bluuebunny/crossref_metadata_2025 huggingface dataset:
Physical Activity Patterns among 9000 Pregnant Women in Poland: A Cross-Sectional Study
Authors: Walasik Izabela , Kwiatkowska Katarzyna , Kosińska Kaczyńska Katarzyna , Szymusik Iwona
Published: March 2020

The aim was to analyze the knowledge and experience of women regarding physical activity during their latest pregnancy. An anonymous questionnaire was completed electronically, in 2018, by 9345 women who gave birth at least once, with 52% of the women having performed exercises during pregnancy. Physically non-active respondents suffered from gestational hypertension (9.2% vs. 6.7%; p < 0.01) and gave birth prematurely (9% vs. 7%; p < 0.01) to newborns with a low birth weight significantly more often (6% vs. 3.6%; p < 0.001). Physically active women delivered vaginally more often (61% vs. 55%; p < 0.001) and were more likely to have a spontaneous onset of the delivery as compared with non-active women (73.8% vs. 70.7% p = 0.001). The women who were informed by gynaecologist about the beneficial influence of physical activity during pregnancy exercised significantly more often (67% vs. 44% p < 0.001). In addition, 13% of the women felt discrimination due to their physical activity during a pregnancy, 22% of respondents’ physical activity was not accepted by their environment, and 39.1% of the women were told by others to stop physical exercise because it was bad for the baby’s health. Physical activity during pregnancy is associated with improved fitness, decreased pregnancy ailments occurrence, and therefore influences the course of pregnancy and delivery in a positive way.
Test-Retest Reliability of Vibration Perception Threshold Test in People with Type 2 Diabetes Mellitus
Authors: Domínguez-Muñoz Francisco Javier , Adsuar José Carmelo , Villafaina Santos , García-Gordillo Miguel Angel , Hernández-Mocholí Miguel Ángel , Collado-Mateo Daniel , Gusi Narcís
Published: March 2020

Background: Diabetes mellitus is a chronic disease characterized by fasting hyperglycemia. It affects approximately 415 million people worldwide and involves a variety of complications. One of them is the loss of sensitivity to peripheral vibration. Objective: Our study aims to discover the test-retest reliability of a procedure for assessing vibration sensitivity in people with type 2 diabetes mellitus. Methodology: 90 people with type 2 diabetes mellitus (56 men and 34 women) performed the vibration perception threshold (VPT) test using the Vibratron II device. A re-test was completed seven days after the first reading. Results: The relative reliability of the VPT test result is excellent (intraclass correlation coefficient = 0.96). The same applies to gender and obesity subgroups. Regarding absolute reliability, the standard error of measurement is 8.99%, and the small real difference is 24.94%. Conclusions: The relative and absolute reliability results of the vibration perception threshold in people with type 2 diabetes mellitus offer excellent results.
Rationale, Study Design, and Cohort Characteristics for the Markers for Environmental Exposures (MEE) Study
Authors: Lucia Rachel McFarland , Huang Wei-Lin , Alvarez Andrea , Thampy Daphne , Elyasian Melodie , Hidajat Amanda , Yang Kailynn , Forman Danielle , Pebdani Asana , Masunaka Irene , Brain Susie , Heditsian Diane , Lee Vivian , Goodman Deborah , Norden-Krichmar Trina M. , Odegaard Andrew O. , Ziogas Argyrios , Park Hannah Lui
Published: March 2020

Environmental factors have been linked to many diseases and health conditions, but reliable assessment of environmental exposures is challenging. Developing biomarkers of environmental exposures, rather than relying on self-report, will improve our ability to assess the association of such exposures with disease. Epigenetic markers, most notably DNA methylation, have been identified for some environmental exposures, but identification of markers for additional exposures is still needed. The rationale behind the Markers for Environmental Exposures (MEE) Study was to (1) identify biomarkers, especially epigenetic markers, of environmental exposures, such as pesticides, air/food/water contaminants, and industrial chemicals that are commonly encountered in the general population; and (2) support the study of potential relationships between environmental exposures and health and health-related factors. The MEE Study is a cross-sectional study with potential for record linkage and follow-up. The well-characterized cohort of 400 postmenopausal women has generated a repository of biospecimens, including blood, urine, and saliva samples. Paired data include an environmental exposures questionnaire, a breast health questionnaire, dietary recalls, and a food frequency questionnaire. This work describes the rationale, study design, and cohort characteristics of the MEE Study. In addition to our primary research goals, we hope that the data and biorepository generated by this study will serve as a resource for future studies and collaboration.
The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness
Authors: Kang Youngju , Kim Minyoung , Jung Kwangho
Published: March 2020

This paper examined the important organizational and managerial factors of publicness for the equity of health care. The extent of organizational publicness was measured with key independent variables such as ownership, evaluation, and accreditation. The dependent variable was measured by three equity indicators for patients under medical care and veterans care: financial inequity, social equity, and overall equity. We analyzed unbalanced panel data with 328 general hospitals between 2008 and 2012. We performed panel analysis with fixed and random effects. Our findings illustrate that government ownership is significantly associated with differences in equity indicators. Government owned hospitals show the better performance for equity than nonprofit and individually owned hospitals do. Compared to nonprofit and individually owned hospitals, government owned hospitals have a higher share of medical payment bills and health care spending for the disadvantaged but a lower proportion of out-of-pocket payment. Government evaluation is also significantly related to better equity performance. There are, however, significantly negative interactions between hospital government ownership and the size of medical payment bills. We found a significant tendency that the more medical payments, the less responsiveness to the equity of health care in government owned hospitals. Future research in hospital performance is required to consider not only sectoral differences but also the negative proclivity of public hospitals that shrink health care services for the poor. Further research is also expected to explore what sectoral identities and behaviors across public, nonprofit, and private hospitals influence the level of equity or inequity in health care.
Cluster Analysis of Health-Related Lifestyles in University Students
Authors: Bennasar-Veny Miquel , Yañez Aina M. , Pericas Jordi , Ballester Lluis , Fernandez-Dominguez Juan Carlos , Tauler Pedro , Aguilo Antoni
Published: March 2020

Health-related lifestyles in young adults are a public health concern because they affect the risk for developing noncommunicable diseases. Although unhealthy lifestyles tend to cluster together, most studies have analyzed their effects as independent factors. This study assessed the prevalence, association, and clustering of health-related lifestyles (smoking, alcohol consumption, physical activity, and quality of diet) among university students. This cross-sectional study examined a sample of student participants from the University of the Balearic Islands (n = 444; 67.8% females; mean age: 23.1 years). A self-reported questionnaire was used to assess health-related lifestyles. Men that consumed more alcohol, had less healthy diets, were more likely to be overweight, and performed more physical activity. Women had a higher prevalence of low weight and performed less physical activity. Physical activity had a negative association with time using a computer (OR: 0.85; 95% CI: 0.76, 0.95) and a positive association with adherence to the Mediterranean diet (OR: 1.16; 95% CI: 1.02, 1.32). Adherence to the Mediterranean diet had a negative association with tobacco consumption (OR: 0.52; 95% CI: 0.30, 0.91), and positive associations with having breakfast every day (OR: 1.70; 95% CI: 1.05, 2.76) and consuming more daily meals (OR: 1.43; 95% CI: 1.10, 1.87). Cluster analysis indicated the presence of three distinct groups: Unhealthy lifestyles with moderate risk; unhealthy lifestyles with high risk; and healthy lifestyles with low risk. Health promotion interventions in the university environment that focus on multiple lifestyles could have a greater effect than interventions that target any single lifestyle.
Analysis of Biomaterials as Green Coagulants to Control Suspended Solids for Surface Water Treatment
Authors: Devesa-Rey Rosa , González-Aller J.D. , Urréjola Santiago
Published: March 2020

This study explores the use of natural, ecological coagulant-flocculants to reduce suspended particles in water. Three compounds were tested, namely: diatomaceous earth, calcium lactate and lactic acid. For this purpose, experiments in jar tests were carried out and the best compound was submitted to an optimization in order to evaluate the most significant parameters affecting its use as coagulant-flocculant. First results evidenced that lactic acid remove 71% of the suspended particles during the first five minutes, and up to 83% during the first 15 min. To optimize its use, the range of suspended particles concentration, lactic acid dose and salinity gradient was tested by means of an incomplete 33 factorial design. This technique allows reducing the number of experiments to be carried out through a response surface methodology, which enables to infer the values of the dependent variables in not studied situations, by means of predictive equations. As a result of the experiments carried out, optimal conditions to remove suspended particles were set at a lactic acid concentration of 1.75 g·L−1. As lactic acid may be obtained biotechnologically from organic wastes, this use supposes a promising area by keeping products and materials in use and contributing to a circular economy.
Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation
Authors: Goniewicz Krzysztof , Misztal-Okońska Patrycja , Pawłowski Witold , Burkle Frederick M. , Czerski Robert , Hertelendy Attila J. , Goniewicz Mariusz
Published: March 2020

Medical facilities, while providing both essential and demanding health care to society’s most vulnerable populations, also belong to the most demanding category of risk to human life if and when a crisis event occurs within its walls. The development of a safe evacuation plan for these facilities is extremely complicated, as the evacuation of medical facilities is much more complex than for other critical infrastructure. In this category, the evacuated patients constitute a specific risk group requiring specialized medical care. Hospitalized persons may be dependent on life-saving measures, are unconscious or immobile, are significantly restricted in movement or mentally unbalanced, being dependent on the continued assistance of trained third parties. Additionally, the medical transport of evacuated patients becomes more difficult due to the limited capacity of ambulances and available health care facilities to transport them to, which are increasingly limited due to their overcrowded census. The study aimed to analyze the requirements which are placed on hospitals in Poland to ensure the safety of patients in case of an evacuation. The research method used in the paper was retrospective analysis and evaluation of the media and literature. We have found, that Polish law imposes an obligation on the administrator of a medical facility to ensure the safety of both patients and employees. The regulations cover issues of technical conditions to be met by buildings and their location, prevention, and fire protection requirements, and the determination of which staff is responsible for the evacuation. However, available documents fail to describe what the hospital evacuation process itself should entail under emergency evacuation. Taking into account the complexity of the hospital evacuation process, health care facilities should have a well-developed plan of action that must be implemented at least once a year in the form of facility-wide training. Evacuation drills should not be avoided. Only trained procedures offer the possibility of later analysis to identify and eliminate errors and provide the opportunity to acquire skill sets and habits which promote the behaviors expected in real-life emergencies.
Intercomparison of Indoor Radon Measurements Under Field Conditions In the Framework of MetroRADON European Project
Authors: Rabago Daniel , Fuente Ismael , Celaya Santiago , Fernandez Alicia , Fernandez Enrique , Quindos Jorge , Pol Ricardo , Cinelli Giorgia , Quindos Luis , Sainz Carlos
Published: March 2020

Interlaboratory comparisons are a basic part of the regular quality controls of laboratories to warranty the adequate performance of test and measurements. The exercise presented in this article is the comparison of indoor radon gas measurements under field conditions performed with passive detectors and active monitors carried out in the Laboratory of Natural Radiation (LNR). The aim is to provide a direct comparison between different methodologies and to identify physical reasons for possible inconsistencies, particularly related to sampling and measurement techniques. The variation of radon concentration during the comparison showed a big range of values, with levels from approximately 0.5 to 30 kBq/m3. The reference values for the two exposure periods have been derived from a weighted average of participants’ results applying an iterative algorithm. The indexes used to analyze the participants’ results were the relative percentage difference D(%), the Zeta score ( ζ ), and the z-score ( z ). Over 80% of the results for radon in air exposure are within the interval defined by the reference value and 20% and 10% for the first and the second exposure, respectively. Most deviations were detected with the overestimating of the exposure using passive detectors due to the related degassing time of detector holder materials.
The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017
Authors: Zhong Kaili , Chen Lv , Cheng Sixiang , Chen Hongjun , Long Fei
Published: March 2020

This study aimed to estimate the efficiency and its influencing factors of Primary Health Care Institutions (PHCIs) in counties in Hunan Province, China, and put forward feasible suggestions for improving the efficiency of PHCIs in Hunan Province. We applied the Input-Oriented Data Envelopment Analysis (DEA) method and the Malmquist Index Model to estimate the efficiency of PHCIs in 86 counties in Hunan Province from 2009 to 2017. Then, the Tobit model was used to estimate the factors that influence the efficiency of PHCIs. Since the implementation of the new health-care reform in 2009, the number of health resources in PHCIs in Hunan Province has increased significantly, but most counties’ PHCIs remain inefficient. The efficiency of PHCIs is mainly affected by the total population, city level, the proportion of health technicians and the proportion of beds, but the changes in per capita GDP have not yet played a significant role in influencing efficiency. In the future, the efficiency of PHCIs should be improved by increasing medical technology skills and enthusiasm of health technicians and by improving the payment policies of medical insurance funds.
The Mixed Effect of China’s New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach
Authors: Chen Jiaqi , Xu Song , Gao Jing
Published: March 2020

In 2009, China launched a new health care reform as it endeavoured to develop a tiered system of disease diagnosis and treatment to promote the integration of medical resources. This was important for improving service capacity and building medical alliances that would eventually lead to improved health service utilisation efficiency. However, while the 2009 reform aimed to provide universal health insurance coverage to all citizens, its overall effect on health service utilisation efficiency remains unclear. We aimed to examine the new health care reform’s mixed effect by applying a longitudinal study using China Health and Nutrition Survey (CHNS) data and the difference-in-difference (DID) method to estimate the health reform’s impact on health insurance coverage rate. Then, we studied whether the increase in health insurance coverage rate affected health service utilisation efficiency in China. Our results showed that the increase in insurance coverage rate has indeed made expensive medical services available to low-income individuals. However, it also increased the likelihood of use of hospitals rather than primary care facilities, since there is more insurance cover for outpatient visits, which has led to an increased demand for quality services. This effect has generated a negative impact on health care utilisation which directly pertains to systemic inefficiency. This study thus indicates that China’s latest health reform requires further policies to improve its overall efficiency.
The Adoption, Implementation, and Impact of Smoke-Free Policies among Gaelic Athletic Association Clubs in Ireland: A Qualitative Study
Authors: M. Seitz Christopher , Lawless Jennifer , Cahill Stacey , O’ Brien Aoife , Coady Collette , Regan Colin
Published: March 2020

The Gaelic Athletic Association (GAA) is a major stakeholder in promoting smoke-free policies in Ireland. Several GAA clubs have adopted smoke-free policies, and there is a growing interest among other GAA clubs to also become smoke-free. As such, the purpose of this study is to explore the process of how GAA clubs adopt, implement, and enforce smoke-free policies in order to discover best practices that other clubs could replicate. Representatives from 15 smoke-free clubs were interviewed regarding how their club became smoke-free. Interview data were analyzed, in which four major themes emerged: (1) process (planning a smoke-free policy, communicating the policy to the community, providing smoking cessation resources), (2) barriers (opinions and behaviors of club members who smoke, bars connected to club houses, policy exceptions, visitors and umpires who were unaware of the policy), (3) enforcement (community-based style of enforcement, non-confrontational approach, non-enforcement), and (4) impact (observation of policy compliance and decrease in cigarette litter). The study’s findings indicate a general ease of becoming smoke-free with minimal barriers. As such, the GAA should urge each club to become smoke-free and to use the effective methods used by current smoke-free clubs for communicating and enforcing smoke-free policies.
Obesity and Obesogenic Behaviors in Asian American Children with Immigrant and US-Born Mothers
Authors: Argueza Bianca R. , Sokal-Gutierrez Karen , Madsen Kristine A.
Published: March 2020

Child obesity is understudied in Asian Americans, which include a growing population of recent immigrants. We examined the relationship between maternal nativity and time in the US, and obesity and obesogenic behaviors among Asian American children. We analyzed public-use data from the 2013–2016 California Health Interview Survey for Asian American children ages 2 to 11 years. We used logistic regression to determine the odds of obesity and obesogenic behaviors associated with maternal nativity and time in the US. This study included n = 609 children. Children of US-born mothers had lower odds of obesity (adjusted odds ratio, AOR, 0.12; 95% CI 0.02 to 0.91) and lower fruit intake (AOR 0.15, 95% CI 0.03 to 0.81) than children of recent immigrants (< 5 years in the US). Asian American children with recent immigrant mothers are more likely to be obese and eat less fruit than children with US-born mothers. Efforts to prevent obesity and increase fruit consumption are particularly important for this vulnerable population of children of recent immigrants.
Incidence of Post-Vasectomy Pain: Systematic Review and Meta-Analysis
Authors: Auyeung Austin B. , Almejally Anas , Alsaggar Fahad , Doyle Frank
Published: March 2020

This is the first systematic review and meta-analysis to ascertain incidences of post-vasectomy pain following traditional scalpel, or non-scalpel vasectomy. Electronic databases PubMed, Embase and PsycINFO were searched up to 1 July 2019 for peer-reviewed articles recording post-vasectomy pain. We identified 733 publications, screened 559 after removal of duplicates and excluded 533. Of the remaining 26 full-text articles, 8 were excluded with reasons, leaving 18 for detailed analyses. Meta-analysis was performed on 25 separate datasets (11 scalpel, 11 non-scalpel, 3 other/combined). Study follow-up ranged from 2 weeks to 37 years and sample sizes from 12 to 723 patients. The overall incidence of post-vasectomy pain was 15% (95% CI 9% to 25%). The incidences of post-vasectomy pain following scalpel and non-scalpel techniques were 24% (95% CI 15% to 36%) and 7% (95% CI 4% to 13%), respectively. Post-vasectomy pain syndrome occurred in 5% (95% CI 3% to 8%) of subjects, with similar estimates for both techniques. We conclude that the overall incidence of post-vasectomy pain is greater than previously reported, with three-fold higher rates of pain following traditional scalpel, compared to non-scalpel vasectomy, whereas the incidence of post-vasectomy pain syndrome is similar.
Recommendations for 24-Hour Movement Behaviours in Adults with Asthma: A Review of Current Guidelines
Authors: Dogra Shilpa , Patlan Ilana , O’Neill Carley , Lewthwaite Hayley
Published: March 2020

Background: Many countries have clinical practice guidelines (CPG) for asthma that serve as an important resource for healthcare professionals and inform the development of policies and practices relevant to asthma care. The purpose of this scoping review was to search for CPGs related to asthma to determine what recommendations related to the 24-h movement behaviours are provided. Methods: We searched for the most recent CPGs published by a national authoritative body from 195 countries. Guidelines were reviewed for all movement behaviours; that is, physical activity, sedentary behaviour, and sleep. Results: In total, 82 documents were searched for eligibility and 19 were included in our review. Of these, only 10 CPGs provided information on physical activity; none provided recommendations consistent with the FITT principle, while seven recommended activity levels similar to the general population. None of the guidelines included information on sedentary behaviour. Nine guidelines included information on sleep: recommendations mostly focused on changes to medication to reduce disruptions in sleep. Conclusions: It is recommended that future work be conducted to create comprehensive movement behaviour guidelines accompanied with relevant precautions and strategies to ensure that adults with asthma are able to safely and effectively engage in movement behaviours throughout the day.
The Influence of Different Forest Characteristics on Non-point Source Pollution: A Case Study at Chaohu Basin, China
Authors: Cheng Hao , Lin Chen , Wang Liangjie , Xiong Junfeng , Peng Lingyun , Zhu Chenxi
Published: March 2020

Forestland is a key land use/land cover (LULC) type that affects nonpoint source (NPS) pollution, and has great impacts on the spatiotemporal features of watershed NPS pollution. In this study, the forestland characteristics of the Chaohu Basin, China, were quantitatively represented using forestland types (FLTs), watershed forest coverage (WFC) and forest distance from the river (DFR). To clarify the impact of forests on NPS pollution, the relationship between forestland characteristics and watershed nutrient outputs (TN and TP) was explored on a monthly scale using SWAT (Soil and Water Assessment Tool) and the period simulation was 2008–2016. The results showed that: (1) the TN and TP showed similar output characteristics and the rainy season was the peak period of nitrogen and phosphorus output. (2) Among the forestland characteristics of forestland types, watershed forest coverage and forest distance from the river, watershed forest coverage and forest distance from the river had greater effects than forestland types on the control of watershed nutrient outputs (TN and TP). (3) In different forestland types, the watershed nutrient outputs intensity remained at the lowest level when the FLTs was mixed forest, with a TN output of 1244.73kg/km2 and TP output of 341.39 kg/km2. (4) The watershed nutrient outputs and watershed forest coverage were negatively correlated, with the highest watershed forest coverage (over 75%) reducing the TN outputs by 56.69% and the TP outputs by 53.46% compared to the lowest watershed forest coverage (below 25%), it showed that in areas with high forest land coverage, the non-point source pollution load in the watershed is smaller than in other areas. (5) forest distance from the river had an uncertain effect on the TN and TP output of the basin, the forestland itself is a source of pollution, but it also has the function of intercepting pollution movement; the forest distance from the river in the range of 500–1000 m had the lowest NPS pollution. Considering the different forest characteristics and topographical factors, an optimal allocation mode of differentiated forest land was proposed, these suggestions will provide a scheme for surface source pollution prevention and control in the basin. This research gap is the basis of real forestland optimization. We may optimize the forestland layout for NPS pollution prevention and control by clarifying the internal mechanism.
Housing Needs of Ageing Veterans Who Have Experienced Limb Loss
Authors: Wilson Gemma , McGill Gill , Osborne Alison , Kiernan Matthew D.
Published: March 2020

Military veterans can experience limb loss as a direct result of conflict, an accident, illness or injury. Whatever the cause, there is a need to recognise the long-term consequences and challenges of limb loss on maintaining independence in one’s home. This study aimed to examine the housing needs of veterans experiencing limb loss, and the impact of limb loss on housing needs and home adaptations of ageing military veterans. Thirty-two military veterans (aged 43–95) participated in this study and up to three life-story interviews were carried out with each participant. Two themes were generated: availability of support and changing housing needs. It is evident from the findings that military veterans are unique in various ways, specifically due to military culture, geographical relocation and the additional support that is available to the Armed Forces Community. This must be considered in long-term support to maintain independence in the home.
How Does Servant Leadership Foster Employees’ Voluntary Green Behavior? A Sequential Mediation Model
Authors: Ying Ma , Faraz Naveed Ahmad , Ahmed Fawad , Raza Ali
Published: March 2020

Employees’ voluntary green behavior (EVGB) is indispensable in realizing organizations’ environmental sustainability objectives. Leaders can act as catalysts to shape the behavior of their employees. On EVGB, noticeably the missing link is investigating the influence of servant leadership and the mechanism through which it operates. Building upon self-determination and psychological empowerment theories, this research examined the impact of servant leadership on EVGB through the simple and sequential mediation of psychological empowerment and autonomous motivation for the environment (AME). Through systematic sampling, dyadic data were collected from 315 pairs of subordinates and supervisors working in the power sector organizations of Pakistan. Results were obtained by employing the partial least squares structural modeling (PLS-SEM) technique with Smart-PLS 3.2.8 software. Findings revealed that psychological empowerment and AME simply and sequentially mediate the influence of servant leadership on EVGB. Implications for theory and organizational practitioners are offered, accompanied by suggestions for future research.
Development of a Nutrition Questionnaire for Dental Caries Risk Factors
Authors: A. Patenaude Sara , Papagerakis Petros , R.L. Lieffers Jessica
Published: March 2020

Background: Few existing tools quickly identify dietary behaviours related to dental caries. The objectives of this study were to (i) create a patient-generated questionnaire identifying these dietary behaviours, (ii) capture information on these dietary behaviours in two specific populations via questionnaire pilot testing and (iii) determine questionnaire test-retest reliability. Methods: After development, the questionnaire was reviewed by an expert panel. Cognitive interviewing was conducted, followed by pilot testing in a general university campus population (n = 80) and a university dental clinic (n = 10). Retesting was done with the general campus group (n = 53). Results: Most participants reported never receiving dietary advice from professionals regarding caries. Sugary foods were most often consumed as snacks in the evening or afternoon, then breakfast. In total, 41.3% of campus participants consumed high risk items at least a few times per week or more often. Weekly or more frequent consumption of “other” sugary drinks (e.g., iced tea) was common. In total, 77.6% of questionnaire items had a kappa value representing moderate agreement or greater. Conclusions: Dietary behaviours related to caries were common in this pilot study. Given the high prevalence of caries and low occurrence of prior dietary advice for the same, increased preventive efforts may be warranted.
Development and Psychometric Properties of MisoQuest—A New Self-Report Questionnaire for Misophonia
Authors: Siepsiak Marta , Śliwerski Andrzej , Łukasz Dragan Wojciech
Published: March 2020

Background: Misophonia is a condition related to experiencing psychophysiological sensations when exposed to specific sound triggers. In spite of progress in research on the subject, a fully validated questionnaire assessing misophonia has not been published yet. The goal of this study was to create and validate a new questionnaire to measure misophonia. Methods: MisoQuest is based on the diagnostic criteria proposed by Schröder et al. in 2013, with minor changes implemented by the authors of MisoQuest. A total of 705 participants took part in the study, completing the online questionnaires. Exploratory Factor Analysis (EFA) and analyses using the Item Response Theory (IRT) were performed. Internal consistency was evaluated with Cronbach’s alpha. Results: The reliability of the MisoQuest was excellent (α = 0.955). The stability at five weeks was strong. There was a significant difference in results between people classified as those with misophonia and those without misophonia. Conclusions: MisoQuest has good psychometric values and can be helpful in the identification of misophonia. A deeper analysis showed that certain triggers might be more specific for people with misophonia. Consideration of violent behavior in response to misophonic triggers as a symptom of misophonia was undermined.
The Relationship between Affiliate Stigma in Parents of Children with Autism Spectrum Disorder and Their Children’s Activity Participation
Authors: Ng Carmen K. M. , Lam Stephen H. F. , Tsang Sally T. K. , Yuen Cheong M. C. , Chien Chi-Wen
Published: March 2020

Children with autism spectrum disorder (ASD) are reported to participate less in everyday activities, and their parents face stigma on account of having a child with ASD, which they often internalize as affiliate stigma. Studies have examined the impact of affiliate stigma on parents’ psychological well-being and social behaviors, but little is known about how affiliate stigma impacts their children’s activity participation. This study aimed to investigate the relationship between parents’ affiliate stigma and activity participation of their children with ASD. Sixty-three parents of children with ASD (aged 2–6 years) were recruited. They completed questionnaires, which captured affiliate stigma, their child’s participation (frequency and involvement) in home, preschool, and community activities, and demographic characteristics. Results indicated that these parents had a moderate level of affiliate stigma, which did not correlate with the frequency of their children’s participation in activities. However, the parents’ affiliate stigma was found to have negative impacts on their children’s involvement in overall community participation and participation in one particular activity at home. The findings highlight the importance of destigmatization of parents of children with ASD in order to promote their children’s participation in community activities.
Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience
Authors: Silván-Ferrero Prado , Recio Patricia , Molero Fernando , Nouvilas-Pallejà Encarnación
Published: March 2020

Purpose: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. Method: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. Results: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. Conclusions: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.
A Predictive Model for Height Tracking in an Adult Male Population in Bangladesh to Reduce Input Errors
Authors: Hasan Mehdi , Yokota Fumihiko , Islam Rafiqul , Hisazumi Kenji , Fukuda Akira , Ahmed Ashir
Published: March 2020

The advancement of ICT and affordability of medical sensors enable healthcare data to be obtained remotely. Remote healthcare data is erroneous in nature. Detection of errors for remote healthcare data has not been significantly studied. This research aims to design and develop a software system to detect and reduce such healthcare data errors. Enormous research efforts produced error detection algorithms, however, the detection is done at the server side after a substantial amount of data is archived. Errors can be efficiently reduced if the suspicious data can be detected at the source. We took the approach to predict acceptable range of anthropometric data of each patient. We analyzed 40,391 records to monitor the growth patterns. We plotted the anthropometric items e.g., Height, Weight, BMI, Waist and Hip size for males and females. The plots show some patterns based on different age groups. This paper reports one parameter, height of males. We found three groups that can be classified with similar growth patterns: Age group 20–49, no significant change; Age group 50–64, slightly decremented pattern; and Age group 65–100, a drastic height loss. The acceptable range can change over time. The system estimates the updated trend from new health records.
Delayed Treatment for People Living with HIV in China, 2004–2016: An Analysis of An Observational Cohort
Authors: Xu Junfang , Sönnerborg Anders , Gao Liangmin , Wang Peicheng , Bouey Jennifer Z.H. , Cheng Feng
Published: March 2020

Early universal access to antiretroviral treatment (ART) is critical in the control of the HIV epidemic. However, prompt initiation of ART remains problematic in China. This study analyzed the late testing and lag time between HIV diagnosis and initiation of ART from 2004 to 2016 and identified the risk factors for delayed initiation of ART. Data from 16,957 people living with HIV were abstracted from a hospital electronic health record database and a case report database for AIDS prevention and control in Yunnan province. Reasons for delayed initiation of ART were categorized into late testing, defined as CD4 count of < 350 cells/μL at baseline HIV diagnosis, and delayed access, defined as a lag time of > 1 month between the diagnosis and initiation of ART. Binary logistic regression models were used to identify risk factors for late testing and delayed access. The CD4 counts at diagnosis increased from 201 ± 147 cells/μL (mean ± SD) in 2004 to 324 ± 238 cells/μL in 2016 (p = 0.024). The CD4 count was higher for persons < 45 years, unmarried, and men who have sex with men (MSM) (356, 357, and 409 cells/μL, respectively) compared to their peers in 2016 (p < 0.05). The lag time from diagnosis to initiation of ART was significantly reduced from 59.2 months in 2004 to 0.9 months in 2016 (p < 0.05). The shorter lag time over the years was consistent when analysis was stratified by sex, age, marital status, and transmission routes, even though the lag time for people using drugs was longest in 2016 (> 2 months versus 0.82 and 0.72 month of heterosexuals and MSM, respectively). Compared to their peers, married persons (AOR = 0.63, 95%CI: 0.57, 0.69) were less likely to have delayed access to ART, and drugs-using patients (AOR = 3.58, 95%CI: 2.95,4.33) were more likely to have delayed access to ART. Late testing rather than delayed access to ART after a diagnosis remains problematic in China, although improvements have been seen for both parameters from 2004 to 2016. Our data highlight the importance of continued efforts to promote early diagnosis of HIV to prevent transmission, morbidity, and early mortality in HIV infection.
Measuring Consumer Willingness to Pay to Reduce Health Risks of Contracting Dengue Fever
Authors: Lin Cheng-Te , Huang Yu-Sheng , Liao Lu-Wen , Ting Chung-Te
Published: March 2020

Located in the subtropics, Taiwan is one of the major epidemic areas for dengue fever, with severe epidemics occurring in recent years. Dengue fever has become a serious health threat to Taiwan’s residents and a potentially serious economic cost to society. This study recruited 730 random participants and adopted the contingent valuation method to understand the factors influencing the populace’s willingness to pay (WTP) to reduce the health risk of dengue fever. The results show that high-income women with children and people with higher preventive perceptions and behavior are more willing to invest in preventive measures against dengue fever. In the evaluation of WTP for preventive treatment for health risks, each person was willing to pay on average NT$751 annually to lower psychological health risks, NT$793 annually to lower the risk of illness, and NT$1086 annually to lower the risk of death.
Identification of Urban Functional Regions in Chengdu Based on Taxi Trajectory Time Series Data
Authors: Liu Xudong , Tian Yongzhong , Zhang Xueqian , Wan Zuyi
Published: March 2020

Overall scientific planning of urbanization layout is an important component of the new period of land spatial planning policies. Defining the main functions of different spaces and dividing urban functional areas are of great significance for optimizing the land development pattern. This article identifies and analyses urban functional areas from the perspective of data mining. The results of this method are consistent with the actual situation. In this paper, representative taxi trajectory data are selected as the research basis of urban functional areas. First, based on trajectory data from Didi Chuxing within the high-speed road surrounding Chengdu, we generated trajectory time sequence data and used the dynamic time warping (DTW) algorithm to generate a time series similarity matrix. Second, we utilized the K-medoid clustering algorithm to generate preliminary results of land clustering and selected the results with high classification accuracy as the training samples. Then, the k-nearest neighbour (KNN) classification algorithm based on DTW was performed to classify and identify the urban functional areas. Finally, with the help of point-of-interest (POI) auxiliary analysis, the final functional layout in Chengdu was obtained. The results show that the spatial structure of Chengdu is complex and that the urban functions are interlaced, but there are still rules that are followed. Moreover, traffic volume and inflow data can better reflect the travel rules of residents than simple taxi on–off data. The original DTW calculation method has high temporal complexity, which can be improved by normalization and the reduction of time series dimensionality. The semi-supervised learning classification method is also applicable to trajectory data, and it is best to select training samples from unsupervised learning. This method can provide a theoretical basis for urban land planning and has auxiliary and guiding value for urbanization layout in the context of land spatial planning policies in the new era.
Think Spatially With Game Engine
Authors: Carbonell-Carrera Carlos , Gunalp Peri , Saorin Jose , Hess-Medler Stephany
Published: March 2020

Spatial thinking and spatial orientation skills are involved in tasks related to the recognition of landforms, mapping, spatial interpretation, and landscape analysis, and can be developed with specific training. Game engines can facilitate the creation of 3D virtual landforms and provide powerful rendering engines for the graphical representation of landscapes from a first-person perspective. In the present research, 27 engineering students participated in a workshop in a first-person virtual environment using landforms created with a game engine. The Spatial Thinking Ability Test and the Perspective Taking-Spatial Orientation Test measured improvement in spatial thinking and spatial orientation as a result of this workshop. The gain in spatial thinking (8.31%) is within the range observed in previous research in the field of geography using a web-based GIS strategy (7.31%–10.00%). The gain in Spatial Orientation skill (15.76%) is comparable with previous research using both first-person strategies based in urban virtual environments (14.23%), and Spatial Data Infrastructures (gains between 21.17% and 21.34%). Participants with better self-reported sense of direction had better performance on the spatial orientation test.
A Novel Method of Spatiotemporal Dynamic Geo-Visualization of Criminal Data, Applied to Command and Control Centers for Public Safety
Authors: Salcedo-Gonzalez Mayra , Suarez-Paez Julio , Esteve Manuel , Gómez Jon Ander , Palau Carlos Enrique
Published: March 2020

This article shows a novel geo-visualization method of dynamic spatiotemporal data that allows mobility and concentration of criminal activity to be study. The method was developed using, only and significantly, real data of Santiago de Cali (Colombia), collected by the Colombian National Police (PONAL). This method constitutes a tool that allows criminal influx to be analyzed by concentration, zone, time slot and date. In addition to the field experience of police commanders, it allows patterns of criminal activity to be detected, thereby enabling a better distribution and management of police resources allocated to crime deterrence, prevention and control. Additionally, it may be applied to the concepts of safe city and smart city of the PONAL within the architecture of Command and Control System (C2S) of Command and Control Centers for Public Safety. Furthermore, it contributes to a better situational awareness and improves the future projection, agility, efficiency and decision-making processes of police officers, which are all essential for fulfillment of police missions against crime. Finally, this was developed using an open source software, it can be adapted to any other city, be used with real-time data and be implemented, if necessary, with the geographic software of any other C2S.
Urban Scene Vectorized Modeling Based on Contour Deformation
Authors: Zhu Lingjie , Shen Shuhan , Gao Xiang , Hu Zhanyi
Published: March 2020

Modeling urban scenes automatically is an important problem for both GIS and nonGIS specialists with applications like urban planning, autonomous driving, and virtual reality. In this paper, we present a novel contour deformation approach to generate regularized and vectorized 3D building models from the orthophoto and digital surface model (DSM).The proposed method has four major stages: dominant directions extraction, find target align direction, contour deformation, and model generation. To begin with, we extract dominant directions for each building contour in the orthophoto. Then every edge of the contour is assigned with one of the dominant directions via a Markov random field (MRF). Taking the assigned direction as target, we define a deformation energy with the Advanced Most-Isometric ParameterizationS (AMIPS) to align the contour to the dominant directions. Finally, the aligned contour is simplified and extruded to 3D models. Through the alignment deformation, we are able to straighten the contour while keeping the sharp turning corners. Our contour deformation based urban modeling approach is accurate and robust comparing with the state-of-the-arts as shown in experiments on the public dataset.
Application of an Inter-Species Extrapolation Method for the Prediction of Drug Interactions between Propolis and Duloxetine in Humans
Authors: Ngo Thi Lien , Lee Chung-Hee , Han Nayoung , Back Hyun-Moon , Rhee Su-Jin , Noh Keumhan , Yun Hwi-Yeol , Kang Wonku , Chae Jung-Woo
Published: March 2020

Duloxetine (DLX) is a potent drug investigated for the treatment of depression and urinary incontinence. DLX is extensively metabolized in the liver by two P450 isozymes, CYP2D6 and CYP1A2. Propolis (PPL) is one of the popular functional foods known to have effects on activities of CYPs, including CYP1A2. Due to the high probability of using DLX and PPL simultaneously, the present study was designed to investigate the potent effect of PPL on pharmacokinetics (PKs) of DLX after co-administration in humans. A PK study was first conducted in 18 rats (n = 6/group), in which the plasma concentration of DLX and its major metabolite 4-hydroxy duloxetine (4-HD) with or without administration of PPL was recorded. Population PKs and potential effects of PPL were then analyzed using NONMEM software. Lastly, these results were extrapolated from rats to humans using the allometric scaling and the liver blood flow method. PPL (15,000 mg/day) exerts a statistically significant increase in DLX exposures at steady state, with a 20.2% and 24.6% increase in DLX C m a x , s s and the same 28.0% increase in DLX A U C s s when DLX (40 or 60 mg) was administered once or twice daily, respectively. In conclusion, safety issues are required to be attended to when individuals simultaneously use DLX and PPL at high doses, and the possibility of interactions between DLX and PPL might be noted.