bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of middle-aged and elderly people’s self-efficacy on health promotion behaviors: Mediating effects of sports participation
Authors: Chen Nan , Zhang Jia , Wang Zhiyong
Published: January 2023

Objective

This study explores the relationship between self-efficacy, sports participation, and health promotion behavior for middle-aged and elderly people. Therefore, it provides a theoretical reference for improving the quality of life for middle-aged and elderly adults and promoting a healthy lifestyle for the elderly.

Methods

A total of 591 (men: 36.2%; women: 63.8%; age: above 50 years) middle-aged and elderly adults from five cities of Henan Province were selected as the research objects by convenient sampling. The self-efficacy, sports participation, and health promotion behavior scales were used for the questionnaire survey. Amos24.0 was used to test the structural equation model, intermediary function test, and bootstrap analysis. Results: The self-efficacy of middle-aged and elderly people positively impacted health promotion behavior. The path coefficient was 0.439. Sports participation played a partial intermediary role between self-efficacy and health promotion behavior (χ2/df = 1.785, root mean square error of approximation = 0.036, root mean square residual = 0.021, goodness-of-fit index = 0.967, comparative fit index = 0.976, Tucker–Lewis Index = 0.971) The proportion of intermediary effect was 26.34% (0.100, 0.225).

Conclusion

(1) Self-efficacy can significantly and positively affect health promotion behavior for middle-aged and elderly people; (2) sports participation plays a partial intermediary role between self-efficacy and health promotion behavior. From this point of view, we can enhance the self-efficacy of middle-aged and elderly people and improve their healthy life behavior by advancing sports participation. Thus, it provides theoretical support and practical guidance for promoting national health.
A return to lived experiencers themselves: Participatory action research of and by psychosocial clubhouse members
Authors: Vescey Lester , Yoon Jennifer , Rice Kevin ,   Members of PARCO Group, Davidson Larry , Desai Miraj
Published: January 2023

Introduction

Within the history of psychology and phenomenology, people with lived experience of mental illness have often served as participants in research, but far less as co-researchers themselves. There is now a growing movement focused on “participatory” research, where people with lived experience directly contribute to various stages of the research process. This article presents such a qualitative, participatory research study, led by members of a large psychosocial rehabilitation clubhouse—Fountain House in New York City—and informed by phenomenological research principles. The study focused on collaboratively assessing and improving the clubhouse program for its members.

Methods

A key feature of the project was the extent of lived experiencer involvement, for instance, in designing and conducting the study, and co-writing this research report. Members of Fountain House were trained in phenomenologically-informed research methods and developed a research study that focused on the quality improvement of their clubhouse program. Member researchers conducted a series of focus groups with fellow clubhouse members, generating qualitative data that were analyzed and written up by member researchers in collaboration with staff and university partners.

Results

Overall, study findings place emphasis on the theme of action in members’ experiences—both with respect to how action, agency, and valued activity were key drivers of meaning and recovery for people facing severe mental illness, and with respect to the key component of the research process itself [i.e., participatory action research (PAR)]. Four major subthemes emerged from the study. First, findings revealed how members with mental illness experienced the clubhouse as a “new hope” and “the place for me,” to counteract their experience of inactivity, stigma, depression, and hopelessness prior to that point. Second, findings showed how, as members’ life goals changed, so did the precise meaning and role of Fountain House in their lives. Third, findings portrayed members’ need for, and pursuit of, transformation within the clubhouse space itself to provide more opportunities for meaningful work rather than what they viewed as merely busy-work. Finally, member researchers viewed their direct participation in this project as an opportunity to actively combat stigma, to be a driver of research, and to engage in what they viewed as a generative activity.

Discussion

These action-oriented themes serve as a counter to the historical view of people with mental illness as merely passive experiencers of symptoms and passive recipients of mental health care. We discuss how the process and content of participatory research can help enhance the relevance of research for stakeholders’ lives and contexts.
The cognitive neural mechanism of response inhibition and error processing to fearful expressions in adolescents with high reactive aggression
Authors: Sun Lijun , Liu Ziqi , Zhang Yan , Jing Yaopeng , Lei Yang , Zhang Yuanyuan
Published: January 2023

Reactive aggression in adolescents is characterized by high levels of impulsivity. This is associated with deficits in response inhibition and error processing and spontaneous emotion-driven responses to a perceived threat. However, the characteristics and cognitive neural mechanisms of response inhibition and error processing to indirect threat in adolescents with high levels of reactive aggression are unclear. This study explored the characteristics and cognitive neural mechanisms of response inhibition and error processing to fearful expressions in adolescents with high levels of reactive aggression using an emotional Go/No-Go paradigm combined with ERP recordings. Adolescents with high levels of reactive aggression (n = 31) and a control group (n = 30) took part in this study. Results showed that when presented with fearful expressions, adolescents with high levels of reactive aggression showed a smaller No-Go P3 effect and smaller ERN amplitudes following commission errors on the No-Go task than the control group. Results suggested that when presented with fearful expressions, adolescents with high levels of reactive aggression have impaired response inhibition in the later stage of actual inhibitory control of the motor system and impaired error processing in the early stage of fast and automatic initial error detection.
The location of emotional intelligence measured by EQ-i in the personality and cognitive space: Are there gender differences?
Authors: Tommasi Marco , Sergi Maria Rita , Picconi Laura , Saggino Aristide
Published: January 2023

Introduction

Emotional Intelligence (EI) is first described by Salovey and Mayer as the ability to perceive and understand emotions and the ability to use them as supports for thoughts. Despite the great notoriety of EI, its definition remains not completely clear. An operative definition of EI can be achieved by studying its connection with other individual characteristics such as gender, personality traits, and fluid intelligence.

Methods

The sample was composed of 1,063 Italian subjects. A total of 330 participants were employed (31.0%; 57.9% men) and 702 were university students (66.0%; 38.7% men). The Emotional Quotient Inventory (EQ-i), one of the most used questionnaires in literature, was used to measure EI. The exploratory structural equation modeling (ESEM) was used to assess the role of personality traits (five-factor model of personality) and fluid intelligence in EI. Statistical analyses on differences between men and women means of total and subscale EQ-i scores were estimated to evaluate whether EI, measured by EQ-i, is influenced by gender. Furthermore, a Multigroup Confirmatory Factor Analysis was conducted to assess measurement invariance in relation to gender groups.

Results

Emotional Intelligence, measured by EQ-i, is prevalently connected with personality traits rather than fluid intelligence. Furthermore, men outperformed women in the Intrapersonal and Stress Management EI factors, and women outperformed men in the Interpersonal EI factor. No difference in the means of the EI total score and EI latent general factor did not differ between gender groups.

Conclusion

Emotional Intelligence, measured by EQ-i, can be conceptually considered as a Trait EI. Furthermore, men are more capable to cope with negative events and to control impulses, while women are more able to distinguish, recognize, and comprehend others’ emotions.
Multisensory reading promotion in academic libraries
Authors: Yu Wenyan , Jiang Yiping , Wu Yanqi , Cheng Yanxia
Published: January 2023

To confront college students’ new reading patterns and the continuous decline in academic library borrowing rates, we conducted empirical research on promoting multisensory reading as a way to attract students’ attention, and to stimulate interest in, and promote the practice of, reading through a library program called “Reading Today Listening Everyday” (RTLE) on a library’s WeChat public account. The program involved 48 librarians and 105 students who were recruited into different groups to co-create, edit and release multisensory tweets every workday. Multisensory contents including text-based content, audio-based content and emotional resonance were presented to evoke readers’ visual, audio, and emotional senses to induce more reading practice. Using the Context, Input, Process and Product (CIPP) evaluation method, the multisensory presentation in RTLE program was proven to be effective in promoting library reading with a high number of tweeted page views and an increased borrowing rate for recommended books. In 2020, 269 issues accompanied by 269 audio frequencies garnered 80,268 page views, depending on the caliber of the reading promoter out of the 48 librarians and 52 student anchors behind it. The 484 RTLE-recommended books were borrowed 113 times in 2020, which was a rate 1.46 times higher than in 2019 (77 times). The analysis of the relationship between tweet views and borrowing rates for recommended books indicates that more page views indicate greater reader interest, leading to increased borrowing. From readers’ feedback and comments, the gain afforded by multisensory reading can improve higher-level reading trends such as the number of reading interests, enjoyment, engagement, etc.
The relationship between social support and Internet addiction among Chinese college freshmen: A mediated moderation model
Authors: Lu Xiaoman , Zhang Mengnan , Zhang Jingqiu
Published: January 2023

Purpose

Internet addiction has become a worldwide mental health problem, and this problem is particularly prominent in China. Although current studies have shown that social support is closely related to Internet addiction, the mechanism of the relationship between the two is not clear at present. This study aimed to find out the influencing factors and the mechanism of Internet addiction among college freshmen, and to form scientific prevention and intervention plan on this basis.

Method

This study adopts the cluster sampling method to select 322 college freshmen in a typical postsecondary school in Shandong Province, using Chinese Internet Addiction Scale (CIAS), Social Support Rating Scale (SSRS), and Network-related Maladaptive Cognition Scale (NRMCS) to investigate the relationship between social support, network-related maladaptive cognition, gender, and the degree of Internet addiction.

Results

The findings of this study are as follows: (1) After controlling age and family location, social support had a significant negative predictive effect on Internet addiction; (2) Gender acted as a moderator between the relationship of social support and Internet addiction; and (3) Additionally, the moderating effect of gender was completely mediated by network-related maladaptive cognition.

Conclusion

There is a mediated moderating effect between social support and Internet addiction. That is, gender plays a moderating role between social support and Internet addiction, and this moderating effect is mediated by network maladaptive cognition.
Designing mindfulness information for interaction in social media: The role of information framing, health risk perception and lay theories of health
Authors: Wang Xiaomei , Zhu Bin , Guo Qing , Wang Wenyu , Zhao Ruoxuan
Published: January 2023

In the post-pandemic era, our health is facing unprecedented challenges, and people are more willing to obtain health-related information or interact with each other than ever before. In this context, people’s interest in mindfulness information is also growing. However, not enough attention has been paid to the relationship between mindfulness information design and information interaction. The purpose of this study is to assess the impact of information design based on the gain and loss framework on people’s willingness to interact with mindfulness information, and to identify the framework for achieving better results. Through two experimental studies, we find that information design based on the framework of gains and losses can produce different effects. Specifically, the findings of the first experiment (N = 282) shows the individuals are more willing to interact mindfulness information when they are exposed to gain-framed information rather than loss-framed. In the second experiment (N = 308), we find that loss framing, compared with gain framing, led to greater health risk perception, which in turn make participants more likely to interact with mindfulness information with others. Additionally, our results show that the lay theories of health plays a moderating role in the direct effect of information framework on willingness to interact with mindfulness information in social media. When individuals hold incremental lay theories, they are more willing to interact with mindfulness information under the gain-framed information condition compared with the loss-framed information condition. However, when individuals are in entity condition, there is no significant difference in the willingness to interact with mindfulness information between the gain-framed and loss-framed information. Our studies of integrating information framework into designing mindfulness information suggest a promising strategy of health information interaction in social media.
Prefrontal activity during the emotional go/no-go task and computational markers of risk-based decision-making predict future relapse in alcohol use disorder
Authors: Sasaki Jun , Matsubara Toshio , Chen Chong , Fujii Yuko , Fujita Yoko , Nakamuta Masako , Nitta Kumiko , Egashira Kazuteru , Hashimoto Takashi , Nakagawa Shin
Published: January 2023

Aim

To longitudinally examine if the results of cognitive tasks or brain function during emotional or cognitive tasks can predict relapse in alcohol use disorder.

Methods

We selected 41 patients with alcohol use disorder during hospitalization. Functional near-infrared spectroscopy (fNIRS) measured the relative change in oxygenated hemoglobin in the frontotemporal areas during an emotional go/no-go task and verbal fluency task (VFT). They performed the N-back and risk-based decision-making tasks for determining working memory or risk-based decision-making. The presence of relapse 6 months following discharge was the primary outcome.

Results

Twenty-four patients (21 men, three women) remained abstinent, whereas 17 (14 men, three women) relapsed. Compared with the abstinent group, those with relapse displayed significantly decreased activation in the right frontotemporal region during the emotional go/no-go task, significantly shorter reaction time to non-emotional stimuli, and greater risk preference in the risk-based decision-making task. In the abstinent group, we observed a negative correlation between oxygenated hemoglobin and the craving scale. A logistic regression analysis demonstrated that the risk of relapse increased with smaller oxygenated hemoglobin in the right frontotemporal region (odds ratio = 0.161, p = 0.013) and with greater gambling thoughts (odds ratio = 7.04, p = 0.033).

Conclusion

Decreased activation in the right frontotemporal region in response to an emotional stimulus and risk preference could predict relapse in alcohol use disorder.
Symptoms of exhibitionism that regress with bupropion: A case report
Authors: Vayısoğlu Sefa
Published: January 2023

Exhibitionistic Disorder, one of the paraphilic disorders, is a disease with an unknown etiology and causes significant distress and loss of function in the patient's life. Serotonergic antidepressants are generally preferred in the treatment of this Disorder. However, in this case, we report a patient who did not respond to serotonergic antidepressants but bupropion, an antidepressant with dopaminergic and noradrenergic activity. Therefore, bupropion should be considered a medical treatment alternative in case serotonergic antidepressants do not work efficiently in the treatment of Exhibitionism.
Factors influencing the social participation ability of rural older adults in China: A cross-sectional study
Authors: Cheng Minghui , Su Wenli , Li Huiju , Li Linjie , Xu Minghui , Zhao Xue , Han Mengdie , Yang Li
Published: January 2023

Objective

To investigate the epidemiology and influencing factors of social participation ability of rural older adults in China.

Methods

From March to April 2021, 3450 older adults in poverty aged 60 and above registered in Jishishan County (J County) were selected by cluster sampling for a cross-sectional questionnaire survey and their social participation ability was assessed using the Ability Assessment of older adults (MZ/T039-2013). The results were statistically analyzed and an ordered multi-category logistic regression analysis was used to analyze the effect of influencing factors on the social participation ability of rural older adults.

Results

3,346 questionnaires were collected, with an effective recovery rate of 96.99%. Out of all the participants, 1,355 (40.5%) of the 3,346 cases had intact social participation ability, while 1,991 (59.5%) had different degrees of loss of social participation ability, of which 1,393 (41.14%) were mildly impaired, 419 (12.5%) were moderately impaired and 179 (5.3%) were severely impaired. Age, educational level, religious belief, living status, whether suffering from dementia and the occurrence of accidents in recent 30 days were influencing factors on the social participation ability (p < 0.05).

Conclusion

The rate of impaired social participation ability among older adults was >50% and age, educational level, religious beliefs, living status, whether suffering from dementia, and the occurrence of accidents in recent 30 days (such as falls, choking, loss) were significant factors influencing the ability of social participation of rural older adults.
Regional integration and public healthcare environment: Evidence from China
Authors: Tu Chenglin , Zeng Yonghui , Long Hongyu , Yu Chenyang , Tan Yuanfang , Zhou Yu , Zang Chuanxiang
Published: January 2023

Introduction

Existing studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.

Methods

Based on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).

Results

Our findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.

Discussion

Policies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions.
Subjective attitudes moderate the social connectedness in esports gaming during COVID-19 pandemic: A cross-sectional study
Authors: Shan Dan , Xu Jilai , Liu Tongyu , Zhang Yanyi , Dai Ziyun , Zheng Yuandian , Liu Chang , Wei Yuanning , Dai Zhihao
Published: January 2023

Background

Electronic sports (esports) has become a practical intervention for young people craving social connections since the COVID-19 pandemic. Past studies have shown an equivocal role of esports participation in boosting social ties or social connectedness. It is unclear if their relationship is affected by subjective attitudes of gamers. Moreover, the present COVID-19 pandemic may further modify this relationship to a greater extent.

Objective

This study primarily aimed to investigate the moderating effect of participants' subjective attitudes toward esports gaming on the relationship between in-game interaction during esports participation and participants' anticipated social connectedness among Chinese young adults during the COVID-19 lockdown periods in China.

Methods

We conducted a nationwide online questionnaire survey through the Credamo platform among 550 Chinese young adults in the present study. The Social Connectedness Scale-Revised was used to assess participants' social connectedness levels.

Results

Four hundred and fifty-three participants were included in the final analysis. The effective response rate was 82.4%. Our results showed that the esports participation measured by in-game communication frequency among participants, as an independent factor, was negatively associated with participants' social connectedness scores (β = −0.13, p < 0.05). However, when the moderating effect of subjective attitudes toward esports gaming was considered, the association between communication frequency and social connectedness scores was turned into the opposite direction with a larger effect size (β = 0.35, p < 0.001).

Conclusion

Our primary finding revealed that a positive mindset in esports gaming is indispensable in boosting social connectedness. Overall, our study provided supporting evidence for the benefits of esports on individuals' social connectedness. In future circumstances similar to the COVID-19 era, playing esports games is strongly encouraged in an attempt to maintain social connections and relieve psychological stress. In the meantime, we believe that having a positive esports experience, often associated with a positive mindset during gaming, can better promote social connectedness. Nevertheless, the amount of time spent on gaming per day should be of great concern, as esports games can be addictive, especially for teenagers and college students.
Prevalence and predictors of psychological assistance services for older individuals in Turkish society
Authors: Coşkun Hüseyin , Yildiz Ibrahim , Alkan Ömer
Published: January 2023

Background/aim

Due to the high contribution of psychological problems to the decline in the comfortable lifestyle of the older individuals, determining the factors that affect individuals' receiving psychological services and searching for solutions based on these factors is one of the primary concerns of national and international decision-makers. This study aimed to identify the factors that affect older individuals' access to psychological assistance services in Turkey.

Methods

In this study, the Turkish Health Research micro dataset, which was conducted by the Turkish Statistical Institute (TURKSTAT) in 2016 and 2019, was employed. In this dataset, the data of 7,252 older individuals were analyzed. Using binary logistic analysis, the factors that are effective for obtaining psychological assistance for the older individuals were identified.

Results

According to the results of the analysis, factors such as gender, education, general health status, disease status, payment of health expenditures, and body mass index affected older individuals who received psychological assistance.

Conclusion

In recent years, there has been a rise in the availability of psychological assistance services for the older individuals. By identifying factors that increase the likelihood of receiving psychological assistance services, this study is expected to contribute to the creation and regulation of psychological assistance services to prevent possible psychological problems that may occur in old age, minimize the problems experienced by individuals, and promote a more comfortable lifestyle.
Health utility of children with acute lymphoblastic leukemia in China
Authors: Wang Wei , Dong Yaqi , Ji Mingjing , Zhang Xiaoyan , Cai Jiaoyang
Published: January 2023

Background

Acute lymphoblastic leukemia is the most common cancer in children. As the 5-year survival rate has been improved to over 80%, more emphasis is now placed on reducing therapy toxicities and enhancing health-related quality of life (HRQoL) of patients during treatment. Our objective was to measure health utility of pediatric acute lymphoblastic leukemia (pALL) patients in China, examine utility weights of different treatment phases and influencing factors of health utility, as well as identify which aspects of HRQoL were most impaired.

Methods

A cross-sectional study was conducted in Shanghai Children's Medical Center (SCMC) Affiliated to Shanghai Jiao Tong University School of Medicine in China from April to November 2021. Primary caregivers of 247 patients completed the assessment by CHU9D-CHN and health utility scores were computed for all the patients and stratified by treatment phases. Various multivariable models were constructed and the best was chosen to identify independent factors associated with utility scores. Factors affecting the most impaired dimensions were also examined.

Results

The overall mean (SD) health utility score was 0.79 (±0.17) and significantly increased from induction (0.73 [±0.19], P < 0.001) to consolidation (0.74 [±0.18]), and to maintenance (0.82 [±0.16]). After adjusting for potentially influencing factors, utility scores in induction (Beta = −0.086, P = 0.005) and consolidation (Beta = −0.074, P = 0.043) were constantly lower than those during maintenance. In item-level analysis, lower age and induction phase were found to be significantly associated with high severity reported on the “school work/homework” dimension. Additionally, only the induction phase (vs. maintenance, OR = 2.24, P = 0.016) was independently associated with the high severity level reported on the “able to join in activities” dimension.

Conclusions

This is the first study that measured health utility of children with pALL in China. Mean health utility scores increased from induction to maintenance. These provided important utility estimates that help inform future health economic models. The phrasing of “School work/homework” in CHU9D-CHN could be further improved. More efforts are needed to design and implement specific interventions targeting at the dimension “able to join in activities” for enhancing HRQoL of children with pALL in China.
The mixed layer modified radionuclide atmospheric diffusion based on Gaussian model
Authors: Li Ting , Zheng Xiaolei , Yu Shengpeng , Wang Jin , Cheng Jie , Liu Jie
Published: January 2023

Background

Atmospheric diffusion is often accompanied by complex meteorological conditions of inversion temperature.

Methods

In response to the emergency needs for rapid consequence assessment of nuclear accidents under these complex meteorological conditions, a Gaussian diffusion-based model of radionuclide is developed with mixed layer modification. The inhibition effect of the inversion temperature on the diffusion of radionuclides is modified in the vertical direction. The intensity of the radionuclide source is modified by the decay constant.

Results

The results indicate that the enhancement effect of the mixed layer on the concentration of radionuclides is reflected. The shorter the half-life of the radionuclide, the greater the effect of reducing the diffusion concentration. The Kincaid dataset validation in the Model Validation Kit (MVK) shows that, compared to the non-modified model, predictions of the modified model have an enhancement effect beyond 5 km, modulating the prediction values to be closer to the observation values.

Conclusions

This development is consistent with the modification effects of the mixed layer. The statistical indicators show that the criteria of the modified model meet the criteria of the recommended model.
Attending live sporting events predicts subjective wellbeing and reduces loneliness
Authors: Keyes Helen , Gradidge Sarah , Gibson Nicola , Harvey Annelie , Roeloffs Shyanne , Zawisza Magdalena , Forwood Suzanna
Published: January 2023

Introduction

This study explored whether attending live sporting events (LSEs) improved subjective wellbeing and loneliness, above and beyond demographic predictors.

Methods

Secondary data from 7,249 adults from the Taking Part 2019–20 survey (UK household survey of participation in culture and sport) were analyzed. Multiple linear regressions captured the effect of attending LSEs (yes/no) on wellbeing variables (happiness, anxiety, a sense that life is worthwhile and life satisfaction) and loneliness, with gender, Index of Multiple Deprivation (IMD), age group, health and employment as covariates.

Results

For life satisfaction, a sense that life is worthwhile, and loneliness, inclusion of LSE attendance in the model improved model fit significantly, although ΔR2 values were small (ΔR2 = 0.001–0.003). For happiness and anxiety, the inclusion of LSE attendance did not alter model fit. LSE attendance was associated with increased life satisfaction (b = 0.171, p < 0.001), a greater sense of life being worthwhile (b = 0.230, p < 0.001), and reduced loneliness (b = −0.083, p < 0.01).

Conclusion

LSE attendance has positive associations with some aspects of subjective wellbeing (life satisfaction and a sense of life being worthwhile) and loneliness, above and beyond demographic predictors. Whilst the variance explained is small, it is comparable to demographic predictors (e.g., being in employment). As even small-sized differences in SWB can have meaningful outcomes (e.g., for mortality), we conclude that LSE attendance may still offer a scalable, accessible and effective means of improving the public's wellbeing and reducing loneliness.
A prospective evaluation of breast thermography enhanced by a novel machine learning technique for screening breast abnormalities in a general population of women presenting to a secondary care hospital
Authors: Bansal Richa , Collison Sathiakar , Krishnan Lakshmi , Aggarwal Bharat , Vidyasagar Mathukumalli , Kakileti Siva Teja , Manjunath Geetha
Published: January 2023

Objective

Artificial intelligence-enhanced breast thermography is being evaluated as an ancillary modality in the evaluation of breast disease. The objective of this study was to evaluate the clinical performance of Thermalytix, a CE-marked, AI-based thermal imaging test, with respect to conventional mammography.

Methods

A prospective, comparative study performed between 15 December 2018 and 06 January 2020 evaluated the performance of Thermalytix in 459 women with both dense and nondense breast tissue. Both symptomatic and asymptomatic women, aged 30–80 years, presenting to the hospital underwent Thermalytix followed by 2-D mammography and appropriate confirmatory investigations to confirm malignancy. The radiologist interpreting the mammograms and the technician using the Thermalytix tool were blinded to the others' findings. The statistical analysis was performed by a third party.

Results

A total of 687 women were recruited, of whom 459 fulfilled the inclusion criteria. Twenty-one malignancies were detected (21/459, 4.6%). The overall sensitivity of Thermalytix was 95.24% (95% CI, 76.18–99.88), and the specificity was 88.58% (95% CI, 85.23–91.41). In women with dense breasts (n = 168, 36.6%), the sensitivity was 100% (95% CI, 69.15–100), and the specificity was 81.65% (95% CI, 74.72–87.35). Among these 168 women, 37 women (22%) were reported as BI-RADS 0 on mammography; in this subset, the sensitivity of Thermalytix was 100% (95% CI, 69.15–100), and the specificity was 77.22% (95% CI, 69.88–83.50).

Conclusion

Thermalytix showed acceptable sensitivity and specificity with respect to mammography in the overall patient population. Thermalytix outperformed mammography in women with dense breasts and those reported as BI-RADS 0.
Frontoamygdala hyperconnectivity predicts affective dysregulation in adolescent moderate-severe TBI
Authors: Bickart Kevin C. , Olsen Alexander , Dennis Emily L. , Babikian Talin , Hoffman Ann N. , Snyder Aliyah , Sheridan Christopher A. , Fischer Jesse T. , Giza Christopher C. , Choe Meeryo C. , Asarnow Robert F.
Published: January 2023

In survivors of moderate to severe traumatic brain injury (msTBI), affective disruptions often remain underdetected and undertreated, in part due to poor understanding of the underlying neural mechanisms. We hypothesized that limbic circuits are integral to affective dysregulation in msTBI. To test this, we studied 19 adolescents with msTBI 17 months post-injury (TBI: M age 15.6, 5 females) as well as 44 matched healthy controls (HC: M age 16.4, 21 females). We leveraged two previously identified, large-scale resting-state (rsfMRI) networks of the amygdala to determine whether connectivity strength correlated with affective problems in the adolescents with msTBI. We found that distinct amygdala networks differentially predicted externalizing and internalizing behavioral problems in patients with msTBI. Specifically, patients with the highest medial amygdala connectivity were rated by parents as having greater externalizing behavioral problems measured on the BRIEF and CBCL, but not cognitive problems. The most correlated voxels in that network localize to the rostral anterior cingulate (rACC) and posterior cingulate (PCC) cortices, predicting 48% of the variance in externalizing problems. Alternatively, patients with the highest ventrolateral amygdala connectivity were rated by parents as having greater internalizing behavioral problems measured on the CBCL, but not cognitive problems. The most correlated voxels in that network localize to the ventromedial prefrontal cortex (vmPFC), predicting 57% of the variance in internalizing problems. Both findings were independent of potential confounds including ratings of TBI severity, time since injury, lesion burden based on acute imaging, demographic variables, and other non-amygdalar rsfMRI metrics (e.g., rACC to PCC connectivity), as well as macro- and microstructural measures of limbic circuitry (e.g., amygdala volume and uncinate fasciculus fractional anisotropy). Supporting the clinical significance of these findings, patients with msTBI had significantly greater externalizing problem ratings than healthy control participants and all the brain-behavior findings were specific to the msTBI group in that no similar correlations were found in the healthy control participants. Taken together, frontoamygdala pathways may underlie chronic dysregulation of behavior and mood in patients with msTBI. Future work will focus on neuromodulation techniques to directly affect frontoamygdala pathways with the aim to mitigate such dysregulation problems.
ADUs and the Just City: How additional dwelling units can shape urban environments toward equitable outcomes in Canadian cities
Authors: Cipkar Sarah
Published: January 2023

Using the model of aJust Citythe goal of this paper is to contribute to the discussion of additional dwelling units (ADUs) by connecting disparate literature on ADUs in North America to the body of spatial justice and posit a way forward that recognizes the drawbacks of a system of individual property ownership, while hypothesizing that more equitable outcomes could be achieved through the inclusion of ADUs within the private market system through government regulation. This paper argues that through the lens of equity, democracy, and diversity, ADUs have the potential to lead to more just outcomes within a privatized market housing system, where homeownership is both the dominant tenure and ideology. Accounting for the inequities of informal ADUs and the contradictions within a capitalist, financialised housing system, new pathways are conceived to both encourage and regulate the ADUs to ensure security of tenure and protection against market pressures.
App development in a sports science setting: A systematic review and lessons learned from an exemplary setting to generate recommendations for the app development process
Authors: Barisch-Fritz Bettina , Nigg Claudio R. , Barisch Marc , Woll Alexander
Published: January 2023

The digital health sector is rapidly growing. With only 4% of publishers out of academic settings, it is under-represented in app development. The objective of this study is to assess the current state of app development with a systematic review and a survey within an exemplary academic setting along the following research questions: (Q1) Are software engineering principles sufficiently known in the sports science app development context? (Q2) Is the role of sports scientists in the context of app development sufficiently understood? The systematic review was conducted by two independent reviewers within databases Pubmed, Scopus, Web of Science, and IEEE Xplore. The PICO schema was used to identify the search term. We subtracted information about five main topics: development process, functional requirements and features, security, technology, and dissemination. The survey was developed by a multidisciplinary team and focused on five main topics. Out of 701 matches, 21 were included in the review. The development process was only described in seven studies. Functional requirements and features were considered in 11 studies, security in 3, technology in 13, and dissemination in 12 with varying details. Twelve respondents [mean age 33(7) years, 58% women] replied to the survey. The survey revealed limited knowledge in realization of security measures, underlying technology and source code management, and dissemination. Respondents were able to provide input on development processes as well as functional requirements and features. The involvement of domain experts is given in seven review studies and described in two more. In 50% of survey respondents, the role in app development is defined as a research assistant. We conclude that there is a varying degree of software engineering knowledge in the sports science app development context (Q1). Furthermore, we found that the role of sports scientists within app development is not sufficiently defined (Q2). We present recommendations for improving the success probability and sustainability of app development and give orientation on the potential roles of sports scientists as domain experts. Future research should focus on the generalizability of these findings and the reporting of the app development process.
Primary school teachers' emotions, implicit beliefs, and self-efficacy during the COVID-19 pandemic
Authors: Nicolosi Simona , Alba Martina , Pitrolo Carmelo
Published: January 2023

During the Covid-19 pandemic, primary school teachers faced many challenges when providing online and hybrid teaching, especially in PE classes. This study aimed to analyze emotions, self-perceived instructional competence, and incremental beliefs during the first lockdown, in distance education instructional delivery, and, as the pandemic emergency persisted, in hybrid teaching. One hundred and four primary school teachers (Males = 7; Females = 97; Mage = 53.24; SDage = 7.34) were involved in the study from four Italian Primary Schools. Participants filled in the Motivation, Emotion, Strategies, and Teaching questionnaire (MESI) (
1) administered in an online survey. Results showed that younger teachers had significantly lower scores in negative emotions when they taught than the older ones. On the other hand, older teachers have more belief in their own abilities to improve teaching, unlike younger teachers. Multivariate regression analysis indicated that teachers' positive emotions experienced in teaching predict perceived instructional efficacy during distance learning. Furthermore, teachers' positive emotions experienced in teaching and in the role of teacher predict teachers' changes in PE teaching during distance learning. Incremental beliefs predict perceived instructional efficacy during distance learning. Efforts on pre-service and in-service teacher training programs could help teachers strengthen emotional competencies and manage their stress in the classroom, both in normal educational contexts and in adverse conditions.
Cropping systems and agricultural management strategies affect soil organic carbon dynamics in semi-arid regions
Authors: Gorooei Aram , Aynehband Amir , Rahnama Afrasyab , Gaiser Thomas , Kamali Bahareh
Published: January 2023

Introduction

Soil organic carbon (SOC) dynamic is one of the important factors that directly influence soil properties and quality. In agro-ecosystems, the SOC dynamics are strongly linked to agricultural management practices.

Methods

In this study, we investigated the response of SOC and its fractions to various combination of agricultural management practices based on measurements obtained from an experiment conducted over four growing seasons from 2018 to 2020 in Ahvaz, Iran. The experimental treatments involved three agricultural strategies combined with four crop rotation systems. The agricultural strategies comprised conventional (CON: mineral fertilizer, removal of all crop residues), organic (ORG: organic fertilizer, 30% return of crop residues to the soil), and integrated (INT: mineral/organic fertilizer, 15% return of crop residues) strategies. The crop rotation systems were: fallow-wheat (F-W), corn-wheat (C-W), sesame-wheat (S-W), and mung bean-wheat (B-W). Soil samples were collected from all treatments and SOC, labile-C, and non-labile-C were measured.

Results and discussion

After two years of experiment, no significant improvement was found in SOC of CON strategy (p ≤ 0.05). The ORG and INT strategies contained on average 1.1 and 1.06 times more SOC than the CON strategy, respectively. The value of labile-C was decreased during summer cultivations and increased in the soil samples collected after winter cultivations. However, although the quantity of labile-C in ORG (2 g kg−1) was higher than INT (1.83 g kg−1) and CON (1.87 g kg−1) overall during the experiment time, after the second summer cultivation despite the gradual accumulation of organic matter due to high levels of temperature and humidity, the content in ORG reduced to1.47 g kg−1. In all three agricultural management strategies, the SOC content in the four rotation systems was according to the following descending order B-W (5.7 g kg−1) > C-W (5.29 g kg−1) > S-W (5.23 g kg−1) > F-W (4.52 g kg−1). Therefore, for this region M-W and S-W crop rotation systems are recommended in addition to C-W (which is the most common rotation system). However, crop rotation systems were more beneficial for C-sequestration when combined with organic and inorganic fertilization and crop residue incorporation. This study gives promising results for implementing INT and ORG strategies under long-term cropping systems containing various summer crops in rotation with wheat for improving SOC dynamics in semi-arid regions in Iran.
Making a case for just agricultural transformation in the UNFCCC: An analysis of justice in the Koronivia Joint Work on Agriculture
Authors: Sarku Rebecca , Tauzie Mapenzie , Whitfield Stephen
Published: January 2023

Introduction

From 2018 to 2022, the Koronivia Joint Working Group on Agriculture (KJWA) was the key forum for debating global agricultural change and integrating agricultural transformation priorities into the mechanisms of the United Nations Framework Convention on Climate Change (UNFCCC). As a forerunner to the landmark decision at COP27 to initiate the Sharm El-Sheik Joint Work on Implementation of Climate Action on Agriculture and Food Security, it provided an opportunity to further the (as yet underdeveloped) discourse around social transformation and just transformation in agriculture. At the conclusion of this 4 year process, we ask: to what extent and in what ways has a just agricultural transformation been envisioned within the Koronivia Joint Working Group on Agriculture and what are the implications for the Sharm El-Sheik Joint Work on Implementation?

Methods

The paper presents a textual analysis of 155 written submissions, workshops, and concluding statements from across the full programme of KJWA workshops, meetings, and consultations.

Results

We find that references to just transformations in agriculture within KJWA are largely implicit, but not absent. We argue that justice has been most obvious and evident when it comes to discussion about who is (and where are) the most vulnerable to climate change and variability, and how access to climate smart technologies and information is distributed. Less evident have been discussions about just representation in the governance and visioning of agricultural transformation, and there have been few explicit appeals to address the historical injustices that have shaped agricultural and rural livelihoods in the Global South.

Discussion

We argue that following its conclusion, there is a danger that the outcomes of KJWA become reduced to a focus on the scaling up of a techno-centric vision of agricultural transformation. To counter this, there is need for ongoing dialogue to develop a shared and more complete understanding of justice that should be central to how agricultural transformation is integrated into the UNFCCC. We highlight some recommendations of how a justice agenda could be taken forward under the Sharm El-Sheik Joint Work on Implementation.