bluuebunny/crossref_metadata_2025 huggingface dataset:
Deep Else: A Critical Framework for AI Art
Authors: Grba Dejan
Published: January 2022

From a small community of pioneering artists who experimented with artificial intelligence (AI) in the 1970s, AI art has expanded, gained visibility, and attained socio-cultural relevance since the second half of the 2010s. Its topics, methodologies, presentational formats, and implications are closely related to a range of disciplines engaged in the research and application of AI. In this paper, I present a comprehensive framework for the critical exploration of AI art. It comprises the context of AI art, its prominent poetic features, major issues, and possible directions. I address the poetic, expressive, and ethical layers of AI art practices within the context of contemporary art, AI research, and related disciplines. I focus on the works that exemplify poetic complexity and manifest the epistemic or political ambiguities indicative of a broader milieu of contemporary culture, AI science/technology, economy, and society. By comparing, acknowledging, and contextualizing both their accomplishments and shortcomings, I outline the prospective strategies to advance the field. The aim of this framework is to expand the existing critical discourse of AI art with new perspectives which can be used to examine the creative attributes of emerging practices and to assess their cultural significance and socio-political impact. It contributes to rethinking and redefining the art/science/technology critique in the age when the arts, together with science and technology, are becoming increasingly responsible for changing ecologies, shaping cultural values, and political normalization.
Building Performance Simulations and Architects against Climate Change and Energy Resource Scarcity
Authors: Fernandez-Antolin Maria-Mar , del Río José Manuel , González-Lezcano Roberto Alonso
Published: January 2022

In Europe, 40% of the total energy is consumed by buildings; in this sense, building performance simulation tools (BPSTs) play a key role; however, the use of these tools by architects is deficient. Therefore, this study aims to detect the architects’ perception on BPSTs. To this end, an online survey was conducted to determine the selection criteria of these BPSTs and non-users, to investigate the reasons for not using the tools. The outcomes showed that there was a wide gap between architects and the management of simulation programs in Spain, mainly due to the lack of training. BPSTs are described as a kind of intellect amplifiers, as they are perceived as powerful allies between professors and students of architecture and between architects and architectural design; therefore, through BPSTs, sustainability is taken very much into consideration to make buildings more energy efficient. Therefore, it is primarily concluded that further and higher education must undergo significant improvement to use simulations as part of the architectural design.
Artificial Neural Networks and Deep Learning Techniques Applied to Radar Target Detection: A Review
Authors: Jiang Wen , Ren Yihui , Liu Ying , Leng Jiaxu
Published: January 2022

Radar target detection (RTD) is a fundamental but important process of the radar system, which is designed to differentiate and measure targets from a complex background. Deep learning methods have gained great attention currently and have turned out to be feasible solutions in radar signal processing. Compared with the conventional RTD methods, deep learning-based methods can extract features automatically and yield more accurate results. Applying deep learning to RTD is considered as a novel concept. In this paper, we review the applications of deep learning in the field of RTD and summarize the possible limitations. This work is timely due to the increasing number of research works published in recent years. We hope that this survey will provide guidelines for future studies and applications of deep learning in RTD and related areas of radar signal processing.
The Impact of Biotic and Abiotic Stress Factors on Development of European Ash Tissue Cultures
Authors: Nawrot-Chorabik Katarzyna , Sułkowska Małgorzata , Osmenda Małgorzata , Mohytych Vasyl , Surówka Ewa , Latowski Dariusz
Published: January 2022

Fraxinus excelsior L. is threatened by a variety of environmental factors causing a decline of the species. The most important biotic factors negatively affecting the condition of the F. excelsior population are fungi such as the pathogen Hymenoscyphus fraxineus. Abiotic factors with potentially harmful effect to the F. excelsior population are the accumulation of heavy metals and salinity in soils. Thus, the aim of this study was to investigate the impact of selected biotic and abiotic stress factors to determine which of them pose a threat to European ash. The study was conducted using in vitro techniques based on callus and seedlings regenerated via indirect organogenesis. Tissue cultures exclude the influence of other factors, including the environmental impact on ash extinction. The results confirmed very strong pathogenic potential of H. fraxineus in which after 14 days the callus tissue cells died as the tissue failed to activate its defense mechanisms. Experiments showed the high toxicity of cadmium in concentration of 0.027 mmol/L. Salinity caused the activity of oxidation enzymes to vary among seedlings and calluses in the control suggesting the enzymes play a role in controlling the morphogenetic development of tissue cultures.
Insect Community Response Following Wildfire in an Eastern North American Pine Barrens
Authors: Thompson Heather M. , Lesser Mark R. , Myers Luke , Mihuc Timothy B.
Published: January 2022

Ecosystem recovery following wildfire is heavily dependent upon fire severity and frequency, as well as factors such as regional topography and connectivity to unburned patches. Insects are an often-overlooked group of organisms impacted by fire and play crucial roles in many ecosystem services. Flying insects are particularly capable of avoiding fire, returning to burned patches following the initial disturbance, making them an important group to study when assessing wildfire impacts. Following a wildfire in July of 2018 at the Altona Flat Rock jack pine barrens in northeastern New York, insects were collected from an unburned reference site and a post-fire site using malaise traps. Samples were collected in the 2018, 2019, and 2020 field seasons. Insect groups were found to have three main responses to the disturbance event: increased abundance post-fire, unchanged abundance post-fire, or reduced abundance post-fire. Several dipteran families and some non-dipteran groups were present in greater abundance in the post-fire study site, such as Diptera Polleniidae, which increased in abundance immediately following the disturbance in 2018. Other fire-adapted taxa exhibited a more delayed positive response in 2019 and 2020. Diversity, particularly among Diptera, increased with time since the disturbance at the post-fire site. Many taxa declined in response to fire disturbance, including Lepidoptera and several Diptera families, most likely due to habitat, moisture, and organic matter requirements. Future studies could prove beneficial in understanding the recovery of this community and informing land management practices.
Polycentric Environmental Governance to Achieving SDG 16: Evidence from Southeast Asia and Eastern Africa
Authors: Amaruzaman Sacha , Trong Hoan Do , Catacutan Delia , Leimona Beria , Malesu Maimbo
Published: January 2022

Effective environmental governance is deemed essential in advancing the Sustainable Development Goals. However, environmental dimensions have no specific reference across the SDG 16 targets and indicators. In achieving SDG 16—the realization of peace, justice, and strong institution, polycentric environmental governance involving multiple actors across scales deserves thoughtful consideration. This study illustrates the potential of a polycentric approach to environmental governance in achieving SDG 16, using case studies of forest, watershed, and transboundary bushland and seascape management in Southeast Asia and Eastern Africa, namely Vietnam, Indonesia, and the Kenya–Somalia cross-border. By highlighting four key elements of polycentric governance namely, political will, legal framework, support from higher-level governance and capacity building, the case studies demonstrate that polycentric governance play a significant role in achieving three environment-relevant SDG 16 targets, yet these targets are silent about environmental governance dimensions. Since many conflicts arise from the environment and natural resources sector, we suggest that (i) polycentric environmental governance be strongly pursued to achieve SDG 16, and (ii) SDG 16 includes indicators specifically directed on polycentric environment and natural resource governance.
Land-Use Change Depletes Quantity and Quality of Soil Organic Matter Fractions in Ethiopian Highlands
Authors: Ahmed Iftekhar U. , Assefa Dessie , Godbold Douglas L.
Published: January 2022

The depletion of soil organic matter (SOM) reserve after deforestation and subsequent management practices are well documented, but the impacts of land-use change on the persistence and vulnerability of storage C and N remain uncertain. We investigated soil organic C (SOC) and N stocks in a landscape of chrono-sequence natural forest, grazing/crop lands and plantation forest in the highlands of North-West Ethiopia. We hypothesized that in addition to depleting total C and N pools, multiple conversions of natural forest significantly change the relative proportion of labile and recalcitrant C and N fractions in soils, and thus affect SOM quality. To examine this hypothesis, we estimated depletion of SOC and N stocks and labile (1 & 2) and recalcitrant (fraction 3) C and N pools in soil organic matter following the acid hydrolysis technique. Our studies showed the highest loss of C stock was in grazing land (58%) followed by cropland (50%) and eucalyptus plantation (47%), while on average ca. 57% N stock was depleted. Eucalyptus plantation exhibited potential for soil C recovery, although not for N, after 30 years. The fractionation of SOM revealed that depletions of labile 1 C stocks were similar in grazing and crop lands (36%), and loss of recalcitrant C was highest in grazing soil (56%). However, increases in relative concentrations of labile fraction 1 in grazing land and recalcitrant C and N in cropland suggest the quality of these pools might be influenced by management activities. Also, the C:N ratio of C fractions and recalcitrant indices (RIC and RIN) clearly demonstrated that land conversion from natural forest to managed systems changes the inherent quality of the fractions, which was obscured in whole soil analysis. These findings underscore the importance of considering the quality of SOM when evaluating disturbance impacts on SOC and N stocks.
Hurricanes Substantially Reduce the Nutrients in Tropical Forested Watersheds in Puerto Rico
Authors: Sun Jiamei , Wei Xinyuan , Zhou Yu , Chan Catherine , Diao Jiaojiao
Published: January 2022

Because nutrients including nitrogen and phosphorus are generally limited in tropical forest ecosystems in Puerto Rico, a quantitative understanding of the nutrient budget at a watershed scale is required to assess vegetation growth and predict forest carbon dynamics. Hurricanes are the most frequent disturbance in Puerto Rico and play an important role in regulating lateral nitrogen and phosphorus exports from the forested watershed. In this study, we selected seven watersheds in Puerto Rico to examine the immediate and lagged effects of hurricanes on nitrogen and phosphorous exports. Our results suggest that immediate surges of heavy precipitation associated with hurricanes accelerate nitrogen and phosphorus exports as much as 297 ± 113 and 306 ± 70 times than the long-term average, respectively. In addition, we estimated that it requires approximately one year for post-hurricane riverine nitrogen and phosphorus concentrations to recover to pre-hurricane levels. During the recovery period, the riverine nitrogen and phosphorus concentrations are 30 ± 6% and 28 ± 5% higher than the pre-hurricane concentrations on average.
Effects of Different Soils on the Biomass and Photosynthesis of Rumex nepalensis in Subalpine Region of Southwestern China
Authors: He Heliang , Yu Lan , Yang Xiaocheng , Luo Lin , Liu Jia , Chen Jing , Kou Yongping , Zhao Wenqiang , Liu Qing
Published: January 2022

The performance of Rumex nepalensis, an important medicinal herb, varies significantly among subalpine grasslands, shrublands and forest ecosystems in southwestern China. Plant–soil feedback is receiving increasing interest as an important driver influencing plant growth and population dynamics. However, the feedback effects of soils from different ecosystems on R. nepalensis remain poorly understood. A greenhouse experiment was carried out to identify the effects of different soil sources on the photosynthesis and biomass of R. nepalensis. R. nepalensis was grown in soils collected from the rooting zones of R. nepalensis (a grassland soil, RS treatment), Hippophae rhamnoides (a shrub soil, HS treatment), and Picea asperata (a forest soil, PS treatment). The chlorophyll contents, net photosynthetic rates, and biomasses of R. nepalensis differed significantly among the three soils and followed the order of RS > HS > PS. After soil sterilization, these plant parameters followed the order of RS > PS > HS. The total biomass was 16.5 times higher in sterilized PS than in unsterilized PS, indicating that the existence of soil microbes in P. asperata forest ecosystems could strongly inhibit R. nepalensis growth. The root to shoot biomass ratio of R. nepalensis was the highest in the sterilized PS but the lowest in the unsterilized PS, which showed that soil microbes in PS could change the biomass allocation. Constrained redundancy analysis and path analysis suggested that soil microbes could impact the growth of R. nepalensis via the activities of soil extracellular enzymes (e.g., β-1,4-N-acetylglucosaminidase (NAG)) in live soils. The soil total soluble nitrogen concentration might be the main soil factor regulating R. nepalensis performance in sterilized soils. Our findings underline the importance of the soil microbes and nitrogen to R. nepalensis performance in natural ecosystems and will help to better predict plant population dynamics.
Canopy Solar-Induced Chlorophyll Fluorescence and Its Link to Transpiration in a Temperate Evergreen Needleleaf Forest during the Fall Transition
Authors: Cong Weiwei , Yang Kaijie , Wang Feng
Published: January 2022

Northern hemisphere evergreen needleleaf forest (ENF) contributes a significant fraction of global water exchange but regional transpiration (T) observation in ENF ecosystems is still challenging. Traditional remote sensing techniques and terrestrial biosphere models reproduce the transpiration seasonality with difficulty, and with large uncertainties. Solar-induced chlorophyll fluorescence (SIF) emission from vegetation correlates to photosynthesis at multiple spatial and temporal scales. However, how SIF links to transpiration of evergreen forest during seasonal transition is unclear. Here, we explored the relationship between canopy SIF and T retrieved from ground observation towers in ENF. We also examined the role of meteorological and soil factors on the relationship between SIF and T. A slow decrease of SIF and T with a fast reduction in photosynthetically active radiation (PAR), air temperature, vapor pressure deficit (VPD), soil temperature and soil water content (SWC) were found in the ENF during the fall transition. The correlation between SIF and T at hourly and daily scales varied significantly among different months (Pearson correlation coefficient = 0.29–0.68, p < 0.01). SIF and T were significantly linearly correlated at hourly (R2 = 0.53, p < 0.001) and daily (R2 = 0.67, p < 0.001) timescales in the October. Air temperature and PAR were the major moderating factors for the relationship between SIF and T in the fall transition. Soil water content (SWC) influenced the SIF-T relationship at an hourly scale. Soil temperature and VPD’s effect on the SIF-T relationship was evident at a daily scale. This study can help extend the possibility of constraining ecosystem T by SIF at an unprecedented spatiotemporal resolution during season transitions.
Relationship between Inherent Cooking Rate and Warner-Bratzler Shear Force of Pork Chops Cooked to Two Degrees of Doneness
Authors: Nethery Taylor N. , Boler Dustin D. , Harsh Bailey N. , Dilger Anna C.
Published: January 2022

The objective was to test inherent cooking rate differences on tenderness values of boneless pork chops when exogenous factors known to influence cooking rate were controlled. Temperature and elapsed time were monitored during cooking for all chops. Cooking rate was calculated as the change in °C per minute of cooking time. Warner-Bratzler shear force (WBSF) was measured on chops cooked to either 63 °C or 71 °C. Slopes of regression lines and coefficients of determination between cooking rate and tenderness values for both degrees of doneness (DoD) were calculated. Shear force values decreased as cooking rate increased regardless of DoD (p ≤ 0.05), however changes in tenderness due to increased cooking rate were limited (β1 = −0.201 for 63 °C; β1 = −0.217 for 71 °C). Cooking rate only explained 3.2% and 5.4% of variability in WBSF of chops cooked to 63 °C and 71 °C, respectively. Cooking loss explained the most variability in WBSF regardless of DoD (partial R2 = 0.09–0.12). When all factors were considered, a stepwise regression model explained 20% of WBSF variability of chops cooked to 63 °C and was moderately predictive of WBSF (model R2 = 0.34) for chops cooked to 71 °C. Overall, cooking rate had minimal effect on pork chop tenderness.
Accidental Hypothermia: 2021 Update
Authors: Paal Peter , Pasquier Mathieu , Darocha Tomasz , Lechner Raimund , Kosinski Sylweriusz , Wallner Bernd , Zafren Ken , Brugger Hermann
Published: January 2022

Accidental hypothermia is an unintentional drop of core temperature below 35 °C. Annually, thousands die of primary hypothermia and an unknown number die of secondary hypothermia worldwide. Hypothermia can be expected in emergency patients in the prehospital phase. Injured and intoxicated patients cool quickly even in subtropical regions. Preventive measures are important to avoid hypothermia or cooling in ill or injured patients. Diagnosis and assessment of the risk of cardiac arrest are based on clinical signs and core temperature measurement when available. Hypothermic patients with risk factors for imminent cardiac arrest (temperature < 30 °C in young and healthy patients and <32 °C in elderly persons, or patients with multiple comorbidities), ventricular dysrhythmias, or systolic blood pressure < 90 mmHg) and hypothermic patients who are already in cardiac arrest, should be transferred directly to an extracorporeal life support (ECLS) centre. If a hypothermic patient arrests, continuous cardiopulmonary resuscitation (CPR) should be performed. In hypothermic patients, the chances of survival and good neurological outcome are higher than for normothermic patients for witnessed, unwitnessed and asystolic cardiac arrest. Mechanical CPR devices should be used for prolonged rescue, if available. In severely hypothermic patients in cardiac arrest, if continuous or mechanical CPR is not possible, intermittent CPR should be used. Rewarming can be accomplished by passive and active techniques. Most often, passive and active external techniques are used. Only in patients with refractory hypothermia or cardiac arrest are internal rewarming techniques required. ECLS rewarming should be performed with extracorporeal membrane oxygenation (ECMO). A post-resuscitation care bundle should complement treatment.
Age and Sex-Related Associations between Marital Status, Physical Activity and TV Time
Authors: Cavazzotto Timothy Gustavo , de Lima Stavinski Natã Gomes , Queiroga Marcos Roberto , da Silva Michael Pereira , Cyrino Edilson Serpeloni , Serassuelo Junior Helio , Vieira Edgar Ramos
Published: January 2022

Marital status mediates an association between physical activity (PA) and TV time with health outcomes. However, population-based studies have revealed that the health effect of marriage or divorce is age-dependent and differs between women and men. The study aimed to identify the age and sex-related associations between marital status with PA and TV time. We used data from Vigitel, an annual telephone survey started in 2006 in Brazil. We applied a complex sample logistic regression model to estimate the odds for PA and TV time comparing marital statuses according to age and sex subgroups, independent of obesity, hypertension, diabetes, self-assessed poor health, and smoking. Our sample included 561,837 individuals from 18 to 99 years, with a TV time > 3 h/day (prevalence = 25.2%) and PA > 150 min/week (prevalence = 35%). Later, we divided our sample in seven age groups by marital status and sex. Compared to single individuals, married men and women were less likely to watch TV more than 3 h/day in participants >30 years old. When compared to single, married participants were less likely to do more than 150 min of PA/week at younger age groups. Married women older than 40 years were more likely to do more than 150 min of PA/week than the single ones, while there were no differences among married men by age group. In conclusion, our study suggests that the investments in public policies to encourage the practice of PA and reduction of TV time could be based on the marital status, sex, and age, prioritizing less active groups.
Association between Frequency of Toothbrushing and Metabolic Syndrome among Adolescents: A 5-Year Follow-Up Study
Authors: Baskaradoss Jagan Kumar , Tavares Mary , Al-Mulla Fahd , Al-Ozairi Ebaa , Abu-Farha Mohamed , Bin-Hasan Saadoun , Alsumait Aishah , Devarajan Sriraman , Alqaderi Hend
Published: January 2022

This study longitudinally examines the relationship between the frequency of toothbrushing and the development of selected components of metabolic syndrome (MetS), along with the potential role of salivary biomarkers in this relationship. In 2014, 6317 12-year-old children underwent health examinations (T1), of which, 348 children participated in the second stage of data collection in 2019 (T2). The association between the change in the metabolic status during the 5-year follow-up examination (between T1 and T2) and frequency of toothbrushing was assessed using multinomial logistic regression analyses. At T2, healthy adolescents had significantly higher odds of toothbrushing twice or more daily compared with adolescents with components of MetS (OR = 1.99, 95% CI 1.15–3.45). Adolescents who were healthy at T1 but developed components of MetS at T2, had significantly higher frequencies of dining-out compared with adolescents with components of MetS at both T1 and T2 (OR = 0.09, 95% CI 0.02 to 0.49). Adolescents who were ‘healthy’ at both T1 and T2 had significantly (p < 0.05) lower levels of C-reactive protein (T2), insulin (T1 and T2), interleukin-6 (T1) and adiponectin (T1) compared with adolescents who had components of MetS. Toothbrushing and frequency of dining-out were associated with the presence of MetS components.
Acute Effects of Nicotine on Physiological Responses and Sport Performance in Healthy Baseball Players
Authors: Fang Shih-Hua , Lu Chi-Cheng , Lin Hua-Wei , Kuo Kuan-Chen , Sun Chen-Yu , Chen Yi-Ying , Chang Wen-Dien
Published: January 2022

There is interest in whether nicotine could enhance attention in sporting performance, but evidence on the acute effect of nicotine on physical response and sports performance in baseball players remains scant. This was an observational study to examine whether nicotine gum chewed before exercise could provide acute effects on physiological responses and sport performance. Accordingly, heart rate variability (HRV), saliva cotinine concentration and α-amylase activity, cognitive function, muscle strength, and baseball-hitting performance were measured. Thirteen healthy male non-smoker baseball players were recruited. Conducting two sequences with 7-day intervals, they chewed nicotine gum (nicotine group) or flavor-matched placebo gum (placebo group) for 30 min. HRV and saliva analyses were conducted before gum consumption (S1), after gum consumption (S2), and after test completion (S3). Cognitive, muscle strength, and baseball-hitting performance tests were performed after nicotine or placebo gum chewing. The outcomes of all assessed variables were compared within and between the groups. Significant changes in HRV, α-amylase, testosterone, and cortisol were observed in the nicotine group at S2 and S3 (p < 0.05). Compared with the placebo group, the nicotine group exhibited enhanced motor reaction times, grooved pegboard test (GPT) results on cognitive function, and baseball-hitting performance, and small effect sizes were noted (d = 0.47, 0.46 and 0.41, respectively). Nicotine could induce changes in endocrine and sympathetic nerve activity and enhance cognitive function and baseball-hitting performance. However, no increase in muscle strength was observed after nicotine intake.
The Impact of Social Distancing Due to the COVID-19 Pandemic on People with Dementia, Family Carers and Healthcare Professionals: A Qualitative Study
Authors: Smaling Hanneke J. A. , Tilburgs Bram , Achterberg Wilco P. , Visser Mandy
Published: January 2022

Social distancing measures imposed because of the COVID-19 pandemic presented challenges to the health and wellbeing of people with dementia, family carers, and healthcare professionals. This study investigated the impact of these measures on all involved in the care for people with dementia. For this qualitative study, 20 family carers and 20 healthcare professionals from home care and long-term care (LTC) participated in a semi-structured interview. Interviews were analysed using an inductive thematic analysis approach. For people with dementia, the social distancing measures resulted in a deterioration of physical health. The impact on their emotional state and behaviour depended on the stage of dementia. Family carers experienced difficulty coping with visiting restrictions, anxiety regarding safety, and changes in carer burden. Healthcare professionals had an increased workload, and felt guilty about adhering to restrictive measures. Differences between home care and LTC were reported (i.e., societal initiatives focussed on LTC, scarcity of activities for community-dwelling people with dementia, use of personal protective equipment more intrusive for home care). The social distancing measures had a negative impact on persons with dementia, their family carers, and healthcare professionals. More attention is needed for community-dwelling people with dementia and family carers in times of social isolation.
Examining the Use of Antidepressants for Adolescents with Depression/Anxiety Who Regularly Use Cannabis: A Narrative Review
Authors: Hen-Shoval Danielle , Weller Aron , Weizman Abraham , Shoval Gal
Published: January 2022

Depression and anxiety disorders are two of the most common and growing mental health concerns in adolescents. Consequently, antidepressant medication (AD) use has increased widely during the last decades. Several classes of antidepressants are used mainly to treat depression, anxiety, and obsessive-compulsive disorders by targeting relevant brain neurochemical pathways. Almost all randomized clinical trials of antidepressants examined patients with no concomitant medications or drugs. This does not address the expected course of therapy and outcome in cannabis users. Cannabis is the most commonly used illicit substance globally. Substantial changes in its regulation are recently taking place. Many countries and US states are becoming more permissive towards its medical and recreational use. The psychological and physiological effects of cannabis (mainly of its major components, tetrahydrocannabinol (THC) and cannabidiol (CBD)) have been extensively characterized. Cannabis use can be a risk factor for depressive and anxiety symptoms, but some constituents or mixtures may have antidepressant and/or anxiolytic potential. The aim of this literature review is to explore whether simultaneous use of AD and cannabis in adolescence can affect AD treatment outcomes. Based on the current literature, it is reasonable to assume that antidepressants are less effective for adolescents with depression/anxiety who frequently use cannabis. The mechanisms of action of antidepressants and cannabis point to several similarities and conjunctions that merit future investigation regarding the potential effectiveness of antidepressants among adolescents who consume cannabis regularly.
How Does Toddlers’ Engagement in Literacy Activities Influence Their Language Abilities?
Authors: Dicataldo Raffaele , Roch Maja
Published: January 2022

The most intensive period of language development is during the first years of life, during which the brain is developing rapidly. Research has shown that children from disadvantaged households who received high-quality stimulation at a young age grew into adults who earned an average of 25% more than those who did not receive these interventions. In addition, it has been suggested that children who show a greater interest in literacy-related activities and voluntarily engage in them are likely to become better readers than children with less interest in literacy. These children’s factors, along with their engagement in literacy activities, are important components in children’s early literacy experiences and may affect their early language development. In this study, we examined associations among maternal education, home literacy environment (HLE), children’s interest and engagement in literacy activities, and language development of 44 toddlers aged between 20 and 36 months. Overall, results showed that only children’s engagement in literacy activities was related to vocabulary and morphosyntactic skills, whereas maternal education, HLE, and children’s interests were not. These results suggest that taking advantage of individual children’s interests by planning activities in which children are fully engaged, may be effective strategies for promoting children’s oral language development.
Internet-Related Disorders and Their Effects on Personality Development in Adolescents from Germany—Results from a Prospective Study
Authors: Müller Kai W. , Beutel Manfred E. , Reinecke Leonard , Dreier Michael , Schemer Christian , Weber Mathias , Schnauber-Stockmann Anna , Stark Birgit , Quiring Oliver , Wölfling Klaus
Published: January 2022

Internet-related disorders (IRD) are increasingly becoming a major health issue. IRD are defined as the predominant use of online content, related to a loss of control and continued use despite negative consequences. Despite findings from cross-sectional studies, the causality of pathways accelerating the development of IRD are unclear. While etiological models emphasize the role of personality as risk factor, mutual influences between IRD and personality have not been examined. A prospective study with two assessments was conducted with n = 941 adolescents (mean age of 13.1 years; 10–17 years). Our aim was to validate etiological assumptions and to examine the effects of IRD-symptoms on the maturation of personality. IRD were measured with the Scale of the Assessment of Internet and Computer game Addiction (AICA-S). Personality traits were assessed using the Brief Five Factor Inventory (BFI). Conscientiousness and neuroticism were predictive for IRD symptoms one year later, and were likewise prone to changes depending on incidence or remission of IRD. Conscientiousness and openness moderated the course of IRD symptoms. Our findings point to complex trait–pathology associations. Personality influences the risk of development and maintenance of IRD symptoms and pre-existing IRD-symptoms affect the development of personality. Adaptations to etiological models are discussed and perspectives for novel intervention strategies are suggested.
Digital Health Interventions by Clinical Pharmacists: A Systematic Review
Authors: Park Taehwan , Muzumdar Jagannath , Kim Hyemin
Published: January 2022

Integrating digital interventions in healthcare has gained increasing popularity among clinical pharmacists (CPs) due to advances in technology. The purpose of this study was to systematically review CP-led digital interventions to improve patients’ health-related clinical outcomes. PubMed and the Cochrane Database were searched to select studies that had conducted a randomized controlled trial to evaluate clinical outcomes in adults following a CP-led digital intervention for the period from January 2005 to August 2021. A total of 19 studies were included in our analysis. In these 19 studies, the most commonly used digital intervention by CPs was telephone use (n = 15), followed by a web-based tool (n = 2) and a mobile app (n = 2). These interventions were provided to serve a wide range of purposes in patients’ outcomes: change in lab values (e.g., blood pressure, HbA1c) (n = 23), reduction in health service use (n = 8), enhancing adherence (n = 6), improvement in drug-related outcomes (n = 6), increase in survival (n = 3), and reduction in health-related risk (e.g., CVD risk) (n = 2). Although the impacts of telephone-based interventions on patients’ outcomes were decidedly mixed, web-based interventions and mobile apps exerted generally positive influences. To date, little research has investigated the cost-effectiveness of digital interventions. Future studies are warranted.
The Social and Natural Environment’s Impact on SARS-CoV-2 Infections in the UK Biobank
Authors: Scalsky Ryan J. , Chen Yi-Ju , Ying Zhekang , Perry James A. , Hong Charles C.
Published: January 2022

COVID-19 has caused a global pandemic with considerable impact. Studies have examined the influence of socioeconomic status and air pollution on COVID-19 risk but in low detail. This study seeks to further elucidate the nuances of socioeconomic status, as defined by the Index of Multiple Deprivation (IMD), air pollution, and their relationship. We examined the effect of IMD and air pollution on the likelihood of testing positive for SARS-CoV-2 among 66,732 UKB participants tested for SARS-CoV-2 from 16 March 2020 through 16 March 2021. Logistic regression was performed controlling for age, sex, ancestry and IMD or air pollution in the respective models. IMD and its sub-scores were significantly associated with increased risk of testing positive for SARS-CoV-2. All particulate matter less than 2.5 μm (PM2.5), nitrogen oxide (NOx), and nitrogen dioxide (NO2) levels were associated with increased likelihood of testing positive for SARS-CoV-2. Measures of green space and natural environment around participants’ homes were associated with reduced likelihood of SARS-CoV-2. Socioeconomic status and air pollution have independent effects on the risk of testing positive for SARS-CoV-2. Green space and natural environment space in the proximity of people’s homes may mediate the effect of air pollution on the risk of testing positive for SARS-CoV-2.
Lung Cancer and Self-Management Interventions: A Systematic Review of Randomised Controlled Trials
Authors: Rowntree Rachel Anne , Hosseinzadeh Hassan
Published: January 2022

Background: Lung cancer is the most common cancer worldwide. Evidence suggests self-management (SM) interventions benefit cancer patients. This review aims to determine the effectiveness of SM interventions for lung cancer patients. Method: Searches occurred in PubMed, Cinahl, ProQuest, Psych Info, Scopus, and Medline, using predefined criteria, assessing randomised controlled trials (RCTs). Results: Five hundred and eighty-seven studies were yielded, 10 RCTs met criteria. Of the total patient pool, 1001 of 1089 had Non-Small Cell Lung Cancer (NSCLC). Six studies tested home-based SM exercise, two studies SM education, and one each for diary utilisation and symptom reporting. Fatigue was the most targeted function. Other functions targeted included exercise capacity, anxiety, depression, quality of life (QoL), sleep quality, and symptom burden. Six studies met their primary endpoints (five SM exercise, one SM education). Positive outcomes are described for fatigue, anxiety/depression, sleep quality, self-efficacy, and exercise capacity. With exception to fatigue, early-stage NSCLC, younger age, female, never smokers, partnered patients experienced increased treatment effect. Conclusions: SM interventions improve outcomes among some lung cancer patients. Interventions targeting fatigue yield benefit despite histology, stage or gender and could encourage broader cohort engagement. Consideration of patient characteristics may predict SM effect. Effectiveness of home-based SM exercise by NSCLC stage and SM tailored to sociodemographic variables requires further research.
Relations among Pro-Environmental Behavior, Environmental Knowledge, Environmental Perception, and Post-Materialistic Values in China
Authors: Xie Jinchen , Lu Chuntian
Published: January 2022

During the economic boom, China’s government was mainly concerned with economic development; however, numerous environmental problems have arisen. Evidence suggests that Chinese individuals’ pro-environmental behavior (PEB) is at a low level in Asia. However, it does not match their high-quality environmental knowledge. In this paper, the database of the Chinese General Social Survey was used to explore the correlation between environmental knowledge and PEB in a broader context. Subsequently, environmental perception and post-materialistic values (PMV) were taken as the mediator and moderator into structural equation modeling, and every variable kept robust and consistent through exploratory factor analysis. The empirical results indicated that: (i) individuals with higher environmental knowledge always show higher passion to PEB; (ii) environmental perception plays a partially mediating role between environmental knowledge and PEB; (iii) PMV moderate the formation of environmental behavior systematically; and (iv) compared with public counterpart, the relation between environmental knowledge and PEB is significantly higher in private environmental behavior. The study results could become the basis for the Chinese government and environmental NGOs to effectively spread environmental knowledge, advocate a post-materialistic lifestyle, and improve the authenticity of online media reports on environmental issues.
Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3
Authors: Mächler Ruth , Sturm Noemi , Frick Eckhard , Schalhorn Friederike , Stolz Regina , Valentini Jan , Krisam Johannes , Straßner Cornelia
Published: January 2022

Background: The “Holistic Care Program for Elderly Patients to Integrate Spiritual Needs, Social Activity and Self-Care into Disease Management in Primary Care” (HoPES3) examines the implementation of a spiritual history (SH) as part of a multifaceted intervention in German general practices. While the effectiveness of the interventions was evaluated in a cluster-randomized trial, this article investigates the patients’ views concerning the acceptability of the SH and its effects. Methods: A mixed-methods study was conducted in which 133 patients of the intervention group filled in a standardized questionnaire after the intervention. Later, 29 of these patients took part in qualitative semi-standardized interviews. Results: According to the survey, 63% (n = 77) of patients found the SH helpful. In the interviews, however, many indicated that they either kept the conversation brief or declined the offer to talk about spirituality. Contents of longer conversations referred to difficult life events, personal sources of strength, and experiences with religious institutions. Many patients who had a longer conversation about spirituality reported that their relationship with their general practitioner (GP) had improved. Almost all patients recommended integrating a personal conversation of this kind into primary care. Conclusions: The SH seems to be a possible ‘door opener’ for a trusting doctor-patient relationship, which can then be built upon.
Current Standards for and Clinical Impact of Emergency Radiology in Major Trauma
Authors: Iacobellis Francesca , Abu-Omar Ahmad , Crivelli Paola , Galluzzo Michele , Danzi Roberta , Trinci Margherita , Dell’Aversano Orabona Giuseppina , Conti Maurizio , Romano Luigia , Scaglione Mariano
Published: January 2022

In industrialized countries, high energy trauma represents the leading cause of death and disability among people under 35 years of age. The two leading causes of mortality are neurological injuries and bleeding. Clinical evaluation is often unreliable in determining if, when and where injuries should be treated. Traditionally, surgery was the mainstay for assessment of injuries but advances in imaging techniques, particularly in computed tomography (CT), have contributed in progressively changing the classic clinical paradigm for major traumas, better defining the indications for surgery. Actually, the vast majority of traumas are now treated nonoperatively with a significant reduction in morbidity and mortality compared to the past. In this sense, another crucial point is the advent of interventional radiology (IR) in the treatment of vascular injuries after blunt trauma. IR enables the most effective nonoperative treatment of all vascular injuries. Indications for IR depend on the CT evidence of vascular injuries and, therefore, a robust CT protocol and the radiologist’s expertise are crucial. Emergency and IR radiologists form an integral part of the trauma team and are crucial for tailored management of traumatic injuries.
Perceptions Underlying Addictive Technology Use Patterns: Insights for Cognitive-Behavioural Therapy
Authors: Lopez-Fernandez Olatz , Romo Lucia , Kern Laurence , Rousseau Amélie , Graziani Pierluigi , Rochat Lucien , Achab Sophia , Zullino Daniele , Landrø Nils Inge , Zacarés Juan José , Serra Emilia , Chóliz Mariano , Pontes Halley M. , Griffiths Mark D. , Kuss Daria J.
Published: January 2022

Cognitive-Behavioural Therapy (CBT) is considered the ‘gold standard’ in the treatment of addictive disorders related to excessive technology use. However, the cognitive components of problematic internet use are not yet well-known. The aim of the present study was to explore the cognitive components, that according to problematic users, can lead to potential internet addiction. A total of 854 European adults completed an online survey using a mixed-methods design. Internet problems and attachment styles were assessed, prevalence rates estimated, correlations, chi-squared automatic interaction detection, and content analysis were performed. Self-reported addictions to social networking, internet, and gaming had a prevalence between 1.2% (gaming) to 2.7% (social networking). Self-perception of the addiction problem and preoccupied attachment style were discriminative factors for internet addiction. In an analysis of qualitative responses from self-identified compulsive internet users, a sense of not belonging and feeling of disconnection during life events were perceived as causes for internet addiction. The development depended on a cycle of mixed feelings associated with negative thoughts, compensated by a positive online identity. The severity of this behaviour pattern produced significant impairment in various areas of the participants’ functioning, suggesting a possible addiction problem. It is suggested that health professionals administering CBT should target unhealthy preoccupations and monitor mixed feelings and thoughts related to internet use to support coping with cognitive distortions.
Assessing the Ecosystem Health of Coastal Wetland Vegetation (Suaeda salsa) Using the Pressure State Response Model, a Case of the Liao River Estuary in China
Authors: Song Ziming , Sun Yingyue , Chen Peng , Jia Mingming
Published: January 2022

Suaeda salsa (S. salsa) is an important ecological barrier and tourism resource in coastal wetland resources, and assessing changes in its health is beneficial for protecting the ecological health of wetlands and increasing finances. The aim was to explore improvements in the degradation of S. salsa communities in the Liao River Estuary National Nature Reserve since a wetland restoration project was carried out in Panjin, Liaoning Province, China, in 2015. In this study, landscape changes in the reserve were assessed based on Sentinel-2 images classification results from 2016 to 2019. A pressure-state-response framework was constructed to assess the annual degradation of S. salsa communities within the wetlands. The assessment results show that the area of S. salsa communities and water bodies decreased annually from 2016 to 2019, and the increased degradation indicators indicate a state of continued degradation. The area of types such as aquaculture ponds and Phragmites australis communities did not change much, while the estuarine mudflats increased year by year. The causes of S. salsa community degradation include anthropogenic impacts from abandoned aquaculture ponds and sluice control systems but also natural impacts from changes in the tidal amplitude and soil properties of the mudflats. The results also indicate that the living conditions of S. salsa in the Liao River estuary wetlands are poor and that anthropogenic disturbance is necessary to restore the original vegetation abundance.
How to Evaluate the Green and High-Quality Development Path? An FsQCA Approach on the China Pilot Free Trade Zone
Authors: Zhou Guanglan , Zhang Zhening , Fei Yulian
Published: January 2022

In today’s world, green development has become an important trend, and many countries regard the development of green industry as an important measure to promote economic restructuring. Green development is consistent with sustainable development in ideology. China’s economy is in the stage of high-quality development. As an important foundation for China’s external economic development, the free trade zone can play a good role in promoting its green and high-quality development. Based on the data of 18 free trade zones in China in 2020, this paper explores the green and high-quality development path of the China Pilot Free Trade Zone. Firstly, the green development index is constructed according to the existing research and experience, and then the fuzzy set qualitative comparative analysis method is used to evaluate the green and high-quality development path. The results show that the development of pilot free trade zones is not the result of a single condition but the result of a combination of green policy effectiveness, foreign investment participation, green production growth rate, and other conditions. Combined with the green and high-quality development path, this paper further provides enlightenment for the development of the China Pilot Free Trade Zone.