bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effectiveness of Multi-Component Interventions on the Positive and Negative Aspects of Well-Being among Informal Caregivers of People with Dementia: A Systematic Review and Meta-Analysis
Authors: He Jinjie , Wang Jing , Zhong Hongmei , Guan Chengguo
Published: June 2022

The present review aims to examine whether multi-component interventions for informal caregivers of people with dementia are effective on positive and negative aspects of caregiver well-being. Eleven databases were searched from inception to 8 March 2021. Only randomized controlled trials reporting the effectiveness of multi-component intervention on positive and negative aspects of caregiver well-being were eligible. Endnote X7 (Thomson ResearchSoft, Stanford, CA, USA) was used for study selection and version 5.1.0 of Cochrane Collaboration’s tool (Cochrane, London, UK) was applied for quality assessment. Review Manager (Revman) Version 5.3 (Cochrane, London, UK) was used for the meta-analysis, and if statistical synthesis was inappropriate, only narrative analysis was performed. A total of 31 RCTs with 3939 participants were included. Meta-analyses showed small to moderate effects on subjective well-being, depression, and burden of caregivers, and a moderate to high effect on caregiver anxiety. Due to insufficient data and vast heterogeneity, meta-analysis was not performed for other outcomes, such as resilience, competence, and empathy. This review suggests that individualized multi-component interventions for caregivers may be one of the ways to promote their well-being. Further research is needed to explore the impact of rigorously designed and personalized multi-component interventions on informal caregivers, especially on more positive indicators, as well as its long-term effects and sustainability.
Exercise Motives of College Students after the COVID-19 Lockdown
Authors: Vučković Vojko , Krejač Klemen , Kajtna Tanja
Published: June 2022

This study describes the physical activity of university students (PA) and their motives to exercise in the summer of 2021, after the COVID-19 lockdown in Slovenia. Adults over 18 years of age (n = 493; 72% women) completed the International Physical Activity Questionnaire (IPAQ) short form and the Exercise Motivation Inventory-2 (EMI-2) via an anonymous online survey. Since the EMI-2 has never been used with the Slovenian population, the measurement properties of the Slovenian version (EMI-2) were also determined in this study. A forward–backward translation was used for cross-cultural adaptation. The internal consistency of the EMI-2 subscales was high. The results of the study showed that male students spent more minutes per session on intense physical activity and performed this activity more frequently per week, whereas female students were more likely to walk for more than 10 min without a break. In addition, female participants were more likely than male participants to cite weight management as a motivator. Male participants were more likely than female participants to cite fun, challenge, social recognition, belonging, competition, and strength and endurance as motivations. Results showed that respondents with a history of competitive sports had higher scores for revitalization, fun, challenge, social recognition, affiliation, competition, positive health, appearance, strength and endurance, and flexibility. They also engaged in intense physical activity more frequently per week, and when they engaged in moderate or intense PA activity, they did so for longer periods of time. Compared to respondents who never exercised, more of them overcame COVID-19. The results also showed some correlation between motivation and physical activity. The motives of revitalization, enjoyment, challenge, competition, strength and endurance, and stress management were more important for individuals who exercised vigorously more often in the past 7 days. Total time spent in daily physical activity is also related to the enjoyment of exercise and challenge. In conclusion, understanding the motives for exercise is important for the behavior of PA, especially after a period of inactivity due to lockdown.
Dietary Factors Influencing the Caries Status of Adults in Karachi, Pakistan: Initial Findings
Authors: Qureshi Ambrina , Safdar Nilofer F. , Qureshi Hina , AlFawaz Yasser F. , Al Ahdal Khold , Shabib Sara , Al-Aali Khulud A. , Naseem Mustafa , Vohra Fahim , Abduljabbar Tariq
Published: June 2022

Objective: The objective was to identify the relationship between the dietary factors related to increases in the number of dental caries among an adult population group. Methods: A cross-sectional study was conducted involving adult patients and their accompanying person, aged 18 years and above (n = 1730) visiting the dental outpatient department (OPD) of a public sector tertiary healthcare institute in Karachi, Pakistan. A 39-item Food Frequency Questionnaire (FFQ) was administered to the patients, followed by a dental caries assessment using Radke’s WHO criteria. Caries assessment data were transformed into the DMFT Index (D = decayed, M = missing, F = filled teeth). Factor analysis (FA) was performed using Stata v. 11.0, followed by assessing the internal consistency of the FFQ. Multilogistic analysis was performed to explore the association between dental caries (cut-off = 5) and other independent variables, considering a p-value < 0.05 as significant. Results: The mean age of participants in the group was 32.65 ± 10.49 years. The number of female participants (934; 54%) was higher than male participants (796; 46%). Of the total, 951 (52%) participants were married. The internal consistency value for the FFQ, as measured by Cronbach’s alpha, was 0.80. In addition to age and gender, out of four dietary patterns, only “cereals” were found to be significantly (p < 0.05) associated with increased DMFT. Conclusion: This study established that the high intake of cereals is a contributory factor to the high prevalence of dental caries among adults.
Mental Well-Being and Sexual Intimacy among Men and Gender Diverse People Who Have Sex with Men during the First UK COVID-19 Lockdown: A Mixed-Methods Study
Authors: Edelman Natalie L. , Witzel T. Charles , Samba Phil , Nutland Will , Nadarzynski Tom
Published: June 2022

This mixed-methods study aimed to explore mental well-being, circumstances and strategies around managing sexual intimacy and risk during the first UK COVID-19 lockdown (Spring 2020) among men and gender diverse people who have sex with men (MGDPSM), commencing while lockdown was in progress. n = 1429 MGDPSM completed the survey and 14 undertook an in-depth interview. Low mental well-being was reported by 49.6% of the survey participants. Low mental well-being was not predicted by relationship and living circumstance, sexual networking app use, or by casual sexual partners. Low mental well-being was associated with more frequent COVID-19 anxiety (OR = 5.08 CI: 3.74, 6.88 p < 0.001) and with younger age (18–24 years OR = 2.23 CI:1.41–3.53 p = 0.001, 25–34 years OR = 1.45 CI:1.04–2.02 p = 0.029, 35–44 years OR = 1.41 CI:1.00–1.99 p = 0.052). The interview participants understood their lockdown experiences as being relative to normalcy, and those experiencing more dramatic changes faced greater challenges. Living with partners was felt to protect well-being. Many participants reported intimacy interruption challenges. The findings indicate that mental well-being is predicted by age and COVID-19 impact, highlighting opportunities for targeting MGDPSM who are most vulnerable to poor mental health. Services that support MGDPSM during COVID-19 recovery efforts must provide non-judgemental and affirming support.
Criterion Validity of Functional Movement Screen as a Predictor of Sports Injury Risk in Chinese Police Staff
Authors: Huang Xuejuan , Liu Hua
Published: June 2022

The occurrence of sports injury has been proven to be highly associated with injury history. (1) Background: This study aimed to validate the feasibility and effectiveness of the Functional Movement Screen (FMS) as a predictor of sports injury risk for Chinese police staff by exploring the optimal cut-off value of the FMS total score for the identification of previous injury. (2) Methods: More than 160 Chinese police staff were recruited and completed the FMS and interviews. The recorders of 148 (79 females and 69 males) participants met the data analysis requirements. For the goal of evaluating the total score of the FMS as a predictor of sports injury risk, all data underwent statistical analysis, calculation of ROC and AUC, evaluation of threshold validity, and so on. (3) Results: The total score frequency distribution of participants’ FMS presented the shape of a normal distribution. The statistical results of the study showed that the FMS composite scores (10.6 ± 2.28) of the police staff with a sports injury history were indeed less than those without an injury history (12.4 ± 2.26). The threshold of a total score of the FMS test that warned of a sports injury risk in Chinese police staff on the basis of a previous injury history was 13.5, with an acceptable AUC value (0.701). In accord with the real social environment and the rule of natural human physiological change, the FMS results of this study showed a distinct deterioration trend with increasing age. (4) Conclusions: The FMS deserves consideration by trainers and clinicians as a pre-exercise physical examination for Chinese police staff to avoid sports injury.
A Scoping Review of Community-Based Adult Suicide Prevention Initiatives in Rural and Regional Australia
Authors: Dabkowski Elissa , Porter Joanne E. , Barbagallo Michael S. , Prokopiv Valerie , Jackson Megan R.
Published: June 2022

The need for continued research into suicide prevention strategies is undeniable, with high global statistics demonstrating the urgency of this public health issue. In Australia, approximately 3000 people end their lives each year, with those living in rural and regional areas identified as having a higher risk of dying by suicide. Due to decreased access and support services in these areas, community-based suicide prevention initiatives provide opportunities to educate and support local communities. A scoping review was conducted to explore the literature pertaining to such programs in rural and/or regional communities in Australia. This review follows the five-stage Arksey and O’Malley (2005) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Nine databases were searched, from which studies were considered eligible if suicide prevention programs were community-based and catered for adults (aged ≥ 18 years) in rural or regional Australia. Ten papers that met our inclusion criteria were included in this review, showcasing a variety of interventions such as workshops, a digital intervention, art therapy, and initiatives to increase education and reduce stigma around suicide. Program engagement strategies included the importance of providing culturally appropriate services, the inclusion of lived experience mentoring, and tailoring the suicide prevention program to reach its targeted audience. Overall, there is a dearth of literature surrounding community-based suicide prevention initiatives for adults in rural and regional Australia. Further evaluation of community-based projects is required to ensure quality improvement and tailored suicide prevention initiatives for rural and regional Australians.
Diabetes Prevalence and Associated Risk Factors among Women in a Rural District of Nepal Using HbA1c as a Diagnostic Tool: A Population-Based Study
Authors: Yogal Chandra , Shakya Sunila , Karmarcharya Biraj , Koju Rajendra , Stunes Astrid Kamilla , Mosti Mats Peder , Gustafsson Miriam K. , Åsvold Bjørn Olav , Schei Berit , Syversen Unni
Published: June 2022

Given the scarcity of data on diabetes prevalence and associated risk factors among women in rural Nepal, we aimed to examine this, using glycated hemoglobin (HbA1c) as a diagnostic tool. A cross-sectional survey addressing reproductive health and non-communicable diseases was conducted in 2012–2013 among non-pregnant, married women in Bolde, a rural district of Nepal. HbA1c ≥ 6.5% (48 mmol/mol) was used as diagnostic criterion for diabetes, a cut-off of 7.0% (53 mmol/mol) was used to increase the specificity. HbA1c was measured in 757 women (17–86 years). The prevalence of diabetes and prediabetes was 13.5% and 38.5%, respectively. When using 7.0% as a cut-off, the prevalence of diabetes was 5.8%. Aging, intake of instant noodles and milk and vegetarian food (ns) were associated with increased risk for diabetes. Waist circumference was higher among women with diabetes, although not significant. The women were uneducated (87.6%), and only 12% had heard about diabetes. In conclusion, we observed a higher prevalence of diabetes and prediabetes than anticipated among rural, Nepalese women. The increased risk was mainly attributed to dietary factors. In contrast to most previous studies in Nepal, we used HbA1c as diagnostic criterion.
NLP-Based Digital Forensic Analysis for Online Social Network Based on System Security
Authors: Shahbazi Zeinab , Byun Yung-Cheol
Published: June 2022

Social media evidence is the new topic in digital forensics. If social media information is correctly explored, there will be significant support for investigating various offenses. Exploring social media information to give the government potential proof of a crime is not an easy task. Digital forensic investigation is based on natural language processing (NLP) techniques and the blockchain framework proposed in this process. The main reason for using NLP in this process is for data collection analysis, representations of every phase, vectorization phase, feature selection, and classifier evaluation. Applying a blockchain technique in this system secures the data information to avoid hacking and any network attack. The system’s potential is demonstrated by using a real-world dataset.
The Effect of Core Exercise Using Online Videoconferencing Platform and Offline-Based Intervention in Postpartum Woman with Diastasis Recti Abdominis
Authors: Kim Seohee , Yi Donghyun , Yim Jongeun
Published: June 2022

To investigate the efficacy of exercise intervention using a real-time video conferencing platform (ZOOM) on inter-recti distance, abdominal muscle thickness, static trunk endurance, and maternal quality of life, 37 women with diastasis recti between six months and one year postpartum were randomly divided into the online (n = 19) and offline (n = 18) groups. The online group underwent 40-min trunk stabilization exercise sessions twice a week for six weeks, through a real-time video conference platform, while the offline group attended the same program in person. The inter-recti distance and muscle thickness between the abdominal muscles were measured by rehabilitation ultrasound imaging, the Torso endurance test was used to compare the static trunk endurance, and the maternal quality of life questionnaire (MAPP-QOL, score) was applied. Significant improvements were observed in the inter-recti distance between the rectus abdominis, abdominal muscle thickness, static trunk endurance, and maternal quality of life in both groups (p < 0.001); a more significant improvement was observed in the offline group. No significant differences were observed between groups except for the left rectus abdominis thickness and Psychological/Baby and Relational/Spouse-Partner subscale in the maternal quality of life index (p > 0.05). Exercise interventions delivered in a real-time videoconferencing platform are effective at improving the inter-recti distance, trunk stability, and quality of life in postpartum women and may be an alternate to face-to-face intervention.
Quality of Life of Schoolchildren Living with a Long-Term Sick Parent: The Role of Tasks at Home, Life Circumstances and Social Support
Authors: de Roos Simone A. , Iedema Jurjen , de Boer Alice H.
Published: June 2022

This study investigates whether there are differences in quality of life—i.e., psychosomatic complaints and life satisfaction—between schoolchildren with and without a chronically ill or disabled parent at home. It also examines the role played by the intensity of tasks, life circumstances, and social support at home and school. In 2017, a Dutch representative sample of adolescents aged between 12 and 16 (from the Health Behaviour in School-aged Children study) completed a questionnaire about illness of family members, tasks at home, life circumstances and characteristics, social support, psychosomatic complaints and life satisfaction. In total, 5470 schoolchildren who did not have a parent with a chronic illness and 652 who did have a parent with a chronic illness were selected (average age 13.9). Stepwise multilevel logistic regression analyses in STATA were used. Schoolchildren with an ill parent had more psychosomatic complaints and lower life satisfaction than their counterparts without an ill parent, even when controlling for extra task hours, specific life circumstances and characteristics (e.g., more likely to be growing up in a single-parent family or stepfamily and more likely to be female), and lower perceived support. These aspects are also predictors of a lower quality of life. Professionals should address these aspects of the life of schoolchildren with a sick parent in such a way that they are facilitated to make a successful transition to adulthood.
Evaluation of Waste Related to the Admission Process of Low-Complexity Patients in Emergency Services, in Light of the Lean Healthcare Philosophy
Authors: de Barros Letícia Bianchini , Caldas Laura Passos , Bohomol Elena , Sarantopoulos Alice , Minatogawa Vinicius , Gasparino Renata Cristina
Published: June 2022

The adequacy of work processes in healthcare services contributes to the quality of care provided to the patient. However, in emergency units, overcrowding is a constant reality, resulting in the lack of materials and long waiting lines. Taking this into consideration, this study aimed to map and analyze the value stream of patients classified as blue, green, or yellow in a Referral Emergency Unit. The evaluation research with analysis of processes was carried out in a teaching hospital on 30 patients seen at the emergency service. Value Stream Maps were drawn and the times involved in the process were calculated. Wastes and their possible causes were identified. A total of 13 maps were created and the mean process time between the activities involved in the process ranged between 7.3′ and 114.0′; the interruption time, between 0′ and 27.6′; the waiting time, between 43.2′ and 507.5′; and the lead time between 56.6′ and 638.0′ min. Some causes of waste were: high demand from patients; a shortage of personnel and offices. Following the Ishikawa Diagram, most of the waste is found regarding methods, human resources, and physical structure.
Dynamic Demand Evaluation of COVID-19 Medical Facilities in Wuhan Based on Public Sentiment
Authors: Ye Zijing , Li Ruisi , Wu Jing
Published: June 2022

Medical facilities are an important part of urban public facilities and a vital pillar for the survival of citizens at critical times. During the rapid spread of coronavirus disease (COVID-19), Wuhan was forced into lockdown with a severe shortage of medical resources and high public tension. Adequate allocation of medical facilities is significant to stabilize citizens’ emotions and ensure their living standards. This paper combines text sentiment analysis techniques with geographic information system (GIS) technology and uses a coordination degree model to evaluate the dynamic demand for medical facilities in Wuhan based on social media data and medical facility data. This study divided the epidemic into three phases: latent, outbreak and stable, from which the following findings arise: Public sentiment changed from negative to positive. Over half of the subdistricts in three phases were in a dysfunctional state, with a circular distribution of coordination levels decreasing from the city center to the outer. Thus, when facing major public health emergencies, Wuhan revealed problems of uneven distribution of medical facilities and unreasonable distribution of grades. This study aims to provide a basis and suggestions for the city to respond to major public health emergencies and optimize the allocation of urban medical facilities.
Evaluation of Typical Volatile Organic Compounds Levels in New Vehicles under Static and Driving Conditions
Authors: Guo Ruihua , Zhu Xiaofeng , Zhu Zuogang , Sun Jianhai , Li Yongzhen , Hu Wencheng , Tang Shichuan
Published: June 2022

In modern societies, the air quality in vehicles has received extensive attention because a lot of time is spent within the indoor air compartment of vehicles. In order to further understand the level of air quality under different conditions in new vehicles, the vehicle interior air quality (VIAQ) in new vehicles with three different brands was investigated under static and driving conditions, respectively. Air sampling and analysis are conducted under the requirement of HJ/T 400-2007. Static vehicle tests demonstrate that with the increasing of vehicle interior air temperature in sunshine conditions, a higher concentration and different types of volatile organic compounds (VOCs) release from the interior materials than that in the environment test chamber, including alkanes, alcohols, ketones, benzenes, alkenes, aldehydes, esters and naphthalene. Driving vehicle tests demonstrate that the concentration of VOCs and total VOCs (TVOC) inside vehicles exposed to high temperatures will be reduced to the same level as that in the environment test chamber after a period of driving. The air pollutants mainly include alkanes and aromatic hydrocarbons. However, the change trends of VOCs and TVOC vary under different conditions according to various kinds of factors, such as vehicle model, driving speed, air exchange rate, temperature, and types of substance with different boiling points inside the vehicles.
Correlation between Anxiety Symptoms and Perception of Quality of Life in Women with More Than 24 Months after Undergoing Bariatric Surgery
Authors: Kikuchi Jeane Lorena Dias , Carvalhal Manuela Maria de Lima , Costa Ana Paula da Silva , Vasconcelos Jairisson Augusto Santa Brígida , Paracampo Carla Cristina Paiva , Gomes Daniela Lopes
Published: June 2022

Purpose: To analyze the correlation between anxiety symptoms and perceived quality of life in women more than 24 months after undergoing bariatric surgery. Methods: Cross-sectional, descriptive and analytical study, carried out with women who underwent bariatric surgery after at least 24 months. To assess the level of anxiety symptoms, the Beck Inventory was used and to assess the perception of quality of life, the Item Short Form Healthy Survey was applied. Results: Of the 50 participants, 36.0% had reports indicative of moderate symptoms and 64.0% had severe symptoms of anxiety. The domains of quality of life that correlated with better perception were pain (p < 0.001), functional capacity (p = 0.013), general health status (p = 0.018), social aspects (p < 0.001), and mental health (p < 0.001). In linear regression, a significant inverse correlation was found between the general emotional component of quality of life and anxiety score (β = −0.546; CI −1.419; −0.559; p < 0.001) and between the general physical component of quality of life and anxiety score (β = −0.339; CI −0.899; −0.131; p = 0.010), both independent of weight regain and surgery time. Conclusions: It was observed that moderate to severe anxiety symptoms seem to interfere with the perception of quality of life, regardless of weight regain and surgery time.
Behaviour Change Interventions in Healthcare
Authors: Pinho Simão , Sampaio Rute
Published: June 2022

In September 2021, the Special Issue “Evidence-based Behaviour Change Interventions in Healthcare” was proposed as the manifestation of a will to compile multidisciplinary works of academic research focused on the effect of health education, psychology, and socio-cultural dimensions on the improvement in health habits in the population [...]
Variability of Accommodative Microfluctuations in Myopic and Emmetropic Juveniles during Sustained near Work
Authors: Yu Hanyang , Zeng Junwen , Li Zhouyue , Hu Yin , Cui Dongmei , Zhao Wenchen , Zhao Feng , Yang Xiao
Published: June 2022

Near work has been considered to be a potential risk factor for the onset of myopia, but with inadequate evidence. Chinese adolescents use digital devices for near work, such as study and entertainment purposes, especially during the COVID-19 pandemic. In this study, we investigated the influence of prolonged periods of near work on accommodative response, accommodative microfluctuations (AMFs), and pupil diameter between juvenile subjects of myopia and emmetropia. Sixty juveniles (30 myopes and 30 emmetropes) were recruited for the study. Participants were instructed to play a video game on a tablet PC at a distance of 33.3 cm for 40 min. Accommodative response and pupil diameter were measured with an open-field infrared refractometer in High-speed mode. Parameters of the subjects were measured once every 10 min, and analyzed by one-way repeated measure ANOVA for variation tendency. There were no significant differences between emmetropia and myopia groups with respect to age and sex (p > 0.05). The low-frequency component (LFC) of myopia gradually increased with time, reached a peak at 30 min, and then declined (p = 0.043). The high-frequency component (HFC) of myopia also reached a peak at 30 min (p = 0.036). Nevertheless, there was no significant difference in the LFC (p = 0.171) or HFC (p = 0.278) of the emmetropia group at each time point. There was no significant difference in the mean and standard deviation of the accommodative response and pupil diameter both in emmetropic and myopic juveniles. Compared with juvenile emmetropes, myopes exhibit an unstable tendency in their accommodation system for prolonged near work at a certain time point. Accommodative microfluctuations may be a sensitive, objective indicator of fatigue under sustained near work in juvenile myopes.
Differential Effects of Optimism and Pessimism on Adolescents’ Subjective Well-Being: Mediating Roles of Reappraisal and Acceptance
Authors: Zou Rong , Hong Xiaobin , Wei Gaoxia , Xu Xia , Yuan Jiajin
Published: June 2022

Prior research has found the differential strength of optimism and pessimism in predicting physical health. However, whether similar findings would be obtained in predicting subjective well-being and the possible underlying mechanisms are still unclear. This study examined the relative strength of optimism and pessimism in predicting adolescent life satisfaction and depression, and further explored the possible mediating mechanisms from the perspective of emotion regulation. A sample of 2672 adolescents (Mage = 13.54 years, SD = 1.04; 55.60% boys) completed a survey assessing optimism and pessimism, the habitual use of reappraisal and acceptance strategies, life satisfaction, and depression. The results from dominance analysis revealed that the presence of optimism was more powerful than the absence of pessimism in predicting adolescent life satisfaction, while the absence of pessimism was more powerful than the presence of optimism in predicting adolescent depression. Moreover, mediation models showed that reappraisal and acceptance mediated both the link between optimism and life satisfaction and the link between pessimism and depression. These findings suggest possible avenues for intervening in different aspects of adolescent subjective well-being.
Analysis and Visualization of Research on Resilient Cities and Communities Based on VOSviewer
Authors: Huang Yu-Jie , Cheng Shuo , Yang Fu-Qiang , Chen Chao
Published: June 2022

To objectively grasp the current situation and development trend of resilient cities or communities (RC) research. The articles in Web of Science (WOS) Core Collection databases from 1995 to 2022 were used as a sample, and bibliometrics was used to statistically analyze the year of publication and number of articles, highly cited documents and keyword hotness in this field. VOSviewer was used to explore the knowledge graph of RC research documents. The results show that: the development process is roughly divided into 3 periods: no attention (1995–2004), starting (2005–2014), and rapid growth (2015–2021). The journal “Sustainability” and “International journal of disaster risk reduction” are the key journals publishing RC research. Serre and Shaw are the most productive authors. The USA is still the leading country in this field of RC. Colorado State Univ, Texas a&m Univ, and Delft Univ Technol are the main research institutions. The keyword analysis indicates the hot topics in different periods. Moreover, several limitations and some recommendations for future research on RC are also given based on this.
Factor Structure of the Korean Version of the Occupational Socialization of Beginning Physical Education Teachers Scale in the Context of the COVID-19 Pandemic and Its Relationship with Health Perception Education
Authors: Lee Seung-Man , Lee Eui-Jae , So Wi-Young , Kim Jong-Hyuck
Published: June 2022

This study aimed to explore the factor structure of the Korean version of the occupational socialization of beginning physical education teachers scale, in the context of the COVID-19 pandemic, and to verify its relationship with health perception education. In October 2021, 257 Korean beginning physical education teachers were enrolled in this study. Data were analyzed using frequency analysis, exploratory factor analysis, confirmatory factor analysis, descriptive statistics, reliability analysis, and multiple regression analysis. Regarding the findings, first, the occupational socialization of beginning physical education teachers scale showed a six-factor structure: role recognition, past physical education class experience, pre-service teacher education, organizational atmosphere, fellow physical education teachers, and sports facility. Second, occupational socialization of beginning physical education teachers showed a partial positive effect on health perception education. These results suggest that the Korean Metropolitan and Provincial Offices of Education and Korean schools should develop various methods to support and ensure the occupational socialization of beginning physical education teachers. Such efforts may enable these new professionals to effectively adapt to their schools, teaching roles, and provide effective health education to students under the difficult context of the COVID-19 pandemic, wherein normal educational activities are hindered.
The Role of Science-Based Knowledge on the SARS-CoV-2 Virus in Reducing COVID-19-Induced Anxiety among Nurses
Authors: Dubovi Ilana , Ruban Angela , Amit Aharon Anat
Published: June 2022

The COVID-19 infection has generated not only a risk of morbidity and mortality but also resulted in an enormous psychological impact on healthcare providers and the general public. This study aimed to evaluate the prevalence of anxiety and identify the role of protective factors. A two-part cross-sectional study was conducted, by means of an online questionnaire. Part 1 investigated 562 registered nurses, nursing students, and the general public. Participants were assessed for anxiety symptoms with the State-Trait-Anxiety Inventory. A one-way ANCOVA analysis revealed that nurses had the highest level of anxiety compared to the general public and students, with 26% of them reporting severe anxiety. To identify how anxiety can be mitigated, the Part 2 study was focused on registered nurses from Part 1. Multiple regression revealed that a higher level of science-based knowledge of COVID-19 and professional experience were associated with a lower level of anxiety among nurses. The findings suggest that nurses are a vulnerable population prone to anxiety symptoms resulting from the COVID-19 pandemic. Having a deeper science-based understanding of COVID-19 may protect nurses from anxiety. This study underlines the importance of deep evidence-based knowledge for health providers, which may be generalized to a possible future emergency disaster.
Tendency in Pulmonary Aspergillosis Investigation during the COVID-19 Era: What Is Changing?
Authors: Caggiano Giuseppina , Apollonio Francesca , Consiglio Mila , Gasparre Valentina , Trerotoli Paolo , Diella Giusy , Lopuzzo Marco , Triggiano Francesco , Stolfa Stefania , Mosca Adriana , Montagna Maria Teresa
Published: June 2022

Aspergillosis is a disease caused by Aspergillus, and invasive pulmonary aspergillosis (IPA) is the most common invasive fungal infection leading to death in severely immuno-compromised patients. The literature reports Aspergillus co-infections in patients with COVID-19 (CAPA). Diagnosing CAPA clinically is complex since the symptoms are non-specific, and performing a bronchoscopy is difficult. Generally, the microbiological diagnosis of aspergillosis is based on cultural methods and on searching for the circulating antigens galactomannan and 1,3-β-D-glucan in the bronchoalveolar lavage fluid (bGM) or serum (sGM). In this study, to verify whether the COVID-19 period has stimulated clinicians to pay greater attention to IPA in patients with respiratory tract infections, we evaluated the number of requests for GM-Ag research and the number of positive tests found during the pre-COVID-19 and COVID-19 periods. Our data show a significant upward trend in GM-Ag requests and positivity from the pre-COVID to COVID period, which is attributable in particular to the increase in IPA risk factors as a complication of COVID-19. In the COVID period, parallel to the increase in requests, the number of positive tests for GM-Ag also increased, going from 2.5% in the first period of 2020 to 12.3% in the first period of 2021.
Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program
Authors: Decock Mathieu , De Wilde Robin , Van der Looven Ruth , Vander Linden Catharine
Published: June 2022

Background: Short- and long-term consequences after treatment for childhood fossa posterior tumors are extensively reported in the literature; however, papers highlighting physical function throughout rehabilitation and its correlation with Intelligence Quotient (IQ) are sparse. This study aims to describe the physical functioning and IQ of these survivors, their progression during rehabilitation, and the association with histopathological tumor classification. Additionally, the correlation between gross motor functioning and cognitive functioning was investigated. Methods: This retrospective single-center cohort study included 56 children (35 (62.5%) males and 21 (37.5%) females, with an average age of 6.51 years (SD 4.13)) who followed a multidisciplinary program at the Child Rehabilitation Centre, Ghent University Hospital in the period from 2005 to 2020. Descriptive statistical analysis was performed with the use of non-parametric tests and linear regression to determine the relationship between gross motor functioning and IQ. Results: This report shows impaired motor and intelligence performance in children with a fossa posterior tumor. Although multidisciplinary rehabilitation is beneficial, it is not able to counteract the further decline of several motor skills and intelligence during oncological treatment, more specifically in children with a medulloblastoma. A correlation between gross motor function and total IQ was found. Conclusion: Pediatric survivors of a fossa posterior tumor experience impaired physical and intellectual functions, with more decline during oncological treatment despite simultaneous multidisciplinary rehabilitation.
Forms of Aid Provided to Refugees of the 2022 Russia–Ukraine War: The Case of Poland
Authors: Ociepa-Kicińska Elżbieta , Gorzałczyńska-Koczkodaj Małgorzata
Published: June 2022

The Twenty-Fourth of February 2022 marked the beginning one of the greatest humanitarian crisis in Europe. Within the first six days of the war, the number of Ukrainian refugees exceeded 4 million, which is more than twice the total number of incomers who arrived in Europe during the Syrian migration throughout 2015. Most of them found themselves in Poland; thus, an urgent need for ad hoc humanitarian and systemic aid arose. To cope with the situation, a number of changes to the Polish law were introduced so as to provide help to the refugees (mainly women and children) from Ukraine. To systematise the changes, the authors of the study analysed the legal acts that had been created or amended for the purposes of providing aid to the refugees staying in Poland. The research study has shown that, in the first days following the war’s outbreak, the measures of key importance were the grassroot initiatives taken by Polish citizens, but as days went by, systemic aid became indispensable. Moreover, non-standard needs had to be handled due to the fact that the refugees were mainly women and children rather than entire families. In conclusion, the war in Ukraine has shown how important it is to have refugee aid procedures at hand and to have a detailed guidance prepared beforehand.
The Role of Housing Tenure Opportunities in the Social Integration of the Aging Pre-1970 Migrants in Beijing
Authors: Zhu Ye , Cao Weiyu , Li Xin , Liu Ran
Published: June 2022

This study focuses on the social integration of the pre-1970 first-generation migrants in reformist China, who were born before the year 1970 while getting old in the destination cities. The pre-1970 first-generation migrants are not a homogeneous group but are composed of: (a) those over 45 years old and still working but facing age discrimination; and (b) the elderly granny as nanny assuming the domestic and child-care work for their sons or daughters in the destination cities. We conceptualized and re-defined the aging migrants’ social integration into three dimensions (i.e., participation practices, communication contacts, and subjective perceptions), and used the 2017 Migrant Dynamics Monitoring Survey (MDMS) data from Beijing to measure and explain the varied integration levels among a total of 1267 aging migrant samples in the Beijing metropolis. It is proven that housing tenure matters and housing tenure entitlement would be conductive to beefing up aging migrants’ integration. However, informal housing should not be “stigmatized” as a segregated world, since those dwelling in the informal housing have reported a higher probability of perceiving a fully integrated status (namely subjective well-being, SWB) than those living in the dormitory-like housing. Additionally, an employment-income paradox is found, which shows that higher economic achievement is NOT equivalent to a higher social integration status for the aging migrants.
The Effect of Juggling as Dual-Task Activity on Human Neuroplasticity: A Systematic Review
Authors: Malik Jakub , Stemplewski Rafał , Maciaszek Janusz
Published: June 2022

This systematic review formulated a research question based on the PICO method in accordance with the Guidelines for Systematic Reviews and Meta-Analyses (PRISMA), “What is the effect of juggling as dual-task activity on neuroplasticity in the human brain?” In total, 1982 studies were analysed, 11 of which met the inclusion criteria and were included in the review. These studies included 400 participants who had no prior juggling experience or were expert jugglers. The research methodology in seven studies was based on a long-term intervention with juggling. Three studies were based on brain imaging during the act of juggling, and one study was based on comparing differences between experienced jugglers and non-jugglers without the intervention. In all of these selected studies, positive structural changes in the human brain were found, including changes mainly in the gray matter (GM) volume in the visual motion complex area (hMT/V5) and the white matter (WM) volume in fractional anisotropy (FA). Based on this evidence, it can be concluded that the bimanual juggling task, as a dual-task activity, may effectively integrate brain areas to improve neuroplasticity. The small number of well-designed studies and the high risk of bias call for further research using a juggling intervention to identify conclusive evidence.
Homophily Effect in Trauma-Informed Classroom Training for School Personnel
Authors: Zickafoose Alexis , Wingenbach Gary , Haddad Sana , Freeny Jamie , Engels Josephine
Published: June 2022

A national shortage of youth mental health professionals necessitates training others (e.g., school staff) to help youth with behavioral and mental health issues. Professional training in trauma-informed classroom (TIC) practices could increase school staff’s awareness of adverse childhood experiences (ACEs). The purpose was to determine the effect of homophily on participants’ perceptions or knowledge of TIC training. Mental Health America of Greater Houston (MHAGH) offered TIC training from 2019 to 2020 to Texas educators (N ≈ 29,900) from nine school districts that experienced significant natural and human-made traumatic events. Proportional stratified random samples were selected based on trainer type (experts vs. peer trainers). Perception was measured with close-ended items on five-point scales. Knowledge was measured with content-specific questions. Independent t-tests and two-way ANOVA revealed no significant interaction effects (i.e., trainer and test type) and no differences existed in perception or knowledge by trainer type. TIC training can be equally effective when delivered by homophilous peers (i.e., school staff) and heterophilous experts (i.e., mental health experts). COVID-19 worsened the effects of ACEs and youth mental health issues. High-quality training will increase school staff’s use of TIC practices. MHAGH’s train-the-trainer model helps educators supporting youth affected by ACEs and other life stressors.
Self-Efficacy and Mental Health Help-Seeking Behavior of World Trade Center Health Registry Enrollees, 2015–2016
Authors: Garrey Sascha K. , Takemoto Erin , Petrsoric Lysa , Gargano Lisa M.
Published: June 2022

The September 11th World Trade Center (WTC) disaster resulted in an elevated prevalence of Post-Traumatic Stress Disorder (PTSD) among those directly exposed, yet lower than expected rates of mental health treatment seeking and high levels of reported perceived unmet mental healthcare need were observed in this population in the years following. Self-efficacy, an individual’s self-perception of their ability to succeed in specific situations or accomplish a task or goal, may in part explain this discrepancy; however, little is known about its interplay with the help-seeking behaviors of disaster-exposed populations. We used WTC Health Registry data (n = 11,851) to describe the relationship between self-efficacy and three outcomes related to help-seeking behavior: (1) seeking mental health treatment, (2) perceived unmet mental health care needs, and (3) satisfaction with mental health treatment. Multinomial logistic regression models were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CI). We found a dose-response relationship between self-efficacy score and mental health help-seeking: for every one unit increase in self-efficacy score, we observed a 6% increase in the odds of having treatment 4 to 12 months ago (OR = 1.06, CI: 1.03–1.09), a 7% increase in the odds of having had treatment 1 to 2 years ago (OR = 1.07, CI: 1.04, 1.09), and a 10% increase in the odds of having sought treatment 2 or more years ago (OR = 1.10, CI: 1.08, 1.12) compared to those who had sought treatment more recently. An understanding of individual self-efficacy may help improve post-disaster mental health treatment in order to provide more tailored and helpful care.
Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries
Authors: Yousaf Madiha , Aslam Tahir , Saeed Sidra , Sarfraz Azza , Sarfraz Zouina , Cherrez-Ojeda Ivan
Published: June 2022

Introduction: Collective evidence on risk factors for dental caries remains elusive in low- and middle-income countries (LMICs). The objective was to conduct a systematic review and meta-analysis on risk factors for dental caries in deciduous or permanent teeth in LMICs. Methods: Studies were identified electronically through databases, including Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials, PubMed/MEDLINE, and CINAHL, using “prevalence, dental caries, child, family, socioeconomic, and LMIC” as the keywords. A total of 11 studies fit the inclusion criteria. Quality assessment of the included studies was performed using the Newcastle-Ottawa Scale (NOS). The MedCalc software and Review Manager 5.4.1 were used. Results: From 11,115 participants, 38.7% (95% CI: 28.4–49.5%) had caries and 49.68% were female. Among those with caries, 69.74% consumed sugary drinks/sweets (95% CI: 47.84–87.73%) and 56.87% (95% CI: 35.39–77.08%) had good brushing habits. Sugary drinks had a two times higher likelihood of leading to caries (OR: 2.04, p < 0.001). Good oral hygiene reduced the risk of caries by 35% (OR: 0.65, p < 0.001). Concerning maternal education, only secondary education reduced the likelihood of caries (OR: 0.96), but primary education incurred 25% higher risks (OR: 1.25, p = 0.03). A 65% reduction was computed when caregivers helped children with tooth brushing (OR: 0.35, p = 0.04). Most families had a low socioeconomic status (SES) (35.9%, 95% CI: 16.73–57.79), which increased the odds of caries by 52% (OR: 1.52, p < 0.001); a high SES had a 3% higher chance of caries. In the entire sample, 44.44% (95% CI: 27.73–61.82%) of individuals had access to dental services or had visited a dental service provider. Conclusion: Our findings demonstrate that high sugar consumption, low maternal education, and low and high socioeconomic status (SES) increased the risk of dental caries in LMICs. Good brushing habits, higher maternal education, help with tooth brushing, and middle SES provided protection against caries across LMIC children. Limiting sugars, improving oral health education, incorporating national fluoride exposure programs, and accounting for sociodemographic limitations are essential for reducing the prevalence of dental caries in these settings.
Diagnostic Accuracy of Platelet-Derived Parameters in Prognostication in Neurosurgery
Authors: Pluta Michał P. , Dziech Magdalena , Klocek Tomasz , Szczepańska Anna J. , Krzych Łukasz J.
Published: June 2022

Introduction. Platelets (PLT) are key mediators in thrombotic and inflammatory processes. Their activity increases with size, so the mean platelet volume (MPV) can be a potential predictor of perioperative complications. The aim of the study was to assess the suitability of platelet parameters in predicting the risk of hospital death in neurosurgery. Methods. Retrospective observation covered 452 patients undergoing surgery in the period March 2018–August 2018. High-risk patients accounted for 44% (i.e., ASA-PS class III+) and 9% (i.e., ≥1 Shoemaker criterion), respectively, and 14% of procedures were performed in the urgent mode. The preoperative platelet parameters that were assessed and analysed were: total platelet count (PLT), mean platelet volume (MPV), plateletcrit (PCT) and platelet distribution width (PDW). The end point of the study was a hospital death. Results. Before discharge from the hospital, 13 patients died. The medians (IQR) PLT, MPV PDW and PCT were, respectively: 230 × 106 L−1 (182–279); 9.2 fL (8.3–10.1); 14% (12.5–16.3); and 21% (17–26). PLT, PCT and PDW were not useful in the risk assessment. MPV was lower in patients who died (9.3 vs. 8.3 fL, p < 0.01) and predicted death occurred in 76% (AUC = 0.76, 95%CI 0.72–0.80, p < 0.01). Further, after adjustment for confounders, MPV remained a significant predictor of in-hospital death (logOR[MPV] = 0.31, AUC = 0.94, 95%CI 0.92–0.96, p = 0.02). Conclusion. The reduction in the average volume of platelets is associated with a worse prognosis in neurosurgical patients.