bluuebunny/crossref_metadata_2025 huggingface dataset:
Neonatal Pictures in a NICU as a Mode of Nursing Intervention to Enhance Parent-Infant Bonding: Parents’ Experience during the COVID Pandemic
Authors: Aftyka Anna , Rybojad Beata , Mędrzycka-Dąbrowska Wioletta
Published: February 2023

Introduction: Neonatal departments around the world have changed their policies to prevent the spread of infection during the COVID-19 pandemic. The birth of an extremely premature baby can disrupt physical contact between the mother/parent and the baby. This situation affects the bonding process between mother and child. The aim of the study was to investigate the opinions of parents who receive photographs or videos of their children electronically on the usefulness of this intervention, as well as the emotional reaction of parents to the photos or videos received, and potential ways to improve the intervention. Methods: The study used a qualitative approach and relied on phenomenology, which is a research method used to study experience as experienced from the subjective point of view. Pilot interviews were conducted in January and February 2021, and the final study ran from March to June 2021. Results: The uploaded photographs and videos provided a useful communication tool. The parents’ emotions at the proposal to send photographs of the child and while viewing the first photographs were strong and marked by considerable ambivalence. Conclusions: This study showed how important it is to ensure communication between the parent and the medical staff. Despite the positive reception, in the future obtaining consent from the legal guardian for taking pictures should be considered, whether this form will be accepted, and to ensure the presence of medical staff while the parent is watching the photographs/videos, as this method of communication will not fully ensure direct skin-to-skin contact to build bonds between the parent and the infant. Neonatal intensive care units need to find strategies to mitigate the impact of separation on parental experiences and bonds should a similar situation arise in the future.
Rehabilitation Capacity in South Africa—A Situational Analysis
Authors: Louw Quinette A. , Conradie Thandi , Xuma-Soyizwapi Nolubeko , Davis-Ferguson Megan , White Janine , Stols Marie , Masipa Andronica , Mhlabane Pringle , Mdaka Lungisile , Manzini Claudina , Kekana Ivy , Schutte Marike , Rabothata Simon , Kleinitz Pauline
Published: February 2023

Rehabilitation in South Africa (SA) operates independently of major health services and reforms, despite the increasing rehabilitation need. With the introduction of National Health Insurance (NHI), SA is facing another major health reform. Evidence is needed on the current SA rehabilitation situation, regarding shortcomings, opportunities, and priority strategic strengthening actions. We aimed to describe the current rehabilitation capacity in the SA public health sector, which serves the majority and most vulnerable South Africans. A cross-sectional survey was conducted in five provinces, using the World Health Organisation’s Template for Rehabilitation Information Collection (TRIC). Participants were purposively selected for their insights and experiences of rehabilitation in specific government departments, health sectors, organisations, and/or services. TRIC responses were analysed descriptively. Participants explained how timely and effective rehabilitation produced long-term health, social, and economic benefits. Positive initiatives were reported for rehabilitation data collection, service design, and innovation. Challenges included inadequacies in human resources, the integration of rehabilitation at primary care, guidelines, and specialised long-term care facilities. The continuity of care across levels of care was sub-optimal due to inefficient referral systems. Promoting and improving rehabilitation nationally requires concerted, innovative, collaborative, and integrated efforts from multiple stakeholders within, and outside, the health system.
Job Insecurity and Company Behavior: Influence of Fear of Job Loss on Individual and Work Environment Factors
Authors: Castro-Castañeda Remberto , Vargas-Jiménez Esperanza , Menéndez-Espina Sara , Medina-Centeno Raúl
Published: February 2023

The purpose of this research is to analyze to what extent job insecurity is related to different factors related with quality of work life. Specifically, it refers to the individual (work–family balance, job satisfaction, labor and professional development, motivation at work, and well-being at work) and work environment (conditions and environment and safety and health at work) dimensions of the construct. The sample group consisted of 842 workers (375 men and 467 women), aged between 18 and 68 years, from Bahía de Banderas, Mexico. Pearson correlation coefficients between the different variables were carried out, as well as MANOVA and ANOVA analyses and a linear regression analysis. The results showed that workers with low job insecurity obtained higher scores in work–family balance, job satisfaction, labor and professional development, motivation at work, well-being at work, conditions and environment, and safety and health at work, in relation to workers with moderate and high insecurity. The regression analysis confirmed that individual factors explain 24% and environmental factors 15% of job insecurity. This article makes an approximation to the phenomenon of job insecurity in the Mexican context, where the relationship of this variable with quality of work life is verified.
The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review
Authors: Kara Erhan , Sağıroğlu İsa , Vurgun Hikmet , Eken Özgür , Ceylan Halil İbrahim , Gabrys Tomasz , Barasinska Magdalena , Szmatlan-Gabrys Urszula , Valach Peter
Published: February 2023

Artistic gymnastics (AG) is a sport that demands grace, strength, and flexibility, leading to a broad spectrum of injuries. The dowel grip (DG) is widely used by gymnasts to securely hold onto the high bar or uneven bars. However, incorrect usage of the DG can result in grip lock (GL) injuries. This systematic review aims to (1) identify studies that have investigated the risk factors related to GL injuries among gymnasts and (2) synthesize the key evidence. A comprehensive electronic search was conducted in the following databases: PubMed, ScienceDirect, Elsevier, SportDiscus, and Google Scholar, covering the period from their inception until November 2022. The data extraction and analysis were independently completed by two investigators. A total of 90 relevant studies were initially identified, out of which seven clinical trials met the eligibility criteria. For the quantitative synthesis, five studies were included. The details extracted from each article include: the sample characteristics (number, gender, age, and health status), the study design, the instrumentation or intervention used, and the final results. Our results revealed that the underlying causes of the risk factors of GL injuries were the irregular checking of the dowel grip and the mating surface of the bar, the tearing of the dowel of the leather strap, and the use of the dowel grip in different competition apparatuses. In addition, GL injuries may occur either as severe forearm fractures or mild injuries. Excessive flexion of the forearm and overpronation of the wrist during rotational movements, such as the swing or backward/forward giant circle, may increase the possibility of GL injury on the high bar. Future studies should focus on GL injury prevention strategy and rehabilitation protocol for GL injuries. Further high-quality research is required to establish the validity of these findings.
Adapting Family Planning Service Delivery in Title X and School-Based Settings during COVID-19: Provider and Staff Experiences
Authors: Vazzano Andrea , Briggs Sydney , Kim Lisa , Parekh Jenita , Manlove Jennifer
Published: February 2023

The COVID-19 pandemic introduced urgent and unique challenges to family planning providers and staff in ensuring continued access to high-quality services, particularly for groups who experience greater barriers to accessing services, such as women with systemically marginalized identities and adolescents and young adults (AYA). While research has documented key adaptations made to service delivery during the early phase of the pandemic, limited studies have used qualitative methods. This paper draws on qualitative interview data from family planning providers and staff in Title-X-funded clinics and school-based clinics—two settings that serve populations that experience greater barriers to accessing care—to (a) describe the adaptations made to service delivery during the first year of the pandemic and (b) explore provider and staff experiences and impressions implementing these adaptations. In-depth interviews were conducted with 75 providers and staff between February 2020 and February 2021. Verbatim transcripts were analyzed via inductive content analysis followed by thematic analysis. Four key themes were identified: (1) Title-X- and school-based staff made multiple, concurrent adaptations to continue family planning services; (2) providers embraced flexibility for patient-centered care; (3) school-based staff faced unique challenges to reaching and serving youth; and (4) COVID-19 created key opportunities for innovation. The findings suggest several lasting changes to family planning service delivery and provider mindsets at clinics serving populations hardest hit by the pandemic. Future studies should evaluate promising practices in family planning service delivery—including telehealth and streamlined administrative procedures—and explore how these are experienced by diverse patient populations, particularly AYA and those in areas where privacy or internet access are limited.
Impact of Textile Industries on Surface Water Contamination by Sb and Other Potential Toxic Elements: A Case Study in Taihu Lake Basin, China
Authors: Li Feipeng , Guo Ziyi , Mao Lingchen , Feng Junyi , Huang Jiong , Tao Hong
Published: February 2023

Contamination of industry-derived antimony (Sb) is currently of great concern. This study was conducted to identify the source of Sb together with other potential toxic elements (PTEs) in a typical industrial area in China and emphasize the contribution of Sb to ecological risk in the local aquatic environment. By investigating the distribution of nine PTEs in surface water in Wujiang County in dry and wet seasons, this study revealed that textile wastewater was the main source of Sb. The distribution of Sb (0.48~21.4 μg/L) showed the least seasonal variation among the nine elements. Factor analysis revealed that the factor that controlled Sb distribution is unique. In general, Sb was more concentrated in the southeastern part of the study area where there was a large number of textile industries, and was affected by the specific conductivity and total dissolved solids in water (p < 0.01). Sb concentration in 35.71% of samples collected from the drainage outlet exceeded the standard limit of 10 μg/L. Results from three pollution assessment methods suggested that >5% of the sampling sites were slightly too heavily polluted and Sb contributed the most. Therefore, it is necessary to strengthen the administrative supervision of local textile enterprises and elevate the local standard of textile wastewater emission.
Assessment of In-Hospital Mortality and Its Risk Factors in Patients with Myocardial Infarction Considering the Logistical Aspects of the Treatment Process—A Single-Center, Retrospective, Observational Study
Authors: Gawinski Lukasz , Burzynska Monika , Marczak Michal , Kozlowski Remigiusz
Published: February 2023

Technological progress, such as the launching of a new generation of drug-coated stents as well as new antiplatelet drugs, has resulted in the treatment of myocardial infarction (MI) becoming much more effective. The aim of this study was to assess in-hospital mortality and to conduct an assessment of risk factors relevant to the in-hospital death of patients with MI. This study was based on an observational hospital registry of patients with MI (ACS GRU registry). For the purpose of the statistical analysis of the risk factors of death, a univariate logistic regression model was applied. In-hospital general mortality amounted to 7.27%. A higher death risk was confirmed in the following cases: (1) serious adverse events (SAEs) that occurred during the procedure; (2) patients transferred from another department of a hospital (OR = 2.647, p = 0.0056); (3) primary percutaneous coronary angioplasty performed on weekdays between 10 p.m. and 8 a.m. (OR = 2.540, p = 0.0146). The influence of workload and operator experience on the risk of death in a patient with MI has not been confirmed. The results of this study indicate the increasing importance of new risk factors for in-hospital death in patients with MI, such as selected logistical aspects of the MI treatment process and individual SAEs.
Parental Happiness Socialization and Youth Adjustment in Italy and Azerbaijan in the COVID-19 Pandemic Era
Authors: Lunetti Carolina , Di Giunta Laura , Gliozzo Giulia , Riccioni Chiara , Comitale Clementina , Basili Emanuele , Baxseliyeva Aysel , Virzì Alessia Teresa
Published: February 2023

This study aims to cross-culturally identify the parental socialization strategies in response to a child’s happiness and their associations with youth academic and socio-emotional adjustment, controlling for the impact of the COVID-19 pandemic. Participants were a convenient sample of Italian (N = 606, 81.9% mothers) and Azerbaijanis (N = 227, 61.4% mothers) parents of youths (Mage = 12.89, SD = 4.06; 51% girls). Parents filled out an online survey to assess their socialization strategies in response to their children’s happiness, their children’s negative emotion regulation and dysregulation, academic performance, and prosocial behavior. Exploratory factorial analysis showed the presence of two factors that enclosed supportive and unsupportive parental socialization strategies. A multiple-group path analysis model showed that similarly across countries, supportive parental strategies were positively related to youths’ prosocial behavior and that unsupportive parental strategies were positively related to youths’ negative emotion dysregulation, and negatively related to youths’ academic performance and negative emotion regulation. Those results emerged controlling for parents’ and adolescents’ gender and age, parents’ educational level, social desirability, and Covid-related problems. This study advances cross-cultural knowledge about the impact of the strategies that parents use to socialize their children’s happiness in the unique context of the COVID-19 pandemic.
Designing Mobile Health Applications to Support Walking for Older Adults
Authors: Felberbaum Yasmin , Lanir Joel , Weiss Patrice L.
Published: February 2023

Physical activity is extremely important at an older age and has major benefits. There is a range of applications that help maintain physical activity. However, their adoption among older adults is still limited. The purpose of the study is to explore the key aspects of the design of mobile applications that support walking for older adults. We conducted a field study with older adults, aged 69–79 years, using a technology probe (a mobile application developed as an early prototype) with the purpose of eliciting requirements for mobile health applications. We interviewed the participants during and after the study period, asking them about their motivation for walking, usage of the application, and overall preferences when using such technologies. The findings suggest that mobile applications that support walking should address a range of walking variables, support a long-term learning process, and enable the user to take control and responsibility for the walk. In addition, we provide design guidelines concerning the motivation for walking and the data visualization that would make technology adoption easier. The findings from this study can be used to inform the design of more usable products for older users.
A Scoping Review of Observational Studies on Food and Beverage Advertising on Social Media: A Public Health Perspective
Authors: Matos Juliana de Paula , Rodrigues Michele Bittencourt , Duarte Camila Kümmel , Horta Paula Martins
Published: February 2023

Popular social media platforms have been actively used by ultra-processed food companies to promote their products. Being exposed to this type of advertising increases the consumption of unhealthy foods and the risk of developing obesity and other non-communicable diseases (NCDs). Thus, monitoring commercial content on social media is a core public health practice. We aimed to characterize the methods used for monitoring food advertising on social media and summarize the investigated advertising strategies via a scoping review of observational studies. This study is reported according to the MOOSE Statement, and its protocol was registered with the PROSPERO International Prospective Register of Systematic Reviews (registration nº. CRD42020187740). Out of the 6093 citations retrieved, 26 met our eligibility criteria. The studies were published from 2014 to 2021, mostly after 2018. They focused on Australia, Facebook, strategies aimed at children and adolescents, and advertising practices of ultra-processed food companies. We grouped strategies in eight classes: post features (n = 18); connectivity and engagement (n = 18); economic advantages, gifts, or competitions (n = 14); claims (n = 14); promotional characters (n = 12); brand in evidence (n = 8); corporate social responsibility or philanthropy (n = 7); and COVID-19 (n = 3). We found similarities in the investigation of strategies regardless of the type of social media. Our findings can contribute to the designing of tools for monitoring studies and regulatory mechanisms to restrict the exposure of food advertising.
Design and Conceptual Proposal of an Intelligent Clinical Decision Support System for the Diagnosis of Suspicious Obstructive Sleep Apnea Patients from Health Profile
Authors: Casal-Guisande Manuel , Torres-Durán María , Mosteiro-Añón Mar , Cerqueiro-Pequeño Jorge , Bouza-Rodríguez José-Benito , Fernández-Villar Alberto , Comesaña-Campos Alberto
Published: February 2023

Obstructive Sleep Apnea (OSA) is a chronic sleep-related pathology characterized by recurrent episodes of total or partial obstruction of the upper airways during sleep. It entails a high impact on the health and quality of life of patients, affecting more than one thousand million people worldwide, which has resulted in an important public health concern in recent years. The usual diagnosis involves performing a sleep test, cardiorespiratory polygraphy, or polysomnography, which allows characterizing the pathology and assessing its severity. However, this procedure cannot be used on a massive scale in general screening studies of the population because of its execution and implementation costs; therefore, causing an increase in waiting lists which would negatively affect the health of the affected patients. Additionally, the symptoms shown by these patients are often unspecific, as well as appealing to the general population (excessive somnolence, snoring, etc.), causing many potential cases to be referred for a sleep study when in reality are not suffering from OSA. This paper proposes a novel intelligent clinical decision support system to be applied to the diagnosis of OSA that can be used in early outpatient stages, quickly, easily, and safely, when a suspicious OSA patient attends the consultation. Starting from information related to the patient’s health profile (anthropometric data, habits, comorbidities, or medications taken), the system is capable of determining different alert levels of suffering from sleep apnea associated with different apnea-hypopnea index (AHI) levels to be studied. To that end, a series of automatic learning algorithms are deployed that, working concurrently, together with a corrective approach based on the use of an Adaptive Neuro-Based Fuzzy Inference System (ANFIS) and a specific heuristic algorithm, allow the calculation of a series of labels associated with the different levels of AHI previously indicated. For the initial software implementation, a data set with 4600 patients from the Álvaro Cunqueiro Hospital in Vigo was used. The results obtained after performing the proof tests determined ROC curves with AUC values in the range 0.8–0.9, and Matthews correlation coefficient values close to 0.6, with high success rates. This points to its potential use as a support tool for the diagnostic process, not only from the point of view of improving the quality of the services provided, but also from the best use of hospital resources and the consequent savings in terms of costs and time.
Peer Support Activities for Veterans, Serving Members, and Their Families: Results of a Scoping Review
Authors: Mercier Jean-Michel , Hosseiny Fardous , Rodrigues Sara , Friio Anthony , Brémault-Phillips Suzette , Shields Duncan , Dupuis Gabrielle
Published: February 2023

For many, including military veterans and their families, support between individuals with shared lived experiences, or peer support, has long been utilized as a way to support each other through many different challenges. Building on other reviews and guided by the seven domains of well-being in the Canadian veteran well-being framework, the objective of this paper is to describe and catalogue the nature of peer support activities and related outcomes in the veteran, serving member, and family member populations. A scoping review following the five stages outlined by Arksey and O’Malley was conducted; it was guided by the question: What is currently known about peer support activities for veterans, serving members, and their families that has been evaluated in the literature? In total, 101 publications from 6 different countries were included in this review and catalogued based on publication characteristics, participant information, peer support activity information, and peer information. Peer support activities have the potential to positively influence the well-being of veterans, serving members, and their families on a holistic level across multiple domains. This scoping review highlights the existing gaps in the literature and provides an important foundation for future research on peer support for these populations, specifically in the Canadian context.
Differences between Sexes and Speed Levels in Pelvic 3D Kinematic Patterns during Running Using an Inertial Measurement Unit (IMU)
Authors: Perpiñá-Martínez Sara , Arguisuelas-Martínez María Dolores , Pérez-Domínguez Borja , Nacher-Moltó Ivan , Martínez-Gramage Javier
Published: February 2023

This study aimed to assess the 3D kinematic pattern of the pelvis during running and establish differences between sexes using the IMU sensor for spatiotemporal outcomes, vertical acceleration symmetry index, and ranges of motion of the pelvis in the sagittal, coronal, and transverse planes of movement. The kinematic range in males was 5.92°–6.50°, according to tilt. The range of obliquity was between 7.84° and 9.27° and between 9.69° and 13.60°, according to pelvic rotation. In females, the results were 6.26°–7.36°, 7.81°–9.64°, and 13.2°–16.13°, respectively. Stride length increased proportionally to speed in males and females. The reliability of the inertial sensor according to tilt and gait symmetry showed good results, and the reliability levels were excellent for cadence parameters, stride length, stride time, obliquity, and pelvic rotation. The amplitude of pelvic tilt did not change at different speed levels between sexes. The range of pelvic obliquity increased in females at a medium speed level, and the pelvic rotation range increased during running, according to speed and sex. The inertial sensor has been proven to be a reliable tool for kinematic analysis during running.
University Social Responsibility in China: The Mediating Role of Green Psychological Capital
Authors: Chen Yu-Shan , Yan Xin , Liew Chor-Beng Anthony
Published: February 2023

Generation Z represents the young people of today. They are considered as “digitally literate” and were born between mid-to-late 1990s to early 2000s. Generation Z pays more attention to popular environmental issues such as global warming, high energy consumption, overgrazing, and university social responsibility (USR), which are present around the world. We formed a double moderated mediation exam from 910 college students in southeast China, used a new notion “green psychological capital”, and proposed it as a vital mediator. In addition, we found that green organizational ambidexterity and environmental attitude are both boundary conditions in the green shared vision organizational citizenship behavior for the environment (OCBE) link. These findings have unlocked a deeper insight into Generation Z’s green conception and offered a more comprehensive investigation on USR research. Furthermore, the amazing findings can provide a worldwide blueprint for USR studies in the long term.
Sex Differences in Multimorbidity, Inappropriate Medication and Adverse Outcomes of Inpatient Care: MoPIM Cohort Study
Authors: Baré Marisa , Lleal Marina , Sevilla-Sánchez Daniel , Ortonobes Sara , Herranz Susana , Ferrandez Olivia , Corral-Vázquez Celia , Molist Núria , Nazco Gloria Julia , Martín-González Candelaria , Márquez Miguel Ángel ,   on behalf of the MoPIM Study Group
Published: February 2023

There is no published evidence on the possible differences in multimorbidity, inappropriate prescribing, and adverse outcomes of care, simultaneously, from a sex perspective in older patients. We aimed to identify those possible differences in patients hospitalized because of a chronic disease exacerbation. A multicenter, prospective cohort study of 740 older hospitalized patients (≥65 years) was designed, registering sociodemographic variables, frailty, Barthel index, chronic conditions (CCs), geriatric syndromes (GSs), polypharmacy, potentially inappropriate prescribing (PIP) according to STOPP/START criteria, and adverse drug reactions (ADRs). Outcomes were length of stay (LOS), discharge to nursing home, in-hospital mortality, cause of mortality, and existence of any ADR and its worst consequence. Bivariate analyses between sex and all variables were performed, and a network graph was created for each sex using CC and GS. A total of 740 patients were included (53.2% females, 53.5% ≥85 years old). Women presented higher prevalence of frailty, and more were living in a nursing home or alone, and had a higher percentage of PIP related to anxiolytics or pain management drugs. Moreover, they presented significant pairwise associations between CC, such as asthma, vertigo, thyroid diseases, osteoarticular diseases, and sleep disorders, and with GS, such as chronic pain, constipation, and anxiety/depression. No significant differences in immediate adverse outcomes of care were observed between men and women in the exacerbation episode.
The Rise of Gastrointestinal Cancers as a Global Phenomenon: Unhealthy Behavior or Progress?
Authors: Jardim Silvia Rodrigues , de Souza Lucila Marieta Perrotta , de Souza Heitor Siffert Pereira
Published: February 2023

The overall burden of cancer is rapidly increasing worldwide, reflecting not only population growth and aging, but also the prevalence and spread of risk factors. Gastrointestinal (GI) cancers, including stomach, liver, esophageal, pancreatic, and colorectal cancers, represent more than a quarter of all cancers. While smoking and alcohol use are the risk factors most commonly associated with cancer development, a growing consensus also includes dietary habits as relevant risk factors for GI cancers. Current evidence suggests that socioeconomic development results in several lifestyle modifications, including shifts in dietary habits from local traditional diets to less-healthy Western diets. Moreover, recent data indicate that increased production and consumption of processed foods underlies the current pandemics of obesity and related metabolic disorders, which are directly or indirectly associated with the emergence of various chronic noncommunicable conditions and GI cancers. However, environmental changes are not restricted to dietary patterns, and unhealthy behavioral features should be analyzed with a holistic view of lifestyle. In this review, we discussed the epidemiological aspects, gut dysbiosis, and cellular and molecular characteristics of GI cancers and explored the impact of unhealthy behaviors, diet, and physical activity on developing GI cancers in the context of progressive societal changes.
Individual and Contextual Factors Associated with Classroom Teachers’ Intentions to Implement Classroom Physical Activity
Authors: McLoughlin Gabriella M. , Calvert Hannah G. , Turner Lindsey
Published: February 2023

Classroom-based physical activity (CPA) is an evidence-based practice that improves student physical activity outcomes, but national data suggest implementation is insufficient in US classrooms. The purpose of this study was to examine individual and contextual factors associated with elementary school teachers’ intentions to implement CPA. We collected input survey data from 181 classroom teachers (10 schools; 98.4% participation among eligible teachers) across three separate cohorts to examine associations between individual and contextual constructs and future CPA implementation intentions. Data were analyzed using multilevel logistic regression. Individual-level characteristics of perceived autonomy for using CPA, perceived relative advantage/compatibility of CPA, and general openness to educational innovations were positively associated with intentions to implement CPA (p < 0.05). Teacher perceptions of contextual factors such as administrator support for CPA were also associated with implementation intentions. This study adds to prior evidence about the importance of theoretically determined constructs for understanding behavioral intentions among front-line implementers such as classroom teachers. Additional research is needed to evaluate interventions designed to change malleable factors, including teachers’ perceptions, as well as changing school environments so that teachers perceive more autonomy to use CPA and have the training and resources that build skills for implementation.
Absenteeism at Two Occupational Health Services in Belgium from 2014 to 2021
Authors: Moerland Ilse , Vervaet Nouchka , Godderis Lode , Versée Mathieu , Du Bois Marc
Published: February 2023

Medical certification is often needed for absences of longer than one workday. The literature remains unclear as to whether this changes absenteeism. Earlier research found that the merging of two firms can augment or diminish short-term absenteeism. This study was conducted to examine whether prolonging self-certification or merging increases short-term absenteeism. Data from January 2014 to December 2021 were retrospectively collected from HR absenteeism files at two occupational health services in Belgium. Sickness periods of longer than 4 weeks were excluded. Company 1 started a merger in 2014, and company 2 prolonged of the self-certification period in 2018. The total full-time equivalents (FTEs) of company 1 increased by 6%, while company 2 had an increase of 28%. At company 1, there was a decline in absenteeism, while company 2 had an increase. The ARIMA (1, 0, 1) model provided a statistically significant local moving average (company 1: 0.123; company 2: 0.086) but no statistically significant parameters for the intervention (company 1: 0.007, p = 0.672; company 2: 0.000, p = 0.970). Prolonging the self-certification period by up to 5 days without medical certification or merging was not found to increase short-term absenteeism.
Seroprevalence of Anti-SARS-CoV-2 Antibodies Following the Omicron BA.1 Wave
Authors: Socan Maja , Prosenc Katarina , Mrzel Maja
Published: February 2023

We conducted a seroprevalence study using convenient residual sera samples from the Slovenian population collected after the end of the Omicron BA.1 pandemic wave. Serum samples were tested for spike glycoprotein (anti-S) and nucleocapsid protein (anti-N) antibodies. Participants’ data regarding confirmed infection and vaccination was obtained from national registries. Anti-S antibodies were detected in 2439 (84.1%) of 2899 sera from persons aged 0–90 years, with the lowest prevalence in the 0–17 age group. The proportion of anti-N positives was the lowest in the ≥70 age group. The proportion of anti-N positives was significantly higher among participants with confirmed past infection and among those who had never been vaccinated. In participants who had not been notified as infected and who had never been vaccinated, the seroprevalence of anti-S and anti-N antibodies was 53% and 35.5%, respectively. From the time of serum collection to mid-November 2022, 445 participants (15.3%) tested positive for SARS-CoV-2, with higher odds in seronegative participants, participants in the 40–59 age group, and those without notified previous infection. Vaccination status and gender had no significant effects on infection risk. This study underlines the importance of serosurveys in understanding the development of the pandemic.
Financial and Other Life Stressors, Psychological Distress, and Food and Beverage Consumption among Students Attending a Large California State University during the COVID-19 Pandemic
Authors: Lin Paulina , Hillstrom Kathryn , Gottesman Kimberly , Jia Yuane , Kuo Tony , Robles Brenda
Published: February 2023

The novel coronavirus disease 2019 (COVID-19) pandemic abruptly disrupted the daily lives and health of college students across the United States. This study investigated several stressors (e.g., financial strain/uncertainty), psychological distress, and dietary behaviors among college students attending a large state university during the pandemic. A cross-sectional online survey was administered to students from the California State University, Los Angeles between April and May 2021 (final analytic sample n = 736). Differences in gender and race/ethnicity were examined using chi-square, t-test, and one-way ANOVA tests. Paired t-tests were performed to compare variables before and during the pandemic. Negative binomial regression models examined the associations between various stressors, psychological distress, and three key dietary outcomes. Descriptive results showed that the consumption of fruits and vegetables, fast food, and sugary beverages, along with psychological distress, all increased during the pandemic. Significant differences in fruit and vegetable and fast food consumption by gender and race/ethnicity were also observed. In the regression models, several stressors, including financial strain and psychological distress, were associated with unfavorable food and beverage consumption, thereby suggesting that college students may need more support in mitigating these stressors so they do not manifest as poor dietary behaviors. Poor diet quality is associated with poor physical health outcomes such as premature development of type 2 diabetes or hypertension.
Investigating Functioning Profile of Adolescents with Anorexia before and during the COVID-19 Pandemic: A Cross-Sectional Study on Mentalizing, Alexithymia, and Impulsiveness
Authors: Bizzi Fabiola , Riva Anna , Charpentier Mora Simone , Tironi Marta , Sforza Sofia Elena , Milani Lorenzo Maria , Nacinovich Renata
Published: February 2023

Anorexia nervosa (AN) usually emerges in adolescence when important changes occur in cognitive, emotional, and social processes. Mentalizing, alexithymia, and impulsiveness represent key dimensions for the understanding and interpretation of psychological difficulties in AN. The outbreak of the COVID-19 pandemic has impacted adolescents with AN, showing a worsening of the disease. The main aims of the present paper are (1) to compare adolescents with AN before and during the COVID-19 pandemic and (2) to explore the relationship between mentalizing, alexithymia, impulsiveness, and psychological difficulties related to eating disorders in adolescents with AN during the COVID-19 pandemic. One hundred and ninety-six AN female adolescents (N = 94 before COVID-19; N = 102 during COVID-19) participated in this study. The results show that adolescents with AN during the COVID-19 pandemic had a more impaired functioning profile than the before COVID-19 group. Mentalizing, alexithymia, and impulsiveness had a predictive role on psychological difficulties related to eating disorders in adolescents with AN during the COVID-19 pandemic. In conclusion, our data reveal that the COVID-19 pandemic has likely represented a stress condition that affects mental health; worsening the severity of adolescents with AN clinical condition. Lastly, predictive patterns suggest the existence of a link between difficulties in the ability to face the problems of the present time using effective strategies and the severity of psychological symptoms.
Sports Participation and Academic Performance in Primary School: A Cross-Sectional Study in Chinese Children
Authors: Zhang Yao , Yan Jin , Jin Xiao , Yang Hongying , Zhang Ying , Ma Huijun , Ma Rui
Published: February 2023

Previous studies have demonstrated that the effect of sports participation on student health and academic performance is significant. However, the relationship between sports participation and academic performance in specific subjects (e.g., English) in the Chinese population is not clear, especially in primary schools. Therefore, the present cross-sectional study aimed to investigate the relationship between sports participation and academic performance in Chinese elementary schools. Methods: All study participants were asked to self-report their sociodemographic factors (e.g., sex, grade, age), independence, and outcomes. Alongside that, a self-reported questionnaire was used to assess participation in sports and academic performance of three core subjects in China’s schooling system (Chinese; math; English; from A to F, with A indicating the best academic performance). An ordered logistic regression, with an odds ratio (OR) at 95%CI confidence interval, was performed to examine the association between sports team participation and academic performance. Results: The final analysis included 27,954 children aged 10–14. Children in the fifth and sixth grades accounted for 50.2% and 49.8%. Chinese, math, and English academic performance were positively correlated with participation in sports. Compared with students who never participate in sports, those students who participate in sports 1–3 times a month, 1–2 times a week, and 3 or more times a week, were more likely to achieve better grades. In terms of math, compared with students who never participate in sports, those students who participate in sports 1–3 times a month, 1–2 times a week, and 3 or more times a week, were more likely to achieve better grades. Regarding English, compared with students who never participate in sports, those students who participate in sports 1–3 times a month, 1–2 times a week, and 3 or more times a week, were more likely to achieve better grades. Conclusions: Consistent with previous studies, the current study confirms the positive effect of sports participation on children’s academic performance. For an academic-related outreach, gender-, grade- and area-specific strategies should be considered in future research.
Does the Digital Economy Promote the Reduction of Urban Carbon Emission Intensity?
Authors: Jing Shouwu , Wu Feijie , Shi Enyi , Wu Xinhui , Du Minzhe
Published: February 2023

The impact of the digital economy is increasing, and its environmental effect has attracted more and more attention. The digital economy promotes the improvement of production efficiency and the government’s environmental governance capacity, and contributes to the reduction of urban carbon emission intensity. In order to study the impact of digital economy development on urban carbon emission intensity, this paper analyzes the theoretical basis of the digital economy on the reduction of carbon emission intensity, and then, based on the panel data of cities from 2011 to 2019, uses the two-way fixed effect model for empirical testing. The regression results show that the development of the digital economy has promoted the reduction of carbon emission intensity of cities, promoted the green transformation and upgrading of cities, and lays a foundation for China to achieve carbon peaking and carbon neutralization through the improvement of human capital investment and green innovation level. The basic conclusion is robust by changing core explanatory variables, changing samples, replacing regression methods, and shrinking and truncating tests. The impact of the digital economy on urban carbon emission intensity varies with the location, grade and size of the city. Specifically, the development of the digital economy in cities in the eastern and central regions, cities at or above the sub provincial level, large cities and non-resource-based cities has promoted the reduction of urban carbon emission intensity. In terms of resource-based cities, the development of the digital economy in renewable resource-based cities and resource-based cities dominated by iron ore and oil mining has promoted the decline in urban carbon emission reduction intensity.
A Novel Method Based on Hydrodynamic Cavitation for Improving Nitric Oxide Removal Performance of NaClO2
Authors: Song Liguo , Wei Yuhang , Deng Chengqi , Yang Jingang , Sui Hao , Guo Feng , Meng Lingrun , Zhao Xingda , Wei Shiping , Sun Deping , Han Zhitao , Xu Minyi , Pan Xinxiang
Published: February 2023

In the removal of nitric oxide (NO) by sodium chlorite (NaClO2), the NaClO2 concentration is usually increased, and an alkaline absorbent is added to improve the NO removal efficiency. However, this increases the cost of denitrification. This study is the first to use hydrodynamic cavitation (HC) combined with NaClO2 for wet denitrification. Under optimal experimental conditions, when 3.0 L of NaClO2 with a concentration of 1.00 mmol/L was used to treat NO (concentration: 1000 ppmv and flow rate: 1.0 L/min), 100% of nitrogen oxides (NOx) could be removed in 8.22 min. Furthermore, the NO removal efficiency remained at 100% over the next 6.92 min. Furthermore, the formation of ClO2 by NaClO2 is affected by pH. The initial NOx removal efficiency was 84.8–54.8% for initial pH = 4.00–7.00. The initial NOx removal efficiency increases as the initial pH decreases. When the initial pH was 3.50, the initial NOx removal efficiency reached 100% under the synergistic effect of HC. Therefore, this method enhances the oxidation capacity of NaClO2 through HC, realizes high-efficiency denitrification with low NaClO2 concentration (1.00 mmol/L), and has better practicability for the treatment of NOx from ships.
Assessment of Carbon Storage under Different SSP-RCP Scenarios in Terrestrial Ecosystems of Jilin Province, China
Authors: Wan Daiji , Liu Jiping , Zhao Dandan
Published: February 2023

Carbon storage is one of the key factors determining the global carbon balance in the terrestrial ecosystems. Predicting future changes in carbon storage is significant for regional sustainable development in the background of the “dual carbon” objective. This study which coupled the InVEST model and the PLUS model and is based on land use in different future scenarios evaluated the evolution characterization of terrestrial carbon storage in Jilin Province from 2000 to 2040 and explored the impact of related factors on it. The results show that: (1) from 2000 to 2020, the area of cultivated land and built-up areas increased continuously in Jilin Province, while the area of forest land, grassland, and wetland decreased with time; the ecological land has been restored to a certain degree. (2) Due to the continuous reduction in ecological land, the overall carbon storage in Jilin Province from 2000 to 2020 showed a downward trend, with a total reduction of 30.3 Tg, and the carbon storage in the western part of Jilin Province changed significantly. The SSP2-RCP4.5 scenario shows a minimum value of carbon storage in 2030 and a small increase in 2040; the SSP1-RCP2.6 scenario shows an increasing trend in carbon storage from 2020 to 2040; the area of built-up areas and cultivated land increases and the loss in carbon storage is more serious under the SSP5-RCP8.5 scenario. (3) On the whole, with the increase in elevation and slope, the carbon storage showed a trend of increasing first and then decreasing, and the carbon storage of shady and semi-shady slopes was higher than that of sunny and semi-sunny slopes; forest land and cultivated land were the keys to carbon storage changes in Jilin Province.
A Critical Appraisal of the Diagnostic and Prognostic Utility of the Anti-Inflammatory Marker IL-37 in a Clinical Setting: A Case Study of Patients with Diabetes Type 2
Authors: Bosnić Zvonimir , Babič František , Anderková Viera , Štefanić Mario , Wittlinger Thomas , Majnarić Ljiljana Trtica
Published: February 2023

Background: The role of the cytokine interleukin-37 (IL-37) has been recognized in reversing inflammation-mediated metabolic costs. The aim was to evaluate the clinical utility of this cytokine as a diagnostic and prognostic marker in patients with type 2 diabetes (T2D). Methods: We included 170 older (median: 66 years) individuals with T2D (females: 95) and classified as primary care attenders to assess the association of factors that describe patients with plasma IL-37 levels (expressed as quartiles) using multinomial regression models. We determined the diagnostic ability of IL-37 cut-offs to identify diabetes-related complications or patient subgroups by using Receiver Operating Characteristic analysis (c-statistics). Results: Frailty status was shown to have a suppressive effect on IL-37 circulating levels and a major modifying effect on associations of metabolic and inflammatory factors with IL-37, including the effects of treatments. Situations in which IL-37 reached a clinically significant discriminating ability included the model of IL-37 and C-Reactive Protein in differentiating among diabetic patients with low–normal/high BMI ((<25/≥25 kg/m2), and the model of IL-37 and Thyroid Stimulating Hormone in discriminating between women with/without metabolic syndrome. Conclusions: The study has revealed limitations in using classical approaches in determining the diagnostic and prognostic utility of the cytokine IL-37 in patients with T2D and lain a foundation for new methodology approaches.