bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Vegetation Structure on Psychological Restoration in an Urban Rooftop Space
Authors: Lee Juyoung , Kang Minji , Lee Sungku , Lee Seoyong
Published: December 2022

Connectedness to nature has been recognized as an important factor for well-being, with rooftop green spaces being used for stress reduction in modern cities. This study aimed to examine psychological and physiological responses to three different vegetation models on an urban rooftop. An analysis of psychological parameters indicated that the existence of vegetation in rooftop spaces could have positive effects on mood states, and the size of the effect was greater in a structured vegetation design than in a monotonous one. An analysis of the physiological parameters of heart rate variability and systolic blood pressure indicated that greater restorative effects are elicited from the use of vertical elements, such as shrubs and trees, added to grassy areas than from concrete environments. However, a fully enclosed vegetation with trees was not associated with higher parasympathetic activities than a half-open vegetation model. Based on these findings, an open and structured vegetation design that includes both grass and shrubs may have more potential for stress reduction than a monotonous vegetation model. A larger volume of vegetation was not necessarily linked to higher psychological and physiological benefits.
Internet Development, Consumption Upgrading and Carbon Emissions—An Empirical Study from China
Authors: Chen Yingzi , Yang Wanwan , Hu Yaqi
Published: December 2022

Internet development has changed Chinese people’s consumption behavior, gradually expanding from survival consumption (SC) to development and enjoyment consumption (DEC) trends. Consumption is the new engine driving China’s economic growth and the terminal of carbon emissions. Simultaneously, China is undergoing a profound change toward the “double carbon” goal, the space for carbon emission reduction in traditional fields is gradually compressed. Therefore, it is necessary to explore carbon emissions from the perspective of consumption terminals. Based on provincial panel data, we use the fixed effects model and mediating effects model to explore the relationship between Internet development, consumption upgrading, and carbon emissions in a unified research framework. The findings show that: (1) Internet development leads to an increase in carbon emissions. A finding remains significant after using instrumental variables to mitigate endogeneity; (2) Internet development promotes consumption upgrading, reflected in development and enjoyment consumption expenditure; (3) Internet development contributes to increasing carbon emissions through consumption upgrading. Heterogeneity analysis shows that Internet development in eastern China significantly contributes to carbon emissions through consumption upgrading, while it is insignificant in central and western regions. The Internet development leading region contributes to an increase in carbon emissions through consumption upgrading. In comparison, the lagging region is insignificant. This study can provide a reference for policymakers in China or other countries to formulate energy-saving and emission-reduction policies in the Internet industry and provide a scientific basis for advocating people’s low-carbon consumption behavior and achieving carbon emission reduction at the consumption terminal.
Monitoring Physiological Performance over 4 Weeks Moderate Altitude Training in Elite Chinese Cross-Country Skiers: An Observational Study
Authors: Yu Yichao , Wang Ruolin , Li Dongye , Lu Yifan
Published: December 2022

The current observational study aimed to monitor the physiological performance over 4 weeks of living and training at a moderate altitude in elite Chinese cross-country skiers (8 males, mean age 20.83 ± 1.08 years). Lactate threshold, maximal oxygen uptake, blood, and body composition tests were performed at different time points to investigate the changes in physiological performance. The data were analysed by a one-way repeated measures ANOVA and a paired sample T-test between the test results. During the training camp, systematic load monitoring was carried out. Lactate threshold velocity, lactate threshold heart rate, and upper body muscle mass increased significantly (p < 0.01) after moderate altitude training. Maximum oxygen uptake was reduced compared to pre-tests (p < 0.05). Aerobic capacity parameters (maximal oxygen uptake, haemoglobin, red blood cell count) did not significantly increase after athletes returned to sea level (p > 0.05). These findings suggest that 4 weeks of moderate altitude training can significantly improve athletes’ lactate threshold and upper body muscle mass; no significant improvement in other aerobic capacity was seen. Exposure time, training load, and nutritional strategies should be thoroughly planned for optimal training of skiers at moderate altitudes.
Reflections on Sustainable Urban Mobility, Mobility as a Service (MaaS) and Adoption Models
Authors: Rey-Moreno Manuel , Periáñez-Cristóbal Rafael , Calvo-Mora Arturo
Published: December 2022

The environmental, social, economic, cultural and demographic changes experienced in a large part of our society are translating into a greater concern for the search of sustainable responses to the concept of mobility. In this context, the main objectives of our study are: (1) to identify the topics that are addressed most frequently in the scientific literature on sustainable mobility, and (2) to analyze the most suitable models of acceptance or rejection of sustainable mobility. The methodologies used in this paper are a literature review and content analysis. This methodology is useful for the objective, systematic and replicable description of scientific literature. The results highlight the multidimensional nature of sustainable mobility and, in turn, its connection with social issues of greater importance, such as the Sustainable Development Goals. Additionally, a conceptual framework is provided on models of acceptance and the use of information systems linked to sustainable mobility.
Using Mathematical Models to Study the Influences of Different Ratios of Chemical Nitrogen, Phosphorus, and Potassium on the Content of Soluble Protein, Vitamin C, and Soluble Sugar in Melon
Authors: Li Shuangxi , Zhang Zhaohui , Zhang Juanqin , Zheng Xianqing , Zhang Hanlin , Zhang Haiyun , Zhang Yue , Bai Naling , Lv Weiguang
Published: December 2022

The current fertilizer recommendations for melon plantation have many limitations and exhibit deficiencies regarding future development. Therefore, in this study, the optimal quantities of fertilizer, in terms of the effects of single factors and interaction effects, are studied. There were significant interaction effects between N and P, N and K, P and K; the contents of soluble protein, vitamin C (Vc), and soluble sugar in melon could be improved using the optimal fertilization ratios. The optimal ratio of N:P:K was 2.33:1:3.85, with the amounts of N, P2O5, and K2O, respectively, being 157.5, 67.58, and 260.38 kg/hm2, yielding 8.73 g/kg of soluble protein in melon. The optimal ratio of N:P:K was 2.03:1:3.36, with amounts of N, P2O5, and K2O being 157.50, 77.40, and 260.38 kg/hm2, respectively, yielding 25.32 g/kg Vc content in melon. Finally, the optimal ratio of N:P:K was 1.53:1:3.36, with the amounts of N, P2O5, and K2O being 118.07, 77.40, respectively, and 260.38 kg/hm2, yielding 13.34% soluble sugar content in melon.
Engagement in Chemsex among Men Who Have Sex with Men (MSM) in Malaysia: Prevalence and Associated Factors from an Online National Survey
Authors: Maviglia Francesca , Wickersham Jeffrey A. , Azwa Iskandar , Copenhaver Nicholas , Kennedy Olivia , Kern Monique , Khati Antoine , Lim Sin How , Gautam Kamal , Shrestha Roman
Published: December 2022

Background: Chemsex is the use of illicit drugs—particularly methamphetamine, gamma hydroxybutyrate (GHB), and gamma-butyrolactone (GBL)—to enhance sexual activity. Chemsex, which occurs primarily among communities of men who have sex with men (MSM), is associated with greater HIV risk behaviors, including multiple sex partners, group sex, condomless sex, and injection drug use. Despite evidence showing chemsex engagement among Malaysian MSM, there is a paucity of research on chemsex among MSM in Malaysia. Methods: This cross-sectional study was conducted through an online survey (August to September 2021) among 870 Malaysian MSM. Participants were recruited through targeted advertisements on social networks. We collected information regarding participants’ recent (<6 months) engagement in chemsex, demographic characteristics, psychosocial factors, pre-exposure prophylaxis (PrEP) knowledge and history, and recent sexual- and drug-related behavior. Multivariable logistic regression was used to identify factors associated with recent (<6 months) chemsex engagement. Results: Just under 1 in 10 (9.0%) of participants reported having engaged in chemsex in the previous six months. More than two-thirds of participants (69.1%) had not disclosed their sexual orientation to anyone in their family and 35.2% reported moderate to severe depressive symptoms. Multivariable analysis found that recent injection drug use (adjusted odds ratio: aOR = 6.61; 95% confidence interval: CI, 2.30–19.03), having shared pre-exposure prophylaxis (PrEP) with someone else (aOR = 5.60; 95% CI, 1.76–17.77), higher perceived HIV risk (aOR = 3.15; 95% CI, 1.25–7.93), knowing someone using PrEP (aOR = 2.93; 95% CI, 1.62–5.31), recent engagement in transactional sex (aOR = 2.38; 95% CI, 1.06–5.39), having a recent STI diagnosis (aOR = 2.36; 95% CI, 1.25–4.44), recent engagement in anal sex (aOR = 2.21; 95% CI, 1.07–4.57), and recent sexual intercourse with an HIV-positive partner (aOR = 2.09; 95% CI, 1.07–4.08) were associated with recent engagement in chemsex. Conclusions: Malaysian MSM who practice chemsex are vulnerable to several HIV risk factors, such as transactional sex, HIV-positive sexual partners, and injection drug use. There is an urgent need for programs that integrate drug, sexual health, and mental health services, with a focus on harm reduction (e.g., condoms, access to and utilization of HIV testing and PrEP services, drug knowledge, and safer drug use) tailored for MSM who practice chemsex.
Implementing and Evaluating Community Health Worker-Led Cardiovascular Disease Risk Screening Intervention in Sub-Saharan Africa Communities: A Participatory Implementation Research Protocol
Authors: Okop Kufre , Delobelle Peter , Lambert Estelle Victoria , Getachew Hailemichael , Howe Rawleigh , Kedir Kiya , Niyibizi Jean Berchmans , Bavuma Charlotte , Kasenda Stephen , Crampin Amelia C. , King Abby C. , Puoane Thandi , Levitt Naomi S.
Published: December 2022

The increasing burden of non-communicable diseases (NCDs), particularly cardiovascular diseases (CVD) in low- and middle-income countries (LMICs) poses a considerable threat to public health. Community-driven CVD risk screening, referral and follow-up of those at high CVDs risk is essential to supporting early identification, treatment and secondary prevention of cardiovascular events such as stroke and myocardial infarction. This protocol describes a multi-country study that aims to implement and evaluate a community health worker (CHW)-led CVD risk screening programme to enhance referral linkages within the local primary care systems in sub-Saharan Africa (SSA), using a participatory implementation science approach. The study builds upon a prior community-driven multicentre study conducted by the Collaboration for Evidence-based Health Care and Public Health in Africa (CEBHA+). This is a participatory implementation research. The study will leverage on the CVD risk citizen science pilot studies conducted in the four selected CEBHA+ project countries (viz. Ethiopia, Rwanda, Malawi, and South Africa). Through planned engagements with communities and health system stakeholders, CHWs and lay health worker volunteers will be recruited and trained to screen and identify persons that are at high risk of CVD, provide referral services, and follow-up at designated community health clinics. In each country, we will use a multi-stage random sampling to select and then screen 1000 study participants aged 35–70 years from two communities (one rural and one urban). Screening will be done using a simple validated non-laboratory-based CVD risk assessment mobile application. The RE-AIM model will be used in evaluating the project implementation outcomes, including reach, fidelity, adoption and perceived effectiveness. Developing the capacities of CHWs and lay health worker volunteers in SSA to support population-based, non-invasive population-based CVD risk prevention has the potential to impact on early identification, treatment and secondary prevention of CVDs in often under-resourced communities. Using a participatory research approach to implementing mobile phone-based CHW-led CVD risk screening, referral and follow-up in SSA will provide the evidence needed to determine the effectiveness of CVD risk screening and the potential for scaling up in the wider region.
Effects of Expressive Writing on “Choking under Pressure” in High Test-Anxious Individuals
Authors: Yu Yuejin , Zhang Xiaocong
Published: December 2022

(1) Background: High test-anxious students often fail to perform at their actual level and are prone to choking under pressure (CUP). The aim of the present study was to investigate whether expressive writing (EW) can help high test-anxious individuals reduce the degree of the CUP effect, and whether the intervention effects were different in people with different working memory capacities. (2) Methods: High test-anxious participants wrote expressively (EW group) or neutrally (control group) according to guidance, and then completed a modular arithmetic (MA) task under a high-stress condition. (3) Results: The state anxiety score of the control group was significantly higher than that of the EW group in the high-pressure situation, indicating that the EW intervention was helpful to alleviate the state anxiety. Subjects with high working memory capacity in the control group performed the complex MA task significantly less accurately in the high-stress situation than in the low-stress situation, showing the CUP effect. There was no significant difference in complex MA task scores between high- and low-stress situations for subjects with high working memory capacity in the EW group, indicating that the EW intervention can reduce the degree of the CUP effect. (4) Conclusions: EW intervention was effective in reducing state anxiety levels and attenuating the detrimental effects of test stress on cognitive processing in test-anxious individuals with high working memory capacity.
Physical Exercise, Social Capital, Hope, and Subjective Well-Being in China: A Parallel Mediation Analysis
Authors: Zhang Xupeng , Wang Dianxi , Li Fei
Published: December 2022

Based on data from the 2017 China General Social Survey, a conditional process analysis was conducted to explore the association between physical exercise and subjective well-being, as well as the parallel mediating effect of social networks and a sense of hope. The results showed that physical exercise had a significant positive predictive effect on the participants’ subjective well-being. Furthermore, social networks and a sense of hope mediated the association between physical exercise and subjective well-being. Physical exercise indirectly promoted subjective well-being by enhancing social networks and a sense of hope. However, the indirect effect of a sense of hope on the association between physical exercise and subjective well-being was greater than that of social networks. The results of this study revealed the internal mechanism of the effect of participation in physical exercise on the improvement of subjective well-being, which is of great significance for formulating relevant policies and plans to further improve Chinese residents’ well-being.
Relationship between Chewing Status and Fatty Liver Diagnosed by Liver/Spleen Attenuation Ratio: A Cross-Sectional Study
Authors: Iwai Komei , Azuma Tetsuji , Yonenaga Takatoshi , Sasai Yasuyuki , Watanabe Kazutoshi , Deguchi Fumiko , Obora Akihiro , Kojima Takao , Tomofuji Takaaki
Published: December 2022

This cross-sectional study investigated the relationship between chewing status and fatty liver among Japanese adults. Between April 2018 and March 2021, 450 individuals (352 males, 98 females; mean age 54.7 years) were recruited at the Asahi University Hospital Human Health Center. Chewing status was evaluated using a self-reported questionnaire. Liver/spleen (L/S) attenuation ratio < 0.9 on computed tomography was considered to indicate fatty liver, which was present in 69 participants (15%). Compared with participants without fatty liver, those with fatty liver had higher proportion of 25.0 (kg/m2) ≤ body mass index (BMI) (p < 0.001), higher serum hemoglobin A1c (HbA1c) (p < 0.001), higher systolic blood pressure (p < 0.001), higher diastolic blood pressure (p < 0.001), and lower serum high-density lipoprotein cholesterol (HDL cholesterol) (p = 0.011). Significant differences were also found in chewing status (p < 0.001) and eating speed (p = 0.011). Presence of fatty liver was positively associated with BMI (25.0 ≤; odds ratio [OR], 5.048; 95% confidence interval [CI], 2.550–9.992), serum HbA1c (OR, 1.937; 95% CI, 1.280–2.930), and chewing status (poor; OR, 8.912; 95% CI, 4.421–17.966) after adjusting for sex, age, BMI, serum HbA1c, systolic blood pressure, diastolic blood pressure, serum HDL cholesterol, chewing status, and eating speed. Poor chewing status was positively associated with L/S attenuation ratio. These results indicate a positive relationship between poor chewing status and fatty liver diagnosed by L/S attenuation ratio in Japanese adults.
Drug Recommendation from Diagnosis Codes: Classification vs. Collaborative Filtering Approaches
Authors: Sae-Ang Apichat , Chairat Sawrawit , Tansuebchueasai Natchada , Fumaneeshoat Orapan , Ingviya Thammasin , Chaichulee Sitthichok
Published: December 2022

Over time, large amounts of clinical data have accumulated in electronic health records (EHRs), making it difficult for healthcare professionals to navigate and make patient-centered decisions. This underscores the need for healthcare recommendation systems that help medical professionals make faster and more accurate decisions. This study addresses drug recommendation systems that generate an appropriate list of drugs that match patients’ diagnoses. Currently, recommendations are manually prepared by physicians, but this is difficult for patients with multiple comorbidities. We explored approaches to drug recommendations based on elderly patients with diabetes, hypertension, and cardiovascular disease who visited primary-care clinics and often had multiple conditions. We examined both collaborative filtering approaches and traditional machine-learning classifiers. The hybrid model between the two yielded a recall at 5 of 76.61%, a precision at 5 of 46.20%, a macro-averaged area under the curve of 74.52%, and an average physician agreement of 47.50%. Although collaborative filtering is widely used in recommendation systems, our results showed that it consistently underperformed traditional classification. Collaborative filtering was sensitive to class imbalances and favored the more popular classes. This study highlighted challenges that need to be addressed when developing recommendation systems in EHRs.
Using Healthcare Complaints Analysis Tool to Evaluate Patient Complaints during the COVID-19 Pandemic at a Medical Center in Taiwan
Authors: Wang Shu-Chuan , Chu Nain-Feng , Tang Pei-Ling , Pan Tzu-Cheng , Pan Li-Fei
Published: December 2022

The purpose of this study is to evaluate patient complaints using the Healthcare Complaints Analysis Tool (HCAT) during the COVID-19 pandemic in 2021 in Taiwan. Additionally, the study examines the distribution and type of patient complaints before and during the COVID-19 pandemic to provide a better clinical procedure, hospital management and patient relationship. This study utilizes a cross-sectional design. We collected patient complaints from January 2021 to December 2021 at a medical center in Southern Taiwan. Using the Healthcare Complaints Analysis Tool (HCAT), the patient complaints are classified and coded into three major domains (clinical, management and relationship), and seven problem categories (quality, safety, environment, institutional process, respect and patient rights, listening and communication). We further compared and categorized the complaints based on whether they were COVID-19-related or not and whether it was before or during the COVID-19 pandemic to understand the differences in patient complaints. In total, we collected 584 events of patient complaints. Based on the HCAT domains, the complaints about management were the highest, at 52.9%, followed by complaints about relationship, about 37.7%. According to the types of problem, the complaints about the environment were the highest, about 32.5% (190/584), followed by communication at about 29.6% (173/584), and institutional process at about 20.4% (119/584). There were 178 COVID-19-related complaints and they were made more frequently during Q3 and Q4 (from mid-June to December) which was the pandemic period in 2021 in Taiwan. Among the COVID-19-related complaints, the most frequent were in the environment domain with 114 cases (about 65.7% of COVID-19-related complaints). The domains of patient complaints were statistically different between COVID-19-related and non-related (p < 0.001). During the COVID-19 pandemic, the proportion of COVID-19-related complaints increased 1.67 times (117/312 vs. 61/272, p < 0.001). Both prior to and during the COVID-19 pandemic, management-related complaints represented the highest domain. During the COVID-19 pandemic, the implementation of infectious disease prevention and control policies and actions may have developed some inconvenience and difficulty in seeking medical practice and process. These characteristics (complaints) are more prominent, and timely and patient-first consideration is required immediately to build up better clinical procedures, the healthcare environment and comprehensive communication. Using the HCAT can allow health centers or health practitioners to understand the needs and demands of patients through complaints, provide friendly medical and health services, avoid unequal information transmission, build trust in doctor–patient relationships and improve patients’ safety.
Transcutaneous Vagal Stimulation in Knee Osteoarthritis (TRAVKO): Protocol of a Superiority, Outcome Assessor- and Participant-Blind, Randomised Controlled Trial
Authors: Bascour-Sandoval Claudio , Gajardo-Burgos Rubén , Muñoz-Poblete Claudio , Riedemann-González Pablo , Erices-Salas Stephanie , Martínez-Molina Agustín , Gálvez-García Germán
Published: December 2022

Current treatments for knee osteoarthritis (KOA) are partially effective. It is, therefore, necessary to find new strategies that can complement the existing ones. In this scenario, transcutaneous vagal stimulation (TVS) neurophysiological effects could be a helpful solution. However, there is no evidence of the efficacy of TVS in KOA. This trial aims to assess the efficacy of TVS in decreasing pain in participants aged 55 years or older with KOA. A randomised controlled, two-arm, double-blind (participants and outcome assessors) and clinical superiority trial will be conducted for 70 patients with KOA. All the participants will carry out an exercise program. It consists of 12 sessions over four weeks. In addition, they will be randomly assigned to (1) active TVS plus physical exercise or (2) sham TVS plus physical exercise. The application of active TVS consists of electronic stimulation of the auricular concha using a portable device. Sham TVS condition consists of the stimulation of the earlobe that does not cause neurophysiological effects. The primary outcome is the reduction in pain intensity. Additionally, functional capacity, physical performance, pain-related interference, pain-related distress, quality of life in older adults and global change will be measured. Assessments will be conducted at the beginning of the study (baseline), at the end of the intervention and after 1 and 3 months of follow-up. This trial will generate evidence regarding the efficacy of TVS in pain perception in individuals with KOA. This information will serve as an input in the clinical decision-making on the use or non-use of TVS in individuals with KOA. Thus, if the efficacy of TVS is confirmed, a new therapeutic tool may be included in the rehabilitation of individuals with KOA.
Effects of Single-Task, Dual-Task and Analogy Training during Gait Rehabilitation of Older Adults at Risk of Falling: A Randomized Controlled Trial
Authors: Mak Toby C. T. , Capio Catherine M. , Wong Thomson W. L.
Published: December 2022

It has been suggested that implicit motor learning via dual-task or analogy training during gait rehabilitation may yield better outcomes in older adults by reducing the propensity for the conscious processing of movements (movement-specific reinvestment). The current study investigated the immediate effects of single-task, dual-task, and analogy training on reinvestment propensity and fall-related rehabilitation outcomes among older adults at risk of falling. Seventy-one older adults were randomly allocated to the single-task (ST), dual-task (DT), or analogy (AG) training conditions and received 12 training sessions. We assessed the reinvestment propensity, functional gait and balance, functional mobility, balance ability, single-task and dual-task walking abilities, and fear of falling at baseline (before training) and immediately after training. Our findings revealed a lack of training effect on reinvestment propensity for all groups. However, all groups displayed significant improvements in functional gait and balance (p < 0.001), functional mobility (p = 0.02), and balance ability (p = 0.01) after training. AG appeared to be superior to DT and ST, as it was the only condition that resulted in significant improvements in both single-task and dual-task walking abilities (p < 0.001). Implementing movement analogies could be a feasible and useful gait rehabilitation strategy for fall prevention and wellbeing promotion among older adults.
The Impact of Information and Communication Technology Industrial Co-Agglomeration on Carbon Productivity with the Background of the Digital Economy: Empirical Evidence from China
Authors: Wang Xiaowen , Tian Nishang , Wang Shuting
Published: December 2022

In the era of the digital economy, the information and communication technology (ICT) industry has opened up a new round of expansion, while forming co-located development in the space. ICT industrial co-agglomeration has tremendous advantages in promoting economic development and achieving carbon neutrality goals. This paper analyzes the spatio-temporal characteristics of ICT industrial co-agglomeration and carbon productivity from 2009 to 2019 in China. It empirically explores the impact of ICT industrial co-agglomeration on carbon productivity using a systematic GMM model. Additionally, it analyses the spatial and temporal heterogeneity of ICT industrial co-agglomeration and other factors affecting carbon productivity using a geographically and temporally weighted regression (GTWR) model. The findings are as follows: (1) China’s ICT industrial co-agglomeration and carbon productivity show an upward trend. Additionally, their characteristic of regional distribution is east–high and west–low. (2) ICT industrial co-agglomeration has a positive association with carbon productivity. (3) The impact of ICT industrial co-agglomeration on carbon productivity has significant spatial and temporal heterogeneity. The regression coefficient of ICT industrial co-agglomeration increases continuously during the study period, and the degree of impact is relatively larger in Northern China. As the degree of ICT industrial co-agglomeration continues to increase, its positive impact on carbon productivity across China is deepening. The findings of this paper complete the research on the impact of ICT industrial co-agglomeration on carbon productivity, and the related policy recommendations provide useful references for the digital economy and sustainable development.
Effect of Different Lead and Cadmium Salts on the Photolytic Degradation of Two Typical Fluoroquinolones under Natural Sunlight Irradiation
Authors: Duan Lunchao , Yang Hao , Wang Fenghe
Published: December 2022

This study investigated the effects of different lead and cadmium salts (Pb(NO3)2, Cd(NO3)2, PbCl2, and CdCl2) on the photolytic degradation of two typical fluoroquinolones (levofloxacin (LVF) and norfloxacin (NOR)) under natural sunlight irradiation. Their half-life time and photolytic kinetic constants (k) were calculated at different molar ratios. The results indicated that the photolytic degradation curves of LVF and NOR followed apparent first-order kinetics. After 42 days of sunlight irradiation, approximately 48.3–69.4% of NOR was decomposed when the initial concentration increased from 0.006 to 0.06 mmol/L. In comparison, only 9.8–43.4% of LVF was decomposed. The k of NOR ranged from 0.79 × 10−3 to 1.30 × 10−3 h−1, and the k of LVF increased from 6.82 × 10−4 to 1.61 × 10−4 h−1. Compared with the control, the Pb2+ and Cd2+ participation tended to enhance the LVF and NOR photodegradation. The effects of Cd2+ on the photodegradation efficiency were more significant than those of Pb2+. It was inferred that the presence of aqueous NO3− obviously suppressed the NOR degradation, but Cl− had slight effects on these two fluoroquinolones’ photodegradation. These results are of importance toward the understanding of the persistence of FQs under natural sunlight irradiation in surface waters.
Phosphate Removal Mechanisms in Aqueous Solutions by Three Different Fe-Modified Biochars
Authors: Qin Yiyin , Wu Xinyi , Huang Qiqi , Beiyuan Jingzi , Wang Jin , Liu Juan , Yuan Wenbing , Nie Chengrong , Wang Hailong
Published: December 2022

Iron-modified biochar can be used as an environmentally friendly adsorbent to remove the phosphate in wastewater because of its low cost. In this study, Fe-containing materials, such as zero-valent iron (ZVI), goethite, and magnetite, were successfully loaded on biochar. The phosphate adsorption mechanisms of the three Fe-modified biochars were studied and compared. Different characterization methods, including scanning electron microscopy/energy-dispersive spectrometry (SEM-EDS), Fourier transform infrared spectroscopy (FTIR), and X-ray photoelectron spectroscopy (XPS), were used to study the physicochemical properties of the biochars. The dosage, adsorption time, pH, ionic strength, solution concentration of phosphate, and regeneration evaluations were carried out. Among the three Fe-modified biochars, biochar modified by goethite (GBC) is more suitable for phosphate removal in acidic conditions, especially when the pH = 2, while biochar modified by ZVI (ZBC) exhibits the fastest adsorption rate. The maximum phosphate adsorption capacities, calculated by the Langmuir–Freundlich isothermal model, are 19.66 mg g−1, 12.33 mg g−1, and 2.88 mg g−1 for ZBC, GBC, and CSBC (biochar modified by magnetite), respectively. However, ZBC has a poor capacity for reuse. The dominant mechanism for ZBC is surface precipitation, while for GBC and CSBC, the major mechanisms are ligand exchange and electrostatic attraction. The results of our study can enhance the understanding of phosphate removal mechanisms by Fe-modified biochar and can contribute to the application of Fe-modified biochar for phosphate removal in water.
Depression, Anxiety, Stress, and Suicidality Levels in Young Adults Increased Two Years into the COVID-19 Pandemic
Authors: Matić Teodora , Pregelj Peter , Sadikov Aleksander , Rus Prelog Polona
Published: December 2022

Background. The severity of both the COVID-19 clinical picture and confinement measures in Slovenia was higher during the initial phase of the pandemic in 2020 than during the Omicron wave in 2022. This could lead us to expect a higher level of distress during the initial phase. On the other hand, prolonged stress can have a detrimental effect on mental health. This study aimed to explore how the prolonged stress of the COVID-19 pandemic and the accompanying changes affected the mental health of young adults in Slovenia. We analyzed and compared the levels of depression, anxiety, stress, and suicidal ideation in young adults during the initial phase of the pandemic and the Omicron wave, as well as between the COVID-19-infected and non-infected individuals. Methods. An online survey was used to survey 587 young adults in the first wave (July–December 2020) and 511 in the Omicron wave (January–February 2022). Levels of depression, anxiety, stress, and suicidal ideation were compared using Mann–Whitney U test. Results. Results show that the Omicron wave significantly worsened depression, anxiety, stress, and suicidal ideation. Young adults who had tested positive for COVID-19 reported no worse or only slightly worse mental health than those who never tested positive. Conclusions. The current study provides new evidence about the mental health of young adults during the Omicron wave. Our results show that two years into the pandemic, they expressed more negative emotions and suicidal thoughts than at the beginning.
A Novel Groundwater Burial Depth Prediction Model Based on Two-Stage Modal Decomposition and Deep Learning
Authors: Zhang Xianqi , Zheng Zhiwen
Published: December 2022

The variability of groundwater burial depths is critical to regional water management. In order to reduce the impact of high-frequency eigenmodal functions (IMF) generated by complete ensemble empirical mode decomposition with adaptive noise (CEEMDAN) on the prediction results, variational modal decomposition (VMD) is performed on the high frequency IMF components after the primary modal decomposition. A convolutional neural network-gated recurrent unit prediction model (CNN-GRU) is proposed to address the shortcomings of traditional machine learning which cannot handle correlation information and temporal correlation between time series. The CNN-GRU model can extract the implicit features of the coupling relationship between groundwater burial depth and time series and further predict the groundwater burial depth time series. By comparing the prediction results with GRU, CEEMDAN-GRU, and CEEMDAN-CNN-GRU models, we found that the CEEMDAN-VMD-CNN-GRU prediction model outperformed the other prediction models, with a prediction accuracy of 94.29%, good prediction results, and high model confidence.
Prediction of 30-Day Readmission in Hospitalized Older Adults Using Comprehensive Geriatric Assessment and LACE Index and HOSPITAL Score
Authors: Sun Chia-Hui , Chou Yin-Yi , Lee Yu-Shan , Weng Shuo-Chun , Lin Cheng-Fu , Kuo Fu-Hsuan , Hsu Pi-Shan , Lin Shih-Yi
Published: December 2022

(1) Background: Elders have higher rates of rehospitalization, especially those with functional decline. We aimed to investigate potential predictors of 30-day readmission risk by comprehensive geriatric assessment (CGA) in hospitalized patients aged 65 years or older and to examine the predictive ability of the LACE index and HOSPITAL score in older patients with a combination of malnutrition and physical dysfunction. (2) Methods: We included patients admitted to a geriatric ward in a tertiary hospital from July 2012 to August 2018. CGA components including cognitive, functional, nutritional, and social parameters were assessed at admission and recorded, as well as clinical information. The association factors with 30-day hospital readmission were analyzed by multivariate logistic regression analysis. The predictive ability of the LACE and HOSPITAL score was assessed using receiver operator characteristic curve analysis. (3) Results: During the study period, 1509 patients admitted to a ward were recorded. Of these patients, 233 (15.4%) were readmitted within 30 days. Those who were readmitted presented with higher comorbidity numbers and poorer performance of CGA, including gait ability, activities of daily living (ADL), and nutritional status. Multivariate regression analysis showed that male gender and moderately impaired gait ability were independently correlated with 30-day hospital readmissions, while other components such as functional impairment (as ADL) and nutritional status were not associated with 30-day rehospitalization. The receiver operating characteristics for the LACE index and HOSPITAL score showed that both predicting scores performed poorly at predicting 30-day hospital readmission (C-statistic = 0.59) and did not perform better in any of the subgroups. (4) Conclusions: Our study showed that only some components of CGA, mobile disability, and gender were independently associated with increased risk of readmission. However, the LACE index and HOSPITAL score had a poor discriminating ability for predicting 30-day hospitalization in all and subgroup patients. Further identifiers are required to better estimate the 30-day readmission rates in this patient population.
Association between the Perception of Behavior Change and Habitual Exercise during COVID-19: A Cross-Sectional Online Survey in Japan
Authors: Nishimoto Daisaku , Kodama Shimpei , Nishio Ikuko , Makizako Hyuma ,   KU-OHL Project Team
Published: December 2022

In general, the perception of behavior change may be associated with habitual exercise. However, this association might not be well-understood due to the state of emergency of the COVID-19 pandemic. This study collected data from 1499 internet users aged 20–86 years living in Japan who participated in the online survey from 26 to 27 February 2021. Having a perception of behavior change was defined as preparation, action, and maintenance of the transtheoretical model. The habitual exercise was defined as 600 metabolic equivalent min/week or more based on the International Physical Activity Questionnaire. Multivariate logistic regression analysis was used to calculate the odds ratio of habitual exercise and a 95% confidence interval was estimated after adjusting for related factors. We found that perception of behavior change was positively associated with habitual exercise (adjusted odds ratio = 2.41, 95%CI = 1.89–3.08), and similar associations were found in states of emergency (2.69, 1.97–3.69) and non-emergency (2.01, 1.34–3.01). Moreover, women were negatively associated in all analyses with habitual exercise compared to men (0.63, 0.49–0.80; 0.65, 0.44–0.96; 0.62, and 0.45–0.84, respectively). Thus, the perception of behavior change may be involved in the implementation of habitual exercise, suggesting that women face difficulties in engaging in habitual exercise.
VOICE–Validating Outcomes by Including Consumer Experience: A Study Protocol to Develop a Patient Reported Experience Measure for Aboriginal and Torres Strait Islander Peoples Accessing Primary Health Care
Authors: Chakraborty Amal , Walke Emma , Bainbridge Roxanne , Bailie Ross , Matthews Veronica , Larkins Sarah , Burgess Paul , Askew Deborah , Langham Erika , Smorgon Samantha , Swaminathan Girish , Cameron Danielle , Piccoli Tracey , Passey Megan
Published: December 2022

Aboriginal and Torres Strait Islander peoples’ (hereafter respectfully referred to as Indigenous Australians) experiences of health care are shaped by historical, social and cultural factors, with cultural security critical to effective care provision and engagement between services and community. Positive patient experiences are associated with better health outcomes. Consequently, it is an accreditation requirement that primary health care (PHC) services must formally gather and respond to patient feedback. However, currently available patient feedback tools were not developed with Indigenous Australians, and do not reflect their values and world views. Existing tools do not capture important experiences of care of Indigenous Australians in PHC settings, nor return information that assists services to improve care. Consistent with the principles of Indigenous Data Sovereignty, we will co-design and validate an Indigenous-specific Patient Reported Experience Measure (PREM) that produces data by and for community, suitable for use in quality improvement in comprehensive PHC services. This paper presents the protocol of the study, outlining the rationale, methodologies and associated activities that are being applied in developing the PREM. Briefly, guided by an Aboriginal and Torres Strait Islander Advisory Group, our team of Indigenous and non-Indigenous researchers, service providers and policy makers will use a combination of Indigenous methodologies, participatory, and traditional western techniques for scale development. We will engage PHC service staff and communities in eight selected sites across remote, regional, and metropolitan communities in Australia for iterative cycles of data collection and feedback throughout the research process. Yarning Circles with community members will identify core concepts to develop an “Experience of Care Framework”, which will be used to develop items for the PREM. Staff members will be interviewed regarding desirable characteristics and feasibility considerations for the PREM. The PREM will undergo cognitive and psychometric testing.
A Framework for Quantifying the Strength of Partnerships between Agricultural Cooperatives and Development Actors: A Case Study in Saudi Arabia
Authors: Herab Ahmed , Al-Ghamdi Ahmad , Alzahrani Khodran , Elhindi Khalid M. , Muddassir Muhammad , Kassem Hazem S.
Published: December 2022

The issue of the agricultural cooperatives’ sustainability in developing their businesses is gaining increasing prominence. Building partnerships between development actors and agricultural cooperatives has been considered an effective strategy for supporting financial capital and addressing sustainability issues collectively. Therefore, this study aimed to address the features and strengths of 33 partnerships established between the Beekeeping Cooperative Association in Al-Baha, Saudi Arabia, and other actors between 2016 and 2021. The analysis of the collaborations was based on six criteria: motivations, partnership planning, outputs, governance practices, outcomes, and sustainability of a partnership. Furthermore, we developed a weighted scoring model to control variable selection and submit the strength of each partnership. The findings indicated that most collaborations (45.5%) were signed with the private sector. Furthermore, the honey value chain development was the most frequent reason (69.7%) attracting the partners to engage in the partnerships. Some of the most critical environmental objectives targeted by the partnerships examined were enhancing bee habitat by the diversification of pasture species, management to increase the flowering period, and proper grazing management. All partners achieved their individual goals jointly in 54.5% of the partnerships analyzed. In terms of a partnership’s strength, the findings also revealed that only three partnerships (9.1%) were characterized as strong partnerships. This study provides a better understanding of how agricultural cooperatives collaborate with other actors and a basis for assessing the strength of the partnerships. Such information is crucial for developing relevant policies to encourage cooperatives to engage in future sustainability partnerships.
Relationship between Live-In Grandparents and Grandchild’s Health and Well-Being in Palestinian Refugees in Lebanon
Authors: Sheikomar Olfat B. , Ghattas Hala , Sahyoun Nadine R.
Published: December 2022

Grandparents (GP) play influential roles in grandchildren’s health, behavior, and life. However, this relationship has not been examined in the Arab region. This study assesses whether the presence of GP in the household is associated with grandchildren’s health and wellbeing. Health status was determined by a child experiencing chronic health conditions or an acute illness, and wellbeing was determined based on school attendance and child labor. Data were collected through surveys conducted in 2010 and 2015 of representative samples of Palestinian refugees living in Lebanon. Multivariate logistic regression showed that, even after controlling for potential confounders, including the presence of parents in the household and household food insecurity (FI), the presence of live-in GP was associated with lower odds of children experiencing acute illnesses (OR 0.74 95% CI 0.62–0.92) and higher odds of attending school (OR 2.22 95% CI 1.28–5.33), but not child labor. The presence of GP in the household may be protective to grandchildren’s health status and school attendance in this population.
Effects of a Family Caregiver Care Programme in Musculoskeletal Pain and Disability in the Shoulder-Neck Region—A Randomised Clinical Trial
Authors: Llamas-Ramos Rocío , Barrero-Santiago Laura , Llamas-Ramos Inés , Montero-Cuadrado Federico
Published: December 2022

Life expectancy in Spain has increased and older people need more health care to improve their quality of life. The high demands of the population sometimes collapse health services, making them insufficient to cover their needs, which leads to the development of “non-professional caregivers”. These caregivers have suffered musculoskeletal injuries of the cervical spine and shoulders and should be guided and assessed on ergonomics, biomechanics, or kinesiotherapy. However, there are no interventions to help them care for themselves. This study presents the application of a physical exercise programme to prevent these disorders in women caregivers of dependent patients. It consists of a randomised controlled clinical trial with two groups: both received a family caregiver care programme, and the intervention group also received a physical therapeutic exercise programme for 12 weeks. A total of 62 caregivers completed the study, who were mostly daughters or wives of dependents. Of these, 70.97% presented a “moderate” pain intensity and a cervical disability of 13.72 ± 7.64 points in the NDI questionnaire in the initial evaluation. In the intervention group of caregivers, there was a significant decrease in the pain intensity and a significant increase (p < 0.05) in all cervical joint amplitude movements. Caregivers present a high prevalence of musculoskeletal disorders. The physical exercise programme was effective in reducing the intensity of pain, lumbar disability, and cervical disability of the family caregivers.
Levels of Burnout and Engagement after COVID-19 among Psychology and Nursing Students in Spain: A Cohort Study
Authors: Aguayo-Estremera Raimundo , Cañadas Gustavo R. , Ortega-Campos Elena , Pradas-Hernández Laura , Martos-Cabrera Begoña , Velando-Soriano Almudena , de la Fuente-Solana Emilia I.
Published: December 2022

The COVID pandemic has 0drastically changed the functioning of universities in Spain and may have altered individuals’ behaviours and emotions, the way they engage in the learning process and their psychological well-being. Burnout syndrome is a psychological problem that arises from persistent confrontation with emotional and interpersonal stressors. COVID-related burnout among Spanish students has received little research attention. For this study, a pre-post cohort study design was used. Data were collected using the Maslach Burnout Inventory—Student Survey, the Granada Burnout Questionnaire for university students, the Utrecht Work Engagement Scale and the Fear of CoronaVirus-19 scale. The population was composed of two samples of 190 and 226 students from Spanish universities. According to the results obtained, significant differences were observed between the pre- and post-test samples. Levels of burnout were higher after the COVID-19 pandemic and students’ levels of engagement have dropped significantly following their experiences of the COVID pandemic. This study shows the impact that the covid pandemic has had on Spanish university students, impacts which may have had important consequences for their mental and physical health. It is necessary to implement intervention programs to enable students to recover, at least, the levels of burnout and engagement prevailing before the outbreak of the pandemic.