bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effectiveness of Trunk Stabilization Exercise Combined with Vibration for Adolescent Patients with Nonspecific Low Back Pain
Authors: Jung Kyoung-sim , Jung Jin-hwa , In Tae-sung , Cho Hwi-young
Published: September 2020

There are many adolescent patients complaining of low back pain, but research on it is lacking. The purpose of this study was to investigate the effects of trunk stabilization exercise combined with vibration on the pain, proprioception, and kinematics of the lumbar spine (LS) during sit to stand (STS) in adolescent patients with nonspecific low back pain (LBP). Fifty LBP patients were recruited and were randomly divided into two groups: Vibration group (n = 25) and placebo group (n = 25). All participants underwent 36-sessions of training consisting of six exercises. The Vibration group provided vibration stimulation during exercise, but the placebo group did not. The Numeric Pain Rating Scale (NPRS) and digital dual inclinometer were used to measure pain intensity and proprioception. The kinematics of the lumbar spine during STS were measured by motion capture system. After training, the pain and proprioception in the vibration group improved significantly greater than the placebo group (p < 0.05). The mobility of LS (maximum range of motion, angular velocity, lumbar to hip movement ratios) and lumbar-hip coordination during STS in the vibration group were significantly improved compared to the placebo group (p < 0.05). Thus, trunk stabilization exercise combined with vibration may be used to improve the pain, proprioception, and kinematic of the lumbar spine during sit to stand in adolescent patients with LBP.
Exploring U.S. Shifts in Anti-Asian Sentiment with the Emergence of COVID-19
Authors: Nguyen Thu T. , Criss Shaniece , Dwivedi Pallavi , Huang Dina , Keralis Jessica , Hsu Erica , Phan Lynn , Nguyen Leah H. , Yardi Isha , Glymour M. Maria , Allen Amani M. , Chae David H. , Gee Gilbert C. , Nguyen Quynh C.
Published: September 2020

Background: Anecdotal reports suggest a rise in anti-Asian racial attitudes and discrimination in response to COVID-19. Racism can have significant social, economic, and health impacts, but there has been little systematic investigation of increases in anti-Asian prejudice. Methods: We utilized Twitter’s Streaming Application Programming Interface (API) to collect 3,377,295 U.S. race-related tweets from November 2019–June 2020. Sentiment analysis was performed using support vector machine (SVM), a supervised machine learning model. Accuracy for identifying negative sentiments, comparing the machine learning model to manually labeled tweets was 91%. We investigated changes in racial sentiment before and following the emergence of COVID-19. Results: The proportion of negative tweets referencing Asians increased by 68.4% (from 9.79% in November to 16.49% in March). In contrast, the proportion of negative tweets referencing other racial/ethnic minorities (Blacks and Latinx) remained relatively stable during this time period, declining less than 1% for tweets referencing Blacks and increasing by 2% for tweets referencing Latinx. Common themes that emerged during the content analysis of a random subsample of 3300 tweets included: racism and blame (20%), anti-racism (20%), and daily life impact (27%). Conclusion: Social media data can be used to provide timely information to investigate shifts in area-level racial sentiment.
What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
Authors: Denning Max , Goh Ee Teng , Scott Alasdair , Martin Guy , Markar Sheraz , Flott Kelsey , Mason Sam , Przybylowicz Jan , Almonte Melanie , Clarke Jonathan , Winter Beatty Jasmine , Chidambaram Swathikan , Yalamanchili Seema , Tan Benjamin Yong-Qiang , Kanneganti Abhiram , Sounderajah Viknesh , Wells Mary , Purkayastha Sanjay , Kinross James
Published: September 2020

Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and “other clinical staff”, were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40–49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (−0.13), non-disclosed ethnicity (−0.11), nursing role (−0.15), and support (0.29) persisted to a level of significance. A significant decrease (p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics.
Gender Differences in the Relationship between Type 2 Diabetes Mellitus and Employment: Evidence from the Korea Health Panel Study
Authors: Kim Jeung-Hee , Lee Weon-Young , Lim Song Soo , Kim Young Taek , Hong Yeon-Pyo
Published: September 2020

Previous studies have analyzed the impact of diabetes mellitus on labor market participation by men and women, but gender difference between type 2 diabetes mellitus (T2DM) and employment has not been the focus. This study aims to explore gender differences between T2DM and employment status. Data from the Korea Health Panel Study, 2013–2015 were analyzed by distinguishingT2DM and non-diabetes (N = 11,216). The empirical model was established and the generalized two-stage least squares (2SLS) was estimated, controlling for endogeneity. A family history of diabetes, as an instrumental variable, was related to an individual’s genetic predisposition to develop diabetes. The estimated results for the 2SLS showed the interaction effects between T2DM and employment. T2DM had a statistically significant and negative effect on employment for women only. The comparison with non-diabetes showed that women with T2DM had a lower probability of employment by 51.9% (p < 0.05). Exposing gender bias in employment suggests that healthcare policies and disease management programs for diabetic patients should adopt gender-specific remedies.
Two-Stage Super-Efficiency Slacks-Based Model to Assess China’s Ecological Wellbeing
Authors: Hou Jundong , Ruan Xinxin , Lv Jun , Guo Haixiang
Published: September 2020

As industrialization and urbanization in China have significantly increased ecological problems such as environmental pollution and resource waste, it has become important to be able to comprehensively assess ecological wellbeing performance (EWP) when seeking high-quality human wellbeing and economic growth within specific ecological limits. Therefore, to explore the EWP spatial and temporal distribution characteristics, this paper established an evaluation index system that considers ecological economic efficiency and economic welfare efficiency from input and output perspectives. The EWPs in 30 Chinese provinces (autonomous regions, municipalities) from 2006 to 2017 were then measured using a two-stage super-efficiency slacks-based model (Super-SBM) and data envelopment analysis (DEA) window analysis method. It was found that: (1) the average EWP value in the Chinese provinces was relatively low at 0.698, with the highest EWP in Beijing, Hainan, and Shanghai and the lowest in Xinjiang, Ningxia, and Qinghai; (2) the average provincial EWP fluctuated from 2006 to 2017 with a “decline-rise-decline-rise” feature; (3) China’s EWP value was spatially supported by the quadrangular “Beijing-Shanghai-Hainan-Sichuan” pole and continued to radiate to areas along these lines. These research findings provide theoretical insights and practical implications for regional ecological protection and human welfare improvements in China.
Evaluation of Legionella spp. Colonization in Residential Buildings Having Solar Thermal System for Hot Water Production
Authors: Totaro Michele , Costa Anna Laura , Frendo Lorenzo , Profeti Sara , Casini Beatrice , Gallo Antonio , Privitera Gaetano , Baggiani Angelo
Published: September 2020

Despite an increase of literature data on Legionella spp. presence in private water systems, epidemiological reports assert a continuing high incidence of Legionnaires’ disease infection in Italy. In this study, we report a survey on Legionella spp. colonization in 58 buildings with solar thermal systems for hot water production (TB). In all buildings, Legionella spp. presence was enumerated in hot and cold water samples. Microbiological potability standards of cold water were also evaluated. Legionella spp. was detected in 40% of the buildings. Moreover, we detected correlations between the count of Legionella spp. and the presence of the optimal temperature for the microorganism growth (less than 40 °C). Our results showed that cold water was free from microbiological hazards, but Legionella spp., was detected when the mean cold water temperature was 19.1 ± 2.2 °C. This may considered close to the suboptimal value for the Legionella growth (more then 20 °C). In conclusion, we observed the presence of a Legionnaires’ disease risk and the need of some strategies aimed to reduce it, such as the application of training programs for all the workers involved in water systems maintenance.
Examining Older Adults’ Perspectives on the Built Environment and Correlates of Healthy Aging in an American Age-Friendly Community
Authors: Black Kathy , Jester Dylan J.
Published: September 2020

Population aging has led to an increased focus on the environmental context in which we age. While researchers have identified significant health benefits associated with built community features such as housing, transportation and outdoor spaces and buildings, less attention has focused on the correlates of healthy aging and other characteristics via the perspective of community-dwelling older adults. This study utilized cluster analysis to examine health-related subgroups of older adults (n = 598) in an age-friendly community located in the United States, of which nearly half of its residents are age 60 and older. Linear regression was used to associate the health clusters with perceptions of built environmental features and socio-demographics. Four distinct profiles were identified, with the greatest preference for housing and transportation found among those reporting poorer health compared to those reporting excellent health across multi-dimensional healthy aging measures. Perceptions on the importance of built environmental features were also found to vary by age, income and home accessibility status. Findings suggest that older adults’ perceptions about built environmental features differ across health and home status as well as age and income, underscoring opportunities for public health action to better reach and engage older adults by life-course trajectories in age-friendly communities.
Parental Awareness of Oral Health and Nutritional Behavior in Children with Congenital Heart Diseases Compared to Healthy Children
Authors: Schulz-Weidner Nelly , Logeswaran Thushiha , Schlenz Maximiliane Amelie , Krämer Norbert , Bulski Julia Camilla
Published: September 2020

Parents of children with congenital heart disease (CHD) seem to underestimate the importance of optimized oral health. The low priority for a good oral hygiene and a healthy diet can be a risk factor for odontogenic bacteremia and infective endocarditis. The aim of this study was the evaluation of the disease awareness and dental knowledge of the parents using a questionnaire. Therefore, parents from 107 children with CHD and a healthy control group (HCG) consisting of 101 children both aged 2 to 6 years were asked to complete a questionnaire containing items about the general health, oral hygiene behavior, preventive measures, dental visits and intake of potential drinks and cariogenic nutrition of their child. The results of the present study show that the CHD group had a poorer oral health behavior than the HCG. Healthy children brushed their teeth significantly more often (65.4%) than the CHD children (45.1%). Only 75% of CHD children used fluorides in their daily life in comparison to 86.6% of the healthy children, 8.7% of their parents neglected completely fluoride supplementation. Of all CHD children 23.1% in comparison to 8.1% of the controls had never visited a dentist before. Furthermore, the daily consumption of cariogenic food and drinks was generally higher in the CHD group. These findings demonstrate a need for improvement in parental knowledge of the efficiency of different measures to improve dental health. This important oral health for CHD children from the early stage of life is obvious, especially regarding their risk for odontogenic bacteria and infective endocarditis.
Top-Down and Bottom-Up Approaches to Environmental Governance in China: Evidence from the River Chief System (RCS)
Authors: Ouyang Jie , Zhang Kezhong , Wen Bo , Lu Yuanping
Published: September 2020

A common argument is that the comprehensive implementation of the river chief system (RCS) is a clear indication of the Chinese government’s strong commitment to overcoming the problem of water pollution. Scant attention, nonetheless, has been afforded to systematically examining the economic and social effects of this pioneering policy. Based on news reports and data from regions in which the RCS was piloted, this paper fills in a critical literature gap by unpacking the environmental, economic, and societal benefits accrued from this river-based management approach. Specifically, by employing a difference-in-differences (DID) method, this study shows that (1) overall, the adoption of the RCS has significantly reduced the discharge of sewage per unit of GDP and improved water quality to a considerable extent; (2) the RCS, functioning under China’s top-down bureaucratic structure, coupled with increasing encouragement of bottom-up oversight and citizen participation, has provided local governments with strong incentives to improve water quality in a timely manner in their respective jurisdictions through the introduction of a plethora of measures, ranging from increased investment in wastewater treatment to faithful enforcement of environmental regulations; (3) the positive changes anticipated as a result of the RCS cannot be materialized in regions that have difficulties sustaining economic growth or facilitating cross-boundary policy coordination; and (4) the long-term effectiveness of the RCS is based on its ability to compel local enterprises to innovate their modes of operation, ultimately leading to regional industrial upgrading. The paper concludes by discussing how these empirical findings can help policymakers devise feasible tactics for confronting the causes of China’s current environmental predicament in the context of improving the alignment of individual officials’ political aspirations with targeted environmental outcomes.
Trends and Contributing Factors to Contraceptive Use in Kenya: A Large Population-Based Survey 1989 to 2014
Authors: Kamuyango Asantesana , Hou Wen-Hsuan , Li Chung-Yi
Published: September 2020

Kenya is among the leading nations in family planning in Africa, having the first official nationwide family planning program in sub-Saharan Africa. However, Kenya is still one of the most highly populated countries in Africa with a population of more than 52 million. The objective of this study was to assess the trends and contributing factors of contraceptive use. We conducted a multi-wave cross-sectional study using both the demographic health survey (DHS) and family planning effort index (FPE) datasets, analyzing five-year waves from 1989 to 2014. This study indicates that contraceptive use increased from 24.0% to 42.6%, with a change % of 77.5%. Despite changes in women’s characteristics, these characteristics posed little on the time trend of contraceptive use in Kenya. In addition, the policy component of FPE scores had a positive association with contraceptive use with negligible change after adjusting for social and demographic factors 1.055 (1.046–1.065). There was a fluctuating trend of the additional FPE components throughout the years. Women with lower education, those married to husbands with lower education, unmarried, and rural women remain behind in family planning service utilization. Targeted programs are still needed for these special groups. Policy adherence is vital for continued progress.
Comparison of Postural Sway, Plantar Cutaneous Sensation According to Saccadic Eye Movement Frequency in Young Adults
Authors: Bae Youngsook
Published: September 2020

The crossover trial study aimed to identify the saccadic eye movement (SEM) frequency to improve postural sway (PS) and plantar cutaneous sensation (PUS) in young adults. The 17 participants randomly performed 0.5-, 2-, and 3-Hz SEM. The SEM frequency was determined to allow the target to appear once per 2 s (0.5 Hz), twice per second (2 Hz), or thrice per second (3 Hz). SEM performance time was 3 min with a washout period of 5 min. PS and PUS were measured at baseline and during 0.5-Hz, 2-Hz, and 3-Hz SEMs using a Zebris FDM 1.5 force plate. PS was determined by measuring the sway area, path length, and speed of center of pressure (COP) displacement, and PUS was determined via the plantar surface area (PSA). In PS parameters, there was a significant difference among the SEM frequencies in the COPsway area PSAleft foot and PSAright foot. Compared to that at baseline, COPsway area decreased at 0.5 Hz and 2 Hz, while PSAleft foot and PSAright foot increased at 2 Hz. These results suggest that 2 Hz SEM may improve PS and PSA.
Women’s Experiences of Domestic Violence during Pregnancy: A Qualitative Research in Greece
Authors: Antoniou Evangelia
Published: September 2020

This qualitative research is the second part of a quantitative research that aims at recording the phenomenon of violence in pregnancy. The first part was carried out during August and September 2009 (N = 546). It was found out that the rate partner’s violence was 6%, while for 3.4% of the pregnant women, abuse started after the pregnancy. In the second part of this research, the semi-structured interview was used to investigate the way pregnant women experience violence. The sample comprised seven women abused by their partner (Ν = 7) at the women’s shelters of “Mitera” Babies’ Center and the National Social Solidarity Center between September 2010 and December 2011 and who accepted to participate in the research. The targets of the research were the investigation of the risk factors for the manifestation of violence, the profile of the victim and the perpetrator, the consequences of abuse for the woman, her reproductive health and the fetus. The majority of the abused pregnant women were foreigners and only two were Greek. The latter had experienced severe traumas (physical and psychological) since their childhood. Violence in their lives is the main characteristic of the foreign women seeking a better life in Greece, too. Alcohol use or abuse by the partners, poor socioeconomic background of the mothers and their partners, and pregnancy per se are the main risk factors of the violence against women in this period of their lives. Violence resulted in miscarriage in one case, while abortion was the alternative chosen by another as a solution to social exclusion and possible domestic violence. Anxiety and despair were the main psychological consequences. The small number of women included in the collection of qualitative data is a limitation for the research and decreases the reliability index of its results.
Factors Associated with Outpatient Satisfaction in Tertiary Hospitals in China: A Systematic Review
Authors: Li Yuping , Gong Weijuan , Kong Xiang , Mueller Olaf , Lu Guangyu
Published: September 2020

Outpatient care is made up of medical procedures, tests, and services that can be provided to the patient in a setting that doesn’t involve an overnight hospital stay. In China, tertiary hospitals are medical services centers of health care systems, and some tertiary hospitals had more than 20,000 outpatient visits per day. However, a systematic review of existed evidence on factors influencing the outpatient satisfaction in tertiary hospitals in China could inform the efforts and does not yet exist. Therefore, in order to better understand the outpatient satisfaction provided by tertiary hospitals in China, we carried out a systematic review following PRISMA guidelines. Studies reporting on the level of and factors associated with outpatient satisfaction in Chinese tertiary hospitals were systematically searched in both Chinese and English electronic databases. A total of 36 articles reported 35 studies that met the inclusion criteria. Out of these eight were household surveys covering 12,119 residents, and another 27 directly interviewed 45,930 outpatients during their hospital visits from 185 hospitals. The included studies generally used self-designed questionnaire and indicated there is a lack of standardized questionnaire for investigating outpatient satisfaction in China. The outpatients showed the highest satisfaction with the doctors and nurses and the lowest satisfaction with the hospital hygiene and outpatient procedures, especially with the long waiting time. The socio-demographic characteristics (e.g., age, marital status, income and education levels), professional skills and service attitudes of medical staff were reported to be associated with outpatient satisfaction. The results indicated that in China, the outpatient satisfaction can be largely improved. Firstly, the attitude of medical service providers, especially the pre-diagnosis nurses, registration officers, and pharmaceutical counters should be improved. Furthermore, to shorten the waiting time, policies should be developed to guide patients with common diseases and slight discomforts to community health systems to alleviate the overload in tertiary hospitals. Considering the strained relations between the doctors and patients in the clinical practice, improving patient satisfaction in China deserves more attention and research.
Correlates of Health Literacy among Farmers in Northern Thailand
Authors: Montgomery Hannah , Morgan Siena , Srithanaviboonchai Kriengkrai , Ayood Pisittawoot , Siviroj Penprapa , Wood Michele M.
Published: September 2020

Low health literacy is a barrier to public health efforts worldwide. Agricultural workers have an elevated risk for lower health literacy, with important health implications because of their potential exposure to harmful chemicals. The Asian Health Literacy Survey (AHLS) has been developed and translated for use in several different Asian countries and is standardized for easy comparisons across regions. However, it has not been translated for use in Thailand. The purpose of this study was to (1) to determine the health literacy of rural Thai farmers in Northern Thailand, and (2) identify correlates of health literacy within this group. Internal consistency of the Thai AHLS translation was “excellent” (alpha = 0.92). Descriptive results showed that health literacy was relatively high (M = 34.98/50, SD = 6.87). Education, income, working as a village health volunteer, age, length of time farming, no chemical use in farming, health, and pesticide screening were statistically significant correlates of health literacy (R2 = 0.19). Thai farmers had higher health literacy than reported for several other Asian countries. Results may be used to inform the design of future health promotion programs.
Pollution and Ecological Risk Evaluation of Heavy Metals in the Soil and Sediment around the HTM Tailings Pond, Northeastern China
Authors: Zhang Wei , Long Jinghua , Zhang Xueru , Shen Weining , Wei Zhongyi
Published: September 2020

Tailings ponds are a main heavy metal pollution source in mining areas. In this study, the geo-accumulation index (Igeo) and the potential ecological risk index (RI) are used to evaluate the environmental impact of Hongtou Mountain (HTM) tailings pond on the surrounding area. Farmland soil, surface water, and sediment samples in the Hun River around the HTM tailings pond were collected. Heavy metal contents in the samples were analyzed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results show that Cu, Zn, and Cd content in the farmland soil and sediment around the lower reaches of the Hun River (HTM tailings pond section) are obviously higher than the upper reaches. The Igeo values show that the farmland soil near the outlet of the tailings pond is the most polluted area. Cu was classified as moderate–strongly pollution, Zn was moderately pollution, and Cd was strongly pollution. Cd is the major pollutant in farmland soil, the monomial ecological risk (Eri) for Cd is a very high potential ecological risk. The potential ecological risk of sediment in the dry season is more serious than in the raining season. In the dry season, the Igeo index shows strong pollution for Cu and Cd at the confluence of the Hun River and the tributary from the HTM tailings pond, and a moderate–strongly pollution for Zn. Whereas, the Eri index shows that the monomial ecological risk for Zn at H3 is low, and Cu is moderate. The potential ecological risk at H3 is high, and Cd is the main source of the ecological risk around the HTM tailings pond.
Upper and Lower Respiratory Signs and Symptoms in Workers Occupationally Exposed to Flour Dust
Authors: Crivellaro Maria Angiola , Ottaviano Giancarlo , Maculan Pietro , Pendolino Alfonso Luca , Vianello Liviano , Mason Paola , Gioffrè Francesco , Bizzotto Rosana , Scarpa Bruno , Simoni Edi , Astolfi Laura , Maestrelli Piero , Scapellato Maria Luisa , Carrieri Mariella , Trevisan Andrea
Published: September 2020

A group of 142 bakers was studied in order to investigate the relationship between higher/lower respiratory signs/symptoms and inflammation biomarkers and occupational exposure to flour dust. A complete upper and lower respiratory tract evaluation was performed. Seven percent of bakers complained of lower respiratory symptoms, while 22% of them complained of upper respiratory symptoms. Fifty five percent of the bakers were allergic, and 37.1% showed sensitization to occupational allergens. Abnormal spirometries were found in 15% of bakers, while fractional exhaled nitric oxide (FeNO) was above the normal reference in 24.5% of them. Moreover, 23.8% of bakers were found to be hyposmic. Population mean peak nasal inspiratory flow (PNIF) was in the normal range even if almost all the workers suffered from neutrophilic rhinitis at nasal cytology with the number of nasal neutrophils increasing with the increase of the duration of exposure to flour dust (p = 0.03). PNIF and FEV1 (forced expiratory volume in the 1st second) showed a positive correlation (p = 0.03; r = 0.19). The Tiffeneau index decreased with the increase of dust (p = 0.017). A similar result was obtained once we divided our population into smokers and non-smokers (p = 0.021). Long-term exposure to bakery dusts can lead to a status of minimal nasal inflammation and allergy.
Sources of and Solutions to Toxic Metal and Metalloid Contamination in Small Rural Drinking Water Systems: A Rapid Review
Authors: Tracy J. Wren , Guo Amy , Liang Kaida , Bartram Jamie , Fisher Michael
Published: September 2020

Exposure to toxic metals and metalloids (TMs) such as arsenic and lead at levels of concern is associated with lifelong adverse health consequences. As exposure to TMs from paint, leaded gasoline, canned foods, and other consumer products has decreased in recent decades, the relative contribution of drinking water to environmental TM exposure and associated disease burdens has increased. We conducted a rapid review from June to September 2019 to synthesize information on the sources of TM contamination in small rural drinking water systems and solutions to TM contamination from these sources, with an emphasis on actionable evidence applicable to small rural drinking water systems worldwide. We reviewed publications from five databases (ProQuest, PubMed, Web of Science, Embase, and Global Health Library) as well as grey literature from expert groups including WHO, IWA, and others; findings from 61 eligible review publications were synthesized. Identified sources of TMs in included studies were natural occurrence (geogenic), catchment pollution, and corrosion of water distribution system materials. The review found general support for preventive over corrective actions. This review informs a useful planning and management framework for preventing and mitigating TM exposure from drinking water based on water supply characteristics, identified contamination sources, and other context-specific variables.
Data Analytics for Predicting COVID-19 Cases in Top Affected Countries: Observations and Recommendations
Authors: Eltoukhy Abdelrahman E. E. , Shaban Ibrahim Abdelfadeel , Chan Felix T. S. , Abdel-Aal Mohammad A. M.
Published: September 2020

The outbreak of the 2019 novel coronavirus disease (COVID-19) has adversely affected many countries in the world. The unexpected large number of COVID-19 cases has disrupted the healthcare system in many countries and resulted in a shortage of bed spaces in the hospitals. Consequently, predicting the number of COVID-19 cases is imperative for governments to take appropriate actions. The number of COVID-19 cases can be accurately predicted by considering historical data of reported cases alongside some external factors that affect the spread of the virus. In the literature, most of the existing prediction methods focus only on the historical data and overlook most of the external factors. Hence, the number of COVID-19 cases is inaccurately predicted. Therefore, the main objective of this study is to simultaneously consider historical data and the external factors. This can be accomplished by adopting data analytics, which include developing a nonlinear autoregressive exogenous input (NARX) neural network-based algorithm. The viability and superiority of the developed algorithm are demonstrated by conducting experiments using data collected for top five affected countries in each continent. The results show an improved accuracy when compared with existing methods. Moreover, the experiments are extended to make future prediction for the number of patients afflicted with COVID-19 during the period from August 2020 until September 2020. By using such predictions, both the government and people in the affected countries can take appropriate measures to resume pre-epidemic activities.
Assessing the Beneficial Effects of the Immunomodulatory Glycan LNFPIII on Gut Microbiota and Health in a Mouse Model of Gulf War Illness
Authors: Mote Ryan S. , Carpenter Jessica M. , Dockman Rachel L. , Steinberger Andrew J. , Suen Garret , Norberg Thomas , Harn Donald A. , Wagner John J. , Filipov Nikolay M.
Published: September 2020

The microbiota’s influence on host (patho) physiology has gained interest in the context of Gulf War Illness (GWI), a chronic disorder featuring dysregulation of the gut–brain–immune axis. This study examined short- and long-term effects of GWI-related chemicals on gut health and fecal microbiota and the potential benefits of Lacto-N-fucopentaose-III (LNFPIII) treatment in a GWI model. Male C57BL/6J mice were administered pyridostigmine bromide (PB; 0.7 mg/kg) and permethrin (PM; 200 mg/kg) for 10 days with concurrent LNFPIII treatment (35 μg/mouse) in a short-term study (12 days total) and delayed LNFPIII treatment (2×/week) beginning 4 months after 10 days of PB/PM exposure in a long-term study (9 months total). Fecal 16S rRNA sequencing was performed on all samples post-LNFPIII treatment to assess microbiota effects of GWI chemicals and acute/delayed LNFPIII administration. Although PB/PM did not affect species composition on a global scale, it affected specific taxa in both short- and long-term settings. PB/PM elicited more prominent long-term effects, notably, on the abundances of bacteria belonging to Lachnospiraceae and Ruminococcaceae families and the genus Allobaculum. LNFPIII improved a marker of gut health (i.e., decreased lipocalin-2) independent of GWI and, importantly, increased butyrate producers (e.g., Butyricoccus, Ruminococcous) in PB/PM-treated mice, indicating a positive selection pressure for these bacteria. Multiple operational taxonomic units correlated with aberrant behavior and lipocalin-2 in PB/PM samples; LNFPIII was modulatory. Overall, significant and lasting GWI effects occurred on specific microbiota and LNFPIII treatment was beneficial.
A Meta-Analysis of Comparing Intermittent Epidural Boluses and Continuous Epidural Infusion for Labor Analgesia
Authors: Tzeng I-Shiang , Kao Ming-Chang , Pan Po-Ting , Chen Chu-Ting , Lin Han-Yu , Hsieh Po-Chun , Kuo Chan-Yen , Hsieh Tsung-Han , Kung Woon-Man , Cheng Chu-Hsuan , Chen Kuo-Hu
Published: September 2020

With the development of medical equipment and techniques in labor anesthesia, it is a major issue to investigate the risks and treatment effects among techniques such as continuous epidural infusion (CEI) and intermittent epidural bolus (IEB). However, there is a controversial result regarding two techniques. This study was conducted through meta-analysis of randomized controlled trials (RCTs) for labor analgesia between the CEI and IEB techniques. The pooled results were presented as weighted mean differences (WMDs) together with 95% confidence intervals (CIs) and odds ratios (ORs) together with 95% CIs, respectively. Eleven RCTs were included in this meta-analysis. Four hundred sixty-five parturients accepted CEI, whereas 473 parturients accepted IEB labor analgesia. Elven identified low- risk bias studies were recruited for meta-analysis. The results presented no statistical difference in cesarean delivery rate between IEB and CEI (OR, 0.96; 95% CI, 0.67–1.37) and duration of second stage of labor (WMD, −3.82 min; 95% CI, −8.28 to 0.64). IEB had statistically significant lessened risk of instrumental delivery (OR, 0.59; 95% CI, 0.39–0.90) and for the use in local anesthetic (WMD, −1.71 mg bupivacaine equivalents per hour; 95% CI, −1.88 and −1.55). Accepted IEB had a higher score of maternal satisfaction (WMD, −6.95 mm; 95% CI, −7.77 to −6.13). Based on evidence, IEB showed a greater benefit for slightly reducing the use in local anesthetic, reduced risk of instrumental delivery, and improved maternal satisfaction for the requirement of labor epidural analgesia for healthy women. In the future, more studies need to be conducted to practice the IEB regimen and explore its influence on labor analgesia.
Seasonal Dynamics and Spatial Distribution of Aedes albopictus (Diptera: Culicidae) in a Temperate Region in Europe, Southern Portugal
Authors: Osório Hugo C. , Rocha Jorge , Roquette Rita , Guerreiro Nélia M. , Zé-Zé Líbia , Amaro Fátima , Silva Manuel , Alves Maria João
Published: September 2020

Aedes albopictus is an invasive mosquito that has colonized several European countries as well as Portugal, where it was detected for the first time in 2017. To increase the knowledge of Ae. albopictus population dynamics, a survey was carried out in the municipality of Loulé, Algarve, a Southern temperate region of Portugal, throughout 2019, with Biogents Sentinel traps (BGS traps) and ovitraps. More than 19,000 eggs and 400 adults were identified from May 9 (week 19) and December 16 (week 50). A positive correlation between the number of females captured in the BGS traps and the number of eggs collected in ovitraps was found. The start of activity of A. albopictus in May corresponded to an average minimum temperature above 13.0 °C and an average maximum temperature of 26.2 °C. The abundance peak of this A. albopictus population was identified from September to November. The positive effect of temperature on the seasonal activity of the adult population observed highlight the importance of climate change in affecting the occurrence, abundance, and distribution patterns of this species. The continuously monitoring activities currently ongoing point to an established population of A. albopictus in Loulé, Algarve, in a dispersion process to other regions of Portugal and raises concern for future outbreaks of mosquito-borne diseases associated with this invasive mosquito species.
Exercise Behavior and Mood during the COVID-19 Pandemic in Taiwan: Lessons for the Future
Authors: Chang Yu-Kai , Hung Chiao-Ling , Timme Sinika , Nosrat Sanaz , Chu Chien-Heng
Published: September 2020

The Coronavirus disease 2019 (COVID-19) pandemic and its associated governmental recommendations and restrictions have influenced many aspects of human life, including exercise and mental health. This study aims to explore the influence of COVID-19 on exercise behavior and its impact on mood states, as well as predict changes in exercise behavior during a similar future pandemic in Taiwan. A cross-sectional online survey was conducted between 7 April and 13 May 2020 (n = 1114). Data on exercise behavior pre and during the pandemic and mood states were collected. A cumulative link model was used to predict changes in exercise frequency during a similar future pandemic by exercise frequency during the pandemic. A linear model was used to predict the influence of exercise frequency before and during the pandemic on mood states during the pandemic. A total of 71.2%, 67.3%, and 58.3% of respondents maintained their exercise intensity, frequency, and duration, respectively, during the pandemic. Frequent exercisers are more likely to maintain their exercise frequency during a similar pandemic (p < 0.001). Higher exercise frequencies during the pandemic were associated with better mood states (p < 0.05). Moreover, the effects of prepandemic exercise frequency on mood states are moderated by changes in exercise frequency during the pandemic (p < 0.05). Additionally, maintenance of exercise frequency during a pandemic specifically for frequent exercisers are recommended to preserve mood states. These results may provide evidence for health policies on exercise promotion and mental health before and during a future pandemic.
Statistical Review of Quality Parameters of Blue-Green Infrastructure Elements Important in Mitigating the Effect of the Urban Heat Island in the Temperate Climate (C) Zone
Authors: Antoszewski Patryk , Świerk Dariusz , Krzyżaniak Michał
Published: September 2020

Urban Heat Island (UHI) effect relates to the occurrence of a positive heat balance, compared to suburban and extra-urban areas in a high degree of urbanized cities. It is necessary to develop effective UHI prevention and mitigation strategies, one of which is blue-green infrastructure (BGI). Most research work comparing impact of BGI parameters on UHI mitigation is based on data measured in different climate zones. This makes the implication of nature-based solutions difficult in cities with different climate zones due to the differences in the vegetation time of plants. The aim of our research was to select the most statistically significant quality parameters of BGI elements in terms of preventing UHI. The normative four-step data delimitation procedure in systematic reviews related to UHI literature was used, and temperate climate (C) zone was determined as the UHI crisis area. As a result of delimitation, 173 publications qualified for literature review were obtained (488 rejected). We prepared a detailed literature data analysis and the CVA model—a canonical variation of Fisher’s linear discriminant analysis (LDA). Our research has indicated that the BGI object parameters are essential for UHI mitigation, which are the following: area of water objects and green areas, street greenery leaf size (LAI), green roofs hydration degree, and green walls location. Data obtained from the statistical analysis will be used to create the dynamic BGI modeling algorithm, which is the main goal of the series of articles in the future.
Driving Performance and Technology Acceptance Evaluation in Real Traffic of a Smartphone-Based Driver Assistance System
Authors: Voinea Gheorghe-Daniel , Postelnicu Cristian Cezar , Duguleana Mihai , Mogan Gheorghe-Leonte , Socianu Radu
Published: September 2020

Technological advances are changing every aspect of our lives, from the way we work, to how we learn and communicate. Advanced driver assistance systems (ADAS) have seen an increased interest due to the potential of ensuring a safer environment for all road users. This study investigates the use of a smartphone-based ADAS in terms of driving performance and driver acceptance, with the aim of improving road safety. The mobile application uses both cameras of a smartphone to monitor the traffic scene and the driver’s head orientation, and offers an intuitive user interface that can display information in a standard mode or in augmented reality (AR). A real traffic experiment consisting of two driving conditions (a baseline scenario and an ADAS scenario), was conducted in Brasov, Romania. Objective and subjective data were recorded from twenty-four participants with a valid driver’s license. Results showed that the use of the ADAS influences the driving performance, as most of them adopted an increased time headway and lower mean speeds. The technology acceptance model (TAM) questionnaire was used to assess the users’ acceptance of the proposed driver assistance system. The results showed significant interrelations between acceptance factors, while the hierarchical regression analysis indicates that the variance of behavioral intention (BI) can be predicted by attitude toward behavior.
Spatial Distribution of Toxic Metal(loid)s and Microbial Community Analysis in Soil Vertical Profile at an Abandoned Nonferrous Metal Smelting Site
Authors: Yang Jiejie , Wang Siqi , Guo Ziwen , Deng Yan , Xu Menglong , Zhang Siyuan , Yin Huaqun , Liang Yili , Liu Hongwei , Miao Bo , Meng Delong , Liu Xueduan , Jiang Luhua
Published: September 2020

In this study soils at different depths were collected in a Zn smelting site located in Zhuzhou City, China, in order to understand toxic metal(loid)s distribution and microbial community in vertical soil profile at a smelting site. Except Soil properties and metal(loid)s content, the richness and diversity of microbial communities in soil samples were analyzed via high-throughput Illumina sequencing of 16s rRNA gene amplicons. The results showed that the content of As, Pb, Cu, Cd, Zn, and Mn was relatively high in top soil in comparison to subsoil, while the concentration of Cr in subsoil was comparable with that in top soil due to its relative high background value in this soil layer. The bioavailability of Cd, Mn, Zn, and Pb was relative higher than that of As, Cr, and Cu. The diversity of soil microbial communities decreased with increasing depth, which might be ascribed to the decrease in evenness with increase in depth duo to the influence by environmental conditions, such as pH, TK (total potassium), CEC (cation exchange capacity), ORP (oxidation reduction potential), and Bio-Cu (bioavailable copper). The results also found Acidobacteria, Proteobacteria, Firmicutes, and Chloroflexi were dominant phyla in soil samples. At the genus level, Acinetobacter, Pseudomonas, and Gp7 were dominant soil microorganism. Besides, Environmental factors, such as SOM (soil organic matter), pH, Bio-Cu, Bio-Cd (bioavailable cadmium), and Bio-Pb (bioavailable lead), greatly impacted microbial community in surface soil (1–3 m), while ORP, TK, and AN concentration influenced microbial community in the subsoil (4–10 m).
Determination of Glyphosate in Water from a Rural Locality in México and Its Implications for the Population Based on Water Consumption and Use Habits
Authors: Reynoso Eduardo C. , Peña Ricardo D. , Reyes Delfino , Chavarin-Pineda Yaselda , Palchetti Ilaria , Torres Eduardo
Published: September 2020

Glyphosate is a broad-spectrum herbicide widely used worldwide. Indeed, it is the herbicide most applied to all Mexican crops. Due to the overuse and poor disposal of the waste, this herbicide can reach the aquatic environments such as groundwater and surface water. Thus, there is a clear need to implement monitoring and surveillance programs for evaluating and controlling the exposure to this herbicide in rural populations. The goal of this study was to quantify the presence of glyphosate in different water bodies (groundwater, surface and drinking water) as well as to identify the uses and managements of water resources by rural communities to evaluate the potential human exposure to glyphosate in the Tenampulco region of the Mexican state of Puebla. Measurements were performed by a rapid and cost-effective ELISA-based method in groundwater and surface water from various sampling sites of the Tenampulco region. Glyphosate was detected in all groundwater samples to be below the maximum limit for glyphosate in water in Mexico. Nevertheless, these results indicate an exposure of glyphosate in these agricultural communities and the need to establish a monitoring program.
What Psychosocial and Physical Characteristics Differentiate Office Workers Who Develop Standing-Induced Low Back Pain? A Cross-Sectional Study
Authors: Rodríguez-Romero Beatriz , Smith Michelle D , Quintela-del-Rio Alejandro , Johnston Venerina
Published: September 2020

This study examines demographic, physical and psychosocial factors associated with an increase in low back pain (LBP) during a one-hour standing task. A cross-sectional survey with 40 office workers was conducted. The primary outcome was pain severity during a one-hour standing task recorded every 15 min using a 100 mm Visual Analogue Scale (VAS). Participants were defined as pain developers (PD), if they reported a change in pain of ≥10 mm from baseline, or non-pain developers (NPD). Physical outcomes included participant-rated and examiner-rated trunk and hip motor control and endurance. Self-report history of LBP, physical activity, psychosocial job characteristics, general health and pain catastrophising were collected. Fourteen participants were PD. Hip abduction, abdominal and spinal muscle endurance was lower for PD (p ≤ 0.05). PD had greater self-reported difficulty performing active hip abduction and active straight leg raise tests (p ≤ 0.04). Those reporting a lifetime, 12 month or 7-day history of LBP (p < 0.05) and lower self-reported physical function (p = 0.01) were more likely to develop LBP during the standing task. In conclusion, a history of LBP, reduced trunk and hip muscle endurance and deficits in lumbopelvic/hip motor control may be important to consider in office workers experiencing standing-induced LBP.