bluuebunny/crossref_metadata_2025 huggingface dataset:
In Vitro Propagation by Axillary Shoot Culture and Somatic Embryogenesis of Daucus carota L. subsp. sativus, ‘Polignano’ Landrace, for Biodiversity Conservation Purposes
Authors: Ruta Claudia , Campanelli Angela , De Mastro Giuseppe , Blando Federica
Published: December 2022

Carrots are a multi-purpose vegetable; hence, they have become a very popular consumers’ choice, also thanks to their nutritional value with health benefits. Several varieties and landraces exist of carrot (Daucus carota L. ssp. sativus). In Apulia (Italy), for example, a multicolored carrot landrace is present, the Polignano carrot (PC), threatened by the risk of genetic erosion. With the purpose of verifying the possibility of using in vitro culture for ex situ conservation purposes of PC, a rapid and reliable protocol for micropropagation and a highly efficient somatic embryogenesis protocol have been set up. For micropropagation studies, axillary buds from taproot were used as initial explants. Supplementation on basal medium (BM, a Murashige–Skoog modified medium) with low cytokinine (6-benzyladenine, BA, 0.22 μM) dosage was enough to obtain a good multiplication rate, also depending by the PC color. Rooting of proliferated shoots occurred easily in hormone-free medium and acclimatization was successfully reached in 6 weeks. Somatic embryos were formed from embryogenic callus induced by taproot sections placed on 2,4-dichlorophenoxyacetic acid (2,4-D)-added medium. After in vitro conversion in hormone-free medium, somatic embryos were also successfully acclimatized. Both microplants and somatic embryos produced true-to-type taproots (multicolored carrots), demonstrating the suitability of in vitro techniques for biodiversity conservation purposes.
Dose-Dependent Potential of Chitosan to Increase Yield or Bioactive Compound Content in Tomatoes
Authors: Hernández Virginia , Botella María Ángeles , Hellín Pilar , Fenoll José , Flores Pilar
Published: December 2022

Chitosan is a natural polymer with multiple applications in agriculture due to its ability to stimulate plant growth and resistance to both biotic and abiotic stressors. The impact of chitosan application on fruit production and quality was studied under greenhouse conditions in a summer crop in a semi-arid climate. Treatments consisted of the spray application of this biostimulant to the aerial plant part at different doses (0, 0.1, and 1 g L−1). Treatment with the lowest dose did not produce significant differences in yield (total production, number, and mean weight of the fruit), but increased the concentration of flavanones (trusses 2 and 7) and phloretin-C-diglucoside (truss 2) with regard to the control. On the contrary, the high-dose treatment increased the yield due to the rise in the number of fruits and produced a significant decrease in the concentration of vitamin C, lutein, β-carotene, and hydroxycinnamic acids (trusses 2 and 7); lycopene, phytoene, and phytofluene in truss 2; and flavanols and phloretin-C-diglucoside in truss 7. These results show the ability of chitosan to improve tomato yield or to enhance the accumulation of bioactive compounds (phenolic compounds) in fruit, depending on the dose. Results are explained on the basis of the ability of chitosan to activate yield and secondary metabolite production, the dilution effect due to an increased fruit load, and the interaction of chitosan with changing environmental factors throughout the crop cycle.
Morphological, Anatomical, Physiological and Biochemical Changes during Adventitious Roots Formation of Bougainvillea buttiana ‘Miss Manila’
Authors: Huang Tao , Zhang Huihui , Sheng Qianqian , Zhu Zunling
Published: December 2022

Bougainvillea, a widely used ornamental plant, is mainly propagated by cuttings and tissue culture. Still, large-scale production of Bougainvillea is often difficult because of rooting issues. Therefore, based on an early establishment of the regeneration system for tissue culture in Bougainvillea by our research team, we further studied its rooting mechanism. It was observed that the morphology and anatomical structure of Bougainvillea buttiana ‘Miss Manila’ contained endogenous hormones, such as indole-3-acetic acid (IAA), abscisic acid (ABA), gibberellic acid (GA3), and zeatin-riboside (ZR), including peroxidase (POD), polyphenol oxidase (PPO), and IAA-oxidase (IAAO) activities. Following the culture, Days 0–15 consisted of the induction and initiation stages, while Days 15–25 included the expression stages. No latent root primordium was found in the Bougainvillea plantlet, which belonged to the induced rooting type. The root primordium was derived from callus cells generated by divisions of parenchyma cells in the basic tissues. It was found that the changes in the POD, PPO, and IAAO activities were closely related to the formation of adventitious roots (AR), in which the highest rooting values occurred during the transition from the initiation stage to the expression stage, whereas the endogenous IAA and ABA contents had negative and positive correlations during the induction, initiation, and expression stages.; The values of GA3 and ZR also peaked during the transition from the initiation to the expression stage. ZR and GA3 were found to promote adventitious root formation, while ABA inhibited it. The IAA/ABA, ABA/ GA3, and IAA/ZR ratios also shifted at the onset of the expression stage of AR, indicating these values were closely related to their occurrence. Overall, this study provides the basis for further research considering AR formation in Bougainvillea, and the propagation of various Bougainvillea varieties.
Genome-Wide Identification and Expression Analysis of the PME and PMEI Gene Families in Diospyros kaki: A Bioinformatics Study
Authors: Zhang Qi , Pu Tingting , Wang Yiru , Bai Yue , Suo Yujing , Fu Jianmin
Published: December 2022

Pectins are major components of cell walls in plants. Pectin methylesterases (PMEs) and pectin methylesterase inhibitors (PMEIs) play crucial roles in pectin synthesis and metabolism. Overall, 28 putative DkPMEs and 29 putative DkPMEIs were identified from the D. kaki genome. According to phylogenetic analysis, DkPME/DkPMEI proteins can be classified into four and five clades, respectively. Motif and gene structure analysis showed that DkPME/DkPMEI are highly conserved in the same clades, which indicates that the function of these DkPME/DkPMEI were similar. Besides, DkPME/DkPMEI genes were distributed unevenly on their corresponding chromosomes. Synteny analysis showed that PME or PMEI gene usually matched with more than one DkPME/DkPMEI in D. oleifera, D. lotus, and A. thaliana, implying that the function of these genes in D. kaki may be diverse. Expression analysis showed that DkPME/DkPMEI from the same clade exhibited diverse expression patterns, indicating that these genes might have diverse functions. Functional protein–protein interaction network analysis showed that DkPMEI21 and DkPMEI15 were core nodes and were, respectively, positive and negative regulators for carbohydrate metabolism, stress responses, and sugar signaling. This study provides a theoretical basis for the functional characteristics, evolutionary relationship, and role of these gene families in developing persimmon fruit.
Is Thermal Imaging a Helpful Tool in Diagnosis of Asymptomatic Odontogenic Infection Foci—A Pilot Study
Authors: Wziątek-Kuczmik Daria , Niedzielska Iwona , Mrowiec Aleksandra , Bałamut Karolina , Handzel Maciej , Szurko Agnieszka
Published: December 2022

Since the identification of periapical lesions typically requires invasive testing that may adversely affect individuals suffering from concomitant disease, the diagnosis of apical periodontitis remains a challenge. This study aimed to determine the effectiveness of infrared thermal imaging for the detection of asymptomatic odontogenic inflammatory response in patients with a high risk of systemic infections. The examinations were performed using the FLIR T1020 thermal camera. The acquired images were analyzed with a ThermaCAM TM Researcher Pro 2.8 SR-3. Statistical analyses were conducted using the Statistica 10 software. The Mann–Whitney U test was used for data that were not normally distributed or did not meet the assumption of homogeneity of variance, while normally distributed data were analyzed with the t-test. The mean temperature difference between the periapical regions of the suspect and contralateral teeth was found to be greatest at 30 s of mouth opening. This is a preliminary study conducted to evaluate the potential of infrared thermal imaging as a diagnostic tool for the identification and elimination of odontogenic infection foci. Thermography seems to facilitate the quantitative assessment of inflammation by displaying temperature differences between the affected and unaffected regions.
Are We Prepared for the Next Pandemic? Management, Systematic Evaluation and Lessons Learned from an In-Hospital COVID-19 Vaccination Centre for Healthcare Workers
Authors: Zhelyazkova Ana , Adorjan Kristina , Kim Selina , Klein Matthias , Prueckner Stephan , Kressirer Philipp , Choukér Alexander , Coenen Michaela , Horster Sophia
Published: December 2022

Background: the organisation of a COVID-19 vaccination campaign for healthcare workers (HCWs) within a university hospital presents a challenge of a particularly large scale and urgency. Here, we evaluate the in-hospital vaccination process and centre for HCWs at LMU University Hospital in Munich, Germany. Methods: We executed a mixed-method process evaluation of the vaccination centre at LMU University Hospital during the first COVID-19 vaccination campaign. In a programme monitoring, we continuously assessed the implementation of the centre’s operational management including personnel resources. In evaluating the outreach to and satisfaction of the target group with the centre and process, we executed two anonymous surveys aimed at the HCWs vaccinated at the in-hospital centre (1) as well as centre staff members (2). Results: staff numbers and process time per person were reduced several times during the first vaccination campaign. Lessons concerning appointment scheduling were learned. HCWs vaccinated at the in-hospital centre were satisfied with the process. A longer waiting time between admission and inoculation, perceived dissatisfying accessibility as well as an increased frequency of observed adverse events were linked to a reduced satisfaction. Comparatively subpar willingness to adhere to non-pharmaceutical measures was observed. Centre staff reported high satisfaction and a workload relatively equal to that of their regular jobs. Our outcomes provide references for the implementation of an in-hospital vaccination centre in similar settings.
Collateral Effects of Insecticide-Treated Nets on Human and Environmental Safety in an Epidemiological Model for Malaria with Human Risk Perception
Authors: Gutiérrez-Jara Juan Pablo , Vogt-Geisse Katia , Cabrera Maritza
Published: December 2022

Malaria remains a major health problem in many parts of the world, including Sub-Saharan Africa. Insecticide-treated nets, in combination with other control measures, have been effective in reducing malaria incidence over the past two decades. Nevertheless, there are concerns about improper handling and misuse of nets, producing possible health effects from intoxication and collateral environmental damage. The latter is caused, for instance, from artisanal fishing. We formulate a model of impulsive differential equations to describe the interplay between malaria dynamics, human intoxication, and ecosystem damage; affected by human awareness to these risks and levels of net usage. Our results show that an increase in mosquito net coverage reduces malaria prevalence and increases human intoxications. In addition, a high net coverage significantly reduces the risk perception to disease, naturally increases the awareness for intoxications from net handling, and scarcely increases the risk perception to collateral damage from net fishing. According to our model, campaigns aiming at reducing disease prevalence or intoxications are much more successful than those creating awareness to ecosystem damage. Furthermore, we can observe from our results that introducing closed fishing periods reduces environmental damage more significantly than strategies directed towards increasing the risk perception for net fishing.
Physical Activity Readiness in Patients with Heart Failure
Authors: Marques-Sule Elena , Deka Pallav , Almenar Luis , Pathak Dola , López-Vilella Raquel , Klompstra Leonie
Published: December 2022

The aim of this study was to explore the readiness for physical activity (PA) and its related factors in patients with heart failure. This cross-sectional study included 163 patients with heart failure (mean age 66 ± 16, 50% female). The ability to safely engage in PA was assessed with the PA Readiness Questionnaire (PAR-Q). Psychological readiness was measured using two questionnaires, namely: Exercise Self-efficacy Scale and the Motivation for PA and Exercise/Working Out. A multivariate analysis of covariance was conducted to test the effect of background variables on readiness for PA. 64% (n = 105) of patients reported not being able to safely engage in PA, 80% (n = 129) reported low self-efficacy, and 45% (n = 74) were extrinsically motivated indicating external factors drove their motivation. Factors that positively influenced the PA readiness included lower age (p < 0.01), being male (p < 0.01), being married (p < 0.01), having higher education (p < 0.01), being in NYHA-class I compared with II (p < 0.01), less time since diagnosis (p < 0.01), lower BMI (p = 0.02), and not suffering from COPD (p = 0.02). Prior to recommending exercise, assessment of safety to engage in PA along with self-efficacy and motivation in patients with heart failure is essential.
Clinical Nutrition in Portuguese Gastroenterology Departments: A Multicentric Study
Authors: Vara-Luiz Francisco , Glória Luísa , Mocanu Irina , Curado António , Medeiros Isabel , Duarte Maria Antónia , Banhudo António , Ferreira Susana , Vaz Ana Margarida , Bastos Isabel , Fonseca Jorge
Published: December 2022

Background: Hospital nutrition is a major public health problem, as up to 50% of hospitalized patients suffer from undernutrition. Adequate nutritional support (NS) decreases morbidity/mortality, shortens the length of stay, and reduces costs. We aimed to evaluate the engagement of Portuguese gastroenterology departments in NS, especially in artificial nutrition (AN). Methods: Cross-sectional multicentric study, using an online survey sent to 31 Portuguese gastroenterology departments. Results: Nine centers were involved, and all departments were engaged in NS activities. The most performed nutrition technique was endoscopic gastrostomy and not all departments had the expertise to perform all nutrition procedures, namely, endoscopic jejunostomy. Two departments had an AN outpatient clinic. Five centers were involved in hospital nutrition committees. Only four performed systematic nutritional evaluation of every patient on admission. Two departments developed research in the nutrition field. An increase staff and nutrition training were pointed out as suggestions to improve NS. Conclusions: This study outlines a broad picture of NS/AN in Portuguese gastroenterology departments. Medical nutritional training and increasing nutrition teams’ staff may contribute to developing NS/AN. Multidisciplinary management of nutrition-related disorders is of utmost importance, and gastroenterologists are expected to be at the core of hospital nutrition.
Depressive Symptoms as a Mediator between Excessive Daytime Sleepiness and Suicidal Ideation among Chinese College Students
Authors: Yu Yao-Kun , Yao Zhi-Ying , Wei Yan-Xin , Kou Chang-Gui , Yao Bin , Sun Wen-Jun , Li Su-Yun , Fung Kenneth , Jia Cun-Xian
Published: December 2022

The purpose of this study was to verify the mediating role of depressive symptoms between excessive daytime sleepiness and suicidal ideation in college students. Of the 6944 participants, 2609 (37.6%) were male and 4335 (62.4%) were female. College students with excessive daytime sleepiness (p < 0.001) and those with depressive symptoms (p < 0.001) were more likely to have suicidal ideation. Moreover, both excessive daytime sleepiness (β = 0.14, 95% CI: 1.01–1.32) and depressive symptoms (β = 1.47, 95% CI: 3.80–5.00) were associated with suicidal ideation. The effect size of the mediating role of depressive symptoms in excessive daytime sleepiness to suicidal ideation was 50.41% for the entire sample, 58.33% for males, and 42.98% for females. Depressive symptoms partially mediated the relationship between excessive daytime sleepiness and suicidal ideation. The timely assessment of depressive symptoms in college students with excessive daytime sleepiness, and intervention, may reduce their risk of suicidal ideation.
Financial Development and Environmental Degradation: Promoting Low-Carbon Competitiveness in E7 Economies’ Industries
Authors: Liu Guohua , Khan Mohammed Arshad , Haider Ahsanuddin , Uddin Moin
Published: December 2022

Emerging countries are approaching economic prosperity. However, the development process has enhanced their ecological footprints, thus promoting low-carbon competitiveness among E7 countries’ industries. Therefore, it is essential to identify the factors that affect a country’s ecological footprint (EF) in order to safeguard the environment. This study explored the effect of financial development, human capital, and institutional quality on the EF of emerging countries. Furthermore, we explored the effect of financial development on the EF of emerging countries through the human capital channel. In addition, we investigated the role of institutional quality in the financial development–EF nexus. Using panel data from 1990 to 2018, we employed the cross-sectional autoregressive distributed lag (CS-ARDL) technique to conduct a short-term and long-term empirical analysis. The empirical outcomes revealed that financial development degrades ecological quality by raising the EF. The findings further demonstrated that human capital and institutional quality reduce the EF. Moreover, financial development fosters environmental sustainability through the channel of human capital. Additionally, institutional quality reduces the negative ecological impacts of financial development. The causality analysis suggested that any policy related to financial development, human capital, and institutional quality will affect the EF. However, the inverse conclusion was not sustained. Based on these findings, emerging economies should increase their environmental sustainability by promoting human capital and effectively using financial resources.
Flourishing despite Chronic Obstructive Pulmonary Disease (COPD): Findings from a Nationally Representative Survey of Canadians Aged 50 and Older
Authors: Abudiab Sally , Fuller-Thomson Esme
Published: December 2022

Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of mortality and is often associated with serious disability and depression. Little is known about the characteristics of those who are in complete mental health (CMH) despite having COPD. This study’s objectives are to: (1) estimate the prevalence and odds of absence of psychiatric disorders (APD) and CMH among older adults that reported having COPD, compared to their peers that did not; (2) identify factors associated with APD and with CMH. Bivariate and logistic regression analyses were conducted using the nationally representative Canadian Community Health Survey—Mental Health. The results indicate that there was a significantly (p < 0.001) lower prevalence of APD (86.7% vs. 95.0%) and CMH (66.7% vs. 77.0%) among older adults aged 50+ with COPD (n = 703) compared to those without COPD (n = 10,189). Half of the sample was female (50.5%) and the majority of whom were under age 70 (62.5%). Factors significantly (p < 0.05) associated with higher odds of APD and of CMH among older adults with COPD include being married, having a confidant, being physically active, and having no lifetime history of major depressive disorder or generalized anxiety disorder. For every additional adverse childhood experience, the odds of APD declined by 31%. The majority of those with COPD are mentally flourishing despite having this disabling and life-threatening disorder. These findings underline the importance of targeted interventions and outreach to those most vulnerable to poorer mental health outcomes including the socially isolated.
Artificial Neural Network Modeling on PM10, PM2.5, and NO2 Concentrations between Two Megacities without a Lockdown in Korea, for the COVID-19 Pandemic Period of 2020
Authors: Choi Soo-Min , Choi Hyo
Published: December 2022

The mutual relationship among daily averaged PM10, PM2.5, and NO2 concentrations in two megacities (Seoul and Busan) connected by the busiest highway in Korea was investigated using an artificial neural network model (ANN)-sigmoid function, for a novel coronavirus (COVID-19) pandemic period from 1 January to 31 December 2020. Daily and weekly mean concentrations of NO2 in 2020 under neither locked down cities, nor limitation of the activities of vehicles and people by the Korean Government have decreased by about 15%, and 12% in Seoul, and Busan cities, than the ones in 2019, respectively. PM 10 (PM2.5) concentration has also decreased by 15% (10%), and 12% (10%) in Seoul, and Busan, with a similar decline of NO2, causing an improvement in air quality in each city. Multilayer perception (MLP), which has a back-propagation training algorithm for a feed-forward artificial neural network technique with a sigmoid activation function was adopted to predict daily averaged PM10, PM2.5, and NO2 concentrations in two cities with their interplay. Root mean square error (RMSE) with the coefficient of determination (R2) evaluates the performance of the model between the predicted and measured values of daily mean PM10, PM2.5, and NO2, in Seoul were 2.251 with 0.882 (1.909 with 0.896; 1.913 with 0.892), 0.717 with 0.925 (0.955 with 0.930; 0.955 with 0.922), and 3.502 with 0.729 (2.808 with 0.746; 3.481 with 0.734), in 2 (5; 7) nodes in a single hidden layer. Similarly, they in Busan were 2.155 with 0.853 (1.519 with 0.896; 1.649 with 0.869), 0.692 with 0.914 (0.891 with 0.910; 1.211 with 0.883), and 2.747 with 0.667 (2.277 with 0.669; 2.137 with 0.689), respectively. The closeness of the predicted values to the observed ones shows a very high Pearson r correlation coefficient of over 0.932, except for 0.818 of NO2 in Busan. Modeling performance using IBM SPSS-v27 software on daily averaged PM10, PM2.5, and NO2 concentrations in each city were compared by scatter plots and their daily distributions between predicted and observed values.
A Longitudinal Experimental Study Examining How and Whether Practicing Acts of Kindness Affects Materialism
Authors: Drążkowski Dariusz , Trepanowski Radosław
Published: December 2022

(1) Background: Kindness interventions assist individuals in the pursuit of greater well-being. However, little is known about whether these interventions can decrease materialism. The current study tested how kindness interventions decrease materialism and external aspirations. Furthermore, we tested whether these interventions influence impulsive shopping. (2) Method: We randomly assigned 122 females to a three-week intervention of practicing acts of kindness or a neutral intervention (practicing acts related to studying). Before and after the interventions, all participants reported their life satisfaction, level of materialism, and internal and external aspirations. (3) Results: Among women practicing acts of kindness, materialism and life satisfaction did not change compared to the control group, but in both conditions, life satisfaction increased, and materialism decreased. However, we found that practicing kindness was associated with (a) an increase in aspiration affiliation, (b) a reduction in the intention to shop impulsively, (c) less focus on external aspirations, and (d) more focus on internal aspirations. (4) Conclusions: Although our results show that practicing kindness does not lead to a decrease in materialism, they suggest that focusing on increasing personal happiness might lead to such a decrease. Furthermore, our research contributes to the existing literature by demonstrating that kind women are less oriented toward materialistic values.
Development of the Polish Version of the ICF Core Set for the Environment of Older People
Authors: Ćwirlej-Sozańska Agnieszka , Sozański Bernard , Wilmowska-Pietruszyńska Anna , Kizowska-Lepiejza Beata , Wiśniowska-Szurlej Agnieszka
Published: December 2022

Introduction: The percentage of older people in Polish society increases every year. The interaction between the individual health condition and the barriers in the environment of the elderly leads to the development of disability and the limitation of activity and participation in daily activities. Aim: This study was aimed at selecting the category of the International Classification of Functioning, Disability, and Health (ICF) to assess the environment of older adults in Poland in the context of their daily functioning. Materials and methods: The study was designed to develop a user-friendly tool collecting ICF-based data on the living environment of older people, consisting of five phases: (1) the systematic review of the literature, (2) the empirical multicenter study, (3) the qualitative study based on interviews conducted among the elderly, (4) the experts’ study—an assessment of selected codes from the perspective of experts, (5) the consensus conference. Results: Consensus was reached for 20 ICF categories, creating a comprehensive core set for the assessment of the living environment of older people, which included six codes from chapter 1, Products and technology, three codes from chapter 2, Natural environment and human-made changes to the environment, four codes from chapter 3, Support and relationships, four codes from Chapter 4, Attitudes, and three codes from Chapter 5, Services, systems, and policies. Conclusions: The core set for the assessment of the living environment of older people living in Poland is a comprehensive and important set of 20 ICF codes that reflect the most important elements of the environment affecting the health and functioning of the elderly. This set can contribute to the optimal management of care services and support in the area of adapting the environment to the older population. The core set for environmental assessment was developed for use by medical and care facilities, as well as by social workers, who should also pay attention to the elements of the environment that affect the level of functioning of older people. In the future, it may also form the basis of national surveys and screening tests for the assessment of the living environment of older people. Optimizing and enhancing the surrounding environment can contribute to a greater degree of independence, even with existing health problems in the older population.
Collective Motivational Interviewing for Individuals with Drug Use Problems: A Pre-Post–Follow-Up, Uncontrolled Pilot Study
Authors: Tse Nick , Tse Samson , Wong Paul W.C.
Published: December 2022

Collective motivational interviewing (CMI) is a novelty motivational approach which optimises the motivational interviewing (MI) for individuals from collectivistic cultures. While MI has been empirically tested as an effective intervention for addictive disorders and has had a positive effect on facilitating lifestyle changes, CMI has retained the potency of MI as an individualistic intervention, and it further invites the social network resources to strengthen the level of motivation and cultivate a joint change partnership. This pilot study was the first clinical study of CMI to work with individuals with drug use problems (IDUPs) by involving concerned significant others (CSOs) in the three-session intervention, and the fidelity control was assessed by the Collective Motivational Interviewing Treatment Integrity (CMITI) scale. This pre-post–follow-up and uncontrolled feasibility study was conducted between 2017 and 2019, with dyads of 20 IDUPs and their CSOs. The potential impacts of CMI were examined by measures at baseline, post-intervention, and 1-month and 3-month post-intervention. All clinical sessions were audio-recorded, and four cases were randomly selected for fidelity review by two trained coders. The normality of data at the baseline was checked by a Shapiro–Wilk test. Non-parametric Wilcoxon-signed-rank test and repeated-measures ANOVA were employed for quantitative analysis. The results showed that six IDUPs had reduced drug use, and ten maintained drug abstinence with the support of CSOs, whereas four IDUPs remained unchanged or increased drug use. Overall, at the 3-month follow-up, drug use was reduced (p > 0.05), social support was strengthened (p < 0.05), and the IDUPs’ motivation for change was enhanced (p < 0.05). However, the small sample sizes, non-random sampling, and lack of control group may limit the generalizability and confirmation of the outcomes and of the “real effects”. This finding of the study suggests that the CMI is a feasible and acceptable therapeutic tool to motivate IDUPs with the support of CSOs to achieve mutually agreed-upon goals. Further development and evaluation with robust methodology are warranted.
The Associations between Sibling Victimization, Sibling Bullying, Parental Acceptance–Rejection, and School Bullying
Authors: Sabah Aiche , Aljaberi Musheer A. , Lin Chung-Ying , Chen Hsin-Pao
Published: December 2022

Bullying has been identified as the most common form of aggression experienced by school-age youth. However, it is still unclear about the family’s influence on school bullying. Therefore, the current study aimed to explore the associations between sibling bullying and school bullying, sibling victimization and school victimization, and parental acceptance–rejection and school bullying victimization. The study was cross-sectional and conducted on a sample of students aged between 11 and 20 years recruited from middle schools in Algeria. The study used a survey adopted from the scale of Sibling Bullying, Student Survey of Bullying Behavior—Revised 2, and the Survey of parental acceptance–rejection in collecting the data. The model’s results assessing the association between sibling bullying and school bullying demonstrated that the effect of sibling physical and sibling verbal victims on school victimization was statistically significant. Despite the non-significant effect of sibling emotional victims on school victimization, the effect of sibling physical and sibling verbal bullying on school bullying was statistically significant. However, the effect of sibling emotional bullying on school bullying was not statistically significant. The direct effect of parental acceptance on school victimization was not statistically significant, whereas the effect of parental rejection on school victimization was statistically significant. The direct effect of parental acceptance on school bullying was not statistically significant, while the effect of parental rejection on school bullying was statistically significant. Based on the results, this study provides insights into the understanding of how the family and siblings contribute to school bullying. In particular, sibling victimization, sibling bullying, and parental acceptance–rejection are predictive factors of school bullying among adolescents. Future research should take into account factors based on family to explore the risks of school bullying.
Exploring the Sustainable Use Strategy of Scarce Water Resources for Rural Revitalization in Yanchi County from Arid Region of Northwest China
Authors: Wang Yongsheng , Cui Xiao , Zhang Xinrong , Wen Qi
Published: December 2022

Water scarcity limits the coordination between economic development and ecological protection of arid regions. This study presented the consumption pattern and future challenges for water resources and proposed sustainable use strategies for water security in Yanchi county from the arid region of northwest China. Our results showed that water withdrawals were close to the total available water resources. Agriculture consumed about 84.72% of the total water supply. Agricultural water use was influenced by breeding stock, rural per capita net income and effective irrigation area. Estimation of agricultural water demand was about 6582.20 × 104 m3 under the rural revitalization scenario. Limited water supply and increased water demand pose challenges and impediments for rural revitalization and water security in Yanchi county. Water sustainable utilization can be achieved by increasing water supply from unconventional water resources and improving water use efficiency with governmental management. These findings may help policymakers to develop sustainable water use strategies during rural revitalization in arid regions.
Physical Activity Counseling in Saudi Arabia: A Systematic Review of Content, Outcomes, and Barriers
Authors: AlMarzooqi Mezna A. , Saller Franziska
Published: December 2022

Objectives: This study aimed to map the characteristics and the predominant components of clinical physical activity (PA) counseling in Saudi Arabia for adult patients and outline evidence of outcomes and prevalent barriers to its implementation. Methods: We conducted a systematic literature search of four online databases: Web of Science, PubMed, ScienceDirect, and The Cochrane Library. Each study was assessed and evaluated using the Mixed Methods Appraisal Tool (MMAT) for methodological quality. Results: A total of 120 studies were screened, and 47 studies were sought for retrieval. In total, 25 articles were eligible and were subjected to extensive review. After a detailed evaluation, only nine studies met the inclusion criteria. All included were quantitative studies that compiled descriptive and numerical data on physical activity counseling. Four studies described PA counseling information in Saudi Arabia or prescription as lifestyle modification and program structure. The programs used various techniques to motivate patients to adhere to PA protocols. In general, practitioners indicated a high perceived competence in helping patients meet PA guidelines. The most frequently stated barrier was a lack of time for PA discussions with patients, followed by a lack of training in PA counseling, and a lack of patient compliance. Significant improvements in clinical parameters and smoking, food, and exercise habits were detected in experimental trials with respective intervention programs. Conclusion: This review provides preliminary insights into the delivered intervention and standard care content, its outcomes, and clinicians’ perceived competence and barriers regarding current PA counseling approaches in Saudi Arabia. Despite the small number of studies included, this review contributes to the limited understanding of current PA counseling practices in Saudi Arabia and serves as an informational source for clinicians and policymakers and a starting point for further research.
How Big Data Affect Urban Low-Carbon Transformation—A Quasi-Natural Experiment from China
Authors: Xu Ning , Zhang He , Li Tixin , Ling Xiao , Shen Qian
Published: December 2022

As a new factor of production, data play a key role in driving low-carbon and sustainable development relying on the digital economy. However, previous studies have ignored this point. Based on the panel data of 283 cities in China from 2007 to 2019, we investigated the construction of national big data comprehensive pilot zones (NBDCPZs) in China as a quasi-natural experiment, using the difference-in-differences (DID) model to empirically test the impact of NBDCPZ policies on urban low-carbon transformation. The following conclusions can be drawn: NBDCPZ construction significantly promotes urban low-carbon transformation, and a series of robustness analysis supports this conclusion. NBDCPZ constructions mainly promotes urban low-carbon transformation by stimulating urban green innovation and optimizing the allocation of urban resource elements. Compared with eastern cities, small and medium-sized cities, and resource-based cities, the construction of NBDCPZs can promote the low-carbon transformation of cities in central and western China, large cities, and non-resource-based cities. Further analysis shows that the construction of NBDCPZs can only improve the low-carbon transformation of local cities, with negative spatial spillover effects on the low-carbon transformation of surrounding cities. Therefore, in the future, it is vital to consider the promotion effect of the construction of NBDCPZs on the low-carbon transformation of local cities and prevent its negative impact on the low-carbon transformation of surrounding cities.
Residential Environment Assessment by Older Adults in Nursing Homes during COVID-19 Outbreak
Authors: Rojo-Perez Fermina , Rodriguez-Rodriguez Vicente , Fernandez-Mayoralas Gloria , Sánchez-González Diego , Perez de Arenaza Escribano Carmen , Rojo-Abuin Jose-Manuel , Forjaz Maria João , Molina-Martínez María-Ángeles , Rodriguez-Blazquez Carmen
Published: December 2022

The most vulnerable residential settings during the COVID-19 pandemic were older adult’s nursing homes, which experienced high rates of incidence and death from this cause. This paper aims to ascertain how institutionalized older people assessed their residential environment during the pandemic and to examine the differences according to personal and contextual characteristics. The COVID-19 Nursing Homes Survey (Madrid region, Spain) was used. The residential environment assessment scale (EVAER) and personal and contextual characteristics were selected. Descriptive and multivariate statistical analysis were applied. The sample consisted of 447 people (mean age = 83.8, 63.1% = women, 50.8% = widowed, 40% = less than primary studies). Four residential assessment subscales (relationships, mobility, residential aspects, privacy space) and three clusters according to residential rating (medium-high with everything = 71.5% of cases, low with mobility = 15.4%, low with everything = 13.1%) were obtained. The logistic regression models for each cluster category showed to be statistically significant. Showing a positive affect (OR = 1.08), fear of COVID-19 (OR = 1.06), high quality of life (OR = 1.05), not having suspicion of depression (OR = 0.75) and performing volunteer activities (OR = 3.67) were associated with the largest cluster. It is concluded that a better residential evaluation was related to more favourable personal and contextual conditions. These results can help in the design of nursing homes for older adults in need of accommodation and care to facilitate an age-friendly environment.
Effects of Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: A Pilot Randomised Controlled Trial
Authors: Zhang Li , Yan Yan-Ning , Sun Zeng-Xin , Yan Dong-Rui , Chen Yuan-Wu , Lin Keh-Chung , Ge Xin-Jing , Qin Xiao-Lu
Published: December 2022

The aim of this pilot study was to investigate the feasibility and effectiveness of a 3-month coaching-based teleoccupational guidance (CTG) programme for home-based stroke survivors and their family caregivers. An assessor-blind pilot randomised controlled study was conducted. Twenty-five participant dyads (each dyad consisted of one home-based stroke patient and their caregivers) were randomised to a control group (RTG, n = 12) or an experimental group (CTG, n = 13). Participant dyads in the RTG group received routine teleoccupational guidance. Participant dyads in the CTG group received a six-step procedure: coaching-based teleoccupational guidance over 3 months via WeChat. Participant dyad compliance, the difficulty and suitability of outcome measures, and adverse effects were used to assess feasibility. The Reintegration to Normal Living Index, the Lawton Instructive Activities of Daily Life (Lawton IADL) scale, the Intrinsic Motivation Inventory, the Fugl–Meyer Assessment—Upper Extremity scale, the 6 min walking test, and the Stroke-Specific Quality of Life Scale were used to assess effectiveness outcomes of home-based stroke survivors; the Caregiver Benefit Finding Scale and the Zarit Caregiver Burden Interview were used to assess the effectiveness outcomes of family caregivers. Feasibility measures were assessed at the end of the pilot trial, and effectiveness measures were evaluated pre-intervention and post-intervention (after 3 months). The CTG programme significantly improved home-based stroke survivors’ participation in daily life, IADL score, and intrinsic motivation, and increased caregivers’ perceived benefit, and tended (not significantly) to reduce care burden. CTG has the potential to promote better integration of home-based stroke patients into their families and society, improve their quality of life and family well-being, and provide a reference for home rehabilitation of other clinical chronic diseases. CTG is a safe, effective, and promising intervention for home-based stroke populations and their caregivers and warrants further investigation in a larger randomised controlled trial.
The Impact of Heatwaves on Mortality and Morbidity and the Associated Vulnerability Factors: A Systematic Review
Authors: Arsad Fadly Syah , Hod Rozita , Ahmad Norfazilah , Ismail Rohaida , Mohamed Norlen , Baharom Mazni , Osman Yelmizaitun , Radi Mohd Firdaus Mohd , Tangang Fredolin
Published: December 2022

Background: This study aims to investigate the current impacts of extreme temperature and heatwaves on human health in terms of both mortality and morbidity. This systematic review analyzed the impact of heatwaves on mortality, morbidity, and the associated vulnerability factors, focusing on the sensitivity component. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 flow checklist. Four databases (Scopus, Web of Science, EBSCOhost, PubMed) were searched for articles published from 2012 to 2022. Those eligible were evaluated using the Navigation Guide Systematic Review framework. Results: A total of 32 articles were included in the systematic review. Heatwave events increased mortality and morbidity incidence. Sociodemographic (elderly, children, male, female, low socioeconomic, low education), medical conditions (cardiopulmonary diseases, renal disease, diabetes, mental disease), and rural areas were crucial vulnerability factors. Conclusions: While mortality and morbidity are critical aspects for measuring the impact of heatwaves on human health, the sensitivity in the context of sociodemographic, medical conditions, and locality posed a higher vulnerability to certain groups. Therefore, further research on climate change and health impacts on vulnerability may help stakeholders strategize effective plans to reduce the effect of heatwaves.
Artificial Intelligence Implementation in Healthcare: A Theory-Based Scoping Review of Barriers and Facilitators
Authors: Chomutare Taridzo , Tejedor Miguel , Svenning Therese Olsen , Marco-Ruiz Luis , Tayefi Maryam , Lind Karianne , Godtliebsen Fred , Moen Anne , Ismail Leila , Makhlysheva Alexandra , Ngo Phuong Dinh
Published: December 2022

There is a large proliferation of complex data-driven artificial intelligence (AI) applications in many aspects of our daily lives, but their implementation in healthcare is still limited. This scoping review takes a theoretical approach to examine the barriers and facilitators based on empirical data from existing implementations. We searched the major databases of relevant scientific publications for articles related to AI in clinical settings, published between 2015 and 2021. Based on the theoretical constructs of the Consolidated Framework for Implementation Research (CFIR), we used a deductive, followed by an inductive, approach to extract facilitators and barriers. After screening 2784 studies, 19 studies were included in this review. Most of the cited facilitators were related to engagement with and management of the implementation process, while the most cited barriers dealt with the intervention’s generalizability and interoperability with existing systems, as well as the inner settings’ data quality and availability. We noted per-study imbalances related to the reporting of the theoretic domains. Our findings suggest a greater need for implementation science expertise in AI implementation projects, to improve both the implementation process and the quality of scientific reporting.
Emotional Regulation Self-Efficacy Influences Moral Decision Making: A Non-Cooperative Game Study of the New Generation of Employees
Authors: Liu Bo , Yang Taishan , Xie Wei
Published: December 2022

Scholars generally believe that personality characteristics and psychological factors influence individual moral decision-making. However, few have ever discussed specific psychological factors and characteristics having such influences. Based on the self-efficacy theory and the social identity theory, this paper has proposed, from the perspective of social cognition, that emotional regulation self-efficacy influences the moral decision-making of the new generation of employees and that the mediating effect of interpersonal trust and the regulating effect of communication also play a role in the decision-making process. This study has designed a “red-blue experiment” based on the complete static information model in the non-cooperative game theory so as to conduct an experimental and qualitative analysis for the new generation of employees and to explore the characteristics of psychological process, self-efficacy, and moral decision-making of the experimental population. Through analysis of the 138 data sources collected from the experiment, the results showed that emotional self-efficacy had a significant positive effect on moral decision-making (p < 0.01), emotional self-efficacy had a significant positive effect on interpersonal trust (r = 0.560, p < 0.01), and interpersonal trust had a significant positive effect on moral decision-making (r = 0.290, p < 0.01). The mediating effect was 0.163. The interaction terms of emotional regulation self-efficacy and communication effect had a significant negative effect on interpersonal trust (r = −0.221, p < 0.01). All the hypotheses proposed in this study are supported by experimental data and reveal the psychological mechanism of moral decision-making in the new generation of employees. The study has further shown that the moral education of the new generation of employees needs to focus on improving emotional regulation self-efficacy and enhancing interpersonal trust, which provides theoretical support for the moral education methods and paths of the new generation of employees.