bluuebunny/crossref_metadata_2025 huggingface dataset:
Could the Improvement of Supraspinatus Muscle Activity Speed up Shoulder Pain Rehabilitation Outcomes in Wheelchair Basketball Players?
Authors: Farì Giacomo , Megna Marisa , Ranieri Maurizio , Agostini Francesco , Ricci Vincenzo , Bianchi Francesco Paolo , Rizzo Ludovica , Farì Eleonora , Tognolo Lucrezia , Bonavolontà Valerio , Fiore Pietro , Reis Victor Machado
Published: December 2022

Shoulder pain (SP) is a common clinical complaint among wheelchair basketball (WB) players, since their shoulders are exposed to intense overload and overhead movements. The supraspinatus tendon is the most exposed to WB-related injuries and it is primarily responsible for SP in WB athletes. In these cases, SP rehabilitation remains the main treatment, but there is still a lack of specific protocols which should be customized to WB players’ peculiarities and to the supraspinatus muscle activity monitor, and the improvement of rehabilitation outcomes is slow. Thus, the aim of this study was to verify if the improvement of supraspinatus muscle activity, monitored in real time with surface electromyography (sEMG) during the execution of therapeutic exercises, could speed up SP rehabilitation outcomes in WB players. Thirty-three athletes were enrolled. They were divided into two groups. Both groups underwent the same shoulder rehabilitation program, but only the Exercise Plus sEMG Biofeedback Group executed therapeutic exercises while the activity of the supraspinatus muscles was monitored using sEMG. Participants were evaluated at enrollment (T0), at the end of 4 weeks of the rehabilitation program (T1), and 8 weeks after T1 (T2), using the following outcome measures: supraspinatus muscle activity as root mean square (RMS), Wheelchair User’s Shoulder Pain Index (WUSPI), shoulder abduction, and external rotation range of motion (ROM). The Exercise Plus sEMG Biofeedback Group improved more and faster for all the outcomes compared to the Exercise Group. The monitoring and improvement of supraspinatus muscle activity seems to be an effective way to speed up SP rehabilitation outcomes in WB players, since it makes the performance of therapeutic exercise more precise and finalized, obtaining better and faster results in terms of recovery of shoulder function.
Review of Published Laboratory-Based Aerosol Sampler Efficiency, Performance and Comparison Studies (1994–2021)
Authors: Hanlon James , Galea Karen S. , Verpaele Steven
Published: December 2022

We provide a narrative review on the published peer-reviewed scientific literature reporting sampler efficiency, performance and comparison studies (where two or more samplers have been assessed) in laboratory settings published between 1994 and 2021 (27 year period). This review is a follow-up to our narrative review on the published peer-reviewed scientific literature reporting sampler comparison in workplace settings. Search terms were developed for Web of Science and PubMed bibliographic databases. The retrieved articles were then screened for relevance, with those studies meeting the inclusion criteria being taken forward to data extraction (25 studies). The most common fraction assessed has been the inhalable fraction, with the IOM sampler being the most studied inhalable sampler and the SKC Aluminium cyclone being the most studied respirable sampler from the identified relevant articles. The most common aerosol used has been aluminium oxide. It was evident that standardisation for these sampler performance experiments is lacking. It was not possible to identify any discernible trends for the performance of samplers when assessed with different aerosols. The need for more detailed and informative data sharing from authors is highlighted. This includes provision of clear identifiable information on the samplers used for testing, sampler flow rates (both manufacturer and those actually used in the study, with an explanation given of any differences), detailed information on the test aerosols used and the sampler substrate materials used. An identified gap in the literature is the potential to perform studies aimed at revaluating the performance of samplers to allow any longer-term temporal changes in performance to be assessed. One approach in advancing the field is to produce an updated protocol for the laboratory testing of samplers. This updated protocol would be beneficial for both the research and occupational hygiene community and would allow harmonised assessment and reporting of sampler comparison studies.
Parental Support during the COVID-19 Pandemic: Friend or Foe? A Moderation Analysis of the Association between Maternal Anxiety and Children’s Stress in Italian Dyads
Authors: Cadamuro Alessia , Bisagno Elisa , Trifiletti Elena , Di Bernardo Gian Antonio , Visintin Emilio Paolo
Published: December 2022

There is evidence that parental psychological disorders in stressful situations increase the risk of disturbance in child development. This has been investigated in disasters but not in pandemics, which are sensibly different from other types of traumatic events. We investigated the relationship between mothers’ anxiety and their children’s (self-reported) stress and the boundary conditions of this association during the first full COVID-19 lockdown in Italy. During the COVID-19 pandemic, mothers might have increased their protective attitudes to secure and support their children; we tested whether the relationship between mothers’ anxiety and children’s stress was weaker (buffer effect) or stronger (over-protection effect) when perceived parental support was high. We measured mothers’ anxiety, children’s perceived parental support, and children’s stress in a sample of 414 8- to 11-year-old primary school children (229 females, Mage = 9.44) and 395 mothers (Mage = 42.84). Results supported the over-protection scenario and provided the first evidence for the “helicopter-parent effect” during the COVID-19 pandemic: mothers’ anxiety was positively associated with children’s stress only when perceived support was high. Our finding highlights the importance of educating parents (for example, via emotional training) to prevent the worst consequences of adverse events in children and promote their mental health.
Effect of Pharmaceutical Sludge Pre-Treatment with Fenton/Fenton-like Reagents on Toxicity and Anaerobic Digestion Efficiency
Authors: Kazimierowicz Joanna , Dębowski Marcin , Zieliński Marcin
Published: December 2022

Sewage sludge is successfully used in anaerobic digestion (AD). Although AD is a well-known, universal and widely recognized technology, there are factors that limit its widespread use, such as the presence of substances that are resistant to biodegradation, inhibit the fermentation process or are toxic to anaerobic microorganisms. Sewage sludge generated by the pharmaceutical sector is one such substance. Pharmaceutical sewage sludge (PSS) is characterized by high concentrations of biocides, including antibiotics and other compounds that have a negative effect on the anaerobic environment. The aim of the present research was to determine the feasibility of applying Advanced Oxidation Processes (AOP) harnessing Fenton’s (Fe2+/H2O2) and Fenton-like (Fe3+/H2O2) reaction to PSS pre-treatment prior to AD. The method was analyzed in terms of its impact on limiting PSS toxicity and improving methane fermentation. The use of AOP led to a significant reduction of PSS toxicity from 53.3 ± 5.1% to 35.7 ± 3.2%, which had a direct impact on the taxonomic structure of anaerobic bacteria, and thus influenced biogas production efficiency and methane content. Correlations were found between PSS toxicity and the presence of Archaea and biogas yields in the Fe2+/H2O2 group. CH4 production ranged from 363.2 ± 11.9 cm3 CH4/g VS in the control PSS to approximately 450 cm3/g VS. This was 445.7 ± 21.6 cm3 CH4/g VS (1.5 g Fe2+/dm3 and 6.0 g H2O2/dm3) and 453.6 ± 22.4 cm3 CH4/g VS (2.0 g Fe2+/dm3 and 8.0 g H2O2/dm3). The differences between these variants were not statistically significant. Therefore, due to the economical use of chemical reagents, the optimal tested dose was 1.5 g Fe2+/6.0 g H2O2. The use of a Fenton-like reagent (Fe3+/H2O2) resulted in lower AD efficiency (max. 393.7 ± 12.1 cm3 CH4/g VS), and no strong linear relationships between the analyzed variables were found. It is, therefore, a more difficult method to estimate the final effects. Research has proven that AOP can be used to improve the efficiency of AD of PSS.
Analyzing the Spatial Equity of Walking-Based Chronic Disease Pharmacies: A Case Study in Wuhan, China
Authors: Liu Yue , Su Yuwei , Li Xiaoyu
Published: December 2022

Chronic diseases place a substantial financial burden on both the patient and the state. As chronic diseases become increasingly prevalent with urbanization and aging, primary chronic disease pharmacies should be planned to ensure that patients receive an equitable distribution of resources. Here, the spatial equity of chronic disease pharmacies is investigated. In this study, planning radiuses and Web mapping are used to assess the walkability and accessibility of planned chronic disease pharmacies; Lorenz curves are used to evaluate the match between the service area of the pharmacies and population; location quotients are used to identify the spatial differences of the allocation of chronic disease pharmacies based on residents. Results show that chronic disease pharmacies have a planned service coverage of 38.09%, an overlap rate of 58.34%, and actual service coverage of 28.05% in Wuhan. Specifically, chronic disease pharmacies are spatially dispersed inconsistently with the population, especially the elderly. The allocation of chronic disease pharmacies is directly related to the standard of patients’ livelihood. Despite this, urban development does not adequately address this group’s equity in access to medication. Based on a case study in Wuhan, China, this study aims to fill this gap by investigating the spatial equity of chronic disease medication purchases.
Autonomy or Working Conditions?—Research on Heterogeneity and Influencing Mechanism of Self-Employment on Job Satisfaction in China
Authors: Han Yizhi , Wang Jingyi
Published: December 2022

The development of globalization and information technology has been promoting informal work rapidly. In this process, self-employment is gradually becoming an important employment approach. As two of the key variables, self-employment laborers’ work autonomy and work conditions are largely discussed as the potential determinants of their work satisfaction. Which of these two factors is actually influencing labors’ satisfaction level? So far, relevant studies are insufficient to respond to this question, especially in developing countries. This study investigates the influence of work autonomy and working conditions on self-employed workers’ job satisfaction in China. China Labor-force Dynamics Survey data is used to examine the impact of self-employment on workers’ job satisfaction and the influence mechanism of work autonomy and working conditions. Propensity score matching and instrumental variable methods were applied to avoid sample selection bias and endogeneity. We found that self-employment has a significant negative effect on job satisfaction; poor working conditions are responsible for self-employed workers’ lower satisfaction level, and self-employment behavior impacts job satisfaction differently in terms of the type and gender of self-employed workers. Therefore, stronger social security and better working conditions for the self-employed should be provided.
Relationship between Regular Leisure-Time Physical Activity and Underweight and Overweight Status in Taiwanese Young Adults: A Cross-Sectional Study
Authors: Liang Chyi , Lee Po-Fu , Yeh Ping-Chun
Published: December 2022

The aim of this study was to determine the association between regular leisure-time physical activity (LTPA) and various body mass index (BMI) categories in Taiwanese young adults. A total of 10,802 young adults (18–44 years) were enrolled in a national telephone survey. The questionnaire data from this survey included socio-demographic characteristics, zip code of residence, LTPA behaviors, self-reported health status, and self-evaluated anthropometric measurements, which included height, body weight, and BMI. Regular and non-regular LTPA behaviors were defined as follows: (1) Regular LTPA: participants who reported breathing quickly and sweating when participating in 150–300 min per week of moderate-intensity LTPA or 75–150 min per week of vigorous-intensity LTPA. (2) Non-regular LTPA: the rest of the participants. The various BMI categories were defined as (1) underweight (BMI < 18.5 kg/m2), (2) normal weight (18.5 ≤ BMI < 24 kg/m2), (3) overweight (24 ≤ BMI < 27 kg/m2), and (4) obese (BMI ≥ 27 kg/m2). When compared with participants with non-regular LTPA, participants with regular LTPA exhibited lower risks of being overweight (odds ratio [OR], 0.837; 95% confidence interval [CI] 0.738–0.948) and underweight (OR, 0.732; 95% CI 0.611–0.876). However, there was no significant relationship between regular LTPA and obesity risk when using non-regular LTPA as the baseline after adjusting for potential confounders. The study results revealed that regular LTPA effectively reduced the risks of being underweight and overweight. However, for people with obesity, regular LTPA was unable to significantly decrease their obesity risk.
Efficacy and Safety of Transvenous Lead Extraction at the Time of Upgrade from Pacemakers to Cardioverter-Defibrillators and Cardiac Resynchronization Therapy
Authors: Stefańczyk Paweł , Nowosielecka Dorota , Polewczyk Anna , Jacheć Wojciech , Głowniak Andrzej , Kosior Jarosław , Kutarski Andrzej
Published: December 2022

Background: Upgrading from pacemakers to ICDs and CRTs is a difficult procedure, and often, transvenous lead extraction (TLE) is necessary for venous access. TLE is considered riskier in patients with multiple diseases. We aimed to assess the complexity, risk, and outcome of TLE among CRT and ICD candidates. Methods: We analyzed clinical data from 2408 patients undergoing TLE between 2006 and 2021. There were 138 patients upgraded to CRT-D, 33 patients upgraded to CRT-P and 89 individuals upgraded to ICD versus 2148 patients undergoing TLE for other non-infectious indications. Results: The need for an upgrade was the leading indication for TLE in only 36–66% of patients. In 42.0–57.6% of patients, the upgrade procedure could be successfully done only after reestablishing access to the occluded vein. All leads were extracted in 68.1–76.4% of patients, functional leads were retained in 20.2–31.9%, non-functional leads were left in place in 0.0–1.1%, and non-functional superfluous leads were extracted in 3.6–8.4%. The long-term survival rate of patients in the CRT-upgrade group was lower (63.8%) than in the non-upgrade group (75.2%). Conclusions: Upgrading a patient from an existing pacemaker to an ICD/CRT is feasible in 100% of cases, provided that TLE is performed for venous access. Major complications of TLE at the time of device upgrade are rare and, if present do not result in death.
Trait Anxiety and Unhealthy Eating in Adult Women: The Mediating Role of Cognitive Instability
Authors: Mróz Magdalena , Gross James J. , Brytek-Matera Anna
Published: December 2022

Previous studies have demonstrated the influence of affective states on unhealthy eating. Heightened impulsivity has also been recognized as a risk factor for unhealthy eating. The objective of the present study was to investigate the relationship between trait anxiety and unhealthy eating and to test whether cognitive instability (trait impulsivity component) might mediate this relationship among adult women. Method: The sample was composed of 225 women (Mage = 29.70 ± 9.23; MBodyMass Index = 23.39 ± 4.43). The State-Trait Anxiety Inventory (STAI), the Food Frequency Questionnaire (FFQ), and the Barratt Impulsiveness Scale (BIS) were used. We first conducted a principal components analysis to reduce the dimensionality of the FFQ data, finding four principal components. For our primary analyses, we focused on unhealthy eating. We then conducted a mediation analysis to examine whether trait anxiety was associated with unhealthy eating and, if so, whether cognitive impulsivity mediated this relationship. Results: Trait anxiety was positively associated with cognitive instability, and cognitive instability was positively associated with unhealthy eating. Trait anxiety was also positively associated with unhealthy eating, but only when controlling for cognitive instability. Consistent with our proposed mediation model, trait anxiety was positively associated with cognitive instability, which in turn predicted unhealthy eating among adult women. Conclusion: Adult women who reported higher levels of trait anxiety experienced higher levels of cognitive instability and engaged in poor dietary behaviors. Identifying the factors related to unhealthy eating represents a crucial step toward findings ways of reducing their impact on food intake and replacing them with more productive ones.
Effects of 8-Week Electromyostimulation Training on Upper-Limb Muscle Activity and Respiratory Gas Analysis in Athletes with Disabilities
Authors: Kim Jongbin , Park Joonsung , Yang Jeongok , Kim Youngsoo , Kim Inhyung , Shim Himchan , Jang Changho , Kim Mincheol , Kim Myeongcheol , Lee Bomjin
Published: December 2022

This study was aimed at verifying the efficacy of EMS training by investigating the changes in upper-limb muscle functions and energy expenditure in athletes with disabilities after an 8-week intervention of EMS training. We compared variations in muscle activity, respiratory gas, and symmetry index (SI) after an 8-week intervention in eight professional male athletes with disabilities wearing an electromyostimulation (EMS) suit (age: 42.00 ± 8.67 years, height: 1.65 ± 0.16 m, weight: 64.00 ± 8.72 kg, career length: 11.75 ± 3.83 years). For EMS training, each participant wore an EMS suit. EMS was applied to the upper-limb muscles pectoralis major and triceps at 40 °C water temperature, with a 25 Hz frequency (duty cycle 10%) for 15 min, followed by a 5 Hz frequency (duty cycle 5%) for 5 min. The pre- and post-intervention measurements were taken in the same way at a pre-set time (for 1 h, twice a week) for 8 weeks. Training involved a seated chest press, and the muscle activity (pectoralis major, triceps, and antebrachial muscles), upper-limb SI, and respiratory gas variables (maximal oxygen consumption (VO2), carbon dioxide output (VCO2), respiratory quotient (RQ), metabolic equivalents (METs), and energy expenditure per min (Energy expended per minute; EEm)) were analyzed. Variations pre- and post-intervention across the measured variables were analyzed. Regarding the change in muscle activity, significant variations were found in the pectoralis major right (p < 0.004), pectoralis major left (p < 0.001), triceps right (p < 0.002), and antebrachial right (p < 0.001). Regarding left-to-right SI, a positive change was detected in the pectoralis major and triceps muscles. Additionally, respiratory gas analysis indicated significant variations in VO2 (p < 0.001), VCO2 (p < 0.001), METs (p < 0.001), and EEm (p < 0.001). EMS training improved muscle strength and respiratory gas variables and is predicted to contribute to enhanced muscle function and rehabilitation training for athletes with disabilities.
What Contributes to Athlete Performance Health? A Concept Mapping Approach
Authors: Smyth Erin A. , Donaldson Alex , Drew Michael K. , Menaspa Miranda , Cooke Jennifer , Guevara Sara A. , Purdam Craig , Appaneal Craig , Wiasak Rebecca , Toohey Liam
Published: December 2022

Background: In high-performance sport, athlete performance health encompasses a state of optimal physical, mental, and social wellbeing related to an athlete’s sporting success. The aim of this study was to identify the priority areas for achieving athlete performance health in Australia’s high-performance sport system (HPSS). Methods: Participants across five socioecological levels of Australia’s HPSS were invited to contribute to this study. Concept mapping, a mixed-methods approach incorporating qualitative and quantitative data collection, was used. Participants brainstormed ideas for what athlete performance health requires, sorted the ideas into groups based on similar meaning and rated the importance, and ease of achieving each idea on a scale from 1 (not important/easiest to overcome) to 5 (extremely important/hardest to overcome). Results: Forty-nine participants generated 97 unique statements that were grouped into 12 clusters following multidimensional scaling and hierarchical cluster analysis. The three clusters with highest mean importance rating were (mean importance rating (1–5), mean ease of overcoming (1–5)): ‘Behavioral competency’ (4.37, 2.30); ‘Collaboration and teamwork’ (4.19, 2.65); ‘Valuing athlete wellbeing’ (4.17, 2.77). The 12 clusters were grouped into five overarching domains: Domain one—Performance health culture; Domain two—Integrated strategy; Domain three—Operational effectiveness; Domain four—Skilled people; Domain five—Leadership. Conclusion: A diverse sample of key stakeholders from Australia’s HPSS identified five overarching domains that contribute to athlete performance health. The themes that need to be addressed in a strategy to achieve athlete performance health in Australia’s HPSS are ‘Leadership’, ‘Skilled people’, ‘Performance health culture’, ‘Operational effectiveness’, and ‘Integrated strategy’.
Psychoeducation Programs to Reduce Preoperative Anxiety in Adults: A Scoping Review
Authors: Oliveira Palmira , Porfírio Catarina , Pires Regina , Silva Rosa , Carvalho José Carlos , Costa Tiago , Sequeira Carlos
Published: December 2022

Background: Surgical procedure is a critical event that causes anxiety for patients. One of the possible intervention strategies to reduce anxiety in the preoperative period is psychoeducation. Methods: A scoping review was conducted according to the JBI methodology and PRISMA-ScR to map knowledge about psychoeducation programs to reduce preoperative anxiety in adults. The data were extracted by the researchers, according to the objective of the study. Finally, the data synthesis was presented in narrative format and tables. Results: four studies were included in the review with different characteristics of psychoeducation programs. The approach of these programs consisted of teaching about anxiety, instruction and training in anxiety control techniques. The contents referred to included the surgical process and intervention techniques to reduce anxiety. Program sessions lasted from 45 to 150 min, with a frequency of 1 to 6. The assessment instrument used was the State-Trait Anxiety Inventory. The dynamisers were nurses, psychotherapists and clinical psychologists. Conclusions: Psychoeducation programs can be useful and effective in reducing anxiety. More studies are needed to confirm these results.
The TELE-DD Randomised Controlled Trial on Treatment Adherence in Patients with Type 2 Diabetes and Comorbid Depression: Clinical Outcomes after 18-Month Follow-Up
Authors: Hoyo María Luisa Lozano del , Rodrigo María Teresa Fernandez , Urcola-Pardo Fernando , Monreal-Bartolomé Alicia , Ruiz Diana Cecilia Gracia , Borao Mercedes Gómez , Alcázar Ana Belén Artigas , Casbas José Pedro Martínez , Casas Alexandra Aceituno , Funcia María Teresa Andaluz , Delgado Juan Francisco Roy
Published: December 2022

Clinical depression is associated with poorer adherence to hypoglycaemic medication in patients with diabetes mellitus, leading to poorer glycaemic control, diabetes management, and increased complications. The main aim of the TELE-DD trial was to demonstrate the efficacy of a proactive and psychoeducational telephonic intervention based on motivational interviewing and collaborative care to reduce nonadherence and improve prognosis in individuals with diabetes mellitus and concurrent depression. Design: The TELE-DD project is a three-phased prospective study including a nested randomised controlled trial. Methods: The baseline cohort included the entire population of adult patients diagnosed with type 2 diabetes and concurrent depression. A randomised controlled trial was conducted in a selection of patients from the baseline cohort, distributed into a control group (n = 192) and an intervention group (n = 192). Monthly telephonic interventions delivered by specifically trained research nurses were centred on a psychoeducational individualised monitoring protocol including motivational interviewing and collaborative care strategies. Clinical and patient-centred data were systematically collected during an 18-month follow-up including HbA1c, Patient Health Questionnaire, and the Diabetes Distress Scale. Results: During the trial, 18-month follow-up HbA1C levels significantly (p < 0.001) decreased in the intervention group at every follow-up from an average of 8.72 (SD:1.49) to 7.03 (SD:1.09), but slightly increased in the control group from 8.65 (SD:1.40) to 8.84 (SD:1.38). Similar positive results were obtained in depression severity and diabetes distress, LDL-cholesterol, and systolic and diastolic blood pressure, but only at the 18-month follow-up in body mass index reduction. Conclusions: This is the first trial to concurrently decrease biological and psychological outcomes with a monthly brief telephonic intervention, pointing out that a combined biopsychosocial intervention and collaborative care strategy is essential for current world health challenges. ClinicalTrials.gov Identifier: NCT04097483. Patient or Public Contribution: Diabetic patients not belonging to the TELE-DD population or trial sample were consulted during the study design to review and guarantee the clarity and understanding of the trial psychoeducational materials.
Disparate Emotions as Expressions of Well-Being: Impact of Festival Participation from the Participants’ Subjective View
Authors: Abbasian Saeid
Published: December 2022

The purpose of this research is that through festival participants’ subjective views get a better understanding of how their participation results in positive feelings and well-being. The paper has a qualitative approach based on a delimited part of a larger survey and the content analysis method has been employed. A total of 280 participants, mainly of immigrant origin, answered one of the open-ended questions in the survey: What emotions does celebrating the Fire Festival evoke in you? Please justify your answer. The most common meaning in the answers has been good feelings followed by feelings of integration and community, the return of spring, and nostalgia. The results show that the festival has significance for these peoples’ good feelings and well-being, even though it lasts five hours. This study contributes to increased knowledge of festivals’ positive impacts on individuals, especially on immigrants living in Western countries.
Evaluation of Age Based-Sleep Quality and Fitness in Adolescent Female Handball Players
Authors: Guembri Mohamed Alaeddine , Racil Ghazi , Dhouibi Mohamed-Ali , Coquart Jeremy , Souissi Nizar
Published: December 2022

The present study aimed to examine the differences in sleep hygiene, balance, strength, agility, and maximum aerobic speed (MAS) between two groups of female handball players aged under 14 (U14) and under 17 (U17) years. Seventy-two female handball players participated and were divided into two groups according to age: U14 (n = 36, age: 13.44 ± 0.5 years) and U17 (n = 36, age: 15.95 ± 0.76 years). Sleep hygiene was evaluated using three questionnaires: Sleep quality and sleepiness via the Pittsburgh (PSQI) and Epworth (ESS) questionnaires, and the insomnia questionnaire via the measurement of the insomnia severity index (ISI). Physical fitness was evaluated with the stork balance tests with eyes open (OEB) and closed (CEB), the vertical jump (SJ), horizontal jump (SBJ), and five jump (FJT) tests, the agility (t-test) and the maximum aerobic speed (MAS) tests. No significant differences were shown between U14 and U17 players in all PSQI, ISI, and ESS scores, and balance and strength performances. Meanwhile, the U17 players’ performances were significant better in agility quality (p = 0.003 < 0.01) and MAS (p = 0.05) compared to the U14 players. Biological gender specificity during the maturation phase may inhibit the improvement of balance, and strength performances between the age of 13 and 17 years, while agility and MAS performances are more affected by age alterations.
Evolution of Habitat Quality and Its Response to Topographic Gradient Effect in a Karst Plateau: A Case Study of the Key Biodiversity Conservation Project Area of Wuling Mountains
Authors: Xie Bo , Meng Shunbing , Zhang Mingming
Published: December 2022

Habitat quality (HQ) is widely considered to be a proxy indicator for biodiversity. Assessing the dynamic changes in HQ induced by land-use and land-cover (LULC) changes could provide a scientific perspective for regional sustainable development, especially in the ecologically fragile karst plateau mountainous areas. We selected nine landscape metrics to examine LULC dynamics in the Key Biodiversity Conservation Project Area of Wuling Mountains in Guizhou province, China, based on the land-use data for the 1990–2018 period. HQ was evaluated using the InVEST model and the topographic gradient effect on HQ was analyzed using the topographic position index. The results showed that the dominant land categories in the study area were arable land, grassland, and forestland. Land transformation was mainly characterized by a shift from cultivated land to construction land and forestland, and a mutual conversion between grassland and forestland. The changes improved landscape heterogeneity and the degree of fragmentation. The HQ of the study area was high, although exhibited a declining trend from 1990 to 2018. The eastern and western parts had relatively high HQ, whereas the southern and northern parts had low HQ. The topographic gradient had a significant effect on spatial patterns of HQ. High HQ distribution was consistent with that of forestland and was dominant along the topographic gradient, while low HQ distribution was consistent with that of construction land and cultivated land and was dominant along the topographic gradient.
Association between Psychological Disorders, Mediterranean Diet, and Chronotype in a Group of Italian Adults
Authors: Dinu Monica , Lotti Sofia , Napoletano Antonia , Corrao Abigail , Pagliai Giuditta , Tristan Asensi Marta , Gianfredi Vincenza , Nucci Daniele , Colombini Barbara , Sofi Francesco
Published: December 2022

Mental health conditions are a significant contributor to the global burden of disease. The aim of this study was to explore the association between psychological disorders, Mediterranean diet (MD), and chronotype. A total of 344 participants (74% women) with a mean age of 33.5 ± 13 years were recruited. According to the Depression Anxiety Stress Scale (DASS-21) score, 22% of participants had symptoms of depression, 23% anxiety, and 10% stress. The assessment of MD adherence through the Medi-Lite score revealed that participants with psychological disorders had significantly (p < 0.05) lower MD adherence than those without these conditions. Furthermore, less than 10% of the subjects with at least one symptom reported consuming the optimal amount of fruit and vegetables, while 72% showed excessive consumption of meat and meat products. Regarding chronotype, evening subjects reported the lowest MD adherence and the highest prevalence of all three psychological disorders analyzed. A multivariate analysis showed that female gender, age, being unmarried/single, sedentary lifestyle, and low MD adherence were associated with a significantly higher risk of depression, anxiety, and stress. Future studies are needed to explore the relationship between mental health and risk factors to improve personal and global population health.
When Reality Does Not Meet Expectations—Experiences and Perceived Attitudes of Dutch Stakeholders Regarding Payment and Reimbursement Models for High-Priced Hospital Drugs
Authors: Callenbach Marcelien H. E. , Vreman Rick A. , Mantel-Teeuwisse Aukje K. , Goettsch Wim G.
Published: December 2022

This study aimed to identify the current experiences with and future preferences for payment and reimbursement models for high-priced hospital therapies in the Netherlands, where the main barriers lie and assess how policy structures facilitate these models. A questionnaire was sent out to Dutch stakeholders (in)directly involved in payment and reimbursement agreements. The survey contained statements assessed with Likert scales, rankings and open questions. The results were analyzed using descriptive statistics. Thirty-nine stakeholders (out of 100) (in)directly involved with reimbursement decision-making completed the survey. Our inquiry showed that currently financial-based reimbursement models are applied most, especially discounts were perceived best due to their simplicity. For the future, outcome-based reimbursement models were preferred, particularly pay-for-outcome models. The main stated challenge for implementation was generating evidence in practice. According to the respondents, upfront payments are currently implemented most often, whereas delayed payment models are preferred to be applied more frequently in the future. Particularly payment-at-outcome-achieved models are preferred; however, they were stated as administratively challenging to arrange. The respondents were moderately satisfied with the payment and reimbursement system in the Netherlands, arguing that the transparency of the final agreements and mutual trust could be improved. These insights can provide stakeholders with future direction when negotiating and implementing innovative reimbursement and payment models. Attention should be paid to the main barriers that are currently perceived as hindering a more frequent implementation of the preferred models and how national policy structures can facilitate a successful implementation.
Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
Authors: Yang Sun-Yi
Published: December 2022

This study investigated the neonatal intensive care unit (NICU) clinical practicum status during the COVID-19 pandemic and the need for extended reality (XR)-based training for neonatal care. A structured questionnaire was distributed to 132 prelicensing nursing students. Data were analyzed using importance-performance analysis and Borich needs analysis. Students wanted to use XR to learn about treating high-risk preterm infants. COVID-19 limited clinical training in NICUs, and most students preferred training in XR programs to improve their nursing competency for neonates. There is a large demand for nursing skills concerning high-risk newborns and hands-off training.
Healthcare Professionals’ Experiences and Perspectives of Facilitating Self-Management Support for Patients with Low-Risk Localized Prostate Cancer via mHealth and Health Coaching
Authors: Obro Louise Faurholt , Osther Palle Jörn Sloth , Ammentorp Jette , Pihl Gitte Thybo , Krogh Peter Gall , Handberg Charlotte
Published: December 2022

Introduction: Self-monitoring of self-management interventions with the use of mobile health (mHealth) can enhance patients’ well-being. Research indicates that mHealth and health coaching act symbiotically to providing a more constructive outcome. Nurse coaches seem to have a significant role in translating the patients’ tracked data. Objective: The objective was to explore healthcare professionals’ experiences of an intervention offering self-management support through mHealth and health coaching for patients with prostate cancer. Methods: We used the interpretive description methodology, combining semi-structured individual and focus group interviews and participant observations of patient-coach interactions and use of mHealth in coaching sessions. The study was conducted between June 2017 and August 2020. Results: The nurse coaches experienced motivation and autonomy when possessing the right competences for coaching. Furthermore, the nurse coaches experienced conflicting expectations of their roles when having to integrate mHealth. Conclusion: The experience of being competent, autonomous, and confident is important for the nurse coaches to be mentally present during the coaching sessions. On the other hand, the findings indicate that having the sense of not being confident in one’s own ability to perform leads to reduced motivation.
Oral Health and Pathologies in Migrants and Vulnerable Population and Their Social Impact: The Good Practices of the Intervention Model of a University Dental Clinic
Authors: Velázquez-Cayón Rocío Trinidad , Contreras-Madrid Ana Isabel , Parra-Rojas Susell , Pérez-Jorge David
Published: December 2022

Numerous studies have shown the high incidence of diseases affecting oral health in vulnerable populations. The Canary Islands is a region particularly affected by the low income of its inhabitants and a high migration rate. Poor oral health habits and limited access to health care have turned these groups into risk groups. The role of the Fernando Pessoa Canarias University (CDUFPC) dental clinic in the health care of these groups has been an example of good professional practice and a fundamental resource in their health care. The present study aims to identify the profile of pathologies as well as the impact on the oral health of vulnerable population groups served by the CDUFPC. This study was developed between September 2019 and July 2022 with a sample of 878 patients, of whom 267 (30.4%) belonged to vulnerable groups referred by institutions and social organizations. The results identified the prevalence of dental caries as the main pathology and the lack of good oral habits and commitment to oral health and care.
The Association of Body Mass Index and Fat Mass with Health-Related Physical Fitness among Chinese Schoolchildren: A Study Using a Predictive Model
Authors: Wang Qiang , Guo Hongzhi , Chen Sitong , Ma Jiameng , Kim Hyunshik
Published: December 2022

Body fat mass (FM) has advantages over body mass index (BMI) in terms of accuracy of fitness assessment and health monitoring. However, the relationship between FM and fitness in Chinese children has not yet been well studied. This study aimed to investigate the relationship between health-related physical fitness, BMI, and FM, which was estimated using a predictive model among elementary schoolchildren in China. This cross-sectional study included 2677 participants (boys, 53.6%; girls, 46.4%) who underwent anthropometric measurements (height, weight, BMI, and FM) and five health-related fitness tests: 50-m sprint (speed), sit and reach (flexibility), timed rope-skipping (coordination), timed sit-ups (muscular endurance), and 50-m × 8 shuttle run (endurance). In boys, BMI showed a positive correlation with speed (p < 0.001) and endurance (p < 0.006) tests and a negative correlation with flexibility (p < 0.004) and coordination (p < 0.001) tests. In girls, a positive correlation between speed (p < 0.001) and endurance (p < 0.036) tests was observed. Both BMI and FM (estimated using the predictive model) were strongly associated with the health-related physical fitness of elementary schoolchildren. Our findings indicate that health-related physical fitness was similarly affected by FM and BMI. As FM can be quantified, it could therefore be used to develop strategies and intervention programs for the prevention and management of obesity in children.
Spatial and Temporal Evolution of Land Use and the Response of Habitat Quality in Wusu, China
Authors: Wei Yiming , Wang Hongwei , Xue Mengqi , Yin Yucong , Qian Tiantian , Yu Fangrui
Published: December 2022

Understanding land use change and its impact on habitat quality (HQ) is conducive to land use management and ecological protection. We used the InVEST model and the GeoDetector model to explore the land use and HQ of Wusu from 1980 to 2020. We found that the spatial distribution of land use in Wusu had the most dramatic change from 2000 to 2010, and accordingly, the habitat quality deteriorated seriously from 2000 to 2010. Via correlation analysis, the response of HQ to land use change is obvious, among which the negative effect of forest land to construction land is the largest, and the positive effect of construction land to water is the largest. However, the overall HQ had the largest negative response to the change of grassland to arable land, and the largest positive response to the change of unused land to grassland. Of the driving factors that cause land use change and thus affect HQ, the human factors are the strongest, and the negative impact on HQ is more irreversible. This study can provide a scientific basis for land use management and ecological protection in Wusu, and can help to further promote the exploration of human activities and ecological responses in arid and semi-arid areas.
Evaluation of the Use of Digital Mental Health Platforms and Interventions: Scoping Review
Authors: Balcombe Luke , De Leo Diego
Published: December 2022

Background: The increasing use of digital mental health (DMH) platforms and digital mental health interventions (DMHIs) is hindered by uncertainty over effectiveness, quality and usability. There is a need to identify the types of available evidence in this domain. Aim: This study is a scoping review identifying evaluation of the (1) DMH platform/s used; and (2) DMHI/s applied on the DMH platform/s. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guided the review process. Empirical studies that focused on evaluation of the use and application of DMH platforms were included from journal articles (published 2012–2022). A literature search was conducted using four electronic databases (Scopus, ScienceDirect, Sage and ACM Digital Library) and two search engines (PubMed and Google Scholar). Results: A total of 6874 nonduplicate records were identified, of which 144 were analyzed and 22 met the inclusion criteria. The review included general/unspecified mental health and/or suicidality indications (n = 9, 40.9%), followed by depression (n = 5, 22.7%), psychosis (n = 3, 13.6%), anxiety and depression (n = 2, 9.1%), as well as anxiety, depression and suicidality (n = 1, 4.5%), loneliness (n = 1, 4.5%), and addiction (n = 1, 4.5%). There were 11 qualitative studies (50%), 8 quantitative studies (36.4%), and 3 mixed-methods studies (n = 3, 13.6%). The results contained 11 studies that evaluated the DMH platform/s and 11 studies that evaluated the DMHI/s. The studies focused on feasibility, usability, engagement, acceptability and effectiveness. There was a small amount of significant evidence (1 in each 11), notably the (cost-)effectiveness of a DMHI with significant long-term impact on anxiety and depression in adults. Conclusion: The empirical research demonstrates the feasibility of DMH platforms and DMHIs. To date, there is mostly heterogeneous, preliminary evidence for their effectiveness, quality and usability. However, a scalable DMHI reported effectiveness in treating adults’ anxiety and depression. The scope of effectiveness may be widened through targeted strategies, for example by engaging independent young people.
Spatially Non-Stationary Response of Carbon Emissions to Urbanization in Han River Ecological Economic Belt, China
Authors: Li Weisong , Wang Zhenwei , Mao Zhibin , Cui Jiaxing
Published: December 2022

Within the context of the “30·60 dual carbon” goal, China’s low-carbon sustainable development is affected by a series of environmental problems caused by rapid urbanization. Revealing the impacts of urbanization on carbon emissions (CEs) is conducive to low-carbon city construction and green transformation, attracting the attention of scholars worldwide. The research is rich concerning the impacts of urbanization on CEs but lacking in studies on their spatial dependence and heterogeneity at multiple different scales, especially in areas with important ecological statuses, such as the Han River Ecological Economic Belt (HREEB) in China. To address these gaps, this study first constructed an urbanization level (UL) measurement method. Then, using a bivariate spatial autocorrelation analysis and geographically weighted regression model, the spatial relationships between UL and CEs from 2000 to 2020 were investigated from a multiscale perspective. The results were shown as follows. The total CEs in the HREEB witnessed an upsurge in the past two decades, which was mainly dispersed in the central urban areas of the HREEB. The ULs in different regions of the HREEB varied evidently, with high levels in the east and low levels in the central and western regions, while the overall UL in 2020 was higher than that in 2000, regardless of the research scale. During the study period, there was a significant, positive spatial autocorrelation between UL and CEs, and similar spatial distribution characteristics of the bivariate spatial autocorrelation between CEs and UL at different times, and different scales were observed. UL impacted CEs positively, but the impacts varied at different grid scales during the study period. The regression coefficients in 2020 were higher than those in 2000, but the spatial distribution was more scattered, and more detailed information was provided at the 5 km grid scale than at the 10 km grid scale. The findings of this research can advance policy enlightenment for low-carbon city construction and green transformation in HREEB and provide a reference for CE reduction in other similar regions of the world.
Impact of the COVID-19 Pandemic on CSR Activities of Healthcare Providers
Authors: Deselaers Christina , Dahmen Alina , Lippke Sonia
Published: December 2022

(1) Background: Corporate social responsibility (CSR) is important for every company that cares for sustainable structures. Healthcare providers especially have made social responsibility their goal. However, crises such as the COVID-19 pandemic impacted different activities within the healthcare sector including CSR and its monitoring. However, theory-driven CSR research within the healthcare sector is scarce and monitoring requires a structured understanding of the processes. Therefore, the objective of this study was to investigate the CSR practices and activities which healthcare providers have implemented in an exemplified country namely Germany and the effect of the pandemic in this process. (2) Methods: Participants were sampled based on their field of care (general, psychiatric, or rehabilitation), the type of organization (public, private, or non-profit), and group membership. A total of 18 healthcare providers were initially recruited, out of which nine participated in the interviews. They represent companies with yearly revenue of between EUR 110 million and EUR 6 billion, and have between 900 and 73,000 employees. (3) Results: CSR-related activities were postponed due to times of crisis. There was a necessity to rapidly digitalize processes. Frequent and precise communication turned out to be important for keeping employees’ well-being, motivation, and satisfaction levels high. Environmental efforts were counteracted by new hygienic requirements and a shift in priorities. Many study participants expressed the hope that after the pandemic, newly established methods, processes, and structures (e.g., digital meetings, quicker and more inclusive communication) would be maintained and developed further. (4) Conclusions: The pandemic has been challenging and at the same time, these challenges also created opportunities to strike a new path using the learnings to overcome future health-related or economic crises.