bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Social Capital on Multidimensional Poverty of Rural Households in China
Authors: Wang Jinfang , Xiao Hui , Liu Xiaojin
Published: December 2022

Getting rid of multidimensional poverty is both the people’s wish and the direction of governance. Based on 2018 China Household Tracking Survey (CFPS) data, this paper identifies household multidimensional poverty in rural areas using a combination of the MPI index and the A-F method. The relationship between social capital and multidimensional poverty was also empirically analyzed using a Logit model. The results showed that: (1) 1599 multidimensional poverty households were identified, the incidence of multidimensional poverty was 24.94%, and the multidimensional poverty index was 0.103. In terms of poverty incidence, the three highest indicators of poverty incidence are adult education, health, and chronic diseases, reaching 42.06%, 37.65%, and 29.90%, respectively, and mainly concentrated in the education and health care systems. (2) Social capital can significantly reduce the probability of multidimensional poverty in rural households. Among them, social network significantly and negatively affects the occurrence of multidimensional poverty in rural households, social trust in neighbors has a significant negative effect on multidimensional poverty in rural households at the 1% level, and social prestige is positively related to multidimensional poverty in rural households. (3) Age of household head, household size, and income from working outside the home are significantly associated with multidimensional poverty in rural households. This paper expands the scope of social capital theory research and provides new perspectives and empirical evidence for alleviating multidimensional poverty.
Frontal Plane Neurokinematic Mechanisms Stabilizing the Knee and the Pelvis during Unilateral Countermovement Jump in Young Trained Males
Authors: Vadász Kitty , Varga Mátyás , Sebesi Balázs , Hortobágyi Tibor , Murlasits Zsolt , Atlasz Tamás , Fésüs Ádám , Váczi Márk
Published: December 2022

(1) The unilateral countermovement jump is commonly used to examine frontal plane kinetics during unilateral loading and to identify athletes with an increased risk of lower limb injuries. In the present study, we examined the biomechanical mechanisms of knee and pelvis stabilization during unilateral vertical jumps. (2) Healthy males performed jumps on a force plate with the dominant leg. Activity of the dominant-side gluteus medius and the contralateral-side quadratus lumborum and erector spinae muscles was recorded with surface EMG. The EMG data were normalized to the EMG activity recorded during maximal voluntary isometric hip abduction and lateral trunk flexion contractions. During jumps, the propulsive impulse was measured, and the pelvis and thigh segmental orientation angles in the frontal plane were recorded and synchronized with the EMG data. (3) The magnitude of knee valgus during the jump did not correlate with hip abduction force, but negatively correlated with gluteus medius activity. This correlation became stronger when gluteus medius activity was normalized to hip abduction force. Propulsive impulse did not correlate with any neuromechanical measurement. (4) We conclude that hip abduction force itself does not regulate the magnitude of knee valgus during unilateral jumps; rather, the gluteus medius should be highly activated to increase frontal-plane knee joint stability.
Intergenerational Relations in the Climate Movement: Bridging the Gap toward a Common Goal
Authors: Roy Senjooti , Ayalon Liat
Published: December 2022

The call for climate action has attracted global support, especially among youth. Over time, climate discourse has turned increasingly hostile toward both younger and older generations, potentially engendering intergenerational conflict when intergenerational cooperation is most needed. Using a purposive sampling method, we selected a sample of 50 international influential individuals to gain an overview of the common views in current climate discourse to examine how they may impact intergenerational relations. We used a summative content analysis approach to analyze the different worldviews. The results are broadly divided into two categories—messages of intergenerational tension and messages of intergenerational solidarity. We found that although both types of messaging communicate similar facts and concerns, their presentation may either unite or divide different generations. Therefore, to work toward a common future for the benefit for all ages, it is essential for polarizing and accusatory sentiments to be replaced with messages of inclusivity and cooperation. This may be facilitated through intergenerational contact and interventions.
Systematic Review and Meta-Analysis of Telecoaching for Self-Care Management among Persons with Type 2 Diabetes Mellitus
Authors: Platini Hesti , Lathifah Artanti , Maulana Sidik , Musthofa Faizal , Amirah Shakira , Abdurrahman Muhammad Fahd , Komariah Maria , Pahria Tuti , Ibrahim Kusman , Lele Juan Alessandro Jeremis Maruli Nura
Published: December 2022

Background: In response to the need for safe care for people with diabetes mellitus in the current outbreak of COVID-19, it is critical to evaluate the model, service delivery, feasibility, and efficiency of diabetes mellitus telecoaching. Objective: This study aimed to conduct a systematic review and meta-analysis of the model and efficacy of telecoaching to improve self-care and clinical outcomes. Methods: This study uses the Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA). We searched on 22 March 2022, using keywords that matched the MeSH browser in four databases to find relevant studies, namely, PubMed/Medline, Proquest, Scopus, and EBSCOhost. Additionally, we collected randomized controlled trials (RCTs) on Google Scholar using the snowball technique. A quality assessment was performed using the Cochrane Collaboration’s Risk of Bias tool (RoB)2. The meta-analysis used the DerSimonian–Laird random-effects model to analyze the pooled mean difference (MD) and its p-value. Results: Thirteen RCT studies were included for the systematic review and meta-analysis with a total number of participants of 3300. The model of telecoaching is a form of using nurses-led telephone and mobile apps, which are relatively cost-effective. The meta-analysis showed a positively improved statistically significance in clinical outcomes, including in HbA1c (a pooled MD of −0.33; 95% CI: −0.51–−0.15; p = 0.0003), blood glucose (−18.99; 95% CI: −20.89–−17.09; p = 0.00001), systolic blood pressure (−2.66; 95% CI: −3.66–−1.66; p = 0.00001), body mass index (−0.79; 95% CI: −1.39–−0.18; p = 0.01), and weight (−2.16 kg; 95% CI: −3.95–−0.38; p = 0.02). It was not, however, statistically significant in diastolic blood pressure (−0.87; 95% CI: −2.02–0.28; p = 0.14), total cholesterol (−0.07; 95% CI: −0.26–0.12; p = 0.46), low-density lipoprotein (−2.19; 95% CI: −6.70–2.31; p = 0.34), triglycerides (−13.56; 95% CI: −40.46–13.35; p = 0.32) and high-density protein (0.40; 95% CI: −1.12–1.91; p = 0.61). Conclusions: The telecoaching with nurses-led telephone and mobile apps significantly affected clinical outcomes on HbA1c, systolic blood pressure, weight, and BMI. Moreover, there was no significant effect on the total cholesterol, low-density lipoprotein, triglycerides, and high-density lipoprotein. Thus, telecoaching has the potential as a care model in diabetes mellitus during COVID-19 and similar pandemics to improve self-care and clinical outcomes, but all the studies analyzed involved non-COVID-19 patients, limiting the generalizability of the results to COVID-19.
Evaluation of Pollution Level, Spatial Distribution, and Ecological Effects of Antimony in Soils of Mining Areas: A Review
Authors: Zhao Shuting , Shi Taoran , Terada Akihiko , Riya Shohei
Published: December 2022

The first global-scale assessment of Sb contamination in soil that was related to mining/smelting activities was conducted based on 91 articles that were published between 1989 and 2021. The geographical variation, the pollution level, the speciation, the influencing factors, and the environmental effects of Sb that were associated with mining/smelting-affected soils were analyzed. The high Sb values mainly occurred in developed (Poland, Italy, Spain, Portugal, New Zealand, Australia) and developing (China, Algeria, Slovakia) countries. Sb concentrations of polluted soil from mining areas that were reported in most countries significantly exceeded the maximum permissible limit that is recommended by WHO, except in Turkey and Macedonia. The soil Sb concentrations decreased in the order of Oceania (29,151 mg/kg) > North Africa (13,022 mg/kg) > Asia (1527 mg/kg) > Europe (858 mg/kg) > South America (37.4 mg/kg). The existing extraction methods for Sb speciation have been classified according to the extractant, however, further research is needed in the standardization of these extraction methods. Modern analytical and characterization technologies, e.g., X-ray absorption spectroscopy, are effective at characterizing chemical speciation. Conditional inference tree (CIT) analysis has shown that the clay content was the major factor that influenced the soil Sb concentration. Non-carcinogenic risks to the public from soil Sb pollution were within the acceptable levels in most regions. An Sb smelter site at the Endeavour Inlet in New Zealand, an abandoned open-pit Sb mine in Djebel Hamimat, Algeria, an old Sb-mining area in Tuscany, Italy, and Hillgrove mine in Australia were selected as the priority control areas. Cynodon dactylon, Boehmeria, Pteris vittata, and Amaranthus paniculatus were found to be potential Sb accumulators. All of the values of bioaccumulation factors for the crops were less than one. However, ingestion of Sb through crop consumption posed potential non-carcinogenic health risks, which should not be neglected. The soil variables (pH, Eh, total sulfur, carbon nitrogen ratio, total organic carbon, and sulfate), the total Sb and the bioavailable Sb, and heavy metal(loid)s (As, Pb, and Fe) were the major parameters affecting the microbial community compositions.
COVID and Gender: A Narrative Review of the Asia-Pacific Region
Authors: Binns Colin W. , Lee Mi Kyung , Doan Thi Thuy Duong , Lee Andy , Pham Minh , Zhao Yun
Published: December 2022

The COVID-19 pandemic has been the largest infectious disease epidemic to affect the human race since the great influenza pandemic of 1918-19 and is close to approaching the number of deaths from the earlier epidemic. A review of available data and the numerous currently available studies on COVID-19 shows that the rate of clinical cases is about 10% greater in females than males in Asia. However, the number of deaths is greater in males than in females. Women are more likely to experience the psychological effects of COVID-19 during and after acute infections. A significant proportion of acute COVID-19 infections continue and their prolonged symptoms have been reported. Further studies are needed, including detailed serology, to measure and monitor the incidence of COVID-19. The pandemic has had a widespread impact on broader societies including shortages of food, lockdowns and isolation. The number of orphans in developing countries has increased. Women have had to bear the major impacts of these community effects. More research is required to develop better vaccines acting against new strains of the virus and to develop systems to distribute vaccines to all people.
Psychometric Properties of the Portuguese Version of the Iceland-Family Perceived Support Questionnaire in Parents of Children and Adolescents with Chronic Condition
Authors: Lemos Sara , Andrade Luísa , Barbieri-Figueiredo Maria do Céu , Martins Teresa , Lima Lígia
Published: December 2022

The support from nurses perceived by family members of children with chronic conditions has been shown to be a protective factor at different levels in a family’s health. As such, nurses need to have instruments that assess this perception to increase the quality of the care provided to those families. This methodological study aimed to analyze the psychometric properties of the Portuguese translation of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ) in parents of children/adolescents with chronic conditions. The ICE-FPSQ was administered to 237 parents recruited from the day hospital and outpatient services of four hospitals in Northern Portugal. Cronbach’s alpha reliability coefficients for the Total Scale, Cognitive Support, and Emotional Support subscales were excellent (α = 0.96, α = 0.93, α = 0.96, respectively). Reasonable fit indexes were found by confirmatory factor analysis (χ2/df = 2.799; CFI = 0.960; PCFI = 0.791, and RMSEA = 0.087), indicating a good model fit to the original structure. The ICE-FPSQ is a valid and reliable instrument to measure perceived support.
Research on the Coordinated Development of Population–Resources–Environment (PRE) Systems: An Empirical Analysis from Jiangsu Province, China
Authors: Zhao Qian , Huang Jianyuan , Yu Jiahao , Du Xiao , Li Cong
Published: December 2022

As the population size and urbanization increase, the relationships within the population–resource–environment (PRE) systems are becoming tenser. Determining how to achieve the harmonious development of PRE systems is currently an important issue faced by society. This paper uses Jiangsu province in China as an example of constructing a coordinated development evaluation index system for PRE systems. Using the coefficient of the variation coordination method, we examined the comprehensive evaluation scores of PRE systems in Jiangsu province from 2000 to 2020 to explore its intersystem coordinated development evolution status and analyze its constraints. The results show that: (1) the overall evaluation scores of PRE systems in Jiangsu are on the rise; (2) the overall coordinated development degree of Jiangsu has undergone obvious changes in stage and is currently in the stage of coordinated development; (3) there are obvious spatial differences in the overall coordinated development degree of Jiangsu, and the overall trend is gradually changing from “low in the south and high in the north” to “high in the south and low in the north”; and (4) the population urbanization rate, environmental management effectiveness, and regional development imbalance, restrict the coordinated development of PRE systems in Jiangsu.
The Association between Self-Rated Health Status, Psychosocial Stress, Eating Behaviors, and Food Intake According to the Level of Sunlight Exposure in Korean Adults
Authors: Hwang Hyo-Jeong , Choi Yean-Jung , Hong Dongwan
Published: December 2022

Sunlight exposure has been reported to have various beneficial effects on human health. This study investigated the relationship between self-rated health status, psychosocial stress, eating behaviors, and food intake according to sunlight exposure in 948 adults. Sunlight exposure was classified as less than one hour, less than three hours, and greater than three hours. Of the participants, 49.2% had fewer than three hours of daily exposure to sunlight. Regarding participants exposed to sunlight for less than one hour, the largest response was that they did not engage in outdoor activities on weekdays or weekends, and the rate of being outdoors in the shade on sunny days was the highest in this group at 42.7%. Furthermore, the participants exposed to sunlight for less than one hour had a lower health response than the other two groups, and there were significantly more participants classified in the stress risk group. Regarding eating habits, those with less than an hour of exposure to sunlight frequently ate fried foods, fatty foods, added salt, and snacks, and had significantly lower total dietary scores or three regular meals. Additionally, their frequency of consumption of cereals, milk and dairy products, orange juice, and pork was also significantly lower than the other groups. Thus, it is necessary to provide sufficient guidelines for adequate sunlight exposure and food intake because participants with low sunlight exposure may have low vitamin D synthesis and insufficient food intake.
The Vitality of Public Space and the Effects of Environmental Factors in Chinese Suburban Rural Communities Based on Tourists and Residents
Authors: Zheng Jie , He Junjun , Tang Hongya
Published: December 2022

The vitality of public space in rural communities is an important symbol of rural revitalization, especially in suburban rural communities. Previous studies focused on rural industries and ignored the effects of the spatial environment on different groups of people. Hence, this study takes the public space of suburban rural communities as an example and uses Global Positioning System (GPS) and cognitive mapping data to establish a new vibrancy assessment system for tourists and residents, respectively. The effects of the public space environment and space vitality in suburban rural communities are revealed through ordinary least squares (OLS) and geographically weighted regression (GWR) models. The results suggested that: (I) There were pronounced seasonal changes and spatial distribution differences in the space vitality of tourists, while residents were concentrated in fixed public spaces. (II) For tourists, the public space vitality in rural communities was affected by seven factors, including accessibility, seats, green looking ratio, recreational facilities, water area, plant species richness, and plant color composition. Green looking ratio and water area had a negative impact. For residents, the public space vitality in rural communities was affected by five factors, including shelter facilities, seats, accessibility, space type, fitness facilities. Only fitness facilities had a negative effect. Our research proposed a feasible and effective method to assess the vitality of rural public space in rural communities, and the finding from this study provides significant implications for the development and planning of suburban rural communities oriented by vitality.
Health Risk of Heavy Metals Related to Consumption of Vegetables in Areas of Industrial Impact in the Republic of Kazakhstan—Case Study for Oskemen
Authors: Boluspayeva Laura , Jakubus Monika , Spychalski Waldemar , Abzhalelov Akhan , Bitmanov Yertas
Published: December 2022

Among various heavy metal sources the metallurgic industry is the most threatening because emitted metals presented are the chemical forms in which metals are found in soil are more bioavailable and thus very easily are introduced into the environment and spread in both soils and plants. In this study such a situation is presented and the potential negative effect of emitted metals on soil and vegetables is estimated. Therefore, the following indicators were used: bioconcentration factors calculated for the total amount of metals (BCF) as well as daily intake of metal (DIM) and health risk index (HRI). Analyzed soils and vegetables originated from allotment gardens located at different distances from local industrial plants. The greatest amounts of metals in investigated materials (soils and plants) were found for the industrial zone and the lowest for samples representing the suburban zone. Among the analyzed metals Zn showed the highest (223.94–2645.13 mg·kg−1 for soils and 9.14–49.28 mg·kg−1 for plants), and Cd the lowest levels (1.77–15.2 mg·kg−1 for soils and 0.05–0.46 mg·kg−1 for plants). Regardless of the metal, the lowest BCF values were calculated for plants from the industrial zone and the highest from the urban site. Generally, BCF values calculated for vegetables were low and comparable for carrots, tomatoes, and cabbage. BCF values obtained for beetroots were higher in comparison to other vegetables. Regardless of plants, DIM values for Cd and Pb were low and comparable. DIM values for Cu and Zn were higher, but simultaneously strongly differentiated depending on the analyzed vegetables. A similar tendency was found in the case of HRI. The highest values were recorded for Cu and Zn in tomatoes. Regardless of the individual metals, the calculated values for DIM and HRI indices increased in the following sequence: beetroot < cabbage < carrot < tomato. The Zn and Cu contents in the studied types of vegetables do not exceed the maximum permissible levels recommended by WHO/FAO. In contrast, Pb concentrations were higher than the imposed standards in all the analyzed vegetable samples. On the basis of obtained DIM and HRI indices, consumption of vegetables cultivated in industrial areas should be restricted due to health risks related to heavy metals contained in plants.
Moderation of Services’ EKC through Transportation Competitiveness: PQR Model in Global Prospective
Authors: Sardar Muhammad Shahzad , Asghar Nabila , Munir Mubbasher , Alhajj Reda , Rehman Hafeez ur
Published: December 2022

The continuously increasing GHG emissions have created environmental pollution and several challenges to ecosystems and biodiversity. The challenges of climate change are multipronged, resulting in melting glaciers, flash floods, and severe heat waves. In this regard, the adaptive and mitigation strategies to manage the consequences of climate change are highly important. The transport sector creates a quarter of carbon emissions, and this share is continuously increasing. Accordingly, this research study uses transport competitiveness to determine carbon emissions of the transport sector for 121 countries covering the time period from 2008 to 2018. The Panel Quantile Regression (PQR) technique is engaged to analyze the study results. The findings highlight that transport competitiveness tends to increase carbon emissions of the transport sector across quantile groups 1 and 3, while it reduces carbon emissions in quantile group 2. The U-shaped services’ EKC is validated in quantile groups 2 and 4. The moderation engaged, i.e., transportation competitiveness, changes the turning point of the services’ EKC across quantile groups 2 and 4. However, in the high-CO2 quantile group, the moderation impact of transport competitiveness is strongest as it reduces the sensitivity by flattening the services’ EKC. Furthermore, the planned expansion of the population and improved institutional quality tend to mitigate carbon emissions across different quantile groups. The policy relevance/implications that are based on the study results/findings are made part of the research paper.
Relationship between Partner Phubbing and Parent–Adolescent Relationship Quality: A Family-Based Study
Authors: Xie Julan , Luo Ya , Chen Zhuo
Published: December 2022

A high-quality parent–child relationship is critical to the health and well-being of adolescents and, in the family system, the interaction pattern within couples is a decisive factor in parent–adolescent relationship quality. Using dyadic data from 441 Chinese couples, in this study, we examined the association between partner phubbing (a negative interaction behavior initiated by the spouse) and parent–adolescent relationship quality, and further explored the moderating effect of adolescent gender. Dyadic modeling showed that partner phubbing had both an intra-person effect and an inter-person effect on parent–adolescent relationship quality. For the intra-person effect, husbands’ phubbing had an adverse effect on the mother–adolescent relationship quality, and this effect was stronger for girls than boys; wives’ phubbing had a positive effect on the father–adolescent relationship quality, but this effect was only significant for boys. For the inter-person effect, the negative influence of husbands’ phubbing on father–adolescent relationship quality was only significant for boys; wives’ phubbing was uncorrelated with mother–adolescent relationship quality. These findings deepen our understanding of the links between the marital subsystem and the parent-adolescent subsystem in the family, underscore the importance of positive marital interactions for adolescent development, and have implications for personal smartphone use management in family contexts.
Composting of Organic Solid Waste of Municipal Origin: The Role of Research in Enhancing Its Sustainability
Authors: Policastro Grazia , Cesaro Alessandra
Published: December 2022

The organic solid waste of municipal origin stands as one of the residual streams of greatest concern: the great amounts continuously produced over time as well as its biochemical and physical characteristics require its proper handling via biological processes, pursuing the recovery of material and/or the generation of energy. At the European level, most of the industrial plants treating the organic fraction of municipal solid waste (OFMSW) rely on composting, which is a well-established and reliable process that is easy to operate in different socio-economic contexts. Nevertheless, when regarded in a life cycle perspective as well as in the view of the principles of circular economy underlying waste management, several issues (e.g., the presence of toxic substances in compost) can be recognized as technical challenges, requiring further studies to identify possible sustainable solutions. This work aims at discussing these challenges and figuring out the state of the art of composting in a circular perspective. Firstly, the main mentioned issues affecting compost quality and process sustainability are briefly reviewed. Next, to promote the effective use of composting in light of the circular economy principles, research experiences are critically presented to highlight the current technical challenges concerning the environmental and health impact reduction and possible scientific perspectives to overcome issues affecting the compost quality. Based on the critical analysis of reviewed studies, it emerged that further research should be aimed at unveiling the hazard potential of emerging contaminants as well as to address the understanding of the mechanisms underlying their potential removal during composting. Moreover, the adoption of a multidisciplinary perspective in the design of research studies may play a key role towards the definition of cost-effective and environmentally friendly strategies to overcome the technical issues affecting the process.
The Effectiveness of E-Health Interventions Promoting Physical Activity and Reducing Sedentary Behavior in College Students: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Peng Sanying , Yuan Fang , Othman Ahmad Tajuddin , Zhou Xiaogang , Shen Gang , Liang Jinghong
Published: December 2022

Insufficient physical activity (PA) and excessive sedentary behavior (SB) are detrimental to physical and mental health. This systematic review and meta-analysis aimed to identify whether e-health interventions are effective for improving PA and SB in college students. Five electronic databases, including Medline, Web of Science, Embase, Cochrane Library, and ProQuest, were searched to collect relevant randomized controlled trials up to 22 June 2022. In total, 22 trials (including 31 effects) with 8333 samples were included in this meta-analysis. The results showed that e-health interventions significantly improved PA at post-intervention (SMD = 0.32, 95% CI: 0.19, 0.45, p < 0.001) compared with the control group, especially for total PA (SMD = 0.34, 95% CI: 0.10, 0.58, p = 0.005), moderate to vigorous PA (SMD = 0.17, 95% CI: 0.01, 0.32, p = 0.036), and steps (SMD = 0.75, 95% CI: 0.23, 1.28, p < 0.001. There were no significant effects for both PA at follow-up (SMD = 0.24, 95% CI: – 0.01, 0.49, p = 0.057) and SB (MD = −29.11, 95% CI: −70.55, 12.32, p = 0.17). The findings of subgroup analyses indicated that compared to the control group, interventions in the group of general participants (SMD = 0.45, 95% CI: 0.27, 0.63, p < 0.001), smartphone apps (SMD = 0.46, 95% CI: 0.19, 0.73, p = 0.001), and online (SMD = 0.23, 95% CI: 0.04, 0.43, p < 0.001) can significantly improve PA at post-intervention. Moreover, the intervention effects were significant across all groups of theory, region, instrument, duration, and female ratio. At follow-up, interventions in groups of developing region (SMD = 1.17, 95% CI: 0.73, 1.62, p < 0.001), objective instrument (SMD = 0.83, 95% CI: 0.23, 1.42, p = 0.007), duration ≤ 3-month (SMD = 1.06, 95% CI: 0.72, 1.39, p < 0.001), and all female (SMD = 0.79, 95% CI: 0.02, 1.56, p = 0.044) can significantly improve PA. The evidence of this meta-analysis shows that e-health interventions can be taken as promising strategies for promoting PA. The maintenance of PA improvement and the effect of interventions in reducing SB remain to be further studied. Educators and health practitioners should focus on creating multiple e-health interventions with individualized components.
A Six-Year Prospective Study on Problem Drinking among Evacuees of the Great East Japan Earthquake: The Fukushima Health Management Survey
Authors: Ueda Yuka , Hayashi Fumikazu , Ohira Tetsuya , Maeda Masaharu , Yasumura Seiji , Miura Itaru , Itagaki Shuntaro , Shimabukuro Michio , Nakano Hironori , Kamiya Kenji , Yabe Hirooki
Published: December 2022

Evacuees of the Great East Japan Earthquake have experienced adverse, long-term physical and psychological effects, including problem drinking. This study examined the risk and recovery factors for problem drinking among evacuees between fiscal years (FY) 2012 and 2017 using data on residents in the evacuation area from the Mental Health and Lifestyle Survey. With the FY 2012 survey as a baseline, a survey comprising 15,976 men and women was conducted in the evacuation area from FY 2013 to FY 2017, examining the risk and protective factors for problem drinking. Particularly, the Cutting down, Annoyed by criticism, Guilty feeling, and Eye-opener (CAGE) questionnaire was used to evaluate problem drinking. Univariate and multivariate Cox proportional hazard models were constructed to identify the risk and recovery factors of problem drinking. The findings indicated that the male gender, insufficient sleep, job change, trauma symptoms, mental illness, family financial issues, and heavy drinking (≥4 drinks per day) were significant risk factors for the incidence of problem drinking among the evacuees. Furthermore, a high blood pressure diagnosis could exacerbate problem drinking among men, while younger age and a diabetes mellitus diagnosis could increase problem drinking among women. Trauma symptoms and heavy drinking inhibited recovery from problem drinking after the disaster. Understanding these factors can shape effective long-term intervention strategies to physically and psychologically support evacuees.
Ecosystem Health Evaluation and Ecological Security Patterns Construction Based on VORSD and Circuit Theory: A Case Study in the Three Gorges Reservoir Region in Chongqing, China
Authors: Yuan Zhenzhen , Li Weijie , Wang Yong , Zhu Dayun , Wang Qiuhong , Liu Yan , Zhou Lingyan
Published: December 2022

Constructing ecological security patterns (ESPs) is an important approach to maintaining regional ecological security and achieving sustainable development. Most previous studies on ESPs mainly focused on the supply of ecosystem services (ESs) yet did not fully consider the ecosystem health and human demand for ESs, which lacked evaluation from the perspective of human nature. Therefore, based on ecosystem health and ESs demand, this paper constructed the “vigor, organization, resilience, ESs supply-demand ratio” (VORSD) ecosystem health evaluation system and combined it with circuit theory to develop a new and comprehensive ESPs identification framework. Taking the Three Gorges Reservoir Area in Chongqing section (TGRAC) as a case study, the results showed that the general ecosystem health of the TGRAC was not optimistic, and there was still a long way to go for ecological treatment and restoration. From the perspective of spatial distribution, there were significant differences in the ecosystem health between regions, and the eastern region was higher than the western region. The ecological sources area of the TGRAC was about 25,350.16 km2, mainly distributed in the northeast and southeast of forestland, grassland, and cultivated land. The total length of ecological corridors was 2291.41 km, linking the northeastern, southeastern, middle, and southwestern regions of the TGRAC. There were 82 ecological nodes and 30 ecological barriers, most of which were concentrated on the construction land and cultivated land in the southwest and should be regarded as priority areas for ecological conservation. The research results verify the regional suitability and rationality of integrating the VORSD model and circuit theory to construct ESPs, which can provide an important reference for regional ecological protection and land use pattern optimization.
Influence of Multi-Modal Warning Interface on Takeover Efficiency of Autonomous High-Speed Train
Authors: Jing Chunhui , Dai Haohong , Yao Xing , Du Dandan , Yu Kaidi , Yu Dongyu , Zhi Jinyi
Published: December 2022

As a large-scale public transport mode, the driving safety of high-speed rail has a profound impact on public health. In this study, we determined the most efficient multi-modal warning interface for automatic driving of a high-speed train and put forward suggestions for optimization and improvement. Forty-eight participants were selected, and a simulated 350 km/h high-speed train driving experiment equipped with a multi-modal warning interface was carried out. Then, the parameters of eye movement and behavior were analyzed by independent sample Kruskal–Wallis test and one-way analysis of variance. The results showed that the current level 3 warning visual interface of a high-speed train had the most abundant warning graphic information, but it failed to increase the takeover efficiency of the driver. The visual interface of the level 2 warning was more likely to attract the attention of drivers than the visual interface of the level 1 warning, but it still needs to be optimized in terms of the relevance of and guidance between graphic–text elements. The multi-modal warning interface had a faster response efficiency than the single-modal warning interface. The auditory–visual multi-modal interface had the highest takeover efficiency and was suitable for the most urgent (level 3) high-speed train warning. The introduction of an auditory interface could increase the efficiency of a purely visual interface, but the introduction of a tactile interface did not improve the efficiency. These findings can be used as a basis for the interface design of automatic driving high-speed trains and help improve the active safety of automatic driving high-speed trains, which is of great significance to protect the health and safety of the public.
Response of Polish Psychiatric Patients to the Russian Invasion of Ukraine in February 2022―Predictive Role of Risk Perception and Temperamental Traits
Authors: Nowicka Magdalena , Jarczewska-Gerc Ewa , Marszal-Wisniewska Magdalena
Published: December 2022

This study examined the impact of the Russian invasion of Ukraine in February 2022 on Polish patients with depression and schizophrenia. It has been hypothesized that possible changes in symptoms may be predicted by the subjective risk perception related with the Russo-Ukraine War (RUW) as well as by temperamental traits. The study was conducted with 80 patients with schizophrenia or depression. A questionnaire measuring sociodemographic characteristics, perception of risk, temperamental characteristics, and symptoms of depression and schizophrenia were used as research tools. Symptom intensity was compared with the average symptom intensity calculated on the basis of archival symptom measurements from the three consecutive months preceding the outbreak of the RUW. Predictors of change in symptoms were also analyzed, taking into account sociodemographic variables, the level of risk perception, and temperamental traits. The results indicate the specific patterns of reactions to war danger for patients with different types of psychiatric diagnosis. Depressed patients reacted with an increase in seven symptoms related to unworthiness and/or guilt, lack of interest, and/or pleasure and pessimism. The response of schizophrenic patients was related only with an increase in positive symptoms. This study highlights the need to provide more support to psychiatric patients in acute emergencies.
Critical Care Providers’ Moral Distress: Frequency, Burden, and Potential Resources
Authors: Hinzmann Dominik , Schütte-Nütgen Katharina , Büssing Arndt , Boenisch Olaf , Busch Hans-Jörg , Dodt Christoph , Friederich Patrick , Kochanek Matthias , Michels Guido , Frick Eckhard
Published: December 2022

Background: Critical Care Providers (CCPs) experience situations that challenge their ethics and professional standards and may entail moral distress (MD). Aim: To analyze MD perceived by CCPs in intensive care units (ICUs) or emergency departments (EDs) and further clarify whether CCPs who rely on spiritual resources differ in their perception of MD from those who do not utilize these resources. Methods: A cross-sectional anonymous survey was administered using a modified version of the German language version of the Moral Distress Scale (MDS) with 2 × 12 items to assess the frequency and the respective perceived burden of specific situations by applying a 5-point Likert scale. Explorative factor analysis was performed and the sub-constructs of the respective items regarding MD frequency and burden were identified. Job burden and professional satisfaction were measured using visual analogue scales (VAS) and a four-point Likert scale, respectively. The 15-item SpREUK questionnaire was applied to measure spiritual attitudes and behaviours and to differentiate between religious and spiritual persons. Data from 385 German-speaking CCPs were included (55% physicians, 45% nurses). Results: Conflict situations are similar for physicians and nurses although they are perceived as more burdensome by nurses. Among physicians, the MDS factor Looking away/Resignation scores highest for assistant physician residents, whereas distress caused by looking away is more often perceived by specialist physicians without a managerial position. Work satisfaction is inversely associated with MD and emotional exhaustion is positively associated with it. Participants’ spirituality is marginally associated with MD. The best predictors of both MD frequency and burden are emotional exhaustion with further influences of work satisfaction, being a nurse, and being a non-believer on the frequency of MD perception. Being a nurse, participants’ experience in ICU/ED, and being of the male gender are further predictors of MD burden. Conclusions: MD is experienced differently by different groups of CCPs depending on their place in the hierarchy of responsibility. As MD perception is best predicted by emotional exhaustion, these situations should be avoided. Although some CCPs may rely on spiritual resources, all need individual and team support to cope with MD.
Impact of COVID-19 Pandemic on Patients with ST-Segment-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest
Authors: Tokarek Tomasz , Dziewierz Artur , Zeliaś Aleksander , Malinowski Krzysztof Piotr , Rakowski Tomasz , Dudek Dariusz , Siudak Zbigniew
Published: December 2022

Patients with ST-segment-elevation myocardial infarction (STEMI) treated during the COVID-19 pandemic might experience prolonged time to reperfusion. The delayed reperfusion may potentially aggravate the risk of out-of-hospital cardiac arrest (OHCA) in those patients. Limited access to healthcare, more reluctant health-seeking behaviors, and bystander readiness to render life-saving interventions might additionally contribute to the suggested change in the risk of OHCA in STEMI. Thus, we sought to explore the effects of the COVID-19 outbreak on treatment delay and clinical outcomes of patients with STEMI with OHCA. Overall, 5,501 consecutive patients with STEMI complicated by OHCA and treated with primary percutaneous coronary intervention with stent implantation were enrolled. A propensity score matching was used to obviate the possible impact of non-randomized design. A total of 740 matched pairs of patients with STEMI and OHCA treated before and during the COVID-19 pandemic were compared. A similar mortality and prevalence of periprocedural complications were observed in both groups. However, patients treated during the COVID-19 outbreak experienced longer delays from first medical contact to angiography (88.8 (±61.5) vs. 101.4 (±109.8) [minutes]; p = 0.006). There was also a trend toward prolonged time from pain onset to angiography in patients admitted to the hospital in the pandemic era (207.3 (±192.8) vs. 227.9 (±231.4) [minutes]; p = 0.06). In conclusion, the periprocedural outcomes in STEMI complicated by OHCA were comparable before and during the COVID-19 era. However, treatment in the COVID-19 outbreak was associated with a longer time from first medical contact to reperfusion.
Interrupting Pedestrians in Indonesia; Effect of Climate on Perceived Steepness and Stair Climbing Behaviour
Authors: Ekawati Febriani F. , White Michael J. , Eves Frank F.
Published: December 2022

Increased activity during daily life is one public health initiative to reduce population inactivity. Increasing temperature and humidity influence walking for transport by reducing the blood supply available to exercising muscles. This study investigated effects of temperature and humidity on a perceptual cue, estimated stair slant, that can influence behaviour, and on subsequent speed of climbing. Participants (402 males, 423 females) estimated the slant of a 20.4° staircase at a university in Indonesia. Subsequently, the participants were timed covertly while climbing. As temperature and humidity increased, estimated stair slant became more exaggerated. Females estimated stair slant as steeper than males. For stair climbing, speed was reduced as temperature increased, and females climbed slower than males. Estimates of stair slant were not associated with speed of the subsequent climb. Climate influences estimates of stair slant that precede stair climbing and subsequent speed of the ascent. In this study, perception was unrelated to behaviour.
Small-Area Geographic and Socioeconomic Inequalities in Colorectal Cancer in Cyprus
Authors: Giannakou Konstantinos , Lamnisos Demetris
Published: December 2022

Colorectal cancer (CRC) is one of the leading causes of death and morbidity worldwide. To date, the relationship between regional deprivation and CRC incidence or mortality has not been studied in the population of Cyprus. The objective of this study was to analyse the geographical variation of CRC incidence and mortality and its possible association with socioeconomic inequalities in Cyprus for the time period of 2000–2015. This is a small-area ecological study in Cyprus, with census tracts as units of spatial analysis. The incidence date, sex, age, postcode, primary site, death date in case of death, or last contact date of all alive CRC cases from 2000–2015 were obtained from the Cyprus Ministry of Health’s Health Monitoring Unit. Indirect standardisation was used to calculate the sex and age Standardise Incidence Ratios (SIRs) and Standardised Mortality Ratios (SMRs) of CRC while the smoothed values of SIRs, SMRs, and Mortality to Incidence ratio (M/I ratio) were estimated using the univariate Bayesian Poisson log-linear spatial model. To evaluate the association of CRC incidence and mortality rate with socioeconomic deprivation, we included the national socioeconomic deprivation index as a covariate variable entering in the model either as a continuous variable or as a categorical variable representing quartiles of areas with increasing levels of socioeconomic deprivation. The results showed that there are geographical areas having 15% higher SIR and SMR, with most of those areas located on the east coast of the island. We found higher M/I ratio values in the rural, remote, and less dense areas of the island, while lower rates were observed in the metropolitan areas. We also discovered an inverted U-shape pattern in CRC incidence and mortality with higher rates in the areas classified in the second quartile (Q2-areas) of the socioeconomic deprivation index and lower rates in rural, remote, and less dense areas (Q4-areas). These findings provide useful information at local and national levels and inform decisions about resource allocation to geographically targeted prevention and control plans to increase CRC screening and management.
A Key to Stimulate Green Technology Innovation in China: The Expansion of High-Speed Railways
Authors: Chen Ziyang , Feng Xiao , He Ziwen
Published: December 2022

Mankind is seeking a green development path. This paper places emphasis on whether high-speed railways (HSRs), as a typical representative of green transportation, can effectively promote green technology innovation in cities. Based on the panel data of 286 Chinese prefecture-level cities from 2007 to 2018, we employ the Panel Negative Binomial Regression Model and the Spatial Dubin Model for empirical analysis. The results illustrate that the expansion of HSRs not only has a direct and substantial promotion influence on local green technology innovation but also on the surrounding area. We further find that circulation node cities reap more benefits of the opening of HSRs than other ordinary cities. The higher the degree of marketization, the weaker the marginal impact of HSRs on green technology innovation. Meanwhile, the mechanism test confirms that HSRs can indirectly stimulate the progress of green technology innovation by influencing the creative class flow and the government’s environmental concerns. Our findings present new insights for enhancing green technology innovation and provide policy recommendations for local governments to take advantage of HSRs to obtain resources.
The Development and Validation of an Outdoor Free Play Scale for Preschool Children
Authors: Li Sixian , Jiang Qianyi , Deng Chenyu
Published: December 2022

Children’s outdoor free play, which is characterized by intensive physical engagement and diverse social interactions, plays a unique role in early childhood development and education. However, existing scales cannot comprehensively measure children’s performance in outdoor free play. The research purpose of this study was to develop and validate an Outdoor Free Play Scale for Children-Preschool Version (OFPS-P) with good reliability and validity, in order to provide a practical tool for teachers to understand the level of children’s outdoor free play. Based on the review of existing scales of children’s play and the uniqueness of children’s outdoor free play, we developed a scale with 12 items and validated the scale with two samples of preschool children with exploratory (nsample1 = 140) and confirmatory (nsample2 = 241) factor analyses. Four factors were identified in this scale: physical fitness, approaches to learning, social interaction, and imagination. The results indicated good reliability and validity of OFPS-P, which can be used to evaluate preschool children’s performance on outdoor free play and to support teachers’ effective support in outdoor play activities in kindergartens.