bluuebunny/crossref_metadata_2025 huggingface dataset:
Child Welfare Reform: A Scoping Review
Authors: McTavish Jill R. , McKee Christine , Tanaka Masako , MacMillan Harriet L.
Published: October 2022

While there have been ongoing calls to reform child welfare so that it better meets children’s and families’ needs, to date there have been no comprehensive summaries of child welfare reform strategies. For this systematic scoping review, we summarized authors’ recommendations for improving child welfare. We conducted a systematic search (2010 to 2021) and included published reviews that addressed authors’ recommendations for improving child welfare for children, youth, and families coming into contact with child welfare in high-income countries. A total of 4758 records was identified by the systematic search, 685 full-text articles were screened for eligibility, and 433 reviews were found to be eligible for this scoping review. Reviews were theoretically divided, with some review authors recommending reform efforts at the macro level (e.g., addressing poverty) and others recommending reform efforts at the practice level (e.g., implementing evidence-based parenting programs). Reform efforts across socioecological levels were summarized in this scoping review. An important next step is to formulate what policy solutions are likely to lead to the greatest improvement in safety and well-being for children and families involved in child welfare.
A Comparison of Mental Health among Earthquake, Tsunami, and Nuclear Power Plant Accident Survivors in the Long Term after the Great East Japan Earthquake
Authors: Sodeyama Noriko , Takahashi Sho , Aiba Miyuki , Haraguchi Yayoi , Arai Tetsuaki , Tachikawa Hirokazu
Published: October 2022

Even now, ten years after the Great East Japan Earthquake (GEJE), thousands of residents of Fukushima Prefecture are still living as evacuees. To understand the mental health states and needs for psychological care of the survivors, we conducted a questionnaire survey of survivors who were evacuated from Fukushima to Ibaraki due to the nuclear power plant accident and of the residents of two areas in Ibaraki where damage was particularly severe due to the tsunami or liquefaction. Our results show that stress related to participants’ hometowns and to the disaster was a risk factor for depression and post-traumatic stress among the survivors in the medium to long term in all regions examined. Other risk factors for post-traumatic stress differed by region. This study shows that in a complex disaster such as the GEJE, where damage is widespread, the causes of damage and the experiences of disaster survivors differ greatly from region to region and that risk factors for depression and post-traumatic stress among disaster survivors over the medium to long term may also differ. To provide appropriate care to disaster survivors, it is necessary to determine what is causing the risk of depression and post-traumatic stress at any given time and in specific regions.
Improvement of In Vivo Fluorescence Tools for Fast Monitoring of Freshwater Phytoplankton and Potentially Harmful Cyanobacteria
Authors: Simonazzi Mara , Pezzolesi Laura , Guerrini Franca , Vanucci Silvana , Graziani Giancarlo , Vasumini Ivo , Pandolfi Andrea , Servadei Irene , Pistocchi Rossella
Published: October 2022

The use of multi-wavelength spectrofluorometers for the fast detection of algal taxa, based on chlorophyll a (Chl-a) emission spectra, has become a common practice in freshwater water management, although concerns about their accuracy have been raised. Here, inter-laboratory comparisons using monoalgal cultures have been performed to assess the reliability of different spectrofluorometer models, alongside Chl-a extraction methods. Higher Chl-a concentrations were obtained when using the spectrofluorometers than extraction methods, likely due to the poor extraction efficiencies of solvents, highlighting that traditional extraction methods could underestimate algal or cyanobacterial biomass. Spectrofluorometers correctly assigned species to the respective taxonomic group, with low and constant percent attribution errors (Chlorophyta and Euglenophyceae 6–8%, Cyanobacteria 0–3%, and Bacillariophyta 10–16%), suggesting that functioning limitations can be overcome by spectrofluorometer re-calibration with fresh cultures. The monitoring of a natural phytoplankton assemblage dominated by Chlorophyta and Cyanobacteria gave consistent results among spectrofluorometers and with microscopic observations, especially when cell biovolume rather than cell density was considered. In conclusion, multi-wavelength spectrofluorometers were confirmed as valid tools for freshwater monitoring, whereas a major focus on intercalibration procedures is encouraged to improve their reliability and broaden their use as fast monitoring tools to prevent environmental and public health issues related to the presence of harmful cyanobacteria.
COVID-19 Mortality in Public Hospitals in a Brazilian State: An Analysis of the Three Waves of the Pandemic
Authors: Dell’Antonio Larissa Soares , Leite Franciéle Marabotti Costa , Dell’Antonio Cristiano Soares da Silva , Souza Camila Brandão de , Garbin Juliana Rodrigues Tovar , Santos Ana Paula Brioschi dos , Medeiros Junior Nésio Fernandes de , Lopes-Júnior Luís Carlos
Published: October 2022

Objective: To analyze COVID-19 deaths in public hospitals in a Brazilian state, stratified by the three waves of the pandemic, and to test their association with socio-clinical variables. Methods: Observational analytical study, where 5436 deaths by COVID-19 occurred in hospitals of the public network of Espírito Santo, between 1 April 2020, and 31 August 2021, stratified by the three waves of the pandemic, were analyzed. For the bivariate analyses, the Pearson’s chi-square, Fisher’s Exact or Friedman’s tests were performed depending on the Gaussian or non-Gaussian distribution of the data. For the relationship between time from diagnosis to death in each wave, quantile regression was used, and multinomial regression for multiple analyses. Results: The mean time between diagnosis and death was 18.5 days in the first wave, 20.5 days in the second wave, and 21.4 days in the third wave. In the first wave, deaths in public hospitals were associated with the following variables: immunodeficiency, obesity, neoplasia, and origin. In the second wave, deaths were associated with education, O2 saturation < 95%, chronic neurological disease, and origin. In the third wave, deaths were associated with race/color, education, difficulty breathing, nasal or conjunctival congestion, irritability or confusion, adynamia or weakness, chronic cardiovascular disease, neoplasms, and diabetes mellitus. Origin was associated with the outcome in the three waves of the pandemic, in the same way that education was in the second and third waves (p < 0.05). Conclusion: The time interval between diagnosis and death can be impacted by several factors, such as: plasticity of the health system, improved clinical management of patients, and the start of vaccination at the end of January 2021, which covered the age group with the higher incidence of deaths. The deaths occurring in public hospitals were associated with socio-clinical characteristics.
Advancements in Monitoring Water Quality Based on Various Sensing Methods: A Systematic Review
Authors: Zainurin Siti Nadhirah , Wan Ismail Wan Zakiah , Mahamud Siti Nurul Iman , Ismail Irneza , Jamaludin Juliza , Ariffin Khairul Nabilah Zainul , Wan Ahmad Kamil Wan Maryam
Published: October 2022

Nowadays, water pollution has become a global issue affecting most countries in the world. Water quality should be monitored to alert authorities on water pollution, so that action can be taken quickly. The objective of the review is to study various conventional and modern methods of monitoring water quality to identify the strengths and weaknesses of the methods. The methods include the Internet of Things (IoT), virtual sensing, cyber-physical system (CPS), and optical techniques. In this review, water quality monitoring systems and process control in several countries, such as New Zealand, China, Serbia, Bangladesh, Malaysia, and India, are discussed. Conventional and modern methods are compared in terms of parameters, complexity, and reliability. Recent methods of water quality monitoring techniques are also reviewed to study any loopholes in modern methods. We found that CPS is suitable for monitoring water quality due to a good combination of physical and computational algorithms. Its embedded sensors, processors, and actuators can be designed to detect and interact with environments. We believe that conventional methods are costly and complex, whereas modern methods are also expensive but simpler with real-time detection. Traditional approaches are more time-consuming and expensive due to the high maintenance of laboratory facilities, involve chemical materials, and are inefficient for on-site monitoring applications. Apart from that, previous monitoring methods have issues in achieving a reliable measurement of water quality parameters in real time. There are still limitations in instruments for detecting pollutants and producing valuable information on water quality. Thus, the review is important in order to compare previous methods and to improve current water quality assessments in terms of reliability and cost-effectiveness.
The Effect of Physical Activity on Motor Skills of Children with Autism Spectrum Disorder: A Meta-Analysis
Authors: Monteiro Carlos Eduardo , Da Silva Elirez , Sodré Ravini , Costa Frederico , Trindade André Soares , Bunn Priscila , Costa e Silva Gabriel , Di Masi Fabrízio , Dantas Estélio
Published: October 2022

Objective: The present study was aimed at analyzing the effect of physical activity on motor coordination in children with ASD. Methods: On 28 June 2021, a systematic review with meta-analysis was performed using the following databases: MEDLINE, SciELO, LILACS, PEDro, SPORTDiscus, CINAHL, SCOPUS, Web of Science, Cochrane, and Science Direct. We analyzed the methodological quality and risk of bias using the Jadad scale and Cochrane tool, respectively. Motor coordination results were meta-analyzed using the RevMan program. Two independent researchers used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool to assess the level of evidence from the meta-analysis. Results: We found four studies in the listed databases and five randomized clinical trials were included in the meta-analysis that included 109 children with ASD. Children with ASD who performed physical activity did not present significantly better motor coordination than control children (p = 0.12). Conclusions: Considering the clinical importance of physical activity for children with ASD, this systematic review with meta-analysis showed that physical activity had no statistically significant effects on coordination in individuals with ASD.
Knowledge and Willingness toward Vaccination among Pregnant Women: Comparison between Pertussis and Influenza
Authors: Jiang Feng , Tang Ning , Gao Yuanxue , Feng Jun , Wang Ying , Qu Bin
Published: October 2022

Background: Our study sought to characterize the knowledge and willingness levels regarding vaccinations against pertussis and seasonal influenza (influenza) among pregnant women in Guizhou province, China, which have previously been unclear. Methods: In total, 11 hospitals that carried out obstetrics and antenatal examination services were randomly included in the target organizations, and 564 questionnaires completed by the pregnant women were collected and analyzed in Guizhou province. The questionnaires contained questions addressing awareness and knowledge of pertussis and influenza, willingness to be vaccinated at different life stages, and the basic statuses of subjects. A two-paired McNemar test was used to compare the knowledge levels on pertussis and influenza. A Friedman test was used to compare the willingness to be vaccinated at different life stages. To explore the factors influencing knowledge levels, a chi-square test and binary logistic regression were used with stepwise backward regression. Results: In total, 11.9 percent of the pregnant women had received influenza vaccines in the year prior to their pregnancy in Guizhou province. The pregnant women had poorer knowledge of pertussis than of influenza. Given a vaccine was available, the willingness of pregnant women to partake in the following vaccination-related actions could be ranked, from highest to lowest: free vaccination of babies, recommend vaccination to family members, postpartum vaccination, vaccination of babies at mothers’ expense, and vaccination during pregnancy. Knowledge levels played different roles in the women’s willingness to receive vaccinations at different life stages. Common knowledge of pertussis and influenza played a limited role in the willingness to receive maternal vaccinations. Among the pregnant women, the factors influencing the low levels of pertussis knowledge were occupation as nonmedical-institution staff, lower educational level, pregnancy stage past the first trimester, and not bearing children; for influenza, the factors were occupation as nonmedical-institution staff, lower educational level, denial of pregnancy-induced disease, and lower monthly household income per capita. Conclusions: Pregnant women have poorer levels of knowledge on pertussis than influenza, whereas there was no significant difference in their willingness to be vaccinated against these conditions. Health education on pertussis should be strengthened and we called for vaccines given at birth.
Phthalate Metabolites in Urine of Chinese Children and Their Association with Asthma and Allergic Symptoms
Authors: Zhao Yuxuan , Sun Yuexia , Zhu Changqi , Zhang Ying , Hou Jing , Zhang Qinghao , Ataei Yeganeh
Published: October 2022

Phthalates are ubiquitous ‘modern’ chemical compounds with potential negative impacts on children’s health. A nested case–control study was designed to investigate associations of phthalate exposure with children’s asthma and allergic symptoms. We collected 243 first morning urine samples from 4–8-year-old children in Tianjin, China. Eight metabolites (i.e., mono-ethyl phthalate (MEP), mono-isobutyl phthalate (MiBP), mono-n-butyl phthalate (MnBP), mono-benzyl phthalate (MBzP) and mono-2-ethylhexyl phthalate (MEHP), mono-(2-ethyl-5-carboxylpentyl) phthalate (MECPP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) and mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP)) of five phthalates were analyzed using HPLC-MS. MiBP, MnBP and MECPP were the dominant phthalate metabolites in urine of children in Tianjin with median concentrations of 31.6 μg/L, 26.24 μg/L and 46.12 μg/L, respectively. We found significantly positive associations of diagnosed asthma with MnBP (adjusted odds ratios (AOR): 1.96; 95% confidence intervals (CIs): 1.07–3.61), MEHHP (AOR: 2.00; 95% CI: 1.08–3.71) and MEOHP (AOR: 2.09; 95% CI: 1.06–4.10). Our study indicates that phthalate exposure in childhood, especially to di-n-butyl phthalate (DnBP) and di(2-ethylhexyl) phthalate (DEHP), may be a risk factor for children’s asthma.
Biomarker Expression of Peri-Implantitis Lesions before and after Treatment: A Systematic Review
Authors: Moaven Haniyeh , Giacaman Annesi , Beltrán Víctor , Sam Ye Han , Betancur Daniel , Mainas Giuseppe , Tarjomani Seyed Ali , Donos Nikolaos , Sousa Vanessa
Published: October 2022

The need to predict, diagnose and treat peri-implant diseases has never been greater. We present a systematic review of the literature on the changes in the expression of biomarkers in peri-implant crevicular fluid (PICF) before and after treatment of peri-implantitis. Bacterial composition, clinical and radiographic parameters, and systemic biomarkers before and after treatment are reported as secondary outcomes. A total of 17 studies were included. Treatment groups were non-surgical treatment or surgical treatment, either alone or with adjunctive therapy. Our findings show that non-surgical treatment alone does not influence biomarker levels or clinical outcomes. Both adjunctive photodynamic therapy and local minocycline application resulted in a reduction of interleukin (IL)-1β and IL-10 twelve months after treatment. Non-surgical treatments with adjunctive use of lasers or antimicrobials were more effective at improving the clinical outcomes in the short-term only. Access flap debridement led to matrix metalloproteinase (MMP)-8 and tumour necrosis factor-α reduction twelve months post-surgery. Surgical debridement with adjunctive antimicrobials achieved a decrease in MMP-8 at three months. Adjunctive use of Emdogain™ (EMD) was associated with a reduction in 40 PICF proteins compared to access flap surgery alone. Surgical interventions were more effective at reducing probing pocket depth and bleeding on probing both in the short- and long-term. Surgical treatment in combination with EMD was found to be more effective in resolving inflammation up to twelve months.
Fluoride Content of Ready-to-Eat Infant Foods and Drinks in Australia
Authors: Chandio Navira , John James Rufus , Floyd Shaan , Gibson Emily , Wong Danny K. Y. , Levy Steven M. , Heilman Judy R. , Arora Amit
Published: October 2022

The use of fluoride is effective in preventing dental caries. However, an excessive intake of fluoride leads to dental fluorosis, making it necessary to regularly monitor the fluoride intake especially for infants. There is hitherto a lack of information on fluoride content in infant foods from an Australian perspective. Therefore, this study aims to estimate the amount of fluoride content from a range of commercially available ready-to-eat (RTE) infant foods and drinks available in Australia. Based on an external calibration method, potentiometry involving a fluoride ion selective electrode and a silver|silver chloride reference electrode was conducted to analyse the fluoride content of a total of 326 solid food samples and 49 liquid food samples in this work. Our results showed an overall median (range) fluoride content of 0.16 (0.001–2.8) µg F/g of solid food samples, and 0.020 (0.002–1.2) µg F/mL of liquid food samples. In addition, ~77.5% of the liquid samples revealed a fluoride content < 0.05% µg F/mL. The highest variation of fluoride concentration (0.014–0.92 µg F/g) was found in formulas for ≥6 month-old infants. We have attributed the wide fluoride content variations in ready-to-eat infant foods and drinks to the processing steps, different ingredients and their origins, including water. In general, we found the fluoride content in most of the collected samples from Australian markets to be high and may therefore carry a risk of dental fluorosis. These results highlight the need for parents to receive appropriate information on the fluoride content of ready-to-eat infant food and drinks.
Oral Microcosm Biofilms Grown under Conditions Progressing from Peri-Implant Health, Peri-Implant Mucositis, and Peri-Implantitis
Authors: Sousa Vanessa , Spratt Dave , Davrandi Mehmet , Mardas Nikos , Beltrán Víctor , Donos Nikolaos
Published: October 2022

Peri-implantitis is a disease influenced by dysbiotic microbial communities that play a role in the short- and long-term outcomes of its clinical treatment. The ecological triggers that establish the progression from peri-implant mucositis to peri-implantitis remain unknown. This investigation describes the development of a novel in vitro microcosm biofilm model. Biofilms were grown over 30 days over machined titanium discs in a constant depth film fermentor (CDFF), which was inoculated (I) with pooled human saliva. Following longitudinal biofilm sampling across peri-implant health (PH), peri-implant mucositis (PM), and peri-implantitis (PI) conditions, the characterisation of the biofilms was performed. The biofilm analyses included imaging by confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM), selective and non-selective culture media of viable biofilms, and 16S rRNA gene amplification and sequencing. Bacterial qualitative shifts were observed by CLSM and SEM across conditions, which were defined by characteristic phenotypes. A total of 9 phyla, 83 genera, and 156 species were identified throughout the experiment. The phyla Proteobacteria, Bacteroidetes, Firmicutes, Fusobacteria, and Actinobacteria showed the highest prevalence in PI conditions. This novel in vitro microcosm model provides a high-throughput alternative for growing microcosm biofilms resembling an in vitro progression from PH–PM–PI conditions.
Validity and Reliability of Criteria for Plantar Sensation Assessment Using Semmes–Weinstein Monofilament as a Clinically Usable Index
Authors: Nakamoto Masami , Ideguchi Norio , Iwata Satoru , Tomita Shunsuke , Morimoto Nao , Fukuda Shion , Kudo Shintarou
Published: October 2022

There is no standard clinically adaptable criterion for assessing plantar sensation for pre- and post-intervention comparisons. Studies using Semmes–Weinstein monofilaments (SWMs) to investigate intervention effects on plantar sensation vary in procedure and do not consider measurement errors. This study aimed to develop a simple criterion using SWMs to assess plantar sensation, determine the measurement error range, and identify areas of low error. Six examiners assessed 87 healthy young adults in Experiment 1, while two examiners assessed 10 participants in Experiment 2. Filaments were graded from 1 to 20 based on increasing diameter. The smallest grade that could be perceived for three sequential stimuli was used as the criterion (smallest perceivable grade, SPG). The SPG was significantly smaller at the hallux and larger at the heel than at other sites. There were no significant differences between the SPG of the repeated tests performed by the same versus different examiners. The interquartile range of the differences was <±3 at all sites. Thus, our criteria were reliable in evaluating the effects of plantar sensation interventions, especially at the heel and the middle of the metatarsal heads and could contribute to the development of more effective treatments for plantar sensations.
Effects of Inorganic Passivators on Gas Production and Heavy Metal Passivation Performance during Anaerobic Digestion of Pig Manure and Corn Straw
Authors: Luo Xiaoliang , Zhao Bincheng , Peng Mingguo , Shen Rongyan , Mao Linqiang , Zhang Wenyi
Published: October 2022

The treatment of livestock manure caused by the expansion of the breeding industry in China has attracted wide attention. Heavy metals in pig manure can pollute soil and water and even transfer to crops, posing harm to humans through the food chain. In this study, corn straw was selected as the additive and introduced into the anaerobic digestion. Sepiolite (SE), ferric oxide (Fe2O3), attapulgite (AT) and ferric sulfate (FeSO4) were used as passivators to compare the effects of these inorganic passivators on gas production and passivation of heavy metals during the process of the anaerobic digestion. When the dry mass ratio of pig manure to straw is 8:2, the gas production efficiency is optimal. SE, AT and ferric sulfate have a much stronger ability to improve gas production performance than Fe2O3. The total gas production increased by 10.34%, 6.62% and 4.56%, and the average methane production concentration increased by 0.7%, 0.3% and 0.4%, respectively. The influence of SE, AT and ferric sulfate on the passivation of heavy metals is much better than Fe2O3, and the fractions in biological effective forms of Cu and Zn reduced by 41.87 and 19.32%, respectively. The anaerobic digestion of mixed materials is conducive to the gas production and the passivation of heavy metals. Therefore, SE, AT and ferric sulfate are selected as composite passivators, and the optimal ratio of inorganic composite passivators i: AT 7.5 g/L, ferric sulfate 5 g/L and SE 7.5 g/L, according to the results of orthogonal experiments. This study can provide a theoretical basis for the safe application of biogas fertilizers.
The Risk of Extreme Streamflow Drought in the Polish Carpathians—A Two-Dimensional Approach
Authors: Baran-Gurgul Katarzyna
Published: October 2022

Poland has relatively small water resources compared to other European countries. Droughts are a characteristic feature of the Polish climate; however, recent years have been particularly warm, causing longer and more severe droughts, including streamflow droughts. The most unfavourable streamflow droughts, considering the economic or social (including health-related) consequences, are the longest and/or the ones with the largest volumes. Such prolonged and severe droughts may constitute a natural disaster threatening public health. The main aim of this article was to define the spatial variability of the annual maximum streamflow drought in the Polish Carpathians and the risk of the maximum streamflow drought of a duration and volume exceeding the given value occurring in this region. This was conducted based on a 30-year time series of daily flows in selected gauging cross sections on rivers in the Polish Carpathians. One- and-two-dimensional probability distributions (utilising a copula function) of the two most important maximum streamflow drought characteristics were identified, specifically duration and volume, which, in consequence, led to identifying the maximum streamflow droughts of a given return period (a given risk level). Maps of maximum streamflow drought hazard were developed and understood as spatial distributions of the maximum streamflow drought frequency of duration and volume exceeding the annual given values. Analysis of the maps allowed for the selection of areas/basins being more or less at risk of extreme annual streamflow drought of a duration and/or volume exceeding the given value.
School Gardening, Cooking and Sports Participation Intervention to Improve Fruits and Vegetables Intake and Moderate-to-Vigorous Physical Activity among Chinese Children: Study Protocol for a Cluster Randomized Controlled Trial
Authors: Qi Yufei , Rong Siyu , Liao Kunlong , Huo Jiaqi , Lin Qian , Hamzah Sareena Hanim
Published: October 2022

Inadequate intake of fruits and vegetables (FV) and moderate-to-vigorous physical activity (MVPA) in children has become a global public health problem. Therefore, school-based gardening and cooking (SGC) and sports participation (SP) interventions may be effective in improving children’s FV intake and MVPA. The aim of this study is to develop and evaluate the effectiveness of SGC and SP interventions on FV intake and MVPA among Chinese children. In this cluster randomized controlled trial study, 237 children in grades 4–5 from six public primary schools from Changsha, Hunan Province, China will be randomly assigned to: (1) a SGC and SP combined intervention group; (2) a SP intervention group; (3) a regular practice group. The intervention clusters will be implemented for a period of 6 months and follow up will be carried out after 12 months. The outcome will be collected using a combination of self-reported and objective measures. Primary outcomes will include children’s FV intake and duration of MVPA per day, and secondary outcomes will included frequency and attitudes of FV intake and SP, in addition to other measures. Finally, a process evaluation will be used to analyze the facilitators and barriers to intervention implementation. Trial Registration: (Registration Number: ChiCTR2200064141).
Lifestyle Behavior Interventions for Preventing Cancer in Adults with Inherited Cancer Syndromes: Systematic Review
Authors: Diez de los Rios de la Serna Celia , Fernández-Ortega Paz , Lluch-Canut Teresa
Published: October 2022

(1) Background: The link between lifestyle behaviors and cancer risk is well established, which is important for people with personal/family history or genetic susceptibility. Genetic testing is not sufficient motivation to prompt healthier lifestyle behaviors. This systematic review aims to describe and assess interventions for promoting healthy behaviors in people at high risk of cancer. (2) Methods: The review was performed according to PRISMA guidelines using search terms related to hereditary cancer and health education to identify studies indexed in: CINAHL, MEDLINE, PubMed, Cochrane Library, Scopus, and Joanna Briggs, and published from January 2010 to July 2022. (3) Results: The search yielded 1558 initial records; four randomized controlled trials were eligible. Three included patients with and without a personal history of cancer who were at increased risk of cancer due to inherited cancer syndromes, and one included people undergoing genetic testing due to family history. Interventions targeted diet, physical activity, and alcohol. (4) Conclusions: There is a paucity of research on interventions for promoting healthy lifestyle behaviors in people with a high risk of cancer. Interventions produced positive short-term results, but there was no evidence that behavioral modifications were sustained over time. All healthcare professionals can actively promote healthy behaviors that may prevent cancer.
Higher Prevalence of Food Insecurity and Psychological Distress among International University Students during the COVID-19 Pandemic: An Australian Perspective
Authors: Mihrshahi Seema , Dharmayani Putu Novi Arfirsta , Amin Janaki , Bhatti Alexandra , Chau Josephine Y. , Ronto Rimante , Turnip Diana , Taylor Melanie
Published: October 2022

The COVID-19 pandemic and related disruptions have not only affected university students’ learning and academic outcomes, but also other issues, such as food security status, mental health and employment. In Australia, international students faced additional pressures due to sudden border closures and lack of eligibility for government-provided financial support. This study explored the experiences of domestic and international university students residing in Australia during the early stages of the COVID-19 pandemic across a range of outcomes. A cross-sectional online survey was conducted between July and September 2020 at Macquarie University in Sydney, Australia. The online survey included food insecurity status, mental health (psychological distress), disruptions to study, employment and sleep. A total of 105 students (n = 66 domestic and n = 39 international) completed the survey. Respondents reported having food insecurity (41.9%) and psychological distress (52.2%, with high and very high levels), with international students reporting significantly higher food insecurity (OR = 9.86 (95% CI 3.9–24.8), p < 0.001) and psychological distress scores (t(90) = 2.68, 95% CI: 1.30 to 8.81, p = 0.009) than domestic students. About one quarter of all respondents reported disruptions to study and employment status around the time of the survey. When asked what government support should be provided for international students, ‘financial aid’ was the most frequently suggested form of support. This research may help governments and educational institutions design appropriate support, particularly financial and psychological, for both international and domestic university students.
Contextual Variables with an Impact on the Educational Inclusion of Students with Rare Diseases
Authors: García-Perales Ramón , Palomares-Ruiz Ascensión , Gracia-Zomeño Andrea , García-Toledano Eduardo
Published: October 2022

The context of a school may play a fundamental role in students’ academic and personal progress. In this study, we focus on two contextual variables, the school type and school location or setting. The study used a questionnaire to assess teachers’ knowledge and thoughts about rare diseases based on these variables, with the participation of 574 school teachers. To broaden the research perspective, another questionnaire was administered to members of 152 rare disease patient advocacy groups to ask about their participation in educational processes and analyse their results according to one of the contextual variables: the setting or location of each association. The results indicated statistically significant differences according to the variables examined, which were larger for the type of school variable. In short, numerous variables that influence the teaching and learning processes need to be considered in educational praxis; in this study, we looked at those of a contextual nature (for example, the geographic characteristics of schools and associations), and this is essential for increasingly heterogeneous educational locations that demand multidimensional approaches.
Exploration of the Implementation of Carbon Neutralization in the Field of Natural Resources under the Background of Sustainable Development—An Overview
Authors: Yang Wu , Min Zhang , Yang Mingxing , Yan Jun
Published: October 2022

On 15 March 2021, Chinese President Xi Jinping pointed out that “achieving carbon peak and carbon neutrality is a broad and profound economic and social systemic change” and called for “putting energy and resources conservation in the first place”. Natural resources are the material basis, space carrier and energy source of high-quality development. The source of carbon emissions is resource utilization, and carbon reduction and removal also depend on resources. The improvement of carbon sink capacity is inseparable from natural resources. To achieve the goal of “double carbon”, it is necessary to consolidate the carbon sink capacity of the ecosystem, as well as enhancing its carbon sink increment. Among natural resources, forest carbon sinks, soil carbon sinks and karst carbon sinks have significant emission reduction potential and cost advantages, representing important means to deal with climate change. This paper reviews the relevant research results at home and abroad, summarizes the carbon sink estimation, carbon sink potential, carbon sink influencing factors, ecological compensation mechanism and other aspects, analyzes the path selection of establishing carbon sink green development, and puts forward corresponding policies and suggestions, providing a theoretical reference for the achievement of the carbon neutrality goal in the field of natural resources in China.
Strengthen and Respect Each Thread
Authors: Feliz Virginia Araceli , Hobbs Sue D. , Borunda Rose
Published: October 2022

Through a culturally grounded epistemology, this article provides mental health practitioners and researchers an overview of how generational trauma can impact the well-being of Black, Indigenous, Latinx, and other historically marginalized communities. Historically, deficit-based lenses frame the experiences of Black, Indigenous, and other People of Color (BIPOC). Discussion of white supremacy as a factor that creates divisiveness, discontinuity, and othering is necessary to understand mental healthcare for marginalized communities. Research has shown that behaviors, identities, and expressions that are respected in indigenous cultures and communities are most often misrepresented, ignored, erased, and ultimately misidentified as requiring rehabilitation. In fact, researchers assert that the organizational culture of the mental health industry limits access for minoritized communities due to lack of practitioner relational capacity, and inclusive practices. This article illustrates examples of white supremist practices through Native American storytelling to trace generational trauma from its origins, when Eurocentric perspectives were imposed upon America’s original inhabitants, to trauma caused by placement of BIPOC children in the foster care and adoption system. While fully aware of the complexities of mental health care, the authors argue that diverse cultural representations of identity, knowledge, and collectivism should inform mental health practice, and research.
Face-to-Face and Tele-Consults: A Study of the Effects on Diagnostic Activity and Patient Demand in Primary Healthcare
Authors: Barón-Miras Lourdes E. , Sisó-Almirall Antoni , Kostov Belchin , Sánchez Encarna , Roura Silvia , Benavent-Àreu Jaume , González-de Paz Luis
Published: October 2022

Primary healthcare services have changed from face-to-face to tele-consults during the two COVID-19 years. We examined trends before and during the COVID-19 pandemic years based on groups of professionals, patient ages, and the associations with the diagnostic registry. We analyzed proportions for both periods, and ratios of the type of consults in 2017–2019 and 2020–2021 were calculated. The COVID-19 period was examined using monthly linear time trends. The results showed that consults in 2020–2021 increased by 24%. General practitioners saw significant falls in face-to-face consults compared with 2017–2019 (ratio 0.44; 95% CI: 0.44 to 0.45), but the increase was not proportional across age groups; patients aged 15–44 years had 45.8% more tele-consults, and those aged >74 years had 18.2% more. Trends in linear regression models of face-to-face consults with general practitioners and monthly diagnostic activity were positive, while the tele-consult trend was inverse to the trend of the diagnostic registry and face-to-face consults. Tele-consults did not resolve the increased demand for primary healthcare services caused by COVID-19. General practitioners, nurses and primary healthcare professionals require better-adapted tele-consult tools for an effective diagnostic registry to maintain equity of access and answer older patients’ needs and priorities in primary healthcare.
A Qualitative Meta-Synthesis of Studies on Workplace Bullying among Nurses
Authors: Lee Haeyoung , Ryu Young Mi , Yu Mi , Kim Haejin , Oh Seieun
Published: October 2022

This study aimed to further understand and compare the phenomenon of workplace bullying (WPB) among clinical nurses in various sociocultural contexts. The study sought to determine appropriate interventions, examining how said interventions should be delivered at individual, work-unit, and institutional levels. Qualitative meta-synthesis was chosen to achieve the study aims. Individual qualitative research findings were gathered, compared, and summarized using the thematic analysis suggested by Braun and Clark. Based on the predefined analytic points, the findings included the following themes: horizontal yet vertical violence, direct and indirect violence on victims, nurses feed on their own, accepting and condoning WPB embedded in ineffective work systems, and rippling over the entire organization. The results showed that the phenomenon of workplace bullying shares quite a few attributes across cultures in terms of the characteristics, types, perpetrators, subjects, and consequences. The findings suggest that interventions to change and improve organizational work culture must be developed and implemented.
Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors
Authors: Yang Hwa-Mi , Kim Hye-Ryoung
Published: October 2022

Work-to-family conflicts (WFC), an aggravating factor of stress, may affect cardiovascular health. However, the link between WFC and cardiovascular health behaviors is not fully defined. This study intends to identify the mediating effect of coping strategy on the relation between WFC with cardiovascular health behaviors, such as smoking, stress management, increased physical activity, and healthy diet habits. The study is a cross-sectional online survey with 358 call center counselors. We adopted a linear regression to confirm the relationship between WFC, coping strategy, and cardiovascular health behavior, which are the main variables of the study. Maladaptive coping partially mediated the relationship between WFC and cardiovascular health behavior. Based on the results, we insist that a support system to reduce WFC is necessary, as well as increasing the availability of resources and policies to reduce WFC in the workplace and find ways to improve maladaptive coping to promote healthy behaviors of call center workers.
A Comparison of Warm-Up Effects on Maximal Aerobic Exercise Performance in Children
Authors: Faigenbaum Avery D. , Kang Jie , DiFiore Michael , Finnerty Caitlyn , Garcia Andy , Cipriano LeeAnn , Bush Jill A. , Ratamess Nicholas A.
Published: October 2022

The aim of this study was to compare the warm-up effects of treadmill walking (TW) with a dynamic (DY) bodyweight warm-up on maximal aerobic exercise performance in children. Sixteen children (10.9 ± 1.5 vrs) were tested for peak oxygen uptake (VO2 peak) on 2 nonconsecutive days following different 6 min warm-up protocols. TW consisted of walking on a motor-driven treadmill at 2.2 mph and 0% grade whereas the DY warm-up consisted of 9 body weight movements including dynamic stretches, lunges, and jumps. Maximal heart rate was significantly higher following DY than TW (193.9 ± 6.2 vs. 191.6 ± 6.1 bpm, respectively; p = 0.008). VO2 peak (54.8 ± 9.6 vs. 51.8 ± 8.7 mL/kg/min; p = 0.09), maximal minute ventilation (68.9 ± 14.8 vs. 64.9 ± 9.4 L/min; p = 0.27), maximal respiratory exchange ratio (1.12 ± 0.1 vs. 1.11 ± 0.1; p = 0.85) and total exercise time (614.0 ± 77.1 vs. 605 ± 95.0 s; p = 0.55) did not differ significantly between DY and TM warm-ups, respectively. These findings indicate that the design of the warm-up protocol can influence the heart rate response to maximal aerobic exercise and has a tendency to influence VO2 peak. A DY warm-up could be a viable alternative to a TW warm-up prior to maximal exercise testing in children.
Influence of COD in Toxic Industrial Wastewater from a Chemical Concern on Nitrification Efficiency
Authors: Paśmionka Iwona B. , Herbut Piotr , Kaczor Grzegorz , Chmielowski Krzysztof , Gospodarek Janina , Boligłowa Elżbieta , Bik-Małodzińska Marta , Vieira Frederico Márcio C.
Published: October 2022

COD is an arbitrary indicator of the content of organic and inorganic compounds in wastewater. The aim of this research was to determine the effect of COD of industrial wastewater on the nitrification process. This research covered wastewater from acrylonitrile and styrene–butadiene rubbers, emulsifiers, polyvinyl acetate, styrene, solvents (butyl acetate, ethyl acetate) and owipian® (self-extinguishing polystyrene intended for expansion) production. The volume of the analyzed wastewater reflected the active sludge load in the real biological treatment system. This research was carried out by the method of short-term tests. The nitrification process was inhibited to the greatest extent by wastewater from the production of acrylonitrile (approx. 51%) and styrene–butadiene (approx. 60%) rubbers. In these wastewaters, nitrification inhibition occurred due to the high COD load and the presence of inhibitors. Four-fold dilution of the samples resulted in a two-fold reduction in the inhibition of nitrification. On the other hand, in the wastewater from the production of emulsifiers and polyvinyl acetate, a two-fold reduction in COD (to the values of 226.4 mgO2·dm−3 and 329.8 mgO2·dm−3, respectively) resulted in a significant decrease in nitrification inhibition. Wastewater from the production of styrene, solvents (butyl acetate, ethyl acetate) and owipian® inhibited nitrification under the influence of strong inhibitors. Lowering the COD value of these wastewaters did not significantly reduce the inhibition of nitrification.
The Effect of Task-Oriented Activities Training on Upper-Limb Function, Daily Activities, and Quality of Life in Chronic Stroke Patients: A Randomized Controlled Trial
Authors: Alsubiheen Abdulrahman M. , Choi Wonho , Yu Wonjong , Lee Haneul
Published: October 2022

This randomized controlled study aimed to investigate the effects of 8-week task-oriented activities of daily living (T-ADL) training on upper limb functions, activities of daily living (ADL), and quality of life (QoL) in chronic stroke patients. The 33 patients were randomly assigned to the T-ADL training or conventional occupational therapy (OT) group. The respective interventions were provided for 45-min a day, five times a week for eight weeks. To compare the upper-limb function before and after the intervention, the manual function test (MFT), box and block test (BBT), and grasp power test were performed; to compare the level of ADL performance, the modified-Barthel index (MBI) was measured. To evaluate QoL, stroke-specific QoL was measured. There was a significant group-by-time interaction in the affected side MFT score and both sides of BBT scores, but no significant interaction was found in the unaffected side MFT score, ADL, and QoL. Both groups showed a significant main effect of time in their ADL and QoL after the intervention (p < 0.001). The results of this study indicate that the eight-week T-ADL training has a positive effect on upper limb functions and gross manual dexterity, and both T-ADL training and conventional OT are effective in improving ADL and QoL in chronic stroke patients.
Spending Time with Mothers as a Resource for Children with Chronic Diseases: A Comparison of Asthma, Type 1 Diabetes, and Cancer during COVID-19 Pandemic
Authors: Spaggiari Silvia , Forlini Virginia , Carraro Silvia , Ferraro Valentina Agnese , Zanconato Stefania , Montanaro Maria , Cecinati Valerio , Zaffani Silvana , Maffeis Claudio , Di Riso Daniela
Published: October 2022

Due to the COVID-19 pandemic, many families had to manage new difficulties, especially those of chronically ill children. More and more research has focused on the negative effects of the pandemic on psychological wellbeing, while less is known about the resources. The present study aimed to explore the role of time spent with mothers in chronically ill children’s populations during the COVID-19 pandemic. Moreover, it explored the differences in mothers’ and children’s psychosocial functioning in three clinical populations. Four groups were recruited and compared: 7–15 year old children with asthma (45), type 1 diabetes (52), and cancer (33), as well as their healthy counterparts (41), and their respective mothers. They were administered standardized questionnaires and ad hoc surveys assessing psychological wellbeing and worries. Children of the four groups scored significantly differently with respect to the concerns for contagion, internalizing symptoms, and prosocial behaviors; mothers had worries about the consequences of their children’s contagion related to the chronic illness, as well as time with the child. The multiple linear regression model showed an association of being affected by cancer, suffering from type 1 diabetes, and spending less time with the child with an increase in children’s internalizing problems. Time with mothers seemed to be a resource for psychological wellbeing during the pandemic. Clinical implications are discussed.
Modeling Key Strategies for Reducing Socio-Economic and Health Crisis: Perspective from COVID-19 Pandemic
Authors: Ullah Sajid , Khan Farman Ullah , Trifan Vanina Adoriana , Spinu Adina Eleonora , Sanda Grigorie
Published: October 2022

The pandemic outbreak has dramatically changed every sector and walk of life. Specifically, the developing countries with scarce resources are facing unprecedented crises that further jeopardize efforts to achieve sustainable life. Considering the case of a developing country, Pakistan, this study empirically identifies the most important strategies to reduce the socio-economic and health challenges during COVID-19. Initially, the study identified 14 key strategies from the prior literature. Later, these strategies were determined with the help of the interpretive structural modeling (ISM) approach through expert suggestions. The ISM model represents seven levels of pandemic containment strategies based on their significance level. The strategies existing at the top level of ISM model are the least important, while the strategies at the bottom of hierarchy levels are highly significant. Therefore, the study results demonstrated that “strong leadership and control” and “awareness on social media” play significant roles in reducing pandemic challenges, while “promoting online purchase behavior” and “online education” are the least important strategies in tackling pandemic crisis. This study will benefit government authorities and policymakers, enabling them to focus more on significant measures in battling this ongoing crisis.