bluuebunny/crossref_metadata_2025 huggingface dataset:
Properties of Wear-Resistant MoN Films on Microengineered Substrates
Authors: Schulz Wadim , Köhn Florian , Balzer Martin , Fenker Martin , Albrecht Joachim
Published: August 2022

Molybdenum nitride layers were deposited onto the substrates of high-speed steel using high-power impulse magnetron sputtering. To control the tribological properties of these wear-resistant surfaces, a sophisticated pretreatment of the substrates was performed. Both the topography and the composition of the surfaces were modified on a length scale of a few micrometers before the deposition of MoN. For that purpose, a microembossing technique was applied that used specifically prepared diamond stamps. Compositional variations are realized by an additional deposition of silver. Modifying the properties of the wear-resistant surface via this substrate engineering method allowed a significant reduction in the coefficient of friction, a change of the dominant wear process and a possible lifetime increase. Changing the surface topography led to a reduction of friction and, therefore, to reduced mechanical work supplied to the surface. Occurring wear was reduced accordingly. The introduction of silver further reduced the mechanical energy that was available for the abrasion process and led to an additional increase in the lifetime of the surface. It was concluded that not only the wear volume, but also the relevant wear mechanisms could be influenced via a substrate modification.
Effect of the Testing Temperature on the Impact Property of a Multilayered Soft–Hard Copper–Brass Block
Authors: Liu Tong , Li Jiansheng , Liu Kezhang , Wang Mengmeng , Zhao Yu , Zhou Zhongchen , Wei Yong , Yang Qi , Chen Ming , Mao Qingzhong , Sun Yufeng
Published: August 2022

The impact property is one of the most significant mechanical properties for metallic materials. In the current work, a soft–hard copper–brass block with a high yield strength of ~320 MPa and good uniform elongation of ~20% was prepared, and the effect of the testing temperature on its impact property was explored. The results showed that the impact energy was decreased with the increase in testing temperature. The impact energies at liquid nitrogen temperature (LNT), room temperature (RT), and 200 °C were 8.15 J, 7.39 J, and 7.04 J, respectively. The highest impact energy at LNT was attributed to the coordinated plastic deformation effects, which was indicated by the tiny dimples during the process of the delamination of soft–hard copper–brass interfaces. The high temperature of 200 °C can weaken the copper–brass interface and reduce the absorption of deformation energy, result in low impact energy.
Coprinus leucostictus Rediscovered after a Century, Epitypified, and Its Generic Position in Hausknechtia Resolved by Multigene Phylogenetic Analysis of Psathyrellaceae
Authors: Nie Chengfeng , Wang Sheng-Nan , Tkalčec Zdenko , Yan Jun-Qing , Hu Yaping , Ge Yupeng , Na Qin , Zeng Hui , Ding Hui , Huo Guanghua , Pošta Ana , Pradeep C. K. , Mešić Armin
Published: August 2022

About a century after the first finding in northern Vietnam (1908), Coprinus leucostictus is rediscovered on 12 localities in southern India and southern to southeastern China, growing in evergreen subtropical or tropical forests. It is morphologically a rather unique species with coprinoid basidiomata, strongly branched and diverticulate veil hyphae, and a hymeniderm pileipellis. The BLAST search of ITS and tef-1α sequences showed its close relationship to Hausknechtia floriformis, which is not clear based on morphological characters. Multigene phylogenetic analysis of a concatenated dataset of ITS, LSU, tef-1α, and β-tubulin sequences, revealed C. leucostictus and H. floriformis as separate, but sister species. Molecular phylogenetic relationships within the family Psathyrellaceae (including 17 genera) are presented in the phylogram. The genera Hausknechtia and Candolleomyces formed two well-supported lineages and were recovered as a monophyletic group. A total of 27 sequences from the genus Hausknechtia were newly generated in this study. Coprinus leucostictus is combined as Hausknechtia leucosticta, its epitype is designated, and the hitherto monotypic genus Hausknechtia is emended. A detailed morphological description of H. leucosticta supplemented with colour photographs and line drawings is provided.
Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives
Authors: Radhakrishnan Menaka , Ramamurthy Karthik
Published: August 2022

Diastasis recti abdominis (DRA) is more prevalent in women during pregnancy and postpartum. However, there is a lack of awareness regarding this condition among women. The prevalence of DRA is high in late pregnancy and reduces during postpartum. The purpose of this study is to provide an overview of the treatment strategies for DRA and to discuss the significance of the technology towards better diagnosis and treatment. This work investigated 77 research articles published in the recognized research databases. The study aims to analyze the diagnostic and treatment procedures and the role of technology within them. The management strategy for DRA can either be conservative or surgical. Exercise therapy has been shown to improve functional impairments. These exercises focus on recruiting the abdominal muscles. Electromyography and Ultrasound imaging have been employed as useful tools in assessing the abdominal muscles effectively. This study has examined the treatment methods for DRA to obtain a better understanding of the existing methods. Further investigation and experimentation into therapeutic exercises is strongly recommended to identify the best set of exercises for a faster resolution. Further studies regarding the role of technology to assess therapeutic exercises would be worthwhile.
Primary Clear Cell Carcinoma of the Pancreas: A Rare Case Report
Authors: Kang Yoo-Na
Published: August 2022

Most pancreatic carcinoma is ductal adenocarcinoma. Primary pancreatic clear cell carcinomas composed almost entirely of clear tumor cells are very rare. We present a case of a 72-year-old man with a pancreatic mass, which was detected on abdominal computed tomography (CT). He had no symptoms and no abnormal findings on physical examination; however, he had a history of hepatitis B, hepatitis C, and hepatocellular carcinoma. He had received anti-viral treatment and radiofrequency ablation twice until 2 years prior. One year prior, follow-up contrast-enhanced abdominal CT revealed a newly developed pancreatic mass. Laparoscopic radical antegrade modular pancreato-splenectomy was performed. An ill-defined white-to-tan firm solid mass was observed in the pancreas, approximately 4.3 cm in diameter. The tumor cells showed >95% clear cell features, with a large round to oval nuclei and abundant clear cytoplasms, and well-defined cell membranes. Immunohistochemical staining revealed that the tumor cells were positive for cytokeratin 7, cytokeratin 19, HNF-1β, MUC-1, and p53. We excluded the possibility of metastatic clear renal cell carcinoma, neuroendocrine carcinoma, perivascular epithelioid cell tumor, malignant melanoma, and sarcoma because of the negativity for vimentin, chromogranin, synaptophysin, and HMB45. Consequently, he was diagnosed as having primary clear cell carcinoma of the pancreas and was treated with postoperative radiotherapy. Two months later, abdominal CT was suspicious for local recurrence at the resection margin. Additional adjuvant FOLFIRINOX chemotherapy was carried out 12 times. The patient is still alive after his third radiofrequency ablation for the newly-developed hepatic mass. Immunohistochemical staining for MUC-1 and HNF-1β, as well as histologic feature is very helpful for the diagnosis of primary pancreatic clear cell carcinoma with imaging methods for metastasis exclusion.
The Bacterial Disinfection of Water Using a Galloping Piezoelectric Wind Energy Harvester
Authors: Poudel Prakash , Sharma Saurav , Ansari Mohamed Nainar Mohamed , Kumar Pushpendra , Ibrahim Sobhy M. , Vaish Rahul , Kumar Rajeev , Thomas Paramanandam
Published: August 2022

In this study, a method for the bacterial disinfection of drinking water in the water storage systems based on the electric potential generated from a piezoelectric wind energy harvester is presented. First, an efficient galloping piezoelectric wind energy harvester is designed by adding curve- shaped attachments to the bluff body of the harvester. The simulated output voltage of the harvester is validated by performing different sets of experiments on an open environment. Later, the output voltage of the harvester is enhanced, using copper oxide nanowires (CuONWs) grown perpendicular to the surface of the center copper wire. The enhanced electric field is able to disinfect the bacterial water in a 25 min time period. The bacterial removal log efficiency of 2.33 is obtained with a supplied rms voltage of 0.1 V from the harvester. The findings of this study will help to provide alternate means to water treatment that are efficient, reliable, and also free from disinfection by-products.
Permeability Evolution of Porous Sandstone in the Initial Period of Oil Production: Comparison of Well Test and Coreflooding Data
Authors: Turbakov Mikhail S. , Kozhevnikov Evgenii V. , Riabokon Evgenii P. , Gladkikh Evgeniy A. , Poplygin Vladimir V. , Guzev Mikhail A. , Jing Hongwen
Published: August 2022

Permeability prediction in hydrocarbon production is an important task. The decrease in permeability due to depletion leads to an increase in the time of oil or gas production. Permeability models usually are obtained by various methods, including coreflooding and the field testing of wells. The results of previous studies have shown that permeability has a power-law or exponential dependence on effective pressure; however, the difficulty in predicting permeability is associated with hysteresis, the causes of which remain not fully understood. To model permeability, as well as explain the causes of hysteresis, some authors have used mechanical reservoir models. Studies have shown that these models cannot be applied with small fluctuations in effective pressures in the initial period of hydrocarbon production. In this work, based on the analysis of well test data, we came to the conclusion that in the initial period of production under constant thermobaric conditions, the permeability of a slightly clayey terrigenous reservoir depends on the amount of fluid produced. A model has been obtained that describes the change in permeability in the initial period of oil production. Core samples were flooded to confirm the model. Coreflooding showed high convergence of the model obtained from well test data. With computed tomography (CT) and scanning electron microscope (SEM), the properties and structure of the core were studied, and it was found that the main reason for the decrease in the permeability of slightly clayey rocks in the initial period of production is the migration of natural colloids.
Superconductivity and Hydrogen Economy: A Roadmap to Synergy
Authors: Mojarrad Masih , Farhoudian Sana , Mikheenko Pavlo
Published: August 2022

Hydrogen as an energy carrier is a promising alternative to fossil fuels, and it becomes more and more popular in developed countries as a carbon-free fuel. The low boiling temperature of hydrogen (20 K or −253.15 °C) provides a unique opportunity to implement superconductors with a critical temperature above 20 K such as MgB2 or high-temperature superconductors. Superconductors increase efficiency and reduce the loss of energy, which could compensate for the high price of LH2 to some extent. Norway is one of the pioneer countries with adequate infrastructure for using liquid hydrogen in the industry, especially in marine technology where a superconducting propulsion system can make a remarkable impact on its economy. Using superconductors in the motor of a propulsion system can increase its efficiency from 95% to 98% when the motor operates at full power. The difference in efficiency is even greater when the motor does not work at full power. Here, we survey the applications of liquid hydrogen and superconductors and propose a realistic roadmap for their synergy, specifically for the Norwegian economy in the marine industry.
A Novel Tripod Methodology of Scrutinizing Two-Phase Fluid Snap-Off in Low Permeability Formations from the Microscopic Perspective
Authors: Bai Xue , Tian Jian , Jia Na , Shirif Ezeddin
Published: August 2022

According to the requirements of carbon-neutral development, this study explores the comparison and new discussion of replacing nitrogen with carbon dioxide in the conventional two-phase microfluid flow. Thus, carbon dioxide application in various fields can be more precise and convenient. This research uses an artificially continuously tapering micro model to mimic the natural rock channel in low permeability formation, where the liquid imbibition process is entirely under surface tension-dominant. The tested capillary number decreased to 8.49 × 10−6, and the thinnest observed liquid film was reduced to 2 μm. The comparison results in two gas groups (nitrogen and carbon dioxide) show that CO2 gas fluid in microscopic porous media would have more tendency to snap off and leave fewer residual bubbles blocked between the constrictions. However, the N2 gas fluid forms smaller isolated gas bubbles after snap-off. By combining the experimental data and numerical output with the theoretical evolution equation by Beresnev and Deng and by Quevedo Tiznado et al., the results of interface radius, temporal capillary pressure, and velocity profiles for axisymmetric and continuously tapering models are presented and validated. Those findings create a paradigm for future studies of the evolution of microscopic multiphase fluid and enhance a deeper understanding of geological underground fluid properties for greenhouse gas storage and utilization in low permeability formations.
Do Factor Market Distortions and Carbon Dioxide Emissions Distort Energy Industry Chain Technical Efficiency? A Heterogeneous Stochastic Frontier Analysis
Authors: Lu Hengfan , Peng Jiachao , Lu Xiangyi
Published: August 2022

China’s high-quality economic development is hampered by market distortions, and promises to achieve peak carbon emissions by 2030, meaning that its economic growth faces serious environmental constraints. We use a heterogeneous stochastic frontier model to analyze the impact of factor market distortions and carbon dioxide emissions on economic growth, and to evaluate the Chinese energy industry’s chain technical efficiency under the influence of factor distortions and carbon dioxide emissions. Finally, the counterfactual measurement method is used to calculate the factor market distortions and loss of the energy industry chain technology efficiency as a result of carbon dioxide emissions. The main research results show that China’s energy technology efficiency is 0.959, and the average energy industry chain technical efficiency for each region from the highest to the lowest is east (0.961), center (0.957), northeast (0.955), and west (0.950). The space for efficiency improvement is 3.6377%, 4.5151%, 4.7669%, and 5.2521%, respectively. Factor market distortion and carbon dioxide emissions are the main sources of losses of energy industry chain technical efficiency. Although the energy industry chain technical efficiency is subject to market factors, the structural factors caused by sustainable efficiency are more obvious. In the case of factor market distortions and carbon dioxide emissions, China’s energy industry chain technical efficiency slowly increased from 0.952 in 2000 to 0.964 in 2016. By reducing the degree of factor market distortion, China’s average energy industry chain technical efficiency will rise to 0.9651 from 0.9649, representing an improvement of 3.6162%.
Swirling Flame Combustion of Heavy Fuel Oil Blended with Diesel: Effect of Asphaltene Concentration
Authors: Pei Xinyan , Tian Hongyu , Roberts William L.
Published: August 2022

Heavy fuel oil has an energy density content comparable to distillate fuels but a very high viscosity that necessitates extra heating before spray combustion inside a boiler. Heavy fuel oil is also characterized by high asphaltenes, carbon residues, trace metals, such as vanadium and nickel, fuel-bound nitrogen, and sulfur. Asphaltenes are heavy polycyclic aromatic compounds with embedded heteroatoms and significantly affect the physico-chemical properties of heavy fuels; this makes them very difficult to burn and leads to the formation of large cenospheres (lightweight, inert, hollow spheres), due to an inefficient burning process. The primary goal of this study is to experimentally investigate the influence of the asphaltene concentration on the combustion of HFO under a swirling flame, finally reducing gaseous and solid pollution. We tested HFO samples containing asphaltene concentrations of 4, 6, 8, 16, and 24 wt.%, prepared by blending the light oil of diesel and pure asphaltenes with HFO. This work provides quantitative information about the effect of different asphaltene contents on the fuel properties of viscosity, density, heating value, thermogravimetry with air and N2, and swirling flame combustion characteristics, including the analysis of gaseous and solid particle emissions. The results indicated that the high asphaltene content in the fuel was the critical factor for the high viscosity and incomplete combustion and also increased the density of the fuel sample. Reducing the asphaltene content in HFO improves its spray characteristics and combustion performance and reduces the solid emissions containing sulfur and metal elements.
Effects of Intercropping between Morus alba and Nitrogen Fixing Species on Soil Microbial Community Structure and Diversity
Authors: Liu Jiaying , Wei Yawei , Du Haitao , Zhu Wenxu , Zhou Yongbin , Yin You
Published: August 2022

The intercropping of nitrogen-fixing and non-nitrogen-fixing tree species changed the availability of soil nitrogen and soil microbial community structure and then affected the regulation process of soil carbon and nitrogen cycle by microorganisms in an artificial forest. However, there is no consensus on the effect of soil nitrogen on soil microorganisms. In this study, the intercropping of mulberry and twigs was completed through pot experiments. Total carbon, total nitrogen, and total phosphorus in the rhizosphere soil were determined, and the composition and structure of the soil microbial community were visualized by PCR amplification and 16S rRNA ITS sequencing. The analysis found that the intercropping of Morus alba L. and Lespedeza bicolor Turcz. had no significant effect on soil pH but significantly increased the contents of total carbon, total nitrogen, and total phosphorus in the soil. The effect on the alpha diversity of the bacterial community was not significant, but the effect on the evenness and diversity of the fungal community was significant (p < 0.05). It was also found that soil nutrients had no significant effect on bacterial community composition but had a significant effect on the diversity within the fungal community. This study added theoretical support for the effects of intercropping between non-nitrogen-fixing tree species and nitrogen-fixing tree species on soil nutrients and microbial community diversity.
Dental Age Estimation Standards for Hispanic Children and Adolescents in California
Authors: Ustarez Adriana , Silva Daniela Rodrigues , Roberts Graham , Jayaraman Jayakumar
Published: August 2022

Background: In recent years, cross-border migrations have resulted in an increase in the number of unaccompanied children apprehended at the United States border, particularly in the state of California. The assessment of the chronological age of a child, in many instances, determines the type of services rendered within the medico-legal system. Age can be determined by using population-specific reference standards, preferably within a geographical area. However, such standards are not available for Hispanic children living in California. Aim: To present new standards by developing and validating a reference data set for dental age estimation in Hispanic children in California. Methods: For the reference dataset, a total of 705 dental panoramic radiographs of healthy children aged 7.00 to 13.99 years belonging to Hispanic ethnicity in California were obtained from the archives of a teaching hospital. All permanent teeth on the left side were scored in automated software, and the average at assessment was calculated for each stage of dental development. For the validation dataset, 133 radiographs that were not part of the reference dataset were obtained based on the above criteria. The difference between the chronological age (CA) and dental age (DA) estimated using the California Hispanic reference dataset was assessed using a paired t-test with a statistical significance of p < 0.05. Results: The overall difference between the chronological age and dental age (CA-DA) was 0.03 years (1.56 weeks) for females and −0.10 years (−5.26 weeks) for males, and the difference was not statistically significant for children aged 8.00 to 12.99 years (p > 0.05). Conclusions: The newly constructed dental reference data can be recommended for age estimation in children belonging to Hispanic ethnicity in California.
Land Cover Classification Based on Double Scatterer Model and Neural Networks
Authors: Karachristos Konstantinos , Anastassopoulos Vassilis
Published: August 2022

In this paper, a supervised land cover classification is presented based on the extracted information from polarimetric synthetic aperture radar (PolSAR) images. The analysis of the polarimetric scattering matrix is accomplished according to the Double Scatterer Model which interprets each PolSAR cell by a pair of elementary scattering mechanisms. Subsequently, by utilizing the contribution rate of the two fundamental scatterers, a novel data representation is accomplished, providing great informational content. The main component of the research is to highlight the robust new feature-tool and afterwards to present a classification scheme exploiting a fully connected artificial neural network (ANN). The PolSAR images used to verify the proposed method were acquired by RADARSAT-2 and the experimental results confirm the effectiveness of the presented methodology with an overall classification accuracy of 93%, which is considered satisfactory since only four feature-vectors are used.
Triple-Negativity Identifies a Subgroup of Patients with Better Overall Survival in Essential Thrombocythemia
Authors: Santoro Marco , Accurso Vincenzo , Mancuso Salvatrice , Napolitano Mariasanta , Mattana Marta , Vajana Giorgia , Russello Federica , Siragusa Sergio
Published: August 2022

Essential thrombocythemia, as defined by the WHO in 2016, is a Philadelphia-negative chronic myeloproliferative neoplasm showing a better prognosis than polycythemia vera and myelofibrosis. In a variable percentage, patients with essential thrombocythemia show none of the known driver-gene mutations that may occur on JAK2, CALR, and MPL genes. Such patients are classified as triple-negative and their clinical features and prognosis have not been described with precision yet. In this study, we evaluated some of the characteristics of this population by comparing them with those of patients with driver-gene mutated ET. Data from 266 consecutive essential thrombocythemia patients were analysed. Triple-negative patients had a significantly lower symptom load and a lower frequency of splenomegaly at diagnosis. The results show that the rate of thrombosis was equal in the two subgroups. Overall survival was slightly better in the triple-negative group of patients.
Safety Culture and the Positive Association of Being a Primary Care Training Practice during COVID-19: The Results of the Multi-Country European PRICOV-19 Study
Authors: Silva Bianca , Ožvačić Adžić Zlata , Vanden Bussche Pierre , Van Poel Esther , Seifert Bohumil , Heaster Cindy , Collins Claire , Tuz Yilmaz Canan , Knights Felicity , de la Cruz Gomez Pellin Maria , Astier Peña Maria Pilar , Stylianou Neophytos , Gomez Bravo Raquel , Cerovečki Venija , Klemenc Ketis Zalika , Willems Sara
Published: August 2022

The day-to-day work of primary care (PC) was substantially changed by the COVID-19 pandemic. Teaching practices needed to adapt both clinical work and teaching in a way that enabled the teaching process to continue, while maintaining safe and high-quality care. Our study aims to investigate the effect of being a training practice on a number of different outcomes related to the safety culture of PC practices. PRICOV-19 is a multi-country cross-sectional study that researches how PC practices were organized in 38 countries during the pandemic. Data was collected from November 2020 to December 2021. We categorized practices into training and non-training and selected outcomes relating to safety culture: safe practice management, community outreach, professional well-being and adherence to protocols. Mixed-effects regression models were built to analyze the effect of being a training practice for each of the outcomes, while controlling for relevant confounders. Of the participating practices, 2886 (56%) were non-training practices and 2272 (44%) were training practices. Being a training practice was significantly associated with a lower risk for adverse mental health events (OR: 0.83; CI: 0.70–0.99), a higher number of safety measures related to patient flow (Beta: 0.17; CI: 0.07–0.28), a higher number of safety incidents reported (RR: 1.12; CI: 1.06–1.19) and more protected time for meetings (Beta: 0.08; CI: 0.01–0.15). No significant associations were found for outreach initiatives, availability of triage information, use of a phone protocol or infection prevention measures and equipment availability. Training practices were found to have a stronger safety culture than non-training practices. These results have important policy implications, since involving more PC practices in education may be an effective way to improve quality and safety in general practice.
Well-Being Benefits of Horticulture-Based Activities for Community Dwelling People with Dementia: A Systematic Review
Authors: Scott Theresa L. , Jao Ying-Ling , Tulloch Kristen , Yates Eloise , Kenward Oliver , Pachana Nancy A.
Published: August 2022

Most people living with dementia in the early-to-middle stages live in the community or in their own homes and engagement in enjoyable activities is fundamental to maintaining quality of life and autonomy. Horticulture-based activities are beneficial for the health and well-being for people living with dementia (“PLWD”) in residential care settings, yet evidence within community settings, where the majority live, has not been comprehensively synthesized. A mixed studies systematic review protocol was registered and a systematic search conducted to June 2022 across MEDLINE, COCHRANE, Web of Science, Embase, Psycnet, CINAHL, PsycINFO databases, using terms relating to dementia and horticulture. Original studies examining group or individual horticulture-based programs for community-dwelling PLWD were included. Forty-five articles were selected for full review, eight met inclusion criteria and were retained for data extraction. Evidence from three mixed methods, two quantitative, two qualitative, and one case study design, involving a total of 178 community dwelling PLWD, was narratively summarized. Findings revealed that involvement in horticulture-based activities led to positive impacts on engagement, social interactions, and mental and physical well-being in PLWD. No conclusive evidence was found from included studies for improvement in cognitive function. As most studies to date have concentrated on PLWD in long-term care settings, future research should evaluate the effect of these types of activities in a more rigorous intervention design in community settings.
Challenges in Predicting the Change in the Cumulative Exposure of New Tobacco and Related Products Based on Emissions and Toxicity Dose–Response Data
Authors: Staal Yvonne C. M. , Bil Wieneke , Bokkers Bas G. H. , Soeteman-Hernández Lya G. , Stephens W. Edryd , Talhout Reinskje
Published: August 2022

Many novel tobacco products have been developed in recent years. Although many may emit lower levels of several toxicants, their risk in the long term remains unclear. We previously published a method for the exposure assessment of mixtures that can be used to compare the changes in cumulative exposure to carcinogens among tobacco products. While further developing this method by including more carcinogens or to explore its application to non-cancer endpoints, we encountered a lack of data that are required for better-substantiated conclusions regarding differences in exposure between products. In this special communication, we argue the case for more data on adverse health effects, as well as more data on the composition of the emissions from tobacco products. Such information can be used to identify significant changes in relevance to health using the cumulative exposure method with different products and to substantiate regulatory decisions.
Predictors of Musculoskeletal Pain among Primary School Students Using Smartphones in Nakhon Si Thammarat, Thailand
Authors: Mongkonkansai Jittaporn , Veerasakul Siriluk , Tamrin Shamsul Bahri Mohd , Madardam Uraiwan
Published: August 2022

School-age children increasingly use smartphones to conduct their learning activities; increasing reports of disorders related to smartphone use exist, including visual-related symptoms, stress, and musculoskeletal pain. This study aimed to examine risk factors for musculoskeletal pain among primary school students using smartphones. A cross-sectional study was conducted with 233 school-aged children in Nakhon Si Thammarat, Thailand. Data collection used a questionnaire for musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire with ISO 11,226:2000. Through Chi-square, t-test, and logistic regression analysis, factors independently associated with musculoskeletal pain were determined. An important factor in the development of musculoskeletal pain was the prolonged use of smartphones for longer than 60 min, particularly among children aged 6–9 years old. In regards to musculoskeletal pain, almost 53% of the students used their smartphones while lying down. Posing in a prone position while using a smartphone was 7.37 times more dangerous than sitting. The laying position tilts numerous organs at varying angles, especially the upper arm. The risk of musculoskeletal complaints must be reduced by educating parents, children, and the relevant government organizations about safe smartphone usage. The mentioned factors may be used to anticipate the onset of musculoskeletal pain caused by smartphone use in young children.
What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence
Authors: Cui Peng , Dong Zhiyu , Yao Xin , Cao Yifei , Sun Yifan , Feng Lan
Published: August 2022

It has been more than two years since the outbreak of the COVID-19 epidemic at the end of 2019. Many scholars have introduced the “resilience” concept into COVID-19 prevention and control to make up for the deficiencies in traditional community governance. This study analyzed the progress in research on social resilience, which is an important component of community resilience, focusing on the current literature on the impact of social resilience on COVID-19, and proposed a generalized dimension to integrated previous relevant literature. Then, VOSviewer was used to visualize and analyze the current progress of research on social resilience. The PRISMA method was used to collate studies on social resilience to the pandemic. The result showed that many current policies are effective in controlling COVID-19, but some key factors, such as vulnerable groups, social assistance, and socioeconomics, affect proper social functioning. Some scholars have proposed effective solutions to improve social resilience, such as establishing an assessment framework, identifying priority inoculation groups, and improving access to technology and cultural communication. Social resilience to COVID-19 can be enhanced by both external interventions and internal regulation. Social resilience requires these two aspects to be coordinated to strengthen community and urban pandemic resilience.
Anxiety among Adolescents and Young Adults during COVID-19 Pandemic: A Multi-Country Survey
Authors: Sabbagh Heba , Abdelaziz Wafaa , Alghamdi Waleed , Quritum Maryam , AlKhateeb Nada , Abourdan Joud , Qureshi Nafeesa , Qureshi Shabnum , Hamoud Ahmed , Mahmoud Nada , Odeh Ruba , Al-Khanati Nuraldeen , Jaber Rawiah , Balkhoyor Abdulrahman , Shabi Mohammed , Folayan Morenike , Alade Omolola , Gomaa Noha , Alnahdi Raqiya , Mahmoud Nawal , El Wazziki Hanane , Alnaas Manal , Samodien Bahia , Mahmoud Rawa , Abu Assab Nour , Saad Sherin , Alhachim Sondos , El Tantawi Maha
Published: August 2022

(1) Background: Adolescents-and-young-adults (AYA) are prone to anxiety. This study assessed AYA’s level of anxiety during the COVID-19 pandemic; and determined if anxiety levels were associated with country-income and region, socio-demographic profile and medical history of individuals. (2) Methods: A survey collected data from participants in 25 countries. Dependent-variables included general-anxiety level, and independent-variables included medical problems, COVID-19 infection, age, sex, education, and country-income-level and region. A multilevel-multinomial-logistic regression analysis was conducted to determine the association between dependent, and independent-variables. (3) Results: Of the 6989 respondents, 2964 (42.4%) had normal-anxiety, and 2621 (37.5%), 900 (12.9%) and 504 (7.2%) had mild, moderate and severe-anxiety, respectively. Participants from the African region (AFR) had lower odds of mild, moderate and severe than normal-anxiety compared to those from the Eastern-Mediterranean-region (EMR). Also, participants from lower-middle-income-countries (LMICs) had higher odds of mild and moderate than normal-anxiety compared to those from low-income-countries (LICs). Females, older-adolescents, with medical-problems, suspected-but-not-tested-for-COVID-19, and those with friends/family-infected with COVID-19 had significantly greater odds of different anxiety-levels. (4) Conclusions: One-in-five AYA had moderate to severe-anxiety during the COVID-19-pandemic. There were differences in anxiety-levels among AYAs by region and income-level, emphasizing the need for targeted public health interventions based on nationally-identified priorities.
Impact of COVID-19 Pandemic on School-Aged Children’s Physical Activity, Screen Time, and Sleep in Hong Kong: A Cross-Sectional Repeated Measures Study
Authors: So Hung-Kwan , Chua Gilbert T. , Yip Ka-Man , Tung Keith T. S. , Wong Rosa S. , Louie Lobo H. T. , Tso Winnie W. Y. , Wong Ian C. K. , Yam Jason C. , Kwan Mike Y. W. , Lau Kui-Kai , Kong Judy K. W. , Wong Wilfred H. S. , Ip Patrick
Published: August 2022

Despite concerns about the negative effects of social distancing and prolonged school closures on children’s lifestyle and physical activity (PA) during the COVID-19 pandemic, robust evidence is lacking on the impact of the pandemic-related school closures and social distancing on children’s wellbeing and daily life. This study aimed to examine changes in the PA levels, sleep patterns, and screen time of school-aged children during the different phases of the COVID-19 outbreak in Hong Kong using a repeated cross-sectional design. School students (grades 1 to 12) were asked to report their daily electronic device usage and to fill in a sleep diary, recording their daily sleep onset and wake-up time. They were equipped with a PA monitor, Actigraph wGT3X-BT, to obtain objective data on their PA levels and sleep patterns. Students were recruited before the pandemic (September 2019–January 2020; n = 577), during school closures (March 2020–April 2020; n = 146), and after schools partially reopened (October 2020–July 2021; n = 227). Our results indicated lower PA levels, longer sleep duration, and longer screen time among participants recruited during school closures than those recruited before the COVID-19 outbreak. Primary school students were found to sleep on average for an extra hour during school closures. The later sleep onset and increased screen time documented during school closures persisted when schools partially reopened. Our findings illustrate the significant impact of social distancing policies during the COVID-19 pandemic on the sleep pattern, screen time, and PA level in school-aged children in Hong Kong. Professionals should urgently reinforce the importance of improving physically activity, good sleep hygiene, and regulated use of electronic devices for parents and school-aged children during this unprecedented time.
The Psychological Impact and Influencing Factors during Different Waves of COVID-19 Pandemic on Healthcare Workers in Central Taiwan
Authors: Sun Teh-Kuang , Chu Li-Chuan , Hui Chun
Published: August 2022

Background: This study aims to explore differences of psychological impact and influencing factors that affected Taiwanese healthcare workers (HCW) during the first and second wave of COVID-19. Methods: a cross sectional survey of first-line HCW during November 2021 to February 2022: 270 paper questionnaires were issued and the valid response rate was 86% (231). For statistical analysis, descriptive statistics, Pearson correlation, and multivariate linear regression were used. Results: regardless of the wave of the pandemic, nearly 70% of HCW had anxiety, nearly 60% felt depressed, half of them suffered from insomnia, and one in three felt insufficient social support, which means a high level of loneliness. With an increased number of infected patients during the second wave, HCW felt significant changes of workload and schedule, with higher concern over risk of infection, and these factors induced higher levels of anxiety, but they manifested better satisfaction over public health policies and information provided by hospitals and governments. Changes of working schedules or duties positively relate to levels of anxiety and insomnia. The risk of infection causes anxiety, depression, and insomnia. Workplace relationships significantly relate to depression and loneliness. A negative family support causes an adverse psychological impact. Conclusions: the pandemic has a negative psychological impact on HCW. Early recognition of significant influencing factors, providing psychological support and therapy, are helpful strategies for reducing the adverse psychological effects.
Sustainable Working Life Patterns in a Swedish Twin Cohort: Age-Related Sequences of Sickness Absence, Disability Pension, Unemployment, and Premature Death during Working Life
Authors: Ropponen Annina , Josefsson Pontus , Böckerman Petri , Silventoinen Karri , Narusyte Jurgita , Wang Mo , Svedberg Pia
Published: August 2022

We aimed to investigate sustainable working life via age-related sequences of sickness absence (SA), disability pension (DP), unemployment (UE), premature death, and the influence of individual characteristics, accounting for familial confounding. The sample included monozygotic (MZ) and dizygotic (DZ) same-sexed twin pairs with register data (n = 47,450) that were followed for 10 years in four age cohorts: 26–35 (n = 9892), 36–45 (n = 10,620), 46–55 (n = 12,964) and 56–65 (n = 13,974). A sequence analysis was done in a 7-element state space: 1. “Sustainable working life”: SA/DP 0–30 days and UE 0–90 days; 2. “Unemployment >90 days”: SA/DP 0–30 days and UE > 90 days; 3. “Moderate SA/DP”: SA/DP 30–180 days; 4. “Almost full year of SA/DP”: SA/DP 180–365 days; 5. “Full year of SA/DP”: SA/DP ≥ 365 days; 6. Death; 7. Old-age pension. The largest cluster had a sustainable working life and never experienced states 2–6 (34–59%). Higher education and being married predicted a lower likelihood of experiencing states 2–6. The MZ twin pairs (vs. DZ) were more often in the same cluster suggesting the role of genetic factors. To conclude, the sustainable working life was the largest cluster group. Few individuals had prolonged periods of interruptions of sustainable working life meriting actions, especially in early adulthood for interventions to support workability.
School Feeding as a Protective Factor against Insulin Resistance: The Study of Cardiovascular Risks in Adolescents (ERICA)
Authors: Okamura Aline Bassetto , Gonçalves Vivian Siqueira Santos , de Carvalho Kênia Mara Baiocchi
Published: August 2022

The objective of this study was to use ERICA data from adolescents from Brazilian public schools to investigate the role of school feeding in insulin resistance markers. Public school students (12–17 years old) with available biochemical examinations were selected. Adolescents answered a self-administered questionnaire, and contextual characteristics were obtained through interviews with principals. A multilevel mixed-effects generalized linear model was performed at the contextual and individual levels with each insulin resistance marker (fasting insulin, HOMA-IR, and blood glucose levels). A total of 27,990 adolescents were evaluated (50.2% female). The prevalence of (1) altered insulin was 12.2% (95% CI; 11.1, 13.5), (2) high HOMA-IR was 24.7% (95% CI; 22.8, 26.7), and (3) high blood glucose was 4.6% (95% CI; 3.8, 5.4). School feeding was positively associated with an insulin resistance marker, decreasing by 0.135 units of HOMA-IR (95% CI; −0.19, −0.08), 0.469 μU/L of insulin levels (95% CI; −0.66, −0.28), and 0.634 mg/dL of blood glucose (95% CI; −0.87, −0.39). In turn, buying food increased blood glucose by 0.455 mg/dL (95% CI; 0.16, 0.75). School feeding was positively associated with insulin resistance variables, demonstrating the potential of planned meals in the school environment to serve as a health promoter for the adolescent population.
Multi-Generational Perspectives on the Competencies Required of First-Line Nurse Managers: A Phenomenological Study
Authors: Choi Pin-Pin , Wong Suet-Shan , Lee Wai-Man , Tiu Mei-Ha
Published: August 2022

First-line nurse managers play an integral role in ensuring team and organizational effectiveness and quality of care. They are facing increasing challenges arising from the need to lead a generation-diverse workforce. Further research that examines multi-generational perspectives on the competencies of first-line nurse managers is warranted. This paper aimed to elucidate multi-generational perspectives on the competencies required of first-line nurse managers based on their lived experiences and perceptions, as well as those of frontline nurses. A descriptive phenomenological approach was adopted. A total of 48 informants were invited to individual semi-structured interviews to share their perspectives on the competencies required of first-line nurse managers. Findings were analyzed using Van Kaam’s controlled explication method. Four themes that described four areas of competency were generated: (1) advocating for the interests of the staff, (2) allocating resources effectively, (3) building cohesive teams, and (4) embracing change and quality. The findings indicated that there were significant discrepancies among the different generations of informants in terms of their degree of commitment to work, preferred modes of team communication and collaboration, and perspectives on the role and function and preferred leadership styles of first-line nurse managers. This study fell short in examining the experiences of Generation Z nurses, and the findings are subject to further validation by larger samples. However, this study has implications for hospital administrators, nurse educators, and managers, encouraging them to rethink the notion of management competencies to develop effective strategies for leading a multi-generational workforce.
Improving the Understanding of Low Frequency Magnetic Field Exposure with Augmented Reality
Authors: Soyka Florian , Simons Julian
Published: August 2022

Low frequency magnetic fields are often present in our everyday life due to the multitude of electronic devices. High magnetic fields can occur in the workplace from a wide variety of machines and systems, which must be measured and evaluated from the point of view of occupational safety. To facilitate the understanding of magnetic fields by supervisors and employees in the workplace, an augmented reality (AR) application was developed to visualize the measured flux densities and the resulting safety distances. The application was deployed on two smartphones, allowing for the simultaneous viewing of the same scene without the use of additional markers. Whether the application creates a better understanding of the exposure situation was evaluated with the help of an online survey. In this survey, participants received either a classic measurement report or a report enhanced by augmented images. The evaluation shows that it subjectively felt less difficult for participants with the augmented report to answer questions about the exposure situation. Furthermore, they also objectively performed better in answering the questions than did the group with the classic report. Therefore, this work shows that AR enhanced images can improve the understanding of an exposure situation, and it describes how such images and videos can be created.
Validation Study of a New Random-Access Chemiluminescence Immunoassay Analyzer i-TRACK10® to Monitor Infliximab and Adalimumab Serum trough Levels and Anti-Drug Antibodies
Authors: Berger Anne Emmanuelle , Gleizes Aude , Waeckel Louis , Roblin Xavier , Krzysiek Roman , Hacein-Bey-Abina Salima , Soriano Alessandra , Paul Stephane
Published: August 2022

Background. Monitoring of biological TNF inhibitors is a very important tool to guide clinical decisions using specialized algorithms, especially in gastroenterology. A new chemiluminescent instrument (i-TRACK10® from Theradiag) could replace ELISA techniques to calculate the dosage of drugs and anti-drug antibodies. In this bi-centric study, we explored the analytical performances of i-TRACK10® using manual or automated (DS2®) ELISA Lisa-Tracker® assays, and compared the results. Patients and methods. Intra- and inter-run performances were evaluated with i-TRACK10® in two different laboratories and for two different ranges of values for infliximab, adalimumab, and their respective antibodies. Patients’ samples were used in the labs to compare the results obtained between the new instrument and either the manual Lisa-Tracker® or the automated DS2. Results. Intra- and inter-run performances were satisfactory, with values between 1.8% and 16.1% (for inter-run imprecision at low/medium values of infliximab). Results were generally comparable between assays. with the lowest value of correlation at 0.59 (anti-adalimumab dosage between i-TRACK10® and manual ELISA). Most often, values of drugs and anti-drug antibodies were higher with i-TRACK10® than with manual ELISA assay, and correlation values were better with automated ELISA. Agreements were globally acceptable, and the lowest coefficients of 0.7 was obtained for adalimumab values between i-TRACK10® and the two ELISA methods, and for anti-adalimumab values between i-TRACK10® and manual ELISA. The type of assay can potentially induce a change in the class of patients and lead to divergent therapeutic decisions. Conclusions. The new random-access instrument i-TRACK10® presents many advantages in a routine laboratory: rapidity, the possibility of standardization, usability, and expansion of the measurement range. Despite the relatively good agreement of results, it is preferable to use the same assay in longitudinal follow-up of a patient, because quantitative results were not completely equivalent especially for anti-drug antibodies.