bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Chin Tuck against Resistance Exercise in Citizens with Oropharyngeal Dysphagia—A Randomised Controlled Study
Authors: Jensen Diana , Bendsen Bettina Burgdorff , Westmark Signe , Riis Johannes , Krarup Anne Lund , Westergren Albert , Melgaard Dorte
Published: November 2022

Oropharyngeal dysphagia (OD) impacts the safety and efficacy of the swallowing function. The aim was to uncover the effect of chin tuck against resistance (CTAR) exercises compared to standard care in relation to the swallowing function in citizens with OD. Ninety-two citizens (46% male, median age 78 years (IQR 71, 84)) with OD confirmed by the Volume-Viscosity Swallow Test and/or Minimal Eating Observation Form version II were randomised to standard care with the addition of CTAR daily for six weeks or standard care only. The participants were included from seven Danish municipalities from March 2019 to October 2020. A nonsignificant effect on dysphagia of CTAR training combined with standard care versus standard care alone was documented. Both CTAR training combined with standard care and standard care alone had a significant effect on the swallowing function in citizens with OD, with the best effect in the group receiving CTAR training combined with standard care. A significant effect compared to baseline was observed in all participants (p = 0.03) after 12 weeks. Participants in both groups had a significant reduction in problems with manipulating food in the mouth (p = 0.005), swallowing (p = 0.005), and chewing (p = 0.03) but an increased appetite (p = 0.01). The reported quality of life scored with DHI-DK was significantly improved in both groups.
Visual Impairment and Blindness among Patients at Nigeria Army Eye Centre, Bonny Cantonment Lagos, Nigeria
Authors: Ezinne Ngozika Esther , Shittu Oluwaseun , Ekemiri Kingsley Kene , Kwarteng Michael Agyemang , Tagoh Selassie , Ogbonna Grace , Mashige Khathutshelo Percy
Published: November 2022

Background: Visual impairment (VI) is a public health problem that can affect an individual’s social wellbeing. The study aims to determine the distribution and causes of vision impairment (VI) and blindness among patients at Nigerian Army Eye Centre Lagos, Nigeria. Method: An institutional cross-sectional study was conducted, and a systematic random sampling technique was used to enrol study participants from their medical records. Information about their demography, presenting visual acuity (VA), best corrected visual acuity and cause of VI and blindness, were retrieved. Result: A total of five hundred (500) medical records of patients aged from 4 to 96 years, with a mean age of 54.07 ± 21.43 years, were considered for the study. Among the participants, more than half were males (51.2%) and ≥60 years (53.0%). A large (47.2%) proportion of the patients had moderate VI at the time of presentation, followed by blindness (22.0%). The major cause of blindness was cataract, while glaucoma and refractive error were the major causes of VI. Blindness and VI were significantly associated with the type of VI before and after the provision of intervention (p < 0.05) across different age groups (children, youths, adults, elderly) with an adjusted p < 0.003 after an intervention. Conclusions: Cataracts, glaucoma and uncorrected refractive error (URE) were the major causes of VI and blindness in Lagos State. VI was more prevalent in males than females; however, there was no significant difference between the two proportions. The prevalence of VI among age groups was more significant for those 60 years and above. Early screening for the detection and management of cataract, URE and glaucoma is highly advised to reduce the burden of VI.
AI-Assisted Diagnosis and Decision-Making Method in Developing Countries for Osteosarcoma
Authors: Tang Haojun , Huang Hui , Liu Jun , Zhu Jun , Gou Fangfang , Wu Jia
Published: November 2022

Osteosarcoma is a malignant tumor derived from primitive osteogenic mesenchymal cells, which is extremely harmful to the human body and has a high mortality rate. Early diagnosis and treatment of this disease is necessary to improve the survival rate of patients, and MRI is an effective tool for detecting osteosarcoma. However, due to the complex structure and variable location of osteosarcoma, cancer cells are highly heterogeneous and prone to aggregation and overlap, making it easy for doctors to inaccurately predict the area of the lesion. In addition, in developing countries lacking professional medical systems, doctors need to examine mass of osteosarcoma MRI images of patients, which is time-consuming and inefficient, and may result in misjudgment and omission. For the sake of reducing labor cost and improve detection efficiency, this paper proposes an Attention Condenser-based MRI image segmentation system for osteosarcoma (OMSAS), which can help physicians quickly locate the lesion area and achieve accurate segmentation of the osteosarcoma tumor region. Using the idea of AttendSeg, we constructed an Attention Condenser-based residual structure network (ACRNet), which greatly reduces the complexity of the structure and enables smaller hardware requirements while ensuring the accuracy of image segmentation. The model was tested on more than 4000 samples from two hospitals in China. The experimental results demonstrate that our model has higher efficiency, higher accuracy and lighter structure for osteosarcoma MRI image segmentation compared to other existing models.
Smart-Card Technology for the Dental Management of Medically Complex Patients
Authors: Alshehri Mohammed , Alamri Abdullah , Alghamdi Mohammed , Nazer Rakan , Kujan Omar
Published: November 2022

Smart-card technology is believed to help healthcare industries in several ways, since it minimizes risks and medical errors, enables accurate patient identification, reduces administrative costs, improves efficiency, and facilitates prompt delivery of care to patients. The present study aims to highlight the adoption of a newly designed dental smart card for medically complex patients. The present smart card is an advance in patient identification, using a quick-response (QR) code to automatically report or receive certain types of responses from patients or physicians once illuminated by signals from QR readers. Further, the card provides general information about the patient’s condition and physical details. The card is pocket sized and can be carried easily by the patient anywhere, alongside a digital copy of the card.
The Role of Pharmacists in Providing Pharmaceutical Care in Primary and Secondary Prevention of Stroke: A Systematic Review and Meta-Analysis
Authors: Al-Qahtani Saeed , Jalal Zahraa , Paudyal Vibhu , Mahmood Sajid , Mason Julie
Published: November 2022

Pharmacists deliver pharmaceutical care in many different healthcare settings and are well-placed to support the prevention of stroke. However, their role and impact in this area is ill-defined. This systematic review aims to explore the pharmacists’ role in stroke prevention. Nine databases were searched for studies reporting pharmacist interventions in the management of primary and secondary ischaemic stroke prevention. Study quality was evaluated through Cochrane Risk of Bias and Joanna Briggs Institute (JBI) appraisal tools where possible. A narrative review was conducted and meta-analysis performed for studies with comparable outcomes. Of the 834 initial articles, 31 met inclusion criteria. Study designs were varied and included controlled trials, observational studies, audit reports and conference abstracts. Seven studies addressed the pharmacists’ role in primary prevention and 24 in secondary prevention. Pharmacist interventions reported were diverse and often multifactorial. Overall, 20 studies reported significant improvement in outcomes. Meta-analysis showed pharmacist interventions in emergency care significantly improved the odds of achieving thrombolytic therapy door to needle (DTN) times ≤45 min, odds ratio: 2.69 (95% confidence interval (CI): 1.95–3.72); p < 0.001. The pharmacists’ role is varied and spans the stroke treatment pathway, with the potential for a positive impact on a range of health-related outcomes.
Might Dog Walking Reduce the Impact of COPD on Patients’ Life?
Authors: Baiardini Ilaria , Fasola Salvatore , Lorenzi Chiara , Colombo Nicole , Bruno Matteo , La Grutta Stefania , Scognamillo Carla , Braido Fulvio
Published: November 2022

Low levels of physical activity (PA) lead to a worsening of physical condition and contributes to multimorbidity in Chronic Obstructive Respiratory Disease (COPD). Unsupervised PA related to dog ownership may contribute to reducing sedentary behavior. We aimed to investigate the relationship between dog walking, patient-reported outcomes (PROs) and exacerbations in COPD. A pre-defined sample of 200 COPD patients (dog owners and non-dog owners) with symptomatic COPD was sourced from a database representative of the Italian population. A computer-assisted personal interview was used to assess health status impairment (CAT), fatigue (FACIT), health-related quality of life (HRQoL) (EQ-5D), and PA frequency. In the whole sample, PA was associated with better CAT, EQ-5D, VAS, FACIT scores and reduced number of exacerbation (p < 0.001). Under the same CAT scores, dog-walking duration was associated with a better HRQoL (EQ5D, p = 0.015) and less fatigue (FACIT, p = 0.017). In an adjusted regression model, walking dogs >30 min was associated with lower fatigue (FACIT) than having no dogs and walking dogs <15 min (p = 0.026 and p = 0.009, respectively). Motivation related to dog walking could modify patients’ tendency to focus on symptoms during PA and, therefore, to perceive the fatigue. Dog walking may be effective for increasing and maintaining regular PA, reducing the subjective impact of COPD.
Association between Antihypertensive Therapy and Risk of Acute Lower Respiratory Infections (ALRI): A Retrospective Cohort Study
Authors: Heidemann Jana , Konrad Marcel , Roderburg Christoph , Loosen Sven H. , Kostev Karel
Published: November 2022

Purpose: The aim of this study was to analyze the association between antihypertensive drugs and the incidence of acute lower respiratory infections in patients treated in general practices in Germany. Methods: After propensity score matching of five antihypertensive drug classes, a total of 377,470 patients aged ≥18 years were available for analysis. The association between each antihypertensive drug class and ALRI incidence as compared to all other antihypertensive drug classes (as a group) was studied using conditional Cox regression analyses. Because of multiple comparisons and large patient samples, findings were clinically considered relevant when the hazard ratio was <0.85 or >1.15. Results: The regression analyses applied found no clinically relevant associations between antihypertensive drugs and the incidence of acute lower respiratory infections, as all hazard ratios were between 0.85 and 1.15. Conclusion: In the present study, only slight and not clinically relevant increases or decreases in the ALRI incidence were observed. Additional studies are necessary to further explore the risks associated with antihypertensive agents that are widely embedded in today’s clinical practice.
Preparing Children for Their First Dental Visit: A Guide for Parents
Authors: Bagattoni Simone , Nascimben Francesca , Biondi Elena , Fitzgibbon Raquel , Lardani Lisa , Gatto Maria Rosaria , Piana Gabriela , Mattarozzi Katia
Published: November 2022

The aim of the study was to test an information booklet containing suggestions to parents on how to prepare their child for the first dental visit. Forty-five children and one parent per included child took part in the trial. Children were randomized in two groups; the information booklet was e-mailed to the parents of the study group. At the end of the visit, the dentist and the parent evaluated the child’s behavior through the Frankl Behavior Rating Scale (FBRS) and the utility of the booklet through a Likert scale. The children evaluated the pleasantness of the visit and the perceived pain through the Wong–Baker FACES® Pain Rating Scale (WBFPRS). Parents evaluated the information booklet as highly understandable and useful. According to the dentist, informed children were more cooperative (FBRS median score: 4; IQR: 3.5–4) than the control group (median score 3; IQR: 2–4) (p = 0.013; Mann–Whitney U test). Children prepared with the booklet reported less pain (WBFPRS: 0.40 ± 0.82 vs. 1.42 ± 1.99; p = 0.034; t-test;) and tended to evaluate the visit as more enjoyable (WBFPRS: 1.1 ± 2.14 vs. 2.75 ± 3.43; p = 0.064; t-test) than unprepared children. The information booklet increases the child’s ability to cooperate during the visit and could represent a useful instrument for the clinical practice.
A Study on Types of Medication Adherence in Hypertension among Older Patients and Influencing Factors
Authors: Lee Sunmin , Jeong Kyu-Hyoung , Lee Seoyoon , Park Hayoung
Published: November 2022

Background: Hypertension has the characteristic that the risk of complications can be reduced through appropriate medication in daily life. Hence, it is important to consider practical measures to increase medication adherence, particularly among older patients. Methods: This study used the Korea Health Panel 2020 data (Version 2.0.1), jointly conducted by Korea Institute for Health and Social Affairs and National Health Insurance. A total of 2300 patients with high blood pressure over 65 years of age were selected. In order to identify types of medication adherence in older hypertensive patients, and examine factors that influence the types, the Latent Profile Analysis (LPA) and logistic regression were performed. Results: The types of adherence groups were classified into two groups: an ‘adherence group’ (87.1%) and a ‘non-adherence group’ (12.9%). Furthermore, age, living alone, and depressive symptoms were identified as determinants of medication adherence type among older hypertensive patients. Conclusion: The significant impact of sociodemographic status (age, living alone, and depressive symptoms) on medication adherence among older hypertensive patients indicates the need to establish more specific empirical interventions based on each type’s characteristics. It is expected that this study will provide an in-depth understanding of factors associated with medication adherence among older patients with hypertension, which can support interventions tailored to the specific needs of those who are non-adherent.
Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018
Authors: Choi Sung-Yong , Han Ji-Eun , Choi Jiae , Park Minjung , Sung Soo-Hyun , Sung Angela Dong-Min
Published: November 2022

This study aimed to determine the association between symptoms of depression and sleep duration in a representative sample of the Korean population. Using national cross-sectional data from the seventh Korea National Health and Nutrition Examination Surveys (KNHANES-VII), 5461 adults aged 18–49 years were analyzed using logistic regression models. The proportions of participants with total daily sleep durations (24 h) of <6 h, 6–8 h, and ≥9 h were 26.2%, 60.6%, and 13.3%, respectively. The proportions of individuals with symptoms of depression in the <6 h, 6–8 h, and ≥9 h sleep duration groups were 37.4%, 46.3%, and 16.3%, respectively. The odds ratios (ORs) were significantly higher in the <6 h and ≥9 h sleep groups than in the 6–8 h sleep group. There was a significant association between short (<6 h/day) and long (≥9 h/day) sleep duration and symptoms of depression among the general Korean population. In particular, our findings suggest that short sleep (<6 h/day) is more associated with symptoms of depression than long sleep (≥9 h/day).
Formative Usability Evaluation of a Three-Way Digital Healthcare System for the People with Disabilities and Their Caregivers: A Cross-Sectional Study
Authors: Kim Ju Hee , Bae Young-Hyeon , Kim Sung Shin , Lee Minyoung , Ho Seung Hee
Published: November 2022

During the COVID-19 pandemic, there was a growing awareness about the importance of building a health and safety net based on digital healthcare systems, such as ICT-based local community online services and patient monitoring technology. This study was conducted with the aim of evaluating the formative usability of a three-way digital healthcare system, which had been developed to build a health and safety net for people with disabilities and deriving the directions for system improvement in order for them to be used as basic data for further system enhancement. A formative usability evaluation of a three-way digital healthcare system was performed with the participation of 43 healthcare professionals, using the 10-item System Usability Scale (SUS) and five items for satisfaction evaluation. Each item was rated on a five-point Likert scale, with the result converted to a scale of 100. Analysis was performed using the average score and the acceptable system usability level. The overall mean SUS score was 62.4, which corresponds to Grade D according to the SUS grading scale, and the below-average items were complexity (Q2), convenience (Q8), simplicity (Q3), professionalism (technician support, prior learning) (Q4, Q10), and learnability (Q7). The overall mean user satisfaction was 71.2 points, where overall satisfaction, system architecture and understandability, and continuous use intention were marked with below-average scores. The SUS D grade is interpreted as “fair” and the water solubility is “almost acceptable”. For the usability enhancement of the newly developed a three-way digital healthcare system, the overall direction for system architecture improvement was analyzed centering on complexity (Q2), convenience (Q8), professionalism (technician support, prior learning) (Q4, Q10), learnability (Q7), and simplicity (Q3). Efforts need to be directed at enhancing system satisfaction and continuance rate by deriving detailed system improvement strategies and achieving system enhancement to reflect the opinions of not only experts but also users.
Non-Pathological Psychological Distress among Mainland Chinese in Canada and Its Sociodemographic Risk Factors amidst the Pandemic
Authors: Yang Lixia , Yu Linke , Kandasamy Kesaan , Wang Yiran , Shi Fuyan , Zhang Weiguo , Wang Peizhong Peter
Published: November 2022

The COVID-19 pandemic has exacerbated health inequalities, with a potentially heightened mental health risk for Mainland Chinese in Canada, given the rising anti-Chinese discrimination, and barriers in assessing health services. In this context, this study aimed to assess non-pathological psychological distress towards COVID-19 and identify its sociodemographic risk factors among Mainland Chinese in Canada at the early stages of the pandemic. Methods: A sample of 731 Mainland Chinese aged 16 or older completed an on-line survey to examine their attitudes, behavioural, and psychological responses towards COVID-19. Non-pathological psychological distress was assessed with a 7-item self-report scale to capture common emotional reactions towards COVID-19. Results: A factor analysis revealed a single-factor structure of the 7-item COVID-19 psychological distress scale (Eigen λ = 3.79). A composite psychological distress index (PDI) score was calculated from these items and used as the outcome variable. Multivariate regression models identified age, financial satisfaction, health status, and perceived/experienced discrimination as significant predictors of psychological distress (ps ≤ 0.05). Conclusions: Mainland Chinese in Canada who were over 25, in poor financial/health status, or with perceived/experienced discrimination were at a higher risk for COVID-19-related psychological distress. The health inequity across these factors would inform the services to mitigate mental health risk in minority groups.
Use of Medicinal Plants during Pregnancy, Childbirth and Postpartum in Southern Morocco
Authors: Kamel Nadia , El Boullani Rachida , Cherrah Yahia
Published: November 2022

Southern Morocco, particularly the Guelmim-Oued Noun region, is rich in a wide diversity of plant species. Pregnant women in this region use medicinal plants during pregnancy and childbirth for various purposes; however, the use of these plants has never been documented. The objectives of this study are threefold: to estimate the prevalence of medicinal plant uses by pregnant women in the province of Guelmim, Morocco, to describe the traditional practices of self-medication and to determine the associated factors. This is a multicenter cross-sectional study with descriptive and analytical approaches. Data were collected using an interview questionnaire, which was administered to pregnant women at health care centers and hospitals in the province of Guelmim. A total of 560 women participated in this study. The prevalence of medicinal plant use was 66.96%. Artemisia herba-alba Asso, Thymus maroccanus Ball., Trigonella foenum-graecum L., Aloysia citriodora Palau, Lepidium sativum L. and Cuminum cyminum L. were the plants with the highest UV. Pain, the induction and facilitation of childbirth, flu syndrome and anemia were the most listed reasons for use. The use of medicinal plants was significantly associated with the level of education (chi-square = 15.651; p = 0.004), and pregnancy monitoring (chi-square = 5.283; p = 0.028). In the province of Guelmim, the prevalence of the use of medicinal plants by women during pregnancy and childbirth is high. Further research is necessary in order to explore potential associated risks and complications.
Impact of COVID-19 Pandemic on Oncological Surgery Activities: A Retrospective Study from a Southern Italian Region
Authors: Di Martino Giuseppe , Cedrone Fabrizio , Di Giovanni Pamela , Romano Ferdinando , Staniscia Tommaso
Published: November 2022

(1) Background: The pandemic had a strong impact on healthcare for other diseases, the so-called collateral damage. This situation heavily impacted the health care system, causing a deferment of surgical admissions. This situation had an immediate and long-term impact on millions of patients with surgical diseases all over the world. The objective of this study was to evaluate the incidence of hospitalizations for colorectal and breast cancers in an Italian region in the year 2020 and compare it with the years 2018–2019. (2) Methods: This retrospective study was performed in the region of Abruzzo, Italy. Monthly number of hospitalizations in the year 2020 was compared with a control period consisting of the average of admissions that occurred in the years 2018–2019 using Poisson regression. (3) Results: A reduction in hospital admissions for all diseases considered was found. In particular, compared with years 2018–2019, admissions for colorectal cancer were 35.71% lower (HRR 0.915; p < 0.001), and admissions for breast cancer were 10.36% lower (HRR 0.895; p < 0.001) (4) Conclusions: The results of this study showed the decrease of admissions for elective oncological surgery during pandemic, suggesting the need of strategic measures to face the burden of future years’ hospitalizations.
Spectroscopic and Morphologic Investigation of Bronze Disease: Performance Evaluation of Portable Devices
Authors: Porcu Daniela , Innocenti Silvia , Galeotti Monica , Striova Jana , Dei Luigi , Carretti Emiliano , Fontana Raffaella
Published: November 2022

Copper alloy artworks are particularly subjected to chloride attack, which may trigger bronze disease. Therefore, early identification of the phenomenon is crucial in order to stabilize the reactive copper chloride (CuCl) and remove the harmful corrosion products (atacamite and polymorphs). Confocal Raman Microspectroscopy (CRM) has proven to be effective for the detection of small amounts of atacamite, ascribable to the initial phases of corrosion. The handling of bronze artworks is often difficult or even impossible given their large size and weight, and sampling is not always allowed, making the use of portable instruments mandatory for on-site diagnostics. This paper proposes a method for the early detection of corrosion using non-invasive approaches. In this work, we present the results obtained from a set of artificially aged bronze samples with a suite of either laboratory (bench-top) or field (portable/transportable) instruments with the aim of highlighting their characteristics and performances in the diagnosis of bronze disease. Raman spectroscopy, Fiber Optics Reflectance Spectroscopy (FORS), Optical Coherence Tomography (OCT), and Scanning Electron Microscopy (SEM) were applied for chemical and morphological characterization of the samples.
Reassessing Neolithic Diets in Western Scotland
Authors: Pickard Catriona , Bonsall Clive
Published: November 2022

Although marine resources are known to have been exploited by both foragers and early farmers in Scotland, the importance of seafood to the diets of Neolithic groups has been widely debated. Here we present paired stable isotope (δ13C and δ15N) and radiocarbon measurements on Early Neolithic human remains from Raschoille Cave in Oban. These are compared with published data for other sites in western Scotland and used to re-evaluate the use of marine resources by the first farmers. The diets of Late Mesolithic foragers and Early Neolithic farmers were modelled from stable isotope data using both Linear and Bayesian (FRUITS) mixing models. Our FRUITS dietary models indicate that Mesolithic foragers obtained much of their dietary protein and calories from marine resources, consistent with the predominance of shellfish, fish and sea mammal remains in their shell middens. Of note is the large proportion of dietary calories obtained from plant foods, which is like that of the early farming groups. The diets of Early Neolithic farmers appear relatively homogeneous across Scotland. Plant foods were the primary source of calories. Meat and/or dairy from terrestrial mammals were the most important source of dietary protein. Marine resources were, at most, a minor component of the ‘lifetime’ diet.
Evaluation of Long-Term Radar-Derived Precipitation for Water Balance Estimates: A Case Study for Multiple Catchments in Saxony, Germany
Authors: Luong Thanh Thi , Vorobevskii Ivan , Pöschmann Judith , Kronenberg Rico , Gliksman Daniel , Bernhofer Christian
Published: November 2022

Quality of water balance estimations are strongly dependent on the precipitation input. The key limitation here is typically a lack of spatial representation in precipitation data. Quantitative precipitation estimation (QPE) using radar is recognized as capable to significantly enhance the spatial representation of precipitation compared to conventional rain gauge-based methods by calibrating radar pixels with surrounding rain gauges. However, the measured precipitation is often underestimated due to wind drift or funnel evaporation, particularly in mountainous areas. Thus, a post-correction is required before applying radar precipitation in water balance models. Here, we applied the Richter correction for the first time to a radar-based QPE, to model the water balance in ten catchments in Saxony, Germany. The hydrological responses for the period 2001–2017 from the model were validated with discharge observations. The results show that radar data application yielded reliable simulations of water balance (KGE = 0.53 and 0.70 at daily and monthly resolutions, respectively). However, a simple compensation such as the Richter method to conventional precipitation should be used with caution. This study shows that radar-based precipitation has immense potential to advance quality of the precipitation input to distributed hydrologic models not only for flood events but also for climatological analyses.
The COVID-19 Impact on the Trends in Yellow Fever and Lassa Fever Infections in Nigeria
Authors: Opara Nnennaya U. , Nwagbara Ugochinyere I. , Hlongwana Khumbulani W.
Published: November 2022

Lassa fever (LF) and yellow fever (YF) belong to a group of viral hemorrhagic fevers (VHFs). These viruses have common features and damages the organs and blood vessels; they also impair the body’s homeostasis. Some VHFs cause mild disease, while some cause severe disease and death such as in the case of Ebola or Marburg. LF virus and YF virus are two of the most recent emerging viruses in Africa, resulting in severe hemorrhagic fever in humans. Lassa fever virus is continuously on the rise both in Nigeria and neighboring countries in West Africa, with an estimate of over 500,000 cases of LF, and 5000 deaths, annually. YF virus is endemic in temperate climate regions of Africa, Central America (Guatemala, Honduras, Nicaragua, El Salvador), and South America (such as Brazil, Argentina, Peru, and Chile) with an annual estimated cases of 200,000 and 30,000 deaths globally. This review examines the impact of the COVID-19 pandemic on the trend in epidemiology of these two VHFs to delineate responses that are associated with protective or pathogenic outcomes.
Modelling Analysis on Dietary Patterns and Oral Health Status among Adolescents
Authors: You Huay Woon
Published: November 2022

Adolescence is a crucial stage between childhood and adulthood during which an individual learns new behaviours and practices including dietary patterns. This study aimed to examine the diet and oral health status among adolescents, and employed a structured questionnaire with three sections, namely, demographic, Adolescents’ Food Habits Checklist (AFHC) and the Kayser–Jones Brief Oral Health Status Examination (BOHSE). The AFHC was formulated consisting of 23 items to collect information about dietary patterns with respect to food purchase, preparation and consumption habits. Meanwhile, the BOHSE contained nine items to evaluate the oral conditions of adolescents. The relationship between dietary pattern and oral health in adolescents was investigated. A total of 160 adolescents were randomly selected in this study. The data analysis was presented in the form of tables. This study adhered to the STROBE checklist’s Guidelines for Systematic Reporting of Examination. According to the findings, food consumption dietary patterns among adolescents had the highest mean score (4.475). This demonstrates that adolescents practiced healthy food consumption. A significant positive correlation was found between food purchase, food preparation, food consumption and dietary patterns. Moreover, females had a slightly higher mean score than males, showing that females have a healthier diet status than males. This study can serve as points of reflection and recommendations on dietary patterns and oral health status.
Eight Months of Serological Follow-Up of Anti-SARS-CoV-2 Antibodies in France: A Study among an Adult Population
Authors: Decarreaux Dorine , Sevila Julie , Masse Shirley , Capai Lisandru , Fourié Toscane , Villarroel Paola Mariela Saba , Amroun Abdennour , Nurtop Elif , Vareille Matthieu , Blanchon Thierry , de Lamballerie Xavier , Charrel Remi , Falchi Alessandra
Published: November 2022

Background: Uncertainties remain regarding the nature and durability of the humoral immune response to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Aim: This study investigated immunoglobulin G response and neutralizing activity to evaluate the mean antibody concentrations and response duration induced by each vaccination regimen in a French adult population. Methods: A study including blood sampling and questionnaires was carried out from November 2020 to July 2021 with three separate follow-up phases. Spike proteins and neutralizing antibodies were quantified using ELISA and a virus-neutralization test. Results: Overall, 295 participants were included. Seroprevalences were 11.5% (n = 34), 10.5% (n = 31), and 68.1% (n = 201) in phases 1, 2, and 3, respectively. Importantly, 5.8% (n = 17) of participants lost their natural antibodies. Antibody response of participants with only a prior infection was 88.2 BAU/mL, significantly lower than those vaccinated, which was 1909.3 BAU/mL (p = 0.04). Moreover, the antibody response of vaccinated participants with a prior infection was higher (3593.8 BAU/mL) than those vaccinated without prior infection (3402.9 BAU/mL) (p = 0.78). Vaccinated participants with or without prior infection had a higher seroneutralization rate (91.0%) than those unvaccinated with prior infection (65.0%). Conclusion: These results demonstrated that single infection does not confer effective protection against SARS-CoV-2.
Perception of Spatial Legibility and Its Association with Human Mobility Patterns: An Empirical Assessment of the Historical Districts in Rasht, Iran
Authors: Askarizad Reza , He Jinliao
Published: November 2022

Achieving legibility within the context of historical districts has become a controversial problem due to their widespread growth and unconventional constructions within, which has led to inconsistencies in the urban context system, and a decrease in the level of urban sociability. This paper aims to provide an empirical assessment towards facilitating the perception of spatial legibility and its association with human mobility patterns. To this end, a novel mix method was developed in order to comprehend the association between spatial legibility and human mobility patterns using Space Syntax, cognitive sketch maps, and time-lapse photography. The results revealed that there is a significant association between spatial legibility and human mobility patterns, such that the incorporation of objective and subjective factors affecting legibility, including highly integrated morphological characteristics along with the saliency of landmarks featuring historical values, can lead to increased human mobility patterns in terms of use frequency. Accordingly, this research aids urban planners and designers in recognizing how to deal with historical districts in order to foster the sociability of these areas and create a lively and socially sustainable urban environment.
Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists
Authors: Le Austin , Khoo Edmund , Palamar Joseph J.
Published: November 2022

Cannabis use is prevalent among adolescents and young adults in the US. Virtually all modes of cannabis consumption involve the oral cavity, and previous studies have linked cannabis use with poorer oral health. We sought to identify associations between cannabis use and various oral health outcomes and behaviors among individuals 12–25 years of age, and to discuss implications for orthodontists who largely interact with this age group over an extended period of treatment time. We examined data from patient electronic health records (N = 14,657) obtained between 2015 and 2021. Associations between lifetime and current self-reported cannabis use and several oral health outcomes or related behaviors that reflect periodontal health, caries status, oral lesions, and physical integrity of tooth structure and restorations were examined in a bivariable and multivariable manner, controlling for patient age, sex, and self-reported tobacco and alcohol use. Reporting lifetime cannabis use was associated with higher risk for having oral lesions (aPR = 1.41, 95% CI: 1.07–1.85), bruxism (aPR = 1.31, 95% CI: 1.09–1.58), and frequent consumption of sugary beverages and snacks (aPR = 1.27, 95% CI: 1.12–1.41). Reporting current cannabis use was associated with higher risk for oral lesions (aPR = 1.45, 95% CI: 1.03–2.06) and frequent consumption of sugary beverages and snacks (aPR = 1.26, 95% CI: 1.07–1.48). Cannabis users aged 12–25 are at increased risk for bruxism, oral lesions, and frequent consumption of sugary beverages and snacks. Orthodontists and other dental professionals should probe for drug use and be cognizant of increased risk for oral health problems in patients that report actively using cannabis.
A Systematic Review on Modeling Methods and Influential Factors for Mapping Dengue-Related Risk in Urban Settings
Authors: Yin Shi , Ren Chao , Shi Yuan , Hua Junyi , Yuan Hsiang-Yu , Tian Lin-Wei
Published: November 2022

Dengue fever is an acute mosquito-borne disease that mostly spreads within urban or semi-urban areas in warm climate zones. The dengue-related risk map is one of the most practical tools for executing effective control policies, breaking the transmission chain, and preventing disease outbreaks. Mapping risk at a small scale, such as at an urban level, can demonstrate the spatial heterogeneities in complicated built environments. This review aims to summarize state-of-the-art modeling methods and influential factors in mapping dengue fever risk in urban settings. Data were manually extracted from five major academic search databases following a set of querying and selection criteria, and a total of 28 studies were analyzed. Twenty of the selected papers investigated the spatial pattern of dengue risk by epidemic data, whereas the remaining eight papers developed an entomological risk map as a proxy for potential dengue burden in cities or agglomerated urban regions. The key findings included: (1) Big data sources and emerging data-mining techniques are innovatively employed for detecting hot spots of dengue-related burden in the urban context; (2) Bayesian approaches and machine learning algorithms have become more popular as spatial modeling tools for predicting the distribution of dengue incidence and mosquito presence; (3) Climatic and built environmental variables are the most common factors in making predictions, though the effects of these factors vary with the mosquito species; (4) Socio-economic data may be a better representation of the huge heterogeneity of risk or vulnerability spatial distribution on an urban scale. In conclusion, for spatially assessing dengue-related risk in an urban context, data availability and the purpose for mapping determine the analytical approaches and modeling methods used. To enhance the reliabilities of predictive models, sufficient data about dengue serotyping, socio-economic status, and spatial connectivity may be more important for mapping dengue-related risk in urban settings for future studies.
A Thematic Review on Using Food Delivery Services during the Pandemic: Insights for the Post-COVID-19 Era
Authors: Li Yezheng , Yao Pinyi , Osman Syuhaily , Zainudin Norzalina , Sabri Mohamad Fazli
Published: November 2022

The food delivery service is the most typical and visible example of online-to-offline (O2O) commerce. More consumers are using food delivery services for various reasons during the COVID-19 pandemic, making this business model viral worldwide. In the post-pandemic era, offering food delivery services will become the new normal for restaurants. Although a growing number of publications have focused on consumer behavior in this issue, no review paper has addressed current research and industry trends. Thus, this paper aims to review the literature published from 2020 to the present (October 2022) on consumers’ use of food delivery services during the pandemic. A thematic review was conducted, with 40 articles searched from Scopus and Web of Science being included. Quantitative findings showed current research trends, and thematic analyses formed eight themes of factors influencing consumer behavior: (1) technical and utilitarian factors, (2) system-related attributes, (3) emotional and hedonic factors, (4) individual characteristics, (5) service quality, (6) risk-related factors, (7) social factors, and (8) food-related attributes. The paper also emphasizes COVID-19-related influences and suggests promising future research directions. The results offer insights into industry practices and starting points for future research.
Research on Multi-Scale Ecological Network Connectivity—Taking the Guangdong–Hong Kong–Macao Greater Bay Area as a Case Study
Authors: Wu Jiansheng , Zhang Shengyong , Wen Haihao , Fan Xuening
Published: November 2022

The Guangdong–Hong Kong–Macao Greater Bay Area urban agglomeration is an urban agglomeration with some of the most intensive urbanization since 1980s. A large amount of cultivated land, forest land, water bodies and other land types in the region has been occupied by construction land, resulting in fragmented ecological landscapes and biodiversity in the region and causing many other ecological problems. Based on this, this paper takes the Guangdong–Hong Kong–Macao Greater Bay Area as a case study, constructs an ecological network of the dispersion scale of five species from 1990 to 2020 based on a morphological spatial pattern analysis (MSPA) method, identifies the ecological groups in the network and uses the core node-based community evolution path tracking algorithm to analyze the ecological groups in order to explore the changes of ecological network connectivity at different scales in the region and to reveal the overall and local characteristics and changes of the migratory space of terrestrial mammals with different dispersion capabilities. The research results show that: (1) From 1990 to 2020, the area of construction land in the Guangdong–Hong Kong–Macao Greater Bay Area increased sharply, with good connectivity in the northwest, southwest and eastern regions and poor connectivity in the central region. (2) There are obvious differences between the overall and local changes in the connectivity trends of multi-scale regional ecological networks. On the whole, the overall ecological connectivity of the ecological network at each scale showed a gradual upward trend, and the overall connectivity index IIC and the possible connectivity index PC gradually increased with the increase of the maximum dispersal distance of species. From the perspective of local patches, the larger the species dispersion scale, the larger the value of the revised betweenness centrality index and the patch possible connectivity index. (3) The distribution of ecological groups at different species dispersion scales is different, and the smaller the dispersal scale of the species, the greater the distribution of ecological groups. Small-scale species are limited by the maximum dispersal distance, and the range of their ecological groups is generally small. Small-scale (3 km), mesoscale (10 km) and large-scale (30 km) core nodes of ecological groups show a gradual increase trend, and the overall connectivity of ecological groups has improved. However, the core nodes of the extra-large-scale (60 km) and ultra-large-scale (100 km) ecological groups show a trend of decreasing fluctuations, and the overall connectivity within the ecological group has declined. This study is helpful to clarify the structural characteristics of regional ecological space and provide a theoretical basis for regional ecological planning.
Effects of Physical Exercise on Executive Function in Adults with Depression: A Systematic Review and Meta-Analysis
Authors: Contreras-Osorio Falonn , Ramirez-Campillo Rodrigo , Cerda-Vega Enrique , Campos-Jara Rodrigo , Martínez-Salazar Cristian , Reigal Rafael E. , Hernández-Mendo Antonio , Carneiro Lara , Campos-Jara Christian
Published: November 2022

Executive function is among the most affected cognitive dimensions in depression. Physical exercise may improve executive function (e.g., working memory, inhibition, cognitive flexibility), although this is without consensus on adults with depression. Through this systematic review, we aim to elucidate the effects of physical exercise programs on executive functions in adults with depression. The literature search was performed in four relevant electronic databases, combining keywords and medical subject headings, from inception until September 2022. Controlled interventions, involving adults with depression, and reporting working memory, inhibition, and/or cognitive flexibility pre-post-intervention data, were considered includable. Results from meta-analyses included effect size (ES, i.e., Hedges’ g) values reported with 95% confidence intervals (95%CIs), with p set at ≤0.05. Seven studies were included, including 202 men and 457 women (age: 21.0–51.2 years; mild–moderate depression). For working memory, a small favoring effect was observed in the experimental groups compared with controls (ES = 0.33, 95%CI = 0.04–0.61; p = 0.026; I2 = 64.9%). For inhibition, physical exercise had a small favoring non-significant effect compared with controls (ES = 0.28, 95%CI = −0.17–0.74; p = 0.222; I2 = 72.4%). Compared with the control group, physical exercise had a trivial effect on cognitive flexibility (ES = 0.09, 95%CI = −0.21–0.39; p = 0.554; I2 = 68.4%). In conclusion, physical exercise interventions may improve working memory behavioral measures in adults with mild-to-moderate depression when compared with active and passive control conditions. However, the reduced number of available high-quality studies precludes more lucid conclusions.
Positive Mental Health and Mental Health Literacy of Informal Caregivers: A Scoping Review
Authors: Andrade Carmen , Tavares Márcio , Soares Hélia , Coelho Fábio , Tomás Catarina
Published: November 2022

Positive mental health and mental health literacy are two main concepts to ensure an individual and social state of mental health and well-being. A scoping review of the scientific literature published in the field of health sciences was conducted to identify the relationship between mental health literacy and the positive mental health of family caregivers. A research expression was used to search for articles in health databases, respecting the main topics of the Participants/Concept/Context (PCC) framework. A total of eight articles were included from the 2830 initially identified using the PRISMA Extension for Scoping Reviews (PRISMA-ScR) process. It was noticeable that none of the studies related positive mental health and mental health literacy of caregivers. Nevertheless, it was possible to identify predictors of mental health and self-efficacy, such as burden and a lack of information about and support in the process of care. Caregivers’ quality of life, self-esteem and confidence are also important positive mental health predictors that are closely related to health literacy. The knowledge of these factors can contribute to the reduction in negative determinants of mental health of caregivers and the resolution of strategies to meet caregivers’ needs.
Community Services and Social Involvement in COVID-19 Governance: Evidence from China
Authors: Ding Jianwen , Xu Jia , Weise Thomas , Wang Huan
Published: November 2022

This study explores how the services provided by different types of Chinese communities varied in their impact on the social involvement of residents during the COVID-19 pandemic. The literature revealed problems caused by travel restrictions, including using oversimplified measures for grassroots governance, which might result in decreased residents’ social involvement during COVID-19. We argue that the services provided by “smart communities” in China not only adhered to the COVID-19 pandemic governance, but also promoted the social involvement of residents. Using a case study approach of the smart community Fang Xing and the traditional community Qili Tang, both of which are located in China, this article compared the traditional and smart community services based on 122 interviews with residents and frontline community staff members. The findings suggest that while the traditional community decreased the residents’ social involvement by restricting certain services during the pandemic, the smart community was able to apply COVID-19 governance measures, considerably increasing the residents’ social involvement. It offered an attractive option for residents to act as community service managers, and it prepared them for local-level pandemic governance. This study provides an understanding of the relationship between the community services and the residents’ social involvement in terms of the community services. The smart community model can act as a reference for international community development during pandemic governance.