bluuebunny/crossref_metadata_2025 huggingface dataset:
Evidence on Neurotoxicity after Intrauterine and Childhood Exposure to Organomercurials
Authors: Azevedo Lara , Karpova Nina , Rocha Bruno , Barbosa Junior Fernando , Gobe Glenda , Hornos Carneiro Maria
Published: January 2023

Although the molecular mechanisms underlying methylmercury toxicity are not entirely understood, the observed neurotoxicity in early-life is attributed to the covalent binding of methylmercury to sulfhydryl (thiol) groups of proteins and other molecules being able to affect protein post-translational modifications from numerous molecular pathways, such as glutamate signaling, heat-shock chaperones and the antioxidant glutaredoxin/glutathione system. However, for other organomercurials such as ethylmercury or thimerosal, there is not much information available. Therefore, this review critically discusses current knowledge about organomercurials neurotoxicity—both methylmercury and ethylmercury—following intrauterine and childhood exposure, as well as the prospects and future needs for research in this area. Contrasting with the amount of epidemiological evidence available for methylmercury, there are only a few in vivo studies reporting neurotoxic outcomes and mechanisms of toxicity for ethylmercury or thimerosal. There is also a lack of studies on mechanistic approaches to better investigate the pathways involved in the potential neurotoxicity caused by both organomercurials. More impactful follow-up studies, especially following intrauterine and childhood exposure to ethylmercury, are necessary. Childhood vaccination is critically important for controlling infectious diseases; however, the safety of mercury-containing thimerosal and, notably, its effectiveness as preservative in vaccines are still under debate regarding its potential dose-response effects to the central nervous system.
The Influencing Effect of Tourism Economy on Green Development Efficiency in the Yangtze River Delta
Authors: Hu Meijuan , Li Zaijun , Hou Bing
Published: January 2023

In the context of ecological priority and green development strategy, accelerating the upgrading of tourism structure and promoting the development of ecotourism is an important guarantee to achieve green and low-carbon economic growth and high-quality development. On the basis of constructing comprehensive evaluation indicators of tourism development (TD) and green development efficiency (GDE), this study analyzed the impulse response relationship between TD and GDE and the impact effect of TD on GDE in the Yangtze River Delta region from 2000–2018. Findings showed that: (1) During the study period, TD generally exhibited a W-shaped fluctuating upward trend and GDE showed a staggered evolution of upward and downward fluctuations, while both regional gaps of TD and GDE continued to decrease. (2) Most cities had made a leap from low to medium, high, and higher levels of tourism development, with tourism development levels decreasing along the Yangtze River basin to the north and south of the delta. The overall green development efficiency was relatively low, showing a spatial pattern of high value in the southern delta and low value in the northwest delta. (3) There was a one-way Granger causality of TD on GDE, and the impact of TD on GDE showed a significant positive cumulative effect. (4) TD exhibited a significant inverted U-shaped impact on GDE. The economic development level and government intervention had a significant positive impact on GDE. The proportion of secondary industry, energy consumption intensity, and foreign direct investment had a significant negative driving effect on GDE. While the impact of environmental regulation on GDE was insignificant positive. This study has great practical significance to alleviate the problems of urban resources and environment, and to realize a green economy and high-quality life.
Acute Effects of Percussive Massage Therapy on Thoracolumbar Fascia Thickness and Ultrasound Echo Intensity in Healthy Male Individuals: A Randomized Controlled Trial
Authors: Yang Chao , Huang Xingyu , Li Ying , Sucharit Wiraphong , Sirasaporn Patpiya , Eungpinichpong Wichai
Published: January 2023

Percussive massage therapy (PT) has been widely used by therapists and the fitness population to treat myofascial-related conditions. However, there is no evidence to confirm the effects of PT on the fascia. This study aimed to investigate the effects of PT on thoracolumbar fascia (TLF) morphology and other related outcomes. Methods: Sixty-six healthy males participated and were randomly allocated into a percussive massage group (PT group) and a control group. The PT group received 15 min of back percussion massage, while the control group rested prone lying in the same environment for 15 min. Thoracolumbar fascia (TLF) thickness and echo intensity, perceived stiffness, lumbar flexibility, and skin temperature were measured in both groups before and immediately after the intervention. Result: TLF thickness and lumbar flexibility did not change when compared in the two groups. However, the echo intensity (left side, difference −3.36, 95% CI −5.1 to −1.6; right side, difference −4.39, 95% CI −6.1 to −2.7) and perceived stiffness (difference, −1.18, 95% CI −1.84 to −0.52) in the TLF region were significantly lower in the PT group than in the control group and were accompanied by increased skin temperature (difference 0.29, 95% CI 0.11 to 0.48). Conclusion: We suggest that a 15 min PT with 30 Hz on the back region could reduce TLF echo intensity and perceived stiffness and increase skin temperature in healthy men individual.
Is Europe on the Way to Sustainable Development? Compatibility of Green Environment, Economic Growth, and Circular Economy Issues
Authors: Apostu Simona Andreea , Gigauri Iza , Panait Mirela , Martín-Cervantes Pedro A.
Published: January 2023

The challenges imposed by climate change and the limited nature of resources generate paradigm shifts at the level of economic, social, and environmental policies and strategies. Promoting the principles of sustainable development and the circular economy is a priority worldwide. Thus, the motivation of this research is to explore the European countries’ path toward sustainable development by analysing the relationship between green environment, economic growth, and circular economy issues. In order to explore this relationship in the case of European countries, the analysis takes into consideration specific variables: final energy consumption, GDP, capital gross fixed capital formation, greenhouse gas emissions, SOx emissions, NOx emissions, and generation of municipal waste per capita. This study is focused on the period 2009–2020 for 31 European countries, with data being provided by Eurostat and World Bank databases. The panel data analysis was used in order to examine the relationship between a green environment, economic growth and a circular economy. The results of the study suggest that gross fixed capital formation and total greenhouse gas emissions lead to decreasing generation of municipal waste; instead, final energy consumption, GDP, SOx emissions and NOx emissions generate an increase in the generation of municipal waste. The novelty of our paper consists of associating green environment, economic growth, and circular economy in the case of European countries, the results allowing the proposal of economic policy measures to favor the green transition process considering the potential of the circular economy.
Effects of Acoustic Environment Types on Stress Relief in Urban Parks
Authors: Zhang Jun , Yan Hongliang , Wang Dan
Published: January 2023

Urban public space environments are critical to the health of residents. In previous studies on urban park environments and health, landscape environment questionnaires have been the main method to evaluate the environmental quality and comfort of urban parks. The research on sound perception also focuses on the exploration of evaluation methods and evaluation indicators; there is little objective empirical evidence in these studies. To further explore the nature of the health role of urban parks, this study started with the sound types of urban parks, based on a field survey, combined the electrocardiogram (ECG) index with the sound type of the park through a portable intelligent device, and HR and RMSSD were selected as the ECG indicators to evaluate the stress relief status. The regression model between the type of acoustic environments and the ECG data was established through the analysis of relevant data. This paper tries to improve the physiological recovery benefit and influence mechanism of sound types in urban parks from an objective point of view and puts forward reasonable suggestions to improve the sound environment in urban parks. The preliminary results show that, in a short time frame, natural sound has a strong relieving effect on mental pressure, while mechanical sound has an obvious impediment effect on the recovery of mental pressure. The results also reveal that the human voice has no obvious impediment effect, and changes in wind and broadcast sound have little impact on the recovery of mental pressure.
Effects of Plyometric Training with Resistance Bands on Neuromuscular Characteristics in Junior Tennis Players
Authors: Novak Dario , Loncar Iva , Sinkovic Filip , Barbaros Petar , Milanovic Luka
Published: January 2023

The purpose of this study is to investigate the effect of 6 weeks (conducted twice per week for a total of 12 sessions) of plyometric training with resistance bands on different neuromuscular characteristics among the sample of junior tennis players. Thirty junior tennis players between the ages of 12 and 14 years (age 13.5 ± 1.8 years; weight 51.3 ± 12.5 kg; height 162.7 ± 12.6 cm) were allocated to either the control group (standard in-season regimen) (CG; n = 15) or the experimental group, which received additional plyometric training with resistance bands (TG; n = 15). Pre- and post-tests included: anthropometric measures; 20 m sprint time (with 5, 10, and 20 m splits), squat jump (SQ Jump); vertical countermovement jump (CMJ); vertical countermovement jump with arm swing (CMJ_free arms); single leg (left) countermovement jump (CMJ_L); single leg (right) countermovement jump (CMJ_R); standing long jump (L_Jump); single leg (left) triple jump (SLTH-L); single leg (right) triple jump (SLTH-R); generic change of direction speed (CODS) (20Y test and T-test); reactive agility test (WS-S). After the training intervention, the TG showed significant (“p < 0.05”) improvements in CMJ (F = 7.90, p = 0.01), CMJ_L (F = 5.30, p = 0.03), CMJ_R (F = 11.45, p = 0.00), and SLTH-L (F = 4.49, p = 0.04) tests. No significant changes were observed in the CG after the training intervention. Our findings provide useful information for coaches to create a wide range of tennis-specific situations to develop a proper performance, especially for their player’s neuromuscular fitness.
A Cross-Sectional Study Exploring the Physical Activity Levels of Afghans and Other South Asian Youth in the UK
Authors: Safi Ayazullah , Khawaja Irfan , Collins Peter , Myers Tony
Published: January 2023

Introduction: Participating in regular physical activity (PA) has numerous benefits, such as reducing obesity, chronic degenerative conditions, and depression. Despite many health-related benefits, physical inactivity is increasing in young people worldwide, especially in ethnic minority groups, such as British South Asians (BSAs). The aim of this study was to explore the PA levels of BSAs, specifically focusing on youth from Afghan, Pakistani, Bangladeshi, and Indian groups. Methods: A total of 191 (Afghans N = 44; Bangladeshi N = 39; Indian N = 56, Pakistani N = 52) youth from the West Midlands (UK) participated in this study (mean age 15.4 ± 0.5). The International Physical Activity Questionnaire—Short Form was used to measure PA levels. Data were modelled using a Bayesian approach to determine differences in PA levels. Results: The results indicated that 88.5% Afghans, 80% Bangladeshi, 78.6% Indians and 63% Pakistani reported engaging in <30 min of PA per day. Additionally, boys were more active than girls across all ethnic groups. Discussion: This study highlighted an alarmingly low proportion of young people from each BSA ethnic group meeting the PA guidelines. To the authors’ knowledge, this is the first study to explore and compare PA levels of the young British Afghan population, thus contributing novel findings to the area of BSA PA. Conclusion: Overall, the vast majority of BSA young people failed to meet the recommended PA guidelines of 60 min per day. Future research could utilise objective methods, such as Global Positioning System, pedometers and accelerometery to track and monitor PA levels, and could adopt an ecological approach to explore determinants of PA within each ethnic and gender group.
Impact of Metformin on Periodontal and Peri-Implant Soft and Hard Tissue
Authors: Aljofi Faisal E. , Alesawy Aminah , Alzaben Bader , Alshaikh Marwa , Alotaibi Norah , Aldulaijan Hajer A. , Alshehri Sami , Aljoghaiman Eman , Al-Dulaijan Yousif A. , AlSharief Mishali
Published: January 2023

Periodontal and peri-implant soft and hard tissue in diabetic patients have always been a topic of interest for researchers and clinicians alike. Among which, a subtopic that has attracted more attention is the beneficial effect of metformin (MF) on periodontal and peri-implant soft and hard tissue. This review aimed to assess the impact of MF on the periodontal and peri-implant soft- and hard-tissue healing among diabetic patients. Research was conducted using the keywords ‘metformin’, ‘diabetes’, ‘periodontitis’, ‘implant’, and ‘peri-implantitis’ via the Medline (PubMed) and Google Scholar databases. Selected articles were reviewed. A total of 21 articles, discussing the impact on periodontal health (six animal studies, seven clinical studies, and three systematic reviews) and five studies on peri-implant health (four animal studies and one clinical study) were included. All have reported a positive impact of MF on decreasing the inflammatory response, oxidative stress, and ultimate bone loss. Similarly, human studies reported a positive effect of MF on clinical and radiographic parameters compared with controls. Despite systematic reviews reporting heterogeneity among the included studies, MF has shown a positive impact on periodontal health. In animal, clinical studies, and systematic reviews, MF showed a protective impact on periodontal and peri-implant health.
Promoting the Sustainable Recovery of Hospitality in the Post-Pandemic Era: A Comparative Study to Optimize the Servicescapes
Authors: Serrano-Baena Maria M. , Fernández Rafael E. Hidalgo , Ruiz-Díaz Carlos , Triviño-Tarradas Paula
Published: January 2023

As COVID-19 spread throughout the world, the hospitality and tourism sectors were hard hit as no other industry. For this reason, the UNWTO developed the One Planet Vision as a response to a sustainable recovery of the tourism sector. At present, when people are starting to travel and stay at hotels again, it is important to analyze what their expectations are of hotels to move forward in the post-pandemic era. For instance, empirical research has been developed to examine people’s sentiments toward servicescapes, and a comparative study is presented between 2020 and 2022. Findings contribute to the research by identifying new servicescape attributes during a health crisis. These also lead to practical implications by proposing a scale to evaluate customers’ perceptions and to increase their wellbeing and resilience. The current research is one of the first studies to collaborate with the One Planet Vision by empirically proposing improvements in the servicescapes of hotels for a responsible recovery.
Has the COVID-19 Pandemic Worsened Health-Related Quality of Life of Patients with Inflammatory Bowel Disease? A Longitudinal Disease Activity-Controlled Study
Authors: Rosa Ilenia , Conti Chiara , Zito Luigia , Efthymakis Konstantinos , Neri Matteo , Porcelli Piero
Published: January 2023

The present longitudinal study aimed to investigate the burden of disease activity change on health-related quality of life (HRQoL) of patients with inflammatory bowel disease (IBD) during the two different pandemic waves in 2020 and 2021. A sample of 221 IBD patients (recruited during March–May 2020 for T0 and March–May 2021 for T1) was included. The psychological impact of the COVID-19 pandemic (Impact of Event Scale-Revised (IES-R)) and HRQoL (Inflammatory Bowel Disease Questionnaire (IBDQ)) were assessed. Post-traumatic COVID-19-related symptoms (IES-R) were not significantly different across the disease activity-related groups. Conversely, IBDQ was consistently higher in patients with persistent, quiescent disease activity compared to the other groups, as expected. Even after controlling for baseline IES-R, repeated-measures ANCOVA showed a non-significant main effect of time (p = 0.60) but a significant time-per-group interaction effect with a moderate effect size (η2 = 0.08). During the two different phases of pandemic restrictions, IBD-specific HRQoL was modified by disease-related factors such as disease activity, rather than by the post-traumatic symptoms of COVID-19. This lends further weight to the need for developing an evidence-based, integrated, biopsychosocial model of care for patients with IBD to identify subjective and objective factors that affect the burden of disease.
The Impact of COVID-19 on Pediatric Cardiac Arrest Outcomes: A Systematic Review and Meta-Analysis
Authors: Navolokina Alla , Smereka Jacek , Böttiger Bernd W. , Pruc Michal , Juárez-Vela Raúl , Rahnama-Hezavah Mansur , Rafique Zubaid , Peacock Frank W. , Safiejko Kamil , Szarpak Lukasz
Published: January 2023

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic, required the donning of personal protective equipment during clinical contact, and continues to be a significant worldwide public health concern. Pediatric cardiac arrest is a rare but critical condition with a high mortality rate, the outcomes of which may be negatively affected by donning personal protective equipment. The aim of this study is to perform a systematic review and meta-analysis of the impact of the COVID-19 pandemic on pediatric cardiac arrest outcomes. We conducted a systematic review with meta-analysis in the following databases: PubMed, EMBASE, Scopus, Web of Science, and Cochrane Library from their inception to 1 October 2022. We included studies published in English on pediatric patients with cardiac arrest, dichotomized by the pre- and during-COVID-19 periods and then stratified by COVID-19 positive or negative status, to evaluate clinical outcomes associated with cardiac arrest. Six studies were included in the meta-analysis. In witnessed out-of-hospital cardiac arrest patients, there were no differences between the pandemic and pre-pandemic periods for witnessed cardiac arrest (28.5% vs. 28.7%; odds ratio (OR) = 0.99; 95% confidence interval (CI): 0.87 to 1.14; p = 0.93), administration of bystander cardiopulmonary resuscitation (61.5 vs. 63.6%; OR = 1.11; 95%CI: 0.98 to 1.26; p = 0.11), bystander automated external defibrillator use (both 2.8%; OR = 1.00; 95%CI: 0.69 to 1.45; p = 0.99), return of spontaneous circulation(8.4 vs. 8.9%; OR = 0.93; 95%CI: 0.47 to 1.88; p = 0.85), survival to hospital admission (9.0 vs. 10.2%, OR = 0.81; 95%CI: 0.45 to 1.44; p = 0.47), or survival to hospital discharge (13.4 vs. 12.4%; OR = 0.62; 95%CI: 0.22 to 1.72; p = 0.35). COVID-19 did not change pediatric cardiac arrest bystander interventions or outcomes.
Chronic and Postprandial Metabolic Responses to a Ketogenic Diet Compared to High-Carbohydrate and Habitual Diets in Trained Competitive Cyclists and Triathletes: A Randomized Crossover Trial
Authors: Graybeal Austin J. , Kreutzer Andreas , Moss Kamiah , Rack Petra , Augsburger Garrett , Braun-Trocchio Robyn , Willis Jada L. , Shah Meena
Published: January 2023

Extreme carbohydrate deficits during a ketogenic diet (KD) may result in metabolic adaptations reflective of low energy availability; however, the manifestation of these adaptations outside of exercise have yet to be elucidated in cyclists and triathletes. The purpose of this study is to investigate the chronic and postprandial metabolic responses to a KD compared to a high-carbohydrate diet (HCD) and habitual diet (HD) in trained competitive cyclists and triathletes. For this randomized crossover trial, six trained competitive cyclist and triathletes (F: 4, M: 2) followed an ad libitum KD and HCD for 14 d each after their HD. Fasting energy expenditure (EE), respiratory exchange ratio (RER), and fat and carbohydrate oxidation (FatOx and CarbOx, respectively) were collected during their HD and after 14 d on each randomly assigned KD and HCD. Postprandial measurements were collected on day 14 of each diet following the ingestion of a corresponding test meal. There were no significant differences in fasting EE, RER, FatOx, or CarbOx among diet conditions (all p > 0.050). Although postprandial RER and CarbOx were consistently lower following the KD meal, there were no differences in peak postprandial RER (p = 0.452), RER incremental area under the curve (iAUC; p = 0.416) postprandial FatOx (p = 0.122), peak FatOx (p = 0.381), or FatOx iAUC (p = 0.164) between the KD and HD meals. An ad libitum KD does not significantly alter chronic EE or substrate utilization compared to a HCD or HD; postprandial FatOx appears similar between a KD and HD; this is potentially due to the high metabolic flexibility of cyclists and triathletes and the metabolic adaptations made to habitual high-fat Western diets in practice. Cyclists and triathletes should consider these metabolic similarities prior to a KD given the potential health and performance impairments from severe carbohydrate restriction.
Pollution Effect of the Agglomeration of Thermal Power and Other Air Pollution-Intensive Industries in China
Authors: Zhou Jingkun , Tian Juan , Zhang Diandian
Published: January 2023

With the rapid development of the Chinese economy, air pollution is becoming increasingly serious, which greatly impacts the lives and activities of people, and the spatial agglomeration of thermal power and other air pollution-intensive industries (TPAPIs) is an important factor. The purpose of this article is to find the air pollution-intensive industries scientifically, to analyze the effects of pollution from TPAPIs in China, and to provide a basis for the planning and adjustment of TPAPIs. In this study, an air pollution index was adopted to identify TPAPIs, a location quotient was employed to measure the agglomeration of TPAPIs in China, and the global Moran’s I index was determined to examine the spatial agglomeration characteristics of these industries and the spatial characteristics of air pollution. On this basis, a spatial panel Durbin model describing atmospheric pollution was constructed. The pollution effects of the agglomeration of TPAPIs were examined in regard to spatial agglomeration and spillover effects. In the study, it was found that the agglomeration of TPAPIs in different regions of China exhibited a significant positive spatial correlation, and spatial dependence becomes increasingly notable. A significant inverted U-shaped relationship was found to exist between the spatial agglomeration of TPAPIs and air pollution, and thus the spatial agglomeration of TPAPIs imposes a significant spatial spillover effect on air pollution. Specific policy suggestions are proposed, such as the formulation of science-based policies targeting TPAPIs, promotion of interregional cooperation, establishment of a regional joint prevention and control mechanism, and effective elimination of the excess capacity of outdated TPAPIs.
Does PM2.5 (Pollutant) Reduce Firms’ Innovation Output?
Authors: Xiong Zhiqiao , Li Dandan , Yu Hongwei
Published: January 2023

The potentially serious economic consequences of China’s severe air pollution problem cannot be overlooked, especially the impact on corporate innovation, which is a core driver guiding firms towards efficient and high-quality development. This paper explores the direct effect and mechanism of PM2.5 on firms’ innovation output through the identification strategy of instrument variable. Based on the data of Listed Companies in China from 2003 to 2016, we used thermal inversion as the instrument variable for PM2.5 for estimation. The results show that each 1 ug/m3 increase in PM2.5 concentration causes an average reduction in innovation output of listed companies by about 7.0%. The test of “Porter hypothesis” shows that environmental regulation has not encouraged firms to innovate more. We further used the 2013 China Social Survey (CSS) data to verify the human capital mechanism of PM2.5 affecting firm innovation at micro level. The results show that PM 2.5 deteriorates the healthy human capital in a firm, which reduces the innovation output. This article helps to understand the relationship between air pollution and firms’ innovation and to develop appropriate policies.
The Impact of Fitness Influencers on a Social Media Platform on Exercise Intention during the COVID-19 Pandemic: The Role of Parasocial Relationships
Authors: Li Wenjia , Ding Huangyi , Xu Guifen , Yang Jidong
Published: January 2023

In the context of COVID-19 pandemic lockdowns, fitness influencers on social media are greatly involved in people’s home fitness processes, but there is limited research examining the role of fitness influencers on social media in exercise intention. This study aimed to explore whether people’s perceptions of the personal attributes and content quality of fitness influencers can promote a strong emotional connection between the two, thereby influencing people’s exercise intentions. Based on the theory of the parasocial relationship, we investigated the influence of social attractiveness (SA), physical attractiveness (PA), task attractiveness (TA), and content quality (CQ) of fitness influencers on the parasocial relationships (PSRs) between viewers and fitness influencers on social media and whether PSRs positively contribute to viewers’ exercise intentions (EI). The results revealed that SA, PA, TA, and CQ have positive influences on PSRs and CQ; PSRs directly contribute to EI; and PSRs have a mediating effect between EI and CQ. This study provides new insights into understanding the relationship between fitness influencers and people’s online fitness behaviors.
Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China
Authors: Lu Junfeng , Yang Hui , Shi Leiyu , Sheng Xia , Huo Yongjun , Liu Ruqing , Hu Ruwei
Published: January 2023

Primary healthcare (PHC) plays an important role in diabetes management; community health centers (CHCs) serve as the main providers of PHC. However, few studies have discussed the association between the service quality of PHC and the effects of diabetes management. In this study, we explored the associations between experiences of PHC in CHCs and glycemic control status in patients with diabetes mellitus. This study was conducted in six CHCs in the Greater Bay Area of China. In total, 418 patients with diabetes mellitus (44% males and 56% females) were recruited between August and October 2019. We evaluated their PHC experiences using the Primary Care Assessment Tool (PCAT) developed by Johns Hopkins and assessed their glycemic control status by measuring their fasting plasma glucose levels. Binary logistic regression analyses were conducted to assess the associations between the patients’ PHC experiences and glycemic control status, adjusting for covariates. The patients with good glycemic control had significantly higher total and dimensional PCAT scores compared with those with poor glycemic control (p < 0.05). Higher PCAT scores were significantly associated with a greater adjusted odds ratios (aORs) of good glycemic control for total and dimensional PCAT scores. For example, compared to those with poor glycemic control, the aORs for those with good glycemic control was 8.82 (95% CI = 4.38–17.76) per total PCAT score increasing. Especially, the aORs for those with good glycemic control were 3.92 (95% CI = 2.38–6.44) and 4.73 (95% CI = 2.73–8.20) per dimensional PCAT score of family-centeredness and community orientation increasing, respectively. Better PHC experiences were associated with better diabetes management. In particular, family-centered and community-oriented CHCs may help improve diabetes management in China and other low- and middle-income countries.
Deep Learning Multi-Class Approach for Human Fall Detection Based on Doppler Signatures
Authors: Cardenas Jorge D. , Gutierrez Carlos A. , Aguilar-Ponce Ruth
Published: January 2023

Falling events are a global health concern with short- and long-term physical and psychological implications, especially for the elderly population. This work aims to monitor human activity in an indoor environment and recognize falling events without requiring users to carry a device or sensor on their bodies. A sensing platform based on the transmission of a continuous wave (CW) radio-frequency (RF) probe signal was developed using general-purpose equipment. The CW probe signal is similar to the pilot subcarriers transmitted by commercial off-the-shelf WiFi devices. As a result, our methodology can easily be integrated into a joint radio sensing and communication scheme. The sensing process is carried out by analyzing the changes in phase, amplitude, and frequency that the probe signal suffers when it is reflected or scattered by static and moving bodies. These features are commonly extracted from the channel state information (CSI) of WiFi signals. However, CSI relies on complex data acquisition and channel estimation processes. Doppler radars have also been used to monitor human activity. While effective, a radar-based fall detection system requires dedicated hardware. In this paper, we follow an alternative method to characterize falling events on the basis of the Doppler signatures imprinted on the CW probe signal by a falling person. A multi-class deep learning framework for classification was conceived to differentiate falling events from other activities that can be performed in indoor environments. Two neural network models were implemented. The first is based on a long-short-term memory network (LSTM) and the second on a convolutional neural network (CNN). A series of experiments comprising 11 subjects were conducted to collect empirical data and test the system’s performance. Falls were detected with an accuracy of 92.1% for the LSTM case, while for the CNN, an accuracy rate of 92.1% was obtained. The results demonstrate the viability of human fall detection based on a radio sensing system such as the one described in this paper.
Social, Community, and Cultural Factors Associated with Parental Stress in Fathers and Mothers
Authors: Lo Camilla , Chen Mengtong , Chen Qiqi , Chan Ko , Ip Patrick
Published: January 2023

Parenting stress is a key factor in predicting the quality of parent–child relationships and child development outcomes. Previous research tends to focus on examining individual factors contributing to parental stress, with minimal attention to other important contextual factors that may affect parenting. This study examines the issue from a broader ecological perspective by investigating social, cultural, and community factors associated with parental stress in a community sample of economically active fathers and mothers in Hong Kong. A secondary analysis was conducted using the data from the 2017 Family Survey, a territory-wide household survey conducted in Hong Kong. The data of the current study included a sub-sample of 736 working-class parents (48.4% males and 51.6% females). The mean age of fathers and mothers was 50.99 (SD = 11.2) and 48.68 (SD = 10.34) years, respectively. Mothers reported significantly higher levels of parental stress than fathers, t = −4.241, p < 0.001. Different social, cultural, and community factors were associated with parental stress for fathers and mothers. Strong endorsement of traditional family values (B = −0.23, p = 0.032) and frequent practice of filial piety (B = −0.005, p = 0.019) reduced parental stress in fathers. Additionally, fathers who perceived formal support as effective scored higher levels of parental stress, B = 0.20, p < 0.001. For mothers, informal social support from family members was the only social predictor for reduced parental stress (B = −0.14, p < 0.001) among all the other contextual variables. Community support to reduce parental stress in working parents should address the respective risk factors for fathers and mothers.
Validation of the Arabic Version of the Transition Planning Inventory (TPI-AR)
Authors: Alnahdi Ghaleb H. , Alwadei Arwa
Published: January 2023

The Transition Planning Inventory (TPI) is an important tool for planning the transition to life after school for students with disabilities. While interest in transition services has increased in the last decade in the Arab region, no transition assessment tools validated for the Arab population are currently available. This study is the first to validate an Arabic version (TPI-AR) for all three rating forms (student, home, and school) and examine its psychometric properties. The sample comprised 203 students with disabilities, a member of their family, and one of their teachers. The 11 subscales of TPI-AR for all three forms were found reliable and valid to be used with students with disabilities in Saudi Arabia, particularly in middle and high schools.
How Is Science Teacher Job Satisfaction Influenced by Their Professional Collaboration? Evidence from Pisa 2015 Data
Authors: Zhang Xinping , Cheng Xiaoxia , Wang Yajing
Published: January 2023

Due to the challenging nature of teaching and learning in the 21st century, educators must assume additional roles in schools to meet the expectations of students, parents, and communities. Studies in general have focused on all teachers as a group. The PISA 2015 assessment and analysis framework indicates that the focus of the current round of assessment is on science literacy. Therefore, science teacher professional collaboration, teaching self-efficacy, and teacher job satisfaction were also the focus of its measurement. In this study, 1039 science teachers from Hong Kong participated. Through literature review analysis, this study concluded that (a) teacher professional collaboration and teaching self-efficacy have a positive effect on job satisfaction; (b) teacher professional collaboration has a positive effect on teaching self-efficacy, and (c) teaching self-efficacy has a mediating role in teacher professional collaboration and teacher job satisfaction. A mediation model was developed to test this hypothesis. Data were analyzed using structural equation modeling (SEM). The results of the study confirmed our hypothesis. In addition, we examined the applicability of the model using multi-group SEM mode, and the results demonstrated that the effect of professional collaboration on job satisfaction among science teachers in Hong Kong, China did not differ by gender.
The Association between Cervical Length and Successful Labor Induction: A Retrospective Cohort Study
Authors: Li Pei-Chen , Tsui Wing Lam , Ding Dah-Ching
Published: January 2023

This study aimed to determine whether transvaginal sonographic measurement of cervical length before labor induction can predict successful induction. This retrospective study recruited 138 pregnant women who underwent labor induction at 37–41 weeks of gestation. Cervical length was measured using transvaginal ultrasonography before labor induction. Labor was induced according to the hospital protocol. Age, gestational age (GA), parity, body mass index (BMI), Bishop score, hemoglobin level, maternal disease, and epidural anesthesia were also recorded. Labor induction outcomes, including cesarean section for failed induction, time of induction, and the three labor stages, were assessed. From December 2018 to December 2021, 138 women were recruited for our study, including 120 and 18 women with successful and failed labor induction, respectively. Shorter cervical length (≤3.415 cm, OR = 6.22, 95% CI = 1.75–22.15) and multiparity (OR = 17.69, 95% CI = 2.94–106.51) were associated with successful induction. Higher BMI was associated with failed induction (OR = 0.87, 95% CI = 0.75–0.99). Age, GA, Bishop score, and fetal birth weight were not associated with successful labor induction. The ROC curve showed a cervical length cutoff value of 3.415 cm, revealing 76.8% of the area under the curve. In conclusion, a shorter cervical length (≤3.415 cm) was associated with a higher chance of successful labor induction (76.8%). This parameter might be used to predict the chance of successful labor induction. This information could help better inform clinician discussions with pregnant women concerning the chance of successful labor induction and consequent decision-making. Nevertheless, further large-scale clinical trials are warranted.
Gender-Specific Prevalence and Risk Factors of Sarcopenic Obesity in the Korean Elderly Population: A Nationwide Cross-Sectional Study
Authors: Hwang Jongseok , Park Soonjee
Published: January 2023

Sarcopenic obesity (SO) is characterized by the combination of sarcopenia and obesity. This study evaluates the gender-specific prevalence of SO and examines the identified gender-specific risk factors in a community-dwelling elderly population aged 75–84 years. A total of 813 subjects participated in the study via the Korea National Health and Nutrition Examination Survey. The SO prevalence in males and females was 15.46% (95%CI: 11.36–20.70) and 13.59% (95%CI: 10.59–17.28), respectively. The clinical sex-specific risk factors for males were low height, high weight, body mass index, waist circumference, skeletal muscle index, fasting glucose, and triglycerides. The clinical risk factors for females were low height, high weight, body mass index, waist circumference, skeletal muscle index, smoking status, fasting glucose, total cholesterol, and systolic blood pressure. These results are essential to assist healthcare professionals and primary care clinicians with early detection, diagnosis, and intervention for potential SO patients by acknowledging the sex-based prevalence and risk factors.
Study on the Evolution of the Game of Willingness to Cooperate between Residents and Separation Enterprises in Waste Separation Considering the Convenience of Separation Facilities
Authors: Zhang Lichi , Jiang Yanyan , Wu Junmin
Published: January 2023

The distributivity and complexity of separation facilities in waste separation cooperation are incorporated into the factors influencing the payoff of waste separation cooperation. The game payment matrix of waste separation cooperation is constructed based on the distributivity and complexity of separation facilities. The equilibrium solution of waste separation cooperation is obtained through the evolutionary game. The influence of different changes in distributivity and complexity of separation facilities on the willingness to cooperate in waste separation is explored through numerical analysis of cases. The study shows that when the distributivity of separation facilities is certain, the lower the complexity of separation facilities, the higher the willingness of residents and enterprises to cooperate; when the complexity of separation facilities is certain, the willingness of residents and enterprises to cooperate rises and then falls with the increase of distributivity of separation facilities; finally, when the distributivity and complexity of separation facilities change at the same time, the willingness of residents and enterprises to cooperate shows different changes with the different changes of two separation facilities convenience factors.
Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era
Authors: Reed Brandon W. , Brody Arthur L. , Sanavi Andre Y. , Doran Neal
Published: January 2023

Because COVID-19 is a respiratory and cardiovascular disease, understanding behaviors that impact cardiopulmonary health, such as tobacco use, is particularly important. While early studies suggested no change in prevalence of tobacco use as COVID-19 emerged, pandemic fatigue, shifting levels of COVID-19 transmission, and vaccine availability have all changed since the start of the pandemic. The current study examined whether time, COVID-19 surges, and/or vaccination status were associated with likelihood of daily and non-daily tobacco use over the first 24 months of the pandemic. Data were obtained from electronic health records of healthcare visits (n = 314,787) to four Southern California VA healthcare systems. Multinomial logistic regression analyses indicated that the likelihood of reporting both daily and non-daily tobacco use (versus non-use) increased over time. Daily and non-daily tobacco use were less common at visits that occurred during COVID-19 surges, as well as among veterans vaccinated against COVID-19. Our findings provide new insight into changes of tobacco use patterns and correlates across the first two years of this pandemic, and understanding these associations may facilitate understanding of health-related behaviors and inform clinical treatment of tobacco use disorder during the COVID-19 pandemic.
The Relationship between Predominant Polarity, Lifetime Comorbid Anxiety Disorders and Subjective Quality of Life among Individuals with Bipolar Disorder in Singapore
Authors: Gunasekaran Savita , Teh Wen Lin , Liu Jianlin , Cetty Laxman , Mok Yee Ming , Subramaniam Mythily
Published: January 2023

Background: Depressive features and comorbid anxiety disorders are two discrete but interconnected clinical features that have been reported to be associated with a poorer quality of life (QoL) among individuals with bipolar disorders. However, the relationship between manic features and quality of life is less conclusive. The present study aimed to assess differences in QoL among bipolar outpatients who present with either depressive predominant polarity (DPP), manic predominant polarity (MPP) and/or a lifetime diagnosis of comorbid anxiety disorders in Singapore. Methods: Data from 74 outpatients in Singapore diagnosed with bipolar disorder were collected. Sociodemographic information, the polarity of most episodes (2 out of 3), the diagnosis of anxiety disorders and QoL were obtained from a self-reported interview and/or through clinical records. QoL was measured using the abbreviated version of the World Health Organization questionnaire. We used multivariate regression models to determine the relationships between predominant polarity, lifetime comorbid anxiety disorders and QoL in physical health, psychological health, social relationships and environment domains. Results: After adjusting for covariates, individuals with DPP scored poorer for WHOQOL-BREF for all four domains as compared with individuals with indeterminate polarity. As compared to individuals with indeterminate polarity, individuals with MPP scored poorer for WHOQOL-BREF social relationships. Lastly, individuals with lifetime comorbid anxiety disorders scored poorer for WHOQOL-BREF physical health, social relationships and environment. Discussion and Conclusions: The present study provides preliminary support for the relationship between DPP, lifetime comorbid anxiety disorders and poorer QoL, paving the pathway for future research with larger samples to utilise our study design to verify our results.
Research on the Application of Artificial Intelligence in Public Health Management: Leveraging Artificial Intelligence to Improve COVID-19 CT Image Diagnosis
Authors: He Tiancheng , Liu Hong , Zhang Zhihao , Li Chao , Zhou Youmei
Published: January 2023

Since the start of 2020, the outbreak of the Coronavirus disease (COVID-19) has been a global public health emergency, and it has caused unprecedented economic and social disaster. In order to improve the diagnosis efficiency of COVID-19 patients, a number of researchers have conducted extensive studies on applying artificial intelligence techniques to the analysis of COVID-19-related medical images. The automatic segmentation of lesions from computed tomography (CT) images using deep learning provides an important basis for the quantification and diagnosis of COVID-19 cases. For a deep learning-based CT diagnostic method, a few of accurate pixel-level labels are essential for the training process of a model. However, the translucent ground-glass area of the lesion usually leads to mislabeling while performing the manual labeling operation, which weakens the accuracy of the model. In this work, we propose a method for correcting rough labels; that is, to hierarchize these rough labels into precise ones by performing an analysis on the pixel distribution of the infected and normal areas in the lung. The proposed method corrects the incorrectly labeled pixels and enables the deep learning model to learn the infected degree of each infected pixel, with which an aiding system (named DLShelper) for COVID-19 CT image diagnosis using the hierarchical labels is also proposed. The DLShelper targets lesion segmentation from CT images, as well as the severity grading. The DLShelper assists medical staff in efficient diagnosis by providing rich auxiliary diagnostic information (including the severity grade, the proportions of the lesion and the visualization of the lesion area). A comprehensive experiment based on a public COVID-19 CT image dataset is also conducted, and the experimental results show that the DLShelper significantly improves the accuracy of segmentation for the lesion areas and also achieves a promising accuracy for the severity grading task.
Intercity Mobility Assessment Facing the Demographic Challenge: A Survey-Based Research
Authors: Vega Naranjo Juan Miguel , Jiménez-Espada Montaña , Martínez García Francisco Manuel , González-Escobar Rafael , Cortés-Pérez Juan Pedro
Published: January 2023

The key factor in moving towards a more sustainable travel model is based on improving mobility, especially in rural areas that share territorial dynamics with urban areas and are connected by a daily flow of inhabitants. The purpose of this article is to carry out a diagnosis of the daily mobility patterns of the inhabitants of a number of rural municipalities, with the aim of promoting sustainability and mitigating the phenomenon of territorial depopulation in future local planning policies. The research methodology is based on the use of revealed preference surveys together with accessibility analysis using GIS tools, allowing for an in-depth knowledge of the mobility patterns of the municipalities in the area under analysis. In this respect, the reference parameters in terms of territorial accessibility are determined by applying the network analysis procedure to basic public services. The results reflect the existence of an unbalanced modal split with a preponderance of private vehicle use (regardless of the destination or the reason for the journey). In addition, a very weak inter-municipal connection dynamic is observed. There is a knowledge gap in the verification of the long-term suitability of sustainable measures in rural areas implemented after the development of mobility plans (in order to assess their effectiveness).