bluuebunny/crossref_metadata_2025 huggingface dataset:
Are Organizational Interventions Effective in Protecting Healthcare Worker Mental Health during Epidemics/Pandemics? A Systematic Literature Review
Authors: Nicolakakis Nektaria , Lafantaisie Maude , Letellier Marie-Claude , Biron Caroline , Vézina Michel , Jauvin Nathalie , Vivion Maryline , Pelletier Mariève
Published: August 2022

It is unclear how to effectively protect healthcare workers’ mental health during infectious disease epidemics. Targeting the occupational determinants of stress may hold more promise than individual stress management, which has received more focus. Through a systematic review of the 2000–2021 English- and French-language scientific literature, we evaluated the effectiveness of organizational and psychosocial work environment interventions to protect healthcare workers’ mental health in an epidemic/pandemic context. Evidence from medium- and high-quality studies was synthesized using GRADE. Among 1604 unique search results, 41 studies were deemed relevant, yielding 34 low-quality and seven medium-quality studies. The latter reported on promising multi-component prevention programs that combined staffing adjustments, work shift arrangements, enhanced infection prevention and control, recognition of workers’ efforts, psychological and/or logistic support during lockdowns (e.g., accommodation). Our confidence in the effectiveness of reviewed interventions is low to very low, however, owing to methodological limitations. We highlight gaps in the reporting of intervention process and context elements and discuss theory and implementation failure as possible explanations for results. We conclude by urging authors of future studies to include and document detailed risk assessments of the work environment, involve workers in solution design and implementation and consider how this process can be adapted during an emergency.
Potential Effects on Mental Health Status Associated with Occupational Exposure to Pesticides among Thai Farmers
Authors: Ong-Artborirak Parichat , Boonchieng Waraporn , Juntarawijit Yuwayong , Juntarawijit Chudchawal
Published: August 2022

Pesticide-related mental health issues in Thailand, an upper-middle-income country, are not well known. This study aimed to investigate the association between the history of occupational exposure to pesticides and the mental health of Thai farmers. A cross-sectional study was carried out in the areas around Chiang Mai, a large city in Northern Thailand, between June 2020 and January 2021. A total of 6974 farmers from six districts were interviewed to determine whether they regularly experienced symptoms related to mental health by the Self-Reporting Questionnaire (SRQ-20) as well as their lifetime history of agricultural pesticide exposure from 31 active ingredients and five functional categories: insecticides, herbicides, fungicides, rodenticides, and molluscicides. The cut-off of 6 was used to evaluate probable mental disorder. Most of the farmers under investigation were men (53.8%), with a mean age of 55.2 (11.7) years, and were involved mainly in the planting of rice, fruit, and vegetables. About 86.7% reported having used pesticides on their crops at some point in their lives—mostly glyphosate, paraquat, 2,4-D, methomyl, and carbofuran. All functional groups, as well as pesticide classes like organochlorines, organophosphates, and carbamates, were significantly associated with a higher risk of probable mental disorder based on exposure duration, frequency, personal protective equipment usage, and hygienic behavior. In a model with multiple pesticides, there was an association between mental disorder and exposure to endosulfan (AOR = 2.27, 95%CI = 1.26–4.08) and methyl parathion (AOR = 2.26, 95%CI = 1.26–4.06). Having previously reported pesticide poisoning symptoms was related to mental disorder (AOR = 7.97, 95%CI = 5.16–12.31), the findings provided evidence of pesticide exposure posing a risk to farmers’ mental health, particularly long-term and high-intensity exposure.
Complexity of Running and Its Relationship with Joint Kinematics during a Prolonged Run
Authors: Panday Siddhartha Bikram , Pathak Prabhat , Moon Jeheon , Koo Dohoon
Published: August 2022

We investigated the effect of prolonged running on joint kinematics and its association with stride complexity between novice and elite runners. Ten elite marathoners and eleven healthy individuals took part in a 20 min submaximal prolonged running experiment at their preferred running speed (PRS). A three-dimensional motion capture system was utilized to capture and calculate the alpha exponent, stride-to-stride fluctuations (SSFs), and stride-to-stride variability (SSV) of spatiotemporal parameters and joint kinematics. In the results, the elite athletes ran at a considerably higher PRS than the novice runners, yet no significant differences were found in respiratory exchange ratio with increasing time intervals. For the spatiotemporal parameters, we observed a significant increase in the step width and length variability in novice runners with increasing time-interval (p < 0.05). However, we did not observe any differences in the alpha exponent of spatiotemporal parameters. Significant differences in SSF of joint kinematics were observed, particularly in the sagittal plane for ankle, knee, and hip at heel strike (p < 0.05). While in mid-stance, time-interval differences were observed in novices who ran with a lower knee flexion angle (p < 0.05). During toe-off, significantly higher SSV was observed, particularly in the hip and ankle for novices (p < 0.05). The correlation analysis of joint SSV revealed a distinct negative relationship with the alpha exponent of step-length and step-width for elite runners, while, for novices, a positive relation was observed only for the alpha exponent of step-width. In conclusion, our study shows that increased step-width variability seen in novices could be a compensatory mechanism to maintain performance and mitigate the loss of stability. On the other hand, elite runners showed a training-induced effective modulation of lower-limb kinematics to improve their running performance.
Market Women’s Perspectives on Coronavirus Disease 2019 (COVID-19): The Case of Ghana and South Africa
Authors: Frimpong Ebenezer Kwabena , Yamoah Peter , Wiafe Ebenezer , Demana Patrick Hulisani , Matlala Moliehi
Published: August 2022

Globally, countries are still battling health challenges and the negative economic stress on the citizenry caused by COVID-19. This study explored the perspectives of market women in Ghana and South Africa on COVID-19. Data collection was executed in both Ghana and South Africa between March 2021 and December 2021. Employing semi-structured questionnaires, face-to-face interviews were conducted. Most of the market women in Ghana described COVID-19 as a global pandemic, while market women in South Africa described the disease as the deadly flu. There were similarities in the perceived signs and symptoms of COVID-19. Market women in both countries specifically observed that not adhering to the safety protocols was the major mode of transmission. Lemon, garlic and ginger were the most common foodstuffs used by the market women to fight COVID-19. To prevent COVID-19 at their places of work, market women stressed the importance of observing the safety protocols. An overwhelming majority of market women in both countries bemoaned the negative impact of COVID-19 on their businesses and suggested the need for financial assistance from their respective governments. The findings are intended to assist policymakers in both Ghana and South Africa to implement interventional projects to assist women whom the literature suggests are the most vulnerable during pandemics such as COVID-19.
Spatial Spillover Effect of Rural Labor Transfer on the Eco-Efficiency of Cultivated Land Use: Evidence from China
Authors: Zou Xiuqing , Xie Meihui , Li Zhiyuan , Duan Kaifeng
Published: August 2022

In this study, the influence of rural labor transfer and its spatial spillover effect on the eco-efficiency of cultivated land use (ECLU) in different regions were investigated using the undesirable super-efficiency epsilon based measure (EBM) and spatial Durbin models and data of 31 Chinese provinces for the period 1990–2018. The results show that: (1) China’s rural labor transfer rate increased; (2) in the east region, the ECLU has exceeded the national average level since 2001. In the west and northeast regions, the ECLU was higher, whereas it remained below the national average level in Central China; (3) in the whole country, west, and northeast regions, the effect of rural labor transfer on the ECLU was first negative and then positive, whereas it was insignificant in East and Central China. In Central, West, and Northeast China, the effect of the labor transfer on the ECLU had significant spatial spillover effects; (4) a significant U-shaped trend was observed between the local labor transfer and ECLU in the whole country, west, and northeast regions. A positive linear correlation was determined for Central China; labor transfer in other regions had significant indirect effects on the ECLU in Central and Northeastern China. In conclusion, China’s rural labor transfer had a significant spatial spillover effect on the ECLU, and differences were observed between East, Central, West, and Northeast China.
Dietary Exposure to United States Food and Drug Administration-Approved Synthetic Food Colors in Children, Pregnant Women, and Women of Childbearing Age Living in the United States
Authors: Bradman Asa , Castorina Rosemary , Thilakaratne Ruwan , Gillan Mayela , Pattabhiraman Teja , Nirula Anuroop , Marty Melanie , Miller Mark D.
Published: August 2022

The Food and Drug Administration (FDA) regulates artificial food colors (AFCs) in the United States. Exposure to AFCs has raised concerns about adverse behavioral effects in children. We quantified AFC exposure in women of childbearing age, pregnant women, and children and compared them to FDA and World Health Organization acceptable daily intakes (ADIs). We estimated the “typical” and “high” single-day and two-day average dietary exposure to each AFC (mg/kg/day) based on laboratory measurements and food consumption data from the 2015–2016 National Health and Nutrition Examination Survey (NHANES). We also examined whether AFC intake differed by income, education, and ethnicity. Exposure tended to be higher in children and the highest AFC exposure was found for Red No. 40. Children’s mean and 95th percentile FD&C Red No. 3 estimated intakes exceeded the ADIs in some instances. Juice drinks, soft drinks, icings, and ice cream cones were major foods contributing to children’s (<16 years old) AFC exposure. AFC intake was higher in participants with lower incomes and education and of African American ethnicity. The findings indicate widespread AFC exposure including in very young children. Research is needed on the sociodemographic determinants of exposure and AFC toxicokinetics to better describe the absorption and organ-specific exposure.
A Standardised Core Outcome Set for Measurement and Reporting Sedentary Behaviour Interventional Research: The CROSBI Consensus Study
Authors: Curran Fiona , Dowd Kieran P. , Peiris Casey L. , van der Ploeg Hidde P. , Tremblay Mark S. , O’Donoghue Grainne
Published: August 2022

Heterogeneity of descriptors and outcomes measured and reported in sedentary behaviour (SB) research hinder the meta-analysis of data and accumulation of evidence. The objective of the Core Research Outcomes for Sedentary Behaviour Interventions (CROSBI) consensus study was to identify and validate, a core outcome set (COS) to report (what, how, when to measure) in interventional sedentary behaviour studies. Outcomes, extracted from a systematic literature review, were categorized into domains and data items (COS v0.0). International experts (n = 5) provided feedback and identified additional items, which were incorporated into COS v0.1. A two round online Delphi survey was conducted to seek consensus from a wider stakeholder group and outcomes that achieved consensus in the second round COS (v0.2), were ratified by the expert panel. The final COS (v1.0) contains 53 data items across 12 domains, relating to demographics, device details, wear-time criteria, wear-time measures, posture-related measures, sedentary breaks, sedentary bouts and physical activity. Notably, results indicate that sedentary behaviour outcomes should be measured by devices that include an inclinometry or postural function. The proposed standardised COS is available openly to enhance the accumulation of pooled evidence in future sedentary behaviour intervention research and practice.
A Study of Food Safety Knowledge for Sustainable Foodservice Management of Childcare Centers in South Korea Using Importance–Performance Analysis
Authors: Choi Jeong-Sil , Ju Se-Young
Published: August 2022

This study aims to evaluate the importance and performance level of knowledge about sanitary management among foodservice employees in childcare centers that were registered at Center for Children’s Food Service Management in Chungju city according to their work duration, type of childcare center, and number of enrolled children. The self-administered questionnaire was conducted to examine food safety attributes of sanitary management at 150 childcare centers without qualified dietitians registered at Center for Children’s Food Service Management of Chungju city. The questionnaire consisted of 15 questions about perceived importance and performance regarding sanitation management (personal hygiene, ingredient control, temperature control of food, facility, equipment, and utensils sanitation) using IPA (importance–performance analysis). The results show that overall mean scores of the importance and performance of sanitary knowledge were 4.71 and 4.67 out of 5, respectively. ‘Checking the center temperature at 75 °C for 1 min in the thickest part of meat (3 times or more check for each serving)’ (p = 0.047) and ‘Keeping preserved meals (at least 100 g of each menu) for 144 h. with −18 °C or less’ (p < 0.001) show significantly lower scores of performance than those of importance. The results of importance and performance for sanitary management according to work duration of foodservice employees show that those who have worked more than 10 years had the highest scores of importance and performance for overall sanitary management among them. For the types of childcare centers, the overall performance scores of national/public employees for sanitary management were lower than those of private or home type (p < 0.001). Additionally, the result showed that the overall importance (p < 0.001) and performance scores (p < 0.001) of employees for sanitary management in centers with <50 children were higher than those in centers with ≥50 children. This result should provide more useful information to develop food safety programs for employees and sustainable foodservice management in childcare centers.
Bi-Directional Pollution Characteristics and Ecological Health Risk Assessment of Heavy Metals in Soil and Crops in Wanjiang Economic Zone, Anhui Province, China
Authors: Wu Dun , Liu Hai , Wu Jian , Gao Xia , Nyasha Ndhlovu kataza , Cai Guojun , Zhang Wenyong
Published: August 2022

Understanding the extent of contamination, sources and various carcinogenic and non-carcinogenic risks associated with different heavy metals in soil-crop systems is crucial for the prevention of heavy metal pollution. A survey was undertaken to determine heavy metal concentrations and degree of pollution in soil-crop systems (rice, wheat, and corn) using various indices such as pollution factor (CF), geo-accumulation index (Igeo), enrichment coefficients and transfer coefficient, and to determine the source of heavy metals pollution in the Wanjiang Economic Zone, Anhui Province, China. A total of 308 pairs of soil-crop samples were collected in this study, comprising 245 pairs of soil-rice samples, 53 pairs of soil-wheat samples, and 10 pairs of soil-corn samples. The concentrations of cadmium (Cd) and nickel (Ni) in the soil of the study area exceeded the national limitation of heavy metals in the soil of China (GB 15618-2018, Soil Environmental Quality: Risk Control Standard for Soil Contamination of Agricultural Land. Ministry of Environmental Protection of China. Beijing. China). The concentrations of copper (Cu), zinc (Zn) and lead (Pb) were also above the national limits to a lesser extent. All eight heavy metals (Cd, Cu, Ni, Pb Zn, arsenic (As), chromium (Cr), and mercury (Hg)) exceeded the background values in the study area. The enrichment coefficients of rice, wheat and maize to Cd, Cu and Zn were higher than those to other elements. On the basis of Igeo, it can be indicated that the rhizosphere soil of rice was slightly polluted by Cd and Hg, while the concentrations of the other heavy metals were below the safety limits. The CF and pollution load index (PLI) indicated that the soil in the study area was heavily contaminated with heavy metals. A principal component analysis identified different sources of soil heavy metal pollution, that is, Cu, Pb, Zn and Cd from industrial sources, Cr and Ni from natural sources, and As and Hg from agricultural sources. The carcinogenic risk of heavy metals was related to the intake of crops. Residents in the study area ingest rice, wheat, and corn on a daily basis. On the basis this study, it is suggested that local governments should pay attention to the carcinogenic risk of heavy metals in rice.
Association between COVID-19 and Sick Leave for Healthcare Workers in a Large Academic Hospital in Southern Italy: An Observational Study
Authors: Palladino Raffaele , Mercogliano Michelangelo , Fiorilla Claudio , Frangiosa Alessandro , Iodice Sabrina , Sanduzzi Zamparelli Stefano , Montella Emma , Triassi Maria , Sanduzzi Zamparelli Alessandro
Published: August 2022

Studies have shown that the pandemic has led to an increase in sick leave periods among healthcare workers (HCWs); however, this might have changed over time considering increase in vaccination coverage and change in COVID-19 variant predominance. Therefore, we conducted an observational study to evaluate whether the type of symptoms and the duration of sick leave period for healthcare workers working in a large university hospital in the South of Italy changed between January 2021 and January 2022; 398 cases of COVID-19 were identified for a total of 382 subjects involved. A total of 191 subjects answered the questionnaire about symptoms; of these, 79 had COVID-19 during the period from March 2020 until February 2022. The results showed a decrease of about 1.2 days in sick leave period for each quarter without finding significant differences in the perception of symptoms. It is possible to hypothesize a contribution from the Omicron variant to the decrease in sick leave period in the last quarter, from vaccination coverage, from optimization of COVID-19 management, and from change in the regulations for the assessment of positivity.
Influence of Non-Standard Tourist Accommodation’s Environmental Stimuli on Customer Loyalty: The Mediating Effect of Emotional Experience and the Moderating Effect of Personality Traits
Authors: Liu Shuzhen , Wang Xueji , Wang Lei , Pang Zhaoling
Published: August 2022

In recent years, minsu (homestays), a non-standard tourist accommodation, have been gaining popularity in China. The minsu has become an innovative driving force promoting the transformation of tourist destinations. This paper attempts to explore the relationship between the minsu’s environment (ambience) and customer loyalty, as customer loyalty is crucial to the sustainability of minsu and tourism destinations. This paper adopts Lijiang, China, as an empirical example to explore the relationship between the multi-dimensional environment of minsu and its influence on customer loyalty. Findings include: (1) the multi-dimensional environment perception of minsu includes spatial, cultural and social environment perception, all of which have a significant positive impact on emotional experience in varying degrees; (2) the emotional experience of minsu guests plays a significant mediating role between the minsu’s environmental perception and loyalty; (3) personality traits of openness, agreeableness and conscientiousness play a moderating role in the impact of residential space environment perception on emotional experience. Using the S-O-R model, this paper introduces emotional experience and personality traits into the relationship model between the minsu’s environment perception and customer loyalty and contributes to extant literature on the influence of customer loyalty in tourist destinations. The theoretical and practical implications are discussed.
The Level of Fear in the Polish Police Population during the COVID-19 Pandemic with the Impact of Sociodemographic Variables
Authors: Szykuła-Piec Barbara , Piec Robert , Zaczyński Artur , Wójtowicz Rafał , Butkiewicz Sławomir , Rusyan Ewa , Adamczyk Kamil , Walecka Irena , Dmochowska Anna , Rogula-Kozłowska Wioletta
Published: August 2022

This study has a twofold objective. First, we aim to measure the levels of fear among Polish police officers using the COVID-19 Fear Scale (FCV-19S) that has a stable unidimensional structure allowing for the provision of additional data by combining variables. This structure allows the second objective to be met to measure the correlation with sociodemographic variables. The utilitarian objective of the study is to provide information for updating support policies for stress management in the service. The questionnaire was completed by 1862 people with a mean age of 38.75 years with a good Cronbach’s alpha (0.89). The perceived level of fear associated with COVID-19 should be considered relatively low. Caring for the elderly does not affect the level of fear. The factors of gender, age and having children statistically significantly differentiate the perceptions of fear. Therefore, there is a necessity to focus on building support for police officers who are over 50 years old, as well as for women, where higher levels of fear in both men and women can translate into the development of psychosomatic illnesses.
A Multi-Analysis of Children and Adolescents’ Video Gaming Addiction with the AHP and TOPSIS Methods
Authors: Khorsandi Armita , Li Liping
Published: August 2022

The video game market has become increasingly popular among children and adolescents in recent decades. In this research, we investigated the Video Game Addiction Scale (VGAS) for Chinese children and adolescents. We aimed to examine children and adolescents’ prioritization on the VGAS criteria and comparative analysis of the trend of video game addiction among them. A cross-sectional paper questionnaire study was conducted on 1400 Chinese students from grade 3 (9 years old) to grade 12 (18 years old). The respondents had to complete the socio-demographic information and the VGAS test. The VGAS characteristic was prepared in 18 criteria, which was the combination of the Video Game Addiction Test (VAT), Gaming Addiction Scale (GAS), and Revised Chinese Internet Addiction (CIAS-R). Eventually, the VGAS criteria prioritization was ranked methodologically through the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method for each grade separately. Additionally, the Analytic Hierarchy Process (AHP) weighting technique was utilized to analyze the video game addiction of each grade under the four alternatives, individually. The results indicate that 3rd-grade students with some levels of addiction were the youngest who felt their life would not be fun without video games. Students in 5th grade with some levels of addiction were the youngest students who disclosed that their willingness to play video games is for forgetting their problems or feeling down. Moreover, they played video games more than before, thus, they did not sleep enough. Pupils of grade 6 reported that they played video games more than last semester. In their opinion, it is fair to play video games this much and does not need to reduce playing hours. Not getting enough sleep because of playing video games was seen in 7th graders as their first preference. 10th-grade students were the first to neglect to do their important responsibilities for playing video games. None of the 7th and 12th graders were somehow safe from video game addiction. In conclusion, playing video games can negatively affect studying, sleeplessness, getting far from society, and skipping important responsibilities for school students. Furthermore, the symptoms of video game addiction had seen at younger ages. These data provided insights for decision-makers to target effective measures to prevent children and adolescents’ video game addiction.
Moral Distress among Frontline Physicians and Nurses in the Early Phase of COVID-19 Pandemic in Italy
Authors: Maffoni Marina , Fiabane Elena , Setti Ilaria , Martelli Sara , Pistarini Caterina , Sommovigo Valentina
Published: August 2022

During the COVID-19 health emergency, healthcare professionals faced several ethical demanding job stressors, becoming at particular risk of moral distress. To date, only a few scales have been developed to evaluate moral distress among frontline professionals working in contact with COVID-19 patients. Moreover, although many healthcare professionals from various disciplines were converted to COVID-19 patient care, no study has yet analyzed whether the resulting change in duties might represent a risk factor for moral distress. Thus, this study aimed to investigate how and when the change in duties during the emergency would be related to healthcare professionals’ psycho-physical malaise. To this aim, a first Italian adaptation of the Stress of Conscience Questionnaire (SCQ) was provided. In total, 272 Italian healthcare professionals participated in this cross-sectional study. Healthcare professionals who had to perform tasks outside their usual clinical duties were more likely to experience moral distress and then psycho-physical malaise. This was particularly likely for those who were extremely concerned about becoming infected with the virus. The results also indicated that the Italian adaptation of the SCQ had a one-factor solution composed of six items. This study provides the first Italian adaptation of SCQ and practical suggestions on how supporting professionals’ well-being during emergencies.
The Efficacy of Parent Training Interventions with Parents of Children with Developmental Disabilities
Authors: Ragni Benedetta , Boldrini Francesca , Mangialavori Sonia , Cacioppo Marco , Capurso Michele , De Stasio Simona
Published: August 2022

Parenting children with developmental disabilities (DD) can be generally characterized by a considerable psychological burden. The effects on parental and familial psychological well-being and, consequently, on children’s developmental outcomes should not be underestimated, especially in early childhood. The current review aims to advance our understanding of the key factors (e.g., formats, sample characteristics, research design) that characterize parent training interventions, and that could be related to their outcomes, to guide researchers and clinical practitioners to develop and provide efficient programs. Studies were identified via an Internet search from three electronic databases, following PRIMSA guidelines. Studies published until November 2021 were taken into account. The initial search yielded a total of 2475 studies. Among them, 101 studies were fully reviewed. Finally, ten of the studies, which met all the inclusion criteria, formed the basis for this review. Participants’ characteristics, main features of the interventions (i.e., study design, structure, and contents), outcome variables and treatment efficacy were deeply examined and discussed. Key factors of parent training interventions with parents of children affected by DD are enlightened, to guide researchers and clinicians in the design and implementation of tailored specific programs, aimed to sustain parenting and foster children’s developmental outcomes, from early stages of life.
Spatiotemporal Variation in Ground Level Ozone and Its Driving Factors: A Comparative Study of Coastal and Inland Cities in Eastern China
Authors: Zhou Mengge , Li Yonghua , Zhang Fengying
Published: August 2022

Variations in marine and terrestrial geographical environments can cause considerable differences in meteorological conditions, economic features, and population density (PD) levels between coastal and inland cities, which in turn can affect the urban air quality. In this study, a five-year (2016–2020) dataset encompassing air monitoring (from the China National Environmental Monitoring Centre), socioeconomic statistical (from the Shandong Province Bureau of Statistics) and meteorological data (from the U.S. National Centers for Environmental Information, National Oceanic and Atmospheric Administration) was employed to investigate the spatiotemporal distribution characteristics and underlying drivers of urban ozone (O3) in Shandong Province, a region with both land and sea environments in eastern China. The main research methods included the multiscale geographically weighted regression (MGWR) model and wavelet analysis. From 2016 to 2019, the O3 concentration increased year by year in most cities, but in 2020, the O3 concentration in all cities decreased. O3 concentration exhibited obvious regional differences, with higher levels in inland areas and lower levels in eastern coastal areas. The MGWR analysis results indicated the relationship between PD, urbanization rate (UR), and O3 was greater in coastal cities than that in the inland cities. Furthermore, the wavelet coherence (WTC) analysis results indicated that the daily maximum temperature was the most important factor influencing the O3 concentration. Compared with NO, NO2, and NOx (NOx ≡ NO + NO2), the ratio of NO2/NO was more coherent with O3. In addition, the temperature, the wind speed, nitrogen oxides, and fine particulate matter (PM2.5) exerted a greater impact on O3 in coastal cities than that in inland cities. In summary, the effects of the various abovementioned factors on O3 differed between coastal cities and inland cities. The present study could provide a scientific basis for targeted O3 pollution control in coastal and inland cities.
A Quality Improvement Project to Support Post-Intensive Care Unit Patients with COVID-19: Structured Telephone Support
Authors: op ‘t Hoog Sabine A. J. J. , Eskes Anne M. , van Oers Jos A. H. , Boerrigter José L. , Prins-Smulders Meike W. J. C. , Oomen Margo , van der Hoeven Johannes G. , Vermeulen Hester , Vloet Lilian C. M.
Published: August 2022

Background: More than 50% of intensive care unit (ICU) survivors suffer from long-lasting physical, psychosocial, and cognitive health impairments, also called “post-intensive care syndrome” (PICS). Intensive care admission during the COVID-19 pandemic was especially uncertain and stressful, both for patients and for their family. An additional risk of developing symptoms of PICS was feared in the absence of structural aftercare for the patient and family shortly after discharge from the hospital. The purpose of this quality improvement study was to identify PICS symptoms and to support post-intensive care patients and families in the transition from the hospital to the home. Therefore, we offered post-ICU patients and families structured telephone support (STS). Methods: This was a quality improvement study during the 2019 COVID-19 pandemic. A project team developed and implemented a tool to structure telephone calls to identify and order symptoms according to the PICS framework and to give individual support based on this information. We supported post-ICU patients diagnosed with COVID-19 pneumonia and their family caregivers within four weeks after hospital discharge. The reported findings were both quantitative and qualitative. Results: Forty-six post-ICU patients received structured telephone support and reported symptoms in at least one of the three domains of the PICS framework. More than half of the patients experienced a loss of strength or condition and fatigue. Cognitive and psychological impairments were reported less frequently. Family caregivers reported fewer impairments concerning fatigue and sleeping problems and expressed a need for a continuity of care. Based on the obtained information, the ICU nurse practitioners were able to check if individual care plans were optimal and clear and, if indicated, initiated disciplines to optimize further follow-up. Conclusions: The implementation of the STS tool gave insight in the impairments of post-ICU patients. Surprisingly, family caregivers expressed fewer impairments. Giving support early after hospital discharge in a structured way may contribute to providing guidance in the individual care plans and treatment of the early symptoms of PICS (-F).
Change of Rice Paddy and Its Impact on Human Well-Being from the Perspective of Land Surface Temperature in the Northeastern Sanjiang Plain of China
Authors: Pan Tao , Bao Zhengyi , Ning Letian , Tong Siqin
Published: August 2022

Large-scale and high-speed paddy land expansion has appeared in Northeast China since the 21st century, causing the change in land surface temperature. The lack of continuous investigation limits the exploration of discoveries in this region. To address this limitation, a collaborative approach that combined human–computer interaction technology, gravity center model and spatial analysis was established. It provided some new findings in spatiotemporal evolution, migration trajectory and surface cooling effect of the paddy field in Northeastern Sanjiang Plain, a center of paddy field planting in China. The results show that: (1) A sustained paddy expansion was monitored, with a total area ranging from 2564.58 km2 to 11430.94 km2, along with a rate of growth of 345.72% from 2000 to 2020. Correspondingly, its reclamation rate changed to 47.53% from 10.66%, showing the improved planting level of the paddy field. (2) Gravity center of paddy field continued to be revealed northward with a 5-year interval from 2000 to 2020. Migration distance of the straight line reached 23.94 km2, with the direction offset of 27.20° from east to north. (3) Throughout the growing season of crops, the land surface temperature of paddy field was 27.73°, 29.38°, 27.01°, 25.62° and 22.97° from May to October; and the cooling temperature effect of paddy field was investigated, with the reduced values of 0.61°, 0.79° and 1.10° in the low-, medium- and high-paddy field density regions from 2000 to 2020, respectively. Overall, these new findings in the cold temperate zone, high latitude region of the Northern Hemisphere, provided the reference for the investigation of paddy field monitoring and its environmental effects in China and other regions.
Anxiety, Stress Coping Styles and Hope for Success among Graduate Students and High School Graduates during the COVID-19 Pandemic: The Moderating Role of Remote Learning
Authors: Michałowska Sylwia , Rachubińska Karolina , Konieczny Krystian
Published: August 2022

The COVID-19 pandemic has significantly influenced the area of education, in terms of both teaching and learning effectiveness. The aim of the study was to compare groups of high school graduates and graduate students. The Coping Inventory in Stressful Situations (CISS), State and Trait Anxiety Inventory (STAI), Hope for Success Questionnaire (KNS), and our own questionnaire were used in the study. The results of the research show that the group of high school graduates, compared to the graduate students, was characterized by a higher level of anxiety, a style focused on emotions and a lower level of hope for success. People who passed the exam in the online form were characterized by a higher level of anxiety compared to the respondents who passed the exam in the stationary form. According to the results of this study, it can be concluded that the styles of coping and the level of hope for success may be both protective and risk factors related to the level of anxiety during distance learning.
Factors Affecting Zero-Waste Behaviours of College Students
Authors: Choi Eun-Hi , Lee Hyunjin , Kang Mi-Jung , Nam Inwoo , Moon Hui-Kyeong , Sung Ji-Won , Eu Jae-Yun , Lee Hae-Bin
Published: August 2022

This study evaluated the recognition and attitude toward microplastic and zero waste among college students and investigated the factors influencing their zero-waste behaviours. The study was conducted from 20 August 2021 to 10 September 2021, including students at a university in G metropolitan city, Republic of Korea. A total of 196 data were analysed. Statements were developed to verify how the use of disposables and the recognition, attitude, and behaviours related to zero waste were affected during the COVID-19 pandemic. Family type and usage of disposables were the factors affecting zero-waste behaviour in Model 1. In Model 2, which included the subcategory of zero-waste recognition, the health effects of microplastics and environmental preservation were significant factors. In Model 3, which included the subcategory of zero-waste attitude, the health effects of microplastics (β = 0.149, p = 0.016), use of eco-friendly products (β = 0.342, p < 0.001), and environmental preservation (β = 0.317, p < 0.001) were significant factors. The use of plastic products increased dramatically during the COVID-19 pandemic. Research and education are needed to promote zero-waste behaviours with a focus on microplastics. Raising awareness of the health effects of microplastics can enhance the effectiveness of education.
Pollution and Risk Assessments of Heavy Metal(loid)s in the Soil around Lead-Zinc Smelteries via Data Integration Analysis
Authors: Zhou Ziruo , Peng Chi , Liu Xu , Jiang Zhichao , Guo Zhaohui , Xiao Xiyuan
Published: August 2022

Pb–Zn smelting is a major cause of heavy metal(loid) contaminations in soils. We collected data on heavy metal(loid)s in the soils near Pb–Zn smelteries globally from 54 peer-reviewed reports to study the metals’ distribution, pollution index, and potential ecological and health risks. We observed that 90% of the studied Pb–Zn smelteries were distributed in Asia and Europe. Heavy metal(loid)s were mainly deposited within a 2 km distance to the smelteries, with mean concentrations (mg/kg) of 208.3 for As, 26.6 for Cd, 191.8 for Cu, 4192.6 for Pb, and 4187.7 for Zn, respectively. Cd and Pb concentrations in the soil exceeded their corresponding upper continental crust values several hundred folds, suggesting severe contamination. The smelting area had the highest heavy metal(loid) contamination in soil, followed by the forest land, farmland, and living area. Compared with the soil environmental standard values from various countries, As, Cd, Pb, and Zn were considered priority pollutants for protecting the ecosystem and human health. Likewise, As, Cd, and Pb were suggested as the priority pollutants for protecting groundwater safety. The potential ecological and health risks of heavy metal(loid)s in the soil within 2 km of Pb–Zn smelteries were severe and should be of concern.
Real-Life Inter-Rater Variability of the PRAETORIAN Score Values
Authors: Budrejko Szymon , Kempa Maciej , Krupa Wojciech , Królak Tomasz , Fabiszak Tomasz , Raczak Grzegorz
Published: August 2022

(1) Background: The PRAETORIAN score is a tool developed for postoperative evaluation of the position of subcutaneous implantable cardioverter-defibrillator systems. The aim of our study was to evaluate the real-life inter-rater variability of the PRAETORIAN score, based on chest radiographs of S-ICD patients reviewed by independent clinical raters. (2) Methods: Postoperative chest X-rays of patients that underwent S-ICD implantation were evaluated by five clinical raters who gave values of the PRAETORIAN score. Ratings were then compared in a fully crossed manner to determine the inter-rater variability of the attributed scores. (3) Results: In total, 87 patients were included in the study. In the case of the most important final risk category of the PRAETORIAN score, the mean Light’s kappa was 0.804, the Fleiss’ kappa was 0.249, and the intraclass correlation was 0.38. The final risk category was identically determined by all five raters in 75.86% of patients, by four raters in 14.94%, and by three raters in 9.20% of patients. (4) Conclusions: The overall inter-rater variability of the PRAETORIAN score in a group of electrophysiologists experienced in S-ICD implantation, yet previously naive to the PRAETORIAN score, and self-trained in its utilization, was only modest in our study. Appropriate use of the score might require training of clinical raters.
Balancing the Bar–Influence of Social Behaviour on Sport Climbing Performance
Authors: Simen Floyd , Hohmann Andreas , Siener Maximilian
Published: August 2022

Background: For high performance in sport climbing, various factors must be taken into account, however, social interactions during climbing sessions have not yet been considered. Methods: For this study, four assumptions were made: (1) elite climbers share similar patterns of behaviour; (2) these behaviour patterns influence the climbing performance in a positive way; (3) the behaviour patterns had to be formed over time, and the process of changing behaviour was catalysed by formative experiences; and, (4) the social behaviour of elite climbers shows a tendency to be on their own rather than in the centre of social events, while their behavioural roots date back to their school life. Six male higher-elite-level climbers participated in semi-structured in-depth interviews. Results: In school, all participants perceived themselves as not being at the centre of social interactions. Moreover, all participants described a development from egoistic behaviour towards more supportive behaviour. Two participants were able to outline specific, formative experiences (crucibles), that drastically shaped their behaviour. Conclusion: All participants performed best in the absence of social tensions and when the atmosphere between the climbing partners was positive. Positive atmosphere was achieved by finding the optimal personal balance between supportive and egoistic behaviour.
Acculturation Profiles of Weight Perception Status among US Foreign-Born Hispanic/Latino Adults: A Mixture Model Approach
Authors: Villalobos Kevin , Montiel Ishino Francisco A. , Williams Faustine
Published: August 2022

The objective of this study was to identify profiles of acculturation and weight-by-weight perception status among United States (US) foreign-born Hispanic/Latino adults using a person-centered approach. We conducted a latent class analysis (LCA) on 1999–2004 National Health and Nutrition Examination Survey (NHANES) data from US foreign-born Hispanic/Latino adults 18 years and older (N = 4944). Acculturation was assessed by self-reported linguistic acculturation questions from the Short Acculturation Scale for Hispanics. Weight was assessed by body mass index (BMI). Covariates included weight perception and sociodemographic factors to compare and further differentiate profiles. Three profiles were identified: bicultural (15% of sample), low acculturation (84%), and non-integrated (1%). All the profiles had a BMI that was considered overweight or obese. The low acculturated profile was less likely (odds ratio (OR): 0.62, 95% confidence interval (CI): 0.43–0.91) to perceive themselves as overweight relative to the bicultural class. The low accultured profile was also more likely to be female and a US citizen (OR: 1.45, 95% CI: 1.09–1.92 and OR: 2.29, 95% CI: 1.57–3.34) in comparison to the bicultural class. Our study is among the first to use LCA to examine weight perception on acculturation status and weight profiles among US foreign-born Hispanic/Latino adults. The findings of our study are a step towards building a foundation to mitigate weight disparities among underserved/underrepresented US foreign-born individuals, especially Hispanics/Latinos. Our results can also inform the development of tailored interventions.
Ethnic Differences in Attitudes and Preventive Behaviors Related to Alzheimer’s Disease in the Israeli Survey of Aging
Authors: Neter Efrat , Chachashvili-Bolotin Svetlana
Published: August 2022

Objectives: To examine ethnic differences in attitudes and preventive behaviors related to Alzheimer’s Disease (AD) in Israel. Methods: A household representative sample included 1198 older adults (M age = 70.78, SD = 9.64) who participated in the Israeli branch of the Survey of Health, Aging, and Retirement in Europe (SHARE-Israel), collected during 2015 and 2017. Descriptions of the groups (long term Israeli Jews (LTIJ), immigrants from the Former Soviet Union (FSU) and Palestinian Citizens of Israel (PCI)) were computed, and hierarchical regressions tested whether group differences were maintained after controlling for demographic, human and economic resources, Internet use, and AD familiarity. Results: Attitudes towards AD were the most negative among FSU and more accepting among PCI while AD-related preventive behaviors were highest among FSU, lowest among PCI, with LTIJ between them. After including demographic, human and economic resources, and familiarity with AD, differences in AD-preventive behaviors significantly decreased. In contrast, differences in attitudes among the groups remained stable even after other variables were accounted for, so that PCI were the most accepting and FSU manifested greatest avoidance of contact with persons with AD. Conclusions: The findings provide directions for culturally sensitive psycho-educational and other interventions for both the public and healthcare providers.
Hospitalization Costs of Respiratory Diseases Attributable to Temperature in Australia and Projections for Future Costs in the 2030s and 2050s under Climate Change
Authors: Tong Michael , Wondmagegn Berhanu , Xiang Jianjun , Hansen Alana , Dear Keith , Pisaniello Dino , Varghese Blesson , Xiao Jianguo , Jian Le , Scalley Benjamin , Nitschke Monika , Nairn John , Bambrick Hilary , Karnon Jonathan , Bi Peng
Published: August 2022

This study aimed to estimate respiratory disease hospitalization costs attributable to ambient temperatures and to estimate the future hospitalization costs in Australia. The associations between daily hospitalization costs for respiratory diseases and temperatures in Sydney and Perth over the study period of 2010–2016 were analyzed using distributed non-linear lag models. Future hospitalization costs were estimated based on three predicted climate change scenarios-RCP2.6, RCP4.5 and RCP8.5. The estimated respiratory disease hospitalization costs attributable to ambient temperatures increased from 493.2 million Australian dollars (AUD) in the 2010s to more than AUD 700 million in 2050s in Sydney and from AUD 98.0 million to about AUD 150 million in Perth. The current cold attributable fraction in Sydney (23.7%) and Perth (11.2%) is estimated to decline by the middle of this century to (18.1–20.1%) and (5.1–6.6%), respectively, while the heat-attributable fraction for respiratory disease is expected to gradually increase from 2.6% up to 5.5% in Perth. Limitations of this study should be noted, such as lacking information on individual-level exposures, local air pollution levels, and other behavioral risks, which is common in such ecological studies. Nonetheless, this study found both cold and hot temperatures increased the overall hospitalization costs for respiratory diseases, although the attributable fractions varied. The largest contributor was cold temperatures. While respiratory disease hospitalization costs will increase in the future, climate change may result in a decrease in the cold attributable fraction and an increase in the heat attributable fraction, depending on the location.