bluuebunny/crossref_metadata_2025 huggingface dataset:
Spatio-Temporal Characteristics of Trade-Offs and Synergies in Ecosystem Services at Watershed and Landscape Scales: A Case Analysis of the Yellow River Basin (Henan Section)
Authors: Niu Haipeng , Liu Mengmeng , Xiao Dongyang , Zhao Xiaoming , An Ran , Fan Liangxin
Published: November 2022

The changes and interrelationships of ecosystem services at different global and regional scales have been actively investigated. Clarifying the trade-offs and synergies between ecosystem services from a multi-scale scientific perspective is vital to improve the coordinated and sustainable development of the watershed and ecological protection. As an important ecological barrier region of the Yellow River Basin, the Henan section provides a variety of important ecosystem services. This study analyzes the characteristics of land use changes in the Yellow River Basin (Henan section) from 1990 to 2020. Based on the InVEST model, four ecosystem services—water production, soil conservation, carbon storage and food supply have been evaluated. The Spearman correlation coefficient was used to further reveal the spatial and temporal characteristics of the trade-offs and synergies at different levels of each service. The results showed that: (1) From 1990 to 2020, the basin was dominated by farmland conservation. The construction land area mainly exhibited an inflow behavior, while other land use types were mainly related to outflow. (2) From 1990 to 2020, the water yield, soil conservation and carbon storage first increased and then decreased, while food supply gradually increased. The spatial distribution of these ecosystem services was lower in the southwest and slightly higher in the northeast and farmland had the highest capacity of water production and food supply, while woodland had the highest capacity for soil conservation and carbon storage. (3) The Spearman rank correlation coefficient indicated that the trade-offs for the ecosystem services in the Yellow River Basin (Henan section) dominated before 2000, and the synergies gradually strengthened after 2000. (4) There were clear spatial heterogeneities in the ecosystem services of the basin; for instance, the functions in the middle and lower reaches of the Yellow River Basin (Henan section) were mainly trade-offs, while the higher elevations in the middle reaches exhibited synergistic relationships. This study aims to clarify the trade-offs and synergies between ecosystem services at the different levels. Based on our findings, countermeasures and suggestions for ecological protection and management are proposed to promote the coordinated development of social economy and ecological protection.
Sexual Function and Quality of Life in Brazilian Transgender Women Following Gender-Affirming Surgery: A Cross-Sectional Study
Authors: Monteiro Petry Jardim Lísia Maya , Cerentini Taís Marques , Lobato Maria Inês Rodrigues , Costa Ângelo Brandelli , Cardoso da Silva Dhiordan , Schwarz Karine , Vaitses Fontanari Anna Martha , Schneider Maiko Abel , Rosito Tiago Elias , La Rosa Valentina Lucia , Commodari Elena , Viana da Rosa Patrícia
Published: November 2022

This cross-sectional and descriptive study aimed to evaluate the sexual function, urinary function, and quality of life of 26 Brazilian trans women who have undergone gender-affirming surgery (GAS) using the gold standard technique (penile inversion vaginoplasty) in the Gender Identity Transdisciplinary Program at Hospital de Clínicas de Porto Alegre, Brazil, between March 2016 and July 2017. The Female Sexual Function Index, the SF-36 Health Survey, and the International Consultation on Incontinence Questionnaire-Short Form were used. Regarding their surgical results, 84.6% of the women said they were satisfied, 73.1% were sexually functional, and 15.4% reported urinary incontinence not associated with surgery. Participants also reported a good quality of life, despite low scores of pain and physical vitality. Transgender women in our sample reported a good quality of life and sexual function after GAS. Further studies are required to improve the psychosexual wellbeing of this specific population.
China’s Trade of Agricultural Products Drives Substantial Greenhouse Gas Emissions
Authors: Meng Zheng , Guo Jinling , Yan Kejia , Yang Zhuan , Li Bozi , Zhang Bo , Chen Bin
Published: November 2022

China’s trade of agricultural products has expanded rapidly over the past two decades, resulting in considerable shifts in greenhouse gas (GHG) emissions worldwide. This study aims to explore the evolution of GHG emissions embodied in China’s trade of agricultural products from 1995 to 2015. The GHG emissions embodied in China’s exports of agricultural products experienced three stages of fluctuation, showing a significant upward trend (1995–2003), a fluctuating trend (2004–2007), and a fall back to the previous level (2008–2015). The embodied GHG emissions in China’s imports were witnessed at times of sustained growth, rising from 10.5 Mt CO2-eq in 1995 to 107.7 Mt CO2-eq in 2015. The net import of embodied GHG emissions has grown at an average annual rate of 25.1% since 2008. In terms of regional contribution, the distribution of China’s trading partners tended to be diversified. The increasing net imports of oil crops to China resulted in a significant GHG emissions shift from China to the US and Brazil. Asian countries contributed to 76.9% of the total GHG emissions embodied in China’s agricultural exports. The prominent impacts of China’s trade of agricultural products on global GHG emissions provide important implications for climate-related policy choices.
HSPS-10—Short Version of the Highly Sensitive Person Scale for Students Aged 12–25 Years
Authors: Baryła-Matejczuk Monika , Porzak Robert , Poleszak Wiesław
Published: November 2022

The aim of the article is to present a short version of the Highly Sensitive Person Scale (HSPS-10) as a useful tool for the assessment of adolescents and young adults and to improve their self-awareness. (1) Background: The original American HSPS was developed as a tool for the assessment of Sensory Processing Sensitivity (SPS), which is understood to be an inherited temperamental trait. The basis for the research is the concept of SPS, which may be included within the broader construct of the Environmental Sensitivity (ES) model. (2) Methods: The research used a Polish-language, short version developed on the basis of the Highly Sensitive Person Scale, where the respondents answered 10 questions in a 7-point Likert scale. (3) Results: The test results show that the Polish, HSPS-10 is a reliable and valid measurement of the SPS construct and that the results obtained using the abbreviated version indicate a three-factor structure. The structure and psychometric properties of the tool are consistent across different age groups. (4) Conclusions: HSPS-10 is a simple and quick tool for group screenings as well as the individual assessment of school students and adults aged 12–25. The developed standardized procedure allows for the early recognition and identification of changes in the SPS over the course of life.
A Cross-Sectional Study of the Perceived Stress, Well-Being and Their Relations with Work-Related Behaviours among Hong Kong School Leaders during the COVID-19 Pandemic
Authors: Lau Sam , Shum Eric , Man Jackie , Cheung Ethan , Amoah Padmore , Leung Angela , Okan Orkan , Dadaczynski Kevin
Published: November 2022

The health and well-being of school leaders during the COVID-19 pandemic have been largely neglected compared to the health and well-being of students and teachers. This study assessed the magnitude of perceived stress and well-being and the associated factors, including number of working hours, work-related sense of coherence (work-SoC), perceived stress, self-endangering work behaviour, secondary burnout symptoms, and satisfaction with work, among school leaders in Hong Kong, China during the COVID-19 pandemic. This cross-sectional, survey-based study collected demographic data and mental health measurements from 259 eligible school leaders in Hong Kong from April 2021 to February 2022. Pearson’s correlation analyses, multilinear regression models, and independent-samples Student’s t-tests were performed. The findings revealed that school leaders’ perceived stress was negatively correlated with their well-being (r = −0.544, p < 0.01) and work-related SoC (r = −0.327, p < 0.01) but positively correlated with their extensification of work (r = 0.473, p < 0.01), exhaustion related to work situations (r = 0.559, p < 0.01), and psychosomatic complaints (r = 0.439, p < 0.01). In a model that adjusted for gender and age, student leaders with higher subjective well-being scores had a lower level of perceived stress (B = −0.031; 95% confidence interval [CI], −0.59, −0.02; p = 0.034), whereas leaders in schools with a larger student population had a higher level of perceived stress (B = 0.002; 95% CI, 0.000, 0.003; p = 0.030). School leaders with a higher likelihood of performing the self-endangering work behaviour of ‘intensification of work’ had higher perceived stress levels (B = 1.497; 95% CI, 0.717, 2.278; p < 0.001). School leaders with a higher work-related SoC (B = 4.20; 95% CI, 1.290, 7.106; p = 0.005) had a higher level of well-being. School leaders with higher levels of perceived stress (B = −0.734; 95% CI, −1.423, −0.044; p = 0.037), a higher likelihood of performing the self-endangering work behaviour of ‘extensification of work’ (B = −4.846; 95% CI, −8.543, −1.149; p = 0.010), and a higher score for exhaustion related to work (B = −10.449; 95% CI, −13.864, −7.033; p = 0.000) showed lower levels of well-being. The finding of a high incidence of stress among school leadership justifies the need for more societal attention to the well-being of school leaders in Hong Kong. It is important that policies and initiatives are designed to enhance the well-being of school leaders and that they are supported in leading the management of schools and coping with stress in school settings.
Radon Exposure in the Underground Tourist Route–Historic Silver Mine in Tarnowskie Góry, Poland
Authors: Grygier Agata , Skubacz Krystian , Wysocka Małgorzata , Bonczyk Michał , Piech Adam , Janik Mirosław
Published: November 2022

An assessment of the exposure of workers and tourists to radon in the underground tourist route of the Historic Silver Mine in Tarnowskie Góry was carried out. The study was conducted over a one-year period to capture seasonal variations in radon concentrations. CR-39 track detectors were used to measure radon concentrations, which were exposed in the mine during the following periods: 9 February 2021–19 May 2021, 19 May 2021–26 August 2021, 26 August 2021–25 November 2021 and 25 November 2021–3 March 2022. The annual average radon concentration along the tourist route was 1021 Bq m−3. The highest measured concentration was 2280 Bq m−3 and the lowest concentration was 80 Bq m−3. Based on the measured concentrations, effective doses were calculated, assuming that employees spend 1350 h a year in underground areas and that the time of visiting the mine by tourists is ca. 1 h. The average annual effective dose a worker would receive is approximately 2.5 mSv, and a tourist below 2 μSv. The dose limit expressed as the annual effective dose is 1 mSv for members of the general public and 20 mSv for occupational exposure.
Service Value and Repurchase Intention in the Egyptian Fast-Food Restaurants: Toward a New Measurement Model
Authors: Doeim Abdelhalim R. , Hassan Thowayeb H. , Helal Mohamed Y. , Saleh Mahmoud I. , Salem Amany E. , Elsayed Mohamed A. S.
Published: November 2022

Service value is a crucial dominant indicator in customer decision-making. However, there is a lack of hospitality literature that investigates the multi-dimensional service value in emerging markets. Thus, this study aims to create a multi-dimensional scale for service value and to analyze how different service value dimensions affect customers repurchase intentions at fast-food restaurants. We make a conceptual framework with eight constructs, including service value and repurchase intention. A self-administrated questionnaire is used to gather empirical data from fast-food restaurant customers in Egypt. We employ confirmatory factor analysis to extract the model’s reliability and validity. Moreover, we use a structural equation model to extract the model regressions and correlations using AMOS software. We find that each of the eight proposed service value variables impacts fast-food restaurant customers’ repurchase intention. However, the factors that strongly influence customers’ preferences to make more purchases are service equity, confidence benefits, service quality, and service reputation. We contribute to the literature on hospitality customer value and repurchasing intentions by presenting a comprehensive multi-dimensional service value framework that affects customers’ repurchase intentions in fast-food restaurants. Practically, eight service value variables can help managers of fast-food restaurants meet customer needs and gain a competitive advantage. We suggest many crucial recommendations to restaurant managers regarding the priority of the service value constructs. For example, managers should consider service equity, service quality, and service reputations as a priority of the restaurant service value.
Relationship between Oxygen Uptake Reserve and Heart Rate Reserve in Young Male Tennis Players: Implications for Physical Fitness Monitoring
Authors: Morais Jorge E. , Bragada José A.
Published: November 2022

The aims of this study were to (i) verify the relationship between reserve oxygen uptake (VOreserve) and reserve heart rate (HRreserve) in young male tennis players, and (ii) understand the relationship between oxygen uptake (VO2) measured at the end of a tennis drill and recovery heart rate (HRrecovery) after the tennis drill. Ten young male tennis players (16.64 ± 1.69 years; 62.36 ± 6.53 kg of body mass; 175.91 ± 5.26 cm of height) were recruited from the National Tennis Association. Players were instructed to perform a tennis drill based on an incremental intensity protocol. Afterward, three levels of intensity were used based on VO2reserve and HRreserve. A significant variance was observed between levels (VO2reserve and HRreserve = p < 0.001). VO2reserve presented a significant and high agreement with HRreserve. The mean data revealed non-significant differences (p > 0.05), a very high relationship of linear regression (R2 = 82.4%, p < 0.001), and high agreement in Bland Altman plots. VO2, at the highest level of intensity (>93%), presented a significant correlation with HRrecovery during the immediate 30 s after the drill (rs = 0.468, p = 0.028). Tennis coaches or instructors must be aware of the differences between monitoring or prescribing training intensities based on HRreserve or HRmax. They can also use HRrecovery for 30 s immediately after exercise to verify and understand the variation in their players’ cardiorespiratory capacities.
Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey
Authors: Choi Chang Kyun , Yang Jungho , Jeong Ji-An , Shin Min-Ho
Published: November 2022

Improved diabetes management in primary care is essential for reducing the public health burden of diabetes, and various programs are being implemented in Korea for this purpose. Although the Health Insurance Review and Assessment (HIRA) evaluates the quality of type 2 diabetes management in primary care clinics and hospitals, it is unclear whether the implementation of these evaluations is related to the adequate management of complications in diabetic patients. We evaluated the association between the proportion of clinics managing diabetes well and lifestyles and uptake of screening for complications in 24,620 diabetic participants of the 2019 Korean Community Health Survey (KCHS). Multivariate multilevel logistic regression was performed to evaluate the fixed effect of the district-level variable and the heterogeneity among districts. The proportion of clinics with good diabetes management per 10,000 inhabitants was positively related to screening for diabetes complications. Furthermore, this district variable was significantly related to engaging in walking activity (Odds ratio: 1.39, 95% CI: 1.10–1.76) and sufficiently explained the heterogeneity among districts. However, current smoking and weight control were not associated with the proportion of clinics with good diabetes management. The financial incentives to primary care clinics would improve the primary prevention of diabetic complications.
Identification of Noise Levels for Skill Training Activities, Equipment, Machines and Power Tools at TVET Institutes in Malaysia
Authors: Abdul Rahim Khairul Azhar , Jewaratnam Jegalakshimi , Che Hassan Che Rosmani
Published: November 2022

The use of various machines, equipment and power tools at TVET Institute causes the institute’s environment to be exposed to noise hazards that are similar to the industry. However, not much data has been published regarding noise exposure at TVET institutes. This study was carried out to document the noise exposure of work activities training in public TVET institutes in Malaysia that implement skill training programs in metal fabrication, furniture manufacturing and automotive maintenance. The identification of excessive noise, task-based noise exposure monitoring and source measurement was conducted. The noise contribution from each work activity to the daily A-weighted noise exposure level and sound pressure level emitted by machines and equipment was documented. The findings of this study recorded 20 activities with task-based noise contribution to the daily A-weighted noise exposure level between 75.3 dB and 95 dB. Based on the findings, the training environment at the TVET institutes has a risk of operating with excessive noise. The documented data can be used in planning the implementation of suitable noise control measures in TVET institutes.
Disparities in Breast Cancer Mortality Rates in Israel among Urban and Rural Women
Authors: Pinchas-Mizrachi Ronit , Jacobson Liptz Judith , Zalcman Beth G. , Romem Anat
Published: November 2022

Breast cancer is a leading cause of death. There are a number of risk factors for breast cancer mortality including parity, age, ethnicity, genetic history, and place of residence. This study examined the disparities in breast cancer-related mortality rates among women from urban areas compared to rural areas in Israel. This was a retrospective, follow-up study on mortality from breast cancer among 894,608 Israeli women born between the years of 1940 and 1960. Data was collected from the Israeli Central Bureau of Statistics, the Population Authority, the Education Ministry, and the Health Ministry. Over 80% of women lived in urban areas. A higher incidence of mortality from breast cancer in Israel was found among urban women compared to rural women (1047.8/100,000 compared to 837/100,000, respectively). Even after adjusting for sociodemographic variables, higher mortality rates were found among women from urban areas in Israel compared to women from rural areas in Israel. It is believed that environmental factors can partially explain the geographic variation of breast cancer incidence, and that breast cancer incidence is likely a complex interaction between genetic, environmental, and health factors.
The Role of Platelet-Rich Plasma on the Chondrogenic and Osteogenic Differentiation of Human Amniotic-Fluid-Derived Stem Cells
Authors: Giannetti Alessio , Pantalone Andrea , Antonucci Ivana , Verna Sandra , Di Gregorio Patrizia , Stuppia Liborio , Calvisi Vittorio , Buda Roberto , Salini Vincenzo
Published: November 2022

Amniotic fluid represents a new and promising source of engraftable stem cells. The purpose of this study was to investigate the in vitro effects of platelet-rich plasma (PRP) on amniotic-fluid-derived stem cells (AFSCs) on chondrogenic or osteogenic differentiation potential. Amniotic fluid samples were obtained from women undergoing amniocentesis for prenatal diagnosis at 16–18 weeks of pregnancy. Undifferentiated human AFSCs were cocultured with PRP for 14 days. The study includes two protocols investigating the effects of activated PRP using two different methods: via freeze–thaw cycles and via the addition of calcium gluconate. On the 14th day of culturing, the differentiation potential of the cocultured AFSCs was then compared with undifferentiated AFSCs. Staining with alcian blue solution (ABS) and alizarine red solution (ARS) was performed, and chondrogenic- and osteogenic-associated genes markers were investigated. ABS demonstrated enhanced glycosaminoglycan expression. Cocultured cells expressed chondrocyte-associated genes, determined by real-time polymerase chain reaction (RT-PCR), including type I collagen, type II collagen, COMP, and aggrecan. In regard to the osteogenic markers, osteopontin and bone sialoprotein, there were no changes. In particular, the activation of PRP using the freeze–thaw cycle protocol showed a higher expression of the chondrogenic markers. Our preliminary in vitro results showed that PRP has good potential in the chondrogenic differentiation of AFSCs.
Parental Psychological Flexibility and Children’s Behavior Problems in Rural Areas in Northeast China: The Mediation of Children’s Emotion Regulation
Authors: Ren Xiaoling , Ren Xiaoying , Yan Zhonglian , Lu Songhan , Zhou Xiaohan
Published: November 2022

Children’s behavior problems are not conducive to their sustainable development. Therefore, it is of great value to explore the mechanism of relevant influencing factors on the behavior problems of rural preschoolers. This study aimed to reveal the direct effect of parental psychological flexibility on children’s behavior problems and the mediating effect of children’s emotion regulation. Based on simple random sampling, 355 caregivers (male = 31.25 years, SD = 9.78; 74.08% females; 9.01% bachelor degree) were recruited from eight rural kindergartens in three provinces in northeast China. With questionnaires, caregivers reported their parental psychological flexibility and assessed their children’s emotion regulation and behavior problems. SPSS 25.0 software was used for statistical data analysis. The results support our hypotheses, suggesting that parental psychological flexibility, emotional stability, and emotional regulation negatively predicted children’s externalizing and internalizing behavior problems. Meanwhile, emotional stability and regulation partially mediated the relationship between parental psychological flexibility and children’s externalizing and internalizing behavior problems. These findings provide a new perspective for preventing and intervening in preschoolers’ behavior problems.
Agrochemical Residues in Fish and Bivalves from Sepetiba Bay and Parnaiba River Delta, Brazil
Authors: Miranda Joyce Aparecida Tavares , Fogaça Fabíola Helena S. , Cunha Sara C. , Alonso Mariana Batha , Torres João Paulo M. , Fernandes José Oliveira
Published: November 2022

Accumulation of pesticides has a harmful impact on the environment and human health. The main goal of this work was to develop a method to determine and quantify the residues of thirteen pesticides in edible fish and bivalves such as parati (Mugil curema), seabass (Centropomus ssp.), mullet (Mugil brasiliensis), clams (Anomalocardia brasiliana) and mussel (Mytilus galloprovincialis) collected from Sepetiba Bay and Parnaiba River Delta (Brazil) between 2019 and 2020. Matrix solid-phase dispersion (MSPD) was used for extraction and quantification through gas chromatography coupled to tandem mass spectrometry (GC-MS/MS). The method was validated (linearity, accuracy and precision) for fatty fish (Salmo salar), lean fish (Mugil curema) and bivalves (Mytilus edulis). The survey found linear correlation coefficients (r) equal to or greater than 0.9 for almost all analytes. The relative standard deviations (RSD) of five replicates were less than 20% for almost all analytes at different concentrations in lean fish, fatty fish and bivalves. Most analytes showed satisfactory accuracy. Alachlor herbicide was found in samples of seabass, mussels, clams and parati with levels ranging between 0.55 to 420.39 μg kg−1 dw. Ethion was found in parati (maximum 211.22 μg kg−1 dw), mussels (15.1 μg kg−1 dw) and clams (maximum 44.50 μg kg−1 dw). Alachlor was found in clams (maximum 93.1 μg kg−1 dw), and bifenthrin was found in parati (maximum 43.4 μg kg−1 dw) and clams (maximum 42.21 μg kg−1 dw). The validated method was satisfactory for the determination of eleven pesticides in the fatty fish matrix, and thirteen pesticides in the samples of lean fish and bivalves. The presence of alachlor, ethion and bifenthrin stands out.
Usefulness of Implementation Outcome Scales for Digital Mental Health (iOSDMH): Experiences from Six Randomized Controlled Trials
Authors: Obikane Erika , Sasaki Natsu , Imamura Kotaro , Nozawa Kyosuke , Vedanthan Rajesh , Cuijpers Pim , Shimazu Taichi , Kamada Masamitsu , Kawakami Norito , Nishi Daisuke
Published: November 2022

Objectives: Measuring implementation outcomes for digital mental health interventions is essential for examining the effective delivery of these interventions. The “Implementation Outcome Scale of Digital Mental Health” (iOSDMH) has been validated and used in several trials. This study aimed to compare the iOSDMH for participants in six randomized controlled trials (RCTs) involving web-based interventions and to discuss the implications of the iOSDMH for improving the interventions. Additionally, this study examined the associations between iOSDMH scores and program completion rate (adherence). Methods: Variations in total scores and subscales of the iOSDMH were compared in six RCTs of digital mental health interventions conducted in Japan. The web-based intervention programs were based on cognitive behavioral therapy (2 programs), behavioral activation (1 program), acceptance and commitment (1 program), a combination of mindfulness, behavioral activation, and physical activity (1 program), and government guidelines for suicide prevention (1 program). Participants were full-time employees (2 programs), perinatal women (2 programs), working mothers with children (1 program), and students (1 program). The total score and subscale scores were tested using analysis of variance for between-group differences. Results: Total score and subscale scores of the iOSDMH among six trials showed a significant group difference, reflecting users’ perceptions of how each program was implemented, including aspects such as acceptability, appropriateness, feasibility, overall satisfaction, and harm. Subscale scores showed positive associations with completion rate, especially in terms of acceptability and satisfaction (R-squared = 0.93 and 0.89, respectively). Conclusions: The iOSDMH may be a useful tool for evaluating participants’ perceptions of features implemented in web-based interventions, which could contribute to improvements and further development of the intervention.
Impact of Loneliness on Functioning in Lung Cancer Patients
Authors: Polański Jacek , Misiąg Weronika , Chabowski Mariusz
Published: November 2022

Lung cancer is the leading cause of cancer death and carries a greater degree of stigma. Lung cancer stigma contributes to social isolation and increases loneliness, which has an impact on quality of life, increases depressive symptoms and hence affects all aspects of functioning. Functioning is assessed in five dimensions (physical, psychological, cognitive, social and life roles). The aim of the study was to assess the impact of loneliness on the functioning, nutritional status and quality of life of patients with lung cancer. METHODS. The survey study was conducted among 310 lung cancer patients. The patients were asked to complete the Mini-MAC, HADS-M, MNA, EORTC QoL, AIS and VAS questionnaires. RESULTS. In total, 136 patients were lonely and 174 were married or in a relationship. Lonely patients had significant difficulty accepting their illness and demonstrated higher levels of depression. The factors most strongly associated with loneliness were being unemployed, age 61 or over and a less score in the constructive coping strategies. CONCLUSIONS. Loneliness is a significant factor affecting the functioning of patients with lung cancer. It increases the risk of anxiety and depression, reduces levels of illness acceptance, reduces levels of constructive coping and increases the risk of malnutrition.
Factors Contributing to Citizens’ Participation in COVID-19 Prevention and Control in China: An Integrated Model Based on Theory of Planned Behavior, Norm Activation Model, and Political Opportunity Structure Theory
Authors: Zhang Xiaojie , Wang Lili
Published: November 2022

Chinese citizens’ participation in COVID-19 prevention and control has made great contributions to the successful fight against the pandemic. The factors that have impacted citizens’ participation have rarely been reported based on both social–psychological and political environmental theories. This paper presented a study to explore the determinants of Chinese citizens’ participation in COVID-19 prevention and control based on a combined model of the theory of planned behavior, the norm activation model, and political opportunity structure theory. A dataset involving 463 respondents from Harbin in northeast China was acquired and analyzed. The results showed that the comprehensive model explained 62.9% of the total variance in citizens’ participation behavior. The openness to public participation not only significantly directly influenced citizens’ participation but also indirectly affected participation behaviors through attitude and perceived behavioral control, both of which were important mediators and had the greatest overall impacts. The awareness of consequences and subjective norms were crucial antecedents to the activation of other influencing factors. Personal norms indirectly affected participation behavior through the mediation of attitude. The empirical results showed the comprehensiveness, effectiveness, and high explanatory power of the postulated model. The study also provides both new theoretical perspectives for explaining public participation and useful practical implications for future policy development in promoting citizens’ participation in public health emergency management.
Influence of the COVID-19 Pandemic on Italian LGBT+ Young Adults’ Mental Health: The Role of Neuroticism and Family Climate
Authors: Miscioscia Marina , Poli Mikael , Gubello Alessio , Simonelli Alessandra , Gatta Michela , Gato Jorge , Rigo Paola
Published: November 2022

Vulnerable populations have been among the most affected by the social consequences of the COVID-19 pandemic; among those, young people and sexual and gender minorities have seen their situation exacerbated by new specific regulations. The aim of the present study was twofold: first, to assess the role of family climate, concerning participants’ LGBT+ status during lockdown restrictions, in mediating the impact of the COVID-19 pandemic on personal quality of life and mental health (stress, depression, and anxiety); second, to assess how individual stable traits can moderate the relationship between the individual impact of COVID-19 on mental health outcomes. A total of 407 young adults aged 18 to 35 (M age = 25.03 years; SD = 4.68) who self-identified as being part of a sexual or gender minority took part in this study. Results highlight the association between negative family climate and internalizing symptoms of psychological distress, and its role as a partial mediator of the relationship between the impact of the COVID-19 pandemic at the individual level and mental health outcomes. Additionally, low personality trait levels of neuroticism significantly decreased the strength of the relationship between LGBT+ status during blocking restrictions and internalizing symptoms.
Are Prophylactic Systemic Antibiotics Required in Patients with Cataract Surgery at Local Anesthesia?
Authors: Matsuo Toshihiko , Iguchi Masahiro , Morisato Noriyasu , Murasako Tatsuya , Hagiya Hideharu
Published: November 2022

The reduced use of antimicrobial drugs has been recommended worldwide, according to the global action for antimicrobial resistance published in 2015 by the World Health Organization. In this study, we retrospectively reviewed the incidence of surgical site infection in consecutive patients with cataract surgeries at a single hospital in the 6-year process when prophylactic systemic antibiotics were reduced in a step-by-step manner. The entire study period from 2016 to 2022 was divided into five stages, based on the use of systemic antibiotics. In stage 1 with 649 cataract surgeries, an intravenous drip infusion of cefazolin 1 g was given at surgery, followed by oral cefdinir 100 mg in the evening on surgery day and three times for two postoperative days. In stage 2 with 541 cataract surgeries, oral cefdinir 100 mg was given in the late morning before surgery, in the evening, and three times (300 mg in total) for two postoperative days. In stage 3 with 103 cataract surgeries, oral levofloxacin 500 mg was given in the late morning before surgery and once in the morning for two postoperative days. In stage 4 with 545 cataract surgeries, oral levofloxacin 500 mg was given only in the late morning before surgery. In stage 5 with 311 cataract surgeries, no systemic antibiotics were given. As common procedures in all stages, moxifloxacin eye drops were given four times daily as topical antibiotics in the 3 days before surgery and about 2 weeks after surgery. At surgery, the ocular surface was frequently irrigated with saline-diluted povidone iodine at 0.5% working concentration. No postoperative infection was recorded in any stage. This study showed neither harm nor risk in reduced use and, consequently, no use of prophylactic systemic antibiotics in cataract surgery as far as local precautionary measures were secured.
Household Pharmaceutical Waste Disposal as a Global Problem—A Review
Authors: Rogowska Justyna , Zimmermann Agnieszka
Published: November 2022

The negative effect of the pharmaceuticals presence (persistence?) in various components of the environment is a global problem today. These compounds are released into the environment as a result of, inter alia, their use and improper disposal. Therefore, it is important to reduce excessive drug consumption and to develop a system for the collection of unused/expired pharmaceuticals. The effectiveness of actions in this area is inextricably linked with the need to educate society on how to deal properly with unwanted medications. The aim of the study was to show that the inappropriate handling of unused/expired drugs by society is an important problem in waste management systems, and it impacts the state of the environment. Forty-eight scientific articles published between 2012 and 2021 were taken into account that discussed the systems in various countries for the collection of unused/expired pharmaceuticals. This literature review shows that the main method of disposing of unused/expired medications, according to respondents from different countries, is either by disposing of them in household waste or flushing them into the sewage system. This is also the case in countries with systems or programs for the return of redundant drugs, which indicates that these systems are not sufficiently effective. This may be influenced by many factors, including the lack or ineffective education of the society.
Bodily Practices and Healthy Bodies: Representations of Gymnastics in a Brazilian Women’s Magazine (1940–1950)
Authors: da Silva Carolina Fernandes , de Borba Bruna Letícia , da Rosa Cassiano Suhre , Katcipis Luiz Felipe Guarise , Pizani Juliana , Mazo Janice Zarpellon
Published: November 2022

This research aims to understand the influence of bodily practices, especially gymnastics, in the construction of representations of a healthy body conveyed in a Brazilian women’s magazine in the 1940s and 1950s. We use records from the Jornal das Moças magazine for the analysis based on the theoretical and methodological assumptions of cultural history. The results show that gymnastics for women was linked to body maintenance and used as a tool for establishing a body standard, thus disciplining and shapingthe construction of women’s health concepts, determined by the aesthetic bias of that period: a slim body as an ideal standard of beauty and health.
The Association between Race/Ethnicity and Cancer Stage at Diagnosis of Bone Malignancies: A Retrospective Cohort Study
Authors: Oweisi Ayman , Mustafa Moawiah S. , Mustafa Luai S. , Eily Alyssa N. , Rodriguez de la Vega Pura , Castro Grettel , Barengo Noël C.
Published: November 2022

Introduction and objective: Limited data exists analyzing disparities in diagnosis regarding primary bone neoplasms (PBN). The objective of our study was to determine if there is an association between race/ethnicity and advanced stage of diagnosis of PBN. Methods: This population-based retrospective cohort study included patient demographic and health information extracted from the National Cancer Institute Surveillance, Epidemiology, and End Results Program (SEER). The main exposure variable was race/ethnicity categorized as non-Hispanic white (NH-W), non-Hispanic black (NH-B), non-Hispanic Asian Pacific Islander (NH-API), and Hispanic. The main outcome variable was advanced stage at diagnosis. Age, sex, tumor grade, type of bone cancer, decade, and geographic location were co-variates. Unadjusted and adjusted logistic regression analyses were conducted calculating odds ratios (OR) and corresponding 95% confidence intervals. Results: Race/ethnicity was not statistically significantly associated with advanced-stage disease. Adjusted OR for NH-B was 0.94 (95% CI: 0.78–1.38), for NH-API 1.07 (95% CI: 0.86–1.33) and for Hispanic 1.03 (95% CI: 0.85–1.25). Conclusions: The lack of association between race and advanced stage of disease could be due to high availability and low cost for initial management of bone malignancies though plain radiographs. Future studies may include socioeconomic status and insurance coverage as covariates in the analysis.
Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
Authors: Dłuski Dominik Franciszek , Ruszała Monika , Rudziński Gracjan , Pożarowska Kinga , Brzuszkiewicz Kinga , Leszczyńska-Gorzelak Bożena
Published: November 2022

Over the last few decades, several definitions of gestational diabetes mellitus (GDM) have been described. There is currently not enough research to show which way is the best to diagnose GDM. Opinions differ in terms of the optimal screening and diagnostic measures, in part due to the differences in the population risks, the cost-effectiveness considerations, and the lack of an evidence base to support large national screening programs. The basic method for identifying the disease is the measurement of glucose plasma levels which may be determined when fasting, two hours after a meal, or simply at any random time. The currently increasing incidence of diabetes in the whole population, the altering demographics and the presence of lifestyle changes still require better methods of screening for hyperglycemia, especially during pregnancy. The main aim of this review is to focus on the prevalence and modifications to the screening criteria for GDM across all continents in the 21st century. We would like to show the differences in the above issues and correlate them with the geographical situation. Looking at the history of diabetes, we are sure that more than one evolution in GDM diagnosis will occur, due to the development of medicine, appearance of modern technologies, and the dynamic continuation of research.
Effects of Denture Cleaning Regimens on the Quantity of Candida on Dentures: A Cross-Sectional Survey on Nursing Home Residents
Authors: Nishi Yasuhiro , Seto Katsura , Murakami Mamoru , Harada Kae , Ishii Masakazu , Kamashita Yuji , Kawamoto Shinichiro , Hamano Tohru , Yoshimura Takuya , Kurono Asutsugu , Nakamura Yasunori , Nishimura Masahiro
Published: November 2022

Oral care involving a denture cleaning regimen is important for reducing the incidence of systemic diseases. However, limited information is currently available on denture cleaning frequencies and regimens. Therefore, the present study investigated the relationship between the number of Candida spp. present on the complete dentures of nursing home residents and cleaning regimens. Residents were surveyed to assess their denture cleaning methods. Plaque was collected by applying a sterile swab to the mucosal surface of each examined complete denture worn by 77 residents, and the Candida spp. collected were cultured, identified, and quantified. The relationship between denture cleaning regimens and the quantity of Candida spp. was investigated. Correlation and multivariable analyses revealed that the strongest factor influencing the number of Candida spp. on dentures was the frequency of use of denture cleansers. The number of Candida spp. was the lowest on dentures cleaned daily with a denture cleanser. The present results demonstrated that the daily use of a denture cleanser effectively controlled the adherence of Candida spp. to dentures. Oral and other healthcare providers need to provide instructions on and assist nursing home residents with the daily care of dentures, using denture cleansers, including the environment where cleaning is performed.
Effects of Vocational Rehabilitation on the Use of Health Care Services in Finland: A Propensity Score Analysis
Authors: Rinne Hanna , Perhoniemi Riku
Published: November 2022

Vocational rehabilitation may affect the frequency of health care use by improving the access or reducing the need for health care. We examined whether participation in rehabilitation effects the healthcare services use. Register-based data was utilized on all individuals aged 15–60 living in the city of Oulu, Finland, who started vocational rehabilitation in 2014–2015 (N = 784). We examined the use of outpatient health care services from 1.5 years before to 1.5 years after the start of rehabilitation and 1.5 years after the end of rehabilitation, and compared it to the propensity score matched controls. Rehabilitees had on average 1.5 visits to outpatient health care services in the 6th quarter before the start of rehabilitation. In the 4th quarter before the start of rehabilitation, that number increased to 1.8. After the rehabilitation period, the quarterly number of visits returned to the same level as at the beginning of the follow-up. The biggest changes were in the use of occupational health services. Compared to the propensity score matched controls, vocational rehabilitation did not appear to affect the use of health care services. Vocational rehabilitation seems to replace need for other services but not to affect the need to receive treatment for the underlying disease.
Interaction with Nature Indoor: Psychological Impacts of Houseplants Care Behaviour on Mental Well-Being and Mindfulness in Chinese Adults
Authors: Ma Jingni
Published: November 2022

(1) Background: The rapid growth of urbanisation and the increased prevalence of mental problems have been concerns in China. ‘Green prescription’ such as keeping houseplants has been found to be an effective means of interacting with nature and improving mental health outcomes. The purpose of this study was to examine the psychological effects of keeping houseplants in the home and to examine how ‘connection to nature’ relates to mental well-being and mindfulness among Chinese adults living in urban areas; (2) Methods: A cross-sectional survey was completed by 421 (66.3% female) participants from 19 representative Chinese cities; (3) Results: Results revealed that participants who self-classified themselves as ‘houseplants carers’ reported higher levels of mental well-being compared with ‘non-houseplants carers’. Specifically, hours spent on taking care of houseplants, the number of houseplants, and the years of keeping houseplants were positively associated with greater levels of mental well-being and the trait of mindfulness. (4) Conclusions: The findings of the current study have implications for use of therapeutic horticulture for people who are seeking to improve their mental well-being and mindfulness in urban China.
Effect of Marriage on Burnout among Healthcare Workers during the COVID-19 Pandemic
Authors: Chen Yong-Hsin , Lou Shu-Zon , Yang Ching-wen , Tang Hsiu-Mei , Lee Chiu-Hsiang , Jong Gwo-Ping
Published: November 2022

Since the onset of the COVID-19 pandemic, burnout symptoms have been prevalent among healthcare workers. Living with spouses can be complex and was associated with an increased burnout risk during the COVID-19 pandemic. This study investigated the relationship between living with spouses and burnout among healthcare workers during the COVID-19 pandemic. We distributed questionnaires to participants working in a hospital affiliated with a medical university in Taiwan. The questionnaires were the Copenhagen Burnout Inventory, which comprises personal burnout (PB), work-related burnout (WB), and client burnout subscales; the Nordic Musculoskeletal Questionnaire; and information on basic demographic variables, family factors, living habits, work-related factors, and physical health factors. Multiple linear regression and mediation analysis were used. We obtained 1615 (63.81%) valid questionnaires. After analysis revealed that marriage was an independent risk factor for PB; however, the effect of marriage on WB was nonsignificant after controlling for risk factors. Parenthood, less alcohol use, reported sleep duration less than six hours, less overtime, less shift work, and participation in leisure activities with family and friends were found to be mediators between marriage and a lower WB level. In addition, chronic diseases, frequent neck pain, and shoulder pain were suppression factors. In summary, marriage was associated with an increased risk of PB. Married individuals sustain a high WB level because of changes in family roles, living conditions, and work conditions. Overall, helping healthcare workers to maintain well-being in marriage or family living may be effective in decreasing burnout during the COVID-19 pandemic.
Waste Management and the Perspective of a Green Hospital—A Systematic Narrative Review
Authors: Lattanzio Sabrina , Stefanizzi Pasquale , D’ambrosio Marilena , Cuscianna Eustachio , Riformato Giacomo , Migliore Giovanni , Tafuri Silvio , Bianchi Francesco Paolo
Published: November 2022

The concept of a “green hospital” is used in reference to a hospital that includes the environment as part of its quality services and one that pays attention to the sustainable design of buildings. Waste disposal represents a potential risk for the environment; therefore, waste collection from healthcare centers is a key environmental issue. Our study aims to systematically review the experiences acquired in worldwide nosocomial settings related to the management of healthcare waste. Nineteen studies, selected between January 2020 and April 2022 on Scopus, MEDLINE/PubMed and Web of Science databases were included in our systematic narrative review. Operating room and hemodialysis activities seem to be the procedures most associated with waste production. To deal with waste production, the 5Rs rule (reduce, reuse, recycle, rethink and research) was a common suggested strategy to derive the maximum practical benefit while generating the minimum amount of waste. In this context, the COVID-19 pandemic slowed down the greening process of nosocomial environments. Waste management requires a multifactorial approach to deal with medical waste management, even considering the climate change that the world is experiencing. Education of health personnel and managers, regulation by governmental institutions, creation of an “environmental greening team”, and awareness of stakeholders and policymakers are some of the measures needed for the greening of healthcare facilities.