bluuebunny/crossref_metadata_2025 huggingface dataset:
Adapting Demirjian Standards for Portuguese and Spanish Children and Adolescents
Authors: Mónico Lisete S. , Tomás Luís F. , Tomás Inmaculada , Varela-Patiño Purificación , Martin-Biedma Benjamin
Published: October 2022

Estimation of children’s chronological age is highly important in human and forensic sciences. The Demirjian method has been reported as accurate for this purpose. The literature review shows some evidence that the accuracy of estimating chronological age via the Demirjian standards is not a straightforward process. The objective of this research is to analyze the reliability of the Demirjian standards in Portuguese and Spanish children and adolescents and adapt it to include sex and group age as contingent factors. Methods: Orthopantomographs of 574 Portuguese and Spanish male and female children and adolescents were employed to test the reliability of the Demirjian method. After testing for inter-rater consistency and age estimation using the Demirjian standards, multiple regression analysis was performed controlling for sex and age group. Results: The Demirjian standards overestimated chronological age for both sexes, mainly for females. Through the development of regression functions, more detailed dental age estimation was performed. The predictive capacities of the Demirjian method and the significant teeth varied as a function of children’s age. The Demirjian global standard predicted over 65% of the variance of the chronological age. Taking a tooth-by-tooth approach, the predictive ability increased by over 70%. Conclusions: The accuracy of estimating chronological age via the Demirjian method is not as reliable as it might appear, judging from the results found according to age group and according to sex crossed with age group.
Exercise Selection and Common Injuries in Fitness Centers: A Systematic Integrative Review and Practical Recommendations
Authors: Bonilla Diego A. , Cardozo Luis A. , Vélez-Gutiérrez Jorge M. , Arévalo-Rodríguez Adrián , Vargas-Molina Salvador , Stout Jeffrey R. , Kreider Richard B. , Petro Jorge L.
Published: October 2022

Weight resistance training (RT) is an essential component of physical conditioning programs to improve the quality of life and physical fitness in different ages and populations. This integrative review aimed to analyze the scientific evidence on the relationship between exercise selection and the appearance of musculoskeletal injuries in physical fitness centers (PFC). The PubMed or Medline, EMBASE or Science Direct, Google Scholar and PEDro databases were selected to examine the available literature using a Boolean algorithm with search terms. The review process was performed using the five-stage approach for an integrative review and it was reported according to the PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science (PERSiST) guidelines. A total of 39 peer-reviewed articles (Price index = 71.7%) met the inclusion criteria and evaluated the link between exercise selection and the incidence of injuries in exercisers who regularly attend PFC. Most injuries occur to the shoulders, elbows, vertebrae of the spine, and knees. Although the injury etiologies are multifactorial, the findings of the reviewed articles include the impacts of overuse, short post-exercise recovery periods, poor conditioning in the exercised body areas, frequent use of heavy loads, improper technique in certain exercises, and the abuse of performance- and image-enhancing drugs. Practical recommendations addressed to clinical exercise physiologists, exercise professionals, and health professionals are given in this paper. The exercise selection in RT programs requires professional supervision and adhering to proper lifting techniques and training habits that consider the anatomical and biomechanical patterns of the musculoskeletal structures, as well as genetic, pedagogical, and methodological aspects directly related to the stimulus–response process to mitigate the occurrence of RT-related injuries in PFC.
Job Crafting in Nursing: Mediation between Work Engagement and Job Performance in a Multisample Study
Authors: Topa Gabriela , Aranda-Carmena Mercedes
Published: October 2022

Job crafting is considered a specific form of proactive behavior whereby workers actively change the actual or perceived characteristics of their jobs in order to better match the demands placed on them and the resources available. As nursing could be considered a stressful profession, job crafting is proposed as a mediator between nurses’ work engagement and job performance. Hence, the main objective of this study was to provide empirical evidence on job crafting in nursing, including the three most prominent conceptualizations of the construct. The present research covers three independent empirical studies of registered or practical nurses of Spanish public and private hospitals: Study 1 (N = 699), Study 2 (N = 498), and Study 3 (N = 308). (3) Our results support the hypothesis that nurses’ job engagement and job-crafting behaviors can affect their job performance. Our finding corroborates that engaged nurses can act to proactively change their jobs, but comparing different job-crafting conceptualizations and measures, the current findings support that effectiveness of diverse job crafting behaviors could vary. To sum up, as the JDR approach proposed, the present study supports the position that work engagement influences job performance, as well as the mediating role of job crafting in this relationship. The current study takes this knowledge one step further by revealing that not all types of job-crafting behaviors are equally efficient and not all types are adequate for specific working environments, such as nursing.
Building Emergency Response Capacity: Multi-Career-Stage Social Workers’ Engagement with Homeless Sector during the First Two Waves of COVID-19 in Halifax, Nova Scotia, Canada
Authors: Wu Haorui , Karabanow Jeff , Hoddinott Tonya
Published: October 2022

The dramatic increase of global extreme events (e.g., natural, technological, and willful hazards) propels social workers to be equipped with emergency response capacity, supporting affected individuals, families, and communities to prepare, respond, and recover from disasters. Although social workers have historically been engaged in emergency response, social work curriculum and professional training remain slow to adapt, jeopardizing their capacity to support the vulnerable and marginalized populations, who have always been disproportionately affected by extreme events. In response to this deficit, this article utilizes a critical reflection approach to examine three social workers’ (a senior faculty, a junior faculty, and a social work student) interventions and challenges in their emergency response to persons experiencing homelessness (PEHs) during the first two waves of COVID-19 in Halifax, Nova Scotia, Canada (March 2020 to March 2021). The cross-career-stage reflections and analyses exhibit these three social workers’ COVID-19-specific emergency response efforts: a top-down advocacy effort for social development and policy, a bottom-up cognitive effort to comprehend the community’s dynamics, and a disaster-driven self-care effort. These three types of effort demonstrate a greater need for social work education and professional training, to develop more disaster-specific components to contribute to building the emergency response capacity of the next generation of social workers through in-classroom pedagogical enhancement and on-site field education training, better supporting PEHs and other vulnerable and marginalized groups living in the diverse context of extreme events in Canada and internationally.
Sexual and Reproductive Health Service Needs Associated with Underage Initiation of Selling Sex among Adult Female Sex Workers in Guinea-Bissau
Authors: Grosso Ashley , Berg Lindsay , Rucinski Katherine , Rao Amrita , Djaló Mamadú Aliu , Diouf Daouda , Baral Stefan
Published: October 2022

Objective: To assess the prevalence and predictors of underage initiation of selling sex among female sex workers (FSW) in Guinea-Bissau. Methods: 505 adult FSW recruited using respondent-driven sampling were surveyed in 2017. Multivariable logistic regression was used to identify demographic, behavioral, and psychosocial characteristics associated with initiation of selling sex while underage (<18 years). Results: A total of 26.3% (133/505) of FSW started selling sex before age 18. Underage initiation of selling sex was associated with experiencing forced sex before age 18 (adjusted odds ratio (aOR): 6.74; 95% confidence interval (CI): 2.05–22.13), and never being tested for HIV (aOR: 0.43; 95% CI: 0.20–0.91). Despite having lower odds of wanting to have children or more children (aOR: 0.31; 95% CI: 0.17–0.56), FSW who started selling sex while underage had lower odds of using highly effective contraception such as implants (aOR: 0.43; 95% CI: 0.24–0.77). Among those who were ever pregnant, a lower percentage of FSW who started selling sex while underage accessed antenatal care (56.6% vs. 74.7%, p = 0.008). Conclusions: These data suggest that early initiation of selling sex among adult FSW in Guinea-Bissau is common. Social services for youth and integrated HIV and reproductive health services are critical to address the persisting sexual and reproductive health needs of FSW who started selling sex while underage.
Environmental Sustainability Impacts of Solid Waste Management Practices in the Global South
Authors: Abubakar Ismaila Rimi , Maniruzzaman Khandoker M. , Dano Umar Lawal , AlShihri Faez S. , AlShammari Maher S. , Ahmed Sayed Mohammed S. , Al-Gehlani Wadee Ahmed Ghanem , Alrawaf Tareq I.
Published: October 2022

Solid waste management (SWM) is one of the key responsibilities of city administrators and one of the effective proxies for good governance. Effective SWM mitigates adverse health and environmental impacts, conserves resources, and improves the livability of cities. However, unsustainable SWM practices, exacerbated by rapid urbanization and financial and institutional limitations, negatively impact public health and environmental sustainability. This review article assesses the human and environmental health impacts of SWM practices in the Global South cities that are the future of global urbanization. The study employs desktop research methodology based on in-depth analysis of secondary data and literature, including official documents and published articles. It finds that the commonplace SWM practices include mixing household and commercial garbage with hazardous waste during storage and handling. While waste storage is largely in old or poorly managed facilities such as storage containers, the transportation system is often deficient and informal. The disposal methods are predominantly via uncontrolled dumping, open-air incinerators, and landfills. The negative impacts of such practices include air and water pollution, land degradation, emissions of methane and hazardous leachate, and climate change. These impacts impose significant environmental and public health costs on residents with marginalized social groups mostly affected. The paper concludes with recommendations for mitigating the public and environmental health risks associated with the existing SWM practices in the Global South.
Predictors of Loneliness among Homeless Individuals in Germany during the COVID-19 Pandemic
Authors: Dost Katharina , Heinrich Fabian , Graf Wiebke , Brennecke Anna , Kowalski Veronika , Leider Anna , Kraus Anika , van Rüth Victoria , Ondruschka Benjamin , Püschel Klaus , König Hans-Helmut , Bertram Franziska , Hajek André
Published: October 2022

Purpose: The aim of the study was to identify the frequency of loneliness and to examine the factors associated with loneliness among homeless individuals in Germany during the COVID-19 pandemic. Methods: Data were taken from the ‘national survey on the psychiatric and somatic health of homeless individuals during the COVID-19 pandemic’. The data collection took place from 26th July to 17th September 2021 (the analytical sample included n = 491 observations). The well-established UCLA-3 tool was used to quantify loneliness. Independent variables included sex, age, marital status, the existence of children and pets, level of education, country of origin, duration of homelessness, alcohol and drug consumption, mental health concerns and concerns regarding COVID-19 illness. Multiple logistic regressions were used to examine the predictors of loneliness. Results: The frequency of loneliness was 41.7% for the total sample. Multiple logistic regression analysis stratified by gender showed that a higher likelihood of loneliness was associated with being born in Germany, being middle aged (40 to 49 years compared to 18 to 29 years), having mental health problems and a short period of homelessness (1 month compared to longer periods) among women. In men, a higher likelihood of loneliness was associated with a higher fear of COVID-19 and a short period of homelessness. Conclusions: Our study revealed a high frequency rate of loneliness among homeless individuals. The study results highlight the associations between some explanatory variables (i.e., the duration of homelessness and mental health problems). Identifying the factors associated with loneliness may help to adequately address the problems of homeless individuals at risk of loneliness. Longitudinal studies are required to confirm our findings.
Post-Isometric Back Squat Performance Enhancement of Squat and Countermovement Jump
Authors: Spieszny Michał , Trybulski Robert , Biel Piotr , Zając Adam , Krzysztofik Michał
Published: October 2022

The effectiveness of isometric conditioning activity (CA) is not well described in terms of the level of performance enhancement and the presence of a stretch and shortening cycle in subsequent explosive tasks. Therefore, the aim of this study was to evaluate the effect of a maximum isometric squat as the CA and a subsequent squat jump (SJ) and countermovement jump (CMJ) height. A total of 31 semi-professional handball and soccer players were randomly assigned to two different conditions: (i) 3 sets of 3 repetitions (each lasting 3 s) of maximum isometric back squats (EXP), and (ii) no CA (CTRL). The jump height measurements were performed 5 min before the CA and approximately at the 4th and 8th minute following the completion of the CA. Due to the high inter-individual variability in the potentiation responses, the best value obtained post-CA was also analyzed. The SJ height significantly increased from baseline to the 8th minute post-CA (p = 0.004; ES = 0.31; Δ = +3.1 ± 5.0%) in the EXP condition. On the other hand, the CMJ height was significantly higher in the 4th (p = 0.001; ES = 0.23; Δ = +2.7 ± 3.7%) and 8th minute post-CA (p = 0.005; ES = 0.32; Δ = +3.6 ± 5.7%) in comparison to baseline during the EXP condition. Furthermore, SJ height significantly increased from baseline to the best time-point during the EXP (p < 0.001; ES = 0.47; Δ = +4.9 ± 4.9%) and CTRL (p = 0.038; ES = 0.21; Δ = +2.5 ± 5.8%) condition. Moreover, the CMJ height was significantly higher at the best time-points than at the baseline during EXP (p < 0.001; ES = 0.53; Δ = +5.6 ± 4.7%) and CTRL (p = 0.002; ES = 0.38; Δ = +3.1 ± 5.2%) condition. The findings from this study indicate that a maximum isometric squat, used as a CA, effectively improved SJ and CMJ height. This suggests that the presence or absence of a stretch and shortening cycle in both CA and post-CA tasks does not significantly impact the post-activation performance enhancement response.
Rescue Blankets as Multifunctional Rescue Equipment in Alpine and Wilderness Emergencies—A Narrative Review and Clinical Implications
Authors: Wallner Bernd , Salchner Hannah , Isser Markus , Schachner Thomas , Wiedermann Franz J. , Lederer Wolfgang
Published: October 2022

The utilization of rescue blankets in pre-hospital emergency medicine exceeds protection from hypothermia and enhanced visibility by far. In this narrative review, we focus on emphasizing the alternative applications of these fascinating multifunctional tools in the pre-hospital setting. A literature search in PubMed® and Web of ScienceTM yielded 100 results (last update was on 8 July 2022), a total number of 26 of which were included in this narrative review. Nine articles assessing alternative functions of rescue blanket were further evaluated and described in more detail. In addition, we performed various experimental and observational trials to test the functionality of rescue practice in mountain emergency medicine. Newly fabricated rescue blankets proved to possess impressive robustness. We evaluated rescue blankets in their applicability to not only protect from hypothermia, but also as practical tools to treat catastrophic hemorrhage and bleeding limbs, to perform open pneumothorax chest seals in sucking chest wounds, to prevent damage to unprotected eyes on the glacier and as alternative instruments for transportation in the inaccessible areas. Rescue blankets are important rescue equipment in alpine and wilderness emergencies with multifunctional applications, and must be part of every personal medical kit.
New Indicators for the Assessment and Prevention of Noise Nuisance
Authors: Fredianelli Luca , Lercher Peter , Licitra Gaetano
Published: October 2022

At present, health effects induced by prolonged noise exposure are widely studied to determine the most spread noise sources and their effects [...]
Quantitative Measurements for Factors Influencing Implementation in School Settings: Protocol for A Systematic Review and A Psychometric and Pragmatic Analysis
Authors: Hoy Sara , Helgadóttir Björg , Norman Åsa
Published: October 2022

Introduction: In order to address the effectiveness and sustainability of school-based interventions, there is a need to consider the factors affecting implementation success. The rapidly growing field of implementation-focused research is struggling to determine how to assess and measure implementation-relevant constructs. Earlier research has identified the need for strong psychometric and pragmatic measures. The aims of this review are therefore to (i) systematically review the literature to identify measurements of the factors influencing implementations which have been developed or adapted in school settings, (ii) describe each measurement’s psychometric and pragmatic properties, (iii) describe the alignment between each measurement and the corresponding domain and/or construct of the Consolidated Framework for Implementation Research (CFIR). Methods: Six databases (Medline, ERIC, PsycInfo, Cinahl, Embase, and Web of Science) will be searched for peer-reviewed articles reporting on school settings, published from the year 2000. The identified measurements will be mapped against the CFIR, and analyzed for their psychometric and pragmatic properties. Discussion: By identifying measurements that are psychometrically and pragmatically impactful in the field, this review will contribute to the identification of feasible, effective, and sustainable implementation strategies for future research in school settings.
Impact of Teacher Incentive Intervention on Students’ Vision Healthcare Uptake: A Cluster-Randomized Controlled Trial
Authors: Zhao Jin , Wang Huan , Guan Hongyu , Du Kang , Zhang Yunyun , Congdon Nathan
Published: October 2022

Less than one-third of rural Chinese children with refractive error own or wear eyeglasses. To study the effect of teacher incentives on the acceptance of vision care offered to rural students with uncorrected refractive error, we conducted a cluster-randomized controlled trial in 18 townships in one county in Shaanxi Province. Primary and junior high schools within each township were assigned to either intervention (all teachers received an incentive) or control (no teacher incentives were offered) groups. A total of 42 schools were assigned to either the intervention group (13 schools) or the control group (29 schools). Teachers in the intervention group could elect to receive high-value (sunglasses worth USD 148), moderate-value (eyeglasses worth USD 89), or cash incentives (USD 35) if ≥70% of eligible students (uncorrected visual acuity (VA) ≤ 6/12 in both eyes and corrected VA ≤ 6/9.5 in both eyes) in the teacher’s class visited a program-affiliated vision center (VC) within 60 days after their vision screening. Among 8238 students, 3401 (41.2%, of which 53.0% were girls with a mean age of 12 (SD 1.75)) met the enrollment criteria and were randomly allocated to the intervention (n = 1645, 49.0%) and control groups (n = 1579, 51.0%). Among these, 3224 (94.8%) completed the study and underwent analysis. Nearly equal numbers of students had classroom teachers selecting the high-value (n = 524, 31.9%), moderate-value (n = 582, 35.4%), and cash incentives (n = 539, 32.8%). The rate of the acceptance of offered vision care was significantly higher in the intervention group (382/1645 = 23.2%) compared to the control group (172/1579 = 10.9%, 95% confidence interval for observed difference 12.3%, p < 0.001). Teacher incentives appeared effective in improving Chinese rural school-aged children’s uptake rate of vision services provided by county hospital-based VCs.
Breast Cancer Treatment in Integrated Care Process in Andalusia: The Challenge of Multidisciplinarity
Authors: Rodríguez-Reinado Carmen , Delgado-Parrilla Ana , Alguacil Juan
Published: October 2022

Despite the increasing trend in the incidence of breast cancer in recent decades, mortality has decreased in developed countries. The general objective of the study is to analyse the functioning and organisation of the care process for breast cancer treatment in Andalusia (Spain) in order to identify possible barriers and facilitators that may be affecting its effectiveness and, therefore, the survival of the disease. A qualitative method was adopted based on 19 semi-structured interviews with health professionals from different specialities in two Andalusian provinces: Huelva (mortality rate higher than the national average) and Granada (mortality rate similar to the national average). Results show the existence of barriers (seasonal delays, low frequency of multidisciplinary meetings, lack of human and technical resources, difficulties in accessing treatment in certain populations, etc.) and facilitators (creation of multidisciplinary units and committees for breast pathology, standardisation of treatments, assignment of professionals with preferential attention to breast pathology, etc.) in the care process of breast cancer treatment. The combination of these barriers can have an impact on the accessibility, quality, and efficacy of the treatment, and in the long term, on survival from the disease.
Resilience for Undergraduate Students: Development and Evaluation of a Theory-Driven, Evidence-Based and Learner Centered Digital Resilience Skills Enhancement (RISE) Program
Authors: Ang Wei How Darryl , Shorey Shefaly , Zheng Zhongjia James , Ng Wai Hung Daniel , Chen Emmanuel Chih-Wei , Shah Lubna Binte Iskhandar , Chew Han Shi Jocelyn , Lau Ying
Published: October 2022

Protective factors that build students’ resilience are known. A six-week digital resilience training program was developed on the basis of theory, evidence, and contextual information. The feasibility study sought to evaluate the acceptability, appropriateness, demand, implementation, and limited efficacy of a digital resilience skills enhancement program for undergraduate students. A single group, pre-test, post-test, concurrent mixed methods design among 10 undergraduate students was conducted in one university in Singapore. The content analysis concluded that students accepted and perceived the digital resilience skills enhancement program as appropriate. Students also proposed several improvements, such as the initiation of the program and revisions to the content. The Wilcoxon signed-rank test found significant improvements in resilience (p = 0.02) and meta-cognitive self-regulation (p = 0.01) scores with medium (d = 0.79, 95% CI: −0.15 to 1.74) and very large effect sizes (d = 1.31, 95% CI: 0.30–2.33), respectively. Students found the digital resilience program appropriate and were able to apply their newly acquired skills to promote their resilience and learning. Although, several improvements are proposed to enhance the rigor of the digital resilience program, the findings of this study suggests that digital resilience programs are important for students’ well-being.
Polish Adaptation of the Modified Tampa Scale of Kinesiophobia for Fatigue (TSK-F) and the Revision of the Tampa Scale in Terms of Pain for Cancer Patients
Authors: Rozmiarek Mateusz , Grajek Mateusz , Malchrowicz-Mośko Ewa , Sobczyk Karolina , Krupa-Kotara Karolina , Nowaczyk Piotr , Wasiewicz Janusz , Urbaniak Tomasz , Siejak Wojciech , Czerniak Urszula , Demuth Anna , Martínez Aguirre-Betolaza Aitor , Castañeda-Babarro Arkaitz
Published: October 2022

The aim of this study was to create a Polish adaptation of the Tampa Scale of Kinesiophobia considering fatigue, and to verify the usefulness of the scale in the context of pain in cancer patients. The study was conducted at the Breast Cancer Unit, operating at the Greater Poland Cancer Centre, and at the Poznan Centre for Specialist Medical Services in Poznan. After considering the exclusion criteria, 100 people qualified for the interviews for the final study: 50 breast cancer patients and 50 healthy respondents (without cancer). Statistical analysis of the CFA score showed that the chi-square test was not significant (χ2 = 10.243, p = 0.332), indicating an acceptable fit of items across scales. The reliability of the internal consistency of the scales was tested by examining the Cronbach’s alpha scores for each question/statement. The mean values for this indicator were 0.74 for the pain-related scale and 0.84 for the fatigue-related scale. Construct validity was confirmed for the scales; AVE for the pain-related scale was 0.64 and for the fatigue-related scale was 0.68. The results suggest the validity of examining kinesiophobia in the context of pain- and fatigue-related mobility anxiety among breast cancer patients in Poland, and that the Tampa Scale of Kinesiophobia can be adapted for different dimensions of the condition. Both versions of the scale demonstrated adequately prepared parametric constructs, and all correlations showed a statistically significant relationship (p < 0.05). The use of the Tampa Scale of Kinesiophobia in oncology patient studies in Poland may ultimately improve rehabilitation programs and enable the development of strategies to assist patients in supporting treatment to reduce movement anxiety.
Alkylated Polycyclic Aromatic Hydrocarbons Are the Largest Contributor to Polycyclic Aromatic Compound Concentrations in the Topsoil of Huaibei Coalfield, China
Authors: Qian Yahui , Xu Zhenpeng , Hong Xiuping , Luo Zhonggeng , Gao Xiulong , Tie Cai , Liang Handong
Published: October 2022

Alkyl polycyclic aromatic hydrocarbons (APAHs) are more toxic and persistent than their parent compounds. Here, the concentrations, composition profiles, and spatial distribution of polycyclic aromatic compounds (PACs) in 127 topsoil samples from Huaibei coalfield were analyzed. The PAC concentrations in different functional areas were significantly different: mining area > industrial area > residential area > agricultural area. APAHs were the major contributors to PACs, accounting for 71–83% of total PACs. Alkylnaphthalenes and alkylphenanthrenes were the primary APAH components, accounting for 83–87% of APAHs. Principal component analysis showed that petrogenic source, coal and biomass combustion, and vehicle emissions were the primary sources of PACs. By comparing the fingerprint information of soil, coal, and coal gangue, it was hypothesized that the petrogenic source of PAC pollution in typical mining areas and surrounding areas are coal particle scattering and coal gangue weathering. Some coal mining and industrial areas potentially pose risks to children, whereas others do not. There are limited evaluation criteria for alkyl PAHs; hence, the estimated risk is likely lower than the actual risk. In addition to the conventional 16 PAHs, it is critical to consider a broader range of PACs, especially APAHs.
The Effect of Chronic Disease and Mental Health on Sleep Quality among Migrant Elderly Following Children in Weifang City, China
Authors: Wang Jieru , Qin Wen , Pang Mingli , Zhao Bo , Xu Jing , Li Shixue , Kong Fanlei
Published: October 2022

Few studies have focused on the sleep quality among migrant elderly following children (MEFC). This study aimed to investigate the effects of chronic disease and mental health on the sleep quality of MEFC in Weifang, China. A cross-sectional study was conducted by multi-stage cluster random sampling, and in total 613 participants were enrolled. Sleep quality and mental health were assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Depression, Anxiety, and Stress Scale (DASS-21), respectively. Chronic disease was assessed by the question “how many chronic diseases do you have?” A descriptive analysis and chi-square test were used to describe participants’ sociodemographic variables, chronic disease, mental health, and sleep quality. The relationship between chronic disease, mental health, and sleep quality was explored by establishing binary logistic regression models. The results showed that 18.3% of MEFC’s sleep quality was poor. MEFCs who were male were more likely to report good sleep quality. MEFCs who have similar monthly family income compared with others around, with multimorbidity, depression, and anxiety were more likely to report poor sleep quality. Nearly 1/5 of MEFCs were having poor sleep quality in this study. Results indicated that chronic diseases, depression, and anxiety were risk factors for the sleep quality of MEFC. Implications for the government, communities, and families of MEFC were given for improving their sleep quality.
Alleviating Surgeons’ Stress through Listening to Natural Sounds in a Half-Encapsulated Rest Space after an Operation: A Pilot, Longitudinal Field Study
Authors: Suko Yasushi , Shindo Tomoharu , Saito Kaoru , Takayama Norimasa , Warisawa Shin’ichi , Sakuma Tetsuya , Ito Masaaki , Kytölä Pasi , Nummi Tapio , Korpela Kalevi
Published: October 2022

Background: Natural sounds are reportedly restorative, but most research has used one-off experiments conducted in artificial conditions. Research based on field experiments is still in its infancy. This study aimed to generate hypotheses on the restorative effects of listening to natural sounds on surgeons, representing professionals working in stressful conditions. Methods: Each of four surgeons (two experts and two residents) participated six times in an experiment where they took a 10-min break listening to natural sounds (four times) or without natural sounds (twice) after a surgical operation. We measured their skin conductance level, an indicator of sympathetic arousal, continuously during the break (measurement occasions N = 2520) and assessed their mood using two questionnaires before and after the break (N = 69 and N = 42). We also interviewed them after the break. Results: Based on statistical Linear Mixed-Effects modeling, we developed two hypotheses for further, more detailed studies: (H1) Listening to natural sounds after an operation improves surgeons’ mood. (H2) Inexperienced surgeons’ tension persists so long that the effect of natural sounds on their sympathetic arousal is negligible. Conclusions: This risk-free, easy-to-use means of stress alleviation through natural sounds could benefit highly-stressed people working indoors.
Seasonal and Diurnal Variation of Land Surface Temperature Distribution and Its Relation to Land Use/Land Cover Patterns
Authors: Dong Ruirui , Wurm Michael , Taubenböck Hannes
Published: October 2022

The surface urban heat island (SUHI) affects the quality of urban life. Because varying urban structures have varying impacts on SUHI, it is crucial to understand the impact of land use/land cover characteristics for improving the quality of life in cities and urban health. Satellite-based data on land surface temperatures (LST) and derived land use/cover pattern (LUCP) indicators provide an efficient opportunity to derive the required data at a large scale. This study explores the seasonal and diurnal variation of spatial associations from LUCP and LST employing Pearson correlation and ordinary least squares regression analysis. Specifically, Landsat-8 images were utilized to derive LSTs in four seasons, taking Berlin as a case study. The results indicate that: (1) in terms of land cover, hot spots are mainly distributed over transportation, commercial and industrial land in the daytime, while wetlands were identified as hot spots during nighttime; (2) from the land composition indicators, the normalized difference built-up index (NDBI) showed the strongest influence in summer, while the normalized difference vegetation index (NDVI) exhibited the biggest impact in winter; (3) from urban morphological parameters, the building density showed an especially significant positive association with LST and the strongest effect during daytime.
Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review
Authors: Lee Kyung Eun , Choi Muncheong , Jeoung Bogja
Published: October 2022

Rehabilitation is a crucial part of recovery for stroke survivors, and numerous studies have examined various exercises and treatments of stroke. In addition, it is very important for patients to choose the timing of rehabilitation and what kind of rehabilitation they will proceed with. The purpose of the current study is to examine research investigating the effects of rehabilitation exercise programs in recovery of physical function in patients with stroke, based on aspects of their physical function, physical strength, and daily activities, and systematically examine their effects. Therefore, through systematic review, we have investigated the effects of interventions in rehabilitation exercise programs for recovery of physical function in patients with stroke. We collected relevant publications through the databases MEDLINE/PubMed and Google scholar. Twenty-one articles were ultimately selected for the analysis. We classified the rehabilitation programs and identified the trends of treatment for stroke survivors. Our review indicated that task-oriented therapy is still dominant, but various types of combined rehabilitations have been attempted. In addition, it was identified that physical and active rehabilitation were required rather than unconditional rest, even at an early stage. Home-based treatment was used for rapid recovery and adaptation to daily life during the mid-term period.
A Bibliometric Analysis on Conservation Land Trust and Implication for China
Authors: Yang Chuan , Li Mingfeng , Wang Ziqi
Published: October 2022

Modern land protection and biodiversity conservation depend greatly on the application of land trust. With the accelerated development of land trust organizations, the land trust has become the most effective land conservation method. Land trusts have been widely used in the ecological protection of nature reserves abroad and have achieved remarkable results. The research on international land trusts has important reference value for the innovation of ecological protection models of China’s nature reserves. This study aims to explore the research hotspots of international land trust conservation, clarify the evolution of related knowledge, and provide a reference for domestically related theoretical research and practical work. The research results show the following: (1) From the perspective of the publication trend, the number of international research publications increased exponentially from 1997 to 2021, and the research involves a wide range of disciplines. (2) In terms of research hotspots, land trust and private land protection, the impact of and response to climate change, and the trust mechanism in collaborative governance constitute three hot research topics. (3) From the knowledge base of the research, the international land trust research has formed seven knowledge clusters with clear boundaries, and five key documents with the theme of conservation easements constitute an important knowledge base in this field. (4) Land trust conservation easement as private law can effectively make up for the deficiency of public law. These findings can provide help and reference for domestic land conservation, as well as the reform of China’s ecological civilization system.
The Effects of a Cognitively Challenging Physical Activity Intervention on School Children’s Executive Functions and Motivational Regulations
Authors: Kolovelonis Athanasios , Pesce Caterina , Goudas Marios
Published: October 2022

This study examined the effects of a physical education intervention consisting of cognitively challenging physical activity games on school children’s executive functions and motivational regulations. Ninety-nine fourth- and fifth-grade children participated in this two-group, repeated measures, quasi-experimental study with a cross-over design. Children’s executive functions (measured with the design fluency and Stroop and flanker tests) and motivational regulations were measured pre- and post-intervention and one month later. At post-test, the experimental group children outperformed the waiting-list control group children in all design fluency test conditions and accuracy in the Stroop and flanker tests. Both groups improved from pre- to post-intervention their speed (reaction time) in the Stroop and flanker tests. The waiting-list control group children, after receiving the intervention, improved their performance in the executive function tests except for Stroop test accuracy and flanker test speed. The positive effects were reduced significantly one month after the end of the intervention but remained significantly higher compared to pre-intervention. No intervention effects were found for the motivational regulations. These results showed that the intervention had positive effects on children’s executive functions and supported the new shift of designing physical activity programs for developing combinedly children’s physical and cognitive development.
Changes in Social and Clinical Determinants of COVID-19 Outcomes Achieved by the Vaccination Program: A Nationwide Cohort Study
Authors: Ibarrondo Oliver , Aguiar Maíra , Stollenwerk Nico , Blasco-Aguado Rubén , Larrañaga Igor , Bidaurrazaga Joseba , Estadilla Carlo Delfin S. , Mar Javier
Published: October 2022

Background: The objective of this study was to assess changes in social and clinical determinants of COVID-19 outcomes associated with the first year of COVID-19 vaccination rollout in the Basque population. Methods: A retrospective study was performed using the complete database of the Basque Health Service (n = 2,343,858). We analyzed data on age, sex, socioeconomic status, the Charlson comorbidity index (CCI), hospitalization and intensive care unit (ICU) admission, and COVID-19 infection by Cox regression models and Kaplan–Meier curves. Results: Women had a higher hazard ratio (HR) of infection (1.1) and a much lower rate of hospitalization (0.7). With older age, the risk of infection fell, but the risks of hospitalization and ICU admission increased. The higher the CCI, the higher the risks of infection and hospitalization. The risk of infection was higher in high-income individuals in all periods (HR = 1.2–1.4) while their risk of hospitalization was lower in the post-vaccination period (HR = 0.451). Conclusion: Despite the lifting of many control measures during the second half of 2021, restoring human mobility patterns, the situation could not be defined as syndemic, clinical determinants seeming to have more influence than social ones on COVID-19 outcomes, both before and after vaccination program implementation.
E-Health Psychological Intervention for COVID-19 Healthcare Workers: Protocol for its Implementation and Evaluation
Authors: Dominguez-Rodriguez Alejandro , Martínez-Arriaga Reyna Jazmín , Herdoiza-Arroyo Paulina Erika , Bautista-Valerio Eduardo , de la Rosa-Gómez Anabel , Castellanos Vargas Rosa Olimpia , Lacomba-Trejo Laura , Mateu-Mollá Joaquín , Lupercio Ramírez Miriam de Jesús , Figueroa González Jairo Alejandro , Ramírez Martínez Flor Rocío
Published: October 2022

(1) Background: Healthcare workers have been affected by the COVID-19 pandemic. Digital interventions have been carried out that have been effective with this population; however, few have been reported in Latin America. Our aim is to describe the components and methods to evaluate the feasibility and utility of an online multi-component psychological intervention for healthcare workers in Mexico during COVID-19. (2) Methods: This study is a randomized clinical trial with two arms: (1) self-applied intervention and (2) intervention delivered online by therapists. The participants are randomly assigned to one arm, receiving the same treatment contents in both groups. The “Personal COVID” intervention consists of an internet platform containing 9 nuclear and 3 complementary modules. The objectives of the intervention are: (1) to reduce anxiety, depressive symptoms, burnout, and compassion fatigue, and (2) to increase the quality of life, sleep quality, self-care, and their skills to give bad news. The protocol has been registered on ClinicalTrials.gov (identifier: NCT04890665). (3) Discussion: This protocol is designed according to the highest scientific standards following the SPIRIT guidelines. The “Personal COVID” intervention is expected to be of high efficacy in treating the emotional distress of healthcare workers and promoting their health during the COVID-19 pandemic.
Examining the Relationship between Paternal Mental Health and Informal Support Networks: Reflections on the Impact of the COVID-19 Pandemic
Authors: Gheyoh Ndzi Ernestine , Holmes Amy
Published: October 2022

Paternal mental health remains an under-researched area in the UK. Consequently, father-focused formal and informal support provisions fail to address the complex emotional and psychological wellbeing needs of fathers. Drawing on data from twenty semi-structured interviews with fathers in the York area, this study seeks to better understand how access to and participation in informal support networks is influenced by gendered perceptions and the impact hegemonic perceptions of masculinity have on fathers’ access to support prior and during the COVID-19 pandemic. The findings demonstrate that fathers internalise stereotypical masculine tropes, such as stoicism, which prevent them from actively seeking support. While fathers value informal support network, they generally struggle to engage in mental health talks. The COVID-19 lockdown exacerbated fathers’ struggles to access informal support or prioritise their mental health. Fathers felt the pandemic presented a unique challenge that only people that became parents at the time understood. This meant that fathers could not rely on their parents or other parents who did not have similar experiences of the COVID-19 pandemic. This paper aims at challenging structural and cultural barriers that inhibit fathers’ participation in informal support networks, and to promote more meaningful, supportive engagement with peer groups.
Quality Food Products as a Tourist Attraction in the Province of Córdoba (Spain)
Authors: Dancausa Millán Mª Genoveva , Millán Vázquez de la Torre Mª Genoveva
Published: October 2022

Traveling to learn about the gastronomy of a destination is becoming increasingly important among tourists, especially in the wake of the pandemic. Quality foods endorsed by protected designations of origin (PDOs) are increasingly in demand, as are experiences related to their production processes. In this study, the seven PDOs in the province of Córdoba (Spain) are analyzed. These PDOs produce olive oil, wine or ham. A field study was performed, whereby 315 gastronomic tourists who visited a gastronomic route or a PDO in Córdoba were surveyed. The objective was to characterize the profile of visiting tourists and to anticipate future demand using ARIMA models. The results indicate that the growth in gastronomic tourism in Córdoba is lower than that in the wider region, and that there are no significant differences among the different profiles (oil tourist, enotourist and ham tourists) due in part to the fact that most tourists travel from nearby regions. The novelty of this study is that three products are analyzed, and strategies are proposed to deseasonalize this type of tourism, for example, by creating a gastronomic brand that represents Córdoba and selling products under that brand (especially in international markets), by highlighting raw materials and prepared dishes and by making gastronomy a complement to heritage tourism in the city and rural tourism in the province.
The Impact of the COVID-19 Pandemic on the Professional Autonomy of Anesthesiological Nurses and Trust in the Therapeutic Team of Intensive Therapy Units—Polish Multicentre Study
Authors: Krukowska-Sitek Hanna , Krupa Sabina , Grad Iga
Published: October 2022

Introduction: The COVID-19 pandemic as well as the rate of spread of this particular pathogen around the world have caused the number of patients requiring medical attention and intensive care to exceed the capacity of even the best organized health care systems. This resulted in the need to hire employees who had not previously worked in intensive care units. Experience and knowledge have become particularly important in the context of mutual trust in the ICU team. At the same time, it could affect the level of professional autonomy of nurses, understood as the freedom to perform work based on knowledge, skills and competence without the need to submit to other medical professions. The pandemic status has required that nurses are always involved in their work by participating in training. Faced with the dangers of COVID-19, there is no doubt that by the end of the pandemic, both nursing and healthcare will be better equipped to face future challenges. Methods: The study lasted from July to September 2021. The data collection procedure started with the consent of the heads of the institutions where the data was collected. The study was conducted using the Dempster Practice Behavior Scale (DPBS), which examines work autonomy. The survey using the proprietary questionnaire was conducted among 225 nurses working in eleven ICUs in five voivodeships in Poland. Results: The autonomy of nurses during the COVID-19 pandemic was assessed at a high level. Younger respondents rated autonomy as being higher. Almost half of the respondents assessed the level of professional independence as high, including 52% of nurses, and significantly less, including 34% of doctors. A group of 47% of respondents assessed that trust had decreased and 28% said that trust had improved slightly. Conclusions: Professional independence allows you to perform work independently on others, taking responsibility for decisions and actions. The COVID-19 pandemic, through the influx of new staff members into treatment teams, had an impact on both nursing autonomy and the level of trust in a team, as shown in this study.