo Nogueira , Bodmann Bardo Ernst Josef , Puhales Franciano Scremin , Acevedo Otávio Costa , Wittwer Adrian Roberto , Costa Felipe Denardin , Roberti Debora Regina , Loredo-Souza Acir Mércio , Degrazia Franco Caldas , Tirabassi Tiziano , Degrazia Gervásio Annes
Published: April 2022

The aim of this paper is to analyse the thermal effects in a wind tunnel experiment to simulate the planetary boundary layer (PBL). Experiments were performed in the wind tunnel of the Laboratory of Constructions Aerodynamics at the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul State, Brazil. This wind tunnel is a closed return low-speed wind tunnel specifically designed for dynamic and static studies on civil construction models. As a novelty, one of the experimental sections of the wind tunnel was equipped with a metal sheet with Peltier elements coupled to it. In other words, thermal effects generating new flow patterns become feasible and open pathways to compare wind tunnel simulations to those in the PBL. Furthermore, measurements obtained with the smooth floor of the wind tunnel were repeated under the same conditions with the addition of the roughness in the floor, and the mechanical turbulence generated by the surface roughness significantly amplified the exchange of momentum and heat between the regions located in vertical direction of the wind tunnel boundary layer. In the presence of turbulent heat flux near the surface, thermal effects contribute to the increase of the turbulence intensity. Turbulent energy spectra for flow velocities and different heights were obtained using the Hilbert–Huang transform method, and the observed convective turbulence energy spectra behavior reproduced those measured in an unstable surface PBL.
Impact of Providing Peer Support on Medical Students’ Empathy, Self-Efficacy, and Mental Health Stigma
Authors: Abrams Matthew P. , Salzman Joshua , Espina Rey Andrea , Daly Katherine
Published: April 2022

Background: Peer-support programs in medical school can buffer feelings of inadequacy, anxiety, social isolation, and burnout, drawing upon the benefits of near-peer-support resources. This study examined the effects of providing support to students in a medical school peer-support program. Methods: Using a pre-post, quasi-experimental study design, the investigators surveyed medical students who were peer supporters in their second through fourth years of medical school with four measures assessing (1) empathy, (2) self-efficacy, (3) mental health stigma, and (4) likelihood to assist peers with mental health problems to examine if serving as a volunteer peer supporter had any effect. Participants included 38 medical students that were actively enrolled peer supporters during the 2020–2021 year at a United States allopathic medical school. Results: Medical students who participated as peer supporters were found to have higher ratings of empathy scores (Z = −1.964, p = 0.050, r = 0.34) and self-efficacy scores (Z = −2.060, p = 0.039, r = 0.35) after participation in the program. No significant changes were noted for mental health stigma or likelihood to assist peers with mental health problems. Discussion: Peer-support programs present a low-cost, sustainable modality to promote wellbeing in medical students. There is a growing body of literature documenting the benefits of peer-support services. This brief, novel study examined the effects of providing peer support on the peer supporters and found higher self-reported ratings of empathy and self-efficacy after participation. These findings underscore peer-support programs as a valuable wellness resource not only for medical students who use the services but for those who provide them as well.
Reflection in Rural Family Medicine Education
Authors: Ohta Ryuichi , Sano Chiaki
Published: April 2022

Reflection in medical education is vital for students’ development as professionals. The lack of medical educators in rural family medicine can impinge on the effective reflection of residents’ learning. Hence, based on qualitative research, we proposed a framework regarding reflection in rural family medicine education, indicating when, where, and how reflection is performed and progresses. The contents of reflection include clinical issues regarding knowledge and skills, professionalism in clinical decisions, and work-life balance. The settings of reflection include conference rooms, clinical wards, residents’ desks, and hospital hallways. The timing of educational reflection includes during and after patient examination and discussion with various professionals, before finishing work, and during “doorknob” times (right before going back home). Rural medical teachers need competence as clinicians and medical educators to promote learning in medical residents and sustain rural medical care. Furthermore, medical teachers must communicate and collaborate with medical residents and nurses for educational reflection to take place in rural family medicine education, especially regarding professionalism. In rural family medicine education, reflection can be performed in various clinical situations through collaboration with learners and various medical professionals, aiding the enrichment of residents’ learning and sustainability of rural medical care.
Correlation between the Positive Effect of Vitamin D Supplementation and Physical Performance in Young Male Soccer Players
Authors: Brzeziański Michał , Migdalska-Sęk Monika , Czechowska Aleksandra , Radzimiński Łukasz , Jastrzębski Zbigniew , Brzeziańska-Lasota Ewa , Sewerynek Ewa
Published: April 2022

The aim of this study was to determine whether supplementation with vitamin D during eight weeks of high-intensity training influences muscle power and aerobic performance in young soccer players. A total of 25 athletes were divided into two groups: the supplemented group (GS; n = 12; vitamin D 20,000 IU, twice a week) and the non-supplemented group (GN; n = 13). A set of measurements, including sprint tests, explosive power test, maximal oxygen uptake (VO2max), and serum 25(OH)D concentration, were obtained before (T1) and after (T2) the intervention. A significant group x time interaction was found in the 25(OH)D serum levels (p = 0.002; ES = 0.36, large). A significant improvement in VO2max was found in the TG (p = 0.0004) and the GS (p = 0.031). Moreover, a positive correlation between 25(OH)D and VO2max (R = 0.4192, p = 0.0024) was calculated. The explosive power tests revealed insignificant time interactions in the average 10-jump height and average 10-jump power (p = 0.07, ES = 0.13; p = 0.10, ES = 0.11, respectively). A statistically insignificant trend was observed only in the group-by-time interaction for the sprint of 10 m (p = 0.05; ES = 0.15, large). The present study provides evidence that vitamin D supplementation has a positive but trivial impact on the explosive power and locomotor skills of young soccer players, but could significantly affect their aerobic performance.
The Acute Impact of the Early Stages of COVID-19 Pandemic in People with Pre-Existing Psychiatric Disorders: A Systematic Review
Authors: Carvalho Sandra , Coelho Catarina G. , Kluwe-Schiavon Bruno , Magalhães Juliana , Leite Jorge
Published: April 2022

People with pre-pandemic health conditions are more vulnerable and more likely to suffer greater psychosocial impact due to the current COVID-19 pandemic and the lockdown measures. Thus, the objective of this work was to systematically review the impact of the early stages COVID-19 pandemic on people with pre-existing psychiatric disorders. The search was performed between 23 January and 2 September 2021 in PubMed, PsycINFO, and EMBASE. A total of 4167 published results were identified; however, only 49 were included in this review. Results show that there was considerable heterogeneity among studies, which resulted in a low consensus. However, it seems that the impact of the first stage of the COVID-19 pandemic on psychiatric disorders was two-fold: (1) an overall effect, in which people suffering from psychiatric disorders in general experienced more psychological distress and anxiety when compared to people who had no psychiatric diagnosis, and (2) a condition-specific effect, namely in people suffering from eating disorders and obsessive compulsive disorders. Moreover, the current work highlights that there were also some external factors that were related to worsening symptoms. For instance, unemployment or experiencing work and financial difficulties can be a trigger for greater distress during the pandemic for people with mood disorders, and being alone and in social isolation during the COVID-19 pandemic may actually increase substance use and relapse rates. Further studies are needed to prospectively investigate the long-term effects of the current COVID-19 pandemic on people with (pre)-existing psychiatric conditions and on the onset or deterioration of psychiatric-related symptoms in a larger number of participants, as well as exploring the long-term effects of the current pandemic on mental health.
Social Inclusion and Communality of Volunteering: A Focus Group Study of Older People’s Experiences
Authors: Tiittanen Utta , Turjamaa Riitta
Published: April 2022

The aim of this qualitative study was to describe the factors that motivate older people to volunteer and how volunteering influences their social inclusion and communality. Data were collected using focus group interviews in 2020–2021 from older people aged 65–81 years (n = 38) who had experience of volunteering in the community. The data were analyzed using inductive content analysis. Based on the results, the experiences described by older people who participate in volunteering consisted of factors encouraging older people to volunteer and depended on the activation, support, and motivation of volunteer operators. The support provided by the health care services and volunteer action organization for volunteers was a key factor in encouraging older people to participate in volunteering. Moreover, volunteering impacted the communality of volunteers in several ways, influencing social capital. The sense of communality was enhanced by the way in which volunteering was carried out, including collaboration with health care services and associations. In order to strengthen the importance of volunteering in society, there is a need for close collaboration between voluntary organizations and health care service providers to develop volunteering because health care organizations cannot respond to all of the challenges faced by the ageing population.
The Impacts of Housing Characteristics and Built-Environment Features on Mental Health
Authors: Kan Zihan , Kwan Mei-Po , Ng Mee Kam , Tieben Hendrik
Published: April 2022

In this study, we examined the relationships between housing characteristics, neighborhood built-environment features, and people’s mental health in Hong Kong, an Asian city well known for its high-density and high-rise housing. The potential mediating effects of people’s perceived living environment were also considered in the analysis. We collected data from 221 participants from two communities in Hong Kong, i.e., Sham Shui Po (SSP) and Tin Shui Wai (TSW), using a stratified random sampling approach. Big datasets were also used to derive relevant built-environment features at the street block level. We used structural equation modeling to explore the complex relationships among housing characteristics, built-environment features, and mental health. The results indicate that the associations between built-environment quality and people’s mental health are weak. For communities with relatively poor housing conditions (i.e., SSP in this study), the impact of housing characteristics on mental health may be more direct; for communities with relatively good housing conditions (i.e., TSW in this study), the effect of housing characteristics on mental health may be indirect. Our findings shed light on the importance of considering different contexts in developing policies related to housing and built environment and mental health.
Scrutinizing the Impact of Alternating Electromagnetic Fields on Molecular Features of the Model Plant Arabidopsis thaliana
Authors: Schmidtpott Sonja Michèle , Danho Saliba , Kumar Vijay , Seidel Thorsten , Schöllhorn Wolfgang , Dietz Karl-Josef
Published: April 2022

Natural and anthropogenic electromagnetic fields (EMFs) are ubiquitous in the environment and interfere with all biological organisms including plants. Particularly the quality and quantity of alternating EMFs from anthropogenic sources are increasing due to the implementation of novel technologies. There is a significant interest in exploring the impact of EMFs (similar to those emitted from battery chargers of electric cars) on plants. The model plant Arabidopsis thaliana was exposed to a composite alternating EMF program for 48 h and scrutinized for molecular alterations using photosynthetic performance, metabolite profiling, and RNA sequencing followed by qRT-PCR validation. Clear differences in the photosynthetic parameters between the treated and control plants indicated either lower nonphotochemical quenching or higher reduction of the plastoquinone pool or both. Transcriptome analysis by RNA sequencing revealed alterations in transcript amounts upon EMF exposure; however, the gene ontology groups of, e.g., chloroplast stroma, thylakoids, and envelope were underrepresented. Quantitative real-time PCR validated deregulation of some selected transcripts. More profound were the readjustments in metabolite pool sizes with variations in photosynthetic and central energy metabolism. These findings together with the invariable phenotype indicate efficient adjustment of the physiological state of the EMF-treated plants, suggesting testing for more challenging growth conditions in future experiments.
Biomechanical Comparison between Down-the-Line and Cross-Court Topspin Backhand in Competitive Table Tennis
Authors: Xing Kaige , Hang Lanping , Lu Zijun , Mao Chuangui , Kang Dong , Yang Chen , Sun Yuliang
Published: April 2022

The aim of this study was to compare the kinematic and kinetic differences of the racket arm when balls were hit cross-court (CC) and down the line (DL) by topspin backhand. Eight elite female players participated and were instructed to hit the ball down the line and cross-court using a topspin backhand. Kinematic and kinetic data were collected. The results show that at the impact, participants had a greater wrist flexion angle in DL than CC (p = 0.017). The angular velocity of shoulder flexion (p = 0.038), shoulder abduction (p = 0.006) and thorax–pelvis internal rotation (p = 0.017) was faster when participants impacted the ball DL than CC. As for the joint kinetics, the shoulder external rotation moment was greater in CC than DL (p = 0.043). For a high-quality DL technique, it is important to exhibit a greater wrist flexion and have faster adduction and flexion in the shoulder, as well as faster internal rotation in thorax–pelvis, while having a smaller wrist flexion and more external rotation power in the shoulder are important to perform a CC at the impact. If these key and different factors of hitting CC and DL are ignored, it may lead to failure to complete a high-quality shot.
Sexual and Reproductive Health and Education of Adolescents during COVID-19 Pandemic, Results from “Come Te La Passi?”—Survey in Bologna, Italy
Authors: Montalti Marco , Salussolia Aurelia , Masini Alice , Manieri Elisa , Rallo Flavia , Marini Sofia , Agosta Marta , Paternò Martina , Stillo Michela , Resi Davide , Guaraldi Federica , Gori Davide , Dallolio Laura
Published: April 2022

Social distancing measures adopted to face the COVID-19 pandemic had a detrimental impact on adolescent education and their interaction with peers and adults, secondary to the limitation of school and recreational activities, with repercussions on social and sexual life. The “Come te la passi?” (“How is it going?”) study, performed in the Metropolitan City of Bologna (Italy), aimed at investigating the type of information sources adopted by adolescents for their sexual and reproductive health (SRH) knowledge and education, the age of their sexual debut, and the way in which the COVID-19 pandemic affected their relationships and sexual life in order to help local health care professionals and educators designing SRH education programs. A purposely designed online survey was administered during the COVID-19 pandemic to 378 high school students (age > 14 yo) in July 2021. Based on the study results, the most common source of SRH education was the web, followed by peers (friends). A total of 61.3% of 17-year-olds already had sexual intercourse, and 90% of 15-year-olds had experienced romantic or sexual attraction. For 58.2% of the adolescents, the COVID-19 pandemic had negative effects on their relationships/sexual life. The current research emphasizes the need to involve health care professionals and educators in structured programs to promote SRH education tailored to adolescents’ needs and started from early ages.
Ecological Model Explaining the Psychosocial Adaptation to COVID-19
Authors: Gaspar Tânia , Paiva Teresa , Matos Margarida Gaspar
Published: April 2022

The main objective of this study is to understand and characterize the adoption of an ecological perspective and the physical, psychological, social, and contextual health factors that may influence the adjustment to and mental health experiences during the COVID-19 pandemic. The study included 5479 participants, of which 3710 were female (67.7%), aged between 18 and 90 years old, with a mean age of 48.57 years (SD = 14.29), were considered three age groups: 21.5% up to 35 years old, 61.8% between 36 and 64 years old, and 16.7% 65 years old or more. The mental health and individual adjustment to the COVID-19 situation are explained by socio-demographic factors, health-related factors, lifestyles, attitudes and behaviors, lockdown experience, and place of residence. A better adaptation and mental health are observed among men, people with a higher educational level, people with lower sadness, nervousness, and burnout, and people whose health situation did not worsen with the pandemic. In terms of lifestyle, a better adaptation is related to a better quality of sleep, fewer nightmares, a higher practice of physical activity, and less consumption of processed foods and sweets. A better adaptation is also associated with lower levels of dependence on alcohol, TV, and SN (social networks) and a more positive experience of the lockdown imposed by the pandemic. Gender and age group differences in the described context were studied. Promoting a better adjustment and improved mental health when dealing with the COVID-19 requires an ecological understanding and multitarget interventions, targeting physical, mental, and social health together with the contextual environment.
The Health-Sustaining, Moderating, and Mediating Roles of Sense of Coherence in the Relationship between Fear of COVID-19 and Burnout among South African Teachers
Authors: Padmanabhanunni Anita , Pretorius Tyrone Brian , Kagee Ashraf
Published: April 2022

The current study focuses on the interrelationship between fear of COVID-19, sense of coherence, and burnout. Participants (n = 355) were school teachers from across all provinces in South Africa who completed the Fear of COVID-19 Scale, the Sense of Coherence Scale, and the Maslach Burnout Inventory. It was hypothesized that the dimensions of sense of coherence would be directly associated with burnout and would also mediate or moderate the relationship between fear of COVID-19 and burnout. The results of the path and moderation analyses conducted confirmed this hypothesis. In particular, the health-sustaining role of sense of coherence was demonstrated through the significant direct associations between comprehensibility and manageability on one hand and emotional exhaustion, as well as depersonalization, on the other hand. In addition, meaningfulness had significant direct associations with emotional exhaustion, depersonalization, and personal accomplishment. Meaningfulness mediated the relationship between fear of COVID-19 and all burnout subscales, while comprehensibility and manageability only mediated the relationship between fear of COVID-19 and both emotional exhaustion and depersonalization. However, comprehensibility and manageability played a moderating role in the relationship between fear of COVID-19 and personal accomplishment. These findings confirm the crucial role of protective factors, such as sense of coherence, and highlights the need for interventions that could strengthen these resources within teachers.
Time Spent on Social Media and Risk of Depression in Adolescents: A Dose–Response Meta-Analysis
Authors: Liu Mingli , Kamper-DeMarco Kimberly E. , Zhang Jie , Xiao Jia , Dong Daifeng , Xue Peng
Published: April 2022

Adolescent depression is a worldwide public health concern and has contributed to significant socioeconomic burden. Investigating the association between time spent on social media (TSSM) and depression may provide guidance toward the prevention and intervention of adolescent depression. However, related literature reported mixed findings in terms of the relationship between TSSM and depression in adolescents. Hence, we conducted a comprehensive dose–response meta-analysis to clarify this issue. We conducted a systematic title/abstract and topic search of the relative terms in Web of Science, PubMed, PsycINFO databases through 9 January 2022. Odd ratios (ORs) were used to examine the pooled effect size of the association between TSSM and risk of depression. Dose–response analysis was evaluated by a generalized least squares trend estimation. Twenty-one cross-sectional studies and five longitudinal studies including a total of 55,340 participants were included. Overall, more TSSM was significantly associated with a higher risk of depression symptoms (OR = 1.60, 95%CI: 1.45 to 1.75) with high heterogeneity (Q(29) = 105.9, p < 0.001; I2 = 72.6%). The association was stronger for adolescent girls (OR = 1.72, 95%CI: 1.41 to 2.09) than boys (OR = 1.20, 95%CI: 1.05 to 1.37). Five studies with seven reports were included in dose–response analysis. There was a linear dose–response association of TSSM and risk of depression. The risk of depression increased by 13% (OR = 1.13, 95%CI: 1.09 to 1.17, p < 0.001) for each hour increase in social media use in adolescents. TSSM is associated with depression in a linear dose–response and gender-specific manner, which suggests the need for better monitoring of adolescent social media use. However, motivation, content, and engagement on and exposure to social media use may also be important contributing factors, making it necessary to interpret the current findings with caution. Therefore, further research is required to clarify not only the causal link between TSSM and depression by randomized control studies but also the influence of other factors, such as active vs. passive social media use or different types of engagement or environments in which social media is used.
Motivation and Lifestyle-Related Changes among Participants in a Healthy Life Centre: A 12-Month Observational Study
Authors: Sevild Cille H. , Niemiec Christopher P. , Dyrstad Sindre M. , Bru Lars Edvin
Published: April 2022

Healthy Life Centers (HLCs) have been established throughout Norway to support lifestyle changes and promote physical and mental health. We conducted a 12-month observational study among participants in an HLC that aimed to improve physical activity (PA) and dietary behaviors, and this study examined predictors of completion, and changes in psychological variables, lifestyle behaviors, and physical health indicators. The participants (N = 120, 71% female, mean age = 44 years) reported symptoms of psychological distress (77%) and were obese (77%). No baseline characteristics were found to be consistent predictors of completion (42%). Completers had significant improvements in autonomous motivation for PA (d = 0.89), perceived competence for PA (d = 1.64) and diet (d = 0.66), psychological distress (d = 0.71), fruit intake (d = 0.64), vegetable intake (d = 0.38), BMI among all participants (d = 0.21) and obese participants (d = 0.34), body fat percentage among all participants (d = 0.22) and obese participants (d = 0.33), and lower body strength (d = 0.91). Fat-free mass and all forms of PA remained unchanged from baseline to 12 months. Hence, there were indications of improvement among completers on psychological variables, lifestyle behaviors, and physical health indicators. The low rate of completion was a concern, and the unchanged levels of PA reflect an important area of focus for future interventions in the context of HLCs.
What Are the Needs of City Dwellers in Terms of the Development of Public Spaces? A Case Study of Participatory Budgeting in Częstochowa, Poland
Authors: Kołat Katarzyna , Furmankiewicz Marek , Kalisiak-Mędelska Magdalena
Published: April 2022

Participatory Budgeting (PB) is considered a human-centered method of public resource management and investment planning, which strongly reflects the needs of the inhabitants of the municipality. The aim of this article is to assess the structure of the inhabitants’ needs expressed in the PB procedures in Częstochowa, Poland and their relation to the social and demographic characteristics of the city districts. The standard methods of quantitative and qualitative analysis were used (Pearson correlation coefficient and content analysis of the municipal documents), based on the data about: (1) the projects implemented in Częstochowa PB in the years 2015–2019; (2) the age structures and population density in the districts; and (3) qualitative data on district development characteristics. Based on the authors’ typology of projects, it was found that the most popular tasks were related to the comfort and safety of mobility and recreational facilities used for spending free time in public spaces. A relatively lower level of activity of the citizens was found when expressing their needs in central, densely populated districts with a high share of people aged over 65, and a relatively higher level of activity was found in the districts with a high proportion of people aged 0–18 and with lower population density. In the densely populated central districts, relatively high interest in the development of green areas was observed, while in the less populated developing peripheral districts, the preferred infrastructure was related to mobility. These correlations can be logically explained by the conditions related to the development processes of individual districts. The authors conclude that PB can be an important mechanism in determining local needs for the development of public spaces; however, it rewards the needs of the most active social groups.
The Beneficial Role of Involvement in Alcoholics Anonymous for Existential and Subjective Well-Being of Alcohol-Dependent Individuals? The Model Verification
Authors: Wnuk Marcin
Published: April 2022

Involvement in Alcoholics Anonymous (AA) is an important psychosocial factor for the recovery of alcohol-dependent individuals. Recent studies have confirmed the beneficial role of involvement in AA for abstinence and reduction in drinking alcohol. Little is known about the mechanism underlying the relationship between involvement in AA and subjective well-being. This study aims to verify whether in a sample of Polish AA participants involvement in AA is indirectly related to subjective well-being through existential well-being consisting of hope and meaning in life. The achieved results have confirmed that involvement in AA is positively related to existential well-being, which in turn positively predicts subjective well-being including life satisfaction as well as positive and negative affect. It was confirmed that AA involvement in self-help groups indirectly via existential well-being is related to subjective well-being. Theoretical and practical implications were discussed.
Occupational Traffic Accidents among Teachers in Spain
Authors: Delgado-Fernández Vicente Joaquín , Rey-Merchán María del Carmen , López-Arquillos Antonio , Choi Sang D.
Published: April 2022

Occupational traffic accidents are a leading cause of injuries or deaths among workers. Teachers in Spain are especially concerned about the problem of commuting due to their particular labor conditions. Multiple work-related factors are associated with the risk and severity of occupational traffic-related motor vehicle crashes. The objective of this research is to analyze the influence of the variables associated with the severity of occupational traffic accidents among teachers in Spain. A logistic regression model was used for the current study. The odds ratio (OR) and confidence interval (CI) were calculated for the injured worker on a sample of 20,190 occupational traffic accidents suffered by teachers. The results showed that women, Spanish nationality, younger than 55 years, and those driving a car were more likely to suffer a light crash. In contrast, men, foreign nationalities, older than 55 years, and those riding a motorbike were more likely to suffer a serious crash. Based on these findings, motor vehicle safety training could be designed and adapted to the riskiest profiles. Additionally, effective mobility plans for commuting could help reduce work-related traffic accidents.
A Method for Identifying the Spatial Range of Mining Disturbance Based on Contribution Quantification and Significance Test
Authors: Zhang Chengye , Zheng Huiyu , Li Jun , Qin Tingting , Guo Junting , Du Menghao
Published: April 2022

Identifying the spatial range of mining disturbance on vegetation is of significant importance for the plan of environmental rehabilitation in mining areas. This paper proposes a method to identify the spatial range of mining disturbance (SRMD). First, a non-linear and quantitative relationship between driving factors and fractional vegetation cover (FVC) was constructed by geographically weighted artificial neural network (GWANN). The driving factors include precipitation, temperature, topography, urban activities, and mining activities. Second, the contribution of mining activities (Wmine) to FVC was quantified using the differential method. Third, the virtual contribution of mining activities (V-Wmine) to FVC during the period without mining activity was calculated, which was taken as the noise in the contribution of mining activities. Finally, the SRMD in 2020 was identified by the significance test based on the Wmine and noise. The results show that: (1) the mean RMSE and MRE for the 11 years of the GWANN in the whole study area are 0.0526 and 0.1029, which illustrates the successful construction of the relationship between driving factors and FVC; (2) the noise in the contribution of mining activities obeys normal distribution, and the critical value is 0.085 for the significance test; (3) most of the SRMD are inside the 3 km buffer with an average disturbance distance of 2.25 km for the whole SRMD, and significant directional heterogeneity is possessed by the SRMD. In conclusion, the usability of the proposed method for identifying SRMD has been demonstrated, with the advantages of elimination of coupling impact, spatial continuity, and threshold stability. This study can serve as an early environmental warning by identifying SRMD and also provide scientific data for developing plans of environmental rehabilitation in mining areas.
A Cross-Sectional Study on the Relationship between Oral Function and Sarcopenia in Japanese Patients with Regular Dental Maintenance
Authors: Shirahase Ryuichi , Watanabe Yutaka , Saito Tohru , Sunakawa Yusuke , Matsushita Yuya , Tsugayasu Hideki , Yamazaki Yutaka
Published: April 2022

We aimed to clarify the relationship between oral function assessments regarding oral hypofunction and sarcopenia in patients who had completed treatment for organic dental problems, including oral pain, removable denture fit, and tooth loss. This cross-sectional study included 269 patients aged ≥65 years (mean age 74.9 ± 6.50 years, 133 men, 136 women) who visited a dental clinic between June 2019 and March 2021. We evaluated oral function and sarcopenia and analyzed their relationship using the Jonckheere–Terpstra test, Mantel–Haenszel trend test, and Poisson regression analysis. We diagnosed 132 (49.07%) patients with oral hypofunction, 30 (11.2%) with sarcopenia, and 24 (8.9%) with severe sarcopenia. The number of oral hypofunction items (prevalence rate ratio [PRR] = 1.39, 95%Wald = 0.11 to 0.56) was significantly associated with sarcopenia. For each of the items, tongue-lip motor function [ta] (PRR = 0.80, 95%Wald = −0.44 to −0.02)] [ka] (PRR = 0.76, 95%Wald = −0.53 to −0.03) and tongue pressure (PRR = 0.95, 95%Wald = −0.09 to −0.02) showed a significant association with sarcopenia. However, no significant association was found for other variables. Dentists should not only treat organic dental problems but also consider the relationship between oral function and sarcopenia.
“Broken”—How Identities as Women, Mothers and Partners Are Intertwined with the Experience of Living with and Seeking Treatment for Pelvic Organ Prolapse
Authors: Ramage Kaylee , Ducey Ariel , Scime Natalie V. , Knox Erin , Brennand Erin A.
Published: April 2022

Pelvic Organ Prolapse (POP) occurs when one or more pelvic organs descend into or through the vaginal opening, significantly impacting physical and mental health. POP affects the female reproductive tract and, overwhelmingly, people who identify as women. However, little research has examined the impact of gendered expectations on women’s treatment-seeking for POP and their decision-making around surgery for POP. To address this gap, we conducted semi-structured interviews with 26 women seeking surgery for POP in Alberta, Canada. Data were analyzed from a gender-based lens, using the Framework Method. Participants reported the need to balance their identities as women, partners, and mothers in their pursuit of treatment and faced many barriers to treatment related to their gendered responsibilities. Findings highlight the gendered experiences of prolapse in the context of healthcare needs and can inform policies and practices which promote more equitable access to prolapse treatment.
Evaluation Method for Quality Risks of Safety in Prefabricated Building Construction Using SEM–SDM Approach
Authors: Li Xiaojuan , Wang Chen , Kassem Mukhtar A. , Alhajlah Hamed H. , Bimenyimana Samuel
Published: April 2022

The construction of prefabricated buildings is an effective and efficient approach to improving construction processes and productivity. However, there are practical problems in this approach, such as listing, safety risk levels, and quality control. This study aims to develop a systematic approach for determining the key factors affecting prefabricated building projects’ quality and safety risk and assessing this risk. Based on the literature review, a structured questionnaire was distributed to 408 China-based construction organizations. Considering the factors of safety risk evaluation systems for construction, the safety risk model of prefabricated buildings is established and combined with structural equation modeling (SEM) and a system dynamic model (SDM). A detailed case study was conducted to verify the empirical findings. The results show that pre-construction, during-construction, and after-construction significantly influence the quality risk (from high to low). The final comprehensive score is 92.71, indicating that the construction safety of the residential building is generally controllable and the quality is guaranteed. Furthermore, the investment risk of such projects can be assessed using SEM and SDM. This study contributes to the literature by considering quality-risk-influencing factors in this field. Furthermore, the findings provide an understanding of implementation and quality risk control for prefabricated building projects and provide valuable information to departments in charge of improving the safety risk performance of such projects.
Natriuretic Peptides and Troponins to Predict Cardiovascular Events in Patients Undergoing Major Non-Cardiac Surgery
Authors: Perrone Marco Alfonso , Aimo Alberto , Bernardini Sergio , Clerico Aldo
Published: April 2022

Patients undergoing major surgery have a substantial risk of cardiovascular events during the perioperative period. Despite the introduction of several risk scores based on medical history, classical risk factors and non-invasive cardiac tests, the possibility of predicting cardiovascular events in patients undergoing non-cardiac surgery remains limited. The cardiac-specific biomarkers, natriuretic peptides (NPs) and cardiac troponins (cTn) have been proposed as additional tools for risk prediction in the perioperative period. This review paper aims to discuss the value of preoperative levels and perioperative changes in cardiac-specific biomarkers to predict adverse outcomes in patients undergoing major non-cardiac surgery. Based on several prospective observational studies and six meta-analyses, some guidelines recommended the measurement of NPs to refine perioperative cardiac risk estimation in patients undergoing non-cardiac surgery. More recently, several studies reported a higher mortality in surgical patients presenting an elevation in high-sensitivity cardiac troponin T and I, especially in elderly patients or those with comorbidities. This evidence should be considered in future international guidelines on the evaluation of perioperative risk in patients undergoing major non-cardiac surgery.
A Utility Framework for COVID-19 Online Forward Triage Tools: A Swiss Telehealth Case Study
Authors: Michel Janet , Mettler Annette , Müller Martin , Hautz Wolf E. , Sauter Thomas C.
Published: April 2022

The SARS-CoV-2 pandemic caused a surge in online tools commonly known as symptom checkers. The purpose of these symptom checkers was mostly to reduce the health system burden by providing worried people with testing criteria, where to test and how to self-care. Technical, usability and organizational challenges with regard to online forward triage tools have also been reported. Very few of these online forward triage tools have been evaluated. Evidence for decision frameworks may be of particular value in a pandemic setting where time frames are restricted, uncertainties are ubiquitous and the evidence base is changing rapidly. The objective was to develop a framework to evaluate the utility of COVID-19 online forward triage tools. The development of the online forward triage tool utility framework was conducted in three phases. The process was guided by the socio-ecological framework for adherence that states that patient (individual), societal and broader structural factors affect adherence to the tool. In a further step, pragmatic incorporation of themes on the utility of online forward triage tools that emerged from our study as well as from the literature was performed. Seven criteria emerged; tool accessibility, reliability as an information source, medical decision-making aid, allaying fear and anxiety, health system burden reduction, onward forward transmission reduction and systems thinking (usefulness in capacity building, planning and resource allocation, e.g., tests and personal protective equipment). This framework is intended to be a starting point and a generic tool that can be adapted to other online forward triage tools beyond COVID-19. A COVID-19 online forward triage tool meeting all seven criteria can be regarded as fit for purpose. How useful an OFTT is depends on its context and purpose.
Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review
Authors: Fugazzaro Stefania , Contri Angela , Esseroukh Otmen , Kaleci Shaniko , Croci Stefania , Massari Marco , Facciolongo Nicola Cosimo , Besutti Giulia , Iori Mauro , Salvarani Carlo , Costi Stefania
Published: April 2022

Increasing numbers of individuals suffer from post-acute COVID-19 syndrome (PACS), which manifests with persistent symptoms, the most prevalent being dyspnea, fatigue, and musculoskeletal, cognitive, and/or mental health impairments. This systematic review investigated the effectiveness of rehabilitation interventions for individuals with PACS. We searched the MEDLINE, Embase, Cochrane Register of Controlled Trials, CINHAL, Scopus, Prospero, and PEDro databases and the International Clinical Trials Registry Platform for randomized controlled trials (RCTs) up to November 2021. We screened 516 citations for eligibility, i.e., trials that included individuals with PACS exposed to exercise-based rehabilitation interventions. Five RCTs were included, accounting for 512 participants (aged 49.2–69.4 years, 65% males). Based on the revised Cochrane risk-of-bias tool (RoB 2.0), two RCTs had “low risk of bias”, and three were in the “some concerns” category. Three RCTs compared experimental rehabilitation interventions with no or minimal rehabilitation, while two compared two active rehabilitation interventions. Rehabilitation seemed to improve dyspnea, anxiety, and kinesiophobia. Results on pulmonary function were inconsistent, while improvements were detected in muscle strength, walking capacity, sit-to-stand performance, and quality of life. Pending further studies based on qualitatively sound designs, these first findings seem to advocate for rehabilitation interventions to lessen disability due to PACS.
Construction of the Short-Form Thai-Home Fall Hazard Assessment Tool (Thai-HFHAT-SF) and Testing Its Validity and Reliability in the Elderly
Authors: Lektip Charupa , Lapmanee Sarawut , Petsirasan Rewwadee , Chaipinyo Kanda , Lektip Saifon , Nawarat Jiraphat
Published: April 2022

The Thai-Home Fall Hazard Assessment Tool (Thai-HFHAT) was developed to identify the fall risk among the elderly arising from their home environment. However, it is more time consuming for large items. Therefore, this study developed a short-form of Thai-HFHAT (Thai-HFHAT-SF). In phase I, we developed the Thai-HFHAT-SF by performing a confirmatory factor analysis (CFA) of 450 rural elderly people. In phase II, a total of 105 participants; 50 elderly people, 50 caregivers, and 5 village health volunteers (VHV) were recruited to examine the reliability of the Thai-HFHAT-SF. Intra-class correlation coefficient (ICC) was used to analyze the inter-rater and test–retest reliability. Factor analysis selected 28 out of the 69 original Thai-HFHAT items in 4 components: indoor area, garage, outdoor areas, and risky spots/areas including pets. The factor loading was 0.67, 0.60, 0.32, and 0.31 in each component. The fitness index indicated that this model was fit (χ2/df = 1.38, goodness-of-fit Index (GFI) = 0.988, adjusted goodness-of-fit index (AGFI) = 0.970, standardized root mean square residual (SRMR) = 0.030, and root mean square error of approximation (RMSEA) = 0.029). The inter-rater reliability of the Thai-HFHAT-SF was 0.82 (95% CI: 0.71–0.89). The test–retest reliability was 0.77 (95% CI: 0.60–0.87) for the older person group, 0.85 (95% CI: 0.73–0.91) for the caregiver group, and 0.60 (95% CI: 0.29–0.77) for the VHV group. The new 28-item scale focused on home fall hazards and can be conducted in 10–15 min. Thai-HFHAT-SF is suitable for home hazards assessment among elderly in Thailand.
Microwave-Assisted Base-Free Oxidation of Glucose with H2O2 on Gold- and Manganese-Containing SBA-15—Insight into Factors Affecting the Reaction Pathway
Authors: Sobczak Izabela , Kowalska Tsering Chödon , Nowicka Magdalena , Ziolek Maria
Published: April 2022

The aim of this work was to gain insights into the role of manganese in MnSBA-15 support for gold in the base-free glucose oxidation with H2O2 using a microwave reactor. MnSBA-15 (manganese—acidity source) and SBA-15 (for comparison) were modified with Au (2.2 wt. %) and Cu (for comparison). The physicochemical properties of the catalysts were investigated by XRD, N2 ads/des, TEM, UV-vis, XPS, pyridine adsorption combined with FTIR, ATR-FTIR, and 2-propanol decomposition. The effects of the Mn presence in the support, Au NPs size that determines the number of active Au centers, and the Fermi energy (EF), together with the effects of the pore size, reaction temperature, and time on the activity and selectivity of the applied catalysts were assessed and discussed. It has been demonstrated that the presence of Mn generated Lewis acid centers which did not participate in glucose and H2O2 adsorption, and thus, were not directly involved in the reaction pathway. Both reagents were adsorbed on gold nanoparticles. H2O2 was decomposed to molecular oxygen which oxidized glucose to gluconic acid (50–90% of glucose conversion depending on the reaction time and ~100% selectivity). The presence of manganese in MnSBA-15 was responsible for increased Au NPs size and only slightly influenced the negative charge on gold particles. To achieve effective activity a compromise between the number of active gold species and the level of EF has to be reached (for 5.7 nm Au NPs).