bluuebunny/crossref_metadata_2025 huggingface dataset:
Plant Defensive Responses Triggered by Trichoderma spp. as Tools to Face Stressful Conditions
Authors: Pacheco-Trejo Jaime , Aquino-Torres Eliazar , Reyes-Santamaría Ma Isabel , Islas-Pelcastre Margarita , Pérez-Ríos Sergio Rubén , Madariaga-Navarrete Alfredo , Saucedo-García Mariana
Published: December 2022

The current agriculture is facing various challenges to produce enough food to satisfy the need of the human population consumption without having a negative impact on the environment, human health and ecosystems. The exploitation of bioinoculants has been a crucial alternative for green agriculture. Bioinoculants have two great benefits: to promote plant growth by making essential nutrients available to crops and, to increase the tolerance to biotic and abiotic stresses by inducing a long-lasting defense. Certain members of genus Trichoderma have been recognized as biocontrol agents, biofertilizers and stress alleviators for the plants. The use of Trichoderma spp. has also been extended to protect and stimulate growth of horticultural crops. Elucidating the plant signaling events triggered by Trichoderma is of high importance in order to understand the molecular basis involving plant protection against stresses. In this review, the signaling elements of the plants from Trichoderma perception through late defensive responses is discussed. Enhanced understanding how Trichoderma spp. activate defense will lead to improvement in the use of species of this genus to increase crop production with the consequent benefits for human health and care for the environment.
Seasonal Variations in Essential Oil Composition of Immortelle Cultivated in Serbia
Authors: Aćimović Milica , Zeremski Tijana , Šovljanski Olja , Lončar Biljana , Pezo Lato , Zheljazkov Valtcho D. , Pezo Milada , Šuput Danijela , Kurunci Zoltan
Published: December 2022

Our previous research has proven that the immortelle (Helichrysum italicum) essential oil (EO) grown in Serbia possesses respectable biological potential and desirable composition of volatile compounds with the potential for a wide range of applications in the food, cosmetics, and pharmaceutical industries. Within this study, the impact of seasonal variations (temperature, precipitation, and insolation) during three successive years (2017, 2018, and 2019), on the volatile profile of γ-curcumene + ar-curcumene immortelle chemotype was determined. Steam distillation was utilized to extract EO from the plant material, followed by chromatographic mass spectrometric analysis revealing 50 volatile compounds. A multiple linear regression model was developed, and principal component analyses were conducted to deliver detailed information regarding the prediction, component profile, and parallel contents of active compounds of the immortelle EO. Under Serbian agro-ecological conditions, with appropriate harvest method, immortelle can achieve two harvests per year: the first in July, and the second in August. The γ-curcumene + ar-curcumene chemotype usually occurs as the dominant chemotype in the region of the ex-Yugoslavia countries. This chemotype probably developed as an adaptation to climatic conditions, and spring and summer precipitation positively influenced curcumene accumulation in plants. Such a phenomenon was especially noticeable in the first harvest.
Effects of Functional Edible Coatings and Storage on Bioactive Compounds, Antioxidant Properties and Sugars in Barhi Dates
Authors: Ghafoor Kashif , Al-Juhaimi Fahad Y. , Babiker Elfadil E. , Sarker Md. Zaidul Islam , Ahmed Isam A. Mohamed
Published: December 2022

Barhi dates at the Khalal stage were preserved using functional coatings developed using chitosan (CH) and olive-cake (OCE) and orange-peel (OPE) extracts in different ratios. The amounts of total flavonoids, total tannins, and total carotenoids, and antioxidant properties were evaluated. The coated and uncoated samples were also quantified for individual bioactive constituents including flavonoids and phenolic acids using liquid chromatography-mass spectrometry (LCMS). Significant (p ≤ 0.05) improvements in the functional properties and phytochemical content were observed in coated fruits after the application of coatings (OCE+CH and OPE+CH) and during storage at 4 °C. The major phytochemicals detected were vanillic, syringic, ferulic, cinnamic, p-coumaric and protocatechuic acids, and quercetin-3-glucoside and rutin. The highest vanillic acid (536.78 mg/kg), syringic acid (157.39 mg/kg) and ferulic acid (96.42 mg/kg) were detected in 2% OPE+CH-coated dates. Application of functional CH coatings containing OCE and OPE was also found effective in preventing the conversion of sucrose to glucose and fructose through slowing down invertase activity. The application of OPE+CH and OCE+CH coatings can be potentially used to enhance the functional properties and slow down the ripening process in Barhi dates at an early stage (Khalal) of maturity.
Anti-SARS-CoV-2 Antibody Status at the Time of Hospital Admission and the Prognosis of Patients with COVID-19: A Prospective Observational Study
Authors: Jurenka Ján , Nagyová Anna , Dababseh Mohammad , Mihalov Peter , Stankovič Igor , Boža Vladimír , Kravec Marián , Palkovič Michal , Čaprnda Martin , Sabaka Peter
Published: December 2022

The association between COVID-19 severity and antibody response has not been clearly determined. We aimed to assess the effects of antibody response to SARS-CoV-2 S protein at the time of hospital admission on in-hospital and longitudinal survival. Methods: A prospective observational study in naive hospitalised COVID-19 patients. The presence of anti-S SARS-CoV-2 IgM and IgG was evaluated using a lateral flow assay at the time of admission. The patients were followed up for 8–30 months to assess survival. We recruited 554 patients (330 men and 224 women). Overall, 63.0% of the patients had positive IgG or IgM anti-S SARS-CoV-2 antibodies at the time of hospital admission. In the univariate analysis, the patients with negative anti-S SARS-CoV-2 IgM and IgG antibodies were referred to the hospital sooner, had lower CRP and D-dimer concentrations, and were hospitalised longer. They were also more likely to be admitted to an intensive care unit and more often received baricitinib treatment. During their hospital stay, 8.5% of the antibody-positive and 22.3% of the antibody-negative patients died (p = 0.0001). The median duration of the follow-up was 21 months. During the follow-up after hospital discharge, 3.6% of antibody-positive and 9.1% of antibody-negative patients died (p = 0.027). In the multivariate analysis, the negative anti-S SARS-CoV-2 antibodies were associated with a higher risk of in-hospital death (OR 3.800; 95% CI 1.844–7.829; p = 0.0001) and with a higher risk of death during follow-up (OR 2.863; 95% CI 1.110–7.386; p = 0.030). These associations were independent of age, the time from symptom onset to hospital admission, CRP, D-Dimer, the number of comorbidities, disease severity at the time of hospital admission, and baricitinib therapy. Our study concludes that negative anti-S SARS-CoV-2 IgM and IgG at the time of admission are associated with higher in-hospital mortality and cause a higher risk of all-cause death during follow-up after discharge.
Depression and Suicide Ideation among Suicide-Loss Survivors: A Six-Year Longitudinal Study
Authors: Levi-Belz Yossi , Birnbaum Shai
Published: December 2022

Suicide is not only a tragic end of life but also may be the beginning of a very challenging life for those left behind. Suicide-loss survivors (SLSs) are individuals who were exposed to the suicide of a close family member or a friend and endure highly emotional distress. The psychological stance and reactions of SLS are deeply colored by painful, intense emotions that are expressed through different psychiatric symptoms, including depression and suicide ideation (SI). The present study investigated the long-term effects of interpersonal factors such as social support, self-disclosure, thwarted belongingness, and perceived burdensomeness on depression and suicidal ideation among SLS. One hundred fifty-two Israeli SLS, aged 20–72, participated in this longitudinal study, during which their suicide ideation and depression levels were assessed at four points over six years (T1-baseline, and two (T2), four (T3), and six (T4) years after baseline). At the last time point, interpersonal factors were also assessed. SLSs’ interpersonal variables significantly predicted depression and SI levels beyond their usual trajectories over the years. Significant correlations were found between both perceived burdensomeness and thwarted belongingness and depression levels at all measurement points. Moreover, thwarted belongingness was found to be a significant moderator of the relationship between former and current depression levels, as the contribution of depression-T3 to depression-T4 was lower among SLSs with low thwarted belongingness (b = 0.14, CI = 0.05–0.34) compared with SLSs with high thwarted belongingness (b = 0.25, CI = 0.22–0.45). These findings emphasize the vital healing role of interpersonal factors such as belongingness, as they may attenuate depression and SI symptoms over time. Hence, clinicians should focus on therapies that boost interpersonal interactions and belongingness, as they seem to be crucial stepping stones on the way to recovery. Moreover, national programs should be implemented to offer SLSs targeted interventions to reduce distress and depression in the aftermath of suicide loss.
Factors Influencing Consumer Behavior toward Green Products: A Systematic Literature Review
Authors: Barbu Andreea , Catană Ștefan-Alexandru , Deselnicu Dana Corina , Cioca Lucian-Ionel , Ioanid Alexandra
Published: December 2022

In the last few decades, humans have consumed more resources than in all of previous history. Hence, we are living in times in which the topic of environmental protection is a global concern. The paper aims to conduct a systematic literature review on consumer behavior, as well as identifying the main factors that interfere with consumer behavior toward green products. A total of 37 studies were found and systematized using inclusion and exclusion criteria. The papers were selected only if they featured research on consumer perceptions of green products. Using this search strategy, a literature analysis was performed based on papers extracted from Web of Science, Emerald Insights, Springer Link, and Science Direct. As a result, various factors that influence consumer behavior toward green products were identified, such as social norms, natural environmental orientation, the company’s perceived green image, green product characteristics, perceived risks and inconvenience of buying green products, perceived benefits of buying green products, institutional trust, sociodemographic characteristics, and consumer confidence. Even though completing a systematic literature review is not something new in academic research, the novelty of this paper is found in its theme: consumer behavior toward green products. Although the analyzed articles highlight quite varied reasons, the articles emphasize that the green products should take into account the needs, expectations, and perceptions of customers.
Association between Cooperative Attitude and High-Risk Behaviors on the Spread of COVID-19 Infection among Medical Students in Japan
Authors: Hirama Chie , Zeng Zechen , Nawa Nobutoshi , Fujiwara Takeo
Published: December 2022

The impact of high-risk behaviors on the spread of COVID-19 infection among young people is an important problem to address. This study analyzed the association between cooperativeness and high-risk behaviors. We conducted a cross-sectional study among fourth-year medical students at Tokyo Medical and Dental University. The students were asked about cooperative attitude in a hypothetical situation of performing a task together with an unfamiliar classmate, who did not cooperate to complete the task previously. The response items were as follows: “cooperate”, “don’t want to cooperate and do it alone (non-cooperative)”, and “don’t want to cooperate and let the partner do it alone (punishment)”. Eating out and vaccine hesitancy were also treated as high-risk behaviors. Poisson regression was used to investigate the association between cooperative attitude and each high-risk behavior, adjusted for demographics. Of the 98 students, 23 (23.5%), 44 (44.9%), and 31 (31.6%) students chose “noncooperative”, “cooperative”, and “punishment”, respectively. Cooperative-type students exhibited 2.77-fold (PR: 2.77, 95% CI: 1.03–7.46), and punishment-type students exhibited 3.16-fold greater risk of eating or drinking out (PR: 3.16, 95% CI: 1.14–8.75) compared with those of the noncooperative type. Among medical students, the “cooperative” type and “punishment” type comprised the high-risk group for eating out during the pandemic.
Psychosocial Predictors of Drop-Out from Organised Sport: A Prospective Study in Adolescent Soccer
Authors: Back Jenny , Stenling Andreas , Solstad Bård Erlend , Svedberg Petra , Johnson Urban , Ntoumanis Nikos , Gustafsson Henrik , Ivarsson Andreas
Published: December 2022

In recent years an increased drop-out rate in adolescents’ soccer participation has been observed. Given the potentially adverse consequences of drop-out from soccer, more information about risk factors for drop-out is warranted. In the current study, Classification and Regression Tree (CRT) analysis was used to investigate demographic and motivational factors associated with an increased risk of drop-out from adolescent soccer. The results of this study indicate that older age, experiencing less autonomy support from the coach, less intrinsic motivation, being female, and lower socioeconomic status are factors associated with an increased risk of drop-out. An interpretation of the results of this study is that coaches play a central part in creating a sports context that facilitates motivation and continued soccer participation. Based on the findings of the current study we propose that soccer clubs implement theoretically informed coach education programs to help coaches adopt autonomy-supportive coaching strategies.
Analysis of the Interior Microclimate in Art Nouveau Heritage Buildings for the Protection of Exhibits and Human Health
Authors: Ilieș Alexandru , Caciora Tudor , Marcu Florin , Berdenov Zharas , Ilieș Gabriela , Safarov Bahodirhon , Hodor Nicolaie , Grama Vasile , Shomali Maisa Ali Al , Ilies Dorina Camelia , Gaceu Ovidiu , Costea Monica , Kieti Damiannah
Published: December 2022

Poor air quality inside museums can have a double effect; on the one hand, influencing the integrity of the exhibits and on the other hand, endangering the health of employees and visitors. Both components can be very sensitive to the influence of the internal microclimate, therefore careful monitoring of the physical parameters and pollutants is required in order to maintain them within strict limits and thus to reduce the hazards that can be induced. The current study considers the determination and analysis of 15 indicators of the internal microclimate in an Art Nouveau museum built at the beginning of the 20th century in the Municipality of Oradea, Romania. The monitoring spanned a period of seven months, between September 2021 and March 2022, targeting three rooms of the museum with different characteristics and containing exhibits with a high degree of fragility. The results show that, although there are numerous indicators that have exceeded the thresholds induced by international standards, the possible negative impact on the exhibits and/or on human health remains moderate. This is due to the fact that, most of the time, exceeding the permitted limits are small or only sporadic, the values quickly returning to the permitted limits. Thus, only 22 of the 212 days of monitoring recorded marginal conditions regarding the quality of the indoor air, the rest having acceptable and good conditions. To improve the indoor conditions, a more careful management is needed, especially regarding the values of temperature, humidity, particulate matters, natural and artificial light, volatile organic compounds (VOC) and formaldehyde (HCHO), which during the measurements recorded high values that fluctuated in a wide spectrum. The obtained results can represent the basis for the development and implementation of long-term strategies for stabilizing the microclimatic conditions in the museum in order to preserve the exhibits preventively and to ensure a clean and safe environment for people.
Classification of Type 2 Diabetes Incidence Risk and the Health Behavior of the 30–50-Year-Old Korean Adults: Latent Class Analysis
Authors: Seol Roma , Chun Jin-Ho
Published: December 2022

This study aimed to categorize the risk of type 2 diabetes mellitus development (T2DD) in the 30–50-year-old (3050) Korean adults and establish a baseline framework of customized management to prevent the progression to diabetes. A total of 9515 participants were enrolled in the Korea National Health and Nutrition Examination Survey (KNHANES) 2016–2019. Latent class analysis (LCA) was performed based on the health behaviors that were obtained from the secondary data source and were considered to affect T2DD. The major results were compared by latent class, multinomial regression analysis was performed, and the predicted risk of T2DD was evaluated using a self-assessment tool for Korean adults. Data analysis was performed using SPSS (ver. 25.0) and Mplus (ver. 8.6). The latent classes were divided into four categories: negative abdominal obesity and high-risk health behavior (Class A) (28.2%), negative abdominal obesity and low-risk health behavior (Class B) (37.1%), positive abdominal obesity and high-risk health behavior (Class C) (10.7%), and positive abdominal obesity and low-risk health behavior (Class D) (23.9%). The predicted risk scores for T2DD were 6.27 (Class C), 4.50 (Class D), 3.58 (Class A), and 2.16 (Class B), with a higher score indicating a worse state. Significant differences were observed in the predicted risk of T2DD between the latent classes, and abdominal obesity increased the risk. When managing the 30s–50s Korean generation physical activity and abdominal obesity control are strongly recommended.
Medical Experts’ Agreement on Risk Assessment Based on All Possible Combinations of the COVID-19 Predictors—A Novel Approach for Public Health Screening and Surveillance
Authors: Ibrahim Mohd Salami , Naing Nyi Nyi , Abd Aziz Aniza , Makhtar Mokhairi , Mohamed Yusoff Harmy , Esa Nor Kamaruzaman , A Rahman Nor Iza , Thwe Aung Myat Moe , Oo San San , Ismail Samhani , Ramli Ras Azira
Published: December 2022

During the initial phase of the coronavirus disease 2019 (COVID-19) pandemic, there was a critical need to create a valid and reliable screening and surveillance for university staff and students. Consequently, 11 medical experts participated in this cross-sectional study to judge three risk categories of either low, medium, or high, for all 1536 possible combinations of 11 key COVID-19 predictors. The independent experts’ judgement on each combination was recorded via a novel dashboard-based rating method which presented combinations of these predictors in a dynamic display within Microsoft Excel. The validated instrument also incorporated an innovative algorithm-derived deduction for efficient rating tasks. The results of the study revealed an ordinal-weighted agreement coefficient of 0.81 (0.79 to 0.82, p-value < 0.001) that reached a substantial class of inferential benchmarking. Meanwhile, on average, the novel algorithm eliminated 76.0% of rating tasks by deducing risk categories based on experts’ ratings for prior combinations. As a result, this study reported a valid, complete, practical, and efficient method for COVID-19 health screening via a reliable combinatorial-based experts’ judgement. The new method to risk assessment may also prove applicable for wider fields of practice whenever a high-stakes decision-making relies on experts’ agreement on combinations of important criteria.
A Technology-Based Intervention to Support Older Adults in Living Independently: Protocol for a Cross-National Feasibility Pilot
Authors: Stara Vera , Rampioni Margherita , Moșoi Adrian , Kristaly Dominic , Moraru Sorin-Aurel , Paciaroni Lucia , Paolini Susy , Raccichini Alessandra , Felici Elisa , Rossi Lorena , Vizitiu Cristian , Nistorescu Alexandru , Marin Mihaela , Tónay Gabriella , Tóth András , Pilissy Tamás , Fazekas Gábor
Published: December 2022

Innovative technologies can support older adults with or without disabilities, allowing them to live independently in their environment whilst monitoring their health and safety conditions and thereby reducing the significant burden on caregivers, whether family or professional. This paper discusses the design of a study protocol to evaluate the acceptance, usability, and efficiency of the SAVE system, a custom-developed information technology-based elderly care system. The study will involve older adults (aged 65 or older), professional and lay caregivers, and care service decision-makers representing all types of users in a care service scenario. The SAVE environmental sensors, smartwatches, smartphones, and Web service application will be evaluated in people’s homes situated in Romania, Italy, and Hungary with a total of 165 users of the three types (cares, elderly, and admin). The study design follows the mixed method approach, using standardized tests and questionnaires with open-ended questions and logging all the data for evaluation. The trial is registered to the platform ClinicalTrials.gov with the registration number NCT05626556. This protocol not only guides the participating countries but can be a feasibility protocol suitable for evaluating the usability and quality of similar systems.
Exploring the Social Environment with the Eyes: A Review of the Impact of Facial Stimuli on Saccadic Trajectories
Authors: Dalmaso Mario
Published: December 2022

Eye movement parameters can be highly informative regarding how people explore the social environment around them. This theoretical review examines how human faces and their features (e.g., eye-gaze direction, emotional expressions) can modulate saccadic trajectories. In the first part, studies in which facial stimuli were presented in a central location, such as during a face-to-face social interaction, are illustrated. The second part focuses on studies in which facial stimuli were placed in the periphery. Together, these works confirm the presence of an intriguing link between eye movements and facial processing, and invite consideration of saccadic trajectories as a useful (and still underused) opportunity to track ongoing mechanisms that support the social vision. Some directions for future research are also discussed.
The Use of Elastic Bands in Velocity-Based Training Allows Greater Acute External Training Stimulus and Lower Perceived Effort Compared to Weight Plates
Authors: Babiloni-Lopez Carlos , Gene-Morales Javier , Saez-Berlanga Angel , Ramirez-Campillo Rodrigo , Moreno-Murcia Juan Antonio , Colado Juan C.
Published: December 2022

The objective was to compare the mean propulsive velocity (MPV), maximum power (PMAX), heart rate, and rate of perceived exertion (RPE) during the parallel squat using elastic bands (EB) or weight plates (WP) to load the bar. The effect of relative strength on the dependent variables was analysed. Additionally, the potential of the RPE to predict external load parameters was assessed. Eighteen trained volunteers squatted at 40%, 55%, 70%, and 85% of their one-repetition maximum with EB and WP (a total of eight sets) in random order. Dependent variables were measured at the first and last repetition (i.e., 10% velocity loss). Two identical sessions were conducted to assess the reliability of measurements. Compared to WP, EB allowed a significantly greater number of repetitions, MPV, and PMAX, and significantly lower RPE. The RPE of the first repetition was a significant predictor of the external load of the set. The RPE showed good repeatability and was not influenced by the relative strength of athletes. In conclusion, compared to WP, the use of EB allows for greater external load with reduced internal load responses in a wide spectrum of load-based intensities. The potential implications of these novel findings are discussed in the manuscript.
The Interaction Mechanism of Fiscal Pressure, Local Government Behavioral Preferences and Environmental Governance Efficiency: Evidence from the Yangtze River Delta Region of China
Authors: Wang Tinghui , Fu Qi , Wang Yue , Gao Mengfan , Chen Jinhua
Published: December 2022

In environmental governance, local governments are the main actors, and their behavioral preferences between economic growth competition (EGC) and environmental regulation (ER) affect the inputs and outputs of environmental governance. Most studies discuss the relationship between government behaviors and the environment from the fiscal decentralization perspective, with few studies from the fiscal pressure (FP) perspective. Importantly, the bidirectional interaction mechanism is easily ignored. This study measured local government FP, EGC, ER, and environmental governance efficiency (EGE) in China’s Yangtze River Delta (YRD) region from 2000 to 2020. Moran’s I index was used to identify the change characteristics of local government behavioral preferences. The interaction mechanism was analyzed by a panel vector autoregression (PVAR) model. The results show that (1) from 2000 to 2020, FP was generally strengthened. EGE generally showed fluctuating and rising change characteristics, with more obvious fluctuating and rising characteristics before 2012 and after 2012, respectively. Local governments shifted from a strong alternative preference to a weak synergistic preference. (2) FP had a self-reinforcing effect. EGC and ER had a self-weakening effect. EGE had not only a self-weakening effect but also a weak self-dependence. (3) There is a double negative interaction mechanism between FP and local government behavioral preferences. FP made local governments prefer to reduce EGC and relax ER, but in fact, EGC and ER were conducive to alleviating FP. (4) There is a negative transitive influence mechanism between FP, local government behavioral preferences and EGE. The negative effect of FP on EGE can be transmitted by reducing EGC and ER. This paper provides a scientific basis for improving EGE in the YRD region and understanding the behavioral logic of local governments’ environmental governance and a reference for other rapidly industrializing and urbanizing regions.
Micronutrient Biosynthesis Potential of Spontaneous Grain Fermentation Microbiomes
Authors: Dania Margaret I. , Faraji Bahram , Wachira James
Published: December 2022

Fermented foods play an important role in the human diet and particularly so in under-resourced environments where cold preservation is not attainable due to irregular supply of electricity. Fermented foods are reported to support gut health by contributing probiotics. The purpose of this study was to investigate the microbial diversity and metabolic potential of spontaneous millet fermentation. The literature in the field was reviewed and analyses were conducted on publicly available Sequence Read Archive (SRA) datasets. Quality analysis was performed with FastQC, and operational taxonomic units (OTUs) were generated using Quantitative Insights Into Microbial Ecology (QIIME2) and Divisive Amplicon Denoising Algorithm (DADA2) pipelines with Greengenes as the reference database. Metagenomics and pathways analysis were performed with Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt2). Statistical analysis and visualization were accomplished with Statistical Analysis of Metagenomic Profiles (STAMP). At the family taxonomic level, there were differences in the relative abundances of the dominant taxa of bacteria that are involved in the spontaneous fermentation of millet namely Lactobacillaceae, Burkholderiaceae, Streptococcaceae, Leuconostocaceae, and Acetobacteraceae. Clostridiaceae was the dominant family in one dataset. The incidence of Lactobacillaceae and Bifidobacteriaceae suggest the probiotic characteristics of fermented millet. The datasets were collected with fermentations that were mediated by autochthonous microorganisms and the presence of some potential pathogens such as Enterobacteriaceae, Clostridiaceae, Aeromonadaceae, Microbacteiaceae, Pseudomonadaceae, and Neisseriaceae which suggest the need for standardization of fermentation approaches. The genomes show the potential to synthesize metabolites such as essential amino acids and vitamins, suggesting that the respective fermented foods can be further optimized to enhance nutritional benefits.
Aging in Place: Connections, Relationships, Social Participation and Social Support in the Face of Crisis Situations
Authors: Pinazo-Hernandis Sacramento , Blanco-Molina Mauricio , Ortega-Moreno Raúl
Published: December 2022

Objectives: We seek to identify active coping strategies used by older adults to face the pandemic and to deal with daily stressors, and to clarify which factors had an effect on stress, positive emotions and depression in active and healthy community-dwelling older adults in the first and second year of the pandemic in Costa Rica. Methods: Participants were living in their own homes in Costa Rica (n = 218, mean age 69.96, 82.1% women). Participants were interviewed by phone and answered an online survey, which included socio-demographic information, mental health variables such as stressors (perceived health and fear of COVID-19, illness, perception of pandemic gravity), loneliness (whether they felt lonely and how often they felt lonely), access to Information and Communication Technologies, socio-emotional coping variables, social participation and physical activity level during the pandemic. Results: Positive socio-emotional indicators related to well-being such as self-efficacy, social support, perceived health and proactive behavior were high. Negative well-being indicators such as perceived stress, emotional COVID-19 fear and loneliness showed low values in the sample studied during both years. We found significant relations across the dependent variables (perceived stress, positive emotions and depression) by studying the psychological well-being coping strategies. Conclusions: Findings highlight the importance of coping strategies and social participation in the capacity of older adults to mitigate the negative psychological consequences of crisis situations and provide evidence of “aging in place”.
The Contribution of Cultural Heritage Owned by Local Health Authorities in the Humanization of Care: The Point of View of Top Management
Authors: Giusti Martina , Cosma Claudia , Simoni Stefania , Persiani Niccolò
Published: December 2022

After the COVID-19 pandemic, reforms in healthcare systems have the purpose to fully recover the relationship of healthcare organizations with their patients. For centuries, art was used throughout Europe in the healthcare context for its power to engage and support patients in their illnesses. This approach can be rediscovered by utilizing the cultural heritage owned by Local Health Authorities. In this context, tradition, art, innovation, and care coexist. This study aims to investigate the interest in developing projects for the humanization of care by the top management of Italian Local Health Authorities, in particular exploiting their cultural heritage. The evaluation of the proposal was conducted using semi-structured interviews with the top management of two Local Health Authorities, in which the Santa Maria Nuova hospital in Florence and the Santo Spirito in Sassia Hospital in Rome are located, as the two selected cases for this study. The interviewees welcomed the proposal to develop humanization of care projects involving the use of their cultural heritage. Moreover, they expressed their desire to invest human, economic, and structural resources in the development of these initiatives. The implementation of humanization of care projects using cultural heritage owned by Local Health Authorities is useful to apply specific policies to enhance the governance of the cultural heritage according to the health mission. On the other hand, it permits the search for additional or ad hoc resources. Finally, it is possible to humanize and improve patients’ experience while increasing awareness among the health workforce and trainees.
Estimation of Ecosystem Services Value at a Basin Scale Based on Modified Equivalent Coefficient: A Case Study of the Yellow River Basin (Henan Section), China
Authors: Niu Haipeng , An Ran , Xiao Dongyang , Liu Mengmeng , Zhao Xiaoming
Published: December 2022

The value of ecosystem services is an extremely important parameter that reflects regional ecological benefits and resources. Estimating the value of ecosystem services is essential for regional land-use optimization, ecological construction, and biodiversity protection. In this study, Landsat-TM/ETM remote sensing images were used to analyze land-use data in 1990, 2000, 2010, and 2020 of the Yellow River Basin (Henan section), China, defined by natural boundaries. An equivalent factor method was used to construct a model to calculate the ecosystem services value that introduced grain yield, regional difference coefficient, and social development stage coefficient. Thus, land-use changes and evolution of ecosystem services values in the Yellow River Basin (Henan section) in the past 30 years were analyzed. Land use in the basin changed significantly from 1990 to 2020. Except for an increase in area of construction land, areas of other land-use types decreased. Cultivated land area first increased and then decreased, whereas the water area first decreased and then increased. The total value of ecosystem services in the study area fluctuated but increased overall by 43.82 × 108 USD in the past 30 years. Spatially, the total value of ecosystem services was high in the southwest and low in the northeast. Among individual ecosystem service values, water conservation, gas regulation, and climate regulation accounted for a relatively high proportion of the total value. Regulation services were the main ecosystem service functions, followed by support and supply services, with cultural services accounting for the lowest proportion. Sensitivity coefficients of different land types in different periods were all less than one. Therefore, the value coefficients were reasonable, and the results were consistent with the actual situation of the study area. The study improves the method to estimate the ecosystem services value of the basin and also indicates ways to support ecological protection of the Yellow River Basin (Henan section), China.
Differentiation Analysis on Carbon Emission Efficiency and Its Factors at Different Industrialization Stages: Evidence from Mainland China
Authors: Wei Lijie , Wang Zhibao
Published: December 2022

Industrial production is currently the main source of global carbon emissions. There are obvious differences in regional carbon emission efficiencies (CEE) at different industrial stages. We investigate CEE and explore its factors in mainland China at different industrialization stages from 2008-2020 using the super-SBM model with an undesirable output and the STIRPAT model. There is significant spatial heterogeneity in regional CEE, with gaps gradually widening. CEE’s spatial heterogeneity in mid-industrialized provinces is narrowing, while in late-industrialized and post-industrialized provinces, it is widening. CEE’s factors also differ in provinces at different industrialization stages. At the mid-industrialization stage, the industrial structure (IS) is the dominant factor, while population urbanization (PU) is dominant at the late-industrialization stage, and both PU and IS are dominant at the post-industrialization stage. Based on CEE’s characteristics at different industrialization stages, we propose suggestions for green development.
Adsorption Characteristics of Iron on Different Layered Loess Soils
Authors: He Li , Huang Yonghui , Xie Zhigang , Guan Wei , Zeng Yao
Published: December 2022

In view of the problem of Fe3+ pollution in an iron sulfur mine, different layers of loess soil in the Bijie area were used for adsorption to alleviate the mine wastewater pollution by natural treatment. The effects of the initial concentration of Fe3+, adsorption time and pH value on the adsorption performance of top, core and subsoil layers of loess soils were studied by the oscillatory equilibrium method, and the adsorption mechanism of these three soils was analyzed through a kinetic adsorption experiment and infrared spectroscopy. The results showed that the adsorption capacity of Fe3+ was improved by increasing the initial concentration and reaction time, but the adsorption rate of the adsorption capacity of Fe3+ was reduced. The adsorption rate of Fe3+ in the subsoil layer was faster than that in the other two layers. The higher the pH, the higher the adsorption capacity. After the pH was higher than 3.06, it had little effect on the adsorption capacity, but the adsorption rate increased. The first-order kinetic equation, second-order kinetic equation and Elovich equation were suitable for iron adsorption kinetics of three soils. The fitting correlation coefficient of the second-order kinetic equation was close to one, indicating the main role of chemical adsorption. The adsorption rate constant of the subsoil layer was about two times and three times that of the core soil layer and the topsoil layer. The Langmuir model can better fit the isothermal adsorption process. The results of infrared spectroscopy of soil showed that the content of soil organic matter played an important role in the adsorption capacity of Fe3+. The subsoil layer had a higher concentration of organic matter and more abundant functional groups, so the adsorption capacity of Fe3+ was the highest. The results could provide a theoretical basis for the removal of iron in acid mine wastewater.
Effect of Fluoride Varnish in Preventing Dental Caries of First Permanent Molars: A 24-Month Cluster Randomized Controlled Trial
Authors: Wang Zhaoyou , Rong Wensheng , Xu Tao
Published: December 2022

Background: Caries is a prevalent health problem. This study evaluated the effect of fluoride varnish in preventing dental caries of first permanent molars. Methods: The study was designed as a stratified cluster randomized controlled trial, with classes as the unit of randomization. Classes stratified by district were followed for 24 months. All eligible children of the selected classes were included for the trial. The children in the test group were biannually applied fluoride varnish. The outcomes were measured at an individual level. Results: In total, 107 classes (51 in the test group, 56 in the control group) were recruited for the trial. Of the 5397 participants, 5005 children (2385 in the test group, 2620 in the control group) completed the study. At the 24-month follow-up, the mean decayed and filled surface increment of the first permanent molars of the children in the test group was significantly lower than that of the children in the control group (0.38 versus 0.61). The caries incidence of the first permanent molars in the test group was 17.0%, while that of the control group was 23.7%, with a PF of 28.3%. Conclusions: Semi-annual application of fluoride varnish is effective in reducing the caries increments of first permanent molars.
Experiences of Parents with Opioid Use Disorder during Their Attempts to Seek Treatment: A Qualitative Analysis
Authors: Bakos-Block Christine , Nash Angela J. , Cohen A. Sarah , Champagne-Langabeer Tiffany
Published: December 2022

In the U.S., 12.3% of children live with at least one parent who has a substance use disorder. Prior research has shown that men are more likely to seek treatment than women and that the barriers are different; however, there is limited research focusing specifically on opioid use disorder (OUD). We sought to understand the barriers and motivators for parents with OUD. We conducted a qualitative study by interviewing parents with OUD who were part of an outpatient treatment program. Interviews followed a semi-structured format with questions on access to and motivation for treatment. The interviews were recorded and transcribed using OpenAI software. Transcripts were coded by two separate reviewers and then analyzed for themes using Atlas.ti. We interviewed 14 individuals; 3 were men, and 3 of the women identified as LGBTQ+. The participants ranged in age from 27 to 54 years old. All participants had a least one child. Gender differences existed. Mothers reported experiencing more barriers—notably, a lack of childcare, shame, and guilt—while fathers reported higher levels of support from family. Both mothers and fathers identified their children as a motivation for recovery, albeit in differing ways. Mothers and fathers with OUD experience different barriers to treatment and also rely on different resources. Prior efforts to increase access to treatment for parents have focused on physical barriers; however, our research supports the need for expanded treatment services for families and efforts to address the stigma of substance abuse disorder, but more efforts are also needed to address stigma.
Assessment of Exercise Intensity for Uphill Walking in Healthy Adults Performed Indoors and Outdoors
Authors: Eisenberger Laura , Mayr Barbara , Beck Maximilian , Venek Verena , Kranzinger Christina , Menzl Andrea , Jahn Inga , Sareban Mahdi , Oberhoffer-Fritz Renate , Niebauer Josef , Böhm Birgit
Published: December 2022

Background: Borg’s rating of perceived exertion (BRPE) scale is a simple, but subjective tool to grade physical strain during exercise. As a result, it is widely used for the prescription of exercise intensity, especially for cardiovascular disease prevention. The purpose of this study was to assess and compare relationships between BRPE and physiological measures of exercise intensity during uphill walking indoors and outdoors. Methods: 134 healthy participants [median age: 56 years (IQR 52–63)] completed a maximal graded walking test indoors on a treadmill using the modified Bruce protocol, and a submaximal 1 km outdoor uphill cardio-trekking test (1 km CTT). Heart rate (HR) and oxygen consumption (V̇O2) were continuously measured throughout both tests. BRPE was simultaneously assessed at the end of each increment on the treadmill, while the maximal BRPE value was noted at the end of the 1 km CTT. Results: On the treadmill, BRPE correlated very high with relative HR (%HRmax) (ρ = 0.88, p < 0.001) and V̇O2 (%V̇O2max) (ρ = 0.89, p < 0.001). During the 1 km CTT, a small correlation between BRPE and %HRmax (ρ = 0.24, p < 0.05), respectively %V̇O2max was found (ρ = 0.24, p < 0.05). Conclusions: Criterion validity of BRPE during uphill walking depends on the environment and is higher during a treadmill test compared to a natural environment. Adding sensor-based, objective exercise-intensity parameters such as HR holds promise to improve intensity prescription and health safety during uphill walking in a natural environment.
Tourism Environmental Carrying Capacity Review, Hotspot, Issue, and Prospect
Authors: Long Cheng , Lu Song , Chang Jie , Zhu Jiaheng , Chen Luqiao
Published: December 2022

With the ongoing expansion of tourism, a conflict has arisen between economic growth in the tourism industry and environmental preservation, which has attracted the interest of government and academic groups. Because it enables the adaption of tourist activities and buildings in the tourism area in order to protect the natural resources of the scenic area while seeking economies of scale, the tourism environmental carrying capacity system is an essential tool for resolving this conundrum. It also enables tourist sites to grow sustainably while understanding their limitations and carrying capacity. This study uses Citespace 6.1.2 and VOSviewer 1.6.18 analysis software to conduct a bibliometric analysis and review of 297 articles on tourism environmental carrying capacity. This analysis includes early warning studies, assessment models and management tools, and analyses of keyword co-occurrence and emergent word co-occurrence. The article’s conclusion makes recommendations for further research, including the division of each interest group, improved dynamic forecast and early warning of tourism environmental carrying capacity, and the development of an objective, scientific model of tourism carrying capacity.
Effects of Cardiac Rehabilitation on Sleep Quality in Heart Disease Patients with and without Heart Failure
Authors: Lodi Rizzini Fabio , Gómez-González Adela María , Conejero-Cisneros Rocío , Romero-Blanco María José , Maldonado-Barrionuevo Almudena , Salinas-Sánchez Pablo , Jiménez-Navarro Manuel
Published: December 2022

Insomnia is a modifiable cardiovascular risk factor. Previous studies suggested that attending a cardiac rehabilitation program may improve sleep quality in cardiac patients and pointed out the association between heart failure and poor sleep quality. The primary aim of this study was to evaluate sleep quality in patients attending a Multidisciplinary Cardiac Rehabilitation Program (MRCP), and to compare sleep quality between patients with and without heart failure. A prospective observational study was carried out on a consecutive sample of 240 patients attending an 8-week MRCP; 50 patients (20.8%) were included due to heart failure (NYHA stages I–III) and the rest of them after having undergone any revascularization procedure or valvular surgery. Before and after the completion of the MRCP, the quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) score. Post-intervention global PSQI scores were statistically significantly lower than those of pre-intervention (p = 0.008), but only 60 patients (25%) registered a clinically significant improvement. When comparing patients with heart failure with those without, no differences in sleep quality were found. This suggests that only a small percentage of patients can achieve clinically significant improvements in sleep quality attending conventional MCRP. Suggestions for future research are given.
Factors Affecting Road Tunnel Construction Accidents in China Based on Grounded Theory and DEMATEL
Authors: Yang Yanqun , Wang Yu , Easa Said M. , Yan Xiaobo
Published: December 2022

Despite the continuous progress of tunnel construction technology and safety management technology, road tunnel construction safety still faces many challenges in China, such as how to ensure the effective management and safety control of people and materials, how to ensure the implementation of technology and program implementation, risk assessment of construction site environmental information, etc. Exploring the causes of tunnel construction accidents and understanding the properties of the factors and their interrelationships can effectively control the sources of risk and contribute to the safety control of tunnel construction. Therefore, we have collected 30 formal accident investigation reports from the government safety supervision and management department from 2005 to 2021, including detailed investigation and accident analysis. Based on grounded theory, a qualitative research method to generalize experience through direct observation, abstraction, and analysis of data, we use Nvivo11 software to analyze reports and obtain 6 selective codes, 16 spindle codes, and 43 open codes. In addition, we construct a theoretical model of tunnel construction accident influencing factors, which passed the saturation test. The Decision-Making Trial and Evaluation Laboratory (DEMATEL) model is used to analyze the influencing mechanism and interaction relationships of these factors. The two dimensions of influence degree and centrality are used to determine the critical influencing factors of tunnel construction accidents in mountainous areas. They are security awareness and professionalism. According to the cause degree, the influencing factors are divided into cause and result factors. Finally, the basis and suggestions for reducing construction accidents are presented.