bluuebunny/crossref_metadata_2025 huggingface dataset:
Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies
Authors: Montaner-Ferrer Maria José , Gadea Marien , Sanjuán Julio
Published: March 2023

Introduction

This systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regarding their impact on long-term social functioning of FEP patients.

Methods

The MOOSE method was employed and 28 studies covering data from a total of 2572 patients with longitudinal trajectories from 2 months to 5 years were reviewed.

Results

In general, cognitive deficits impacted on the social functioning of the FEP patients across the time. The neurocognitive domains which most closely predicted social functioning were processing speed, sustained attention and working memory. An overall cognitive dysfunction, low IQ and the academic trajectory were also found predictive. Regarding social cognition, the findings were not unanimous.

Discussion

In addition of the impact of each variable, several of the articles found a complex relationship between social cognition, neurocognition, social functioning and negative symptoms, pointing social cognition as a modulator of neurocognition but being modulated as well by negative symptoms. The principal clinical implication of this review is that the initial assessment of FEP patients and their rehabilitation must take cognition into account.
A randomized controlled trial of social cognition and interaction training for persons with first episode psychosis in Hong Kong
Authors: Lo Panmi M. T. , Lui Simon S. Y. , Law Colin K. M. , Roberts David L. , Siu Andrew M. H.
Published: March 2023

Social cognitive impairment is a core limiting factor of functional recovery among persons with first episode psychosis (FEP). Social Cognition and Interaction Training (SCIT) is a group-based, manualized training with demonstrated evidence in improving social cognitive performance among people with schizophrenia. However, there are few studies on the effect of SCIT for people with FEP and for people in non-Western societies. This study evaluated the feasibility, acceptability and initial effectiveness of the locally-adapted SCIT in improving social cognitive functioning in Chinese people with FEP. The SCIT was delivered two sessions per week over a 10-weeks period, each session lasted for 60–90 min. A total of 72 subjects with FEP were recruited from an outpatient clinic and randomized to conventional rehabilitation (“Rehab”) and experimental (“SCIT and Rehab”) groups. Primary outcome measures included four social cognitive domains including emotion perception, theory-of-mind, attributional bias and jumping-to-conclusion, and secondary measures included neurocognition, social competence and quality of life. Participants were assessed at baseline, post-treatment, and 3-months post-treatment. Repeated measures ANCOVAs, with baseline scores as covariates, were used to compare the group differences in various outcomes across time. The results showed that the SCIT was well-accepted, with a satisfactory completion rate and subjective ratings of relevance in the experimental group. Moreover, treatment completers (n = 28) showed evidence of an advantage, over conventional group (n = 31), in reduced attributional bias and jumping-to-conclusions at treatment completion, lending initial support for the SCIT in Chinese people with FEP. Future research should address the limitations of this study, using more refined outcome measurements and higher treatment intensity of the SCIT.
The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia
Authors: Mohamed Nur Adam , Mohamed Yusuf Abdirisak , Eraslan Asir , Kose Samet
Published: March 2023

Objective

The main objective of the present study is to examine the relationship between perceived social support and the quality of sleep and to determine the predictors of sleep quality in a sample of patients undergoing hemodialysis (HD) in Somalia.

Methods

A sample of 200 patients with end-stage renal disease (ESRD) who were undergoing hemodialysis treatment approximately two to three times a week were included. All participants were administered a sociodemographic data form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Insomnia Severity Index (ISI), and the Pittsburgh Sleep Quality Index (PSQI). Patients undergoing HD for less than 3 months prior to the study date were excluded.

Results

Of the patients undergoing hemodialysis, 200 patients aged between 18 and 68 years (mean = 52.29; SD = 14.13) gave consent and participated in the study. Sixty-three subjects (31.5%) reported poor sleep quality, defined as having a total PSQI score > 5. Forty-one subjects (20.5%) reported clinically significant (moderate-to-severe) insomnia. The majority of our patients undergoing HD reported remarkably high family support, but low friends and significant other support. Poor sleep quality significantly correlated with perceived friends’ support and perceived total social support. While perceived family support significantly correlated with both family income and the duration of chronic kidney disease (CKD), perceived friends’ support significantly correlated with age and family income. Hierarchical regression analyses showed that perceived family support and friends’ support were significant predictors of poor sleep quality. Perceived friends’ support was a significant predictor of insomnia severity. Perceived family support was a significant predictor of subjective sleep quality and sleep duration. Perceived friends’ support was a significant predictor of subjective sleep quality, sleep duration, sleep latency, sleep disturbance, and daytime dysfunction. Family income was a significant predictor of sleep duration. Age and gender were significant predictors of sleep efficiency. The duration of CKD and duration of HD were significant predictors of sleep disturbance.

Conclusion

This present study has highlighted the value of family as a principal support system in Somalian culture. Understanding the impact of perceived social support on the quality of sleep in patients undergoing HD will help healthcare providers and social services to focus on and improve the social support systems of the patients as an integral part of their treatment.
Drinking alcohol to cope with hyperactive ADHD? Self-reports vs. continuous performance test in patients with ADHD and/or alcohol use disorder
Authors: Luderer Mathias , Seidt Johanna , Gerhardt Sarah , Hoffmann Sabine , Vollstädt-Klein Sabine , Reif Andreas , Sobanski Esther
Published: March 2023

Rationale

Attention deficit/hyperactivity disorder (ADHD) is common in alcohol use disorder (AUD). Continuous performance tests (CPTs) allow to measure ADHD related deficits in a laboratory setting. Most studies on this topic focused on CPTs measuring inattention or impulsivity, disregarding hyperactivity as one of the core symptoms of ADHD.

Methods

We examined N = 47 in three groups (ADHD N = 19; AUD N = 16; ADHD + AUD N = 12) with questionnaires on ADHD core symptoms, executive functioning (EF), mind wandering, and quality of life (QoL). N = 46 (ADHD N = 16; AUD N = 16; ADHD + AUD N = 14) were examined with a CPT (QbTest®) that also measures motor activity objectively.

Results

Inattention and impulsivity were significantly increased in AUD vs. ADHD and in AUD vs. ADHD + AUD. Hyperactivity was significantly higher in ADHD + AUD vs. ADHD and ADHD + AUD vs. AUD, but not in ADHD vs. AUD. EF was lower in both ADHD groups vs. AUD. Mind wandering was increased in both ADHD groups vs. AUD. QoL was significantly lower in ADHD + AUD compared to AUD. In contrast, results of the QbTest were not significantly different between groups.

Conclusion

Questionnaires are more useful in assessing ADHD core symptoms than the QbTest®. Hyperactivity appears to be a relevant symptom in ADHD + AUD, suggesting a possible pathway from ADHD to AUD. The lower QoL in ADHD + AUD emphasizes the need for routine screening, diagnostic procedures and treatment strategies for this patient group.
The relationship between serum albumin and prostate-specific antigen: A analysis of the National Health and Nutrition Examination Survey, 2003–2010
Authors: Xu Kailiang , Yan Youji , Cheng Cong , Li Shiqin , Liao Yixiang , Zeng Jinmin , Chen Zhongjun , Zhou Jiajie
Published: March 2023

Background

Previous studies have shown that serum albumin is associated with prostate cancer (PCa), but not with prostate-specific antigen (PSA) levels in populations without PCa history. Therefore, we analyzed secondary data provided by the National Health and Nutrition Examination Survey (NHANES) (2003–2010).

Methods

In total, 5,469 participants were selected from the NHANES database (2003–2010). Serum albumin and PSA levels were serially considered independent and dependent variables, serially. A number of covariates were included in this study, including demographic, dietary, physical examination, and comorbidity data. Using weighted linear regression model and smooth curve fitting, the linear and non-linear relationship between serum albumin and PSA was investigated.

Results

After modulating underlying interference factors, the weighted multivariate linear regression analysis revealed that serum albumin did not independently predict PSA levels (β = −0.009 95%CI: −0.020, 0.002). Nevertheless, a non-linear relationship was found between serum albumin and PSA, with a point of 41 g/L. Left of the inflection point, the effect size, 95%CI, and P-value were 0.019 (log2 transformation) (−0.006, 0.043) and 0.1335, respectively. We found a negative association between serum albumin and PSA on the right side of the inflection point, with effect size, 95%CI, and a P-value of −0.022 (log2 transformation) (−0.037, −0.007), 0.0036.

Conclusion

In summary, serum albumin and PSA levels are not linearly related. When serum albumin levels exceed 41 g, serum albumin levels are negatively associated with PSA levels.
Intensity and lag-time of non-pharmaceutical interventions on COVID-19 dynamics in German hospitals
Authors: Montcho Yvette , Klingler Paul , Lokonon Bruno Enagnon , Tovissodé Chénangnon Frédéric , Glèlè Kakaï Romain , Wolkewitz Martin
Published: March 2023

Introduction

Evaluating the potential effects of non-pharmaceutical interventions on COVID-19 dynamics is challenging and controversially discussed in the literature. The reasons are manifold, and some of them are as follows. First, interventions are strongly correlated, making a specific contribution difficult to disentangle; second, time trends (including SARS-CoV-2 variants, vaccination coverage and seasonality) influence the potential effects; third, interventions influence the different populations and dynamics with a time delay.

Methods

In this article, we apply a distributed lag linear model on COVID-19 data from Germany from January 2020 to June 2022 to study intensity and lag time effects on the number of hospital patients and the number of prevalent intensive care patients diagnosed with polymerase chain reaction tests. We further discuss how the findings depend on the complexity of accounting for the seasonal trends.

Results and discussion

Our findings show that the first reducing effect of non-pharmaceutical interventions on the number of prevalent intensive care patients before vaccination can be expected not before a time lag of 5 days; the main effect is after a time lag of 10–15 days. In general, we denote that the number of hospital and prevalent intensive care patients decrease with an increase in the overall non-pharmaceutical interventions intensity with a time lag of 9 and 10 days. Finally, we emphasize a clear interpretation of the findings noting that a causal conclusion is challenging due to the lack of a suitable experimental study design.
Knowledge and attitudes of health care workers about monkeypox virus infection in Southern Italy
Authors: Miraglia del Giudice Grazia , Della Polla Giorgia , Folcarelli Lucio , Napoli Annalisa , Angelillo Italo Francesco ,   The Collaborative Working Group
Published: March 2023

Background

This present survey sought to investigate the level of knowledge and the attitudes pertaining the monkeypox (mpox) virus infection among a sample of health care workers (HCWs) in Italy, as well as the possible role of different factors on these outcomes.

Methods

The cross-sectional survey was performed from July through October, 2022 at four randomly selected hospitals located in Southern Italy.

Results

The questionnaire was completed by 421 HCWs, for an overall 59% response rate. Less than two-thirds were able to define the disease and the correct answer of the transmission mechanisms ranged from 22.8% for contact with contaminated objects to 75.8% through close contact with body fluids. Only 4% and 12.8% indicated HCWs and elderly/frail/people with underlying immune deficiencies as risk groups. The mean overall score of the knowledge assessment on mpox was 3.4 (0–9). The multivariate logistic regression analysis showed that HCWs with a lower number of years of working experience and those who had acquired information about mpox from scientific journals were more likely to have a higher level of knowledge. The average score of the perception of the severity of the disease was 6.3. A similar score with a value of 6.1 has been observed for the statement that mpox is a serious problem for the population. Regarding the level of concern about contracting mpox, the mean score was 5.1. Only 10.5% reported that they feel that this disease can be prevented, with an overall mean score of 6.5. Almost all HCWs reported that they are still living as usual, with no modification of their behavior for fear of contracting the mpox. The results of the multivariate logistic regression model showed that women, HCWs with a higher level of knowledge about mpox, and those who needed additional information about mpox were more likely to have a higher level of perception of the severity of the disease.

Conclusion

This survey has demonstrated that HCWs had an unsatisfactory level of knowledge toward mpox and only nearly half showed positive attitudes. Strategic health training programs should be made so that knowledge can be acquired.
Born or not: A moderated mediation model of the relationship between work-family conflict and female employees' wellbeing based on fertility intention during the COVID-19 pandemic
Authors: Zeng Zhen , Ma Jian , Ma Yueru , Li Dayuan , Sun Yong
Published: March 2023

The previous academic research on work-family conflict mainly focused on the relevant elements in the work field. This study concludes that elements of the family domain have a significant impact on the relationship between work-family conflict and employee wellbeing. Female employees' perceptions of wellbeing largely depend on their willingness to have children when they take on family roles. During COVID-19, employees had more time to fulfill both work and family roles in the family sphere due to the epidemic blockade, the contribution of the female employee's significant other (husband) in family matters had a significant impact on Fertility intention. This study using SPSS 24.0 AMOS 20.0 and M plus 7.4 statistical analysis tools to test the proposed hypotheses. In the paired data of 412 working female employees and husbands of Chinese dual-earner families with different occupational backgrounds, hypothesis testing results support that female employees' work → family conflict is negatively related to female employees' fertility intentions, and female employees' fertility intentions are positively related to wellbeing; female employees' family → work conflict is negatively related to female employees' wellbeing; husband's flexible work stress is negatively related to husband's share of housework; husband's share of housework moderated the front, rear and overall mediating effects by the fertility intention. When formulating policies, the managers should consider not only the direct effects of policies, but also the indirect effects that policies may have on other family members of employees. Managers should develop management policies during an epidemic that are more responsive to the actual needs of employees during an epidemic. The management of female employees should give due consideration to the family status of female employees and the enterprises should recognize the importance of childcare for female employees.
Cost-effectiveness analysis of ceftazidime-avibactam as definitive treatment for treatment of carbapenem-resistant Klebsiella pneumoniae bloodstream infection
Authors: Kong Wenqiang , Yang Xueting , Shu Yunfeng , Li Shiqin , Song Bihui , Yang Kun
Published: March 2023

Background

Ceftazidime-avibactam (CAZ-AVI) is a novel antibiotic that has been confirmed in the United States and China for use in patients with carbapenem-resistant Klebsiella pneumoniae (CRKP) bloodstream infection (BSI). However, the cost-effectiveness of CAZ-AVI is unknown in China. This study aimed to evaluate the cost-effectiveness of CAZ-AVI compared to polymyxin B (PMB) monotherapy or PMB-based therapy for the treatment of CRKP BSI from the Chinese healthcare perspective.

Methods

A hybrid decision tree and Markov model were constructed for a hypothetical cohort of patients with CRKP BSI. The time horizon of the Markov model was 5 years with an annual discount rate of 5% used in both costs and quality-adjusted life-years (QALYs). The model data was derived from published literature and publicly available database. Regimens with an incremental cost-effectiveness ratio (ICER) lower than the willingness-to-pay (WTP) threshold of $ 11,600 per QALY were considered cost-effective. Deterministic and probabilistic sensitivity analyses were performed to examine the robustness of model analysis.

Results

In the base-analysis, CAZ-AVI provided an additional 60 QALYs and reduced the cost by $ 2,218,300, yielding an ICER of $ −36,730.9/QALY, well below the WTP threshold of $ 11,600 per QALY when compared with PMB-based therapy. CAZ-AVI provided an additional 350 QALYs and increased the cost of $ 208,400, producing an ICER of $ 591.7/QALY that was below the WTP threshold compared to PMB monotherapy. At a $ 11,600/QALY threshold, results were sensitive to the cost of PMB-based strategy, the cost of CAZ-AVI strategy, the probability of cure with CAZ-AVI, and the probability of cure with PMB or PMB-based therapy. CAZ-AVI was an optimal regimen in 76.9% and 80.8% of 10,000 Monte Carlo simulations at $ 11,600/QALY and $ 34,800/QALY, respectively. Meanwhile, CAZ-AVI was cost-effective at the WTP thresholds of all 31 Chinese provinces in 61.4% (Gansu) to 83.1% (Beijing) of simulations.

Conclusions

Ceftazidime-avibactam is expected to be a cost-effective treatment compared with PMB monotherapy or PMB-based therapy for CRKP BSI from the Chinese healthcare perspective.
Regulatory assessment of nano-enabled health products in public health interest. Position of the scientific advisory board of the French National Agency for the Safety of Medicines and Health Products
Authors: Oualikene-Gonin Wahiba , Sautou Valérie , Ezan Eric , Bastos Henri , Bellissant Eric , Belgodère Laëtitia , Maison Patrick , Ankri Joël ,   The Scientific Advisory Board of the ANSM
Published: March 2023

Nanomaterials are present in a wide variety of health products, drugs and medical devices and their use is constantly increasing, varying in terms of diversity and quantity. The topic is vast because it covers nanodrugs, but also excipients (that includes varying proportions of NMs) and medical devices (with intended or not-intended (by-products of wear) nanoparticles). Although researchers in the field of nanomedicines in clinical research and industry push for clearer definitions and relevant regulations, the endeavor is challenging due to the enormous diversity of NMs in use and their specific properties. In addition, regulatory hurdles and discrepancies are often cited as obstacles to the clinical development of these innovative products. The scientific council of the Agence Nationale de Sécurité du Médicament et des produits de santé (ANSM) undertook a multidisciplinary analysis encompassing fundamental, environmental and societal dimensions with the aim of identifying topics of interest for regulatory assessment and surveillance. This analysis allowed for proposing some recommendations for approximation and harmonization of international regulatory practices for the assessment of the risk/benefit balance of these products, considering as well the public expectations as regards efficacy and safety of nanomaterials used in Health products, in terms of human and environmental health.
The untapped potential of Games for Health in times of crises. A critical reflection
Authors: Dadaczynski Kevin , Tolks Daniel , Wrona Kamil J. , Mc Call Timothy , Fischer Florian
Published: March 2023

Given its promising role in public health to address hard to reach population groups, game-based interventions (i.e., Games for Health, G4H) have experienced growing interest in recent years. Therefore, it is surprising that they have played only a minor role during the COVID-19 pandemic. Hence, the aim of this paper is to reflect the opportunities and challenges of G4H especially during the pandemic but also with regard to future health crises. As commercial video games (i.e., those that primarily aim to entertain its users) were often used to deal with the containment measures during the COVID-19 pandemic, we call for greater cooperation with commercial game makers to distribute health-related messages via entertainment games. With regard to G4H we see a need to (i) strengthen the intervention theory underlying game-based applications, (ii) to enhance the appeal of games in order to maintain the interest of users in the long term, and (iii) to improve the evidence base using appropriate study designs. Finally, we argue for (iv) greater user involvement, both in terms of developing game-based approaches and as co-researchers in solving complex health problems.
Culture intelligent workflow, structure, and steps
Authors: Henry James Andrew
Published: March 2023

Introduction

Technologies abstract intelligence and provide predictor and precision insight in workflows that manage disorders, similar to cardiology and hematological disease. Positive perceptions of Artificial Intelligence (AI) that support Machine Learning (ML) and Deep Learning (DL) manage transformations with a safe system that improves wellbeing. In sections, workflow introduces an eXamination (X = AI) as an end-to-end structure to culture workstreams in a step-by-step design to manage populace health in a governed system.

Method

To better healthcare outcomes, communities and personnel benefit from an explanation and an interpretive that elucidates workflow for citizens or practitioners to comprehend personalized platforms. Therefore, the author undertook structure and practice reviews and appraised perspectives that impact the management of AI in public health and medicine.

Results

Figures for the management of AI workflow illustrate and inform on the model, structure, culture, assurance, process steps, values, and governance required for abstract insights in public health and medicine. The papers' end-to-end structure with explanans in a work culture interprets the step-by-step designs that manage the success of AI. Personalized care graphics offer an explanandum in the management of biological analytic value.

Discussion

Healthcare leadership collaboratives plan population health with an upstream, workplace and workstream format. Secure workflow and safety wellbeing system requirements prove that genomics and AI improve medicine. Therefore, the paper discusses group understanding of current practice, ethics, policy, and legality.

Conclusion

“Culture, intelligent workflow, structure, and steps” improve wellbeing with personalized care and align a percept for national opportunities, regional control, and local needs. Personalized practice cultures support analytic systems to describe, predict, precision, and prescript medicine in population health management eXaminations.
The influence of flavoring components on the physicochemical properties of spray-dried high oleic (HO) and tofu line (TL) soymilk powder
Authors: Singh P. , Krishnaswamy K.
Published: March 2023

Graphical Abstract

Graphical representation of flavoring component integration in soymilk and spray dried to investigate the impact of flavoring components on the physicochemical parameters of a soymilk powder.
Strategies to reduce low-value care – An applied behavior analysis using a single-case design
Authors: Ingvarsson Sara , Sandaker Ingunn , Nilsen Per , Hasson Henna , Augustsson Hanna , von Thiele Schwarz Ulrica
Published: March 2023

Introduction

Implementation science has traditionally focused on the implementation of evidence-based practices, but the field has increasingly recognized the importance of addressing de-implementation (i.e., the process of reducing low-value care). Most studies on de-implementation strategies have used a combination of strategies without addressing factors that sustain the use of LVC and there is a lack of information about which strategies are most effective and what mechanisms of change might underlie these strategies. Applied behavior analysis is an approach that could be a potential method to gain insights into the mechanisms of de-implementation strategies to reduce LVC. Three research questions are addressed in this study: What contingencies (three-term contingencies or rule-governing behavior) related to the use of LVC can be found in a local context and what strategies can be developed based on an analysis of these contingencies?; Do these strategies change targeted behaviors?; How do the participants describe the strategies' contingencies and the feasibility of the applied behavior analysis approach?

Materials and methods

In this study, we used applied behavior analysis to analyze contingencies that maintain behaviors related to a chosen LVC, the unnecessary use of x-rays for knee arthrosis within a primary care center. Based on this analysis, strategies were developed and evaluated using a single-case design and a qualitative analysis of interview data.

Results

Two strategies were developed: a lecture and feedback meetings. The results from the single-case data were inconclusive but some of the findings may indicate a behavior change in the expected direction. Such a conclusion is supported by interview data showing that participants perceived an effect in response to both strategies.

Conclusion

The findings illustrate how applied behavior analysis can be used to analyze contingencies related to the use of LVC and to design strategies for de-implementation. It also shows an effect of the targeted behaviors even though the quantitative results are inconclusive. The strategies used in this study could be further improved to target the contingencies better by structuring the feedback meetings better and including more precise feedback.
Analysis of the therapeutic interaction provided by a humanoid robot serving stroke survivors as a therapeutic assistant for arm rehabilitation
Authors: Platz Thomas , Pedersen Ann Louise , Deutsch Philipp , Umlauft Alexandru-Nicolae , Bader Sebastian
Published: March 2023

Objective:To characterize a socially active humanoid robot’s therapeutic interaction as a therapeutic assistant when providing arm rehabilitation (i.e., arm basis training (ABT) for moderate-to-severe arm paresis or arm ability training (AAT) for mild arm paresis) to stroke survivors when using the digital therapeutic system Evidence-Based Robot-Assistant in Neurorehabilitation (E-BRAiN) and to compare it to human therapists’ interaction.

Methods:Participants and therapy: Seventeen stroke survivors receiving arm rehabilitation (i.e., ABT [n= 9] or AAT [n= 8]) using E-BRAiN over a course of nine sessions and twenty-one other stroke survivors receiving arm rehabilitation sessions (i.e., ABT [n= 6] or AAT [n= 15]) in a conventional 1:1 therapist–patient setting. Analysis of therapeutic interaction: Therapy sessions were videotaped, and all therapeutic interactions (information provision, feedback, and bond-related interaction) were documented offline both in terms of their frequency of occurrence and time used for the respective type of interaction using the instrument THER-I-ACT. Statistical analyses: The therapeutic interaction of the humanoid robot, supervising staff/therapists, and helpers on day 1 is reported as mean across subjects for each type of therapy (i.e., ABT and AAT) as descriptive statistics. Effects of time (day 1 vs. day 9) on the humanoid robot interaction were analyzed by repeated-measures analysis of variance (rmANOVA) together with the between-subject factor type of therapy (ABT vs. AAT). The between-subject effect of the agent (humanoid robot vs. human therapist; day 1) was analyzed together with the factor therapy (ABT vs. AAT) by ANOVA.

Main results and interpretation: The overall pattern of the therapeutic interaction by the humanoid robot was comprehensive and varied considerably with the type of therapy (as clinically indicated and intended), largely comparable to human therapists’ interaction, and adapted according to needs for interaction over time. Even substantially long robot-assisted therapy sessions seemed acceptable to stroke survivors and promoted engaged patients’ training behavior.

Conclusion:Humanoid robot interaction as implemented in the digital system E-BRAiN matches the human therapeutic interaction and its modification across therapies well and promotes engaged training behavior by patients. These characteristics support its clinical use as a therapeutic assistant and, hence, its application to support specific and intensive restorative training for stroke survivors.
Predicting work engagement among young adult cancer survivors: A moderated mediation model
Authors: Musa Siti Nur Syuhada , Hamzah Siti Raba'ah , Muda Zulaiha , Asimiran Soaib , Krauss Steven E.
Published: March 2023

Introduction

Early research on cancer survivors was focused on exploring cancer treatments. More recently, attention has shifted to cancer survivorship research, focusing on cancer survivors as individual persons, including the multiple facets of survivors' quality of life but is inapplicable in the context of work-related role played in the young adult cancer survivors' lives. However, in recent studies on the outcomes of long-term survivorship, some of the main areas of cancer survivorship research revolves around employment issues of young adult cancer survivors. In the present study, the focus is given on the role of workplace spirituality as a mediator on the association of employee resilience and workplace social support on work engagement in a Malaysian setting, taking into consideration gender and age differences.

Methods

Using a quantitative research paradigm, data were collected from 270 respondents at Pediatric Institute Kuala Lumpur Hospital. Data were analyzed using descriptive statistics and the Partial Least Square-Structural Equation Model (PLS-SEM) to test the direct, indirect, and mediation effects.

Results and discussion

The findings revealed that workplace spirituality did mediate the influence of employee resilience and workplace social support on work engagement. The findings also indicated that gender and age moderated the association of employee resilience and work engagement via workplace spirituality.
Research trends on biochar-based smart fertilizers as an option for the sustainable agricultural land management: Bibliometric analysis and review
Authors: Abiola Waliou A. , Diogo Rodrigue V. Cao , Tovihoudji Pierre G. , Mien Abdoul K. , Schalla Andrea
Published: March 2023

Several studies have investigated nutrient-enriched and nutrient poor biochar to improve soil properties, increase nutrient use efficiency and crop productivity. Review articles have presented formulations and production methods of biochar-based fertilizers. They reported nutrient-enriched biochar improves -45ves crop productivity, soil health and preserves the environment. But so far, none of the studies has conceptualized the nutrient-enriched biochar as a biochar-based smart fertilizer or presented the conceptual and intellectual structures and the collaborative networks of authors and countries working on biochar-based smart fertilizers. For the first time, this study has mapped the scientific knowledge generated on the topic and established a solid ground for its innovative progress and research pursuits. A total of 2,779 scientific publications on biochar-based fertilizers were exported from scopus database in August 2022 and were analyzed using bibliometrix software package and the biblioshiny web interface in R version 4.1.3. The results indicated that the papers in our collection cover the period from 2007 to 2022 with a raising number from 2017 to 2021. Almost all documents (99.38%) were co-authored with an average of 6 authors (5.76) per article. The analysis of keywords and the evolution of topics revealed that biochar-based smart fertilizers in relation to organic nutrient sources, soil microbiology and soil sanitation were the most studied topics in the scientific debates. China had more collaboration in the network working on biochar-based fertilizers, while the West African countries belonging to the network have not developed any collaboration so far. This suggests the formulation of research projects that may involve African countries to work with other countries including China, USA, Germany, Australia and Poland. This study is more comprehensive in terms of a global view of the conceptual and intellectual contours and network of actors on biochar-based smart fertilizers. Future research on the topic should be conducted more in the fields under farmers’ conditions and may focus on (i) enrichment of biochar with nutrients from organic sources before its application to the soil, (ii) soil remediation and microbiology in relation to biochar-based fertilizer applications, and (iii) economic profitability of biochar fertilizers for small-scale farmers.
A future interstellar probe on the dynamic heliosphere and its interaction with the very local interstellar medium: In-situ particle and fields measurements and remotely sensed ENAs
Authors: Dialynas K. , Sterken V. J. , Brandt P. C. , Burlaga L. , Berdichevsky D. B. , Decker R. B. , Della Torre S. , DeMajistre R. , Galli A. , Gkioulidou M. , Hill M. E. , Krimigis S. M. , Kornbleuth M. , Kurth W. , Lavraud B. , McNutt R. , Mitchell D. G. , Mostafavi P. S. , Nikoukar R. , Opher M. , Provornikova E. , Roelof E. C. , Rancoita P. G. , Richardson J. D. , Roussos E. , Sokół J. M. , La Vacca G. , Westlake J. , Chen T. Y.
Published: March 2023

The recently published Interstellar Probe (ISP) study report describes a pragmatic mission concept with a launch window that starts in 2036 and is expected to reach several hundreds of astronomical units past the heliopause within a time frame of ≥50 years (https://interstellarprobe.jhuapl.edu/Interstellar-Probe-MCR.pdf). Following the ISP report, this paper, that will also be accessible from the Bulletin of the AAS (BAAS) in the framework of the Decadal Survey for Solar and Space Physics (Heliophysics) 2024–2033 (Dialynas et al., A future Interstellar Probe on the dynamic heliosphere and its interaction with the very local interstellar medium: In-situ particle and fields measurements and remotely sensed ENAs, 2022a), aims to highlight the importance of studying the physics of the interactions pertaining to the expanding solar wind that meets the plasma, gas and dust flows of the very local interstellar medium, forming the complex and vast region of our astrosphere. We focus on three fundamental open science questions that reveal the dynamical nature of the heliosphere A) Where are the heliosphere boundaries and how thick is the heliosheath B) Is there a “missing” pressure component towards exploring the dynamics of the global heliosheath and its interaction with the very local interstellar medium C) Why does the shape and size of the global heliosphere appear different in different Energetic Neutral Atom energies? We argue that these questions can only be addressed by exploiting a combination of in-situ charged particle, plasma waves and fields measurements with remotely sensed Energetic Neutral Atoms that can be measured simultaneously from the instruments of a future Interstellar Probe mission, along its trajectory from interplanetary space through the heliosheath and out to the very local interstellar medium.
How to understand sports and traditional games and how to apply it to physical education. On the “Goal of Game”
Authors: Ribas J. P. , Hernández-Moreno J. , Díaz-Díaz R. , Borges-Hernández P. J. , Ruiz-Omeñaca J. V. , Jaqueira A. R.
Published: March 2023

Introduction

Does philosopher's stone exist in physical education? It could be said that teaching games for understanding approach (TGfU) keeps turning everything it touches into gold: its presence in the educational centers, its volume of publications, the way of teaching games and sports, its connections with other approaches, its game categories, learning transferable principles of play. But… no, all that glitters is not gold. There are TGfU issues that should be improved. For example, these categories are disconnected from each other because TGfU lacks classification criteria. The “goal of game” is a concept that has been studied, but it has not been applied to physical education. The aim of the article is to show how to deepen the understanding sports and traditional games from the “goal of game”, and to propose its applicability to physical education.

Methods

The traits of “goal of game” will be identified by investigating two close concepts, “prelusory goal” (formalist philosophy of sport) and “motor-goal” (motor praxeology).

Results

The traits of “goal of game” concept: main-motor-problem, described in the game rules and that the players will try to solve during the game dynamics. The “goal of game” chances: (1) It allows us to understand sports and traditional games based on their internal logic (2) It allows us to classify traditional games and sports based on classification criteria and that can be useful to organize the physical education program; (3) It allows us to deepen the understanding of sporting games and their applicability to physical education: on the one hand, proposing progressively more specific goal of game options and, on the other hand, proposing a network model of intentions of play to understand the game dynamics and to design learning tasks.

Conclusions

The conclusions collect some properties of the “goal of game” concept in order to propose its applicability in physical education students learning: identify and compare the main-motor-problems of the games; solve these problems during the game dynamics; transfer the procedures used to solve other games. The goal(d) of game amazes us; maybe physical education teachers are curious to continue discovering this wonderful treasure.
Quo vadis Patria Gaucha? Uruguayan pathways of land use change
Authors: Säumel Ina , Alvarez Jorge , Ramírez Leonardo R. , Barra Marcos
Published: March 2023

South American grasslands, socio-ecological systems used heavily for a long time, are currently experiencing dramatic land-use changes due to implementation of large-scale afforestation and agro-industrial cash crops. Applying the conceptual framework of “Multifunctional and sustainable productive landscapes” to Uruguay, we explored the impacts on rural ecosystems and communities based on a long-term monitoring network by assessing species richness of plant and terrestrial arthropods and socio-economic data from national census. We found that silvi- and agricultural industry established mainly at the expense of extensively grazed grasslands and local family farms with traditional techniques, accompanied by a deregulation of the rural labor market, depopulation and aging of rural society. Governmental nature protection efforts increase the native forest cover and establish nature protection areas focusing mainly on forests. We also discuss pathways of land-use change in recent decades and related discourses of local stakeholders.
Exploring the composition and structure of milk and meat value chains, food safety risks and governance in the Addis Ababa and Oromia regions of Ethiopia
Authors: Nyokabi Ndungu S. , Lindahl Johanna F. , Phelan Lisette T. , Berg Stefan , Gemechu Gizachew , Mihret Adane , Wood James L. N. , Moore Henrietta L.
Published: March 2023

Demand for animal-source foods (ASF) is increasing globally, driven by population growth and changing dietary preferences. In global south countries, low compliance with good agricultural practices (GAPs) and food safety standards in the production of ASF is a major public health concern due to the high prevalence of foodborne diseases. This study examines the composition and structure of milk and meat value chains and explores food safety risks and governance in the Addis Ababa and Oromia regions of Ethiopia. Stakeholder discussions, key informant interviews and participant observation were undertaken to collect data on milk and meat value chain actors' perceptions of opportunities and constraints to improving access to safe, high-quality milk and meat products. The results reveal low compliance with rules and standards by milk and meat value chain actors which could compromise food safety and quality and expose consumers to public health risks. There was stricter enforcement of GAPs and food safety standards in the case of milk and meat products destined for export compared to products sold in the local market. The main barriers to compliance with food safety regulations were actors' low knowledge, small profit margins, absence of critical food safety infrastructure such as electricity and road and low access to capital to invest in the recommended equipment such as aluminum containers, coolers and fridges. This paper concludes there is a need for targeted efforts to support the adoption of low-cost technologies that could mitigate food safety risks. Additionally, there is a need for improved communication and tailored training for value chain actors that reflect local social, cultural and economic context to incentivise compliance with rules governing food safety and quality.
Examining the effect of consumer experience on co-creation and loyalty for healthy meat consumption
Authors: Meeprom Supawat , Jaratmetakul Porramate , Boonkum Wuttigrai
Published: March 2023

Introduction

The eating behavior of consumers throughout the world is changing rapidly due to increasing recognition of healthy food consumption. This study attempted to examine the role of perceived experience consumption responses in the context of healthy food consumption. In archiving the objectives of the study, this research investigates the relationship among the perception of customer sensory experience, customer co-creation, and customer loyalty (e.g., spreading positive word of mouth and recommending the food) of KKU1 premium chicken. This study also examines the moderating role of health consciousness in consumers' decision-making processes.

Methods

A purposive sampling survey of 487 customers who had consumed healthy chicken meat products, namely, KKU1 premium chicken in Thailand were collected. Multi-group analyses of the consumption experience (e.g., first-time and repurchase consumers) were examined. A structural equation model (SEM) was used to test the proposed hypotheses.

Results

The study found that customer co-creation has a significant positive effect on customer loyalty. In addition, the relationship between customer sensory experience and customer co-creation was moderated by health consciousness. This suggests that sensory experiences and health conscious customers are more prone to indulge in co-creation behavior. Moreover, there are different levels of customer co-creation behavior and loyalty among different prior consumption experiences.

Discussion

Based on these findings, including the contingency role of health consciousness in consumers' decision-making processes can be more effectiveness. These findings can provide an important reference for the producer of a healthy food-marketing strategy.
Prospective study of efficacy and safety of non-ablative 1927 nm fractional thulium fiber laser in Asian skin photoaging
Authors: Li Xianwen , Qin Si , Shi Siman , Feng Yingjun , Li Huarun , Feng Yuqin , Li Mujin , Wen Ju
Published: March 2023

Background and Objective

Photoaging manifests as deeper wrinkles and larger pores. It has been tried to rejuvenate photoaging skin using a variety of lasers, including fractionated lasers, which are a popular photorejuvenation treatment. A new breakthrough for skin rejuvenation is the 1927 nm fractional thulium fiber laser (FTL), a laser and light-based treatment option. Clinical data regarding the FTL for treating photoaging are limited despite its effectiveness and safety. This study is aim to evaluate FTL' clinical effectiveness and safety.

Methods

Fitzpatrick skin types II–IV subjects with mild to moderate photoaging signs were enrolled in this prospective study. At intervals of one month, patients received three full face treatments. Wrinkles, spots, texture, pores, melanin index, erythema index (MI and EI), skin elasticity and hydration were measured with non-invasive tool. The epidermal thickness and dermal density on ultrasonography were compared between baseline and one month after all treatment sessions. The Global Score for Photoaging scale (GSP) was rated by two independent evaluators at the baseline and final follow-up visit. Secondary outcomes included patient-rated pain on a 10-point visual analog scale (VAS), as well as overall satisfaction. Following each treatment, adverse events were noted.

Results

Totally 27 subjects (24 females and 3 males) with Fitzpatrick skin types II to IV and a mean age of 44.41 (range33–64) were enrolled. Results suggests that the epidermal thickness has significantly improved after treatment. Statistically significant improvements in melanin index, skin elasticity and wrinkles were noted. An analysis of 12 subjects' reports (44%) suggested their skin felt brighter. No post-inflammatory hyperpigmentation changes or adverse events were observed. 70% patients reporting “satisfied” or “extremely satisfied”.

Conclusions

In this study, FTL was found to be a safe and effective treatment option for treating photoaging.