bluuebunny/crossref_metadata_2025 huggingface dataset:
Does Globalization Cause Greenhouse Gas Emissions in Pakistan? A Promise to Enlighten the Value of Environmental Quality
Authors: Ullah Arif , Raza Kashif , Nadeem Muhammad , Mehmood Usman , Agyekum Ephraim Bonah , Elnaggar Mohamed F. , Agbozo Ebenezer , Kamel Salah
Published: July 2022

Global environmental issues such as environmental degradation, climate change, and global warming have posed a threat to the global economy, including Pakistan. The primary source of these problems is greenhouse gas emissions. These emissions are the result of human activity. The objective of the study was to investigate the symmetric and asymmetric relationship between globalization and greenhouse gas emissions in Pakistan. The ARDL modern econometric techniques of the time series model were used. Firstly, the stationarity test favors the use of the ARDL model in this study. The BDS test result confirmed that the ARDL model has a non-linearity issue. As a result, the ARDL approach was used to test both the symmetric and asymmetric effect. The results of the asymmetric ARDL model are more robust and reliable than those of the symmetric ARDL model. According to the results of the symmetric ARDL, economic, social, and political globalization have a positive relationship with greenhouse gas emissions in both the short and long run. Furthermore, the long-run results of the asymmetric ARDL model show that positive and negative shocks of economic and political globalization have positive and negative shock effects on greenhouse gas emissions. In the long run, however, the positive shock of social globalization has a negative relationship with greenhouse gas emissions. According to the results of impulse response functions, economic globalization has a significantly more relationship with greenhouse gas emissions than social and political globalization. A policy should be developed that allows only the positive effects of globalization while prohibiting the negative effects of globalization.
Participatory Approaches in Family Health Promotion as an Opportunity for Health Behavior Change—A Rapid Review
Authors: Kuchler Maja , Rauscher Marie , Rangnow Pia , Quilling Eike
Published: July 2022

Background: With their influence on health behavior of children, families are important addressees in health promotion and prevention of chronic diseases. However, they are often difficult to reach, partly due to the open approach of health promotion services. Therefore, they should be addressed directly and be involved in shaping their living environment. The aim is to examine which approaches are used in participatory family health promotion and what practical experiences are made. Methods: A systematic literature search in PubMed, Web of Science, LIVIVO and a supplementary hand search were conducted. Ten of 718 screened publications were analyzed qualitatively. Results: Most included publications applied the community-led participatory approach CBPR. In seven publications, family actors could make decisions at any or all project phases. One finding is that positive effects on desired behavior change and improved health of target groups were observed. Frequently described success factors are the type of interaction, and a common goal. Conclusion: The forms of family participation in health promotion vary widely, with the lack of participatory practices being a major challenge. Family participation is a useful approach in shaping health promotion and should be further developed. This overview provides support for planning future participatory projects with families.
Preparation of High-Porosity B-TiO2/C3N4 Composite Materials: Adsorption–Degradation Capacity and Photo-Regeneration Properties
Authors: Guo Xiang , Rao Lei , Shi Zhenyu
Published: July 2022

Adsorption can quickly remove pollutants in water, while photocatalysis can effectively decompose organic matter. B-TiO2/g-C3N4 ternary composite photocatalytic materials were prepared by molten method, and their adsorption–degradation capability under visible light conditions was discussed. The morphology of the B-TiO2/g-C3N4 materials was inspected by SEM, TEM, BET, and EDS, and the results showed that close interfacial connections between TiO2 and g-C3N4, which are favorable for charge transfer between these two semiconductors, formed heterojunctions with suitable band structure which was contributed by the molten B2O3. Meanwhile, the molten B2O3 effectively increased the specific surface area of TiO2/C3N4 materials, thereby increasing the active sites and reducing the recombination of photogenerated electron–hole pairs and improving the photocatalytic degradation abilities of TiO2 and g-C3N4. Elsewhere, the crystal structure analysis (XRD, XPS, FTIR) results indicated that the polar -B=O bond formed a new structure with TiO2 and g-C3N4, which is not only beneficial for inhibiting the recombination of electron holes but also improving the photocatalytic activity. By removal experiment, the adsorption and degradation performances of B-TiO2/g-C3N4 composite material were found to be 8.5 times and 3.4 times higher than that of g-C3N4. Above all, this study prepared a material for removing water pollutants with high efficiency and provides theoretical support and experimental basis for the research on the synergistic removal of pollutants by adsorption and photocatalysis.
The Impact of Technology on Adolescent Sexual and Reproductive Needs
Authors: Cornelius Judith Bacchus , Smoot Jaleesa Marshay
Published: July 2022

The call for articles for the International Journal of Environmental Research and Public Health Special Issue “Using mobile technology to promote adolescent sexual and reproductive health (SRH)” was proposed to identify efforts to provide adolescent SRH services during the COVID-19 pandemic [...]
The Coupling and Coordinated Development of Green Builds and Financial Development in China
Authors: Fang Zhong , Zhang Hongrui , Wang Jianlin , Tong Junbo , Li Xiaoxiao
Published: July 2022

As a labor-intensive industry with a strong industrial driving force and high-technology integration, green buildings offer some comparative advantages. Driven by the concept of green development, green buildings are ushering in a period of opportunity for integrated development among multiple fields. Therefore, this research will select the panel data of the financial industry and the green buildings industry in 2014 and 2018, respectively, in 31 provinces in China (excluding Hong Kong, Macao and Taiwan) and, through the method of factor analysis, will innovatively construct a financial industry development index and a green building Development Index for each province in China. Through the coupling coordination model, it studies the development level of the financial industry and green buildings in various provinces, in order to deeply explore the path and mechanism of coordinated development between the two. The results show that the financial industry and green buildings in the eastern coastal areas have a high level of coupling, and the coupling and coordinated development have a greater degree of correlation. The potential for coupling and coordination in Central China is developing for the better, while volatility in the Northeast and Northwest regions is relatively large. From the time dimension angle, the degree of coupling and coordination between green buildings and the financial industry in China is generally low, and in the transitional stage, from the brink of unbalanced development to a primary stage of coordinated development. Accordingly, this paper proposes that local government should pay attention to the coordination relationship between green buildings and financial industry development and formulate a coordination mechanism between their growth according to local conditions, so as to promote the correct interactive advancement of the two.
Counseling for Physical Activity in Adults during the COVID-19 Pandemic: A Scope Review
Authors: Gonçalves Letícia , Moraes Mikael Seabra , Silva Diego Augusto Santos
Published: July 2022

Objective: The aim of this scope review was to map the available scientific evidence on physical activity counseling for adults during the COVID-19 pandemic. Methods: The search was performed in PubMed, Web of Science, Scopus, SPORTDiscus, LILACS, SciELO, and CINAHL databases. Studies that described the population of adults over 18 years of age that used physical activity counseling during the COVID-19 pandemic context were selected. Data extracted were author, study location, sample, age group, sex, population characteristics, design, means used for intervention, time of intervention, professionals involved, and intervention or counseling strategy. Results: Physical activity counseling interventions were aimed at participants with insufficient levels of physical activity or with comorbidities; counseling was carried out in the online format; by health professionals, in the highest proportion of coaches, physicians, researchers, and nutritionists; through educational contents regarding the practice of physical activity; and using the transtheoretical model of behavior change as a reference method. Conclusions: The results of this review can provide tools for health professionals to assist in the process of coping with physical inactivity.
Visual Acuity Outcomes in Diseases Associated with Reduced Visual Acuity: An Analysis of the National Health Insurance Service Database in Korea
Authors: Kim Sang-Yeob , Moon Byeong-Yeon , Cho Hyun-Gug , Yu Dong-Sik
Published: July 2022

Visual acuity declines with age, and disease-related visual acuity changes vary. We evaluated factors affecting visual acuity and age-related visual acuity in diseases associated with reduced visual acuity such as hypertension, diabetes mellitus (DM), glaucoma, and diabetic retinopathy (DR). The Korean National Health Insurance Service 2015–2016 data were analyzed for age-related visual acuity changes and prevalence of diseases associated with reduced visual acuity. Among 993,062 participants, the prevalence rates of hypertension, DM, glaucoma, and DR were 27.0%, 15.1%, 13.8%, and 2.7%, respectively. Despite having the lowest prevalence, DR alone or DR with hypertension and glaucoma resulted in low visual acuity. Correlation analysis between disease frequency and mean age-related visual acuity revealed higher positive correlations in DR and hypertension than in DM and glaucoma, indicating lower visual acuity. Odds ratios for low visual acuity in cases including one disease such as hypertension, DM, glaucoma, and DR were 1.73, 1.23, 1.04, and 1.52, respectively. The prevalence and number of diseases associated with reduced visual acuity increased with age, and visual acuity decreased. The leading causes of vision loss were DR as a single disease and hypertension as a concomitant disease. Therefore, age-related vision management, through periodic eye examination and correction with age, should be performed along with management of diabetes and hypertension.
Response of Soil Fauna to the Shift in a Riparian Landscape along an Urban–Rural Habitat Gradient
Authors: Huang Yumei , Zeng Qian , Luo Chunlan , Zhang Danju , Xie Wenfeng , Xiao Jiujin , Liu Yang , Liu Yushi , Du Juan
Published: July 2022

Urbanization is accelerating worldwide, resulting in drastic alterations of natural riverbanks, which seriously affects the ecological functions and services of riparian landscapes. Our understanding of how anthropogenic activities influence soil animal communities within riparian zones is scarce. The soil fauna represents an important biotic component of the soil ecosystem and greatly contributes to soil structure and fertility formation. We investigated the richness, abundance, diversity, and distribution of soil animal groups, including macro- and mesofauna, in different riparian landscapes along an urban–rural habitat gradient. In natural riparian zones with permeable revetments, the soil fauna was richest and most abundant, mainly because of the low levels of human disturbance and the more suitable habitat conditions. Different soil animal groups responded differently to revetment type and distance from the water flow. The hygrophilous soil mesofauna, requiring a more humid environment, was more sensitive to shifts in revetment types, the location on the riverbank, and the seasons. In summer, when precipitation in the study area was highest, the abundance of the hygrophilous soil mesofauna was significantly higher than in autumn. Distance from the water flow significantly affected the abundance of the hygrophilous soil mesofauna. Our results demonstrated that hygrophilous soil mesofauna can serve as a good indicator in riparian zones, reflecting the hydrological conditions. We also observed interactions between revetment type and distance from the water flow; the distance effect was stronger in the natural riparian zone with a permeable revetment type. Our results highlight the importance of anthropogenic effects on soil ecosystem processes and functions in riparian landscapes, and the necessity of protecting and retaining the natural riverbank and native vegetation patches in riparian landscape planning and construction.
Within-Week Variations and Relationships between Internal and External Intensities Occurring in Male Professional Volleyball Training Sessions
Authors: Lima Ricardo Franco , González Férnandez Francisco Tomás , Silva Ana Filipa , Laporta Lorenzo , de Oliveira Castro Henrique , Matos Sérgio , Badicu Georgian , Pereira Gonçalo Arezes , De Conti Teixeira Costa Gustavo , Clemente Filipe Manuel
Published: July 2022

The purpose of the study was to test the within-week variations of the internal and external training intensity outcomes organized by days of the week. An 8-month observational period was conducted during the 2020–2021 season. The training sessions and matches of an elite volleyball team were monitored daily. The data comes from 14 players (two setters, five middle blockers, five outside hitters, and two opposites) of an elite team from the Portuguese 1st League (age: 21.7 ± 4.19 years of age; experience: 6.2 ± 3.8 years; body mass: 85.7 ± 8.69 kg; height: 192.4 ± 6.25 cm; BMI: 23.1 ± 1.40 kg/m2). The CR10 Borg scale was applied daily to measure the training intensity. The rate of perceived exertion (RPE) and the session-RPE were extracted as the internal outcomes. The external intensity was measured using an inertial measurement unit (IMU). The number of jumps, height average of jumps (JHA), minimum jump (MJ), maximal jump (MXJ), range jump (RJ), number of jumps (NJ), and training session density (D) were extracted as external intensity outcomes. The results showed that there was a difference between RPE and S-RPE (F (1.98) = 6.31, p = 0.01, η2 = 0.36, and F (1.73) = 28.30, p = 0.001, η2 = 0.72), as well as JHA and NJ (F (2.14) = 4.76, p = 0.02, η2 = 0.30, and F (1.77) = 4.77, p = 0.02, η2 = 0.30) within the microcycle. When analyzing the correlations between internal and external intensity, it was observed that there was a negative correlation between the Maximum Jump (4, 3, and 1 days before the Match day) (r2 = 0.34, r2 = 0.40, r2 = 0.41, respectively) and the Range Jump (3 and 1 days before the Match day (r2 = 0.33, r2 = 0.38, respectively) with the RPE (4 days before the Match day) and Maximum Jump (5, 4, 3, and 1 days before the Match day (r2 = 0.35, r2 = 0.39, r2 = 0.44, r2 = 0.34, respectively) and Range Jump (5, 4, 3, and 1 days before the Match day) (r2 = 0.34, r2 = 0.35, r2 = 0.40 and r2 = 0.36, respectively) with S_RPE (4 days before the Match day). Such findings show that higher internal intensities are correlated with lower external intensities in sessions further away from the game day. Such results could be an important tool for coaches to reflect, plan, monitor, and execute the training unit according to the temporal distance to the competition.
Secular Changes in the Age of Menarche of Rural and Urban Girls from an Industrial Region of Poland in Relation to Family Structure
Authors: Domaradzki Jarosław , Sławińska Teresa , Kołodziej Małgorzata , Ignasiak Zofia
Published: July 2022

Purpose: The consequence of better living conditions for every subsequent generation is the phenomenon of change in the rate of maturation and body dimensions. The aim of this study was to evaluate the intergenerational changes in the age of menarche of girls living in rural and urban communities in the industrial region of Poland using samples from two different centuries and to determine the relationship between family structure (two-parent and single-parent) and sexual maturation of the girls in both environments. Methods: The study included 3643 rural and urban girls aged 7–16 from southwestern Poland (Copper Basin). The research was cross-sectional in each environment around 2000 and 2010, and it was carried out twice. Two types of family structure were taken into account: two-parent and single-parent families. The median age of menarche and odds ratio (OR) of menarche depending on the place of residence and family structure were calculated. The status quo method was used when assessing the age of menarche. Results: In both groups, the age of menarche significantly decreased during the decade. The median age of menarche in the urban girls was lower compared with their rural peers, but a significant difference was found only during the second examination (a decade after the first examination). There were no significant changes in menarche during the decade regarding family structure (neither in girls from two-parent families nor those from single-parent families), except in rural girls from two-parent families. Comparing the median age of menarche of girls from two-parent families with girls from single-parent families (urban and rural) showed lower median values in the girls from two-parent families, but no differences were significant. Conclusions: The acceleration of the maturation rate over the last decade has been observed among both rural and urban girls. Environmental differences in maturation rates between rural and urban girls increased over the course of the decade, and the difference between the rural and urban girls’ age of menarche was statistically significant in the second examination (around 2010).The living conditions related to family structure did not significantly affect the timing of menarche.
Use of Ultrasound-Guided Interfascial Plane Blocks in Anterior and Lateral Thoracic Wall Region as Safe Method for Patient Anesthesia and Analgesia: Review of Techniques and Approaches during COVID-19 Pandemic
Authors: Szamborski Marek , Janc Jarosław , Rosińczuk Joanna , Janc Jędrzej Jerzy , Leśnik Patrycja , Łysenko Lidia
Published: July 2022

Ultrasound-guided interfascial plane blocks performed on the anterior and lateral thoracic wall have become an important adjuvant method to general anesthesia and an independent method of local anesthesia and pain management. These procedures diminish the harmful effects of anesthesia on respiratory function and reduce the risk of phrenic nerve paralysis or iatrogenic pneumothorax. In postoperative pain management, interfascial plane blocks decrease the dosage of intravenous drugs, including opioids. They can also eliminate the complications associated with general anesthesia when used as the sole method of anesthesia for surgical procedures. The following procedures are classified as interfascial plane blocks of the anterior and lateral thoracic wall: pectoral nerve plane block (PECS), serratus anterior plane block (SAP), transversus thoracic muscle plane block (TTP), pectoral interfascial plane block (PIF), and intercostal nerve block (ICNB). These blocks are widely used in emergency medicine, oncologic surgery, general surgery, thoracic surgery, cardiac surgery, orthopedics, cardiology, nephrology, oncology, palliative medicine, and pain medicine. Regional blocks are effective for analgesic treatment, both as an anesthesia procedure for surgery on the anterior and lateral thoracic wall and as an analgesic therapy after trauma or other conditions that induce pain in this area. In the era of the COVID-19 pandemic, ultrasound-guided interfascial plane blocks are safe alternatives for anesthesia in patients with symptoms of respiratory distress related to SARS-CoV-2 and appear to reduce the risk of COVID-19 infection among medical personnel.
A Cross-Sectional Study of the Marital Attitudes of Pregnant Women at Risk for Cystic Fibrosis and Psychological Impact of Prenatal Screening
Authors: Popa Zoran Laurentiu , Margan Madalin-Marius , Petre Izabella , Bernad Elena , Stelea Lavinia , Chiriac Veronica Daniela , Craina Marius , Ciuca Ioana Mihaela , Bina Anca Mihaela
Published: July 2022

Cystic fibrosis (CF) is one of the most frequent genetic disorders in those with Northern European ancestry. Prenatal testing for cystic fibrosis may be used to plan and prepare for the birth of a child with the disease or to determine whether to terminate the pregnancy. The accessibility of prenatal detection for women with a high genetic risk of delivering a child with cystic fibrosis is determined by CF carriers and those affected by the disease. Moreover, prenatal testing for CF is mainly dependent on invasive diagnostic tests that can influence the mental health of the pregnant woman, and it is assumed that the birth of a CF child will have a serious influence on the couple’s subsequent family planning and marital behavior. The purpose of this research was to examine the marital attitudes of women at risk for cystic fibrosis and the psychological effect of screening for CF among pregnant women. The study followed a cross-sectional design with five questionnaires comprising Prenatal Attachment Interview (PAI), Maternal Antenatal Attachment Scale (MAAS), Pregnancy-Related Anxiety Questionnaire (PRAQ-R2), the Prenatal Psychosocial Profile (PPP), and the Marital Intimacy Questionnaire (MIQ). A total of 84 pregnant women were included in the “carriers” group for CFTR and 91 in the “non-carrier” group. CFTR-carrier mothers were likely to be more affectionate to the fetus, with better maternal–fetal quality and intensity of attachment. The same group of pregnant women was less scared of giving birth or worried about bearing a physically or mentally handicapped child compared to women who were expecting the prenatal diagnosis test for being at risk of delivering a newborn with malformations. CFTR-carrier pregnant women did not score significantly different results in the Prenatal Psychosocial Profile regarding stress levels, social support, and self-esteem. It was also found that intimacy and consensus problems inside the marriage were significantly more often experienced by CFTR carriers. Based on the current findings, it is likely that CFTR-carrier mothers have a better perception of the possible pregnancy outcomes by knowing their abnormal gene carrier status. Therefore, the psychological impact of invasive diagnostic tests is lower in this category compared with those who are unaware of the possible pregnancy outcomes. However, we promote a future analysis for pregnant women with moderate risk of giving birth to a child with single-gene mutations such as cystic fibrosis or other congenital malformations that undergo noninvasive prenatal diagnosis tests, as they become more accurate and might cause lower pre-diagnosis stress levels.
Diabetes and Cardiovascular Diseases Risk Assessment in Community Pharmacies: An Implementation Study
Authors: Rondeaux Sarah , Braeckman Tessa , Beckwé Mieke , Biset Natacha , Maesschalck Joris , Duquet Nathalie , De Wulf Isabelle , Devroey Dirk , De Vriese Carine
Published: July 2022

The implementation of a new service is often challenging when translating research findings into routine clinical practices. This paper presents the results of the implementation study of a pilot project for a diabetes and cardiovascular diseases risk-assessment service in Belgian community pharmacies. To evaluate the implementation of the service, a mixed method was used that follows the RE-AIM framework. During the testing stage, 37 pharmacies participated, including five that dropped out due to a lack of time or COVID-19-related temporary obligations. Overall, 502 patients participated, of which 376 (74.9%) were eligible for according-to-protocol analysis. Of these, 80 patients (21.3%) were identified as being at high risk for the targeted diseases, and 100 (26.6%) were referred to general practice for further investigation. We presented the limited effectiveness and the key elements influencing optimal implementation. Additional strategies, such as interprofessional workshops, a data-sharing platform, and communication campaigns, should be considered to spread awareness of the new role of pharmacists. Such strategies could also promote collaboration with general practitioners to ensure the follow-up of patients at high risk. Overall, this service was considered easy to perform and feasible in practice but would require financial and external support to ensure its effectiveness, sustainability, and larger-scale implementation.
Role of Alexithymia in Predicting Internet Novel Addiction through Boredom Proneness
Authors: Liu Yuying , Chen Lei , Wang Zhiyan , Guo Ge , Zhang Mingming , Chen Shunsen
Published: July 2022

With the development of the internet, people’s pursuit of reading entertainment has enriched internet novels, but the relevant influencing factors are still unclear. Therefore, we recruited 344 Chinese college students and employed a questionnaire survey to explore the relationship between alexithymia, boredom proneness, and internet novel addiction. The results showed that (1) there was no significant difference between female and male college students in terms of alexithymia and boredom proneness, whereas male college students had a higher total score of internet novel addiction than females. (2) There were significant positive correlations between alexithymia, boredom proneness, and internet novel addiction. (3) Boredom proneness played a partial mediating role in the impact of alexithymia on the internet novel addiction. Taken together, alexithymia may directly and indirectly predict internet novel addiction through boredom proneness.
Serum Trimethylamine N-Oxide Levels Correlate with Metabolic Syndrome in Coronary Artery Disease Patients
Authors: Kuo Chiu-Huang , Liu Chin-Hung , Wang Ji-Hung , Hsu Bang-Gee
Published: July 2022

Trimethylamine N-oxide (TMAO) is a gut microbial metabolite that affects atherogenesis and glucose dysregulation. The purpose of this study was to look at the link between blood TMAO levels and metabolic syndrome (MetS) in individuals with coronary artery disease (CAD). Blood samples were obtained in fasting status, and serum TMAO level was quantified by high-performance liquid chromatography–mass spectrometry. MetS and its components were defined according to the International Diabetes Federation diagnostic criteria. Of 92 enrolled patients, 51 (55.4%) had MetS. Patients with MetS had a greater proportion of hypertension and diabetes mellitus, higher body weight, waist circumference, body mass index, systolic blood pressure, fasting glucose, triglycerides, blood urea nitrogen, creatinine, C-reactive protein (CRP), insulin level, homeostasis model assessment of insulin resistance, and TMAO level. Multivariable logistic regression models revealed that TMAO level (odds ratio: 1.036, 95% confidence interval: 1.005–1.067, p = 0.023) could be an effective predictor of MetS among the CAD population. In these patients, the log-TMAO level was positively associated with log-CRP (β = 0.274, p = 0.001) and negatively associated with eGFR (β = −0.235, p = 0.022). In conclusion, our study revealed a positive association between serum TMAO level and MetS among patients with CAD.
Well-Being and Safety in the Workplace
Authors: Teodoro Michele , Giambò Federica
Published: July 2022

The workplace represents a critical and time-consuming exposure setting in which workers are continuously exposed to the heterogeneity of hazards, including physical, biological, chemical, and organizational risk factors [...]
Resilience Improves the Quality of Life and Subjective Happiness of Physiotherapists during the COVID-19 Pandemic
Authors: Pigati Patricia Angeli da Silva , Righetti Renato Fraga , Dourado Victor Zuniga , Nisiaymamoto Bruna Tiemi Cunha , Saraiva-Romanholo Beatriz Mangueira , Tibério Iolanda de Fátima Lopes Calvo
Published: July 2022

Resilience is an individual characteristic that protects mental health. However, its impact on the lives of Brazilian physiotherapists during COVID-19 is not known. This study aimed to analyze whether resilience modulates the perceived quality of life (QoL) and subjective happiness (SH) of physiotherapists who work with COVID-19 patients, compared with those who do not. A cross-sectional study was conducted between 22 August and 22 October 2020. Physiotherapists working in critical and non-critical hospital sectors were invited to participate in the study. The participants completed sociodemographic questionnaires and were graded on the 14-item Resilience Scale, 36-item Short-Form Health Survey (SF-36), and the Subjective Happiness Scale. In total, 519 physiotherapists were enrolled in the study. Physiotherapists with low resilience who worked with COVID-19 patients reported lower scores on the SF-36 subscales (except for social functioning) and the Subjective Happiness Scale, compared with those with high resilience who did not work with COVID-19 patients. These responses were modulated by age, sex, absence from work, receipt of personal protective equipment, host leadership, and practice and maintenance of regular physical activity. In conclusion, physiotherapists with low resilience who worked with COVID-19 patients presented lower perceptions of QoL and SH, compared with the other study participants.
How Does Green Innovation Strategy Influence Corporate Financing? Corporate Social Responsibility and Gender Diversity Play a Moderating Role
Authors: Javeed Sohail Ahmad , Teh Boon Heng , Ong Tze San , Chong Lee Lee , Abd Rahim Mohd Fairuz Bin , Latief Rashid
Published: July 2022

Global warming is becoming more and more of a concern, leading authorities to take action. The industrial sector is a key contributor to environmental and social problems. Based on stakeholder theory and agency theory, this research proposes that green innovation strategies at the firm level can overcome the industry’s negative environmental impact. As a result, the focus of this research is on green innovation strategies for corporate financing. In addition, this research suggests that corporate social responsibility and gender diversity directly affect corporate financing and their interaction. This study used Chinese 301 manufacturing firms (3010 observations) for the period 2010–2019 for this purpose. This study looks into panel data issues in depth by using approaches such as the fixed effect and generalized method of moment. The feasible generalized least square was employed to increase robustness. Furthermore, green innovation strategies were used for corporate financing. Second, the study discovered that corporate social responsibility aided firm financing. Our findings also imply that corporate social responsibility helps to attenuate the association amid green innovative strategies and corporate financing. Finally, these findings revealed that gender diversity had a favorable effect on corporate financing. Furthermore, this study confirmed that the moderating role of gender diversity is beneficial to green innovative strategies and corporate financing. These findings add to the literature by providing policymakers and regulatory bodies with useful information for advancing sustainable development.
Association of Academic Stress, Acne Symptoms and Other Physical Symptoms in Medical Students of King Khalid University
Authors: Aziz Farah , Khan Mohammad Fareed
Published: July 2022

Academic stress has varied effects on medical student life due to multiple factors, like study load, competition, frequent assessment, social pressure, etc. The authors of this paper conducted research to find the academic stress level and its sequel over acne and other physical symptoms on the medical students of King Khalid University (KKU), Saudi Arabia. A total of 168 participant responses were analyzed. Data collection was performed using a self-administered online questionnaire through the university website portal. The study tool was comprised of four sections: demographic characteristics, academic stress, acne symptoms, and other physical symptoms. Statistical analysis was performed using SPSS software. A high proportion of females (88.7%) participated in the study. Upon categorization of overall academic stress, it was found that a majority of the medical students were moderately stressed (58.34%). The response on the academic stress scale revealed that exams are the major cause of stress among students. The Mean ± SD of academic stress, acne symptoms, and physical symptoms differ significantly at <0.01 level of significance. Overall academic stress showed a significant positive association with acne (<0.01) and physical symptoms (<0.01). The strength of this study is the fact that its categorization of stress caused by academics has not been done elsewhere. In addition, the impact of acne and physical symptoms has not been found in recent literature. Keeping the outcome of the present study in mind, it is suggested to arrange timely counselling sessions in medical colleges which can alert medical students to remain conscious about the consequences of stress.
Human Flow Dataset Reveals Changes in Citizens’ Outing Behaviors including Greenspace Visits before and during the First Wave of the COVID-19 Pandemic in Kanazawa, Japan
Authors: Ueno Yusuke , Kato Sadahisa , Mase Tomoka , Funamoto Yoji , Hasegawa Keiichi
Published: July 2022

Greenspaces, including parks, provide various socio-ecological benefits such as for aesthetics, temperature remediation, biodiversity conservation, and outdoor recreation. The health benefits of urban greenspaces have received particular attention since the onset of the COVID-19 pandemic, which has triggered various movement restrictions and lifestyle changes, including regarding the frequency of people’s visits to greenspaces. Using mobile-tracking GPS data of Kanazawa citizens, we explored how citizens’ behaviors with respect to outings changed before and during Japan’s declaration of a COVID-19 state of emergency (April–May 2020). We also examined citizens’ greenspace visits in relation to their travel distance from home. We found that Kanazawa citizens avoided going out during the pandemic, with a decrease in the number, time, and distance of outings. As for the means of transportation, the percentage of outings by foot increased on both weekdays and holidays. While citizens refrained from going out, the percentage change of the percentage in large greenspace visits increased very slightly in 2020. As for greenspace visitation in 2020 compared to 2019, we found that citizens generally visited greenspaces closer to their homes, actually increasing visitation of nearby (within 1000 m) greenspaces. This study of how outing behaviors and greenspace use by Kanazawa citizens have changed underscores the value of nearby greenspaces for physical and mental health during movement restrictions under the pandemic.
Major Risk Factors for Mortality in Elderly and Non-Elderly Adult Patients Emergently Admitted for Blunt Chest Wall Trauma: Hospital Length of Stay as an Independent Predictor
Authors: Elgar Guy , Smiley Abbas , Latifi Rifat
Published: July 2022

Background: Blunt thoracic trauma is responsible for 35% of trauma-related deaths in the United States and significantly contributes to morbidity and healthcare-related financial strain. The goal of this study was to evaluate factors influencing mortality in patients emergently admitted with the primary diagnosis of blunt chest wall trauma. Methods: Adults emergently admitted for blunt chest trauma were assessed using the National Inpatient Sample Database, 2004–2014. Data regarding demographics, comorbidities, and outcomes were collected. Relationships were determined using univariable and multivariable logistic regression models. Results: In total, 1120 adult and 1038 elderly patients emergently admitted with blunt chest trauma were assessed; 46.3% were female, and 53.6% were male. The average ages of adult and elderly patients were 46.6 and 78.9 years, respectively. Elderly and adult patients both displayed mortality rates of 1%. The regression model showed HLOS and several comorbidities as the main risk factors of mortality Every additional day of hospitalization increased the odds of mortality by 9% (OR = 1.09, 95% CI = 1.01–1.18, p = 0.033). Mortality and liver disease were significantly associated (OR = 8.36, 95% CI = 2.23–31.37, p = 0.002). Respiratory disease and mortality rates demonstrated robust correlations (OR = 7.46, 95% CI = 1.63–34.11, p = 0.010). Trauma, burns, and poisons were associated with increased mortality (OR = 3.72, 95% CI = 1.18–11.71, p = 0.025). The presence of platelet/white blood cell disease correlated to higher mortality. (OR = 4.42, 95% CI = 1.09–17.91, p = 0.038).
The Impact of Mental Health and Sociodemographic Characteristics on Quality of Life and Life Satisfaction during the Second Year of the COVID-19 Pandemic—Results of a Population-Based Survey in Germany
Authors: Geprägs Alina , Bürgin David , Fegert Jörg M. , Brähler Elmar , Clemens Vera
Published: July 2022

A decreased quality of life was shown for numerous factors at the beginning of the pandemic. However, it is important to identify people who are at-risk for long-term impairments during the pandemic and its aftermath. Within this study, we aimed to investigate quality of life within a German population-based sample (2515 participants; 51.6% female; mean age 50.09 years) during the second year of the pandemic (2021). Our results showed that the majority reported no pandemic-associated change in quality of life at this state of the pandemic. Higher life satisfaction was associated with fewer mental health problems, no pre-existing somatic and psychiatric disorders, higher income, no income loss during the pandemic, living with others, and younger age. In contrast, in a high-risk group encompassing participants with lower quality of life, only mental health, pre-existing somatic disorders, and living alone had significant associations with quality of life, indicating a smaller scope for improvement in this high-risk group. Age, income loss, and depressive symptoms predicted a decrease in quality of life since the beginning of the pandemic. Our results highlight the importance of mental health, especially in times of pandemic, and underline the need for low-threshold mental health support.
The Preventive Child and Youth Healthcare Service in the Netherlands: The State of the Art and Challenges Ahead
Authors: Vanneste Yvonne T. M. , Lanting Caren I. , Detmar Symone B.
Published: July 2022

The Netherlands has a unique system for promoting child and youth health, known as the preventive Child and Youth Healthcare service (CYH). The CYH makes an important contribution to the development and health of children and young people by offering (anticipatory) information, immunisation, and screening, identifying care needs and providing preventive support to children and their families from birth up to the age of 18 years. The CYH is offered free of charge and offers basic preventive care to all children and special preventive care to children who grow up in disadvantaged situations, such as children growing up in poverty or in a family where one of the members has a chronic health condition. Basic care is supported by 35 evidence-based guidelines and validated screening tools. Special care is supported by effective interventions. The impact of the CYH is high. It is estimated that every EUR 1 spent on the CYH provides EUR 11 back. Although the Dutch CYH is a solid public health system with a reach of up to 95% among young children, the access to this service could be further improved by paying more attention to health literacy, making special care available to all children in need and improving transmural and integrated care coordination. In addition, the generation of nationwide data could help to demonstrate the impact of the CYH and will direct and prioritise the necessary care. By continuously developing care on the basis of new (scientific) insights and (societal) issues, the CYH will continue to offer all children in the Netherlands the best preventive healthcare.
Biological Assessment of Potential Exposure to Occupational Substances in Current Semiconductor Workers with at Least 5 Years of Employment
Authors: Kim Kyungsik , Sung Ho Kyung , Jang Jieun , Kang Chang-Mo , Lee Kwan , Park Sue K.
Published: July 2022

Background: this study aimed to conduct a biological assessment of the potential exposure to carcinogenic substances in current semiconductor workers. Methods: A cross-sectional study was conducted on 306 semiconductor workers. The assessed biomarkers were as follows: (benzene) urine S-phenylmercapturic, trans,trans-muconic acid, blood benzene; (trichloroethylene) urine trichloroacetic acid; (2-ethoxyethanol) 2-ethoxyacetic acid; (arsine) urine arsenic3+, arsenic5+, monomethylarsonic, dimethylarsinic acid, arsenobetaine; (shift work) 6-hydroxymelatonin; (smoking) cotinine, and (radiation). The detection rate of these materials is defined as more than the biological exposure index (BEI) or the previous reference value. Results: Some workers exposed to trans,trans-muconic acid, trichloroacetic acid, and arsenic5+ showed high BEI levels. Generally, there was no difference according to job categories, and workers were suspected to be exposed to other sources. The melatonin concentration tended to decrease when working at night, and cotinine was identified as an excellent surrogate marker for smoking. In the case of radiation exposure, there was no significant difference in the number of stable chromosome translocation in 19 semiconductor workers. Their estimated radiation exposure level was below the limit of detection (LOD) or near the LOD level. Conclusion: In this study, most carcinogens were below the BEI level, but verification through re-measurement was needed for workers who were identified to have a high BEI level. For continuous monitoring, a prospective cohort is necessary to deal with the healthy worker effect and assess additional materials.
Dose-Dependent Proton Pump Inhibitor Exposure and Risk of Type 2 Diabetes: A Nationwide Nested Case–Control Study
Authors: Kuo Hsin-Ya , Liang Chih-Sung , Tsai Shih-Jen , Chen Tzeng-Ji , Chu Che-Sheng , Chen Mu-Hong
Published: July 2022

Background: To investigate the association between proton pump inhibitor (PPI) exposure and a risk of type 2 diabetes mellitus (T2DM) among patients with upper gastrointestinal disease (UGID). Method: We conducted a case–control study from Taiwan’s National Health Insurance Research Database between 1998 and 2013. A total of 20,940 patients with T2DM and 20,940 controls were included. The dose of PPIs was categorized according to the cumulative defined daily dose (cDDD). The risk of T2DM was assessed using conditional logistic regression analysis. Result: Compared with cDDD ≤ 30, higher dosage of PPI exposure was associated with an increased risk of T2DM development: cDDD 31–120 (odds ratio [OR]: 1.20, 95% confidence interval [CI]: 1.13–1.26); cDDD 121–365 (OR: 1.26, 95% CI: 1.19–1.33); and cDDD > 365 (OR: 1.34, 95% CI: 1.23–1.46). Subgroup analysis of individual PPI showed that pantoprazole (OR: 1.14, 95% CI: 1.07–1.21), lansoprazole (OR: 1.08, 95% CI: 1.03–1.12), and omeprazole (OR: 1.11, 95% CI: 1.06–1.16) have a significantly higher risk of T2DM development. Conclusions: A dose-dependent increased risk of T2DM was found among patients with UGID using higher doses of PPIs compared with those with lower doses of these drugs. Further studies are necessary to investigate the underlying pathophysiology of PPIs and T2DM.
The Role of Spirituality during Suicide Bereavement: A Qualitative Study
Authors: Čepulienė Austėja Agnietė , Skruibis Paulius
Published: July 2022

Background: A loved one’s loss due to suicide can be a traumatic experience and trigger a complex grief process. Although spirituality, defined as a search for the Sacred in a broad sense, can be a resource and an obstacle in coping with the suicide bereavement process, there is a gap in scientific understanding of the role spirituality plays during the process. Methods: To explore the role of spirituality in people bereaved by suicide, we recruited 11 women who lost a life partner due to suicide. We conducted semi-structured interviews and analyzed the data using reflexive thematic analysis. Results: We identified the following three themes: spirituality is a supportive resource that can be reached for or achieved without conscious involvement; spirituality provides helpful ways to cope with grief; spirituality makes the grief process more difficult. Conclusions: Spirituality, if personally meaningful and supported by others, can function as a resource after a loved one’s suicide and even add to post-traumatic growth after the loss. On the contrary, spirituality-related issues, such as stigmatization and a lack of personally meaningful traditions, can distress the bereaved. Difficult spiritual experiences and questions can become an intricate part of the grief process.
Evaluation of a Community Intervention to Reduce Harmful Alcohol Consumption among Adult Population: A Study Protocol
Authors: Porthé Victoria , García-Subirats Irene , Clotas Catrina , Diez Elia
Published: July 2022

Harmful alcohol consumption is shaped by a complex range of structural, social, and individual determinants that interact with inequality axes, which can be addressed at the community level. Under the framework of Barcelona Health in the Neighborhoods, which is a community strategy to reduce health inequalities in Barcelona’s most deprived neighborhoods, a community steering group will co-design a multicomponent community intervention. Aims: to assess its effects on: (1) alcohol accessibility, availability, and consumption at the environmental level, and (2) psychosocial and cognitive determinants of harmful alcohol consumption at the individual level. Methods: Quasi-experimental design with a comparison group, and pre- and post-intervention measures. Three Barcelona neighborhoods will be assigned to the intervention or comparison group based on three criteria: healthcare data on alcohol use, socioeconomic characteristics, and population size. The intervention includes activities promoting community mobilization, law enforcement, and communication campaigns in the intervened neighborhoods. Non-participant observations in standardized census sections will be performed in public spaces to collect information on three outcomes: alcohol accessibility, availability, and signs of alcohol consumption. Data collection includes a survey to a sample of 622 subjects to detect differences on these outcomes: risk awareness, knowledge, and self-efficacy about harmful alcohol consumption and drinking patterns. Discussion: This protocol to assess the effects of a multicomponent community intervention on harmful alcohol consumption at the environmental and population level will provide evidence on effective community health interventions and enable informed decisions for policy makers. This protocol could also be used as an implementation guide for studies aimed at reducing harmful drinking in cities with similar characteristics.