bluuebunny/crossref_metadata_2025 huggingface dataset:
Revealing underlying factors of absenteeism: A machine learning approach
Authors: Bowen Francis , Gentle-Genitty Carolyn , Siegler Janaina , Jackson Marlin
Published: December 2022

Introduction

The basis of support is understanding. In machine learning, understanding happens through assimilated knowledge and is centered on six pillars: big data, data volume, value, variety, velocity, and veracity. This study analyzes school attendance problems (SAP), which encompasses its legal statutes, school codes, students’ attendance behaviors, and interventions in a school environment. The support pillars include attention to the physical classroom, school climate, and personal underlying factors impeding engagement, from which socio-emotional factors are often the primary drivers.

Methods

This study asked the following research question: What can we learn about specific underlying factors of absenteeism using machine learning approaches? Data were retrieved from one school system available through the proprietary Building Dreams (BD) platform, owned by the Fight for Life Foundation (FFLF), whose mission is to support youth in underserved communities. The BD platform, licensed to K-12 schools, collects student-level data reported by educators on core values associated with in-class participation (a reported—negative or positive—behavior relative to the core values) based on Social–Emotional Learning (SEL) principles. We used a multi-phased approach leveraging several machine learning techniques (clustering, qualitative analysis, classification, and refinement of supervised and unsupervised learning). Unsupervised technique was employed to explore strong boundaries separating students using unlabeled data.

Results

From over 20,000 recorded behaviors, we were able to train a classifier with 90.2% accuracy and uncovered a major underlying factor directly affecting absenteeism: the importance of peer relationships. This is an important finding and provides data-driven support for the fundamental idea that peer relationships are a critical factor affecting absenteeism.

Discussion

The reported results provide a clear evidence that implementing socio-emotional learning components within a curriculum can improve absenteeism by targeting a root cause. Such knowledge can drive impactful policy and programming changes necessary for supporting the youth in communities overwhelmed with adversities.
Narcissism on interpersonal circumplex model: Reactions to imaginary abandonment and rejection
Authors: Şen-Pakyürek Gamze , Barışkın Elif
Published: December 2022

Aim

Narcissism is a direct result of the lack of self-expression. Thus, this trait is enshrined in cycles of strategies to protect self-worth in interpersonal relationships. The aim of the present study was to understand in what way narcissistic individuals understand their interactions with themselves and others.

Method

The study included two groups comprising high grandiose narcissism (GN,n= 43) and high vulnerable narcissism (VN,n= 44). The participants who received scores that were one standard deviation (SD) above the mean, either on the PNI-grandiosity or on the PNI-vulnerable dimensions, constituted the GN and VN groups among 518 students (Age:M= 23.57,Sd= 2.13).

Results

The chi-square test was performed to evaluate the dimensions of narcissism with respect to responses of the participants and their partners (behavioral, cognitive, and emotional). The Pathological Narcissism Inventory (PNI) was administered to evaluate narcissistic characteristics. The “Criticism Story” of the Story Completion Inventory in Romantic Relationships (SCIRR) was used for criticism. The circular pattern between the responses of the participants and their partners was examined using the Interpersonal Schemas Scale (ISS). The results revealed that the vulnerable group gave more complementary responses emotionally and made more complementary predictions in terms of the expected reactions from the romantic partner than the grandiose group.

Discussion

The results were discussed in reference to the basic self-esteem-protecting motivations of the groups.
Screen time and associated risks in children and adolescents with autism spectrum disorders during a discrete COVID-19 lockdown period
Authors: Berard Mathilde , Peries Marianne , Loubersac Julie , Picot Marie-Christine , Bernard Jonathan Y. , Munir Kerim , Baghdadli Amaria
Published: December 2022

Background

The COVID-19 pandemic may affect the screen time of children and adolescents with Autism Spectrum Disorders (ASD). This study aimed to examine the screen time of children and adolescents with ASD during a discrete lockdown period in France and identify risk factors for excessive screen time.

Methods

The study sample consisted of 249 ASD subjects, 3–17 years of age, enrolled in the ELENA cohort. Information about the screen time was collected using the COVID-19 questionnaire specially created for this study. The clinical, socio-demographic and familial characteristics were collected from the last ELENA follow-up visit.

Results

More than one third of subjects exceeded recommended levels of screen time and almost half of parents reported that their child spent more time using screen since COVID-19 pandemic beginning. Excessive screen time was significantly related to age with higher screen time in adolescents. Risk factors for excessive screen time were high withdrawn behaviors and low socioeconomic status for children, and older age and male gender for adolescents.

Conclusion

These results imply to adapt the recommendations already formulated in general population concerning the good use of screens in youth with ASD. Specific recommendations and suitable guidance are needed to help children and adolescents with ASD and their parents implement the more optimal use of screen time activities for educational, therapeutic and social goals.

Trial registration number

NCT02625116.
Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study
Authors: Zhu Junhong , Qian Rui , Zhong Hao , Li Yi , Liu Xuebing , Ma Jun
Published: December 2022

Background

Many studies have shown that in the context of public health emergencies, the incidence rate of adolescent non-suicidal self-injury (NSSI) patients increased dramatically. This paper aims to characterize the behavioral characteristics of adolescent NSSI and analyze the influencing factors of NSSI behavior addiction characteristics.

Methods

Our research was a case-control study which included 84 adolescents with NSSI (female vs. male: 59 vs. 25) and 84 healthy controls (female vs. male: 53 vs. 31). All the participants enrolled were aged 12-18 years. The differences in the scores of the following five scales were compared between the case and control groups: Egna Minnen Barndoms Uppfostran (EMBU), Perceived Social Support Scale (PSSS), Perceived Stress Scale (PSS); Bergen Social Media Addiction Scale (BSMAS) and Video Game Dependence Scale (VDG-S). The characteristics of NSSI behavior of the study group were evaluated using the Ottawa Self Inventory Chinese Revised Edition (OSIC). And a binary logistic regression model was developed to analyze the factors that influence adolescent NSSI behavioral addiction characteristics.

Results

In the study group, the emotional warmth scores in the father’s and mother’s rearing style scores in the EMBU were significantly lower than the controls. The BSMAS and VDG-S scores were significantly higher than those in the control group. 38 cases of NSSI with addiction characteristics accounted for 45.24% in the study group. The risk factors for NSSI addiction traits were as follows: female, single-child, high level of VDG-S scores, high scores of excessive interferences in father’s rearing style, and high scores of punishments and excessive interferences in mother’s rearing style score.

Conclusion

Female, only child, internet addiction, and negative parenting styles were predictors of NSSI behavioral addiction characteristics in adolescents. Targeted coping strategies should be developed to reduce the occurrence and development of self-injurious behavior, especially for female adolescents with Internet dependence in one-child families with negative parenting styles.
Caffeine is negatively associated with depression in patients aged 20 and older
Authors: Bao Jing , Li Peile , Guo Yang , Zheng Yanxu , Smolinski Michael , He Jinshen
Published: December 2022

Introduction

Previous studies have observed the association between caffeine intake and depression, but few have considered the potential threshold effect of this issue. Therefore, the study aimed to examine the association between caffeine consumption and depression in patients aged 20 years or older using curve fitting analysis.

Methods

The population was 3,263 patients from the 2017 to 2018 National Health and Nutrition Examination Survey (NHANES) with reliable answers to questions of caffeine intake and depression. Participants’ depression levels were assessed using the 9-item Patient Health Questionnaire (PHQ-9) depression scale and the caffeine consumption were investigated in a private room of NHANES. The confounding variables of this study included level of education, monthly sleepiness, age, marital status, race, cigarette smoking, sex and recreational activities.

Results

In linear regression analysis, patients with a higher PHQ-9 score tend to have less caffeine intake. A similar conclusion was drawn in logistic regression model using PHQ-9 ≥ 10 as a cut-off score for depression. But when caffeine intake exceeded 90 mg, there was no significant association between caffeine intake and depression based on the curve fitting analysis.

Discussion

These results suggest that people can consume some caffeine to reduce depression. But further study is needed to examine the precise causal relationship between these factors.
Therapeutic use of psilocybin: Practical considerations for dosing and administration
Authors: MacCallum Caroline A. , Lo Lindsay A. , Pistawka Carly A. , Deol Jagpaul Kaur
Published: December 2022

The interest in psilocybin as a therapeutic approach has grown exponentially in recent years. Despite increasing access, there remains a lack of practical guidance on the topic for health care professionals. This is particularly concerning given the medical complexity and vulnerable nature of patients for whom psilocybin-assisted psychotherapy may be considered. This article aims to provide health care professionals with an overview of practical considerations for psilocybin therapy, rooted in a patient safety focus. Within this piece we will review basic psilocybin pharmacology and pharmacokinetics, indications, practical therapeutic strategies (e.g., dosing, administration, monitoring) and safety considerations (e.g., contraindications, adverse events, and drug interactions). With this information, our goal is to increase the knowledge and comfort of health care professionals to discuss and counsel their patients on psilocybin therapy, ultimately improving patient care and safety.
Non-suicidal self-injury motivations in the light of self-harm severity indicators and psychopathology in a clinical adolescent sample
Authors: Reinhardt Melinda , Rice Kenneth G. , Horváth Zsolt
Published: December 2022

Introduction

Adolescents with psychiatric problems are also considered a vulnerable population in terms of non-suicidal self-injury (NSSI). In the current study, we examined the associations of interpersonal and intrapersonal NSSI motivations with several NSSI severity indicators and psychopathological characteristics.

Materials and methods

In a cross-sectional research design, 158 adolescents (83.5% girls; mean age = 16.10 years; SD = 1.49) who have received inpatient or outpatient psychiatric treatment completed the Inventory of Statements About Self-Injury, the Strengths and Difficulties Questionnaire, and the Self-Critical Rumination Scale.

Results

More than two-thirds of the sample (75.3%; n = 119) reported at least one episode of NSSI in their life, and 45.38% (n = 54) have engaged in NSSI in the past month (current self-injury). The results indicated that only intrapersonal NSSI functions were linked to NSSI severity indicators (current and repetitive NSSI, versatility), interpersonal functions were not. Furthermore, a number of psychopathological features (co-occurring mental disorders, presence of a mood disorder, more internalizing mental illness symptoms, and more pronounced self-critical rumination) were associated with engaging in NSSI for intrapersonal reasons. We also identified other differences within the specific intrapersonal NSSI motivations. It should be highlighted that the anti-suicide function of NSSI behaved in exactly the opposite way as the other intrapersonal motivations.

Discussion

All this points to the fact that in clinical settings, detailed assessment of NSSI motivations and severity indicators can help to develop a more effective treatment plan.
Acupuncture in treating cardiovascular disease complicated with depression: A systematic review and meta-analysis
Authors: Lu Lu , He Weiming , Guan Dandan , Jiang Yuanyuan , Hu Guangyong , Ma Feixiang , Chen Li
Published: December 2022

Background

Depression is a serious risk for cardiovascular disease (CVD). Improving depression can alleviate cardiac symptoms and improve quality of life. Studies have shown that acupuncture has a positive effect on depression and CVD. This systematic review and meta-analysis will evaluate the efficacy and safety of acupuncture in the treatment of depression complicated with CVD.

Methods

We searched PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, and China Biomedical Literature databases. Randomized controlled trials of acupuncture vs. standard care or sham acupuncture or antidepressants were included. The retrieval time is from database construction to 07 April 2022. We used the “risk of bias” tool of Cochrane Collaboration, and the Review Manager (RevMan.) Version 5.4.1 for statistics analysis. Primary outcomes included Hamilton scale for depression (HAMD), self-rating depression scale (SDS), and the effective rate of depression. Secondary outcomes included frequency of angina pectoris and visual analogue scale (VAS) scores for angina pain.

Results

A total of 2,366 studies were screened based on the search strategy. Twelve eligible studies with a total of 1,203 participants have been identified. The result showed that acupuncture reduced the HAMD score [weighted mean difference (WMD): −3.23; 95% confidence interval (CI): −5.38 to −1.09; P = 0.003] and the SDS score (WMD: −1.85; 95% CI: −2.14 to −1.56; P < 0.00001) in patients with depression complicated with CVD. Acupuncture also improved the effective rate of depression (risk ratio: 1.15; 95% CI: 1.03 to 1.29; P = 0.01). The result also showed that acupuncture reduced the attack frequency of angina pectoris (WMD: −4.54; 95% CI: −5.96 to −3.11; P < 0.00001) and the VAS score for angina pain (WMD: −0.72; 95% CI: −1.06 to −0.38; P < 0.0001). This article reviewed the significant advantages of acupuncture for depression and the superiority of acupuncture over no-intervention therapy, antidepressant therapy, and psychotherapy in reducing angina frequency and pain intensity in patients with CVD.

Conclusion

This systematic review suggested that acupuncture was a good complementary and alternative therapy for CVD complicated with depression. Considering the limitations of the included research literature, it is still necessary to perform multi-center, large-sample, and double-blind high-quality studies to provide higher-level evidence in the later stage.

Systematic review registration

[https://www.crd.york.ac.uk/prospero/], identifier [CRD42022304957].
The higher-order structure of early maladaptive schemas: A meta-analytical approach
Authors: Thimm Jens C.
Published: December 2022

Background

Early maladaptive schemas (EMSs) are themes regarding oneself and one's relationship with others. In schema therapy, 18 EMSs are described that were initially proposed to be clustered in five domains. The current EMS model comprises four domains. However, empirical investigations into the grouping of EMSs have yielded divergent results. The purpose of the present study was to use a meta-analytical approach to examine the higher-order organization of EMSs.

Methods

To be included in the statistical analyses, studies had to report the associations between all 18 EMSs using a form of the Young Schema Questionnaire. In a systematic literature review in PsycInfo, Embase, MEDLINE, Web of Science, and Google scholar, 27 studies were identified that reported the associations between EMSs in 33 independent samples (N = 13,958, Mage = 16–72.3 years, 64.0% female). The correlations between EMSs were pooled across samples and analyzed using confirmatory factor analysis (CFA) and principal component analysis (PCA).

Results

The CFA results showed weak support for any of the previously suggested EMS domains. After PCA, four EMS domains were retained that closely resembled the theoretically proposed organization of EMSs. The four components showed fair to good congruence in the clinical and non-clinical subsamples. However, a model with three EMS domains showed a simpler structure.

Discussion

The results suggest a need for further theoretical and empirical clarification of the higher-order structure of EMSs.

Systematic review registration

https://osf.io/57wyz.
Case report: Treatment of psychiatric symptoms for an acromegalic patient with pituitary adenoma
Authors: Shi Zhongyong , Cong Enzhao , Wu Yan , Mei Xinchun , Wang Yun , Peng Daihui
Published: December 2022

Acromegalic patients always demonstrate a wide range of clinic manifestations, including typical physical changes such as acral and facial features, as well as untypical neuropsychiatric and psychological disturbances. However, there is still a lack of clinical guidance on the treatment for acromegalic patients with psychiatric comorbidities. We therefore share this case to provide a reference for clinicians to manage the acromegalic patients with psychiatric symptoms. This case report describes a 41-year-old male with an 8-year history of acromegaly due to growth hormone-secreting pituitary adenoma, the maximum cross-sectional area of which was 42 mm × 37 mm demonstrated by pituitary magnetic resonance imaging (MRI). The patient received conservative medicine treatment by regularly injecting with Sandostatin LAR 10 mg per month. Two days before admission, he suddenly presented with an acute psychotic episode. In addition to the typical acromegaly-associated changes, his main clinical presentations were olfactory/auditory hallucinations, reference/persecutory delusions, instable emotion and impulsive behavior. Considering the schizophrenic-like psychoses and course features, he was diagnosed with Brief Psychotic Disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) after a multidisciplinary consultation and evaluation. He was prescribed Aripiprazole, which had less extrapyramidal symptoms and minimal influence on prolactin elevation, with the dose of 5 mg per day to control the psychiatric symptoms and he responded quite well. At the time of discharge and the follow-up 2 month later, the patient was stable without recurrence of any psychotic symptoms. The levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1) 1 week after discharge were 2.22 ng/mL [normal range (0–2.47 ng/mL)] and 381 μg/L [normal range (94–284 μg/L)], respectively, which were similar to those before the psychotic episode. Results from this report further supported that small dose of Aripiprazole had little influence on hormonal levels and the development of pituitary macroadenoma. This particular case emphasizes the importance for the clinician to master and carefully identify the possible symptoms of mental disorders associated with acromegaly, and also highlights the need for further investigation in more efficient treatment strategies for acromegalic cases with psychiatric comorbidities.
The role of models as a decision-making support tool rather than a guiding light in managing the COVID-19 pandemic
Authors: Niv-Yagoda Adi , Barnea Royi , Rubinshtein Zilberman Efrat
Published: December 2022

Reference scenarios based on mathematical models are used by public health experts to study infectious diseases. To gain insight into modeling assumptions, we analyzed the three major models that served as the basis for policy making in Israel during the COVID-19 pandemic and compared them to independently collected data. The number of confirmed patients, the number of patients in critical condition and the number of COVID-19 deaths predicted by the models were compared to actual data collected and published in the Israeli Ministry of Health's dashboard. Our analysis showed that the models succeeded in predicting the number of COVID-19 cases but failed to deliver an appropriate prediction of the number of critically ill and deceased persons. Inherent uncertainty and a multiplicity of assumptions that were not based on reliable information have led to significant variability among models, and between the models and real-world data. Although models improve policy leaders' ability to act rationally despite great uncertainty, there is an inherent difficulty in relying on mathematical models as reliable tools for predicting and formulating a strategy for dealing with the spread of an unknown disease.
A cross-sectional study on the response abilities of clinical and preventive medical students in public health emergency
Authors: Yu Yao , Qin Yixuan , Liao Yuxuan , Yang Zijiang , Wen Puqiao , Wu Jianzhen , Rong Pengfei
Published: December 2022

Inconsistent training programs for public health emergency (PHE) have been criticized as a contributing factor in PHE's managerial weak points. In response, to analyze the relevant discrepancies among the medical students in the class of 2021 from Xiangya School of Medicine of Central South University, the present study conducted an online questionnaire survey using convenience sampling. The questionnaire comprised four sections, including the basic information, the subjective cognition in PHE, the rescue knowledge and capabilities of PHE, and the mastery of PHE regulations and psychological intervention abilities. To compare the abovementioned aspects, related data were collected from 235 medical students divided into two groups, namely, clinical medical students (Group A) and preventive medical students (Group B). We found a more positive attitude in PHE (P = 0.014) and a better grasp of the PHE classification (P = 0.027) and the reporting system in group B compared with group A. In addition, even if group B showed the same response capability in communicable diseases as group A, the former had less access to clinical practice, resulting in poorer performance in the noncommunicable diseases during a fire, flood, and traffic accidents (P = 0.002, P = 0.018, P = 0.002). The different emphasis of each training program contributed to the uneven distribution of abilities and cognition. Meanwhile, the lack of an integrated PHE curriculum led to unsystematic expertise. Hence, to optimize the PHE management system, equal attention should be paid to medical students with diverse majors along with a complete integrated PHE curriculum.
Serial testing of latent tuberculosis infection in patients with diabetes mellitus using interferon-gamma release assay, tuberculin skin test, and creation tuberculin skin test
Authors: He Yijun , Cao Xuefang , Guo Tonglei , He Yongpeng , Du Ying , Zhang Haoran , Feng Boxuan , Du Jiang , Zhang Bin , Wang Kun , Yan Jiaoxia , Wang Dakuan , Liu Zisen , Pan Shouguo , Xin Henan , Gao Lei
Published: December 2022

Background

Diabetes mellitus (DM) patients with latent tuberculosis infection (LTBI) have an increased risk of developing active tuberculosis (TB) due to impaired immunity. The performance of currently available immune response-based assays for identification of TB infection had been rarely evaluated in patients with type 2 DM (T2DM) in China.

Methods

A prospective study was conducted to investigate the status of LTBI in patients with confirmed T2DM. At the baseline survey, the prevalence of LTBI was tested using interferon-gamma release assay (IGRA), tuberculin skin test (TST) and creation tuberculin skin test (C-TST) in parallel. After a 3-month interval, the participants were retested by the three assays to estimate their performance in the serial testing.

Results

A total of 404 participants with T2DM were included in the study. At baseline, after excluding active TB, the prevalence of LTBI identified by TST (≥ 10 mm), C-TST (≥ 5 mm) and IGRA (≥ 0.35 IU/ml) were 9.65% (39/404), 10.40% (42/404) and 14.85% (60/404), respectively. The concordance of TST and C-TST results with IGRA results was 86.39% (349/404) and 92.08% (372/404) with a Kappa coefficient of 0.37 [95% confidence interval (CI): 0.24– 0.50] and 0.64 (95% CI: 0.53– 0.76), respectively. After a 3-month interval, the continuous results of TST, C-TST and IGRA were observed to be increased with testing conversion for 50, 26 and 27 patients, respectively. For TST and C-TST conversions, the distribution of their quantitative results in serial tests varied significantly when further classified by baseline IGRA dichotomous results.

Conclusion

In studied patients with T2DM, C-TST showed higher consistency with IGRA as compared to TST. The present of conversion observed in serial testing suggested that boosting effect of skin testing should be considered for identify of LTBI in patients with T2DM.
Construction and validation of a COVID-19 pandemic trend forecast model based on Google Trends data for smell and taste loss
Authors: Chen Jingguo , Mi Hao , Fu Jinyu , Zheng Haitian , Zhao Hongyue , Yuan Rui , Guo Hanwei , Zhu Kang , Zhang Ya , Lyu Hui , Zhang Yitong , She Ningning , Ren Xiaoyong
Published: December 2022

Aim

To explore the role of smell and taste changes in preventing and controlling the COVID-19 pandemic, we aimed to build a forecast model for trends in COVID-19 prediction based on Google Trends data for smell and taste loss.

Methods

Data on confirmed COVID-19 cases from 6 January 2020 to 26 December 2021 were collected from the World Health Organization (WHO) website. The keywords “loss of smell” and “loss of taste” were used to search the Google Trends platform. We constructed a transfer function model for multivariate time-series analysis and to forecast confirmed cases.

Results

From 6 January 2020 to 28 November 2021, a total of 99 weeks of data were analyzed. When the delay period was set from 1 to 3 weeks, the input sequence (Google Trends of loss of smell and taste data) and response sequence (number of new confirmed COVID-19 cases per week) were significantly correlated (P < 0.01). The transfer function model showed that worldwide and in India, the absolute error of the model in predicting the number of newly diagnosed COVID-19 cases in the following 3 weeks ranged from 0.08 to 3.10 (maximum value 100; the same below). In the United States, the absolute error of forecasts for the following 3 weeks ranged from 9.19 to 16.99, and the forecast effect was relatively accurate. For global data, the results showed that when the last point of the response sequence was at the midpoint of the uptrend or downtrend (25 July 2021; 21 November 2021; 23 May 2021; and 12 September 2021), the absolute error of the model forecast value for the following 4 weeks ranged from 0.15 to 5.77. When the last point of the response sequence was at the extreme point (2 May 2021; 29 August 2021; 20 June 2021; and 17 October 2021), the model could accurately forecast the trend in the number of confirmed cases after the extreme points. Our developed model could successfully predict the development trends of COVID-19.

Conclusion

Google Trends for loss of smell and taste could be used to accurately forecast the development trend of COVID-19 cases 1–3 weeks in advance.
A theory of change roadmap for universal health coverage in India
Authors: Chaudhuri Angela , Biswas Nilakshi , Kumar Shiv , Jyothi Asha , Gopinath Ranjani , Mor Nachiket , John Preethi , Narayan Thelma , Chatterjee Mirai , Patel Vikram
Published: December 2022

The Theory of Change (ToC) approach is one of the methodologies that the Lancet Citizens' Commission has chosen to build a roadmap to achieving Universal Healthcare (UHC) in India in the next 10 years. The work of the Citizens' Commission is organized around five workstreams: Finance, Human Resources for Health (HRH), Citizens' Engagement, Governance, and Technology. Five ToC workshops were conducted, one for each workstream. Individual workshop outputs were then brought together in two cross-workstream workshops where a sectoral Theory of Change for UHC was derived. Seventy-four participants, drawn from the Commission or invited for their expertise, and representing diverse stakeholders and sectors concerned with UHC, contributed to these workshops. A reimagined healthcare system achieves (1) enhanced transparency, accountability, and responsiveness; (2) improved quality of health services; (3) accessible, comprehensive, connected, and affordable care for all; (4) equitable, people-centered and safe health services; and (5) trust in the health system. For a mixed system like India's, achieving these high ideals will require all actors, public, private and civil society, to collaborate and bring about this transformation. During the consultation, paradigm shifts emerged, which were structural or systemic assumptions that were deemed necessary for the realization of all interventions. Critical points of consensus also emerged from the workshops, such as the need for citizen-centricity, greater efficiency in the use of public finances for health care, shifting to team-based managed care, empowerment of frontline health workers, the appropriate use of technology across all phases of patient care, and moving toward an articulation of positive health and wellbeing. Critical areas of contention that remained related to the role of the private sector, especially around financing and service delivery. Few issues for further consultation and research were noted, such as payment for performance across both public and private sectors, the use of accountability metrics across both public and private sectors, and the strategies for addressing structural barriers to realizing the proposed paradigm shifts. As the ToCs were developed in expert groups, citizens' consultations and consultations with administrative leaders were recommended to refine and ground the ToC, and therefore the roadmap to realize UHC, in people's lived reality.
Chinese college students COVID-19 phobia and negative moods: Moderating effects of physical exercise behavior
Authors: Han Shan-shan , Han Ya-hui , Tong Wen-xia , Wang Guang-xu , Ke You-zhi , Meng Shu-qiao , Guo Qiang , Cui Zhong-lei , Zhang Jun-yong , Ye Yu-peng , Zhang Yao , Li Ya-xing , Li Bo
Published: December 2022

Objective

We investigated the effects of COVID-19 fear on negative moods among college students, and assessed the efficacy of physical exercise behavior as a moderator variable.

Methods

This was a cross-sectional study. Students from three colleges and universities in Shangqiu City, Henan Province and Yangzhou City, Jiangsu Province were enrolled in this study, which was performed during the COVID-19 pandemic using an online questionnaire. A total of 3,133 college students completed the questionnaire. Measurement tools included the COVID-19 Phobia Scale (C19P-S), Depression-Anxiety-Stress Self-Rating Scale (DASS), and the Physical Activity Behavior Scale (PARS-3).

Results

During the COVID-19 pandemic, the rates of depression, anxiety, and stressful negative moods among college students were 35.5, 65.5, and 10.95%, respectively; there was a positive correlation between COVID-19 fear and negative moods among college students (r = 0.479, p < 0.001), which was negatively correlated with physical exercise behavior (r = −0.4, p < 0.001); the regulating effects of physical exercise behavior were significant (ΔR2 = 0.04, p < 0.001).

Conclusion

The rate of negative moods among college students is high, and the fear for COVID-19 is one of the key factors that lead to negative moods. Physical exercise can modulate the impact of COVID-19 fear among college students on negative moods. Studies should elucidate on mental health issues among different populations during the COVID-19 pandemic.
Temporary improvement of cognitive and behavioral scales for Dementia elderly by Shiritori word game with a dialogue robot: A pilot study
Authors: Sugiyama Hiroaki , Nakamura Kenji
Published: December 2022

Communication therapies based on conversations with caregivers, such as reminiscence therapy and music therapy, have been proposed to delay the progression of dementia. Although these therapies have been reported to improve the cognitive and behavioral functions of elderly people suffering from dementia, caregivers do not have enough time to spend on administering such communication therapies, especially in Japan where the workforce of caregivers is inadequate. Consequently, the progression of dementia in the elderly and the accompanying increased burden on caregivers has become a social problem. While the automation of communication therapy using robots and virtual agents has been proposed, the accuracy of both speech recognition and dialogue control is still insufficient to improve the cognitive and behavioral functions of the dementia elderly. In this study, we examine the effect of a Japanese word-chain game (Shiritori game) with an interactive robot and that of music listening on the maintenance and improvement of cognitive and behavioral scales [Mini-Mental State Examination (MMSE) and Dementia Behavior Disturbance scale (DBD)] of the dementia elderly. These activities can provide linguistic and phonetic stimuli, and they are simpler to implement than conventional daily conversation. The results of our Wizard-of-Oz-based experiments show that the cognitive and behavioral function scores of the elderly who periodically played the Shiritori game with an interactive robot were significantly improved over the elderly in a control group. On the other hand, no such effect was observed with the music listening stimuli. Our further experiments showed that, in the Shiritori intervention group, there was a ceiling on the increase in MMSE. The lower the MMSE before participating in the experiment, the greater the increase. Furthermore, greater improvement in DBD was observed when the participants actively played the Shiritori game. Since the Shiritori game is relatively easy to automate, our findings show the potential benefits of automating dementia therapies to maintain cognitive and behavioral functions.
The “autonomy” of developing countries in the Olympic Movement: Assessing the fate of sports governance transplants in the Global South
Authors: García Borja , Meier Henk Erik
Published: December 2022

Introduction

The International Olympic Committee (IOC) imposes very specific ideas on sports governance, more precisely on sports autonomy, on countries joining the Olympic Movement. Given that the idea of sports autonomy originated in the Global North, this article introduces the concept of governance transplants to evaluate the impact that being part of the Olympic Movement has on domestic sports governance in Global South developing countries. The article explores the extent to which the IOC is successful in implementing the norms and regulations on sports autonomy as a governance transplant at the national level in countries from the Global South that are part of the Olympic Movement.

Methods

The article employs a comparative qualitative case study research design that explores the relations of the IOC, National Olympic Committees (NOCs), and national governments in Botswana, Guatemala and Sri Lanka. Research relies on a mix of document analyses and expert semi-structured interviews conducted during field trips to those countries. Interviews were transcribed and analyzed by means of thematic analysis. The analyses focus on domestic policies and contexts, formal and institutional compliance with sports autonomy, provision of public funding, and participation in national sport policy-making.

Results and discussion

Findings suggest that national structures and legacies have an impact on the way in which the autonomy of sport, as the governance transplant, is translated in those three countries. Although national governments enjoy some agency in “translating” governance transplants, results also suggest that misfits and tensions persist between governmental and sport stakeholders at the national and international level. Such misfits might force the IOC, as a private transnational regulator, to adopt a more pragmatic view on the enforcing of its governance transplants. The results are of relevance to existing discussions on global sports governance and debates as to whether the countries in the Global North might be able to impose their views and their governance transplants if the Global South gets a greater say in transnational sports governance.
Scaling up sustainability through new product categories and certification: Two cases from India
Authors: Khandelwal Apoorve , Agarwal Nandini , Jain Bhamini , Gupta Darshna , John Anjaly Teresa , Farah Cox Paul
Published: December 2022

Introduction

The Indian food system faces a nexus of challenges in supply, demand and market linkages in the face of environmental and human development needs. The current agri-food system demands large-scale sustainable innovations, facilitated by an action-oriented approach by the rising number of actors in the agricultural space. These actors include public, private, non-profit and research institutions. They increase the scope for innovations to emerge and scale up through refocused investments and novel collaborations. Such successes in India, furthermore, can provide models of promising innovation pathways for many other countries in the Global South. Yet few case studies are available on successful innovations that have gone beyond the longstanding technology-led approach.

Methods (case study methods)

This article presents two cases of other pathways. The first is an example of a differentiated new product category: the “pesticide-free” food product category and dedicated value chain established by Safe Harvest Private Limited. The second is an example of self-regulation through a certification standard: the Trustea code created within the Indian domestic tea industry.

Results

Both are driving sustainability at scale in Indian agri-food systems in two very different contexts, with the private sector leading the way.

Discussion

They offer insights on the roles of end users, trust, informal and formal links and actions, government endorsement, innovation bundling, and partnership.
Intercropping legumes and intermediate wheatgrass increases forage yield, nutritive value, and profitability without reducing grain yields
Authors: Pinto Priscila , Cartoni-Casamitjana Stefania , Cureton Colin , Stevens Andrew W. , Stoltenberg David E. , Zimbric Joseph , Picasso Valentin D.
Published: December 2022

Introduction

Kernza intermediate wheatgrass (IWG) is a perennial grain and forage crop. Intercropping IWG with legumes may increase the forage yields and nutritive value but may compromise Kernza grain yields. The interaction between IWG and legumes depends on planting season, row spacing, and legume species. Our aim was to evaluate the effects of those management practices on Kernza grain yield, summer and fall forage yield and nutritive value, weed biomass and, the profitability of the cropping system in Wisconsin, USA.

Methods

In the spring and fall of 2017, we planted eight cropping systems at 38 and 57 cm of row spacing: four IWG monocultures [control without N fertilization or weed removal (IWG), hand weed removal (hand weeded), IWG fertilized with urea at rates of 45 or 90 kg ha−1], and four IWG-legume intercrops (IWG with alfalfa, Berseem clover, Kura clover, or red clover).

Results and discussion

Most of the intercropping systems were similar to IWG monoculture in grain (ranging from 652 to 1,160 kg ha−1) and forage yield (ranging from 2,740 to 5,190 kg ha−1) and improved the forage quality. However, for spring planted IWG, intercropped with red clover or alfalfa, the grain and forage yields were lower than the IWG monoculture (~80 and 450 kg ha−1, respectively). The best performing intercrops in the first year were Kura clover in the spring planting (652 kg Kernza grain ha−1, 4,920 kg IWG forage ha−1 and 825 kg legume forage ha−1) and red clover in the fall planting (857 kg Kernza grain ha−1, 3,800 kg IWG forage ha−1, and 450 kg legume forage ha−1). In the second year, grain yield decreased 84% on average. Overall, the profitability of the IWG legume intercropping was high, encouraging the adoption of dual-purpose perennial crops.
Water sorption-based thermochemical storage materials: A review from material candidates to manufacturing routes
Authors: Palacios Anabel , Navarro Maria Elena , Barreneche Camila , Ding Yulong
Published: December 2022

A comprehensive and updated review is provided in this article, with a focus on water sorption-based thermochemical storage (WSTCS) materials, covering materials and their manufacturing routes. The state of the art of 22 most relevant salt hydrates is classified into seven groups (bromides, sulphates, carbonates, chlorides, nitrates, hydroxides, and sulphides) and studied as candidates. This is followed by a discussion on TCS material manufacturing, covering both conventional (shaping, pelletizing, etc.) and more advanced routes (e.g., extrusion, 3D printing, encapsulation, etc.). Finally, concluding remarks are presented, including limitations and future potentials for TCS research.
Epidemiology of Musculoskeletal Injuries in the Navy: A Systematic Review
Authors: Chang Tian-Tian , Yang Qi-Hao , Chen Pei-Jie , Wang Xue-Qiang
Published: December 2022

Objectives: This study aimed to critically review the results of recent studies that investigated the epidemiology of noncombat-related musculoskeletal injuries (MSIs) in the Navy.

Methods: A systematic search was conducted of three major databases (Pubmed, Embase, and Cochrane) to identify epidemiological studies on MSIs in the Navy. Study selection and risk of bias assessment were conducted.

Results: The overall prevalence of MSIs ranged from 12.69% to 48.81%. And the prevalence of head and face injuries, upper extremity injuries, spine injuries, chest injuries, and lower extremity injuries were 0.11%–0.66%, 0.53%–11.47%, 0.75%–12.09%, 0.43%–0.95%, and 0.4%–21.17%, respectively. For the specific MSIs, the incidence ranged from 0.03/1000 person-years to 32.3/1000 person-years in the Navy and Marines. The ankle-foot, lumbopelvic, knee and lower leg, and shoulder were identified as the most frequent location for MSIs.

Conclusion: This systematic review summarized that the Navy population had a high prevalence of MSIs. And different risk factors for MSIs varied from different anatomic locations. This systematic review also provided valuable information on MSIs for sports medicine specialists.
Association Between Inter-Recti Distance and Impaired Abdominal Core Function in Post-Partum Women With Diastasis Recti Abdominis
Authors: Bixo L. , Sandblom G. , Österberg J. , Stackelberg O. , Bewö K. , Olsson A.
Published: December 2022

Background and Aim: The definition and management of Diastasis Recti Abdominis (DRA) is under debate. This study aimed to understand the correlation between the post-partum inter-recti distance (IRD) and functional impairments associated with core instability, with the hypothesis that IRD could serve as a proxy for core instability symptoms and constitute a tool in decision-making for DRA treatment.

Material and Methods: A cohort of post-partum women with abdominal core instability symptoms combined with DRA were studied. The size of IRD was measured with ultrasonography and cross-sectionally analysed against functional impairments registered with the self-report Disability Rating Index (DRI), which grades the ability to perform 12 different daily activities.

Results: A total of 224 women were included in the study. In univariable analysis, IRD was associated with impairment of the activities running (p = 0.007), heavy work (p = 0.036) and exercise/sports (p = 0.047), but not with dressing, walking, sitting for long periods, standing bent over a sink, carrying a suitcase, making a bed, light manual labour or heavy lifting. No significant correlations were seen in the multivariable analysis when adjustments were made for BMI and parity.

Conclusion: IRD and post-partum functional impairments had no significant correlation in multivariable analysis. The post-partum core instability condition is complex and probably associated with more factors than solely the IRD. The IRD alone does not seem to be a sufficient proxy for decision-making regarding optimal treatment. A more complete instrument to assess the post-partum abdominal core is warranted.
Enfoque del proceso de una experiencia turística en memorable
Authors: Chiriboga-Cisneros Edison Fernando
Published: December 2022

Este estudio de teoría fundamentada se basó en el modelo de la progresión del valor económico propuesta en la teoría de las experiencias, según, la cual, determina que la economía evoluciona, proporcionando diversas ofertas económicas o propuestas de valor, así como explica la relación directa entre la posición competitiva, el precio y las necesidades de los clientes con cada etapa evolutiva. En este caso, la economía actual proporciona a la experiencia del cliente como un elemento diferenciador, por lo que, su naturaleza deber ser memorable y de carácter individualizado. En este sentido, esta investigación estimula la discusión de la experiencia en la industria del turismo. Por otra parte, la literatura en el campo turístico asoció variables que controlan la memoria de un individuo, sin embargo, no explican ¿cuáles son las variables que se guardan en la memoria como un recuerdo duradero?; ¿cómo se recupera la información guardada en la memoria? y ¿cuáles son las características de una experiencia memorable. Por esta razón, el propósito de esta investigación es comprender el proceso de transformación de una experiencia turística en memorable en la industria hotelera. El diseño de la investigación es de tipo cualitativo específicamente el fundamentado sistemático. La recolección de datos de tipo secundaria fue obtenida en la base de datos de Researchgate, Science-Direct, Scopus, Emerald insight y Web of Science. Se utilizó un total de 83 revisiones bibliográficas, para la obtención de una explicación más concreta del fenómeno de estudio desde la perspectiva de diversos autores. Con el fin de obtener categorías y vínculos del problema, el análisis de la información fue mediante el programa atlas ti, 7.5.  Los resultados revelaron que la experiencia turística memorable es un estímulo; puede guardarse en la memoria (como vivencia); puede codificarse y recuperarse (mediante narraciones). Además, este estudio identificó 2 factores (estado afectivo y estado sensorial) para apoyar que la experiencia turística pueda convertirse en memorable. Así mismo, los resultados generaron hipótesis, que se derivaron de los datos recolectados y que se contrasta con la literatura previa, aportando nuevas visiones del objeto de estudio.