bluuebunny/crossref_metadata_2025 huggingface dataset:
Fitness Soccer Athletes Training at the University of Limpopo, South Africa: Are the Macronutrients Intake and Anthropometric Status of These Athletes Optimal?
Authors: Makhafola Masodi , Makhubela Hendrick , Masoga Sylven , Makuse Sefora Hazel
Published: October 2022

Background: Dietary practices of the University of Limpopo soccer team athletes have been reported. However, the practices of those engaging in soccer for general fitness from different non-competitive teams remain unknown. To respond to this gap, the researchers investigated the energy, macronutrient intake, and BMI status and further correlated the two variables of the fitness non-competitive soccer athletes registered at the University of Limpopo in South Africa. Method: A quantitative study design was undertaken to conveniently sample 60 out of 90 fitness soccer athletes from the four non-competitive soccer teams at the University of Limpopo sports grounds. Ethics approval was obtained from the University of Limpopo Research and Ethics Committee, and permission was given by the university sports management and team coaches. Athletes signed the informed consent form before participating in the study. Data were collected at the soccer fields during the afternoons before the start of training. Macronutrient intake data were collected using multiple (two) 24-h recall questionnaires on different days, which were validated by the food frequency questionnaire. Weight and height were measured using a digital scale (Seca 813 electronic flat scale) and stadiometer (Seca 213 portable stadiometer) for BMI calculations, respectively. The average energy and macronutrient intakes were calculated through the SAMRC FoodFinder software (3.0). The nutrient averages, together with the BMI results, were loaded into SPSS (26.0) for further analysis. Descriptive statistics were used to report the energy, macronutrient intake, and BMI statuses of athletes using percentages, means, and standard deviations (±SD). A one-way ANOVA test was used to determine the association between the latter variables. A p-value of ≤ 0.05 was the criterion used to correlate the variables. Results: All (100%) athletes were males, most of whom played soccer for 2–3 years while at the university. Almost half (48%) of athletes consumed energy (39.6 kcal/kg) below the recommendations. About 92% and 53% of athletes consumed carbohydrates (5.0 g/kg) and fat (1.2 g/kg) below the recommended values; while 43% consumed protein (1.4 g/kg) optimally. The majority (>80%) had a normal BMI (21.6 ± 2.6 kg/m2) status. However, there were no relationships between the energy (p = 0.383), CHO (p = 0.261), protein (p = 0.543), and fat (p = 0179) intake and the BMI status of athletes. Conclusion: The macronutrient intake of fitness soccer athletes at the University of Limpopo is, on the whole, suboptimal. However, the athletes had normal body weights. There was no association between both the energy and macronutrient intake and the anthropometric (BMI) status of soccer athletes.
Sociodemographic Variations in the Availability of Urban Green Spaces in an Older Swedish Population
Authors: Mattisson Kristoffer , Axmon Anna , Carlsson Gunilla , Malmgren Fänge Agneta , Lethin Connie , Stroh Emilie
Published: October 2022

Urban green spaces (UGS) can have a positive impact on health and thereby potentially ease the strain on the health care system. However, the availability and benefits seem to vary between different sociodemographic groups. The aim of this study was to investigate associations between sociodemographic factors and availability to UGS among people aged 65 years or older. Data on sociodemographic variables and residential coordinates were obtained for three cross-sectional cohorts in two cities (Malmö and Kristianstad) and three years (2010, 2015, and 2019). Three measures of urban green spaces; total (UGS), public (PGS) and quiet (QGS), within 300 m were used to determine availability. The results indicated higher availability to both total and publicly available urban green spaces for groups with lower socioeconomic status (SES) is positive from a health perspective. However, availability to high qualitative publicly available urban green spaces, from a noise perspective, was lower, indicating the opposite.
Perceived Parenting Style and Subjective Well-Being among Chinese Nursing Undergraduates: The Role of Self-Efficacy and Gender
Authors: Huang Haitao , Tang Haishan , Lu Guangli , Chen Chaoran , Peng Qianwen , Zhang Yiming , Liang Yipei , Wan Xiao , Ding Yueming
Published: October 2022

The question of how to improve the subjective well-being (SWB) of nursing students is an important factor for reducing nursing loss and improving nursing quality. The current study aimed to investigate the influence of parenting style and self-efficacy (SE) on SWB among Chinese nursing undergraduates. The moderating role of gender between parenting style and SWB was also examined. Descriptive analysis, Pearson’s correlation analysis, and the Hayes’ PROCESS Macro Model 4 and Model 5 were used to analyze the available data. A total of 665 nursing undergraduates (Mage = 19.86, SD = 1.19) completed questionnaires. The results showed that PPS was positively correlated with SWB (r = 0.421, p < 0.01), while NPS was negatively correlated with SWB (r = −0.167, p < 0.01). Meanwhile, SE was positively correlated with PPS (r = 0.167, p < 0.01) and negatively correlated with NPS (r = −0.175, p < 0.01). In addition, SE was positively correlated with SWB (r = 0.273, p < 0.01) and played a partial mediating role in the association between parenting style and SWB. Furthermore, gender moderated the direct effect of parenting style on SWB. Specifically, compared with male nursing students, parenting style has a greater influence on the SWB of female nursing students. These findings can be used to develop targeted improvement strategies for nursing educators to improve SWB levels among nursing undergraduates.
Outcomes of Pregnancy Termination of Dead Fetus in Utero in Second Trimester by Misoprostol with Various Regimens
Authors: Pongsatha Saipin , Suntornlimsiri Nuchanart , Tongsong Theera
Published: October 2022

Objective: To determine the efficacy and adverse outcomes of misoprostol with various regimens for the second-trimester-pregnancy termination of a dead fetus in utero (DFIU). Patients and Methods: A retrospective descriptive study, based on the prospective database, was conducted on pregnancies with dead fetuses in utero in the second trimester. All patients underwent pregnancy termination with various regimens of misoprostol. Results: A total of 199 pregnancies meeting the inclusion criteria were included. The mean age of the participants and the mean gestational age were 30.2 years and 21.1 weeks, respectively. The two most common regimens were 400 mcg injected intravaginally every six hours and 400 mcg taken orally every four hours. In the analysis of the overall efficacy, including all regimens, the mean fetal delivery time was 18.9 h. When considering only the cases involving a delivery within 48 h (success cases), the mean fetal delivery time was 13.6 h. The rates of fetal delivery for all cases at 12, 24, 36, and 48 h were 50.3%, 83.8%, 89.3%, and 93.9%. In the comparison between the various regimens, there were no significant differences in the rate of fetal delivery at 12, 24, 36, and 48 h and adverse effects such as chill, diarrhea, nausea, vomiting, and other parameters such as the requirement for intravenous analgesia, the requirement for curettage for incomplete abortions, the mean total dose of misoprostol, and the rate of postpartum hemorrhage (PPH). Nevertheless, the rate of fever was significantly higher in the regimen of intravaginal insertion of 400 mcg every six hours and that of the requirement for oxytocin was significantly higher in the regimen of oral supplementation of 400 mcg every four hours. Conclusions: The overall success rate within 48 h was 93.6%, which was not different among the various misoprostol regimens. In addition, there were no significant differences in the mean fetal delivery times and the rates of fetal delivery at 12, 24, 36, and 48 h. However, some parameters such as fever, oxytocin requirement, and mean total dose of misoprostol were statistically significant between regimens. In the aspect of global health, misoprostol can be a good option in clinical practice, especially in geographical areas with low-resource levels.
Six-Months Retention on Treatment and Attrition Risk Factors among People Living with HIV in Kibera Informal Settlement, Nairobi, Kenya
Authors: Muhula Samuel Opondo , Gachohi John , Kombe Yeri , Karanja Simon
Published: October 2022

Early retention of patients on HIV treatment is vital in preventing new infections, reducing transmissions, preventing AIDS related deaths and achieving viral suppression. This study sought to determine the effectiveness of non-cash intervention (reminding HIV positive patients at every clinic visit that they stand to receive free T-shirts of their favorite football team or free Kiondos based on preference if they made it to the sixth month visit without missing a treatment appointment) and psychosocial support on retention during the first six months of HIV treatment. This unblinded randomized control trial was conducted at three health centers within the Kibera informal settlement in Nairobi, Kenya. Participants were randomly assigned to the intervention and control groups at a ratio of 1:1. Eligible participants were patients who newly tested HIV positive and enrolled for treatment at the study sites, were 18 years and older and were willing and able to provide informed consent to participate in the study. The primary outcome of interest was retention on treatment at six months. The overall retention on treatment at six months was 93%. Retention at six months among the intervention and control groups was 94% and 91%, respectively (aRR: 1.03; 95% CI: 0.98–1.09; p-value = 0.24). Attrition from treatment was significantly associated with being divorced, being single/never married, time to clinic, participant weight and being on other first line ART regimens other than TDF/3TC/DTG and TDF/3TC/EFV. Mortality and lost to follow-up rates were 1.6 and 13.5 per 100 person-years, respectively. The combination of non-cash incentives and psychosocial support did not improve retention during the first six months of HIV treatment. To reduce further attrition in the early stages of HIV treatment, innovative strategies are needed to reach divorced and not married/single patients earlier and support them to remain on treatment. Efforts should also be made to further decentralize ART treatment to reduce costs and time associated with travelling to and from hospitals.
Leaving the Homestead: Examining the Role of Relative Deprivation, Social Trust, and Urban Integration among Rural Farmers in China
Authors: Si Wentao , Jiang Chen , Meng Lin
Published: October 2022

Actively promoting the orderly and voluntary withdrawal of idle rural house bases and effectively activating “sleeping” land assets are considered important measures to accelerate the modernization of agriculture and rural areas, as well as promoting the integrated development of urban and rural areas. However, few studies have focused on the superimposed effects of negative psychological and social environmental factors on the willingness of farmers to withdraw from their homestead. Therefore, we conducted this study in order to clarify the logical ideas of rural home base withdrawal, analyze the factors that influence the decision of home base withdrawal behavior of interest subjects, and provide a scientific decision basis for promoting rural home base withdrawal and accelerating the process of transferring citizens of agricultural population in terms of policies, measures, and paths, so as to design and develop an incentive mechanism for home base withdrawal of citizens of agricultural transfer population. The results of the study show that: (1) the findings indicate that social deprivation, economic deprivation, and emotional deprivation all significantly and negatively affect farmers’ willingness to withdraw from their homesteads; (2) social trust plays a mediating role between relative deprivation and farmer homestead withdrawal behavior; and (3) urban integration plays a moderating role between social and emotional deprivation and the social trust of farmers, but does not have a significant moderating role in the relationship between economic deprivation and social trust. Furthermore, it plays a moderating role between all deprivation factors (i.e., economic, social, and emotional deprivation) and farmer homestead withdrawal behavior. This study aims to provide useful guidance and policy suggestions for optimizing policies related to farmer homestead withdrawal behaviors, and for scientifically designing the homestead withdrawal mechanism and policy system.
An Evaluation of the Quality of Environmental Impact Assessment Reports in the Mobile Telecommunications Infrastructure Sector: The Case of Plateau State in Nigeria
Authors: Choji Vincent D. , Rampedi Isaac T. , Modley Lee-Ann S. , Ifegbesan Ayodeji P.
Published: October 2022

Environmental impact assessment reports meant for proposed development actions can be evaluated to reveal their quality and fitness for the purpose of environmental decision-making. Therefore, this study evaluated the quality and identified strengths and weaknesses in environmental impact assessment reports of telecommunications infrastructure proposed for Plateau State in Nigeria. To this end, 80 reports were evaluated using the modified version of the Lee and Colley review package. The results revealed the following points. In Review Area 1.0 (Description of the proposed telecommunications facilities) and Review Area 5.0 (Communication of results), the quality of environmental impact assessment reports was found to be generally satisfactory. However, the quality of all reports was considered ‘very unsatisfactory’ (‘F’) regarding their overall legal compliance with the requirements stipulated in the remaining three Review Areas, namely, Review Area 2.0 (Terrain susceptibility in the proposed project areas), Review Area 3.0 (Associated and potential environmental impacts), and Review Area 4.0 (Mitigation measures/alternatives). This ‘F’ rating was assigned to 65% (52/80) of reports regarding Review Area 3.0 because the information provided was ‘very unsatisfactory’; important tasks were poorly carried out or not attempted at all. Moreover, in review areas such as Review Area 2.0 and Review Area 4.0, all reports in the evaluation were assigned an ‘F’ quality. Such an unsatisfactory quality rating is ascribable to the very unsatisfactory manner in which the reports were populated, especially as important task(s) were poorly performed or not attempted at all. Historically, only Review Area 1.0 and Review Area 5.0 indicated improvements in quality over time, whereas the remaining three review areas (Review Area 2.0, Review Area 3.0 and Review Area 4.0) did not improve. Based on the results obtained from the study, we recommend that there should be periodic reviews of environmental impact assessment reports by independent reviewers and environmental consultants should adhere to the sectoral guidelines for telecommunication infrastructure during the production of these reports. Moreover, in order to build technical capacity, more studies on report quality must be conducted in all sectors in Nigeria.
Great Facilitation of Thirty Years of Reforestation with Mixed Species to Ecosystem Nitrogen Accumulation in Dry-Hot Valley in the Jinsha River
Authors: Gong Zhilian , Li Yong , Liu Luqing , Deng Shuang
Published: October 2022

Nitrogen is a key factor influencing ecosystem structure and function in reforestation, but knowledge of ecosystem nitrogen accumulation through reforestation with mixed species is limited. Especially in the dry-hot valley of the Jinsha River, no studies cover total ecosystem nitrogen accumulation in mature plantations and its allocation for difficulty in collecting tree roots and deep soil from dry red soil. In this study, nitrogen accumulation of seven mixed plantations in the dry-hot valley in the Jinsha River was studied after thirty years of reforestation with an analogous sites method. The results were as follows: (1) Soil nitrogen stocks decreased with depth in the soil profile. Deep soil nitrogen storage (20–80 cm) was significantly correlated with stand age (R2 = 0.752, p = 0.000; n = 7), accounting for 56–63% of total soil nitrogen storage and 43–47% of soil nitrogen accumulation in the dry-hot valley. (2) Total biomass nitrogen stock of the 30-year-old plantation was 1.22 t ha−1, 61 times that of degraded wasteland and 7.6 times that of natural recovery shrub grassland, and it recovered to the reference level of natural forest following 30 years of reforestation. (3) Total ecosystem nitrogen stock in the 30-year-old plantation was 12.72 t ha−1, 1.4 times the reference wasteland and 1.19 times the natural recovery shrub grassland. The contribution of soil nitrogen to ecosystem nitrogen storage and accumulation was 90% and 67%, respectively. Litter nitrogen accounted for 1.6% ecosystem nitrogen storage. It indicated that reforestation with mixed plantation of Leucaena leucocephala and other species greatly facilitated more ecosystem nitrogen accumulation, especially soil nitrogen (including deep compartment). Secondary biomass nitrogen, especially litter, could not be overlooked. This study filled the gap of ecosystem nitrogen storage and distribution during reforestation in the dry-hot valley. Mixed plantation with legume species such as L. leucocephala and other species and an important role of secondary biomass, especially litter in nitrogen accumulation, provided a reference for the strategy formulation of reforestation and forest nitrogen management in the dry-hot valley and other semi-arid or arid regions.
Spatio-Temporal Dynamics and Sensitive Distance Identification of Light Pollution in Protected Areas Based on Muti-Source Data: A Case Study of Guangdong Province, China
Authors: Jiang Benyan , Li Shan , Li Jianjun , Zhang Yuli , Zheng Zihao
Published: October 2022

Ecosystems in protected areas (PAs) are facing new challenges from light pollution. Timely assessment of light pollution in protected areas and exploration of its characteristics are positively valuable for biodiversity conservation and sustainable development. As the province with the largest number of nature reserves and the richest biodiversity in China, Guangdong’s protected areas have faced more severe light pollution threats in recent years along with rapid urbanization. Hence, in this study, the temporal trends and spatial distribution of light pollution changes, the correlation between light pollution and human activities, and the sensitive distance induced by light pollution in PAs of Guangdong Province from 2000 to 2018 were analyzed based on nighttime light (NTL) remote sensing data, land-use data, and POI data. The results show that: (1) Overall, the light pollution within the PAs increased significantly in these years, with the mean value of NTL (MNTL) increasing from 8.04 to 15.21 nanoWatt/cm2/sr. The number of PAs affected by light pollution was 900 in 2018, accounting for 83% of the total. (2) From the perspective of spatial distribution, the PAs in the Pearl River Delta suffered from the highest intensity of light pollution. Specifically, the MNTL of PAs within the Pearl River Delta was 5.8 times and 2.8 times higher than that in northern Guangdong in 2000 and 2018, respectively. (3) There is a significant correlation between human activities and NTL in PAs within 100 km, and the most sensitive distance is within 40 km, especially the sensitivity within 20 km is much higher than that between 30–40 km. The findings of this study will provide a reference for the implementation of external lighting control and guidance measures to mitigate light pollution in protected areas in Guangdong Province.
Behaviour Patterns between Academic Motivation, Burnout and Academic Performance in Primary School Students
Authors: Usán Pablo , Salavera Carlos , Quílez-Robres Alberto , Lozano-Blasco Raquel
Published: October 2022

Background: The final years of primary school (early adolescence) are regarded as key for the academic and personal development of students. This study aims to analyze the relationship between academic motivation, academic burnout, and academic performance, differentiating between adaptive and non-adaptive patterns according to the results of the three constructs studied. Methods: The sample comprised 398 students, both male (N = 224; 56.28%) and female (N = 174; 43.71%) with ages ranging from 11 to 13 years (M = 11.49; DT = 0.52). The instruments used were the Maslach Burnout Inventory—Student Survey (MBI-SS) and the Academic Motivation Scale (AMS), as well as academic marks as a measure of performance. Results: The results revealed significant correlations between the three constructs under study, the variables that can be used to predict academic performance, and both adaptive and non-adaptive behavior patterns. Conclusions: The importance of motivation, burnout, and academic performance in primary education is manifested, whose interrelation can give rise to adaptive behaviors based on high school motivation away from academic burnout that leads to a higher academic performance in students.
Environmental Changes and the Impact on the Human Infections by Dengue, Chikungunya and Zika Viruses in Northern Brazil, 2010–2019
Authors: Marinho Robson dos Santos Souza , Duro Rodrigo Lopes Sanz , Mota Mânlio Tasso de Oliveira , Hunter James , Diaz Ricardo Sobhie , Kawakubo Fernando Shinji , Komninakis Shirley Vasconcelos
Published: October 2022

Environmental changes are among the main factors that contribute to the emergence or re-emergence of viruses of public health importance. Here, we show the impact of environmental modifications on cases of infections by the dengue, chikungunya and Zika viruses in humans in the state of Tocantins, Brazil, between the years 2010 and 2019. We conducted a descriptive and principal component analysis (PCA) to explore the main trends in environmental modifications and in the cases of human infections caused by these arboviruses in Tocantins. Our analysis demonstrated that the occurrence of El Niño, deforestation in the Cerrado and maximum temperatures had correlations with the cases of infections by the Zika virus between 2014 and 2016. El Niño, followed by La Niña, a gradual increase in precipitation and the maximum temperature observed between 2015 and 2017 were shown to have contributed to the infections by the chikungunya virus. La Niña and precipitation were associated with infections by the dengue virus between 2010 and 2012 and El Niño contributed to the 2019 outbreak observed within the state. By PCA, deforestation, temperatures and El Niño were the most important variables related to cases of dengue in humans. We conclude from this analysis that environmental changes (deforestation and climate change) presented a strong influence on the human infections caused by the dengue, chikungunya and Zika viruses in Tocantins from 2010 to 2019.
“It Made Me Feel like Things Are Starting to Change in Society:” A Qualitative Study to Foster Positive Patient Experiences during Phone-Based Social Needs Interventions
Authors: Steeves-Reece Anna L. , Nicolaidis Christina , Richardson Dawn M. , Frangie Melissa , Gomez-Arboleda Katherin , Barnes Chrystal , Kang Minnie , Goldberg Bruce , Lindner Stephan R. , Davis Melinda M.
Published: October 2022

Many healthcare organizations are screening patients for health-related social needs (HRSN) to improve healthcare quality and outcomes. Due to both the COVID-19 pandemic and limited time during clinical visits, much of this screening is now happening by phone. To promote healing and avoid harm, it is vital to understand patient experiences and recommendations regarding these activities. We conducted a pragmatic qualitative study with patients who had participated in a HRSN intervention. We applied maximum variation sampling, completed recruitment and interviews by phone, and carried out an inductive reflexive thematic analysis. From August to November 2021 we interviewed 34 patients, developed 6 themes, and used these themes to create a framework for generating positive patient experiences during phone-based HRSN interventions. First, we found patients were likely to have initial skepticism or reservations about the intervention. Second, we identified 4 positive intervention components regarding patient experience: transparency and respect for patient autonomy; kind demeanor; genuine intention to help; and attentiveness and responsiveness to patients’ situations. Finally, we found patients could be left with feelings of appreciation or hope, regardless of whether they connected with HRSN resources. Healthcare organizations can incorporate our framework into trainings for team members carrying out phone-based HRSN interventions.
Cross-Sectional Analysis of Mental Health among University Students: Do Sex and Academic Level Matter?
Authors: Müller Carsten , El-Ansari Kareem , El Ansari Walid
Published: October 2022

University students’ mental health and well-being is a growing public health concern. There is a lack of studies assessing a broad range of mental health domains by sex and academic level of study. This cross-sectional online survey of BSc, MSc, and PhD students (n = 3353, 67% female) enrolled at one university in Germany assessed a wide scope of mental health domains, covering positive (i.e., self-rated health, self-esteem, student engagement) and negative aspects (i.e., perceived stress, irritation, and screening positive for depression, anxiety, comorbidity, and psychological distress). We evaluated differences in mental health by sex and academic level. Overall, although self-rated health did not differ by sex and academic level, females and lower academic level were associated with less favorable mental health. Males reported higher prevalence of high self-esteem, and higher engagement (all p ≤ 0.04). Conversely, mean perceived stress and cognitive/emotional irritation were higher among females, as were rates for positive screenings for anxiety, anxiety and depression comorbidity, and psychological distress (p < 0.001 for all). Likewise, lower academic level (BSc) was associated with lower rates of high self-esteem (p ≤ 0.001), increased perceived stress (p < 0.001), and higher prevalence of positive screening for depression, anxiety, comorbidity, and psychological distress (p ≤ 0.002 for all), while higher academic level (PhD) was linked to increased student engagement (p < 0.001 for all). Although the effect sizes of sex and academic level on student mental health were modest, these findings support a need for action to establish and expand early detection and prevention programs, on-campus advisory services, and peer counseling that focus on the sex-specific and academic-study-level-specific factors, as well as mental health and career development resources for students. Academics and policy makers need to consider multipronged intervention strategies to boost confidence of students and their academic career.
Spatial Equity of PM2.5 Pollution Exposures in High-Density Metropolitan Areas Based on Remote Sensing, LBS and GIS Data: A Case Study in Wuhan, China
Authors: Shan Zhuoran , Li Hongfei , Pan Haolan , Yuan Man , Xu Shen
Published: October 2022

In-depth studies have been conducted on the risk of exposure to air pollution in urban residents, but most of them are static studies based on the population of residential units. Ignoring the real environmental dynamics during daily activity and mobility of individual residents makes it difficult to accurately estimate the level of air pollution exposure among residents and determine populations at higher risk of exposure. This paper uses the example of the Wuhan metropolitan area, high-precision air pollution, and population spatio-temporal dynamic distribution data, and applies geographically weighted regression models, bivariate LISA analysis, and Gini coefficients. The risk of air pollution exposure in elderly, low-age, and working-age communities in Wuhan was measured and the health equity within vulnerable groups such as the elderly and children was studied. We found that ignoring the spatio-temporal behavioral activities of residents underestimated the actual exposure hazard of PM2.5 to residents. The risk of air pollution exposure was higher for the elderly than for other age groups. Within the aging group, a few elderly people had a higher risk of pollution exposure. The high exposure risk communities of the elderly were mainly located in the central and sub-center areas of the city, with a continuous distribution characteristic. No significant difference was found in the exposure risk of children compared to the other populations, but a few children were particularly exposed to pollution. Children’s high-exposure communities were mainly located in suburban areas, with a discrete distribution. Compared with the traditional static PM2.5 exposure assessment, the dynamic assessment method proposed in this paper considers the high mobility of the urban population and air pollution. Thus, it can accurately reveal the actual risk of air pollution and identify areas and populations at high risk of air pollution, which in turn provides a scientific basis for proposing planning policies to reduce urban PM2.5 and improve urban spatial equity.
Development, Validity, and Reliability of the Perceived Telemedicine Importance, Disadvantages, and Barriers (PTIDB) Questionnaire for Egyptian Healthcare Professionals
Authors: Youssef Naglaa , Ghazy Ramy Mohamed , Mahdy Reem Ezzat , Abdalgabar Mohammad , Elshaarawy Omar , Alboraie Mohamed
Published: October 2022

Background: This study aimed to develop and investigate the psychometric properties of the Perceived Telemedicine Importance, Disadvantages, and Barriers (PTIDB) questionnaire for healthcare professionals (HCPs) in Egypt. This study was conducted in three phases: (1) development of the questionnaire, (2) preliminary testing of the questionnaire, and (3) investigation of its validity and reliability using a large survey. Methods: A cross-sectional survey was conducted over two months. A convenience sample of 691 HCPs and clerks from 22 governorates accessed the online survey. The construct validity was assessed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and internal reliability. Results: The initial Eigenvalues showed that all 19 items of the questionnaire explained 56.0% of the variance in three factors. For Factor 1 (importance), eight items were loaded on one factor, with factor loading ranging from 0.61 to 0.78. For Factor 2 (disadvantages), seven items were loaded on one factor with factor loading ranging from 0.60 to 0.79. For Factor 3 (barriers), four items were loaded on one factor, with factor loading ranging from 0.60 to 0.86. The CFA showed that All loadings ranged from 0.4 to 1.0, with CFI = 0.93 and RMSEA = 0.061. All the factors had satisfactory reliability; 0.87 for ‘‘Importance’’, 0.82 for ‘‘Disadvantages’’, and 0.79 for ‘‘Barriers’’. Conclusion: The PTIDB questionnaire has an acceptable level of validity and internal consistency, at a readability level of 12th grade. The retest reliability, however, still needs to be tested.
Coping Strategies Furthering Post-Traumatic Growth in Multiple Sclerosis: A Longitudinal Study
Authors: Gil-González Irene , Martín-Rodríguez Agustín , Conrad Rupert , Pérez-San-Gregorio María Ángeles
Published: October 2022

(1) Background: Patients’ behavioral attempts in dealing with Multiple sclerosis (MS) play an important role in post-traumatic growth (PTG). In a longitudinal study, we aimed to identify coping strategies predicting PTG. (2) Methods: 260 MS patients answered the Post-traumatic Growth Inventory and the Brief COPE Questionnaire at three time points during a 36-month follow-up period. (3) Results: an interaction effect between PTG level and assessment time was found for emotional support, positive reframing, active coping, and planning coping strategies. Positive reframing, emotional support, instrumental support, religion, planning, and self-distraction positively predicted PTG. (4) Conclusions: to encourage PTG development, early interventions in MS patients are recommended to promote adaptive coping, particularly positive reframing, social support, active coping, planning, religion, and self-distraction.
A Mixed-Methods Evaluation of a Virtual Rehabilitation Program for Self-Management in Post-COVID-19 Syndrome (Long COVID)
Authors: Flannery Thuvia , Brady-Sawant Hannah , Tarrant Rachel , Davison Jennifer , Shardha Jenna , Halpin Stephen , Sivan Manoj , Ross Denise
Published: October 2022

Long COVID (LC) symptoms can be long standing, diverse and debilitating; comprehensive multidisciplinary rehabilitation programs are required to address this. A 10-week LC Virtual Rehabilitation Program (VRP) was developed to provide early education and self-management techniques to address the main symptoms of LC and was delivered to a group of persons with Long COVID (PwLC) online, facilitated by members of the multi-disciplinary rehabilitation team. This paper describes an evaluation of this VRP. Questionnaires completed by Healthcare Professionals (HCP) delivering the VRP were thematically analyzed to gain a priori themes and design semi-structured telephone interview questions for PwLC. Template analysis (TA) was used to analyze interview data. Routinely collected patient demographics and service data were also examined. Seventeen HCP survey responses were obtained and 38 PwLC telephone questionnaires were completed. The HCP interviews generated three a priori themes (1. Attendance and Availability, 2. Content, 3. Use of Digital Technology). TA was applied and three further themes emerged from the combined HCP and PwLC responses (4. Group Dynamics, 5. Individual Factors, 6. Internal Change). Key outcomes demonstrated that: the VRP was highly valued; digital delivery enabled self-management; barriers to attendance included work/life balance, use of technology, health inequalities; and LC was poorly understood by employers. Recommendations are provided for the design of VRPs for LC.
What Decides Your Athletic Career?—Reflection from Our Study of GP.Mur-Associated Sports Talents during the COVID-19 Pandemic Era
Authors: Hsu Kate , Tseng Wei-Chin
Published: October 2022

This opinion article discusses the factors that attract children and teens to athletic careers. The most important attribute for the making of athletes is polished sports talent, followed by psychological, environmental, and incentive factors. Our laboratory studies a red blood cell (RBC) type called GP.Mur, which is rare in most parts of the world besides Southeast Asia. Intriguingly, the prevalence of the GP.Mur blood type is relatively high among Taiwanese elite athletes. The highest frequency of the GP.Mur blood type worldwide is found among Taiwan’s Ami people (88–95% from hospital blood bank surveys in the 1980s). Though the Ami constitute only 0.6–0.8% of the Taiwanese population, from records of national track-and-field games in the past century, 10–60% of the medalists were Ami. Biologically, GP.Mur expression supports blood CO2 metabolism, which may have implications for athleticism. As many of our study subjects are elite college athletes with the GP.Mur blood type, we contemplated their upbringings and career dilemmas, especially during the difficult COVID-19 pandemic. Beyond individual sports talent, the pandemic particularly tests personal characteristics and socioeconomic support for becoming an athlete.
Spatiotemporal Variation in Actual Evapotranspiration and the Influencing Factors in Ningxia from 2001 to 2020
Authors: Liu Huihui , Song Dongdong , Kong Jinling , Mu Zengguang , Zhang Qiutong , Wang Xixuan
Published: October 2022

Surface evapotranspiration (ET) is an important part of the hydrological cycle. Based on the MOD16 ET product and the data collected by meteorological stations, this study investigated, for the first time, the characteristics, variation trend and influencing factors of actual ET in Ningxia from 2001 to 2020 along temporal and spatial scales using the Theil–Sen median trend analysis, Mann–Kendall test and Hurst index, and predicted the future trend of ET. The results revealed a strong correlation between the MOD16 ET product and ET data collected at meteorological stations (r = 0.837, R2 = 0.701). Over the past 20 years, the annual ET in Ningxia showed an overall increasing trend, and the proportion of the increasing area was 96.58%. Quarterly ET varied over time, with the highest value in the third quarter and the lowest value in the second quarter. Annual ET showed a positive correlation with normalized difference vegetation index (NDVI), surface temperature and precipitation but no correlation with relative humidity. Additionally, the Hurst index revealed areas showing a persistent increase in ET, accounting for 84.91% of the total area, indicating that the future trend of ET in Ningxia is consistent with the past trend.
Cognitive Function and Postural Control Strategies in Relation to Disease Progression in Patients with Parkinson’s Disease
Authors: Zawadka-Kunikowska Monika , Klawe Jacek J. , Tafil-Klawe Małgorzata , Bejtka Monika , Rzepiński Łukasz , Cieślicka Mirosława
Published: October 2022

Aim: This study assessed the influence of performing an additional cognitive task on center of pressure (COP) displacement in the early and advanced stages of patients with Parkinson’s disease (PD) compared to age-matched healthy controls (HCs). Methods: The study included 40 HCs and 62 patients with PD: early PD (n = 38) and advanced PD (n = 24). COP parameters were determined by static posturography during quiet standing with open eyes (ST, single task) and simultaneous performance of a cognitive task (DT, dual task). Cognitive functioning was examined with a Mini Mental State Examination, number-counting-backward test, and number of enunciated words during DT. Results: In the advanced-PD group, DT significantly reduced the sway radius (p = 0.009), area of stabilogram (p = 0.034), medio-lateral length (p = 0.027), and velocity (p = 0.033) compared to ST. In HCs, DT showed a significant increase in the sway radius (p = 0.006), total length (p = 0.039), sway velocity (p = 0.037), anterior–posterior length, and sway velocity. Both PD groups showed worse cognitive performance compared to HCs. Conclusions: Both early and advanced patients with PD showed significant delay in cognitive performance associated with executive function compared to the HCs. During additional cognitive tasks, patients with advanced stages of PD may reduce stabilographic parameters in medio-lateral direction, and this is probably an adaptive strategy to restore balance.
The Influence Research on Nitrogen Transport and Reaction in the Hyporheic Zone with an In-Stream Structure
Authors: Sun Ruikang , Dong Jiawei , Li Yi , Li Panwen , Liu Yaning , Liu Ying , Feng Jinghong
Published: October 2022

The hyporheic zone (HZ) is important for river ecological restoration as the main zone with nitrogen biochemical processes. The engineering of river ecological restoration can significantly change the hydrodynamics, as well as solute transport and reaction processes, but it is still not fully understood. In this study, nitrogen transport and reaction processes were analyzed in the HZ with an in-stream weir structure. An HZ model was built, and three reactions were considered with different design parameters of the weir structure and different permeability characteristics of porous media. The results show that a structure with a greater height on the overlying surface water enables the species to break through deeper porous media. It promotes the mean spatial reaction rates of nitrification and denitrification and results in increased net denitrification in most cases. In addition, increasing the burial depth of the structure leads to the same variation trends in the mean spatial reaction rates as increasing the structure height. Larger permeability coefficients in porous media can enhance flow exchange and increase mean spatial reaction rates. The results can help deepen the understanding of nitrogen transport and transformation in the HZ and optimize the design parameters and location of the in-stream structure.
Health Promotion Actions and School Violence—A Cluster Analysis from Finnish Comprehensive Schools
Authors: Ellonen Noora , Pasanen Miko , Wiss Kirsi , Mielityinen Laura , Lähteenmäki Elina , Joronen Katja
Published: October 2022

(1) Schools have a significant role in violence prevention activities. This study aimed to first identify profiles of Finnish comprehensive schools based on school violence. The second aim was to examine the associations between profiles concerning health promotion actions, reactive or punitive actions, and school characteristics. (2) The study used the large-scale, nationally representative Benchmarking System of Health Promotion Capacity-Building (BSHPCB) data (n = 2057 schools) completed by the school’s principal together with a student welfare team. The data was analyzed by cluster analysis and Chi-squared and Kruskal–Wallis tests. For post hoc testing, Fisher’s exact test with odds ratios and Mann–Whitney U-test were used. (3) The cluster analysis yielded five profiles of school violence: “No violence”, “Adolescent violence” (violence both among pupils and from pupils towards staff, but not inappropriate behavior from school staff towards pupils), “Not known” (principals either did not respond to these questions or they did not know whether there had been any school violence incidents), “Peer violence” (school violence occurred among pupils but not from pupils towards staff, nor inappropriate behavior from school staff towards pupils), and “All violence” (all types of school violence and inappropriate behavior from school staff towards pupils). These clusters differed according to type of school and municipality. Additionally, both management and monitoring as health promotion actions were related to higher incidence of school violence whereas other actions, such as commitment, resources, common practices, and participation were not related to school violence. (4) The findings of this study indicate that schools have different profiles in terms of school violence and providing evidence and guidance for school violence prevention work.
Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
Authors: Li Bo , Chen Juan
Published: October 2022

Providing access to a range of basic health services, community-based primary health care (CB-PHC) plays a vital role in achieving the goal of health for all. Driven by a strong political commitment, China’s CB-PHC progress in the past decade has been swift and impressive. However, a well-functioning delivery system for care has yet to be established. This systematic mapping review synthesizes selected evidence on barriers to CB-PHC delivery in urban China and draws lessons for policy development. We performed searches on five electronic databases: CINAHL, MEDLINE, Scopus, Web of Science, and China National Knowledge Infrastructure, and included studies published between 2012 and 2021. The Downs and Black and Critical Appraisal Skills Program checklists were used to assess the quality of eligible papers. We conducted our searches and syntheses following the framework set out in the Primary Health Care Performance Initiative (PHCPI). We synthesized the results of the included studies using a thematic narrative approach and reported according to PRISMA guidelines. Six salient barriers arose from our syntheses of 67 papers: lack of comprehensive health insurance schemes, lack of public awareness, superficial care relationships, gaps in communication, staff shortages and poor training, and second-rate equipment. These barriers are grouped into three subdomains following the PHCPI framework: access, people-centered care, and organization and management. A host of negative impacts of these barriers on community-based health care were also identified. It was not possible to determine clear causes of these barriers from the contributing evidence because of the lack of conceptual frameworks and research methods constraints. Non-eastern regions of China and access-related barriers require further exploration. It follows that, at the national level, the problems are likely more severe than the research suggests.
The Multistage 20-Meter Shuttle Run Test Reference Values for Tibetan Children and Adolescents in Tibet, China
Authors: Yin Xiaojian , Zhang Feng , Sun Pengwei , Liu Yuan , Guo Yaru
Published: October 2022

Objective: Cardiorespiratory fitness (CRF) reference data for Tibetan (Zang ethnicity) children and adolescents at high altitudes in Tibet of China are lacking. The present study aimed to develop sex- and age-specific 20mSRT norms for Chinese Tibetan children and adolescents at high altitudes. Method: A total of 4667 participants from Lhasa (3650 m), Nagqu (4500 m), and Amdo (4700 m) were selected by a stratified random cluster sampling method in two stages. The 20 m SRT test was used to estimate cardiorespiratory fitness. The 20 m SRT norms were developed by the lambda, mu, and sigma method (LMS). Results: The 20 m SRT laps, completed stages/minutes, and the speed at the last complete stage of Chinese Tibetan children and adolescents aged 7–18 years increased with age. Conclusion: Given the importance of CRF for children and adolescents’ health, the government should strengthen the monitoring of the CRF of Tibetan children and adolescents in high-altitude areas, strengthen physical education curriculum reform, and increase the level of physical activity in order to improve the level of CRF in children and adolescents.
The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review
Authors: Durosini Ilaria , Triberti Stefano , Savioni Lucrezia , Sebri Valeria , Pravettoni Gabriella
Published: October 2022

Breast cancer survivors have to deal with notable challenges even after successful treatment, such as body image issues, depression and anxiety, the stress related to changes in lifestyle, and the continual challenges inherent to health management. The literature suggests that emotional abilities, such as emotional intelligence, emotion management, mood repair, and coping play a fundamental role in such challenges. We performed a systematic review to systematize the evidence available on the role of emotional abilities in quality of life and health management in breast cancer survivors. The search was performed on three scientific databases (Pubmed, Scopus, and PsycINFO) and, after applying exclusion criteria, yielded 33 studies, mainly of a cross-sectional nature. The results clearly support the hypothesis that emotional abilities play multiple important roles in breast cancer survivors’ quality of life. Specifically, the review highlighted that coping/emotional management plays multiple roles in breast cancer survivors’ well-being and health management, affecting vitality and general adjustment to cancer positivity and promoting benefit findings related to the cancer experience; however, rare negative results exist in the literature. This review highlights the relevance of emotional abilities to promoting quality of life in breast cancer survivors. Future review efforts may explore other breast cancer survivors’ emotional abilities, aiming at assessing available instruments and proposing tailored psychological interventions.