bluuebunny/crossref_metadata_2025 huggingface dataset:
How the Chinese Government Has Done with Public Health from the Perspective of the Evaluation and Comparison about Public-Health Expenditure
Authors: Jin Hui , Qian Xinyi
Published: December 2020

The COVID-19 epidemic has crashed on the social and economic stability of China and even the world, and raised the question: how has the Chinese government done with public health in recent years? The purpose of this paper is to clarify the definition and items of Chinese public-health expenditure, then to objectively evaluate the Chinese government’s performance, so as to help the government to perform better in public health. To achieve this goal, we measure the Chinese public-health expenditure at national and provincial levels based on our definition, and then compare it with the expenditures of other countries. The results show that: (1) the level of public-health expenditure in China is relatively low and far lower than that in developed countries; (2) Chinese governments have not paid enough attention to the prevention and control of major public-health emergencies, which may be an important reason for the outbreak of COVID-19; (3) Chinese public-health expenditure shows a fluctuating growth trend, but the growth rate is so slow that it is lower than that of GDP and fiscal expenditure; (4) although the Chinese government inclines the public-health expenditure to the poor provinces in central and western regions, the imbalance and inequity of public-health resource allocation are still expanding among provinces; (5) there is a lot of waste of resources in the public-health system, which seriously reduces the efficiency of public-health expenditure in China. Therefore, the Chinese government should improve the quantity and quality of public-health expenditure in the above aspects.
Validity and Reliability of the Korean Version of the Work–Family Behavioral Role Conflict Scale (WFBRC-S)
Authors: Seong Mihyeon , Song Ji Hyeun , Ha Ji Sun , Jung Gi Jung , Sok Sohyune
Published: December 2020

This study aimed to examine the validity and reliability of the Korean version of the Work–Family Behavioral Role Conflict Scale (WFBRC-S), which was originally developed to measure work–family behavioral role conflict in American adults with a wide variety of occupations such as nurses and chief executive officers. This study used a methodological research design. The study population consisted of 235 married men and women aged 20 years or older who were living in various cities, who had been employed for three years or more. The validity of the content, construct, convergent, discriminant, and criterion related, as well as the reliability of the WFBRC-S-K, was assessed. The WFBRC-S Korean version consists of 25 items. It was found that through the validity of the composition and standards of WFBRC-S-K, it was possible to measure the conflict by focusing on behavior so that a comprehensive evaluation of the role conflict between family and work, and work and family, can be performed. Five items in the WFBRC-S-K were excluded with a standardized factor loading of less than 0.50. We applied the modified index to improve the model fit to build a model, it supports a good fit and reliable score for the Korean version of the WFBRC-S model. Analysis of the fit of the revised model Nomed χ2 (CIMIN/df) value of less was: fit indices to 2.05 RMSEA = 0.07, RMR = 0.04, SRMR = 0.06, GFI = 0.85, IFI = 0.91, TLI = 0.90, CFI = 0.91. Criterion validity compared to the WLBOC-S showed significant correlation, and Cronbach’s alpha was 0.94. Factor loadings of the 25 questions ranged from 0.49 to 0.81. The study findings confirmed the applicability of this scale for measuring the work–family behavioral role conflict in Korean adults with a wide variety of occupations. The WFBRC-S-K can be applied on the measurement of work–family conflict in nursing and other industrial sites. These results provide a foundation for future studies on work–family behavioral role conflict in Korean adult.
Comparative Analysis of Peri-Implant Bone Loss in Extra-Short, Short, and Conventional Implants. A 3-Year Retrospective Study
Authors: Estévez-Pérez Daycelí , Bustamante-Hernández Naia , Labaig-Rueda Carlos , Solá-Ruíz María Fernanda , Amengual-Lorenzo José , García-Sala Bonmatí Fernando , Zubizarreta-Macho Álvaro , Agustín-Panadero Rubén
Published: December 2020

Objective: To evaluate the influence of implant length on marginal bone loss, comparing implants of 4 mm, 6 mm, and >8 mm, supporting two splinted crowns after 36-month functional loading. Materials and Methods: this retrospective clinical trial evaluated the peri-implant behavior of splinted crowns (two per case) on pairs of implants of the same length placed in the posterior maxilla (molar area). Implants were divided into three groups according to length (Group 1: extra-short 4 mm; Group 2: short 6 mm; Group 3: conventional length >8 mm). Marginal bone loss was analyzed using standardized periapical radiographs at the time of loading and 36 months later. Results: 24 patients (19 women and 5 men) were divided into three groups, eight rehabilitations per group, in the position of the maxillary first and second molars. The 48 Straumann® Standard Plus (Regular Neck (RN)/Wide Neck (WN)) implants were examined after 36 months of functional loading. Statistical analysis found no significant differences in bone loss between the three groups (p = 0.421). No implant suffered biological complications or implant loss. Long implants were associated with less radiographic bone loss. Conclusions: extra-short (4 mm); short (6 mm); and conventional length (>8 mm) implants in the posterior maxilla present similar peri-implant bone loss and 100% survival rates in rehabilitation, by means of two splinted crowns after 36 months of functional loading. Implants placed in posterior positions present better bone loss results than implants placed in anterior positions, regardless of the interproximal area where bone loss is measured. Conventional length (>8 mm) implants show better behavior in terms of distal bone loss than short (6 mm) and extra-short (4 mm) implants.
Considerations for the Design of a Physical Fitness Battery to Assess Adults with Intellectual Disabilities: Preliminary Reference Values for the SAMU DIS-FIT Study
Authors: Cabeza-Ruiz Ruth
Published: December 2020

For the assessment of the health-related physical fitness (PF) of individuals with intellectual disabilities (ID), tools designed for people without disabilities have generally been used. Also, the results of these assessments have routinely been compared with the scores obtained by people without ID. The objectives of the present study are to present the rationale for the design of an assessment battery for PF, the so-called SAMU DIS-FIT battery, and to present the results obtained by the participants classified according to age, sex, and level of PF (physical fitness). The selection criteria for the tests that would make up the battery were: (i) utility, (ii) psychometric properties, (iii) easiness and diversity, (iv) simplicity of execution, (v) familiarity and motivation, and (vi) economy of resources. A cross-sectional study was designed to assess the PF of 261 individuals with ID. To interpret the results obtained by the participants, each of the quantitative variables of PF was categorized into three levels: lower-fit, mid-fit, and higher-fit. The findings of this study serve as a first step in establishing PF baseline values for individuals with ID.
Towards a Situated Spatial Epidemiology of Violence: A Placially-Informed Geospatial Analysis of Homicide in Alagoas, Brazil
Authors: Walker Blake Byron , Moura de Souza Cléssio , Pedroso Enrique , Lai Ryan S. , Hunter Paige , Tam Jessy , Cave Isaac , Swanlund David , Barbosa Kevan Guilherme Nóbrega
Published: December 2020

This paper presents an empirically grounded call for a more nuanced engagement and situatedness with placial characteristics within a spatial epidemiology frame. By using qualitative data collected through interviews and observation to parameterise standard and spatial regression models, and through a critical interpretation of their results, we present initial inroads for a situated spatial epidemiology and an analytical framework for health/medical geographers to iteratively engage with data, modelling, and the context of both the subject and process of analysis. In this study, we explore the socioeconomic factors that influence homicide rates in the Brazilian state of Alagoas from a critical public health perspective. Informed by field observation and interviews with 24 youths in low-income neighbourhoods and prisons in Alagoas, we derive and critically reflect on three regression models to predict municipal homicide rates from 2016–2020. The model results indicate significant effects for the male population, persons without elementary school completion, households with reported income, divorced persons, households without piped water, and persons working outside their home municipality. These results are situated in the broader socioeconomic context, trajectories, and cycles of inequality in the study area and underscore the need for integrative and contextually engaged mixed method study design in spatial epidemiology.
The Utility of Artificial Neural Networks for the Non-Invasive Prediction of Metabolic Syndrome Based on Personal Characteristics
Authors: Wang Feng-Hsu , Lin Chih-Ming
Published: December 2020

This study investigated the diagnostic accuracy of using an artificial neural network (ANN) for the prediction of metabolic syndrome (MetS) based on socioeconomic status and lifestyle factors. The data of 27,415 subjects who went through examinations and answered questionnaires during three stages from 2006 to 2014 at a health institute in Taiwan were collected and analyzed. The repeated measurements over time were set as predictive factors and used to train and test an ANN for MetS prediction. Among the subjects, 18.3%, 24.6%, and 30.1% were diagnosed with MetS during the respective three stages. ANN analysis applied with an over-sampling technique performed with an area under the curve (AUC) of up to 0.93 based on different models. The over-sampling technique helped improve prediction performance in terms of sensitivity and F2 measures. The results indicated that waist circumference, socioeconomic status (SES), and lifestyle factors can be utilized in a non-invasive screening tool to assist health workers in making primary care decisions when MetS is suspected. By predicting the occurrence of MetS, individuals or healthcare professionals can then develop preventive strategies in time, thus enhancing the effectiveness of health promotion.
SARS-CoV-2 Infections and COVID-19 Fatality: Estimation of Infection Fatality Ratio and Current Prevalence
Authors: Pota Marco , Pota Andrea , Sirico Maria Luisa , Esposito Massimo
Published: December 2020

COVID-19 is one of the most important problems for public health, according to the number of deaths associated to this pathology reported so far. However, from the epidemiological point of view, the dimension of the problem is still unknown, since the number of actual cases of SARS-CoV-2 infected people is underestimated, due to limited testing. This paper aims at estimating the actual Infection Fatality Ratio (number of deaths with respect to the number of infected people) and the actual current prevalence (number of infected people with respect to the entire population), both in a specific population and all over the world. With this aim, this paper proposes a method to estimate Infection Fatality Ratio of a still ongoing infection, based on a daily estimation, and on the relationship between this estimation and the number of tests performed per death. The method has been applied using data about COVID-19 from Italy. Results show a fatality ratio of about 0.9%, which is lower than previous findings. The number of actual infected people in Italy is also estimated, and results show that (i) infection started at the end of January 2020; (ii) a maximum number of about 100,000 new cases in one day was reached at the beginning of March 2020; (iii) the estimated cumulative number of infections at the beginning of October 2020 is about 4.2 million cases in Italy (more than 120 million worldwide, if a generalization is conjectured as reasonable). Therefore, the prevalence at the beginning of October 2020 is estimated at about 6.9% in Italy (1.6% worldwide, if a generalization is conjectured).
Heterogeneity of Endocrinologic and Metabolic Parameters in Reproductive Age Polycystic Ovary Syndrome (PCOS) Women Concerning the Severity of Hyperandrogenemia—A New Insight on Syndrome Pathogenesis
Authors: Ozegowska Katarzyna , Korman Marcin , Szmyt Agnieszka , Pawelczyk Leszek
Published: December 2020

Background: Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism, anovulation, infertility, obesity, and insulin resistance, which results in increased concentrations of testosterone (T), which disturbs follicular growth and ovulation. This study aimed to assess PCOS women’s clinical, endocrinological, and metabolic parameters concerning hyperandrogenism severity. Results: 314 women (mean age 27.3 ± 4.6; mean body mass index (BMI) 25.7 ± 5.6) with PCOS, were divided into terciles according to T concentrations: <0.64 ng/mL (group 1), 0.64 to 0.84 ng/mL (Group 2) and >0.84 ng/mL (group 3). The mean concentration of T in all women was 0.59 ng/mL and correlated negatively with the number of menstrual cycles per year (MPY) (r = −0.36; p < 0.0001) and positively with Ferriman-Gallway score (FG) (r = 0.33; p < 0.0001), luteinizing hormone (LH) (r = 0.19; p < 0.0001) and dehydroepiandrosterone sulfate (DHEAS) (r = 0.52; p < 0.0001). Positive correlation between BMI and hirsutism (r = 0.16; p < 0.0001), total cholesterol (TC) (r = 0.18; p < 0.0001), low-density lipoprotein (LDL) (r = 0.29; p < 0.0001), and triglycerides (TG) (r = 0.40; p < 0.0001) was demonstrated. The division into subgroups confirmed the lowest MPY, highest LH, and hirsutism in group 3. BMI, insulin sensitivity indices, and lipid profile parameters were not different between the three T subgroups. Conclusions: We found no correlation between testosterone levels and insulin sensitivity or dyslipidemia in women with PCOS. Metabolic abnormalities may contribute more significantly than hyperandrogenemia to PCOS development.
What are the Critical Elements of Satisfaction and Experience in Labor and Childbirth—A Cross-Sectional Study
Authors: Baranowska Barbara , Kajdy Anna , Pawlicka Paulina , Pokropek Ernest , Rabijewski Michał , Sys Dorota , Pokropek Artur
Published: December 2020

The labor experience and satisfaction with childbirth are affected by the care provided (external factors) and individual variables (internal factors). In this paper, we present a descriptive analysis that aims to indicate the strongest correlates of birth experience among a wide range of indicators. The study is a prospective, cross-sectional, self-report survey. It includes the experiences of women giving birth in public and private hospitals in Poland. The two main variables were birth experience and satisfaction with care. The analysis consists of three parts: data pre-processing and initial analysis, explorative investigation, and regression analysis. Among the 15 variables with the highest predictive value regarding birth experience were being informed by the medical personnel, communication, and birth environment. The most significant variables among 15 variables, with the highest predictive value regarding care, were those concerning support, information, and respectful care. The strongest predictor for both, birth experience and satisfaction with care, is the sense of information, with logit coefficients of 0.745 and 1.143, respectively, for birth experience and satisfaction (0.367 and 0.346 for standardized OLS coefficient). The findings demonstrate that by using explanatory variables, one can predict a woman’s description of her satisfaction with perinatal care received in the hospital. On the other hand, they do not have such a significant and robust influence on the birth experience examined by the variables. For both the birth experience and satisfaction with care, the sense of being informed is the highest predictor.
Rise and Recharge: Effects on Activity Outcomes of an e-Health Smartphone Intervention to Reduce Office Workers’ Sitting Time
Authors: Morris Abigail S. , Mackintosh Kelly A. , Dunstan David , Owen Neville , Dempsey Paddy , Pennington Thomas , McNarry Melitta A.
Published: December 2020

This feasibility study evaluated the effects of an individual-level intervention to target office workers total and prolonged sedentary behaviour during working hours, using an e-health smartphone application. A three-arm (Prompt-30 or 60 min Intervention arm and a No-Prompt Comparison arm), quasi-randomised intervention was conducted over 12 weeks. Behavioural outcomes (worktime sitting, standing, stepping, prolonged sitting, and physical activity) were monitored using accelerometers and anthropometrics measured at baseline, 6 weeks and 12 weeks. Cardiometabolic measures were taken at baseline and 12 weeks. Fifty-six office workers (64% female) completed baseline assessments. The Prompt-60 arm was associated with a reduction in occupational sitting time at 6 (−46.8 min/8 h workday [95% confidence interval = −86.4, −6.6], p < 0.05) and 12 weeks (−69.6 min/8 h workday [−111.0, −28.2], p < 0.05) relative to the No-Prompt Comparison arm. Sitting was primarily replaced with standing in both arms (p > 0.05). Both Intervention arms reduced time in prolonged sitting bouts at 12 weeks (Prompt-30: −27.0 [−99.0, 45.0]; Prompt-60: −25.8 [−98.4, 47.4] min/8 h workday; both p > 0.05). There were no changes in steps or cardiometabolic risk. Findings highlight the potential of a smartphone e-health application, suggesting 60 min prompts may present an optimal frequency to reduce total occupational sedentary behaviour.
Healthy Pregnancies Project: Cluster Randomized Controlled Trial of a Community Intervention to Reduce Tobacco Use among Alaska Native Women
Authors: Patten Christi A. , Lando Harry A. , Desnoyers Chris A. , Bock Martha J. , Alexie Lucinda , Decker Paul A. , Hughes Christine A. , Resnicow Kenneth , Burhansstipanov Linda , Boyer Rahnia , Klejka Joseph
Published: December 2020

Substantial gaps remain in the evidence base for prenatal tobacco use interventions among Indigenous women. Using a cluster randomized controlled trial (RCT), the Healthy Pregnancies Project evaluated a community-level intervention for Alaska Native (AN) women in rural western Alaska. Sixteen villages were randomly assigned to usual care (control, n = 8 villages) or usual care plus a community-level intervention delivered by local AN “Native Sisters” (n = 8 villages). Outcomes were tobacco use rate at delivery and at 2 and 6 months postpartum, with biochemical confirmation obtained at 6 months. The program had high reach, enrolling 73% of all eligible women screened. Of the 352 participants, 67% used tobacco at baseline. No significant differences emerged between study groups on follow-up in tobacco use rates. More intervention than control participants made a quit attempt at 2 months postpartum (70% vs. 51%, respectively, p = 0.012). Participants in both study groups reported the program helped to raise awareness of healthy pregnancies in the study villages. This trial supports the reach of a community-level intervention, but not its efficacy for reducing tobacco use during pregnancy or postpartum. Efforts to sustain early quit attempts appear warranted. The community involvement, and reported impact on raising awareness of the importance of healthy pregnancies, supports the value of the research program in this community.
Home-Based Care for People with Alzheimer’s Disease and Related Dementias (ADRD) during COVID-19 Pandemic: From Challenges to Solutions
Authors: sm-Rahman Atiqur , Lo Chih Hung , Ramic Azra , Jahan Yasmin
Published: December 2020

There has been supporting evidence that older adults with underlying health conditions form the majority of the fatal cases in the current novel coronavirus disease (COVID-19) pandemic. While the impact of COVID-19 is affecting the general public, it is clear that these distressful experiences will be magnified in older adults, particularly people living with Alzheimer’s disease and related dementia (ADRD), making them the most vulnerable group during this time. People with differing degrees of ADRD are especially susceptible to the virus, not only because of their difficulties in assessing the threat or remembering the safety measures, but also because of the likelihood to be subject to other risk factors, such as lack of proper care and psychological issues. Therefore, in this article, we will discuss the challenges related to home-based care for people with ADRD during a pandemic and propose a formulation of systematic solutions to address these challenges and to alleviate the social and economic impact resulting from the crisis.
Evidence for a Bifactor Structure of the Caregiving Questionnaire with Individuals Involved in Different and Same-Sex Couple Relationships
Authors: Guzmán-González Mónica , Calderón Carlos , Murray Carol , Henríquez Diego
Published: December 2020

Despite the Caregiving Questionnaire (CQ) being a widely used measure for the study of caregiving behavior in the context of romantic relationships, to date, few studies have focused on empirically evaluating its underlying theoretical structure. The aim of this study was to examine the factorial structure and equivalence across sex and sexual orientation of this instrument. A sample of 912 Chilean individuals currently involved in a couple relationship completed the Caregiving Questionnaire and the Experiences in Close Relationship Scale. After comparing various traditional Confirmatory Factor Analysis (CFA)models, the results provide support for a multidimensional and hierarchical nature of a brief 16-items version of the CQ. More specifically, the analyses supported a bifactor-CFA solution composed of two global factors and four specific factors, suggesting that they add information to the caregiving construct in the context of couple relationships. Additionally, the scale showed measurement invariance across sex and sexual orientation. Finally, significant associations were found between CQ scores with measures of romantic attachment in the expected directions. Theoretical implications about the nature of the caregiving system are discussed.
The Relationship between Personal Resources and Depression in a Sample of Victims of Cyberbullying: Comparison of Groups with and without Symptoms of Depression
Authors: Rey Lourdes , Quintana-Orts Cirenia , Mérida-López Sergio , Extremera Natalio
Published: December 2020

Previous research has highlighted the relationship between being cybervictimised and the presence of clinical symptoms, such as depression. To date, however, there has been no comparative analysis of the personal resources profiles of adolescent victims of cyberbullying with and without depressive symptoms. The current study analysed the relationship between positive personal resources and clinical symptoms in 251 adolescent victims of cyberbullying at several Spanish high schools. It examined how several positive personal resources varied in adolescent victims of cyberbullying who displayed symptoms of depression (n = 89) or did not (n = 162). Victims of cyberbullying who displayed depressive symptoms reported lower levels of personal resources (emotional intelligence, gratitude, optimism, and forgiveness) than those who did not. Logistic regression provided evidence that gratitude was the strongest predictor of depressive symptoms in victims of cyberbullying, followed by emotional intelligence and optimism. These findings expand the existing literature on the role of personal resources in mental health and highlight the need for their development in youths to help them cope more effectively and function better after being cyberbullied.
Analysis of COVID-19 Prevention and Control Effects Based on the SEITRD Dynamic Model and Wuhan Epidemic Statistics
Authors: Zhang Yusheng , Li Liang , Jiang Yuewen , Huang Biqing
Published: December 2020

Since December 2019, millions of people worldwide have been diagnosed with COVID-19, which has caused enormous losses. Given that there are currently no effective treatment or prevention drugs, most countries and regions mainly rely on quarantine and travel restrictions to prevent the spread of the epidemic. How to find proper prevention and treatment methods has been a hot topic of discussion. The key to the problem is to understand when these intervention measures are the best strategies for disease control and how they might affect disease dynamics. In this paper, we build a transmission dynamic model in combination with the transmission characteristics of COVID-19. We thoroughly study the dynamical behavior of the model and analyze how to determine the relevant parameters, and how the parameters influence the transmission process. Furthermore, we subsequently compare the impact of different control strategies on the epidemic, the variables include intervention time, control duration, control intensity, and other model parameters. Finally, we can find a better control method by comparing the results under different schemes and choose the proper preventive control strategy according to the actual epidemic stage and control objectives.
Professional and Personal Physical Therapist Development through Service Learning in Collaboration with a Prisoner Reinsertion Program: A Qualitative Study
Authors: Rodríguez-Costa Isabel , González-Rivera Ma Dolores , Ortega Catherine , Llabrés-Mateu Joana-Marina , Blanco-Morales María , Abuín-Porras Vanesa , Díaz-Pulido Belén
Published: December 2020

There is a great concern whether Physical Therapy students upon completion of their educational program are ready and equipped with the requisite skills to construct and implement a successful patient intervention with culturally diverse groups. The purpose of this study is to describe the professional and personal physical therapist development of Physical Therapy students after participating in Solidarity Activities in Collaboration with a Prisoner reinsertion program as a service-learning course. A qualitative approach was used. A convenience sample of twenty physical therapy students doing service learning and one teaching professor were included. Student diaries were analyzed. Semi-structured interviews were done to explore five students’ and the professor’s judgements. Internal and external observations and filling out structure field-notes were also used as data triangulation in order to build the conceptual model. The main findings include that the application of knowledge and practice of skills in different environments are the most important skills attained with this service learning. Five key themes emerged from the data analysis, namely: application of knowledge, adaptation to different environments, improving communication with patients, assisting people and providing treatment with self-confidence. A recommendation is that Physical Therapy programs include workplace practice in different environments to enhance the development of professionalism among students.
Trends and Determinants of EBF among Adolescent Children Born to Adolescent Mothers in Rural Bangladesh
Authors: Rahman Aminur , Nomani Dilruba , Taneepanichskul Surasak
Published: December 2020

Exclusive breastfeeding (EBF) has proven benefits for both mothers and infants; however, adolescent mothers have poor EBF practices globally. In Bangladesh, the practice of EBF among adolescent mothers remains unexplored. The aim of our study was to understand the EBF practices among adolescent mothers and their determinants in both the Health and Demographic Surveillance (HDSS) system areas of the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b) service area (ISA) and government service area (GSA) in rural Matlab, Bangladesh. For the purpose of our study, we collected relevant information from the database of the Health and Demographic Surveillance System (HDSS) of icddr,b and performed analysis to understand the trends and identify the determinants of EBF and identify the determinants of EBF among adolescent mothers living in two areas between 2007 and 2015. In total, 2947 children born to adolescent mothers were included in our final analysis. We used the Kaplan–Meier and the Cox-proportional hazards models to determine the differences in EBF practices in the two areas. We noted a lower trends of EBF in the ISA compared to the GSA in bivariate analysis. However, after adjusting for confounding variables, EBF status was 15% lower in the GSA than the ISA (HR: 0.85, 95% CI: 0.72–0.99). The father’s education was significantly different among the two populations. In both study areas, the coverage of EBF among adolescent mothers was lower than the national average (42% vs. 65%). Ensuring that adolescent mothers receive optimal care may improve EBF behavior.
Evaluation of Road Transport Pollutant Emissions from Transporting Building Materials to the Construction Site by Replacing Old Vehicles
Authors: Han Sehee , Na Seunguk , Lim Nam-Gi
Published: December 2020

Since the life cycle of a building spans more than 50 years, studies of the environmental impacts in the construction industry have focused on reducing the energy consumption and greenhouse gas emissions during the operation and maintenance phase. The products of the construction industry are assembled using various building materials manufactured outside of the construction site. Consequently, it is essential that the manufactured building materials be transported to the construction site using various types of transportation methods. However, there is a lack of studies that assess the pollutant emissions of road transport while executing a construction project. The purpose of this study is to investigate the changes in the road pollutant emissions when the old diesel vehicles for transporting building materials are replaced according to enhanced pollutant emission regulations. In this study, we found that approximately 89, 64, 77, and 64% of NOx, VOC, PM, and CO, respectively, were emitted during transportation of building materials as a proportion of the emissions during the construction of the structure. The analyzed results also show that about 10, 35, 23, and 35% of NOx, VOC, PM, and CO, respectively, were generated from material transportation as a proportion of the emissions from finishing the work. It is expected that a reduction in pollutant emissions from transporting building materials of up to approximately 64, 39, 49, and 27% of NOx, VOC, PM, and CO, respectively, can be achieved when vehicles registered before 2003 are replaced with ones that adhere to the tightened regulations.
How Have Public Safety Personnel Seeking Digital Mental Healthcare Been Affected by the COVID-19 Pandemic? An Exploratory Mixed Methods Study
Authors: McCall Hugh , Beahm Janine , Landry Caeleigh , Huang Ziyin , Carleton R. Nicholas , Hadjistavropoulos Heather
Published: December 2020

Public safety personnel (PSP) experience unique occupational stressors and suffer from high rates of mental health problems. The COVID-19 pandemic has impacted virtually all aspects of human life around the world and has introduced additional occupational stressors for PSP. The objective of this study was to explore how PSP, especially those seeking digital mental health services, have been affected by the pandemic. Our research unit, PSPNET, provides internet-delivered cognitive behavioral therapy to PSP in the Canadian province of Saskatchewan. When the pandemic spread to Saskatchewan, PSPNET began inquiring about the impact of the pandemic on prospective clients during the eligibility screening process. We used content analysis to analyze data from telephone screening interviews (n = 56) and descriptive statistics to analyze data from a questionnaire concerning the impacts of COVID-19 (n = 41). The results showed that most PSP reported facing several novel emotional challenges (e.g., social isolation, boredom, anger, and fear) and logistical challenges (e.g., related to childcare, finances, work, and access to mental healthcare). Most participants indicated they felt at least somewhat afraid of contracting COVID-19 but felt more afraid of their families contracting the virus than themselves. However, few participants reported severe challenges of any kind, and many (40%) indicated that they had not been significantly negatively impacted by the pandemic. Overall, the results suggest that PSP are not expressing significant concern at this time in meeting the novel challenges posed by COVID-19. Continued research will be required to monitor how diverse PSP populations and treatment outcomes are affected by the pandemic as the situation evolves.
Classification of Biodegradable Substances Using Balanced Random Trees and Boosted C5.0 Decision Trees
Authors: Elsayad Alaa M. , Nassef Ahmed M. , Al-Dhaifallah Mujahed , Elsayad Khaled A.
Published: December 2020

Substances that do not degrade over time have proven to be harmful to the environment and are dangerous to living organisms. Being able to predict the biodegradability of substances without costly experiments is useful. Recently, the quantitative structure–activity relationship (QSAR) models have proposed effective solutions to this problem. However, the molecular descriptor datasets usually suffer from the problems of unbalanced class distribution, which adversely affects the efficiency and generalization of the derived models. Accordingly, this study aims at validating the performances of balanced random trees (RTs) and boosted C5.0 decision trees (DTs) to construct QSAR models to classify the ready biodegradation of substances and their abilities to deal with unbalanced data. The balanced RTs model algorithm builds individual trees using balanced bootstrap samples, while the boosted C5.0 DT is modeled using cost-sensitive learning. We employed the two-dimensional molecular descriptor dataset, which is publicly available through the University of California, Irvine (UCI) machine learning repository. The molecular descriptors were ranked according to their contributions to the balanced RTs classification process. The performance of the proposed models was compared with previously reported results. Based on the statistical measures, the experimental results showed that the proposed models outperform the classification results of the support vector machine (SVM), K-nearest neighbors (KNN), and discrimination analysis (DA). Classification measures were analyzed in terms of accuracy, sensitivity, specificity, precision, false positive rate, false negative rate, F1 score, receiver operating characteristic (ROC) curve, and area under the ROC curve (AUROC).
Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact
Authors: Baraldi Erika , Allodi Mara Westling , Smedler Ann-Charlotte , Westrup Björn , Löwing Kristina , Ådén Ulrika
Published: December 2020

With increasing survival rates of children born extremely preterm (EPT), before gestational week 28, the post-discharge life of these families has gained significant research interest. Quantitative studies of parental experiences post-discharge have previously reported elevated levels depressive symptoms, posttraumatic stress-disorder and anxiety among the parents. The current investigation aims to qualitatively explore the situation for parents of children born EPT in Sweden during the first year at home. Semi-structured interviews were performed with 17 parents of 14 children born EPT; eight parents were from an early intervention group and nine parents from a group that received treatment as usual, with extended follow-up procedures. Three main themes were identified using a thematic analytic approach: child-related concerns, the inner state of the parent, and changed family dynamics. Parents in the intervention group also expressed themes related to the intervention, as a sense of security and knowledgeable interventionists. The results are discussed in relation to different concepts of health, parent–child interaction and attachment, and models of the recovery processes. In conclusion, parents describe the first year at home as a time of prolonged parental worries for the child as well as concerns regarding the parent’s own emotional state.
Factors Related to Seeking Help for Postpartum Depression: A Secondary Analysis of New York City PRAMS Data
Authors: Manso-Córdoba Silvia , Pickering Sarah , Ortega Miguel A. , Asúnsolo Ángel , Romero Diana
Published: December 2020

Postpartum depression (PPD) affects 13% of mothers and can have a major impact on their lives and those of their children. However, most cases go undiagnosed, and the risk factors for this underdiagnosis are not yet fully known. We intended to analyze the influence of different sociodemographic and health factors associated with symptoms of postpartum depression. Data from the New York City Pregnancy Risk Assessment Monitoring System (PRAMS) for 2016–2017 were analyzed. 618 women met the inclusion criterion of recurring depressive symptoms. Most women who experienced PPD symptoms did not seek help. Seeking help was a much better predictor of the diagnosis of PPD when compared to questions regarding symptoms. The most important factors related to a decreased risk of not asking for help were having a previous mental health history and having doctor visits for a chronic illness. The racial group most at risk of not asking for help were Asian/Pacific Islander (API) women. Interventions aimed at reducing the stigma and increasing knowledge of PPD should be incorporated into the antenatal education of expectant mothers, particularly among women who may not have previously sought care for mental or chronic illnesses.
Risk Perception, Protective Behaviors, and General Anxiety during the Coronavirus Disease 2019 Pandemic among Affiliated Health Care Professionals in Taiwan: Comparisons with Frontline Health Care Professionals and the General Public
Authors: Chou Wei-Po , Wang Peng-Wei , Chen Shiou-Lan , Chang Yu-Ping , Wu Chia-Fen , Lu Wei-Hsin , Yen Cheng-Fang
Published: December 2020

This study aimed to compare risk perception, information sources, adoption of protective behaviors against coronavirus disease 2019 (COVID-19), and levels of general anxiety among affiliated health care professionals, frontline health care professionals, and the general public in Taiwan. We recruited participants via a Facebook advertisement. We determined the risk perception, information sources, adoption of protective behaviors against COVID-19, and levels of general anxiety among 1954 respondents. In total, 269 affiliated healthcare workers, 371 frontline healthcare workers, and 1314 members of the general public were recruited into this study. The results indicated that both affiliated and frontline health care professionals had a higher level of risk perception of COVID-19, and more adopted protective behaviors against COVID-19 than the general public. No significant differences in risk perception or the adoption of protective behaviors were identified between affiliated, and frontline, health care professionals. Affiliated health care professionals had a lower level of general anxiety than the general public, whereas frontline health care professionals exhibited no significant difference in level of general anxiety compared with the general public or affiliated health care professionals. As important members of COVID-19 treatment teams, the need for psychological and educational support in affiliated health care professionals should receive attention.
Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
Authors: Ohta Ryuichi , Ryu Yoshinori , Katsube Takuji , Sano Chiaki
Published: December 2020

Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rural homecare nurses’ difficulties during interprofessional collaboration in providing seamless patient care. Focus groups, followed by one-on-one interviews, were conducted with 13 rural homecare nurses working in rural Japan. Using thematic analysis, four themes were extracted: collaboration with physicians, the collaboration with the government, the collaboration with care workers, and the collaboration among hospital nurses. Rural homecare nurses have difficulties in their working relationships with other professionals, with vague definitions of each professional’s roles and responsibilities, and with information-sharing. Interprofessional education and information-sharing should respect rural professional and cultural backgrounds. Respect can accomplish mutual understanding among professional care, leading to seamless patient care in rural home care.
Topical Treatment of Elevated Intraocular Pressure in Patients with Graves’ Orbitopathy
Authors: Gumińska Magdalena , Goś Roman , Śmigielski Janusz , Nowak Michał S.
Published: December 2020

Purpose: In this study, we evaluated the efficacy of topical hypotensive treatment and/or systemic corticosteroids therapy in patients with elevated intraocular pressure and Graves’ orbitopathy (GO). Methods: We included 172 eyes in 86 individuals with duration of GO ≥ 3 months, intraocular pressure in either eye ≥ 25.0 mmHg, and GO ranked ≥ 3 at least in one eye in modified CAS form. The study subjects were divided into three treatment subgroups: subgroup I was administered latanoprost once a day; subgroup II was administered a combined preparation of brimonidine and timolol BID; subgroup III was the control group, not receiving any topical hypotensive treatment. All the study participants received systemic treatment, intravenous corticosteroid therapy at the same dose, according to the European Group of Graves’ Orbitopathy (EUGOGO) guideline. Results: On the final visit, the mean IOP value was significantly lower in all treatment subgroups compared to the initial values. In both subgroups receiving topical treatment, the IOP reduction was higher than in the control group receiving systemic corticosteroids only. However, the latanoprost eye drops decreased intraocular pressure more effectively than drops containing brimonidine and timolol. Conclusion: Topical ocular hypotensive treatment is effective in reducing intraocular pressure in GO and decreases intraocular pressure more effectively than systemic corticosteroid therapy alone.
The Effects of Fireworks Discharge on Atmospheric PM2.5 Concentration in the Chinese Lunar New Year
Authors: Zhang Xuechen , Shen Huanfeng , Li Tongwen , Zhang Liangpei
Published: December 2020

Discharging fireworks during the Chinese Lunar New Year celebrations is a deep-rooted custom in China. In this paper, we analyze the effect of this cultural activity on PM2.5 concentration using both ground observations and satellite data. By combining remote sensing data, the problem of uneven spatial distribution of ground monitoring has been compensated, and the research time span has been expanded. The results show that the extensive firework displays on New Year’s Eve lead to a remarkable increase in nationwide PM2.5 concentration, which were 159~223% of the average level, indicating the instantaneous effect far exceeds that of any other factor over the whole year. However, the averaged PM2.5 concentrations of the celebration period were 0.99~16.32 μg/m3 lower compared to the average values of the corresponding pre-celebration period and post-celebration period, indicating the sustained effect is not very significant. The implementation of firework prohibition policies can greatly reduce the instantaneous PM2.5 increase, but no obvious air quality improvement is observed over the entire celebration period. Combining these findings and the cultural significance of this activity, we recommend that this custom is actively maintained, using new technologies and scientific governance programs to minimize the negative effects.
Systematic Analysis and Functional Validation of Citrus Pectin Acetylesterases (CsPAEs) Reveals that CsPAE2 Negatively Regulates Citrus Bacterial Canker Development
Authors: Li Qiang , Fu Jia , Qin Xiujuan , Yang Wen , Qi Jingjing , Li Zhengguo , Chen Shanchun , He Yongrui
Published: December 2020

The present study was designed to serve as a comprehensive analysis of Citrus sinensis (C. sinensis) pectin acetylesterases (CsPAEs), and to assess the roles of these PAEs involved in the development of citrus bacterial canker (CBC) caused by Xanthomonas citri subsp. citri (Xcc) infection. A total of six CsPAEs were identified in the genome of C. sinensis, with these genes being unevenly distributed across chromosomes 3, 6, and 9, and the unassembled scaffolds. A subset of CsPAEs were found to be involved in responses to Xcc infection. In particular, CsPAE2 was identified to be associated with such infections, as it was upregulated in CBC-susceptible variety Wanjincheng and inversely in CBC-resistant variety Calamondin. Transgenic citrus plants overexpressing CsPAE2 were found to be more susceptible to CBC, whereas the silencing of this gene was sufficient to confer CBC resistance. Together, these findings provide evolutionary insights into and functional information about the CsPAE family. This study also suggests that CsPAE2 is a potential candidate gene that negatively contributes to bacterial canker disease and can be used to breed CBC-resistant citrus plants.
A Single Center Retrospective Review of Patients from Central Italy Tested for Melanoma Predisposition Genes
Authors: De Simone Paola , Bottillo Irene , Valiante Michele , Iorio Alessandra , De Bernardo Carmelilia , Majore Silvia , D’Angelantonio Daniela , Valentini Tiziana , Sperduti Isabella , Piemonte Paolo , Eibenschutz Laura , Ferrari Angela , Carbone Anna , Buccini Pierluigi , Paiardini Alessandro , Silipo Vitaliano , Frascione Pasquale , Grammatico Paola
Published: December 2020

Cutaneous malignant melanoma (CMM) is one of the most common skin cancers worldwide. CMM pathogenesis involves genetic and environmental factors. Recent studies have led to the identification of new genes involved in CMM susceptibility: beyond CDKN2A and CDK4, BAP1, POT1, and MITF were recently identified as potential high-risk melanoma susceptibility genes. This study is aimed to evaluate the genetic predisposition to CMM in patients from central Italy. From 1998 to 2017, genetic testing was performed in 888 cases with multiple primary melanoma and/or familial melanoma. Genetic analyses included the sequencing CDKN2A, CDK4, BAP1, POT1, and MITF in 202 cases, and of only CDKN2A and CDK4 codon 24 in 686 patients. By the evaluation of the personal and familial history, patients were divided in two clinical categories: “low significance” and “high significance” cases. 128 patients (72% belonging to the “high significance” category, 28% belonging to the “low significance” category) were found to carry a DNA change defined as pathogenic, likely pathogenic, variant of unknown significance (VUS)-favoring pathogenic or VUS. It is important to verify the genetic predisposition in CMM patients for an early diagnosis of further melanomas and/or other tumors associated with the characterized genotype.