bluuebunny/crossref_metadata_2025 huggingface dataset:
Classical Nuclear Motion: Comparison to Approaches with Quantum Mechanical Nuclear Motion
Authors: Frank Irmgard
Published: December 2022

Ab initio molecular dynamics combines a classical description of nuclear motion with a density-functional description of the electronic cloud. This approach nicely describes chemical reactions. A possible conclusion is that a quantum mechanical description of nuclear motion is not needed. Using Occam’s razor, this means that, being the simpler approach, classical nuclear motion is preferable. In this paper, it is claimed that nuclear motion is classical, and this hypothesis will be tested in comparison to methods with quantum mechanical nuclear motion. In particular, we apply ab initio molecular dynamics to two photoreactions involving hydrogen. Hydrogen, as the lightest element, is often assumed to show quantum mechanical tunneling. We will see that the classical picture is fully sufficient. The quantum mechanical view leads to phenomena that are difficult to understand, such as the entanglement of nuclear motion. In contrast, it is easy to understand the simple classical picture which assumes that nuclear motion is steady and uniform unless a force is acting. Of course, such a hypothesis must be verified for many systems and phenomena, and this paper is one more step in this direction.
The Effect of Woody Encroachment on Evapotranspiration in a Semi-Arid Savanna
Authors: Aldworth Tiffany A. , Toucher Michele L. W. , Clulow Alistair D. , Swemmer Anthony M.
Published: December 2022

Over the past century, increases in indigenous woody plant species, also known as woody encroachment (WE), has occurred in grasslands and savannas across the globe. While the impact on grassland and savanna composition and productivity has been well studied, little is known of the impacts on the hydrological cycle. WE may increase evapotranspiration (ET) losses, leading to reduced infiltration and ultimately reduced freshwater availability, which is of particular concern in arid and semi-arid areas. The aim of this study was to determine the effect of Colophospermum mopane (mopane) encroachment on ET in a semi-arid savanna located in South Africa. Mopane is widely distributed across southern Africa, and is one of the main encroaching species of the region. Following an assessment of the validity of two surface renewal approaches, SR1 and SRDT, against short eddy covariance campaigns for sensible heat flux estimation, the SR1 approach was used to estimate ET at an experimental woody plant clearing trial from November 2019 to July 2022. For the two drier years of the study, the removal of mopane trees had little effect on ET. However, for the wettest year of the study, the removal of mopane trees decreased ET by 12%, supporting the hypothesis that the conversion from grass dominance to woody dominance can increase ET. Annual ET exceeded annual rainfall in all 3 years, indicating that the vegetation supplements its water use with soil water that has accumulated during previous wet seasons, or that tree roots facilitate hydraulic lift of deep soil water, or groundwater, to depths within the rooting depth of both trees and grasses. Further research is needed to confirm the exact mechanism involved, and the consequences of this for groundwater and streamflow at landscape scales.
How the Pilot Low-Carbon City Policy Promotes Urban Green Innovation: Based on Temporal-Spatial Dual Perspectives
Authors: Yue Xianghua , Zhao Shikuan , Ding Xin , Xin Long
Published: December 2022

Enhancing green innovation levels is an important objective of the pilot low-carbon city policy (PLCC) in China, but the spatial and temporal heterogeneity of the PLCC policy’s effect on green innovation is unclear. Based on panel data from 285 Chinese cities during 2005–2020, this paper assesses the impact of PLCC on regional green innovation using the difference-in-difference (DID) method. The empirical results demonstrate that the PLCC can obviously promote urban green innovation. In terms of the temporal dimension, the policy effect of PLCC on regional green innovation shows an inverted “U” shape and peaks in the seventh year after implementation. From the spatial dimension, the PLCC can promote surrounding cities’ green innovation through spatial spillover effects within 200 km, and the spillover effect decreases with increasing distance. Mechanism analysis indicates that the PLCC policy can promote regional green innovation by enhancing regional environmental regulations and alleviating financing constraints. This paper explores the temporal and spatial policy effects of PLCC, which can provide effective paths and policy recommendations for China to achieve its “dual carbon” goals.
Measurement of Progress in the Environmental Area: Poland against the Countries of the European Union
Authors: Mazur-Wierzbicka Ewa
Published: December 2022

The initiatives taken by the European Union (EU) and the strategies it adopts aim to achieve sustainable development in a long-term perspective. This, however, requires continuous and consistent efforts to minimise the pressure on the natural environment. By obliging and encouraging Member States to take action in the environmental area, the EU wants to be a leader in conducting the green energy transformation. The main aim of the article is to assess the level of advancement of the EU countries (taking into account their division into two groups: EU-13 and EU-15) in making efforts to preserve the natural environment, with a particular emphasis on the position of Poland among the EU countries. An environmental index (EI) was used to make comparisons between EU countries. This index was designed on the basis of selected indicators during a statistical analysis. The Principal Component Analysis and the cluster analysis are employed in the article. This analysis puts forward a claim that it was mainly the countries of the EU-15 (Denmark and Sweden, in particular) that ranked highest in the environmental area in the period analysed and thus are the most advanced in terms of taking action for environmental protection—they took leaders’ positions. Romania and Bulgaria took the lowest positions in these comparisons. Poland’s score was low for the EI in the period analysed compared to the EU-28 countries. Establishing a more effective environmental policy in Member States with the lowest results is most crucial. The consistency of ordering countries according to the EI was noticeable in the period investigated. This proves the stability of the positions occupied by the EU-13 and the EU-15 group. Even though the European Union has made great progress with regard to the protection of the natural environment and green transformation, there is still much more to be done to increase the efficiency of resource use, waste recycling, energy efficiency or RES sharing in energy mixes.
Innovative Methods Used in Monitoring COVID-19 in Europe: A Multinational Study
Authors: Unim Brigid , Schutte Nienke , Thissen Martin , Palmieri Luigi
Published: December 2022

Several innovative methods have been deployed worldwide to curb the COVID-19 pandemic. The aim of the study is to investigate which innovative methods are used to monitor COVID-19 health issues in Europe and related legislative and ethical aspects. An online questionnaire was administered to European countries’ representatives of the project Population Health Information Research Infrastructure. Additional information was obtained from websites and documents provided by the respondents; an overview of the literature was also performed. Respondents from 14 countries participated in the study. Digital tools are used to monitor the spread of COVID-19 (13/14 countries) and vaccination coverage (12/14); for research, diagnostics, telehealth (14/14); to fight disinformation (11/14) and forecast the pandemic spread (4/14). The level of implementation of telehealth applications was mostly low/medium. Legislative and ethical issues were encountered in many countries, leading to institutional distrust. The COVID-19 pandemic has highlighted the need for timely and accurate health data for research purposes and policy planning. However, the use of innovative methods for population health monitoring and timely data collection has posed challenges to privacy and online security globally. Adequate regulatory oversight, targeted public health interventions, and fight against disinformation could improve the uptake rate and enhance countries’ emergency preparedness.
Ecological Momentary Assessment of Masseter Muscle Activity in Patients with Bruxism
Authors: Vlăduțu Diana Elena , Ionescu Mihaela , Mercuț Răzvan , Noveri Lorenzo , Lăzărescu Grigore , Popescu Sanda Mihaela , Scrieciu Monica , Manolea Horia Octavian , Iacov Crăițoiu Monica Mihaela , Ionescu Alin Gabriel , Mercuț Veronica
Published: December 2022

According to the International Bruxism Consensus, bruxism refers to the activity of the masticatory muscles reflecting contraction disorders, regardless of whether it is during sleep (SB) or an awake (AB) state. The objective of the present study was to evaluate the activity of the masseter muscle by surface electromyographic (sEMG) recordings. This study was performed on 20 participants with self-reported “possible bruxism” (study group) and 20 participants with no self-reported bruxism (control group); all participants underwent an evaluation of the masseter muscle activity using the dia-BRUXO device, which provides numerical parameters regarding sEMG (the total duration and the type of bruxism specific events, the effort made by the masticatory muscles during the recording period, and the personal bruxism index of each participant). Participants from the study group presented more clenching events during AB, three times more frequent than the control group (p = 0.002, Mann–Whitney U test); for SB, the frequency of clenching and grinding events was comparable within the study group, being more frequent than for the control group; the mean value of the effort index was higher for AB (1.177%) than SB (0.470%) and the same for the duration index, with a mean value of 2.788% for AB and 1.054% for SB. All participants from the control group presented reduced values for all acquired parameters. Overall, the personal bruxism index in AB was approximately four times higher for the study group (2.251%) compared to the control group (0.585%) (p < 0.005, Mann–Whitney U test). Similar values were obtained for SB. All participants with “possible bruxism” from the study group presented a higher activity of the masseter muscle, which is specific for bruxism, thus being defined as “definite bruxism”.
Awareness Status of Schistosomiasis among School-Aged Students in Two Schools on Pemba Island, Zanzibar: A Cross-Sectional Study
Authors: Liu Yiyun , Hu Wenjun , Saleh Juma , Wang Yuyan , Xue Qingkai , Wu Hongchu , Yang Kun , Huang Yuzheng
Published: December 2022

Schistosomiasis elimination has been set as a target in the Neglected Tropical Disease Roadmap of 2021 to 2030. The present study assessed the level of understanding, awareness and behaviors of schistosomiasis among students in Zanzibar and explored the influencing factors as the basis for reliable suggestions for the follow-up policy on schistosomiasis prevention and control. A Knowledge, Attitude and Practices (KAP) survey on students’ perceptions of schistosomiasis was conducted on students from grades 4–9 at two selected schools on Pemba, Zanzibar, from May through September in 2021. A total of 217 valid participants responded to the questionnaires. T-test and chi-squared tests were used to examine the association between the dependent and explanatory variables. Multiple linear regressions were used to analyze the influencing factors of KAP. The findings indicated a lack of knowledge about schistosomiasis among the participants. Although respondents were aware of the risks of infection, they continued to engage in high-risk activities. Age, family size and presence of hematuria were found as contributing factors. Elder students performed better on knowledge (p = 0.02) and attitude (p < 0.01) scores, and students with a smaller family received higher attitude scores (p = 0.04). Practice was significantly correlated with gender (p < 0.01) and hematuria (p < 0.01). Several kinds of health education should be adopted to raise students’ basic knowledge of schistosomiasis. It is also critical to make the community aware regarding schistosomiasis. Future efforts for the prevention and control of schistosomiasis should employ an integrated strategy combining communities with schools to encourage behavioral change.
The Moderating Role of Family Functionality in Prosocial Behaviour and School Climate in Adolescence
Authors: González Moreno Alba , Molero Jurado María del Mar
Published: December 2022

Adolescence entails a series of changes in young people who need to adopt socially positive behaviours and have a beneficial family and school environment. The main objective of this research is to analyse the relationships established between the variables of prosocial behaviour and school climate, as well as to check whether family functionality plays a moderating role in this relationship. The participants were a total of 743 adolescent students between 14 and 19 years of age from different schools in the province of Almería (Spain). The instruments used to evaluate the young people were the APGAR family functioning scale, the Prosocial Behavior Questionnaire (CCP) and the School Social Climate Questionnaire (CECSCE). The data analysed showed a positive correlation between all the variables analysed: family functioning, prosocial behaviour and school climate. Gender differences were found, with adolescent girls showing higher levels of empathy and respect, while boys scored higher in social relations and school climate. The results indicate that family functioning plays a moderating role in some dimensions of prosocial behaviours and school climate. The importance of attending to these types of variables in adolescent students to foster optimal youth development and promote their personal well-being is discussed.
Predictive Model for National Minimal CFR during Spontaneous Initial Outbreak of Emerging Infectious Disease: Lessons from COVID-19 Pandemic in 214 Nations and Regions
Authors: Wang Xiaoli , Fan Lin , Dai Ziqiang , Li Li , Wang Xianliang
Published: December 2022

The minimal case fatality rate (CFR) is one of the essential fundaments for the establishment of a diverse national response strategy against the COVID-19 epidemic, but cannot be quantitatively predicted. The aim of the present study was to explore the applicable quantitative parameters labeling integrating responding capacity from national daily CFR curves, and whether the minimal CFR during initial emerging epidemic outbreaks can be predicted. We analyzed data from 214 nations and regions during the initial 2020 COVID-19 epidemic and found similar falling zones marked with two turning points within a fitting three-day-moving CFR curve which occurred for many nations and regions. The turning points can be quantified with parameters for the day duration (T1, T2, and ΔT) and for the three-day moving arithmetic average CFRs (CFR1, CFR2, and ΔCFR) under wave theory for 71 nations and regions after screening. Two prediction models of minimal CFR were established with multiple linear regressions (M1) and multi-order curve regressions (M2) after internal and external evaluation. Three kinds of falling zones could be classified in the other 71 nations and regions. Only the minimal CFR showed significant correlations with nine independent national indicators in 65 nations and regions with CFRs less than 7%. Model M1 showed that logarithmic population, births per 1000 people, and household size made significant positive contributions, and logarithmic GDP, percentage of population aged 65+ years, domestic general government health expenditure, physicians per 1000 people, nurses per 1000 people, and body mass index made negative contributions to the minimal CFR against COVID-19 epidemics for most nations and regions. The spontaneous minimal CFR was predicted well with model M1 for 57 nations and regions based on the nine national indicators (R2 = 0.5074), or with model M2 for 59 nations and regions based on the nine national indicators (R2 = 0.8008) at internal evaluation. The study confirmed that national spontaneous minimal CFR could be predicted with models successfully for most nations and regions against COVID-19 epidemics, which provides a critical method to predict the essential early evidence to evaluate the integrating responding capacity and establish national responding strategies reasonably for other emerging infectious diseases in the future.
Spatiotemporal Evolution and Drivers of Total Health Expenditure across Mainland China in Recent Years
Authors: Li Junming , Han Xiulan
Published: December 2022

A substantially growing health expenditure has become an important global issue. Thus, how and why health expenditure is rising should be urgently investigated in systematic research. The Bayesian space-time model and the Bayesian least absolute shrinkage and selection operator (LASSO) model were employed in this study to investigate the spatiotemporal trends and influence patterns of total health expenditure per capita (THEPC) and total health expenditure (THEE) as a share of the gross domestic product (GDP) on the Chinese mainland from 2009 to 2018. The spatial distribution of THEE as a share of GDP in mainland China has shaped a distinct geographical structure with the characteristic of ‘west high/east low’. Its local increasing trends formed a geographical structure that exhibited a ‘north high/south low’ feature. The heterogeneity of the influence patterns of health expenditure was observed from east to west across China. Natural environmental factors, such as air pollution and green coverage, along with changes in dietary structures, have increasingly influenced the growth of health expenditures.
Development of a Web-Based Diabetes Prevention Program (DPP) for Chinese Americans: A Formative Evaluation Approach
Authors: Yeh Ming-Chin , Lau Wincy , Gong Zoey , Horlyck-Romanovsky Margrethe , Tung Ho-Jui , Zhu Lin , Ma Grace X. , Wylie-Rosett Judith
Published: December 2022

Increasing evidence demonstrates that an online Diabetes Prevention Program (DPP) can delay the onset of type 2 diabetes. However, little has been done for Chinese Americans. This study, using Community-Based Participatory Research and Intervention Mapping approaches, describes a formative research process in the development of a culturally and linguistically tailored online DPP program among Chinese Americans with prediabetes living in New York City. Using a triangulation approach, data were collected to inform the development of an online DPP curriculum through (1) a literature review, (2) three focus groups (n = 24), and (3) a community advisory board meeting among 10 key informants knowledgeable in community needs, diabetes care, and lifestyle interventions. Participants indicated online DPPs would be very useful and easily accessible. However, key barriers including low computer skills/literacy and technology self-efficacy were identified. In addition, taking meal photos and tracking pedometer steps daily were found to be acceptable self-motoring tools for sustaining a healthy lifestyle. Furthermore, the integration of features such as text message reminders and the creation of social support groups into the online DPP curriculum was proposed to minimize attrition. This theory-based formative research to develop a culturally and linguistically appropriate web-based DPP curriculum was well-received by Chinese Americans and warrants testing in future intervention studies.
Flapless Decoronation: A Minimally Invasive Approach
Authors: Shay Boaz , Mijiritsky Eitan , Bronstein Meital , Govani-Levi Mor , Ben Simhon Tal , Chackartchi Tali
Published: December 2022

Traumatic injuries to the permanent dentition are most common in children. In severe dentoalveolar injuries, especially avulsion and intrusion, dentoalveolar ankylosis is a common complication, leading to adverse effects on the developing alveolar bone and interfering with the eruption of the adjacent teeth. The decoronation procedure was suggested in 1984 to reduce these side effects related to ankylosis. The objective of the current publication is to describe a minimally invasive, flapless decoronation procedure aimed to minimize and simplify the surgical procedure of decoronation, and ease its clinical acceptance, particularly in young children. The technique is described in a detailed protocol and demonstrated in two cases. Under local anesthesia, the dental crown is removed, and the root is reduced by 1.5–2.0 mm apically to the marginal bone crest. The root canal content is then removed, allowing it to fill with blood. The socket is coronally sealed with a porcine-derived collagen matrix (PDCM) sutured using the “parachute” technique over the resected root, allowing close adaptation to the surrounding soft tissue. In conclusion, the presented technique of flapless decoronation is a modification of the classic decoronation procedure, which can be used as a minimally invasive technique to simplify the surgical procedure and the post-operative process.
The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria
Authors: Lambonmung Augustine , Acheampong Charity Asantewaa , Langkulsen Uma
Published: December 2022

There is a high incidence of adolescent pregnancy in West Africa. The objective of this study is to highlight the health impacts of adolescent pregnancy through a systematic review. A search was conducted in the electronic databases of Google, Google Scholar, SCOPUS, EBSCO, CINAHL, Web of Science, African Journals Online (AJOL), and the Demographic Health Surveys (DHS) Program. The study found anemia, complications of pregnancy, obstetric and gynecological risks, unsafe abortions, and psychological effects to adversely impact the health of adolescent girls in Ghana, Liberia, and Nigeria. Pregnancy could be deleterious to the health and well-being of adolescent girls in various forms. In addition, adolescent pregnancy could expose adolescent girls to gender-based violence, exclusions, and inequities, be detrimental to upholding women’s sexual and reproductive health rights, and could also have implications for Sustainable Development Goal 3. Targeted interventions to prevent pregnancy in young women and mitigate these effects by stakeholders are encouraged.
Evaluating the Comprehensive Benefit of Urban Renewal Projects on the Area Scale: An Integrated Method
Authors: Chen Yizhong , Liu Guiwen , Zhuang Taozhi
Published: December 2022

Globally, the challenges facing cities regarding urban decay, insufficient urban function, and fragmented urban development are enormous. Under this context, urban renewal provides opportunities to address these challenges and enhance urban sustainability. Thus, promoting urban renewal projects and improving their performance is a global topic. In many circumstances, urban renewal is planned and initiated on the project scale, but on the area scale, overall coordination of the projects can bring about comprehensive benefits to urban areas on a macro view. In practice, it still lacks a systematic evaluation approach to obtain a clear picture of such comprehensive benefits. In academia, the existing research studies are mainly focused on single-project evaluation. An integrated framework that provides a holistic assessment of area-scale project benefits is missing. Few fully consider the coupling coordination benefits between several urban renewal projects from an area-scale perspective. Thus, this paper aims to propose a framework for integrating an indicator evaluation system through a hybrid entropy weight method with Back Propagation (BP) neural network methods to evaluate the comprehensive benefit of urban renewal projects on the area scale, which is the level at which most development area-scale renewal projects take place in a city. The feasibility and effectiveness of this proposed framework are then verified in a case study of Chongqing, China. The results indicate that the proposed method that integrated multi-project characteristics can contribute to a bigger picture of benefit evaluation of urban renewal based on an area scale perspective. This therefore provides not only guidance for urban planners and policymakers to make better decisions, but also new insight for benefit evaluation in the field of urban development.
Research on Co-Opetition Mechanism between Pharmaceutical Enterprises and Third-Party Logistics in Drug Distribution of Medical Community
Authors: Li Zhao , Xia Tie , Shen Wanzhi , Chen Sheng
Published: December 2022

Third-party logistics (3PL) has a relatively perfect distribution system in solving the drug distribution of the medical community and optimizing the distribution efficiency of pharmaceutical enterprises, and it has gradually become an indispensable component of drug distribution. By constructing the co-opetition model of “Pharmaceutical Enterprises—3PL”, this paper explores the game strategy choice between pharmaceutical enterprises and 3PL for the solution of drug distribution under the condition of information asymmetry, and it puts forward some suggestions to improve the competition and cooperation mechanism between pharmaceutical enterprises and 3PL in drug distribution in the medical community.
Thermophysiological and Perceptual Responses of Amateur Healthcare Workers: Impacts of Ambient Condition, Inner-Garment Insulation and Personal Cooling Strategy
Authors: Zhao Yingying , Su Meng , Meng Xin , Liu Jiying , Wang Faming
Published: December 2022

While personal protective equipment (PPE) protects healthcare workers from viruses, it also increases the risk of heat stress. In this study, the effects of environmental heat stress, the insulation of the PPE inner-garment layer, and the personal cooling strategy on the physiological and perceptual responses of PPE-clad young college students were evaluated. Three levels of wet bulb globe temperatures (WBGT = 15 °C, 28 °C, and 32 °C) and two types of inner garments (0.37 clo and 0.75 clo) were chosen for this study. In an uncompensable heat stress environment (WBGT = 32 °C), the effects of two commercially available personal cooling systems, including a ventilation cooling system (VCS) and an ice pack cooling system (ICS) on the heat strain mitigation of PPE-clad participants were also assessed. At WBGT = 15 °C with 0.75 clo inner garments, mean skin temperatures were stabilized at 31.2 °C, Hskin was 60–65%, and HR was about 75.5 bpm, indicating that the working scenario was on the cooler side. At WBGT = 28 °C, Tskin plateaued at approximately 34.7 °C, and the participants reported “hot” thermal sensations. The insulation reduction in inner garments from 0.75 clo to 0.37 clo did not significantly improve the physiological thermal comfort of the participants. At WBGT = 32 °C, Tskin was maintained at 35.2–35.7 °C, Hskin was nearly 90% RH, Tcore exceeded 37.1 °C, and the mean HR was 91.9 bpm. These conditions indicated that such a working scenario was uncompensable, and personal cooling to mitigate heat stress was required. Relative to that in NCS (no cooling), the mean skin temperatures in ICS and VCS were reduced by 0.61 °C and 0.22 °C, respectively, and the heart rates were decreased by 10.7 and 8.5 bpm, respectively. Perceptual responses in ICS and VCS improved significantly throughout the entire field trials, with VCS outperforming ICS in the individual cooling effect.
Unraveling EFL Teacher Buoyancy in Online Teaching: An Ecological Perspective
Authors: Liu Honggang , Duan Siyu , Chu Wenxiu
Published: December 2022

Due to the COVID-19 pandemic, online teaching became a significant method at different levels of education across the globe. The transition from traditional offline to online educational environments brought new challenges for language teachers. Buoyancy plays a crucial role for teachers to bounce back from challenging situations. However, there is a scarcity of empirical research on language teacher buoyancy in online contexts from an ecological perspective which is conducive to unfolding the complex and dynamic nature of buoyancy. To fill this gap, the current study utilized a qualitative research method to investigate the factors influencing English teacher buoyancy in online teaching and how they shape and exercise buoyancy in their negotiation with different ecological systems in online teaching guided by Bronfenbrenner’s ecological systems theory. The findings revealed that teachers experienced multiple challenges from different ecological systems, such as ineffective classroom interaction, work–life imbalance, heavy workload, and higher school requirements. Additionally, teacher buoyancy was shaped by the dynamic interaction between teachers and ecological systems and was not only viewed as the individual’s ability but as a socio-ecological product. Based on the above findings, the paper provides some implications for developing and researching language teacher buoyancy in the future.
Association between Participation of Children with Disabilities and the Child, Family, and Environmental Factors in Shanghai, China: A Cross-Sectional Study
Authors: Xia Cong , Jing Qi , Chen Gang , Sun Mei , Lu Jun
Published: December 2022

Participation is essential to a child’s health and well-being, whereas children with disabilities may lack the associated benefits because of physical restrictions. This study aims to examine the association between the participation of children with disabilities and the child, family, and environmental factors. A total of 433 children with disabilities aged 3–18 and their family caregivers were included. Three binary logistic regression models were respectively established to identify the significant factors associated with children’s home, school, and community participation. Our main empirical results showed that among 433 children with disabilities, 44.3%, 47.6%, and 58.7% of them never or seldom participated in home, school, and community activities. Child and family factors were found to be dominantly associated with children’s participation, and significant factors associated with the home, school, and community participation of children were different, including children’s disability type, sleep problems and emotional stability, caregivers’ education, mental HRQOL, rehabilitation belief, and number of children in the family. These results highlight that the participation of children with disabilities in mainland China urgently needs to be enhanced, and further research might be focused on validating the causal relationships between participation and significant child and family factors identified in this study.
Tolerance for Housing Unaffordability among Highly Skilled Young Migrants: Evidence from the Zhejiang Province of China
Authors: Jin Xizan , Yu Hongfei , Yi Fangxin , Chen Lili , Wang Song
Published: December 2022

Many studies have concluded that, since housing pressure affects the mobility of highly skilled young migrants (HSYMs) in Chinese cities and regions, it is necessary to apply corresponding housing policies to adjust housing unaffordability for HYSM. This study uses data from a survey conducted in China’s Zhejiang Province, where specific policies have been implemented to attract talent. We found that housing crowds out HSYM from a city, but that the HSYM who have a master’s degree or above, or who work in government organizations or state-owned enterprises, are more tolerant of housing unaffordability. Those who are unmarried or those staying in the city for a long period are less tolerant of housing unaffordability. Meanwhile, different factors have heterogeneous impacts on the HSYMs’ tolerance for housing unaffordability across cities of different levels. Therefore, housing policies should highlight urban differences and intra-group differences, and more housing land should be provided to attract talent.
Medication Literacy in Chinese Patients with Stroke and Associated Factors: A Cross-Sectional Study
Authors: Chang Xiao , Wang Kai , Wang Yuting , Tu Houmian , Gong Guiping , Zhang Haifeng
Published: December 2022

In China, stroke is characterized by high incidence, recurrence, disability, economic burden, and mortality. Regular and effective medication therapy can reduce stroke recurrence. High medication literacy is vital for the success of tertiary prevention measures aimed at preventing recurrence and minimizing disability. A cross-sectional survey using a medication literacy questionnaire was conducted between January and May 2022 on 307 inpatients of a Class III Grade A hospital in Hefei, Anhui Province, China. The demographic and clinical data of the patients were obtained from medical records. The health literacy of the patients was moderate, with 36.8% exhibiting adequate medication literacy. Univariate analysis identified significant differences in the medication literacy of the patients, depending on education level, annual income, family history of stroke, number of health problems, age, daily medication times, and brain surgery history. Multiple regression analysis revealed that education level, annual income, family history of stroke, and number of health problems significantly influenced medication literacy. In patients with stroke who are older and have a low education level, more health problems, no history of surgery, or no family history of stroke or medication guidance, medication knowledge and attitude can be improved to enhance medication safety and guarantee tertiary-level prevention of stroke.
Isoniazid Preventive Therapy for Prevention of Tuberculosis among People Living with HIV in Ethiopia: A Systematic Review of Implementation and Impacts
Authors: Assefa Dawit Getachew , Zeleke Eden Dagnachew , Bekele Delayehu , Ejigu Dawit A. , Molla Wondwosen , Woldesenbet Tigist Tekle , Aynalem Amdehiwot , Abebe Mesfin , Mebratu Andualem , Manyazewal Tsegahun
Published: December 2022

Background: Tuberculosis (TB) is a major cause of morbidity and mortality in people living with HIV (PLWHIV). Isoniazid preventive therapy (IPT) prevents TB in PLWHIV, but estimates of its effects and actual implementation vary across countries. We reviewed studies that examined the impact of IPT on PLHIV and the factors influencing its implementation in Ethiopia. Methods: We searched PubMed/MEDLINE, Embase, and the Cochrane Central Register of Clinical Controlled Trials from their inception to 1 April 2021 for studies of any design that examined the impact of IPT on PLHIV and the factors influencing its implementation. The protocol was registered in PROSPERO, ID: CRD42021256579. Result: Of the initial 546 studies identified, 13 of which enrolled 12,426 participants, 15,640 PLHIV and 62 HIV clinical care providers were included. PLHIV who were on IPT, independently or simultaneously with ART, were less likely to develop TB than those without IPT. IPT interventions had a significant association with improved CD4 count and reduced all-cause mortality. IPT was less effective in people with advanced HIV infection. The major factors influencing IPT implementation and uptake were stock-outs, fear of developing isoniazid-resistant TB, patient’s refusal and non-adherence, and improper counseling and low commitment of HIV clinical care providers. Conclusion: IPT alone or in combination with ART significantly reduces the incidence of TB and mortality in PLHIV in Ethiopia than those without IPT. More research on safety is needed, especially on women with HIV who receive a combination of IPT and ART. Additionally, studies need to be conducted to investigate the efficacy and safety of the new TPT (3 months combination of isoniazid and rifapentine) in children and people living with HIV.
Guardians’ Self-Reported Fair/Poor Oral Health Is Associated with Their Young Children’s Fair/Poor Oral Health and Clinically Determined Dental Caries Experience
Authors: Jones Kaitlin E. , Simancas-Pallares Miguel A. , Ginnis Jeannie , Shrestha Poojan , Divaris Kimon
Published: December 2022

In this cross-sectional, community-based study among a multi-ethnic sample of preschool-age children in North Carolina, United States, we sought to quantify the association between guardians’ self-reported oral health and their children’s oral health and determine whether race/ethnicity and education level modify these associations. We used questionnaire (n = 7852) responses about caregivers’ and their children’s oral health and clinical examination-derived (n = 6243) early childhood caries (ECC) status defined at the ICDAS ≥ 3 caries lesion detection threshold. We used multi-level mixed-effects generalized linear models to examine the associations between the guardians’ reported oral health and their children’s reported and clinically determined oral health among the entire sample and within strata of race/ethnicity, guardians’ education, and children’s dental home. The guardians’ and their children’s reported fair/poor oral health (FPOH) were 32% and 15%, respectively, whereas 54% of the children had ECC and 36% had unrestored disease. The guardians’ FPOH was strongly associated with their children’s FPOH (average marginal effect (AME) = +19 percentage points (p.p.); 95% CI = 17–21), and this association was most pronounced among Hispanics, lower-educated guardians, and children without a dental home. Similar patterns, but smaller-in-magnitude associations, were found for the guardians’ FPOH and their children’s clinically determined ECC (AME = +9 p.p.; 95% CI = 6–12) and unrestored disease (AME = +7 p.p.; 95% CI = 4–9). The study’s findings support a strong association between guardians’ and their children’s reported and clinically determined oral health and implicate ethnicity, education, and having a dental home as factors possibly modifying the magnitude of these associations.
Residents’ Location-Based Fear of Theft and Their Impact Factors in Guangzhou, China
Authors: Song Guangwen , Li Jiaqi , Zhang Chunxia , Gu Jie
Published: December 2022

While the fear of theft is common and is known to lead to lower satisfaction with life and subjective well-being, current literature regards the fear of theft as a stable psychological state and ignores discrepancies based on location and their influencing factors. To fill these gaps, we selected 74 typical communities and collected 1568 questionnaires throughout Guangzhou. The results show that: (1) the respondents demonstrated significant location-based differences in their fear of theft. Locations including a coach station, a railway station, a bus station, a subway station and a wholesale market had the highest associated levels of fear, whereas locations dedicated to leisure activities, especially those in high-end places, had a lower level of respondents’ fear of theft. (2) Vulnerability model, victimization model, community security and built environment can be applied to the analysis of fear of theft around different places, but interpretations of fear do vary widely from place to place.
Chronic Effects of Different Types of Neuromuscular Training on Hemodynamic Responses Estimated VO2max, and Walking Performance in Older People
Authors: Dantas Estélio Henrique Martin , de Oliveira Sant’Ana Leandro , Vianna Jeferson Macedo , Machado Sergio , Bezerra Jani Cleria Pereira , Corey Matthew T. , Scartoni Fabiana Rodrigues
Published: December 2022

This paper investigated the effects over time of different forms of neuromuscular training on hemodynamic responses, the estimated VO2max, and walking performance. 105 older adults were randomly organized into three groups: RGA, RGB, and the Control Group (CG). RGA and RGB did 4 weeks of adaptation phase training and 12 weeks of intervention with different loads: moderate loads for RGB. and higher loads for RGA. A pre- and post-evaluation of the resting heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), double product (DP), estimated VO2max, and walking performance were assessed. Significant differences were observed for SBP, DBP, HR, and DP. For SBP, a post-evaluation reduction was observed only in RGA (p = 0.007) and when comparing RGA with the Control Group (p < 0.000). For the absolute VO2max, a significant improvement was seen in RGB compared to RGA (p = 0.037) and CG (p < 0.000). For the relative VO2max, RGB scored significantly higher than RGA (p < 0.000) and CG (p < 0.000), post-intervention. For the walk test, a significant reduction in completion times was observed for RGA (p = 0.027) and RGB (p < 0.000), and for RGB compared to RGA (p = 0.000) and CG (p < 0.000). Resistance training can be an excellent strategy for hemodynamic and cardiorespiratory improvement in the elderly.
Effectiveness of the Online “Dialogue Circles” Nursing Intervention to Increase Positive Mental Health and Reduce the Burden of Caregivers of Patients with Complex Chronic Conditions. Randomized Clinical Trial
Authors: Tinoco-Camarena Jose Manuel , Puig-Llobet Montserrat , Lluch-Canut María Teresa , Roldan-Merino Juan , Moreno-Arroyo Mari Carmen , Moreno-Poyato Antonio , Balaguer-Sancho Judith , Agüera Zaida , Sánchez-Ortega Maria Aurelia , Hidalgo-Blanco Miguel Ángel
Published: December 2022

The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called “dialogue circles” designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible.
The Impact of COVID-19 Pandemics on the Development of Health Risk Communication: Challenges and Opportunities
Authors: Valenti Antonio , Mirabile Marco , Cannone Erika , Boccuni Fabio , Dionisi Pierluca , Fortuna Grazia , Gagliardi Diana , Vizzaccaro Romina , Iavicoli Sergio
Published: December 2022

Starting from an analysis of communication in Italy during the COVID-19 emergency period (February–June 2020), this paper provides an overview of the main challenges and opportunities for communication during pandemics. The purpose of this study is to perform a literature review contributing to the identification of practical recommendations for the improvement of current risk communication strategies. Given the variety of the parties involved in communication and the peculiarity of the theme, an integrated analysis approach was adopted, based on the connections between institutional, scientific and mass communication. On one hand, the “emotional” character of Italian institutional communication aimed at promoting solidarity and unity among citizens. On the other hand, scientific communication played a key role both as a technical and scientific consultation for the policymaker, and as a guide for mass communication. Nevertheless, a lack of awareness emerged from the institutional and scientific side of the importance of an interface between science and effective, transparent policy. It thus becomes necessary to develop new and effective communication strategies aimed at facing uncertainties and the challenges of risk communication in epidemics and pandemics. Such strategies should consider interaction between public health, human and social sciences, political science, law, ethics, communication and media studies, as each of these areas may give an important contribution to the understanding of the context in which communication occurs.
Clinical Outcomes Associated with SARS-CoV-2 Co-Infection with Rhinovirus and Adenovirus in Adults—A Retrospective Matched Cohort Study
Authors: Tran Quynh-Lam , Benitez Gregorio , Shehadeh Fadi , Kaczynski Matthew , Mylonakis Eleftherios
Published: December 2022

(1) Background: Respiratory co-infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other viruses are common, but data on clinical outcomes and laboratory biomarkers indicative of disease severity are limited. We aimed to compare clinical outcomes and laboratory biomarkers of patients with SARS-CoV-2 alone to those of patients with SARS-CoV-2 and either rhinovirus or adenovirus. (2) Methods: Hospitalized patients co-infected with SARS-CoV-2 and rhinovirus and patients co-infected with SARS-CoV-2 and adenovirus were matched to patients infected with SARS-CoV-2 alone. Outcomes of interest were the cumulative incidences of mechanical ventilation use, intensive care unit (ICU) admission, 30-day all-cause mortality, and 30-day all-cause readmission from the day of discharge. We also assessed differences in laboratory biomarkers from the day of specimen collection. (3) Results: Patients co-infected with SARS-CoV-2 and rhinovirus, compared with patients infected with SARS-CoV-2, had significantly greater 30-day all-cause mortality (8/23 (34.8%) vs. 8/69 (11.6%), p = 0.02). Additionally, median alanine transaminase (13 IU/L vs. 24 IU/L, p = 0.03), aspartate transaminase (25 IU/L vs. 36 IU/L, p = 0.04), and C-reactive protein (34.86 mg/L vs. 94.68 mg/L, p = 0.02) on day of specimen collection were significantly lower in patients co-infected with SARS-CoV-2 and rhinovirus in comparison to patients infected with SARS-CoV-2 alone. Clinical outcomes and laboratory markers did not differ significantly between patients with SARS-CoV-2 and adenovirus co-infection and patients with SARS-CoV-2 mono-infection. (4) Conclusion: SARS-CoV-2 and rhinovirus co-infection, compared with SARS-CoV-2 mono-infection alone, is positively associated with 30-day all-cause mortality among hospitalized patients. However, our lack of significant findings in our analysis of patients with SARS-CoV-2 and adenovirus co-infection may suggest that SARS-CoV-2 co-infections have variable significance, and further study is warranted.
An Augmented Reality (AR) App Enhances the Pulmonary Function and Potency/Feasibility of Perioperative Rehabilitation in Patients Undergoing Orthopedic Surgery
Authors: Wang Pin-Hsuan , Wang Yi-Jen , Chen Yu-Wei , Hsu Po-Ting , Yang Ying-Ying
Published: December 2022

Perioperative rehabilitation is crucial for patients receiving surgery in order to reduce complications and mortality. Conventional methods such as verbal instructions and pre-recorded video are commonly used, but several disadvantages exist. Therefore, we developed an augmented reality (AR) app that includes respiration training, resistance muscle training, and walking training for surgery preparation. The aim of this pilot study was to compare the effects of AR-based training rehabilitation programs with conventional (non-AR-based) programs considering the objective pulmonary function and subjective feasibility and potency in orthopedic patients. This prospective study was conducted in a medical center in Taiwan between 2018 to 2021. Sixty-six patients undergoing elective orthopedic surgery were allocated with a 1:1 ratio to non-AR or AR groups according to their wishes. After training, the inspiratory flow rate of the AR group was higher than that of the non-AR group pre-operatively. As for the subjective assessment, the feasibility (level of confidence and anxiety reduction) and potency (cooperation and educative effect) were superior in AR-based training, compared with the conventional training model. Our study showed that patients using our AR app had better subjective and objective outcomes compared with a conventional model for perioperative rehabilitation.