bluuebunny/crossref_metadata_2025 huggingface dataset:
Satellitome Analysis in the Ladybird Beetle Hippodamia variegata (Coleoptera, Coccinellidae)
Authors: Mora Pablo , Vela Jesús , Ruiz-Ruano Francisco J. , Ruiz-Mena Areli , Montiel Eugenia E. , Palomeque Teresa , Lorite Pedro
Published: July 2020

Hippodamia variegata is one of the most commercialized ladybirds used for the biological control of aphid pest species in many economically important crops. This species is the first Coccinellidae whose satellitome has been studied by applying new sequencing technologies and bioinformatics tools. We found that 47% of the H. variegata genome is composed of repeated sequences. We identified 30 satellite DNA (satDNA) families with a median intragenomic divergence of 5.75% and A+T content between 45.6% and 74.7%. This species shows satDNA families with highly variable sizes although the most common size is 100–200 bp. However, we highlight the existence of a satDNA family with a repeat unit of 2 kb, the largest repeat unit described in Coleoptera. PCR amplifications for fluorescence in situ hybridization (FISH) probe generation were performed for the four most abundant satDNA families. FISH with the most abundant satDNA family as a probe shows its pericentromeric location on all chromosomes. This location is coincident with the heterochromatin revealed by C-banding and DAPI staining, also analyzed in this work. Hybridization signals for other satDNA families were located only on certain bivalents and the X chromosome. These satDNAs could be very useful as chromosomal markers due to their reduced location.
Awareness of Malocclusion Is Closely Associated with Allergic Rhinitis, Asthma, and Arrhythmia in Late Adolescents
Authors: Abe Masanobu , Mitani Akihisa , Yao Atsushi , Zong Liang , Hoshi Kazuto , Yanagimoto Shintaro
Published: July 2020

Background: Oral infectious diseases are typified by dental caries and periodontal diseases and are known to be associated with various systemic diseases. However, clear associations between occlusal disorders and systemic diseases have not yet been established. We investigated the association between an awareness of malocclusion and common diseases in late adolescence. Methods: We retrospectively reviewed the data of mandatory medical questionnaires that are a legal requirement of the freshman medical checkup. We collected the data of all the students who completed the questionnaires between April 2017 and 2019. The data were analyzed using the χ2 test and multivariate analysis was performed with a binomial logistic regression model. Results: The subjects were 9098 students aged 17–19 (mean age 18.3 years). The rate of awareness of malocclusion was 2.14% (195 out of 9098 eligible subjects; 160 males and 35 females). These students had significantly greater rates of allergic rhinitis, asthma, and arrhythmia (p < 0.001). Multivariate analysis revealed significant rates of allergic rhinitis (odds ratio [OR] 2.184, 95% confidence interval [CI]: 1.468–3.250, p < 0.001), asthma (OR 1.843, 95%CI: 1.153–2.945, p = 0.011), and arrhythmia (OR 2.809, 95%CI: 1.083–7.288, p = 0.034) among students with an awareness of malocclusion. Conclusion: We identified close associations between an awareness of malocclusion and systemic diseases including allergic rhinitis, asthma, and arrhythmia in the late adolescent population. These results reinforce the associations between malocclusion and allergic rhinitis and asthma, as well as providing novel insight into the association of malocclusion and arrhythmia. However, further research is necessary to confirm the associations and explore the mechanisms underlying these associations.
Haitian Archaeological Heritage: Understanding Its Loss and Paths to Future Preservation
Authors: Jean Joseph Sony , Joseph Marc , Louis Camille , Michel Jerry
Published: July 2020

Haitian archaeological heritage is expressed through multiple traces of Amerindian cultures, enslaved African legacies, ruins of old colonial plantations and fortresses, and post-Haitian independence. Despite the existence of legal institutions engaged in the protection of this heritage, Haitian archaeological sites are becoming more threatened because of looting, appropriation of spaces, and lands management, as well as natural hazards. This paper aims to explore the current state of archaeological heritage with the broader context of the politics of heritage in Haiti. We analyzed the conditions of archaeological sites from the northern region and addressed their place in official heritage practices. The results of this study revealed that most of the archaeological sites that reflect the complexity of Haitian history are not given much attention in the politics of heritage that prioritize the nationalistic and emblematic character of historic traces. This study highlighted the importance of a new approach that prioritizes multiple voices to address heritage matters for the future.
Using KOCOA Military Terrain Analysis for the Assessment of Twentieth Century Battlefield Landscapes
Authors: Spennemann Dirk HR
Published: July 2020

Military terrain analysis serves as a tool to examine a battle commander’s view of a battlefield and permits to hindcast some of the rationale for actions taken. This can be augmented by physical evidence of the remains of the battle that still exist in the cultural landscape. In the case of World War II-era battlefields, such terrain analysis has to take into account the influence of aerial warfare—the interrelationship between attacking aircraft and the siting of anti-aircraft guns. This paper examines these issues using the case example of the Japanese WWII-era base on Kiska in the Aleutian Islands (Alaska).
Late Roman Forest in the Delta of the River Po (Italy): Remote Sensing and 3D Maps Computation for Palaeoenvironmental Reconstruction
Authors: Bucci Giovanna
Published: July 2020

Literary and historical sources provide information about Late Roman forests in the Delta of the River Po, in the district of Ferrara (Italy), between Vicus Aventiae (Voghenza), Sandalo, Gambulaga, Caput Gauri (Codigoro) and Castrum Cumiacli (Comacchio). Toponymy, archaeological excavations and geoarchaeological studies support the palaeoenvironmental reconstruction of this land. In this work, after a brief examination of the ancient texts, we are going to introduce some new data concerning archaeobotanical evidence, detected by remote sensing in combination with direct surveys (on land and underwater). On the technical side, we are going to present a geomatic application for underwater measurements of ancient trunks related to discoveries in the palaeo-watercourses of the River Po (geomatic measurements, thanks to remote sensing surveys, allows us to have detailed length and diameters of trunks and trees, which are not always visible and detectable while diving) together with some satellite elevation measurement of the river banks and 3D map supported by geocomputation. Thanks to botanical data, we are able to illustrate the local context of the paleoenvironmental/archaeological sites, offering a reconstruction of the landscape and of the use of the wood.
Regional Water Resources Security Evaluation Based on a Hybrid Fuzzy BWM-TOPSIS Method
Authors: Tu Yan , Chen Kai , Wang Huayi , Li Zongmin
Published: July 2020

Nowadays, water resource security is becoming increasingly prominent, and this problem is a primary bottleneck restricting China’s future sustainable development. It is difficult to come to a unified conclusion on water resources security, and applications of highly feasible evaluation methods are lacking in practice. In this paper, a novel evaluation methodology is proposed for regional water resources security evaluation. First, water security is divided into two aspects: water quantity security and water quality security. The disposal rate of harmless household garbage, the excellent water resources proportion, and the functional water body loss proportion are creatively considered as indicators of water quality security in the evaluation system. In addition, a Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method is used to evaluate the water security levels in different regions. For distinguishing the importance of different indicators, a Best–Worst Method (BWM) is employed to calculate the indicator weights, as triangular fuzzy linguistic sets can more flexibly describe the preferences of decision makers (DMs) regarding the indicators; therefore, it is embedded in BWM to determine indicator weights. Moreover, the fuzzy BWM-TOPSIS method is applied to evaluate the water security levels of six regions in North China, a comparison analysis with the equal weight TOPSIS method as well as the fuzzy BWM-AHP method, and a sensitivity analysis for indicator weights are presented to illustrate the effectiveness of this proposed method. Finally, some suggestions based on the evaluation results are given for effective and rational utilization of water resources in North China.
Effects of a Forest Walk on Urinary Dityrosine and Hexanoyl-Lysine in Young People: A Pilot Study
Authors: Yamada Ai , Sato Yoshiko , Horike Tokushi , Miyanaga Masamitsu , Wang Da-Hong
Published: July 2020

A few studies indicate exposure to forests may alleviate oxidative stress in the body. However, more evidence is needed to support this potentiality. The purpose of the current study aimed at examining whether there is any difference in urinary levels of oxidatively modified proteins or lipids—dityrosine (DT) and hexanoyl-lysine (HEL), respectively, after a forest or urban walk. The study was performed on 29 university students who took part in forest walks (Shinjo Village) in Okayama Prefecture of Japan and on 42 university students who took part in urban walks in the downtown area of Okayama City. Urine samples before and after the walks were analyzed for DT and HEL excretion. Air phytoncides during the walks were also measured. We found a decreased tendency in urinary DT and HEL (p < 0.05) in most participants after the forest walks, but not after the urban walks. We further found the total levels of air phytoncides in the forest field were 1.50 times higher compared with those in the urban field. This study suggests the possibility that regular immersion in a forest environment might contribute toward weakening of the oxidative modifications of proteins or lipids in the body.
Venous Thromboembolism in Children: From Diagnosis to Management
Authors: Lassandro Giuseppe , Palmieri Viviana Valeria , Palladino Valentina , Amoruso Anna , Faienza Maria Felicia , Giordano Paola
Published: July 2020

Venous thromboembolism (VTE) in children is a rare occurrence, although in recent decades we have seen an increase due to several factors, such as the rise in survival of subjects with chronic conditions, the use of catheters, and the increased sensitivity of diagnostic tools. Besides inherited thrombophilia, acquired conditions such as cardiovascular diseases, infections, chronic disorders, obesity and malignancy are also common risk factors for paediatric VTE. The treatment of paediatric VTE consists of the use of heparins and/or vitamin K antagonists to prevent dissemination, embolization, and secondary VTE. Randomized clinical trials of direct oral anticoagulants in paediatric VTE are ongoing, with the aim to improve the compliance and the care of patients. We reviewed the physiological and pathological mechanisms underlying paediatric thrombosis and updated the current diagnosis and treatment options.
Manipulative Therapy Plus Ankle Therapeutic Exercises for Adolescent Baseball Players with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial
Authors: Shin Ho-Jin , Kim Sung-Hyeon , Jung Han Jo , Cho Hwi-young , Hahm Suk-Chan
Published: July 2020

Manipulative therapies and exercises are commonly used for the management of chronic ankle instability (CAI), but there is no evidence regarding the efficacy of high-velocity low-amplitude manipulation (HVLA) in addition to ankle therapeutic exercise to improve CAI in adolescent baseball players (ABP). To compare the effects of HVLA plus ankle therapeutic exercise and ankle therapeutic exercise alone on ankle status, pain intensity, pain pressure threshold (PPT), range of motion (ROM) of the ankle joint, and balance ability in ABP with CAI, a single-blinded randomized controlled trial was conducted. A total of 31 ABP with CAI were randomly allocated to the intervention (n = 16) or control (n = 15) groups. The intervention group received HVLA plus resistance exercise twice a week for 4 weeks, while the control group received resistance exercise alone. Ankle status, pain intensity, PPT, ROM, and balance ability were assessed before and after the intervention. The American Orthopedic Foot and Ankle Society scores showed significant group and time interactions (total, p = 0.002; pain, p < 0.001; alignment, p = 0.001). There were significant group and time interactions in pain intensity (resting pain, p = 0.008; movement pain, p < 0.001). For ROM, there were significant group and time interactions on dorsiflexion (p = 0.006) and eversion (p = 0.026). The unipedal stance of the balance ability showed significant group and time interactions in path length (p = 0.006) and velocity (p = 0.006). Adding HVLA to resistance exercises may be synergistically effective in improving the ankle status, pain intensity, ROM, and balance ability in ABP with CAI.
Inhalation Exposure to Gaseous and Particulate Bound Mercury Present in the Ambient Air over the Polluted Area of Southern Poland
Authors: Pyta Halina , Widziewicz-Rzońca Kamila , Słaby Krzysztof
Published: July 2020

This study concerns the concentrations of gaseous and particle-bound mercury present in ambient air of two Polish sites, differing in terms of emission structure, and the estimation of inhalation risks related to those Hg species. The measurements of total gaseous mercury (TGM) and PM2.5-bound mercury (PBM) were performed at an urban station in Zabrze and a rural station in Złoty Potok, in 2014–2015. Both sites are located in Silesia, considered one of the European air pollution hot-spots. TGM was measured on-line (Tekran 2537). PM2.5 samples were taken with the use of low volume samplers. Hg contents in PM were determined by the CVAAS method following thermal decomposition. The median concentrations of TGM and PBM in Zabrze were 2.48 ng m−3 and 37.87 pg m−3, respectively; meanwhile in Zloty Potok, these were 1.69 ng m−3 and 27.82 pg m−3, respectively. Clearly, seasonal variability of TGM and PBM concentrations were observed, reflecting the importance of Hg and PM emissions from coal combustion for power and heating purposes. Health risk assessment was performed using a deterministic approach by the most conservative exposure scenario. The obtained HQ ratios and the cumulative HI indexes were below the limit value (<1). This means an unlikely health hazard due mercury inhalation.
Breeding Habitat Preferences of Major Culicoides Species (Diptera: Ceratopogonidae) in Germany
Authors: Werner Doreen , Groschupp Sarah , Bauer Christian , Kampen Helge
Published: July 2020

Biting midges of the genus Culicoides (Diptera, Ceratopognidae) are demonstrably or putatively involved in the transmission of both bluetongue (BTV) and Schmallenberg viruses (SBV) in Central Europe. Although these insects are ubiquitous in Europe, relatively little is known about their requirements in terms of breeding habitats and substrates. Culicoides species composition and relative abundance in potential breeding habitats were therefore studied at various locations in Northeastern Germany and one location in Western Germany by emergence trap collections. Forty-three potential breeding sites were analyzed in ten landscape structures, with 28,091 adult biting midges emerging from them. Among these, 2116 specimens belonged to the genus Culicoides. Species of the culicoid subgenus Avaritia were most abundant (70.6% of all specimens) and widespread (91.6% of all sites), while the subgenus Culicoides accounted for 15.6% of the specimens registered but emerged from 70.8% of all sites sampled. Culicoides species of other subgenera were collected in 75.0% of all studied sites, with a relative abundance of 8.7%. The results indicate that various types of dung, but probably also some landscape habitats, offer suitable substrates for the development of potential Culicoides vector species. Adaptations in dung management on farms and landscape design and use might therefore be appropriate approaches to reduce the risk of BTV or SBV transmission.
An Alternative Viewpoint—Comment on Prescott and Bland Int. J. Environ. Res. Public Health 2020, 17, 1407
Authors: Sleator Roy D.
Published: July 2020

I would like to commend Prescott and Bland [...]
A Pilot Survey on Hygienic–Sanitary Characteristics of Ready-To-Eat Sauces and Pesto
Authors: Caggiano Giuseppina , Diella Giusy , Trerotoli Paolo , Lopuzzo Marco , Triggiano Francesco , Ricci Massimo , Marcotrigiano Vincenzo , Montagna Maria Teresa , De Giglio Osvalda
Published: July 2020

In recent years, the chaotic habits of modern life have favored the consumption of quickly prepared meals, using ready-to-eat (RTE) foods and condiments. The aim of this study was to establish the microbiological safety of RTE sauces and pesto from markets analyzed at different stages of shelf life. In the bacterial investigation, all samples were shown to be acceptable, although differences were observed concerning shelf life times. On the other hand, the fungal investigation showed frequent positive results, with concentrations higher than threshold values. Detected microbial diffusion was the lowest when products were far from the expiry date and had just been opened, while high microbial proliferation was observed when analyzing the same package after 48 h, higher than for a product close to the end of its shelf life. This study highlights the discreet microbiological quality of processed and RTE foods, underlining the importance of hygienic–sanitary surveillance of these foods to their shelf life. Consequently, it is necessary to: (1) implement a food control plan for all food categories to carry out risk analysis associated with their consumption; and (2) better adapt the regulations relating to microbiological analysis, and understand the biological significance of each microbial parameter throughout the shelf life of foods.
Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology
Authors: Gorini Alessandra , Giuliani Mattia , Raggio Luca , Barbieri Simone , Tremoli Elena
Published: July 2020

Despite the fact that American Heart Association (AHA) recommended a systematic screening for depression in cardiovascular inpatients, poor attention has been given to this issue. Furthermore, no specific guidelines exist for anxiety screening in cardiovascular inpatients. Thus, the aims of this study were to verify the feasibility of a depressive and anxiety symptoms screening protocol in an Italian hospital specializing in cardiovascular diseases and to evaluate both anxiety and depressive symptoms prevalence. A group of 2009 consecutive inpatients completed the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7). The rates of depressive and anxiety symptoms were almost 9% and 16% respectively. Men were less likely than women to experience both depressive and anxiety symptoms. Patients who were admitted to the heart failure unit reported higher risk of experiencing both symptoms compared to patients in other wards. Similarly, patients admitted to the cardiac surgery unit showed a higher risk of experiencing anxiety symptoms compared to other patients. The proposed screening procedure showed a good feasibility and acceptance. This study highlighted the importance of implementing a short screening procedure in hospitals dealing with cardiovascular inpatients to identify those individuals who require specific attention and interventions.
Effects of 6 Weeks Direct Instruction and Teaching Games for Understanding Programs on Physical Activity and Tactical Behaviour in U-12 Soccer Players
Authors: Sierra-Ríos Juan Vicente , Clemente Filipe Manuel , Rey Ezequiel , González-Víllora Sixto
Published: July 2020

The purpose of this study was to compare the effects of 6 weeks direct instruction and teaching games for understanding (TGfU) programs on the decision-making and execution (post-interventions), as well, as on the physical activity (PA) levels during sessions. Thirty under-12 football players participated in this study (age: 10.3 ± 0.45 years) and were randomly assigned to TGfU (n = 15) or direct instruction (n = 15) group. Two sessions/week were implemented. Results revealed that TGfU promoted higher levels (p = 0.043; d = 2.99) of light PA (28.96%) compared with direct instruction (27.55%). Non-significant higher sedentary PA levels (p = 0.073; d = 2.62) were found in the control group (35.48%). In terms of tactical principles, conservation of the ball increased the percentage of moderate to vigorous physical activity in TGfU (43.60%) compared with direct instruction (38.05%). According to the Game Performance Evaluation Tool (GPET), significant improvements (p = 0.018, d = 3.78) of the attacking player with the ball in the percentage of change between groups in the unsuccessful execution in TGfU (% = −62.2) were observed compared with direct instruction (% = 14.2). TGfU seems to be more appropriate than direct instruction to increase the light PA levels during sessions while no significant differences were found between programs in moderate and vigorous intensities. Regarding the effects of programs in decisions, greater improvements in decisions with the ball were found in TGFU compared to DI.
Current Evidence on Traditional Chinese Exercise for Cancers: A Systematic Review of Randomized Controlled Trials
Authors: Song Yang , Sun Dong , István Bíró , Thirupathi Anand , Liang Minjun , Teo Ee-Chon , Gu Yaodong
Published: July 2020

Traditional Chinese exercise (TCE) has gradually become one of the widespread complementary therapies for treatment and recovery of cancers. However, evidence based on the systematic evaluation of its efficacy is lacking, and there appears to be no conclusion regarding the setting of TCE interventions. The purpose of this systematic review is to summarize the current randomized controlled trials (RCTs) that outline the effects of TCE on cancer patients. Relevant studies were searched by GOOGLE SCHOLAR, SCIENCEDIRECT, and WEB OF SCIENCE using “traditional Chinese exercise” and “cancer.” Only RCTs published in peer-reviewed English journals were included. A total of 27 studies covering 1616 cancer patients satisfied the eligibility criteria for this review. Despite the methodological limitation and relatively high risk of bias possessed by some included studies, positive evidence was still detected on the effects of TCE on these cancer-related health outcomes in physical, psychological, and physiological parameters. The 60-min or 90-min course of TCE intervention for two to three times per week for 10 to 12 weeks was found to be the most common setting in these studies and has effectively benefited cancer patients. These findings add scientific support to encourage cancer patients to practice TCE during or after conventional medical treatment. Nevertheless, future well-designed RCTs with improved methodology and larger sample size on this field are much warranted for further verification.
Personal Learning Environments that Facilitate Socio-Educational Integration of Unaccompanied Foreign Minors
Authors: Olmos-Gómez María del Carmen , Tomé-Fernández María , Olmedo-Moreno Eva María
Published: July 2020

The aim of the present study was to predict the variables that facilitate integration of unaccompanied foreign minors (UFM) and to develop personal learning environment (PLE) questionnaire dimensions with respect to social integration of UFM. Methods: A social study that was descriptive in nature was conducted with a quantitative empirical-analytical focus. Results: Results from discriminant function analysis indicate that 86% of group membership was correctly classified from gender alone, with female learning environments leading to greater future success. Conclusions: It can be concluded that the predictive results possess methodological coherence. Thus, from them we can propose possible development strategies, particularly targeting males, in order to improve learning and promote social integration. According to the results obtained, improvement of learning strategies and strengthening of the very learning environments, demands new policies to be established which promote emotional improvement and better futures for UFM, especially males.
Insufficient Sun Exposure Has Become a Real Public Health Problem
Authors: Alfredsson Lars , Armstrong Bruce K. , Butterfield D. Allan , Chowdhury Rajiv , de Gruijl Frank R. , Feelisch Martin , Garland Cedric F. , Hart Prue H. , Hoel David G. , Jacobsen Ramune , Lindqvist Pelle G. , Llewellyn David J. , Tiemeier Henning , Weller Richard B. , Young Antony R.
Published: July 2020

This article aims to alert the medical community and public health authorities to accumulating evidence on health benefits from sun exposure, which suggests that insufficient sun exposure is a significant public health problem. Studies in the past decade indicate that insufficient sun exposure may be responsible for 340,000 deaths in the United States and 480,000 deaths in Europe per year, and an increased incidence of breast cancer, colorectal cancer, hypertension, cardiovascular disease, metabolic syndrome, multiple sclerosis, Alzheimer’s disease, autism, asthma, type 1 diabetes and myopia. Vitamin D has long been considered the principal mediator of beneficial effects of sun exposure. However, oral vitamin D supplementation has not been convincingly shown to prevent the above conditions; thus, serum 25(OH)D as an indicator of vitamin D status may be a proxy for and not a mediator of beneficial effects of sun exposure. New candidate mechanisms include the release of nitric oxide from the skin and direct effects of ultraviolet radiation (UVR) on peripheral blood cells. Collectively, this evidence indicates it would be wise for people living outside the tropics to ensure they expose their skin sufficiently to the sun. To minimize the harms of excessive sun exposure, great care must be taken to avoid sunburn, and sun exposure during high ambient UVR seasons should be obtained incrementally at not more than 5–30 min a day (depending on skin type and UV index), in season-appropriate clothing and with eyes closed or protected by sunglasses that filter UVR.
Modelling Malaria Incidence in the Limpopo Province, South Africa: Comparison of Classical and Bayesian Methods of Estimation
Authors: Sehlabana Makwelantle Asnath , Maposa Daniel , Boateng Alexander
Published: July 2020

Malaria infects and kills millions of people in Africa, predominantly in hot regions where temperatures during the day and night are typically high. In South Africa, Limpopo Province is the hottest province in the country and therefore prone to malaria incidence. The districts of Vhembe, Mopani and Sekhukhune are the hottest districts in the province. Malaria cases in these districts are common and malaria is among the leading causes of illness and deaths in these districts. Factors contributing to malaria incidence in Limpopo Province have not been deeply investigated, aside from the general knowledge that the province is the hottest in South Africa. Bayesian and classical methods of estimation have been applied and compared on the effect of climatic factors on malaria incidence. Credible and confidence intervals from a negative binomial model estimated via Bayesian estimation and maximum likelihood estimation, respectively, were utilized in the comparison process. Overall assumptions underpinning each method were given. The Bayesian method appeared more robust than the classical method in analysing malaria incidence in Limpopo Province. The classical method identified rainfall and temperature during the night to be significant predictors of malaria incidence in Mopani, Vhembe and Waterberg districts. However, the Bayesian method found rainfall, normalised difference vegetation index, elevation, temperatures during the day and night to be the significant predictors of malaria incidence in Mopani, Sekhukhune and Vhembe districts of Limpopo Province. Both methods affirmed that Vhembe district is more susceptible to malaria incidence, followed by Mopani district. We recommend that the Department of Health and Malaria Control Programme of South Africa allocate more resources for malaria control, prevention and elimination to Vhembe and Mopani districts of Limpopo Province.
Individual Health Budgets in Mental Health: Results of Its Implementation in the Friuli Venezia Giulia Region, Italy
Authors: Fontecedro Elisa , Furlan Morena , Tossut Davide , Pascolo-Fabrici Elisabetta , Balestrieri Matteo , Salvador-Carulla Luis , D’Avanzo Barbara , Castelpietra Giulio
Published: July 2020

Background: Individual Health Budget (IHB) is an intervention for recovery in mental health services, providing personalized care for subjects with severe disorders and complex needs. Little is known on its effectiveness and on the criteria for its delivery. Methods: A total of 67 IHB beneficiaries and 61 comparators were recruited among service users of the Mental Health Department of the Trieste Healthcare Agency, Italy. Data included sociodemographic and clinical variables, type of IHB, and Health of the Nation Outcome Scale (HoNOS) scores. Results: A comparison between groups showed significant differences in several socioeconomic and clinical characteristics. Multivariate logistic regression showed that IHB was positively associated to the 20–49 age group, single status, unemployment, low family support, cohabitation with relatives or friends, diagnosis of personality disorder, and a higher number of hospitalizations. The IHB group was at a higher risk of severe problems related to aggressive or agitated behaviors (OR = 1.4), hallucinations and delusions (OR = 1.5), and impairment in everyday life activities (OR = 2.1). Conclusions: IHB was used in patients with severe clinical and social problems. More resources, however, may be aimed at the working and social axes. More research is needed to better assess clinical and social outcomes of IHB and to adjust their intensity in a longitudinal perspective in order to enhance cost-effectiveness.
Specialist Ambulance Nurses’ Perceptions of Nursing: A Phenomenographic Study
Authors: Forsell Lena , Forsberg Anna , Kisch Annika , Rantala Andreas
Published: July 2020

Although nursing is the main area of interest in the curriculum of the specialist ambulance nursing program in the advanced level of education, there has been reported a lack of knowledge about nursing in within the ambulance service. The aim was to explore specialist ambulance nurses’ perceptions of nursing, which were explored by employing a phenomenographic approach. The study comprises individual interviews with 19 strategically selected specialist ambulance nurses. The results showed seven descriptive categories emerged detailing the variations in how the specialist ambulance nurses perceive, understand, and conceptualize the phenomenon of nursing in the Swedish Ambulance Service. Four categories revealed the specialist ambulance nurses’ qualitatively different perceptions of nursing, i.e., their role and responsibility, while three showed perceived barriers to assuming their role and responsibility, comprising culture and leadership, conditions, and framework. The seven categories are outlined in the outcome space. In conclusion, there is a very wide variety of perceptions of ambulance nursing within the Swedish Ambulance Service. There is a need for implement the nursing process both in the Specialist Nursing Pre-hospital Emergency Care education curriculum and within clinical practice. Further, there is a necessity to develop and implement nursing guidelines in the ambulance.
How Does a Public Health Emergency Motivate People’s Impulsive Consumption? An Empirical Study during the COVID-19 Outbreak in China
Authors: Li Mo , Zhao Taiyang , Huang Ershuai , Li Jianan
Published: July 2020

Impulsive consumption is a typical behavior that people often present during public health emergencies, which usually leads to negative outcomes. This study investigates how public health emergencies, such as COVID-19, affect people’s impulsive consumption behavior. Data from 1548 individuals in China during the COVID-19 outbreak was collected. The sample covered 297 prefecture-level cities in 31 provincial administrative regions. The research method included the use of a structural equation model to test multiple research hypotheses. The study finds that the severity of a pandemic positively affects people’s impulsive consumption. Specifically, the more severe the pandemic, the more likely people are to make impulsive consumption choices. The results indicate that both perceived control and materialism play mediating roles between the severity of a pandemic and impulsive consumption. As conclusions, people’s impulsive consumption during public health emergencies can be weakened either by enhancing their perceived control or by reducing their materialistic tendency. These conclusions are valuable and useful for a government’s crisis response and disaster risk management.
Study of the Allocation of Regional Flood Drainage Rights in Watershed Based on Entropy Weight TOPSIS Model: A Case Study of the Jiangsu Section of the Huaihe River, China
Authors: Zhang Kaize , Shen Juqin , Han Han , Zhang Jinglai
Published: July 2020

During the flood season, various regions in a watershed often have flood drainage conflicts, when the regions compete for flood drainage rights (FDR). In order to solve this problem, it is very necessary to study the allocation of FDR among various regions in the watershed. Firstly, this paper takes fairness, efficiency and sustainable development as the allocation principles, and comprehensively considers the differences of natural factors, social development factors, economic development factors and ecological environment factors in various regions. Then, an indicator system for allocation of FDR among regions in the watershed is established. Secondly, an entropy weight Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) model is used to construct the FDR allocation model among regions in the watershed. Based on a harmony evaluation model, a harmony evaluation and comparison are carried out on the FDR allocation schemes under three different allocation principles. Finally, taking the Jiangsu section of the Huaihe River watershed as an example, the FDR of eight cities in the watershed are allocated and evaluated to see if the allocation scheme is harmonious. The results show that the allocation scheme of FDR based on the principles of fairness, efficiency and sustainable development has the highest degree of harmony, which can meet the FDR demands in various regions in the watershed, avoid the occurrence of flood drainage conflicts among regions, form an orderly flood drainage situation and promote the harmonious development of the watershed.
A Comparative Study of Online Depression Communities in China
Authors: Tang Jingyun , Yu Guang , Yao Xiaoxu
Published: July 2020

Online communities have become a tool for researchers to understand and help individuals with depression. According to their operation mode in terms of management, communities can be divided into management depression communities (MDCs) and lacking-management depression communities (LDCs). This study aimed to investigate the characteristics and impact of LDCs in comparison with MDCs. All postings from the previous year were collected from the LDC and MDC. Keywords were extracted and coded to identify the themes, and a text classifier was built to identify the type of emotions and social support expressed in the postings. Community members were then clustered to explore their different participation patterns. We found that in the LDC, the expression of negative emotions was the most popular theme, there was a lack of information about the treatment of depression and a lack of social support providers, the level of engagement of providers was low, and support seekers did not receive attention. These results reveal the need for community management and can be used to develop more effective measures to support members of online depression communities.
Erratum: Cheng, Y.-C., et al. Evidence Supports PA Prescription for Parkinson’s Disease: Motor Symptoms and Non-Motor Features: A Scoping Review. Int. J. Environ. Res. Public Health 2020, 17, 2894
Authors: Cheng Yi-Chen , Su Chun-Hsien
Published: July 2020

The authors wish to make the following corrections to their paper published in IJERPH [...]
The Use of Added Salt and Sugar in the Diet of Polish and Austrian Toddlers. Associated Factors and Dietary Patterns, Feeding and Maternal Practices
Authors: Masztalerz-Kozubek Daria , Zielinska Monika A. , Rust Petra , Majchrzak Dorota , Hamulka Jadwiga
Published: July 2020

Children aged <2 years should not be given meals with the addition of salt and sugar due to health risks and to promote healthier dietary habits. The aims of this study were: to assess the prevalence of the use of added salt (AS), sugar (ASu) and both salt and sugar (AS&Su) in the diets of Polish and Austrian toddlers aged 12–24 and 25–36 months; to explore the sociodemographic and early nutritional factors associated with the use of AS and ASu; to investigate the difference in dietary habits and maternal concerns about toddlers’ eating regarding the use of AS and ASu in toddlers’ diet. This cross-sectional anonymous study was conducted in 5893 mothers of children aged 12–36 months, recruited through social media in 2017–2019. The questionnaire consisted of questions about sociodemographics, early feeding practices and current children’s nutrition (e.g., use of AS and ASu, food frequency questionnaire). Multivariate logistic regression and cluster analyses were applied. Austrian mothers more often used AS than mothers from Poland (at 2 years old: 74.8% vs. 52.8%; at 3 years old 87.4% vs. 74.4%, p ≤ 0.001), however Polish mothers were more prone to use ASu (at 2 years old: 34.7% vs. 27.7%; at 3 years old: 59.0% vs. 45.8%, p ≤ 0.001). In younger toddlers (12–24 months), the odds of using of AS, ASu, and AS&Su increased with toddlers’ age, when the mother was a multipara, was not currently breastfeeding, or had exclusively breastfed for 4–5 months. This risk decreased when older toddlers (25–36 months) were introduced to solids by baby-led weaning (BLW). Toddlers from both countries who consumed meals with AS or ASu more often a followed Western-like dietary pattern. Our study emphasizes the need for parental nutritional education when beginning to introduce solid foods.
The Concurrent Acceptability of a Postnatal Walking Group: A Qualitative Study Using the Theoretical Framework of Acceptability
Authors: Pavlova Neli , Teychenne Megan , Olander Ellinor K.
Published: July 2020

Walking groups are often enjoyed by postnatal women, but little is known about what makes them an acceptable activity to this group. This study aimed to investigate the acceptability of a postnatal walking group using the Theoretical Framework of Acceptability (TFA). Seventeen postnatal women took part in a walk-along interview during a walking group session. Semi-structured interviews were based on the TFA and findings were analysed deductively onto the seven TFA components. Overall, the walking group was found to be acceptable. Benefits included meeting other mothers and walking in an accessible and convenient location. Women understood the group aim of supporting new mothers and thought it achieved this aim. Most women reported that attending the group was little effort, although for some the timing did not fit well with their baby’s schedule. Participants stated that meeting other mothers and being physically active aligned with their value system. In conclusion, the acceptability of the walking group was found to be multifaceted, of which enjoyment was one part. These findings can be used when advertising other walking groups or physical activities for the postnatal population.
Optimizing Operating Parameters of High-Temperature Steam for Disinfecting Total Nematodes and Bacteria in Soil: Application of the Box−Behnken Design
Authors: Huh Da-An , Chae Woo Ri , Lim Hong Lyuer , Kim Joung Ho , Kim Yoo Sin , Kim Young-Whan , Moon Kyong Whan
Published: July 2020

Concerns about the widespread use of pesticides have been growing due to the adverse effects of chemicals on the environment and human health. It has prompted worldwide research into the development of a replacement to chemical disinfection of soil. The efficiency of steam sterilization, an alternative to chemical methods, has improved as technology has advanced, and the Agricultural Research and Extension Service in Korea recommends the use of steam sterilization. However, few studies have been conducted on the effects and operating conditions of high-temperature steam disinfection. In this study, we present the optimum operating conditions of a high-steam disinfector, to maximize the cost-effectiveness and removal efficiency of total nematodes and total bacteria in soil using the Box−Behnken design. The experimental data were fitted to a second-order polynomial equation using multiple regression analysis, with coefficients of determination (R2) for each model of 0.9279, 0.9678, and 0.9979. The optimum conditions were found to be a steam temperature of 150.56 °C, running speed of 1.69 m/min, and spray depth of 15.0 cm, with a corresponding desirability value of 0.8367. In the model, these conditions cause the prediction of the following responses: nematode removal efficiency of 93.99%, bacteria removal efficiency of 97.49%, and oil consumption of 70.49 mL/m2. At the optimum conditions for the steam disinfector, the removal efficiencies of nematodes and bacteria were maximized, and the oil consumption was minimized. The results of our study can be used as basic data for efficient soil disinfection using high-temperature steam.
Ecotoxicity Evaluation of Pure Peracetic Acid (PAA) after Eliminating Hydrogen Peroxide from Commercial PAA
Authors: Chhetri Ravi Kumar , Di Gaetano Silvia , Turolla Andrea , Antonelli Manuela , Andersen Henrik Rasmus
Published: July 2020

In recent years, peracetic acid (PAA) has gained a lot of attention as an alternative disinfectant to chlorine-based disinfectants in the water industry. Commercial PAA solutions contain both PAA and hydrogen peroxide (HP), and the degradation of HP is slower than PAA when it is used for disinfection. All previous toxicity studies have been based on commercial PAA, and variance in toxicity values have been observed due to different PAA:HP ratios. In this study, the ecotoxicity of pure PAA was studied, eliminating HP from the commercial PAA mixture using potassium permanganate. Ecotoxicity data were obtained by conducting a battery of ecotoxicity tests: bioassays using Vibrio fischeri (V. fischeri), Daphnia magna (D. magna), and Pseudokirchneriella subcapitata (P. subcapitata). The effect concentration (EC50) of pure PAA was 0.84 (a 95% confidence interval of 0.78–0.91) mg/L for V. fischeri and 2.46 (2.35–2.58) mg/L for P. subcapitata, whereas the lethal concentration (LC50) was 0.74 (0.55–0.91) mg/L for D. magna. Compared to this, our previous study found that the EC50 values of commercial PAA towards V. fischeri and P. subcapitata were 0.42 (0.41–0.44) and 1.38 (0.96–1.99) mg/L, respectively, which were lower than pure PAA, whilst the LC50 for D. magna was 0.78 (0.58–0.95) mg/L. These results showed that pure PAA was less toxic to the most commonly used aquatic species for toxicity tests compared to commercial PAA, except for D. magna.
The Effect of Whole Blood Lead (Pb-B) Levels on Changes in Peripheral Blood Morphology and Selected Biochemical Parameters, and the Severity of Depression in Peri-Menopausal Women at Risk of Metabolic Syndrome or with Metabolic Syndrome
Authors: Kamińska Magdalena Sylwia , Cybulska Anna Maria , Panczyk Mariusz , Baranowska-Bosiacka Irena , Chlubek Dariusz , Grochans Elżbieta , Stanisławska Marzanna , Jurczak Anna
Published: July 2020

The aim of our study was to assess the impact of whole blood lead (Pb-B) levels on changes in peripheral blood morphology and selected biochemical parameters, and the severity of depression in peri-menopausal women at risk of metabolic syndrome (pre-MetS) or with metabolic syndrome (MetS). The study involved 233 women from the general population of the West Pomeranian Province (Poland) aged 44–65 years. The intensity of menopausal symptoms and the severity of depression was examined using the Blatt–Kupperman Index (KI) and the Beck Depression Inventory (BDI). C-reactive protein (CRP), insulin, glucose, glycated hemoglobin (HbA1C), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol, triglyceride levels (TG), cortisol, morphology of blood cells and homeostasis model assessment for insulin resistance (HOMA-IR) and Pb-B was measured. Women with MetS had higher levels of glucose, HbA1C, HDL, LDL, TG, cortisol, insulin and higher HOMA-IR. No significant differences in Pb-B were observed between pre-MetS and the control group, and between pre-MetS and the MetS group. A significant correlation was noticed between Pb-B vs. the percentage of monocytes in blood, and blood cortisol levels in women with MetS; Pb-B vs. lymphocyte count and HbA1C in the pre-MetS group, as well as in the BDI scores between the MetS and pre-MetS group. We cannot clearly state that exposure to Pb is an environmental factor that can be considered as a risk factor for MetS in this studied group.
Leveraging Patient Reported Outcomes Measurement via the Electronic Health Record to Connect Patients with Cancer to Smoking Cessation Treatment
Authors: May Julia R. , Klass Elizabeth , Davis Kristina , Pearman Timothy , Rittmeyer Steven , Kircher Sheetal , Hitsman Brian
Published: July 2020

Tobacco use negatively impacts cancer treatment outcomes, yet too few providers actively support their patients in quitting. Barriers to consistently addressing tobacco use and referring to treatment include time constraints and lack of knowledge surrounding treatment options. Patient Reported Outcomes (PRO) measurement is best practice in cancer care and has potential to help address these barriers to tobacco cessation treatment. This descriptive program evaluation study reports preliminary results following implementation of a novel automated PRO tobacco use screener and referral system via the electronic health record (EHR) patient portal (MyChart) that was developed and implemented as a part of a population-based tobacco treatment program at the Robert H. Lurie Comprehensive Cancer Center of Northwestern University. Between 25 June 2019 and 6 April 2020, 4589 unique patients completed the screener and 164 (3.6%) unique patients screened positive for recent (past month) cigarette smoking. All patients who screened positive were automatically referred to a smoking cessation treatment program integrated within the Lurie Cancer Center, and 71 (49.7%) patients engaged in treatment, as defined by completing at least one behavioral counseling session. Preliminary results indicate that the PRO/MyChart system may improve smoker identification and increase offering of treatment and, despite the “cold call” following a positive screen, may result in a treatment engagement rate that is higher than rates of treatment engagement previously documented in oncology settings. Longer term evaluation with formal statistical testing is needed before drawing conclusions regarding effectiveness, but PRO measurement via the EHR patient portal may serve a potentially important role in a multi-component approach to reaching and engaging cancer patients in comprehensive tobacco cessation treatment.