bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors Affecting the Occurrence of Mental Health Problems in Female Cancer Survivors: A Nationwide Cohort Study
Authors: Kim So Young , Lee Yeonju , Koh Sang Baek
Published: July 2022

The purpose of this study is to determine the effect of cancer survivorship stage and health-related behaviors on the risk of developing mental health problems (depressive and anxiety disorders) in women who have experienced cancers that affect women (breast cancer, cervical cancer, ovarian cancer, endometrial cancer). Using the healthcare utilization and medical checkup data from 2010 to 2020 provided by the National Health Insurance Service, the occurrence of mental health problems since 2020 was tracked for 36,801 women diagnosed with cancer. The occurrence of mental health problems was defined as the cases in which the disease code was assigned to anxiety disorders (F40~F44, F48) and depressive disorders (F32~34, F41.2, F92) as presented in ICD-10. To evaluate the effect of cancer survivorship stage and health-related behaviors on the development of mental health problems, the hazard ratio (HR) and 95% confidence intervals (CI) were calculated using the Cox proportional hazard model. During the follow-up period of 5.6 years, anxiety disorder occurred in 14,698 (39.9%), and by cancer type, breast cancer survivors accounted for the most at 1.02 per 1000 person-years. The risk of anxiety disorders increased in those who experienced cervical cancer (AHR, 1.08, 95% CI, 1.03–1.13) and those in the acute survivorship stage (AHR, 1.38, 95% CI, 1.22–1.55). In terms of health-related behaviors, the risk of developing anxiety disorder was shown to be reduced in drinkers (AHR, 0.91, 95% CI, 0.87–0.96), former smokers (AHR, 0.86, 95% CI, 0.77–0.97), and current smokers (AHR, 0.80, 95% CI, 0.71–0.90). During the follow-up period of 5.6 years, depressive disorder occurred in 6168(16.8%), and by cancer type, ovarian cancer survivors accounted for the most at 1.30 per 1000 person-years. The risk of developing depressive disorders was highest in those who experienced ovarian cancer (AHR, 1.40, 95% CI, 1.27–1.53) and those in the acute survivorship stage (AHR, 2.99, 95% CI, 2.60–3.42). For health-related behaviors, the risk of developing depressive disorders was increased in former smokers (AHR, 1.32, 95% CI, 1.14–1.54), current smokers (AHR, 1.21, 95% CI, 1.04–1.41), and those with insufficient physical activity (AHR, 1.09, 95% CI, 1.02–1.15). It has been confirmed that cancer type, cancer survivorship stage, and health-related behaviors, such as smoking, drinking, and physical activity, are significantly related to the risk of mental health problems. Thus, it is necessary to develop strategies to cope with mental health problems at the individual and national levels and to develop interventions to promote a more active lifestyle.
Realizing the Improvement of Green Total Factor Productivity of the Marine Economy—New Evidence from China’s Coastal Areas
Authors: Ren Wenhan , Chen Yu
Published: July 2022

Paying attention to the mechanisms of the GTFP of the marine economy and designing a scientific and reasonable optimization path are the keys to achieving a “win-win” balance between environmental protection and high-quality marine development. Therefore, this paper considers the rigid constraints of resources and negative environmental effects to construct a multi-factor evaluation model of the GTFP of the marine economy including capital, labor, and resources to expand the evaluation method system for the sustainable development of the marine economy. On this basis, this paper determines the influencing factors of the GTFP of China’s marine economy, qualitatively analyzes the mechanism of each influencing factor on the GTFP of the marine economy, uses multi-dimensional data of coastal areas, quantitatively analyzes the direct and indirect effects of the factors that influence the GTFP, and proposes practical optimization paths and safeguarding measures, which provide a decision-making reference for the implementation of China’s marine development strategy. The results showed that the GTFP of China’s marine economy was in a state of improvement and increased from 0.9878 in 2006 to 1.2789 in 2018. The direct effects of environmental regulations have a negative and significant impact on GTFP, whereas economic development, human capital, and technological innovations have a positive and significant impact on GTFP. In addition, environmental regulations have an “inclined N” double-threshold effect on GTFP. The impact of environmental regulations on the GTFP of the marine economy depends on the intensity of the environmental regulations, as different intensities of environmental regulations have different dominant levels of the “innovation compensation effect” and “offset effect” that affect the GTFP of the marine economy.
What Counts for the Old and Oldest Old?—An Analysis of Patient Criteria for Choosing a Dentist—Part II: Personal Characteristics and Soft Skills
Authors: Nitschke Ina , Ulbrich Thomas , Schrock Annett , Hopfenmüller Werner , Jockusch Julia
Published: July 2022

Soft skills include communication skills and personality traits that are important when choosing a dentist, but other factors within the dental office also seem to be important for patients. The aim of this study is to evaluate factors that are important to people in a dentist as well as characteristics of the ideal dentist and to evaluate possible age-, gender-, and residence of living specific differences. A telephone survey with participants aged 35 years or older (ag—age group: ag 1: 35–50 years, ag 2: 70–84 years, ag 3: >85 years) in three German cities was conducted. Data were analyzed with respect to gender and age. Most of the participants (n = 298, 64.2%), regardless of their own gender, age, or place of residence did not care about the gender of the dentist. In general, the price of the treatment does not play a role in choosing the ideal dentist. Women differ significantly from men in their choice of dentist (ANOVA p < 0.001 (preference of non-smoker), ANOVA p < 0.001 (preference, that the dentist does not smell of smoke, importance of appearance (ANOVA p < 0.001) and psycho-social skills, etc.). As age increases, professional experience and psycho-social competencies are rated as important. With the increase in age, the mean value of the desired years of professional experience increases without significant differences between age groups. The importance of advanced training (ANOVA p < 0.001; Bonferoni correction: significant difference between ag 1 and ag 2 p < 0.001, and ag 1 and ag 3 p < 0.001) decreases with age. Especially for participants aged 70 to 84 years, a relationship of trust is important. Between the places of residence, statistical differences for almost all surveyed items were found (e.g., importance that the dentist speaks the patients’ native language ANOVA p < 0.001, Bonferoni correction: significant difference between Berlin and Leipzig, Berlin and Mainz, and Leipzig and Mainz (each p < 0.001), dentist has a specialization ANOVA p < 0.001, Bonferoni correction: significant difference between Berlin and Leipzig and Berlin and Mainz (each p < 0.001), etc.). Dentists should be trained to develop psycho-social skills to meet the special demands of the increasing older population.
Nibi and Cultural Affordance at Walpole Island First Nations: Environmental Change and Mental Health
Authors: McKinley Gerald Patrick , Darnell Regna , Jacobs Dean , Williams Naomi
Published: July 2022

Through an application of the Environmental Affordance (EA) Model, this paper explores the impact of environmental degradation on the community at Walpole Island First Nation. We outline how a change in relationships, broadly defined within an Anishinaabek ontology, can impact not only access to the local ecosystem but also how the affordances offered are lost. We base our argument on the local knowledge that nibi (water) is the system upon which all life depends and should therefore be the centre of efforts to maintain community-level mental health. Through the EA model we articulate the need to shift the focus from a human-centered ecosystem services model to an Anishinaabek relational ontology where relationships within ecosystems are bidirectional. As such, when those relationships are damaged through environmental degradation, local mental health and wellness are put at risk.
Methodological Proposal for the Accompaniment and Development of Service+Learning Methodology in Universidad de Las Americas in Chile
Authors: Fuentes-Rubio Mario , Castillo-Paredes Antonio
Published: July 2022

Service+Learning (S+L) is an active teaching methodology that enables students to participate in their teaching and learning process, being guided by the teacher. This methodology allows the student to show all the skills, abilities, tools and theoretical-practical knowledge since they are placed at the service of the community partner, which in the case of pedagogies translates into pedagogical practice centers. This transfer must be guided and mediated by the teacher, allowing to provide a response to the requirements of the practice center through the “S+L Booklet”, developed as a methodological proposal for the intermediate practice subject of the Universidad de Las Américas Physical Education Pedagogy career. This instrument takes 15 weeks of weekly development with the proposal, adjustment, development-implementation, monitoring, evaluation and feedback by the students and the teacher of the subject.
How Has China Structured Its Ecological Governance Policy System?—A Case from Fujian Province
Authors: Zhang Xiaojun , Wang Weiqiao , Bai Yunan , Ye Yong
Published: July 2022

Ecological civilization (EC) has been seen as the final goal of social and environmental reform within a given society. Much attention has been paid to the national governmental level in previous studies, and district- and local-level government actions have been a lower priority, which may have led to overlooking key details of management institutions and policy systems in relation to EC. In this research, we aimed to make a significant contribution to the literature by tracing the EC trajectory and policy transitions. Through bibliometric analysis of policy documents, we reviewed the EC construction system for Fujian Province from 2004 to 2020. The policy priorities, organization-functional network, and contributing factors to policy changes in each of the three phases are discussed in depth. Target setting, actors’ functions, and institutional guarantees are the core elements of EC construction. This research provides a quantitative foundation for understanding policy reform and transition with regards to Chinese local governments’ EC actions. The experience of Fujian Province shows trends toward legalization, multi-actor linkage, and issue refinement that may serve as a basis for other countries and regions in order to explore the promotion of sustainable development and environmental governance as pathways to EC.
Occupational Health Sufferings of Child Waste Workers in South Asia: A Scoping Review
Authors: Sara Hasna Hena , Bayazid Anisur Rahman , Quayyum Zahidul
Published: July 2022

Background: Child labor remains a health hazard, affecting the mental, physical, and emotional well-being of children. Children engage in waste management through various channels while constantly working to create a healthier and cleaner environment and exposing themselves to numerous health risks. Thus, this scoping review aims to explore the occupational injuries, health hazards, and sufferings of child waste workers in South Asia. Methods: Following the PRISMA guidelines, a scoping review of available relevant scientific literature was completed to comprehensively analyze the extent of child waste workers’ health suffering. Online databases PubMed, SCOPUS, and Google Scholar were searched for predefined criteria. Collected references were screened with Rayyan web tools and Endnote. Based on study inclusion criteria, a thematic synthesis was performed on the findings of 12 articles. Results: This study’s findings provided deep insights into the most prevalent occupational health sufferings among child waste workers, as depicted in the available literature. Prevalence of injuries like cuts and wounds was found predominant. These injuries are caused by the collection, transportation, dumping, and recycling of waste. Respiratory, musculoskeletal, and skin diseases are more prevalent among child waste worker children than in control groups of the same socioeconomic backgrounds. A higher chance of genetic or neuro-degenerative disorder and DNA mutation indicates a long-term effect on the children working in the waste management sector. Psychological sufferings were the least explored, although very common among child laborers. MPD (Minor Psychiatric Disorder) was very high among waste workers. Regarding healthcare-seeking behavior, traditional methods are preferable rather than formal health facilities. More research is required in this area due to a lack of evidence on the health problems of child waste workers. Conclusions: Occupational hazards were myriad among child waste workers. Though many children are involved in waste management, they are typically excluded from mainstream child protection and support systems, making them more exposed to occupational harassment and injury. Policymakers should design specific programs for these vulnerable groups considering the issues below, i.e., provide protective equipment such as facemasks, gloves, footwear, and rag sorting tools to safeguard them from physical damage and illness, ensure access to health care, to school, and provide basic nutrients to them. Furthermore, the authorities should think of alternative income generating programs for these groups of children.
Physical Activity, Life Satisfaction, Stress Perception and Coping Strategies of University Students in Belarus during the COVID-19 Pandemic
Authors: Shpakou Andrei , Naumau Ihar A. , Krestyaninova Tatyana Yu. , Znatnova Alena V. , Lollini Svetlana V. , Surkov Sergei , Kuzniatsou Aleh
Published: July 2022

The COVID-19 restrictions in Belarus turned out to be less stringent than those of its neighboring countries. Objective: We aimed to evaluate physical activity, life satisfaction, perception of stress, choice of coping strategies and their correlations among Belarusian students. An anonymous Internet survey was conducted among 1769 students studying at the faculties of physical culture (415), pedagogical (737), and medical (617) universities. International Physical Activity Questionnaires (IPAQ) and Satisfaction With Life Scale (SWLS), Perceived Stress Scale-10 (PSS-10), and Coping Orientations to Problems Experienced (mini-COPE) questionnaires were used. The respondents declared sufficient and high levels of physical activity. The level of physical activity was correlated with life satisfaction (typically for student-athletes). The least satisfaction with life and highest level of perceived stress were among future doctors. The minimum indicator of stress was noted in athletes. The most common coping strategy was active coping. Strategies of problem avoidance and seeking support from outside were not used by student-athletes. These strategies were used by pedagogical and medical students. Student-athletes have the most favorable opportunities, followed by representatives of pedagogical and medical students. The proposed classification of the levels of behavior (optimal, acceptable, satisfactory and risky) makes it possible to adjust lifestyles.
The Assessment of Early Server Childhood Caries Status in Abandoned Institutionalized Children
Authors: Stoica Oana Elena , Esian Daniela , Bud Anamaria , Stoica Alexandra Mihaela , Beresescu Liana , Bica Cristina Ioana
Published: July 2022

Oral health is a critical indicator of children’s quality of life, which at this early age, depends exclusively on the attention, involvement, and guidance of parents or caregivers. Assessing carious damage and measuring the prevalence of early severe tooth decay in temporary teeth in children is obtained by calculating the dmft index, giving the sum of an individual’s decayed, missing, and filled teeth. The aim of our study was to conduct a clinical examination of the oral status of institutionalized children from Romania. We selected and included in the study 144 children, both boys and girls in equal number, with ages of five or six years old, from which 110 were eligible for the study and met the inclusion criteria. Of all children, 20.90% were five years old girls, 27.27% five years old boys, 26.36% six years old girls, and 25.46% six years old boys. Of all, 10,45% had more than three incisors presenting decays, equally affected by gender. Of the boys’ group, 20% of age six had more de two canines affected, and 26.7% of five years old girls had more than three affected canines. Of the five years boys’ group, 24.3% had more than three affected temporary molars, 44.9% of six years boys had more than five. Of the five years old girls, 33.3% had more than four temporary molars affected and, 56.6% of the six years old girls’ group had more than five molars presenting carious lesions. The dental status and dmft values were similar for five years old and six years old children and similar boys and girls. Due to the vulnerability of young children that consists not only in their inability to identify, express, and address their own needs but also the lack of parental support, lack of an optimal diet for age, and proper hygiene, they reach adolescence with an impaired dental status, inappropriate for their age.
Static Foot Disturbances and the Quality of Life of Older Person with Rheumatoid Arthritis
Authors: Kaniewska Katarzyna , Kuryliszyn-Moskal Anna , Hryniewicz Anna , Moskal-Jasińska Diana , Wojciuk Mariusz , Dzięcioł-Anikiej Zofia
Published: July 2022

Disturbed static foot function is one of the main causes of impaired quality of life, which may be related to the frailty syndrome of older adult patients with Rheumatoid Arthitis (RA). The aim of the study was to evaluate the relationship between parameters of static foot function disturbances and quality of life of older adult patients with RA. The study was performed among 102 patients with RA diagnosed according to the American College of Rheumatology (ACR) and EULAR 2010 criteria. Patients were divided into four subgroups depending on radiological evaluation according to the Steinbrocker classification. Plantoconturography examination was conducted using a podoscope with a 3D scanner and software for computer foot examination CQ ST2K. Quality of life of patients with RA was evaluated using the Arthritis Impact Measurement Scales-2 (AIMS-2). A statistically significant relationship between AIMS-2 and parameters of static foot function disturbances was observed. The study revealed correlations between parameters of disturbed static foot function and RA severity in comparison to disease duration. Our results indicate a relationship between static foot function disturbances and quality of life of patients with RA, not only in the area of physical activity, but also in the social an emotional domain. Study results indicate that plantoconturography and assessment of quality of life using AIMS-2 could be useful as a diagnostic and prognostic tool in RA.
Factors Associated with Delayed Diagnosis among Patients with COVID-19 in Okinawa, Japan
Authors: Oiwake Hinako Yamaguchi , Nonaka Daisuke , Toyosato Takehiko
Published: July 2022

The delayed presentation and diagnosis of COVID-19 can contribute to spread of the disease to others but can also cause severe conditions. This study examined factors associated with delayed diagnosis among patients with COVID-19 in Okinawa, Japan. We used the data from 7125 reported cases of people living in Okinawa prefecture with symptom onset between September 2020 and March 2021. The outcome variable was the number of days from symptom onset to diagnosis. The predictor variables included age, sex, occupation, residential area, presumed infection route, and the day of the week. Cox regression analysis was used to compare the outcome between categories for each predictor variable. The median number of days from onset to diagnosis was 3 days, with an interquartile range of 1 to 5 days. Significantly more time from onset to diagnosis was observed in patients in their 60s vs. those in their 20s (hazard ratio: 0.88; 95% confidence interval: 0.81–0.96); hospitality workers were compared to office workers (0.90; 0.83–0.97), patients with unknown infection routes to those with known infection routes (0.77; 0.70–0.84), and those with symptom onset on Sundays/national holidays to those with symptom onset on weekdays (0.90; 0.85–0.96).
Effect of Low High-Density Lipoprotein Level on Endothelial Activation and Prothrombotic Processes in Coronary Artery Disease—A Pilot Study
Authors: Lampka Magdalena , Olszewska-Słonina Dorota , Hołyńska-Iwan Iga , Grąbczewska Zofia , Obońska Karolina , Cwynar Anna , Stępowska Justyna , Szewczyk-Golec Karolina
Published: July 2022

High-density lipoproteins (HDL) play an important role in the prevention of atherosclerosis. The aim of the study was to assess the relationship between serum HDL-C concentration and proinflammatory/prothrombic activation in coronary artery disease (CAD) patients. The study group included 27 acute myocardial infarction (AMI) patients and 30 stable angina pectoris (SA) patients. The control group consisted of 23 people without cardiac symptoms. In the AMI and SA groups, a lower HDL-C and a higher LDL-C/HDL-C index were observed. The SA patients had lower total cholesterol, LDL-C, sE-selectin ligand, as well as higher triglycerides and CD40 concentration in comparison with both the control and AMI groups. A higher von Willebrand Factor and intercellular adhesion molecule-1 were found in both study groups. Low HDL-C concentration in the CAD patients may intensify pro-inflammatory endothelial activation and prothrombotic processes. A low concentration of HDL-C and a high value of the LDL-C/HDL-C index seem to be better indices of atherogenic processes than the LDL-C concentration alone.
Body Composition of Female Air Force Personnel: A Comparative Study of Aircrew, Airplane, and Helicopter Pilots
Authors: Bustamante-Sánchez Álvaro , Nikolaidis Pantelis T. , Clemente-Suárez Vicente Javier
Published: July 2022

This research aimed to analyze the body composition (BC) of different groups of women aircrew units in the Spanish Air Forces for a better understanding and improvement of their operability. Specifically, 184 female aircrew members were analyzed and classified into specialties (38 airplane pilots, age: 32.8 ± 10.8; 26 helicopter pilots, age: 32.0 ± 9.18; and 120 transport aircrew, age: 36.9 ± 8.18). The women’s BC was analyzed with an InBody720 bioimpedance device previously used in the military population. There were differences in the BC among specialties, although there were similarities between airplane and helicopter pilots. Airplane (24.0% ± 10.4%) and helicopter pilots (22.6 ± 6.32%) had a smaller percentage of body fat mass than transport aircrew (26.3 ± 7.51%), but there was uniformity among groups in skeletal muscle mass and soft lean mass. We found no differences in body water among specialties. Differences in BCs were previously reported for men in the air force, and these results in women showed similarities for different job entry requirements, different training needs, and different occupational behaviors among units in the Air Force. These results help to deepen the previous knowledge of women’s BC standards in military units. Although pilots are primarily responsible for the aircraft, healthy habits should be encouraged to keep fit and improve the performance of all aircrew members both in flight and when they are deployed.
Number of Children and Female Labor Participation in China
Authors: Wang Ke , Zhang Guitao , Yu Mengru , Gao Yangfei , Shi Yangyan
Published: July 2022

The continuous decrease in the number of women of childbearing age and the consequent decrease in reproductive willingness have contributed to the continuous decrease in labor participation among Chinese women, which has negatively affected the stable socioeconomic development in terms of health. This paper deeply explores the intrinsic relationship between the number of children and women’s labor participation based on 2016 data from China Labor-force Dynamic Survey (CLDS). Our results show that there is an “inverted U-shaped” relationship between the number of children and the rate of women’s labor involvement; in other words, women’s labor participation shows a trend with the increase in the number of children, first rising and then falling; meanwhile, the relationship is more pronounced among women in eastern and central regions and towns. To this end, this study provides a theoretical research basis to effectively alleviate women’s selective pressure at home and work, and has a certain reference value for the Chinese government to improve women’s employment environment.
What Do We Know Today about Long COVID? Nursing Care for a New Clinical Syndrome
Authors: Cárdaba-García Rosa M. , Durantez-Fernández Carlos , Pérez Lucía Pérez , Barba-Pérez María Ángeles , Olea Elena
Published: July 2022

Persistent COVID, long COVID, long-effects, long-term effects or chronic COVID are all names of a new syndrome caused by a set of multi-organ symptoms that appear after having been infected with SARS-CoV-2 [...]
The Impact of Environmental Commitment on Green Purchase Behavior in China
Authors: Sun Xixiang , Tian Ziyuan , Wang Jianguo , Su Weihuan
Published: July 2022

There is no consensus on whether environmental commitment can promote green purchase behavior. Especially in the Chinese context, the validity and internal mechanism of the impact of environmental commitment on green purchase behavior have not been deeply studied. Based on Norm Activation Theory and Theory of Planned Behavior, this study explores the influence mechanism of environmental commitment on consumers’ green purchase behavior. Research data were derived from China, and analyzed using randomized control trials. Results reveal that environmental commitment significantly promotes green purchase behavior. Anticipated pride and anticipated guilt mediate the relationship between environmental commitment and green purchase behavior. Social norms moderate the positive effect of environmental commitment on anticipated pride and anticipated guilt. Compared with low social norms, environmental commitment has a greater effect on anticipated pride and anticipated guilt in the case of high social norms. This study provides new insight into environmental commitment and how to promote green purchase behavior, and the findings could help governments and marketers to formulate future policies and strategies to promote consumers’ green purchase behavior.
Effect of N95 Respirator on Oxygen and Carbon Dioxide Physiologic Response: A Systematic Review and Meta-Analysis
Authors: Wangsan Kampanat , Sapbamrer Ratana , Sirikul Wachiranun , Panumasvivat Jinjuta , Surawattanasakul Vithawat , Assavanopakun Pheerasak
Published: July 2022

During the COVID-19 pandemic, N95 respirators were commonly used in many situations. Respiratory problems from prolonged use of respirators were discussed in many studies, which show varied results. From the inconclusive results, the current systematic review and meta-analysis discerned the effects of the N95 respirator by assessing the oxygen and carbon dioxide changes in both high- and low-to-moderate-intensity physical activities in a healthy population. Thirteen studies were identified for inclusion in the study. In high-intensity physical activities, our meta-analysis showed borderline lower oxygen saturation and higher carbon dioxide partial pressure, but oxygen saturation did not change in low-to-moderate physical activity. The use of N95 respirators could statistically affect the physiologic changes of carbon dioxide and oxygen in high-intensity physical activity among healthy participants, but this may not be clinically significant. Some users who have certain health conditions, such as respiratory problems, should be informed of the clinical symptoms related to hypercarbia and hypoxia for the early detection of adverse effects of N95 respirators.
Comparative Study of Sampling and Measurement Methods for the Development of CH4 Emission Factors at MSW Incinerators
Authors: Kang Seongmin , Woo Jiyun , Jeon Eui-chan
Published: July 2022

Lung samplers (periodic sampling) have generally been used to develop CH4 emission factors in waste incineration facilities. Since this method must be calculated using only the value at a specific point in time, it may not reflect the emission characteristics depending on the circumstances of the facility. In order to supplement this method, a method of continuously collecting samples for a long period of time or continuously measuring may be used. In this study, the CH4 emission factor development and titration methodology were reviewed using both the existing methods and the newly proposed continuous sampling and continuous measurement methods. As a result of the analysis, the average emission factor by periodic sampling was 0.201 gCH4/ton-waste, the average emission factor by continuous capture was 0.199 gCH4/ton-waste, and the average emission factor by continuous measurement was 0.176 gCH4/ton-waste. There was a difference of 0.025 gCH4/ton-waste in the emission factor values by periodic sampling and continuous measurement, and the emission factor values for periodic sampling and continuous sampling were similar. There was no statistically significant difference, confirming that all three methods could be used. However, the existing method, periodic sampling, cannot reflect the characteristics of the night, and, in the case of continuous measurement, expensive equipment and maintenance are difficult. Therefore, it is judged that the method using continuous sampling is a good method that can combine the two advantages.
An Empirical Study of the Behaviors of Korean Golf Travelers Based on the Choice Attributes of Golf Courses in Southeast Asia
Authors: Lee Sheng-Yen , Lee Ryang-Suk
Published: July 2022

The purpose of this study was to understand customer behavior among Korean golf travelers based on the choice attributes of golf courses in Southeast Asia. This study was based on Creswell and Clark’s triangulation design, a mixed-methods research framework that compares the results of quantitative and qualitative investigations. The results of the quantitative study were as follows. ‘H1. Golf course choice attributes will have a positive effect on customer satisfaction’ was partially accepted. Among choice attributes, course management, price, operations management, and lodgings had an effect on customer satisfaction. ‘H2. Customer satisfaction will have a positive effect on intention to revisit’ was accepted. ‘H3. Customer satisfaction will have a mediation effect on the relationship between intention to revisit, and golf course choice attributes’ was partially accepted. Among choice attributes, customer satisfaction only showed a mediating effect in the relationship of intention to revisit with course management and price. The novelty of this study is that we performed mixed-methods research, which has not been carried out in previous studies. Furthermore, we conducted in-depth interviews only with golfers who visited courses in South Asia, selected based on their duration and purpose of the visit. The results of the qualitative study were compared with those of the quantitative study to provide empirical evidence that can be used to help domestic golf travel industry and golf courses in Southeast Asia.
Content Validity Assessment of the Revised Illness Perception Questionnaire in CKD Using Qualitative Methods
Authors: Rivera Eleanor , Levoy Kristin , Clark-Cutaia Maya N. , Schrauben Sarah , Townsend Raymond R. , Rahman Mahboob , Lash James , Saunders Milda , Frazier Rebecca , Rincon-Choles Hernan , Hirschman Karen B.
Published: July 2022

Background: The Revised Illness Perception Questionnaire (IPQ-R) measures individuals’ unique perceptions of their illness. While psychometric properties of the IPQ-R have been demonstrated in many disease populations, its content validity has not been extensively studied in non-dialysis chronic kidney disease (CKD). Unique features of CKD (e.g., few symptoms in early stages) may impact the measurement of illness perceptions. The purpose of this study was to explore the IPQ-R content validity in a sample of CKD patients. Methods: Thirty-one participants completed the IPQ-R and were interviewed regarding their subscale scores (timeline, consequences, personal control, treatment control, coherence, cyclical, and emotions). Participants’ agreement with their scores was tallied and assessed qualitatively for themes related to the content validity of the measure. Results: Individual participant agreement with their subscale scores averaged 79% (range: 29–100%). Subscale agreement varied: timeline (100%), consequences, coherence, and emotion (83% each), cyclical (75%), personal control (65%), and treatment control (64%). A qualitative exploration of disagreement responses revealed concerns with the relevance and comprehensibility of personal control and treatment control. Conclusions: Some IPQ-R subscales may pose content validity concerns in the non-dialysis CKD population. Item modification for comprehensibility (personal control) and relevance (treatment control) should be considered. Future studies should explore the impact of a patient’s symptom experience on IPQ-R validity, especially in populations like CKD with a higher proportion of asymptomatic patients.
Barriers, Facilitators and Experiences Linked to a Work-Related Case Management in Individuals with Substance Abuse Disorders
Authors: von der Warth Rieka , Kessemeier Franziska , Farin-Glattacker Erik
Published: July 2022

Individuals with substance abuse disorders experience trouble with the return to work or finding a stable workplace. At the same time, unemployment has negative effects on substance abuse. Work-related case management programs are often used to support the return to work in individuals with substance abuse disorders. This paper describes the experiences, perceived barriers, and facilitators, and their possible relations of people participating in a 12 month case management in Germany to support the return to work and to stabilize their workplace. For this purpose n = 15 interviews with the case management participants were conducted between December 2020 and September 2021. Data analysis followed a content analysis. The category system emerged is based on both the literature and the interview data. We describe several barriers and facilitators such as work motivation, experience with the case manager, and experience with the social security system. Furthermore, possible relationships between different barriers and facilitators are described. It will further be described how facilitators, especially the case manager, can help to overcome barriers, and how this might affect the intervention outcome.
RANTES and CD40L under Conditions of Long-Term Physical Exercise: A Potential Link to Adaptive Immunity
Authors: Lenz Max , Schönbauer Robert , Stojkovic Stefan , Lee Jonghui , Gatterer Constantin , Lichtenauer Michael , Paar Vera , Emich Michael , Fritzer-Szekeres Monika , Strametz-Juranek Jeanette , Graf Senta , Sponder Michael
Published: July 2022

Regular physical exercise was found to be associated with an improved immune response in previous studies. RANTES and CD40L play a pivotal role in host defense, and individuals lacking adequate expression are prone to virus and opportunistic infections. A total of 98 participants were enrolled in this study. The probands were asked to perform moderate physical activity, and bicycle stress tests were performed at the baseline and after 8 months of training to evaluate individual performance. RANTES and CD40L were found to be increased by long-term physical exercise. In particular, probands with a performance gain of ≥3% displayed a pronounced elevation of both markers, paired with a decrease in circulating IL6 levels and an improved lipid profile. In summary, we were able to highlight rising levels of serum RANTES and CD40L under the conditions of physical exercise. Taking their role in host defense into account, a conjunction of physical activity and the adaptive immune system could therefore be assumed. Furthermore, low inflammatory profiles in probands with a significant performance gain suggest a modulation through exercise rather than a generalized pro-inflammatory status.
Dyadic Predictors of Child Body Shame in a Polish and Italian Sample
Authors: Czepczor-Bernat Kamila , Modrzejewska Justyna , Modrzejewska Adriana , Calandri Emanuela , Gattino Silvia , Rollero Chiara
Published: July 2022

The present study aimed at assessing the predictors (related to the functioning of a parent-child dyad) of child body shame. Therefore, in the main analysis we examined relationships among child body shame, child perfectionism, child body dissatisfaction, parent body shame, parent perfectionism, and parent body dissatisfaction. In our main hypothesis we assumed that higher levels of the abovementioned parent functioning-related variables would be associated with higher child body shame after accounting for the effects of the foregoing child functioning-related variables. The analysis finally included complete data from 420 participants, i.e., a 115 Polish and 95 Italian parent-child dyad. Participants completed: (a) child: the Objectified Body Consciousness Scale for Youth, the Child-Adolescent Perfectionism Scale, the Children’s Body Image Scale/the Figure Rating Scale; (b) parent: the Objectified Body Consciousness Scale, the Frost Multidimensional Perfectionism Scale, and the Contour Drawing Rating Scale. The results of a correlational analysis show that in both the Polish and Italian samples, the higher the level of child body shame, the higher the level of the following variables: child perfectionism, child body dissatisfaction, parent perfectionism, and parent body dissatisfaction. Interestingly, the only insignificant relationship in both samples is the association between body shame in both members of the child-parent dyad. Moreover, all steps of the regressions were significant in both Polish and Italian samples. It turned out that only in the Italian sample were all predictors significantly associated with a child’s body shame (in the Polish sample there was no significant association between child’s body shame and parent’s perfectionism). To sum up, the above studies show the importance of considering the functioning of the parent-child dyad in understanding child body shame. These findings suggest that parents’ attitudes toward their bodies and their beliefs about an ideal self should be taken into account when planning interventions to improve children’s and adolescents’ attitudes toward their bodies. This is so because it is possible for children to internalize their parents’ beliefs about how to look and how critical one should be of themselves, which can result in strong body shame when they are not perfect enough against the internalized ideal. Therefore, it is also necessary to make parents aware that children’s attitude toward their body is often a reflection of parents’ attitude toward the body.
Risk Factors of Sports-Related Injury in School-Aged Children and Adolescents: A Retrospective Questionnaire Survey
Authors: Shigematsu Ryosuke , Katoh Shuta , Suzuki Koya , Nakata Yoshio , Sasai Hiroyuki
Published: July 2022

Studies conducting quantitative surveys in school-aged children and adolescents help identify sports-related risk factors for acute and overuse injuries are scarce. This study aimed to quantify the risk factors for sports-related injury in school-aged children and adolescents by school categories. University students (n = 484) retrospectively recalled their sports experiences and related injuries in a questionnaire according to the following school categories: lower elementary school (LE), upper elementary school (UE), junior high school (JH), and high school (H). Both sports-related acute and overuse injuries were recorded. After adjusting various covariates, weekly hours in sports were identified as a significant risk factor in LE and UE. The interaction of weekly hours in sports and sports specialization was significant in LE and UE, suggesting that early specialization would be a risk factor in lower school categories. In JH and H, female sex, high-level competition, and injury experienced in a previous school category were significantly related to sports-related injuries. In conclusion, weekly hours in sports, high-level competitions, previous injury experience, and sex were confirmed as risk factors in specific school categories. Most identified risk factors are modifiable, suggesting that sports-related injuries can be prevented in school-aged children and adolescents.
Validation of the Simplified Malaysian Psychosocial Impact of Dental Aesthetics Questionnaire for the Sociodental Approach to Estimate the Orthodontic Treatment Need
Authors: Wan Hassan Wan Nurazreena , Makhbul Mohd Zambri Mohamed , Othman Siti Adibah , Yusof Zamros Yuzadi Mohd
Published: July 2022

(1) This study aimed to generate a simplified form of the Malaysian psychosocial impact of dental aesthetics questionnaire (PIDAQ[M]) and validate its use in the sociodental approach for estimating orthodontic treatment need. (2) Two eight-item forms were derived: an impact simplified PIDAQ[M] (ISP8), comprising the most impactful items as rated by 35 participants, and a regression simplified PIDAQ[M] (RSP8), derived from regression analysis of 590 participants’ data from the PIDAQ[M] validation study. Their psychometric performances were assessed for internal consistency, validity (criterion and construct), reproducibility (reliability and agreement), and responsiveness to change. The sociodental estimates were based on 204 orthodontic patients’ data who were assessed for normative need, impact-related need, and propensity-related need. McNemar analysis compared the sociodental estimates when both simplified PIDAQ[M] forms and the original PIDAQ[M] were used to measure impact-related need. (3) Both simplified PIDAQ[M] forms were valid, reproducible, and responsive. The sociodental estimates when using the ISP8 (38.2%) were similar to when the PIDAQ[M] (35.8%) was used (p > 0.05) but overestimated by 3.4% (p < 0.05) when the RSP8 (39.2%) was used as the assessment tool. (4) The simplified PIDAQ[M] can replace the original PIDAQ[M] in the sociodental approach to estimate the orthodontic treatment needs of the Malaysian population.
Test of Gross Motor Development-3: Item Difficulty and Item Differential Functioning by Gender and Age with Rasch Analysis
Authors: Valentini Nadia Cristina , Duarte Marcelo Gonçalves , Zanella Larissa Wagner , Nobre Glauber Carvalho
Published: July 2022

The assessment of motor proficiency is essential across childhood to identify children’s strengths and difficulties and to provide adequate instruction and opportunities; assessment is a powerful tool to promote children’s development. This study aimed to investigate the hierarchal order of the Test of Gross Motor Development-Third Edition (TGMD-3) items regarding difficulty levels and the differential item functioning across gender and age group (3 to 5, 6 to 8, and 9 to 10 years old). Participants are 989 children (3 to 10.9 years; girls n = 491) who were assessed using TGMD-3. For locomotor skills, appropriate results reliability (alpha = 1.0), infit (M = 0.99; SD = 0.17), outfit (M = 1.18; SD = 0.64), and point-biserial correlations (rpb values from 0.14 to 0.58) were found; the trend was similar for ball skills: reliability (alpha = 1.0), infit (M = 0.99; SD = 0.13), outfit (M = 1.08; SD = 0.52); point-biserial correlations (rpb values from 0.06 to 0.59) were obtained. Two motor criteria: gallop, item-1, and one-hand forehand strike, item-4, were the most difficult items; in contrast, run, item-2, and two-hand catch, item-2, were the easiest items. Differential item functioning for age was observed in nine locomotor and ten ball skills items. These items were easier for older children compared to younger ones. The TGMD-3 has items with different difficulty levels capable of differential functioning across age groups.
Green Vehicle-Routing Problem of Fresh Agricultural Products Considering Carbon Emission
Authors: Yao Qi , Zhu Shenjun , Li Yanhui
Published: July 2022

The need to reduce carbon emission to cope with climate change has gradually become a global consensus, which also poses a great challenge to cold-chain logistics companies. It forces them to implement green distribution strategies. To help the distribution companies reduce carbon emission, this paper studies two aspects—carbon tax value and investing in the freshness-keeping cost—and proposes corresponding solutions. A new green vehicle-routing model for fresh agricultural products with the goal of minimizing the total cost is proposed. To solve the model proposed, an improved ant-colony optimization (IACO) is designed specifically. On one hand, the experimental results show that the increase in carbon tax will restrict the carbon emission behaviors of the distribution companies, but it will also reduce their economic benefits to a certain extent, at the same time. On the other hand, investing in the freshness-keeping cost can help actively achieve the carbon emission reduction target, reduce the loss of fresh agricultural products in the distribution process, improve the company’s economic benefits and satisfy customers. The comparison results of different algorithms prove that the IACO proposed in this paper is more effective in solving the model, which can help increase the economic benefits of the companies and reduce carbon emission. This study provides a new solution for cold-chain logistics distribution companies to reduce carbon emission in the distribution process, and also provides a reference for government departments to formulate carbon tax policies.
Management of Type 2 Diabetes Mellitus in Elderly Patients with Frailty and/or Sarcopenia
Authors: Sanz-Cánovas Jaime , López-Sampalo Almudena , Cobos-Palacios Lidia , Ricci Michele , Hernández-Negrín Halbert , Mancebo-Sevilla Juan José , Álvarez-Recio Elena , López-Carmona María Dolores , Pérez-Belmonte Luis Miguel , Gómez-Huelgas Ricardo , Bernal-López Maria Rosa
Published: July 2022

The life expectancy of the population is increasing worldwide due to improvements in the prevention, diagnosis, and treatment of diseases. This favors a higher prevalence of type 2 diabetes mellitus (T2DM) in the elderly. Sarcopenia and frailty are also frequently present in aging. These three entities share common mechanisms such as insulin resistance, chronic inflammation, and mitochondrial dysfunction. The coexistence of these situations worsens the prognosis of elderly patients. In this paper, we review the main measures for the prevention and management of sarcopenia and/or frailty in elderly patients with T2DM.