bluuebunny/crossref_metadata_2025 huggingface dataset:
Evidence of High-Intensity Exercise on Lower Limb Functional Outcomes and Safety in Acute and Subacute Stroke Population: A Systematic Review
Authors: Mah Shi Min , Goodwill Alicia M. , Seow Hui Chueng , Teo Wei-Peng
Published: December 2022

This systematic review investigated the effects of high-intensity exercise (HIE) on lower limb (LL) function in acute and subacute stroke patients. A systematic electronic search was performed in PubMed, CINAHL and the Web of Science from inception to 30 June 2022. Outcomes examined included LL function and measures of activities of daily living such as the Barthel index, 6 min walk test (6MWT), gait speed and Berg balance scale (BBS), adverse events and safety outcomes. The methodological quality and the quality of evidence for each study was assessed using the PEDro scale and the Risk of Bias 2 tool (RoB 2). HIE was defined as achieving at least 60% of the heart rate reserve (HRR) or VO2 peak, 70% of maximal heart rate (HRmax), or attaining a score of 14 or more on the rate of perceived exertion Borg scale (6–20 rating scale). This study included randomized controlled trials (RCTs) which compared an intervention group of HIE to a control group of lower intensity exercise, or no intervention. All participants were in the acute (0–3 months) and subacute (3–6 months) stages of stroke recovery. Studies were excluded if they were not RCTs, included participants from a different stage of stroke recovery, or if the intervention did not meet the pre-defined HIE criteria. Overall, seven studies were included that used either high-intensity treadmill walking, stepping, cycling or overground walking exercises compared to either a low-intensity exercise (n = 4) or passive control condition (n = 3). Three studies reported significant improvements in 6MWT and gait speed performance, while only one showed improved BBS scores. No major adverse events were reported, although minor incidents were reported in only one study. This systematic review showed that HIE improved LL functional task performance, namely the 6MWT and gait speed. Previously, there was limited research demonstrating the efficacy of HIE early after stroke. This systematic review provides evidence that HIE may improve LL function with no significant adverse events report for stroke patients in their acute and subacute rehabilitation stages. Hence, HIE should be considered for implementation in this population, taking into account the possible benefits in terms of functional outcomes, as compared to lower intensity interventions.
Association between Sleep Onset Problem and Subjective Cognitive Complaints among Japanese Older Adults during the Coronavirus Disease 2019 Pandemic
Authors: Ikeda Yuriko , Tabira Takayuki , Ohshige Tadasu , Masumitsu Tomomi , Makizako Hyuma ,   KU-OHL Project member
Published: December 2022

Older adults are more likely to have age-related sleep problems, which may result in the reduction of cognitive functions. This study was designed to examine the relationship between sleep onset problem and subjective cognitive complaints (SCC) among community-dwelling older adults during the coronavirus disease 2019 pandemic. In this study, 186 older adults aged 65 and above were enrolled and were instructed to respond to an online survey. This survey comprised questions regarding sleep quality (four items such as sleep duration, use of sleep medication), SCC (six domains), and sociodemographic information (eight items such as age, gender, stress condition). We classified the participants into two groups according to the presence or absence of sleep onset problem and examined the relationship between each SCC domain. The sleep onset problem (+) (n = 70) group had significantly higher frequency of scheduled memory decline, misplacement, disorientation in time, word recall decline, and forgetfulness. Furthermore, the sleep onset problem affected the participants’ scheduled memory after adjusted for potential covariates (OR, 2.28; 95%CI, 1.13–4.73; p = 0.02). Older adults with sleep onset problem may need to be evaluated for SCC and supported in term of both sleep status and SCC.
Health, Occupational Stress, and Psychosocial Risk Factors in Night Shift Psychiatric Nurses: The Influence of an Unscheduled Night-Time Nap
Authors: Amiard Valérie , Telliez Frédéric , Pamart Florine , Libert Jean-Pierre
Published: December 2022

Background: Occupational stress and shift work (including night shift work) are associated with physical and psychological health consequences in healthcare providers in general and those working in psychiatric establishments in particular. The aim of this study was to assess the impact of occupational risk factors and unscheduled night-time naps on self-reported health disorders among nurses working in a French psychiatric hospital. Methods: We performed a 12-month observational field study of experienced nurses working at Philippe Pinel Psychiatric Hospital (Amiens, France) between September 2018 and September 2019. A comparative descriptive study of two groups of nurses who filled out a questionnaire on health and occupational stress was performed: nurses working permanently on the night shift (the night shift group, who took unscheduled naps), and nurses rotating weekly between morning and afternoon shifts (the day shift group). Results: The night and day shift groups comprised 53 and 30 nurses, respectively. There were no intergroup differences in health disorders, sleep quality, occupational stress, and risk factor perception. Correlation analyses showed that in the day shift group, a low level of support from supervisors was associated with elevated levels of distress, anxiety, and gastrointestinal disorders. In the night shift group, a greater overall work load was associated with elevated levels of anxiety and distress. These findings indicated that the nurses on the night shift had adapted well to their working conditions. Conclusions: An organizational strategy including an unscheduled night-time nap might improve health among night shift nurses.
Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey
Authors: Akdeniz Şengül , Çoban Mustafa , Koç Orhan , Pekesen Mehtap , Korkmaz Yaylagul Nilufer , Sönmez Seda , Yetiz Filiz , Başıbüyük Gülüşan Özgün , Efe Mehmet , Ergun Ayşe Dericioğulları , Özgür Özlem , Vural Melih , Akış Aslı Gözde , Tufan İsmail
Published: December 2022

COVID-19 has caused a major crisis all over the world. To manage this crisis, a fixed shift system was applied to nursing home staff in Turkey to protect nursing home residents from the COVID-19 pandemic. Staff were not allowed to leave the institution during fixed shifts. It is thought that this practice for the COVID-19 outbreak, while protecting nursing home residents on the one hand, increased the workload and related stress of nursing home staff on the other hand. To the best of our knowledge, there is no study examining the workload and stress caused by the COVID-19 pandemic for nursing home staff in Turkey. The aim of this study was to examine the level of workload and work stress experienced by staff working in nursing homes during the COVID-19 pandemic in Turkey. Methods: A cross-sectional research design was used in the study. The sample of the study consisted of nursing home personnel working in nursing homes in the provinces of Istanbul, Ankara, Izmir and Antalya between October 2021 and January 2022. A personal information form and a workload and stress scale were used for collecting the data. Cluster analysis was performed with SPSS software. Results: In total, 154 nursing home personnel participated in the study. A statistically significant difference was found between the mean age of the two clusters. The first cluster was described as “old” and the second as “young”. Statistically significant and high values were found in the quantitative workload, qualitative workload, job organization, social work area and fatigue factors in the nursing home staff in the older participant cluster. Conclusion: The results of this study provide new information about the concepts of workload and work stress experienced during the COVID-19 pandemic in Turkey, which will serve as a guide for the management of future pandemics. Therefore, this study will contribute to the strategies to be followed in future pandemics in Turkey.
The Depleting Impact of Helping Behavior on Career Satisfaction: The Buffering Role of Strengths Use
Authors: Li Zhigang , Zhang Zhenduo , Li Qian , Zheng Junwei , Xiao Huan
Published: December 2022

Recent studies have explored the dark side of helping behavior from an actor-centric perspective. Consistent with this stream of research, this study linked helping behavior to career satisfaction. In this study, we adopted perceived task demands and job strain as two sequential mediators to elaborate the underlying depletion path through which helping behavior undermines career satisfaction. We collected data using a two-wave questionnaire completed by 203 full-time workers in China. By applying path analysis using R software, the results revealed the following: (1) helping behavior undermines career satisfaction by enhancing perceived task demands and job strain; (2) the use of strengths buffers the relationship between perceived task demands and job strain; and (3) the indirect depleting impact of helping behavior on career satisfaction only emerges when the use of strengths is low. This highlights important implications for practitioners to leverage helping behavior in their management practices.
An After-School Football Session Transiently Improves Cognitive Function in Children
Authors: Magistro Daniele , Cooper Simon B. , Boat Ruth , Carlevaro Fabio , Magno Francesca , Castagno Cristian , Simon Martina , Musella Giovanni
Published: December 2022

The aim of the present study was to evaluate the effect of a real-world after-school football session on subsequent cognitive function in primary school children. Following ethical approval, 100 children (aged 8–9 year) from the same after-school football club were randomly assigned to either an intervention (60 min football activity) or control (continued to rest) group. Cognitive function (selective visual attention, short term memory and long-term memory) was assessed prior to, immediately following and 45 min following the football session (and at the respective timepoints in the control group). Data were analysed via two-way (group * time) mixed methods ANOVA. The pattern of change in all domains of cognition over time, was different between the football and control groups (group * time, all p < 0.001). Specifically, performance on all cognitive tasks was greater immediately following the football session in the intervention group compared to the control group (selective visual attention, p = 0.003; short-term memory, p = 0.004; long-term memory, p < 0.001). However, there was no difference between the group 45 min following the football session (p = 0.132–0.393). These findings suggest that an after-school football session enhances cognition immediately post-activity in primary school children.
The Goal of Carbon Peaking, Carbon Emissions, and the Economic Effects of China’s Energy Planning Policy: Analysis Using a CGE Model
Authors: Hu Haisheng , Dong Wanhao
Published: December 2022

This study focuses on the effects of China’s carbon peaking policy, investigating how to balance nonfossil energy consumption and coal consumption to achieve China’s carbon peaking policy goal. The research applies the recursive dynamic computable general equilibrium model to simulate the impact of China’s energy planning policies using five scenarios to analyze the carbon emissions and economic effects of China’s energy planning policy from the perspectives of energy use, carbon emissions, the macroeconomy, and institutional income. The simulation results indicate that to achieve the goal of carbon peaking by 2030, the annual installed capacity of nonfossil energy must reach 112.29 gigawatts, and average annual coal consumption in the China 15th Five-Year Plan and 16th Five-Year Plan should be reduced by 20 million and 40 million tons, respectively, which will result in the proportion of nonfossil energy in primary energy consumption reaching about 25%. Limiting coal consumption will slow economic growth, whereas increasing the installed capacity of nonfossil energy will stimulate economic growth. The combined policies will have a significant impact on reducing carbon emissions and achieving the carbon peaking goal and will also offset the adverse effects of such policies on the macroeconomy.
Determining Critical Thresholds of Environmental Flow Restoration Based on Planktonic Index of Biotic Integrity (P−IBI): A Case Study in the Typical Tributaries of Poyang Lake
Authors: Wang Zhuowei , Huang Wei , Zhu Dayu , Huang Qi , Wu Leixiang , Liu Xingchen
Published: December 2022

Hydropower construction and climate change have aggravated river hydrological changes, which have reduced the water flow regime in the Ruhe River Basin. The reduced flow of the river seriously affected the water supply of nearby residents and the operation of the river ecosystem. Therefore, in order to alleviate the contradiction between water use for hydropower facilities and environmental water use, the urgent need is to explore the ecological flow-threshold of rivers. This study took the Fuhe River Basin as the research object, and summarized the monitoring data of eight hydrological stations from recent decades. Based on this, we explored the response law of P−IBI and flow, a tool to quickly measure the health of the ecosystem. Through the response relationship between alterations in environmental factors of the river and phytoplankton index of biotic integrity (P−IBI), it was determined that environmental flow was the dominant influencing factor of P−IBI. According to P−IBI, the threshold of environmental discharge in the Fuhe River was limited to 273~826.8 m3/s. This study established a regulatory framework for the river flow of large rivers by constructing P−IBI and determining the critical thresholds of environmental flow by constraining the constitution. These results provide a theoretical basis for better planning and improvement of river ecosystem restoration and river utilization.
Swallow Detection with Acoustics and Accelerometric-Based Wearable Technology: A Scoping Review
Authors: So Bryan Pak-Hei , Chan Tim Tin-Chun , Liu Liangchao , Yip Calvin Chi-Kong , Lim Hyo-Jung , Lam Wing-Kai , Wong Duo Wai-Chi , Cheung Daphne Sze Ki , Cheung James Chung-Wai
Published: December 2022

Swallowing disorders, especially dysphagia, might lead to malnutrition and dehydration and could potentially lead to fatal aspiration. Benchmark swallowing assessments, such as videofluoroscopy or endoscopy, are expensive and invasive. Wearable technologies using acoustics and accelerometric sensors could offer opportunities for accessible and home-based long-term assessment. Identifying valid swallow events is the first step before enabling the technology for clinical applications. The objective of this review is to summarize the evidence of using acoustics-based and accelerometric-based wearable technology for swallow detection, in addition to their configurations, modeling, and assessment protocols. Two authors independently searched electronic databases, including PubMed, Web of Science, and CINAHL. Eleven (n = 11) articles were eligible for review. In addition to swallowing events, non-swallowing events were also recognized by dry (saliva) swallowing, reading, yawning, etc., while some attempted to classify the types of swallowed foods. Only about half of the studies reported that the device attained an accuracy level of >90%, while a few studies reported poor performance with an accuracy of <60%. The reviewed articles were at high risk of bias because of the small sample size and imbalanced class size problem. There was high heterogeneity in assessment protocol that calls for standardization for swallowing, dry-swallowing and non-swallowing tasks. There is a need to improve the current wearable technology and the credibility of relevant research for accurate swallowing detection before translating into clinical screening for dysphagia and other swallowing disorders.
Can Physical, Psychological, and Social Vulnerabilities Predict Ageism?
Authors: Zanbar Lea , Lev Sagit , Faran Yifat
Published: December 2022

Ageism can be expressed as the discrimination, social exclusion, and even abuse of older adults. The literature suggests that certain vulnerabilities could be risk factors affecting people’s ageism. Based on the Social Identity Theory, the present study aimed to examine the association of physical/psychological and social vulnerabilities with ageism. The sample consisted of 200 Israelis from the general population who completed self-report questionnaires. Hierarchical regression indicated that low well-being, high post-traumatic distress, and limited social support were associated with ageism. Furthermore, the association of post-traumatic distress with ageism increased with age. The findings expand the knowledge of vulnerabilities as risk factors for ageism, perhaps reflecting its unconscious nature, and can assist in designing interventions for people interacting with older adults.
Conceptual Structure and Current Trends in Artificial Intelligence, Machine Learning, and Deep Learning Research in Sports: A Bibliometric Review
Authors: Dindorf Carlo , Bartaguiz Eva , Gassmann Freya , Fröhlich Michael
Published: December 2022

Artificial intelligence and its subcategories of machine learning and deep learning are gaining increasing importance and attention in the context of sports research. This has also meant that the number of corresponding publications has become complex and unmanageably large in human terms. In the current state of the research field, there is a lack of bibliometric analysis, which would prove useful for obtaining insights into the large amounts of available literature. Therefore, the present work aims to identify important research issues, elucidate the conceptual structure of the research field, and unpack the evolutionary trends and the direction of hot topics regarding key themes in the research field of artificial intelligence in sports. Using the Scopus database, 1215 documents (reviews and articles) were selected. Bibliometric analysis was performed using VOSviewer and bibliometrix R package. The main findings are as follows: (a) the literature and research interest concerning AI and its subcategories is growing exponentially; (b) the top 20 most cited works comprise 32.52% of the total citations; (c) the top 10 journals are responsible for 28.64% of all published documents; (d) strong collaborative relationships are present, along with small, isolated collaboration networks of individual institutions; (e) the three most productive countries are China, the USA, and Germany; (f) different research themes can be characterized using author keywords with current trend topics, e.g., in the fields of biomechanics, injury prevention or prediction, new algorithms, and learning approaches. AI research activities in the fields of sports pedagogy, sports sociology, and sports economics seem to have played a subordinate role thus far. Overall, the findings of this study expand knowledge on the research situation as well as the development of research topics regarding the use of artificial intelligence in sports, and may guide researchers to identify currently relevant topics and gaps in the research.
Efficiency and Productivity Differences in Healthcare Systems: The Case of the European Union
Authors: Lacko Roman , Hajduová Zuzana , Bakalár Tomáš , Pavolová Henrieta
Published: December 2022

This study aims to identify significant differences between the countries of the European Union, follow the course of achievement of the convergence objectives, assess developments against specific common characteristics of the countries, and propose possible measures that could improve the state of health in the EU as a whole by implementing standard cohesion policies. To compare efficiency and productivity among the states of the European Union, we used data envelopment analysis (DEA) and the Malmquist productivity index (MPI). On the basis of our findings, even countries that joined the EU later achieve high technical efficiency values. However, it should be noted that it is in these countries that technical efficiency values tend to decline. The values of the Malmquist productivity index broadly indicate stagnation in western countries and productivity decline in central and eastern European countries. This decline is mainly due to a negative shift in the technological frontier in these countries.
Associations between a Subjective Living Environment and Quality of Life among People with Arterial Hypertension—Results from the Hamburg City Health Study
Authors: Augustin Jobst , Bei der Kellen Ramona , Behrendt Christian-Alexander , Magnussen Christina , Terschüren Claudia , Ascone Leonie , Kühn Simone , Wolf Sandra , Augustin Matthias , Andrees Valerie
Published: December 2022

Hypertension is a global public health concern and an important contributor to cardiovascular disease. It remains disputed how important life circumstances are for the etiology of hypertension. Thus, the aim of this study is to assess the spatial variation of hypertension within an urban population and to investigate the association with the quality of life of city dwellers and their subjective evaluation of their residential district, as well as their home environment, using the example of Hamburg, Germany. In this cross-sectional study, the first 10,000 participants from the Hamburg City Health Study (HCHS) were analysed. Only participants who had resided at the current address for a minimum of five years were considered. In the descriptive analysis, participants with and without arterial hypertension were compared considering various parameters. The subjective quality of the living environment was obtained using an appropriate subjective living environment index. Quality of life was mapped using the EuroQol Group quality of life questionnaire (EQ-5D) score and the two (mental and physical health) scores of the Short Form Health Questionnaire SF-8. The Gini-coefficient was used to quantify the regional economic variation within Hamburg. Linear and logistic regression analyses were performed. Regional levels were 68 city district clusters in Hamburg. The analysis included n = 8192 participants living at least five years in Hamburg at the time of participation in the HCHS. There was a spatial variation in the prevalence of arterial hypertension within Hamburg. Prevalence rates between city district clusters ranged from 50.0% to 88.5%. The results showed that city district clusters with a worse subjective perception of the living environment were partly associated with an increased prevalence of arterial hypertension. Furthermore, a negative association was observed between arterial hypertension prevalence and the sociodemographic status of participants in the city district clusters. Thus, participants with a high level of education suffered less frequently from arterial hypertension than participants with a rather low level of education. The subjective living environment index and quality of life were significantly related to the occurrence of arterial hypertension; however, more extensive and detailed studies are necessary to derive possible clinical implications.
Prediction of Spatiotemporal Changes in Sloping Cropland in the Middle Reaches of the Yangtze River Region under Different Scenarios
Authors: Yao Xiaowei , Luo Ting , Xu Yingjun , Chen Wanxu , Zeng Jie
Published: December 2022

With the rapid urban expansion and extensive occupation of cropland, sloping cropland has become an important cropland resource across China. How sloping cropland will change under different socioeconomic scenarios is poorly understood. Therefore, we modeled land-cover change using SSP-RCP multi-scenario simulations and analyzed the evolution and driving factors of sloping cropland change in the middle reaches of the Yangtze River Region (MRYRR). The results indicate the following: In the past twenty years, the cropland and sloping cropland areas in this region declined but the proportion of sloping cropland in total area has been increasing. The average slope of sloping cropland has increased from 7.95° to 8.28°. By 2035, the sloping cropland and total cropland areas will continue to decrease according to the current trend (SSP2-4.5). The average slope will increase maximally to 8.63° under the SSP4-3.4 scenario and minimally to 8.45° under the SSP4-6.0 scenario. Under SSP4-3.4, the extent of slope increase will exceed that in 2005–2010, when regional cropland slope showed the strongest increase in the past. Among 14 social, economic, and ecological factors, average annual precipitation and GDP contributed the most to the change in sloping cropland. This study provides support for decision-making in sustainable land resource allocation to balance urban expansion and cropland conservation.
Musculoskeletal Pain in Family Caregivers: Does a Therapeutic Physical Program in Primary Care Work? A Randomized Controlled Trial
Authors: Montero-Cuadrado Federico , Barrero-Santiago Laura , Llamas-Ramos Rocío , Llamas-Ramos Inés
Published: December 2022

Background: Family caregivers play a crucial role in the overall healthcare system and in our society. The elderly population is significantly increasing, which creates a high demand for family caregivers. Few studies have investigated the impact of caregiving on musculoskeletal pain or proposed an active approach for dealing with it. Objectives: To determine and characterize musculoskeletal pain in female family caregivers (FFCs) and assess the effects of adding a therapeutic exercise program to a family caregiver care program (FCCP) on the quality of life, physical conditions, and psychological well-being of FFCs. Methods: A multicenter randomized controlled clinical trial was conducted with 68 FFCs recruited in two public healthcare areas. The intervention and control groups received the same conventional FCCP for 6 h across 4 sessions. The intervention group received an additional 36 sessions of physical therapeutic exercise (PTE) program over 12 weeks. Results: All caregivers reported having pain in particular locations. Lower back pain and neck pain were the locations most frequently cited, with a prevalence of 69.4% and 56.7%, respectively. In total, 80% of participants presented moderate pain intensity. The intervention group showed a significant decrease in the intensity of the pain (p < 0.001), as well as in anxiety, depression, subjective burden perception (p < 0.01), and quality-of-life variables, including MCS (mental component summary) (p < 0.05) and PCS (physical component summary) (p < 0.001). Conclusions: A PTE program improved the musculoskeletal pain of FFCs in a clinically relevant way. The caregivers who improved the most were those who initially presented the most intense pain, had the greatest levels of disability, and had the lowest quality of life.
Diabetic Foot Complications: A Retrospective Cohort Study
Authors: Stancu Bogdan , Ilyés Tamás , Farcas Marius , Coman Horațiu Flaviu , Chiș Bogdan Augustin , Andercou Octavian Aurel
Published: December 2022

Diabetes mellitus is a highly prevalent disease globally and contributes to significant morbidity and mortality. As a consequence of multiple pathophysiologic changes which are associated with diabetes, these patients frequently suffer from foot-related disorders: infections, ulcerations, and gangrene. Approximately half of all amputations occur in diabetic individuals, usually as a complication of diabetic foot ulcers. In this retrospective study, we analyzed and characterized a cohort of 69 patients and their diabetes-related foot complications. The main characteristics of our cohort were as follows: older age at diagnosis (mean age 66); higher incidence of diabetes in males; predominantly urban patient population. The most frequent complications of the lower extremity were ulcerations and gangrene. Moreover, in our study, 35% of patients required surgical reintervention, and 27% suffered from complications, while 13% required ICU admission. However, diabetic foot lesions are preventable via simple interventions which pointedly reduce foot amputations. Early identification and the appropriate medical and surgical treatment of the complications associated with diabetic foot disease are important because they still remain common, complex and costly.
Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health
Authors: Ma Guangbo , Xu Kun
Published: December 2022

Long-term care insurance (LTCI) is a significant approach in the effort to actively manage aging and the currently unmet need for aged care in China. Based on data from the 2011, 2013, 2015, and 2018 phases of the China Health and Retirement Longitudinal Study, we used the propensity score matching-difference in difference (PSM-DID) approach to explore the impact of LTCI on out-of-pocket medical expenses and self-rated health. Results showed that LTCI can significantly reduce out-of-pocket medical expenses by 37.16% (p < 0.01) per year and improve self-rated health by 5.73% (p < 0.01), which conforms to the spirit of “value-based health care”. The results were found to be stable in the robustness tests conducted. Currently, China is at the intersection of “low-value-based health care” and “value-based health care”. Improving the health level of aged individuals while keeping medical costs under reasonable control is crucial for formulating and implementing a new round of healthcare reform in China.
Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)
Authors: Choi Heejung , Shim Jaelan
Published: December 2022

The purpose of this study is to verify the relationship between oral health behaviors and depression and influencing factors on depression to establish strategies that can contribute to improvement of mental health problems such as depression in vulnerable social class recipients. This study is a descriptive correlation study conducted on basic livelihood recipients over the age of 19 who responded to the 6th~7th (2013~2018) National Health and Nutrition Examination Survey. In this study, a total of 2749 people who met the criteria for subject selection were included in final analysis after requesting and downloading their raw data from the National Health and Nutrition Examination Survey through the consent process mandated by the Korea Centers for Disease Control and Prevention. Of the 2749 subjects, 279 were diagnosed with depression, accounting for 10.1% of the total. The collected data were analyzed using t-tests and chi-squared tests, and factors affecting depression were analyzed by logistic regression analysis. Our results showed that the factors affecting depression were 1.74 times for men (95% CI = 1.29–2.24), 1.37 times for older people (95% CI = 1.01–1.87), and 1.66 times for low education (95% CI = 1.21–2.27). Subjects with impairment in daily activities had 1.89 times (95% CI = 1.43–2.52) higher risk. Subjects with moderate physical activity and subjects with economic activity showed a lower risk (95% CI = 0.30–0.73) and 0.52 times (95% CI = 0.30–0.72), respectively, than subjects who did not. We confirmed that the probability of being diagnosed with depression decreased, and the perceived health status was 0.36 times lower (95% CI = 0.22–0.61) than those with good status. Therefore, it is necessary to prepare countermeasures that reflect various aspects in consideration of not only age and gender, but also daily life and emotional state when establishing policies for vulnerable classes such as recipients of basic livelihood.
The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker Health® Approach in a Hospital
Authors: Di Prinzio Reparata Rosa , Bondanini Giorgia , De Falco Federica , Vinci Maria Rosaria , Camisa Vincenzo , Santoro Annapaola , De Santis Marcello , Raponi Massimiliano , Dalmasso Guendalina , Zaffina Salvatore
Published: December 2022

The risk of aggression against healthcare workers (HCWs) is a globally well-known topic. However, workplace violence (WV) is often considered as part of HCW’s job, leading to a general underreporting. This cross-sectional study aims at providing a descriptive analysis of aggressive acts against HCWs registered in a 34-month period in a pediatric hospital. According to a specific protocol, each aggressive act was analyzed by a multidisciplinary team using the “Modified Overt Aggression Scale” (MOAS), the “General Health Questionnaire-12” (GHQ-12), and the “Short Form-36 Health Survey” (SF-36) to build a report addressing improvement measures. A three-domain model of WV was also developed considering: (1) assaulted HCWs, (2) attacker-related issues, and (3) environmental context. Contributing factors to overt aggression were outlined and tested using univariate analyses. Statistically significant factors were then included in a multiple linear regression model. A total of 82 aggressive acts were registered in the period. MOAS scores registered a mean value of 3.71 (SD: 4.09). Verbal abuse was the most common form of WV. HCWs professional category, minor psychiatric disorder, emotional role limitation, type of containment used, and emotion intensity were significantly associated with overt aggression (p < 0.05), as well as the attacker’s role in the hospital (p < 0.05). The multiple regression analysis confirmed these findings (p < 0.001). Raising awareness on the aggression risk and contributing factors may lead to a relevant improvement of workplace environment, individual workers’ health, and organizational well-being.
The Impact of Residences and Roads on Wind Erosion in a Temperate Grassland Ecosystem: A Spatially Oriented Perspective
Authors: Zhou Zhuoli , Zhang Zhuodong , Zhang Wenbo , Luo Jianyong , Zhang Keli , Cao Zihao , Wang Zhiqiang
Published: December 2022

The existence of residences and roads is an important way in which human activity affects wind erosion in arid and semiarid environments. Studies assessing the impact of these elements on wind erosion have only focused on limited plots, and their threat of erosion to the surrounding environment has been ignored by many studies. This study was based on spatially overlayed analysis of independent wind erosion distribution simulated by the revised wind erosion equation (RWEQ) and remote-sensing-image-derived residence and road distribution data. Wind erosion at different distances from residences and roads was quantified at the landscape scale of a typical temperate grassland ecosystem, explicitly demonstrating the crucial impacts of both elements on wind erosion. The results showed that wind erosion weakened as the distance from residences and roads increased due to the priority pathways of human activities, and the wind erosion around the residence was more severe than around the road. Human activities in the buffer zones 0–200 m from the residences most frequently caused severe wind erosion, with a wind soil loss of 25 t ha−1 yr−1 and a wind soil loss of approximately 5.25 t ha−1 yr−1 for 0–60 m from the roads. The characteristics of wind erosion variation in the buffer zones were also affected by residence size and the environments in which the residences were located. The variation in wind erosion was closely related to the road levels. Human activities intensified wind erosion mainly by affecting the soil and vegetation around residences and roads. Ecological management should not be limited to residences and roads but should also protect the surrounding environments. The findings of this study are aimed towards a spatial perspective that can help implement rational and effective environmental management measures for the sustainability of wind-eroded ecosystems.
Knowledge Ecology and Policy Governance of Green Finance in China—Evidence from 2469 Studies
Authors: Li Junjie , Zhang Bei , Dai Xin , Qi Meng , Liu Bangfan
Published: December 2022

CiteSpace was used to visualize the knowledge ecology of the green finance research literature in CNKI and WOS, and NVivo software was used to root the code analysis of the current green finance policies in China. From the analysis of the research hotspots, both in China and internationally, great importance is attached to the research on green finance, and the research on green financialization has broad prospects. The core group of authors on green finance research in China has taken shape, whereas the core group of authors of green finance research in the rest of the world has not yet taken shape. There is a lack of close cooperation and a relatively low level of communication among important domestic green finance research institutions, and a certain scale of cooperation network has been formed among influential international institutions. The major countries for influential international green finance research are Singapore, France, Switzerland, Canada and Saudi Arabia, and the international influence of China’s green finance needs to be improved. Both domestic and foreign countries attach great importance to the balance between economic growth and the low-carbon green transition. China attaches more importance to macroeconomic development and strategic transition, but internationally, the trend is toward microcorporate green performance, policy optimization and market innovation. The research focus of green finance has achieved in three stages of evolution, namely, green industry in the early stage, green services in the middle stage and green strategy in the near future. International green finance research focuses on climate change, market players, government performance, social responsibility sharing, etc. In particular, reducing the cost of green development is the focus of international green finance. The domestic focus is on climate risk, carbon neutrality, carbon peak, low-carbon transition, carbon reduction, and green transition themes. Internationally, the focus is on financial performance, decisions, green finance, credit, drivers, quality, socially responsible investment and other topics. Considering the practical implementation of green finance in China, the governance logic of China’s green finance policy consists of five main categories: policy belief, policy objective, policy tool, policy feedback and policy cycle. In the future, the development and improvement of China’s green finance policy should achieve breakthroughs in the following aspects: first, guiding the main body of green finance policy to firmly establish policy beliefs; second, improving the clarity of green finance policy objectives; third, enhancing the overall effectiveness of the governance of green financial policy instruments; fourth, strengthening the green finance incentive policy feedback system construction; and fifth, improving the quality of green finance policy cycles.
Cognitive Enhancement through Differential Rope Skipping after Math Lesson
Authors: Burdack Johannes , Schöllhorn Wolfgang I.
Published: December 2022

Numerous studies have shown cognitive enhancement through sport and physical exercise. Despite the variety of studies, the extent to which physical activity before or after a cognitive learning session leads to more effective cognitive enhancement remains largely unresolved. Moreover, little attention has been paid to the dependence of the motor learning approach then applied. In this study, we compare the influence of differential with uniformly rope skipping directly succeeding an acquisition phase in arithmetic mathematics. For three weeks 26 pupils, 14 female, 12 male, and 13.9 ± 0.7 years old, completed nine 15 min exercises in arithmetic math, each followed by 3 min rope skipping with heart rate measurement. Arithmetic performance was tested in a pre-, post- and retention test design. The results showed a statistically significant difference between the differential and the control groups within the development of arithmetic performance, especially in the retention test. There was no statistical difference in heart rate. It is suggested that the results provide evidence for sustainable improvements of cognitive learning performance by means of highly variable rope skipping.
Science Mapping: A Bibliometric Analysis on Cyberbullying and the Psychological Dimensions of the Self
Authors: Denche-Zamorano Ángel , Barrios-Fernandez Sabina , Galán-Arroyo Carmen , Sánchez-González Sebastián , Montalva-Valenzuela Felipe , Castillo-Paredes Antonio , Rojo-Ramos Jorge , Olivares Pedro R.
Published: December 2022

Cyberbullying prevalence is increasing in the world, being a form of abuse that follows victims into their most intimate settings. Cyberbullying affects victims’ mental health, self-esteem, emotions, and academic performance. Cyberbullies present low levels of self-control and empathy. This research aimed to map scientific research on Cyberbullying and the Psychological Dimensions of the Self. A bibliometric analysis of scientific documents published in journals indexed in the Web of Science (WoS) was performed. Traditional bibliometric laws were applied and VOSviewer was used to generate visualizations. The annual publications followed exponential growth. Computers in Human Behaviour was the journal with the most publications. Researchers from the USA and Spain were the most prolific. Sameer Hinduja and Justin Patchin were the most cited authors. Hence, there is a growing interest among researchers in Cyberbullying and the emotional aspects of children and adolescents. The USA and Spain were the leading countries in research on this subject. Rosario Ortega-Ruiz, Sameer Hinduja and Justin Patchin were the most prolific and influential authors.
The Efficacy of an Immersive Virtual Reality Exergame Incorporating an Adaptive Cable Resistance System on Fitness and Cardiometabolic Measures: A 12-Week Randomized Controlled Trial
Authors: Mologne Mitchell S. , Hu Jonathan , Carrillo Erik , Gomez David , Yamamoto Trent , Lu Stevin , Browne Jonathan D. , Dolezal Brett A.
Published: December 2022

Exergaming, combining elements of video game into the realm of exercise, has recently incorporated immersive virtual reality (IVR) with resistance training. Thirty-two participants (14 females, mean age = 24.3) were randomized to IVR or self-directed control group (SELF) and worked out thrice weekly for 12 weeks (for 36 sessions). The IVR group spent 14 fewer minutes per session (p < 0.001) while reporting the sessions “enjoyable’. Compared to SELF, the IVR group had significantly greater improvement in changes from baseline to post-training in upper-and-lower muscular strength (1-RM) and muscular endurance (85% 1-RM) (14.3 kg vs. 10.0 kg for 1-RM upper, 28.6 kg vs. 22.5 kg for 1-RM lower, 2.6 reps vs. 1.9 reps for 85% 1-RM of upper, 2.7 vs. 2.0 reps for 85% 1-RM of lower, all p < 0.001), peak leg power (1424 vs. 865 W, p < 0.001), body fat% (−3.7% vs. −1.9%, p < 0.001), heart rate variability (4.3 vs. 1.8 ms, p < 0.001), rVO2max (3.28 vs. 0.89 mL/min/kg, p < 0.001) with decreased systolic BP (−0.4 vs. −2.3 mmHg, p < 0.001), and level of perceived exertion during workouts (RPE 14 vs. 16, p < 0.001). With its high-paced and action-filled gaming coupled with superior fitness and cardiometabolic outcomes, this IVR exergaming platform should be considered as another exercise modality for performance and health-related training.
High-Speed Railway Access Pattern and Spatial Overlap Characteristics of the Yellow River Basin Urban Agglomeration
Authors: Xiong Yajun , Tang Hui , Xu Tao
Published: December 2022

With the rapid development of high-speed railway (HSR) transportation in China, its impact on regional spatial patterns and shaping has become increasingly significant. This study took seven urban agglomerations in the Yellow River Basin as the research object, using the 2 h HSR access time in the Yellow River Basin to comparatively analyze the differences in HSR access in the urban agglomeration in the Yellow River Basin, and using the 3 h HSR access to central cities as the background to conduct regional division and overlapping space identification through cross-regional economic links, before finally selecting the overlapping city of Changzhi for long-term space development strategic planning. The main conclusions were as follows: First, the low-value area of HSR travel time in the Yellow River Basin urban agglomerations was biased toward the center of the urban agglomerations, while the peripheral areas were relatively high-value travel traffic circles, and the HSR travel time showed a circular spatial pattern characteristic of continuous expansion from the center to the peripheral areas. Four urban agglomerations in the upper reaches of the city achieved a 2 h access pattern within the urban agglomeration, whereas three urban agglomerations in the middle and lower reaches of the city only reached the 2 h access level in the center. Second, the Yellow River Basin was divided into six community spaces using the SLPA model based on the economic linkage between the central city and other cities, which were filtered by the 3 h access time from the central city to each city for HSR travel. Three of the six communities produced overlapping spaces, i.e., Community 3 and Community 4 produced overlapping spaces containing Linfen, Community 3 and Community 5 produced overlapping spaces containing Changzhi, Handan, and Xingtai, and Community 4 and Community 5 produced overlapping spaces containing Yuncheng and Sanmenxia. Third, the overlapping space of Changzhi City was selected as a case study for a visionary strategic planning outlook. Combining the geographic location characteristics and future development opportunities of Changzhi, we can try to transform a pass-through node like Changzhi into a hub node in the future, strengthening the gateway status and expanding the hinterland. According to the results of the research and analysis, policymakers can try to implement the expansion and renovation of HSR trunk lines, break the transportation bottlenecks in less developed areas, improve the coverage of the HSR network, and establish a “cross-urban agglomeration” cooperation and coordination mechanism.