bluuebunny/crossref_metadata_2025 huggingface dataset:
Experiencing Public Spaces in Southern Chile: Analysing the Effects of the Built Environment on Walking Perceptions
Authors: Zumelzu Antonio , Estrada Mariana , Moya Marta , Troppa Jairo
Published: October 2022

In Latin American cities, the built environment is facing crucial challenges in the 21st century, not only in terms of the redesign of the physical environment, but also how to remodel public spaces as healthier places for walking and social interaction. The objective of this article is to evaluate the effects of the built environment on walking perceptions in a central neighbourhood in the intermediate city of Valdivia, Chile. The methodology integrates quantitative and qualitative methods to explore which elements of the physical built environment ease and hinder walkability. Depthmap software and Simpson’s Diversity Index are used to evaluate connectivity and diversity of land uses at street level. Additionally, the People Following method and 26 walking interviews are conducted using the Natural Go-Along technique to analyse pedestrians’ perceptions about their mobility environment. The results show that the factors that promote walkability mainly include streets with high connectivity values, wide pavements, diversity of greening, and facade characteristics of buildings with architectural heritage causing tranquillity, longing, and happiness. On the contrary, factors that inhibit walkability are related to poor-quality and narrow sidewalks, cars parked on sidewalks, dirty streets, and motorized traffic and vehicular noise causing negative emotions in walking perceptions such as tiredness, anger, disgust, discomfort, and insecurity, with negative effects on the well-being of residents that vary according to age and gender. Finally, recommendations are oriented to improve public spaces in central areas in southern Chile, to address moving towards more liveable and inclusive environments and support well-being through urban design in these types of context.
The Opinions of Specialists in Obstetrics and Gynecology on the Indications for Pregnancy Termination in Poland—A Preliminary Cross-Sectional Study
Authors: Zaręba Kornelia , La Rosa Valentina Lucia , Wójtowicz Stanisław , Kołb-Sielecka Ewelina , Banasiewicz Jolanta , Ciebiera Michał , Jakiel Grzegorz
Published: October 2022

The physician’s decision concerning pregnancy termination is influenced by a number of factors. The study aimed at obtaining the opinions of obstetricians and gynecologists with regard to the indications for pregnancy termination, the readiness to perform the procedure personally and the assessment of the determinants thereof. The survey study was conducted between 1 January 2020 and 31 December 2021 among physicians who performed diagnostic prenatal ultrasonography. A considerable majority of physicians participating in the study did not approve of termination without medical indications (62.5%). A marked majority of them considered the following cases as indications for pregnancy termination: severe fetal defects (90%), lethal defects (91.5%) and a disease threatening maternal life (91.5%). A small group of physicians declared that they were ready to perform a termination without medical indications (12.5%). However, they were ready to perform a pregnancy termination personally in cases of threat to maternal life (77.5%), severe fetal defects (75%), lethal fetal defects (75%) and a pregnancy being a result of rape (75%). No statistical significance was observed with regard to the influence of the respondents’ sex, the fact of having children or the workplace on the issue of indications for pregnancy termination. It seems justified to develop case-centered counseling concerning abortion, based on specialists in perinatology, law and ethics, especially in countries with more restrictive abortion law or strongly religious societies.
Exploring the Socio-Demographic and Psychosocial Factors That Enhance Resilience in the COVID-19 Crisis
Authors: Lin Snow Yunni , Tan Jian Han , Tay Brenda Xian Hui , Koh John Paul Chern Shwen , Siew Lei , Teo Marcus Cher Hean , Tan Jeremy Yen Chin , Hilal Saima
Published: October 2022

The Coronavirus disease 2019 (COVID-19) has greatly affected mental health worldwide. This study aimed to identify sociodemographic and psychosocial factors that influence the level of resilience among Singaporeans amidst the pandemic. An online questionnaire was administered to Singaporeans and permanent residents aged 21 and above. The online questionnaire collected information on sociodemographics, infection, and contact with COVID-19. Psychosocial variables—specifically optimism, self-efficacy, hope, and resilience—were also assessed through validated questionnaires. A total of 404 responses were collected in this study. Men were reported to have higher resilience compared to women (28.13 vs. 25.54, p-value < 0.001). Married individuals were observed to have higher resilience compared to their single counterparts (27.92 vs. 25.77, p-value < 0.001). Interestingly, participants who knew of family members/friends who had contracted COVID-19 were reported to be more resilient than those who did not (28.09 vs. 26.19, p-value = 0.013). Optimism, self-efficacy, and hope were also found to be associated with higher resilience (p-value < 0.001). In conclusion, one’s sex, marital status, contact with COVID-19, level of optimism, self-efficacy, and hope were shown to significantly affect resilience. Given the long-drawn nature of the COVID-19 pandemic, interventions should aim to improve optimism, self-efficacy, and hopefulness in the community.
Sports Injuries of a Portuguese Professional Football Team during Three Consecutive Seasons
Authors: Martins Francisco , França Cíntia , Marques Adilson , Iglésias Beatriz , Sarmento Hugo , Henriques Ricardo , Ihle Andreas , Lopes Helder , Ornelas Rui T. , Gouveia Élvio Rúbio
Published: October 2022

Professional football players are exposed to high injury risk due to the physical demands of this sport. The purpose of this study was to characterize the injuries of a professional football team in the First Portuguese League over three consecutive sports seasons. Seventy-one male professional football players in the First Portuguese Football League were followed throughout the sports seasons of 2019/2020, 2020/2021, and 2021/2022. In total, 84 injuries were recorded. Each player missed an average of 16.6 days per injury. Lower limbs were massively affected by injuries across all three seasons, mainly with muscular injuries in the quadriceps and hamstrings and sprains in the tibiotarsal structure. Overall, the injury incidence was considerably higher in matches than in training. The two times of the season that proved most conducive to injuries were the months of July and January. Our results emphasize the importance of monitoring sports performance, including injury occurrence, and assisting in identifying risk factors in professional football. Designing individualized training programs and optimizing prevention and recovery protocols are crucial for maximizing this global process.
Association of Absolute and Relative Handgrip Strength with Prevalent Metabolic Syndrome in Adults: Korea National Health and Nutrition Examination Survey 2014–2018
Authors: Hong Sunghyun , Oh Minsuk , Kim Youngwon , Jeon Justin Y.
Published: October 2022

Maintaining or improving muscular strength may be a key preventive strategy for metabolic syndrome (MetS). However, whether the association of handgrip strength (HGS), as a well-established marker of whole-body muscular strength, with the prevalent metabolic syndrome (MetS) varies with age stratification remains unclear. Additionally, whether absolute of relative HGS is superior to another in predicting MetS is less clear. We examined the association of both relative and absolute HGS with the prevalence of MetS in different age groups. Korean adults aged ≥19 years (n = 28,146; 55.7% female) from the Korean National Health and Nutrition Examination Survey (2014–2018) were examined. HGS was categorized using tertile split (highest, intermediate, lowest) and participants were stratified into different age groups at 10-year intervals. Multivariable logistic regression models were used to examine the association between absolute/relative HGS tertiles and MetS with adjustment for covariates. Lower odds of MetS were observed across lower absolute HGS tertiles and the associations were significant in young participants (19–29 years) in both sexes (odds ratio (OR): 0.59 (95% CI: 0.38–0.92) for intermediate and OR: 0.55 (95% CI: 0.34–0.89) for lowest in males; OR: 0.36 (95% CI: 0.20–0.65) for intermediate and OR: 0.42 (95% CI: 0.24–0.74) for lowest in females; all p < 0.05). By contrast, higher odds of MetS were observed across lower relative HGS in all age groups in both sexes (in total participants, OR: 2.32 (95% CI: 2.06–2.62) for intermediate and OR: 3.69 (95% CI: 3.27–4.16) for lowest in males and OR: 2.04 (95% CI: 1.83–2.28) for intermediate and OR: 3.28 (95% CI: 2.94–3.65) for lowest in females all p < 0.05). The associations of both absolute and relative HGS with MetS attenuated with an increase in age. Our findings suggest that poor relative HGS, as a marker of muscular strength, and not absolute HGS, may be associated with a higher risk of MetS in adults. Our findings also suggest that relative HGS may overestimate MetS in young adults.
Psychometric Properties and Factor Structure of the Slovak Version of the Copenhagen Burnout Inventory
Authors: Kováč Karol , Halamová Júlia
Published: October 2022

Background: Burnout is clinically significant because it has adverse consequences in the form of mental and physical illnesses and economic losses. The goal of the research study was to translate the Copenhagen Burnout Inventory (CBI) into Slovak and then assess its factor structure, reliability, validity, and psychometric properties. Methods: We collected two convenience samples: one for the psychometric properties analysis and factor analysis, which consisted of 4789 participants, and the other for the validity analysis, which consisted of 458 participants. Data were collected online. The participants filled out the following questionnaires: Copenhagen Burnout Inventory (CBI), Oldenburg Burnout Inventory (OLBI), Professional Quality of Life Scale (PROQOL), and Secondary Traumatic Stress Scale (STSS). Results: The CBI had very good reliability in both samples, calculated using Cronbach alpha coefficients (between 0.839 and 0.908). In terms of CBI validity, all the correlation coefficients between the scale and subscales were between moderately high and high and ranged from 0.505 to 0.859. Except for two items, CBI7 and CBI10, all the items fall into the original factors of the scale. Conclusions: The Slovak version of the Copenhagen Burnout Inventory is a statistically sound instrument with high coefficients of reliability as well as validity and has an acceptable factor structure.
The Effectiveness of Interventions to Increase Participation and Physical Activities in Parks: A Systematic Review of the Literature
Authors: Xu Ying , Wheeler Sarah Ann , Zuo Alec
Published: October 2022

Although a variety of interventions in many countries have been developed to increase park use and to improve public participation in physical activities in parks, knowledge of their overall effectiveness is lacking. A systematic literature review was undertaken to further understand the effectiveness of various interventions that aim to increase the use of parks and physical activity participation in parks. This systematic review utilized the standard Preferred Reporting Items for Systematic Reviews and Meta-Analysis procedure, and of the 3801 studies identified, 60 studies were reviewed in-depth, with 44 studies assessed for quality of evidence and risk of bias. Most of the 44 reviewed studies found that various interventions had positive impacts on park use and physical activity participation in parks. Interventions were classified into both demand and supply, with more studies focusing on the supply side. The strongest evidence on the effectiveness of various interventions was found for park prescriptions; safe access to parks; playgrounds, and park renovation and renewal/design. However, the assessment of quality of evidence and risk of bias showed that most studies suffer from potential biases and evidence weaknesses, suggesting a need to further establish external validity.
Investigating Flood Risks of Rainfall and Storm Tides Affected by the Parameter Estimation Coupling Bivariate Statistics and Hydrodynamic Models in the Coastal City
Authors: Xu Hongshi , Xu Kui , Wang Tianye , Xue Wanjie
Published: October 2022

The public health risk caused by urban floods is a global concern. Flood risks are amplified by the interaction of rainfall and storm tides in coastal cities. In this study, we investigate the flood risks of rainfall and storm tides coupling statistical and hydrodynamic models and evaluate the influence of different parameter estimation methods and bivariate return periods (RPs) on flood risks in the coastal city. The statistical model is used to obtain the bivariate design of rainfall and storm tides with the integration of copula function, most-likely weight function and Monte Carlo simulation method. The bivariate designs are adopted as the input boundaries for the hydrodynamic model established by Personal Computer Storm Water Management Model (PCSWMM), and the flood risk is evaluated by the hydrodynamic model. Subsequently, the influence of different parameter estimation approaches (that is, parametric and non-parametric) and bivariate RPs (that is, co-occurrence RP, joint RP, and Kendall RP) on bivariate designs and flood risks are investigated. With Haikou coastal city in China as the case study, the results show that: (1) Gumbel copula is the best function to describe the correlation structure between rainfall and storm tides for the parametric and non-parametric approaches, and the non-parametric approach is a better fit for the observed data; (2) when the Kendall RP is large (more than 100 years), the flood risk is underestimated with an average of 17% by the non-parametric estimation, and the parametric estimation approach is recommended as it is considered the most unfavorable scenario; (3) the types of bivariate RP have the important impact on the flood risk. When there is no specific application need, the Kendall RP can be adopted as the bivariate design standard of flooding facilities since it can describe the dangerous areas more accurately for multivariate scenario. The results can provide references for reasonable flood risk assessment and flooding facility design in coastal cities.
Moderate, Little, or No Improvements in Neurobehavioral Symptoms among Individuals with Long COVID: A 34-Country Retrospective Study
Authors: Ramos-Usuga Daniela , Perrin Paul B. , Bogdanova Yelena , Olabarrieta-Landa Laiene , Alzueta Elisabet , Baker Fiona C. , Iacovides Stella , Cortes Mar , Arango-Lasprilla Juan Carlos
Published: October 2022

(1) Background: Some people with COVID-19 develop a series of symptoms that last for several months after infection, known as Long COVID. Although these symptoms interfere with people’s daily functioning and quality of life, few studies have focused on neurobehavioral symptoms and the risk factors associated with their development; (2) Methods: 1001 adults from 34 countries who had previously tested positive for COVID-19 completed the Neurobehavioral Symptom Inventory reporting the symptoms before their COVID-19 diagnosis, during the COVID-19 infection, and currently; (3) Results: Participants reported large-sized increases before vs. during COVID-19 in all domains. Participants reported a medium-sized improvement (during COVID-19 vs. now) in somatic symptoms, a small-sized improvement in affective symptoms, and very minor/no improvement in cognitive symptoms. The risk factors for increased neurobehavioral symptoms were: being female/trans, unemployed, younger age, low education, having another chronic health condition, greater COVID-19 severity, greater number of days since the COVID-19 diagnosis, not having received oxygen therapy, and having been hospitalized. Additionally, participants from North America, Europe, and Central Asia reported higher levels of symptoms across all domains relative to Latin America and Sub-Saharan Africa; (4) Conclusions: The results highlight the importance of evaluating and treating neurobehavioral symptoms after COVID-19, especially targeting the higher-risk groups identified. General rehabilitation strategies and evidence-based cognitive rehabilitation are needed in both the acute and Long COVID phases.
Changes in Public Sentiment under the Background of Major Emergencies—Taking the Shanghai Epidemic as an Example
Authors: Zhang Bowen , Lin Jinping , Luo Man , Zeng Changxian , Feng Jiajia , Zhou Meiqi , Deng Fuying
Published: October 2022

The occurrence of major health events can have a significant impact on public mood and mental health. In this study, we selected Shanghai during the 2019 novel coronavirus pandemic as a case study and Weibo texts as the data source. The ERNIE pre-training model was used to classify the text data into five emotional categories: gratitude, confidence, sadness, anger, and no emotion. The changes in public sentiment and potential influencing factors were analyzed with the emotional sequence diagram method. We also examined the causal relationship between the epidemic and public sentiment, as well as positive and negative emotions. The study found: (1) public sentiment during the epidemic was primarily affected by public behavior, government behavior, and the severity of the epidemic. (2) From the perspective of time series changes, the changes in public emotions during the epidemic were divided into emotional fermentation, emotional climax, and emotional chaos periods. (3) There was a clear causal relationship between the epidemic and the changes in public emotions, and the impact on negative emotions was greater than that of positive emotions. Additionally, positive emotions had a certain inhibitory effect on negative emotions.
Growth-Related Responses to the Threat of COVID-19 among Adolescents
Authors: Senejko Alicja , Godawa Grzegorz , Gurba Ewa , Kalus Alicja , Gurba Krzysztof
Published: October 2022

The main objective of our study was to determine whether the experience of the types of pandemic threats included in the study, could activate development responses among adolescents and what the role of the level of stress experienced during the COVID-19 pandemic is in the process of post-traumatic PTG growth. We also made an attempt to investigate whether personality traits and gender were predictors of PTG growth in adolescents. Therefore, the theoretical bases for the interpretation of the obtained results are models of post-traumatic growth (PTG), mainly by Calhoun and Tedeschi. The research was conducted in March 2020. The study subjects were 405 adolescents aged 14 to 20 years, with an average age of 17 years, of whom 59% were females and 41% were males. The following methods were used in the study: IPIP-BFM-20 to estimate five personality traits, PSS- to diagnose perceived stress, and an in-house questionnaire of pandemic threats experienced by adolescents (KŻP). The results showed that the various types of ‘pandemic’ threats (threats to life, family, and lifestyle) are positive predictors of growth-related changes; additionally, such factors as personality traits (here: extroversion), stress level, and gender had a positive mediating effect on growth-related changes. It was also possible to show that out of the four dimensions of post-traumatic growth, three could be activated under pandemic conditions. These were: changes in relationships with others, greater appreciation of everyday life, and spiritual changes. Changes in self-perception—one of the dimensions of post-traumatic growth, were not activated due to experiencing three types of pandemic threats.
Effects of the COVID-19 Pandemic on Physical Function of Community-Dwelling People with Disabilities in Japan
Authors: Kamimoto Takayuki , Kawakami Michiyuki , Morita Towa , Miyazaki Yuta , Hijikata Nanako , Akimoto Tomonori , Tsujikawa Masahiro , Honaga Kaoru , Suzuki Kanjiro , Kondo Kunitsugu , Tsuji Tetsuya
Published: October 2022

In 2020, COVID-19 spread throughout the world, and international measures such as travel bans, quarantines, and increased social distancing were implemented. In Japan, the number of infected people increased, and a state of emergency was declared from 16 April to 25 May 2020. Such a change in physical activity could lead to a decline in physical function in people with disabilities. A retrospective study was conducted to determine the impact of the pandemic on the physical function of disabled persons living in the community. Data were collected at four points in time: two points before the declaration of the state of emergency was issued and two points after the declaration period had ended. Time series data of physical function at four points in time were compared for 241 people with disabilities. The mean age was 72.39 years; 157 had stroke, 59 musculoskeletal disease, and 26 other diseases. Overall, there was a long-term decrease in walking speed (p < 0.001) and a worsening of the Timed Up-and-Go (TUG) score (p < 0.001) after the period of the state of emergency. The TUG score worsened only in the group with a walking speed of 1.0 m/s or less before the state of emergency (p = 0.064), suggesting that this group was more susceptible.
Acculturation, Work-Related Stressors, and Respective Coping Strategies among Male Indonesian Migrant Workers in the Manufacturing Industry in Taiwan: A Post-COVID Investigation
Authors: Lee Wan-Chen , Chanaka Natasia Shanice , Tsaur Charng-Cheng , Ho Jiune-Jye
Published: October 2022

Globalization has prompted cross-cultural migration in search of employment opportunities, and poor adaptation during acculturation is widely known to cause additional psychosocial stress. Hence, the objective of this study was to investigate migrant workers’ perceptions of acculturation, identify work-related stressors, and understand the respective coping strategies among male Indonesians in the manufacturing industry, particularly during the COVID-19 pandemic. Fifteen workers were recruited and interviewed on their acculturation experiences. We found that the workers were susceptible to forced adaptation to stressful conditions relating to work organization, economic distress, interaction with the manpower agencies, language barriers, and so on. During the pandemic, workers experienced overload, economic hardship, suspended home visits, isolation, discrimination, and fear of cluster infection in the crowded dormitory. We also found that workers were able to adopt coping strategies by capitalizing on resources at the individual, institutional, and governmental policy levels to actively solve problems, increase emotional support, and fortify self-appraisals. The identified coping strategies could inform policy development to assist with positive adaptation and promote the well-being of the migrant worker population.
Validation of the Hungarian Version of the COVID Stress Scale (CSS-H)
Authors: Pálvölgyi Ágnes , Morvay-Sey Kata , Ács Pongrác , Paár Dávid
Published: October 2022

(1) Background: The COVID-19 pandemic is unprecedented and has affected every social class. The prevalence of moderate-to-severe stress and anxiety levels in the general population was reported to be 25%. This study aimed to describe the validation of the Hungarian version of the COVID Stress Scale. (2) Methods: The research study was a cross-section validation study with a representative sample (N = 1200) and a non-representative student sample (N = 350). The translation procedure was a four-step procedure. The interviewers conducted the data collection. (3) Results: The reliability of the Hungarian CSS was assessed using Cronbach’s alpha. Convergent validity was evaluated by correlating the CSS with the PSS and WHO-WBI5. The Cronbach’s alpha coefficient of the CSS-H factors was between 0.844 and 0.907 (representative sample) and between 0.878 and 0.936 (student sample), which qualified as very good. The reliability of the internal consistency was good for all six factors in both samples. The CSS-H total and all-domain scores significantly and positively correlated with the PSS total score and negatively correlated with well-being. (4) Conclusions: The Hungarian COVID Stress Scale is a valid, reliable instrument to measure COVID-19-related distress in the Hungarian population.
Positive Influence of Cooperative Learning and Emotion Regulation on EFL Learners’ Foreign Language Enjoyment
Authors: Zheng Songyun , Zhou Xiang
Published: October 2022

This study approaches foreign language enjoyment (FLE) through the lenses of positive psychology, and in particular, examines how enjoyment is affected by emotion regulation (ER) and two factors concerning cooperative learning (CL) in a classroom climate, namely positive goal interdependence (PGI) and peer personal support (PPS). To achieve this goal, 115 Chinese university freshmen (male 47; female 68) aged between 18 to 20 (M = 18.69; SD = 0.65) were invited to complete a questionnaire. Regression analyses revealed a clear three-factor structure determining the FLE of students learning English as a foreign language (EFL), which are ER, PGI that highlights cooperation, and PPS that emphasizes the interpersonal relationship between peers. It also showed that PGI and PPS significantly influence each other while positively and jointly shaping FLE. The findings suggest that university EFL students with higher ER abilities are more likely to obtain enjoyment in the learning process and that positive interdependence and interpersonal support during CL also play an effective role in deciding students’ FLE. The study not only confirms the importance of ER and CL which may lead to high-level learning enjoyment, but also provides practical implications for the realization of an enjoyable second language acquisition (SLA) experience.
High-Level Mobility of Trans-Tibial Prosthesis Users Wearing Commercial and sPace Energy-Storing Prosthetic Feet
Authors: Rakbangboon Thanyaporn , Guerra Gary , Kla-arsa Saloottra , Padungjaroen Uthumporn , Tangpornprasert Pairat , Virulsri Chanyaphan , Sasaki Kazuhiko
Published: October 2022

Outcomes of users provided with a commercial ESR Vari-Flex foot (Össur, Reykjavik, Iceland) and a locally designed sPace foot were investigated. Step activity with users’ own prosthetic foot compared to the sPace foot was explored. Methods: Eleven individuals with unilateral trans-tibial amputation participated and were provided with an sPace and Vari-Flex foot. Ten- and twenty-meter walk tests (10/20MWT) at comfortable and fast walking speeds (CWS/FWS), the two-minute walk test (2-MWT) and Comprehensive High-Level Activity Mobility Predictor (CHAMP) were administered. A subgroup was provided a pedometer to record their steps over a 7-day period in their own foot and later the sPace. Results: The sPace foot performed well in a battery of high-level mobility outcome measures. On CHAMP, participants scored 16.94 ± 5.41 and 16.72 ± 6.09 with the sPace and Vari-Flex feet, respectively. Subgroup testing of step activity showed 4490 ± 3444 steps in users’ own feet and 3115 ± 1967 in the sPace foot, p = 0.176. Conclusions: Participants using the sPace foot were capable of performing walking, high-level mobility and activity outcome measures.
The Influence of HLA Alleles on the Affective Distress Profile
Authors: Vică Mihaela Laura , Delcea Cristian , Dumitrel Gabriela Alina , Vușcan Mihaela Elvira , Matei Horea Vladi , Teodoru Cosmin Adrian , Siserman Costel Vasile
Published: October 2022

(1) Background: Affective distress can be triggered by aggressive stimuli with an unfavorable role for the individual. Some of the factors that lead to the development and evolution of a mental disorder can be genetic. The aim of this study is to determine some correlations between the human leukocyte antigen (HLA) genes and the affective distress profile (PDA). (2) Methods: A psychological assessment and testing tool for anxiety was applied to 115 people. The low-resolution HLA alleles of class I (HLA-A, HLA-B, and HLA-C) and class II (HLA-DRB1 and HLA-DQB1) were identified by the PCR technique after DNA extraction from the blood. Depending on the PDA, the subjects were divided into two groups: a group with a low PDA and another one with a medium and high PDA. The IBM SPSS software was used to compare the frequency of HLA alleles between the two groups. (3) Results: The univariate analysis revealed a significant association of the HLA-A locus (A*01, A*30), HLA-B (B*08), and HLA-DRB1 (DRB1*11) with the low PDA group and of the HLA-A locus (A*32), HLA-B (B*52), and HLA-C (C*12) with the medium and high PDA group. (4) Conclusions: The present study highlighted potential associations between HLA alleles and anxiety disorders.
Nudging Strategies for Arable Land Protection Behavior in China
Authors: Zhang Yanwei , Lu Xinhai , Zou Yucheng , Lv Tiangui
Published: October 2022

Arable land protection is critical to the sustainable development of agriculture in China and acceleration of the realization of the trinity protection goal of the quantity, quality, and ecology of arable land. As a new program of behavioral science to promote social development, nudge has gradually gained the favor of researchers and policy makers due to its unique advantages of small cost and substantial effect. However, current research and practical exploration of arable land protection behavior intervention based on the idea of nudging are still lacking. Implicit nudging strategies directly target the heuristic and analytic systems of arable land protection behavior of each stakeholder and possess more advantages than traditional intervention strategies. Therefore, this article designs six arable land protection behavior nudging strategies from the perspectives of cognition and motivation to realize the theoretical discussion of “generating medium-scale returns with nano-level investment”. The nudging strategies of the cognitive perspective include default options, framing effects, and descriptive norms, while those of the motivation perspective aim to stimulate home and country, and heritage and benefit motives to promote arable land protection behavior of various stakeholders. The utility of nudge to arable land protection behavior may be controversial in practice. Therefore, the implementation in China should be based on the division of farmers, the number of options should be appropriate, and the external environment of arable land protection behavior should be fully considered.
Managers’ Action-Guiding Mental Models towards Mental Health-Related Organizational Interventions—A Systematic Review of Qualitative Studies
Authors: Genrich Melanie , Angerer Peter , Worringer Britta , Gündel Harald , Kröner Friedrich , Müller Andreas
Published: October 2022

Research indicates that managers’ active support is essential for the successful implementation of mental health-related organizational interventions. However, there is currently little insight into what subjective beliefs and perceptions (=mental models) make leaders support such interventions. To our knowledge, this is the first qualitative systematic review of this specific topic, and it considers 17 qualitative studies of managers’ perspective. Based on the theory of planned behavior, this review provides an overview of three action-guiding factors (attitudes, organizational norms and behavioral control) that can serve as starting points for engaging managers in the implementation of mental health-related measures and ensuring their success. Our results provide evidence that supportive organizational norms may particularly help to create a common sense of responsibility among managers and foster their perceived controllability with respect to changing working conditions. Our study thus contributes to a more differentiated understanding of managers’ mental models of health-related organizational interventions.
Cost of Illness Analysis of Type 2 Diabetes Mellitus: The Findings from a Lower-Middle Income Country
Authors: Butt Muhammad Daoud , Ong Siew Chin , Wahab Muhammad Umar , Rasool Muhammad Fawad , Saleem Fahad , Hashmi Adnan , Sajjad Ahsan , Chaudhry Furqan Aslam , Babar Zaheer-Ud-Din
Published: October 2022

Background: Diabetes is a major chronic illness that negatively influences individuals and society. Therefore, this research aimed to analyze and evaluate the cost associated with diabetes management, specific to the Pakistani Type 2 diabetes population. Research scheme and methods: A survey randomly collected information and data from diabetes patients throughout Pakistan out-patient clinics. Direct and indirect costs were evaluated, and data were analyzed with descriptive and inferential statistics. Results: An overall of 1839 diabetes patients participated in the study. The results have shown that direct and indirect costs are positively associated with the participants’ socio-demographic characteristics, except for household income and educational status. The annual total cost of diabetes care was USD 740.1, amongst which the share of the direct cost was USD 646.7, and the indirect cost was USD 93.65. Most direct costs comprised medicine (USD 274.5) and hospitalization (USD 319.7). In contrast, the productivity loss of the patients had the highest contribution to the indirect cost (USD 81.36). Conclusion: This study showed that direct costs significantly contributed to diabetes’s overall cost in Pakistan and overall diabetes management estimated to be 1.67% (USD 24.42 billion) of the country’s total gross domestic product. The expense of medications and hospitalization mostly drove the direct cost. Additionally, patients’ loss of productivity contributed significantly to the indirect cost. It is high time for healthcare policymakers to address this huge healthcare burden. It is time to develop a thorough diabetes management plan to be implemented nationwide.
Higher Content but Not Activity of Stromelysin-2 (MMP-10) in Comparison to Stromelysin-1 (MMP-3) in Human Renal Carcinoma
Authors: Kudelski Jacek , Młynarczyk Grzegorz , Gudowska-Sawczuk Monika , Mroczko Barbara , Darewicz Barbara , Bruczko-Goralewska Marta , Romanowicz Lech
Published: October 2022

Stromelysin-1 and stromelysin-2 (matrix metalloproteinase 3; MMP-3 and matrix metalloproteinase 10; MMP-10, respectively) are enzymes that activate other metalloproteinases. Apart from collagen, they also degrade elastin, fibronectin, gelatin and laminin. In carcinogenic processes, they are involved in angiogenesis and metastasis. Therefore, the aim of this study was to evaluate the DNA content, expression and activity of both stromelysines in cancers of human kidney. Renal carcinoma tissue samples were analyzed. Low- and high-grade cancer tissues were collected. Control material was collected from part of the kidney opposite to the tumor. DNA content, stromelysines content and stromelysin-1 and stromelysin-2 activity were measured using ELISA and Western blot methods. A higher content of deoxyribonucleic acid in low- and high-grade cancer tissues in comparison to the respective control tissue was observed. Both stromelysines were presented in control and cancer tissues in high-molecular-weight complexes. The content of MMP-10 was significantly higher in comparison to MMP-3 in all investigated tissues. Moreover, the content of stromelysin-2 was significantly higher in high-grade (G3) tissues compared to grade 2 (G2) kidney cancer. A significant decrease in the actual and specific activities of both stromelysines was observed with the increase in renal cancer grade. The presented results may indicate that the degradation of extracellular matrix increases with a higher grade of cancer. Moreover, the elevated content and decreased specific activity of stromelysin-2 in cancer tissue indicate that MMP-10 is mainly present in an inactive form in renal carcinoma. Detailed knowledge of the mechanism and participation of stromelysines in extracellular matrix degradation may be important in understanding the pathomechanism of renal cancer development. Therefore, the potential application of stromelysines in the monitoring or prognosis of kidney cancer should be discussed.
A Comprehensive Review on Multifaceted Mechanisms Involved in the Development of Breast Cancer Following Adverse Childhood Experiences (ACEs)
Authors: Pino Olimpia , Cadena Rosalinda Trevino , Poli Diana
Published: October 2022

Background and aim of the work. Adverse Childhood Experiences (ACEs) may give rise to harmful effects on health throughout life. Epigenetic changes explain how preexisting risk factors may contribute to produce altered biological responses and cancer risk. The main aim of the review is to summarize studies examining the means in which Adverse Childhood Experiences (ACEs) can modulate individual vulnerability to breast cancer (BC) development through multifaceted mechanisms. Methods. Studies selection, data extraction, and assessments agreed to PRISMA criteria. We included original research with clinical samples following BC interventions, investigating potential mechanisms linking ACEs and BC in adults. Results. From the 3321 papers found, nine articles involving 2931 participants were selected. All studies included ACEs retrospective assessments and psychological measures, and seven of them considered biomarkers. Individuals exposed to greater ACEs were at increased BC risk compared with individuals with no ACEs. Associations were found between child abuse and/or neglect, depression, perceived stress, fatigue, and plasma levels of cytokines interleukin (IL-6), C-reactive protein (CRP), soluble tumor necrosis factor receptor type II (sTNF-RII), interleukin IL-1 receptor antagonist (IL-1ra), and psycho-physiological adjustments that may lead to BC. Conclusions. Exposure to multiple ACEs appears a risk factor for BC development in adulthood. Although the clinical relevance of findings such as this is ambiguous, the review added evidence for a link between the presence of childhood adversity and BC occurrence, pointing to psychological, hormonal, and immunological dysregulations.
Concentrations, Speciation, and Potential Release of Hazardous Heavy Metals from the Solid Combustion Residues of Coal-Fired Power Plants
Authors: Huang Yiming , Liu Jinling , Wang Guan , Bi Xiangyang , Sun Guangyi , Wu Xian , Wang Qingfeng , Li Zhonggen
Published: October 2022

Hazardous heavy metal-laden coal combustion byproducts exposed to precipitation or surface/groundwater are of environmental concern. This study analyzed fly ash (FA) and desulfurization gypsum (FGD gypsum) samples obtained from 16 coal-fired power plants in Guizhou Province, China. A combination of field and laboratory studies was used to investigate the binding forms of lead (Pb), cadmium (Cd), and chromium (Cr) and their leaching characteristics under natural storage conditions. The results showed that there were significant proportions of residual states of these elements in FA (84–99% for Pb, 83–91% for Cd, and 73–97% for Cr), indicating a lack of migration to other environmental media. FGD gypsum contained high proportions of metals in migratable states, but the environmental risks were low due to their very low concentrations. The release of Pb, Cd, and Cr from FA and FGD gypsum into extracts varied according to pH. This is related to the form of each element in the solid and the series of reactions that occurs during the leaching process. However, aside from Cr in FA, all heavy metals in FA and FGD gypsum samples were present in concentrations below the relevant standards for landfill leachate, indicating very low release rates. The Cr levels (206–273 μg/L) in some of the FA extracts were higher than the limits for water pollution from domestic landfill, indicating that Cr in FA poses a leaching risk. The results of field leachate sampling and indoor simulated rainfall experiments further validated these findings, indicating that the release of Cr from stockpiled coal FA is a cause for concern.
Exploring the Concept, Antecedents, and Consequences of Environmental Psychological Ownership
Authors: She Shengxiang , Li Shicheng , Xu Jiaqi , Yang Bo
Published: October 2022

This paper extends the concept of psychological ownership to the general natural environment, clarifies the concept of environmental psychological ownership, and analyzes the formation mechanism of environmental psychological ownership from three dimensions. According to the results of structural equation model based on data obtained from the questionnaire survey, pro-environment investment, environmental self-efficacy, and environmental knowledge are all positively associated with the individual’s environmental psychological ownership, among which the correlation between environmental knowledge and environmental psychological ownership is the strongest. In addition, the environmental psychological ownership positively predicts the individual’s pro-environmental intentions. The conclusion of the study can guide how to strengthen the environmental psychological ownership, thus providing a new perspective for pro-environmental behavior intervention.
Establishing Height-for-Age Z-Score Growth Reference Curves and Stunting Prevalence in Children and Adolescents in Pakistan
Authors: Asif Muhammad , Aslam Muhammad , Mazhar Iqra , Ali Hamza , Ismail Tariq , Matłosz Piotr , Wyszyńska Justyna
Published: October 2022

Height-for-age Z-score (HAZ) curves are widely used for detecting children with stunting. The aim of this study was to provide smoothed HAZ growth reference values and their curves for Pakistani children and adolescents aged 2–18 years. The prevalence of stunting in Pakistani children was determined. A total of 10,668 healthy Pakistani participants were included. Information related to age, sex, city of residence and height (cm) was used. Age- and sex-specific smoothed HAZ growth reference values and associated graphs were obtained using the lambda-mu-sigma (LMS) method. The prevalence of stunting was calculated by applying WHO 2007 and USCDC 2000 height-for-age references and local reference of the study population. In both sexes, the smoothed HAZ curves increased with age. For 2 and 3 years of age, the height values of the girls were greater than those of the boys. The boys were then taller than the girls. Comparing our median height (z = 0) growth reference data from WHO, USCDC and corresponding data from other countries, Pakistani children and adolescents have significantly different reference values than their counterparts in the reference group. A marked overestimation of the prevalence of stunting was observed (10.8% and 17.9% according to WHO and USCDC, respectively) compared to the local reference (3.0%). It is recommended that the prevalence of stunting in children and adolescents is determined by applying local height growth references to plan health strategies and treatments in the local population.
Cognitive Emotion Regulation Strategies as Mediators between Resilience and Stress during COVID-19 Pandemic
Authors: Ursu Andreea , Măirean Cornelia
Published: October 2022

(1) Background: Although there is accumulating evidence for the associations between resilience, emotion regulation and stress, little is known about the mechanisms of these relations. To extend the existing research, the present study examined cognitive emotion regulation strategies as one potential mechanism between trait resilience and perceived stress during the COVID-19 pandemic. (2) Methods: Young adults (N = 266; M = 20.05; SD = 3.93) were invited to fill out questionnaires that assessed trait resilience, cognitive emotion regulation strategies and perceived stress. (3) Results: The results showed that resilience was negatively associated with perceived stress and with self-blame, catastrophizing and rumination, and positively associated with positive reappraisal, focus on planning, positive refocus and putting into perspective. Stress was positively associated with self-blame, catastrophizing, rumination, other-blame and acceptance, and negatively associated with positive reappraisal and positive refocus. Moreover, positive refocus, rumination, catastrophizing and self-blame partially explained the associations between trait resilience and perceived stress during the COVID-19 pandemic. (4) Conclusions: These findings highlight the potential utility of targeting cognitive emotion regulation strategies in the development and implementation of preventive interventions for reducing stress during highly challenging situations.
A Systematic Review of Salt Taste Function and Perception Impairments in Adults with Chronic Kidney Disease
Authors: Tan Sze-Yen , Tuli Paridhi , Thio Giecella , Noel Breannah , Marshall Bailey , Yu Zhen , Torelli Rachael , Fitzgerald Sarah , Chan Maria , Tucker Robin M.
Published: October 2022

Individuals with chronic kidney disease (CKD) experience physiological changes that likely impair salt taste function and perception. Sodium restriction is a cornerstone of CKD management but dietary sodium plays an important role in food enjoyment and may interfere with compliance to this intervention. Therefore, confirming that taste deficits are present in CKD will improve our understanding of how taste deficits can affect intake, and inform dietary counselling in the future. A systematic review was conducted. Studies that included adults with CKD and healthy controls, and assessed salt taste sensitivity, perceived intensity, and/or hedonic ratings were included. Study quality was assessed using the Academy of Nutrition and Dietetics Evidence Analysis Library Quality Criteria Checklist: Primary Research. Of the 16 studies, the majority reported decreased salt taste sensitivity, but no consistent differences in intensity or hedonic ratings were observed. Higher recognition thresholds in CKD patients were associated with higher sodium intake, but results should be interpreted with caution as the measures used were subject to error in this population. In conclusion, salt taste sensitivity is decreased in CKD, but intensity and hedonic evaluations appear to be more robust. Given that hedonic assessments are better predictors of intake, and that salt taste preferences can be changed over time, dietary counselling for low-sodium intake is likely to be effective for this population.
Detecting and Analyzing Suicidal Ideation on Social Media Using Deep Learning and Machine Learning Models
Authors: Aldhyani Theyazn H. H. , Alsubari Saleh Nagi , Alshebami Ali Saleh , Alkahtani Hasan , Ahmed Zeyad A. T.
Published: October 2022

Individuals who suffer from suicidal ideation frequently express their views and ideas on social media. Thus, several studies found that people who are contemplating suicide can be identified by analyzing social media posts. However, finding and comprehending patterns of suicidal ideation represent a challenging task. Therefore, it is essential to develop a machine learning system for automated early detection of suicidal ideation or any abrupt changes in a user’s behavior by analyzing his or her posts on social media. In this paper, we propose a methodology based on experimental research for building a suicidal ideation detection system using publicly available Reddit datasets, word-embedding approaches, such as TF-IDF and Word2Vec, for text representation, and hybrid deep learning and machine learning algorithms for classification. A convolutional neural network and Bidirectional long short-term memory (CNN–BiLSTM) model and the machine learning XGBoost model were used to classify social posts as suicidal or non-suicidal using textual and LIWC-22-based features by conducting two experiments. To assess the models’ performance, we used the standard metrics of accuracy, precision, recall, and F1-scores. A comparison of the test results showed that when using textual features, the CNN–BiLSTM model outperformed the XGBoost model, achieving 95% suicidal ideation detection accuracy, compared with the latter’s 91.5% accuracy. Conversely, when using LIWC features, XGBoost showed better performance than CNN–BiLSTM.