bluuebunny/crossref_metadata_2025 huggingface dataset:
Toxic Effects of Bisphenol A and Bisphenol S on Chlorella Pyrenoidosa under Single and Combined Action
Authors: Li Junrong , Wang Yingjun , Li Na , He Yan , Xiao Hong , Fang Dexin , Chen Chao
Published: April 2022

Bisphenol A (BPA) is an important industrial chemical; bisphenol S (BPS) is a substitute for BPA. Both are frequently detected in rivers, sewage, and surface water, and have a great impact on the water environment. The effects of BPA and BPS on cell growth, chlorophyll a content, and oxidative stress of Chlorella pyrenoidosa (C. pyrenoidosa) were studied. When BPA and BPS acted alone or in combination, compared with the blank control group, the growth of C. pyrenoidosa in the experimental group showed a pattern of “low promotion and high inhibition”, and the inhibition rate reached the maximum on the 6th day. Under the combined action, the reactive oxygen species (ROS) level of C. pyrenoidosa first increased, and then decreased. In addition, the activity of superoxide dismutase (SOD) and peroxidase (POD) increased with the increase in combined concentration. In the 0.5 P treatment group, SOD and POD activity reached peak values of 29.59 U/mg∙prot and 1.35 U/mg∙prot, respectively. The combined toxicity of BPA and BPS to C. pyrenoidosa was evaluated as a synergistic effect by using toxicity unit and additive index methods. This study evaluated the effects of BPA and BPS on algae in the aquatic environment, providing some data support for their potential ecological risks.
Green Walkability and Physical Activity in UK Biobank: A Cross-Sectional Analysis of Adults in Greater London
Authors: Roscoe Charlotte , Sheridan Charlotte , Geneshka Mariya , Hodgson Susan , Vineis Paolo , Gulliver John , Fecht Daniela
Published: April 2022

Urban greenspace provides opportunities for outdoor exercise and may increase physical activity, with accompanying health benefits. Areas suitable for walking (walkability) are also associated with increased physical activity, but interactions with greenspace are poorly understood. We investigated associations of walkability and green walkability with physical activity in an urban adult cohort. We used cross-sectional data from Greater London UK Biobank participants (n = 57,726) and assessed walkability along roads and footpaths within 1000 m of their residential addresses. Additionally, we assessed green walkability by integrating trees and low-lying vegetation into the walkability index. Physical activity outcomes included self-reported and accelerometer-measured physical activity and active transport. We assessed associations using log-linear, logistic and linear regression models, adjusted for individual- and area-level confounders. Higher green walkability was associated with favourable International Physical Activity Questionnaire responses and achievement of weekly UK government physical activity guideline recommendations. Participants living in the highest versus lowest quintile of green walkability participated in 2.41 min (95% confidence intervals: 0.22, 4.60) additional minutes of moderate-and-vigorous physical activity per day. Higher walkability and green walkability scores were also associated with choosing active transport modes such as walking and cycling. Our green walkability approach demonstrates the utility in accounting for walkability and greenspace simultaneously to understand the role of the built environment on physical activity.
COPD in Smoking and Non-Smoking Community Members Exposed to the World Trade Center Dust and Fumes
Authors: Baba Ridhwan Y. , Zhang Yian , Shao Yongzhao , Berger Kenneth I. , Goldring Roberta M. , Liu Mengling , Kazeros Angeliki , Rosen Rebecca , Reibman Joan
Published: April 2022

Background: The characteristics of community members exposed to World Trade Center (WTC) dust and fumes with Chronic Obstructive Pulmonary Disease (COPD) can provide insight into mechanisms of airflow obstruction in response to an environmental insult, with potential implications for interventions. Methods: We performed a baseline assessment of respiratory symptoms, spirometry, small airway lung function measures using respiratory impulse oscillometry (IOS), and blood biomarkers. COPD was defined by the 2019 GOLD criteria for COPD. Patients in the WTC Environmental Health Center with <5 or ≥5 pack year smoking history were classified as nonsmoker-COPD (ns-COPD) or smoker-COPD (sm-COPD), respectively. Main Results: Between August 2005 and March 2018, 467 of the 3430 evaluated patients (13.6%) fit criteria for COPD. Among patients with COPD, 248 (53.1%) were ns-COPD. Patients with ns-COPD had measures of large airway function (FEV1) and small airway measures (R5–20, AX) that were less abnormal than those with sm-COPD. More ns-COPD compared to sm-COPD had a bronchodilator (BD) response measured by spirometry (24 vs. 14%, p = 0.008) or by IOS (36 vs. 21%, p = 0.002). Blood eosinophils did not differ between ns-COPD and sm-COPD, but blood neutrophils were higher in sm-COPD compared to ns-COPD (p < 0.001). Those with sm-COPD were more likely to be WTC local residents than ns-COPD (p = 0.007). Conclusions: Spirometry findings and small airway measures, as well as inflammatory markers, differed between patients with ns-COPD and sm-COPD. These findings suggest potential for differing mechanisms of airway injury in patients with WTC environmental exposures and have potential therapeutic implications.
Perceptions about Telemedicine among Populations with Chronic Diseases amid COVID-19: Data from a Cross-Sectional Survey
Authors: Haque Miah Md. Akiful , Jahan Yasmin , Khair Zara , Moriyama Michiko , Rahman Md. Moshiur , Sarker Mohammad Habibur Rahman , Shaima Shamsun Nahar , Chowdhury Sajeda , Matin Kazi Farhana , Karim Ishrat Jahan , Ahmed Mostafa Taufiq , Hossain Syed Zakir , Masud Md. Adnan Hasan , Nabi Mohammad Golam , Aziz Asma Binte , Sharif Mohiuddin , Chowdhury Md. Forhadul Islam , Shams Kaniz Laila , Nizam Nusrat Benta , Ananta Taiyaba Tabassum , Amin Md. Robed , Hawlader Mohammad Delwer Hossain
Published: April 2022

Chronic diseases, including non-communicable diseases (NCDs), have arisen as a severe threat to health and socio-economic growth. Telemedicine can provide both the highest level of patient satisfaction and the lowest risk of infection during a pandemic. The factors associated with its usage and patient adherence are not visible in Bangladesh’s resource-constrained settings. Therefore, this study aimed to identify perceptions about telemedicine among populations with chronic diseases amid the COVID-19 pandemic. A closed-ended self-reported questionnaire was created, and the questionnaire was written, reviewed, and finalized by a public health investigator, a psychiatrist, and an epidemiologist. The data for this study were collected from individuals using simple random sampling and snowball sampling techniques. Ethics approval was granted, and written/verbal consent was taken before interviews. Most of the participants showed a positive attitude towards telemedicine. People aged 35–54 years old and a higher level of education were less frequently associated with willingness to receive telemedicine services for current chronic disease (WRTCCD) than their counterparts. People living in urban areas and lower-income participants were more strongly associated with WRTCCD. Additionally, people who did not lose their earnings due to the pandemic were less strongly associated with WRTCCD. However, the main strength of this research is that it is a broad exploration of patient interest in several general forms of telehealth. In Bangladesh, there are many opportunities for telemedicine to be integrated into the existing healthcare system, if appropriate training and education are provided for healthcare professionals.
Association of Paternity Leave with Impaired Father–Infant Bonding: Findings from a Nationwide Online Survey in Japan
Authors: Terada Shuhei , Fujiwara Takeo , Obikane Erika , Tabuchi Takahiro
Published: April 2022

Although the number of fathers taking childcare leave is increasing, the impact of paternity leave on father–infant bonding remains to be fully investigated. This study aimed to assess the association between paternity leave and father–infant bonding among fathers with children under two years old. A cross-sectional study was performed using data from the Japan COVID-19 and Society Internet Survey study, a nationwide online survey conducted between July and August 2021 (N = 1194). Father–infant bonding was assessed by the Japanese version of the Mother–Infant Bonding Scale (MIBS-J), which comprised two subscales (lack of affection (LA), and anger and rejection (AR)), with a higher score denoting poor bonding. Four hundred (33.5%) fathers self-reported taking childcare leave. Paternity leave was associated with higher total MIBS-J score and AR score after adjusting for covariates (coefficient 0.51; 95% confidence interval (CI) 0.06–0.96, coefficient 0.26; 95% CI 0.03–0.49, respectively), but not with LA score (coefficient 0.10; 95% CI −0.13–0.34). There was no trend in the association between paternity leave and total MIBS-J score by children’s age group (p for trend = 0.98). Paternity leave was associated with impaired bonding, especially with increased anger and rejection, among fathers with children under two years of age.
COVID-19 Confinement Effects on Game Actions during Competition Restart in Professional Soccer Players
Authors: García-Aliaga Abraham , Marquina Moisés , Román Ignacio Refoyo , Solana Diego Muriarte , Piñero Madrona Juan A. , del Campo Roberto López , Garrosa Fabio Nevado , Mon-López Daniel
Published: April 2022

The main objective of the present study was to compare high-intensity actions in a week of three matches before and after the COVID-19 lockdown. The observational methodology was used. This study analysed 551 professional soccer players from 22 different Spanish teams (LaLiga Smartbank 2019–2020) by a multi-camera tracking system and associated software (Mediacoach®, Spain). Variables of distances per minute and totals, travelled at High Intensity (HIR), Very High Intensity (VHIR), Sprint (HSR), player’s maximum speed, average speed, and the number of efforts in VHIR and HSR were analysed in the first and second half of the games, the full match, as well as in relation to the playing position. Players who participated in the same number of matches pre- and post-COVID-19 showed an increase in the total minutes played, p < 0.05, and small decreases in game actions, p < 0.05, with an effect size between 0.21 and 0.45, while players who participated in different number of matches pre- and post-COVID-19 showed a performance decrease, p < 0.05, with a size effect between 0.13 and 0.51; this was evident, particularly, for midfielders, p < 0.05, with a size effect between 0.39 and 0.75. The results seem to show that the playing intensity after COVID-19 confinement did not lead to large performance losses, except for midfielders who were the most involved players and showed a higher decrease in performance. The main findings of this study could provide insight to football coaches for rotations in starting line-ups and game substitutions, so as not to affect the intensity levels of the competitions.
The Impact of a 14-Day Altitude Training Camp on Olympic-Level Open-Water Swimmers’ Sleep
Authors: Vitale Jacopo Antonino , Ieno Cristian , Baldassarre Roberto , Bonifazi Marco , Vitali Francesca , La Torre Antonio , Piacentini Maria Francesca
Published: April 2022

Despite the common belief that sleep quality at altitude is poor, the scientific evidence to support this notion is still modest. Therefore, the purpose of the present study was to evaluate possible changes of actigraphy-based and subjective sleep parameters in a group of elite open-water swimmers during a 14-day altitude training camp (ATC) at 1500 m. The study subjects were five Olympic-level open-water swimmers (mean age: 25.0 ± 3.2 years; 3 females and 2 males). All subjects wore a wrist activity monitor and filled a sleep diary for 18 consecutive nights, 4 nights before and 14 nights during ATC. The data were then analyzed at four different time points: before ATC (PRE), the first two days of ATC (T1), and after one (T2) and two weeks of ATC (T3). Training load, assessed as the covered distance (km), session rating of perceived exertion (sRPE), and heart rate (HR), was monitored during the week before and the first and second week of ATC. No significant differences in objective and subjective scores of sleep quality were detected, whereas the sleep onset time (p = 0.018; η2p = 0.83, large) and sleep offset time (p < 0.001; η2p = 0.95, large) significantly differed among PRE, T1, T2, and T3: elite athletes started to sleep and woke up ≃ 1 h earlier the first two days of ATC compared to PRE (sleep onset time: p = 0.049; sleep offset time: p = 0.016). Further, an increase in the training volume during the two weeks of the ATC was observed, with the most time spent in a low-intensity regime and an increase in time spent in a high-intensity regime compared to PRE. Sleep quality was not negatively influenced by a 14-day altitude training camp at 1500 m in a group of Olympic-level elite swimmers despite an increase in perceived exertion during training sessions. Nonetheless, early sleep onset and sleep offset times were observed for the first two nights of ATC: elite athletes started to sleep and woke up ≃ 1 h earlier compared to the baseline nights.
Insight into the Adsorption Behaviors of Antimony onto Soils Using Multidisciplinary Characterization
Authors: Mu Zi-Qi , Xu Da-Mao , Fu Rong-Bing
Published: April 2022

Antimony (Sb) pollution in soils is an important environmental problem, and it is imperative to investigate the migration and transformation behavior of Sb in soils. The adsorption behaviors and interaction mechanisms of Sb in soils were studied using integrated characterization techniques and the batch equilibrium method. The results indicated that the adsorption kinetics and isotherms of Sb onto soils were well fitted by the first-order kinetic, Langmuir, and Freundlich models, respectively, while the maximum adsorbed amounts of Sb (III) in soil 1 and soil 2 were 1314.46 mg/kg and 1359.25 mg/kg, respectively, and those of Sb (V) in soil 1 and soil 2 were 415.65 mg/kg and 535.97 mg/kg, respectively. In addition, pH ranging from 4 to 10 had little effect on the adsorption behavior of Sb. Moreover, it was found that Sb was mainly present in the residue fractions, indicating that Sb had high geochemical stability in soils. SEM analysis indicated that the distribution positions of Sb were highly coincident with Ca, which was mainly due to the existence of calcium oxides, such as calcium carbonate and calcium hydroxide, that affected Sb adsorption, and further resulted in Sb and Ca bearing co-precipitation. XPS analysis revealed the valence state transformation of Sb (III) and Sb (V), suggesting that Fe/Mn oxides and reactive oxygen species (ROS) served as oxidant or reductant to promote the occurrence of the Sb redox reaction. Sb was mobile and leachable in soils and posed a significant threat to surface soils, organisms, and groundwater. This work provides a fundamental understanding of Sb adsorption onto soils, as well as a theoretical guide for studies on the adsorption and migration behavior of Sb in soils.
Does the Macro-Temporal Pattern of Road Traffic Noise Affect Noise Annoyance and Cognitive Performance?
Authors: Schäffer Beat , Taghipour Armin , Wunderli Jean Marc , Brink Mark , Bartha Lél , Schlittmeier Sabine J.
Published: April 2022

Noise annoyance is usually estimated based on time-averaged noise metrics. However, such metrics ignore other potentially important acoustic characteristics, in particular the macro-temporal pattern of sounds as constituted by quiet periods (noise breaks). Little is known to date about its effect on noise annoyance and cognitive performance, e.g., during work. This study investigated how the macro-temporal pattern of road traffic noise affects short-term noise annoyance and cognitive performance in an attention-based task. In two laboratory experiments, participants worked on the Stroop task, in which performance relies predominantly on attentional functions, while being exposed to different road traffic noise scenarios. These were systematically varied in macro-temporal pattern regarding break duration and distribution (regular, irregular), and played back with moderate LAeq of 42–45 dB(A). Noise annoyance ratings were collected after each scenario. Annoyance was found to vary with the macro-temporal pattern: It decreased with increasing total duration of quiet periods. Further, shorter but more regular breaks were somewhat less annoying than longer but irregular breaks. Since Stroop task performance did not systematically vary with different noise scenarios, differences in annoyance are not moderated by experiencing worsened performance but can be attributed to differences in the macro-temporal pattern of road traffic noise.
An Evaluation Index System of Basic Elderly Care Services Based on the Perspective of Accessibility
Authors: Hu Jinrong , Zhang Yuyuan , Wang Le , Shi Victor
Published: April 2022

Population aging has become more and more severe in many countries. As a result, the demand for basic elderly care services has risen. The establishment of an evaluation index system for basic elderly care services can provide guidelines for governments to improve the quality of such services. Based on the “5A” theoretical analysis framework of Penchansky and Thomas, this paper introduces the concept of “accessibility” into evaluation. The “accessibility” model of services, through a literature review, field research, and three rounds of expert correspondence, consists of three first-level indicators, including the accessibility of home-based community elderly care services, the accessibility of institutional elderly care services, and the accessibility of administrative services. The evaluation index system of 15 s-level indicators and 70 third-level indicators, using AHP to determine the weight value of each indicator, provides a quantitative basis for the quality evaluation and improvement of basic elderly care services. Based on our quantitative results, policy recommendations are put forward: strengthen the support for the human and financial resources of community home-based elderly care services; improve the affordability of basic elderly care services; increase the types and numbers of institutional elderly care service projects; improve the availability and adaptability of institutional elderly care services; improve the accessibility of administrative services so that elderly care service institutions and elderly care administrative agencies can establish an effective communication and feedback mechanism.
Residential Radon Exposure in Patients with Advanced Lung Cancer in Lublin Region, Poland
Authors: Grzywa-Celińska Anna , Chmielewska Izabela , Krusiński Adam , Kozak Krzysztof , Mazur Jadwiga , Grządziel Dominik , Dos Santos Szewczyk Katarzyna , Milanowski Janusz
Published: April 2022

Exposure to radon is the second most common factor causing lung cancer in smokers and the first among non-smokers. We aimed to measure the impact of the radon exposure on patients with different histological types of advanced lung cancer. The measurement of radon exposure was performed in 102 patients with lung cancer in stage 3B or higher (Poland). There were 78.4% of patients with non-small cell carcinoma and 21.6% of patients with small cell carcinoma. One month radon exposure measurement was performed with trace detectors in order to control whether high radon concentrations (>800 Bq/m3) were found in the homes of patients with cancer diagnosed. Results of the determinations were then compared with the representation of the most common types of lung cancer in the study population. In the analyzed group, the average concentration of radon during the exposure of the detector in the residential premises of the respondents accounted for 69.0 Bq/m3 [37.0–117.0] and had no statistically significant effect on the type of lung cancer developed in patients. The lack of statistical significance may result from the small study group and the accompanying exposure to other harmful components. As the incidence of lung adenocarcinoma is increasing and exposure to tobacco smoke is decreasing, the search for other modifiable causes of lung cancer should be the task in the future.
Perceived Stress and Coping Behavior of Nurses Caring for Critical Patients with COVID-19 Outbreak in Taiwan: A Mixed-Methods Study
Authors: Lee Shu-Yen , Chiang Kai-Jo , Tsai Yi-Jiun , Lin Chi-Kang , Wang Yun-Ju , Chiou Chou-Ping , Pan Hsueh-Hsing
Published: April 2022

Severe pneumonia with novel pathogens, also called COVID-19, caused a pandemic in Taiwan as well as in the rest of the world in May 2021. Nurses are under great stress when caring for critically ill patients with COVID-19. This study aimed to explore the perceived stress and coping behaviors of nurses caring for critically ill patients with COVID-19 using a mixed-methods approach. We recruited 85 nurses from a special intensive care unit (ICU) of a medical center in Taiwan between May and June 2021. To gather data, we used a questionnaire on basic characteristics, the perceived stress scale (PSS-14), and the brief coping orientation to problems experienced inventory (B-COPE), then conducted a qualitative interview. The results showed that the average perceived stress level among nurses was 25.4 points, and most of them perceived moderate stress. The top three coping behaviors practiced by the nurses were active coping, planning, and acceptance. Nurses who received less perceived support from their friends or families and who had shorter working experience in nursing had significantly higher stress levels. The qualitative results revealed that the nurses’ perceived stress came from fear, worry, and the increased burden caused by caring for critical patients with COVID-19. Coping behaviors included rest, seeking support, and affirmative fighting. Based on these findings, it is suggested that the support nurses receive from their families is an important predictor of perceived stress. Therefore, it is suggested that nurses be provided with more support in dealing with stress caused by caring for critical patients with COVID-19 in special ICUs.
Predicting Response to Anthracyclines in Ovarian Cancer
Authors: Ferrero Annamaria , Borghese Martina , Restaino Stefano , Puppo Andrea , Vizzielli Giuseppe , Biglia Nicoletta
Published: April 2022

(1) Background: Anthracyclines are intriguing drugs, representing one of the cornerstones of both first and subsequent-lines of chemotherapy in ovarian cancer (OC). Their efficacy and mechanisms of action are related to the hot topics of OC clinical research, such as BRCA status and immunotherapy. Prediction of response to anthracyclines is challenging and no markers can predict certain therapeutic success. The current narrative review provides a summary of the clinical and biological mechanisms involved in the response to anthracyclines. (2) Methods: A MEDLINE search of the literature was performed, focusing on papers published in the last two decades. (3) Results and Conclusions: BRCA mutated tumors seem to show a higher response to anthracyclines compared to sporadic tumors and the severity of hand–foot syndrome and mucositis may be a predictive marker of PLD efficacy. CA125 can be a misleading marker of clinical response during treatment with anthracyclines, the response of which also appears to depend on OC histology. Immunochemistry, in particular HER-2 expression, could be of some help in predicting the response to such drugs, and high levels of mutated p53 appear after exposure to anthracyclines and impair their antitumor effect. Finally, organoids from OC are promising for drug testing and prediction of response to chemotherapy.
Reply to Shaikh et al. Comment on “Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 7552”
Authors: Rochmah Thinni Nurul , Rahmawati Indana Tri , Dahlui Maznah , Budiarto Wasis , Bilqis Nabilah
Published: April 2022

Thank you for being interested in making a review [...]
COVID-19 Medical and Pharmacological Management in the European Countries Compared to Italy: An Overview
Authors: Pandolfi Sergio , Valdenassi Luigi , Bjørklund Geir , Chirumbolo Salvatore , Lysiuk Roman , Lenchyk Larysa , Doşa Monica Daniela , Fazio Serafino
Published: April 2022

(1) Background: Italy accounts for more than 150,000 deaths due to the COVID-19 pandemic, leading the top rank in SARS-CoV-2-caused deceases in Europe. A survey on the different ways by which the COVID-19 pandemic emergency was managed in the foreign European countries compared to Italy is the purpose of this paper. (2) Methods: A literature search and various mathematical algorithms to approach a rank scoring scale were used to describe in detail the different approaches used by European countries to manage the COVID-19 pandemic emergency. (3) Results: The study showed that Italy stands at the bottom ranking for COVID-19 management due to its high mortality rate. Possible causes of the observed huge numbers of hospitalization and deaths were (a) the demographic composition of the European country; (b) its decentralized healthcare system organization; (c) the role of correct pharmacology in the early stages before hospitalization. Post-mortem examinations were of paramount importance to elucidate the etiopathogenesis of COVID-19 and to tailor a suitable and proper therapy in the early symptomatic stages of COVID-19, preventing hospitalization. (4) Conclusions: Factors such as the significant impact on elderly people, the public health organization prevalently state-owned and represented mainly by hospitals, and criticism of the home therapy approach toward SARS-CoV-2-infected people, may have concurred in increasing the number of COVID-19 deaths in Italy.
Development of an Extended-Reality (XR)-Based Intervention to Treat Adolescent Obesity
Authors: Malik Neal , Prado Wagner L. , Lappan Sara , Popescu Mihaela , Haddock Bryan , Hill James O.
Published: April 2022

Public health policies aimed at obesity reduction are more often directed toward adults than children. This is alarming given that rates of childhood obesity have been steadily increasing, and, if not treated early, adolescents with obesity may develop comorbidities into adulthood. Lifestyle-based interventions are the cornerstone of childhood obesity treatment. Recently, extended-reality (XR)-based interventions have been incorporated into the treatment of obesity, and parents and adolescents perceive virtual reality (VR) interventions as a promising approach to increasing physical activity levels and improving eating habits. VR is a tool that fits perfectly with contemporary adolescent culture, which is radically different from that of just two generations ago. It is plausible that an XR-based intervention for treating adolescents with obesity could have a profound influence on obesity management over the long-term. An understanding of adolescents’ preferences, wants, and needs must be considered in the development of new interventions. We suggest that VR interventions can provide a new approach to weight management for children and adolescents and provide recommendations to assess adolescents’, caregivers’, and primary care providers’ needs. These needs could then be used for the development of an XR-based intervention aimed at inducing sustained lifestyle changes in adolescents with obesity.
Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital
Authors: Vidal-Carreras Pilar I. , Garcia-Sabater Julio J. , Marin-Garcia Juan A.
Published: April 2022

Improving the delivery of patient care is an ongoing challenge in the National Health Service (NHS). This challenge is not insignificant in the process of chemotherapy administration for oncology patients. The present research is motivated by a public Spanish hospital in which oncology patients receive medical care in the Oncology Day Hospital (ODH). At the ODH, oncology patients receive different health services by different specialists on a single day. Any discoordination in patient flow will contribute to longer waiting times and stays in the ODH. As oncology patients tend to have special health conditions, any extra time in the hospital is a source of risk and discomfort. This study applies value stream mapping methodology in a Spanish ODH to improve this situation, reducing hospital waiting times and shorting the length of stay. For that purpose, the path of the oncology patients is mapped and the current state of the system is analyzed. Working at takt time and levelling the workload are proposed for improving the working conditions for healthcare personnel. As a result, the quality of service for oncology patients who need a well-defined care profile is improved. The singular characteristics of the Spanish NHS make it challenging to implement new ways of working, so this study has significant theoretical and managerial implications offering directions in which improvement is possible.
A Gap between Relaxation of Government Quarantine Policy and Perceptions of COVID-19 among the General Public in Sports: Focusing on Vaccination Status
Authors: Jun Mun-Gyu , Oh Kyung-Rok , Choi Chulhwan
Published: April 2022

Although an increasing number of people are getting vaccinated for COVID-19 and quarantine policies are easing owing to fatigue from high-intensity social distancing, people’s fear remains. This study attempted to determine the appropriateness of quarantine policies that are gradually easing by comparing and analyzing sports participation and respiratory infection perception recognized by sports participants according to vaccination status. Data were collected from 302 ordinary Korean citizens aged 20 or older for three months from November 2021 in the Republic of Korea. From the survey respondents, data on the main factors of this study included (a) demographic information, (b) vaccination, (c) loyalty in sports, (d) behavioral intention to participate in sports, (e) infection anxiety from others, and (f) risk perception of COVID-19. As a result, the survey respondents, subdivided into an unvaccinated group (Group 1) and a vaccinated group (Group 2), derived statistically significant results on sports participation and respiratory infection perception. Specifically, survey participants who had completed all secondary vaccinations showed a relatively higher (a) loyalty in sport (M = 3.789), (b) behavioral intention for participation in sport (M = 4.056), and (c) infection anxiety from others (M = 3.548), but showed a relatively lower (a) risk perception of COVID-19 (sensitivity) (M = 3.494). The results of this study could be utilized as valuable data to minimize the gap between the relaxation of government quarantine policy and perceptions of COVID-19 among the general public in sports, which have not yet been clarified.
Determinants and Willingness to Pay for Purchasing Mask against COVID-19: A Protection Motivation Theory Perspective
Authors: Ding Qiying , Lin Shoufu , Wang Shanyong
Published: April 2022

Currently, coronavirus disease 2019 (COVID-19) is spreading globally, which poses great challenges to the whole world and human beings. The aim of this research is to understand the determinants and residents’ willingness to pay (WTP) for purchasing masks against COVID-19 in China. On the basis of protection motivation theory and contingent value method, this research shows that most residents are willing to purchase masks against COVID-19. COVID-19 knowledge, perceived severity, perceived vulnerability, and response efficacy are positively and significantly associated with residents’ WTP and the WTP value. However, self-efficacy is only significantly associated with residents’ WTP while not with WTP value. Furthermore, compared with other residents, residents in Hubei province have a higher level of COVID-19 knowledge, perceived severity, perceived vulnerability, self-efficacy and response efficacy, and the WTP value is higher. The average value of residents’ WTP value for purchasing masks against COVID-19 in Hubei province is ¥120.92 ($18.73) per month during the epidemic, while it is ¥100.16 ($15.50) for other residents. In addition, the effects of demographic factors such as age, gender, income, etc., on residents’ WTP and WTP value have also been examined.
Validity of Three Survey Questions for Self-Assessed Sedentary Time
Authors: Wahlström Viktoria , Nygren Mikael , Olsson David , Bergman Frida , Lewis Charlotte
Published: April 2022

Time spent in sedentary behavior (SB) has increased during the last decades. Accurate assessments are of importance when studying health consequences of SB. This study aimed to assess concurrent validity between three different questions for self-reported sitting and thigh worn accelerometer data. In total, 86 participants wore the ActivPAL accelerometer during three separate weeks, assessing sitting time with different questions each week. The questions used were Katzmarzyk, GIH stationary single-item question (SED-GIH), and a modified version of the single-item from IPAQ short form. In total 64, 57, and 55 participants provided valid accelerometer and questionnaire data at each time-point, respectively, and were included for analysis. Spearman and Pearson correlation was used to assess the validity. The three questions, Katzmarzyk, SED-GIH, and a modified question from IPAQ all showed a weak non-significant correlation to ActivPAL with r-values of 0.26, 0.25, and 0.19 respectively. For Katzmarzyk and SED-GIH, 50% and 37% reported correctly, respectively. For the modified IPAQ, 53% over-reported and 47% under-reported their sitting time. In line with previous research, our study shows poor validity for self-reported sitting-time. For future research, the use of sensor-based data on SB are of high importance.
Shyness and School Engagement in Chinese Suburban Preschoolers: A Moderated Mediation Model of Teacher–Child Closeness and Child Gender
Authors: Wu Yunpeng , Fang Min , Wu Jianfen , Chen Yingmin , Li Hui
Published: April 2022

Shyness is associated with poorer preschool engagement, but few studies have evaluated the underlying mechanisms in Chinese preschoolers. This study explored the mediating role of teacher–child closeness and the moderating role of child gender in the association between shyness and school engagement to fill this gap. With the cluster sampling method, a total of 532 young children (240 girls; Mage = 4.29 years, SD = 0.65 years) were recruited from 15 suburban kindergartens in East China. Mothers rated children’s shyness, and teachers evaluated children’s school engagement and teacher–child closeness five months later. The results reveal the following: (1) Shyness was related to higher cooperative participation and lower school avoidance; (2) Teacher–child closeness mediated the relationships between shyness and school engagement. Specifically, shyness negatively predicted teacher–child closeness, and teacher–child closeness positively predicted cooperative and independent participations and school liking, and negatively predicted school avoidance; (3) Child gender moderated the relationship between shyness and school engagement, and specifically, for boys but not girls, shyness was significantly linked with lower school avoidance; for girls but not boys, shyness was significantly related to higher cooperative participation and lower independent participation. These findings have implications for the school engagement of preschoolers.
Optimizing the Retrieval of the Vital Status of Cancer Patients for Health Data Warehouses by Using Open Government Data in France
Authors: Lauzanne Olivier , Frenel Jean-Sébastien , Baziz Mustapha , Campone Mario , Raimbourg Judith , Bocquet François
Published: April 2022

Electronic Medical Records (EMR) and Electronic Health Records (EHR) are often missing critical information about the death of a patient, although it is an essential metric for medical research in oncology to assess survival outcomes, particularly for evaluating the efficacy of new therapeutic approaches. We used open government data in France from 1970 to September 2021 to identify deceased patients and match them with patient data collected from the Institut de Cancérologie de l’Ouest (ICO) data warehouse (Integrated Center of Oncology—the third largest cancer center in France) between January 2015 and November 2021. To meet our objective, we evaluated algorithms to perform a deterministic record linkage: an exact matching algorithm and a fuzzy matching algorithm. Because we lacked reference data, we needed to assess the algorithms by estimating the number of homonyms that could lead to false links, using the same open dataset of deceased persons in France. The exact matching algorithm allowed us to double the number of dates of death in the ICO data warehouse, and the fuzzy matching algorithm tripled it. Studying homonyms assured us that there was a low risk of misidentification, with precision values of 99.96% for the exact matching and 99.68% for the fuzzy matching. However, estimating the number of false negatives proved more difficult than anticipated. Nevertheless, using open government data can be a highly interesting way to improve the completeness of the date of death variable for oncology patients in data warehouses
Factors That Facilitate Discussion and Documentation of End-of-Life Care among Community-Dwelling Older Adults: A Cross-Sectional Study
Authors: Ishibashi Tomoyuki , Kazawa Kana , Jahan Yasmin , Moriyama Michiko
Published: April 2022

We aimed to clarify the regional cultural characteristics in areas with different death rates at home, and to identify factors that influence the discussion and documentation of end-of-life care (EOLC) among community-dwelling older adults. This study was a cross-sectional study using a self-administered questionnaire survey, and participants were Japanese older adults. A chi-square test and multiple regression analysis were conducted. Among the 227 respondents, 143 were analyzed. There were no statistical differences by area. Participants who had intentions to discuss EOLC tended to discuss EOLC with their families and family doctors and tended to create documents to show their wills on EOLC (p < 0.05). The following factors that influence the intentions to discuss EOLC were extracted: experience in providing EOLC; information on EOLC; having religious and spiritual beliefs, and not avoiding the subject of death as part of beliefs related to life and death. These results indicate that beliefs and intentions regarding EOLC may be similar across Japan. Moreover, our findings suggest that to increase the interest of older adults on EOLC, it is important to provide opportunities for older adults to share and discuss information about EOLC with healthcare professionals and others who have experience providing EOLC.
Analysis in the Influencing Factors of Climate-Responsive Behaviors of Maize Growers: Evidence from China
Authors: Guo Hongpeng , Xia Yujie , Pan Chulin , Lei Qingyong , Pan Hong
Published: April 2022

Due to the natural production properties, agriculture has been adversely affected by global warming. As an important link between individual household farmers and modern agriculture, it is crucial to study the influence of agricultural productive services on farmers’ climate-responsive behaviors to promote sustainable development and improve agricultural production. In this paper, a questionnaire survey has been conducted among 374 maize farmers by using the combination of typical sampling and random sampling in Jilin Province of China. Moreover, the Poisson regression and the multi-variate Probit model have been used to analyze the effects of agricultural productive services on the choices of climate-responsive behaviors as well as the intensity of the behaviors. The results have shown that the switch to suitable varieties according to the frost-free period have been mostly common among maize growers in Jilin province. Agricultural productive services have a significant effect on the adoption intensity of climate- responsive behaviors, at the 1% level. Based on this conclusion, this paper proposes policy recommendations for establishing a sound agricultural social service system and strengthening the support for agricultural productive services. It has certain reference significance for avoiding climate risk and reducing agricultural pollution in regions with similar production characteristics worldwide.
Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study
Authors: Saad Ammar , Magwood Olivia , Benjamen Joseph , Haridas Rinila , Hashmi Syeda Shanza , Girard Vincent , Sayfi Shahab , Unachukwu Ubabuko , Rowhani Melody , Agarwal Arunika , Fleming Michelle , Filip Angelina , Pottie Kevin
Published: April 2022

The COVID-19 pandemic has negatively impacted the lives and well-being of long-term care home residents. This mixed-method study examined the health equity implications of the COVID-19 lockdown and visitation strategies in long-term care homes in Ontario. We recruited long-term care home residents, their family members and designated caregivers, as well as healthcare workers from 235 homes in Ontario, Canada. We used online surveys and virtual interviews to assess the priority, feasibility, and acceptability of visitation strategies, and to explore the lived experiences of participants under the lockdown and thereafter. A total of n = 201 participants completed a survey and a purposive sample of n = 15 long-term care home residents and their family members completed an interview. The initial lockdown deteriorated residents’ physical, mental, and cognitive well-being, and disrupted family and community ties. Transitional visitation strategies, such as virtual visits, were criticised for lack of emotional value and limited feasibility. Designated caregiver programs emerged as a prioritised and highly acceptable strategy, one that residents and family members demanded continuous and unconditional access to. Our findings suggest a series of equity implications that highlight a person-centred approach to visitation strategies and promote emotional connection between residents and their loved ones.
Results from Poland’s 2022 Report Card on Physical Activity for Children and Youth
Authors: Zembura Paweł , Korcz Agata , Nałęcz Hanna , Cieśla Elżbieta
Published: April 2022

This paper presents the methodology and results of Poland’s 2022 Report Card on physical activity (PA) of children and adolescents, as part of the Global Matrix (GM) 4.0 project. The aim of this paper is to discuss the current state of PA of children and adolescents in Poland. Grades were assigned to ten indicators of behaviors, physical fitness and sources of influence or settings, based on a synthesis of the best available data. In Poland two indicators: Overall Physical Activity (OPA) and Active Play were not assessed. Out of the other indicators, School received the highest score B+, whereas the other indicators had generally moderate to weak scores (between C+ and D). Scores for Organized Sport and Physical Activity, School and Physical Fitness indicators were improved compared with the previous GM, whereas scores for Active Transport and Government were lower. No positive changes regarding OPA or Sedentary Behaviors were observed. One of the limitations of PA promotion in Poland is that government-level PA policies are overly focused on organized PA and sport. Recommendations for improving PA monitoring in Poland, influencing PA behaviors and strengthening PA settings and sources of influence are also discussed.
Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults
Authors: von Humboldt Sofia , Low Gail , Leal Isabel
Published: April 2022

The COVID-19 pandemic has affected the access of older adults to health services. The two objectives of this study are understanding the influence of the COVID-19 pandemic on older adults’ access to health services and exploring how health service accessibility during the pandemic influenced older adults’ mental health and self-reported changes in behavior. This study included 346 older adults. Content analysis produced five themes: (1) decreased physical accessibility to health care providers (78%); (2) increased use of online health services and other virtual health care (69%); (3) growth in the online prescription of medication (67%); (4) difficulty obtaining information and accessing non-communicable disease and mental health indicators (65%); and (5) postponement of medical specialist consultations (51%). Regarding mental health, three themes emerged: (1) increased symptoms of anxiety, distress, and depression (89%); (2) the experience of traumatic situations (61%); and (3) the augmented use of alcohol or drugs (56%). Finally, the following changes in behavior were indicated: (1) frustrated behavior (92%); (2) emotional explosions (79%); and (3) changes in sleeping and eating behaviors (43%). Access to health services may have influenced the mental health and behavior of older adults, hence interventions in a pandemic must address their interactions with health services, their needs, and their well-being.
The Impact of Delivering School-Based Wellness Programs for Emerging Adult Facilitators—A Quasi-Controlled Clinical Trial
Authors: Golan Moria , Tzabari Dana , Mozeikov Maya
Published: April 2022

A quasi-controlled clinical trial included a university-based supervision course for facilitators of an interactive wellness school-based program. The study aimed to investigate how students that facilitate prevention programs are personally affected by delivering content related to self-esteem, body-image, and media literacy. In total, 66 university students who were either facilitators of preventive programs (intervention group) or non-facilitators (comparison group) completed questionnaires before, after, and three months following the program’s termination. All methods were performed following the Declaration of Helsinki regulations and Consort 2010 guidelines. Participants in the facilitator group demonstrated statistically significant superiority, with large effect size, regarding improvement in identifying advertisement strategies. Weight-related body-esteem, and the reduced impact of media messages’ pressure also had statistically significant superiority, with small effect size. The number of participants with pathological EAT-26 scores (>20) decreased from 5 to 2 in the facilitator group compared to an increase from 5 to 6 (no statistical significance) in the comparison group. Both groups demonstrated statistically significant decreases in eating disorder perceptions and behaviors from baseline to 3-month follow-up. Delivering a prevention program proved beneficial to facilitators, in addition to the target school pupils, and thus may be considered as part of the prevention programs’ effectiveness assessment.