bluuebunny/crossref_metadata_2025 huggingface dataset:
Towards the Use of Big Data in Healthcare: A Literature Review
Authors: Dicuonzo Grazia , Galeone Graziana , Shini Matilda , Massari Antonella
Published: July 2022

The interest in new and more advanced technological solutions is paving the way for the diffusion of innovative and revolutionary applications in healthcare organizations. The application of an artificial intelligence system to medical research has the potential to move toward highly advanced e-Health. This analysis aims to explore the main areas of application of big data in healthcare, as well as the restructuring of the technological infrastructure and the integration of traditional data analytical tools and techniques with an elaborate computational technology that is able to enhance and extract useful information for decision-making. We conducted a literature review using the Scopus database over the period 2010–2020. The article selection process involved five steps: the planning and identification of studies, the evaluation of articles, the extraction of results, the summary, and the dissemination of the audit results. We included 93 documents. Our results suggest that effective and patient-centered care cannot disregard the acquisition, management, and analysis of a huge volume and variety of health data. In this way, an immediate and more effective diagnosis could be possible while maximizing healthcare resources. Deriving the benefits associated with digitization and technological innovation, however, requires the restructuring of traditional operational and strategic processes, and the acquisition of new skills.
Calcification of the Atlanto-Occipital Ligament (Ponticulus Posticus) in Orthodontic Patients: A Retrospective Study
Authors: Di Venere Daniela , Laforgia Alessandra , Azzollini Daniela , Barile Giuseppe , De Giacomo Andrea , Inchingolo Alessio Danilo , Rapone Biagio , Capodiferro Saverio , Kazakova Rada , Corsalini Massimo
Published: July 2022

Background: Ponticlus Posticus (PP) is a rare anomaly of the first cervical vertebra easily identifiable in lateral cephalometric radiograph and typically required for orthodontic diagnosis. The aim of this study is to evaluate the PP prevalence in lateral Cephalograms in a cohort of orthodontic patients treated at the Dental School of the University of Bari ‘Aldo Moro’, Italy, and to find possible connection between PP and other dental anomalies, as well as the patient’s cephalometric characteristics. Methods: A total of 150 panoramic radiographs and 150 lateral Cephalograms, obtained for orthodontic use only, were evaluated. No patients were referred to for congenital syndromes or disease, or a history of previously occurred maxillofacial trauma. A detailed cephalometric study was performed for each patient, and the whole cohort was divided according to the common three dental malocclusion classes. The values obtained were analyzed using the Chi-Square Test. Results: PP prevalence was 8% (12 of 150 cases), where the complete and partial forms observed 4.7% and 3.3%, respectively. Although females were more affected (9.6%), no statistically significant sex-related difference was found. Furthermore, no statistically significant relationship regarding age or dental anomalies (dental agenesis/palatal impacted canines) among the groups was observed either. Cephalometric analyses revealed that half of the subjects with PP were sagittal skeletal class I and had vertical hyper-divergence. Conclusions: PP is a frequent anatomical variation of the cervical vertebra, apparently unrelated to the skeletal malocclusion type or dental anomalies. The current study needs to further confirm the congenital hypothesis of PP’s origin already reported in literature.
Cluster Analysis of US COVID-19 Infected States for Vaccine Distribution
Authors: Shih Dong-Her , Shih Pai-Ling , Wu Ting-Wei , Li Cheng-Jung , Shih Ming-Hung
Published: July 2022

Since December 2019, COVID-19 has been raging worldwide. To prevent the spread of COVID-19 infection, many countries have proposed epidemic prevention policies and quickly administered vaccines, However, under facing a shortage of vaccines, the United States did not put forward effective epidemic prevention policies in time to prevent the infection from expanding, resulting in the epidemic in the United States becoming more and more serious. Through “The COVID Tracking Project”, this study collects medical indicators for each state in the United States from 2020 to 2021, and through feature selection, each state is clustered according to the epidemic’s severity. Furthermore, through the confusion matrix of the classifier to verify the accuracy of the cluster analysis, the study results show that the Cascade K-means cluster analysis has the highest accuracy. This study also labeled the three clusters of the cluster analysis results as high, medium, and low infection levels. Policymakers could more objectively decide which states should prioritize vaccine allocation in a vaccine shortage to prevent the epidemic from continuing to expand. It is hoped that if there is a similar epidemic in the future, relevant policymakers can use the analysis procedure of this study to determine the allocation of relevant medical resources for epidemic prevention according to the severity of infection in each state to prevent the spread of infection.
Genetic Testing on Patients with Developmental Delay: A Preliminary Study from the Perspective of Physicians
Authors: Bang Gwanwook , Lee Sook Joung , Lee Bomyee , Park Minji , Park So-Youn
Published: July 2022

This study aimed to discover and propose solutions to various decision-making problems, including obtaining consent, encountered by physicians when administering genetic testing to patients with disabilities. A preliminary survey and focus group interviews (FGIs) were conducted with 27 specialists who had 5–25 years of clinical experience in rehabilitation medicine, pediatrics, and obstetrics and gynecology, regarding their experience in providing genetic testing to people with developmental disabilities. This included the “role of medical staff in the patient’s decision-making process”, “difficulty of the consent process for genetic testing”, and so forth. Some limitations were identified in the genetic testing communication process for patients with disabilities. Although providing information corresponding to the level of understanding of each person and accurately evaluating the correct consenting ability is important, the usage rate of auxiliary tools, such as booklets and videos, was only 50.0%. Additionally, there were concerns regarding the marriage prospects of people with disabilities. For people with developmental disabilities to provide consent for genetic testing, legal consent forms and explanation aids that consider individual characteristics are necessary. Moreover, education on disability awareness throughout society, including cost support, is needed.
Informal Caregivers’ Experiences with Performing Telemonitoring in Heart Failure Care at Home—A Qualitative Study
Authors: Aamodt Ina Thon , Lie Irene , Lycholip Edita , Strömberg Anna , Jaarsma Tiny , Celutkiene Jelena , Hellesø Ragnhild
Published: July 2022

Informal caregivers have an important role in caring for family members at home. Supporting persons with a chronic illness such as heart failure (HF) in managing their self-care is reported to be a challenge and telemonitoring has been suggested to be of support. Aim: to explore informal caregivers’ experiences with performing non-invasive telemonitoring to support persons with HF at home for 30 days following hospital discharge in Norway and Lithuania. Methods: A qualitative explorative study of informal caregivers performing non-invasive telemonitoring using lung-impedance measurements and short message service (SMS). Data was collected using semi-structured interviews with informal caregivers of persons with HF in NYHA class III-IV in Norway and Lithuania. Results: Nine interviews were conducted with informal caregivers of persons with HF who performed non-invasive telemonitoring at home. A sequential process of three categories emerged from the data: access to support, towards routinizing, and mastering non-invasive telemonitoring. Conclusion: Informal caregivers performed non-invasive telemonitoring for the first time in this study. Their experiences were of a sequential process that included access to support from health care professionals, establishing a routine together, and access to nurses or physicians in HF care as part of mastering. This study highlights involving informal caregivers and persons with HF together in the implementation and future research of telemonitoring in HF care.
A Participatory Sensing Study to Understand the Problems Older Adults Faced in Developing Medication-Taking Habits
Authors: Valenzuela-Beltrán Maribel , Andrade Ángel G. , Stawarz Katarzyna , Rodríguez Marcela D.
Published: July 2022

Past research has demonstrated that older adults tend to use daily activities as cues to remember to take medications. However, they may still experience medication non-adherence because they did not select adequate contextual cues or face situations that interfere with their medication routines. This work addresses two research questions: (1) How does the association that older adults establish between their daily routines and their medication taking enable them to perform it consistently? (2) What problems do they face in associating daily routines with medication taking? For 30 days, using a mixed-methods approach, we collected quantitative and qualitative data from four participants aged 70–73 years old about their medication taking. We confirm that older adults who matched their medication regimens to their habitual routines obtained better results on time-based consistency measures. The main constraints for using daily routines as contextual cues were the insertion of medication taking into broad daily routines, the association of multiple daily routines with medication taking, the lack of strict daily routines, and the disruption of daily routines. We argue that the strategies proposed by the literature for forming medication-taking habits should support their formulation by measuring patients’ dosage patterns and generating logs of their daily activities.
Possibility of Vegetable Soybean Cultivation in North Europe
Authors: Zeipiņa Solvita , Vågen Ingunn M. , Lepse Līga
Published: July 2022

The interest in cultivation of vegetable soybeans, also known as edamame, in the North Europe region has increased during the last years due to their high nutritional value and excellent taste properties. During the last decade the possible growing area for soybeans has expanded towards the north due to changes in climate as well as breeding efforts. In order to adopt vegetable soybean growing technology for commercial cultivation in the North Europe region, independent experiments were carried out in Latvia and Norway. This study shows that vegetable soybean is a crop with potential for successful cultivation at higher latitudes, such as the Nordic–Baltic region in North Europe, with yield levels comparable to other regions of the world. We observed that hydrothermal conditions had the most significant impact on soybean plant development. Sowing or planting as early as possible is a key to obtaining sufficient yield levels. In the study, the vegetation period needed to be at least 123 to 127 days, with growing degree days (GDD) at least 650, and hydrothermal coefficient (HTC) above 1. Under such conditions, the obtained marketable yield in Latvia ranged between 3 to 10 t ha−1 during the period of 2017–2019, and 1.2 to 10.5 t ha−1 in Norway. Planting density of 20–25 plants per m2 appeared to be optimal. The variety ‘Midori Giant’ showed the most stable yield outcome, but ‘Chiba Green’ also gave a satisfactory yield.
Integrated Metabolomic and Transcriptomic Analysis Reveals the Effect of Artificial Shading on Reducing the Bitter Taste of Bamboo Shoots
Authors: Huang Yongjian , Xun Hang , Yi Guilin , Li Ti , Yao Xi , Tang Feng
Published: July 2022

Bamboo shoot is a delicious and nutritious forest vegetable. It has been found that bamboo shoots collected from low-light environments have a less bitter taste. The molecular mechanism of light in the regulation of bitter substance accumulation in bamboo shoots is still unclear. In this study, we applied a shading treatment to Pleioblastus amarus bamboo shoots in the preharvesting period. The reduction in the bitterness intensity was confirmed by a sensory test. An integrated metabolomic and transcriptomic analysis was performed on P. amarus bamboo shoots grown under shading treatment and normal growing conditions, and 56 differentially accumulated metabolites and 178 differentially expressed genes were identified. The results showed that the contents of a series of phenolic acids related to the tyrosine metabolism pathway were downregulated under shading treatment, revealing that shading decreased the accumulation of phenolic acids and further mediated the resulting bitter taste of the bamboo shoots. This work will be helpful for understanding the regulatory mechanisms governing the bitter tasting substances in bamboo shoots grown under a shading treatment and provides a reference for the use of shading treatment in cultivation practices to improve the taste of bamboo shoots.
Characteristics of Interspecific Hybridization and Inbred Progeny of Pumpkin (Cucurbita moschata Duch.) and Winter Squash (Cucurbita maxima Duch.)
Authors: Liu Zefa , Jiang Yanfang , Yang Xipeng , Deng Xin , Dang Jiancheng , Wang Zhijun , Yusop Mohd Rafii , Abdullah Shamsiah
Published: July 2022

Hybrid incompatibility and F1 hybrid dysgenesis in the interspecific hybridization between pumpkin (Cucurbita moschata Duch.) and winter squash (Cucurbita maxima Duch.) have been previously noted. For this reason, it is difficult to obtain F2 generations due to F1 sterility. However, back-crossing and add-crossing can be utilized to overcome these incompatibility barriers in interspecific hybridization. To date, few studies have focused on parental selection, the back-crossing process, and offspring characteristics related to interspecific hybridization. Hence, we explored the F1 seed acquisition rate, plant characteristics, and F2 generation fertility after interspecific back-crossing and add-crossing hybridization of C. moschata and C. maxima. Moreover, as a female parent, X-1 (C. moschata) yielded F1 seeds when crossed with winter squash (C. maxima) 10-04-3, 10-37, or 10-05-2. BC1F1 seeds and plants could be obtained with winter squash (C. maxima) as the recurrent parent. Some healthy F2 seeds and plants were obtained from the interspecific hybrids, including ZJ-13, ZJ-8, and ZJ-11. Further fruit nutrition quality analysis showed that the starch, polysaccharide, cellulose, and dry material contents of ZJ-7 and ZJ-8 were significantly higher than those of the parent pumpkin and winter squash lines. The bioflavonoid content of ZJ-8 was lower than that of its parents, and its soluble protein was at the median value. Meanwhile, the bioflavonoid content of ZJ-1 was lower than that of its parents, but its soluble protein was significantly higher. These results suggest that back-crossing and multi-crossing can overcome the barriers to interspecific crossing of C. moschata × C. maxima. Some interspecific hybrid fruits had nutritional contents much higher than those of their parent lines. Additionally, X-1 (C. maxima) was found to act as a bridge species in interspecific hybridization. Collectively, in this study, the barriers to interspecific hybridization of C. moschata × C. maxima were addressed through crossing methods and choice of parents, and the obtained results are expected to provide novel support for interspecific hybrid breeding between C. moschata and C. maxima.
A Cross-Sectional, Exploratory Study on the Impact of Night Shift Work on Midwives’ Reproductive and Sexual Health
Authors: Moćkun-Pietrzak Joanna , Gaworska-Krzemińska Aleksandra , Michalik Anna
Published: July 2022

Background: Shift work is the basis for health care system functioning. The non-standard schedules enforce abrupt changes in the timing of sleep and light-dark exposure. It can contribute to the increased risk of various medical conditions, including reproductive and sexual health issues. The purpose of the study was to assess the impact of shift work with night shifts on midwives’ reproductive and sexual health. Methods: This cross-sectional, exploratory study included 520 midwives. A descriptive questionnaire was distributed in person (414) and online (106) from July 2019 to May 2020. We used the Female Sexual Function Index (PL-FSFI) standardized questionnaire and proprietary research tools (applicable to demographic and social data and reproductive health). All statistical calculations were performed with the IBM SPSS 23 statistical package. Results: Shift work affects midwives’ reproductive and sexual health. Midwives working night shifts are more likely to experience reproductive problems and sexual dysfunctions. The most pronounced differences are observed in the experience of infertility and the number of miscarriages. PL-FSFI results clearly showed the adverse impact of working shifts including night shifts on functioning in various dimensions of sexual health. Conclusion: Shift work negatively affects reproductive and sexual health and causes work-life conflict experience. It is necessary to develop procedures that minimize shift rotation and implement work schedules that allow for recuperation or rest and ensure proper family and social life.
Exploring Spatial Relationship between Restoration Suitability and Rivers for Sustainable Wetland Utilization
Authors: Xu Nan , Li Haiyan , Luo Chunyu , Zhang Hongqiang , Qu Yi
Published: July 2022

Wetlands are important ecosystems for biodiversity preservation and environmental regulation. However, the integrity of wetland ecosystems has been seriously compromised and damaged due to the reckless and indiscriminate exploitation of wetland resources during economic development by human society. Hence, wetland restoration has now attracted wide attention. Understanding wetland restoration suitability and its relationship with river grade and river distance is an important step in further implementing wetland restoration and ensuring an orderly wetland development and utilization. In this study, wetland restoration suitability is evaluated combining natural and human factors. Taking its result as an important basis, the spatial distribution characteristics of different levels of wetland restoration suitability are discussed for the studied region; the percentage distribution of different levels of wetland restoration suitability is analyzed for 10 km long buffer zones of rivers of different grades, and the association between the distribution of different levels of wetland restoration suitability and the river distance (2, 4, 6, 8, and 10 km) is also analyzed for different buffer zones of rivers in different grades. Our findings show that the spatial distribution of wetland restoration suitability is closely associated with the grade of rivers and the distance of the wetland patches from the river. The higher the river grade, the higher the percentage of the wetland with high restoration suitability within the same river distance. The percentage of wetlands with high restoration suitability has shown a notably decreasing trend as the river distance increases for the areas beside rivers of all grades, while the percentage of a wetland area with relatively high restoration suitability tends to increase as the river distance increases for the areas beside rivers of grade I and II and does not have a noticeable trend to change as the river distance changes for the area beside rivers of other grades. Results of this can provide technical support for wetland restoration suitability evaluation for plain areas, a spatial reference for wetland restoration prioritizing, and an orderly wetland development and utilization in future studies and planning.
Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States
Authors: Zhang Chen , Fiscella Kevin , Liu Yu
Published: July 2022

Background: Women shoulder a disproportionate burden of HIV infection in the United States and worldwide. Pre-exposure prophylaxis (PrEP) is an effective tool for HIV prevention, but its use is suboptimal. Primary care providers (PCP) are considered the ideal PrEP caregivers, but they generally underperform in PrEP care implementation. Methods: From 2020 to 2022, we employed semi-structured in-depth interviews to collect information about barriers and facilitators in PrEP care and beliefs and opinions regarding sexual wellness among 18 PCP and 29 PrEP-eligible women. We employed content analysis and thematic analysis to explore the transcribed narrative data. Results: The current study was guided by the “Communication Pathways” Framework. We studied how communication functions affect PrEP care and women’s sexual wellness on the pathways. We identified several specific pathways between communication and PrEP care implementation in primary care settings, including patient knowledge, linkage to care, therapeutic alliance, and decision making on PrEP care. A paradox regarding who should initiate the discussion regarding sexual history and PrEP care was identified. Conclusions: Findings suggested that a navigation and assistance system for PrEP care in patients and providers is urgently needed. Future studies should facilitate PrEP discussion, engagement, and monitoring in primary care settings.
Attitudes, Beliefs, and Behaviors about Cigarette-Butt Littering among College-Aged Adults in the United States
Authors: Webler Thomas , Jakubowski Karin
Published: July 2022

This study reports attitudes, beliefs, and littering behaviors of 7532 college-aged cigarette smokers from across the United States. Four behavioral variables were measured: littering of last cigarette butt, number of butts littered in past 24 h, littering in past month, and ever having littered. Questions about beliefs centered on whether cigarette butts are biodegradable, if butts were harmful to the environment, and if butts are considered to be litter. One attitudinal question focused on whether seeing butts on the ground was bothersome. Littering was most likely among people who believed butts were biodegradable, believed they are not harmful to the environment, do not believe butts are litter, and among those with the attitude that littered butts are not bothersome. Logistic regression analyses found that the strongest influence on littering behavior was the attitude that seeing butts was bothersome. The second-strongest driver was the belief that butts are litter.
An Innovative Approach to Delivering a Family-Based Intervention to Address Parental Alcohol Misuse: Qualitative Findings from a Pilot Project
Authors: Alderson Hayley , Mayrhofer Andrea , Smart Deborah , Muir Cassey , McGovern Ruth
Published: July 2022

Within child welfare systems, the issue of parental alcohol misuse (PAM) and the responsibility for supporting children affected by PAM impacts on multiple health and social care services. An innovation pilot project (IPP) was set up to reduce the fragmentation between services and to help identify children affected by PAM. The current study presents findings regarding the IPP, examining its implementation, the service delivery, and the perceived impact for family members. Qualitative data were collected from 41 participants. This included interviews with alcohol-misusing parents (n = 13), affected adult family members (n = 5), and children affected by PAM (n = 9). Two focus groups and three one-to-one interviews were conducted with project workers (n = 7) and multi-agency service managers (n = 7). Data were analysed thematically relating to three main themes: (1) innovation in team composition and multi-disciplinary team working, (2) innovative ways of working, and (3) the benefits of a whole-family approach. The findings highlighted the importance of time for the team to ‘bed in’ and come together under one structure, a focus and oversight on whole-family care, and the importance of offering early, targeted, and flexible interventions to prevent crisis points and manage the consequences of PAM. Consideration will need to be given to joint commissioning to strengthen family-focused support.
Ergonomic Assessment of a Lower-Limb Exoskeleton through Electromyography and Anybody Modeling System
Authors: Kong Yong-Ku , Choi Kyeong-Hee , Cho Min-Uk , Kim Seoung-Yoen , Kim Min-Jung , Shim Jin-Woo , Park Sang-Soo , Kim Kyung-Ran , Seo Min-Tae , Chae Hye-Seon , Shim Hyun-Ho
Published: July 2022

The aim of this study was to determine the muscle load reduction of the upper extremities and lower extremities associated with wearing an exoskeleton, based on analyses of muscle activity (electromyography: EMG) and the AnyBody Modeling System (AMS). Twenty healthy males in their twenties participated in this study, performing bolting tasks at two working heights (60 and 85 cm). The muscle activities of the upper trapezius (UT), middle deltoid (MD), triceps brachii (TB), biceps brachii (BB), erector spinae (ES), biceps femoris (BF), rectus femoris (RF), and tibialis anterior (TA) were measured by EMG and estimated by AMS, respectively. When working at the 60 cm height with the exoskeleton, the lower extremity muscle (BF, RF, TA) activities of EMG and AMS decreased. When working at the 85 cm height, the lower extremity muscle activity of EMG decreased except for TA, and those of AMS decreased except for RF. The muscle activities analyzed by the two methods showed similar patterns, in that wearing the exoskeleton reduced loads of the lower extremity muscles. Therefore, wearing an exoskeleton can be recommended to prevent an injury. As the results of the two methods show a similar tendency, the AMS can be used.
Prevention of Loss of Muscle Mass and Function in Older Adults during COVID-19 Lockdown: Potential Role of Dietary Essential Amino Acids
Authors: Park Sanghee , Chang Yewon , Wolfe Robert , Kim Il-Young
Published: July 2022

As the COVID-19 pandemic became a global emergency, social distancing, quarantine, and limitations in outdoor activities have resulted in an environment of enforced physical inactivity (EPI). A prolonged period of EPI in older individuals accelerates the deterioration of skeletal muscle health, including loss of muscle mass and function, commonly referred to as sarcopenia. Sarcopenia is associated with an increased likelihood of the progression of diabetes, obesity, and/or depression. Well-known approaches to mitigate the symptoms of sarcopenia include participation in resistance exercise training and/or intake of balanced essential amino acids (EAAs) and high-quality (i.e., containing high EEAs) protein. As the pandemic situation discourages physical exercise, nutritional approaches, especially dietary EAA intake, could be a good alternative for counteracting against EPI-promoted loss of muscle mass and function. Therefore, in the present review, we cover (1) the impact of EPI-induced muscle loss and function on health, (2) the therapeutic potential of dietary EAAs for muscle health (e.g., muscle mass and function) in the EPI condition in comparison with protein sources, and finally (3) practical guidelines of dietary EAA intake for optimal anabolic response in EPI.
Parents’ Perceptions and Experiences with Their Children’s Use of Augmentative/Alternative Communication: A Systematic Review and Qualitative Meta-Synthesis
Authors: Berenguer Carmen , Martínez Eva Rosa , De Stasio Simona , Baixauli Inmaculada
Published: July 2022

Augmentative and alternative communication (AAC) consists of any method of communicating that supplements or completely substitutes oral and/or written language when it is impaired. Therefore, it enables children with complex communication needs to develop their full communicative potential. However, despite the many benefits of AAC and its widespread use, several review studies have underscored the problems faced by parents and children who use AAC in their daily lives. The general objective of this systematic review and qualitative meta-synthesis is to provide a complete overview of parents’ experiences and perceptions with their children’s use of AAC. Specifically, it aimed to identify common themes and subthemes of interest and to analyze the research quality of the selected studies. An exhaustive literature search was carried out using different electronic databases. Nineteen studies were included, involving 297 parents. A thematic synthesis was undertaken. Three main themes and nine subthemes were identified: service support (accessibility, providers and coordination); characteristics of AAC systems (usability and acceptability, features, cost and funding); and integration of AAC in daily life (family, school, social and community). Findings raise a need for more services that support children with complex communication deficits in different contexts, more functional use of AAC systems at school and in real-world situations, as well as service assistance over an extended time period.
Ultra-Orthodox Women in the Job Market: What Helps Them to Become Healthy and Satisfied?
Authors: Kalagy Tehila , Abu-Kaf Sarah , Braun-Lewensohn Orna
Published: July 2022

This study explored the mental health and job satisfaction of Ultra-Orthodox women who work in different cultural environments. Data were gathered from 304 Ultra-Orthodox women who belong to various streams in this society and who were recruited by the Midgam research panel. The participants filled out self-reported questionnaires that assessed their family quality of life, community sense of coherence, diversity climate, inclusive leadership, job satisfaction, and mental health. The participants ranged in age between 19 and 64 years (M = 30.86, SD = 8.71); 43.1% worked within the Ultra-Orthodox enclave, while 22.4% worked with both Ultra-Orthodox and secular individuals and 34.5% worked in mainly secular environments. We observed differences and similarities among the three groups of women. Community sense of coherence was weakest among those who worked outside the enclave, while diversity perception and inclusive leadership were highest among that group. In all three groups, family and community were the most important resources for mental health. Both traditional resources (i.e., family and community) and other resources (i.e., perception of diversity climate and inclusive leadership) were important for job satisfaction.
How Does Social Comparison Influence Chinese Adolescents’ Flourishing through Short Videos?
Authors: Guo Sijia , Bi Kun , Zhang Liwei , Jiang He
Published: July 2022

Flourishing indicates one’s emotional status and functioning level and is essential for adolescents’ further development. Adolescents’ social media use has been rising, with various potential effects on their development. Therefore, in this study, we shifted the emphasis from a traditional deficit-based approach to a strength-based approach by exploring how social comparison and social media usage influence Chinese adolescents’ flourishing. Altogether, 786 Chinese adolescents aged 12–19 years completed a self-report questionnaire. The results indicate that (1) both social media social comparison of ability (SCA) and social media social comparison of opinion (SCO) have no significant effect on Chinese adolescents’ flourishing; (2) integration into social routine has a positive indirect effect on the relationship between social media social comparison and flourishing; and (3) social integration and emotional connection negatively affect the relationship between social media social comparison and flourishing. These findings highlight the interaction between social media social comparison and social media usage. Furthermore, the results of this study clarify that the potentially harmful effect of social media usage on adolescents’ flourishing is not determined by the frequency or time spent on using social media, but how much adolescents are connected to or invested in social media.
How Policy Mix Choices Affect the COVID-19 Pandemic Response Outcomes in Chinese Cities: An Empirical Analysis
Authors: Shi Chunyu , Xu Tao , Ying Zhihang , Li Huan
Published: July 2022

Since January 2020, the COVID-19 pandemic has caused millions of deaths and has posed a major public health threat worldwide. Such a massive and complex crisis requires quick and comprehensive policy responses. We developed an empirical dataset of policy mixes that included 4915 policies across 36 Chinese cities and investigated the relationships between the policy design choices and the COVID-19 pandemic response outcomes of a city. Using topic modeling and ordinary least squares regression analysis, we found considerable variation among cities in the compositions and design features of their policy mixes. Our analysis revealed that restriction measures did not significantly influence limiting the spread of the pandemic, but they were negatively correlated with the economic growth rate. By contrast, health protection measures greatly contributed to controlling viral spread. Intensive socioeconomic support reduced the occurrence of secondary disasters. The most effective policy strategy to deal with the COVID-19 pandemic appears to be a comprehensive policy design with a mix of restrictions, health protection measures, and socioeconomic support policies accompanied by a timely lockdown. Our empirical findings can help to improve pandemic policy design and contribute to generating broader lessons for how local governments should deal with similar crises in the future.
Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients
Authors: Huang Ru-Yu , Lee Ting-Ting , Lin Yi-Hsien , Liu Chieh-Yu , Wu Hsiu-Chun , Huang Shu-He
Published: July 2022

Background: Many family caregivers of advanced cancer patients worry about being unable to provide in-home care and delay the discharge. Little is known about the influencing factors of discharge readiness. Methods: This study aimed to investigate the influencing factors of family caregivers’ readiness, used a cross-sectional survey, and enrolled 123 sets of advanced cancer patients and family caregivers using convenience sampling from four oncology wards in a medical centre in northern Taiwan. A self-developed five-point Likert questionnaire, the “Discharge Care Assessment Scale”, surveyed the family caregivers’ difficulties with providing in-home care. Results: The study showed that the discharge readiness of family caregivers affects whether patients can be discharged home. Moreover, the influencing factors of family caregivers’ discharge readiness were the patient’s physical activity performance status and expressed discharge willingness; the presence of someone to assist family caregivers with in-home care; and the difficulties of in-home care. The best prediction model accuracy was78.0%, and the Nagelkerke R2 was 0.52. Conclusion: Discharge planning should start at the point of admission data collection, with the influencing factors of family caregivers’ discharge readiness. It is essential to help patients increase the likelihood of being discharged home.
COVID-19 Vaccine Hesitancy: A Critical Time Period Analysis
Authors: Kues John R. , Knapke Jacqueline M. , Elshaer Shereen , Mendell Angela M. , Hildreth Laura , Schuckman Stephanie M. , Wijesooriya Julie , Butsch Kovacic Melinda
Published: July 2022

The COVID-19 pandemic has been a devastating, global public health crisis. Public health systems in the United States heavily focused on getting people to adhere to preventive behaviors, and later, to get vaccinated. January through May of 2021 was a critical and volatile time period for COVID-19 cases, deaths, and expanding vaccination programs coinciding with important political and social events which will have a lasting impact on how the public views science, places trust in our government, and views individual rights. Having collected almost 1400 surveys, our goal was to assess vaccine behavior, explore attitudes toward receiving the vaccine, and identify trusted information sources. More than 83% of our survey respondents said they were at least partially vaccinated. Of 246 unvaccinated, 31.3% were somewhat or extremely likely to get vaccinated when available. Their two most common concerns were vaccine effectiveness (41.1%) and safety (40.2%). Significant differences were observed between respondents who were likely to be vaccinated in the future and those who were hesitant on three of five demographic variables. Our data provide unique insight into the history of behavior and motivations related to COVID-19 vaccines—what will be seen as a “wicked problem” for years to come.
The Relationship between Resistance Training Frequency and Muscle Quality in Adolescents
Authors: Naimo Marshall A. , Gu Ja K.
Published: July 2022

Previous research has established the role of resistance training (RT) on muscle function in adolescents, but a lack of evidence to optimize RT for enhancing muscle quality (MQ) exists. This study examined whether RT frequency is associated with MQ in a nationally representative adolescent cohort. A total of 605 adolescents (12–15 year) in NHANES were stratified based on RT frequency. MQ was calculated as combined handgrip strength divided by arm lean mass (via dual-energy X-ray absorptiometry). Analysis of covariance was adjusted for sex, race/ethnicity, and arm fat percentage; p < 0.05 was considered significant. RT frequency was associated with MQ for 2–7 day/week but not 1 day/week. When no RT was compared to 1–2 and 3–7 day/week, associations were present for 3–7 day/week but not 1–2 day/week. When comparing no RT to 1–4 and 5–7 day/week, associations existed for 5–7 day/week but not 1–4 day/week. Next, no RT was compared to 1, 2–3, and 4–7 day/week; associations were found for 4–7 day/week, while 2–3 day/week had a borderline association (p = 0.06); there were no associations for 1 day/week. Finally, no RT was compared to 1, 2, 3, 4, and 5–7 day/week; associations were present for all except 1 and 3 day/week. These prospective data suggest a minimum RT frequency of 2 day/week is associated with MQ in adolescents as indicated by the lack of differences in MQ between 1 day/week RT versus no RT.
Keeping the Agenda Current: Evolution of Australian Lived Experience Mental Health Research Priorities
Authors: Gulliver Amelia , Morse Alyssa R. , Banfield Michelle
Published: July 2022

The value of including consumers’ and carers’ views at the early stages of study design is increasingly being recognised as essential to improving the relevance and quality of research. One method of achieving this is by actively seeking and regularly updating consumer and carer priorities for mental health research. The current study presents priorities for mental health research collected from two virtual World Cafés with consumers and carers (n = 4, n = 7) held in 2021. Over 200 priorities were identified (13 themes, 64 subthemes), which were then compared with two combined data collection activities from 2013 (face-to-face forum; n = 25), and 2017 (online survey; n = 70). There appears to be some evolution in consumer and carer priorities over time. A key difference was that in the previous studies, mental health service issues were at the individual service delivery level, whereas in the current study, a broader focus was on mental health systems of care and issues around service funding, accessibility, and equity of access. It is possible these changes may also have resulted from key differences between the studies, including the methods, setting, and participants. Overall, similar to our previous studies no clear priorities were identified; however, a significant number of important research topics were identified by consumers and carers, providing a rich agenda from which to improve the management of mental health.
Molecular Clustering Analysis of Blood Biomarkers in World Trade Center Exposed Community Members with Persistent Lower Respiratory Symptoms
Authors: Grunig Gabriele , Durmus Nedim , Zhang Yian , Lu Yuting , Pehlivan Sultan , Wang Yuyan , Doo Kathleen , Cotrina-Vidal Maria L. , Goldring Roberta , Berger Kenneth I. , Liu Mengling , Shao Yongzhao , Reibman Joan
Published: July 2022

The destruction of the World Trade Center (WTC) on September 11, 2001 (9/11) released large amounts of toxic dusts and fumes into the air that exposed many community members who lived and/or worked in the local area. Many community members, defined as WTC survivors by the federal government, developed lower respiratory symptoms (LRS). We previously reported the persistence of these symptoms in patients with normal spirometry despite treatment with inhaled corticosteroids and/or long-acting bronchodilators. This report expands upon our study of this group with the goal to identify molecular markers associated with exposure and heterogeneity in WTC survivors with LRS using a selected plasma biomarker approach. Samples from WTC survivors with LRS (n = 73, WTCS) and samples from healthy control participants of the NYU Bellevue Asthma Registry (NYUBAR, n = 55) were compared. WTCS provided information regarding WTC dust exposure intensity. Hierarchical clustering of the linear biomarker data identified two clusters within WTCS and two clusters within NYUBAR controls. Comparison of the WTCS clusters showed that one cluster had significantly increased levels of circulating matrix metalloproteinases (MMP1, 2, 3, 8, 12, 13), soluble inflammatory receptors (receptor for advanced glycation end-products-RAGE, Interleukin-1 receptor antagonist (IL-1RA), suppression of tumorigenicity (ST)2, triggering receptor expressed on myeloid cells (TREM)1, IL-6Ra, tumor necrosis factor (TNF)RI, TNFRII), and chemokines (IL-8, CC chemokine ligand- CCL17). Furthermore, this WTCS cluster was associated with WTC exposure variables, ash at work, and the participant category workers; but not with the exposure variable WTC dust cloud at 9/11. A comparison of WTC exposure categorial variables identified that chemokines (CCL17, CCL11), circulating receptors (RAGE, TREM1), MMPs (MMP3, MMP12), and vascular markers (Angiogenin, vascular cell adhesion molecule-VCAM1) significantly increased in the more exposed groups. Circulating biomarkers of remodeling and inflammation identified clusters within WTCS and were associated with WTC exposure.
Fiscal Expenditure Structure, Vertical Fiscal Imbalance and Environmental Pollution
Authors: Qin Fengqin
Published: July 2022

Based on China’s provincial panel data from 2007 to 2019, the authors of this paper conducted an empirical test on the direct effect of China’s fiscal expenditure structure on the reduction in environmental pollution with the use of a fixed effect model. We also creatively added an interaction item comprising vertical fiscal imbalance and the expenditure structure to further study the impact of vertical fiscal imbalance on reducing environmental pollution and its effect on the fiscal expenditure structure. The study results show that a structure in favor of expenditure on people’s welfare noticeably reduces environmental pollution. However, after the introduction of the vertical fiscal imbalance indicator, the pollution reduction effect decreases. That is, the vertical fiscal imbalance weakens and distorts the impact of the fiscal expenditure structure on the reduction in environmental pollution. Therefore, it is possible to further motivate local governments with incentive measures, such as fiscal decentralization and the centralization of administrative responsibilities, and regulate the environmental pollution of local governments through use of restrictive measures, such as the “green GDP” evaluation mechanism to further improve the fiscal expenditure structure of local governments, enhance the environmental pollution reduction capability of fiscal expenditure.
Neighborhood Disadvantage and Poor Health: The Consequences of Race, Gender, and Age among Young Adults
Authors: Christie-Mizell C. André
Published: July 2022

The objective of this study is to examine the relationship between neighborhood disadvantage and poor self-rated health for a nationally representative sample of Blacks and Whites in young adulthood, 18 to 30 years old. Data were from 16 waves (1997–2013) of the National Longitudinal Survey of Youth 1997 cohort (N = 6820 individuals; observations = 58,901). Utilizing the stress process model and generalized estimating equations to account for the correlated nature of multiple responses over time, results show that neighborhood disadvantage increases the odds of poor health for all groups. This positive association is strongest in the most disadvantaged neighborhoods and is heightened as young adults age. There are also notable race and gender differences. For example, Blacks, who live in the most highly disadvantaged neighborhoods, seem to be somewhat shielded from the most deleterious effects of poor neighborhood conditions compared to their White counterparts. Despite greater proportions of Blacks residing in harsh neighborhood environments, Black men experience better health than all other groups, and the health of Black women is no worse compared to White men or women. Limitations and directions for future research are discussed.
Optimal Strategy on Radiation Estimation for Calculating Universal Thermal Climate Index in Tourism Cities of China
Authors: Liu Jiandong , Zhou Guangsheng , Linderholm Hans W. , Song Yanling , Liu De-Li , Shen Yanbo , Liu Yanxiang , Du Jun
Published: July 2022

The Universal Thermal Climate Index (UTCI) is believed to be a very powerful tool for providing information on human thermal perception in the domain of public health, but the solar radiation as an input variable is difficult to access. Thus, this study aimed to explore the optimal strategy on estimation of solar radiation to increase the accuracy in UTCI calculation, and to identify the spatial and temporal variation in UTCI over China. With daily meteorological data collected in 35 tourism cities in China from 1961 to 2020, two sunshine-based Angstrom and Ogelman models, and two temperature-based Bristow and Hargreaves models, together with neural network and support vector machine-learning methods, were tested against radiation measurements. The results indicated that temperature-based models performed the worst with the lowest NSE and highest RMSE. The machine-learning methods performed better in calibration, but the predictive ability decreased significantly in validation due to big data requirements. In contrast, the sunshine-based Angstrom model performed best with high NSE (Nash–Sutcliffe Efficiency) of 0.84 and low RMSE (Root Mean Square Error) of 35.4 J/m2 s in validation, which resulted in a small RMSE of about 1.2 °C in UTCI calculation. Thus, Angstrom model was selected as the optimal strategy on radiation estimation for UTCI calculation over China. The spatial distribution of UTCI showed that days under no thermal stress were high in tourism cities in central China within a range from 135 to 225 days, while the largest values occurred in Kunming and Lijiang in southwest China. In addition, days under no thermal stress during a year have decreased in most tourism cities of China, which could be attributed to the asymmetric changes in significant decrease in frost days and slightly increase in hot days. However, days under no thermal stress in summer time have indeed decreased, accompanying with increasing days under strong stress, especially in the developed regions such as Yangze River Delta and Zhujiang River Delta. Based on the study, we conclude that UTCI can successfully depict the overall spatial distribution and temporal change of the thermal environments in the tourism cities over China, and can be recommend as an efficient index in the operational services for assessing and predicting thermal perception for public health. However, extreme cold and heat stress in the tourism cities of China were not revealed by UTCI due to mismatch of the daily UTCI with category at hourly scale, which makes it an urgent task to redefine category at daily scale in the next research work.