bluuebunny/crossref_metadata_2025 huggingface dataset:
Stable Isotope Evaluation of Geothermal Gases from the Kızıldere and Tekke Hamam Geothermal Fields, Western Anatolia, Turkey
Authors: Süer Selin , Wiersberg Thomas , Güleç Nilgün , Grassa Fausto
Published: December 2022

Volatiles transported from the Earth’s interior to the surface through permeable faults provide insights on the gas composition of deep reservoirs, mixing and migration processes, and can also be applied as gas-geothermometer. Here, we present carbon (δ13C), hydrogen (δ2H) and nitrogen (δ15N) isotopic data of CO2, CH4, and N2 from gas samples collected from the Kızıldere and Tekke Hamam geothermal fields, located along the eastern segment of the Büyük Menderes Graben, Turkey. The stable isotopic composition of carbon (δ13C) ranges from +0.30 to +0.99‰ (PDB) for CO2 from Kızıldere and is slightly more variable (−0.95 to +1.3‰) in samples from Tekke Hamam. Carbon isotope data in combination with CO2/3He data reveal that ~97% (Tekke Hamam) to ~99% (Kızıldere) of CO2 derives from limestone sources, with the residual CO2 being magmatic in origin with no evidence for CO2 from organic sources. The slightly higher contribution of limestone-derived CO2 in Kızıldere, compared to Tekke Hamam can be attributed to the higher temperatures of the Kızıldere reservoir and resulting amplified fluid–limestone interaction, as well as helium depletion during phase separation for Kızıldere samples. In contrast to the carbon isotopic composition of CO2, the δ13C values of methane from Kızıldere and Tekke Hamam are clearly distinct and vary between −23.6 and −20.8‰ for Kızıldere and −34.4 and −31.7‰ for Tekke Hamam, respectively. The δ2H-CH4 composition is also distinct, measured as −126.7‰ for Kızıldere and −143.3‰ for Tekke Hamam. CO2-CH4 carbon isotope geothermometry calculations based on the isotopic fractionation of δ13C between the dominant component CO2 and the minor component CH4 reveals temperatures 20–40 °C and 100–160 °C higher than the bottom–hole temperatures measured for Tekke Hamam and Kızıldere, respectively. Based on the CO2-CH4 carbon isotope disequilibrium, unusual high methane concentrations of ~0.3 to 0.4 vol.-% and CH4/3He-δ13C-CH4 relationships we suggest thermal decomposition of late (Tekke Hamam) to over-mature (Kızıldere) organic matter and, to some extent, also abiogenic processes as principal source of methane. The N2/36Ar ratios of most samples reveal the existence of a non–atmospheric nitrogen component within the gas mixture issuing from both fields, in addition to a constant contribution of atmospheric derived nitrogen accompanied into the system via the meteoric recharge of the geothermal system. Based on the δ15N isotopic ratios (varying between −4.44‰ and 4.54‰), the non–atmospheric component seems to be a mixture of both sedimentary (crustal organic) and mantle nitrogen. The thick Pliocene sedimentary sequence covering the metamorphic basement is the likely major source for the thermogenic content of CH4 and crustal N2 gas content in the samples.
A Hybrid Risk Factor Evaluation Scheme for Metabolic Syndrome and Stage 3 Chronic Kidney Disease Based on Multiple Machine Learning Techniques
Authors: Jhou Mao-Jhen , Chen Ming-Shu , Lee Tian-Shyug , Yang Chih-Te , Chiu Yen-Ling , Lu Chi-Jie
Published: December 2022

With the rapid development of medicine and technology, machine learning (ML) techniques are extensively applied to medical informatics and the suboptimal health field to identify critical predictor variables and risk factors. Metabolic syndrome (MetS) and chronic kidney disease (CKD) are important risk factors for many comorbidities and complications. Existing studies that utilize different statistical or ML algorithms to perform CKD data analysis mostly analyze the early-stage subjects directly, but few studies have discussed the predictive models and important risk factors for the stage-III CKD high-risk health screening population. The middle stages 3a and 3b of CKD indicate moderate renal failure. This study aims to construct an effective hybrid important risk factor evaluation scheme for subjects with MetS and CKD stages III based on ML predictive models. The six well-known ML techniques, namely random forest (RF), logistic regression (LGR), multivariate adaptive regression splines (MARS), extreme gradient boosting (XGBoost), gradient boosting with categorical features support (CatBoost), and a light gradient boosting machine (LightGBM), were used in the proposed scheme. The data were sourced from the Taiwan health examination indicators and the questionnaire responses of 71,108 members between 2005 and 2017. In total, 375 stage 3a CKD and 50 CKD stage 3b CKD patients were enrolled, and 33 different variables were used to evaluate potential risk factors. Based on the results, the top five important variables, namely BUN, SBP, Right Intraocular Pressure (R-IOP), RBCs, and T-Cho/HDL-C (C/H), were identified as significant variables for evaluating the subjects with MetS and CKD stage 3a or 3b.
Application of the FANTASTIC Lifestyle Questionnaire in the Academic Context
Authors: Batista Patrícia , Neves-Amado João , Pereira Anabela , Amado João
Published: December 2022

Studying citizens’ lifestyles is extremely important for understanding society and the social conditions of the personal lifestyle. Understanding the lifestyles of university students is especially important because they will be the future citizens and professionals who will shape society’s future. The aim of this study was a systematic review of the scientific literature about the use of the FANTASTIC Lifestyle questionnaire in an academic context. The reflective systematic literature review was carried out on PubMed, MEDLINE, Science Direct, and SCIELO databases with the keywords (“FANTASTIC Lifestyle questionnaire” OR “FANTASTICO questionnaire” OR “FANTASTIC questionnaire” OR “FANTASTIC survey” OR “FANTASTIC checklist”) AND (“university students”). The PRISMA criteria for reporting systematic reviews and meta-analyses were applied. The inclusion criteria were the use of the “FANTASTIC Lifestyle questionnaire” instrument for measuring lifestyles, the presentation of quantitative or qualitative results, and psychometric studies. The exclusion criteria were no use of FANTASTIC Lifestyle Questionnaire; other population, no quantitative or qualitative analysis, incomplete articles. The 15 scientific articles included in the study were analyzed. This literature review allowed us to conclude the importance and usefulness/actuality of this questionnaire. Furthermore, the importance of diagnosis should be emphasized, as should the development of strategies and intervention programs for the maintenance or creation of healthy societies.
An Analysis of Body Language of Patients Using Artificial Intelligence
Authors: Abdulghafor Rawad , Abdelmohsen Abdelrahman , Turaev Sherzod , Ali Mohammed A. H. , Wani Sharyar
Published: December 2022

In recent decades, epidemic and pandemic illnesses have grown prevalent and are a regular source of concern throughout the world. The extent to which the globe has been affected by the COVID-19 epidemic is well documented. Smart technology is now widely used in medical applications, with the automated detection of status and feelings becoming a significant study area. As a result, a variety of studies have begun to focus on the automated detection of symptoms in individuals infected with a pandemic or epidemic disease by studying their body language. The recognition and interpretation of arm and leg motions, facial recognition, and body postures is still a developing field, and there is a dearth of comprehensive studies that might aid in illness diagnosis utilizing artificial intelligence techniques and technologies. This literature review is a meta review of past papers that utilized AI for body language classification through full-body tracking or facial expressions detection for various tasks such as fall detection and COVID-19 detection, it looks at different methods proposed by each paper, their significance and their results.
Pharmacists’ Knowledge, Attitude, and Practice of Medication Therapy Management: A Systematic Review
Authors: Rendrayani Farida , Alfian Sofa Dewi , Wahyudin Wawan , Puspitasari Irma Melyani
Published: December 2022

Understanding pharmacists’ knowledge, attitudes, and practices (KAP) and their perceptions of challenges, barriers, and facilitators towards medication therapy management (MTM) provision are vital in informing the design and implementation of successful service delivery. Thus, this review examined pharmacists’ knowledge, attitudes, and practices, and their perceived challenges, barriers, and facilitators to MTM services provision, globally. A systematic search was conducted on 1–31 August 2022 to identify relevant studies on PubMed and EBSCO, supplemented with a bibliographic and a particular hand search. We focused on original research in quantitative survey form with the key concepts of “medication therapy management”, “pharmacists”, and “knowledge, attitude, practice”. We assessed the reporting quality using the Checklist for Reporting of Survey Studies (CROSS). Results are reported narratively and according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. From 237 articles identified, 17 studies met the eligibility criteria. Of the included studies, five reported that pharmacists had a considerable level of knowledge, seven suggested a positive attitude among pharmacists, and five revealed that pharmacists had been practicing some MTM elements. Factors associated with pharmacists’ KAP may include age, educational degree, additional qualification, income, years of practice, practice setting, and experience in patient care service. The challenges toward MTM provision were related to the pharmacist-patient and pharmacist-physician relationship. Insufficient time, staff, compensation, and training were the barriers, while patients’ willingness to participate and educational background were the facilitators of MTM provision. These findings of studies on KAP could help develop an MTM program and design an intervention to improve program effectiveness. Further research focusing on other quantitative and qualitative studies of KAP is needed to obtain a comprehensive approach to MTM provision.
Disability during Early Pregnancy: Using the Sheehan Disability Scale during the First Trimester in Japan
Authors: Hada Ayako , Minatani Mariko , Wakamatsu Mikiyo , Kitamura Toshinori
Published: December 2022

Background: Many pregnant women experience impairments in social, occupational, or other important functioning. Aim: This study aimed to confirm measurement and structural invariance of the Sheehan Disability Scale (SDS) and its validity during early pregnancy. Design: Longitudinal study with two observations. Methods: Questionnaires were distributed to pregnant women attending antenatal clinics at gestational weeks 10–13. Of 382 respondents, 129 responded to the SDS again 1 week later. Results: Confirmatory factor analysis shows good fit with the data: χ2/df = 0, comparative fit index (CFI) = 1.000, standardized root mean square residual (SRMR) = 0, and root mean square error of approximation (RMSEA) = 0.718. There is acceptable configural, measurement, and structural invariance of the factor structure between primiparas and multiparas as well as between two observation occasions. The Pregnancy–Unique Quantification of Emesis and Nausea, Patient Health Questionnaire-9, and Insomnia Severity Index subscales explain 47% of the variance in SDS scores. Conclusion: Perinatal health care professionals should pay more attention to the difficulties and disabilities that pregnant women face.
Evaluation and Analysis of Design Elements for Sustainable Renewal of Urban Vulnerable Spaces
Authors: Gao Changzheng , Hou Juepin , Ma Yanchen , Yang Jianxin
Published: December 2022

The sustainable renewal design of urban vulnerable spaces is critical for urban space quality improvement. Taking Zhengzhou and surrounding cities as examples, a cognitive framework of urban vulnerable spaces is constructed. The three types of urban vulnerable spaces are vulnerable population, vulnerable cultural, and vulnerable forgotten spaces. Their sustainable renewal design elements comprise multidimensional factors, such as functional requirement, space organization, activity facility, urban context continuation, and material texture. The design elements for the sustainable update of urban vulnerable spaces are evaluated by grey relation analysis (GRA), and update strategies are proposed. The result shows that (1) vulnerable population spaces were shown to have the highest sensitivity to functional requirements and activity facility design elements, while vulnerable cultural spaces have high relevance to urban context continuation and functional requirement design elements. Furthermore, space organization, activity facility, and urban context continuation design elements all show high relevance and importance in vulnerable forgotten spaces. (2) The update of vulnerable population spaces should be designed to achieve functional communion; vulnerable cultural spaces can be reshaped through urban context implantation, and vulnerable forgotten spaces can use space creation to enhance ecological space continuity, achieving sustainable renewal. The study provides a reference for decision-making for improving urban vulnerable habitats and the sustainable renewal design of atypical urban space types.
Knowledge of School Nurses on the Basic Principles of Type 1 Diabetes Mellitus Self-Control and Treatment in Children
Authors: Stefanowicz-Bielska Anna , Słomion Magdalena , Rąpała Małgorzata
Published: December 2022

School nurses should participate in the care of children with type 1 diabetes mellitus. The aim of this study was to assess the level of knowledge of school nurses about the basic principles of self-control and the treatment of type 1 diabetes mellitus and to attempt to determine the factors that influence this level of knowledge. A cross-sectional survey was conducted among school nurses from October 2018 to November 2019 in the Pomeranian Voivodeship. The study was conducted using a self-constructed questionnaire. The survey included questions about the sociodemographic characteristics of the respondents, and a test of the knowledge and skills regarding the principles of self-control and the treatment of type 1 diabetes mellitus (16 test questions). This study included 168 Polish school nurses (mean age ± SD = 55.1 ± 8.9 years). Most of the nurses had a secondary education (81%), worked in a municipal educational institution (78.6%), and provided care to more than one student with type 1 diabetes mellitus at school (70.2%). The average level of knowledge of school nurses was 12.5 ± 2.0 points (maximum 16). The nurses working in a village school and those who worked only in one school had lower levels of knowledge. Only 85.7% of nurses reported that they could independently perform a blood glucose measurement with a glucometer, and as many as 56.5% were unable to determine the level of ketone bodies in the urine with Keto-Diastix test strips. Only 62.5% of nurses had a glucometer and glucometer strips in their nursing office. A total of 19.6% of nurses did not have glucagon (1 mg GlucaGen HypoKit®, Novo Nordisk A/S, Bagsværd, Denmark) or an ampoule with 20% glucose for an intravenous administration. The knowledge of school nurses about the principles of self-control and the treatment of type 1 diabetes mellitus is insufficient. Due to the strong increase in the incidence of type 1 diabetes mellitus among children and adolescents, it is important to organize permanent, continuous, and mandatory training on the principles of self-control and the treatment of type 1 diabetes mellitus for school nurses. The equipment in Polish school nurses’ offices should be supplemented with a working glucometer and blood glucose test strips, and the set of obligatory medications in the school nurse’s office should be supplemented with glucagon for students with type 1 diabetes mellitus.
Analyzing the Spatio-Temporal Dynamics of Urban Land Use Expansion and Its Influencing Factors in Zhejiang Province, China
Authors: Wu Yue , Han Zexu , Faisal Koko Auwalu , Zhang Siyuan , Ding Nan , Luo Jiayang
Published: December 2022

The 21st century expansion of built-up areas due to rapid urbanization has recently been at the forefront of global land use/land cover research. Knowledge of the changing dynamics of urban land use is crucial for the monitoring of urbanization and the promotion of sustainable urban development. In this paper, Zhejiang Province was selected as the study area. It is a region with rapid urban growth located along the southeastern coast of China, with a highly developed economy but with a shortage of land resources. We employed remotely sensed and socio-economic panel data for the period between 1990 and 2020 to monitor urban land use changes and utilized the spatial Durbin model (SDM) to examine the urbanization process and the various driving factors of rapid urban expansion in Zhejiang Province, China, from 1990 to 2020. The study’s results revealed substantial urban growth of about 6899.59 km2, i.e., 6.6%, whereas agricultural land decreased by 4320.68 km2, i.e., 4.19%. The rapid urban development was primarily attributed to the transformation of farmlands, forestlands, and water bodies into built-up areas by nearly 86.9%, 6.94%, and 6.06%, respectively. The built-up areas revealed features of spatial clustering. The study showed that the expansion hotspots were mainly distributed within the urban fabric of cities such as Hangzhou, Ningbo, Jinhua–Yiwu, and Wenzhou–Taizhou. The results further revealed the substantial influence of urban growth on the local areas of the province. As the core explanatory variables, population and economic development significantly promoted local urban expansion. The study’s findings indicated a positive spatial spillover effect as regards the influence of economic development on the study area’s urban growth, whereas the spatial spillover effect of the population was negative. Therefore, economic development was a major driving factor contributing immensely to the expansion of urban areas in Zhejiang Province, especially in the 26 mountainous counties of the province. The study enriches our understanding of the transformation of LULC and the changing dynamics of urban areas in China and provides the necessary research data that are vital for urban land-use planners and decision-makers to overcome the negative consequences of the expansion of urban areas due to the continuous economic growth of China.
Adolescents and Young Adults Evaluating a Website for Affective-Sexual Information and Education: A Mixed-Methods Study Protocol
Authors: Montero-Pons Laura , Falguera-Puig Gemma , García-Sierra Rosa , Manresa-Domínguez Josep Maria , Reyes-Lacalle Azahara , Cabedo-Ferreiro Rosa , Cos-Busquets Judit , Zaragoza Marfà Ana , Sancho Pérez Maria Pilar , Rodríguez-Martín Dolors
Published: December 2022

The website Sexe Joves is a website on sexuality of the Department of Health of the Government of Catalonia (Spain). This study aims to understand the experiences and opinions of people aged 14 to 25 regarding this website, taking into account sex, gender identity, sexual orientation, socioeconomic status and location within Catalonia (urban, semiurban and rural areas). With the objective of improving the website and adpating the resources allocated to it, this study evaluates whether this population is familiar with it and uses it, as well as the website’s usability and accessibility (digital equity), usefulness and the relevance of its content. A parallel convergent triangulation design is used: a qualitative study using a social constructivist perspective, and an observational, descriptive and cross-sectional quantitative study. We conduct a discourse analysis of participants and use an “ad hoc” questionnaire to collect quantitative data. A descriptive analysis of all variables is carried out. Affective-sexual education aimed at young people must stem from their participation and the whole range of sexual and gender diversity in order to reach the entire population equally. This analysis will contribute to the design of new strategies for the wesbite Sexe Joves, a public health resource, in order to improve affective-sexual education for young people.
Children’s and Adolescents’ Happiness and Family Functioning: A Systematic Literature Review
Authors: Izzo Flavia , Baiocco Roberto , Pistella Jessica
Published: December 2022

Background: the present research represents the first systematic review of the literature on the relation between happiness (i.e., subjective well-being, life satisfaction, positive affect) and family functioning in families with children aged 6–18 years. Method: relevant articles were systematically searched in three scientific databases (i.e., PsycInfo, Pubmed, and Web of Science) in June 2022. The databases were searched for original articles published after 1968 with the keywords “happiness” and “family functioning.” Results: of the 2683 records recovered, 124 original articles met the eligibility criteria and were included in the review. The articles were divided according to four emergent themes: (1) family dimensions and happiness; (2) global family functioning (i.e., family functioning, and family relationships), environmental variables, and happiness; (3) parental differences; (4) longitudinal studies. Conclusions: the results of the review provide evidence for a positive relation between happiness and family functioning, across different cultures and age groups: Family dimensions (e.g., cohesion, communication) were found to strongly predict children’s and adolescents’ happiness. Future studies should investigate the differences between fathers and mothers using multi-informant and mixed methods procedures and a longitudinal research approach. The implications of the findings for children’s positive development are discussed.
Driving for Success in Family Reunification—Professionals’ Views on Intervention
Authors: Teixeira Diana N. , Narciso Isabel , Henriques Margarida R.
Published: December 2022

Family reunification is a complex process and is consensually considered the best solution for children in care, as soon as the family has changed the dysfunctional patterns that prevent child safety and well-being. Intervention throughout the entire process is crucial to the success of family reunification. This study aimed to explore and understand child protection professionals’ views on factors influencing (un)successful family reunification trajectories. Using a qualitative design, 33 Portuguese child protection professionals participated in five focus groups. The thematic analysis revealed a set of influential factors within three different systemic levels: child, family, and child welfare system. The latter level was clearly predominant, pointing to the powerful role of the intervention as a vehicle for successful family reunification. The results showed the relevance attributed by the professionals to some main intervention guidelines, children–professionals’ relationships, multisystemic assessment and intervention, coordinated work of intervention teams, and sufficient time between the court decision and the child’s re-entry into the family home. The need for early intervention and its continuity after the child’s reintegration into the home also emerged as relevant factors. This study provides in-depth knowledge of professionals’ views on the intervention process, thus contributing to a comprehensive understanding of (un)successful family reunification trajectories.
Nonlinear Effects of the Neighborhood Environments on Residents’ Mental Health
Authors: Zhang Lin , Zhou Suhong , Qi Lanlan , Deng Yue
Published: December 2022

In the context of rapid urbanization and the “Healthy China” strategy, neighborhood environments play an important role in improving mental health among urban residents. While an increasing number of studies have explored the linear relationships between neighborhood environments and mental health, much remains to be revealed about the nonlinear health effects of neighborhood environments, the thresholds of various environmental factors, and the optimal environmental exposure levels for residents. To fill these gaps, this paper collected survey data from 1003 adult residents in Guangzhou, China, and measured the built and social environments within the neighborhoods. The random forest model was then employed to examine the nonlinear effects of neighborhood environments on mental health, evaluate the importance of each environmental variable, as well as identify the thresholds and optimal levels of various environmental factors. The results indicated that there are differences in the importance of diverse neighborhood environmental factors affecting mental health, and the more critical environmental factors included greenness, neighborhood communication, and fitness facility density. The nonlinear effects were shown to be universal and varied among neighborhood environmental factors, which could be classified into two categories: (i) higher exposure levels of some environmental factors (e.g., greenness, neighborhood communication, and neighborhood safety) were associated with better mental health; (ii) appropriate exposure levels of some environmental factors (e.g., medical, fitness, and entertainment facilities, and public transport stations) had positive effects on mental health, whereas a much higher or lower exposure level exerted a negative impact. Additionally, this study identified the exact thresholds and optimal exposure levels of neighborhood environmental factors, such as the threshold (22.00%) and optimal exposure level (>22.00%) of greenness and the threshold (3.80 number/km2) and optimal exposure level (3.80 number/km2) of fitness facility density.
Dispositional Awe Positively Predicts Prosocial Tendencies: The Multiple Mediation Effects of Connectedness and Empathy
Authors: Jiao Liming , Luo Li
Published: December 2022

Awe is an emotion frequently experienced by individuals in different cultures. When individuals experience awe, they would feel a sense of connectedness to other people or nature arises, and shift their attention to the outside world, which would increase empathy for others in need and, in turn, improve their prosocial tendencies. To test this proposal, we applied a cross-sectional study using a questionnaire survey to collect a sample of 1545 (Nfemale = 988) in Asia, aged between 16 and 71 years old (M = 22.81, SD = 7.80). The Structural Equation Model and bootstrapping method were used to test the mediation effects of connectedness and empathy between awe and prosocial tendency. Results showed that dispositional awe positively predicted a prosocial tendency, which could be partially explained by the multiple mediation effects of connectedness and empathy, after controlling for the effect of the small self. The findings deepen researchers’ understanding of the underlying mechanisms of the relationship between awe and prosociality and have practical implications for cultivating awe and prosocial behavior.
Pre-Drying of Chlorine–Organic-Contaminated Soil in a Rotary Dryer for Energy Efficient Thermal Remediation
Authors: Chai Rui , Wang Jinqing , Zhan Mingxiu , Yuan Dingkun , Chi Zuohe , Gu Hailin , Mao Jiani
Published: December 2022

In response to the current problem of the high energy consumption of direct thermal desorption systems when treating soils with a high moisture content, we propose using the waste heat of the system to pre-dry soil to reduce its moisture. Taking chlorine–organic-contaminated soil as an object, an experimental study on the drying and pollutant desorption characteristics of soil in an indirect rotary dryer was carried out. The results show that the non-isothermal drying process was divided into warm-up and falling rate periods, and no constant period was observed. The higher the rotation speed, the lower the soil outlet temperature and the higher the drying tail gas temperature. Soil outlet and dry tail gas temperatures were lower for soils with a higher moisture content. Benzene and cis-1,2-dichloroethylene are easily desorbed. Therefore, the disposal of dry tail gas should be determined according to the type and concentration of soil pollutants present. The volumetric heat transfer coefficient was found to be 85–100 W m−3 °C−1, which provides a key parameter for the size design of a rotary dryer.
Full Sails against Cancer
Authors: Mastronuzzi Angela , Basso Alessandra , Del Baldo Giada , Carai Andrea , De Salvo Andrea , Bonanni Alessandra , Ciaralli Italo , Secco Domitilla Elena , Cornaglia Ferraris Paolo
Published: December 2022

Background: Cancer is very disruptive in adolescence and hospitalizations interfere with this development stage in becoming independent, developing social relationships, and making plans for the future. A major challenge in the care of adolescents with cancer is being able to enhance their quality of life. The aim of this project is to increase our understanding of how adventure therapy influenced quality of life for adolescents with cancer. Methods: Bambino Gesù Children’s Hospital, in collaboration with the Tender to Nave Italia Foundation (TTNI), has been conducting a unique project, located on a beautiful brigantine of the Italian Navy. Adventure therapy is a form of experiential therapy that consists of various types of adventure, in particular outdoor and sailing activities. Ninety teenagers have been the protagonists of this project to date and filled out two questionnaires about quality of life and self-esteem, before and after the sailing experience. Results: The adventure provides the opportunity for the participants to build interpersonal relationships and develop life skills that they can benefit from in the future experiences. All participants report a significant improvement in their quality of life and self-esteem at the end of this experience. Conclusion: This collaborative adventure project is a great way to learn and practice new behaviors, improve interpersonal skills, heal painful emotions, overcome personal obstacles and challenges, and help the teenagers to resume their developmental path after an onco-hematological diagnosis.
A Comparison of the Contents of Disaster Nursing Practices and Perceived Difficulties among Nurses Working at Welfare Evacuation Shelters during Natural Disasters and Multiple Disasters: A Qualitative Study
Authors: Shiomitsu Yoshiko , Yamaguchi Takumi , Imamura Keiko , Koyama Tamami , Tsuchihashi Hitomi , Kawaoka Yuta , Matsunari Yuko
Published: December 2022

In this study, we compared the disaster relief practices of nurses who worked in welfare shelters in Iwate and Miyagi Prefectures, areas in which only natural disasters occurred, and nurses who worked in Fukushima Prefecture, an area in which both nuclear and natural disasters occurred during the Great East Japan Earthquake in 2011, in order to identify commonalities and differences between them. We conducted semi-structured interviews with two nurses from each prefecture. The results revealed that “nursing practice with minimal available materials and personnel” and “nursing practice based on knowledge and experience as a nurse” were common themes in the content of nursing practices, whereas “securing human resources during disasters and considering ideal welfare evacuation centers” and “recording the difficulties in dealing with nuclear disasters” were uncommon themes. The findings confirmed that even in Fukushima Prefecture, in which the nuclear disaster occurred, participants did not talk about their concerns regarding radiation exposure while working at welfare evacuation shelters where people with special requirements were evacuated, and that they were expected to respond in the same way as they would in natural disasters. However, participants reported several difficulties relating to nuclear disasters that should be considered in future disaster support.
Effect of Teacher Support on Adolescents’ Positive Academic Emotion in China: Mediating Role of Psychological Suzhi and General Self-Efficacy
Authors: Chen Xu , Zhao Hongxia , Zhang Dajun
Published: December 2022

Positive academic emotions can promote good academic performance and development in students. Therefore, how teachers stimulate students to produce more positive academic emotions is particularly important. This study aimed to reveal the underlying mechanism of teacher support and adolescents’ positive academic emotions. A total of 854 students from western China participated in this survey, which included the Students’ Perception of the Teacher’s Behavioural Support Questionnaire, the Psychological Suzhi Questionnaire for Middle School Students, the General Self-Efficacy Scale, and the Achievement Emotions Questionnaire (396 boys; 12 to 20 years old, Mage = 15.3, SD = 2.04). Results showed that (1) teacher support, psychological suzhi, and general self-efficacy were positively correlated with students’ positive academic emotion; (2) psychological suzhi and general self-efficacy played a separate mediating role between teacher support and adolescents’ positive academic emotion; and (3) teacher support also influenced adolescents’ positive academic emotion through the serial mediation of psychological suzhi and general self-efficacy.
Primary Clear Cell Adenocarcinoma of the Uterine Cervix in a 14-Year-Old Virgin Girl: Case Report
Authors: Bujor Iuliana Elena , Lozneanu Ludmila , Ursache Alexandra , Cristofor Alexandra , Scurtu Ana-Maria , Plamadeala Petru , Gireada Roxana , Mandici Cristina Elena , Găină Marcel Alexandru , Matasariu Daniela Roxana
Published: December 2022

Cervical cancer is rare in adolescent and pediatric populations, with adenocarcinoma being the most commonly reported. Clear cell adenocarcinoma of the uterine cervix accounts for only 4% of all adenocarcinoma cases, and about two-thirds are associated with intrauterine diethylstilbestrol (DES) exposure. We report the case of a 14-year-old virgin girl who presented with a 1-month-long history of abnormal vaginal bleeding and lower abdominal pain. Transabdominal pelvic ultrasound examination revealed the presence of an irregular, homogeneous cervical mass that was 7 cm in size. Therefore, a magnetic resonance imaging (MRI) scan was performed to establish the origin of the tumor and its relationship to adjacent pelvic organs. Furthermore, a vaginoscopy was performed to identify the tumor, and a cervical biopsy was performed. Immunohistochemical and anatomopathological studies resulted in the diagnosis of non-HPV(Human Papilloma Virus)-related clear cell adenocarcinoma of the cervix. Following the oncological examination, she was admitted for radiotherapy. The patient had no maternal history of DES exposure in utero. Even though the number of cases in the literature is low, most of the virgin girls diagnosed with clear cell adenocarcinoma of the cervix have a fatal prognosis because of the delay in making a correct diagnosis.
Relationship between Child Abuse and Delinquent Behavior in Male Adolescents Deprived of Liberty
Authors: Vallejo Valdivieso Patricio Alfredo , Zambrano Pincay Graciela Hernestina , Beltran-Aroca Cristina M. , Girela-Lopez Eloy
Published: December 2022

The objective is to identify the prevalence of child abuse and criminal behavior among young male prisoners in Ecuador. Method: A total of 425 young people between 12 and 18 years of age, deprived of liberty from different centers for adolescent offenders in Ecuador, were used. The level of abuse to which they had been subjected in childhood was evaluated, as well as the risk factors present in their history. The relationship between abuse, risk factors, and criminal behavior was analyzed. Results: A high prevalence of the different types of abuse was found in the mean age of 15.03 years standard deviation (SD = 1.34). Conclusion: In addition, a relationship was discovered between the abuse suffered during childhood and the risk factors present in criminal behavior during adolescence, which was demonstrated in this article. The practical implications of these results are discussed, taking into consideration their relevance for prevention.
Dynamic Removal of Nickel (II) on Elaeis guineensis Waste Bed: Study of the Breakage Curve and Simulation
Authors: Tejada-Tovar Candelaria , Villabona-Ortíz Angel , González-Delgado Ángel Darío
Published: December 2022

This research focused on the use of residual fiber from oil palm (Elaeis guineensis) for Ni (II) adsorption in a packed bed column. An analysis was conducted on the effect and statistical incidence of changes in temperature, adsorbent particle size, and bed height on the adsorption process. The results showed that particle size and bed height significantly affect the adsorption of Ni (II) ions, reaching adsorption efficiencies between 87.24 and 99.86%. A maximum adsorption capacity of 13.48 mg/g was obtained in the bed with a break time of 180 min. The Ni (II) adsorption in the dynamic system was evaluated by the analysis of the breakage curve with different theoretical models: Yoon–Nelson, dose–response, and Adams–Bohart; the dose–response model was the most appropriate to describe the behavior of the packed bed with an R2 of 84.56%. The breakthrough curve obtained from Aspen Adsorption® appropriately describes the experimental data with an R2 of 0.999. These results indicate that the evaluated bioadsorbent can be recommended for the elimination of Ni (II) in aqueous solutions in a dynamic system, and the simulation of the process can be a tool for the scalability of the process.
The Assessment of Skin Homeostasis Changes after Using Different Types of Excipients in Healthy Individuals
Authors: Ordoñez-Toro Abraham , Montero-Vilchez Trinidad , Muñoz-Baeza José , Sanabria-De-la-Torre Raquel , Buendia-Eisman Agustin , Arias-Santiago Salvador
Published: December 2022

Excipients are used as vehicles for topical treatments; however, there are not many studies that evaluate the impact of different excipients themselves. The aim of this research is to assess skin homeostasis changes in healthy individuals after using water/oil (W/O), oil/water (O/W), Beeler base, foam and Vaseline excipients. A within-person randomized trial was conducted that included healthy individuals without previous skin diseases. Skin barrier function parameters, including stratum corneum hydration (SCH), transepidermal water loss (TEWL), pH, temperature, erythema, melanin and elasticity (R0, R2, R5 and R7), were measured on the volar forearm before and after using each excipient. Sixty participants were included in the study, with a mean age of 32 years. After applying w/o excipient erythema decreased by 25 AU, (p < 0.001) and elasticity increased by 6%. After using the o/w excipient, erythema decreased by 39.36 AU (p < 0.001) and SCH increased by 6.85 AU (p = 0.009). When applying the Beeler excipient, erythema decreased by 41.23 AU (p < 0.001) and SCH increased by 15.92 AU (p < 0.001). Foam and Vaseline decreased TEWL and erythema. Excipients have a different impact on skin barrier function. Knowing the effect of excipients on the skin could help to develop new topical treatments and help specialists to choose the best excipient according to the pathology.
Climate Change Adaptation Strategies at a Local Scale: The Portuguese Case Study
Authors: Ramalho Margarida , Ferreira José Carlos , Jóia Santos Catarina
Published: December 2022

Coastal areas are home to more than 2 billion people around the globe and, as such, are especially vulnerable to climate change consequences. Climate change adaptation has proven to be more effective on a local scale, contributing to a bottom-up approach to the problems related to the changing climate. Portugal has approximately 2000 km of coastline, with 75% of the population living along the coast. Therefore, this research had the main objective of understanding adaptation processes at a local scale, using Portuguese coastal municipalities as a case study. To achieve this goal, document analysis and a questionnaire to coastal municipalities were applied, and the existence of measures rooted in nature-based solutions, green infrastructures, and community-based adaptation was adopted as a variable. The main conclusion from this research is that 87% of the municipalities that answered the questionnaire have climate change adaptation strategies implemented or in development. Moreover, it was possible to conclude that 90% of the municipalities are familiar with the concept of nature-based solutions and all the municipalities with adaptation strategies include green infrastructure. However, it was also possible to infer that community-based adaptation is a concept that most municipalities do not know about or undervalue.
A Structural Time Series Analysis of the Effect of Quantitative Easing on Stock Prices
Authors: Tawadros George B. , Moosa Imad A.
Published: December 2022

In this paper, a structural time series model is estimated to analyse the effect of quantitative easing (QE) on stock prices for the US, UK and Japan. The model is estimated by maximum likelihood in a time-varying parametric framework, using the DJIA, S&P500, NASDAQ, FTSE100 and the NIKKEI225 as the dependent variable and the balance sheet of the respective Central Bank as an explanatory variable, along with the unobserved components that account for the behaviour of other explanatory variables that are not explicitly specified in the model. The results show that QE had a significant but not exclusive effect on the DJIA, S&P500 and the NASDAQ, suggesting that these stock prices are also affected by other missing variables and cyclical movements. However, for the UK and Japan, no effect of QE on the FTSE100 and the NIKKEI225 is found, suggesting that variables other than QE are important for the rise in these stock prices. One plausible explanation for this result is that perhaps QE becomes effective only after a certain threshold level is met.
Comparative Analysis of Facial Coloration between Introduced and Source Populations of the Red Wood Ant Formica paralugubris
Authors: Frizzi Filippo , Buonafede Laura , Masoni Alberto , Balzani Paride , Santini Giacomo
Published: December 2022

The variation in the typical black-reddish color of red wood ants (Formica rufa group) has been recently suggested as a good indicator of habitat quality, being dependent on environmental conditions. However, the relative contribution of external factors and heritability in shaping this trait is poorly investigated. In this study, we compared the facial coloration of workers from four introduced populations of Formica paralugubris with those of the two Alpine populations from which they had been taken. We used a Relative Warp Analysis to describe the variations in the shape of this trait. We expected each introduced population to be more similar to its population of origin if the color pattern was predominantly genetically determined. On the contrary, due to the considerable differences in habitat type and climate between the Alps and the Apennines, we expected to observe differences between the introduced population and their origin population if the coloration was mostly environmentally determined. With one exception that we discuss, the results showed that ants from the two source populations had different phenotypes, and that the introduced populations had a shape similar to the population of origin, suggesting a stable genetic background. Surprisingly, the habitat type seems to have a less clear effect, even if within-population differences suggest the influence of very localized environmental factors. Finally, we found that the facial coloration shape is affected by the ant’s size, a result in line with previous studies.
Discrepancy of C-Reactive Protein, Procalcitonin and Interleukin-6 at Hospitalization: Infection in Patients with Normal C-Reactive Protein, Procalcitonin and High Interleukin-6 Values
Authors: Lee Eun-Hwa , Lee Kyoung-Hwa , Song Young-Goo , Han Sang-Hoon
Published: December 2022

C-reactive protein (CRP) or procalcitonin (PCT) alone has limitations in the early detection of infection or inflammation due to shortcomings in specificity and varied cut-off values. Recently, interleukin (IL)-6 has been assessed, but it is not known to what extent the three values are homogeneous in reality. This retrospective study was conducted with two large datasets (discrepancy set with results within 24 h of admission [7149 patients] and follow-up set until 2 weeks of hospital stay [5261 tests]) consisting of simultaneous examinations of CRP, PCT, and IL-6 between January 2015 and August 2021. The specific discrepant group (n = 102, 1.4%) with normal CRP (<10 mg/L) and PCT (<0.1 ng/mL) and high IL-6 (≥100 pg/mL) values was extracted from the discrepancy set. Dimensionality reduction and visualization were performed using Python. The three markers were not clearly clustered after t-distributed stochastic neighbor embedding. Pearson’s correlation coefficients between two markers were substantially low (0.23–0.55). Among the high normalized IL-6 levels (≥0.5) (n = 349), 17.8% and 38.7% of CRP and PCT levels were very low (≤0.01). 9.2% and 13.4% of normal CRP (n = 1522) had high PCT (≥0.5 ng/mL) and IL-6 (≥100 pg/mL) values, respectively. Infection and bacteremia among 102 patients occurred in 36 (35.3%) and 9 (8.8%) patients, respectively. In patients with bacteremia, IL-6 was the first to increase, followed by PCT and CRP. Our study revealed that CRP, PCT, and IL-6 levels were considerably discrepant, which could be misinterpreted if only CRP tests are performed.
Management of Adult Patients with Gastrointestinal Symptoms from Food Hypersensitivity—Narrative Review
Authors: Kanikowska Alina , Janisz Susanne , Mańkowska-Wierzbicka Dorota , Gabryel Marcin , Dobrowolska Agnieszka , Eder Piotr
Published: December 2022

The incidence of food hypersensitivity has increased dramatically over the years not only among children but also in adults. Adult patients are usually less suspected of food hypersensitivity symptoms since food allergies are more typical for small children, with a tendency to outgrow the condition. The aim of this article is to increase awareness of hypersensitivity to food symptoms and their diagnosis and treatment possibilities among gastroenterologists and other health care professionals dealing with this type of patient. Symptoms of many gastrointestinal disorders, especially functional, may be driven by different types of mechanisms, and food intolerance or allergy should be considered as a potential cause. This article presents the current understanding of the epidemiology, diagnosis and treatment of immune- and non-immune-mediated food-induced diseases. Diagnosis of food hypersensitivity is based mainly on medical history, different types of sensitivity tests, e.g., hydrogen breath test, specific IgE (sIgE) serum concentration, tissue eosinophil count, skin tests and oral food challenges considered as a “gold standard” for food allergy. Elimination diet and pharmacologic treatment for allergy symptoms are first-line therapies. Eosinophilic gastrointestinal diseases are often caused by non-IgE-mediated food allergies, require endoscopic biopsy samples to confirm diagnosis and proper elimination diet often combined with steroids or proton pump inhibitor agents for treatment. Mast cell activation syndrome (MCAS) derives from pathologic reaction of mast cells with increased tryptase serum level as a marker. Symptoms may occur in the digestive, respiratory, skin, neurologic and cardiovascular system. Treatment is based on histamine type 1, type 2 (H1, H2) receptor antagonists and other mast cell stabilizing agents. Carbohydrate intolerances are the most common type of food hypersensitivity in adult patients, and an elimination diet is effective for reducing symptoms. Food additives hypersensitivity remains difficult to diagnose, but use of a diet low in chemical substances alleviates symptoms and helps to diagnose the triggering factors.