bluuebunny/crossref_metadata_2025 huggingface dataset:
Dementia Care Competency Model for Higher Education: A Pilot Study
Authors: Josephsen Jayne , Ketelsen Kirk , Weaver Melody , Scheuffele Hanna
Published: February 2023

A statewide landscape analysis was initiated to identify workforce development and educational needs concerning the support of persons with Alzheimer’s Disease and Related Dementias (ADRD). Educational programs preparing healthcare professionals were targeted since people with ADRD, and their families/caregivers, often have frequent, ongoing contact with healthcare providers. A literature review and thematic analysis discovered a dearth of research and a lack of consistent competency identification for healthcare education. A crosswalk comparison of various competency models led to the development of a five factor model. A survey based on this model was sent to educators statewide evaluating confidence in ADRD-specific competency attainment in graduates. Descriptive statistics and factor analysis led to a revision of the original five factor model to a three factor model, including competencies in Global Dementia knowledge, Communication, and Safety, each with various sub-competencies. Identifying ADRD-specific competencies for graduating healthcare students is essential. This three factor competency framework will support educational programs in examining curricular offerings and increasing awareness concerning the needs of the ADRD population. Furthermore, using a robust competency model for healthcare education can assist in preparing graduates to address the needs of those with ADRD as well as the needs of the family/caregiving system and environment.
The Effect of Input Digitalization on Carbon Emission Intensity: An Empirical Analysis Based on China’s Manufacturing
Authors: Tang Luyang , Lu Bangke , Tian Tianhai
Published: February 2023

Digitalization is an excellent opportunity for the manufacturing industry all over the world to improve the core competitiveness and break through the “low-end locking” dilemma. However, it is not clear whether the digitalization of the manufacturing industry has positive ecological and environmental benefits under the resource and environmental constraints. To answer this question, we use the data from the world input–output database (WIOD) to investigate the impact of manufacturing input digitalization on carbon emission intensity by an extended analysis. The results show that the input digitalization of the manufacturing industry has mixed effects on reducing carbon emission intensity. The productive input digitalization can reduce carbon emission intensity, but the distributional input digitalization may increase carbon emission intensity. Non-pollution-intensive manufacturing and high-input digital manufacturing have stronger carbon emission reduction effects than the other industry sectors. From the perspective of input sources, input digitalization from domestic sources has a significant inhibitory effect on the carbon emission intensity. In contrast, input digitalization from foreign sources may increase carbon emission intensity.
Dismantling the Component-Specific Effects of Yogic Breathing: Feasibility of a Fully Remote Three-Arm RCT with Virtual Laboratory Visits and Wearable Physiology
Authors: Ma Yan , Yang Huan , Vazquez Michael , Buraks Olivia , Haack Monika , Mullington Janet M. , Goldstein Michael R.
Published: February 2023

Despite the growing research base examining the benefits and physiological mechanisms of slow-paced breathing (SPB), mindfulness (M), and their combination (as yogic breathing, SPB + M), no studies have directly compared these in a ”dismantling” framework. To address this gap, we conducted a fully remote three-armed feasibility study with wearable devices and video-based laboratory visits. Eighteen healthy participants (age 18–30 years, 12 female) were randomized to one of three 8-week interventions: slow-paced breathing (SPB, N = 5), mindfulness (M, N = 6), or yogic breathing (SPB + M, N = 7). The participants began a 24-h heart rate recording with a chest-worn device prior to the first virtual laboratory visit, consisting of a 60-min intervention-specific training with guided practice and experimental stress induction using a Stroop test. The participants were then instructed to repeat their assigned intervention practice daily with a guided audio, while concurrently recording their heart rate data and completing a detailed practice log. The feasibility was determined using the rates of overall study completion (100%), daily practice adherence (73%), and the rate of fully analyzable data from virtual laboratory visits (92%). These results demonstrate feasibility for conducting larger trial studies with a similar fully remote framework, enhancing the ecological validity and sample size that could be possible with such research designs.
Phytoremediation Competence of Composite Heavy-Metal-Contaminated Sediments by Intercropping Myriophyllum spicatum L. with Two Species of Plants
Authors: Li Yidan , Song Yanyan , Zhang Jing , Wan Yingxin
Published: February 2023

A variety of remediation approaches have been applied to reduce the harm and diffusion of heavy metals in aquatic sediments; however, phytoremediation in co-contaminated soils is still not clear. In order to explore the phytoremediation of sediments contaminated by Cu and Pb, two submerged plants with different characteristics, Vallisneria natans and Hydrilla verticillata, were interplanted with Myriophyllum spicatum. By simulating a submerged plant ecological environment, medium-scale-simulated ecological remediation experiments were carried out. The results showed that the two planting patterns were effective in repairing the sediments in the Cu and Pb contaminated sediments. The intercropping of Myriophyllum spicatum and Vallisneria natans can be used as the plant stabilizer of Cu because of the TF > 1 and BCF < 1, and the intercropping with Hydrilla verticillata can regulate the enrichment efficiency of Myriophyllum spicatum. The removal rates of Cu and Pb in sediments reached 26.1% and 68.4%, respectively, under the two planting patterns. The risk grade of the restored sediments was RI < 150, indicating a low risk.
Identification of Pathogenic and Opportunistic Yeasts in Pigeon Excreta by MALDI-TOF Mass Spectrometry and Their Prevalence in Chon Buri Province, Thailand
Authors: Nualmalang Rungnapa , Thanomsridetchai Natthapaninee , Teethaisong Yothin , Sukphopetch Passanesh , Tangwattanachuleeporn Marut
Published: February 2023

Pigeon excreta can cause environmental and public health issues, particularly in urban and public areas. They are reservoirs of several human pathogens including fungi, bacteria, and viruses. Epidemiological data of pathogenic and opportunistic yeasts in pigeon droppings in Chon Buri, one of the most reputable tourist cities of Thailand, are scarce. The present study aimed to identify yeasts in pigeon droppings by MALDI-TOF mass spectrometry, and to study their prevalence in Chon Buri, Thailand. A total of 200 pigeon fecal samples were collected randomly from all 11 districts of Chon Buri. A sum of 393 yeast-like colonies were isolated on Sabourand’s dextrose agar and CHROMagar media. These isolates were further confirmed for their species by MALDI-TOF MS. Twenty-four yeast species belonging to 11 different genera were identified in pigeon fecal samples. Candida spp., predominantly C. krusei (14.32%), were the most prevalent yeast species. Other yeast species, including C. glabrata (12.73%), C. metapsilosis (11.93%), Lodderomyces elongisporus (10.87%), C. tropicalis (7.16%), C. albicans (5.83%), and Cryptococcus neoformans (4.77%) were identified. This study provides valuable epidemiological data and diversity of yeasts in pigeon droppings in Chon Buri, Thailand, and also supports the use of MALDI-TOF MS for yeast identification and epidemiological surveillance.
A Serial Mediation Model of Insecure Attachment and Psychological Distress: The Role of Dispositional Shame and Shame-Coping Styles
Authors: Remondi Chiara , Casu Giulia , Pozzi Camilla , Greco Francesco , Gremigni Paola , Brugnera Agostino
Published: February 2023

Shame is an intense, difficult to regulate, self-conscious emotion that predicts aspects of poor psychological functioning and is also strongly related to early relationships. Attachment insecurities, which constitute non-specific risk factors for psychological maladjustment, have been associated with an individual’s tendency to experience shame. In this study, we sought to examine the serial mediating roles of dispositional shame and shame-coping styles (i.e., attack other, attack self, withdrawal and avoidance) in the association between anxious and avoidant attachment, and psychological distress. Using a cross-sectional design, self-reported data were collected. The study sample included 978 respondents (57% female) with a mean age of 32.17 ± 13.48 years. The results of the path analysis indicated that both attachment dimensions were sequentially associated with dispositional shame and then with the attack self shame-coping style, which was, in turn, positively related to psychological distress. Further, attachment insecurities were sequentially associated with dispositional shame and then with the avoidance shame-coping style, which was, in turn, negatively related to psychological distress. The model was gender invariant, suggesting that the serial mediation worked in a similar way for men and women. The practical implications of these findings are discussed.
Acceptance of Pregnancy-Induced Disease and Intrapersonal Resistance Resources of Pregnant Women—Preliminary Report
Authors: Pieczykolan Agnieszka , Rzońca Ewa , Grzesik-Gąsior Joanna , Korżyńska-Piętas Magdalena , Iwanowicz-Palus Grażyna , Bień Agnieszka
Published: February 2023

The health problems complicating pregnancy are a source of anxiety and concern about the developing fetus’ health and life. The aim of the study was to assess the acceptance of illness and selected intrapersonal resistance resources for women whose pregnancies are complicated by gestational diabetes or pregnancy-induced hypertension and their determinants. The study was conducted from April 2019 to January 2021 in 688 pregnant women who were patients of the pregnancy pathology department and gynecology-obstetrics outpatient clinics in Lublin (Poland), using a diagnostic survey method with the use of the following research tools: Acceptance Illness Scale, Generalized Self-Efficacy Scale, Multidimensional Health Locus of Control Scale, and the standardized interview questionnaire. The study group included 337 women with gestational diabetes and pregnancy-induced hypertension. The control group included 351 women with an uncomplicated course of pregnancy. The level of acceptance of illness in pregnant women with pregnancy-induced diseases is on the border between medium and high acceptance (29.36 ± 7.82). The respondents in the control group had lower levels of self-efficacy (28.47 vs. 29.62) and health locus of control in the internal dimension (24.61 vs. 26.25) (p < 0.05). Respondents with pregnancy-induced diseases are characterized by the internal dimension of locus of health control.
Effectiveness of Music Therapy in People Living with Dementia: An Umbrella Review Protocol
Authors: Sousa Luís , Oliveira Cláudia , Tomás Margarida , Pires Maria do Céu , Almeida António , Oliveira Helga , García-Navarro E. Begoña , José Helena
Published: February 2023

Background: Dementia stands out as a neurological disorder which constitutes a progressive decline in cognitive, behavioral, emotional, and social functioning. However, non-pharmacotherapy, such as music therapy, can be combined with pharmacological treatment as a possible strategy to improve functionality regarding the cognitive and non-cognitive dimensions of people diagnosed with dementia. Objectives: To analyze and synthesize published evidence regarding the effectiveness of music therapy in people diagnosed with dementia, concerning cognitive and non-cognitive outcomes. Design: Descriptive study protocol of an umbrella review. Methods and analysis: An umbrella review method will guide this study, focusing on an extensive search of published systematic reviews and meta-analyses reviews that include randomized controlled trials and other types of trials. Databases for the article search include ISI Web of Knowledge, Scopus, and Joanna Briggs Institute (JBI) EBP database, and EBSCO Host platform (Cochrane Database of Systematic Reviews, MEDLINE, and CINAHL). Two reviewers will independently review all titles and abstracts and identify articles considering the inclusion criteria. Afterward, two reviewers will independently extract relevant information from each article for the characterization table, and evaluate the quality of selected articles using the Measurement Tool for Evaluating Systematic Reviews (AMSTAR) 2 guideline. Relevance to clinical practice: Data from this study will aid in designing healthcare workers’ training courses, clinical intervention guidelines, and specific intervention protocols that support pharmacological interventions in treating dementia.
Dimensional Structure of MAPS-15: Validation of the Multidimensional Academic Procrastination Scale
Authors: González-Brignardello Marcela Paz , Sánchez-Elvira Paniagua Ángeles
Published: February 2023

Academic procrastination is a complex behavior that hampers the cyclical process of self-regulation in learning, impeding the flow of actions necessary to achieve the goals and sub-goals that students have set out to attain. It has a high frequency of occurrence and has been linked to lessened student performance and a decrease in psychological and physical well-being. The objective of this study is to analyze the psychometric characteristics of a new academic procrastination scale MAPS-15 (Multidimensional Academic Procrastination Scale) applicable in self-regulated learning environments through a cross-validation study (exploratory factor analysis and confirmatory factor analysis). The sample consisted of 1289 students from a distance/online university, with a wide age range and sociocultural variability. The students completed self-reported online questionnaires on two dates: during the university access and adaptation phase and before the first period of compulsory exams. One-, two- and three-factor structures were tested as well as a second-order structure. The results support a three-dimensional structure of MAPS-15: core procrastination, a pure dimension of procrastinating behavior and difficulty in carrying out the action; poor time management, a dimension related to time organization and perceived control over time; and work disconnection, a dimension conceptually related to lack of persistence, and work interruptions.
Adverse Childhood Experiences and Adolescent Delinquency: A Theoretically Informed Investigation of Mediators during Middle Childhood
Authors: Jackson Dylan B. , Jones Melissa S. , Semenza Daniel C. , Testa Alexander
Published: February 2023

Objective: The purposes of this study are twofold. First, we explore the associations between cumulative ACEs at ages 5 and 7 and delinquency at age 14 in a national sample of youth in the United Kingdom (UK). Second, we explore the role of five theoretically relevant mediators in explaining this relationship. Methods: Analyses were based on data from the UK Millennium Cohort Study—a prospective, longitudinal birth-cohort study of more than 18,000 individuals in the United Kingdom. Results: The results indicate that early ACEs are significantly associated with adolescent delinquency, with effects becoming significantly larger as ACEs accumulate. Findings also reveal that child property delinquency, substance use, low self-control, unstructured socializing, and parent–child attachment at age 11 all significantly mediate the relationship between early ACEs and delinquency in adolescence, with early delinquency and low self-control emerging as the most robust mediators. Conclusions: Findings point to a need for early ACEs screening and a Trauma-Informed Health Care (TIC) approach in early delinquency prevention efforts. Early intervention efforts that bolster child self-control and curtail early-onset problem behaviors may also disrupt pathways from ACEs to adolescent delinquency.
Time Pressure Affects the Risk Preference and Outcome Evaluation
Authors: Lin Chiuhsiang Joe , Jia Huiqiao
Published: February 2023

It is ubiquitous that food delivery riders do not have unlimited periods of time for deliberation to make decisions. Time pressure plays a significant role in decision-making processes. This study investigated how time pressure affected risk preference and outcome evaluation through behavioral and electrophysiological responses during decision-making. Participants finished a simple gambling task under three different time constraint conditions (high/medium/low). Behavioral and event-related potentials (ERPs) data were recorded during the experiment. The results showed that the decision time of people was shorter under high time pressure than under medium and low time pressures. People tend to make more risky choices when under high time pressure. The feedback-related negativity (FRN) amplitude was smaller in the high time pressure than in medium and low time pressure conditions. These findings provided evidence that time pressure has an impact on the risk decision-making process.
Pharmaceutical Company Targets and Strategies to Address Climate Change: Content Analysis of Public Reports from 20 Pharmaceutical Companies
Authors: Booth Amy , Jager Alexandra , Faulkner Stuart D , Winchester Christopher C , Shaw Sara E
Published: February 2023

The pharmaceutical industry produces a large proportion of health system greenhouse gas (GHG) emissions, contributing to climate change. This urgently needs to be addressed. We aimed to examine pharmaceutical company climate change targets, GHG emissions, and strategies to reduce them. We performed content analysis of the 20 largest pharmaceutical companies’ publicly available 2020/2021 reports, focusing on extracting information on their reported climate change targets, GHG emissions (and whether companies had demonstrated any reduction in emissions over their reporting period), and strategies being implemented to reduce company emissions and meet their targets. Nineteen companies have committed to reducing GHG emissions, ten to carbon neutrality and eight to net zero emissions between 2025 and 2050. Companies showed largely favorable reductions in scope 1 (in-house) and scope 2 (purchased energy), with variable results in scope 3 (supply chain) emissions. Strategies to reduce emissions included optimizing manufacturing and distribution, and responsible sourcing of energy, water, and raw materials. Pharmaceutical companies are setting climate change targets and reporting reduced emissions via a range of strategies. This varies, with scope to track actions and accountability to targets, improve consistency of reporting, especially of scope 3 emissions, and collaborate on novel solutions. There is need for further mixed methods research on progress with achieving reported climate change targets, as well as implementation of strategies to reduce emissions within the pharmaceutical industry.
The Impact of In-Event Health Services at Europe’s Largest Electronic Dance Music Festival on Ems and Ed in the Host Community
Authors: Spaepen Kris , Cardinas Robby , Haenen Winne A. P. , Kaufman Leonard , Hubloue Ives
Published: February 2023

Background: Electronic dance music festivals (EDMF) can cause a significant disruption in the standard operational capacity of emergency medical services (EMS) and hospitals. We determined whether or not the presence of in-event health services (IEHS) can reduce the impact of Europe’s largest EDMF on the host community EMS and local emergency departments (EDs). Methods: We conducted a pre-post analysis of the impact of Europe’s largest EDMF in July 2019, in Boom, Belgium, on the host community EMS and local EDs. Statistical analysis included descriptive statistics, independent t-tests, and χ2 analysis. Results: Of 400,000 attendees, 12,451 presented to IEHS. Most patients only required in-event first aid, but 120 patients had a potentially life-threatening condition. One hundred fifty-two patients needed to be transported by IEHS to nearby hospitals, resulting in a transport-to-hospital rate of 0.38/1000 attendees. Eighteen patients remained admitted to the hospital for >24 h; one died after arrival in the ED. IEHS limited the overall impact of the MGE on regular EMS and nearby hospitals. No predictive model proved optimal when proposing the optimal number and level of IEHS members. Conclusions: This study shows that IEHS at this event limited ambulance usage and mitigated the event’s impact on regular emergency medical and health services.
Linking Superior Developmental Feedback with Employee Job Satisfaction? A Conservation of Resources Perspective
Authors: Li Zhongqiu , Qin Haoqi , Zhang Xue , Zhang Qiwen , Tang Linshan
Published: February 2023

Previous studies have shown that superior developmental feedback (SDF) has a mixed impact on employees’ long-term development, but its effect on job satisfaction (JS) has been generally ignored. Therefore, this study proposes and tests a model based on the conservation of resources theory to shed light on how feedback from a leader or superior may increase employees’ JS. In this study, researchers analyzed responses from a two-stage questionnaire distributed to 296 employees to test the proposed hypotheses using MPlus 7.4 software. The results show that employee resilience (ER) partially mediates the link between SDF and JS. The results also indicate that the relationship between SDF and ER is strengthened by job complexity (JC). The results provide novel avenues for further study and practice in the areas of SDF and JS.
Body Image and Physical Activity and the Diet of Polish Youth Aged 15–18
Authors: Łebek Ewelina , Knapik Andrzej
Published: February 2023

Adolescence is a crucial stage in the biological, psychological, and social development of humans. During this period, perceptions of one’s body and behaviors are formed. The aim of the study was to investigate body image (BI) and its relationship with physical activity and selected eating habits in adolescents. The study included 312 people (102 girls (32.69%) and 210 boys (67.31%)) aged 15–18. As many as 40% of the girls and 27% of the boys reported feeling dissatisfied with their body mass. BI was negatively perceived by the adolescents, with girls being more critical than boys. Lack of acceptance of one’s body mass negatively affects overall BI in girls, and only the functional aspects in boys. Negative perception of body mass in girls does not motivate them to increase physical activity but rather causes them to adopt dietary restrictions.
BASE Jumping in the Lauterbrunnen Valley: A Retrospective Cohort Study from 2007 to 2016
Authors: Brodmann Maeder Monika , Andenmatten Simon , Lienert Jasmin Sumiko , Von Wyl Thomas , Exadaktylos Aristomenis K.
Published: February 2023

Background: BASE jumping, and especially BASE jumping with the help of wingsuits, is considered one of the most dangerous airborne sports. The valley of Lauterbrunnen in Switzerland has become infamous for the large number of BASE jumps and the high rate of accidents and fatalities. The aim of this study was to evaluate the morbidity and mortality of BASE jumping, to determine the severity of injuries and injury patterns of BASE jumping accidents and to compare preclinical assessment with clinical diagnoses to detect under- or overtriage. Methods: This retrospective, descriptive cohort study covers a period of 10 years (2007–2016). The evaluation covered all BASE jumping incidents in the valley of Lauterbrunnen that required either a helicopter mission by the local HEMS (Helicopter Emergency Medical Service) company of Lauterbrunnen, Air Glaciers, or medical care in the regional hospital, the level I trauma centre or the medical practice of the local general practitioner. Besides demographic data, experience in BASE jumping and skydiving as well as BASE jumping technique(s) and details about the rescue missions were collected. The medical data focused on the severity of injuries, as expressed by the National Advisory Committee of Aeronautics (NACA) score in the prehospital assessment as well as the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) retrieved from the clinical records in the hospital or medical practice setting. Results: The patients were predominantly young, experienced male BASE jumpers. Morbidity (injury risk) ranged from 0.05% to 0.2%, and fatality risk from 0.02% to 0.08%. Undertriage was low, with only two cases. Overtriage was significant, with 73.2% of all NACA 4–6 cases not qualifying for major trauma. Conclusions: BASE jumping remains a high-risk sport and is associated with significant rates of injuries and fatalities. Comparison with previous studies indicated that the injury rate may have decreased, but the fatality rate had not. In this known BASE jumping environment, prehospital assessment appears to be good, as we found a low undertriage rate. The high overtriage rate might be an expression of physicians’ awareness of high-velocity trauma mechanisms and possible deceleration injuries.
Study on the Impact of Collaborative Agglomeration of Manufacturing and Producer Services on PM2.5 Pollution: Evidence from Urban Agglomerations in the Middle Reaches of the Yangtze River in China
Authors: Gao Lei , Zhang Jingran , Tian Yu , Liu Xinyu , Guan Shuxin , Wu Yuhong
Published: February 2023

In this paper, using panel data of 28 cities in the middle reaches of the Yangtze River from 2003 to 2020 as the research sample, we built a dynamic spatial Durbin model based on the STIRPAT (stochastic impacts by regression on population, affluence, and technology) model and conducted an empirical study on the impact of the coordinated agglomeration of manufacturing and producer services on particulate matter (PM) 2.5 pollution. The results show a significant positive spatial spillover effect of PM2.5 pollution in the middle reaches of the Yangtze River. The coordinated agglomeration of manufacturing and producer services in the urban agglomerations there is conducive to reducing PM2.5 pollution. Similar to the inverted-U curve of the classic environmental Kuznets curve hypothesis, there is a significant inverted-U curve relationship between PM2.5 pollution and economic growth in urban agglomerations in the middle reaches of the Yangtze River. The proportion of coal consumption, the proportion of secondary industry, and the urbanization level are significantly and positively correlated with PM2.5 pollution in urban agglomerations in this area. Technological innovation, environmental regulation, and annual average humidity play an important role in addressing the PM2.5 pollution and spatial spillover effect. Industrial structure and technological innovation are the main ways for the coordinated agglomeration of manufacturing and producer services to affect PM2.5. The research conclusion can be of great practical significance to optimize the regional industrial layout, control PM2.5 pollution, and establish a sustainable development policy system in the middle reaches of the Yangtze River in China.
Dual Carbon Goal-Based Quadrilateral Evolutionary Game: Study on the New Energy Vehicle Industry in China
Authors: Li Tao , Ma Lei , Liu Zheng , Yi Chaonan , Liang Kaitong
Published: February 2023

In an effort to tackle climate change, the “Dual Carbon” target raised by the Chinese government aims to reach peak carbon dioxide emissions by 2030 and to achieve carbon neutrality by 2060. Accordingly, policy incentives have accelerated the new energy vehicle (NEV) sector. Whilst previous studies have focused on the bilateral game between governments and manufacturers, NEV development has witnessed interaction among multiple players. In this paper, we construct a quadrilateral evolutionary game model, considering the impact of government policies, manufacturers’ R&D investments, dealers’ support, and consumer choice on the evolutionary stabilization strategy (ESS) in the context of China. The results show that: (1) in the absence of government incentives, there is no motivation for manufacturers, dealers and consumers to consider the development of NEVs; (2) government incentives affect manufacturers and consumers on the evolutionary paths in the short term. In the long term, benefit- and utility-based limited rationality has a dominant role in the ESS. This study contributes to the understanding of the multilateral dynamics of NEV innovation and provides important implications to practitioners and policy makers.
Study of Windlass Mechanism in the Lower Limb Using Inertial Sensors
Authors: Manfredi-Márquez María José , Tavara-Vidalón Sandra Priscila , Tavaruela-Carrión Natalia , Gómez Benítez María Ángeles , Fernandez-Seguín Lourdes María , Ramos-Ortega Javier
Published: February 2023

Aims: This study aimed to quantify the degrees of movement that occur in the lower limb using a kinematic system after taking two measurements of 45° and 60° of extension at the first metatarsophalangeal joint (1st MTPJ) and to test the validity of this sensor system using radiography. Methodology: This was a quasi-experimental test-post-test study with a single intervention group (25 subjects). Four inertial sensors were placed on the proximal phalange of the first toe, dorsum of the foot, medial-lateral of the leg (level of tibia), and medial-lateral of the thigh (level of femur). The extension of the 1st MTPJ produced movements of supination in the foot and rotation at the level of leg and thigh. We studied this mechanism in three situations (relaxed, 45°, and 60°) both with the sensors and with X-rays. Results: With the kinematic system, there was an increase in the range of movement in each of the variables, with a value of p < 0.05. The relationship between the kinematic system and the radiography was tested using Spearman’s rho test, obtaining a correlation coefficient of 0.624 and a value of p < 0.05, and the Bland–Altman graph, with 90% of the cases within the tolerance limits. Conclusions: The extension of the 1st MTPJ generated kinematic changes associated with supination movement in the midfoot and external rotation on the tibia and femur level. Both measurement techniques were very similar in the way that they quantified the degrees of extension of the 1st MTPJ. If we extrapolate this result to the measurement technique used by the inertial sensors, we could affirm that the values recorded in the supination and external rotation movements were reliable.
Factors Influencing SARS-CoV-2 Infection Control Practices of Nurses Caring for COVID-19 Patients in South Korea: Based on Health Belief Model
Authors: Jeong Dain , Eun Young
Published: February 2023

This study aimed to verify the level of COVID-19 infection control practices and the factors affecting the COVID-19 infection control practices of Korean nurses based on the health belief model. The participants were 143 nurses experienced in caring for COVID-19 patients in South Korea. Questionnaires were used to measure health beliefs, confidence in practice, knowledge of COVID-19, infection protection environment, and COVID-19 infection control practices. Data were analyzed by performing descriptive statistics, an independent t-test, one-way analysis of variance, the Mann–Whitney test and multiple regression analysis. The mean score for infection control practices related to COVID-19 was 4.76 on a 5-point scale where a higher score indicates superior infection control performance. Multiple regression analysis revealed that the factors that influenced COVID-19 infection control practices were gender, marital status, perceived susceptibility, and confidence in practice related to COVID-19. With COVID-19 approaching endemic and to prevent infectious diseases, it is necessary to emphasize perceived sensitivity by providing accurate information on the risk of infection rather than simply inducing infection control to be divided into individual activities. In addition, nurses’ infection control practices should be implemented with confidence with the nurses themselves feeling the need for infection control and not being forced by the social atmosphere or the hospital.
Exploring Cyberaggression and Mental Health Consequences among Adults: An Italian Nationwide Cross-Sectional Study
Authors: Lo Moro Giuseppina , Scaioli Giacomo , Martella Manuela , Pagani Alessio , Colli Gianluca , Bert Fabrizio , Siliquini Roberta
Published: February 2023

Cyberaggression (CyA) embraces a broad spectrum of hostile behaviors through electronic means. This cross-sectional study aimed to evaluate features and outcomes of this phenomenon among Italian adults. A nationwide survey was distributed on social media platforms. Being victim and being perpetrator of CyA were the primary outcomes; positive scores for GAD-2 (generalized anxiety disorder) and PHQ-2 (depressive symptoms) scales were the secondary outcomes. In total, 446 surveys were collected. Considering the primary outcomes, 46.3% and 13.5% reported having been victims and perpetrators of CyA, respectively. Politics, ethnic minority, and sexual orientation were main subjects triggering CyA. A higher likelihood of being cyber-victims was observed for women and the LGBTQA+ group. Women were less likely to be CyA perpetrators. There was an association between being a CyA victim and a CyA perpetrator. A total of 22.4% and 34.0% respondents scored positive for PHQ-2 and GAD-2, respectively. The main mental health consequences after CyA exposure were anger and sadness, whereas sleep alterations and stomach ache were the most experienced psychosomatics symptoms. No significant relationships between PHQ-2/GAD-2 and CyA emerged. CyA also represents a crucial public health issue among Italian adults. Further investigations are needed to better define the phenomenon and to study the potential consequences on mental health.
The Removal of Pertechnetate from Aqueous Solution by Synthetic Hydroxyapatite: The Role of Reduction Reagents and Organic Ligands
Authors: Rosskopfová Oľga , Viglašová Eva , Galamboš Michal , Daňo Martin , Tóthová Darina
Published: February 2023

The use of knowledge from technetium radiochemistry (even from nuclear medicine applications) allows us to select an sorbent for 99mTc radionuclide sorption, which is hydroxyapatite. Using radioisotope indication, the 99mTcO₄− sorption process on synthetic hydroxyapatite was studied by the batch method in the presence of SnCl2 and FeSO4 reducing agents. The complexing organic ligands’ effect on the 99mTcO₄− sorption under reducing conditions was investigated. In the presence of Sn2+ ions without the addition of organic ligand, the sorption percentage reached above 90% independently of the environment. In the presence of Fe2+ ions without the addition of organic ligand, the sorption of 99mTcO₄− was significantly lower and was at approximately 6%, depending on the concentration of Fe2+ ions in solution. The effect of complexing organic ligands on the 99mTcO₄− sorption on hydroxyapatite from the aqueous solution, acetate buffer and phosphate buffer decreases in the following order for Sn2+: oxalic acid > ethylenediaminetetraacetic acid > ascorbic acid. In the presence of Fe2+ ions without organic ligands, the sorption reached up to 15% depending on the composition of the solution. The addition of oxalic acid and ascorbic acid increased the sorption up to 80%. The ethylenediaminetetraacetic acid had no significant effect on the sorption of technetium on hydroxyapatite.
Coordinative Management of Soil Resources and Agricultural Farmland Environment for Food Security and Sustainable Development in China
Authors: Sun Bo , Luo Yongming , Yang Dianlin , Yang Jingsong , Zhao Yuguo , Zhang Jiabao
Published: February 2023

Major problems in China’s pursuit of sustainable agricultural development include inadequate, low-quality soil and water resources, imbalanced regional allocation and unreasonable utilization of resources. In some regions, overexploitation of soil resources and excessive use of chemicals triggered a web of unforeseen consequences, including insufficient use of agricultural resources, agricultural non-point source pollution and land degradation. In the past decade, China has changed its path of agricultural development from an output-oriented one to a modern, sustainable one with agricultural ecological civilization as its goal. First, the government has formulated and improved its laws and regulations on soil resources and the environment. Second, the government has conducted serious actions to ensure food safety and coordinated management of agricultural resources. Third, the government has planned to establish national agricultural high-tech industry demonstration zones based on regional features to strengthen the connection among the government, agri-businesses, scientific community and the farming community. As the next step, the government should improve the system for ecological and environmental regulation and set up a feasible eco-incentive mechanism. At the same time, the scientific community should strengthen the innovation of bottleneck technologies and the development of whole solutions for sustainable management in ecologically fragile regions. This will enhance the alignment between policy mechanisms and technology modes and effectively promote the sustainable development of agriculture in China.
Secular Trends in Physical Fitness of Peruvian Children Living at High-Altitude
Authors: Santos Carla , Pereira Sara , Vasconcelos Olga , Tani Go , Hedeker Donald , Katzmarzyk Peter T. , Maia José , Bustamante Alcibíades
Published: February 2023

The physical fitness of children is an important marker of health, and monitoring its temporal changes provides important information for developing interventions. We aimed to: (1) describe secular trends in physical fitness across age, within each sex, in Peruvian schoolchildren; and (2) verify if these trends are also present when adjusted for changes in height and weight. We sampled 1590 children (707 in 2009; 883 in 2019), aged 6–11 years. Physical fitness was assessed with four tests from the EUROFIT battery. ANOVA and ANCOVA statistical models were used. Results showed that with increasing age, girls and boys were significantly stronger in all PF tests, except for the case of flexibility in girls. In 2019, girls were stronger (handgrip) and more flexible than in 2009; but lower values were evident in standing long jumps in both sexes. Age-by-year interactions were statistically significant for agility in both sexes, with significant differences occurring at different ages. These trends did not change when adjusted for temporal changes in height and weight. Our research provides important data for local governments to implement public policies and practices to improve physical fitness levels in children.
Social Support, Identity Affirmation, and Psychological Well-Being: A Developmental and Intersectional Comparison between Italian Cisgender and Non-Binary People with Bisexual Orientation
Authors: Scandurra Cristiano , Esposito Concetta , Fantacci Francesco , Borrello Lorenzo , Bochicchio Vincenzo , Giunti Daniel , Antonelli Paolo
Published: February 2023

Incorporating the perspectives of positive psychology, intersectionality, and life course into minority stress theory, this study aimed to examine the relationships between social support, identity affirmation, and psychological well-being among 483 Italian individuals with bisexual orientation, accounting for differences in gender identity (cisgender vs. non-binary) and age groups (young, early, and middle adult). A mediation model was tested in which identity affirmation served as a presumed mediator between social support and psychological well-being. We also examined whether gender identity and age group moderated the hypothesized associations. Multivariate ANOVA and multigroup mediation analyses were conducted. Results showed that (a) cisgender individuals had higher social support and psychological well-being than non-binary individuals, but not identity affirmation, which was higher in the latter group, (b) psychological well-being, but not social support and identity affirmation, differed between groups, with the youngest cohort reporting worse health than their elders, (c) identity affirmation mediated the relationship between social support and psychological well-being, (d) mediation was significant only in binary individuals (compared to cisgender), whereas no age differences were found. Overall, this study highlights the need to consider bisexual individuals as a nonhomogeneous population living multiple life experiences, especially when minority identities intersect.
The Time Course of Cardiorespiratory Adaptations to Rowing Indoor Training in Post-Menopausal Women
Authors: Araujo Renata Cardoso , Rodrigues Gabriel Dias , Ferreira Luana Farinazzo , Soares Pedro Paulo da Silva
Published: February 2023

Background: Post-menopausal women have impaired cardiorespiratory responses to exercise compared to young women. Exercise training may counterbalance impairments, but the time-dependent effects of exercise training remain unclear. The current study aims to investigate the effects of rowing training on maximal aerobic capacity and time-course cardiorespiratory adaptations in older women. Methods: Female participants (n = 23) were randomly allocated to the experimental group (EXP; n = 23; 66 ± 5 years old) enrolled in rowing exercise training and control group (CON; n = 10; 64 ± 4 years old). The cardiopulmonary exercise test (CET) was performed in a cycle ergometer pre- and post-interventions. Oxygen uptake (VO2), stroke volume (SV), cardiac output (CO), and HR were recorded during CET and analyzed at the peak of the exercise. HR was monitored during exercise recovery, and the index of HRR was calculated by ΔHRR (HRpeak—HR one-minute recovery). Every two weeks, Rowing Stepwise Exercise (RSE) in a rowing machine was performed to track specific adaptations to the exercise modality. HR was continuously recorded during RSE and corrected for the average power of each step (HR/watts). The rowing training protocol consisted of three weekly sessions of 30 min at an intensity corresponding to 60–80% of peak HR for ten weeks. Results: Rowing exercise training increased VO2, SV, and CO at the peak of the CET, and ΔHRR. Increased workload (W) and reduced HR response to a greater achieved workload (HR/W) during RSE were observed after six weeks of training. Conclusions: Rowing exercise training is a feasible method to improve cardiorespiratory performance, vagal reactivation and heart rate adjustments to exercise in older women.
City Health Examination and Evaluation of Territory Spatial Planning for SDG11 in China: A Case Study of Xining City in Qinghai Province
Authors: Zhao Xiangjuan , Zhang Hanxuan , Ren Jun , Guo Jing , Wang Quanxi , Li Chengying
Published: February 2023

City health examination and evaluation of territorial spatial planning is a new policy tool in China. However, research on city health examination and evaluation of territorial spatial planning is still in the exploratory stage in China. Guided by sustainable cities and communities (SDG11), a reasonable city health examination and evaluation index system for Xining City in Qinghai Province is constructed in this paper. The improved technique for order preference by similarity to ideal solution (TOPSIS) was used to quantify the evaluation results, and the city health index was visualized using the city health examination signals and warning panel. The results show that the city health index of Xining City continuously rose from 35.76 in 2018 to 69.76 in 2020. However, it is still necessary to address the shortcomings in innovation, coordination, openness and sharing and to improve the level of city space governance in a holistic way. This study is an exploration of the methodology used in city health examination and the evaluation of territorial spatial planning in China, which can provide a foundation for the sustainable development of Xining City and also provide a case reference for other cities seeking to carry out city health examinations and evaluations of territorial spatial planning in China.
Hope Buffers the Effect of Fear of COVID-19 on Depression among College Students: Insomnia as a Mediator
Authors: Yao Yingying , Lin Min , Ni Jianchao , Ni Jing
Published: February 2023

Background: In the period of the global pandemic, psychophysical problems induced by the fear of COVID-19 among college students deserve attention since the dormitory environment in college greatly increases the possibility of COVID-19 infection. Methods: A hypothesized mediated moderation model was to be verified using a cross-sectional study among 2453 college students. Fear of COVID-19, insomnia, hope, and depression were assessed by using the relevant scales. Results: (1) The fear of COVID-19 was positively correlated to depression (β = 0.365, t = 5.553, 95% CI = [0.236, 0.494]); (2) hope moderated the influence of the fear of COVID-19 on depression (β = −0.093, t = −4.066, 95% CI = [−0.137, −0.048]), as well as on insomnia (β = −0.095, t = −4.841, 95% CI = [−0.133, −0.056]); and (3) the mediated moderation model with hope as the moderator and insomnia as the full mediating variable between fear of COVID-19 and depression was verified (β = −0.060, 95% CI = [−0.093, −0.028]). Conclusions: The findings suggest that hope is a vital mechanism to explain the relationship between the fear of COVID-19 and depression in early adulthood. In practical application, mental health practitioners should focus on boosting hope and alleviating insomnia when addressing COVID-19-related depression issues among college students.
Behavioral Interpretation of Willingness to Use Wearable Health Devices in Community Residents: A Cross-Sectional Study
Authors: Chen Jiaxin , Li Ting , You Hua , Wang Jingyu , Peng Xueqing , Chen Baoyi
Published: February 2023

Wearable health devices (WHDs) have become increasingly advantageous in long-term health monitoring and patient management. However, most people have not yet benefited from such innovative technologies, and the willingness to accept WHDs and their influencing factors are still unclear. Based on two behavioral theories: the theory of planned behavior (TPB) and the diffusion of innovation (DOI), this study aims to explore the influencing factors of willingness to use WHDs in community residents from the perspective of both internal and external factors. A convenience sample of 407 community residents were recruited from three randomly selected Community Health Service Centers (CHSCs) in Nanjing, China, and were investigated with a self-developed questionnaires. The mean score of willingness to use WHDs was 17.00 (range 5–25). In the dimensions of TPB, perceived behavioral control (β = 1.979, p < 0.001) was the strongest influencing factor. Subjective norms (β = 1.457, p < 0.001) and attitudes (β = 0.651, p = 0.016) were also positively associated with willingness. In innovation characteristics of DOI, compatibility (β = 0.889, p < 0.001) and observability (β = 0.576, p = 0.003) had positive association with the willingness to wear a WHD. This study supports the applicability of the two behavioral theories to interpret the willingness to use WHDs in Chinese community residents. Compared with the innovative features of WHDs, individual cognitive factors were more critical predictors of willingness to use.