bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship between Cognitive Function and Sway of Body in Standing Posture: A Cross-Sectional Study
Authors: Naito Takao , Suzuki Yume , Yamasue Kotaro , Saito Kyoko , Umemura Masanari , Kojima Narumi , Kim Hunkyung , Osuka Yosuke , Ishikawa Yoshihiro , Tochikubo Osamu
Published: February 2023

Background: The influence of neurological or balance dysfunction on cognitive impairment has not been well studied. We compared the results of the balance test, measured by either head or foot sway to consider whole body sway, with those of the cognitive impairment test. Methods: Individuals of either gender, aged over 60 years, underwent a 30 s balance test. We measured sway while standing on one-leg or two-legs. Sway was evaluated by the distance or area of movement of the head or foot pressure. We also evaluated the effect of visual condition: eyes-open (EO) or -closed (EC). The Mini-Mental State Examination (MMSE) was used to evaluate the degree of cognitive impairment. Results: The head sway area standing on one leg was significantly correlated to MMSE score with EO (correlation r = −0.462). In standing on two legs, no sway test results showed a significant correlation to MMSE scores with EO. With EC, the magnitude of sway became greater, and was significantly correlated to MMSE scores in the head distance. Conclusion: Although the correlation between head sway and MMSE was not strong, head sway showed a stronger correlation than did foot pressure sway. Standing on one leg, as measured by head sway area, may thus predict cognitive impairment.
A Foreshortened Future and the Trauma of a Dying Earth in Christopher Nolan’s Tenet
Authors: Singh Amar
Published: February 2023

An experience of anxiety is caused by the anticipation of unseen future events, especially in the context of ecological trauma, where the prospect of a world without humans in the distant future is often portrayed through mediated cinematic memories. As a result of anthropological intervention on our planet, it is feared that humanity will cease to exist unless steps are taken to prevent it. Furthermore, as climate change intensifies, humans are left with more questions regarding their future. One recent film that addresses this issue is Christopher Nolan’s Tenet (2020). The film explores the concept of a dying Earth in the future, whose inhabitants seek help from the past to restore the planet’s balance by reversing entropy. Despite failing to provide any remedy by revealing ‘What’s happened happened’, a viewpoint that Christopher Nolan, as an auteur, has already presented in his previous film Interstellar (2014), the film leaves the audience with the question, what is the purpose of projecting an unseen trauma? By evaluating the events that contributed to the image of a crumbling Earth in the film, this paper seeks to examine the concept of future trauma as an indication of post-traumatic stress disorder while simultaneously exploring it as a film that acknowledges Nolan’s own anxiety over the decline of a medium he cherishes.
Comparing Full and Pre-Term Neonates’ Heart Rate Variability in Rest Condition and during Spontaneous Interactions with Their Parents at Home
Authors: Kokkinaki Theano , Markodimitraki Maria , Giannakakis Giorgos , Anastasiou Ioannis , Hatzidaki Eleftheria
Published: February 2023

Background: Preterm neonates show decreased HRV compared to those at full-term. We compared HRV metrics between preterm and full-term neonates in transfer periods from neonate rest state to neonate–parent interaction, and vice versa. Methods: Short-term recordings of the HRV parameters (time and frequency-domain indices and non-linear measurements) of 28 premature healthy neonates were compared with the metrics of 18 full-term neonates. HRV recordings were performed at home at term-equivalent age and HRV metrics were compared between the following transfer periods: from first rest state of the neonate (TI1) to a period in which the neonate interacted with the first parent (TI2), from TI2 to a second neonate rest state (TI3), and from TI3 to a period of neonate interaction with the second parent (TI4). Results: For the whole HRV recording period, PNN50, NN50 and HF (%) was lower for preterm neonates compared to full-terms. These findings support the reduced parasympathetic activity of preterm compared to full-term neonates. The results of comparisons between transfer period simply a common coactivation of SNS and PNS systems for both full and pre-term neonates. Conclusions: Spontaneous interaction with the parent may reinforce both full and pre-term neonates’ ANS maturation.
Effects of Melatonin Supplementation on Sleep Quality in Breast Cancer Patients: A Systematic Review and Meta-Analysis
Authors: Seo Kyoungsan , Kim Jin-Hee , Han Dallong
Published: February 2023

Evidence on the effectiveness of melatonin in breast cancer patients suffering from sleep disturbances is contradictory, and there have been no meta-analyses on its use in humans with breast cancer. This study investigated the melatonin supplementation effectiveness in alleviating sleep disturbances in breast cancer patients. We searched Embase, PubMed, MEDLINE, CINAHL, Cochrane Library, Google Scholar, and Clinical trial.org databases for relevant reports by following PRISMA guidelines and collected clinical experimental studies of melatonin supplementation in breast cancer patients. Breast cancer for the population, melatonin supplementation for intervention, including sleep indicator, cancer treatment-related symptoms for outcomes, and clinical trial for humans were the searched keywords. Among the 1917 identified records, duplicates and irrelevant articles were excluded. Among the 48 full-text articles assessed, 10 studies met the criteria for inclusion in a systematic review, and five studies had sleep-related indicators and were included in the meta-analysis after quality assessment. The estimated average effect size (Hedges’ g) was −0.79 (p < 0.001) in a random-effects model, thus indicating that melatonin supplementation had a moderate effect in ameliorating sleep quality in breast cancer patients. Pooled data from studies on melatonin supplementation indicate that melatonin administration may alleviate sleep problems related to treatments in breast cancer patients.
Treatment of Far-Advanced Otosclerosis: Stapedotomy Plus Hearing Aids to Maximize the Recovery of Auditory Function—A Retrospective Case Series
Authors: Ricci Giampietro , Ferlito Salvatore , Gambacorta Valeria , Faralli Mario , De Luca Pietro , Di Giovanni Alfredo , Di Stadio Arianna
Published: February 2023

Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. The identification of the best method to correctly listen to sound and speech has a large impact on patients’ quality of life. We retrospectively analyzed the auditory function of 15 patients affected by FAO who were treated with stapedectomy plus hearing aids independent of the severity of their auditory deficit before surgery. The combination of surgery and hearing aids allowed excellent recovery of the perception of pure tone sounds and speech. Four patients, because of poor auditory thresholds, needed a cochlear implant after stapedectomy. Despite being based on a small sample of patients, our results suggest that stapedotomy plus hearing aids could improve the auditory capacities of patients with FAO independent of their auditory thresholds at T0. The careful selection of patients is fundamental to obtain the best outcomes.
Knowledge and Attitude towards Clinical Trials among General Population of Northern Saudi Arabia during COVID-19 Era: A Cross-Sectional Study
Authors: Abouelkheir Mohamed , Taha Ahmed E. , Thirunavukkarasu Ashokkumar , Alkhamsan Wesam Saad S. , Almutairi Fahd Khalid S. , Alanazi Ali Awadh A. , Alruwaili Abdulaziz Lafi M. , Alriwely Nasser Saleh
Published: February 2023

Recruiting and retaining sufficient participants is one of the biggest challenges researchers face while conducting clinical trials (CTs). This is due to the fact of misconceptions and insufficient knowledge concerning CTs among the public. The present cross-sectional study was conducted from April 2021 to May 2022. We evaluated knowledge and attitude among 480 participants using a pretested Arabic questionnaire. The correlation between knowledge and attitude score was tested through Spearman’s correlation test, and the logistic regression test evaluated the associated factors for knowledge and attitude. Of the studied participants, 63.5% were male and belonged to the age group less than 30 years (39.6%). Nearly two-thirds (64.6%) of them had never heard of CT. More than half of the participants had poor knowledge (57.1%) and attitude (73.5%) towards CTs. Participants’ knowledge scores were significantly associated with education level (p = 0.031) and previous participation in health-related research (p = 0.007). Attitude scores were significantly related to marital status (p = 0.035) and the presence of chronic diseases (p = 0.008). Furthermore, we found a significant positive correlation between knowledge and attitude scores (p < 0.001, Spearman’s rho = 0.329). The present study revealed that most of the study population had poor knowledge and moderate attitudes towards CT. Targeted health education programs at different public places are recommended to improve the public’s knowledge of the importance of CT participation. In addition, exploratory and mixed-methods surveys in other regions of KSA is required to recognize the region-specific health education needs.
Artificial Intelligence Systems Assisting in the Assessment of the Course and Retention of Orthodontic Treatment
Authors: Strunga Martin , Urban Renáta , Surovková Jana , Thurzo Andrej
Published: February 2023

This scoping review examines the contemporary applications of advanced artificial intelligence (AI) software in orthodontics, focusing on its potential to improve daily working protocols, but also highlighting its limitations. The aim of the review was to evaluate the accuracy and efficiency of current AI-based systems compared to conventional methods in diagnosing, assessing the progress of patients’ treatment and follow-up stability. The researchers used various online databases and identified diagnostic software and dental monitoring software as the most studied software in contemporary orthodontics. The former can accurately identify anatomical landmarks used for cephalometric analysis, while the latter enables orthodontists to thoroughly monitor each patient, determine specific desired outcomes, track progress, and warn of potential changes in pre-existing pathology. However, there is limited evidence to assess the stability of treatment outcomes and relapse detection. The study concludes that AI is an effective tool for managing orthodontic treatment from diagnosis to retention, benefiting both patients and clinicians. Patients find the software easy to use and feel better cared for, while clinicians can make diagnoses more easily and assess compliance and damage to braces or aligners more quickly and frequently.
Examining Factors Associated with Dynapenia/Sarcopenia in Patients with Schizophrenia: A Pilot Case-Control Study
Authors: Tanioka Ryuichi , Osaka Kyoko , Ito Hirokazu , Zhao Yueren , Tomotake Masahito , Takase Kensaku , Tanioka Tetsuya
Published: February 2023

Sedentary behavior in patients with schizophrenia causes muscle weakness, is associated with a higher risk of metabolic syndrome, and contributes to mortality risk. This pilot case-control study aims to examine the associated factors for dynapenia/sarcopenia in patients with schizophrenia. The participants were 30 healthy individuals (healthy group) and 30 patients with schizophrenia (patient group), who were matched for age and sex. Descriptive statistics, Welch’s t-test, cross-tabulations, adjusted residuals, Fisher’s exact probability test (extended), and/or odds ratios (ORs) were calculated. In this study, dynapenia was significantly more prevalent in patients with schizophrenia than in healthy individuals. Regarding body water, Pearson’s chi-square value was 4.41 (p = 0.04), and significantly more patients with dynapenia were below the normal range. In particular, body water and dynapenia showed a significant association, with an OR = 3.42 and 95% confidence interval [1.06, 11.09]. Notably, compared with participants of the healthy group, patients with schizophrenia were overweight, had less body water, and were at a higher risk for dynapenia. The impedance method and the digital grip dynamometer used in this study were simple and useful tools for evaluating muscle quality. To improve health conditions for patients with schizophrenia, additional attention should be paid to muscle weakness, nutritional status, and physical rehabilitation.
Attitudes and Knowledge Regarding the Therapeutic Use of Cannabinoids among Community Pharmacists: A Pilot Cross-Sectional Study in Amman, Jordan
Authors: Bazzari Firas H. , Bazzari Amjad H.
Published: February 2023

There is an increasing interest in the therapeutic use of cannabis worldwide, with a number of cannabinoid-derived drugs currently approved by the Food and Drug Administration (FDA) for certain indications. This study was conducted via a printed questionnaire and aimed to explore the attitudes and knowledge regarding the therapeutic use of cannabis and cannabinoids among community pharmacists residing in Amman, Jordan. The results revealed a neutral to low agreement level regarding the medical usefulness of cannabis; however, a higher agreement level was observed for FDA-approved cannabinoid-derived drugs. The majority of the participants reported that they did not learn enough regarding cannabinoids, do not adequately remember what they have learned, and do not actively look for information after graduation. The average percentages of correct identification of cannabis/cannabinoid FDA-approved drug indications, common adverse effects, interacting drugs, and cautions/contraindications were 40.6%, 53%, 49.4%, and 57.3%, respectively, with an overall correct identification rate of 51.1% of the participants. In conclusion, the results indicate an inadequate level of knowledge with a significant room for improvement regarding the various aspects of cannabinoid pharmacology.
A New Artificial Intelligence Approach Using Extreme Learning Machine as the Potentially Effective Model to Predict and Analyze the Diagnosis of Anemia
Authors: Saputra Dimas Chaerul Ekty , Sunat Khamron , Ratnaningsih Tri
Published: February 2023

The procedure to diagnose anemia is time-consuming and resource-intensive due to the existence of a multitude of symptoms that can be felt physically or seen visually. Anemia also has several forms, which can be distinguished based on several characteristics. It is possible to diagnose anemia through a quick, affordable, and easily accessible laboratory test known as the complete blood count (CBC), but the method cannot directly identify different kinds of anemia. Therefore, further tests are required to establish a gold standard for the type of anemia in a patient. These tests are uncommon in settings that offer healthcare on a smaller scale because they require expensive equipment. Moreover, it is also difficult to discern between beta thalassemia trait (BTT), iron deficiency anemia (IDA), hemoglobin E (HbE), and combination anemias despite the presence of multiple red blood cell (RBC) formulas and indices with differing optimal cutoff values. This is due to the existence of several varieties of anemia in individuals, making it difficult to distinguish between BTT, IDA, HbE, and combinations. Therefore, a more precise and automated prediction model is proposed to distinguish these four types to accelerate the identification process for doctors. Historical data were retrieved from the Laboratory of the Department of Clinical Pathology and Laboratory Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia for this purpose. Furthermore, the model was developed using the algorithm for the extreme learning machine (ELM). This was followed by the measurement of the performance using the confusion matrix and 190 data representing the four classes, and the results showed 99.21% accuracy, 98.44% sensitivity, 99.30% precision, and an F1 score of 98.84%.
A Novel Multipurpose Self-Irrigated Green Roof with Innovative Drainage Layer
Authors: Pirouz Behrouz , Palermo Stefania Anna , Becciu Gianfranco , Sanfilippo Umberto , Nejad Hana Javadi , Piro Patrizia , Turco Michele
Published: February 2023

Climate change is a significant problem that many countries are currently facing, and green roofs (GRs) are one of the suitable choices to confront it and decrease its impacts. The advantages of GRs are numerous, such as stormwater management, thermal need reduction, runoff quality, and life quality improvement. However, there are some limitations, including the weight, limits in water retention, irrigation in the drought period, suitability of harvested water for building usages, installation on sloped roofs, and high cost. Therefore, developing a novel system and design for GRs with higher efficiency and fewer negative points seems necessary and is the main scope of this research. In this regard, a novel multipurpose self-irrigated green roof with an innovative drainage layer combined with specific multilayer filters has been developed. The application of the proposed system in terms of water retention capacity, water storage volume, runoff treatment performance, irrigation system, drainage layer, application of the harvested water for domestic purposes, and some other aspects has been analyzed and compared with the conventional systems with a focus on extensive green roofs. The results demonstrate that this novel green roof would have many advantages including less weight due to the replacement of the gravel drainage layer with a pipeline network for water storage, higher water retention capacity due to the specific design, higher impacts on runoff treatment due to the existence of multilayer filters that can be changed periodically, easier installation on flat and sloped roofs, the possibility of using the collected rainfall for domestic use, and fewer irrigation water demands due to the sub-surface self-irrigation system.
Modeling Various Drought Time Scales via a Merged Artificial Neural Network with a Firefly Algorithm
Authors: Mohammadi Babak
Published: February 2023

Drought monitoring and prediction have important roles in various aspects of hydrological studies. In the current research, the standardized precipitation index (SPI) was monitored and predicted in Peru between 1990 and 2015. The current study proposed a hybrid model, called ANN-FA, for SPI prediction in various time scales (SPI3, SPI6, SPI18, and SPI24). A state-of-the-art firefly algorithm (FA) has been documented as a powerful tool to support hydrological modeling issues. The ANN-FA uses an artificial neural network (ANN) which is coupled with FA for Lima SPI prediction via other stations. Through the intelligent utilization of SPI series from neighbors’ stations as model inputs, the suggested approach might be used to forecast SPI at various time scales in a meteorological station with insufficient data. To conduct this, the SPI3, SPI6, SPI18, and SPI24 were modeled in Lima meteorological station using other meteorological stations’ datasets in Peru. Various error criteria were employed to investigate the performance of the ANN-FA model. Results showed that the ANN-FA is an effective and promising approach for drought prediction and also a multi-station strategy is an effective strategy for SPI prediction in the meteorological station with a lack of data. The results of the current study showed that the ANN-FA approach can help to predict drought with the mean absolute error = 0.22, root mean square error = 0.29, the Pearson correlation coefficient = 0.94, and index of agreement = 0.97 at the testing phase of best estimation (SPI3).
Longitudinal Changes in Occupational Balance among Baby Boomers in Japan (1996–2016)
Authors: Watanabe Makoto
Published: February 2023

In Japan, the proportion of the older adult population—the post-war baby boomer generation—is increasing rapidly and presenting new problems, such as suicide among baby boomers and the burden of family care. The purpose of this study was to clarify how baby boomers changed their occupational balance between their 40s and 60s. This study used public statistical data from the Survey on Time Use and Leisure Activities published by the Statistics Bureau of Japan to analyze the longitudinal characteristics of the time allocation of baby boomers. The findings of this study showed gender differences in occupational balance among the study population. The occupational balance of men changed due to occupational transition after mandatory retirement, but that of women did not change significantly. Longitudinally examining the time allocation changes of one generation revealed that the readjustment of occupational balance is necessary during life role changes, such as retirement. Moreover, if this readjustment is not carried out properly, individuals will experience role overload and loss.
Linking Ecosystem Service Supply and Demand to Evaluate the Ecological Security in the Pearl River Delta Based on the Pressure-State-Response Model
Authors: Liu Wei , Zhan Jinyan , Zhai Yongbo , Zhao Fen , Asiedu Kumi Michael , Wang Chao , Bai Chunyue , Wang Huihui
Published: February 2023

The increase in population and economic development has made environmental issues more serious and threatens regional ecological security and sustainable development. Currently, most indicators in the related research field of ecological security tend to be socio-economic and neglect depicting the state of the ecosystems. This study, therefore, assessed the ecological security by constructing the evaluation index system embedded in the ecosystem service supply and demand based on the pressure–state–response model and identified the key obstacles to ecological security in the Pearl River Delta from 1990 to 2015. Our results showed that soil retention, carbon sequestration, and water yield increased with fluctuation except for grain production and habitat quality. The grain demand, carbon emission, and water demand increased sharply by 10.1%, 769.4%, and 17.5%, respectively. The ecosystem service supply areas were mainly located in the low hills, while the demand regions were mainly in the low plain areas. The ecological security index’s decline in vitality was caused by the decrease in the pressure index, indicating that the ecological security showed an inevitable deterioration and increased pressure on the ecosystem. During the study period, the source of the five key obstacle factors changed from the state layer and response layer to the pressure layer. The accumulative degree of the five top obstacle factors was above 45%. Therefore, governments should grasp the key indicators to improve ecological security as this study provides the theoretical basis and scientific information for sustainable development.
Translation, Cross-Cultural Adaptation and Psychometric Validation of the Greek Version of the Cardiac Rehabilitation Barriers Scale (CRBS-GR): What Are the Barriers in South-East Europe?
Authors: Antoniou Varsamo , Pasias Konstantinos , Loukidis Nektarios , Exarchou-Kouveli Kalliopi K. , Panagiotakos Demosthenes B. , Grace Sherry L. , Pepera Garyfallia
Published: February 2023

Cardiac Rehabilitation (CR) is a secondary prevention intervention proven to improve quality of life, yet with low participation. The Cardiac Rehabilitation Barriers Scale (CRBS) was developed to assess multi-level barriers to participation. This study aimed at the translation, and cross-cultural adaptation of the CRBS into the Greek language (CRBS-GR), followed by psychometric validation. Some 110 post-angioplasty patients with coronary artery disease (88.2% men, age 65.3 ± 10.2 years) answered the CRBS-GR. Factor analysis was performed to obtain the CRBS-GR subscales/factors. The internal consistency and 3-week test–retest reliability was evaluated using Cronbach’s alpha (α) and intraclass correlation coefficient (ICC), respectively. Construct validity was tested via convergent and divergent validity. Concurrent validity was assessed with the Hospital Anxiety and Depression Scale (HADS). Translation and adaptation resulted in 21 items similar to the original version. Face validity and acceptability were supported. Construct validity assessment revealed four subscales/factors, with acceptable overall reliability (α = 0.70) and subscale internal consistency for all but one factor (α range = 0.56–0.74). The 3-week test-retest reliability was 0.96. Concurrent validity assessment demonstrated a small to moderate correlation of the CRBS-GR with the HADS. The greatest barriers were the distance from the rehabilitation center, the costs, the lack of information about CR, and already exercising at home. The CRBS-GR is a reliable and valid tool for identifying CR barriers among Greek-speaking patients.
Performance-Based Pay System and Job Stress Related to Depression/Anxiety in Korea: Analysis of Korea Working Condition Survey
Authors: Lim Myeong-Hun , Yoon Jin-Ha , Lee Won-Tae , Kim Min-Seok , Baek Seong-Uk , Won Jong-Uk
Published: February 2023

The adoption rate of performance-based pay systems has increased in recent years, and the adverse effects of systems have been emphasized. However, no study has analyzed the increase in the risk of depression/anxiety symptoms caused by the pay system in Korea. This study aimed to reveal the association between performance-based pay systems and symptoms of depression/anxiety, using data from the fifth Korean Working Conditions Survey. Depressive/anxiety symptoms were assessed using “yes” or “no” questions regarding medical problems related to depression/anxiety. The performance-based pay system and job stress were estimated using self-response answers. Logistic regression analyses were conducted to determine the association between performance-based pay systems, job stress, and symptoms of depression/anxiety using data from 27,793 participants. The performance-based pay system significantly increased the risk of the symptoms. Additionally, risk increments were calculated after grouping by pay system and job stress. Workers with two risk factors had the highest risk of symptoms of depression/anxiety for both sexes (male: OR 3.05; 95% CI 1.70–5.45; female: OR 2.15; 95% CI 1.32–3.50), implying synergistic effect of performance-based pay system and job stress on depression/anxiety symptoms. Based on these findings, policies should be established for early detection and protection against the risk of depression/anxiety.
Partnerships at the Interface of Education and Mental Health Services: The Utilisation and Acceptability of the Provision of Specialist Liaison and Teacher Skills Training
Authors: Fazel Mina , Soneson Emma , Sellars Elise , Butler Gillian , Stein Alan
Published: February 2023

Partnerships between school staff and mental health professionals have the potential to improve access to mental health support for students, but uncertainty remains regarding whether and how they work in practice. We report on two pilot projects aimed at understanding the implementation drivers of tailored strategies for supporting and engaging front-line school staff in student mental health. The first project provided regular, accessible mental health professionals with whom school staff could meet and discuss individual or systemic mental health concerns (a school ‘InReach’ service), and the other offered a short skills training programme on commonly used psychotherapeutic techniques (the School Mental Health Toolbox; SMHT). The findings from the activity of 15 InReach workers over 3 years and 105 individuals who attended the SMHT training demonstrate that school staff made good use of these services. The InReach workers reported more than 1200 activities in schools (notably in providing specialist advice and support, especially for anxiety and emotional difficulties), whilst most SMHT training attendees reported the utilisation of the tools (in particular, supporting better sleep and relaxation techniques). The measures of acceptability and the possible impacts of the two services were also positive. These pilot studies suggest that investment into partnerships at the interface of education and mental health services can improve the availability of mental health support to students.
Exploring Transfer Potentials of the IMPROVEjob Intervention for Strengthening Workplace Health Management in Micro-, Small-, and Medium-Sized Enterprises in Germany: A Qualitative Study
Authors: Wagner Anke , Werners Brigitte , Pieper Claudia , Eilerts Anna-Lisa , Seifried-Dübon Tanja , Grot Matthias , Junne Florian , Weltermann Birgitta M. , Rieger Monika A. , Rind Esther
Published: February 2023

Micro- and small-sized enterprises (MSE), and small- and medium-sized enterprises (SME) in Germany are often burdened with high levels of psychosocial stressors at work. The IMPROVEjob intervention was originally developed for general practice teams, and aims to promote job satisfaction and reduce psychosocial stressors in the context of workplace health management (WHM). This qualitative study identified challenges and transfer options regarding the transfer of the IMPROVEjob intervention to other MSE/SME settings. Based on previous study results, a comprehensive, qualitative inter- and transdisciplinary approach was developed and conducted between July 2020 and June 2021, also including single interviews and focus group discussion with eleven experts from MSE/SME settings. Data analysis was carried out using a rapid analysis approach. The experts discussed psychosocial topics and didactic formats of the original IMPROVEjob intervention. A lack of access to information on managing work-related psychosocial stressors and inadequate recognition of the importance of psychosocial stressors in the workplace among managers and employees, seemed to be the highest barriers regarding the transfer of the intervention into other MSE/SME settings. The transfer of the IMPROVEjob intervention to other MSE/SME settings requires an adapted intervention format, comprising targeted offers with easy access to information on managing work-related psychosocial stressors and improving WHM in MSE/SME settings.
The Relationship between Selected Factors (Temperament, Bipolar Traits, Sleep Quality, Severity of Addiction) and Depressive Symptoms in Alcohol-Dependent Men
Authors: Nowakowska-Domagała Katarzyna , Podlecka Marlena , Stecz Patryk , Lewandowska Aleksandra , Sipowicz Kasper , Kosmalski Marcin , Pietras Tadeusz , Mokros Łukasz
Published: February 2023

Clinical and epidemiological studies have demonstrated a relationship between alcohol addiction and mood disorders. Alcohol-dependent patients with depression tend to demonstrate clinically more severe manic symptoms, which complicates the process of diagnosis and therapy. However, the predictors indicating the risk of mood disorders in addicted patients remain unclear. The aim of the study was to examine the relationship between personal dispositions, bipolar traits, depth of addiction, quality of sleep, and depressive symptoms in alcohol-dependent men. The study group comprised 70 men (age M = 46.06, SD = 11.29) diagnosed with alcohol addiction. The participants completed a battery of questionnaires: BDI, HCL-32, PSQI, EPQ-R and MAST. The results were tested using Pearson’s correlation quotient and general linear model. The findings indicate that some of the studied patients are likely to have mood disorders of clinically significant severity. High neuroticism and poor sleep quality are independent predictors of depressive symptoms in alcohol-dependent patients. Among the components of sleep quality, problems with falling asleep and waking up at night appear to be most strongly associated with depressive symptoms. The intensity of depressive symptoms may relate to the intensity of certain bipolar features, such as risk-taking activity and irritability. High neuroticism and poor sleep quality are independent predictors of depressive symptoms in the studied group.
Anorexia Nervosa in Adolescence: Parental Narratives Explore Causes and Responsibilities
Authors: Carpinelli Luna , Watzlawik Meike
Published: February 2023

Background: Anorexia nervosa (AN) is a serious mental disorder with a multifactorial etiopathogenesis, adolescent girls being especially vulnerable. Parents can be a resource and occasionally a burden when their children suffer from AN; thus, parents play a key role in recovery. This study focused on parental illness theories of AN and how parents negotiate their responsibilities. Methods: To gain insights into this dynamic, 14 parents (11 mothers, 3 fathers) of adolescent girls were interviewed. Qualitative content analysis was used to provide an overview of the parents’ assumed causes for their children’s AN. We also looked for systematic differences in the assumed causes among different groups of parents (e.g., high versus low self-efficacy). A microgenetic positioning analysis of two mother–father dyads provided further insight into how they viewed the development of AN in their daughters. Results: The analysis stressed the overall helplessness of parents and their strong need to understand what was going on. Parents differed in stressing internal and external causes, which influenced whether they felt responsible and how much they felt in control and able to help. Conclusions: Analysing the variability and dynamics shown can support therapists, especially those working systemically to change the narratives within families for better therapy compliance and outcomes.
PM2.5 Concentration Prediction Model: A CNN–RF Ensemble Framework
Authors: Chen Mei-Hsin , Chen Yao-Chung , Chou Tien-Yin , Ning Fang-Shii
Published: February 2023

Although many machine learning methods have been widely used to predict PM2.5 concentrations, these single or hybrid methods still have some shortcomings. This study integrated the advantages of convolutional neural network (CNN) feature extraction and the regression ability of random forest (RF) to propose a novel CNN-RF ensemble framework for PM2.5 concentration modeling. The observational data from 13 monitoring stations in Kaohsiung in 2021 were selected for model training and testing. First, CNN was implemented to extract key meteorological and pollution data. Subsequently, the RF algorithm was employed to train the model with five input factors, namely the extracted features from the CNN and spatiotemporal factors, including the day of the year, the hour of the day, latitude, and longitude. Independent observations from two stations were used to evaluate the models. The findings demonstrated that the proposed CNN–RF model had better modeling capability compared with the independent CNN and RF models: the average improvements in root mean square error (RMSE) and mean absolute error (MAE) ranged from 8.10% to 11.11%, respectively. In addition, the proposed CNN–RF hybrid model has fewer excess residuals at thresholds of 10 μg/m3, 20 μg/m3, and 30 μg/m3. The results revealed that the proposed CNN–RF ensemble framework is a stable, reliable, and accurate method that can generate superior results compared with the single CNN and RF methods. The proposed method could be a valuable reference for readers and may inspire researchers to develop even more effective methods for air pollution modeling. This research has important implications for air pollution research, data analysis, model estimation, and machine learning.
Designing a Resilient–Sustainable Supply Chain Network of Age-Differentiated Blood Platelets Using Vertical–Horizontal Transshipment and Grey Wolf Optimizer
Authors: Shokouhifar Mohammad , Goli Alireza
Published: February 2023

Blood platelets are a typical instance of perishable age-differentiated products with a shelf life of five days (on average), which may lead to significant wastage of some collected samples. At the same time, a shortage of platelets may also be observed because of emergency demands and the limited number of donors, especially during disasters such as wars and the COVID-19 pandemic. Therefore, developing an efficient blood platelet supply chain management model is highly necessary to reduce shortage and wastage. In this research, an integrated resilient–sustainable supply chain network of perishable age-differentiated platelets considering vertical and horizontal transshipment is designed. In order to achieve sustainability, economic cost, social cost (shortage), and environmental cost (wastage) are taken into account. A reactive resilient strategy utilizing lateral transshipment between hospitals is adopted to make the blood platelet supply chain powerful against shortage and disruption risks. The presented model is solved using a metaheuristic based on a local search-empowered grey wolf optimizer. The obtained results demonstrate the efficiency of the proposed vertical–horizontal transshipment model in reducing total economic cost, shortage, and wastage by 3.61%, 30.1%, and 18.8%, respectively.
External Factors Impacting Residents’ Participation in Waste Sorting Using NCA and fsQCA Methods on Pilot Cities in China
Authors: Jin Baihui , Li Wei
Published: February 2023

Recycling waste is important as it can help to reduce environmental pollution caused by “waste siege”. Source classification is an important part of the municipal solid waste (MSW) sorting process. The factors that prompt residents to participate in waste sorting have been debated by scholars in recent years; however, there are not many papers that focus on the complex relationships between them. This study reviewed the literature that concerns residents’ participation in waste sorting, and it summarized the external factors that might influence residents’ participation. Then, we focused on 25 pilot cities in China, and we analyzed the configuration impact of external factors on residents’ participation using a necessary condition analysis (NCA) and a fuzzy-set qualitative comparative analysis (fsQCA). We found no consistency between variables, nor was there one single condition that caused residents to participate in waste sorting. There are two main methods (environment-driven and resource-driven) that can help achieve a high participation rate, and three methods that can cause a low participation rate. This study provides suggestions for the implementation of waste sorting in other cities in China, as well as developing countries, with an emphasis on the importance of public participation.
The Mediating Role of Insecure Attachment in the Gap in Parenthood Desire between Lesbian and Gay Individuals and Their Heterosexual Counterparts
Authors: Shenkman Geva
Published: February 2023

Previous studies have shown that lesbian and gay (LG) individuals, in comparison to their heterosexual counterparts, tend to report lower levels of parenthood desire. While numerous variables have been suggested to explain this gap in parenthood aspirations, no study has investigated the mediating role of avoidant attachment in the association between sexual orientation and parenthood desire. For that purpose, a sample of 790 cisgender Israelis aged 18–49 years (M = 28.27, SD = 4.76) was recruited using convenience sampling. Among the participants, 345 self-reported as predominantly or exclusively lesbian or gay and 445 self-reported as exclusively heterosexual. Participants completed online questionnaires assessing their sociodemographic characteristics, parenthood desire, and avoidant and anxious attachment styles. Mediation analyses were performed using the PROCESS macro, and the results revealed that LG individuals reported lower parenthood desire, higher avoidant attachment, and higher anxious attachment compared to heterosexual individuals. Moreover, avoidant attachment had a significant mediation effect in the association between sexual orientation and parenthood desire. The findings suggest that LG individuals are more likely to report higher avoidant attachment due to possible rejection and discrimination from family members and peers, and this may be associated with lower parenthood desire. The results contribute to the growing body of research on family formation and parenthood aspirations among LG individuals, and specifically studies aimed at delineating the factors that contribute to the gap in parenthood aspirations between sexual minority individuals and their heterosexual counterparts.
Duration and Influencing Factors of Postoperative Urinary Incontinence after Robot-Assisted Radical Prostatectomy in a Japanese Community Hospital: A Single-Center Retrospective Cohort Study
Authors: Kasai Tadashi , Banno Taro , Nakamura Kazutaka , Kouchi Yukiko , Shigeta Haruki , Suzuki Fumio , Kaneda Yudai , Bhandari Divya , Murayama Anju , Takamatsu Katumori , Kobayashi Naomi , Sawano Toyoaki , Nishikawa Yoshitaka , Sato Hiroyuki , Ozaki Akihiko , Kurokawa Tomohiro , Kanzaki Norio , Shimmura Hiroaki
Published: February 2023

Objectives: Post-operative urinary incontinence (PUI) after robotic-assisted radical prostatectomy (RARP) is an important complication; PUI occurs immediately after postoperative urethral catheter removal, and, although approximately 90% of patients improve within one year after surgery, it can significantly worsen their quality of life. However, information is lacking on its nature in community hospital settings, particularly in Asian countries. The purposes of this study were to investigate the time required to recover from PUI after RARP and to identify its associated factors in a Japanese community hospital. Methods: Data were extracted from the medical records of 214 men with prostate cancer who underwent RARP from 2019 to 2021. We then calculated the number of days elapsed from the surgery to the initial outpatient visit confirming PUI recovery among the patients. We estimated the PUI recovery rate using the Kaplan–Meier product limit method and evaluated associated factors using the multivariable Cox proportional hazards model. Results: The PUI recovery rates were 5.7%, 23.4%, 64.6%, and 93.3% at 30, 90, 180, and 365 days following RARP, respectively. After an adjustment, those with preoperative urinary incontinence experienced significantly slower PUI recovery than their counterparts, while those with bilateral nerve sparing experienced recovery significantly sooner than those with no nerve sparing. Conclusion: Most PUI improved within one year, but a proportion of those experiencing recovery before 90 days was smaller than previously reported.
Trial Sequential Analysis and Updated Meta-Analysis of Fluvoxamine on Clinical Deterioration in Adult Patients with Symptomatic COVID-19 Infection
Authors: Yu Chia-Ling , Carvalho Andre F. , Thompson Trevor , Tsai Tzu-Cheng , Tseng Ping-Tao , Hsu Chih-Wei , Tu Yu-Kang , Yang Szu-Nian , Hsu Tien-Wei , Yeh Ta-Chuan , Liang Chih-Sung
Published: February 2023

Preliminary meta-analyses suggested that fluvoxamine was effective in treating COVID-19 infection. However, the reliability of this evidence has not yet been examined. MEDLINE, CENTRAL, EMBASE, PsycINFO, and ClinicalTrials.gov were searched to identify any randomized controlled trials (RCTs) from the inception of the databases to 5 February 2023. We used trial sequential analysis (TSA) to examine the reliability of the current existing evidence on the benefits of fluvoxamine on COVID-19 infection. The primary outcome was clinical deterioration, as defined in the original study (reported as odds ratio (OR), with 95% confidence intervals), and the secondary outcome was hospitalization. In the TSA, we used the relative risk reduction thresholds of 10, 20, and 30%. The updated meta-analysis of the five RCTs showed that fluvoxamine was not associated with lower odds of clinical deterioration when compared with a placebo (OR: 0.81; 0.59–1.11). The effect of fluvoxamine lay within the futility boundary (i.e., lack of effect) when using a 30% relative risk reduction threshold. The effect estimates lay between the superiority and futility boundary using the 10% and 20% threshold, and the required size of information was not reached for these two thresholds. The effect of fluvoxamine on the odds of hospitalization was not statistically significant (0.76; 0.56–1.03). In conclusion, there is no reliable evidence that fluvoxamine, when compared to a placebo, reduces the relative risk of clinical deterioration among adult patients with COVID-19 infection by 30%, and a relative risk reduction of 20% or 10% is still uncertain. The role of fluvoxamine as a COVID-19 treatment cannot be justified.
Nonresponsive Parenting Feeding Styles and Practices and Risk of Overweight and Obesity among Chinese Children Living Outside Mainland China: An Integrative Review of the Literature
Authors: Le Qun , Greaney Mary L. , Lindsay Ana Cristina
Published: February 2023

Chinese immigrants are a fast-growing population group in many parts of the world. Childhood obesity is increasingly a public health problem among Chinese living outside mainland China. Evidence suggests that parenting feeding styles and practices critically influence children’s eating behaviors and risk of being overweight or obese. Therefore, the objectives of this review were to identify and synthesize the evidence from studies examining the associations between parenting feeding styles, feeding practices, and risk of overweight and obesity among children of Chinese parents outside mainland China. A systematic search of four electronic databases (CINAHL, Medline, PsycINFO, and PubMed) was conducted to identify peer-reviewed studies published in English between January 2000 and March 2022. Fifteen studies met the inclusion criteria and were included in the review. Findings of some of the reviewed studies showed that parenting feeding styles and practices varied according to children’s age, gender, weight, and parents’ acculturation levels. The two most identified parenting feeding styles were indulgent and authoritarian. Parents classified as having indulgent and/or authoritarian feeding styles reported using several feeding practices with unintended detrimental effects, such as pressuring children to eat and restricting or controlling child food intake (type and amount). Some of these feeding practices were associated with an increased risk of child overweight. The findings of this review provide important information that can inform the design interventions to address modifiable nonresponisve parental feeding practices such as pressuring, restricting, and controlling that meet the specific needs of Chinese parents and children outside mainland China.
Analysis of the Spatial-Temporal Evolution of Urbanization Quality in Zhejiang Province, China
Authors: Huang Yangfei , Jiang Xiaomin , Chen Yong
Published: February 2023

Taking cities in Zhejiang Province of China from 2011 to 2020 as the research object, a multi-dimensional urbanization quality evaluation index system was constructed using the comprehensive analysis method, and the urbanization quality of 11 cities in Zhejiang Province was quantitatively measured using the entropy weight method. The system classification and time-space evolution analysis were carried out using ArcGIS software (Environmental Systems Research Institute, Inc., RedLands, CA, USA) to comprehensively study the evolution characteristics and influencing factors of the urbanization quality of cities in Zhejiang Province. This study provides a reference for local governments to formulate feasible urbanization development strategies and policies to promote the high-quality development of urbanization and for the construction of new urbanization in other provinces and cities.