bluuebunny/crossref_metadata_2025 huggingface dataset:
Cumulative Impact of Testing Factors in Usability Tests for Human-Centered Web Design
Authors: Yakunin Alexander V. , Bodrunova Svetlana S.
Published: November 2022

The study examines the cumulative impact of factors that affect usability testing for user-centered web design, namely the so-called ‘contextual fidelity model’ factors that include product properties, task features, user traits, and environment/context factors. Today, the design, user experience and usability (DUXU) research experiences a lack of studies that would assess combinatorial, rather than individual, effects of these factors upon user performance. We address this gap by seeing both independent factors and the resulting user states as complex and dynamic, and testing the combined impact of aesthetic quality of websites, user traits, and individual/group experiment settings upon formation of two dysfunctional user states that critically affect user performance, namely monotony and anxiety. We develop a research design that allows for assessing the combinatorial effects in formation of user dysfunctionality. For that, we conduct a study with 80 assessors of Russian/European and Chinese origin in individual/group setting, employing two types of tasks and websites of high/low aesthetic quality. As the results of our experiment show, group task solving enhances the synchronous impact of website aesthetics and task features upon user states. Interaction of high-quality design, group environment, and monotonous tasks provides for an antagonistic effect when aesthetic layout in a group environment significantly reduces the fatigue rate. Low aesthetic quality in a group environment leads to cumulative enhancing of dysfunctionality for both monotony and anxiety. We conclude by setting questions and prospects for further research.
People That Time Forgot: Villa de Leyva, Colombia
Authors: Smyth Michael P.
Published: November 2022

The first inhabitants of the site of the Colonial town of Villa de Leyva were Native Americans and not the Spanish Conquerors of the Eastern Andes of Boyacá. New data now suggest a resident population of Muisca already there perhaps for centuries before the city’s founding. Research suggests potential archaeological evidence of domestic groups practicing intensive agriculture including raised field cultivation. Additionally, hydraulic features, sanctuary architecture, and unique ritual artifacts associate with a nearby mountain temple aligned with the astronomical-meteorological observatory at El Infiernito connected by a possible processional pilgrimage route. These findings underscore the complex relationship of socioeconomic factors, cosmic ontogeny, and natural environment for understanding the degree of political centralization in evolution of Muisca chiefdoms.
Effects of Physical Exercise on Mobile Phone Addiction in College Students: The Chain Mediation Effect of Psychological Resilience and Perceived Stress
Authors: Zhao Zitong , Zhao Shuai , Wang Qi , Zhang Yiran , Chen Chunchun
Published: November 2022

Smartphones have become an integral part of people’s daily lives. While bringing convenience, mobile phone addiction caused by overuse of smart phones has become a common phenomenon among college students. The current study aimed to examine the serial mediating role of psychological resilience and perceived stress between physical exercise and mobile phone addiction of college students. Using the PARS-3 scale, CD-RISC-10 scale, PSS-10 scale, and MPA scale, 257 college students were investigated and Structural Equation Model (SEM) was conducted. The results show that: (1) Physical exercise has no significant direct impact on mobile phone addiction. (2) Psychological resilience has a significant mediating effect between physical exercise and mobile phone addiction. But perceived stress does not. (3) Psychological resilience and perceived stress play a chain mediation role. Physical exercise can enhance psychological resilience firstly, thus relieving perceived stress and eventually mitigating mobile phone addiction.
Parent–Child Relationships, Digital Media Use and Parents’ Well-Being during COVID-19 Home Confinement: The Role of Family Resilience
Authors: Everri Marina , Messena Mattia , Nearchou Finiki , Fruggeri Laura
Published: November 2022

Research has provided substantial evidence on the role of parents’ well-being in the quality of parent–child relationships and children’s adjustment. Parents’ stress and parental couple conflict have been linked to children’s adverse developmental outcomes. However, little is known about the factors that affect parents’ well-being when coping with multiple stressors such as those brought by the recent COVID-19 global pandemic. Our study intended to examine the predictors of parental well-being by looking at the contextual factors of COVID-19 home confinement, i.e., the use of digital media and parents’ domestic workload, and family resilience in two countries: Ireland and Italy. Additionally, the age and number of children were controlled as potential variables impacting parents’ well-being. A three-step hierarchical regression analysis was applied. The results showed that family resilience was a very strong predictor of parents’ well-being after controlling for any other variable. Parental couples’ conflict over the use of technology predicted lower levels of parents’ well-being, while, notably, parent child-conflict and domestic workload were not associated with parents’ well-being. Additionally, the age of children did play a role: the higher the mean age of children in the family the better the parents’ well-being. The findings are discussed in the light of cross-country differences and their implications for research and practice.
Spending Money in Free-to-Play Games: Sociodemographic Characteristics, Motives, Impulsivity and Internet Gaming Disorder Specificities
Authors: Costes Jean-Michel , Bonnaire Céline
Published: November 2022

Free-to-Play games (F2P) have spread widely all over the world in recent years. The current economic model for these games is based on microtransactions, where gamers can purchase additional items or services inside the game. The aim of the present study was (1) to describe the profiles and gaming patterns of F2P gamers, and (2) to compare F2P gamers who spend money and those who do not, in terms of sociodemographic characteristics, gaming experience, motivations, impulsivity, and risk of Internet gaming disorder (IGD), in a representative sample of 5062 French online gamers. Among the total sample, 68.6% were past-year F2P gamers. Among the F2P gamers, 26.1% had spent money in the game. Spending in the game was strongly associated with IGD (6.9% of F2P gamers were disordered gamers). Flow (gaming experience) and escape (motivation) were strongly associated with spending in the game and IGD. Negative urgency (impulsivity) was positively associated with spending in the game while positive urgency was positively associated with IGD. Given the strong association between spending in the game and IGD, these results highlight the importance of prevention and regulation in the field.
Social Behavior and COVID-19: Analysis of the Social Factors behind Compliance with Interventions across the United States
Authors: Maleki Morteza , Bahrami Mohsen , Menendez Monica , Balsa-Barreiro Jose
Published: November 2022

Since its emergence, COVID-19 has caused a great impact in health and social terms. Governments and health authorities have attempted to minimize this impact by enforcing different mandates. Recent studies have addressed the relationship between various socioeconomic variables and compliance level to these interventions. However, little attention has been paid to what constitutes people’s response and whether people behave differently when faced with different interventions. Data collected from different sources show very significant regional differences across the United States. In this paper, we attempt to shed light on the fact that a response may be different depending on the health system capacity and each individuals’ social status. For that, we analyze the correlation between different societal (i.e., education, income levels, population density, etc.) and healthcare capacity-related variables (i.e., hospital occupancy rates, percentage of essential workers, etc.) in relation to people’s level of compliance with three main governmental mandates in the United States: mobility restrictions, mask adoption, and vaccine participation. Our aim was to isolate the most influential variables impacting behavior in response to these policies. We found that there was a significant relationship between individuals’ educational levels and political preferences with respect to compliance with each of these mandates.
Will Smart Improvements to Child Restraints Increase Their Popularity?
Authors: Jiang Li , Zhao Mei , Lin Hao , Xu Haiyuan , Chen Xiaojiao , Xu Jing
Published: November 2022

In developing countries, child safety seat use remains low, which contributes to the consistently high rate of child injuries and deaths in traffic accidents. In order to protect the safety of child passengers, it is necessary to improve the public acceptance of child restraints. We improved the shortcomings of the traditional child restraints by adding some new features: 1, tightening Isofix automatically; 2, using temperature sensing, a high-temperature alarm, automatic ventilation, and cooling; 3, using pressure sensing, if the child is left alone it will set off the car alarm; 4, voice control to adjust the angle of the backrest; 5, the seat can be folded into the trunk. These functions make human-computer interaction more humane. The authors collected changes in parental acceptance of child restraints using the interview method and questionnaires. We found that acceptance increased significantly after making intelligent improvements to the child restraints. The authors used the Technology Acceptance Model to identify the key caveats influencing users’ use of intelligent child restraints. Performance expectations, effort expectations, social influence, convenience, and hedonic motivation positively and significantly impacted the willingness to use intelligent child restraints, so the authors suggest that these points should be emphasized when promoting the product. The current study findings have theoretical and practical implications for smart child restraint designers, manufacturers, sellers, and government agencies. To better understand and promote child restraint, researchers and marketers can analyze how people accept child restraint based on our research model.
Health Status and Nutritional Habits in Maldives Pediatric Population: A Cross-Sectional Study
Authors: Cazzaniga Emanuela , Orlando Antonina , Terenzio Annalisa , Suardi Carlotta , Mognetti Chiara , Gennaro Francesca , Antolini Laura , Palestini Paola
Published: November 2022

Chronic noncommunicable diseases (NCDs) have become the major cause of morbidity and mortality in the Maldives, triggered by the nutrition transition to a “Western diet” that dramatically increases the prevalence of excess weight and hypertension. Our study aimed to evaluate dietary habits, blood pressure (BP) and body mass index in Maghoodoo Public School’s students. A sample of 145 students (72 males and 73 females, age 9.37 ± 2.97 years) was enrolled. Factors causing excess weight were investigated through descriptive statistics. The relationship between blood pressure percentiles and possible influencing factors was investigated by a linear regression model.. Excess weight was present in 15.07% and 12.5% females and males, respectively. 15.18% of the subjects had elevated BP, with a significant difference according to gender detected only in the PAS z-score. Eating habits were investigated through a parent-filled questionnaire; 70.15% of the students consumed less than two portions of fruit per day, with a significant difference between gender (84.06% and 55.38% for boys and girls, respectively, p < 0.0001) and 71.64% ate less than two servings of vegetables per day. An alarming finding emerged for sweet snacks (30.6% of the students consumed 2–3 servings per day) and sugary drinks (2–3 servings per day for 32.84% of students) consumption. Our findings suggest that excess weight and hypertension in this population could be due to energy-rich, packaged-foods consumption. A nutrition education approach might thus help to reduce cardiovascular risk.
Post-Viral Fatigue Following SARS-CoV-2 Infection during Pregnancy: A Longitudinal Comparative Study
Authors: Oliveira Ana Maria da Silva Sousa , Carvalho Mariana Azevedo , Nacul Luis , Cabar Fábio Roberto , Fabri Amanda Wictky , Peres Stela Verzinhasse , Zaccara Tatiana Assuncao , O’Boyle Shennae , Alexander Neal , Takiuti Nilton Hideto , Mayaud Philippe , Brizot Maria de Lourdes , Francisco Rossana Pulcineli Vieira
Published: November 2022

Studies reported post-COVID-19 fatigue in the general population, but not among pregnant women. Our objectives were to determine prevalence, duration, and risk factors of post-viral fatigue among pregnant women with SARS-CoV-2. This study involved 588 pregnant women with SARS-CoV-2 during pregnancy or delivery in Brazil. Three groups were investigated: G1 (n = 259, symptomatic infection during pregnancy); G2 (n = 131, positive serology at delivery); G3 (n = 198, negative serology at delivery). We applied questionnaires investigating fatigue at determined timepoints after infection for G1, and after delivery for all groups; fatigue prevalence was then determined. Cox regression was used to estimate hazard ratio (HR) and 95% CI of the risk of remaining with fatigue in G1. Overall fatigue prevalence in G1 at six weeks, three months and six months were 40.6%, 33.6%, and 27.8%, respectively. Cumulative risk of remaining with fatigue increased over time, with HR of 1.69 (95% CI: 0.89–3.20) and 2.43 (95% CI: 1.49–3.95) for women with moderate and severe symptoms, respectively. Multivariate analysis showed cough and myalgia as independent risk factors in G1. Fatigue prevalence was significantly higher in G1 compared to G2 and G3. Post-viral fatigue prevalence is higher in women infected during pregnancy; fatigue’s risk and duration increased with the severity of infection.
Major Depression in Postpartum Women during the COVID-19 Pandemic: Can Social Support Buffer Psychosocial Risks and Substance Use?
Authors: Howard Krista J. , Leong Caleb , Chambless Sidney , Grigsby Timothy J. , Cordaro Millie , Perrotte Jessica K. , Howard Jeffrey T.
Published: November 2022

Rates of mood disorders and substance use increased during the COVID-19 pandemic for postpartum women. The present study’s aims were to: (1) examine the prevalence of major depressive disorder (MDD) in postpartum women during the COVID-19 pandemic, and (2) evaluate whether social support can buffer the associations between MDD, psychosocial factors (perceived stress, generalized anxiety, and intimate partner violence) and substance use (alcohol and drug use). A nationwide survey included 593 postpartum mothers (within 12 months from birth). Participants were assessed for a provisional diagnosis of MDD, and provided responses on validated instruments measuring stress, intimate partner violence, suicidal ideation, generalized anxiety, social support, and substance use. A hierarchical logistic regression model assessed the association of psychosocial factors and substance use with MDD. The final model shows that social support attenuates the association of MDD with perceived stress, alcohol use, and drug use, but does not buffer the relationship of MDD with anxiety or intimate partner violence. Social support was shown to significantly attenuate the effects of stress, alcohol use, and drug use on MDD, suggesting that the presence of a strong, supportive social network should be an area of increased focus for public health and healthcare professionals when caring for postpartum women.
Regular Tennis Exercise May Improve the Vascular Endothelial Function in Postmenopausal Women: The Influence of Hemodynamics
Authors: Pan Weifeng , Gong Lijing , Xiao Guoan , Zhang Lantian , Xiao Yiran , Xu Chunyan
Published: November 2022

Physical inactivity plays a role in the incidence of cardiovascular disease (CVD). Although the current guidelines for physical activity, such as the prescription of exercise, seek to combat CVD, attaining the recommended targets remains challenging. Tennis exercise has been proven to have a unique advantage in reducing the mortality of CVD, but little is known about the influence of playing tennis on impaired vascular endothelial function (VEF), which initiates CVD. Thus, this study aimed to investigate whether regular tennis participation could protect the VEF better than merely meeting the physical activity recommended by the current guidelines. A cross-sectional design was performed based on a sample of 38 healthy postmenopausal women who were matched for physical activity, of which 17 subjects had long-term tennis experience and 21 age-matched subjects regularly exercised but did not play tennis. The cardiovascular function and the body composition of all subjects were measured. We used cluster analysis to assess the overall health status. The modeling results showed that the tennis players performed better in terms of VEF than the nonplayers (10.55 ± 0.58 vs. 8.69 ± 0.52, p < 0.01, R2ad = 0.367), while the wall shear stress positively correlated with VEF (r = 0.505, p < 0.05), after controlling for age and physical activity levels. Regular tennis exercise may be a protective factor for VEF, and further study should be performed to research the role of hemodynamics in tennis exercise.
Soil pH and Soluble Organic Matter Shifts Exerted by Heating Affect Microbial Response
Authors: Bárcenas-Moreno Gael , Jiménez-Compán Elizabeth , San Emeterio Layla M. , Jiménez-Morillo Nicasio T. , González-Pérez José A.
Published: November 2022

Fire-induced alterations to soil pH and organic matter play an important role in the post-fire microbial response. However, the magnitude of which each parameter affects this response is still unclear. The main objective of this work was to determine the magnitude in which soil pH and organic matter fire-induced alterations condition the response of viable and cultivable micro-organisms using laboratory heating, mimicking a range of fire intensities. Four heating treatments were applied to unaltered forest soil: unheated, 300, 450, and 500 °C. In order to isolate the effect of nutrient or pH heating-induced changes, different culture media were prepared using soil:water extracts from the different heated soils, nutrient, and pH amendments. Each medium was inoculated with different dilutions of a microbial suspension from the same original, unaltered soil, and microbial abundance was estimated. Concurrently, freeze-dry aliquots from each soil:water extract were analyzed by pyrolysis-gas chromatography/mass spectrometry. The microbial abundance in media prepared with heated soil was lower than that in media prepared with unheated soil. Nutrient addition and pH compensation appear to promote microbial proliferation in unaltered and low-intensity heated treatments, but not in those heated at the highest temperatures. Soil organic matter characterization showed a reduction in the number of organic compounds in soil-heated treatments and a marked increase in aromatic compounds, which could be related to the observed low microbial proliferation.
Prevalence of Depression and Predictors of Discharge to a Psychiatric Hospital in Young People with Hospital-Treated Deliberate Self-Poisoning at an Australian Sentinel Unit
Authors: Dani Anitha , Balachandran Srilaxmi , McGill Katie , Whyte Ian , Carter Greg
Published: November 2022

Objective: Hospital treated deliberate self-poisoning is common in young people. Internationally, estimates of rates of depression in this population are very wide (14.6% to 88%). The aims of this study were to determine the prevalence of depression and the independent predictors of referral for psychiatric hospitalisation in young people (aged 16 to 25 years) following an index episode of hospital treated deliberate self-poisoning. Method: A retrospective cohort study design (n = 1410), with data drawn from a population-based clinical case register. Unadjusted and adjusted estimates of predictors of referral for psychiatric admission (after-care) used logistic regression models. Results: Prevalence of any depression diagnosis was 35.5% (n = 500); and 25.4% (n = 358) were referred for a psychiatric admission. The adjusted estimates for predictors of psychiatric inpatient referral were: high suicidal level (OR 118.21: CI 95% 63.23–220.99), low/moderate suicidal level (14.27: 9.38–21.72), any depression (2.88: 1.97–4.22), any psychosis (4.06; 1.15–14.36), older age (1.12: 1.04–1.21), and number of support people (0.88: 0.78–0.98). Conclusion: Depression was diagnosed in more than a third and was an independent predictor of psychiatric inpatient referral, so service providers need to account for this level of need in the provision of assessment and after-care services. Evidence-based guidelines for psychiatric inpatient after-care for deliberate self-poisoning and/or depression in young people are limited. Our explanatory model included suicidal level, depression, psychosis, older age, and available support persons, suggesting that the treating clinicians were making these discharge decisions for admission in keeping with those limited guidelines, although the balance of benefits and harms of psychiatric hospitalisation are not established. Future research examining patient experiences, effectiveness of psychiatric hospitalisation, and alternatives to hospitalisation is warranted.
Food Accessibility in the Suburbs of the Metropolitan City of Antwerp (Belgium): A Factor of Concern in Local Public Health and Active and Healthy Aging
Authors: Geurden Bart , Cant Jeroen , Beckers Joris
Published: November 2022

Population aging and declining birth rates are key demographic trends of the 21st century. While the overall life expectancy and healthy life years increase, the quality of life and functional capacity worsens due to non-communicable diseases strongly related to aging. Therefore, aging citizens are often vulnerable to food insecurity. The aim of this paper is to provide insights into the physical accessibility of fresh food and possible alternatives within the setting of an aging society in Antwerp (Belgium), a metropolitan city at the heart of the EU Reference Site ‘Three Rivers Food Delta’. We demonstrate that a large number of the Antwerp suburban areas in which 15 to 25% of current inhabitants are already over 65 years old are confronted with problematic physical accessibility of food due to long walking distances to the nearest food shop. E-commerce has the potential to provide better access to fresh food. This is especially relevant for people with specific needs, such as health-related diets, dysphagia, and/or limited mobility. However, e-commerce introduces new inequalities, as those who would benefit the most from digital accessibility currently use it least. Hence, the organization of fresh food access requires a more thoughtful organization of the ‘last mile’ and possible alternatives to home delivery. This makes food accessibility an urgent factor of concern in public health and healthy aging in the Antwerp suburban areas.
Intensity of Maternal Anxiety and Depressive Symptoms in Pregnancy Is Associated with Infant Emotional Regulation Problems
Authors: Frigerio Alessandra , Molteni Massimo
Published: November 2022

This study aimed to investigate the effects of the intensity and directionality of antenatal maternal depressive and anxiety symptoms on infant negative affectivity and crying, also taking into account potential confounders. The role of socioeconomic status (SES) as a possible moderating factor of the association between antenatal maternal distress and infant negative outcomes was also explored. More than one hundred women filled in the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory to assess depressive and anxiety symptoms, respectively, during the third trimester of pregnancy and three months after delivery. Mothers also filled in the Infant Behavior Questionnaire and a parental diary to evaluate negative affectivity and crying, respectively, when their infants were 3 months old. SES was assessed through the Hollingshead classification. The intensity of antenatal maternal symptoms and SES were associated with infant negative affectivity, but not with crying. However, SES moderated the association between the intensity of maternal symptoms and infant crying. The direction of maternal symptoms (anxiety versus depression) was not associated with both infant negative affectivity and crying. Our findings contribute to elucidating the role played by the intensity of maternal stress in pregnancy—alone and in interaction with SES—in determining individual differences in infant emotional regulation, thus emphasizing the importance of timely psychological interventions for pregnant women who experience psychological distress.
A Multistate Study on Housing Factors Influential to Heat-Related Illness in the United States
Authors: Hu Ming , Zhang Kai , Nguyen Quynh Camthi , Tasdizen Tolga , Krusche Krupali Uplekar
Published: November 2022

As climate change increases the frequency and intensity of devastating and unpredictable extreme heat events, developments to the built environment should consider instigating practices that minimize the likelihood of indoor overheating during hot weather. Heatwaves are the leading cause of death among weather-related causes worldwide, including in developed and developing countries. In this empirical study, a four-step approach was used to collect, extract and analyze data from twenty-seven states in the United States. Three housing characteristic categories (i.e., general housing conditions, living conditions, and housing thermal inertia) and eight variables were extracted from the American Housing Survey database, ResStock database and CDC’s National Environmental Public Health Tracking Network. Multivariable regression models were used to understand the influential variables, a multicollinearity test was used to determine the dependence of those variables, and then a logistic model was used to verify the results. Three variables—housing age (HA), housing crowding ratio (HCR), and roof condition (RC)—were found to be correlated with the risk of heat-related illness (HRI) indexes. Then, a logistic regression model was generated using the three variables to predict the risk of heat-related emergency department visits (EDV) and heat-related mortality (MORD) on a state level. The results indicate that the proposed logistic regression model correctly predicted 100% of the high-risk states for MORD for the eight states tested. Overall, this analysis provides additional evidence about the housing character variables that influence HRI. The outcomes also reinforce the concept of the built environment determined health and demonstrate that the built environment, especially housing, should be considered in techniques for mitigating climate change-exacerbated health conditions.
Characterizing Cancer and Work Disparities Using Electronic Health Records
Authors: Allen Jaimi L. , Du Ruofei , Powell Thomas , Hobbs Khariana L. , Amick Benjamin C.
Published: November 2022

Advancements in cancer diagnosis and treatment have resulted in improvements in survivor outcomes; however, cancer survivors are more likely to experience adverse employment outcomes such as job loss, reduced working hours, and early retirement. The purpose of this study was to examine employment disparities among cancer survivors. Our study collected data from 29,136 cancer survivors (ages 18–65) between 2015 and 2021 using electronic health records (EHR) and linked to cancer registry data. Of those with employment information (n = 7296), differences in employment status were explored by race, ethnicity, sex, geography, marital status, education, age, and cancer site. Of the patients with employment status available, 61% were employed, 28% were not employed, 9% were disabled, 2% were retired. Logistic regression results revealed adjusted effects: a positive association between employment and marriage, while racial and ethnic minority adults, rurality, and certain age categories were less likely to be employed. Unadjusted results showed a positive association between employment and education. These results contribute to an emerging body of literature showing adverse employment outcomes for cancer survivors.
Multiple Chemical Sensitivity Syndrome: First Symptoms and Evolution of the Clinical Picture: Case-Control Study/Epidemiological Case-Control Study
Authors: Fares-Medina Sandra , Díaz-Caro Isabel , García-Montes Rebeca , Corral-Liria Inmaculada , García-Gómez-Heras Soledad
Published: November 2022

Multiple chemical sensitivity (MCS) is a chronic condition characterized by the appearance of symptoms caused by exposure to chemical compounds that are tolerable for the general population. It mainly affects middle-aged women. There are very few studies focusing on the most frequent symptoms of MCS considering age groups and gender. The main goal of this study was to find the most frequent symptoms both at the onset of the disease and at the present time describing them by age groups. The QEESI (Quick Environmental Exposure and Sensitivity Inventory) questionnaire, Scale 3 which assesses symptoms and their severity, was used as a diagnostic tool for the disease. A case-control study was conducted with the participation of 210 people. Of the cases, 94.3% were women. The symptoms that most often manifested first were airway and mucous membrane alterations (68.9%). In the development of the disease, we found cognitive alterations (OR = 31.25), heart or chest problems (OR = 22.49), neuromuscular problems (OR = 20.00) and head-related symptomatology (OR = 19.29). Identifying the most frequent pattern of symptoms by age group and sex will allow an early diagnosis of the disease to improve its prognosis and treatment.
ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review
Authors: Kochman Maciej , Kasprzak Marta , Kielar Aleksandra
Published: November 2022

Despite the restoration of the mechanical stability of the knee joint after ACL reconstruction (ACLR), patients often experience postoperative limitations. To our knowledge, there are no systematic reviews analyzing additional physiotherapy interventions implementing standard rehabilitation programs in the early postoperative phase after ACLR. The objective of this study was to analyze the additional physiotherapy interventions implemented in standard rehabilitation programs that improve early-stage ACLR rehabilitation. For this systematic review, we followed the PRISMA guidelines. In March 2022 we conducted a literature review using electronic databases. Primary outcomes were pain, edema, muscle strength, ROM, and knee function. The risk of bias and scientific quality of included studies were assessed with the RoB 2, ROBINS-I and PEDro scale. For the review, we included 10 studies that met the inclusion criteria (total n = 3271). The included studies evaluated the effectiveness of Kinesio Taping, Whole-body vibration, Local Vibration Training, Trigger Point Dry Needling, High Tone Power Therapy, alternating magnetic field, and App-Based Active Muscle Training Program. Most of the additional physiotherapy interventions improved pain, edema, ROM, knee muscle strength, or knee function in early-stage postoperative ACL rehabilitation. Except for one study, no adverse events occurred in the included studies, which demonstrates the safety of the discussed physiotherapy interventions. Further in-depth research is needed in this area.
Nature Immersion in an Extreme Environment: Hiroshima Survivors’ Personal Emergence Following Their Atomic Bomb Experience
Authors: Nagata Misako , Ito Mio , Takahashi Ryutaro , Nishimura Chie , Liehr Patricia
Published: November 2022

Introduction: Nature immersion is defined as multidimensional connecting with earthy materials to generate personal emergence. Personal emergence is an embodied healing force observable via synchronization of bodily rhythms. Research has revealed positive effects of green space for healing. However, little is known about healing of survivors in the space impacted with radioactive nuclear energies. Purpose: To use the theory of nature immersion to guide exploration of the concepts of connecting with earthy materials, personal emergence and space-time expansion in a sample of people who had experienced the catastrophic nature upheaval of the Hiroshima bombings on 6 August 1945. Method: A descriptive exploratory design with directed content analysis was used with existing qualitative data consisting of 29 Hiroshima atomic-bombing survivors’ description of their experience. Results: Self-healing empirically manifested through 23 survivors’ connection with earthy materials. There was synchrony between recuperating natural space and healing of survivors. Conclusions: Synchrony, as a dimension of human connection with nature, transcended the disharmony of bombing upheaval. Although further exploration is necessary, these findings serve as evidence about the essence of healing as related to nature for those in extreme environments.
Effects of Exercise Programs on Psychoemotional and Quality-of-Life Factors in Adult Patients with Cancer and Hematopoietic Stem Cell Transplantation or Bone Marrow Transplantation: A Systematic Review
Authors: Morales Rodríguez Erica , Lorenzo Calvo Jorge , Granado-Peinado Miriam , Pérez-Bilbao Txomin , San Juan Alejandro F.
Published: November 2022

This review analyzed the effects of an exercise program on psychoemotional and quality-of-life (QoL) factors in adult patients with cancer and hematopoietic stem cell transplantation (HSCT) or bone marrow transplantation (BMT). Studies were identified from the PubMed and Web of Science databases (from inception to 24 August 2022), according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The methodological quality of the included studies was assessed with the Physiotherapy Evidence Database (PEDro) scale, based in turn on the Delphi list. A total of 20 randomized controlled studies were included with 1219 participants. The main result of this systematic review is that exercise program interventions produce improvements on psychoemotional and QoL factors in adult patients with cancer and HSCT or BMT. Moreover, exercise programs may have a beneficial effect on health, maintaining or increasing the patient’s QoL. Further, it has a positive effect on the prevention and control of transplant complications in combination with medical treatment.
Comprehensive Multimorbidity Patterns in Older Patients Are Associated with Quality Indicators of Medication—MoPIM Cohort Study
Authors: Lleal Marina , Baré Marisa , Ortonobes Sara , Sevilla-Sánchez Daniel , Jordana Rosa , Herranz Susana , Gorgas Maria Queralt , Espaulella-Ferrer Mariona , Arellano Marta , de Antonio Marta , Nazco Gloria Julia , Hernández-Luis Rubén ,   on behalf of the MoPIM Study Group
Published: November 2022

Multimorbidity is increasing and poses a challenge to the clinical management of patients with multiple conditions and drug prescriptions. The objectives of this work are to evaluate if multimorbidity patterns are associated with quality indicators of medication: potentially inappropriate prescribing (PIP) or adverse drug reactions (ADRs). A multicentre prospective cohort study was conducted including 740 older (≥65 years) patients hospitalised due to chronic pathology exacerbation. Sociodemographic, clinical and medication related variables (polypharmacy, PIP according to STOPP/START criteria, ADRs) were collected. Bivariate analyses were performed comparing previously identified multimorbidity clusters (osteoarticular, psychogeriatric, minor chronic disease, cardiorespiratory) to presence, number or specific types of PIP or ADRs. Significant associations were found in all clusters. The osteoarticular cluster presented the highest prevalence of PIP (94.9%) and ADRs (48.2%), mostly related to anxiolytics and antihypertensives, followed by the minor chronic disease cluster, associated with ADRs caused by antihypertensives and insulin. The psychogeriatric cluster presented PIP and ADRs of neuroleptics and the cardiorespiratory cluster indicators were better overall. In conclusion, the associations that were found reinforce the existence of multimorbidity patterns and support specific medication review actions according to each patient profile. Thus, determining the relationship between multimorbidity profiles and quality indicators of medication could help optimise healthcare processes. Trial registration number: NCT02830425.
Improving Spatial Hearing when Wearing Ski Helmets in Order to Increase Safety on Ski Slopes
Authors: Seebacher Josef , Posch Markus , Zelger Philipp , Pocecco Elena , Burtscher Martin , Zorowka Patrick , Ruedl Gerhard
Published: November 2022

This study investigated the effect of a new type of ear pads for ski helmets on the hearing performance of 13 young adults (mean age: 22 years). Free-field hearing thresholds and sound localization performance of the subjects were assessed in three conditions: without helmet, with a conventional helmet and with the modified helmet. Results showed that the modified helmet was superior to the conventional helmet in all respects, but did not allow for a performance level observed without a helmet. Considering the importance of precise hearing and sound localization during alpine skiing, acoustically improved ear pads of ski helmets, as demonstrated in this study, can essentially contribute to enhancing the safety on ski slopes.
Tourism and Green Development: Analysis of Linear and Non-Linear Effects
Authors: Wu Yuanyuan , Jia Zhanhua , Yu Tingting
Published: November 2022

Clarifying the relationship between tourism and green development is conducive to promoting the harmonious coexistence of tourism industry benefits and economic and environmental systems. The externalities of tourism on economies and the environment have sparked numerous fascinating academic research debates; however, few studies have considered the impact of tourism on green development that balances economic growth and environmental protection. This study selects the green development efficiency measured by the super-efficient SBM model with undesired output as a proxy indicator of green development and adopts the panel data regression model and dynamic panel threshold regression model to investigate the linear impact and non-linear characteristics of tourism on the green development efficiency for 284 cities in mainland China at the prefecture level and above. The main findings are as follows: (1) Although China’s green development efficiency showed an upward trend during the study period, the overall level was not high. (2) Tourism has significantly promoted the improvement of China’s green development efficiency, indicating that tourism has become an effective driver of China’s economic green transformation. (3) This type of positive promotion of green development by tourism has a non-linear threshold characteristic, which means that, with the continuous improvement of the development level of the tourism industry, after crossing a specific threshold value and entering a higher level of development, the tourism industry will have an increasing marginal impact on the green development efficiency.
Synthesis, Characterization and Decomposition of Potassium Jarosite for Adsorptive As(V) Removal in Contaminated Water: Preliminary Study
Authors: Cerecedo-Sáenz Eduardo , Hernández-Lazcano Elías , González-Bedolla Maythe J. , Hernández-Ávila Juan , Rosales-Ibáñez Raúl , Gutiérrez-Amador María del P. , Sánchez-Castillo Ariadna , Arenas-Flores Alberto , Salinas-Rodríguez Eleazar
Published: November 2022

Jarosite-type compounds precipitated in the zinc industry for iron control can also incorporate arsenic and can be used for wastewater treatment for As elimination. According with the last, this work is related to arsenic incorporation at room temperature in decomposed potassium jarosite. The work began with the synthesis of the compound at 75 °C for 9 h using Fe2(SO4)3 and K2SO4 at a pH of 1.1. Once jarosite was obtained, solids were subjected to an alkaline decomposition using NaOH at pH 10 for 30 min, and then As was added to the solution as HAsNaO4 and the pH modified by adding HNO3 until it reached a value of 1.1. The initial, intermediate, and final products were wholly characterized by scanning electron microscopy (SEM) in conjunction with energy dispersive spectrometry (EDS), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy (RS), and X-ray photoelectron spectrometry (XPS). The obtained results show that As(V) can be adsorbed by ionic exchange in the amorphous FeOH structure of decomposed jarosite and when pH decreased to 1.1, the compound recrystallized, incorporating up to 6% As on average, which is indicative that this process can be used to reduce As in contaminated waters.
Characterization of Gut Microbiota Composition in Type 2 Diabetes Patients: A Population-Based Study
Authors: Polidori Isabella , Marullo Laura , Ialongo Cristiano , Tomassetti Flaminia , Colombo Roberto , di Gaudio Francesca , Calugi Graziella , Marrone Giulia , Noce Annalisa , Bernardini Sergio , Broccolo Francesco , Pieri Massimo
Published: November 2022

(1) Background: A clinical laboratory index to assess gut dysbiosis is the F/B ratio < 0.8. In fact, an elevated proportion of Firmicutes and a reduced population of Bacteroides in diabetes type 2 (T2D) subjects has been observed. This study aimed to detail the dysbiosis status in the Italian population, focusing on some pathogenic spectra (T2D) or metabolic disorders. (2) Material and methods: A quantity of 334 fecal samples was analyzed in order to perform genetic testing and sequencing. (3) Results: A trend in over imbalance was observed in the percentage of Proteobacteria (median value: 6.75%; interquartile range (IQR): 3.57–17.29%). A statistically significant association (χ2p = 0.033) was observed between type of dysbiosis and T2D, corresponding to an Odds Ratio (OR) of 1.86. It was noted that females with cystitis/candidiasis are significantly prevalent in T2D patients (p < 0.01; OR: 3.59; 95% CI: 1.43–8.99). Although, in non-diabetic males, a sugar craving is significantly associated with the rate of dysbiosis in non-diabetic males (p < 0.05; OR 1.07; 95% CI 1.00–1.16). (4) Conclusion: In T2D patients, the Bacteroidetes/Firmicutes ratio was biased in favor of Proteobacteria, to be expected due to the nutritional habits of the patients. Thus, T2D females had altered gut permeability favoring the development of infections in the vaginal tract.
Sustainable Development Competencies among More than 1100 Certified Physical Education and Health Teachers in Sweden
Authors: Fröberg Andreas , Wiklander Petter , Lundvall Suzanne
Published: November 2022

School physical education and health (PEH) may not only be an important cornerstone to the holistic development of students but may also contribute to the sustainable development (SD) agenda. Although PEH may have unique characteristics that can contribute to the SD agenda, most research to date has been theoretical. The overall aim of this study was to explore the sustainable development competencies among physical education and health (PEH) teachers in Sweden. An online questionnaire was used to collect data about background and SD competencies. SD competencies was collected through the use of the Physical Education Scale for Sustainable Development in Future Teachers (PESD-FT). Of the 1153 participants, 31% reported being males, and 48% of the participants reported teaching PEH when completing the questionnaire. The median SD competencies score for all the participants was 105 (range: 18–144) out of 144. Virtually no differences were observed across the groups of participants. A stronger correlation was observed between SD competencies vs. long-time interests in health and health issues (rs = 0.343) than for long experience of participating in organized sports (rs = 0.173). In the total sample, 26% reported having taught about SD in PEH, such as using outdoor education, interdisciplinary projects, picking, and sorting waste, as well as paying attention to material issues. Among those who reported teaching PEH when completing the questionnaire, 70% perceived that they are in great need of professional development education in the area of SD. In conclusion, SD competencies were higher for the PESD-FT items that concerned the social dimension of SD compared to the economic and environmental dimensions. Relatively few teachers had taught about SD in PEH, and the majority perceive that they are in great need of professional development education in the area of SD. Future studies are required to understand more of what types of competencies practicing PEH teachers, and PEH teacher education programs, are lacking to fulfil the call for a contribution to the SD agenda.
Alcohol Consumption in the Specific Socio-Professional Context of the French Public Service: Qualitative Study Protocol
Authors: du Sartz de Vigneulles Benjamin , Carrouel Florence , Verot Elise , Michel Christian , Barthelme Thierry , Pere Jean-Charles , Salamon Roger , Dussart Claude
Published: November 2022

Alcohol, a psychoactive substance with addictive potential, has major consequences on the population and public health. In France, alcohol use disorder affects approximately 3.5 million people, and 41,000 persons died in 2015. Alcohol consumption is significantly correlated to the workplace. Thus, the workplace is an area of opportunity to change risky behaviors and must play a key role in the prevention of alcohol misuse. To do this, it is essential to understand the consumption framework and to identify specific environmental risk factors. This qualitative study aims to describe the framework of alcohol consumption in the French public service. A focus group will be organized in France from November to January 2023. The participants will be: (i) representatives of the Local Health Insurance; (ii) over 18 years old; (iii) active or retired civil servants; (iv) mutualist activists; and (v) representatives of the Union of Health Prevention for the Obligatory System of the Public Service. The exclusion criteria for the study will be: (i) lack of consent form; (ii) inability to participate in the focus group, and (iii) early departure during the focus group. The focus groups will be supervised by two researchers following an interview guide. The data will be analyzed using the methodological framework, which consists in carrying out a thematic analysis. This will allow for an understanding of the sources of usage behaviors, and the identification of the most appropriate intervention functions for suitable prevention actions in order to reduce the risk of a transition to alcohol use disorder.