bluuebunny/crossref_metadata_2025 huggingface dataset:
Food Consumption Structure and Food Security—Through Mediating Effect Analysis of Agricultural R&D and Agricultural Investment
Authors: Bi Wentai , Song Yu , Liu Yang , Li Zongze , Zhang Ying
Published: October 2022

Food security is the cornerstone that ensures the stable development of a country. Based on panel data of 31 provinces (including autonomous regions and municipalities) in China from 2015 to 2019, we use the mediating effect model to explore the mechanism by which food consumption structure affects food security. The results indicate that grain consumption has a significant promoting effect on food security, while plant and animal food consumption have significant inhibiting effects on food security. Furthermore, agricultural R&D and investment play mediating roles in the impact of food consumption structure on food security. Obvious differences exist in the relationship between food consumption structure and food security between urban and rural areas, as well as between Eastern, Central, and Western regions. Animal food consumption had a negative and significant impact on food security, with a stronger effect on rural residents than on urban residents. Compared with the central and western regions, grain consumption and animal food consumption in the eastern region had a stronger marginal impact on food security. This paper enriches and expands the research on influencing factors of food security from the perspective of consumer demand, which has important theoretical value and practical significance for ensuring food security.
Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy
Authors: Campo Laura , Lumia Silvia , Fustinoni Silvia
Published: October 2022

Background: College campuses and universities are valuable settings for smoking prevention programs targeting young adults. Aim: To investigate smoking habits, electronic cigarette (e-cig) and heated tobacco product (HTP) use, exposure to passive smoke, compliance with smoking bans on campus, attitudes toward the anti-smoking policies, and educational needs among students at the University of Milan, Italy. Methods: A validated questionnaire was web-submitted to 64,801 students in the period May–July 2021. For each item, the frequency was calculated and χ2 test with Bonferroni correction was used to compare differences among the 10 faculties of the University. Results: 7162 students participated in the survey, while 6605 questionnaires were included in this report (62% female, 84% aged 18–25 years). Sixty-four percent of participants were never smokers, 19% were smokers, 2.8% were e-cig or HTP users, 3.7% were dual smokers, 10% were former smokers, and 66% reported routinely spending free time with smokers. Almost all students were aware of the dangers of active and passive smoking of cigarettes, while about 20% did not have an opinion on the dangers of e-cigs/HTPs. Only 49% were aware of the smoking ban in the outdoor areas of the university. Students from the faculties of Law and Political, Economic, and Social Sciences smoked more frequently and were more frequently exposed to passive smoke than other students. Medicine students were the most aware of the dangers of passive smoking and using e-cigs/HTPs. Conclusions: This is the first study in Italy involving the entire student population of a university and highlighting differences among faculties in terms of active and passive smoking and opinions. The results suggest that prevention campaigns addressed to students should consider their specific study curricula and give information tailored to the different educational needs to efficiently support health promotion.
A Hybrid Model Based on Improved Transformer and Graph Convolutional Network for COVID-19 Forecasting
Authors: Li Yulan , Ma Kun
Published: October 2022

The coronavirus disease 2019 (COVID-19) has spread rapidly around the world since 2020, with a significant fatality rate. Until recently, numerous countries were unable to adequately control the pandemic. As a result, COVID-19 trend prediction has become a hot topic in academic circles. Both traditional models and existing deep learning (DL) models have the problem of low prediction accuracy. In this paper, we propose a hybrid model based on an improved Transformer and graph convolution network (GCN) for COVID-19 forecasting. The salient feature of the model in this paper is that rich temporal sequence information is extracted by the multi-head attention mechanism, and then the correlation of temporal sequence information is further aggregated by GCN. In addition, to solve the problem of the high time complexity of the existing Transformer, we use the cosine function to replace the softmax calculation, so that the calculation of query, key and value can be split, and the time complexity is reduced from the original O(N2) to O(N). We only concentrated on three states in the United States, one of which was the most affected, one of which was the least affected, and one intermediate state, in order to make our predictions more meaningful. We use mean absolute percentage error and mean absolute error as evaluation indexes. The experimental results show that the proposed time series model has a better predictive performance than the current DL models and traditional models. Additionally, our model’s convergence outperforms that of the current DL models, offering a more precise benchmark for the control of epidemics.
Life-Space Mobility and Objectively Measured Movement Behavior in Older Adults with Hypertension after Receiving COVID-19 Vaccination
Authors: Browne Rodrigo A. V. , Cabral Ludmila L. P. , Oliveira Gledson T. A. , Macêdo Geovani A. D. , Sócrates Júlio , Silva Raíssa de M. , Araújo Maria B. F. , Freire Yuri A. , Costa Eduardo C.
Published: October 2022

This study examined the changes in life-space (LS) mobility and objectively measured movement behavior in older adults with hypertension after receiving the COVID-19 vaccine and their associations with housing type. A total of 32 participants were included in this exploratory longitudinal study with a 1-year follow-up. LS mobility and accelerometer-based physical activity (PA) and sedentary behavior (SB) were assessed before and ~2 months after receiving COVID-19 vaccination. Participants residing in apartment/row housing showed an increase in LS mobility composite score (β = 14, p < 0.05). In addition, they showed an increase in light PA on weekdays and the weekend (β = 3.5%; β = 6.5%; p < 0.05) and a decrease in SB on weekdays and the weekend (β = −3.7%; β = −6.6%; p < 0.05). Furthermore, changes in SB pattern were found (less time spent in bouts of ≥10 and 30 min, more breaks/day and breaks/hour). Significant associations were found between changes in LS mobility composite score and PA (positive association) and SB (negative association) in older adults residing in apartment/row housing (p < 0.05). Older adults with hypertension, particularly those who resided in houses with limited outdoor space (apartment/row housing), showed positive changes in LS mobility and objectively measured movement behavior in a period after receiving the COVID-19 vaccine and characterized by social distancing policies without mobility restrictions when compared with the period of social distancing policies with high mobility restrictions and without vaccine.
The Impact of the COVID-19 Pandemic on Respiratory Illness Admissions at a Single Academic Institution in Arkansas
Authors: Heft Mallory , Mueller Joshua , Jensen Hanna , Kaukis Nicholas , Meek Mollie
Published: October 2022

Background: The first reported COVID-19 case in Arkansas was on 11 March 2020, two months after the first reported case in the United States. We sought to analyze rates of respiratory illness and influenza tests during the 2019/2020 influenza season compared to pre-pandemic years to assess whether there were higher rates of respiratory illness than expected, which may suggest undiagnosed COVID-19 cases. Methods: Using data collected from the data warehouse of the largest hospital in Arkansas, ICD-9 and ICD-10 codes related to respiratory illness were identified for 1 October to 1 May 2017–2020. Results: We identified 25,747 patients admitted with respiratory illness during the study. We found no significant difference in the rate of monthly admissions with respiratory illness between seasons (p = 0.14). We saw a significant increase in the number of influenza tests ordered in 2019/2020 (p < 0.01). Conclusions: The rate of hospitalizations with respiratory illness did not significantly increase during the 2019/2020 season; however, influenza testing increased without a statistically significant difference in positivity rate. The increase in ordered influenza tests indicates an increased clinical suspicion, which may suggest a rise in pre-hospital viral illness associated with COVID-19.
Spatiotemporal of the Coupling Relationship between Ecosystem Services and Human Well-Being in Guanzhong Plain Urban Agglomeration
Authors: Yang Jianxiu , Ma Xing , Zhao Xueyan , Li Wenqing
Published: October 2022

Understanding the complex relationship between ecosystem services and human well-being during the rapid development of urban agglomerations can promote the sustainable development of urban agglomerations. In this paper, the InVEST model and ArcGIS10.2 were used to analyze the spatial and temporal evolution characteristics of ecosystem services and human well-being in the Guanzhong Plain urban agglomeration. On this basis, the coupling coordination index is used to reveal the spatiotemporal coupling relationship between them. (1) From 2010 to 2018, the water conservation services, soil conservation services, and carbon sequestration services of the Guanzhong Plain urban agglomeration showed a fluctuating downward trend. The spatial differences of ecosystem services were significant. (2) From 2010 to 2018, human well-being in the Guanzhong Plain urban agglomeration showed a fluctuating downward trend, with a decrease of 17%, and regional differences tended to narrow. (3) The coupling coordination degree between ecosystem services and human well-being has slightly decreased while maintaining the basic coordination state. The results show that there was a significant relationship between the decline of ecosystem services and the rapid development of the Guanzhong Plain urban agglomeration, and policies should be classified according to the coupling coordination types of human well-being and ecosystem services to promote the sustainable development of urban agglomerations.
Forecasting Model Based on Lifestyle Risk and Health Factors to Predict COVID-19 Severity
Authors: Firza Najada , Monaco Alfonso
Published: October 2022

The COVID-19 pandemic has now spread worldwide, becoming a real global health emergency. The main goal of this work is to present a framework for studying the impact of COVID-19 on Italian territory during the first year of the pandemic. Our study was based on different kinds of health features and lifestyle risk factors and exploited the capabilities of machine learning techniques. Furthermore, we verified through our model how these factors influenced the severity of the pandemics. Using publicly available datasets provided by the Italian Civil Protection, Italian Ministry of Health and Italian National Statistical Institute, we cross-validated the regression performance of a Random Forest model over 21 Italian regions. The robustness of the predictions was assessed by comparison with two other state-of-the-art regression tools. Our results showed that the proposed models reached a good agreement with data. We found that the features strongly associated with the severity of COVID-19 in Italy are the people aged over 65 flu vaccinated (24.6%) together with individual lifestyle behaviors. These findings could shed more light on the clinical and physiological aspects of the disease.
The Lived Experience of Patients Utilizing Second-Generation Direct-Acting Antiviral for Treatment of Chronic Hepatitis C Virus Infection: A Phenomenological Analysis
Authors: Nascimento Yone de Almeida , Silva Luciana Diniz , Ramalho de Oliveira Djenane
Published: October 2022

Hepatitis C is a global public health problem, and the aim of this study was to understand the experiences of patients with hepatitis C using second-generation antivirals. In-depth interviews were conducted with ten outpatients, cognitively capable of reporting their experience, followed up at a university clinic. Field diaries kept during the interviews were also used. The researchers carried out a thematic analysis to identify the ways in which individuals experienced their medication; then, these ways were reorganized to encompass the essential structures of the experience. The patients experienced the use of DAAs as providing resolution and it was permeated by: the experience of time—stagnant time, waiting for medication and the cure; the experience of spaces, understood as necessary and imposed spaces; the experience of relationships with others, personified by the support provided by healthcare professionals; the experience of sexuality, when patients developed several coping strategies to deal with the challenges imposed by the treatment. To conclude, increasing the knowledge about the patients’ experiences can contribute to improve the healthcare model for hepatitis C, since several patients have severe hepatic impairment, and the eradication of the virus is only one of the stages of patients’ treatments.
“Ghost”, a Well-Known but Not Fully Explained Echocardiographic Finding during Transvenous Lead Extraction: Clinical Significance
Authors: Nowosielecka Dorota , Jacheć Wojciech , Polewczyk Anna , Tułecki Łukasz , Stefańczyk Paweł , Kutarski Andrzej
Published: October 2022

“Ghosts” are fibrinous remnants that become visible during transvenous lead extraction (TLE). Methods: Data from transoesophageal echocardiography-guided TLE procedures performed in 1103 patients were analysed to identify predisposing risk factors for the development of so-called disappearing ghosts—flying ghosts (FG), or attached to the cardiovascular wall—stable ghosts (SG), and to find out whether the presence of ghosts affected patient prognosis after TLE. Results: Ghosts were detected in 44.67% of patients (FG 15.5%, SG 29.2%). The occurrence of ghosts was associated with patient age at first system implantation [FG (OR = 0.984; p = 0.019), SG (OR = 0.989; p = 0.030)], scar tissue around the lead (s) [FG (OR = 7.106; p < 0.001, OR = 1.372; p = 0.011), SG (OR = 1.940; p < 0.001)], adherence of the lead to the cardiovascular wall [FG (OR = 0.517; p = 0.034)] and the number of leads [SG (OR = 1.450; p < 0.002). The presence of ghosts had no impact on long-term survival after TLE in the whole study group [FG HR = 0.927, 95% CI (0.742–1.159); p = 0.505; SG HR = 0.845, 95% CI (0.638–1.132); p = 0.265]. Conclusions: The degree of growth and maturation of scar tissue surrounding the lead was the strongest factor leading to the development of both types of ghosts. The presence of either form of ghost did not affect long-term survival even after TLE indicated for infection.
Recovery Experiences Protect Emotionally Exhausted White-Collar Workers from Gaming Addiction
Authors: Zhang Meng Xuan , Lam Long W. , Wu Anise M. S.
Published: October 2022

Gaming addiction and its negative consequences have attracted public concern, but relatively little is known regarding its impact on adult workers. This study aims to test the association between gaming addiction and emotional exhaustion as well as the protective effect of recovery experiences on such an association among white-collar workers. We recruited 205 working adults (female = 58%) who voluntarily completed an online questionnaire. The results showed that male and younger workers were more vulnerable to gaming addiction. Emotional exhaustion was significantly and positively associated, while two (i.e., relaxation and control) of the four recovery experiences were negatively correlated with gaming addiction. Control experience had an indirect effect on gaming addiction via emotional exhaustion. Moreover, relaxation experience buffered the risk effect of emotional exhaustion on gaming addiction so that the effect is less pronounced at high levels of relaxation. Interventions are suggested to raise workers’ awareness of effective recovery experiences (especially for control and relaxation) and to facilitate their recovery opportunities.
A Bibliometric Analysis of Platelet-Rich Fibrin in Dentistry
Authors: Yu Hsin-Ying , Chang Yu-Chao
Published: October 2022

Platelet-rich fibrin (PRF), a second-generation platelet concentrate, has been widely recognized in numerous studies for its performance of wound healing and regeneration in dentistry. However, bibliometric analysis of PRF in dentistry is still scarce. Thus, this study aimed to conduct and delineate a bibliometric analysis of the application of PRF and its changing trend in dentistry. All papers concerning PRF up to 30 June 2022 were included in the literature search from the Web of Science Core Collection database. These data were then entered into Microsoft Excel, analyzed by the SAS statistical software, and visualized by the VOSviewer software. A total of 562 articles were retrieved following the exclusive criteria. The results demonstrated that the trend of annual publication increased continually (p for trend < 0.01), more notably in the last five years. The majority of the articles were original (58.01%), followed by reviews (17.08%), and case reports (10.14%). The three major study designs were clinical studies (20.11%), randomized controlled trials (17.62%), and review/meta-analysis (17.08%). PRF was most frequently employed in oral surgery (31.14%), periodontal regeneration (22.42%), and implant therapy (18.68%). Turkey (16.19%), India (12.28%) and China (7.12%) were the top 3 countries publishing PRF studies. By comparing the total number of publications, total citation counts and varying counting methods, a combination of numerous counting methods was suggested for use since each counting method yields different results. Taken together, we hope with these informative findings, researchers could focus on the future direction or advancement in PRF, laying a foundation for evidence-based dentistry.
Investigating the Effects of Differential Learning on Golfers’ Pitching Performance as a Function of Handicap
Authors: Valença Miguel , Coutinho Diogo , Schöllhorn Wolfgang , Ribeiro Nélson , Santos Sara
Published: October 2022

Traditionally, golf instruction has been oriented toward imitation of role models, guided by errors that surround a channel of supposedly correct repetition. Recent motor learning approaches relying on the dynamics of living systems suggest the inclusion of additional noise during practice for supporting players’ movement exploration and improving adaptability that in consequence will lead to increased performance. While the effectiveness of this approach has now been demonstrated in many sports, research exploring the effects of differential learning (DL) in golf is scarce, especially when considering different shot distances and players with various handicap levels. Therefore, the purpose of this study was to compare the effects of an enriched learning and information intervention as opposed to a more constrained approach, on the pitching performance of golfers with different handicaps from different distances. A total of 29 adolescent golfers with an average experience of 7.8 years were divided into a DL (n = 15) and a repetitive-oriented (RB, n = 14) group. Both groups were further compared dependent on their handicap level (DL, low handicap n = 7, high handicap n = 8; RB, low handicap n = 5, high handicap n = 9). The TrackMan 4 was used to measure the shot performance for 20 m, 35 m, and 50 m distances (10 shots from each distance) based on a pre- and post-test design. Each group performed the same number of trials (n = 270, 9 executions per distance per session) across 10 sessions. Analysis of covariance (ANCOVA) was used for the statistical analysis, using the pre-test as covariate and the post-test as dependent variable. The DL group revealed advantageous adaptations in the attack and face angle (p ≤ 0.05), while also in the dynamic loft (p ≤ 0.05), mostly for the 35 m and 50 m. In addition, this intervention led to improvements in the score, club head speed, and carry distance for the 50 m when compared to the RB (p ≤ 0.05; small effects). The low handicap players from the DL group also revealed adaptation in the angles’ variables (p ≤ 0.05) when compared with high handicap players, who improved the score (p ≤ 0.05) in all distances after intervention. The low handicap players from the RB group improved the score (p ≤ 0.05) and club speed (p ≤ 0.05) for the 20 and 35 m, while the high handicap golfers revealed higher improvements for these variables only in the 50 m distance condition. Overall, coaches may incorporate approaches into their skill training that increase the number of opportunities to improve the performance of both experienced and non-experienced players by promoting the adaptability of movement patterns.
Personal Narrative under Nationalism: Chinese COVID-19 Vaccination Expressions on Douyin
Authors: Yang Zheng , Luo Xi , Jia Hepeng , Xie Yu , Zhang Ruifen
Published: October 2022

Scholars are divided over whether narrative/storytelling occupies a central position in health-related behaviour or in the health-related issues discussed on social media platforms. This study explored Chinese COVID-19 vaccination expressions on Douyin, China’s biggest short-video sharing social media platform, and found that narration is still the most important tool employed by Chinese users when talking about COVID-19 vaccinations on Douyin, emphasizing nationalism and widespread optimism. Most of the narratives employed by Chinese users come from a first-person perspective. Nationalism, as manifested in the support expressed for national policies, rather than the external platform characteristics of memetics, makes the Chinese users’ expressions about COVID-19 vaccinations similar on Douyin. Douyin seems to have become a ‘pilgrimage platform’ for the Chinese public to express their patriotic sentiment and their trust in the country and the government.
Chronic Kidney Disease and Nephrology Care in People Living with HIV in Central/Eastern Europe and Neighbouring Countries—Cross-Sectional Analysis from the ECEE Network
Authors: Matłosz Bartłomiej , Skrzat-Klapaczyńska Agata , Antoniak Sergii , Balayan Tatevik , Begovac Josip , Dragovic Gordana , Gusev Denis , Jevtovic Djordje , Jilich David , Aimla Kerstin , Lakatos Botond , Matulionyte Raimonda , Panteleev Aleksandr , Papadopoulos Antonios , Rukhadze Nino , Sedláček Dalibor , Stevanovic Milena , Vassilenko Anna , Verhaz Antonija , Yancheva Nina , Yurin Oleg , Horban Andrzej , Kowalska Justyna D.
Published: October 2022

Chronic kidney disease (CKD) is a significant cause of morbidity and mortality among patients infected with human immunodeficiency virus (HIV). The Central and East Europe (CEE) region consists of countries with highly diversified HIV epidemics, health care systems and socioeconomic status. The aim of the present study was to describe variations in CKD burden and care between countries. The Euroguidelines in the CEE Network Group includes 19 countries and was initiated to improve the standard of care for HIV infection in the region. Information on kidney care in HIV-positive patients was collected through online surveys sent to all members of the Network Group. Almost all centres use regular screening for CKD in all HIV (+) patients. Basic diagnostic tests for kidney function are available in the majority of centres. The most commonly used method for eGFR calculation is the Cockcroft–Gault equation. Nephrology consultation is available in all centres. The median frequency of CKD was 5% and the main cause was comorbidity. Haemodialysis was the only modality of treatment for kidney failure available in all ECEE countries. Only 39% of centres declared that all treatment options are available for HIV+ patients. The most commonly indicated barrier in kidney care was patients’ noncompliance. In the CEE region, people living with HIV have full access to screening for kidney disease but there are important limitations in treatment. The choice of dialysis modality and access to kidney transplantation are limited. The main burden of kidney disease is unrelated to HIV infection. Patient care can be significantly improved by addressing noncompliance.
Identification of Gait and Personal Factors Associated with Shoe Abrasion Patterns
Authors: Soon Jiman , Lee Dae Wook , Choi Gyu Ri , Kim Ki Joon , Bahn Sangwoo
Published: October 2022

Shoe abrasion data can be used as major evidence to distinguish suspects, but their actual application in the field is limited due to a lack of associated empirical studies. This study analyzed the significant factors of shoe abrasion by identifying significant differences between gait, personal characteristics, and shoe abrasion patterns. Experiments were conducted on 291 Korean subjects, and data were analyzed using cluster analysis and cross-tabulation analysis with data collected to identify significant factors. As a result, overall, medial abrasion was very rare and would be useful for human identification. The greater the gait characteristics of the knee valgus, the greater the inner abrasion characteristics shown. In the case of knee varus, outer abrasion characteristics occurred more often. Additionally, in the double support phase while walking, the greater the tilt to the left or right, the more the outer parts of the shoes tend to wear out. Men have the characteristic of wearing out the outer side of their shoes more compared to women. Regarding human body dimensions, there were significant differences between the abrasion patterns of the shoes with some body dimensions. The results of this study could be used effectively in the identification of suspects using shoe abrasion patterns.
Digital and Non-Digital Solidarity between Older Parents and Their Middle-Aged Children: Associations with Mental Health during the COVID-19 Pandemic
Authors: Hwang Woosang , Fu Xiaoyu , Brown Maria Teresa , Silverstein Merril
Published: October 2022

We incorporated intergenerational digital communication (frequency of texting, video call, and social media interaction) into the intergenerational solidarity paradigm and identified new types of intergenerational and digital solidarity with adult children among older parents during the COVID-19 pandemic. In addition, we examined whether those types are associated with older parents’ mental health (depressive symptoms, psychological well-being, and self-esteem). We used the 2021/2022 wave of the Longitudinal Study of Generations (LSOG), and a sample of 519 older parents (mean age = 69 years). Latent class analysis identified four classes describing intergenerational and digital solidarity with adult children (distant-but-digitally connected, tight-knit-traditional, detached, and ambivalent). We found that older parents who had distant-but-digitally connected and tight-knit-traditional relationships with their adult children reported better mental health, compared to those who had detached and ambivalent relationships with their adult children during the COVID-19 pandemic. Our findings suggest that intergenerational digital communication should be considered as a digital solidarity in intergenerational solidarity paradigm, which is useful for measuring multidimension of intergenerational relationships within family members during and after the pandemic.
Factors That Affect the COVID-19 Pandemic in Summer 2022 Compared to Summer 2021
Authors: Sobczak Marharyta , Pawliczak Rafał
Published: October 2022

The COVID-19 pandemic still goes on. The increasing number of COVID-19 cases has been observed since the start of summer 2022, although this was not in summer 2021. Therefore, we would like to compare factors that were responsible for this trend in five selected countries in the European Union (Greece, Italy, Slovenia, Austria and Germany) using the data from publicly available databases for the analyzed period of weeks 22–30 in 2021 and 2022. The multiple factor analysis was conducted in R, using mean or median score. Our cross-sectional study showed that analyzed countries had similar profiles in 2021 characterized by restrictions and health system policies, as well as B.1.351, B.1.1.7, B.1.617.2 and P.1 variants. Similarly, these countries had similar profiles in 2022, but described by other variables: number of new COVID-19 cases per million, number people fully vaccinated per hundred, number of total boosters administered per hundred and also occurrence of Omicron variant and its sub-lineages. Although the COVID-19 vaccination rate is relatively high in the European Union, during the summer of 2022, the number of COVID-19 cases sharply increased daily, which seems to be connected with the presence of the Omicron variant and its sub-lineages.
Exploring the Interactions between Housing and Neighbourhood Environments for Enhanced Child Wellbeing: The Lived Experience of Parents Living in Areas of High Child Poverty in England, UK
Authors: Ucci Marcella , Ortegon-Sanchez Adriana , Mead Naomi , Godward Catherine , Rahman Aamnah , Islam Shahid , Pleace Nicholas , Albert Alexandra , Christie Nicola
Published: October 2022

Children’s health can be affected by the interrelated characteristics of the physical and social environment where they live, including housing quality, neighbourhood characteristics and the local community. Following a systems-based approach, this exploratory project sought to understand how the needs and aspirations associated with the home environment can work in synergy with, or be exacerbated by, other aspects of the local area. The study recruited parents of children aged 2–12 years old from two local authorities in England with high levels of child poverty: Tower Hamlets in East London, and Bradford District in West Yorkshire. Thematic analysis of participant interviews highlighted ten themes and opportunities for improvements. The evidence presented in this research emphasises how environmental quality issues within and outside the home, compounded further by delays in repairs and reduction in service standards, as well as affordability issues, are likely to deeply affect the wellbeing of an entire generation of disadvantaged children whose parents can feel disempowered, neglected and often isolated when attempting to tackle various dimensions of inequalities. Interventions which can improve the quality of housing, and access to space and services, are urgently needed, including initiatives to support and empower families and local communities, especially those prioritising opportunities for action.
Ke ala i ka Mauliola: Native Hawaiian Youth Experiences with Historical Trauma
Authors: Riley Lorinda , Suʻesuʻe Anamalia , Hulama Kristina , Neumann Scott Kaua , Chung-Do Jane
Published: October 2022

Native Hawaiians (NH), like other Indigenous peoples, continue to experience the subversive impacts of colonization. The traumatic effects of colonization, especially the forced relocation from land that sustained their life and health, have led to complex, interconnected health disparities seen today. NHs have described a collective feeling of kaumaha (heavy, oppressive sadness) resulting from mass land dispossession, overthrow of the Hawaiian Kingdom, cultural loss, and early loss of loved ones. Although historical trauma is linked to high rates of substance misuse, depression, suicidality, and other mental health disparities in American Indian populations. However, the link between NH historical trauma and health disparities among NHs has been less explored. This qualitative study used Indigenous talk story interviews with 34 NH ʻōpio (youth) and ka lawelawe (service providers) to explore how NH ʻōpio understand and experience historical trauma. Eight themes and 35 sub-themes were identified covering individual, community, and systemic domains representing the first step in addressing NH historical trauma.
Evaluation of Oral Hygiene-Related Mobile Apps for Children in Sub-Saharan Africa
Authors: Kanoute Aida , Carrouel Florence , Gare Jocelyne , Dieng Serigne Ndame , Dieng Amadou , Diop Mbathio , Faye Daouda , Fraticelli Laurie , Bourgeois Denis
Published: October 2022

In sub-Saharan Africa, oral health is a real epidemiological challenge. Mobile applications represent a hope for the learning of oral hygiene in children and the fight against oral diseases. This study overviews and assesses the quality of mobile applications linked to oral hygiene for children currently featured on the iOS and Android stores in sub-Saharan Africa. Ten oral health professionals (OHP) used the French Mobile App Rating Scale (MARS-F) to rate 15 selected applications. The highest MARS-F scores for overall quality were reported for Bonne nuit Caillou (3.89 ± 0.74), Mon Raccoon (3.63 ± 0.95), and Chomper Chums (3.54 ± 0.54) while the lowest MARS-F scores for overall quality were achieved by Brushing time (2.31 ± 0.61), De belles dents (2.55 ± 0.55) and Brushing Hero (2.77 ± 0.53). The subjective quality scores ranged from 1.50 ± 0.68 for Brushing time to 3.25 ± 0.97 for Bonne nuit Caillou. Specificity scores ranged from 1.95 ± 0.88 (Brushing time) to 3.75 ± 0.84 (Bonne nuit Caillou). Thus, OHP rated positively the quality of the majority of mobile applications linked to oral hygiene for children, their effect on users’ knowledge, attitudes, and intentions to change, and the probability of effective oral hygiene behavior modification. They stated that they would recommend their use to their patients who need them. However, studies analyzing the change in oral hygiene behavior of children using these apps need to be conducted.
Accelerating the Improvement of Human Well-Being in China through Economic Growth and Policy Adjustment
Authors: Wu Luhua , Wang Shijie , Bai Xiaoyong , Luo Guangjie , Wang Jinfeng , Chen Fei , Li Chaojun , Ran Chen , Zhang Sirui
Published: October 2022

Human well-being in many countries lags behind the gross domestic product (GDP) due to the rapid changes in the socio-economic environment that have occurred for decades. However, the mechanisms behind this complex phenomenon are still unclear. This study revealed the changes in human well-being in China from 1995 to 2017 by revising the genuine progress indicator (GPI) at the national level and further quantified the contribution of interfering factors that have driven the increase in the GPI. The results indicated that: (1) The per capita GPI of China showed an increasing trend with an annual growth rate of 12.43%. The changes in the GPI followed the same pattern as economic development, rather than presenting the phenomenon of economic growth combined with a decline in welfare that has been recorded in some countries and regions. (2) The increase in human well-being was mainly driven by economic growth, but it was most sensitive to social factors. (3) Increasing income inequality and the cost of lost leisure time contributed obvious negative impacts (24.69% and 23.35%, respectively) to the per capita GPI. However, the increase in personal consumption expenditures, the value of domestic labor, ecosystem service value, and net capital growth accelerated the rise in the GPI, with positive contribution rates of 30.69%, 23%, 20.54%, and 20.02%, respectively. (4) The continuous increase in economic investment and the strengthening of social management due to policy adjustments completely counteracted the negative impacts on human well-being, thus leading to a great increase in the per capita GPI. Such insights could provide theoretical support for decision making and policy implementation to improve global human well-being.
Can Enjoyment and Physical Self-Perception Mediate the Relationship between BMI and Levels of Physical Activity? Preliminary Results from the Regional Observatory of Motor Development in Italy
Authors: Monacis Domenico , Trecroci Athos , Invernizzi Pietro , Colella Dario
Published: October 2022

Physical education during adolescence, supported by evidenced-based methodologies, offers many different opportunities to practice structured physical activity and promote the development of motor skills, motor coordination, and conditioning. The present study aimed to assess differences in the levels of physical activity, enjoyment, and self-perception in a sample (n = 1029, M = 505, F = 524) of 11–12-year-old secondary schoolchildren according to gender and BMI and determine (a) the mediation effects of physical self-perception in the association between BMI and physical activity and (b) the role of enjoyment in mediating the relation between physical self-perception and physical activity. As part of the Regional Observatory of Motor Development Project (Apulia, Southern Italy), the assessment involved three questionnaires for physical activity levels (PAL), physical self-perception (PSP_C), and enjoyment (PACES). The results showed significant differences in PSP between normal-weight, overweight, and obese children (especially in girls), while there were no significant differences in enjoyment. Physical self-perception partially mediates the relationship between BMI and PAL (R2 = 7.94% for males, 95% C.I.: −0.013, −0.004; R2 = 14.70% for females, 95% C.I.: −0.25, −0.009), and the enjoyment partially mediates the relationship between physical self-perception and PAL (R2 = 6.83% for males, 95% C.I. = 0.003, 0.012; R2 = 13.45% for females, 95% C.I. = 0.002, 0.014). However, only a small percentage of variance was explained, precluding the extension and generalization of the results obtained.
An Advanced Tape-Stripping Approach for High-Efficiency Sampling on Non-Absorbent Surfaces
Authors: Zhao Pengcheng , Chan Pak-To , Zhang Nan , Li Yuguo
Published: October 2022

Surface sampling is a frequent task in laboratory work and field studies. Simple methods usually have low efficiency in collecting target substances from surfaces. This study developed an advanced tape-stripping approach for efficient sampling on non-absorbent surfaces. A film-forming solution, prepared using polyvinyl alcohol, is applied to the target surface, where it covers and engulfs the surface deposits and then solidifies into an elastic membrane as it is exposed to air. The deposits are collected by stripping off the membrane and re-dissolving it in water. This new approach exhibited an efficiency of 100% in collecting uniform-size microspheres from glass surfaces and extremely high efficiencies (>96.6%) in detecting selected target DNA materials from glass and stainless steel surfaces. In comparison, the common swab-rinse method exhibited an efficiency of 72.6% under similar measuring conditions. The viability of S. aureus during sampling using the new approach decreased as the ethanol concentration in the applied solution increased. Using a solution with a mass ratio of ethanol of 17.6% balanced the effects of multiplication and degradation of the S. aureus on glass surfaces during sampling. Overall, the proposed approach exhibits high efficiency in collecting living and abiotic matter from non-absorbent surfaces, complementing existing sampling methods.
Effects of Sport-Based Exercise Interventions on Executive Function in Older Adults: A Systematic Review and Meta-Analysis
Authors: Contreras-Osorio Falonn , Ramirez-Campillo Rodrigo , Cerda-Vega Enrique , Campos-Jara Rodrigo , Martínez-Salazar Cristian , Araneda Rodrigo , Ebner-Karestinos Daniela , Arellano-Roco Cristián , Campos-Jara Christian
Published: October 2022

Exercise programs of moderate-to-vigorous intensity have been shown to improve the cognitive performance of older people. However, the specific effects of sports-based exercise programs on cognitive performance, particularly executive functions, remain unclear. Therefore, the purpose of this study is to clarify the effects of sports-based exercise programs on executive functions in older adults using a systematic review and meta-analysis of the scientific literature. A systematic review was conducted between 1 March and 1 July 2022, to look for published scientific evidence that analyzed different sports programs that may have affected executive function in healthy older adults. Longitudinal studies, which assessed the effects of sports interventions on healthy older adults, were identified through a systematic search of the four principal electronic databases: Web of Science, PubMed, Scopus, and EBSCO. A total of nine studies with a total of 398 subjects met the inclusion criteria and were classified based on one or more of the following categories: working memory, inhibition, and cognitive flexibility. The DerSimonian and Laird random-effects model was performed using the Comprehensive Meta-Analysis software to facilitate the analysis of the studies. Statistical significance was set at p ≤ 0.05. In terms of working memory, a small but positive significant effect was noted for the intervention group compared to the control group (effect size (ES) = 0.35, 95% confidence interval (CI) = 0.04–0.67; p = 0.029; I2 = 36.7%); in terms of inhibition, the intervention had a small favoring but no significant effect compared to the control group (ES = 0.20, 95% CI = −0.42–0.84; p = 0.517; I2 = 78.8%); and in terms of cognitive flexibility, the intervention had a small favoring but no significant effect compared to the control group (ES = 0.39, 95% CI = −0.11–0.89; p = 0.131; I2 = 75.5%). Our findings suggest that healthy older adults should be encouraged to participate in sports to improve their working memory; however, more studies are required in this area to reach more robust conclusions. This systematic review was registered with the International Prospective Register of Systematic Reviews (registration number: CRD42022284788).
The Influence of Alcohol Consumption, Depressive Symptoms and Sleep Duration on Cognition: Results from the China Health and Retirement Longitudinal Study
Authors: Guan Tianyue , Zhang Chao , Zou Xuanmin , Chen Chen , Zhou Li , Wu Xiaochang , Hao Jiahu
Published: October 2022

Aim: Healthy cognition-related factors include alcohol consumption, depressive symptoms, and sleep duration. However, less is known about the role of these factors in the dyad or tripartite relationships. In this study, we examined whether there were potential mediation effects, moderation effects, and interactions between these factors in the longitudinal study. Methods: Both cross-sectional data analysis and a longitudinal study were performed using baseline and 2018 data from the China Health and Retirement Longitudinal Study (CHARLS) cohort. CHARLS is a nationwide survey program covering 450 villages and 150 counties in 28 provinces that aims to investigate comprehensive demographic information. After selecting participants from the CHARLS cohort, 15,414 were included in the study. Non-drinkers, those who drink more than once a month, and those who drink less than once a month were defined by their alcohol consumption. Depressive symptoms were defined as nondepressed (less than or equal to 12) and depressed (more than 12). Sleep duration was defined as 7–8 h per night, ≤6 h per night, and ≥9 h per night. The total cognitive scores were calculated from memory, orientation, and executive tests. The PROCESS macro in SPSS was used to analyze all mediations and moderating mediations. Results: Alcohol consumption has a positive correlation with cognition. The global cognition z scores of participants with depressive symptoms were significantly lower than those of the control (all p’s < 0.001), in different models. The memory score (β: −0.148; 95% CI: −0.240 to −0.056; p = 0.002), the executive score (β: −0.082; 95% CI: −0.157 to −0.006; p = 0.033), and the global cognition score (β: −0.105; 95% CI: −0.187 to −0.023; p = 0.012) of participants defined as ≤6 h per night were, obviously, less than the control (7–8 h per night). An association between depression and alcohol consumption has been found, and the protective effects have been reversed by depression, which caused the cognition decline. Sleep duration was identified as a moderator, influencing the relationship between depressive symptoms and cognitive function. Besides, there was an interaction causing cognition decline among alcohol consumption, depressive symptoms, and sleep duration. Cognitive function showed a marked downward trend with increasing age. Conclusions: In this model, depression primarily mediates the relationship between alcohol consumption and cognition, and sleep duration changes the mediation effect. Furthermore, there is a significant interaction between alcohol consumption, depressive symptoms, and sleep duration, which are significantly associated with cognitive function.
Use of Edible, Medicinal, and Aromatic Plants in Various Health Disorders: A Cross-Sectional Evaluation among Inhabitants in the Area of Thrace, North-Eastern Greece
Authors: Deligiannidou Georgia-Eirini , Kyrgou Chrysoula , Nena Evangelia , Manolopoulos Vangelis G. , Bezirtzoglou Eugenia , Kontogiorgis Christos A. , Constantinidis Theodoros C.
Published: October 2022

Background: Medicinal and aromatical plants (MAPs) have been historically used as traditional remedies in many cultures in Europe and globally. The aim of this study was to evaluate the use of MAPs in various health disorders in association to dietary habits and other lifestyle factors among residents in Thrace, NE Greece. Methods: Data were collected through anonymous and voluntary responses to a structured online questionnaire, via convenience (snowball) sampling. Results: The 561 responders (age: 39.7 ± 11.6 y) were mostly female (59.7%), with higher education (69.8%), working as state or private employees (55.4%), and having low/medium income (77.1%). Overall, more than 70% were using MAPs in various symptoms and common health disorders, such as chamomile against common cold and the flu. More than 20 different MAPs were being used in smaller frequencies against various conditions. Key contributing factors to the consumption of MAPs were sex (female over male), employment (employed vs. unemployed), education (higher education vs. lower) and higher Body Mass Index (overweight and obese vs. normal), while consumption of fruit, fish, and vegetables was mainly associated with the use of MAPs as common items of diet and in health disorders. Conclusions: The use of MAPs as part of the diet and as traditional remedy is present in the examined population, while particular choices seem to be affected by sociodemographic and lifestyle factors.