bluuebunny/crossref_metadata_2025 huggingface dataset:
Outcomes and Feasibility of a 12-Week Physical Literacy Intervention for Children in an Afterschool Program
Authors: Bremer Emily , Graham Jeffrey D. , Cairney John
Published: May 2020

Children (N = 90) from eight afterschool programs (n = 4 experimental sites with 47 children; n = 4 control sites with 43 children), along with the program leaders (N = 7) from the experimental sites, participated in a 12-week physical literacy intervention. Children were assessed on their physical literacy (movement competence, affect, confidence, and motivation) pre- and post-intervention using a suite of assessment tools that included the PLAYfun assessment of movement competence and a comprehensive child questionnaire. Experimental participants engaged in a daily physical literacy intervention at their afterschool program; controls engaged in their usual afterschool programming. Experimental group program leaders were assessed on their cognitions pre- and post-training and post-intervention, alongside questions regarding program acceptability and feasibility. Program leaders’ perceived knowledge and self-efficacy to implement the physical literacy program increased (p < 0.05) from pre- to post-training and these effects were maintained at post-intervention. No group differences were observed in the change of children’s motor competence, self-efficacy, or motivation from baseline to post-intervention. However, significant increases in affect were observed among participants in the experimental group (p < 0.05). Program leaders said they would recommend the program to future leaders. However, they reported challenges with implementation due to equipment availability and behavioral challenges. Results suggest a comprehensive physical literacy program during the afterschool period can be feasible to implement and can lead to improvements in the affective domain of children’s physical literacy. Further research on childhood physical literacy interventions is warranted.
Effects of Pornography Use and Demographic Parameters on Sexual Response during Masturbation and Partnered Sex in Women
Authors: McNabney Sean M. , Hevesi Krisztina , Rowland David L.
Published: May 2020

The effect of pornography on sexual response is understudied, particularly among women. A multinational, community-based sample of 2433 women at least 18 years of age completed a 42-item, opt-in questionnaire collecting information on demographic and sexual history characteristics, use of pornography during masturbation, frequency of pornography use, and sexual response parameters. Pornography use and average frequency were compared across demographic variables. We also examined how pornography frequency predicted differences in self-reported arousal difficulty; orgasmic difficulty, latency, and pleasure; and the percent of sexual activities ending in orgasm during both masturbation and partnered sex. On average, women using pornography were younger, and reported more interest in sex. Pornography frequency differed significantly by menopausal status, sexual orientation, anxiety/depression status, number of sexual partners, and origin of data collection. During masturbation, more frequent pornography use predicted lower arousal difficulty and orgasmic difficulty, greater pleasure, and a higher percentage of masturbatory events leading to orgasm. Frequency of pornography use predicted only lower arousal difficulty and longer orgasmic latencies during partnered sex, having no effect on the other outcome variables. Pornography use frequency did not predict overall relationship satisfaction or sexual relationship satisfaction. Overall, more frequent pornography use was generally associated with more favorable sexual response outcomes during masturbation, while not affecting most partnered sex parameters. Several demographic and relationship covariates appear to more consistently and strongly predict orgasmic problems during partnered sexual activity than pornography use.
Symptom-Related Distress among Indigenous Australians in Specialist End-of-Life Care: Findings from the Multi-Jurisdictional Palliative Care Outcomes Collaboration Data
Authors: Woods John A. , Johnson Claire E. , Ngo Hanh T. , Katzenellenbogen Judith M. , Murray Kevin , Thompson Sandra C.
Published: May 2020

Symptom relief is fundamental to palliative care. Aboriginal and Torres Strait Islander (Indigenous) Australians are known to experience inequities in health care delivery and outcomes, but large-scale studies of end-of-life symptoms in this population are lacking. We compared symptom-related distress among Indigenous and non-Indigenous Australian patients in specialist palliative care using the multi-jurisdictional Palliative Care Outcomes Collaboration dataset. Based on patient-reported rating scale responses, adjusted relative risks (aRRs) stratified by care setting were calculated for occurrence of (i) symptom-related moderate-to-severe distress and worsening distress during a first episode of care and (ii) symptom-related moderate-to-severe distress at the final pre-death assessment. The p-value significance threshold was corrected for multiple comparisons. First-episode frequencies of symptom-related distress were similar among Indigenous (n = 1180) and non-Indigenous (n = 107,952) patients in both inpatient and community settings. In final pre-death assessments (681 Indigenous and 67,339 non-Indigenous patients), both groups had similar occurrence of moderate-to-severe distress when care was provided in hospital. In community settings, Indigenous compared with non-Indigenous patients had lower pre-death risks of moderate-to-severe distress from overall symptom occurrence (aRR 0.78; p = 0.001; confidence interval [CI] 0.67–0.91). These findings provide reassurance of reasonable equivalence of end-of-life outcomes for Indigenous patients who have been accepted for specialist palliative care.
COVID-19 Surface Persistence: A Recent Data Summary and Its Importance for Medical and Dental Settings
Authors: Fiorillo Luca , Cervino Gabriele , Matarese Marco , D’Amico Cesare , Surace Giovanni , Paduano Valeria , Fiorillo Maria Teresa , Moschella Antonio , La Bruna Alessia , Romano Giovanni Luca , Laudicella Riccardo , Baldari Sergio , Cicciù Marco
Published: May 2020

Recently, due to the coronavirus pandemic, many guidelines and anti-contagion strategies continue to report unclear information about the persistence of coronavirus disease 2019 (COVID-19) in the environment. This certainly generates insecurity and fear in people, with an important psychological component that is not to be underestimated at this stage of the pandemic. The purpose of this article is to highlight all the sources currently present in the literature concerning the persistence of the different coronaviruses in the environment as well as in medical and dental settings. As this was a current study, there are still not many sources in the literature, and scientific strategies are moving towards therapy and diagnosis, rather than knowing the characteristics of the virus. Such an article could be an aid to summarize virus features and formulate new guidelines and anti-spread strategies.
Effect of Soil Washing Solutions on Simultaneous Removal of Heavy Metals and Arsenic from Contaminated Soil
Authors: Cho Kanghee , Myung Eunji , Kim Hyunsoo , Park Cheonyoung , Choi Nagchoul , Park Cheol
Published: May 2020

In this study, we investigated the feasibility of using a solution of sulfuric acid and phosphoric acid as an extraction method for soil-washing to remove Cu, Pb, Zn, and As from contaminated soil. We treated various soil particles, including seven fraction sizes, using sulfuric acid. In addition, to improve Cu, Pb, Zn, and As removal efficiencies, washing agents were compared through batch experiments. The results showed that each agent behaved differently when reacting with heavy metals (Cu, Pb, and Zn) and As. Sulfuric acid was more effective in extracting heavy metals than in extracting As. However, phosphoric acid was not effective in extracting heavy metals. Compared with each inorganic acid, As removal from soil by washing agents increased in the order of sulfuric acid (35.81%) < phosphoric acid (62.96%). Therefore, an enhanced mixture solution using sulfuric acid and phosphoric acid to simultaneously remove heavy metals and As from contaminated soils was investigated. Sulfuric acid at 0.6 M was adopted to combine with 0.6 M phosphoric acid to obtain the mixture solution (1:1) that was used to determine the effect for the simultaneous removal of both heavy metals and As from the contaminated soil. The removal efficiencies of As, Cu, Pb, and Zn were 70.5%, 79.6%, 80.1%, and 71.2%, respectively. The combination of sulfuric acid with phosphoric acid increased the overall As and heavy metal extraction efficiencies from the contaminated soil samples. With the combined effect of dissolving oxides and ion exchange under combined washings, the removal efficiencies of heavy metals and As were higher than those of single washings.
Risk Factors for Duty-Related Posttraumatic Stress Disorder among Police Officers in the Mt. Ontake Eruption Disaster-Support Task Force
Authors: Kamijo Tomoko , Tsukahara Teruomi , Shimazu Akihito , Nomiyama Tetsuo
Published: May 2020

Mount Ontake in Nagano Prefecture, Japan erupted on 27 September 2014. Many police officers were called in for duty as a disaster-support task force. We investigated the association between the peritraumatic situation and posttraumatic stress disorder (PTSD) symptoms in these police officers. In January 2015, a health survey (OHS) on disaster stress related to the Mt. Ontake eruption disaster support work was distributed to all of the police officers and staff involved in the disaster support. We analyzed the 213 participants who had PTSD symptoms following the eruption and no missing OHS data. Logistic regression analyses were conducted to clarify the relationship between the participants’ symptom severity and their peritraumatic situation (i.e., stressors and daily support prior to the eruption, disaster-support work duties, and postdisaster stress relief). The symptom severity was associated with ‘more than seven cumulative days at work’ (odds ratio [OR] = 2.47, 1.21–5.06), ‘selecting drinking and/or smoking as stress relief after disaster-support work’ (OR = 2.35, 1.09–5.04), and ‘female’ (OR = 3.58, 1.19–10.77). As disaster-support work, ‘supporting the victims’ families’ (OR = 1.99, 0.95–4.21) tended to be associated with symptom severity. The number of days of disaster-support work, stress-relief behavior, and gender were associated with the severity of PTSD symptoms.
Stress-Recovery State in Fibromyalgia Patients and Healthy People. Relationship with the Cardiovascular Response to Stress in Laboratory Conditions
Authors: Matías Pompa Borja , López López Almudena , Alonso Fernández Miriam , Vargas Moreno Estefanía , González Gutiérrez José Luis
Published: May 2020

The current study´s objective was to determine the relationship between stress-recovery state and cardiovascular response to an acute stressor in a sample of female fibromyalgia patients in comparison with a control group of healthy participants. The laboratory procedure was completed by 36 participants with fibromyalgia and by 38 healthy women who were exposed to an arithmetic task with harassment while blood pressure and heart rate were measured during task exposure.
Body Height of Elite Basketball Players: Do Taller Basketball Teams Rank Better at the FIBA World Cup?
Authors: Zarić Ivan , Kukić Filip , Jovićević Nemanja , Zarić Milan , Marković Milan , Toskić Lazar , Dopsaj Milivoj
Published: May 2020

Body height is among the most important attributes of basketball players. Whether it differs among the basketball players who compete at the world basketball championship (FIBA-WC) is unknown. The aim of this study was to investigate the differences between the basketball players from the teams ranked 1–16 and those ranked below 16th place. The body heights of all players from the last three FIBA-WCs were collected and allocated according to the ranking at the FIBA-WC and analyzed by position in team. An independent sample t-test was conducted to analyze the difference in body height of players ranked 1–16 and players who ranked below 16th place. The players from the first 16 teams were significantly taller at three positions: point guards (Difference = 2.92 cm, p < 0.05), shooting guards (Difference = 2.16 cm, p < 0.05), and small forwards (Difference = 2.49 cm, p < 0.01). Body height seems to be an important factor for the performance of the basketball team at the FIBA-WC. Considering that all players at the FIBA-WC went through rigorous selection process to be in their national teams, body height of the higher-ranked players could be used as a reference value.
Workers’ Healthcare Assistance Model (WHAM): Development, Validation, and Assessment of Sustainable Return on Investment (S-ROI)
Authors: Viterbo Lilian Monteiro Ferrari , Costa André Santana , Vidal Diogo Guedes , Dinis Maria Alzira Pimenta
Published: May 2020

The present study aimed to present and validate the Worker´s Healthcare Assistance Model (WHAM), which includes an interdisciplinary approach to health risk management in search of integral and integrated health, considering economic sustainability. Through the integration of distinct methodological strategies, WHAM was developed in the period from 2011 to 2018, in a workers’ occupational health centre in the oil industry in Bahia, Brazil. The study included a sample of 965 workers, 91.7% of which were men, with a mean age of 44.9 years (age ranged from 23 to 73 years). The Kendall rank correlation coefficient and hierarchical multiple regression analysis were used for the validation of WHAM. The assessment of sustainable return on investment (S-ROI) was made using the WELLCAST ROI™ decision support tool, covering workers with heart disease and diabetes. WHAM can be considered an innovative healthcare model, as there is no available comparative model. WHAM is considered robust, with 86% health risk explanatory capacity and with an 85.5% S-ROI. It can be concluded that WHAM is a model capable of enhancing the level of workers’ health in companies, reducing costs for employers and improving the quality of life within the organization.
Prevalence of Physical Activity among Adolescents from 105 Low, Middle, and High-Income Countries
Authors: Marques Adilson , Henriques-Neto Duarte , Peralta Miguel , Martins João , Demetriou Yolanda , Schönbach Dorothea M. I. , Gaspar de Matos Margarida
Published: May 2020

Introduction: Physical activity (PA) is a beneficial health behaviour, however most adolescents worldwide are physically inactive. Updated information on the prevalence and trends of PA is important to inform national and international authorities and support countries’ public health policies and actions. This study aimed to present the worldwide, regional, and national prevalence of PA participation according to its frequency in adolescents. Methods: This study is based on cross-sectional surveys of adolescents’ populations from several countries and all regions worldwide. The sample comprised 520,533 adolescents (251,788 boys; 268,745 girls), from 105 countries and regions. Results: Most adolescents engaged in PA up to 3 days/week (57.1%; 95% CI: 56.9; 57.2). The prevalence of engaging in PA every day decreases over the age from 28.2% at age of 11–12 years (95% CI: 27.4; 29.0) to 21.2% at age of 16–17 years (95% CI: 20.3; 22.0) among boys; and from 19.4% (95% CI: 18.5; 20.2) to 11.1% (95% CI: 10.1; 12.0) among girls. For boys and girls who engaged in PA 5-6 days/week, the prevalence increases from countries with the lowest human development index to countries with the highest. Cambodia (7.3%, 95% CI: 3.8; 10.8), Philippines (7.7%, 95% CI: 5.6; 9.7), Sudan (8.8%, 95% CI: 4.7; 12.9), Timor-Leste (8.9%, 95% CI: 5.5; 12.3), and Afghanistan (10.1%, 95% CI: 6.1; 14.1) were the countries with the lowest prevalence of sufficient PA. Conclusions: National, regional, and worldwide data on the prevalence of physical activity in adolescents highlights the importance of improving the global levels of PA, especially in girls. Identifying the factors causing the age-related decrease in physical activity levels will permit public health entities to define priority actions and policies against physical inactivity.
Generational Differences in Perceptions of Food Health/Risk and Attitudes toward Organic Food and Game Meat: The Case of the COVID-19 Crisis in China
Authors: Xie Xiaoru , Huang Liman , Li Jun (Justin) , Zhu Hong
Published: May 2020

In December 2019, a novel laboratory-confirmed coronavirus (2019-nCoV) infection, which has caused clusters of severe illnesses, was first reported in Wuhan, the capital of Hubei province, China. This foodborne illness, which reportedly most likely originated in a seafood market where wild animals are sold illegally, has transmitted among humans through close contact, across the world. The aim of this study is to explore health/risk perceptions of and attitudes toward healthy/risky food in the immediate context of food crisis. More specifically, by using the data collected from 1008 respondents in January 2020, the time when China was hit hard by the “Corona Virus Disease 2019” (COVID-19), this study investigates the overall and different generational respondents’ health/risk perceptions of and attitudes toward organic food and game meat. The results reveal that, firstly, based on their food health and risk perceptions of healthy and risky food, the respondents’ general attitudes are positive toward organic food but relatively negative toward game meat. Secondly, older generations have a more positive attitude and are more committed to organic food. Younger generations’ attitude toward game meat is more negative whereas older generations attach more importance to it because of its nutritional and medicinal values. In addition, this research also indicates that the COVID-19 crisis influences the respondents’ perceptions of and attitudes toward organic food and game meat consumption. However, the likelihood of its impact on older generations’ future change in diets is smaller, which implies that older generations’ food beliefs are more stable.
The Globalisation of Cardiology and Cardiovascular Diseases in the World–Society—A Case Study with a Special Focus on Heart Failure
Authors: Quasinowski Benjamin , Liu Tao
Published: May 2020

While there has been a shift of attention in global health towards non-communicable diseases, we still know little about the social mechanisms that have allowed these diseases to emerge as topics of global concern. We employ a sociological approach to globalisation in order to reconstruct how cardiology, with our special focus being on heart failure research, has become global, and thereby placed cardiovascular diseases on the agenda of global health. Following sociological theories of world–society and world–polity, we identify a number of preconditions that had to be met so that the globalisation of cardiology could set in. Amongst them were technological innovations, the emergence of an organisational infrastructure on the national level, the appearance of cardiological journals, and an internationally standardised nomenclature. More recently, new drugs and treatment strategies, new specialist journals, and new international standards allowed the subspeciality of heart failure to globalise. Our findings are based on the history and sociology of cardiology, and on our analysis of a broad range of other documents, including scientific articles, guidelines, and policy documents. Additionally, our analysis included two datasets, one containing information on national cardiac societies, and the other containing data on publication output in cardiology.
COVID-19: Present and Future Challenges for Dental Practice
Authors: Dar-Odeh Najla , Babkair Hamzah , Abu-Hammad Shaden , Borzangy Sary , Abu-Hammad Abdalla , Abu-Hammad Osama
Published: May 2020

COVID-19 was declared a pandemic by the World Health Organization, with a high fatality rate that may reach 8%. The disease is caused by SARS-CoV-2 which is one of the coronaviruses. Realizing the severity of outcomes associated with this disease and its high rate of transmission, dentists were instructed by regulatory authorities, such as the American Dental Association, to stop providing treatment to dental patients except those who have emergency complaints. This was mainly for protection of dental healthcare personnel, their families, contacts, and their patients from the transmission of virus, and also to preserve the much-needed supplies of personal protective equipment (PPE). Dentists at all times should competently follow cross-infection control protocols, but particularly during this critical time, they should do their best to decide on the emergency cases that are indicated for dental treatment. Dentists should also be updated on how this pandemic is related to their profession in order to be well oriented and prepared. This overview will address several issues concerned with the COVID-19 pandemic that directly relate to dental practice in terms of prevention, treatment, and orofacial clinical manifestations.
Development of Technologies for Local Composting of Food Waste from Universities
Authors: Vázquez M. A. , Plana R. , Pérez C. , Soto M.
Published: May 2020

The amount of biowaste generated by university canteens (BWUC) in the faculties of the University of A Coruña (UDC) varies between 6 and 100 kg/day. In addition, the gardening services of the campus generate even higher amounts of garden waste (GrW), including pruning, which, once crushed, serves as bulking material for composting the biowaste from the canteens. Decentralized composting has been chosen with the aim of producing high quality organic fertilizers for university urban gardens while reducing the environmental burdens of both waste management and agricultural practice. Small static home composters of 340 L (SHC) for smaller amounts of generation (up to 20 kg BWUC/day) were used, while, for faculties of higher generation (up to 40 kg BWUC/day on average), the first composting stage was carried out in a closed and dynamic composter (DC). The dynamic composter was designed and built specifically for this project and its features were improved and optimized throughout the study. The pilot project was carried out in two centers of the UDC, which are known as the Philology Faculty (PF) and the School of Architecture (SA). All the organic waste generated by the canteens of these two colleges from January 2011 to July 2011 (approximately 3000 kg) was treated. Composting in SHC included a thermophilic phase that extended one month beyond the loading period for which thermophilic temperatures were also recorded. The use of the DC as the first stage in combination with static composters (SC) for the maturation stage reduced the overall thermophilic phase to 6–8 weeks. The complete maturation (Rottegrade class IV-V) was achieved after about four months in SHC and after two months when using the combined DC-SC system, if the right conditions of moisture were maintained. The chemical quality of the compost produced was compatible with Class A of Spanish legislation (equivalent to organic farmer quality) and the C/N ratio ranged from 9 to 15 depending on the relation BWUC:GrW.
Identifying the Factors Contributing to the Severity of Truck-Involved Crashes in Shanghai River-Crossing Tunnel
Authors: Chen Shengdi , Zhang Shiwen , Xing Yingying , Lu Jian
Published: May 2020

The impact that trucks have on crash severity has long been a concern in crash analysis literature. Furthermore, if a truck crash happens in a tunnel, this would result in more serious casualties due to closure and the complexity of the tunnel. However, no studies have been reported to analyze traffic crashes that happened in tunnels and develop crash databases and statistical models to explore the influence of contributing factors on tunnel truck crashes. This paper summarizes a study that aims to examine the impact of risk factors such as driver factor, environmental factor, vehicle factor, and tunnel factor on truck crashes injury propensity based on tunnel crashes data obtained from Shanghai, China. An ordered logit model was developed to analyze injury crashes and property damage only crashes. The driver factor, environmental factor, vehicle factor, and tunnel factor were explored to identify the relationship between these factors and crashes and the severity of crashes. Results show that increased injury severity is associated with driver factors, such as male drivers, older drivers, fatigue driving, drunkenness, safety belt used improperly, and unfamiliarity with vehicles. Late night (00:00–06:59) and afternoon rushing hours (16:30–18:59), weekdays, snow or icy road conditions, combination truck, overload, and single vehicle were also found to significantly increase the probability of injury severity. In addition, tunnel factors including two lanes, high speed limits (≥80 km/h), zone 3, extra-long tunnels (over 3000 m) are also significantly associated with a higher risk of severe injury. So, the gender, age of driver, mid-night to dawn and afternoon peak hours, weekdays, snowy or icy road conditions, the interior zone of a tunnel, the combination truck, overloaded trucks, and extra-long tunnels are associated with higher crash severity. Identification of these contributing factors for tunnel truck crashes can provide valuable information to help with new and improved tunnel safety control measures.
Past, Present, and Future Vulnerability to Dengue in Jamaica: A Spatial Analysis of Monthly Variations
Authors: Henry Sheika , Mendonça Francisco de Assis
Published: May 2020

Over the years, Jamaica has experienced sporadic cases of dengue fever. Even though the island is vulnerable to dengue, there is paucity in the spatio-temporal analysis of the disease using Geographic Information Systems (GIS) and remote sensing tools. Further, access to time series dengue data at the community level is a major challenge on the island. This study therefore applies the Water-Associated Disease Index (WADI) framework to analyze vulnerability to dengue in Jamaica based on past, current and future climate change conditions using three scenarios: (1) WorldClim rainfall and temperature dataset from 1970 to 2000; (2) Climate Hazard Group InfraRed Precipitation with Station data (CHIRPS) rainfall and land surface temperature (LST) as proxy for air temperature from the Moderate Resolution Imaging Spectroradiometer (MODIS) for the period 2002 to 2016, and (3) maximum temperature and rainfall under the Representative Concentration Pathway (RCP) 8.5 climate change scenario for 2030. downscaled at 25 km based on the Regional Climate Model, RegCM4.3.5. Although vulnerability to dengue varies spatially and temporally, a higher vulnerability was depicted in urban areas in comparison to rural areas. The results also demonstrate the possibility for expansion in the geographical range of dengue in higher altitudes under climate change conditions based on scenario 3. This study provides an insight into the use of data with different temporal and spatial resolution in the analysis of dengue vulnerability.
Psychophysiological Stress Markers and Behavioural Differences between Rural and City Primary School Students
Authors: Mendoza-Castejón Daniel , Clemente-Suárez Vicente Javier
Published: May 2020

Academic performance could be affected by multiple factors, including stress and learning environment location. The aim of this study was to analyze differences in psychophysiological stress markers, behavior and academic performance of rural and city students. A sample of 181 children (7.91 ± 2.29 years) from elementary schools were evaluated on their grades, subjective academic performance, heart rate variability, state anxiety, nutritional information and physical activity habits. Results presented significant higher values in parasympathetic modulation and physical education grades in rural students than in city students, who showed higher significant values in state anxiety, the ability to complete tasks, physical activity habits and several items relating to their food and drink habits. No significant differences were found in the average grades between the two groups. However, some correlations were found between school performance and stress, physical fitness and nutritional habits. Thus, school location may affect the stress and anxiety status, nutritional habits and physical activities of students, but there were no significant differences in academic performance. In addition, body mass index, quantity of food intake and stress markers may be related to the academic performance attained.
Health Literacy Environment of Breast and Cervical Cancer among Black African Women Globally: A Systematic Review Protocol of Mixed Methods
Authors: Mwanri Lillian , Gesesew Hailay , Lee Vanessa , Hiruy Kiros , Udah Hyacinth , Kwedza Ru , Dune Tinashe
Published: May 2020

Adequate health literacy is a necessity to enable effective decision making to seek, access and utilise appropriate health care service. Evidence exists indicating a low level of general health literacy among Black African women, especially those with a refugee background. Breast and cervical are the most common cancers, with Black African women or women with African ethnicity being disproportionately overrepresented. The level of health literacy specific to breast and cervical cancer among Black African women, especially those with a refugee background, has not been reviewed systematically. The present study describes a protocol for a systematic review of the available evidence on the level of health literacy specific to breast and cervical cancer among Black African women globally. We will perform a systematic review of the available quantitative and qualitative studies. The search will include studies that describe the level of health literacy specific to breast and cervical cancer among Black African women. We will conduct a preliminary search on Google scholar to build the concepts for search terms, and a full search strategy using the identified concepts and keywords across four databases namely PubMed, SCOPUS, CINAHL and Web of Sciences. We will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to schematically present the search strategy. We will use the standardized Joanna Briggs Institute quality appraisal and selection tool to recruit studies, and the data extraction tool to synthesise the information extracted from the recruited studies. We will be guided by socioecological theory and Indigenous epistemology to synthesise the non-quantifiable information thematically, and pool the quantitative information using meta-analysis, based on the availability of information.
Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence
Authors: Peinado-Rubia Ana , Osuna-Pérez María C. , Rodríguez-Almagro Daniel , Zagalaz-Anula Noelia , López-Ruiz María C. , Lomas-Vega Rafael
Published: May 2020

Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. Objective: to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. Methods: A total of 182 persons with FMS agreed to participate in this study. After re-evaluation, 57 fully met inclusion criteria: age 40–70 years and moderate-severe impact of the illness according to the Fibromyalgia Impact Questionnaire (FIQ). All participants underwent a posture control analysis with a stabilometric platform, an evaluation of the perception of verticality and an exploration of the vestibular system via functional tests. Additionally, they self-completed questionnaires about balance confidence, central sensitization, pain catastrophizing, kinesiophobia, dizziness and days with episodes of instability. Results: The FIQ was associated with central sensitization and dizziness, which explained 56% of its variance (AdjR2 = 0.566), while days with instability, kinesiophobia and dizziness also explained more than half of the variance of the balance confidence scale (AdjR2 = 0.527). A high percentage of positive responses was found for functional tests (>50%) and a high dispersion in the stabilometric parameters. Conclusion: the detection of factors susceptible to intervention, such as disability due to dizziness, takes on special relevance in patients with FMS.
Alternative Global Health Security Indexes for Risk Analysis of COVID-19
Authors: Chang Chia-Lin , McAleer Michael
Published: May 2020

Given the volume of research and discussion on the health, medical, economic, financial, political, and travel advisory aspects of the SARS-CoV-2 virus that causes the COVID-19 disease, it is essential to enquire if an outbreak of the epidemic might have been anticipated, given the well-documented history of SARS and MERS, among other infectious diseases. If various issues directly related to health security risks could have been predicted accurately, public health and medical contingency plans might have been prepared and activated in advance of an epidemic such as COVID-19. This paper evaluates an important source of health security, the Global Health Security Index (2019), which provided data before the discovery of COVID-19 in December 2019. Therefore, it is possible to evaluate how countries might have been prepared for a global epidemic, or pandemic, and acted accordingly in an effective and timely manner. The GHS index numerical scores are calculated as the arithmetic (AM), geometric (GM), and harmonic (HM) means of six categories, where AM uses equal weights for each category. The GHS Index scores are regressed on the numerical score rankings of the six categories to check if the use of equal weights of 0.167 in the calculation of the GHS Index using AM is justified, with GM and HM providing a check of the robustness of the arithmetic mean. The highest weights are determined to be around 0.244–0.246, while the lowest weights are around 0.186–0.187 for AM. The ordinal GHS Index is regressed on the ordinal rankings of the six categories to check for the optimal weights in the calculation of the ordinal Global Health Security (GHS) Index, where the highest weight is 0.368, while the lowest is 0.142, so the estimated results are wider apart than for the numerical score rankings. Overall, Rapid Response and Detection and Reporting have the largest impacts on the GHS Index score, whereas Risk Environment and Prevention have the smallest effects. The quantitative and qualitative results are different when GM and HM are used.
Child Sexual Abuse and Suicidal Ideation: The Differential Role of Attachment and Emotional Security in the Family System
Authors: Cantón-Cortés David , Cortés María Rosario , Cantón José
Published: May 2020

The objective of this study was to analyze the effects of attachment style and emotional security in the family system on suicidal ideation in a sample of young adult female victims of child sexual abuse (CSA). The possible effects of CSA characteristics and other types of child abuse on suicidal ideation were controlled for. The sample consisted of 188 female college students who had been victims of sexual abuse before the age of 18, as well as 188 randomly selected participants who had not experienced CSA. The results showed that both attachment and emotional security were associated with suicidal ideation, even when controlling for both the characteristics of abuse and the existence of other abuses. The strong relationships of emotional security and attachment style with suicidal ideation suggest the importance of early intervention with children who have been sexually abused and their families, in an effort to optimize their attachment style, as well as to decrease emotional insecurity to prevent the onset of symptomatology related to suicidal ideation.
Burnout Syndrome in Occupational Therapists in Spain: Prevalence and Risk Factors
Authors: Escudero-Escudero Ana Cristina , Segura-Fragoso Antonio , Cantero-Garlito Pablo A.
Published: May 2020

The objective of this study was to assess the potential levels of burnout syndrome in occupational therapists in Spain, as well as the risk factors involved in its prevalence. The data were obtained through an online survey. The tool utilised for this purpose was the Maslach Burnout Inventory General Survey (MBI-GS) that takes into consideration the following dimensions: emotional fatigue, depersonalisation and reduction of personal satisfaction. A sociodemographic questionnaire was also utilised. The sample of the study included 758 occupational therapists, 90.8% of whom were women and 9.2% of whom were men. For identifying the variables associated to the presence of burnout, the prevalence was compared through the chi-squared test, and the odds ratios by age were calculated through the binary logistic regression model. We found that 69.4% of the occupational therapists presented burnout syndrome and especially emotional fatigue (63.5%). Likewise, relevant and significant differences in the prevalence of burnout syndrome were observed depending on the age, marital status, number of children, work field and type of workday. We can conclude that burnout syndrome poses a clear risk for the health of occupational therapists that could have direct consequences on the work environment, affecting the way the interventions are performed with patients. This study could help to raise awareness on this reality and the factors implied. We suggest the implementation of measures (individual, labour and political) both for the prevention of burnout in occupational therapists as well as for reducing the levels of those who suffer from it.
A Qualitative View of Homecare Support Workers on Unmet Health Needs of People with Dependency
Authors: Martínez-Linares Jose Manuel , Andújar-Afán Francisco Antonio , Martínez-Yébenes Rocío , López-Entrambasaguas Olga María
Published: May 2020

Background: Longevity and population growth generate an increase in the number of people with dependency, who require homecare assistance to meet their health needs. Homecare support workers provide this care in Spain, and they may have unique insights into the unmet health needs of those receiving homecare assistance. The aim of this study was to determine the unmet health needs of people with dependency based on the perspective of homecare support workers. Methods: Qualitative exploratory-descriptive study. Through convenience sampling, homecare support workers from a Spanish province were selected, following inclusion and exclusion criteria. Four focus groups, transcription and thematic analyses were performed using Atlas.ti. Coding triangulation was carried out, applying criteria for scientific rigour. Results: The six themes obtained were classified into the material, psychoemotional, socioeconomical and psychosocial needs of people with dependency from the point of view of homecare support workers, along with the contributions of improvements and the need of these professionals for continuous training. Conclusions: People with dependency need complex technical assistance, materials, psychological attention due to their situation, and more effective assessments of their health and disability status. Homecare support workers perceive themselves to be essential in these assessments. They ask for psychological assistance, due to the emotional burden of their work, and believe this help would contribute to improving the quality of their service. Homecare support workers perceive that they are capable of performing their job, although they believe that some delegated activities are beyond their levels of competency.
How Are Information and Communication Technologies Supporting Routine Outcome Monitoring and Measurement-Based Care in Psychotherapy? A Systematic Review
Authors: Gual-Montolio Patricia , Martínez-Borba Verónica , Bretón-López Juana María , Osma Jorge , Suso-Ribera Carlos
Published: May 2020

Psychotherapy has proven to be effective for a wide range of mental health problems. However, not all patients respond to the treatment as expected (not-on-track patients). Routine outcome monitoring (ROM) and measurement-based care (MBC), which consist of monitoring patients between appointments and using this data to guide the intervention, have been shown to be particularly useful for these not-on-track patients. Traditionally, though, ROM and MBC have been challenging, due to the difficulties associated with repeated monitoring of patients and providing real-time feedback to therapists. The use of information and communication technologies (ICTs) might help reduce these challenges. Therefore, we systematically reviewed evidence regarding the use of ICTs for ROM and MBC in face-to-face psychological interventions for mental health problems. The search included published and unpublished studies indexed in the electronic databases PubMed, PsycINFO, and SCOPUS. Main search terms were variations of the terms “psychological treatment”, “progress monitoring or measurement-based care”, and “technology”. Eighteen studies met eligibility criteria. In these, ICTs were frequently handheld technologies, such as smartphone apps, tablets, or laptops, which were involved in the whole process (assessment and feedback). Overall, the use of technology for ROM and MBC during psychological interventions was feasible and acceptable. In addition, the use of ICTs was found to be effective, particularly for not-on-track patients, which is consistent with similar non-ICT research. Given the heterogeneity of reviewed studies, more research and replication is needed to obtain robust findings with different technological solutions and to facilitate the generalization of findings to different mental health populations.
Ebola, Zika, Corona…What Is Next for Our World?
Authors: Khubchandani Jagdish , Jordan Timothy R. , Yang Y. Tony
Published: May 2020

In the past century, there have been several pandemics. Within the context of global health, these pandemics have often been viewed from the lens of determinants such as population, poverty, and pollution. With an ever-changing world and the COVID-19 pandemic, the current global determinants of public health need to be expanded. In this editorial, we explore and redefine the major determinants of global public health to prevent future pandemics. Policymakers and global leaders should keep at heart the determinants suggested hereby in any planning, implementation, and evaluation of efforts to improve global public health and prevent pandemics.
The Functional Spatio-Temporal Statistical Model with Application to O3 Pollution in Beijing, China
Authors: Wang Yaqiong , Xu Ke , Li Shaomin
Published: May 2020

In recent years, with rapid industrialization and massive energy consumption, ground-level ozone ( O 3 ) has become one of the most severe air pollutants. In this paper, we propose a functional spatio-temporal statistical model to analyze air quality data. Firstly, since the pollutant data from the monitoring network usually have a strong spatial and temporal correlation, the spatio-temporal statistical model is a reasonable method to reveal spatial correlation structure and temporal dynamic mechanism in data. Secondly, effects from the covariates are introduced to explore the formation mechanism of ozone pollution. Thirdly, considering the obvious diurnal pattern of ozone data, we explore the diurnal cycle of O 3 pollution using the functional data analysis approach. The spatio-temporal model shows great applicational potential by comparison with other models. With application to O 3 pollution data of 36 stations in Beijing, China, we give explanations of the covariate effects on ozone pollution, such as other pollutants and meteorological variables, and meanwhile we discuss the diurnal cycle of ozone pollution.
Nurse Manager Core Competencies: A Proposal in the Spanish Health System
Authors: González García Alberto , Pinto-Carral Arrate , Sanz Villorejo Jesús , Marqués-Sánchez Pilar
Published: May 2020

Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in specific areas. There are different core competencies for nurse managers, but none in the Spanish health system. The objective of this research is to identify the core competencies needed for nurse managers in the Spanish health system. The research was carried out using the Delphi method to reach a consensus on the core competencies and a Principal Component Analysis (PCA) to determine construct validity, reducing the dimensionality of a dataset by finding the causes of variability in the set and organizing them by importance. A panel of 50 experts in management and healthcare engaged in a four-round Delphi study with Likert scored surveys. We identified eight core competencies from an initial list of 51: decision making, relationship management, communication skills, listening, Leadership, conflict management, ethical principles, collaboration and team management skills. PCA indicated the structural validity of the core competencies by saturation into three components (α Cronbach >0.613): communication, leadership and decision making. The research shows that eight competencies must be developed by the nursing managers in the Spanish health system. Nurse managers can use these core competencies as criteria to develop and plan their professional career. These core competencies can serve as a guideline for the design of nurse managers’ development programs in Spain.
Off- and Online Heterosexual Dating Violence, Perceived Attachment to Parents and Peers and Suicide Risk in Young Women
Authors: Gracia-Leiva Marcela , Puente-Martínez Alicia , Ubillos-Landa Silvia , González-Castro José Luis , Páez-Rovira Darío
Published: May 2020

Dating violence (DV) is a public health problem among young people, especially women. It involves violent acts towards one’s partner and occurs face-to-face (offline) or through the Internet (online). Offline DV is linked to suicidal ideation and attachment to parents and peers. Fewer studies analyze the psychological and social consequences of online DV. This study tests the link between young women’s DV victimization (off- and online), suicide risk (SR), and parent and peer support in a sample of young Spanish females (N = 1227) (Mage=19, SD = 2.82; range = 13–28). Results confirm that compared to non-victims off- and online DV increase suicidal thoughts and attempts. This effect is stronger for victims of both types of DV (thoughts: OR offline DV = 3.11; CI95% 2.06, 4.69; OR online DV = 2.37; CI95% 1.69, 3.32; OR off-online DV = 4.19 CI95% 2.44, 7.17) (attempts: OR offline DV = 4.02; CI95% 1.83, 8.81; OR online DV = 3.69; CI95% 1.96, 7.01; OR off-online DV = 10.55 CI95% 2.56, 44.43). Mediation and moderation models were used to assess the effect of perceived attachment of parents and friends in DV victims and SR. Mediation analyses indicated that perceived attachment and proximity to parents and peers reduces the impact of DV on SR. Moderation analyses showed that a high level of perceived peer attachment reduces the effect of offline DV on SR. Regarding off-online DV, a high level of perceived parent attachment mitigates suicide risk. Loneliness, lack of care from loved ones, and thwarted belongingness increase suicidal thoughts in DV victims. Peers and parents’ proximity may prevent risk behaviors in DV victims.