bluuebunny/crossref_metadata_2025 huggingface dataset:
Risk Assessment of Human Factors of Logistic Handling of Deliveries at an LNG Terminal
Authors: Tubis Agnieszka A. , Skupień Emilia T. , Jankowski Stefan , Ryczyński Jacek
Published: April 2022

There has been growing interest in fuel supply chains regarding transport safety and LNG reloading. This is due to the increasing consumption of this gas in the economy to create sustainable transport systems. Poland is in the phase of energy transformation, which increases the demand for this type of alternative fuel. For this reason, the number of logistic operations carried out by Polish sea terminals handling LNG deliveries is increasing. This article aims to present a method for assessing the risk of adverse events occurring during the logistic handling of LNG deliveries at a port terminal and its implementation for a selected LNG terminal in Poland. Fuzzy logic methodology was used to assess the risk due to the lack of access to specific historical data on identified events. The conducted analysis considers the guidelines applicable at the LNG terminal, described in the Terminal Operation Manual, and the specific reloading conditions occurring in the tested Polish gas terminal. Based on the analysis conducted in cooperation with experts, scenarios of possible adverse events were identified and subjected to a risk assessment. Based on the conducted analysis, those events were distinguished and their risk of occurrence.
Perception of Ecosystem Services and Adaptation to Climate Change: Mirador Sur Park in Santo Domingo
Authors: Bonilla-Duarte Solhanlle , Mancebo Yolanny Rojas , Vargas-de la Mora Alma Liz , García-García Agustín
Published: April 2022

The rapid urbanization of cities has resulted in the deterioration of urban forests and the loss of important benefits from green infrastructure, such as the removal of Greenhouse Gases (GHG) and carbon sequestration. The Mirador Sur Park is one of the main green spaces in the city of Santo Domingo. The objective of this research was to identify citizen participation in the design and management of urban forests as a strategy for guiding cities towards a more sustainable and resilient model in the face of climate change. In this study, changes in the park’s land use were identified, 136 park users were interviewed to find out their perception of the benefits of forest cover, and the ecosystem services of Mirador Sur Park were quantified using the i-Tree Canopy tool. It was found that the ecosystem services related to the removal of atmospheric pollutants are clearly perceived by the users of the park. However, there are other services that could not be identified if there is no relationship with the users of the park, such as those related to the benefits of human well-being. Citizens’ perception and appropriation are important elements for the co-management of the park, and it would be appropriate for them to become involved in the design and implementation of environmental public policies, as well as nature-based solutions, that contribute to adequate and inclusive urban planning aimed at adapting to climate change.
The Concept of Postbiotics
Authors: Vinderola Gabriel , Sanders Mary Ellen , Salminen Seppo
Published: April 2022

The scientific community has proposed terms such as non-viable probiotics, paraprobiotics, ghostbiotics, heat-inactivated probiotics or, most commonly, postbiotics, to refer to inanimate microorganisms and/or their components that confer health benefits. This article addresses the various characteristics of different definitions of ‘postbiotics’ that have emerged over past years. In 2021, the International Scientific Association for Probiotics and Prebiotics (ISAPP) defined a postbiotic as “a preparation of inanimate microorganisms and/or their components that confers a health benefit on the host”. This definition of postbiotic requires that the whole or components of inactivated microbes be present, with or without metabolic end products. The definition proposed by ISAPP is comprehensive enough to allow the development of postbiotics from different microorganisms, to be applied in different body sites, encouraging innovation in a promising area for any regulatory category and for companion or production animals, and plant or human health. From a technological perspective, probiotic products may contain inanimate microorganisms, which have the potential to impart a health benefit. However, their contribution to health in most cases has not been established, even if at least one probiotic has been shown to confer the same health benefit by live or inanimate cells.
Demonstration of Escherichia coli Inactivation in Sterile Physiological Saline under High Pressure (HP) Phase Transition Conditions and Analysis of Probable Contribution of HP Metastable Positions Using Model Solutions and Apple Juice
Authors: Xiao Ting , Li Yifan , Hu Lihui , Nie Pengcheng , Ramaswamy Hosahalli S. , Yu Yong
Published: April 2022

It was demonstrated that the inactivation of high pressure (HP) treatment on Escherichia coli survival in sterile physiological saline (SPS) was influenced by the treatment conditions: unfrozen, frozen-thawed and fully frozen (phase transition). In order to probe the enhanced phase transition microbial destruction, vibration effects of phase transition position were created and discussed. Test samples were placed in HP chamber for treatment (150/240/330 MPa, no holding time) at room temperature and a special cooling device was used to maintain the phase transition conditions. Results showed that the phase transition from ice I to ice III of frozen SPS could be realized based on the cooling of a 20% sodium chloride solution. HP treatment under fully frozen conditions produced the best lethal effect compared to unfrozen and freeze-thaw samples. Vibration tests were carried out by using model solutions and apple juice to explore the behavior of phase transition. A synchronous and advance phase transition of internal apple juice was realized, respectively, by using pure water and 5% sodium chloride solution as external vibration sources, and the advance phase transitions of external pure water were realized by using 5% sodium chloride solution and 5% glucose solution as internal vibration sources.
Comparative Analysis of Selected Chemical Parameters of Coffea arabica, from Cascara to Silverskin
Authors: Bobková Alica , Poláková Katarína , Demianová Alžbeta , Belej Ľubomír , Bobko Marek , Jurčaga Lukáš , Gálik Branislav , Novotná Ivana , Iriondo-DeHond Amaia , Castillo María Dolores del
Published: April 2022

Nowadays, there is an increased interest in coffee derivatives (green beans, roasted beans, and coffee by-products (Cascara and Silverskin)) due to their particular chemical composition. This study aimed to compare the content of dry matter, total fat, fatty acids, and fiber (ADF, NDF) of coffee by-products (Cascara and Silverskin) and coffee beans (green and roasted under different conditions). Coffee beans and their by-products were obtained from 100% C. arabica coffee cherries from Panama by dry process. The lowest concentrations of fat corresponded to Cascara 4.24 g·kg−1 and Silverskin 23.70 g·kg−1, respectively. The major fatty acids detected in all samples were palmitic, stearic, oleic, and linoleic acids, the latter two being essential fatty acids. LDA showed that 89.01% of the variability between beans and by-products was explained by lignoceric, myristic, behenic, tricosanoic, arachidic, and heneicosanoic acids. Silverskin appeared to be a good source of lignoceric, myristic, and behenic acids and had a higher concentration of dietary fiber (314.95 g·kg−1) than Cascara (160.03 g·kg−1). Coffee by-products (Silverskin and Cascara) are low-fat products enriched in dietary fiber. Their incorporation, after adjustment, into the global diet may contribute to nutrition security, the sustainability of the coffee sector, and human health.
A Novel Splice-Site Deletion in the POU1F1 Gene Causes Combined Pituitary Hormone Deficiency in Multiple Sudanese Pedigrees
Authors: Hassan Samar S. , Abdullah Mohamed , Trebusak Podkrajsek Katarina , Musa Salwa , Ibrahim Areej , Babiker Omer , Kovac Jernej , Battelino Tadej , Avbelj Stefanija Magdalena
Published: April 2022

Pathogenic variants within the gene encoding the pituitary-specific transcription factor, POU class 1 homeobox 1 (POU1F1), are associated with combined pituitary hormone deficiency (CPHD), including growth hormone, prolactin, and thyrotropin stimulating hormone deficiencies. The aim of the study was to identify genetic aetiology in 10 subjects with CPHD from four consanguineous Sudanese families. Medical history, as well as hormonal and radiological information, was obtained from participants’ medical records. Targeted genetic analysis of the POU1F1 gene was performed in two pedigrees with a typical combination of pituitary deficiencies, using Sanger sequencing, and whole-exome sequencing was performed in the other two pedigrees, where hypocortisolism and additional neurologic phenotypes were also initially diagnosed. In POU1F1 gene (NM_001122757.2) a novel homozygous splice-site deletion—namely, c.744-5_749del—was identified in all 10 tested affected family members as a cause of CPHD. Apart from typical pituitary hormonal deficiencies, most patients had delayed but spontaneous puberty; however, one female had precocious puberty. Severe post-meningitis neurologic impairment was observed in three patients, of whom two siblings had Dyke–Davidoff–Masson syndrome, and an additional distantly related patient suffered from cerebral infarction. Our report adds to the previously reported POU1F1 gene variants causing CPHD and emphasises the importance of genetic testing in countries with high rates of consanguineous marriage such as Sudan. Genetic diagnostics elucidated that the aetiologies of hypopituitarism and brain abnormalities, identified in a subset of affected members, were separate. Additionally, as central hypocortisolism is not characteristic of POU1F1 deficiency, hydrocortisone replacement therapy could be discontinued. Elucidation of a genetic cause, therefore, contributed to the more rational clinical management of hypopituitarism in affected family members.
Influence of Sociodemographic, Health-Related, and Behavioral Factors on Food Guidelines Compliance in Older Adults: A Hierarchical Approach from the Chilean National Health Survey 2016–17 Data
Authors: de Albuquerque-Araújo Leticia , Quintiliano-Scarpelli Daiana , Masferrer Riquelme Dominique , Ferreira Santos Jair Licio
Published: April 2022

Dietary habits are determinants in the development of a range of conditions and age-related diseases. We explored the associations of sociodemographic, health-related indicators, and health behavioral factors on dietary guideline compliance in elderly Chileans. We used a cross-sectional design using the publicly available database from the last Chilean National Health Survey (2016–17). The sample of 1831 older adults (≥60 y) from a national representative sample. The dependent variable was compliance with Food Guidelines (FG) (daily consumption of water, dairy, and fruits and vegetables; and weekly consumption of legumes and fish). The independent variables included sociodemographic, health-related, and behavioral factors. Over half (51.8%) of the sample was female and 85.7% belonged to the 60–79 age group. Satisfactory compliance to FG was observed in 3.9% of the sample. In the adjusted analysis, for those between 60 and 79 y, marital status was the only significant variable associated with FG noncompliance (PR: 1.34; 95%CI: 1.04–1.71). For those over 80 y, income of >2 minimum wages (PR: 0.10; 95%CI: 0.02–0.61), living alone (PR: 1.72; 95%CI: 1.20–2.47), and self-reported cardiovascular disease (PR: 0.63; 95%CI: 0.43–0.93) were associated with FG noncompliance. We observed low FG compliance among elderly Chilean adults, especially in the oldest group. Factors associated with the FG compliance was different between age groups.
The Impact of Psychological Distress on the Occupational Well-Being of Sexual and Gender Minorities
Authors: Pereira Henrique , Silva Patrícia , Beatriz Colleen
Published: April 2022

Background: Discrimination against sexual and gender minorities in occupational settings has been an important topic of research. However, little is known about this impact in Portuguese-speaking people. Methods: 305 Portuguese and Brazilian participants who identified as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual and gender identities (LGBTQIA+) completed an online survey comprising sociodemographic questions, a set of scales to assess psychological distress, and a set of scales to assess occupational well-being. Results: Participants had higher levels of burnout, depressive symptoms, and anxiety and lower levels of work-related quality of life, engagement, and self-efficacy at work compared to the defined cut-off points for normative populations, with asexual and bisexual people appearing to be the most affected. Significant correlations were found for all variables, and psychological distress was a significant predictor of lower occupational well-being. Conclusions: These findings are useful for understanding the occupational health of LGBTQIA+ people and suggest efforts to improve the climate in the workplace for this population.
Association between Internalized Stigma and Depression among People Living with HIV in Thailand
Authors: Thapinta Darawan , Srithanaviboonchai Kriengkrai , Uthis Penpaktr , Suktrakul Sunisa , Wiwatwongnawa Rangsima , Tangmunkongvorakul Arunrat , Wannachaiyakul Saranya , Sripan Patumrat
Published: April 2022

Internalized stigma and depression are among the most common mental health problems in people living with HIV (PLHIV). This study aimed to examine the association between depression and overall internalized stigma, as well as different aspects of internalized stigma in PLHIV. The study included 400 PLHIV receiving care in Bangkok and Chiang Mai, Thailand. Data were analyzed using descriptive statistics, Mann-Whitney U test, and Spearman correlation coefficients. The results indicated the PLHIV with mild depression had lower median scores for the social relationship internalized stigma subscale than PLHIV with major depressive disorder (p = 0.009). Total HIV internalized stigma scores were significantly correlated with PHQ-9 scores in the mild depression group (r = 0.327, p = 0.004). Depression and internalized stigma were prevalent and associated, especially in the area of social relationships. Health personnel should be aware of possible depression in PLHIV who have internalized stigma. Intervention to promote understanding and social support for PLHIV is warranted.
Does Mobile Internet Use Affect the Depression of Young Chinese Adults? An Instrumental Variable Quantile Analysis
Authors: Chen Yuyan , Wu Lin , Guo Zenghua
Published: April 2022

Background: With the advancement of the digital age, the links between mobile Internet use (MIU) and mental health have attracted the attention of scholars. This paper focuses on the relationship between MIU and depression across the entire distribution of young adults’ depression. Methods: Based on nationally representative data from the 2018 China Family Panel Studies (CFPS), we explore whether and to what extent MIU affects depression in young adults in China through instrumental variables. In addition, we employ a quantile regression approach to explore the depression–MIU gradients and examine potential mediation mechanisms by exploiting variation in several potential intermediates available. Results: 2SLS estimate suggests that MIU is associated with a decrease in young adults’ depression by 1.526 points. Besides, the effect of MIU was only significantly negative at the 0.8 to 0.96 quantiles. Discussions: MIU reduces the level of depression in people with higher levels of depression, older age, and who use the Internet for communicative purposes. However, there is no significant gender difference in MIU. In addition, young people will improve their feeling of social comparison when using mobile Internet, thus making them less depressed. Conclusions: MIU has a significant positive impact on depression among young Chinese adults.
Effects of Landscape Type Change on Spatial and Temporal Evolution of Ecological Assets in a Karst Plateau-Mountain Area
Authors: He Cheng , Xiong Kangning , Chi Yongkuan , Song Shuzhen , Fang Jinzhong , He Shuyu
Published: April 2022

The rocky desertification control project in karst areas exacerbates the transfer of landscape types, changes the ecosystem structure and function, and has a significant impact on ecological assets. How to analyze the relationship between landscape type shifts and the spatial and temporal evolution of ecological assets is one of the key questions that need to be addressed to achieve the goal of overall improvement in ecosystem quality and sustainable regional economic development. This study takes Qixingguan District, Bijie City, Guizhou Province—a typical karst plateau mountainous area—as the research object, and analyzes the spatial and temporal evolution characteristics of landscape type shifts and ecological assets triggered by rock desertification management from 1995–2018, based on the equivalence factor method, combined with the contribution rate, spatial autocorrelation, and sensitivity research methods. The results showed that arable land, grassland, and woodland were the main landscape types in the study area. The value of ecological assets showed a trend of increasing and then decreasing, with an overall increase of 87.70 × 106 yuan. The distribution pattern of ecological asset value from southwest to northeast is “high–low–high”. There is a significant positive correlation in the spatial distribution of the overall ecological assets, with similar aggregation between neighboring units. The expansion of forest land was the main factor for the rapid increase of assets from 1995 to 2010, with a contribution of 98.12%; the conversion of arable land and grassland to construction land was the main factor for the decrease of assets from 2010 to 2018, with a percentage of 81.06%, where the value of each type of service was mainly composed of five items, such as soil formation and conservation, biodiversity conservation and gas regulation, water conservation, and climate regulation. This study shows that spatial and temporal evolution assessment of ecological assets is an important manifestation of the effectiveness of rocky desertification control, which can provide decision support to resource managers and users for regional ecological environment construction.
Impact of Selected Sociodemographic and Clinical Parameters on Anxiety and Depression Symptoms in Paramedics in the Era of the COVID-19 Pandemic
Authors: Marczewski Kamil Piotr , Piegza Magdalena , Gospodarczyk Alicja Zofia , Gospodarczyk Natalia Justyna , Sosada Krystyn
Published: April 2022

Introduction: The emergence of the SARS-CoV-2 virus, which caused the outbreak of the pandemic declared by the World Health Organization (WHO, World Health Organization) on 11 March 2020, has resulted in the introduction of many restrictions worldwide to contain the rapidly spreading pathogen. A particularly vulnerable professional group are paramedics working in Emergency Medical Teams. Aim: The main aim of this study was to investigate the influence of selected sociodemographic and clinical parameters on anxiety and depression symptoms in paramedics during the COVID-19 pandemic. Materials and methods: The study involved 387 paramedics working in Medical Rescue Teams in Poland. The majority of respondents were male (72.35%). In order to achieve the aim of the study, an online diagnostic survey was conducted using a questionnaire of the author’s own design and standardized questionnaires: Hospital Anxiety and Depression Scale (HADS) and General Anxiety Disorders (GAD-7). Results: Significantly higher values were observed for all analysed scales in females compared to males. The main factors influencing the occurrence of anxiety and depression symptoms were gender, seniority at work, family relations, use of sleeping pills. Alcohol consumption increased in this professional group during the pandemic. Conclusions: Females and users of sleep medication who work in the emergency department during a pandemic are more likely to experience symptoms of depression and anxiety. A longer length of service and satisfying relationships with family are factors in reducing these symptoms. Paramedics who are in informal relationships and single manifest more emotional problems compared to those who are married. Increased alcohol consumption can be considered as a way of coping with stress. However, further studies in this professional group are needed to assess the further impact of the pandemic on psychiatric symptoms among emergency medical workers.
Influence of COMT (rs4680) and DRD2 (rs1076560, rs1800497) Gene Polymorphisms on Safety and Efficacy of Methylphenidate Treatment in Children with Fetal Alcohol Spectrum Disorders
Authors: Śmiarowska Małgorzata , Brzuchalski Bogusław , Grzywacz Elżbieta , Malinowski Damian , Machoy-Mokrzyńska Anna , Pierzchlińska Anna , Białecka Monika
Published: April 2022

Fetal alcohol spectrum disorders (FASD) in a course of high prenatal alcohol exposure (hPAE) are among the most common causes of developmental disorders. The main reason for pharmacological treatment of FASD children is attention deficit hyperactivity disorder (ADHD), and methylphenidate (MPH) is the drug of choice. The aim of the study was to assess whether children born of hPAE with ADHD, with or without morphological FASD, differ in terms of catechol-O-methyltransferase (COMT) and dopamine receptor D2 (DRD2) gene polymorphisms, and if genetic predisposition affects response and safety of MPH treatment. The polymorphisms of COMT (rs4680) and DRD2 (rs1076560, rs1800497) were analyzed in DNA samples. A borderline significance was found for the correlation between MPH side effects and the G allele of COMT (rs4680) (p = 0.04994) in all ADHD children. No effect of COMT (rs4680) and DRD2 (rs1076560, rs1800497) polymorphisms and the treatment efficacy was observed. The analyzed DRD2 and COMT gene polymorphisms seem to play no role in MPH efficacy in ADHD children with hPAE, while low-activity COMT (Met158) variant carriers may be more intolerant to MPH. The MPH treatment is effective in ADHD independent of FASD, although the ADHD-FASD variant requires higher doses to be successful. These results may help in optimization and individualization in child psychiatry.
Application of the Intraoral Scanner in the Diagnosis of Dental Wear: An In Vivo Study of Tooth Wear Analysis
Authors: García Victor Díaz-Flores , Freire Yolanda , Fernández Susana David , Murillo Beatriz Tomás , Sánchez Margarita Gómez
Published: April 2022

In recent years, there has been an increase in the incidence of dental wear; thus, an early diagnosis is important. Conventional methods of diagnosis are based primarily on the visual abilities of the dentist, and therefore the use of new technologies for the detection of dental wear may be very useful. The aim of the study was to analyze the sensitivity and specificity of the intraoral scanner for measuring dental wear, as well as to evaluate patients’ satisfaction with the use of the scanner. The study was conducted with 46 volunteers who underwent three intraoral analyses: a first baseline scanning, a second scanning after 6 months and a final scanning after one year performed by four operators divided into two groups. One of the operators performed the visual analysis of dental wear, and the other performed the analysis using the intraoral scanner 3M™ True Definition intraoral scanner (ESPE, Seefeld, Germany). The data obtained from the intraoral scanner showed levels of specificity and sensitivity that enable the intraoral scanner to be used as a diagnostic tool in the assessment of tooth wear. The participants also showed a high degree of satisfaction with the scanner as a communication tool.
Eating Competence, Food Consumption and Health Outcomes: An Overview
Authors: de Queiroz Fabiana Lopes Nalon , Raposo António , Han Heesup , Nader Martín , Ariza-Montes Antonio , Zandonadi Renata Puppin
Published: April 2022

Eating Competence (EC) is one behavioral perspective of eating practices that has been associated with a healthy lifestyle. It emphasizes eating pleasure, self-regulation of eating, body weight satisfaction, and regular meal frequency that includes food variety without focusing on dietary guidelines. EC is composed of four components (Eating Attitude, Food Acceptance, Internal Regulation, and Contextual Skill), and its assessment is performed using the Eating Competence Satter Inventory (ecSI2.0™), developed and validated in English for an adult population. EC has been associated with diet quality and health indicators for various population groups and the development of skills that increase EC might be a strategy to improve nutritional health, and prevent obesity and other chronic diseases. In this sense, this study presents an overview of the background, concepts, features, and possible associations among EC, food consumption, and health outcomes. The high prevalence of diseases associated with food/nutrition draws attention to the necessity to broaden the view on food and its relationship with health and well-being, considering not only nutrients and food combinations but also the behavioral dimensions of eating practices. Healthy nutritional recommendations that take into account attitudes and behaviors are in accordance with the EC behavioral model. Studies on eating behavior emphasize the need to better understand attitudes towards food and eating in the general population using validated instruments. In this context, measuring EC and its association with health outcomes seems to be relevant to nutritional health. The complexity of food choices has been examined in social, behavioral, and biological sciences, representing a great challenge for applying unique and simple theoretical models. Multiple methods are required, as no single theory can fully explain food selection.
Underlying Familial Factors for Aggressive Behavior in Romantic Relationships: A Systematic Review
Authors: Munusamy Shalini , Jeyagobi Sobana , Mohamed Isa Naina , Murthy Jaya Kumar , Chong Sheau Tsuey , Abdullah Hilwa , Kamaluddin Mohamamad Rahim
Published: April 2022

Aggressive behavior in romantic relationship has serious effects, including both intra- and inter-personal issues. Aggressive behaviors in romantic relationships have been linked to underlying familial problems. While there have been previous reviews that studied on many interpersonal and dyadic implications of aggressive behavior in romantic relationships, there is nonetheless a lack of studies on the various components of familial factors for aggressive behavior in romantic relationships. The databases Scopus, MEDLINE, Google Scholar, and SAGE Journals were used to search for terms that are related to familial factors (family factor, family support, family relationship) as well as terms related to aggressive behavior in romantic relationships (aggression in romantic relationship, violence in intimate relationship). The articles considered for this review were original studies, samples, or subsamples of males or females who reported any underlying familial factors in childhood or adulthood that contributed to aggressive behavior in romantic relationship, and the studies must be written in English. This review has 27 papers that met the inclusion criteria. The findings from this review revealed the presence of inconsistent conclusions between familial factors and aggressive behavior in romantic relationships, with some studies failing to establish such links. These findings are reviewed with regards to the existing gaps in the literature as well as potential research options.
Early Childhood between a Rock and a Hard Place: Early Childhood Education and Students’ Disruption in Khyber Pakhtunkhwa Province, Pakistan
Authors: Alam Jan , Ashraf Muhammad Azeem , Tsegay Samson Maekele , Shabnam Nadia
Published: April 2022

Looking through the lens of ecological system theory, this paper used a mixed-method approach, based on 20 interviews and 208 Early Childhood Education (ECE) teacher questionnaires, to elaborate the position of ECE in Pakistan. The study indicates that ECE is between a rock and a hard place in Khyber Pakhtunkhwa, Pakistan. The findings further show that ECE is provided by less qualified and inexperienced teachers, who give less attention to the physical and psychological needs of the students. The classrooms are overcrowded and lack relevant teaching–learning materials. Moreover, the single-teacher policy and overcrowded classrooms hinder students’ motivation, the delivery of quality education and the development of good behaviors. These challenges are also the main causes of students’ dropouts. This paper increases people’s understanding of ECE and its challenges in Pakistan. For ECE development, the paper recommends separating ECE from primary schools and giving it a budget to purchase adequate and relevant resources.
Immigrant Status and Ethnic Inequities in Dental Caries in Children: Bilbao, Spain
Authors: Rodriguez-Alvarez Elena , Borrell Luisa N. , Marañon Elena , Lanborena Nerea
Published: April 2022

This study examined the migratory status/ethnic inequities in dental caries in school children aged 4–9 years (n = 1388) and the impact of the Children’s Oral Health Program in the Municipality of Bilbao in the Basque Country Region, Spain. Using the 2017 Children’s Oral Health Survey, log binomial regression was used to quantify the association of parental immigration status/ethnicity with tooth decay for (1) the primary and the permanent dentitions, separately, in children 4–9 years old; and (2) for the permanent dentition in children aged 7–9 years. Compared with Spanish children, Spanish Roma and immigrant children had a higher probability of tooth decay in primary and permanent teeth after adjustment. Similarly, Spanish Roma and immigrant children had a higher probability of caries experience in primary and permanent teeth. In children aged 7–9 years, Spanish Roma children had a greater probability of tooth decay and caries experience (DMFT index ≥ 1; PR: 6.20; 95% CI: 3.18, 12.12; and PR: 4.52; 95% CI: 2.46, 8.32; respectively) compared with Spanish Children. These associations were not observed in immigrant children. This study shows that parental immigration status and/or ethnicity affect caries outcomes in immigrant and Roma children in both primary and permanent dentition.
Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073
Authors: Ramos S. Raquel , Beauchamp Geetha , Wheeler Darrell P. , Wilton Leo , Whitfield Darren L. , Boyd Donte T. , Hightow-Weidman Lisa , Fields Sheldon D. , Nelson LaRon E. ,   on behalf of the HPTN 073 Team
Published: April 2022

At the end of year 2018, it was estimated that in the United States over 1 million people were living with HIV. Although Black/African American individuals comprise an estimated 13.4% of the US population, as of 2019, they represented an estimated 42% of all new HIV diagnoses in 2018. PrEP use among Black men who have sex with men has not reached levels sufficient to have a population impact on HIV incidence. The purpose of this study was to examine whether high perceived autonomy support and care coordination quality were associated with PrEP continuation. Secondary analyses were conducted on data with 226 Black MSM in three US cities. Participants who were PrEP users and scored higher on autonomy support at week 8 were significantly more likely to continue PrEP (OR 1.48; 95% CI 1.04–2.11). Perception of coordination quality did not differ between PrEP users and non-users at any of the visits. Although coordination quality was not statistically significant, greater than half of PrEP users and non-PrEP users utilized the C4 services. Addressing social, individual, and structural barriers to PrEP may benefit Black MSM irrespective of their PrEP use.
Construction and Demolition Waste Management Research: A Science Mapping Analysis
Authors: Elshaboury Nehal , Al-Sakkaf Abobakr , Mohammed Abdelkader Eslam , Alfalah Ghasan
Published: April 2022

Construction and demolition waste treatment has become an increasingly pressing economic, social, and environmental concern across the world. This study employs a science mapping approach to provide a thorough and systematic examination of the literature on waste management research. This study identifies the most significant journals, authors, publications, keywords, and active countries using bibliometric and scientometric analysis. The search retrieved 895 publications from the Scopus database between 2001 and 2021. The findings reveal that the annual number of publications has risen from less than 15 in 2006 to more than 100 in 2020 and 2021. The results declare that the papers originated in 80 countries and were published in 213 journals. Review, urbanization, resource recovery, waste recycling, and environmental assessment are the top five keywords. Estimation and quantification, comprehensive analysis and assessment, environmental impacts, performance and behavior tests, management plan, diversion practices, and emerging technologies are the key emerging research topics. To identify research gaps and propose a framework for future research studies, an in-depth qualitative analysis is performed. This study serves as a multi-disciplinary reference for researchers and practitioners to relate current study areas to future trends by presenting a broad picture of the latest research in this field.
A Mixed-Methods Formative Evaluation of a Dementia-Friendly Congregation Program for Black Churches
Authors: Gore Janelle , Toliver Jamilla , Moore Miranda A. , Aycock Dawn , Epps Fayron
Published: April 2022

Black churches have traditionally been a haven for Black American families; however, many churches do not currently have programs to support families living with dementia. Alter™ was established to assist faith communities in meeting the needs of these families and becoming a viable resource to promote their health and wellness. Alter™ achieves this aim through a three-pronged approach: (1) conducting educational sessions, (2) modifying Black churches to be dementia-inclusive spaces, and (3) providing ongoing support. The principal goal of Alter™ is to offer guidance to churches in adapting their community to reflect a supportive environment for families affected by dementia. Alter™ uses a partnership checklist to encourage activities that incorporate dementia education opportunities, environmental modifications, and dementia resources and support. This paper reports on a formative mixed-methods evaluation of church partners enrolled in Alter™. Church partner ambassadors within the faith communities participated in the evaluation survey (n = 8) and two focus groups (n = 11). Ambassadors are appointed by church leadership to lead the implementation of program activities. Data were collected concerning the levels of helpfulness, difficulty, usefulness, or utility of checklist activities and modifications and the ease of program implementation. The evaluation also assessed the COVID-19 pandemic’s impact on each church’s ability to implement activities and modifications. The survey results revealed that most required partnership activities and modifications were found to be at least moderately helpful. Some of the items (themes) that differed across church partners included barriers to implementing activities, the support provided and needed, and the use of program funding. This evaluation provides key insights to consider in developing and refining community-based, dementia-friendly communities (including faith communities). As implementation science expands and improves, the need to evaluate the implementation of programs continues to be highlighted. Our formative evaluation shed light on key areas in which modifications to our original programming would lead to program improvement and sustainability. Additionally, implementing the modifications identified in our evaluation will facilitate the achievement of the mission of Alter™ to improve the well-being of older adults affected by dementia and their families. Other programs would reap substantial benefits from engaging in similar formative evaluation efforts.
Equity in Out-of-Pocket Payments for Healthcare Services: Evidence from Malaysia
Authors: Baharin Mohamed Fakhri Abu , Juni Muhamad Hanafiah , Abdul Manaf Rosliza
Published: April 2022

Background: Out-of-pocket (OOP) payments are an inequitable mechanism for health financing as their high share of total health expenditures poses a risk of catastrophic healthcare expenditures. This study aimed to assess the distribution and progressivity of OOP payments made by Malaysian households for various group of healthcare services. Methods: This study utilized data from the Malaysian Household Expenditure Survey (HES) between 2014 and 2015, which involved 14,473 households. Distribution and progressivity of OOP payments were measured through their proportion of household consumption, a concentration curves plot and the Kakwani Progressivity Index (KPI). Results: The mean proportion of Malaysian OOP payments for healthcare of household consumption was 1.65%. The proportion increased across households’ consumption quintiles, from 1.03% made by the poorest 20% to 1.86% by the richest 20%. The OOP payments in Malaysia were progressive with a positive KPI of 0.0910. The OOP payments made for hospital-based services were the most progressive (KPI 0.1756), followed by medical products, appliances and equipment (KPI 0.1192), pharmaceuticals (0.0925) and outpatient-based services (KPI 0.0394) as the least progressive. Conclusions: Overall, the OOP payments for healthcare services in Malaysia were progressive and equitable as they were more concentrated among the richer households.
Arsenic Release from Soil Induced by Microorganisms and Environmental Factors
Authors: Yin Yitong , Luo Ximing , Guan Xiangyu , Zhao Jiawei , Tan Yuan , Shi Xiaonan , Luo Mingtao , Han Xiangcai
Published: April 2022

In rhizospheric soil, arsenic can be activated by both biological and abiotic reactions with plant exudates or phosphates, but little is known about the relative contributions of these two pathways. The effects of microorganisms, low-molecular-weight organic acid salts (LMWOASs), and phosphates on the migration of As in unrestored and nano zero-valent iron (nZVI)-restored soil were studied in batch experiments. The results show that As released by microbial action accounted for 17.73%, 7.04%, 92.40%, 92.55%, and 96.68% of the total As released in unrestored soil with citrate, phytate, malate, lactate, and acetate, respectively. It was only suppressed in unrestored soil with oxalate. In restored soil, As was still released in the presence of oxalate, citrate, and phytate, but the magnitude of As release was inhibited by microorganisms. The application of excess nZVI can completely inhibited As release processes induced by phosphate in the presence of microorganisms. Microbial iron reduction is a possible mechanism of arsenic release induced by microorganisms. Microorganisms and most environmental factors promoted As release in unrestored soil, but the phenomenon was suppressed in restored soil. This study helps to provide an effective strategy for reducing the secondary release of As from soils due to replanting after restoration.
Does Trust Help to Improve Residents’ Perceptions of the Efficacy of Disaster Preparedness? Evidence from Wenchuan and Lushan Earthquakes in Sichuan Province, China
Authors: Zhang Fengwan , Bao Xueling , Deng Xin , Wang Wei , Song Jiahao , Xu Dingde
Published: April 2022

Disaster preparation can reduce the impact of an earthquake on residents. Residents are more likely to undertake disaster preparedness if they perceive it to be effective. However, few studies have analyzed the influence of trust on this perception. This study surveyed 327 households in areas stricken by the Wenchuan and Lushan earthquakes to explore these issues. Trust was divided into government trust, emotional trust, and social trust, while the efficacy of disaster preparedness was divided into self-efficacy and response efficacy. A partial least squares structural equation model was used to explore the influence of trust on perceptions of the efficacy of disaster preparedness. The results show that: (1) government trust can directly increase perceived efficacy and indirectly increase self-efficacy via emotional trust; (2) emotional trust can directly increase self-efficacy; (3) social trust can directly reduce self-efficacy while indirectly increasing it by increasing emotional trust. This study deepens our understanding of the relationship between trust and perceptions of the efficacy of disaster preparedness. This study can provide inspiration to improve risk communication and construct systems of community-based disaster-prevention.
Social Participation and Mental Health in the Establishment Programme for Newly Arrived Refugees in Sweden—A Document Analysis
Authors: Larsson Sofia , Gunnarsson David , Vikdahl Linda
Published: April 2022

Newly arrived refugees and asylum seekers constitute a vulnerable population in terms of health and social conditions due to lived trauma and experiences of loss, as well as factors in the host country such as not speaking the language, not having employment and social exclusion. Studies have shown that many newly arrived refugees find it difficult to establish a sustainable position in the host country’s labour market due to a lack of connections, low levels of education and political, social and cultural barriers. The Swedish Public Employment Service runs an establishment programme aimed at helping newly arrived refugees to find employment quickly and manage their own livelihoods. In this study, we analyse the administrator support document used by Swedish Public Employment Service case workers in their work with the programme to explore whether and how it considers the participants’ mental health and conditions for social participation. The results show that despite newly arrived refugees being especially vulnerable in terms of mental health, little attention is paid to these aspects, the possible effects they may have on the programme, the participants’ integration into the labour market and Swedish society as a whole.
An Inclusive Leadership Framework to Foster Employee Creativity in the Healthcare Sector: The Role of Psychological Safety and Polychronicity
Authors: Fu Qinghua , Cherian Jacob , Ahmad Naveed , Scholz Miklas , Samad Sarminah , Comite Ubaldo
Published: April 2022

Creativity at the level of employees is of utmost importance for every sector of an economy, with no exception to a healthcare system. The reason why employee creativity is important lies in the fact that employees have profound knowledge of their job and thus can serve as a source of meaningful innovation in an organization. Research shows that employee creativity is largely dependent on leadership. Corporate leaders significantly influence subordinates’ behavior. However, with the economic development, globalization, and changing business environment, a traditional authoritative leadership style can no longer be effective in understanding employees’ psychological needs to foster their creative behavior. In this regard, the role of inclusive leadership as an effective organizational management strategy was recently discussed in literature at different levels. It was also stated that an inclusive leader could foster employee creativity. However, such relationships in healthcare systems of developing economies have largely remained under-explored previously. We explored employee creativity in a healthcare context of a developing economy in an inclusive leadership framework to bridge such knowledge gaps. We also investigated the mediating roles of psychological safety and polychronicity in the above-stated relationship. We collected the data from hospital employees through a questionnaire (paper–pencil method). A hypothetical model was developed, which was tested through structural equation modeling in AMOS. Based upon the statistical outcomes, we found that an inclusive leadership style in a hospital can significantly foster employee creativity, whereas psychological safety and polychronicity mediate this relationship. This study offers different theoretical and practical insights, especially to a healthcare system. An important finding was that an inclusive leader can motivate the followers to be more creative. This finding is significant for a hospital because creative employees provide a hospital with a solid competitive base.
A Positive Correlation between Steroid Injections and Cuff Tendon Tears: A Cohort Study Using a Clinical Database
Authors: Lin Ching-Yueh , Huang Shih-Chung , Tzou Shiow-Jyu , Yin Chun-Hao , Chen Jin-Shuen , Chen Yao-Shen , Chang Shin-Tsu
Published: April 2022

This cohort study aimed to investigate the association between steroid injections for shoulder diseases and the increased incidence of cuff tendon tears. The Kaohsiung Veterans General Hospital clinical database was used in this study. Patients were enrolled using the corresponding diagnostic codes for shoulder diseases. Patients who received steroid injections were included in the case group, and those without steroid injections were included in the control group. The outcome measure was the occurrence of cuff tendon tears during the study period. Adjusted hazard ratios for outcomes were calculated using Cox regression analysis adjusted for sex, age, and comorbidities. Of the 1025 patients with shoulder disease, 205 were in the case group and 820 were in the control group. The incidence of cuff tendon tears was 9.8% in patients who received steroid injections (p < 0.001). The adjusted hazard ratios for steroid injections, smoking, and chronic liver disease were 7.44 (p < 0.001), 2.40 (p = 0.046), 3.25 (p = 0.007), respectively. Steroid injections on the shoulder were associated with a raised risk of cuff tendon tears by 7.44 times compared to non-injection. The incidence of cuff tendon tears increased by 3.25 times with concurrent chronic liver disease and by 2.4 times with smoking.
Study on Air Quality and Its Annual Fluctuation in China Based on Cluster Analysis
Authors: Zhang Shengyong , Chen Yunhao , Li Yudong , Yi Xing , Wu Jiansheng
Published: April 2022

Exploring the spatial and temporal distribution characteristics of air quality has become an important topic for the harmonious development of human and nature. Based on the hourly data of CO, O3, NO2, SO2, PM2.5 and PM10 of 1427 air quality monitoring stations in China in 2016, this paper calculated the annual mean and annual standard deviation of six air quality indicators at each station to obtain 12 variables. Self-Organizing Maps (SOM) and K-means clustering algorithms were carried out based on MATLAB and SPSS Statistics, respectively. Kriging interpolation was used to get the clustering distribution of air quality and fluctuation in China, and Principal Component Analysis (PCA) was used to analyze the main factors affecting the clustering results. The results show that: (1) Most areas in China are low-value regions, while the high-value region is the smallest and more concentrated. Air quality in northern China is worse, and the annual fluctuations of the indicators are more dramatic. (2) Compared with AQI, AQFI has a strong indication significance for the comprehensive situation of air quality and its fluctuation. (3) The spatial distribution of SOM clustering results is more discriminative, while K-means clustering results have a large proportion of low-mean regions. (4) PM2.5, PM10 and CO are the main pollutants affecting air quality and fluctuation, followed by SO2, NO2 and O3.