bluuebunny/crossref_metadata_2025 huggingface dataset:
Symptoms of Anxiety and Depression and Sense of Coherence in Patients Undergoing Carotid Artery Stenting
Authors: Piegza Magdalena , Jaworska Izabela , Bujak Kamil , Dębski Paweł , Kunert Łukasz , Badura-Brzoza Karina , Żerdziński Maciej , Błachut Michał , Piegza Jacek
Published: September 2022

Background: The sense of coherence is lower in patients with somatic diseases and psychiatric disorders. Purpose: The purpose of this study was to evaluate the intensity of depression and anxiety symptoms and their relationship with the sense of coherence and to try to determine the relationship between the strength of sense of coherence and symptoms of depression and anxiety with the presence of symptoms of carotid atherosclerosis in a group of patients undergoing carotid artery stenting. Methods: 35 patients, including 13 with symptomatic atherosclerosis in the carotid arteries, completed self-report tests: Hospital Scale of Depression and Anxiety (HADS) and the SOC-29 Life Orientation Questionnaire (SOC-29), 22 of whom also rated their subjective feelings of anxiety and depression on a scale included in the author’s questionnaire. Results: Both symptomatic and asymptomatic patients did not differ significantly in the severity of depression, but they differed in anxiety levels as assessed by the HADS scale. There were no differences in the overall strength of sense of coherence and its individual components. Nearly 12% of those undergoing carotid artery stenting have pronounced anxiety symptoms, and just over 14% have pronounced depression symptoms. A higher overall sense of coherence and its components are associated with lower severity of depression symptoms. Lower severity of anxiety correlates negatively with a higher sense of understanding, meaningfulness, and holistic Sense of Coherence (SOC). Manageability appeared higher in men. Conclusions: SOC is an important health-promoting factor that is preferably related to mental health parameters of patients with carotid atherosclerosis.
A Preliminary Study of Bacterioplankton Community Structure in the Taiyangshan Wetland in Ningxia and Its Driving Factors
Authors: Zhao Rui-Zhi , Zhang Wei-Jiang , Zhang Wen , Zhao Zeng-Feng , Qiu Xiao-Cong
Published: September 2022

The Taiyangshan Wetland, a valuable wetland resource in the arid zone of central Ningxia, is critical for flood storage and drought resistance, climate regulation, and biodiversity protection. Nevertheless, the community structure and diversity of bacterioplankton in the Taiyangshan Wetland remains unclear. High-throughput sequencing was used to analyze the differences in bacterioplankton structure and major determinants in the Taiyangshan Wetland from April to October 2020. The composition and diversity of the bacterioplankton community varied significantly in different sampling periods but showed negligible differences across lake regions. Meanwhile, the relative abundances of bacterioplankton Bacteroidetes, Actinobacteria, Firmicutes, Chloroflexi, Tenericutes, Epsilonbacteraeota, and Patescibacteria were significantly different in different sampling periods, while the relative abundances of Cyanobacteria in different lake regions were quite different. Network analysis revealed that the topological attributes of co-occurrence pattern networks of bacterioplankton were high, and bacterioplankton community compositions were complicated in the month of July. A mantel test revealed that the bacterioplankton community in the entire wetland was affected by water temperature, electrical conductivity, dissolved oxygen, salinity, total nitrogen, ammonia nitrogen, chemical oxygen demand, fluoride, and sulfate. The bacterioplankton community structure was affected by ten environmental parameters (e.g., water temperature, dissolved oxygen, salinity, and permanganate index) in April, while the bacterioplankton community was only related to 1~2 environmental parameters in July and October. The bacterioplankton community structure in Lake Region IV was related to seven environmental parameters, including dissolved oxygen, pH, total nitrogen, and chemical oxygen demand, whereas the bacterioplankton community structures in the other three lake regions were related to two environmental parameters. This study facilitates the understanding of the bacterioplankton community in wetlands in arid areas and provides references to the evaluation of aquatic ecological management of the Taiyangshan Wetland.
The Influence of Motivators and Barriers to Exercise on Attaining Physical Activity and Sedentary Time Guidelines among Canadian Undergraduate Students
Authors: Pellerine Liam P. , Bray Nick W. , Fowles Jonathon R. , Furlano Joyla A. , Morava Anisa , Nagpal Taniya S. , O’Brien Myles W.
Published: September 2022

Canadian 24 h movement guidelines recommend engaging in >150 min/week of moderate–vigorous-intensity physical activity and ≤8 h/day of sedentary time. Half of Canadian post-secondary students do not meet physical activity or sedentary time guidelines. This pan-Canadian study aimed to (1) identify commonly cited motivators/barriers to exercise, and (2) determine which motivators/barriers were most influential for attaining physical and sedentary activity guidelines. A total of 341 respondents (279 females, 23 ± 4 years old, 53% met activity guidelines, 49% met sedentary guidelines) completed an online survey regarding undergraduate student lifestyle behaviours. Improved physical health (74% of respondents), mental health (67%), physical appearance (60%), and athletic performance (28%) were the most common motivators to exercise. The most common barriers were school obligations (68%), time commitments (58%), job obligations (32%), and lack of available fitness classes (26%). Students citing improved athletic performance (odds ratio (OR) = 1.94, p = 0.02) were more likely to adhere to activity guidelines, while those who selected physical health (OR = 0.56, p = 0.03) and physical appearance (OR = 0.46, p = 0.001) as motivators were less likely to meet activity guidelines. Students who cited school obligations as a barrier were less likely (OR = 0.59, p = 0.03) to meet sedentary guidelines. The motivators and barriers identified provide a foundation for university-led initiatives aimed at promoting physical activity and reducing sedentary time among undergraduate students. Strategies that positively re-frame students’ physical health and appearance-based motivations for exercise may be particularly useful in helping more students achieve national activity recommendations.
The Relationship between Cyber-Ostracism and Adolescents’ Non-Suicidal Self-Injury: Mediating Roles of Depression and Experiential Avoidance
Authors: Ding Huimin , Zhu Liyue , Wei Hua , Geng Jingyu , Huang Feng , Lei Li
Published: September 2022

Based on the experiential avoidance model, the current study aims to test the relationship between cyber-ostracism and adolescents’ non-suicidal self-injury and to explore the mediating roles of depression and experiential avoidance. A sample of 1062 middle school students completed questionnaires on cyber-ostracism, depression, experiential avoidance, and self-injurious behavior. The results showed that cyber-ostracism, depression, experiential avoidance, and non-suicidal self-injury were positively correlated with each other. After controlling for gender and age, the mediation model test shows that cyber-ostracism was significantly and positively associated with non-suicidal self-injury. Depression and experiential avoidance mediated the relationship between cyber-ostracism and non-suicidal self-injury parallelly and sequentially. This study highlights the potential mechanisms of action between cyber-ostracism and adolescent non-suicidal self-injury and finds that cyber-ostracism is a risk factor for non-suicidal self-injury. This founding suggests that extra attention should be paid to the role of the online environment in addition to the offline environment experiences for the intervention of non-suicidal self-injury.
Fire Safety Knowledge of Firefighting Equipment among Local and Foreign University Students
Authors: Zhang Chu , Hong Won-Hwa , Bae Young-Hoon
Published: September 2022

Despite the risks at university laboratories, university students are still marginalized from safety management in university laboratories. In addition, the existing studies related to the fire safety knowledge of university laboratories, do not consider the fire safety knowledge of university students with respect to firefighting equipment and the increasing number of foreign university students. To overcome this gap, we conducted a survey on 273 foreign and 144 local students and identified the differences in fire safety knowledge and those in comprehension and response related to firefighting equipment among the participants through statistical analysis. The results of the survey, where respondents were classified into four groups by gender and nationality, found significant differences in fire safety knowledge between gender and nationality. All the groups had difficulty in directly extinguishing a fire using fire extinguishing equipment. The results of this study, that is, those pertaining to the differences in fire safety knowledge depending on the gender and nationality of students and types of firefighting systems are expected to be used as basic data to establish safety education and management plans in the future.
Associations between Adherence to the Taiwan Dietary Reference Intakes of Micronutrients and the Risk of Type 2 Diabetes
Authors: Li Ming-Chieh
Published: September 2022

The dietary reference intakes (DRIs) were established as guidance for the intake of micronutrients and other nutrients. However, how DRIs affect disease status has not been thoroughly examined. The aim of this study is to examine the associations between adherence to the DRIs of selected micronutrients and type 2 diabetes. A populational and cross-sectional study was conducted using data from the Nutrition and Health Survey in Taiwan (NAHSIT) 2013–2016. A total of 14 nutrient intakes, including those for vitamin A, C, D, E, B1, B2, B3, B6, B12, iron, magnesium, zinc, calcium, and phosphorus, were evaluated using the 24 h dietary recall method. Type 2 diabetes was defined as a fasting serum HbA1c level of 6.5% or higher and excluded participants who had received treatments for type 2 diabetes or reported a diagnosis of type 2 diabetes by physicians to avoid the possible inverse association. A total of 2685 participants aged 19 and above were included in the final analysis. After adjusting for confounders, we found that adherence to the DRI of vitamin A was associated with a reduced risk of type 2 diabetes among men. The odds ratio (OR) was 0.64 (95% confidence interval (CI) = 0.42–0.99) compared with men who did not adhere to the DRI. As for women, we found that adherence to the DRI of vitamin B1 was associated with a reduced risk of type 2 diabetes. The OR was 0.59 (95% CI = 0.35–0.97) compared with that for women who did not adhere to the DRI. This study showed that adherence to Taiwan DRIs of vitamin A for men and vitamin B1 for women might have beneficial effects on type 2 diabetes.
Formative Research for the Development of Evidence-Based Targeted Water, Sanitation, and Hygiene Interventions to Reduce Cholera in Hotspots in the Democratic Republic of the Congo: Preventative Intervention for Cholera for 7 Days (PICHA7) Program
Authors: Bisimwa Lucien , Williams Camille , Bisimwa Jean-Claude , Sanvura Presence , Endres Kelly , Thomas Elizabeth , Perin Jamie , Cikomola Cirhuza , Bengehya Justin , Maheshe Ghislain , Mwishingo Alain , George Christine Marie
Published: September 2022

Compared to the general public, household members of cholera patients are at a 100 times higher risk of contracting cholera during the 7-day high-risk period after a cholera patient has been admitted to a health facility for treatment. The Preventative-Intervention-for-Cholera-for-7-days (PICHA7) program aims to reduce household transmission of cholera during this 7-day high-risk period through a health facility-initiated water, sanitation, and hygiene (WASH) program promoting handwashing with soap, water treatment, and safe water storage. The PICHA7 program is delivered to cholera patient households through: (1) a pictorial flipbook delivered by a health promoter; (2) a cholera prevention package (handwashing station, drinking water vessel with lid and tap, and chlorine tablets); and (3) weekly WASH mobile messages sent to patient households in the Democratic Republic of the Congo (DRC). The objectives of this study were to conduct formative research to identify facilitators and barriers of the promoted WASH behaviors for cholera patient households and to tailor the PICHA7 program to target these facilitators and barriers. Formative research included 93 semi-structured interviews with diarrhea patient households and healthcare workers during exploratory research and a pilot study of 518 participants. Barriers to the promoted WASH behaviors identified during exploratory and pilot study interviews included: (1) low awareness of cholera transmission and prevention; (2) unaffordability of soap for handwashing; and (3) intermittent access to water limiting water for handwashing. For intervention development, narratives of the lived experiences of patient households in our study were presented by health promoters to describe cholera transmission and prevention, and soapy water and ash were promoted in the program flipbook and mobile messages to address the affordability of soap for handwashing. A jerry can was provided to allow for additional water storage, and a tap with a slower flow rate was attached to the handwashing station to reduce the amount of water required for handwashing. The pilot findings indicate that the PICHA7 program has high user acceptability and is feasible to deliver to cholera patients that present at health facilities for treatment in our study setting. Formative research allowed for tailoring this targeted WASH program for cholera patient households in the DRC.
Differences in Free-Living Patterns of Sedentary Behaviour between Office Employees with Diabetes and Office Employees without Diabetes: A Principal Component Analysis for Clinical Practice
Authors: Colomer Francesc Alòs , Cugat Mª Àngels Colomer , Bort-Roig Judit , Chirveches-Pérez Emilia , Zaldúa Yoseba Cánovas , Martín-Cantera Carlos , Franch-Nadal Josep , Puig-Ribera Anna
Published: September 2022

Aims: To identify principal components of free-living patterns of sedentary behaviour in office employees with type 2 diabetes (T2D) compared to normal glucose metabolism (NGM) office employees, using principal component analysis (PCA). Methods: 213 office employees (n = 81 with T2D; n = 132 with NGM) wore an activPAL inclinometer 24 h a day for 7 consecutive days. Comparions of sedentary behaviour patterns between adults with T2D and NGM determined the dimensions that best characterise the sedentary behaviour patterns of office employees with T2D at work, outside work and at weekends. Results: The multivariate PCA technique identified two components that explained 60% of the variability present in the data of sedentary behaviour patterns in the population with diabetes. This was characterised by a fewer number of daily breaks and breaks in time intervals of less than 20 min both at work, outside work and at weekends. On average, adults with T2D took fewer 31 breaks/day than adults without diabetes. Conclusion: Effective interventions from clinical practice to tackle prolonged sedentary behaviour in office employees with T2D should focus on increasing the number of daily sedentary breaks.
The Impact of Meteorological Conditions and Agricultural Waste Burning on PM Levels: A Case Study of Avellino (Southern Italy)
Authors: Capozzi Vincenzo , Raia Letizia , Cretella Viviana , De Vivo Carmela , Cucciniello Raffaele
Published: September 2022

In this work, the effect of the meteorological conditions and the agricultural waste burning on PM air pollution levels has been investigated in the city of Avellino, located in the Sabato Valley (southern Italy). Avellino has been described among the most polluted towns in Italy in terms of particulate matter (PM) during the last 10 years. The main aim of this study was to analyze the air quality data collected in Avellino and its surroundings during September 2021. In this period, the air quality in the Sabato Valley has been adversely affected by agricultural practices, which represent a significant source of PM. The impact of agricultural waste burning on PM levels in Avellino has been determined through an integrated monitoring network, consisting of two fixed urban reference stations and by several low-cost sensors distributed in the Sabato Valley. In the considered period, the two reference stations recorded several exceedances of the daily average PM10 legislative limit value (50 µg m−3) in addition to high concentrations of PM2.5. Moreover, we provide a detailed description of the event that took place on 25 September 2021, when the combined effect of massive agricultural practices and very stable atmospheric conditions produced a severe pollution episode. Results show PM exceedances in Avellino concurrent with high PM values in the areas bordering the city due to agricultural waste burning and adverse meteorological conditions, which inhibit PM dispersion in the atmosphere.
Social Representations of Urinary Incontinence in Caregivers and General Population: A Focus Group Study
Authors: Peroni Lea , Armaingaud Didier , Yakoubi Tassadit , Rothan-Tondeur Monique
Published: September 2022

Urinary incontinence (UI) is a major public health problem. Although trivialized, it affects nearly 9% of the world’s population and its prevalence increases with age. It affects many people living in nursing homes. In the literature, there is a lot of information on its symptoms, risk factors and therapeutic approaches, but its social representations are rarely studied. The objective of this qualitative focus-group study is to understand the social representations of urinary incontinence of caregivers of institutionalized elderly people, but also of the general population. Seven focus groups were organized with 41 participants. The data collected were analyzed both manually and using Atlas.Ti software. For caregivers and the general population, urinary incontinence remains a misunderstood and disturbing subject: judged as too intimate, embarrassing, and shameful, it is even considered uninteresting by those who are not affected, with some going so far as to make fun of those affected. It is also represented as a real difficulty for relationships: it can be a source of conflict, but also of questioning by the role of caregiver. However, it is also represented as a means of increasing the empowerment of the residents concerned, thanks to the choice of their means of protection. This study has enabled us to gain a deeper understanding of the social representations of caregivers and the general population on urinary incontinence in the elderly, but also to highlight the various preventive and educational actions that could be taken to improve the management of this health problem. It is part of a larger research program that aims at understanding the representations of urinary incontinence of caregivers, the general population, but also of course, of residents in nursing homes and their carers.
Airborne Microplastic in the Atmospheric Deposition and How to Identify and Quantify the Threat: Semi-Quantitative Approach Based on Kraków Case Study
Authors: Jarosz Kinga , Janus Rafał , Wądrzyk Mariusz , Wilczyńska-Michalik Wanda , Natkański Piotr , Michalik Marek
Published: September 2022

Airborne microplastic is an emerging and widespread pollutant yet is still under-characterised and insufficiently understood. Detailed description of microplastic air pollution is crucial as it has been identified in human lungs and remote locations, highlighting the atmosphere as a medium of MP dispersion and transportation. The lack of standardization of methods for measuring and further monitoring of microplastic pollution is an obstacle towards assessment of health risks. Since the first recognition of MP presence in the atmosphere of Krakow in 2019, this research was conducted to further characterise and develop the methods for qualitative and quantitative analysis of airborne microplastic (attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR); pyrolysis-gas chromatography–mass spectrometry (Py-GC–MS); scanning electron microscopy-energy dispersive spectroscopy SEM-EDS) and pre-treatment of samples. The data were gathered in seven cycles from June 2019 to February 2020. The methods used in the study allowed the identification and analysis of the changing ratio of the different types of synthetic polymers identified in the atmospheric fallout (low-density polyethylene, nylon-66, polyethylene, polyethylene terephthalate, polypropylene and polyurethane). Observations of interactions between microplastic particles and the environment were conducted with analyses of surface changes due to degradation. Different phases attached to the microplastics surfaces, with some of the inorganic contaminants transported on these surfaces determined also to be of anthropogenic origin. The methodology proposed in this study allows further characterisation of microplastic from multiple locations to provide highly comparable data, leading to identification of the sources of this phenomenon, as well as seasonal changes.
Limited Stress Response to Transplantation in the Mediterranean Macroalga Ericaria amentacea, a Key Species for Marine Forest Restoration
Authors: Chemello Silvia , Signa Geraldina , Mazzola Antonio , Ribeiro Pereira Tania , Sousa Pinto Isabel , Vizzini Salvatrice
Published: September 2022

In the Mediterranean Sea, brown macroalgae represent the dominant species in intertidal and subtidal habitats. Despite conservation efforts, these canopy-forming species showed a dramatic decline, highlighting the urge for active intervention to regenerate self-sustaining populations. For this reason, the restoration of macroalgae forests through transplantation has been recognized as a promising approach. However, the potential stress caused by the handling of thalli has never been assessed. Here, we used a manipulative approach to assess the transplant-induced stress in the Mediterranean Ericaria amentacea, through the analysis of biochemical proxies, i.e., phenolic compounds, lipids, and fatty acids in both transplanted and natural macroalgae over time. The results showed that seasonal environmental variability had an important effect on the biochemical composition of macroalgae, suggesting the occurrence of acclimation responses to summer increased temperature and light irradiance. Transplant-induced stress appears to have only amplified the biochemical response, probably due to increased sensitivity of the macroalgae already subjected to mechanical and osmotic stress (e.g., handling, wounding, desiccation). The ability of E. amentacea to cope with both environmental and transplant-induced stress highlights the high plasticity of the species studied, as well as the suitability of transplantation of adult thalli to restore E. amentacea beds.
Applying ACE-III, M-ACE and MMSE to Diagnostic Screening Assessment of Cognitive Functions within the Polish Population
Authors: Kaczmarek Beata , Ilkowska Zofia , Kropinska Sylwia , Tobis Sławomir , Krzyminska-Siemaszko Roma , Kaluzniak-Szymanowska Aleksandra , Wieczorowska-Tobis Katarzyna
Published: September 2022

The research aims to compare the accuracy of the mini-mental state examination (MMSE), the Addenbrooke’s cognitive examination III (ACE-III) and the mini-Addenbrooke’s cognitive examination (M-ACE) within the Polish population. The model comprised several stages: the features of each test were compared; the shifts in result categorisations between the norm and below the norm were analysed; a third category—mild cognitive impairment (MCI)—was included. Additionally, particular ACE-III domains that scored below domain-specific norm thresholds were analysed to establish the potential early predictors of dementia. All tests correlated to a high and very high degree—cf. MMSE and ACE-III (r = 0.817; p < 0.001), MMSE and M-ACE (r = 0.753; p < 0.001), ACE-III and M-ACE (r = 0.942; p < 0.001). The area under the ROC curve for the ACE-III diagnostic variable had a high value (AUC = 0.920 ± 0.014). A cut-off point of 81 points was suggested for ACE-III; the M-ACE diagnostic variable had an equally high value (AUC = 0.891 ± 0.017). A cut-off point of 20 points was suggested. A significant decrease in the mean score values for people who scored norm or below the norm under ACE-III, as compared to the MMSE results for norm (p < 0.0001), occurred for speech fluency (which decreased by 26.4%). The tests in question are characterised by high sensitivity and specificity. Targeted ACE-III seems best recommended for use in specialised diagnostic centres, whereas M-ACE appears to be a better suited diagnostic alternative for primary health care centres in comparison to MMSE.
Spatial Analysis of Cultivated Land Productivity, Site Condition and Cultivated Land Health at County Scale
Authors: Wu Fengqiang , Mo Caijian , Dai Xiaojun , Li Hongmei
Published: September 2022

Cultivated land is a fundamental factor related to the social stability and sustainable development of the whole country. However, the safety of quantity and quality of cultivated land has decreased year by year, resulting in great challenges to the sustainable development of cultivated land. Cultivated land productivity, site conditions, and soil health jointly determine the sustainable development potential of cultivated land. Analyzing and calculating the coupling and cooperative relationship between these three subsystems can provide a theoretical and methodological reference for protecting and zoning cultivated land resources. Using Jiangyou City as a case study, this paper constructs a coupling coordination degree model of cultivated land productivity, site conditions, and soil health assessment systems in different geomorphic regions, and comprehensively analyzes the level of sustainable development of cultivated land in the study area. The results show that there are differences in the development potential of cultivated land resources in the mountainous regions in the north, the hilly regions in the center, and the plain regions in the south of Jiangyou City. The coupling coordination index of the three regions were calculated as 0.34, 0.51, and 0.63, respectively, for which the overall average coupling coordination index is 0.57; notably, it only reaches the “barely coordination” level. Based on our analysis results, the cultivated lands in Jiangyou City are classified into the following zones: core protection zone, dominant remediation zone, and key regulation zone. The cultivated land located in the core protection zone has a high coupling coordination index, which can be used as the preferred area for the delimitation of high standard basic farmland and permanent basic farmland. For the cultivated land located in the dominant remediation zone, the development of its subsystems is unbalanced. Comprehensive land improvement projects can be carried out in this zone to improve the overall quality. For the cultivated land located in the key regulation zone, it is recommended to implement projects such as returning farmland to forests to improve land use efficiency. In particular, the evaluation index system constructed in this paper is sufficiently representative, as it can support the classification, quality improvement, and sustainable use of cultivated land. Thus, other similar countries and regions can learn from the evaluation system constructed in this paper.
Predictive Model for Human Activity Recognition Based on Machine Learning and Feature Selection Techniques
Authors: Patiño-Saucedo Janns Alvaro , Ariza-Colpas Paola Patricia , Butt-Aziz Shariq , Piñeres-Melo Marlon Alberto , López-Ruiz José Luis , Morales-Ortega Roberto Cesar , De-la-hoz-Franco Emiro
Published: September 2022

Research into assisted living environments –within the area of Ambient Assisted Living (ALL)—focuses on generating innovative technology, products, and services to provide medical treatment and rehabilitation to the elderly, with the purpose of increasing the time in which these people can live independently, whether they suffer from neurodegenerative diseases or disabilities. This key area is responsible for the development of activity recognition systems (ARS) which are a valuable tool to identify the types of activities carried out by the elderly, and to provide them with effective care that allows them to carry out daily activities normally. This article aims to review the literature to outline the evolution of the different data mining techniques applied to this health area, by showing the metrics used by researchers in this area of knowledge in recent experiments.
A Comparison of the Mediterranean Diet and Current Food Patterns in Italy: A Life Cycle Thinking Approach for a Sustainable Consumption
Authors: Vinci Giuliana , Maddaloni Lucia , Prencipe Sabrina Antonia , Ruggeri Marco , Di Loreto Maria Vittoria
Published: September 2022

The transition toward more sustainable food systems, which already represents a central element of the European Farm to Fork and Green Deal strategies, could be an effective measure to contribute to global decarbonization and greenhouse gas (GHGs) reduction goals; concurrently, it could improve the health status and nutrition of the global population. In this context, the Mediterranean diet (MD) could play a considerable role, as it is generally recognized as a more balanced, healthy, and sustainable eating pattern than Western consumption patterns, which are characterized by excess food and high energy content, thus causing undesirable effects on both human health and the environment. Although traditionally linked to MD, Italy sees relatively moderate adherence by its citizens, as they consume about +75% of the daily caloric intake recommended by MD. Therefore, this study aims to quantitatively assess the potential environmental, economic, and health impacts of this lower adherence to MD by Italians. Current Italian Food Patterns (CIFP) in 2019 were analyzed and compared to the MD recommended amounts through a Life Cycle Thinking (LCT) approach (LCA) and carbon footprint (CF) analysis. The results show that CIFP, compared to MD, has +133% greater impacts on the environmental macro-area, +100% greater impacts on the human health macro-area, and +59% greater impacts on the economic macro-area (with annual fossil and mineral resource savings of $53.35 per person, $3.2 billion per year). The analysis also shows that CIFP has a CF of 6.54 × 101 kg CO2 eq, +142% over MD (2.7 × 101 kg CO2 eq), resulting in a lower environmental impact of the Mediterranean diet.
The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
Authors: Deng Xueqin , Liao Jiaxin , Peng Rong , Chen Jiahao
Published: September 2022

The purpose of this study was to evaluate the impact of long-term care insurance (LTCI) on medical utilization and expenditures in Jingmen, a pilot city of China. The propensity score matching-difference in difference (PSM-DID) approach was employed to examine the expenses and frequency of inpatient and outpatient services before and after the implementation of the LTCI based on the 2015–2018 panel data from the China Health and Retirement Longitudinal Study (CHARLS). The results showed that the annual expenditure and frequency of the inpatient services of Jingmen residents were reduced by 1923 Yuan (287.0 USD) and 0.24 times, respectively. The impact of the LTCI varied between urban and rural areas. The annual expenditure and frequency of inpatient services in rural areas were reduced by 1600 Yuan (238.8 USD) and 0.30 times, which were lower than those (3400 Yuan (507.5 USD) and 0.20 times) in urban areas. The monthly outpatient expenses and frequency in rural areas were reduced by 300 Yuan (44.8 USD) and 0.14 times, but increased by 555 Yuan (82.8 USD) and 0.07 times in urban area. The findings indicated that the implementation of the LTCI can reduce the medical utilization and expenses, and it had a greater effect in rural areas than in urban areas. It is suggested to promote the LTCI nationwide, and more policy preference should be given to the development of the LTCI in rural areas.
Nature-Based Feasibility Intervention to Influence Mitigation Strategies for Perceived Stress
Authors: Vermeesch Amber , Coro Alessandra , Mattes Kira , Ostendorff Dylan , Timko Olson Erica , Garrigues Layla
Published: September 2022

Burnout, compassion fatigue, and perceived stress among undergraduate nursing students are significant factors leading to a poorer quality of life, decreased job satisfaction, and adversely impact patient outcomes. Burnout among undergraduate nursing students is a critical individual and workforce issue with contributing factors including a relentless schedule, academically challenging and rigorous programs, pressure to perform, and the completion of clinical hours caring for patients. This paper describes our feasibility study of a nature-based intervention (NBI) to reduce perceived stress and quality of life as it relates to burnout, and compassion fatigue. Quantitative data was collected through demographics, surveys, and electronic sensor data. The project’s aim was to determine the feasibility of NBI monitored by NatureDoseTM to decrease perceived stress burnout and compassion fatigue among undergraduate nursing students.
Tricuspid Valve Damage Related to Transvenous Lead Extraction
Authors: Polewczyk Anna , Jacheć Wojciech , Nowosielecka Dorota , Tomaszewski Andrzej , Brzozowski Wojciech , Szczęśniak-Stańczyk Dorota , Duda Krzysztof , Kutarski Andrzej
Published: September 2022

Background: Damage to the tricuspid valve (TVD) is now considered either a major or minor complication of the transvenous lead extraction procedure (TLE). As yet, the risk factors and long-term survival after TLE in patients with TVD have not been analyzed in detail. Methods: This post hoc analysis used clinical data of 2631 patients (mean age 66.86 years, 39.64% females) who underwent TLE procedures performed in three high-volume centers. The risk factors and long-term survival of patients with worsening tricuspid valve (TV) function after TLE were analyzed. Results: In most procedures (90.31%), TLE had no negative influence on TV function, but in 9.69% of patients, a worsening of tricuspid regurgitation (TR) to varying degrees was noted, including significant dysfunction in 2.54% of patients. Risk factors of TLE relating to severe TVD were: TLE of pacing leads (5.264; p = 0.029), dwell time of the oldest extracted lead (OR = 1.076; p = 0.032), strong connective scar tissue connecting a lead with tricuspid apparatus (OR = 5.720; p < 0.001), and strong connective scar tissue connecting a lead with the right ventricle wall (OR = 8.312; p < 0.001). Long-term survival (1650 ± 1201 [1–5519] days) of patients with severe TR was comparable to patients without tricuspid damage related to TLE. Conclusions: Severe tricuspid valve damage related to TLE is relatively rare (2.5%). The main risk factors for the worsening of TV function are associated with a longer lead dwell time (more often the pacing lead), causing stronger connective tissue scars connecting the lead to the tricuspid apparatus and right ventricle. TVD is unlikely to affect long-term survival after TLE.
‘It’s All Downhill from Here’: A Scoping Review of Sports-Related Concussion (SRC) Protocols in Downhill Mountain Biking (DHI), with Recommendations for SRC Policy in Professional DMB
Authors: McLarnon Michael , Boyce Stephen , Fisher Neil , Heron Neil
Published: September 2022

Introduction: Downhill mountain biking (DHI) is a form of cycling and does not currently have a specific sports-related concussion (SRC) assessment. Objective: To review the extent, range and nature of research investigating SRC in DMB, provide a summary of key literature findings relating to its identification and management, and then develop a SRC protocol specific to DMB. Design: Scoping review as per recognised methods. Setting: Literature-based. The following databases were searched: MEDLINE, EMBASE, Scopus and Web of Science, with no restrictions on date. Results were limited to the English language. Participants: Six articles were included in the review from 64 identified articles. The article had to specifically include an analysis of adult downhill riders for inclusion. Outcome measures: Study type, study group (amateur/professional), concussion incidence, concussion assessment and recommendations. Main Results: Concussion incidence was identified as between 5–23%. No study outlined a trackside assessment of cyclists or a protocol for return to play where SRC was identified. Several authors identified that riders often continued to participate despite the presence of a concussion. No sport-specific SRC assessment was determined for DHI, and a SRC assessment was therefore developed. Conclusions: This review illustrates the lack of studies and formal protocol in SRC assessment for DHI. In light of this, we propose a three-stage framework specific to the sport to best identify a concussion and act where appropriate while minimising disruption to competition. This framework involves assessing the cyclist on the ‘sideline’, a second assessment post-event in the medical room and a third assessment the following day. A SRC consensus meeting specific for DHI is suggested with an identified need for updated guidance from UCI, requiring possible rule changes for the sport.
COVID-19 Vaccination Willingness in Four Asian Countries: A Comparative Study including Thailand, Indonesia, the Philippines, and Vietnam
Authors: Saito Kiyoko , Komasawa Makiko , Aung Myo Nyein , Khin Ei Thinzar
Published: September 2022

Globally, 67% of the population has received at least one COVID-19 vaccine dose, but coverage varies across countries. This study aimed to compare people’s willingness to receive COVID-19 vaccination across Thailand, Indonesia, Philippines, and Vietnam, where vaccination intention tends to be high, to determine factors associated with willingness, and to obtain suggestions for developing strategies. We conducted a secondary data analysis of the Japan International Cooperation Agency survey “Building Resilience: COVID-19 Impact and Responses in Urban Areas—Case of Southeast Asia,” including1842 unvaccinated participants from Thailand (n = 461), Indonesia (n = 246), the Philippines (n = 609), and Vietnam (n = 526). Vaccination willingness was high in all countries (69.6%), but the social and psychological factors motivating people to undergo vaccination differed among these countries. The highest vaccination willingness was in the Philippines, followed by Vietnam and Indonesia, whereas the lowest vaccination willingness was in Thailand. Vaccination willingness was affected by not only sociodemographic attributes, but also risk perception and beliefs, which, in turn, were shaped by social factors such as infection trends and vaccine policies. To achieve effective vaccination promotion programs, a system allowing the flexible modification of promotion methods in response to social conditions must be established.
Pharmaceutical Incompatibility of Lubricating Gel Formulation Reduces Antibacterial Activity of Chlorhexidine Gluconate: In Vitro Study in Northern Thailand
Authors: Pattananandecha Thanawat , Sirilun Sasithorn , Apichai Sutasinee , Ouirungroj Teerapat , Uirungroj Phisit , Ogata Fumihiko , Kawasaki Naohito , Saenjum Chalermpong
Published: September 2022

Chlorhexidine gluconate (CHG) is a cationic disinfectant. The positive charge of CHG molecules binds to phospholipid’s negative charge in bacterial cell walls, causing membrane disruption. The in vitro kinetic physical, chemical and biological incompatibilities of nine lubricating gels with 1% w/v CHG were investigated. Five containing anionic thickener, two containing nonionic thickener, and two containing cationic thickener were collected from hospitals in northern Thailand. All the anionic and nonionic lubricating gels significantly reduced (p < 0.05) the CHG amount after 5 min of exposure time from 12.54% to 54.99%, respectively. In contrast, the amount of CHG exposed with cationic lubricating gels was maintained. Antibacterial activity was significantly reduced to a 1.17–4.33 log10 reduction for Staphylococcus aureus ATCC25923 and a 1.07–3.52 log10 reduction for Escherichia coli ATCC25922 after 5 min exposure to all anionic and nonionic lubricating gels. In contrast, the two cationic lubricating gels maintained the antibacterial activity of the CHG solution (5.69 ± 0.14 and 5.45 ± 0.17 log10 reduction). The results suggest that anionic and nonionic thickeners in lubricating gel formulations may neutralize the positive charge and reduce the antibacterial activity of CHG, reducing its effectiveness as a disinfectant.
The Sound of a Circular City: Towards a Circularity-Driven Quietness
Authors: Tsaligopoulos Aggelos , Kyvelou Stella Sofia , Chiotinis Michalis , Karapostoli Aimilia , Klontza Eleftheria E. , Lekkas Demetris F. , Matsinos Yiannis G.
Published: September 2022

The circular economy paradigm can be beneficial for urban sustainability by eliminating waste and pollution, by circulating products and materials and by regenerating nature. Furthermore, under an urban circular development scheme, environmental noise can be designed out. The current noise control policies and actions, undertaken at a source–medium–receiver level, present a linearity with minimum sustainability co-benefits. A circular approach in noise control strategies and in soundscape design could offer numerous ecologically related co-benefits. The global literature documenting the advantages of the implementation of circular economy in cities has highlighted noise mitigation as a given benefit. Research involving circular economy actions such as urban green infrastructure, green walls, sustainable mobility systems and electro-mobility has acknowledged reduced noise levels as a major circularity outcome. In this research paper, we highlight the necessity of a circularity and bioeconomy approach in noise control. To this end, a preliminary experimental noise modeling study was conducted to showcase the acoustic benefits of green walls and electric vehicles in a medium-sized urban area of a Mediterranean island. The results indicate a noise level reduction at 4 dB(A) when simulating the introduction of urban circular development actions.
Impact of the COVID-19 Pandemic on Paediatric Dental Treatment: A Retrospective Study in Banja Luka, Bosnia and Herzegovina
Authors: Dolic Olivera , Obradovic Marija , Kojic Zeljka , Knezevic Natasa , Trtic Natasa , Veselinovic Valentina , Sukara Slava
Published: September 2022

Dentists are at significant risk of COVID-19 infection. It was difficult to find a balance between dental care, especially preventive and other non-urgent dental procedures, and prevention of potential exposure to SARS-CoV-2 infection. The aim of the present study was to assess the influence of the COVID-19 pandemic on dental treatment in children in the Dental Clinic of the University of Banja Luka, and to compare it before and during the first and second years of the pandemic. All dental records of paediatric patients who attended the Dental Clinic (for the period March 2019 to March 2022) were analysed. The data on selected dental treatment procedures were divided into three groups per year and compared. The results during the first year of the COVID-19 pandemic showed a reduction in single treatments compared to the year before, while in the second year there was an increase in some interventions such as oral hygiene training and patient motivation, deciduous tooth extraction, and glass ionomer filling. Although the number of dental treatments in the clinic in the second year nearly returned to pre-pandemic levels, preventive and restorative interventions are the most appropriate strategy to improve the oral health of children after the COVID-19 pandemic.
Knowledge, Attitudes and Practices towards Sexual and Reproductive Health and Rights of Girls among Colombian Healthcare Professionals
Authors: Rodríguez-Burbano Aura Y. , Galván-Canchila Diana M. , de Diego-Cordero Rocío
Published: September 2022

This research aims to determine knowledge and attitudes towards sexual and reproductive health and rights of adolescent girls among healthcare professionals working at Café Madrid and Colorados health centers, which are highly vulnerable neighborhoods in Bucaramanga, Santander. To this end, in-depth interviews were conducted with a total of eight healthcare professionals from the above health centers using a script based on WHO recommendations on adolescent sexual and reproductive health and rights and recommendations by the DAPRE-Presidential Council for Women’s Equity—CedaVida Foundation. Healthcare professionals were found to have proper technical and legal knowledge, especially regarding comprehensive care packages for survivors, as well as a gender perspective in their professional practice aimed at achieving equity. Knowledge and experience with sexual and reproductive health and rights provide insight into women’s health from unrestrained choice of contraceptive methods to procedures such as abortion within the current legal framework. Their professional work is also affected by potential barriers that may limit their actions when putting their knowledge into practice.
Digital Economy and Environmental Sustainability: Do Information Communication and Technology (ICT) and Economic Complexity Matter?
Authors: Khan Asif , Ximei Wu
Published: September 2022

In the current era of digital economy, the role of information communication and technology (ICT) and economic complexity are important for controlling environmental unsustainability and formulating policies to deal with ecological concerns. However, the relationship between digital economy and environment has been studied widely; nevertheless, the relationship between ICT-based digital economy, economic complexity, and ecological footprint has not been studied extensively. Therefore, the aim of current study is to fill the existing gap by investigating the relationship between ICT, economic complexity, and ecological footprint in the case of G-seven (digital) economies. Furthermore, the past research studies were usually based on carbon emissions to measure environmental sustainability, while this study fills the gap using ecological footprint as a proxy for environmental degradation. By using the panel data over the period of 2001–2018 for G-seven economies, this study performs first-generation as well as second-generation unit root testing methods. Findings of both Pesaran’s and B&P’s cross-sectional dependence testing approaches confirm the presence of cross-sectional dependence across all G-seven economies. The empirical findings of cointegration (Pedroni and Kao) tests verify a stable long-run association between ecological footprint, ICT import, ICT export, economic complexity, economic growth, and other control grouped variables. The empirical evidence obtained from the fully modified OLS model suggests that ICT export, economic complexity, and economic growth enhance the intensity of ecological footprint, while ICT import, research and development (RD), and trade are helpful in reducing ecological footprint in G-seven economies. These empirical findings obtained are verified by pooled mean group-ARDL (PMG-ARDL) methodologies and confirm that there is no inconsistency in the results. On the basis of these results, some policy implications for ecological footprint, ICT, and economic complexity are discussed.