bluuebunny/crossref_metadata_2025 huggingface dataset:
Alcohol Consumption in the Workplace: A Comparison between European Union Countries’ Policies
Authors: Borrelli Ivan , Santoro Paolo Emilio , Gualano Maria Rosaria , Perrotta Antongiulio , Daniele Alessandra , Amantea Carlotta , Moscato Umberto
Published: December 2022

Background: Alcohol use is an ever-growing phenomenon in the population, consumption data indicate that 5–20% of the European working population have serious problems related to alcohol. The use of alcohol constitutes a risk to the health and safety of workers as well as to the safety of the general population. The present work aims to address the problem of alcohol intake in occupational settings by comparatively analyzing alcohol consumption behavior within the 27 countries of the European Union. Methods: The purpose of this research is to analyze the differences between the 27 countries of the European Union in the application of measures to assess and manage the risk of alcohol intake in occupational settings. Results: An examination of the legislation and guidelines of the different countries reveals profound differences in the management of the problem of alcohol in the workplace. The discrepancy is very wide that it ranges from the complete absence of legislative restrictions on a national level in some countries to highly restrictive measures with severe sanctions in others. Conclusions: It would be appropriate—also for the purpose of ease of movement of workers within the European Community—to find shared management models useful for protecting the health and safety of workers and the general population.
Indigenous Cultural Safety in Recognizing and Responding to Family Violence: A Systematic Scoping Review
Authors: Allice Ilana , Acai Anita , Ferdossifard Ayda , Wekerle Christine , Kimber Melissa
Published: December 2022

This systematic scoping review synthesizes the recommended approaches for providing culturally safe family violence interventions to Indigenous peoples in health care and social service settings. A total of 3783 sources were identified through our electronic database searches, hand-searching of Indigenous-focused journals, and backward and forward citation chaining. After screening those sources in duplicate, 28 papers were included for synthesis in June 2020. Forward citation chaining of these 28 included articles in June 2022 identified an additional 304 possible articles for inclusion; following the screening of those 304 articles, an additional 6 were retained in the review. Thus, a total of 34 articles were included for data extraction and narrative synthesis. Initial results were presented to members of the Six Nations of the Grand River Youth Mental Wellness Committee, and their feedback was incorporated into our inductive organization of findings. Our findings represent three thematic areas that reflect key recommendations for health care and social service provision to Indigenous families for whom family violence is a concern: (1) creating the conditions for cultural safety; (2) healing at the individual and community level; and (3) system-level change. These findings demonstrate the need to center Indigenous peoples and perspectives in the development and implementation of cultural safety approaches, to acknowledge and address historically contingent causes of past and present family violence including colonization and related state policies, and to transform knowledge and power relationships at the provider, organization, and government level.
Evaluation of Risk Perception of Smoking after the Implementation of California’s Tobacco 21 Law
Authors: Sax Joanna K. , Doran Neal
Published: December 2022

Decreasing smoking initiation remains a public health priority. In 2016, California, in the United States, enacted the Tobacco 21 law, which raised the minimum age for the purchase of tobacco products from age 18 to age 21. This paper evaluates whether the enactment and implementation of the Tobacco 21 law changed how young adults perceive the risk(s) of smoking. Data were drawn from a cohort of emerging adults (n = 575) in California who were non-daily smokers at enrollment and followed quarterly for 3 years. Data were collected during 2015–2019. Piecewise multilevel regression models were used to test for changes in smoking status and perceived risks of cigarettes after Tobacco 21 enforcement began. Findings indicated that the prevalence of current smoking and perceived risks of smoking both declined following Tobacco 21 implementation (ps < 0.001). Post-hoc analyses suggested that post-implementation changes in perceived risk occurred primarily among ongoing smokers. Findings suggest that Tobacco 21 and associated public health measures have been effective, but additional research is needed to disentangle the effects of specific components. Understanding the impact and efficacy of tobacco laws provides great social value to research and implement policies that create intervention(s) on reducing tobacco use initiation.
Limitation of Futile Therapy in the Opinion of Nursing Staff Employed in Polish Hospitals—Results of a Cross-Sectional Study
Authors: Damps Maria , Gajda Maksymilian , Kowalska Malgorzata , Kucewicz-Czech Ewa
Published: December 2022

The debate on limiting futile therapy in the aspect of End of Life (EoL) care has been going on in Poland over the last decade. The growing demand for EoL care resulting from the aging of societies corresponds to the expectation of a satisfactory quality of life and self-determination. The authors designed a cross-sectional study using a newly designed questionnaire to assess the opinions of 190 nurses employed in intensive care units (ICUs) on futile therapy, practices, and the respondents’ approach to the issue. The problem of futile therapy and its clinical implications are known to the nursing community. Among the most common reasons for undertaking futile therapy in adult patients, the respondents declared fear of legal liability for not taking such actions (71.58%), as well as fear of being accused of unethical conduct (56.32%), and fear of talking to the patient/patient’s family and their reaction (43.16%). In the case of adult patients, the respondents believed that discontinuation of futile therapy should be decided by the patient (84.21%), followed by a doctor (64.21%). As for paediatric patients, two-thirds of the respondents mentioned a doctor and a court (64.74% and 64.21%, respectively). Overall, 65.26% of the respondents believe and agree that the comfort of the patient’s last days is more important than the persistent continuation of therapy and prolonging life at all costs. The presented results clearly show the attitude of the respondents who defend the patient’s dignity and autonomy.
Hippobosca equina L. (Hippoboscidae: Hippobosca)—An Old Enemy as an Emerging Threat in the Palearctic Zone
Authors: Maślanko Weronika , Szwaj Ewelina , Gazda Michał , Bartosik Katarzyna
Published: December 2022

Arthropods of the Hippoboscoidea superfamily are parasites of animals from various systematic groups. Mass appearances of these insects and their attacks on people are increasingly being recorded. Their parasitism has a negative effect on host well-being, as it causes feelings of agitation and irritation as well as skin itching and damage. It may result in weight loss and development of diseases in the long-term perspective. Parasites can be a potential epidemiological threat for their hosts as well. One of such parasites is a cosmopolitan species of the Hippoboscinae subfamily—Hippobosca equina. Studies have confirmed the presence of Corynebacterium pseudotuberculosis equi, Bartonella spp., and Anaplasma spp. in the organism of these insects. The frequency of anaphylactic reactions caused by H. equina attacks has been increasing. The aim of the present paper was to summarize the up-to-date knowledge of Hippobosca equina Linnaeus, 1758 due to its significance in medical and veterinary sciences as a potential vector of pathogens. Given the increasing expansion of ectoparasites, mainly related to climate change, ensuring animal welfare and human health is a priority.
The Effect of Electrical-Stimulation-Induced Emotion on Time Perception: A Time-Reproduction Task
Authors: Zhao Chunni , Zeng Qing
Published: December 2022

Duration cognition refers to an individual’s cognition for the duration of a given stimulus. Previous studies have explored the effect of emotions on duration perception; however, the results remain controversial. To explore the characteristics of college students’ time perception under electrical stimulation, this study used a time-reproduction task and a within-subject design with electrical-stimulation conditions and target duration as independent variables. Additionally, this study used the average temporal reproduction and the reproduction coefficient of variation as dependent variables; the subjective arousal degree, value, and electrical activity under electric stimulation were recorded simultaneously. The results indicated a significant main effect of electrical stimulation. Compared to non-electrical stimulation, the average temporal reproduction of participants under electrical stimulation was significantly shorter. Additionally, the interaction between electrical stimulation and target duration was significant. Furthermore, with the increase in the target duration, the shortening degree of the average temporal reproduction under the electrical stimulation increased significantly. Additionally, the participants’ subjective arousal with electrical stimulation was higher than that without an electrical shock, and the valence with electrical stimulation was lower than that without electrical stimulation. These results suggest that the emotions induced by electrical stimulation increase the internal-clock speed, which leads to the relative overestimation of time perception.
Perception and Knowledge of Dental Ergonomics among Romanian Dental Students
Authors: Talpos-Niculescu Ioana Cristina , Farkas Andrei Zoltan , Lungeanu Diana , Argeşanu Veronica , Anghel Mirella Dorina , Nagib Riham
Published: December 2022

Musculoskeletal disorders (MSDs) are among leading factors for early retirement of dental practitioners while the application of ergonomic principles is often overlooked during dental education. The article aims to assess the need for dental ergonomics modules as an integrated part of the dental school curriculum and to quantify the significance and role of ergonomics in reducing musculoskeletal stress generated while undergoing dental training. The study design consisted of a three-part original close-ended multiple-choice questionnaire carried out among 75 sixth year students from “Victor Babeş” University of Medicine and Pharmacy, Timişoara, Romania. Questions focused on the basic knowledge of theoretical ergonomics, the ISO 11226 standard and means of improvement in undergraduate ergonomics training. Most students had an average level of knowledge regarding dental ergonomic principles. Data analysis showed that 62.16% agree that the information received in the second-year dental ergonomics course was helpful in regard to time organization. A high percentage (86%) also understood the correct positioning of the patient while performing dental procedures. Although implementation of ergonomic principles in the early dental training years has a high influence in the prevention of MSDs, students do not fully understand the impact this subject has on their future careers.
RGB-Depth Camera-Based Assessment of Motor Capacity: Normative Data for Six Standardized Motor Tasks
Authors: Röhling Hanna Marie , Otte Karen , Rekers Sophia , Finke Carsten , Rust Rebekka , Dorsch Eva-Maria , Behnia Behnoush , Paul Friedemann , Schmitz-Hübsch Tanja
Published: December 2022

Background: Instrumental motion analysis constitutes a promising development in the assessment of motor function in clinical populations affected by movement disorders. To foster implementation and facilitate interpretation of respective outcomes, we aimed to establish normative data of healthy subjects for a markerless RGB-Depth camera-based motion analysis system and to illustrate their use. Methods: We recorded 133 healthy adults (56% female) aged 20 to 60 years with an RGB-Depth camera-based motion analysis system. Forty-three spatiotemporal parameters were extracted from six short, standardized motor tasks—including three gait tasks, stepping in place, standing-up and sitting down, and a postural control task. Associations with confounding factors, height, weight, age, and sex were modelled using a predictive linear regression approach. A z-score normalization approach was provided to improve usability of the data. Results: We reported descriptive statistics for each spatiotemporal parameter (mean, standard deviation, coefficient of variation, quartiles). Robust confounding associations emerged for step length and step width in comfortable speed gait only. Accessible normative data usage was lastly exemplified with recordings from one randomly selected individual with multiple sclerosis. Conclusion: We provided normative data for an RGB depth camera-based motion analysis system covering broad aspects of motor capacity.
Does Online Implementation Make a Difference in the Effects of a Mental Health Curriculum at Schools?
Authors: dos Santos Margarida Frade , Simões Celeste , Santos Anabela Caetano , Lebre Paula , Grazzani Ilaria
Published: December 2022

COVID-19 changed and challenged education, with schools obliged to adapt to online settings. This study aims to evaluate the impact of a mental health curriculum implemented at schools, considering the implementation settings: online, onsite, and mixed (online and onsite). From kindergarten to high school, 933 students were evaluated by teachers regarding their social and emotional learning, strengths and difficulties, and academic outcomesin two measuring times: pre- and post-test. A qualitative analysis of teachers’ adaptations to the online implementation was also conducted. Results revealed a positive impact with both mixed and onsite implementation. However, the mixed format demonstrated significant positive changes between the pre—and post-test, namely in relationship skills, responsible decision-making, internalized problems, and academic achievement. The mixed format with few online activities appears to have a more positive impact on students. Nevertheless, implementing social and emotional skills (SES) activities exclusively online seems to positively affect some SES domains more than onsite and mixed formats. Teachers used synchronous (e.g., digital platforms) and asynchronous (e.g., extra resources) adaptations for the implementation. This study shows that implementing mental health programs at schools, in this case, PROMEHS, is beneficial for students, even amidst the pandemic, and regardless of the implementation settings.
Digital-Based Policy and Health Promotion Policy in Japan, the Republic of Korea, Singapore, and Thailand: A Scoping Review of Policy Paths to Healthy Aging
Authors: Mulati Nadila , Aung Myo Nyein , Field Malcolm , Nam Eun Woo , Ka Carol Ma Hok , Moolphate Saiyud , Lee Hocheol , Goto Yuki , Kweun Nam Hae , Suda Takumi , Koyanagi Yuka , Nagamine Yuiko , Yuasa Motoyuki
Published: December 2022

People are living longer, and our life has become more digital. Hence, the benefits from digital technology, including economic growth, increasing labor productivity, and ensuring health equity in the face of an aging population emerged as a vital topic for countries around the world. Japan, the Republic of Korea (ROK), Singapore, and Thailand are in the top ten rankings in terms of information and communication technology (ICT) development within the Asia Pacific Region and all are facing challenges of population aging. Well-designed national ICT policy and health promotion policies enabled the countries to make significant progress and development in terms of digitalization and healthy aging. This paper aims to answer questions regarding digitization and health promotion: when it started, how it is going, what are the achievements, and what it holds for the future, considering healthy aging and digitalization by reviewing the national ICT policy and health promotion policies of Japan, Korea, Singapore, and Thailand. This paper is expected to help readers build a comprehensive understanding of each country’s journey towards building a healthy aging digital society. Furthermore, we hope this paper can be a source for countries to exchange experiences and learn from each other with a joint goal of building a healthy aging digital society.
Assessing COVID-19-Related Excess Mortality Using Multiple Approaches—Italy, 2020–2021
Authors: Ceccarelli Emiliano , Dorrucci Maria , Minelli Giada , Jona Lasinio Giovanna , Prati Sabrina , Battaglini Marco , Corsetti Gianni , Bella Antonino , Boros Stefano , Petrone Daniele , Riccardo Flavia , Maruotti Antonello , Pezzotti Patrizio
Published: December 2022

Introduction: Excess mortality (EM) is a valid indicator of COVID-19’s impact on public health. Several studies regarding the estimation of EM have been conducted in Italy, and some of them have shown conflicting values. We focused on three estimation models and compared their results with respect to the same target population, which allowed us to highlight their strengths and limitations. Methods: We selected three estimation models: model 1 (Maruotti et al.) is a Negative-Binomial GLMM with seasonal patterns; model 2 (Dorrucci et al.) is a Negative Binomial GLM epidemiological approach; and model 3 (Scortichini et al.) is a quasi-Poisson GLM time-series approach with temperature distributions. We extended the time windows of the original models until December 2021, computing various EM estimates to allow for comparisons. Results: We compared the results with our benchmark, the ISS-ISTAT official estimates. Model 1 was the most consistent, model 2 was almost identical, and model 3 differed from the two. Model 1 was the most stable towards changes in the baseline years, while model 2 had a lower cross-validation RMSE. Discussion: Presently, an unambiguous explanation of EM in Italy is not possible. We provide a range that we consider sound, given the high variability associated with the use of different models. However, all three models accurately represented the spatiotemporal trends of the pandemic waves in Italy.
Urban Heat Island Intensity Changes in Guangdong-Hong Kong-Macao Greater Bay Area of China Revealed by Downscaling MODIS LST with Deep Learning
Authors: Deng Fan , Yang Ying , Zhao Enling , Xu Nuo , Li Zhiyuan , Zheng Peixin , Han Yang , Gong Jie
Published: December 2022

The urban heat island (UHI) effect caused by urbanization negatively impacts the ecological environment and human health. It is crucial for urban planning and social development to monitor the urban heat island effect and study its mechanism. Due to spatial and temporal resolution limitations, existing land surface temperature (LST) data obtained from remote sensing data is challenging to meet the long-term fine-scale surface temperature mapping requirement. Given the above situation, this paper introduced the ResNet-based surface temperature downscaling method to make up for the data deficiency and applied it to the study of thermal environment change in the Guangdong-Hong Kong-Macao Greater Bay Area (GBA) from 2000 to 2020. The results showed (1) the ResNet-based surface temperature downscaling method achieves high accuracy (R2 above 0.85) and is suitable for generating 30 m-resolution surface temperature data from 1 km data; (2) the area of severe heat islands in the GBA continued to increase, increasing by 7.13 times within 20 years; and (3) except for Hong Kong and Macau, the heat island intensity of most cities showed an apparent upward trend, especially the cities with rapid urban expansion such as Guangzhou, Zhongshan, and Foshan. In general, the evolution of the heat island in the GBA diverges from the central urban area to the surrounding areas, with a phenomenon of local aggregation and the area of the intense heat island in the Guangzhou-Foshan metropolitan area is the largest. This study can enrich the downscaling research methods of surface temperature products in complex areas with surface heterogeneity and provide a reference for urban spatial planning in the GBA.
Forewarned Is Forearmed: Machine Learning Algorithms for the Prediction of Catheter-Induced Coronary and Aortic Injuries
Authors: Klaudel Jacek , Klaudel Barbara , Glaza Michał , Trenkner Wojciech , Derejko Paweł , Szołkiewicz Marek
Published: December 2022

Catheter-induced dissections (CID) of coronary arteries and/or the aorta are among the most dangerous complications of percutaneous coronary procedures, yet the data on their risk factors are anecdotal. Logistic regression and five more advanced machine learning techniques were applied to determine the most significant predictors of dissection. Model performance comparison and feature importance ranking were evaluated. We identified 124 cases of CID in electronic databases containing 84,223 records of diagnostic and interventional coronary procedures from the years 2000–2022. Based on the f1-score, Extreme Gradient Boosting (XGBoost) was found to have the optimal balance between positive predictive value (precision) and sensitivity (recall). As by the XGBoost, the strongest predictors were the use of a guiding catheter (angioplasty), small/stenotic ostium, radial access, hypertension, acute myocardial infarction, prior angioplasty, female gender, chronic renal failure, atypical coronary origin, and chronic obstructive pulmonary disease. Risk prediction can be bolstered with machine learning algorithms and provide valuable clinical decision support. Based on the proposed model, a profile of ‘a perfect dissection candidate’ can be defined. In patients with ‘a clustering’ of dissection predictors, a less aggressive catheter and/or modification of the access site should be considered.
Challenges in Help-Seeking Behaviors among Rural Older People Mitigated through Family Physician-Driven Outreach: A Systematic Review
Authors: Ohta Ryuichi , Katsube Takuji , Sano Chiaki
Published: December 2022

Help-seeking behaviors (HSBs) refer to approaches taken by individuals towards their health and symptoms, and they are supported by healthcare professionals. Outreach interventions aimed at older people in rural communities can mitigate difficulties in implementing HSBs and help them remain healthy. This systematic review investigated evidence regarding family medicine-involved outreach aimed at HSBs among older individuals in rural areas. We searched three databases (PubMed, EMBASE, and Web of Science) for international and original interventional articles regarding family physicians involved in outreach to older people in rural or underserved areas between April 2000 and October 2022. The articles were analyzed and summarized based on the setting, country, health issues, and outreach outcomes. Of the 376 studies identified, four were included in this review. Our findings showed that family physician-involved outreach to rural and underserved areas improved health outcomes, including anxiety, subjective physical function, and diabetic care. The challenges of outreach interventions include the duration and continuity of outreach, the active participation of family physicians and patients in the outreach programs, and the focus of outreach participants. Although the number of studies included was small, family physician-involved outreach to rural and underserved areas was shown to improve various health outcomes.
Effects of Human Capital on Energy Consumption: The Role of Income Inequality
Authors: Gao Yiping , Yuan Rong , Zheng Shenglin
Published: December 2022

High-quality human capital (HC) development has a strong influence on achieving a win-win target of economic growth and energy consumption mitigation based on the background of the contemporary “carbon neutrality” constraints in China. We here aim to empirically assess the effect of HC on energy consumption (EC) in 30 provinces of China from 2000 to 2019. Moreover, we broaden the literature by discussing the effect of HC in terms of impact mechanism and nonlinear relationship. Based on methods of the augmented mean group (AMG), the estimation of long-term impacts indicates that the improvement of HC significantly discourages the increase in EC. The intrinsic mechanism shows that the accumulation of HC significantly promotes the decline of EC through economic structure adjustment and technological innovation. Moreover, the threshold model indicates that income equality lifts the inhibitory impact of HC on EC. Accordingly, the development of HC should be involved in the policy preference of China’s provincial and national development strategies considering its effectiveness in stimulating the reduction of energy consumption.
Performance of a Tower-Shaped Integrated Ecological Purification Device for Pollutants Removal from Domestic Sewage in Rural Areas
Authors: Yan Min , Zhang Jian , Wang Xiaoguo , Lu Xin
Published: December 2022

With the continuous development of China’s modern economy and agricultural society, the discharge of rural sewage has been recognized as a major threat to the safety of the rural ecological environment. This study discussed the purification efficiency of a tower-shaped integrated ecological purification device (TIEPD)—consisting of a measuring tank, detention tank and three-stage purification unit—towards various common pollutants in rural areas during operation and tested the stability and efficiency of the TIEPD under different rural life events (fair activity days and nonfair activity days) and different precipitation intensities (light rain, moderate rain and heavy rain). The results showed that the average removal efficiencies of the TIEPD towards chemical oxygen demand, ammonia nitrogen, total nitrogen and total phosphorus were 69%, 67%, 54% and 73%, respectively. The average effluent concentration of each pollutant can meet the standard of the discharge of pollutants in China. The system exhibited good stability in removing pollutants and good ecological and economic benefits. This study provides the treatment of domestic sewage in the upper reaches of the Yangtze River and in mountainous areas of China and strengthens the prevention and control of rural nonpoint source pollution.
Relationship between Muscle-Tendon Stiffness and Drop Jump Performance in Young Male Basketball Players during Developmental Stages
Authors: Gervasi Marco , Benelli Piero , Venerandi Roberto , Fernández-Peña Eneko
Published: December 2022

Background: The relationship between stiffness and drop jump performance in athletes in various stages of development has yet to be fully investigated. The first aim of this study was to investigate the association between the stiffness of the patellar and quadriceps tendon (PT, QT), gastrocnemius–Achilles tendon unit (GAT), and rectus femoris (RF) using drop jump (DJ) performance in young basketball players. The second aim was to investigate possible variations in the stiffness levels of those tissues in different developmental stages. Methods: The stiffness levels of the GAT, PT, QT, and RF were measured in both limbs in 73 male basketball players aged 12 to 18 years. The reactive strength index (RSI), contact time (CT) and jump height (JH) during 30 and 40 cm DJs were also measured. Results: Pearson correlation coefficients showed a significant association between DJ performance and PT, QT, GAT, and RF dynamic stiffness. Moreover, the youngest subjects were found to have lower stiffness values than the older ones. Conclusions: Tissue stiffness can affect athletic performance by modifying the stretch-shortening cycle in young basketball players. Stiffness of muscles and tendons increases during the maturation process. Further investigations could shed light on the effect of training on the stiffness of muscles and tendons.
The Effect of Air Pollution Control Auditing on Reducing Carbon Emissions: Evidence from China
Authors: Zhao Chen , Zhu Jiaxuan , Xu Zhiyao , Wang Yixuan , Liu Bin , Yuan Lu , Wang Xiaowen , Xiong Jiali , Zhao Yiming
Published: December 2022

Analyzing the carbon-emission-reduction mechanism from the perspective of air pollution control auditing is of great practical significance for China to implement the dual-carbon strategy. Based on the panel data of 30 Chinese provinces from 2004 to 2018, we examine whether and how the auditing of air pollution control has an impact on carbon emission reduction by using multiple regression method and the mediating analysis. Our analyses show that air pollution control auditing can significantly restrain carbon emissions but has no impact on carbon emission intensity. Further research suggests that (1) the bottom-up audit represented by local audit institutions is more effective than the top-down audit represented by the National Audit Office; (2) air pollution control auditing follows a simple and direct method to curb carbon emissions by output reduction, regulation, and shutdown, rather than promoting technological progress and green transformation of enterprises in a high-quality development mode. Those findings provide an improvement direction for air pollution control auditing to contribute to carbon emission reduction and supply relevant policy references for implementing the dual carbon strategy.
Metabolic and Proteomic Profiles Reveal the Response of the ASD-Associated Resistant Strain 6-1 of Lactobacillus plantarum to Propionic Acid
Authors: Yu Rongrong , Zhang Muchen , Ahmed Temoor , Wu Zhifeng , Lv Luqiong , Zhou Guoling , Li Bin
Published: December 2022

Autism spectrum disorder (ASD) seriously affects children’s health. In our previous study, we isolated and identified a bacterium (Lactobacillus plantarum strain 6-1) that is resistant to propionic acid (PA), which has been reported to play a significant role in the formation of ASD. In order to elucidate the mechanism of the resistance to PA, this study investigated the change in the metabolic and proteomic profile of L. plantarum strain 6-1 in the presence and absence of PA. The results show that 967 and 1078 proteins were specifically identified in the absence and the presence of PA, respectively, while 616 proteins were found under both conditions. Gene ontology enrichment analysis of 130 differentially expressed proteins accumulated in the presence and absence of PA indicated that most of the proteins belong to biological processes, cellular components, and molecular functions. Pathway enrichment analysis showed a great reduction in the metabolic pathway-related proteins when this resistant bacterium was exposed to PA compared to the control. Furthermore, there was an obvious difference in protein–protein interaction networks in the presence and the absence of propionic acid. In addition, there was a change in the metabolic profile of L. plantarum strain 6-1 when this bacterium was exposed to PA compared to the control, while six peaks at 696.46, 1543.022, 1905.241, 2004.277, 2037.374, and 2069.348 m/z disappeared. Overall, the results could help us to understand the mechanism of the resistance of gut bacteria to PA, which will provide a new insight for us to use PA-resistant bacteria to prevent the development of ASD in children.
Division of Labour and Parental Mental Health and Relationship Well-Being during COVID-19 Pandemic-Mandated Homeschooling
Authors: Elgendi Mariam M. , Stewart Sherry H. , DesRoches Danika I. , Corkum Penny , Nogueira-Arjona Raquel , Deacon S. Hélène
Published: December 2022

While the COVID-19 pandemic has impacted the way parents partition tasks between one another, it is not clear how these division of labour arrangements affect well-being. Pre-pandemic research offers two hypotheses: economic theory argues optimal outcomes result from partners specialising in different tasks, whereas psychological theory argues for a more equitable division of labour. The question of which approach optimizes well-being is more pressing in recent times, with COVID-19 school closures leaving many couples with the burden of homeschooling. It is unknown whether specialisation or equity confer more benefits for mandated homeschoolers, relative to non-homeschoolers or voluntary homeschoolers. Couples (n = 962) with children in grades 1–5 completed measures of workload division and parental well-being. A linear mixed modelling in the total sample revealed that specialisation, but not equity, promoted increased parental emotional and relationship well-being. These relations were moderated by schooling status: voluntary homeschoolers’ well-being benefitted from specialisation, whereas mandated homeschoolers’ well-being did not benefit from either strategy; non-homeschoolers well-being benefitted from both strategies. Across the mixed-gender couples, mothers’ and fathers’ well-being both benefitted from specialisation; equity was only beneficial for mothers’ well-being. Overall, couples might be advised to adopt highly equitable and specialised arrangements to promote both parents’ well-being.
Spatial–Temporal Evolution and Improvement Measures of Embodied Carbon Emissions in Interprovincial Trade for Coal Energy Supply Bases: Case Study of Anhui, China
Authors: Zhang Menghan , Dong Suocheng , Li Fujia , Xu Shuangjie , Guo Kexin , Liu Qian
Published: December 2022

On account of the long-term dependence on energy trade and the phenomenon of embodied carbon emissions in interprovincial trade (ECEs-IPT), energy supply bases (ESBs) in the economic integration regions (EIRs) are under unprecedented dual pressure of achieving carbon emissions (CEs) reduction targets and ensuring security and stability of the energy supply. This problem has attracted more and more attention and research by experts and scholars. This paper took Anhui, the coal ESB of the Yangtze River Economic Belt (YREB), as an example and took the key stage of rapid development of regional economic integration (REI) and accelerated the realization of CEs reduction targets in YREB from 2007 to 2017 as the study period. From the perspectives of regions and industry sectors, we calculated the transfer amount of ECEs-IPT in Anhui among the YREB, analyzed the spatial–temporal evolution pattern of ECEs-IPT, and revealed the industrial characteristics of ECEs-IPT. Then, we classified the industry sectors and proposed the direction of industrial improvement measures. The results showed that, during the decade, the amount of provinces undertaking the net ECEs-IPT outflow from Anhui increased significantly and spatially expanded from only Jiangxi Province to almost all of the YREB. In addition, 39.77% of the net ECEs-IPT outflow of Anhui was concentrated in petroleum processing, coking, and nuclear fuel processing (RefPetraol), metal smelting and rolling processing (MetalSmelt), and electricity and heat production and supply (ElectpowerProd) that trade with Shanghai, Jiangsu, Zhejiang, and Jiangxi. The analytical model and results will provide a useful reference for the global similar coal ESBs, especially the coal ESBs within the EIRs, to formulate improvement measures for regions or even the world to ensure stability of the energy supply and achieve regional CEs reduction targets.
Motivations Influencing Alipay Users to Participate in the Ant Forest Campaign: An Empirical Study
Authors: Wang Shujie , Ibrahiem Mohammed Habes , Li Mengyu
Published: December 2022

As one of the largest payment platforms in China, Alipay, launched a green behavior project called Ant Forest. The purpose of taking this initiative by Alipay is to make the world greener. This mobile application has motivated many users to plant millions of trees. However, minimal studies have been conducted to empirically disclose the factors that motivate Alipay users to participate in Ant Forest. A mixed-method approach is used to examine the factors influencing Alipay users to participate in Ant Forest and the level of satisfaction they got from it. The qualitative method was carried out through a structured questionnaire from 400 Alipay users and qualitative data from 20 users who have applied to Ant Forest and successfully planted trees. Additionally, alongside the mixed method employed to rationalize the relationship highlighted, a multiple regression model was employed to predict the value of a dependent variable (level of satisfaction) based on the value of several independent variables (namely, number of years engaged with Ant Forest activities, age, gender, profession, and education). The empirical results show that intrinsic motivations (enjoyment, social interaction, fulfilment, altruism) and extrinsic motivations (external rewards, competition) influence Alipay users to participate in the Ant Forest project. Further insights are presented in the concluding section for all stakeholders for environmental sustainability among the users of Alipay.
Body Composition, Somatotype and Raw Bioelectrical Impedance Parameters of Adolescent Elite Tennis Players: Age and Sex Differences
Authors: Berral-Aguilar Antonio J. , Schröder-Vilar Susana , Rojano-Ortega Daniel , Berral-de la Rosa Francisco J.
Published: December 2022

Studies analyzing tennis players’ body composition and morphological and bioelectrical characteristics are scarce, especially among adolescents. This study aimed to explore sex- and age-based differences in body composition, somatotype, and bioelectrical properties among elite young male and female tennis players aged 13–16 years. Twenty-two male (14.45 ± 1.10 years) and 20 female (14.30 ± 1.03 years) elite tennis players participated in this study and were compared according to sex (males vs. females) and, within each sex, according to age (13–14 years vs. 15–16 years). Female adolescent elite tennis players had higher body fat (BF) percentage and higher endomorphy than males. They also had lower skeletal muscle mass and total body water (TBW) percentages. Older boys had lower resistance and a higher TBW and phase angle (PhA) than younger boys, likely due to maturation and performance. No significant differences were found between younger and older girls, except for the PhA, potentially associated with better cell function and performance. This study provides valuable reference data for coaches of elite youth tennis players. Due to the few differences found in body composition and somatotype in the different age groups, the PhA may be used by practitioners as a reference for cell function and performance.
‘24/7’ Caregiving: A Qualitative Analysis of an Emerging Phenomenon of Interest in Caregiving
Authors: Chew Esther Yin Hui , Ong Zhi Lei , Glass George Frederick , Chan Ee-Yuee
Published: December 2022

The COVID-19 pandemic has exacerbated the difficulties faced by caregivers who have to provide continuous ‘24/7’ care to persons with dementia with minimal formal and informal support. While caregivers have reported heightened levels of caregiving distress and burden during the pandemic, there remains a dearth of research pertaining to their lived experiences of providing continuous care with little respite and the corresponding physical, psychosocial and emotional impacts of caregiving ‘24/7’. The present study uses data obtained from interviews with dementia caregivers (N = seven) that were collected as part of a larger study on Carer Matters, a hospital-based holistic caregiver support program held during COVID-19, to conduct a secondary thematic analysis. The findings revealed three themes that defined the shared experiences of ‘24/7’ caregivers: (1) A World Overturned, which refers to the increase in caregiving intensity and burden due to the pandemic; (2) Burning on Both Ends, which refers to the impossible balance between caregiving and their personal lives; and (3) At Wits’ End, which refers to an overwhelming sense of hopelessness and helplessness over their caregiving situation. These findings highlight the challenges and unsustainability of ‘24/7’ caregiving and the detrimental impact that round-the-clock care wields on caregivers’ physical and mental well-being. Implications and recommendations are discussed in accordance with the cultural particularities of the study’s Asian context (Singapore), with calls for greater caregiver support to be better integrated into society and the community, especially at the neighborhood and grassroots level, to alleviate caregiving burden and safeguard their well-being.
Psychometric Validation of the Indonesian Version of Children’s Revised Impact of Event Scale 13
Authors: Laksmita Okki Dhona , Chung Min-Huey , Shieh Yann-Yann , Chang Pi-Chen
Published: December 2022

A psychometric evaluation of the Children’s Revised Impact of Event Scale 13 (CRIES-13), which measures the posttraumatic stress disorder (PTSD) symptoms in children and adolescents caused by the coronavirus disease 2019 (COVID-19) pandemic, was conducted. We aimed to cross-culturally adapt and test the psychometric qualities of the CRIES-13 that was applied to Indonesian adolescents exposed to COVID-19 risk across gender groups. A cross-sectional study was conducted at a junior high school in Yogyakarta, Indonesia, in May 2022; 346 Indonesian adolescents aged 12 to 18 years completed the Indonesian version of the CRIES-13. The factorial validity results supported the scale’s three-factor structure (intrusion, avoidance, and arousal), which satisfied all parameter index requirements and exhibited a favorable level of internal consistency reliability. Excellent results were obtained across genders for the four-level measurement of invariance (i.e., configural, metric, scalar, and full invariance), and they met the recommended criteria. Our Cronbach’s alphas and composite reliability ratings were high (>0.7), indicating a strong correlation and reliability of the items for measuring each construct. We strongly support the use of the Indonesian CRIES-13, which was demonstrated to be valid and reliable for an adolescent population.
Comparison of a Group-/Home-Based and a Weight-Machine-Based Exercise Training for Patients with Hip or Knee Osteoarthritis—A Secondary Analysis of Two Trial Interventions in a Real-World Context
Authors: Roesel Inka , Krauss Inga , Martus Peter , Steinhilber Benjamin , Mueller Gerhard
Published: December 2022

This study aimed to compare an individual weight-machine-based strengthening program (MbT) with a group-/homebased training offering strengthening/functional exercises (GHT) in a general health care setting. A total of 657 participants (GHT = 521, MbT = 136) suffering from hip/knee OA were included and analysed with a pre–post design (baseline (T0)/3-months (T1)). Primary outcomes were pain and physical functioning (Western Ontario and McMaster Universities Osteoarthritis Index, range 0–10). Additionally, adherence and perceived patient benefit were measured (T1). Data were analysed with linear mixed models (time, treatment, baseline pain/physical impairment severity) adjusted for patient characteristics. No significant between-group differences in pain reduction/functional improvements (time*treatment*baseline pain/physical impairment severity, pain/function: n.s.; time*treatment, pain: p = 0.884, function: p = 0.067). Within-group improvements were dependent on baseline severity: Higher severity levels demonstrated larger changes from baseline. Perceived patient-benefit (very high to high, GHT: 78%, MbT: 92%) and exercise adherence (Dropouts T1: GHT: 27.8%, MbT: 16.2%; adherence to supervised sessions: GHT: 89%, MbT: 92%) was slightly better in the MbT. In summary, both MbT and GHT, showed positive results for patients with at least moderate disease symptoms. Findings for physical functioning, perceived patient-benefit, exercise adherence hint towards a superiority of MbT. Individual preferences should be considered when prescribing exercise therapy. Trial registration: (1) German Clinical Trial Register DRKS00009251. Registered 10 September 2015. (2) German Clinical Trial Register DRKS00009257. Registered 11 September 2015.
Telerehabilitation in the Transitional Care of Patients with Sequelae Associated with COVID-19: Perception of Portuguese Nurses
Authors: Reis Neuza , Dias Maria José Costa , Sousa Luís , Agostinho Inês , Ricco Miguel Toscano , Henriques Maria Adriana , Baixinho Cristina Lavareda
Published: December 2022

The COVID-19 pandemic brought many changes and challenges to health professionals, due to a lack of knowledge when dealing with the disease, fear of contagion, and the sequelae that characterize long COVID. To deal with this situation, respiratory rehabilitation programs are recommended in face-to-face and/or telerehabilitation modalities. (1) Background: This study had as its primary aim identifying the aspects/components to be considered in the planning and implementation of telerehabilitation interventions that guarantee transitional care for people with long COVID-19 after hospitalization and as a secondary aim identifying the positive aspects of telerehabilitation. (2) Methods: The method used to answer the research question was a focus group, carried out online with eight nurses specialized in rehabilitation nursing. The answers to the semi-structured interview were subjected to content analysis, and qualitative data analysis software (WebQDA®) was used to organize and analyze the findings. (3) Results: Four categories emerged from the content analysis: coordination between care levels; transitional care telerehabilitation intervention; advantages of telerehabilitation; and opportunities. (4) Conclusions: These findings make an important contribution to the reorganization of transitional care, allowing the identification of central aspects to be considered in the planning and implementation of telerehabilitation programs for people with long COVID.
Do Customers Want to Communicate with Insurers on Social Media? An Investigation of the Swiss Market
Authors: Pugnetti Carlo , Becker Johannes , Zani Cristian
Published: December 2022

Social media usage has grown rapidly in recent years, and with it companies’ interest in interacting with their customers on these platforms. It is, however, not yet clear whether customers welcome more intense relationships on social media and what drives this acceptance in more detail. Our research aims at understanding how age, gender, geography, usage, type of platform, personality, and current insurance provider impact customers’ attitudes towards interacting with insurance companies in the Swiss market. We find that age and frequency of use, in particular, impact acceptance, with younger customers much more open to interactions and insurance presence more welcome on more frequently used tools. This is an encouraging result for insurers, as customers tend to welcome them where customers are already frequently present. In addition, insurers can look forward to increasing interaction as younger individuals, who are more open to social media, age into core customers. Social context, on the other hand, plays only a minor role in customer preferences. The current insurance provider plays no significant role, in spite of insurance companies in the sample following widely different approaches to digital offerings and communication. This may be due to the early stage of development of the industry.