bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of the Enantiomeric Ratio of Eutectics on the Results and Products of the Reactions Proceeding with the Participation of Enantiomers and Enantiomeric Mixtures
Authors: Pálovics Emese , Bánhegyi Dorottya Fruzsina , Fogassy Elemér
Published: September 2020

This perspective is focused on the main parameters determining the results of crystallization of enantiomers or enantiomeric mixtures. It was shown that the ratio of supramolecular and helical associations depends on the eutectic composition of the corresponding enantiomeric mixture. The M and P ratios together with the self-disproportionation (SDE) of enantiomers define the reaction of the racemic compound with the resolving agent. Eventually, each chiral molecule reacts with at least two conformers with different degrees of M and P helicity. The combined effect of the configuration, charge distribution, constituent atoms, bonds, flexibility, and asymmetry of the molecules influencing their behavior was also summarized.
Social Entropy and Normative Network
Authors: Dinga Emil , Tănăsescu Cristina-Roxana , Ionescu Gabriela-Mariana
Published: September 2020

The paper introduces a new concept of social entropy and a new concept of social order, both based on the normative framework of society. From these two concepts, typologies (logical and historical) of societies are inferred and examined in their basic features. To these ends, some well-known concepts such as entropy, order, system, network, synergy, norm, autopoieticity, fetality, and complexity are revisited and placed into an integrated framework. The core body of this paper addresses the structure and the mechanism of social entropy, understood as an institutionally working counterpart of social order. Finally, this paper concludes that social entropy is an artefact, like society itself, and acts through people’s behavior.
Metaheuristics in the Optimization of Cryptographic Boolean Functions
Authors: López-López Isaac , Sosa-Gómez Guillermo , Segura Carlos , Oliva Diego , Rojas Omar
Published: September 2020

Generating Boolean Functions (BFs) with high nonlinearity is a complex task that is usually addresses through algebraic constructions. Metaheuristics have also been applied extensively to this task. However, metaheuristics have not been able to attain so good results as the algebraic techniques. This paper proposes a novel diversity-aware metaheuristic that is able to excel. This proposal includes the design of a novel cost function that combines several information from the Walsh Hadamard Transform (WHT) and a replacement strategy that promotes a gradual change from exploration to exploitation as well as the formation of clusters of solutions with the aim of allowing intensification steps at each iteration. The combination of a high entropy in the population and a lower entropy inside clusters allows a proper balance between exploration and exploitation. This is the first memetic algorithm that is able to generate 10-variable BFs of similar quality than algebraic methods. Experimental results and comparisons provide evidence of the high performance of the proposed optimization mechanism for the generation of high quality BFs.
Reduction Theorem for Secrecy over Linear Network Code for Active Attacks
Authors: Hayashi Masahito , Owari Masaki , Kato Go , Cai Ning
Published: September 2020

We discuss the effect of sequential error injection on information leakage under a network code. We formulate a network code for the single transmission setting and the multiple transmission setting. Under this formulation, we show that the eavesdropper cannot increase the power of eavesdropping by sequential error injection when the operations in the network are linear operations. We demonstrated the usefulness of this reduction theorem by applying a concrete example of network.
Modeling and Evaluation of Energy Efficiency of New Hybrid Turning-Burnishing Process in Terms of Surface Properties
Authors: Nguyen Trung-Thanh , Mia Mozammel
Published: September 2020

The combination of the turning and burnishing process is an efficient approach to improve machined quality and productivity. This paper aims to optimize energy efficiency (EF), improved hardness ratio (IHR), and decreased roughness ratio (DRR) of a new hybrid turning-burnishing process. The machining parameters are the feed rate (f), turning speed (v), depth of cut (a), burnishing pressure (p), and the diameter of the compressing ball (d). A new turning-burnishing tool using compressed air has been designed and fabricated. A set of experiments for Aluminum Alloy 5083 were performed using the Taguchi method. The weightage principal component analysis (WPCA) and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) were applied to obtain the weight values and optimal outcomes. The results indicated that optimum values of the depth of cut, pressure, diameter, feed rate, and speed are 1.00 mm, 0.4 MPa, 16.00 mm, 0.084 mm/rev, and 120 m/min, respectively. The improvements in the EF and IHR are by 20.75% and 8.23% respectively, while the DDR is decreased by 19.05%, as compared to common values.
New Sensorless Speed Control of a Hybrid Stepper Motor Based on Fuzzy Sliding Mode Observer
Authors: Wang Chunlei , Cao Dongxing
Published: September 2020

Stepper motors are widely used in industrial and consumer applications due to low-cost, high reliability, and open-loop control capability. Though open-loop features a simple structure, it bears low step resolution, high torque ripple, and low energy efficiency. To improve the performance without increasing hardware cost, a fuzzy sliding mode observer (SMO)-based new sensorless speed control structure is proposed. Unlike the conventional sensorless speed control, it does not use Park and inverse Park transformations to transform currents between a-b and d-q coordinates. Instead, it uses a new current transformation method to generate reference currents of stator windings, which not only reduces the calculation burden of the controller, but also improves the stability of the system. To reduce the chattering, a fuzzy logic controller (FLC) embedded into the SMO is designed to adjust the observer gain adaptively, without using the conventional method that replaces the discontinuous sign function with the continuous, such as sigmoid or saturation function. The effectiveness of the proposed controller is verified using MATLAB/Simulink simulation (R2018b, MathWorks, Natick, MA, USA) and experiment by assessing the speed and position tracking abilities.
On the Influence of the Ammonium Nitrate(V) Provenance on Its Usefulness for the Manufacture of ANFO Type Explosives
Authors: Biessikirski Andrzej , Kuterasiński Łukasz , Dworzak Michał , Twardosz Michał , Tatko Maciej , Napruszewska Bogna Daria
Published: September 2020

Ammonium nitrate fuel oil (ANFO) samples based on fertilizer (AN-F) and ammonium nitrate porous prill (AN-PP) were studied. Tests were carried out using both a thermogravimetric analyzer and differential scanning calorimetry (TGA/DSC). Furthermore, the scanning electron microscopy analysis (SEM) of ammonium nitrate(V) (AN) concerning either their surface or cross-section was performed. Based on the SEM results, it was shown that the surface of AN-F grains was flat and slightly deformed, while the AN-PP surface was wrinkled and deformed. Furthermore, the various steps of thermogravimetric process exhibited continuous AN phase transition according to precise temperatures. From TGA analysis, a significant mass loss was found as a result of ANFO decomposition. Direct comparison of SEM and TGA/DCS data led to the conclusion that ANFO based on AN-F was characterized by lower absorption of FO in contrast to AN-PP.
A Novel Probabilistic Approach to Optimize Stand-Alone Hybrid Wind-Photovoltaic Renewable Energy System
Authors: Li Wei , Li Jikang , Hu Zhenzhong , Li Sunwei , Chan P. W.
Published: September 2020

In the present study, a novel probabilistic approach is proposed to optimize a stand-alone hybrid wind-photovoltaic renewable energy system installed in the South China Sea. In detail, the probability distribution of power generated from a hybrid wind-photovoltaic system is estimated based on the probabilistic descriptions of wind and solar energy resources in the South China Sea. In addition, the present study proposed a battery level coefficient model to calculate the battery capacity of the hybrid system. As the battery level coefficient implies the expected power deficit in a specific continuous duration, it reflects the reliability of the battery system and, hence, the performance of the system under the power deficit condition. Given the probabilistic models estimated the stability of power generations, a genetic algorithm is applied to optimize the sizes of the system components (the installed capacities of wind turbines and photovoltaic modules and the load) when the levelized cost of energy (LCOE) is used as the indicator. The optimization verifies that the proposed probabilistic approach provides reasonable estimates of the power generation of a hybrid system in an optimization process. In addition, the comparisons with the conventional deterministic approach implies that the widely used loss of power supply probability (LPSP) could be interpreted, in a statistical sense, as the expected duration of power deficit. More importantly, the LPSP is connected to the localized sea condition, and therefore, this stability assessment criterion should be specified according to the location where the system is installed.
Online Rotor and Stator Resistance Estimation Based on Artificial Neural Network Applied in Sensorless Induction Motor Drive
Authors: Pham Van Tuan , Vo Tien Dung , Leonowicz Zbigniew , Jasinski Michal , Sikorski Tomasz , Chakrabarti Prasun
Published: September 2020

This paper presents a new approach method for online rotor and stator resistance estimation of induction motors using artificial neural networks for the sensorless drive. In this method, the rotor resistance is estimated by a feed-forward neural network with the learning rate as a function. The stator resistance is also estimated using the two-layered neural network with learning rate as a function. The speed of the induction motor is also estimated by the neural network. Therefore, the accurate estimation of the rotor and stator resistance improved the quality of the sensorless induction motor drive. The results of simulation and experiment show that the estimated speed tracks the real speed of the induction motor; simultaneously, the error between the estimated rotor and stator resistance using neural network and the normal rotor and stator resistance is very small.
An Air Terminal Device with a Changing Geometry to Improve Indoor Air Quality for VAV Ventilation Systems
Authors: Szczepanik-Scislo Nina , Schnotale Jacek
Published: September 2020

This study aimed to develop a new concept for an air terminal device for a VAV (variable air volume) ventilation system that would improve overall ventilation efficiency under a varying air supply volume. In VAV systems, air volume is modified according to the thermal load in each ventilated zone. However, lowering the airflow may cause a lack of proper air distribution and lead to the degradation of hygienic conditions. To combat this phenomenon, an air terminal device with an adapting geometry to stabilize the air throw, such that it remains constant despite the changing air volume supplied through the ventilation system, was designed and studied. Simulations that were performed using the RNG k–ε model in the ANSYS Fluent application were later validated on a laboratory stand. The results of the study show that, when using the newly proposed terminal device with an adaptive geometry, it is possible to stabilize the air throw. The thermal comfort parameters such as the PMV (predicted mean vote) and PPD (predicted percentage of dissatisfied) proved that thermal comfort was maintained in a person-occupied area regardless of changing airflow though the ventilation system.
Manufacturing 4.0 Operations Scheduling with AGV Battery Management Constraints
Authors: Abderrahim Moussa , Bekrar Abdelghani , Trentesaux Damien , Aissani Nassima , Bouamrane Karim
Published: September 2020

The industry 4.0 concepts are moving towards flexible and energy efficient factories. Major flexible production lines use battery-based automated guided vehicles (AGVs) to optimize their handling processes. However, optimal AGV battery management can significantly shorten lead times. In this paper, we address the scheduling problem in an AGV-based job-shop manufacturing facility. The considered schedule concerns three strands: jobs affecting machines, product transport tasks’ allocations and AGV fleet battery management. The proposed model supports outcomes expected from Industry 4.0 by increasing productivity through completion time minimization and optimizing energy by managing battery replenishment. Experimental tests were conducted on extended benchmark literature instances to evaluate the efficiency of the proposed approach.
Off-Grid System Configurations for Coordinated Control of Renewable Energy Sources
Authors: Rezkallah Miloud , Singh Sanjeev , Chandra Ambrish , Singh Bhim , Ibrahim Hussein
Published: September 2020

Configurations, coordinated controller design and applications of various off-grid systems with distributed energy resources (DERs) for an uninterrupted supply, are presented in this paper. The performances for the optimal operation of a diesel generator (DG) in the presence of nonlinear loads, fuel-savings, voltage and frequency regulation, a soft and secure transition among different operating modes, an optimization, and power management control, are validated through simulated results and test results on the prototype to demonstrate the suitability of these configurations with natural energy resources (NERs) for continuous development in remote as well as in isolated locations.
Climate-Biome Envelope Shifts Create Enormous Challenges and Novel Opportunities for Conservation
Authors: Toot Ryan , Frelich Lee E. , Butler Ethan E. , Reich Peter B.
Published: September 2020

Research Highlights: We modeled climate-biome envelopes at high resolution in the Western Great Lakes Region for recent and future time-periods. The projected biome shifts, in conjunction with heterogeneous distribution of protected land, may create both great challenges for conservation of particular ecosystems and novel conservation opportunities. Background and Objectives: Climate change this century will affect the distribution and relative abundance of ecological communities against a mostly static background of protected land. We developed a climate-biome envelope model using a priori climate-vegetation relationships for the Western Great Lakes Region (Minnesota, Wisconsin and Michigan USA and adjacent Ontario, Canada) to predict potential biomes and ecotones—boreal forest, mixed forest, temperate forest, prairie–forest border, and prairie—for a recent climate normal period (1979–2013) and future conditions (2061–2080). Materials and Methods: We analyzed six scenarios, two representative concentration pathways (RCP)—4.5 and 8.5, and three global climate models to represent cool, average, and warm scenarios to predict climate-biome envelopes for 2061–2080. To assess implications of the changes for conservation, we analyzed the amount of land with climate suited for each of the biomes and ecotones both region-wide and within protected areas, under current and future conditions. Results: Recent biome boundaries were accurately represented by the climate-biome envelope model. The modeled future conditions show at least a 96% loss in areas suitable for the boreal and mixed forest from the region, but likely gains in areas suitable for temperate forest, prairie–forest border, and prairie. The analysis also showed that protected areas in the region will most likely lose most or all of the area, 18,692 km2, currently climatically suitable for boreal forest. This would represent an enormous conservation loss. However, conversely, the area climatically suitable for prairie and prairie–forest border within protected areas would increase up to 12.5 times the currently suitable 1775 km2. Conclusions: These results suggest that retaining boreal forest in potential refugia where it currently exists and facilitating transition of some forests to prairie, oak savanna, and temperate forest should both be conservation priorities in the northern part of the region.
Assessment of Dietary Selenium and Vitamin E on Laying Performance and Quality Parameters of Fresh and Stored Eggs in Japanese Quails
Authors: Nemati Zabihollah , Ahmadian Hosain , Besharati Maghsoud , Lesson Steven , Alirezalu Kazem , Domínguez Rubén , Lorenzo José M.
Published: September 2020

The effect of dietary supplementation with VE and Se on the laying productive performance, immunity, and the quality parameters of fresh and stored eggs was assessed. For this study, five treatments, namely control (basal diet), control plus 30 mg of VE and 0.4 mg kg−1 sodium selenite (VE30SS), control plus 30 mg of VE and 0.4 mg kg−1 of Sel-Plex® (VE30SP), control plus 120 mg VE and 0.4 mg kg−1 Sodium selenite (VE120SS), and control plus 120 mg VE and 0.4 mg kg−1 Sel-Plex (VE120SP), were examined. There was no huge impact of VE and Se on feed consumption, FCR and egg yield rate. Quality parameters of fresh egg including egg surface area, eggshell thickness, yolk selenium concentration, albumen height, and Haugh unit were significantly increased following VE and Se supplementation (p < 0.05). For stored eggs, VE and Se significantly increased egg yolk color intensity (p < 0.05). Regardless of storage temperature, eggs from birds fed with VE and Se had less weight loss during 30 days of storage. Albumen height was significantly higher in VE and Se fed birds in eggs stored at 5 °C for 15 and 30 days. The combination of Sel-Plex with either levels of VE had significantly higher blood total antioxidant capacity. Dietary VE and Selenium, notably Sel-Plex, improved the antioxidant potential of blood and egg quality of laying quails.
Prevalence of Vertebral Fractures in CTPA’s in Adults Aged 75 and Older and Their Association with Subsequent Fractures and Mortality
Authors: Jones Llewelyn , Singh Sukhdev , Edwards Chris , Goyal Nimit , Singh Inder
Published: September 2020

Identifying vertebral fractures is prudent in the management of osteoporosis and the current literature suggests that less than one-third of incidental vertebral fractures are reported. The aim of this study is to determine the prevalence of reported and unreported vertebral fractures in computerized tomography pulmonary angiograms (CTPA) and their relevance to clinical outcomes. All acutely unwell patients aged 75 or older who underwent CTPAs were reviewed retrospectively. 179 CTPAs were reviewed to identify any unreported vertebral fractures. A total of 161 were included for further analysis. Of which, 14.3% (23/161) were reported to have a vertebral fracture, however, only 8.7% (14/161) of reports used the correct terminology of ‘fracture’. On subsequent review, an additional 19.3% (31/161) were noted to have vertebral fractures. Therefore, the overall prevalence of vertebral fractures was 33.5% (54/161). A total of 22.2% (12/54) of patients with a vertebral fracture on CTPA sustained a new fragility fracture during the follow-up period (4.5 years). In comparison, a significantly lower 10.3% (11/107) of patients without a vertebral fracture developed a subsequent fragility fracture during the same period (p = 0.04). Overall mortality during the follow-up period was significantly higher for patients with vertebral fractures (68.5%, 37/54) as compared to those without (45.8%, 49/107, p = 0.006). Vertebral fractures within the elderly population are underreported on CTPAs. The significance of detecting incidental vertebral fractures is clear given the increased rates of subsequent fractures and mortality. Radiologists and physicians alike must be made aware of the importance of identifying and treating incidental, vertebral fragility fractures.
The Art of Safe and Judicious Deprescribing in an Elderly Patient: A Case Report
Authors: Gareri Pietro , Gallelli Luca , Cotroneo Antonino Maria , Manfredi Valeria Graziella Laura , De Sarro Giovambattista
Published: September 2020

Prescription for inappropriate drugs can be dangerous to the elderly due to the increased risk of adverse drug reactions and drug-interactions. In this manuscript, we report the complexity of polypharmacy and the possible harmful consequences in an old person. An 81-year-old man with a clinical history of diabetes, blood hypertension, non-valvular atrial fibrillation, chronic obstructive pulmonary disease, osteoarthritis, anxiety, and depression, was admitted to our attention for cognitive disorders and dementia. Brain magnetic resonance imaging showed parenchymal atrophy with lacunar state involving thalami and internal capsules. Neuropsychological tests revealed cognitive impairment and a depressed mood. History revealed that he was taking 11 different drug severy day with a potential risk of 55 drug–drug interactions. Therefore, risperidone, chlorpromazine, N-demethyl-diazepam, and L-DOPA/carbidopa were gradually discontinued and citicoline (1g/day), cholecalciferol (50,000 IU once a week), and escitalopram (5 mg/day) were started. Furthermore, he started a program of home rehabilitation. During the follow-up, three months later, we recorded an improvement in both mood and cognitive tests, as well as in walking ability. The present case report shows the need for a wise prescription and deprescribing in older people.
Interventions to Increase Adherence to a Gluten Free Diet in Patients with Coeliac Disease: A Scoping Review
Authors: Muhammad Humayun , Reeves Sue , Ishaq Sauid , Jeanes Yvonne
Published: September 2020

Coeliac disease is a chronic inflammatory disorder of the small bowel, characterised by permanent intolerance to gluten. The only current and effective treatment for coeliac disease is a gluten free diet [GFD], however this is challenging for patients to adhere to. The review aims to identify published interventions designed to improve patients’ adherence to a GFD. Ten intervention studies were identified and included within the review; whilst heterogeneous in delivery, all included an educational, behavioural, and practical element. Five interventions significantly improved dietary adherence, these included follow-up appointments, a telephone clinic, an online course, cooking sessions and psychological support. All studies were small and used varied methods to assess adherence. There is a paucity of well-designed interventions to promote dietary adherence, in future more robust methods for ascertaining adherence is needed, we recommend greater inclusion of dietetic assessment and combining more than one method for assessing adherence.
Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment
Authors: De Rosis Sabina , Corazza Ilaria , Pennucci Francesca
Published: September 2020

Physical activity improves peoples’ well-being and can help in preventing weight gain, obesity, and related non-communicable diseases. Promoting healthy behaviors in the daily travels and transport choices of adolescents is very important in early establishing healthy habits that imply routine physical activity. For designing and developing effective strategies, it is relevant to study adolescents’ preferences for physical activity and what factors in the social and environmental contexts affect their preferences. The paper investigates these aspects by means of a discrete choice experiment, using data from more than 4300 16–17 year-old adolescents in Italy. The results show that adolescents generally prefer walking for long time alone. However, females prefer cycling, while adolescents from lower educated families prefer motorized means of transport. Environmental factors affect the adolescents’ preferences: living nearby a green area is associated with more active and healthier choices in their short daily travels. Conversely, adolescents living closer to an industrial or high traffic area prefer to use motorized vehicles. Such findings have been discussed and policy implications presented, in order to support policymakers in designing cross-sectoral policies to promote healthy choices related to physical activity in adolescence.
Vancomycin for Dialytic Therapy in Critically Ill Patients: Analysis of Its Reduction and the Factors Associated with Subtherapeutic Concentrations
Authors: Freitas Fernanda Moreira de , Zamoner Welder , Reis Pamela Falbo dos , Balbi André Luís , Ponce Daniela
Published: September 2020

This study aimed to evaluate the reduction in vancomycin through intermittent haemodialysis (IHD) and prolonged haemodialysis (PHD) in acute kidney injury (AKI) patients with sepsis and to identify the variables associated with subtherapeutic concentrations. A prospective study was performed in patients admitted at an intensive care unit (ICU) of a Brazilian hospital. Blood samples were collected at the start of dialytic therapy, after 2 and 4 h of treatment and at the end of therapy to determine the serum concentration of vancomycin and thus perform pharmacokinetic evaluation and PK/PD modelling. Twenty-seven patients treated with IHD, 17 treated with PHD for 6 h and 11 treated with PHD for 10 h were included. The reduction in serum concentrations of vancomycin after 2 h of therapy was 26.65 ± 12.64% and at the end of dialysis was 45.78 ± 12.79%, higher in the 10-h PHD group, 57.70% (40, 48–64, 30%) (p = 0.037). The ratio of the area under the curve to minimal inhibitory concentration (AUC/MIC) at 24 h in the PHD group was significantly smaller than at 10 h (p = 0.047). In the logistic regression, PHD was a risk factor for an AUC/MIC ratio less than 400 (OR = 11.59, p = 0.033), while a higher serum concentration of vancomycin at T0 was a protective factor (OR = 0.791, p = 0.009). In conclusion, subtherapeutic concentrations of vancomycin in acute kidney injury (AKI) patients in dialysis were elevated and may be related to a higher risk of bacterial resistance and mortality, besides pointing out the necessity of additional doses of vancomycin during dialytic therapy, mainly in PHD.
A Historical Analysis of Randomized Controlled Trials in Rotator Cuff Tears
Authors: Candela Vincenzo , Longo Umile Giuseppe , Di Naro Calogero , Facchinetti Gabriella , Marchetti Anna , Sciotti Gaia , Santamaria Giulia , Piergentili Ilaria , De Marinis Maria Grazia , Nazarian Ara , Denaro Vincenzo
Published: September 2020

Background and objectives: Our research aimed to evaluate the quality of reporting of randomized controlled trials (RCTs) linked to rotator cuff (RC) tears. The present study analyzed factors connected to the quality of the RCTs and trends in the quality of reporting through time. Materials and Methods: The online databases used to search all RCTs on the topic of RC surgery completed until March 2020 were PubMed and Ovid (MEDLINE). The quality of reporting was evaluated using the modified Coleman methodology score (MCMS) and the consolidated standards of reporting trials (CONSORT). Results: The online search found 957 articles. Finally, 183 studies were included in the quantitative synthesis. A total of 97 (53%) of 183 studies had a level of evidence I and 86 (47%) of 183 studies had a level of evidence II, according to the Oxford Center of Evidence Based Medicine (EBM). A statistically significant difference in MCMS between articles written before 2010 and articles written after 2010 was found. Articles written after 2010 had, on average, the highest Coleman score. The average number of CONSORT checklist items for each article across all analyzed RCTs was 21.67. The 37 studies completed up to 2010 averaged a number of checklist items of 19.97 and the studies completed between 2011 and 2019 averaged a number of checklist items of 22.10. A statistically significant difference in the number of checklist items between articles written before 2010 and articles written after 2010 was found. Articles written after 2010 had on average more checklist items. However, low correlation (0.26) between the number of checklist items for each article and the respective Coleman score was found. On the other hand, articles with the CONSORT diagram had a significantly high Coleman score. Conclusions: An improvement in the quantity and quality of RCTs relating to RC surgery over the analyzed period was found.
The Protective Association of Trait and Ability Emotional Intelligence with Adolescent Tobacco Use
Authors: González-Yubero Sara , Lázaro-Visa Susana , Palomera Martín Raquel
Published: September 2020

The present study is one of the first to analyze the predictive capacity of both trait and ability Emotional Intelligence (EI) based on the Mayer and Salovey model, in relation to tobacco use in a sample of Spanish adolescents. In this study, 799 students between the ages of 12 and 16 participated. A self-report on trait EI, an EI peak performance test, and questions about habits relating to tobacco use were administered. This cross-sectional study developed a quantitative and correlation-type methodology. The main results of the regression analyses, once the sex and age of the participants were controlled, revealed negative associations between the factors of clarity and emotional repair of the trait EI with respect to the variables of tobacco use, and a positive association was found for them and emotional attention. By comparison, with respect to ability EI, emotional perception and understanding were inversely related to adolescent tobacco use. These results underscore the importance of EI skills as protective factors against early initiation and subsequent tobacco abuse.
How Older People Experience the Age-Friendliness of Their City: Development of the Age-Friendly Cities and Communities Questionnaire
Authors: Dikken Jeroen , van den Hoven Rudy F.M. , van Staalduinen Willeke H. , Hulsebosch-Janssen Loes M.T. , van Hoof Joost
Published: September 2020

The World Health Organization engages cities and communities all over the world in becoming age-friendly. There is a need for assessing the age-friendliness of cities and communities by means of a transparently constructed and validated tool which measures the construct as a whole. The aim of this study was to develop a questionnaire measuring age-friendliness, providing full transparency and reproducibility. The development and validation of the Age Friendly Cities and Communities Questionnaire (AFCCQ) followed the criteria of the COnsensus-based Standards for selection of health Measurement INstruments (COSMIN). Four phases were followed: (1) development of the conceptual model, themes and items; (2) initial (qualitative) validation; (3) psychometric validation, and (4) translating the instrument using the forward-backward translation method. This rigorous process of development and validation resulted in a valid, psychometrically sound, comprehensive 23-item questionnaire. This questionnaire can be used to measure older people’s experiences regarding the eight domains of the WHO Age-Friendly Cities model, and an additional financial domain. The AFCCQ allows practitioners and researchers to capture the age-friendliness of a city or community in a numerical fashion, which helps monitor the age-friendliness and the potential impact of policies or social programmes. The AFCCQ was created in Dutch and translated into British-English.
The Experience of Do-Not-Resuscitate Orders and End-of-Life Care Discussions among Physicians
Authors: Fan Sheng-Yu , Hsieh Jyh-Gang
Published: September 2020

Physicians have a responsibility to discuss do-not-resuscitate (DNR) decisions and end-of-life (EOL) care with patients and family members. The aim of this study was to explore the DNR and EOL care discussion experience among physicians in Taiwan. A qualitative study was conducted with 16 physicians recruited from the departments of hospice care, surgery, internal medicine, emergency, and the intensive care unit. The interview guidelines included their DNR experience and process and EOL care discussions, as well as their concerns, difficulties, or worries in discussions. Thematic analysis was used to analyze data. Four themes were identified. First, family members had multiple roles in the decision process. Second, the characteristics of the units, including time urgency and relationships with patients and family members, influenced physicians’ work. Third, the process included preparation, exploration, information delivery, barrier solution, and execution. Fourth, physicians shared reflections on their ability and the conflicts between law, medical professionals, and the best interests of patients. Physicians must consider not only patients’ but also family members’ opinions and surmount several barriers in decision-making. They also experienced negative and positive impacts from these discussions.
Increased Mortality Risk in People with Type 2 Diabetes Mellitus in Lithuania
Authors: Linkeviciute-Ulinskiene Donata , Kaceniene Auguste , Dulskas Audrius , Patasius Ausvydas , Zabuliene Lina , Smailyte Giedre
Published: September 2020

This retrospective cohort study aimed to analyze overall and cause-specific mortality risk in people with type 2 diabetes mellitus (T2DM) in Lithuania. Information on the diagnosis of T2DM and glucose-lowering medication was obtained from the National Health Insurance Fund database, causes of death–from death certificates. Sex, age, and calendar period-standardized mortality ratios (SMRs) were calculated. In addition, 89,512 patients were followed-up between 2010 and 2017, contributing to the observation period of 592,321 person-years. Overall mortality risk was increased for both sexes (overall SMR = 1.35, 95% confidence interval (CI) 1.34–1.37). Greatest mortality risk was in the age group of 40–49 years at diabetes diagnosis (SMR = 1.68, 95% CI 1.60–1.76) and among those who had died before the age of 50 (SMR = 22.04, 95% CI 18.82–25.81). Patients treated with insulin only had the highest SMR (2.43, 95% CI 2.32–2.55). Mortality risk increased with increasing diabetes duration and was higher in women in all these groups. The highest cause-specific SMRs were infection-related causes (SMR = 1.44), particularly septicemia (SMR = 1.78), diseases of the circulatory system (SMR = 1.42), especially ischemic heart (SMR = 1.46) and cerebrovascular diseases (SMR = 1.38), as well as diseases of the digestive system (SMR = 1.35). Cancer mortality risk was elevated for women (SMR = 1.13), but not for men (SMR = 0.93). In conclusion, people with T2DM had an excess mortality risk, which was higher in women compared to men, younger people, in those who were diagnosed with T2DM at a younger age, had longer diabetes duration, and who required treatment with insulin.
Gender, Physical Self-Perception and Overall Physical Fitness in Secondary School Students: A Multiple Mediation Model
Authors: Ruiz-Montero Pedro Jesús , Chiva-Bartoll Oscar , Baena-Extremera Antonio , Hortigüela-Alcalá David
Published: September 2020

Background: Physical self-perception is often related with better physical fitness perception in adolescents. Moreover, it is an important social cognitive perspective to provide suitable mental health in this population. However, this relationship is unequal between boys and girls. The physical fitness is a marker of health in young population. The aims of the present study were the following: (1) to compare physical self-perception and self-reported overall physical fitness (OPF) between boys and girls (gender) and body mass index (BMI) status, and (2) to determine the mediating role of all physical self-perception subscales (except physical condition) and BMI status in the link between gender and OPF in adolescent students. Methods: This cross-sectional study consisted of 85 adolescent students of secondary school between 12 and 17 years of age; 41 were boys (Mage = 14.6, SD = 1.7) and 44 were girls (Mage = 14.4, SD = 1.6). Adolescent participants completed all clinical characteristics by body composition measures (age, body weight, body height, and BMI). Physical self-perception was assessed by the physical self-perception profile (PSPP) whereas the international fitness scale (IFIS) was used to predict the self-reported OPF of adolescents in the present study. Results: Gender (boys and girls) differed significantly in all PSPP subscales and OPF, whereas the BMI status (underweight = 19 students, normal weight = 53 students, overweight/obese = 13 students) showed significant differences in all clinical characteristics, physical condition (PSPP), and OPF. A multiple mediation analysis was performed using bias corrected bootstrap. This multiple mediation analysis revealed that all PSPP subscales were significant mediators between gender and OPF: attractive body (p = 0.013), sport competence (p = 0.009), physical strength (p = 0.002), and self-confidence (p = 0.002). The total direct effect of gender on OPF was significant (p = 0.002). Moreover, the multiple mediation estimated a completely standardized indirect of X on Y for attractive body (effect = 0.109), sport competence (effect = 0.066), physical strength (effect = 0.130), and self-confidence (effect = 0.193). Conclusions: These findings contribute to understanding the link between gender and OPF in adolescent students and the mediation of physical self-perception and OPF in this relationship. In addition, strategies focused to improve self-confidence and physical self-perception are necessary in female adolescent students, because boys showed better physical self-perception in all PSPP subscales. Girls are a risk group because they report low physical self-confidence with their respective insecurity feelings and psychological disorders. Thus, personal physical self-perception must be considered as an important social cognitive perspective to provide suitable mental health in children and adolescents.
Gender Influence on Students, Parents, and Teachers’ Perceptions of What Children and Adolescents in Germany Need to Cycle to School: A Concept Mapping Study
Authors: Schönbach Dorothea M. I. , Vondung Catherina , Hidding Lisan M. , Altenburg Teatske M. , Chinapaw Mai J. M. , Demetriou Yolanda
Published: September 2020

Active commuting to school is highly recommended for several reasons, and in the decision-making process for doing so, a child interacts with parents and teachers. Until now, these three interactors’ gender-specific perspectives on children and adolescents’ need for cycling to school have been unavailable. Thus, our concept mapping study analyzed the needs of 12- to 15-year-olds in Germany for cycling to and from school daily, as perceived by students, parents, and teachers stratified by gender. From November 2019 to February 2020, 136 students, 58 parents, and 29 teachers participated. Although 87.8% of girls and 100% of boys owned a bicycle, only 44.4% of girls and 72.9% of boys cycled to school. On average, girls cycled to school on 1.6 ± 2.0 days a week and boys on 2.7 ± 2.0 days a week. A “bicycle and related equipment,” the “way to school,” and “personal factors” were reported needs, perceived by students and teachers of both genders and by mothers. Girls reported the additional gender-specific need for “social behavior in road traffic,” mothers and female teachers reported “role of parents,” and female teachers reported a “sense of safety.” This study’s findings could inspire the development of school-based bicycle interventions.
Predicting Daily Sheltering Arrangements among Youth Experiencing Homelessness Using Diary Measurements Collected by Ecological Momentary Assessment
Authors: Suchting Robert , Businelle Michael S. , Hwang Stephen W. , Padhye Nikhil S. , Yang Yijiong , Santa Maria Diane M.
Published: September 2020

Youths experiencing homelessness (YEH) often cycle between various sheltering locations including spending nights on the streets, in shelters and with others. Few studies have explored the patterns of daily sheltering over time. A total of 66 participants completed 724 ecological momentary assessments that assessed daily sleeping arrangements. Analyses applied a hypothesis-generating machine learning algorithm (component-wise gradient boosting) to build interpretable models that would select only the best predictors of daily sheltering from a large set of 92 variables while accounting for the correlated nature of the data. Sheltering was examined as a three-category outcome comparing nights spent literally homeless, unstably housed or at a shelter. The final model retained 15 predictors. These predictors included (among others) specific stressors (e.g., not having a place to stay, parenting and hunger), discrimination (by a friend or nonspecified other; due to race or homelessness), being arrested and synthetic cannabinoids use (a.k.a., “kush”). The final model demonstrated success in classifying the categorical outcome. These results have implications for developing just-in-time adaptive interventions for improving the lives of YEH.
Feeling Connected after Experiencing Digital Nature: A Survey Study
Authors: van Houwelingen-Snippe Josca , van Rompay Thomas J. L. , Ben Allouch Somaya
Published: September 2020

Digital nature can provide a substitute for real nature for those who have limited access to green space, or are confined to their homes, for example during the worldwide COVID-19 lockdown. In a large-scale online survey, respondents (N = 1203) watched videos of digital nature, varying in terms of type of nature (wild versus tended nature) and spaciousness. Results show a significant increase of feelings of connectedness to the community after watching digital nature. Furthermore, tended nature scenes elicited more social aspirations than wild nature scenes. A multiple regression model further shows that living further away from nature was a significant predictor for loneliness scores, while number of nature interactions during a week was not. Results of this study confirm the importance of nature interaction for mental and social wellbeing for the general population and stress the potential of digital nature as a complementary strategy. These findings are of particular relevance to those who lack access to nature due to old age and related mobility constraints or a lockdown.
The Effectiveness of Patient-Centred Medical Home-Based Models of Care versus Standard Primary Care in Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomised and Non-Randomised Controlled Trials
Authors: John James Rufus , Jani Hir , Peters Kath , Agho Kingsley , Tannous W. Kathy
Published: September 2020

Patient-centred care by a coordinated primary care team may be more effective than standard care in chronic disease management. We synthesised evidence to determine whether patient-centred medical home (PCMH)-based care models are more effective than standard general practitioner (GP) care in improving biomedical, hospital, and economic outcomes. MEDLINE, CINAHL, Embase, Cochrane Library, and Scopus were searched to identify randomised (RCTs) and non-randomised controlled trials that evaluated two or more principles of PCMH among primary care patients with chronic diseases. Study selection, data extraction, quality assessment using Joanna Briggs Institute (JBI) appraisal tools, and grading of evidence using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach were conducted independently. A quantitative synthesis, where possible, was pooled using random effects models and the effect size estimates of standardised mean differences (SMDs) and odds ratios (ORs) with 95% confidence intervals were reported. Of the 13,820 citations, we identified 78 eligible RCTs and 7 quasi trials which included 60,617 patients. The findings suggested that PCMH-based care was associated with significant improvements in depression episodes (SMD −0.24; 95% CI −0.35, −0.14; I2 = 76%) and increased odds of remission (OR 1.79; 95% CI 1.46, 2.21; I2 = 0%). There were significant improvements in the health-related quality of life (SMD 0.10; 95% CI 0.04, 0.15; I2 = 51%), self-management outcomes (SMD 0.24; 95% CI 0.03, 0.44; I2 = 83%), and hospital admissions (OR 0.83; 95% CI 0.70, 0.98; I2 = 0%). In terms of biomedical outcomes, with exception to total cholesterol, PCMH-based care led to significant improvements in blood pressure, glycated haemoglobin, and low-density lipoprotein cholesterol outcomes. The incremental cost of PCMH care was identified to be small and significantly higher than standard care (SMD 0.17; 95% CI 0.08, 0.26; I2 = 82%). The quality of individual studies ranged from “fair” to “good” by meeting at least 60% of items on the quality appraisal checklist. Additionally, moderate to high heterogeneity across studies in outcomes resulted in downgrading the included studies as moderate or low grade of evidence. PCMH-based care has been found to be superior to standard GP care in chronic disease management. Results of the review have important implications that may inform patient, practice, and policy-level changes.
Tracking and Analyzing Public Emotion Evolutions During COVID-19: A Case Study from the Event-Driven Perspective on Microblogs
Authors: Li Qi , Wei Cong , Dang Jianning , Cao Lei , Liu Li
Published: September 2020

Objective: Coronavirus disease 2019 (COVID-19) has caused substantial panic worldwide since its outbreak in December 2019. This study uses social networks to track the evolution of public emotion during COVID-19 in China and analyzes the root causes of these public emotions from an event-driven perspective. Methods: A dataset was constructed using microblogs (n = 125,672) labeled with COVID-19-related super topics (n = 680) from 40,891 users from 1 December 2019 to 17 February 2020. Based on the skeleton and key change points of COVID-19 extracted from microblogging contents, we tracked the public’s emotional evolution modes (accumulated emotions, emotion covariances, and emotion transitions) by time phase and further extracted the details of dominant social events. Results: Public emotions showed different evolution modes during different phases of COVID-19. Events about the development of COVID-19 remained hot, but generally declined, and public attention shifted to other aspects of the epidemic (e.g., encouragement, support, and treatment). Conclusions: These findings suggest that the public’s feedback on COVID-19 predated official accounts on the microblog platform. There were clear differences in the trending events that large users (users with many fans and readings) and common users paid attention to during each phase of COVID-19.