bluuebunny/crossref_metadata_2025 huggingface dataset:
Measuring Comprehensive, General Health Literacy in the General Adult Population: The Development and Validation of the HLS19-Q12 Instrument in Seventeen Countries
Authors: Pelikan Jürgen M. , Link Thomas , Straßmayr Christa , Waldherr Karin , Alfers Tobias , Bøggild Henrik , Griebler Robert , Lopatina Maria , Mikšová Dominika , Nielsen Marie Germund , Peer Sandra , Vrdelja Mitja
Published: October 2022

Background: For improving health literacy (HL) by national and international public health policy, measuring population HL by a comprehensive instrument is needed. A short instrument, the HLS19-Q12 based on the HLS-EU-Q47, was developed, translated, applied, and validated in 17 countries in the WHO European Region. Methods: For factorial validity/dimensionality, Cronbach alphas, confirmatory factor analysis (CFA), Rasch model (RM), and Partial Credit Model (PCM) were used. For discriminant validity, correlation analysis, and for concurrent predictive validity, linear regression analysis were carried out. Results: The Cronbach alpha coefficients are above 0.7. The fit indices for the single-factor CFAs indicate a good model fit. Some items show differential item functioning in certain country data sets. The regression analyses demonstrate an association of the HLS19-Q12 score with social determinants and selected consequences of HL. The HLS19-Q12 score correlates sufficiently highly (r ≥ 0.897) with the equivalent score for the HLS19-Q47 long form. Conclusions: The HLS19-Q12, based on a comprehensive understanding of HL, shows acceptable psychometric and validity characteristics for different languages, country contexts, and methods of data collection, and is suitable for measuring HL in general, national, adult populations. There are also indications for further improvement of the instrument.
Sexually Explicit Material and Its Relationship with Sociodemographic Variables, Sexual Satisfaction, and Relationship Satisfaction in a Spanish Sample
Authors: Sánchez-Lamadrid Natalia , Sánchez-Fuentes María del Mar , Moyano Nieves , Granados Reina
Published: October 2022

Previous research that has examined the use of sexually explicit material (SEM) in the Spanish population and its relationship with sociodemographic variables, sexual satisfaction, and satisfaction with the relationship are practically non-existent. Therefore, the main goal was to analyze the pattern of use of SEM (frequency, format, context, content, and purpose of its use) and its relationship with sociodemographic variables (sex, age, sexual orientation, educational level, religiosity, status of partner, number of sexual partners, and age of first exposure to SEM), sexual satisfaction, and relationship satisfaction. The sample consisted of 221 participants, with an average age equal to 29.88 years (SD = 9.73) and of Spanish nationality. All participants completed a sociodemographic questionnaire, as well as the Spanish adaptations of the Sexual Media Questionnaire, Global Measure of Sexual Satisfaction, and Global Measure of Relationship Satisfaction. Based on the results, it was found that men use SEM more frequently than women, that the age of first exposure is 14 years old, the most used pattern of SEM is internet websites with sexual content in which adult men and women appear, and the way to visualize it is alone as private stimulation. In addition, it was shown that a higher frequency of SEM use implies a decrease in sexual satisfaction and vice versa, while there is no association between the frequency of SEM use and satisfaction with the relationship. The importance of considering the use of SEM, both in research on sexual satisfaction and in clinical practice, is discussed.
Transmission of Antimicrobial Resistant Bacteria at the Hajj: A Scoping Review
Authors: Alreeme Sara , Bokhary Hamid , Craig Adam T.
Published: October 2022

Background: The Hajj is an annual religious mass gathering event held in Makkah, Saudi Arabia. With millions of participants from across the globe attending the Hajj, the risk of importation, transmission, and global spread of infectious diseases is high. The emergence of antimicrobial resistant (AMR) bacteria is of worldwide concern and the Hajj poses a serious risk to its dissemination. This review aims to synthesize published literature on AMR bacteria acquisition and transmission associated with the Hajj. Methods: We searched electronic databases to identify literature published between January 1990 and December 2021. The search strategy included medical subject headings and keyword terms related to AMR bacteria and the Hajj. Results: After screening 2214 search results, 51 studies were included in the analysis. The review found 6455 AMR bacteria transmissions related to the Hajj. Thirty predominantly enteric or respiratory disease-causing AMR bacterial species were reported with isolates identified in cases on five continents. Most were male, aged above 50 years and were diagnosed in Makkah. Most cases were identified through hospital-based research; few cases were detected in community or primary health care settings. Conclusions: This review provides a contemporary account of knowledge related to AMR transmission at the Hajj. It emphasizes the need for the enhancement of surveillance for AMR bacteria globally.
Heating Control Strategy Based on Dynamic Programming for Building Energy Saving and Emission Reduction
Authors: Qin Haosen , Yu Zhen , Li Tailu , Liu Xueliang , Li Li
Published: October 2022

Finding the optimal balance between end-user’s comfort, lifestyle preferences and the cost of the heating, ventilation and air conditioning (HVAC) system, which requires intelligent decision making and control. This paper proposes a heating control method for HVAC based on dynamic programming. The method first selects the most suitable modeling approach for the controlled building among three machine learning modeling techniques by means of statistical performance metrics, after which the control of the HVAC system is described as a constrained optimization problem, and the action of the controller is given by solving the optimization problem through dynamic programming. In this paper, the variable ‘thermal energy storage in building’ is introduced to solve the problem that dynamic programming is difficult to obtain the historical state of the building due to the requirement of no aftereffect, while the room temperature and the remaining start hours of the Primary Air Unit are selected to describe the system state through theoretical analysis and trial and error. The results of the TRNSYS/Python co-simulation show that the proposed method can maintain better indoor thermal environment with less energy consumption compared to carefully reviewed expert rules. Compared with expert rule set ‘baseline-20 °C’, which keeps the room temperature at the minimum comfort level, the proposed control algorithm can save energy and reduce emissions by 35.1% with acceptable comfort violation.
Estimation of Functional Reserve in Patients with Hospital-Associated Deconditioning
Authors: Kim Minhee , Kim Nackhwan , Jeon Yuho , Kim Seung-Jong
Published: October 2022

Background: This study aimed to analyze the applicability of sit-to-stand (STS) muscle power tests for evaluating functional reserve in patients with hospital-associated deconditioning (HAD). Methods: This study is a single group preliminary observational study. STS tests were performed in the early stages of comprehensive rehabilitation treatment, and the interval changes in the clinical indicators were assessed after four weeks of clinical observation. A STS capacity ratio was estimated by the time duration of five STS repetitions (5r-STS) and the maximum number of STS repetitions over 30 s (30s-STS); the activities were measured using a three-dimension motion capture system and force plate. Results: After 4 weeks of comprehensive rehabilitation, the 10 m gait speed (p = 0.004), hand grip power (p = 0.022), hip extensor power (p = 0.002), Berg balance scale (p < 0.001), and modified Barthel index (MBI) (p = 0.001), respectively, were significantly improved. The force plate-derived (FPD) 30s-STS power and the number of repeats in the FPD 30s-STS showed a positive correlation with improvements in the hand grip power (Spearman’s Rho = 0.477, p = 0.045), hip extensor power (Spearman’s Rho = 0.482, p = 0.043), and MAI (Spearman’s Rho = 0.481, p = 0.043), respectively. The STS capacity ratio was correlated with higher improvements in the 10 m gait speed (Spearman’s Rho = 0.503, p = 0.034), hip extensor power (Spearman’s Rho = 0.494, p = 0.037), and MBI (Spearman’s Rho = 0.595, p = 0.009). Despite individual variability in the differences between the FPD and estimated STS power, the results for the correlation between the STS capacity ratio and clinical outcomes were consistent. Conclusions: The STS capacity ratio showed a positive correlation with the clinical outcomes, including gait speed, and may reflect a part of the functional reserve excluding the individual variability of performance.
The Effects of Small-Sided Games and Behavioral Interventions on the Physical and Motivational Outcomes of Youth Soccer Players
Authors: Pop Rareș-Mihai , Grosu Vlad Teodor , Grosu Emilia Florina , Zadic Alexandru , Mâță Liliana , Dobrescu Tatiana
Published: October 2022

The objective of this study was to test the effects of two types of intervention, one based on small-sided games (SSGs), and the other one that had, in addition, a behavioral component consisting of goal setting, public posting, and positive reinforcement. The participants were 16 male soccer players aged 12–14 years old who participated in a couple of training sessions per week between August and November 2021. We used Playr Catapult GPS devices to assess the effect of the intervention on the total distance covered and total sprint distance in the task of playing SSGs. We used Yo-Yo Intermittent Recovery Test Level 1 to test the effect of the intervention on players’ aerobic capacity and the Task and Ego Orientation in Sport Questionnaire to investigate levels of motivational climate. Multiple two-way mixed ANOVAs were conducted and the results indicated that our intervention had a positive effect on the total distance and total sprint distance covered during SSGs. For aerobic capacity, even if the results were not significant, they indicate a high effect size. The effect of the intervention on task-oriented motivational climate and ego-oriented motivational climate was not significant. Discussions focus on the application of the intervention in team training settings.
Modeling COVID-19 Transmission Dynamics: A Bibliometric Review
Authors: Goswami Gour Gobinda , Labib Tahmid
Published: October 2022

A good amount of research has evolved just in three years in COVID-19 transmission, mortality, vaccination, and some socioeconomic studies. A few bibliometric reviews have already been performed in the literature, especially on the broad theme of COVID-19, without any particular area such as transmission, mortality, or vaccination. This paper fills this gap by conducting a bibliometric review on COVID-19 transmission as the first of its kind. The main aim of this study is to conduct a bibliometric review of the literature in the area of COVID-19 transmission dynamics. We have conducted bibliometric analysis using descriptive and network analysis methods to review the literature in this area using RStudio, Openrefine, VOSviewer, and Tableau. We reviewed 1103 articles published in 2020–2022. The result identified the top authors, top disciplines, research patterns, and hotspots and gave us clear directions for classifying research topics in this area. New research areas are rapidly emerging in this area, which needs constant observation by researchers to combat this global epidemic.
Pomegranate Extract Affects Fungal Biofilm Production: Consumption of Phenolic Compounds and Alteration of Fungal Autoinducers Release
Authors: Colombari Bruna , Tagliazucchi Davide , Odorici Alessandra , Pericolini Eva , Foltran Ismaela , Pinetti Diego , Meto Aida , Peppoloni Samuele , Blasi Elisabetta
Published: October 2022

Candida albicans expresses numerous virulence factors that contribute to pathogenesis, including its dimorphic transition and even biofilm formation, through the release of specific quorum sensing molecules, such as the autoinducers (AI) tyrosol and farnesol. In particular, once organized as biofilm, Candida cells can elude conventional antifungal therapies and the host’s immune defenses as well. Accordingly, biofilm-associated infections become a major clinical challenge underlining the need of innovative antimicrobial approaches. The aim of this in vitro study was to assess the effects of pomegranate peel extract (PomeGr) on C. albicans growth and biofilm formation; in addition, the release of tyrosol and farnesol was investigated. The phenolic profile of PomeGr was assessed by high-performance liquid chromatography coupled to electrospray ionization mass spectrometry (HPLC-ESI-MS) analysis before and after exposure to C. albicans. Here, we showed that fungal growth, biofilm formation and AI release were altered by PomeGr treatment. Moreover, the phenolic content of PomeGr was substantially hampered upon exposure to fungal cells; particularly pedunculagin, punicalin, punicalagin, granatin, di-(HHDP-galloyl-hexoside)-pentoside and their isomers as well as ellagic acid–hexoside appeared highly consumed, suggesting their role as bioactive molecules against Candida. Overall, these new insights on the anti-Candida properties of PomeGr and its potential mechanisms of action may represent a relevant step in the design of novel therapeutic approaches against fungal infections.
Does REM Sleep-Dependent Obstructive Sleep Apnea Have Clinical Significance?
Authors: Lee Seung , Kim Doh-Eui , Hwangbo Young , Song Mei , Yang Kwang , Cho Yong
Published: October 2022

(1) Background: The clinical significance of rapid eye movement (REM) sleep-dependent obstructive sleep apnea (OSA) remains controversial because various criteria have been used to describe it. This study determined the clinical significance of REM-OSA in Koreans using data from patients with sufficient total sleep time (TST) and REM sleep duration. (2) Methods: We investigated 1824 patients with OSA who were diagnosed by polysomnography (PSG). REM-OSA was defined as an overall apnea–hypopnea index (AHI) ≥ 5, NREM-AHI < 15, and REM-AHI/NREM-AHI ≥ 2. Demographic and medical data were collected from digital medical records and sleep questionnaires. We compared clinical and PSG data between REM-OSA and REM sleep-nondependent OSA (nREM-OSA). (3) Results: In total, 140 patients (20.2%) were categorized as REM-OSA. Those patients were predominantly female (53.6% vs. 21.7% of the overall cohort, p < 0.001). REM-OSA is frequent in the mild (69.3% vs. 18.8%) to moderate (30% vs. 27.9%) range of OSA (p < 0.001). (4) Conclusions: The prevalence of REM-OSA was similar to that in previous study findings: frequent in mild to moderate OSA and females, which is consistent with results in Western populations. Our findings suggest that REM-OSA does not have clinical significance as a subtype of OSA.
Exploring the Relationship between Built Environment and Commuting Mode Choice: Longitudinal Evidence from China
Authors: Yin Chaoying , Wang Xiaoquan , Shao Chunfu , Ma Jianxiao
Published: October 2022

The literature has offered much evidence regarding associations between the built environment (BE) and commuting behavior. However, most prior studies are conducted based on cross-sectional samples from developed countries, and little is known about the longitudinal link between BE and commuting behavior. Based on two rounds of survey data from China, this study examines relationships of BE with commuting mode choice from both cross-sectional and longitudinal perspectives. The effects of life-cycle events are considered within a unified framework. Results of the longitudinal examination of BE and commuting mode shift largely support the cross-sectional analysis. Specifically, promoting more balanced land use and improving residential density are important for car use reductions and active travel initiatives. Meanwhile, more balanced land use improves the probability of commuting by motorcycle and electric bike, but reduces the probability of commuting by public transit. This study also highlights the remarkable role played by life-cycle events in affecting commuting mode shifts.
Let Us Take It into Our Own Hands: Patient Experience during the COVID-19 Pandemic
Authors: Baránková Martina , Greškovičová Katarína , Strnádelová Bronislava , Krizova Katarina , Halamová Júlia
Published: October 2022

The COVID-19 pandemic introduced new health situations for patients and health professionals alike and, with them, opportunities to study these new patient experiences, gain insights into changed healthcare practices, and propose potential new healthcare solutions. The aim of our study was to explore how people coped with their health issues during the pandemic. We utilized a consensual qualitative analysis. The convenience sample that was gathered online through social media comprised 1683 participants with a mean age of 31.02 years (SD = 11.99). The 50 participants from the convenience sample who scored the highest on subscales of the COPE inventory were selected for in-depth interviews. In-depth interviews with 27 participants from the convenience sample who reported a health issue were analyzed. The final sample in our study therefore comprised 17 women (63%) and 10 men (37%) with a mean age of 28.35 years (SD = 9.31). The results showed that behavioral coping with health problems was mentioned across all participants’ accounts. However, participants facing a health issue during the COVID-19 pandemic mostly relied on their own self-help instead of on healthcare services. They utilized healthcare services only when absolutely necessary. Furthermore, the participants had two main sources of resilience: themselves and other people.
Perceptions on Extending the Use of Technology after the COVID-19 Pandemic Resolves: A Qualitative Study with Older Adults
Authors: Diehl Ceci , Tavares Rita , Abreu Taiane , Almeida Ana , Silva Telmo , Santinha Gonçalo , Rocha Nelson , Seidel Katja , MacLachlan Mac , Silva Anabela , Ribeiro Oscar
Published: October 2022

The COVID-19 pandemic of the last two years has affected the lives of many individuals, especially the most vulnerable and at-risk population groups, e.g., older adults. While social distancing and isolation are shown to be effective at decreasing the transmission of the virus, these actions have also increased loneliness and social isolation. To combat social distancing from family and friends, older adults have turned to technology for help. In the health sector, these individuals also had a variety of options that strengthened eHealth care services. This study analyzed the technologies used during the COVID-19 pandemic by a group of older people, as well as explored their expectations of use after the pandemic period. Qualitative and ethnographic interviews were conducted with 10 Portuguese older adults, and data were collected over a period of seven months between 2020 and 2021. The research demonstrated that the use of current and new technologies in the post-pandemic future is likely to be related to overcoming: (i) insecurity regarding privacy issues; (ii) difficulties in using technologies due to the level of use of digital technology; and (iii) the human distancing and impersonal consequences of using these technologies.
Flourishing Privately but Languishing Publicly: Ethnic Identity’s Contribution to Understanding Eudaimonic Wellbeing
Authors: Arneaud Mary J. , Alea Nicole , Waters Theodore E. A.
Published: October 2022

The paper probes the meaning of wellbeing by examining whether ethnic identity is related to private and public conceptualisations of eudaimonic wellbeing. Private and public eudaimonic wellbeing are assessed as positive relations with others and social integration. Ethnic identity is a type of social identity that is meaningful in contexts of enduring inter-ethnic group contact. Fiji and Trinidad and Tobago (TT), nations with contact between two major ethnic groups for over a century, are the contexts for a preliminary exploration. Young adults (Fiji N = 38, 19–26 years old; TT N = 41, 18–25 years old) completed measures of positive relations with others (private eudaimonic wellbeing), social integration (public eudaimonic wellbeing), and ethnic identity development. Across the nations, a stronger sense of ethnic identity, or commitment to the ingroup, predicted better positive relations with others but worse social integration. Ethnic identity thus seems to be a key construct in understanding positive private, but negative public eudaimonic wellbeing among young adults in contexts of ethnic diversity. Findings are discussed by considering how implications of ethnic diversity (competitive inter-group relations, inter-group contact making ethnic group membership salient) might be related to ethnic identity development, and private and public eudaimonic wellbeing.
Comparison of Motor Difficulties Measured in the First Year of School among Children Who Attended Rural Outdoor or Urban Conventional Kindergartens
Authors: Specht Ina Olmer , Larsen Sofus Christian , Rohde Jeanett Friis , Østergaard Jane Nautrup , Heitmann Berit Lilienthal
Published: October 2022

Background: Kindergartens can potentially contribute substantially to the daily level of physical activity and development of motor skills and might be an ideal setting for improving these as a public health initiative. We aimed to examine whether children from rural outdoor kindergartens had a lower risk of motor difficulties than children from urban conventional kindergartens. Methods: Motor test results were measured during the first school year by school health nurses using a six-item test of gross- and fine motor skills (jumping, handle a writing tool, cutting with a scissor following a line, one-leg stand on each leg, throwing and grabbing). Register-based information was available on potential confounding factors. Results: We included 901 children from outdoor kindergartens and 993 from conventional kindergartens with a mean (SD) age of 6.5 years (0.4). The children from the two types of kindergarten differed according to demographic information, with outdoor kindergarten children more often being from more affluent families (long maternal education level: 47.5% vs. 31.0%, p < 0.0001) and fewer girls attending the outdoor kindergartens (42.7% vs. 49.5%, p = 0.003). In the adjusted models, we found no evidence of differences in the risk of motor difficulties between children attending either type of kindergarten (OR: 0.95, 95%CI: 0.71; 1.27, p = 0.72). Conclusion: Our results do not support outdoor kindergartens as a potential intervention to improve motor abilities among children. Randomized controlled trials are needed to confirm these findings.
Help Needs among Parents and Families in Times of the COVID-19 Pandemic Lockdown in Germany
Authors: Baldus Christiane , Franz Simone , Thomasius Rainer
Published: October 2022

Background: The COVID-19 pandemic was accompanied by multiple disruptions in the everyday lives of families. Previous research has underlined the negative impact of the pandemic on stress among parents and identified factors related to heightened levels of stress. Yet, several potential stressors have not been taken into account. Moreover, little is known about how general and pandemic-related stressors impacted help-seeking intentions for personal or family problems. Methods: We recruited N = 602 parents and their children (n = 101) for a cross-sectional online survey on parent, child and family well-being, stress and help need after the first wave of COVID-19 infections in Germany. Data were analysed using multinomial regression analyses to predict family help need, taking into account pre-pandemic help-seeking. Results: Parents showed high levels of stress, which were associated with pre-pandemic mental health, family functioning, pandemic related worries about finances, household workload and health worries. While 76.2% of families reported no during-pandemic help need, 11.3% reported a help need before and during the pandemic and 12.5% of families without prior help needs reported a new help need during the pandemic. Conclusions: The results of the present study underline the need for help service providers to adapt their offers.
Adaptation and Validation of the Sexuality Attitudes and Beliefs Scale for the Italian Context
Authors: Gradellini Cinzia , Kaleci Shaniko , Sim-Sim Margarida , Dias Hélia , Mecugni Daniela , Aaberg Vicki , Gómez-Cantarino Sagrario
Published: October 2022

Background: Nurses dealing with a patient’s sexuality must start from an awareness of their own experience, specific attitudes, and possible limits. What emerges from the literature is a conservative tendency in nurses, which underlines the difficulty in this awareness, but even a difficulty in improving the necessary knowledge/skills. It is, therefore, essential to create tools that can raise awareness of these limits. Objective: the present study aims to explore the psychometric properties of the Attitudes and Beliefs about Sexuality Scale, adapted and validated for the Italian context. Method: This is an instrumental, cross-sectional piece of research, whose SABS validation process applies the steps of Beaton and Valmi. The convenience sample collected data from 223 participants in the first approach. This was followed by a retest involving 44 students randomly selected from those who responded in the first phase. Ethical principles were respected. Results: The SABS questionnaire demonstrated good test-retest reliability, good internal consistency, and adequate construct validity. Conclusions: The Italian version of the SABS is valid and reliable for use with nursing students. This is the fourth language in which the SABS is available for research.
REPRO_PL-Polish Mother and Child Cohort—Exposure, Health Status, and Neurobehavioral Assessments in Adolescents—Design and Cohort Update
Authors: Janc Magdalena , Jankowska Agnieszka , Weteska Monika , Brzozowska Agnieszka , Hanke Wojciech , Jurewicz Joanna , Garí Mercè , Polańska Kinga , Jerzyńska Joanna
Published: October 2022

Early life is a crucial window of opportunity to improve health across the life course. The prospective cohort study design is the most adequate to evaluate the longitudinal effects of exposure, the notification of changes in the exposure level and evaluation of the simultaneous impact of various exposures, as well as the assessment of several health effects and trajectories throughout childhood and adolescence. This paper provides an overview of the Polish Mother and Child cohort (REPRO_PL), with particular emphasis on Phase IV of this study. REPRO_PL is conducted in central Europe, where such longitudinal studies are less frequently implemented. In this population-based prospective cohort, which was established in 2007, three phases covering pregnancy (I), early childhood (II), and early school age (III) periods have already been completed. Phase IV gives a uniform opportunity to follow-up children during adolescence in order to evaluate if the consequences of prenatal and early postnatal exposures still persist at the age of 14. Moreover, we will be able to investigate the associations between simultaneous exposures to a broad spectrum of environmental factors, adolescents’ health and neurobehavioral outcomes, and their trajectories within life, which is a novel framework of high scientific, public health and clinical priority.
The Association between Changes in Built Environment and Changes in Walking among Older Women in Portland, Oregon
Authors: Guan Justin , Hirsch Jana A. , Tabb Loni Philip , Hillier Teresa A. , Michael Yvonne L.
Published: October 2022

Some cross-sectional evidence suggests that the objectively measured built environment can encourage walking among older adults. We examined the associations between objectively measured built environment with change in self-reported walking among older women by using data from the Study of Osteoporotic Fractures (SOF). We evaluated the longitudinal associations between built environment characteristics and walking among 1253 older women (median age = 71 years) in Portland, Oregon using generalized estimating equation models. Built environment characteristics included baseline values and longitudinal changes in distance to the closest bus stop, light rail station, commercial area, and park. A difference of 1 km in the baseline distance to the closest bus stop was associated with a 12% decrease in the total number of blocks walked per week during follow-up (eβ = 0.88, 95% CI: 0.78, 0.99). Our study provided limited support for an association between neighborhood transportation and changes in walking among older women. Future studies should consider examining both objective measures and perceptions of the built environment.
Development and Validation of Nutrition Environment Scoring for Chinese Style University/Work-Site Canteens (NESC-CC) and Oil–Salt Visual Analogue Scale (OS-VAS)
Authors: Han Yue , Fan Zhihong , Wu Yixue , Zhang Dandan , Wen Xinyi
Published: October 2022

The assessment of the use of cooking oil/fat and salt in dining food is an unsolved issue in non-quantitative nutrition environment evaluation, and the nutrition environment of Chinese-style dining establishments has not been effectively assessed. This study developed two evaluation tools: the Nutrition Environment Scoring for Chinese Style University/Work-site Canteens (NESC-CC) and the Oil–Salt Visual Analogue Scale (OS-VAS) and applied them in nine university canteens. The NESC-CC, which includes comprehensive items from the healthiness of food availability, cooking methods to other factors that support healthy choices, is featured by adjusting the scoring categories and items to suit Chinese food culture and canteen operation model. The OS-VAS is a novel virtual analog scale (VAS) based on the fuzzy judgement of the diners. It requires the randomly recruited respondents to rate their personal preference for salty taste/greasy food preference, overall saltiness/greasiness of canteen dishes, and personal demands for salt/cooking oil reduction. The oil use score, the salt use score, and the total score are derived from the given formula. The field tests of the NESC-CC in nine university canteens at three time points showed that this tool was able to effectively distinguish the nutrition environment of the Chinese food-style canteens with good reliability and validity. The result of OS-VAS scoring achieved a good resolution of the overall salt and oil/fat use and confirmed our hypothesis on the fuzzy judgement of the diners These tools are suitable for the comprehensive evaluation of Chinese-style canteens and have the potential to be applied to more group-meal-providing establishments.
Professionals’ Awareness of Young Carers in Schools: Results from a French Survey
Authors: Untas Aurélie , Vioulac Christel , Justin Pauline , Leu Agnes , Dorard Géraldine
Published: October 2022

Few studies have investigated professionals’ awareness of young carers (YCs). Therefore, the main aim of this study was to explore school professionals’ awareness of YCs. The secondary aim was to compare professionals’ responses according to their occupation. A total of 2658 professionals took part in this study by completing an online questionnaire. The results indicated that the mean for the perceived age for care beginning was 10.3 years old, with parents being perceived as the most frequent care recipient. The main caring activities reported were domestic chores, emotional support and sibling care, while care provided directly to the care recipient was perceived as less frequent. Many suggestions for improving the identification, referral and support of YCs were seen as relevant, but professionals were less supportive of suggestions for adjustments within schools. The key training needs centered around better identifying YCs and developing better knowledge of their difficulties. Differences were observed according to occupation, with administrative staff and teachers having less accurate perceptions than school counsellors as well as social and health professionals. This study shows that it can be difficult for school professionals to imagine a child providing care. Specific training, therefore, needs to be proposed according to school professionals’ occupations.
Drivers and Consequences of Short-Form Video (SFV) Addiction amongst Adolescents in China: Stress-Coping Theory Perspective
Authors: Mu Honglei , Jiang Qiaojie , Xu Jiang , Chen Sijing
Published: October 2022

As a hedonic technology, short-form videos (SFVs) have attracted numerous users. However, one related problem that merits research is SFV addiction, especially among adolescents due to their immature self-control abilities. Although recent research has discussed the formation process of SFV addiction from psychological needs and the SFV features perspective, scarce attention has been paid to investigating the relationship between stress and SFV addiction, as well as the relationship between SFV addiction and its consequences. Therefore, the purpose of this study is to examine whether school burnout (school stress), social phobia (social stress), and parental phubbing (family stress) trigger SFV addiction based on stress-coping theory and, furthermore, whether SFV addiction leads to low levels of happiness (psychological consequence), parent–child relationship quality (relational consequence), and perseverance (behavioral consequence) among adolescents. The proposed model was tested based on data collected from 242 adolescents from across China under the age of 18 with the experience watching SFVs. A covariance-based structural equation modeling (CB-SEM) method was used for data analysis. The results showed that school burnout and social phobia significantly triggered SFV addiction, which later negatively and significantly influenced adolescents’ happiness, parent–child relationship quality, and perseverance. The study also found that SFV addiction served as a mediator between the drivers and consequences of SFV addiction. This study provides several theoretical implications. First, this study is one of the first to explain adolescents’ SFV addiction from stress-coping perspective, thereby enriching research in the field of SFV addiction. Second, prior research has rarely discussed the impacts of stresses from various environments on addiction behavior in a single study. Therefore, this study contributes to the knowledge of stress-related research in an SFV addiction context. Finally, our study enhances our understanding of the impact of SFV addiction on its consequences, in both an SFV research context and a social media research context.
The Effects of Cognitive Behavioral Therapy for Insomnia among College Students with Irritable Bowel Syndrome: A Randomized Controlled Trial
Authors: Yang Yun-Yi , Jun Sangeun
Published: October 2022

The aim of the study was to develop and evaluate cognitive behavioral therapy for insomnia (CBT-I) among college students with irritable bowel syndrome (IBS). We randomly assigned 60 college students with IBS comorbid insomnia to the experimental group who received CBT-I for 90 min once a week for 4 weeks and the control (non-CBT-I) group. Participants completed self-report measures of insomnia severity, pre-sleep arousal, sleep-related dysfunctional cognitions, maladaptive sleep habits, IBS symptom severity and IBS quality of life (QOL) at baseline, after intervention, and at 3-month follow-up. Sleep pattern, GI symptoms during sleep and Interleukin-6 (IL-6) and C-Reaction Protein (CRP) were measured at baseline and after intervention. The experimental group showed significant decreases in insomnia severity, sleep onset latency, total time in bed, pre-sleep arousal, GI symptoms during sleep, sleep-related dysfunctional cognitions, maladaptive sleep habits, and IBS symptom severity, compared with the control group. This group also showed significant increases in sleep efficiency and IBS QOL compared with the control group. No significant differences were observed between the levels of IL-6 and CRP of both groups. CBT-I for college students with comorbid IBS and insomnia was effective in reducing insomnia, IBS symptom severity, and IBS QOL.
Synergistic Effects of International Oil Price Fluctuations and Carbon Tax Policies on the Energy–Economy–Environment System in China
Authors: Mo Shu , Wang Ting
Published: October 2022

Catalyzed by COVID-19 and the Russia–Ukraine conflict, oil prices fluctuate dramatically on the worldwide market. Both international oil price changes and carbon tax policies have a direct impact on energy costs, thus influencing energy security and emission reduction impacts. Therefore, assessing the interaction effects of international oil price variations and carbon tax policies can assist in resolving the competing challenges of energy security and carbon emission reduction. The impact of international oil price fluctuations on China’s energy–economic–environment system under the baseline scenario and carbon taxation scenario is analyzed by constructing a computable general equilibrium model comprising six modules: production, trade, institutions, price, environment, and equilibrium. The findings indicate that, in addition to reducing high-carbon energy consumption and increasing demand for clean electricity, rising international oil prices have a negative effect on real GDP, resulting in lower output in sectors other than construction, and a positive effect on the environmental system by driving carbon emission reductions. In contrast, decreasing international oil prices have the opposite effect. Nevertheless, the impact of rising and decreasing international oil prices is asymmetrical, with the positive shock effect being smaller than the negative. The carbon tax policy can effectively offset the increase in carbon emissions caused by the decline in international oil prices, which is conducive to promoting the development of clean energy, while simultaneously causing an increase in product prices and arousing a contraction in consumer demand, which has a limited negative impact on the macroeconomy.
Optimization of Spatial Land Use Patterns with Low Carbon Target: A Case Study of Sanmenxia, China
Authors: Li Li , Chen Zhichao , Wang Shidong
Published: October 2022

Land use change is an important factor in atmospheric carbon emissions. Most of the existing studies focus on modeling the land use pattern for a certain period of time in the future and calculating and analyzing carbon emissions. However, few studies have optimized the spatial pattern of land use from the perspective of the impact of carbon emission constraints on land use structure. Therefore, in this study, the effects of land use change on carbon emissions from 1990 to 2020 were modeled using a carbon flow model for Sanmenxia, Henan, China, as an example. Then, the land use carbon emission function under the low carbon target was constructed, and the differential evolution (DE) algorithm was used to obtain the optimized land use quantity structure. Finally, the PLUS model was used to predict the optimal spatial configuration of land use patterns to minimize carbon emissions. The study produced three major results. (1) From 1990 to 2020, the structural change of land use in Sanmenxia mainly occurred between cultivated land, forest land, grassland and construction land. During this period of land use change, the carbon emissions from construction land first increased and then decreased, but despite the decrease, carbon emissions still exceeded carbon sinks, and the carbon metabolism of land use was still far from equilibrium. (2) Between 2010 and 2020, the area of cultivated land began to decrease, and the area of forest land rapidly increased, and land-use-related carbon emissions showed negative growth. This showed that the structural adjustment of energy consumption in Sanmenxia during the period decreased carbon emissions in comparison with the previous period. (3) A comparison of predicted optimized land use patterns with land use patterns in an as-is development scenario showed a decrease in construction land area of 23.05 km2 in 2030 with a steady increase in forest land area and a decrease in total carbon emission of 20.43 t. The newly converted construction land in the optimized land use pattern was concentrated in the ribbon-clustered towns built during urban expansion along the Shaanling basin of the Yellow River and the Mianchi–Yima industrial development area.
Impact of Different Air Pollutants (PM10, PM2.5, NO2, and Bacterial Aerosols) on COVID-19 Cases in Gliwice, Southern Poland
Authors: Brągoszewska Ewa , Mainka Anna
Published: October 2022

Many studies have shown that air pollution may be closely associated with increased morbidity and mortality due to COVID-19. It has been observed that exposure to air pollution leads to reduced immune response, thereby facilitating viral penetration and replication. In our study, we combined information on confirmed COVID-19 daily new cases (DNCs) in one of the most polluted regions in the European Union (EU) with air-quality monitoring data, including meteorological parameters (temperature, relative humidity, atmospheric pressure, wind speed, and direction) and concentrations of particulate matter (PM10 and PM2.5), sulfur dioxide (SO2), nitrogen oxides (NO and NO2), ozone (O3), and carbon monoxide (CO). Additionally, the relationship between bacterial aerosol (BA) concentration and COVID-19 spread was analyzed. We confirmed a significant positive correlation (p < 0.05) between NO2 concentrations and numbers of confirmed DNCs and observed positive correlations (p < 0.05) between BA concentrations and DNCs, which may point to coronavirus air transmission by surface deposits on bioaerosol particles. In addition, wind direction information was used to show that the highest numbers of DNCs were associated with the dominant wind directions in the region (southern and southwestern parts).
Atmospheric Deposition of Polycyclic Aromatic Hydrocarbons (PAHs) in the Coastal Urban Environment of Poland: Sources and Transport Patterns
Authors: Siudek Patrycja
Published: October 2022

This study combines an interseasonal variation of deposition profiles of fine-particulate-bound polycyclic aromatic hydrocarbons (PM2.5-bound PAHs) with source apportionment analysis. Comprehensive measurements were conducted in four representative periods of 2019 in the coastal urban region of the Baltic Sea in Poland. The mean daily deposition flux of Σ13PAHs was 229 ng m−2 day−1, which was lower than in other urban/industrial sites of Europe and Asia. The seasonal PAHs distribution exhibited a clear U-shaped pattern, reaching maximum values in January and December and the minimum in June. A strong influence of local/regional anthropogenic emissions and meteorological factors (precipitation, ambient temperature, wind regimes) was observed. The contribution of medium molecular weight PAHs (fluoranthene, pyrene, benzo(a)anthracene, chrysene) to the total sum of PAHs deposition fluxes increased from 24% in spring to 38% in summer, as a result of photochemistry, urban traffic, and shipping emissions. The highest contribution of 5- and 6-ring PAHs occurred primarily in autumn (55%), followed by winter (39%), spring (35%), and summer (26%). Benzo(a)pyrene (human carcinogenic compound) had a relatively high deposition flux in winter, which was almost 14 and 20 times higher than the values registered in spring and summer, respectively. The FLEXTRA dispersion model was used to study potential pollution regions for PM2.5-bound PAHs and to investigate changes in the PAH deposition regime in different seasons. This study reveals that the winter contribution of PAHs was mostly impacted by local urban activities (i.e., residential heating and coal-fired power plants). Winter PAH deposition fluxes were particularly associated with atmospheric particles transported from surrounding areas and industrially impacted regions of SE–S–SW Poland and Europe.
The Effects of Physical Activity on Positive Emotions in Children and Adolescents: A Systematic Review and Meta-Analysis
Authors: Li Jiayu , Huang Zan , Si Wenna , Shao Tianyi
Published: October 2022

Background: Positive emotions help children and adolescents develop good personalities and interpersonal relationships. Evidence shows that participation in physical activity is associated with positive emotions in young people. However, there is still a lack of studies on the effects of physical activity on positive emotions in children and adolescents. Objective: The purpose of this systematic review and meta-analysis was to examine the effects of physical activity on positive emotions in children and adolescents. Methods: Online databases (Scopus, PubMed, Web of Science, EBSCOhost, and APA PsycInfo) were searched from inception to August 2022. Result: A total of 24 articles were eventually included representing 3907 participants from 14 different countries. Overall, the effect of physical activity interventions on positive emotions was significant. The studies revealed that positive emotions were statistically better in the physical activity participation group than in the control group without physical activity (SMD = 0.62, 95% CI: (0.24, 1.01), (p < 0.01). Based on subgroup analyses, we found that participation in aerobic exercise for 30–60 min in adolescents aged ≥12 years had a more significant intervention effect on positive emotions. Conclusion: These findings indicate that the moods of children and adolescents who participate in physical activity significantly improved compared with the moods of those who do not participate in physical activity. The age, exercise type, and exercise duration of adolescents are important factors influencing the positive emotions resulting from physical activity interventions.
Development of Sense of Coherence Stability in the AGORA Healthy Ageing Study
Authors: Sanna Francesca , Galletta Maura , Koelen Maria , Contu Paolo
Published: October 2022

Sense of coherence (SOC) is a psycho-social trait formed in childhood or adolescence, allowing individuals to be more resilient to daily life stressors, stay well, and improve their personal health. Although SOC remains stable after the age of thirty, only a few studies investigated its stability in adulthood. The aim was to investigate the development of SOC over time in 489 participants and its association with age, gender, educational level, or negative life events. The study was performed as part of the Healthy Ageing project of the Academic Collaborative Centre AGORA, a longitudinal study involving four municipalities of Eastern Netherlands. A self-administrated questionnaire was used to monitor the SOC of the elderly in 2008, 2010, and 2013, using the Orientation to Life Questionnaire (SOC-13). The analysis included repeated-measures ANOVA analysis and bivariate analysis using Pearson’s chi square test. We found no statistically significant variation in SOC over time (F (2, 282) = 2.99, p = 0.052) and no significant association with age (F (2, 282) = 2.851, p = 0.06), gender (F (2, 282) = 0.845, p = 0.43), or educational level (F (2, 282) = 0.708, p = 0.49). SOC remained stable in the elderly population, even if they experienced negative events over their lifespan.