bluuebunny/crossref_metadata_2025 huggingface dataset:
Testing the mHM-MPR Reliability for Parameter Transferability across Locations in North–Central Nigeria
Authors: Ogbu Kingsley Nnaemeka , Rakovec Oldrich , Shrestha Pallav Kumar , Samaniego Luis , Tischbein Bernhard , Meresa Hadush
Published: September 2022

Hydrologic modeling in Nigeria is plagued by non-existent or paucity of hydro-metrological/morphological records, which has detrimental impacts on sustainable water resource management and agricultural production. Nowadays, freely accessible remotely sensed products are used as inputs in hydrologic modeling, especially in regions with deficient observed records. Therefore, it is appropriate to utilize the fine-resolution spatial coverage offered by these products in a parameter regionalization method that supports sub-grid variability. This study assessed the transferability of optimized model parameters from a gauged to an ungauged basin using the mesoscale Hydrologic Model (mHM)—Multiscale Parameter Regionalization (MPR) technique. The ability of the fifth generation European Centre for Medium-Range Weather Forecasts Reanalysis product (ERA5), Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS), Global Precipitation Climatology Centre (GPCC), and Multi-Source Weighted-Ensemble Precipitation (MSWEP) gridded rainfall products to simulate observed discharge in three basins was first assessed. Thereafter, the CHIRPS rainfall product was used in three multi-basin mHM setups. Optimized model parameters were then transferred to independent basins, and the reproduction of observed discharges was assessed. Kling–Gupta Efficiency (KGE) scores showed improvements when mHM runs were performed using optimized parameters in comparison to using default parameters for discharge simulations. Optimized mHM runs performed reasonably (KGE > 0.4) for all basins and rainfall products. However, only one basin showed a satisfactory KGE value (KGE = 0.54) when optimized parameters were transferred to an ungauged basin. This study underscores the utility of the mHM-MPR tool for parameter transferability during discharge simulation in data-scarce regions.
Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
Authors: Korsgaard Hans Ole , Ulberg Randi , Hummelen Benjamin , Midgley Nick , Thorén Agneta , Dahl Hanne-Sofie Johnsen
Published: September 2022

A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD. Background: The first experimental study of transference work-in teenagers (FEST-IT) demonstrated the efficaciousness of transference work in STPP with adolescents suffering from MDD. The usefulness of STPP may be enhanced by exploring possible moderators. Methods: Depressed adolescents (N = 69), aged 16–18 years, were diagnosed with the structured interview for DSM-IV PDs and randomized to 28 weeks of STPP with or without transference work. A mixed linear model was applied. The moderator effect was investigated by a three-way interaction including “time”, “treatment group” and “number of PD criteria”. Results: A small but significant moderator effect was found for cluster B personality pathology. Patients with a higher number of cluster B PD criteria at baseline did better up to one-year post-treatment where therapists encouraged patients to explore the patient–therapist relationship in the here and now. Conclusion: When treated with psychoanalytic psychotherapy for MDD, adolescents with cluster B PD symptoms seem to profit more from transference work than adolescents without such pathology.
Nursing Interventions That Promote Sleep in Preterm Newborns in the Neonatal Intensive Care Units: An Integrative Review
Authors: Firmino Catarina , Rodrigues Marlene , Franco Sofia , Ferreira Judicília , Simões Ana Rita , Castro Cidália , Fernandes Júlio Belo
Published: September 2022

Sleep is a crucial factor for the psychological and physiological well-being of any human being. In Neonatal Intensive Care Units, preterm newborns’ sleep may be at risk due to medical and nursing care, environmental stimuli and manipulation. This review aims to identify the nurses’ interventions that promote sleep in preterm newborns in the Neonatal Intensive Care Units. An integrative review was conducted following Whittemore and Knafl’s methodology and the 2020 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. The research was carried out on the electronic databases PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and ScienceDirect, with a timeframe from 2010 to 2021. A total of 359 articles were initially identified. After selection and analysis, five studies were included in the sample. Interventions by nursing staff that promote sleep in preterm newborns in the Neonatal Intensive Care Units fall within three categories: environmental management, relaxation techniques and therapeutic positioning. Nurses play a vital role in implementing interventions that promote preterm newborns’ sleep. They can positively affect preterm newborns’ sleep by controlling environmental stimuli and applying relaxation techniques and therapeutic positioning to their care practices.
Assessment of the Correlation between the Levels of Physical Activity and Technology Usage among Children with Down Syndrome in the Riyadh Region
Authors: Alwhaibi Reem. M. , Omer Asma B. , Khan Ruqaiyah , Albashir Felwa , Alkuait Noura , Alhazmi Rawan
Published: September 2022

Background: Children with Down Syndrome (C-DS) have language, cognitive and communication difficulties, in addition to consistent physical inactivity that contributes to poor health and higher-disability-adjusted life years. The purpose of this study was to determine the correlation between the use of electronic technology and levels of physical activity in C-DS in the Riyadh region of Saudi Arabia. Methods: A cross-sectional study was conducted with 49 mothers, where each had a child (6–12 years of age) with Down Syndrome (DS), and who were recruited using purposive sampling from three DS centers in Riyadh, Saudi Arabia. The Children’s Physical Activity Questionnaire and Research Questionnaire on the Impact of Technology on Children were used. Descriptive statistics were used to describe the demographics. Pearson’s correlation, Student’s t-test and the Chi-square test were used to assess the association between technology use, physical activity levels and socio-demographic variables. Results: There was no significant correlation between physical activity and the use of technology by C-DS. However, there was a negative correlation between a high level of physical activity and technology use (R = −0.037). Although, no significant correlation between the mother’s characteristics and technology use was found; there was a significantly positive correlation (p = 0.05) between the education level of mothers and the technology use by C-DS. Nonetheless, there was no association between the physical activity level and the gender of the child with DS. Conclusions: This study found that no significant relationship exists between the use of electronic gadgets and the level of physical activity in C-DS.
Spatial and Machine Learning Approach to Model Childhood Stunting in Pakistan: Role of Socio-Economic and Environmental Factors
Authors: Usman Muhammad , Kopczewska Katarzyna
Published: September 2022

This study presents the determinants of childhood stunting as the consequence of child malnutrition. We checked two groups of factors—the socio-economic situation and climate vulnerability—using disaggregated sub-regional data in the spatial context. Data related to the percentage of stunted children in Pakistan for 2017 were retrieved from MICS 2017-18 along with other features. We used three quantitative models: ordinary least squares regression (OLS) to examine the linear relationships among the selected features, spatial regression (SDEM) to identify and capture the spatial spillover effect, and the Extreme Gradient Boosting machine learning algorithm (XGBoost) to analyse the importance of spatial lag and generate predictions. The results showed a high degree of spatial clustering in childhood stunting at the sub-regional level. We found that a 1 percentage point (p.p.) increase in multi-dimensional poverty may translate into a 0.18 p.p. increase in childhood stunting. Furthermore, high climate vulnerability and common marriages before age 15 each exacerbated childhood stunting by another 1 p.p. On the contrary, high female literacy and their high exposure to mass media, together with low climate vulnerability, may reduce childhood stunting. Model diagnostics showed that the SDEM outperformed the OLS model, as AICOLS = 766 > AICSDEM = 760. Furthermore, XGBoost generated the most accurate predictions in comparison to OLS and SDEM, having the lowest root-mean-square error (RMSE).
Illness Experience and Quality of Life in Sjögren Syndrome Patients
Authors: Rojas-Alcayaga Gonzalo , Herrera Andrea , Espinoza Iris , Rios-Erazo Matías , Aguilar Jacqueline , Leiva Loreto , Shakhtur Nailah , Wurmann Pamela , Geenen Rinie
Published: September 2022

Sjögren’s syndrome (SS) is a disease with autoimmune features that affects mainly women and compromises the health-related quality of Life (HRQoL); it is important to evaluate illness experience for a better understanding of the life situation of the patient. The aim of the study was to summarize the individual life experiences and determine the impact of HRQoL and oral health-related quality of life (OHRQoL) and their correlation with health self-assessment in women with SS. The life experiences evaluation employed a concept mapping design to structure qualitative content obtained from semi-structured interviews. Hierarchical cluster analysis was used to analyze the patient’s experiences. EQ-5D-5L and OHIP-14Sp were used. The correlation between appreciation of the general health status and OHIP-14 was evaluated. The experience classification by patients were analyzed and a dendrogram was obtained, identifying 10 clusters of disease experiences of SS, being limitations, pain and difficulties, coping and attitudes towards treatment the most common. Pain/discomfort in EQ-5D-5L and physical pain and psychological discomfort in OHIP-14 were the most affected dimensions in the patients. The results support the theoretical perspective that the experience of illness is relevant to describing the main difficulties of patients with SS and how it affects their quality of life.
Peer Victimization and Adolescent Mobile Social Addiction: Mediation of Social Anxiety and Gender Differences
Authors: Tu Wei , Jiang Hui , Liu Qingqi
Published: September 2022

Social media addiction has become one of the typical problem behaviors during adolescence. The present study examined the mediation of social anxiety between peer victimization and adolescent mobile social addiction and tested whether gender could moderate the direct and indirect effects of peer victimization. 649 adolescents between 12 and 19 years of age (Mage = 14.80, SDage = 1.82) completed the anonymous survey. The results found that social anxiety was a mediator linking peer victimization to mobile social addiction. Gender could moderate the direct and indirect effects of peer victimization, and these two effects were stronger in girls than in boys. The results highlight the role of social anxiety in explaining how peer victimization was associated with adolescent mobile phone addiction and the role of gender in explaining when or for whom the direct and indirect associations between peer victimization and adolescent mobile social addiction were more potent. The findings would contribute to the intervention of mobile social addiction.
Navigating Paths to Wellness: A Strengths-Based Photovoice Study Conducted with One First Nation in Southern Ontario, Canada
Authors: Tanner Bryan , George Ningwakwe , Brubacher Laura Jane , Morton Ninomiya Melody E. , Peach Laura , Bernards Sharon , Linklater Renee , George Julie , Wells Samantha
Published: September 2022

Research on substance use challenges in First Nations communities is often deficit-focused and can reinforce paternalistic stereotypes that lead to further discrimination. In this article, we report on findings of a strengths-based Photovoice project done in collaboration with a First Nations’ community in southern Ontario, Canada to better understand experiences with substance use challenges in the community. We analyzed interview data collected with seventeen individuals who have lived experience or are supporting a loved one with lived experience with a substance use challenge. Participants described sources of strength that characterized their path to wellness, including strong family and social connections, cultural practices, identity, spirituality, day-to-day activities, and helpful supports and services. Furthermore, participants made several suggestions for improving services, including the need for integrated and flexible systems of care and trustful client-provider relationships. At its core, nurturing wellness involved a transformative process involving social and/or cultural connections. The stories shared by participants demonstrate the unique and varied strengths drawn from by individuals dealing with a substance use challenge.
Domains of Capacity Building in Whole-Systems Approaches to Prevent Obesity—A “Systematized” Review
Authors: Jayasinghe Sisitha , Soward Robert , Dalton Lisa , Holloway Timothy P. , Murray Sandra , Patterson Kira A. E. , Ahuja Kiran D. K. , Hughes Roger , Byrne Nuala M. , Hills Andrew P.
Published: September 2022

Despite increased awareness of its risks, for the most part, contemporary efforts for obesity prevention have been patchy at best. As such, the burgeoning interest in whole-systems approaches (WSAs) that acknowledge the complex, dynamic nature of overweight and obesity and operate across multiple levels of society is particularly timely. Many components of “community capacity building” (CB), an essential but often neglected aspect of obesity prevention, overlap with “best practice principles” in effective/optimal community-based obesity-prevention initiatives. Rhetoric urging WSAs and community CB in public health abounds although operative and efficacious contemporary examples of these approaches to reducing obesity levels are scarce. The aim of this investigation was to undertake a systematized review of the level of capacity building incorporated in published literature on WSAs targeting obesity to better understand how domains of CB have been incorporated. A PubMed search and a recently published systematic review were utilized to identify WSAs to obesity prevention between 1995–2020. A team-based approach to qualitative thematic data analysis was used to systematically assess and describe each intervention regarding explicit capacity-building practice. Despite not being specifically designed for building capacity, a significant proportion of the WSAs studied in the current report had implemented several CB domains.
Integrating Produce Prescriptions into the Healthcare System: Perspectives from Key Stakeholders
Authors: Auvinen Alyssa , Simock Mary , Moran Alyssa
Published: September 2022

People with low incomes suffer disproportionately from diet-related chronic diseases and may have fewer resources to manage their diseases. The “food as medicine” movement encourages healthcare systems to address these inequities while controlling escalating healthcare costs by integrating interventions such as produce prescriptions, in which healthcare providers distribute benefits for fruit and vegetable purchases. The purpose of this study was to identify perceived facilitators and barriers for designing and implementing produce prescriptions within the healthcare system. Nineteen semi-structured in-depth interviews were conducted with experts, and interviews were analyzed using thematic analysis. Overall, interviewees perceived that produce prescriptions could impact patients’ diets, food security, disease management, and engagement with the healthcare system, while reducing healthcare costs. Making produce prescriptions convenient to use for patients, while providing resources to program implementers and balancing the priorities of payers, will facilitate program implementation. Integrating produce prescriptions into the healthcare system is feasible but requires program administrators to address implementation barriers such as cost and align complex technology systems (i.e., electronic medical records and benefit/payment processing). Engaging patients, clinics, retailers, and payers in the design phase can improve patient experience with a produce-prescription program; enhance clinic and retail processes enrolling patients and redeeming benefits; and ensure payers can measure outcomes of interest.
Informing the Design of Data Visualization Tools to Monitor the COVID-19 Pandemic in Portugal: A Web-Delphi Participatory Approach
Authors: Ignatenko Ekaterina , Ribeiro Manuel , Oliveira Mónica D.
Published: September 2022

Due to the large amount of data generated by new technologies and information systems in the health arena, health dashboards have become increasingly popular as data visualization tools which stimulate visual perception capabilities. Although the importance of involving users is recognized in dashboard design, a limited number of studies have combined participatory methods with visualization options. This study proposes a novel approach to inform the design of data visualization tools in the COVID-19 context. With the objective of understanding which visualization formats should be incorporated within dashboards for the COVID-19 pandemic, a specifically designed Web-Delphi process was developed to understand the preferences and views of the public in general regarding distinct data visualization formats. The design of the Delphi process aimed at considering not only the theory-based evidence regarding input data and visualization formats but also the perception of final users. The developed approach was implemented to select appropriate data visualization formats to present information commonly used in public web-based COVID-19 dashboards. Forty-seven individuals completed a two-round Web-Delphi process that was launched through a snowball approach. Most respondents were young and highly educated and expressed to prefer distinct visualisation formats for different types of indicators. The preferred visualization formats from the participants were used to build a redesigned version of the official DGS COVID-19 dashboard used in Portugal. This study provides insights into data visualization selection literature, as well as shows how a Delphi process can be implemented to assist the design of public health dashboards.
Resilience in Teachers: Validation of the Spanish Version of the CD-RISC10© Scale in Early Childhood, Primary and Special Education Teachers
Authors: Flores-Buils Raquel , Caballer-Miedes Antonio , Mateu-Pérez Rosa
Published: September 2022

Schools are a fundamental context for processes of promotion and generation of resilience, since they focus not only on aspects of academic development, but also of personal and social development. Resilience in the teacher has a dual function. On the one hand, as resilient professionals, teachers can foster the development of resilience in their students; on the other hand, teaching resilience facilitates their own personal and professional well-being. Despite research highlighting the benefits of resilience in education, there is scarce research focused on assessing resilience in teachers. Thus, the aim of this paper is to analyze the psychometric properties of the Spanish version of Connor and Davidson’s 10-item resilience scale (CD-RISC 10©) in a sample of 290 teachers. A confirmatory factorial analysis (CFA) is performed, which shows that the 10 items on the CD-RISC 10© Resilience Scale form a one-dimensional structure, with high reliability, McDonald’s Omega coefficient (ω = 0.80) and Cronbach’s alpha coefficient (α = 0.87). The results obtained in this work support the use of the scale for the assessment of resilience in teachers of Infant, Primary and Special Education, which is considered very useful, not only to know their degree of resilience, but also to assess the effectiveness of training programs.
Metformin and the Risk of Chronic Urticaria in Patients with Type 2 Diabetes
Authors: Yen Fu-Shun , Hsu Chih-Cheng , Hu Kai-Chieh , Hung Yu-Tung , Hsu Chung Y. , Wei James Cheng-Chung , Hwu Chii-Min
Published: September 2022

We conducted this study to determine the effect of metformin use on the risk of new-onset chronic urticaria in patients with type 2 diabetes (T2D). In total, 24,987 pairs of metformin users and nonusers were identified with propensity score-matching from Taiwan’s National Health Insurance Research Database from 1 January 2000, to 31 December 2017. Multivariable Cox proportional hazards models were used to compare the risks of chronic urticaria development, severe chronic urticaria, and hospitalization for chronic urticaria between metformin users and nonusers. Compared with metformin nonuse, the aHRs (95% CI) for metformin use in chronic urticaria development, severe chronic urticaria, and hospitalization for chronic urticaria were 1.56 (1.39–1.74), 0.40 (0.12–1.30), and 1.45 (0.82–2.56), respectively. The cumulative incidence of chronic urticaria development was significantly higher in metformin users than in nonusers (p < 0.0001). A longer average cumulative duration of metformin use was associated with higher risks of new-onset and hospitalization for chronic urticaria than metformin nonuse. This nationwide cohort study showed that metformin use was associated with a significantly higher risk of chronic urticaria development. A longer average cumulative duration of metformin use was associated with a higher risk of outcomes. More prospective studies are needed to verify our results.
Rationale, Feasibility, and Acceptability of the Meeting in Nature Together (MINT) Program: A Novel Nature-Based Social Intervention for Loneliness Reduction with Teen Parents and Their Peers
Authors: Sachs Ashby Lavelle , Coringrato Eva , Sprague Nadav , Turbyfill Angela , Tillema Sarah , Litt Jill
Published: September 2022

Recently, there has been an increase in feelings of loneliness and mental health conditions among adolescents. Within this population, parenting teens are at an increased risk for these conditions. Outdoor experiences are shown to be an antidote to loneliness and a way to promote social connectedness by amplifying the processes for supporting social relationships. In 2020–2021, we piloted the 8-week Meeting in Nature Together program (MINT) at a charter school for pregnant and parenting teenagers in Colorado, USA. MINT aimed to promote relatedness and nature connection for students ages 14 to 19. MINT included online and in-person group meetings with educational content, creative activities, discussion, park excursions, mindfulness activities, journaling, and nature photography. Here, we ask, can a school-level nature-based social intervention reduce loneliness among pregnant and parenting teens by promoting and sustaining social connections? How acceptable is MINT to participants? Methods included audiovisual recording transcriptions, surveys, and observation field notes. Results suggest that MINT fostered social connections through a tailored nature-based intervention delivered to a typically isolated community in culturally sensitive, developmentally appropriate ways. MINT proved feasible and effective as participants reported high levels of satisfaction and interest in continuing to engage in activities promoted in MINT.
Workers’ Occupational Dust Exposure and Pulmonary Function Assessment: Cross-Sectional Study in China
Authors: He Wei , Jin Nan , Deng Huaxin , Zhao Qi , Yuan Fang , Chen Fengqiong , Zhang Huadong , Zhong Xiaoni
Published: September 2022

Objective: This study aims to determine the occupational health status of workers exposed to dust and the risk factors of lung function decline, to provide a basis for formulating corresponding occupational disease-prevention strategies. Methods: Data on 2045 workers exposed to dust, including their age, gender, exposure time, chest X-ray test results, and pulmonary function test results, were obtained from a key occupational disease monitoring project in Chongqing, China, in 2021. Chi-square tests and multifactorial logistic regression, and other methods, were used for statistical analysis. Results: The prevalence of pneumoconiosis-like changes was 0.83% (17/2045), and the prevalence of abnormal forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC was 4.25% (87/2045), 12.81% (262/2045), and 1.47% (30/2045), respectively. With increasing worker’s age, the prevalence of abnormal pneumoconiosis-like changes (p = 0.0065), FEV1 (p = 0.0002), FVC (p < 0.0001), and FEV1/FVC (p = 0.0055) all increased. Factors such as age, exposure duration, enterprise size, and dust exposure concentration were associated with abnormal lung function. Conclusions: Workers exposed to occupational dust have a high rate of abnormal lung function. The government, enterprises, and individuals should pay attention to occupational dust exposure, and various effective measures should be actively taken to protect the life and health of workers.
Exposure to Ochratoxin A from Rice Consumption in Lebanon and United Arab Emirates: A Comparative Study
Authors: Hassan Hussein F. , Abou Ghaida Alissar , Charara Abeer , Dimassi Hani , Faour Hussein , Nahouli Rayan , Karam Layal , Alwan Nisreen
Published: September 2022

Our study aims to evaluate the ochratoxin A (OTA) in rice marketed in Lebanon and the United Arab Emirates (UAE), and to determine the exposure to OTA from rice consumption. All brands available in the market were collected twice (total number of collected samples: 105 and 127 in Lebanon and the UAE, respectively). Using ELISA, the OTA in 56 (53%) samples in Lebanon and 73 (58%) samples in the UAE were above the limit of quantification (0.8 μg/kg). The average concentrations of the positive samples ± standard deviations were 1.29 ± 0.32 and 1.40 ± 0.42 μg/kg in Lebanon and the UAE, respectively. Only one sample (1%) in Lebanon had a level at the borderline of the European Union (EU) limit, and two samples (1.6%) in the UAE had a level above the EU limit (5 μg/kg). The OTA in brown rice was higher than in white and parboiled rice for both countries, yet the difference was not significant. The packing season, packing country, and country of origin did not have any significant effects. The presence of a food safety certification resulted in lower OTA in the rice, but the difference was significant (p = 0.04) in the UAE only. Long grains had higher OTA than short grains, yet the difference was only significant in Lebanon (p = 0.046). The exposures were calculated as 1.27 ng/kg body weight/day in Lebanon and 1.42 ng/kg body weight/day in the UAE, and no health risk was observed for both the neoplastic and non-neoplastic effects.
Lateral Cephalometric Analytical Uses for Temporomandibular Joint Disorders: The Importance of Cervical Posture and Hyoid Position
Authors: Opris Horia , Baciut Mihaela , Bran Simion , Onisor Florin , Almasan Oana , Manea Avram , Tamas Tiberiu , Stoia Sebastian , Gabriel Armencea , Baciut Grigore , Crisan Bogdan , Hedesiu Mihaela , Crisan Liana , Barbur Ioan , Opris Daiana , Dinu Cristian
Published: September 2022

The temporomandibular joint disorder (TMD) is a syndrome that affects the masticatory muscles and temporomandibular joint (TMJ). Its pathophysiology is not yet fully known. Cephalometric analysis is used for routine evaluation regarding orthodontic treatment and other purposes. The aim of this study was to assess if using cephalometric analysis and TMJ conservative therapy to evaluate the hyoid bone position and the cervical posture reduced symptoms in adults with TMDs compared to no intervention. The authors conducted a systematic review of the literature (PubMed, Cochrane, Web of Science, Scopus, and Embase) for clinical studies of TMDs with conservative treatment and lateral cephalometric analysis of the hyoid and cervical posture. To assess the risk of bias for non-randomized clinical trials ROBINS-I tool was used. Out of 137 studies found, 6 remained to be included. Most of them found a link between TMD and lateral cephalometric analysis, but there was a high risk of bias. This review found a possible link between TMDs, the neck and cervical posture. There is a benefit reported regarding the use of the lateral cephalometry as a treatment, but more extensive prospective randomized clinical trials are necessary to be able to draw definitive conclusions.
The Role of Physical Activity in the Reduction of Generalised Anxiety Disorder in Young Adults in the Context of COVID-19 Pandemic
Authors: Czenczek-Lewandowska Ewelina , Leszczak Justyna , Wyszyńska Justyna , Baran Joanna , Weres Aneta , Lewandowski Bogumił
Published: September 2022

Physical activity is critically important not only for physical but also for mental health. Exercise may be a beneficial form of therapy for young adults with anxiety disorders. The global outbreak of the COVID-19 pandemic adversely affected the public, including young adults, in terms of their mental well-being and opportunities for physical activity. The study aimed to identify the influence of physical activity (PA) on generalised anxiety in young adults. It also assessed the changes which occurred in the level of PA and in generalised anxiety in young adults as a result of COVID-19 pandemic. A cross-sectional survey was carried out online with 506 young adults aged 18 to 34 years (=24.67 years ± 4.23 years). Respondents provided two answers to each question, i.e., information relating to the last 7 days during the pandemic (first hard lockdown), and to a period of 7 days before the pandemic (retrospective). The levels of physical activity were measured using 7-item International Physical Activity Questionnaire-Short Form (IPAQ–SF), whereas the level of generalised anxiety was assessed using the Generalised Anxiety Disorder 7 (GAD-7) questionnaire. During the pandemic there was a significant correlation between the level of generalised anxiety and the level of physical activity reported by the respondents (p = 0.048). A higher level of physical activity corresponded to lower level of generalized anxiety in young adults. During the pandemic, young adults spent significantly less time performing physical activity (8752.5 vs. 6174.6 metabolic equivalents (MET) min/week, p < 0.001), they spent more time engaging in sedentary behaviours (Me = 240 vs. Me = 300 min/day, p < 0.001), and they walked much less (from Me = 6930.0 (MET) min/week vs. 3861.0 (MET) min/week (44.29% decrease). Furthermore, after the outbreak of the pandemic the level of perceived generalised anxiety increased significantly (p < 0.001). Physical activity may play an important role in reducing anxiety disorder in young adults. During the COVID-19 pandemic young adults were significantly less involved in PA, which adversely affected their physical and mental condition. The importance of sufficient PA should be emphasised during this specific period, particularly among young adults.
ADHD Symptoms as a Stressor Leading to Depressive Symptoms among University Students: The Mediating Role of Perceived Stress between ADHD and Depression
Authors: Sahmurova Aida , Arikan Selma , Gursesli Mustafa Can , Duradoni Mirko
Published: September 2022

Attention deficit hyperactivity disorder (ADHD) is a condition manifested in childhood and includes symptoms, such as attention deficit, impulsivity, difficulty in concentrating, hyperactivity, and aggressive behavior. Along with the negative effects of ADHD symptoms on individuals, various psychological factors are thought to be associated with these symptoms. However, ADHD in emerging adulthood is not rare and can be conceived as the continuation of discomfort that might emerge during childhood and adolescence. Our mediation study involved 613 undergraduate students in İstanbul. The participants filled out demographic information forms: Adult Attention Deficit and Hyperactivity Disorder Self-Reported Scale (ASRS), Perceived Stress Scale and Beck Depression Inventory (BDI). Our work stressed those positive correlations found among ASRS, Perceived Stress Scale, and BDI scores. Analysis by Model 4 of Hayes Process Macro and Sobel tests showed that ADHD symptoms predicted both perceived stress and depression scores of the participants and dimensions of perceived stress acted as partial mediators in the positive relationship between ADHD and depression scores.
Removal of Polytungstate from Mine Wastewater Using a Flat Renewal Membrane Reactor with N1633 as a Carrier
Authors: Pei Liang , Duo Jia , Chu Linlin
Published: September 2022

A novel flat renewal membrane reactor (FRMR) with mixed amine extractant N1633 dissolved in kerosene and NaOH solvent was studied for the removal of polytungstate [expressed as W7O246− or W (VI)] from simulated mine wastewater. FRMR contains three parts: the feeding cell, reacting cell and renewal cell. A flat membrane of polyacrylonitrile (PAN) was used in the reacting cell, which used mixed solutions of kerosene and NaOH. The amine extractant (N1633) was used as the carrier, and simulated mine wastewater containing polytungstate was used as the feeding solution. The influencing factors of the pH and the other ion strengths in the feeding solutions, the volume ratio of kerosene to NaOH solution, and the N1633 concentration in the renewal solutions were investigated in order to obtain the optimum technique parameters. It was found that the removal percentage of polytungstate could reach 92.5% in 205 min, when the concentration of the carrier (N1633) was 0.18 mol/L, the volume ratio of kerosene and NaOH in the renewal cell was 3:2, the pH in the feeding cell was 4.00, and the initial concentration of polytungstate was 3.50 × 10−4 mol/L. The stability and feasibility of FRMR were tested by the investigation of polytungstate retention and the reuse of the membrane.
The Impact of Parental Education on Schoolchildren’s Oral Health—A Multicenter Cross-Sectional Study in Romania
Authors: Dumitrescu Ramona , Sava-Rosianu Ruxandra , Jumanca Daniela , Balean Octavia , Damian Lia-Raluca , Fratila Aurora Doris , Maricutoiu Laurentiu , Hajdu Adrian Ioan , Focht Roxanne , Dumitrache Mihaela Adina , Daguci Constantin , Postolache Mariana , Vernic Corina , Galuscan Atena
Published: September 2022

The present study is part of the first national oral health survey for children in Romania. The aim of this study was to determine caries prevalence in correlation with the level of the parents’ education, preventive behavior, and socioeconomic parameters in 11–14-year-old schoolchildren in Romania. A cross-sectional epidemiological survey was designed and conducted in 2019–2020. The sampled children were selected from 49 schools distributed in rural and urban areas of Romania, including its capital. Data were collected using the Oral Health Questionnaire for Children developed by the World Health Organization and described in the WHO Oral Health Surveys—Basic Methods, 5th edition, 2013, after positive informed consent. To express prevalence and severity of carious lesions, International Caries Detection and Assessment System (ICDAS) criteria were recorded in school for 814 schoolchildren (388 boys and 426 girls) aged between 11 and 14 years old (mean age 12.29 ± 0.6). Elements regarding the specificity of the child (gender, age, and parental education) were tabulated against preventive behavior. The parents’ education was correlated with three clinical indices in order to assess the existence or lack of certain significant differences among schoolchildren in Romania. In terms of correlation between the mother’s education and preventive behavior, results showed a significant positive correlation in case of dental check-ups (rs = 0.08 *, p < 0.05), brushing (rs = 0.02 **, p < 0.01), and use of different types of dental hygiene aids (rs = 0.06 **, p < 0.01) and a negative correlation with tooth pain or discomfort (rs = −0.01 **, p < 0.01). A statistically significant positive relationship was highlighted between the mother’s education and the presence of restorations (rs = −0.09 **, p < 0.01). Regarding the father’s education, there was a positive relationship with oral hygiene behavior (rs = 0.18 **, p < 0.01) but a negative relationship with the D3T index (rs = −0.18 **, p < 0.01). In conclusion, there was a strong correlation between the parents’ education, preventive behavior, and oral health status of Romanian schoolchildren.
The Relationship between Body Composition and ECG Ventricular Activity in Young Adults
Authors: Iconaru Elena Ioana , Ciucurel Constantin
Published: September 2022

This study aimed to determine the correlation between body composition (measured as weight, body mass index, and body fat percentage (BFP)) and electrocardiographic ventricular parameters (the QT and TQ intervals and the ratios between the electrical diastole and electrical systole (TQ/QT) and between the cardiac cycle and electrical diastole (RR/TQ), both for uncorrected and corrected intervals) in a sample of 50 healthy subjects (age interval 19–23 years, mean age 21.27 ± 1.41 years, 33 women and 17 men). Subjects’ measurements were performed with a bioimpedancemetry body composition analyzer and a portable ECG monitor with six leads. Starting from the correlations obtained between the investigated continuous variables, we performed a standard linear regression analysis between the body composition parameters and the ECG ones. Our results revealed that some of our regression models are statistically significant (p < 0.001). Thus, a specific part of the variability of the dependent variables (ECG ventricular activity parameters for corrected QT intervals) is explained by the independent variable BFP. Therefore, body composition influences ventricular electrical activity in young adults, which implies a differentiated interpretation of the electrocardiogram in these situations.
Appraisal of the New Posture Analyzing and Virtual Reconstruction Device (PAViR) for Assessing Sagittal Posture Parameters: A Prospective Observational Study
Authors: Jang Chan Woong , Park Jihyun , Cho Han Eol , Park Jung Hyun
Published: September 2022

The purpose of this study was to report the clinical validation of the posture analyzing and virtual reconstruction device (PAViR) system, focusing on the accuracy of sagittal spinal parameters, compared with the EOS imaging system. Seventy patients diagnosed with segmental and somatic dysfunction were recruited between February 2020 and November 2020. Each patient was examined using the EOS imaging system and PAViR; the sagittal parameters of human body posture [forward head posture (FHP), T1 tilt angle (T1t), knee flexion angle (KF), lumbar lordosis angle (LL), and pelvic tilt angle (PT)] were analyzed to verify the correlation between the results of the two devices. The median differences in the results of the two devices showed significant differences in FHP (T4-frontal head and T4-auditory canal), T1t, and PT. In the correlation analysis, the values of FHP (C7-auditory canal, T4-frontal head, and T4-auditory canal), T1t, and PT showed a moderate correlation between the two devices (r = 0.741, 0.795, 0.761, 0.621, and 0.692, respectively) (p < 0.001). The KF and LL was fairly correlated (r = 0.514 and 0.536, respectively) (p = 0.004, both). This study presents the potential of a novel skeletal imaging system without radiation exposure, based on a 3D red-green-blue-depth camera (PAViR), as a next-generation diagnostic tool by estimating more accurate parameters through continuous multi-data-based upgrades with artificial intelligence technology.
The Impact of Dance Interventions on Patients with Noninfectious Pulmonary Diseases: A Systematic Review
Authors: Niranjan Vikram , Tarantino Giampiero , Kumar Jaspal , Stokes Diarmuid , O’Connor Ray , O’Regan Andrew
Published: September 2022

Dance has been highlighted as one of the most enjoyable, safe, and feasible forms of physical activity, improving physical health, mental health, and general well-being, among various patients. Little is known about the effect and impact of dance interventions to improve health among patients with pulmonary diseases, and research lacks a robust synthesis of evidence. Therefore, this systematic review aimed to investigate the impact of dance intervention on patients with noninfectious pulmonary diseases. Following the PRISMA guidelines, six electronic databases were searched in May 2022. Of the 1308 unique records identified, seven studies (five quantitative, two qualitative) across four countries were included in this systematic review. Six studies investigated adult populations, and one study explored the effect of dance on children. The dance interventions lasted between 1 and 10 weeks. Overall, dance was perceived to have a broad range of physical/mental/social benefits, including quality of life, social cohesion, dyspnoea levels, balance, exercise tolerance, general well-being, and adherence to nutrition regimens. Furthermore, the dance session was the most enjoyable activity among children and adolescents with asthma. With available evidence, dance interventions are promising and may effectively improve health and well-being among patients with noninfectious pulmonary diseases. More organised and continuous long-term dance interventions in future may reveal a detailed impact on health outcomes.
Innovative Technological Approach for the Cyclic Nutrients Adsorption by Post-Digestion Sewage Sludge-Based Ash Co-Formed with Some Nanostructural Additives under a Circular Economy Framework
Authors: Sakiewicz Piotr , Piotrowski Krzysztof , Rajca Mariola , Maj Izabella , Kalisz Sylwester , Ober Józef , Karwot Janusz , Pagilla Krishna
Published: September 2022

This paper presents a new, innovative technological approach, in line with Circular Economy principles, to the effective management of sludge generated during municipal wastewater treatment processes and subsequently used for biogas production. This approach allows for optimal, functional, and controlled cascade-type biotechnological thermal conversion of carbon compounds present in sewage sludge, later in solid digestate residues (after biogas production), and finally in the ash structure (after incineration, purposefully dosed nanostructural additives make the production of a useful solid product possible, especially for cyclic adsorption and slow release of nutrients (N, P, K) in the soil). The idea is generally targeted at achieving an innovative conversion cycle under a Circular Economy framework. In particular, it is based on an energy carrier (methane biogas) and direct energy production. The functionalized combustion by-products can be advantageous in agriculture. The use of ashes with nanostructural additives (halloysite, kaolinite) from combustion of sewage sludge after the anaerobic fermentation as an adsorbent of selected nutrients important in agriculture (Na+, K+, NO3−, SO42−, PO43−, Cl−) was verified at laboratory scale. The tests were carried out both for pure ash and for the ash derived from combustion with the purposeful addition of kaolinite or halloysite. The equilibrium conditions for nitrate, potassium, sodium, phosphate(V), sulphate(VI), and chloride ions from aqueous solutions with the use of the three adsorbent structures were determined. The obtained innovative results were interpreted theoretically with adsorption isotherm models (Langmuir, Freundlich, Temkin, Jovanović). The most spectacular and clearly favorable results related to the influence of nanostructural additives in the process of sludge combustion, and formation of sorption surfaces under high temperature conditions were identified in the case of sorption-based separation of phosphate(V) ions (an increase from 1.13% to 61.24% with the addition of kaolinite, and even up to 76.19% with addition of halloysite).
A Comparison of ACL Injury Risk, Ski Geometry and Standing Height Parameters between Skiers with Rented and with Owned Skis
Authors: Ruedl Gerhard , Posch Markus , Tecklenburg Katja , Schranz Alois , Faulhaber Martin , Pocecco Elena , Burtscher Martin
Published: September 2022

Aim: to evaluate if ACL injuries are associated with recreational skiers using rented skis and whether individual factors, ski geometry parameters and standing heights differ between skiers who rented or owned skis. A retrospective questionnaire-based, case–control study of ACL-injured and uninjured recreational skiers was conducted during six winter seasons. Age, sex, body height, body weight, nationality, ownership of skis, skill level, risk-taking behavior, ski length, side-cut radius, widths of the tip, waist, and tail, and the standing heights at the front and rear components of the ski binding were assessed. Additionally, ratios between ski widths and a standing height ratio were calculated. Altogether, 1780 skiers (48.9% females) with a mean age of 39.2 ± 13.0 years participated, of whom 22.0% sustained an ACL injury and 32.3% rented skis. ACL injury risk was significantly associated with rented skis (OR 3.2, 95% CI 2.5–4.0). Compared to skiers using own skis, participants who rented skis were more likely female, smaller and lighter, tourists, less skilled and more cautious. In comparison to owned skis, rented skis showed significantly lower mean values in ski length, side-cut radius, ski widths, and for the three ski widths ratios. Additionally, standing heights were significantly lower while standing height ratio was higher for rented skis. Beside individual factors, equipment-related factors should be considered when renting skis in order to reduce ACL injury risk.
The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses
Authors: Alsyouf Adi , Ishak Awanis Ku , Lutfi Abdalwali , Alhazmi Fahad Nasser , Al-Okaily Manaf
Published: September 2022

This study examines nurses’ Continuance Intention (CI) to use electronic health records (EHRs) through a combination of three conceptual frameworks: the Unified Theory of Acceptance and Use of Technology (UTAUT), the theory of expectation-confirmation (ECT), and the Five-Factor Model (FFM). A model is developed to examine and predict the determinants of nurses’ CI to use EHRs, including top management support (TMS) and the FFM’s five personality domains. Data were collected from a survey of 497 nurses, which were analyzed using partial least squares. No significant relationship was found between TMS and CI. The study revealed that performance expectancy significantly mediated the influences of two different hypotheses of two predictors: agreeableness and openness to testing CI. A significant moderating impact of conscientiousness was found on the relationship between performance expectancy and CI and the relationship between social influence and CI. The findings of this study indicated that rigorous attention to the personality of individual nurses and substantial TMS could improve nurses’ CI to use EHRs. A literature gap was filled concerning the mediating effects of performance expectancy on the FFM-CI relationship, and the moderation effects of Conscientiousness on UTAUT constructs and CI are another addition to the literature. The results are expected to assist government agencies, health policymakers, and health institutions all over the globe in their attempts to understand the post-adoption use of EHRs.