bluuebunny/crossref_metadata_2025 huggingface dataset:
The Relationship between Environmental Awareness, Habitat Quality, and Community Residents’ Pro-Environmental Behavior—Mediated Effects Model Analysis Based on Social Capital
Authors: Si Wentao , Jiang Chen , Meng Lin
Published: October 2022

Pro-environmental behavior can promote the optimization of the living environment and sustainable social development. This paper constructs a theoretical analysis framework of “environmental consciousness, habitat environment-social capital- pro-environmental behavior”. By using structural equation modeling and 1005 instances of microscopic research data, we analyzed the influence of environmental awareness and habitat environment on the pro-environmental behavior of community residents. The results of the analysis were combined with the Bootstrap method to verify the mediating role of social capital dimensions in the influence of environmental awareness and habitat quality on the pro-environmental behavior of community residents. The results show that: Firstly, environmental awareness, habitat quality, and social capital have positive effects on the pro-environmental behavior of community residents. Secondly, environmental awareness and habitat quality have positive effects on the five dimensions of social capital. Thirdly, among the five dimensions of social capital, four dimensions of social trust, social norms, sense of community belonging, and community voluntarism play a partially mediating role between environmental awareness, habitat quality, and pro-environmental behavior. This paper enriches the research on the influence of environmental awareness and habitat environment on pro-environmental behavior, reveals the mediating effect of each dimension of social capital, and broadens the horizon for the study of pro-environmental behavior. The results of the study can provide a reference for decision making to promote the implementation of pro-environmental behavior among community residents.
Automated Analysis of Sleep Study Parameters Using Signal Processing and Artificial Intelligence
Authors: Sohaib Muhammad , Ghaffar Ayesha , Shin Jungpil , Hasan Md Junayed , Suleman Muhammad Taseer
Published: October 2022

An automated sleep stage categorization can readily face noise-contaminated EEG recordings, just as other signal processing applications. Therefore, the denoising of the contaminated signals is inevitable to ensure a reliable analysis of the EEG signals. In this research work, an empirical mode decomposition is used in combination with stacked autoencoders to conduct automatic sleep stage classification with reliable analytical performance. Due to the decomposition of the composite signal into several intrinsic mode functions, empirical mode decomposition offers an effective solution for denoising non-stationary signals such as EEG. Preliminary results showed that through these intrinsic modes, a signal with a high signal-to-noise ratio can be obtained, which can be used for further analysis with confidence. Therefore, later, when statistical features were extracted from the denoised signals and were classified using stacked autoencoders, improved results were obtained for Stage 1, Stage 2, Stage 3, Stage 4, and REM stage EEG signals using this combination.
Impact of Depsychopathologization of Transgender and Gender Diverse Individuals in ICD-11 on Care Delivery: Looking at Trans Expertise through a Trans Lens
Authors: Baleige Anna , Guernut Mathilde , Denis Frédéric
Published: October 2022

Depsychopathologization of transgender and gender diverse (TGD) individuals in the eleventh revision of the International Classification of Diseases (ICD-11) called for a shift in care delivery models, based on free and informed consent. Public health policies face epistemic and discriminatory challenges and consensus built on evidence-based data is needed. TGD communities were consulted but did not actively participate in ICD-11 and the following public health debates. There is a need for TGD perspective—both in research and practice. This study draws on a peer-led participatory approach and explores TGD participants’ recommendations based on unexploited French data from ICD-11, in which 72 TGD gave feedback on public policies. Lexicometric analyses were conducted using the ALCESTE method and resulted in a two-step double Descending Hierarchical Classification. Sex, gender, and health consumption were analyzed as secondary variables. The first classification highlighted five main topics: care pathways, training of professionals, access, literacy, and civil status change, developed into 12 targets in the second classification. While sex and gender appeared to have little impact on discourses, recommendations varied according to received care. This study supports the growing scientific consensus of a public health approach to face TGD health challenges and emphasizes TGD individuals’ expertise.
Fostering Youth Female Athletes’ Decision-Making Skills through Competitive Volleyball: A Mixed Methods Design
Authors: Muñoz-Llerena Antonio , Caballero-Blanco Pablo , Hernández-Hernández Elena
Published: October 2022

Decision-making is one of the most important life skills for young athletes to succeed in their daily lives and can be improved through Positive Youth Development (PYD) programs. Although the application of this type of programs has increased within educational and recreational sports, there is a lack of research relating PYD through competitive sports. Therefore, the objective of this study was to determine whether an intervention with competitive female youth players improves their decision-making. A hybrid PYD program was applied (37 trainings and 14 games) using convergent mixed methods. 15 girls (8–10 years) and a male coach participated in the study. Semi-structured interviews and field notes were used to collect qualitative data and the Decision-Making Style in Sport questionnaire was used to collect quantitative data. The results showed a positive perception of the improvement in decision-making in both the players and the coach; however, there was no statistical significance between the pretest and the posttest, and the integration between qualitative and quantitative data was mostly discrepant. Despite the lack of significance in the statistical analysis, the findings suggest that the intervention program appears to have beneficial effects on the development of decision-making skills in the players.
EMG Signal Processing for the Study of Localized Muscle Fatigue—Pilot Study to Explore the Applicability of a Novel Method
Authors: Rodrigues Sandra B. , de Faria Luís Palermo , Monteiro António M. , Lima José Luís , Barbosa Tiago M. , Duarte José A.
Published: October 2022

This pilot study aimed to explore a method for characterization of the electromyogram frequency spectrum during a sustained exertion task, performed by the upper limb. Methods: Nine participants underwent an isometric localized muscle fatigue protocol on an isokinetic dynamometer until exhaustion, while monitored with surface electromyography (sEMG) of the shoulder’s external rotators. Firstly, three methods of signal energy analysis based on primer frequency contributors were compared to the energy of the entire spectrum. Secondly, the chosen method of analysis was used to characterize the signal energy at beginning (T1), in the middle (T2) and at the end (T3) of the fatigue protocol and compared to the torque output and the shift in the median frequencies during the trial. Results: There were statistically significant differences between T1 and T3 for signal energy (p < 0.007) and for central frequency of the interval (p = 0.003). Moreover, the isometric peak torque was also different between T1 and T3 (p < 0.001). Overall, there were no differences between the signal energy enclosed in the 40 primer frequency contributors and the analysis of the full spectrum energy; consequently, it was the method of choice. The reported fatigue and the decrease in the produced muscle torque was consistent with fatigue-induced alterations in the electromyogram frequency spectrum. In conclusion, the developed protocol has potential to be considered as an easy-to-use method for EMG-based analysis of isometric muscle exertion until fatigue. Thus, the novelty of the proposed method is to explore, in muscle fatigue, the use of only the main contributors in the frequency domain of the EMG spectrum, avoiding surplus information, that may not represent muscle functioning. However, further studies are needed to investigate the stability of the present findings in a more comprehensive sample.
Aggressive Vertebral Hemangioma and Spinal Cord Compression: A Particular Direct Access Case of Low Back Pain to Be Managed—A Case Report
Authors: Brindisino Fabrizio , Scrimitore Angelo , Pennella Denis , Bruno Francesco , Pellegrino Raffaello , Maselli Filippo , Lena Francesco , Giovannico Giuseppe
Published: October 2022

Hemangiomas are the most common benign tumours affecting the spine, with an incidence of 10–12% of the general population. Although most hemangiomas are asymptomatic, there are aggressive forms which can develop symptoms, leading patients to show signs of disability. This case report aims to highlight the importance of red flags screening, and to report the physiotherapist’s clinical reasoning that led him to refer his patient to other healthcare professionals. This case also illustrated the pre- and post-surgical treatment of a specific low back pain case in a patient affected by aggressive vertebral hemangioma and spinal cord compression. The patient is a 52-year-old man, who reported intense pain in his sacral region about three months prior, which worsened while in sitting position. The physiotherapist proceeded with a complete medical history investigation and clinical examination. After an impaired neurological examination, the patient was referred to another health professional, who diagnosed multiple vertebral hemangiomas in the patient’s lumbosacral tract. The therapeutic intervention included the patient’s post-surgical rehabilitation following a vascular embolization. This case report shows the importance of proper patient screening. Indeed, during patients’ assessment, it is paramount to recognize red flags and to investigate them appropriately. An early referral of patients with conditions that require the support and expertise of other professionals can lead to a timely diagnosis and avoid costly and unnecessary rehabilitation procedures. In this case, the interdisciplinary collaboration between physiotherapist and neurosurgeon was crucial in guiding the patient towards recovery.
The Acceptance Behavior of Smart Home Health Care Services in South Korea: An Integrated Model of UTAUT and TTF
Authors: Kang Hyo-Jin , Han Jieun , Kwon Gyu Hyun
Published: October 2022

With the COVID-19 pandemic, the importance of home health care to manage and monitor one’s health status in a home environment became more crucial than ever. This change raised the need for smart home health care services (SHHSs) and their extension to everyday life. However, the factors influencing the acceptance behavior of SHHSs have been inadequately investigated and failed to address why users have the intention to use and adopt the services. This study aimed to analyze the influential factors and measure the behavioral acceptance of SHHSs in South Korea. This study adopted the integrated model of the unified theory of acceptance and use of technology (UTAUT) and task–technology fit (TTF) to understand the behavioral acceptance of SHHSs from users’ perceptions and task–technology fit. Multiple-item scales were established based on validated previous measurement scales and adjusted in accordance with SHHS context. Data from 487 valid samples were analyzed statistically, applying partial least square structural equation modeling. The results indicated that the integrated acceptance model explained 55.2% of the variance in behavioral intention, 44.9% of adoption, and 62.5% of the continuous intention to use SHHSs, supporting 11 of the 13 proposed hypotheses. Behavioral intention was positively influenced by users’ perceptions on performance expectancy, effort expectancy, social influence, and functional conditions. Task–technology fit significantly influenced performance expectancy and behavioral intention, validating the linkage between the two models. Meanwhile, task characteristics were insignificant to determine task–technology fit, which might stem from complex home health care needs due to the COVID-19 pandemic, but were not sufficiently resolved by current service technologies. The findings implied that the acceptance of SHHSs needs to be evaluated according to both the user perceptions of technologies and the matching fit of task and technology. Theoretically, this study supports the applicability of the integrated model of UTAUT and TTF to the domain of SHHS, and newly proposed the measurement items of TTF reflecting the domain specificity of SHHS, providing empirical evidence during the pandemic era in South Korea. Practically, the results could suggest to the planners and strategists of home health care services how to promote SHHS in one’s health management.
The Effect of the KDL Active School Plan on Children and Adolescents’ Physical Fitness in China
Authors: Tong Tiantian , Wang Xiaozan , Zhai Feng , Li Xingying
Published: October 2022

The development of physical fitness among Chinese children and adolescents is not fundamentally improving, and an exploration of effective ways to promote it is an urgent need. Research into physical fitness promotion in schools is increasingly deepening worldwide. However, the implementation and verification of intervention programs with local characteristics in accordance with China’s national conditions are relatively weak. This study conducted a randomized controlled trial to examine the effects of the KDL (Know it, Do it, Love it) Active School Plan (KDL-ASP) on children and adolescents’ physical fitness. A total of 596 students from level two (2nd-grade students) to five (11th-grade students) in China were assessed in terms of their physical fitness. Of these, 308 students were randomly selected to participate in the KDL-ASP, which uses a combination of indoor and outdoor sports activities in which teachers, parents, and students participate together. The remaining 288 students performed conventional physical activities. After one school year of intervention with the KDL-ASP, the physical fitness of the children and adolescents improved. The improvements in the speed of level two girls, the strength of level four boys, and the lung capacity of level five boys were the most obvious. These results demonstrate the viability of indigenized intervention in schools to improve physical fitness and suggest that KDL-ASP needs to be considered throughout the whole progress of physical education learning for children and adolescents.
Going Local to Global through Technology-Needs Assessment and Development of a Virtual Arctic Youth Wellbeing Network
Authors: Crawford Allison , Graham Brittany , Bloch Arnârak , Bornyk Alexis , Ford Selma , Mastey David , Teddy Melody , Larsen Christina Viskum Lytken
Published: October 2022

Strengths-based approaches to suicide prevention and life promotion in circumpolar regions must engage youth participation and leadership given the impact of suicide on this demographic. We describe the development of a youth-engaged community of practice (CoP) across circumpolar regions, and adaptations to the ECHO model as a foundation for this virtual CoP. We describe youth priorities for learning in the area of mental health and wellbeing, identified through a learning needs assessment. A curriculum was developed to address key areas of interest, including: cultural approaches to mental wellbeing; language-based approaches to mental wellbeing; resilience; government and policy; and suicide prevention. We describe steps taken to adapt the ECHO model, and to introduce Indigenous pedagogical and knowledge sharing approaches into the CoP in order to meet youth learning interests. We conclude that this virtual CoP was a feasible way to create a learning community, and suggest that a priority future direction will be to evaluate the impacts of this virtual CoP on youth engagement, satisfaction and learning.
Internal or External Word-of-Mouth (WOM), Why Do Patients Choose Doctors on Online Medical Services (OMSs) Single Platform in China?
Authors: Shen Jiang , An Bang , Xu Man , Gan Dan , Pan Ting
Published: October 2022

(1) Background: Word-of-mouth (WOM) can influence patients’ choice of doctors in online medical services (OMSs). Previous studies have explored the relationship between internal WOM in online healthcare communities (OHCs) and patients’ choice of doctors. There is a lack of research on external WOM and position ranking in OMSs. (2) Methods: We develop an empirical model based on the data of 4435 doctors from a leading online healthcare community in China. We discuss the influence of internal and external WOM on patients’ choice of doctors in OMSs, exploring the interaction between internal and external WOM and the moderation of doctor position ranking. (3) Results: Both internal and external WOM had a positive impact on patients’ choice of doctors; there was a significant positive interaction between internal and third-party generated WOM, but the interaction between internal and relative-generated WOM, and the interaction between internal and doctor-generated WOM were both nonsignificant. The position ranking of doctors significantly enhanced the impact of internal WOM, whereas it weakened the impact of doctor recommendations on patients’ choice of doctors. (4) The results emphasize the importance of the research on external WOM in OMSs, and suggest that the moderation of internal WOM may be related to the credibility and accessibility of external WOM, and the impact of doctor position ranking can be explained by information search costs.
Exploring Risk Factors of Unexpected Death, Using Palliative Care Outcomes Collaboration (PCOC) Measures, among Terminal Patients Receiving Palliative Care in Taiwan
Authors: Hsiao Wen-Hsuan , Wang Chun-Li , Lee Lung-Chun , Chien Szu-Pei , Hsu Chin-Chu , Chu Wei-Min
Published: October 2022

Palliative care has the ability to relieve both physical discomfort and psychological distress in terminally ill patients. However, unexpected death may still occur in palliative care settings. This study aimed to utilize Palliative Care Outcomes Collaboration (PCOC) data to better determine any associated factors which may surround unexpected death in palliative care settings. Data were extracted from the PCOC database by the palliative care team within Taichung Veterans General Hospital (TCVGH). Data of deceased patients were extracted during the period from January 2021 to December 2021 from multiple palliative care settings. The deaths of patients whose last recorded palliative phase was 1–3 were defined as unexpected. A total of 280 deceased patients were included, with mean age at death being 67.73, 61% being male, and 83.2% cancer patients. We discovered that shortness of breath, as assessed by the Symptom Assessment Scale (SAS), decreased risk of unexpected death (OR: 0.91, 95% CI: 0.84–0.98), while impending death discharge (OR: 3.93, 95% CI: 1.20–12.94) and a higher Australia-modified Karnofsky performance status (AKPS) score (OR: 1.15, 95% CI: 1.10–1.21) were associated with unexpected death. Thus, medical staff must inform the family of patients early on regarding any risk factors surrounding unexpected death to help everyone involved be prepared in advance.
Heavy Metal Pollution and Risk Assessment of Surface Dust in the Arid NW China
Authors: Yang Xiuyun , Eziz Mamattursun , Hayrat Adila , Ma Xiaofei , Yan Wei , Qian Kaixuan , Li Jiaxin , Liu Yuan , Wang Yifan
Published: October 2022

High concentrations of heavy metals (HMs) in urban surface dust (USD) can be extremely hazardous to urban ecology and human health. Oasis cities are located at the edge of deserts and are more exposed to salt/sandstorms, and they face a significantly higher accumulation of USD than wet or semi-humid areas. However, systematic studies on the pollution and risk assessment of HMs in USD in oasis cities have rarely been conducted. This study systematically analyzed the enrichment status, spatial distribution, pollution levels, health risks, and sources of HMs in USD in a typical oasis city (Changji city). The results showed that the average concentrations of Pb, Ni, As, Cd, Hg, and Cu in the USD of Changji city were 46.83, 26.35, 9.92, 0.21, 0.047, and 59.33 mg/kg, respectively, and the results of the pollution index evaluation showed moderate Pb, Hg, and Cu pollution, mild Cd pollution, and no Ni or As pollution. The spatial distribution of HM concentrations in the USD was substantially heterogeneous. High values of Pb, Hg, and Cu concentrations were mainly observed in areas with relatively intensive transportation and commercial activities, and high values of Cd and Ni were observed in industrial areas. The health risk assessment showed that HMs do not pose non-carcinogenic risks to humans at their current level, but they pose a carcinogenic risk to children, with As contributing the largest carcinogenic and non-carcinogenic risks. The source identification of HMs showed that the main pollution of HMs were traffic sources for Pb and Cu, industrial sources for Ni and Cd, natural sources for As, and coal-fired sources for Hg. According to the results of the quantitative analysis with the positive matrix factorization, the contribution of pollution sources followed this order: industrial sources (31.08%) > traffic sources (26.80%) > coal-fired sources (23.31%) > natural sources (18.81%).
Analysis of the Impact of Landscape Patterns on Urban Heat Islands: A Case Study of Chengdu, China
Authors: Sun Zishu , Li Zhigang , Zhong Jialong
Published: October 2022

The urbanization process, such as population growth and the expansion of roads, railways, residential areas, and industrial areas, causes severe landscape fragmentation and changes in the surface temperature balance, resulting in the heat island effect. This study used Landsat data to study the impact of landscape patterns on urban heat islands (UHIs) and temporal-spatial change characteristics. In addition, spatial correlation analysis was employed to detect the relationships between land surface temperature (LST) and landscape patterns. The results showed that the impervious surfaces landscape area increased significantly, and the Woodland landscape area increased. However, the bare land, cropland, and water body area decreased. The cohesion of cropland and woodland landscape in the suburb decreased, and there was a high degree of fragmentation. The difference between the contributions of the central city and suburbs to the whole region is narrowing, and the expansion of urban heat islands is shifting from the central city to the suburbs. The percentage of landscape index (PLAND) and the patch cohesion index (COHESION) of woodland, water body, and cropland were negatively correlated with LST. Meanwhile, the PLAND and COHESION of impervious surface and bare land were positively correlated with LST, and the splitting index (SPLIT) was the opposite of the PLAND and COHESION. The fragmentation of impervious surfaces and bare land landscapes reduces the UHI effect. Based on these results, countermeasures to mitigate the heat island effect are proposed. These measures will play an essential role in improving urban ecology and the environmental quality of human settlements.
Virtual Reality and Exercise Training Enhance Brain, Cognitive, and Physical Health in Older Adults with Mild Cognitive Impairment
Authors: Yang Ja-Gyeong , Thapa Ngeemasara , Park Hye-Jin , Bae Seongryu , Park Kyung Won , Park Jong-Hwan , Park Hyuntae
Published: October 2022

We investigated the effectiveness of virtual-reality-based cognitive training (VRCT) and exercise on the brain, cognitive, physical and activity of older adults with mild cognitive impairment (MCI). Methods: This study included 99 participants (70.8 ± 5.4) with MCI in the VRCT, exercise, and control groups. The VRCT consisted of a series of games targeting different brain functions such as executive function, memory, and attention. Twenty-four sessions of VRCT (three days/week) were performed, and each session was 100 min long. Exercise intervention consisted of aerobic and resistance trainings performed in 24 sessions for 60 min (2 times/week for 12 weeks). Global cognitive function was measured using the Mini-Mental State Examination (MMSE) test. Resting-state electroencephalography (EEG) of the neural oscillatory activity in different frequency bands was performed. Physical function was measured using handgrip strength (HGS) and gait speed. Results: After the intervention period, VRCT significantly improved the MMSE scores (p < 0.05), and the exercise group had significantly improved HGS and MMSE scores (p < 0.05) compared to baseline. One-way analysis of variance (ANOVA) of resting-state EEG showed a decreased theta/beta power ratio (TBR) (p < 0.05) in the central region of the brain in the exercise group compared to the control group. Although not statistically significant, the VRCT group also showed a decreased TBR compared to the control group. The analysis of covariance (ANCOVA) test showed a significant decrease in theta band power in the VRCT group compared to the exercise group and a decrease in delta/alpha ratio in the exercise group compared to the VRCT group. Conclusion: Our findings suggest that VRCT and exercise training enhances brain, cognitive, and physical health in older adults with MCI. Further studies with a larger population sample to identify the effect of VRCT in combination with exercise training are required to yield peak benefits for patients with MCI.
The Hong Kong Grocery Shopping Dialog Task (HK-GSDT): A Quick Screening Test for Neurocognitive Disorders
Authors: Gong Xianmin , Wong Patrick C. M. , Fung Helene H. , Mok Vincent C. T. , Kwok Timothy C. Y. , Woo Jean , Wong Ka Ho , Meng Helen
Published: October 2022

The Hong Kong Grocery Shopping Dialog Task (HK-GSDT) is a short and easy-to-administer cognitive test developed for quickly screening neurocognitive disorders (NCDs). In the test, participants are instructed to do a hypothetical instrumental activity of daily living task of purchasing ingredients for a dish from a grocery store and verbally describe the specific shopping procedures. The current study aimed to validate the test with a sample of 545 Hong Kong older adults (58.8% female; aged 73.4 ± 8.37 years), including 464 adults with normal cognitive function, 39 with mild NCD, and 42 with major NCD. Demographic characteristics (i.e., sex, age, education) and clinical diagnosis of cognitive states (i.e., major NCD, mild NCD, and normal aging) were collected. Cognitive functioning was measured using the HK-GSDT and several standardized NCD-screening tests. The results showed good reliability (i.e., internal consistency) and structural validity in the HK-GSDT. It discriminated among different cognitive conditions, particularly between major NCDs and the other conditions, as effectively as did the existing standardized neurocognitive tests (e.g., Montreal Cognitive Assessment, Hong Kong List Learning Test). Moreover, the HK-GSDT explained additional variance of cognitive condition on top of those standardized neurocognitive tests. These results indicate that the HK-GSDT can be used alone, or in combination with other tests, to screen for NCDs.
What’s behind the Dashboard? Intervention Mapping of a Mobility Outcomes Monitoring System for Rehabilitation
Authors: Auger Claudine , Guay Cassioppée , Pysklywec Alex , Bier Nathalie , Demers Louise , Miller William C. , Gélinas-Bronsard Dominique , Ahmed Sara
Published: October 2022

Training and follow-up for older adults who received new assistive technology can improve device use adoption and function, but there is a lack of systematic and coordinated services. To address this gap, the Internet-based MOvIT+™ was designed to provide remote monitoring and support for assistive technology users and their caregivers. This paper presents the intervention mapping approach that was used. In step 1, we established a project governance structure and a logic model emerged from interviews with stakeholders and a systematic review of literature. In step 2, a modified TRIAGE consensus process led to the prioritization of thirty-six intervention components. In step 3, we created use cases for all intervention end users. In step 4, the intervention interface was created through iterative lab testing, and we gathered training resources. In step 5, a two-stage implementation plan was devised with the recruited rehabilitation sites. In step 6, we proposed an evaluation protocol. This detailed account of the development of MOvIT+™ demonstrates how the combined use of an intervention mapping approach and participatory processes with end users can help linking evidence-based, user-centered, and pragmatic reasoning. It makes visible the complexities behind the development of Internet-based interventions, while guiding future program developers.
Physical Activity and Sedentary Behaviors in Primary School Children in Saudi Arabia during the COVID-19 Pandemic: Association with Parents’ Behaviors
Authors: Aljuhani Osama , Alsuwailem Rola , Al-Salawi Abdulelah , Sandercock Gavin
Published: October 2022

During the COVID-19 pandemic, a few studies used accelerometers to assess physical activity (PA) and sedentary behavior in the family context. This study aimed to assess children and parents’ moderate and vigorous physical activity (MVPA) and sedentary time, as well as their relationship in MVPA and sedentary time. Data were collected from 30 parent–child dyads during the COVID-pandemic for seven days, using a hip-worn accelerometer. Children and parents engaged in 65.6 and 34.6 min/day in MVPA and 442.2 and 427.9 min/day sedentary, respectively. There was no evidence of gender difference in MVPA and sedentary between boys and girls. Male parent spent more time in MVPA than female parents. A total of 50% of children and 53.3% of parents met the recommended PA. Children’s MVPA and sedentary time were both correlated with that of their parents. Adjusted linear regression showed that only child MVPA was negatively associated with their parents’ MVPA. There is evidence that multi-level interventions involving parents and children are more effective than interventions focusing on a single group. This study also provides evidence to support the link between MVPA and sedentary time between parents and children. Generalization of the findings is difficult due to the bias of self-selection sample.
Is Lethality Different between Males and Females? Clinical and Gender Differences in Inpatient Suicide Attempters
Authors: Berardelli Isabella , Rogante Elena , Sarubbi Salvatore , Erbuto Denise , Cifrodelli Mariarosaria , Concolato Cristina , Pasquini Massimo , Lester David , Innamorati Marco , Pompili Maurizio
Published: October 2022

According to the gender paradox in suicidology, an important sex difference has been reported with a preponderance of females in nonfatal suicidal behavior and a preponderance of males in completed suicide. Furthermore, females and males present different risk factors for suicide. The present study explored possible clinical differences between male and female psychiatric inpatients who had recently attempted suicide. The study included 177 adult inpatients hospitalized following a suicide attempt at the University Psychiatric Clinic, Sant’Andrea Hospital, Sapienza University of Rome. Clinical features assessed included psychiatric diagnosis, method and lethality of suicide attempts using the Risk/Rescue Rating Scale, the history of suicide attempts, age at onset of psychiatric illness, the presence of substance or alcohol use, and the length of stay. The results found that males and females differed in the method used for the suicide attempt, the scores for risk and rescue, and the length of hospitalization post-suicide attempt. In conclusion, identifying gender characteristics of patients at higher risk of suicide is important for implementing specific suicide prevention strategies and reducing the risk of future suicidal behavior in psychiatric inpatients.
Promoting Healthcare Workers’ Adoption Intention of Artificial-Intelligence-Assisted Diagnosis and Treatment: The Chain Mediation of Social Influence and Human–Computer Trust
Authors: Cheng Mengting , Li Xianmiao , Xu Jicheng
Published: October 2022

Artificial intelligence (AI)-assisted diagnosis and treatment could expand the medical scenarios and augment work efficiency and accuracy. However, factors influencing healthcare workers’ adoption intention of AI-assisted diagnosis and treatment are not well-understood. This study conducted a cross-sectional study of 343 dental healthcare workers from tertiary hospitals and secondary hospitals in Anhui Province. The obtained data were analyzed using structural equation modeling. The results showed that performance expectancy and effort expectancy were both positively related to healthcare workers’ adoption intention of AI-assisted diagnosis and treatment. Social influence and human–computer trust, respectively, mediated the relationship between expectancy (performance expectancy and effort expectancy) and healthcare workers’ adoption intention of AI-assisted diagnosis and treatment. Furthermore, social influence and human–computer trust played a chain mediation role between expectancy and healthcare workers’ adoption intention of AI-assisted diagnosis and treatment. Our study provided novel insights into the path mechanism of healthcare workers’ adoption intention of AI-assisted diagnosis and treatment.
On the Quantum and Tempo of Women First Marriages in China
Authors: Dan Jingyi , Zhu Nong , Mei Li
Published: October 2022

The total first marriage rate (TFMR) of Chinese women shows a downward trend in fluctuations from 1970 to 2016, but it is affected by the tempo distortion caused by changes in the mean age at first marriage. Thus, we compare the total first marriage rate (TFMR) and tempo-adjusted period proportion ever married (PPEM*) to estimate the extent to which the TFMR is affected by tempo effects. We also decompose the women’s TFMR change into its quantum and tempo components from 1970 to 2016 to analyze how much of the changes in TFMR are due to the quantum changes and how much of it is caused by tempo effects. The results show that the tempo effects have had a persistent influence on the period TFMR of Chinese women from 1970 to 2016. The recent decline in the TFMR in Chinese women is mainly due to the first marriage delay, not signaling a retreat from universal marriage.
Anthropogenic Land Use and Land Cover Change as Potential Drivers of Sediment Sources in the Upper Crocodile River, North West Province, South Africa
Authors: Nde Samuel Che , Bett Sammy Kipyego , Mathuthu Manny , Palamuleni Lobina
Published: October 2022

In this study, we investigated the accelerating pace of anthropogenic land use and land cover change (LULCC) disturbance, which has generated enormous impacts on the Crocodile River. Spot images from 1996, 2009 and 2022 were used to generate the land use maps and quantify the changes. A supervised classification with the maximum likelihood classifier was used to classify the images. Sediment sources were classified into two sources, revealed by erosional characteristics in the catchment. A gamma spectrometry detector, high-purity germanium (HPGe) “Well” detector by Canberra and inductively coupled plasma mass spectrometry (ICP–MS) were used for the analysis of the samples. The results revealed that from 1996–2022, built-up areas, bare land and water bodies increased by 3.48%, 2.47% and 1.90%, respectively. All the LULCC classes increased annually from 1996–2022, except for grassland, which shrunk. The results of the radionuclides analysis showed that 210Pbex was found to be a more effective tracer than 137Cs. The mass balance model revealed that subsurface sources contributed 60%, while surface sources contributed 40%, of the sediment load in the river. This research provides valuable information necessary for integrated catchment management policies for future LULCC and soil erosion to be adopted.
Perceived Housing in Relation to Retirement and Relocation: A Qualitative Interview Study among Older Adults
Authors: Eriksson Erik , Wazinski Karla , Wanka Anna , Kylén Maya , Oswald Frank , Slaug Björn , Iwarsson Susanne , Schmidt Steven M.
Published: October 2022

As people age the home environment becomes increasingly important. Retirement commonly leads to spending more time in one’s home, and relocating from your own home in older age could be associated with reduced health or wellbeing. The relationship between home and person is complex and perceived aspects of one’s housing such as social, emotional and cognitive ties are considered important factors for health and wellbeing. However, little is known about how perceived aspects of the home change in relation to retirement and relocation. This paper used Situational Analysis to explore, via situational mapping, how community dwelling older adults (aged 60–75) perceived their housing situation in relation to retirement and relocation. The results suggest complex relations between relocation/retirement and perceived housing, and between different aspects of perceived housing. Furthermore, the results suggest that the relationship between life transitions and perceived housing can be seen as bi-directional, where different life transitions affect aspects of perceived housing, and that perceived housing affects (decisions for) relocation. The results suggest complex relations between retirement and relocation, as well as other life transitions, and perceived aspects of one’s housing. It is important to consider these interactions to understand factors that affect health and wellbeing in older adults.
Patients’ Lived Experience in a Multicomponent Intervention for Fibromyalgia Syndrome in Primary Care: A Qualitative Interview Study
Authors: Arfuch Victoria Mailen , Caballol Angelats Rosa , Aguilar Martín Carina , Gonçalves Alessandra Queiroga , Carrasco-Querol Noèlia , González Serra Gemma , Sancho Sol Maria Cinta , Fusté Anguera Immaculada , Friberg Emilie , Berenguera Anna
Published: October 2022

Fibromyalgia syndrome (FMS) disrupts patients’ biopsychosocial spheres. A multicomponent intervention (MCI) program, which combined health education, cognitive behavioral therapy, and physical activity, was conducted in South Catalonia’s primary care centers with the aim of improving symptom self-management and quality of life. A qualitative interview study was carried out to understand patients’ lived experiences during the intervention program. Sampled purposively, 10 patients were interviewed via phone calls and face-to-face. The encounters were audio-recorded, verbatim transcribed, and analyzed through thematic analysis. As a result, four themes emerged: legitimizing fibromyalgia through the MCI, the MCI as a socializing experience, learning how to live with FMS through the MCI, and room for improving the MCI. Participants agreed on the program being an insightful experience that promoted illness knowledge and acceptance and that improved their coping skills and symptom self-management. The inclusion of additional psychological guidance, expressive psychological group therapy, and providing relatives with information were proposed for enhancing the program. Our findings have contributed to gaining insight into the subjective impact of the MCI and identifying new therapeutic targets to tailor the program to patients’ needs, which will hopefully increase its effectiveness and improve their quality of life.
Source Analysis and Contamination Assessment of Potentially Toxic Element in Soil of Small Watershed in Mountainous Area of Southern Henan, China
Authors: Chen Hang , Wu Wei , Cao Li , Zhou Xiaode , Guo Rentai , Nie Liwei , Shang Wenxing
Published: October 2022

In this study, the concentrations of potentially toxic elements in 283 topsoil samples were determined. Håkanson toxicity response coefficient modified matter element extension model was introduced to evaluate the soil elements contamination, and the results were compared with the pollution index method. The sources and spatial distribution of soil elements were analyzed by the combination of the PMF model and IDW interpolation. The results are as follows, 1: The concentration distribution of potentially toxic elements is different in space. Higher concentrations were found in the vicinity of the mining area and farmland. 2: The weight of all elements has changed significantly. The evaluation result of the matter-element extension model shows that 68.55% of the topsoil in the study area is clean soil, and Hg is the main contamination element. The evaluation result is roughly the same as that of the pollution index method, indicating that the evaluation result of the matter-element extension model with modified is accurate and reasonable. 3: Potentially toxic elements mainly come from the mixed sources of atmospheric sedimentation and agricultural activities (22.59%), the mixed sources of agricultural activities and mining (20.26%), the mixed sources of traffic activities, nature and mining (36.30%), the mixed sources of pesticide use and soil parent material (20.85%).
Unpacking the Association between Family Functionality and Psychological Distress among Chinese Left-Behind Children: The Mediating Role of Social Support and Internet Addiction
Authors: Fan Xiaoyan
Published: October 2022

Family functionality has been proven to be associated with adolescents’ and children’s mental health, but its indirect mechanisms among left-behind children have rarely been investigated in the Chinese context. This study aims to explore the direct effect of family functionality on psychological distress and the mediating roles of social support and Internet addiction among Chinese left-behind children. Based on multistage random sampling, 1355 students were recruited to participate in a school-based questionnaire survey in Jiangsu Province. Structural equation modeling using Amos 26.0 was used to test the direct and indirect paths of the variables. The results support our hypotheses, suggesting that family functionality has a direct effect on the psychological distress of left-behind children. Meanwhile, the association between family functionality and psychological distress is mediated by social support and Internet addiction, separately and sequentially. The findings suggest that effective social work interventions for psychological distress should be targeted toward social support and Internet addiction among left-behind children.
Pilates and Cognitive Stimulation in Dual Task an Intervention Protocol to Improve Functional Abilities and Minimize the Rate of Age-Related Cognitive Decline in Postmenopausal Women
Authors: da Silva Daniel José Fontel , Torres Juliana Lima , Ericeira Luiza Pimentel , Jardim Naina Yuki Vieira , da Costa Victor Oliveira , Carvalho Josilayne Patrícia Ramos , Corrêa Paola Geaninne Reis , Bento-Torres João , Picanço-Diniz Cristovam Wanderley , Bento-Torres Natáli Valim Oliver
Published: October 2022

It is already known the effectiveness of Pilates training on cognitive and functional abilities. It is also known that dual-task exercise and cognitive stimuli improve cognition and functional capacity. However, no previous report combined cognitive stimuli and Pilates in dual task and measured its effects on the cognitive and physical performances of postmenopausal women. Objective: To apply an interventional dual-task (PILATES-COG) protocol and to evaluate its influence on memory, language, and functional physical performances on healthy, community-dwelling postmenopausal older women. Methods: 47 women with amenorrhea for at least 12 months participated in this study. Those allocated on the PILATES-COG group underwent a 12-week, twice a week regimen of 50 min sessions of simultaneous mat Pilates exercise program and cognitive tasks. Cognitive and physical functional performance were assessed. Two-way mixed ANOVA was used for data analysis, and Bonferroni post hoc tests were used for within- and between-group comparisons. Results: The PILATES-COG group showed significant improvement after the intervention in semantic verbal fluency (p < 0.001; ηρ² = 0.268), phonological verbal fluency (p < 0.019; ηρ² = 0.143), immediate memory (p < 0.001; ηρ² = 0.258), evocation memory (p < 0.001 ηρ² = 0.282), lower-limb muscle strength (p < 0.001; ηρ² = 0.447), balance (p < 0.001; ηρ² = 0.398), and dual-ask cost (p < 0.05; ηρ² = 0.111) assessments on healthy, community-dwelling postmenopausal older women. Conclusion: This is the first report of a feasible and effective approach using Pilates and cognitive stimulation in dual task for the reduction of age-related cognitive decline and the improvement of physical functional performance in healthy postmenopausal women.
Social Robotics and Dementia: Results from the eWare Project in Supporting Older People and Their Informal Caregivers
Authors: Amabili Giulio , Cucchieri Giacomo , Margaritini Arianna , Benadduci Marco , Barbarossa Federico , Luzi Riccardo , Riccardi Giovanni , Pelliccioni Giuseppe , Maranesi Elvira , Bevilacqua Roberta
Published: October 2022

The aim of this paper is to describe the results collected with the Italian study conducted within eWare project, aimed at supporting the autonomy and health of the older people affected by dementia and their informal caregivers, through the use of an innovative system based on a social robot and a sensorized environmental infrastructure. Nine dyads of older participants with their caregivers were enrolled in testing the system for 6 months. The results show a positive impact of the system in supporting the achievement of personal goals of the participants, as well as in supporting the quality of life of the informal caregivers. Nevertheless, the impact of the system in reducing the caregivers’ burden needs to be deeply investigated. This research highlights the potential of the eWare system but modifications will have to be made, especially on the interactivity capabilities, in order to meet the peculiar needs and wishes of older people with dementia and to favor the long-term use of the system.
Ambient Air Quality and Emergency Hospital Admissions in Singapore: A Time-Series Analysis
Authors: Ho Andrew Fu Wah , Hu Zhongxun , Woo Ting Zhen Cheryl , Tan Kenneth Boon Kiat , Lim Jia Hao , Woo Maye , Liu Nan , Morgan Geoffrey G. , Ong Marcus Eng Hock , Aik Joel
Published: October 2022

Air pollution exposure may increase the demand for emergency healthcare services, particularly in South-East Asia, where the burden of air-pollution-related health impacts is high. This article aims to investigate the association between air quality and emergency hospital admissions in Singapore. Quasi-Poisson regression was applied with a distributed lag non-linear model (DLNM) to assess the short-term associations between air quality variations and all-cause, emergency admissions from a major hospital in Singapore, between 2009 and 2017. Higher concentrations of SO2, PM2.5, PM10, NO2, and CO were positively associated with an increased risk of (i) all-cause, (ii) cardiovascular-related, and (iii) respiratory-related emergency admissions over 7 days. O3 concentration increases were associated with a non-linear decrease in emergency admissions. Females experienced a higher risk of emergency admissions associated with PM2.5, PM10, and CO exposure, and a lower risk of admissions with NO2 exposure, compared to males. The older adults (≥65 years) experienced a higher risk of emergency admissions associated with SO2 and O3 exposure compared to the non-elderly group. We found significant positive associations between respiratory disease- and cardiovascular disease-related emergency hospital admissions and ambient SO2, PM2.5, PM10, NO2, and CO concentrations. Age and gender were identified as effect modifiers of all-cause admissions.