bluuebunny/crossref_metadata_2025 huggingface dataset:
Endovascular Intervention for Aortic Dissection Is “Ascending”
Authors: Rizza Antonio , Negro Francesco , Mandigers Tim J. , Palmieri Cataldo , Berti Sergio , Trimarchi Santi
Published: February 2023

Ascending aorta diseases represent an important cause of mortality worldwide. Notably, acute and chronic thoracic aorta pathologies have increased during the last years, but medical therapy does not seem to influence their natural history. Currently, although open surgery is the first choice of treatment, many patients are still rejected or have poor outcomes. In this scenario, endovascular treatment is raised as a valuable option. In this review we describe the limitations of conventional surgery and the state-of-art of endovascular ascending aorta repair.
The Role of Big Data in Promoting Green Development: Based on the Quasi-Natural Experiment of the Big Data Experimental Zone
Authors: Wei Jiangying , Zhang Xiuwu
Published: February 2023

Against the backdrop of the pressing issue of global warming, the concept of green development, which emphasizes the rational utilization of resources and energy, has emerged as a viable model for future economic growth. Despite this, the interplay between big data technology and green development has yet to receive due consideration. This study aims to shed light on the role of big data in green development from the perspective of factor configuration distortion. To this end, a panel data analysis of 284 prefecture-level cities spanning from 2007 to 2020 was conducted, utilizing the Difference-in-Differences (DID) and Propensity Score Matching-Difference-in-Differences (PSM-DID) models to assess the impact of the establishment of the National Big Data Comprehensive Experimental Zone on green total factor productivity. The findings reveal that the establishment of the National Big Data Comprehensive Experimental Zone has a positive impact on green total factor productivity, primarily through optimizing the capital and labor allocation distortions, with the effect being more pronounced in areas with high levels of human capital, financial development, and economic activity. This research provides empirical evidence to evaluate the impact of the establishment of the National Big Data Comprehensive Experimental Zone and offers valuable policy implications for the pursuit of high-quality economic development.
What Matters in a Relationship—Age, Sexual Satisfaction, Relationship Length, and Interpersonal Closeness as Predictors of Relationship Satisfaction in Young Adults
Authors: Józefacka Natalia Maja , Szpakiewicz Elżbieta , Lech Dominik , Guzowski Konrad , Kania Gabriela
Published: February 2023

Relationship satisfaction is one of the key elements affecting overall life satisfaction. This study aimed to identify significant predictors of relationship satisfaction in young adults in a romantic relationship. The study was questionnaire-based, involving 237 young adults who were currently in a relationship. Three self-rating scales were used: CSI-32 Relationship Satisfaction Scale, Sexual Satisfaction Questionnaire, and Unidimensional Relationship Closeness Scale. Sexual satisfaction proved to be a main predictor of relationship satisfaction in both sexes. For women, interpersonal closeness was additionally important, with a sense of closeness found to be even more important than sexual satisfaction for women cohabiting with their partners. Cohabiting people are generally more satisfied with their relationship, and a higher level of closeness and applied caresses can additionally be observed in them. In contrast, the relationship length appeared to matter only for men living with their partner: they were more satisfied with the relationship at the beginning of the relationship, and then their level of satisfaction declined. Relationship satisfaction in young adults appears to be determined by other factors depending on gender and cohabitation status. Nevertheless, at this age, sexual satisfaction proves to be one of the most critical factors for a sense of relationship satisfaction.
AirBadminton for Physical Activity and Well-Being in Spanish Students: Post-COVID-19
Authors: Terol-Sanchis Mario , Gomis-Gomis María José , Elvira-Aranda Carlos , Cabello-Manrique David , Pérez-Turpin José Antonio
Published: February 2023

Sports commitment is a psychological construct that has been studied since the 1990s and that has been used in the educational field. The main objective of this study is to analyze the suitability of AirBadminton to acquired sports commitment and the classroom climate generated through the practice of AirBadminton. It was also proposed to analyze the physical, technical and temporal characteristics of AirBadminton. The research was developed with 1298 students between 13 and 15 years of age (mean ± standard deviation; body height: 1.61 ± 7.08 m; body mass 59.68 ± 7.11 kg); one group developed an AirBadminton didactic unit forming the experimental group, and a second group carried out other net games, being the control group. The following instruments were used: the Sports Commitment Questionnaire-2 CCD-2, the Brief Class Climate Scale EBCC, the analysis software LongoMatch version 1.10.1, the heart rate (HR) and the distance traveled of some participants were monitored with different Polar brand sensors (Polar H10 and Verity Sense) and two SPI-Elite GPS devices from the GPSports brand. Results show that sports commitment was increased in the experimental group. AirBadminton shows aspects that are directly and positively related to intrinsic motivation and adherence to sports practice; it improves the classroom climate and increases the desire to excel of the participants.
Adolescent Pregnancy Outcomes and Risk Factors
Authors: Diabelková Jana , Rimárová Kvetoslava , Dorko Erik , Urdzík Peter , Houžvičková Andrea , Argalášová Ľubica
Published: February 2023

One of the major social and public health problems in the world is adolescent pregnancy. Adolescent pregnancy is strongly associated to less favorable results for both the mother and the newborn. We conducted this research to ascertain the impact of teenage age on neonatal outcomes and also observed the lifestyles of pregnant teenage girls. We conducted a study of 2434 mothers aged ≤19 years (n = 294) or 20–34 years (n = 2140) who gave birth in 2019–2020 at the Department of Gynaecology and Obstetrics of Louis Pasteur University Hospital in Košice. The data on mothers and newborn infants have been reported from the reports on mothers at childbirth. Women between the ages of 20 and 34 served as the reference group. The teenage mothers were more likely to become pregnant if they were unmarried (OR = 14.2; 95% CI = 9.3–21.6; p < 0.001) and had a basic education or lack of education (OR = 16.8; 95% CI = 11.5–24.6; p < 0.001). Additionally, they were more likely to smoke when pregnant (OR = 5.0; 95% CI = 3.8–6.6; p < 0.001). Low birth weight was more common in newborns born to adolescent mothers than in those born to adult mothers (p < 0.001). Our findings showed that infants of teenage mothers often had lower birth weights (−332.6 g, p < 0.001). Adolescent mothers were associated with lower Apgar scores at the first minute (p = 0.003). As compared with the control group, pregnant teenage girls had a greater prevalence of preterm deliveries in our research (p = 0.004). This study finds significant age-related disparities in neonatal outcomes between mothers. These results might be used to identify vulnerable groups who need special assistance and actions to reduce the probability of negative outcomes for such groups.
13-Type HPV DNA Test versus 5-Type HPV mRNA Test in Triage of Women Aged 25–33 Years with Minor Cytological Abnormalities–6 Years of Follow-Up
Authors: Rad Amir , Sørbye Sveinung Wergeland , Brenn Tormod , Tiwari Sweta , Løchen Maja-Lisa , Skjeldestad Finn Egil
Published: February 2023

Background: A specific, cost-effective triage test for minor cytological abnormalities is essential for cervical cancer screening among younger women to reduce overmanagement and unnecessary healthcare utilization. We compared the triage performance of one 13-type human papillomavirus (HPV) DNA test and one 5-type HPV mRNA test. Methods: We included 4115 women aged 25–33 years with a screening result of atypical squamous cells of undetermined significance (ASC-US) or low-grade squamous intraepithelial lesions (LSIL) recorded in the Norwegian Cancer Registry during 2005–2010. According to Norwegian guidelines, these women went to triage (HPV testing and repeat cytology: 2556 were tested with the Hybrid Capture 2 HPV DNA test, which detects the HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68; and 1559 were tested with the PreTect HPV-Proofer HPV mRNA test, which detects HPV types 16, 18, 31, 33, and 45). Women were followed through December 2013. Results: HPV positivity rates at triage were 52.8% and 23.3% among DNA- and mRNA-tested women (p < 0.001), respectively. Referral rates for colposcopy and biopsy and repeat testing (HPV + cytology) after triage were significantly higher among DNA-tested (24.9% and 27.9%) compared to mRNA-tested women (18.3% and 5.1%), as were cervical intraepithelial neoplasia grade 3 or worse (CIN3+) detection rates (13.1% vs. 8.3%; p < 0.001). Ten cancer cases were diagnosed during follow-up; eight were in DNA-tested women. Conclusion: We observed significantly higher referral rates and CIN3+ detection rates in young women with ASC-US/LSIL when the HPV DNA test was used at triage. The mRNA test was as functional in cancer prevention, with considerably less healthcare utilization.
Microplastics Contamination in Nonalcoholic Beverages from the Italian Market
Authors: Crosta Arianna , Parolini Marco , De Felice Beatrice
Published: February 2023

A growing number of studies have confirmed that microplastics (MPs) contamination represents a worrisome issue of global concern. MPs have been detected in the atmosphere, in aquatic and terrestrial ecosystems, as well as in the biota. Moreover, MPs have been recently detected in some food products and in drinking water. However, only limited information is currently available for beverages, although they are largely consumed by humans and might contribute to the ingestion of MPs. Thus, estimating the contamination in beverages represents a crucial step in assessing human MP ingestion. The aim of the present study was to explore the presence of MPs in nonalcoholic beverages, namely soft drinks and cold tea, of different brands purchased in supermarkets and to estimate the contribution of beverage consumption to MP ingestion by humans. The results of the present study confirmed the presence of MPs, mainly fibers, in most of the analyzed beverages, with a mean (± SEM) number of 9.19 ± 1.84 MPs/L. In detail, the number of MPs detected in soft drinks and cold tea was 9.94 ± 0.33 MPs/L and 7.11 ± 2.62 MPs/L, respectively. Our findings confirmed that beverage consumption can be considered one of the main pathways for MP ingestion by humans.
A Deep Learning Approach for Dengue Fever Prediction in Malaysia Using LSTM with Spatial Attention
Authors: Majeed Mokhalad A. , Shafri Helmi Zulhaidi Mohd , Zulkafli Zed , Wayayok Aimrun
Published: February 2023

This research aims to predict dengue fever cases in Malaysia using machine learning techniques. A dataset consisting of weekly dengue cases at the state level in Malaysia from 2010 to 2016 was obtained from the Malaysia Open Data website and includes variables such as climate, geography, and demographics. Six different long short-term memory (LSTM) models were developed and compared for dengue prediction in Malaysia: LSTM, stacked LSTM (S-LSTM), LSTM with temporal attention (TA-LSTM), S-LSTM with temporal attention (STA-LSTM), LSTM with spatial attention (SA-LSTM), and S-LSTM with spatial attention (SSA-LSTM). The models were trained and evaluated on a dataset of monthly dengue cases in Malaysia from 2010 to 2016, with the task of predicting the number of dengue cases based on various climate, topographic, demographic, and land-use variables. The SSA-LSTM model, which used both stacked LSTM layers and spatial attention, performed the best, with an average root mean squared error (RMSE) of 3.17 across all lookback periods. When compared to three benchmark models (SVM, DT, ANN), the SSA-LSTM model had a significantly lower average RMSE. The SSA-LSTM model also performed well in different states in Malaysia, with RMSE values ranging from 2.91 to 4.55. When comparing temporal and spatial attention models, the spatial models generally performed better at predicting dengue cases. The SSA-LSTM model was also found to perform well at different prediction horizons, with the lowest RMSE at 4- and 5-month lookback periods. Overall, the results suggest that the SSA-LSTM model is effective at predicting dengue cases in Malaysia.
The Impact of Hospital Pharmacy Operation on the Quality of Patient Care
Authors: Wylegała Karolina , Religioni Urszula , Czech Marcin
Published: February 2023

This paper presents the role, tasks, and place of a hospital pharmacy in the structure of the entire facility. The role of hospital drug management and pharmacy seems to be extremely important in providing patients with high-quality care. Particular emphasis was placed on the distribution systems of medicinal products and medical devices in the hospital. The advantages and disadvantages of the classical distribution system and modern systems such as unit-dose and multi-dose—and the most important differences between them—are presented. Difficulties related to implementing modern distribution systems in hospitals were also discussed. The information provided is presented in the context of the legal regulations in Poland.
Simulation Study on the Optimisation of Replenishment of Landscape Water with Reclaimed Water Based on Transparency
Authors: Ao Dong , Wei Lijie , Pei Liang , Liu Chengguo , Wang Liming
Published: February 2023

Water-scarce cities have fewer surface water (SW) resources available for ecological use, causing landscape water to deteriorate due to water shortage and fail to perform their intended landscape functions. As a result, many cities use reclaimed water (RW) to replenish them. However, this could cause concern among the people, as RW usually has higher nutrient concentrations, which may stimulate algae growth and deteriorate the aesthetic senses of the receiving water bodies. In order to assess the feasibility of using RW for this purpose, this study used Xingqing Lake in Northwest China as insight into the effect of RW replenishment on the visual landscape quality of urban landscape water. Water transparency (measured by SD) is used as an intuitive indicator to reflect the comprehensive influence of suspended solids and algae growth on the water’s aesthetic quality. Scenario analyses were carried out after calibrating and validating one-year data in MIKE 3 software with both SD and algae growth calculations, and the results showed that the low concentration of suspended matter in RW could compensate for the decrease in SD due to algal blooms caused by high concentrations of nitrogen and phosphorus, and the effect on SD is especially pronounced under conditions that are not conducive to algal growth, such as good flow conditions and low temperature. In addition, to meet a SD ≥ 70 mm, the total water inflow required can be significantly reduced with the optimal application of RW. It is also indicated that partial or complete utilization of RW to replace SW for replenishing the landscape water could be feasible from the viewpoint of landscape quality, at least for the landscape water investigated in this study. This can provide a method for the improvement to urban water management practices by using RW for replenishment in water-scarce cities.
Hepatitis B Virus in West African Children: Systematic Review and Meta-Analysis of HIV and Other Factors Associated with Hepatitis B Infection
Authors: Fofana Djeneba B. , Somboro Anou M. , Maiga Mamoudou , Kampo Mamadou I. , Diakité Brehima , Cissoko Yacouba , McFall Sally M. , Hawkins Claudia A. , Maiga Almoustapha I. , Sylla Mariam , Gozlan Joël , El-Sayed Manal H. , Morand-Joubert Laurence , Murphy Robert L. , Diakité Mahamadou , Holl Jane L.
Published: February 2023

While Hepatitis B virus (HBV) and the human immunodeficiency virus (HIV) are endemic in West Africa, the prevalence of HBV/HIV coinfection and their associated risk factors in children remains unclear. In this review, we sought to assess HBsAg seroprevalence among 0- to 16-year-olds with and without HIV in West African countries and the risk factors associated with HBV infection in this population. Research articles between 2000 and 2021 that reported the prevalence of HBV and associated risk factors in children in West Africa were retrieved from the literature using the Africa Journals Online (AJOL), PubMed, Google Scholar, and Web of Science databases as search tools. StatsDirect, a statistical software, was used to perform a meta-analysis of the retained studies. HBV prevalence and heterogeneity were then assessed with a 95% confidence interval (CI). Publication bias was evaluated using funnel plot asymmetry and Egger’s test. Twenty-seven articles conducted across seven West African countries were included in this review. HBV prevalence among persons aged 0 to 16 years was 5%, based on the random analysis, given the great heterogeneity of the studies. By country, the highest prevalence was observed in Benin (10%), followed by Nigeria (7%), and Ivory Coast (5%), with Togo (1%) having the lowest. HBV prevalence in an HIV-infected population of children was (9%). Vaccinated children had lower HBV prevalence (2%) than unvaccinated children (6%). HBV prevalence with a defined risk factor such as HIV co-infection, maternal HBsAg positivity, undergoing surgery, scarification, or being unvaccinated ranged from 3–9%. The study highlights the need to reinforce vaccination of newborns, screening for HBV, and HBV prophylaxis among pregnant women in Africa, particularly in West Africa, to achieve the WHO goal of HBV elimination, particularly in children.
Research on Wind Environment and Morphological Effects of High-Rise Buildings in Macau: An Example from the New Reclamation Area around Areia Preta
Authors: He Jialun , Chen Yile , Zheng Liang , Zheng Jianyi
Published: February 2023

The Macau peninsula is close to the tropical ocean, with a high population density and a large number of high-rise buildings, which require a windy environment with good ventilation and heat dissipation. Based on residential samples and the degree of agglomeration, the high-rise residential area in Areia Preta was selected as the focus of this study. Meanwhile, summer typhoons pose serious safety risks to high-rise buildings. Therefore, it is necessary to study the connection between spatial form and the wind environment. First of all, this research is based on relevant concepts and the wind environment evaluation system of high-rise buildings and conducts research on high-rise residential areas in Areia Preta. PHOENICS software is used to simulate the prevailing monsoon in winter and summer, as well as a typhoon in an extreme wind environment, and summarize the wind environment’s characteristics. Secondly, by comparing the parameter calculation and simulation results, the possible relationship between the causes of each wind field is studied. Finally, conclusions are drawn about the urban form and wind environment of the site, and corresponding control strategies are proposed to reduce the shielding effect between buildings and typhoon damage. It can be used as a theoretical basis and reference point for urban construction and high-rise building planning and layout.
Protective Vaccination Used by Doctors for Prevention of Infections
Authors: Zastawna Beata , Załuska Roman , Milewska Anna , Zdęba-Mozoła Agnieszka , Ogonowska Agnieszka , Kozłowski Remigiusz , Owczarek Anna , Marczak Michał
Published: February 2023

Doctors, as with all healthcare workers, are a specific risk group due to a high probability of contact with contagious pathogens. An online survey was conducted among Polish doctors to establish their use of protective vaccination to decrease their personal risk of infection. The online survey was conducted using questions about medics’ vaccination decisions and approaches. The results revealed that immunization against VPDs for most participants was not adequate based on recommendations or developments in vaccinology. To increase vaccination as a prophylactic method among doctors, especially those not involved in the immunization of patients, an educational campaign is demanded. As non-immunized medics are at risk themselves and are also a threat to the safety of patients, legal changes and the monitoring of vaccine acceptance and perception among medics are required.
Heterogeneous Learning of Functional Clustering Regression and Application to Chinese Air Pollution Data
Authors: Wang Tingting , Qin Linjie , Dai Chao , Wang Zhen , Gong Chenqi
Published: February 2023

Clustering algorithms are widely used to mine the heterogeneity between meteorological observations. However, traditional applications suffer from information loss due to data processing and pay little attention to the interaction between meteorological indicators. In this paper, we combine the ideas of functional data analysis and clustering regression, and propose a functional clustering regression heterogeneity learning model (FCR-HL), which respects the data generation process of meteorological data while incorporating the interaction between meteorological indicators into the analysis of meteorological data heterogeneity. In addition, we provide an algorithm for FCR-HL to automatically select the number of clusters, which has good statistical properties. In the later empirical study based on PM2.5 concentrations and PM10 concentrations in China, we found that the interaction between PM10 and PM2.5 varies significantly between regions, showing several types of significant patterns, which provide meteorologists with new perspectives to further study the effects between meteorological indicators.
PTSD and Partial PTSD among First Responders One and Five Years after the Paris Terror Attacks in November 2015
Authors: Prioux Clémentine , Marillier Maude , Vuillermoz Cécile , Vandentorren Stéphanie , Rabet Gabrielle , Petitclerc Matthieu , Baubet Thierry , Stene Lise Eilin , Pirard Philippe , Motreff Yvon
Published: February 2023

Following the Paris terror attacks in November 2015, a large number of first responders (FR) were mobilized and consequently were at risk of developing posttraumatic stress disorder (PTSD). Based on the ESPA 13 November survey, the objectives of this study were to 1) describe the prevalence of PTSD and partial PTSD in FR five years after the attacks, 2) describe the changes in PTSD and partial PTSD from one to five years after the attacks, and 3) examine factors associated with PTSD and partial PTSD five years after the attacks. Data were collected using an online questionnaire. PTSD and partial PTSD were measured using the Post-Traumatic Stress Disorder Checklist based on the DSM-5 (PCL-5). Gender, age, responder category, education level, exposure, mental health history, history of traumatic events, training, social support, concern about the COVID-19 epidemic, and somatic problems present after the attacks were all analyzed as potential factors associated with PTSD and partial PTSD using multinomial logistic regression. A total of 428 FR were included 5 years after the attacks, of which 258 had participated also 1 year after the attacks. Five years after the attacks, the prevalence of PTSD and partial PTSD were 8.6% and 22%, respectively. Presence of somatic problems after the attacks were associated with PTSD. Involvement in dangerous crime scenes was associated with a higher risk of partial PTSD. No awareness of psychological risks in the context of professional activity through specific training was associated with partial PTSD, in particular among participants aged 45 years or more. To mitigate PTSD for FR, monitoring mental health symptoms, providing mental health education, and providing treatment may be needed for several years after the attacks.
Territory Differences in Adaptation to Heat among Persons Aged 65 Years and Over in Spain (1983–2018)
Authors: Navas-Martín Miguel Ángel , López-Bueno José Antonio , Ascaso-Sánchez María Soledad , Follos Fernando , Vellón José Manuel , Mirón Isidro Juan , Luna María Yolanda , Sánchez-Martínez Gerardo , Díaz Julio , Linares Cristina
Published: February 2023

Climate change is currently regarded as the greatest global threat to human health, and its health-related consequences take different forms according to age, sex, socioeconomic level, and type of territory. The aim of this study is to ascertain the differences in vulnerability and the heat-adaptation process through the minimum mortality temperature (MMT) among the Spanish population aged ≥65 years by territorial classification. A retrospective, longitudinal, ecological time-series study, using provincial data on daily mortality and maximum daily temperature across the period 1983–2018, was performed, differentiating between urban and nonurban populations. The MMTs in the study period were higher for the ≥65-year age group in urban provinces, with a mean value of 29.6 °C (95%CI 29.2–30.0) versus 28.1 °C (95%CI 27.7–28.5) in nonurban provinces. This difference was statistically significant (p < 0.05). In terms of adaptation levels, higher average values were obtained for nonurban areas, with values of 0.12 (95%CI −0.13–0.37), than for urban areas, with values of 0.09 (95%CI −0.27–0.45), though this difference was not statistically significant (p < 0.05). These findings may contribute to better planning by making it possible to implement more specific public health prevention plans. Lastly, they highlight the need to conduct studies on heat-adaptation processes, taking into account various differential factors, such as age and territory.
School Prejudice and Substance Use from Adolescence to Emerging Adulthood in the United States: Variation across Race and Ethnicity
Authors: Zhang Xing , Lee Daniel B.
Published: February 2023

Background: Racial and ethnic disparities in health outcomes have been consistently documented in the health literature. Until recently, many studies have evidenced associations between prejudice and health behaviors using cross-sectional data. However, studies assessing the link between school prejudice and health behaviors from adolescence to adulthood are limited. Methods: To address this gap, we use data from Waves I, II, and III of the National Longitudinal Study of Adolescent to Adult Health (1994–2002) to examine how perceptions of school prejudice over time influence cigarette smoking, alcohol use, and marijuana use from adolescence to emerging adulthood. We also examine variation across race and ethnicity. Results: Results indicate that school prejudice in adolescence (Wave I) is associated with higher cigarette use, alcohol use, and marijuana use in later adolescence (Wave II). White and Asian adolescents who perceived school prejudice were more likely to use alcohol, while Hispanic adolescents were more likely to use marijuana. Conclusions: Efforts to reduce school prejudice among adolescents may have implications in reducing substance use.
Communication Training: Significance and Effects of a Preliminary Psychological Intervention upon an Audit Team
Authors: Cardile Davide , Ielo Augusto , Corallo Francesco , Cappadona Irene , D’Aleo Giangaetano , De Cola Maria Cristina , Bramanti Placido , Ciurleo Rosella
Published: February 2023

Communication constitutes an essential aspect of teamwork. This is especially true for audit teams, where communication takes place not only within the work group but also with the audit recipients. For this reason, given the poor evidence in the literature, communication training was carried out on an audit team. Training was divided into 10 meetings of two hours each, with the meetings taking place over 2 months. Questionnaires were administered to identify the characteristics and styles of communication, to assess the sense of perceived self-efficacy in general and at work, and to evaluate the knowledge inherent in the communication. This battery was administered before and after the training to evaluate its effectiveness and its effects on self-efficacy, communication style, and knowledge. Furthermore, a communication audit was performed on the feedback provided by the team, to highlight satisfaction, strengths, and any critical issues that emerged during the feedback phase. The results obtained suggest that training has an effect not only on individual knowledge but also on personological aspects. Communication among colleagues and general self-efficacy appear to be improved by the process. Self-efficacy also specifically improves in the work environment, with subjects feeling more able to manage relationships and collaborations with colleagues and supervisors. Moreover, the audit team members were satisfied with the training received, perceiving an improvement in their own communication skills during the feedback phases.
Impact of Social Isolation Due to COVID-19 on Daily Life Activities and Independence of People over 65: A Cross-Sectional Study
Authors: Frutos María Laura , Cruzado David Pérez , Lunsford Dianna , Orza Santiago García , Cantero-Téllez Raquel
Published: February 2023

The mandatory confinement caused by the COVID-19 pandemic has significantly affected the older adult population. The main objective of this study is to assess independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADDL) of people over 65 years of age during social, preventive, and compulsory isolation due to COVID-19, identifying and quantifying the activities of personal independence that present difficulties in their execution. Design: A cross-sectional study. Settings: Private’s health insurance Hospital, Córdoba, Argentina. Participants: A total of 193 participants with mean age of 76.56 years (121 women and 72 men) who met inclusion criteria were included in the study. Interventions: A personal interview was conducted between July and December 2020. Sociodemographic data were collected, and perceived independence was assessed. Outcomes measures: The Barthel index and the Lawton and Brody scale were used to assess independence of basic and instrumental activities of daily living. Results: Minimal limitations were noted with function. The activities that represented the greatest difficulties were going up and down stairs (22%) and moving around (18%), and the greatest difficulties in instrumental activities of daily living were shopping (22%) and preparing food (15%). Conclusions: COVID-19 has caused isolation, leading to functional limitations for many, especially older adults. Perceived declines in function and mobility may lead to decreased independence and safety for the older adult; therefore, preventative planning and programming should be considered.
Negative Impact of Telework, Job Insecurity, and Work–Life Conflict on Employee Behaviour
Authors: Nemțeanu Marcela-Sefora , Dabija Dan-Cristian
Published: February 2023

The COVID-19 pandemic imposed a large-scale adoption of teleworking in various fields, accepted by many employers as the ideal solution to protect their employees against the risk of contracting SARS-CoV-2. Working from home generated substantial savings for organisations and also contributed to alleviating employee stress. In addition to the potential positive effects, telework during COVID-19 favoured counterproductive behaviour, job insecurity, and intention to retire because of the negative outcomes generated by the growing conflict between personal life and working from home and professional and social isolation. The purpose of this research is to define and analyse a conceptual model capable of highlighting the way in which telework, job insecurity, and work–life conflict led to professional isolation and turnover intention, and finally, to the counterproductive behaviour of employees during the COVID-19 pandemic. This research was implemented using employees in Romania, an emerging European economy severely affected by the recent pandemic. The results have been analysed with the help of structural equations in SmartPLS, thus reflecting a significant influence of teleworking on work–life conflict, professional isolation, intentions, and insecurity during the pandemic. The insecurity of employees trained in teleworking contributes significantly to enhancing work–life conflict and professional isolation.
Termbot: A Chatbot-Based Crossword Game for Gamified Medical Terminology Learning
Authors: Hsu Mei-Hua , Chan Tien-Ming , Yu Chi-Shun
Published: February 2023

Medical terminology can be challenging for healthcare students due to its unfamiliar and lengthy terms. Traditional methods such as flashcards and memorization can be ineffective and require significant effort. To address this, an online chatbot-based learning model called Termbot was designed to provide an engaging and convenient method for enhancing medical terminology learning. Termbot, accessible through the LINE platform, offers crossword puzzles that turn boring medical terms into a fun learning experience. An experimental study was conducted, which showed that students who trained with Termbot made significant progress in learning medical terms, demonstrating the potential of chatbots to improve learning outcomes. Termbot’s gamified approach to learning can also be applied to other fields, making it a useful tool for students to learn medical terminology conveniently and enjoyably.
Eating Behavior and Obesity in a Sample of Spanish Schoolchildren
Authors: Calderón García Andrea , Alaminos-Torres Ana , Pedrero Tomé Roberto , Prado Martínez Consuelo , Martínez Álvarez Jesús Román , Villarino Marín Antonio , Marrodán Serrano María Dolores
Published: February 2023

From the point of view of prevention, it is convenient to explore the association between eating behavior and the obese phenotype during school and adolescent age. The aim of the present study was to identify eating behavior patterns associated with nutritional status in Spanish schoolchildren. A cross-sectional study of 283 boys and girls (aged 6 to 16 years) was carried out. The sample was evaluated anthropometrically by Body Mass Index (BMI), waist-to-height ratio (WHtR) and body fat percentage (%BF). Eating behavior was analyzed using the CEBQ “Children’s Eating Behavior Questionnaire”. The subscales of the CEBQ were significantly associated with BMI, WHtR and %BF. Pro-intake subscales (enjoyment of food, food responsiveness, emotional overeating, desire for drinks) were positively related to excess weight by BMI (β = 0.812 to 0.869; p = 0.002 to <0.001), abdominal obesity (β = 0.543–0.640; p = 0.02 to <0.009) and high adiposity (β = 0.508 to 0.595; p = 0.037 to 0.01). Anti-intake subscales (satiety responsiveness, slowness in eating, food fussiness) were negatively related to BMI (β = −0.661 to −0.719; p = 0.009 to 0.006) and % BF (β = −0.17 to −0.46; p = 0.042 to p = 0.016).
Motivation as a Measurable Outcome in Stroke Rehabilitation: A Systematic Review of the Literature
Authors: Verrienti Giulio , Raccagni Cecilia , Lombardozzi Ginevra , De Bartolo Daniela , Iosa Marco
Published: February 2023

Motivated behaviours are thought to lead to enhanced performances. In the neurorehabilitation field, motivation has been demonstrated to be a link between cognition and motor performance, therefore playing an important role upon rehabilitation outcome determining factors. While motivation-enhancing interventions have been frequently investigated, a common and reliable motivation assessment strategy has not been established yet. This review aims to systematically explore and provide a comparison among the existing motivation assessment tools concerning stroke rehabilitation. For this purpose, a literature search (PubMed and Google Scholar) was performed, using the following Medical Subject Headings terms: “assessment” OR “scale” AND “motivation” AND “stroke” AND “rehabilitation”. In all, 31 randomized clinical trials and 15 clinical trials were examined. The existing assessment tools can be grouped into two categories: the first mirroring the trade-off between patients and rehabilitation, the latter reflecting the link between patients and interventions. Furthermore, we presented assessment tools which reflect participation level or apathy, as an indirect index of motivation. In conclusion, we are left to put forth a possible common motivation assessment strategy, which might provide valuable incentive to investigate in future research.
The Role of Phytochemicals and Plant-Based Diets in Gestational Diabetes: Evidence from Clinical Trials
Authors: Jaworsky Kataryna , DeVillez Pamela , Basu Arpita
Published: February 2023

Gestational diabetes mellitus (GDM) is defined as glucose intolerance identified during pregnancy. The increased risk of pregnancy complications and the adverse health effects for the mother and baby associated with GDM require urgent and effective ways to control the condition. The primary goal of this semi-quantitative review was to examine the effects of phytochemicals and plant-based diets on GDM in clinical studies involving women undergoing pregnancy and to summarize the findings for application in clinical practice and disease management. The articles included in this review show that intervention strategies, including fruits, vegetables, whole grains, nuts and seeds, and tea, may be beneficial in the management of GDM and lower blood glucose and improve adverse pregnancy outcomes in these women. The randomized controlled trials reviewed collectively show improved glycemic control markers, blood lipid values, and body weight and composition when supplemented with phytochemical-rich supplements and foods compared to those in the control groups. The findings support the clinical observations of lower GDM risks in women consuming plant-derived diets rich in phytochemicals. Nutrition interventions involving plant-based foods and diets are thus a practical way to reduce hyperglycemia both in patients diagnosed with GDM and those at high risk for the development of GDM.
Relationship between Anxiety, Depression and Learning Burnout of Nursing Undergraduates after the COVID-19 Epidemic: The Mediating Role of Academic Self-Efficacy
Authors: Zhu Pingting , Xu Ting , Xu Huiwen , Ji Qiaoying , Wang Wen , Qian Meiyan , Shi Guanghui
Published: February 2023

Background: Although cross-sectional studies on the learning status of nursing undergraduates during the COVID-19 epidemic have surged, few studies have explored the normalization of COVID-19 on students’ learning burnout and mental health. The study was designed to investigate the learning burnout of nursing undergraduates in school under the normalization of the COVID-19 epidemic and explore the hypothesized mediation effect of academic self-efficacy in the relationship between anxiety, depression and learning burnout in Chinese nursing undergraduates. Methods: A cross-sectional study was conducted among nursing undergraduates in the school of nursing of a university in Jiangsu Province, China (n = 227). A general information questionnaire, College Students’ Learning Burnout Questionnaire, Generalized Anxiety Disorder Scale (GAD-7), and Patient Health Questionnaire depression scale (PHQ-9) were administered. Descriptive statistical analysis, Pearson correlation analysis, and multiple linear regression analysis were performed via SPSS 26.0. Process plug-in (Model 4) was used to test the mediating effect of academic self-efficacy (bootstrap 5000 iterations, α = 0.05). Results: Learning burnout (54.1 ± 0.656) was positively correlated with anxiety (4.6 ± 0.283) and depression (5.3 ± 0.366) (p < 0.01) and was negatively correlated with academic self-efficacy (74.41 ± 0.674) (p < 0.01). Academic self-efficacy plays a mediating role between anxiety and learning burnout (0.395/0.493, 80.12%) and a mediating role between depression and learning burnout (0.332/0.503, 66.00%). Conclusion: Academic self-efficacy has a significant predictive effect on learning burnout. Schools and teachers should strengthen the screening and counselling of students’ psychological problems, detect learning burnout caused by emotional problems in advance and improve students’ initiative and enthusiasm for learning.
Categorizations of Trust and Distrust in the Classifications and Social Representations of Food among Pregnant and Breastfeeding Women in Spain—Applying the Cultural Domains’ Pile Sort Technique
Authors: Muñoz Araceli , Larrea-Killinger Cristina , Fontalba-Navas Andrés , Company-Morales Miguel
Published: February 2023

Food is fundamental in the decision making of pregnant and breastfeeding women to care for their own health and that of their child. In this paper, we explore some common food classification systems and certain attributes assigned to these categories, represented by values of trust and distrust. This study is based on an interdisciplinary research project in which we analysed discourses and practices regarding the dietary intake of pregnant and breastfeeding women in relation to the presence of chemical substances in foods. The results presented are part of the second phase of this research where we explored the results of our analysis of the pile sort technique based on an analysis of cultural domains in order to explore the categories and semantic relations among terms regarding trust and distrust in food. This technique was applied to the 62 pregnant and breastfeeding women of Catalonia and Andalusia. These women also participated in eight focus groups that provided information and narratives enabling us to analyse the meanings of the associative subdomains obtained in the pile sorts. They classified different foods and assigned certain attributes to them according to the level of trust and mistrust, providing a social representation of food risks. The mothers expressed great concern about the quality of the food they consume and about its possible effects on their own health and on that of their child. They perceive that an adequate diet is one based on the consumption of fruits and vegetables, preferably fresh. Fish and meat generate serious concern, as their properties are considered ambivalent depending on the food’s origin and mode of production. These criteria are perceived by women as relevant to their food decisions and, therefore, emic knowledge should be taken into account when developing food safety programmes and planning actions aimed at pregnant and breastfeeding women.
Profile Distributions of Potentially Toxic Metal(loid)s in Soils of the Middle Odra Floodplain (SW Poland)
Authors: Kawałko Dorota , Karczewska Anna
Published: February 2023

Floodplain soils are often contaminated with potentially toxic elements of geogenic and anthropogenic origin. This also applies to a valley of the Odra river, which in its upper reach flows through areas of historical and contemporary mining and heavy industry. This study examined the distribution of typically anthropogenic metal(loid)s, i.e., Pb, Zn, Cu, As and Cd, and geogenic metals, i.e., Mn and Fe, in soil profiles of the middle Odra valley, and analyzed factors that determine their concentrations. Thirteen soil profiles, located inter the embankment area and outside the embankments, were examined. Most of profiles indicated stratification typical for alluvial soils. Topsoil layers in the inter-embankment zone showed considerable enrichment in Pb, Zn and Cd, and to a lesser extent in Cu and As. Low soil pH is an important factor of environmental risk; therefore, acidic soils definitely require liming. The soils located out of embankments did not show any considerable enrichment in the elements examined. Based on significant correlations between the concentrations of metal(loid)s in deep soil layers and soil texture, the values of local geochemical background were derived. Outliers, particularly in the case of As, were explained by possible redistribution under reducing conditions.
Key Considerations When Providing Physical Rehabilitation for People with Advanced Dementia
Authors: Hall Abigail J. , Manning Fay , Goodwin Victoria
Published: February 2023

Dementia is a growing global challenge with numbers set to increase rapidly in the coming years. Evidence suggests that exercise can be effective in improving cognitive functioning, but the evidence does not yet support improvements in other key domains such as quality of life or physical ability. The aim of this study was to explore the key components that needed to be considered when providing physical rehabilitation to people with advanced dementia. The study used a qualitative approach involving semi-structured focus groups with health care professionals who are experts in delivering interventions to people with advanced dementia. As a pragmatic study seeking to inform the development of interventions, a thematic coding approach was used to make sense of the data. We collected data from 20 healthcare professionals who reported that key considerations needed to be considered from both an assessment and an intervention perspective. The assessment needed to be person centred and, with the right people engaged and using outcome measures that were meaningful to the patient. The actual intervention also needed to follow the principles of person-centred care, with emphasis placed on the importance of taking time to build a rapport with the person, but also reducing any of the barriers that would prevent effective engagement, such as unsuitable environments. Our study suggests that while there are barriers and challenges to providing interventions and rehabilitation to people with advanced dementia, appropriate person-centred, tailored interventions can be effective and therefore should be offered.
Analysis of Factors Influencing Air Quality in Different Periods during COVID-19: A Case Study of Tangshan, China
Authors: Wu Wen-Lu , Shan Chun-Yan , Liu Jing , Zhao Jing-Lin , Long Jin-Yun
Published: February 2023

This study aimed to analyze the main factors influencing air quality in Tangshan during COVID-19, covering three different periods: the COVID-19 period, the Level I response period, and the Spring Festival period. Comparative analysis and the difference-in-differences (DID) method were used to explore differences in air quality between different stages of the epidemic and different years. During the COVID-19 period, the air quality index (AQI) and the concentrations of six conventional air pollutants (PM2.5, PM10, SO2, NO2, CO, and O3-8h) decreased significantly compared to 2017–2019. For the Level I response period, the reduction in AQI caused by COVID-19 control measures were 29.07%, 31.43%, and 20.04% in February, March, and April of 2020, respectively. During the Spring Festival, the concentrations of the six pollutants were significantly higher than those in 2019 and 2021, which may be related to heavy pollution events caused by unfavorable meteorological conditions and regional transport. As for the further improvement in air quality, it is necessary to take strict measures to prevent and control air pollution while paying attention to meteorological factors.