bluuebunny/crossref_metadata_2025 huggingface dataset:
Analyzing Volatile Compounds of Young and Mature Docynia delavayi Fruit by HS-SPME-GC-MS and rOAV
Authors: Wang Yun , He Yuheng , Liu Yun , Wang Dawei
Published: December 2022

This study focused on the examination of the volatile compounds and fragrance properties of the young and mature fruit of Docynia delavayi. Headspace solid-phase microextraction combined with gas chromatography–mass spectrometry (HS-SPME-GC-MS) was applied for identifying 42 volatile compounds, with young and mature fruit containing 36 and 42 compounds, respectively. Heat map cluster analysis, principal component analysis (PCA), orthogonal partial least squares discriminant analysis (OPLS-DA), and independent sample t-testing were used to analyze sample differences. Based on a variable importance in projection (VIP) > 1 and p < 0.05, 23 key volatile compounds such as octanal, geranylacetone, butyl acetate, and dihydro-β-ionone were screened. β-Ionone and phenethyl acetate made the largest contribution to the aroma of D. delavayi after analyzing the relative odor activity value (rOAV) of the key volatile compounds and their aroma descriptors. Young D. delavayi fruit exhibited a prominent woody scent, while mature D. delavayi fruit had more intense floral and rosy aromas. The findings may lay a foundation for comprehensively developing and utilizing D. delavayi fruit.
Gelatin and Chitosan as Meat By-Products and Their Recent Applications
Authors: Elgadir M. Abd , Mariod Abdalbasit Adam
Published: December 2022

Meat by-products such as bones, skin, horns, hooves, feet, skull, etc., are produced from slaughtered mammals. Innovative solutions are very important to achieving sustainability and obtaining the added value of meat by-products with the least impact on the environment. Gelatin, which is obtained from products high in collagen, such as dried skin and bones, is used in food processing, and pharmaceuticals. Chitosan is derived from chitin and is well recognized as an edible polymer. It is a natural product that is non-toxic and environmentally friendly. Recently, chitosan has attracted researchers’ interests due to its biological activities, including antimicrobial, antitumor, and antioxidant properties. In this review, article, we highlighted the recent available information on the application of gelatin and chitosan as antioxidants, antimicrobials, food edible coating, enzyme immobilization, biologically active compound encapsulation, water treatment, and cancer diagnosis.
Anticoagulant and Fibrinolytic Properties of Two Heparinoid Compounds Prepared from Shrimp Waste
Authors: Chen Jing , Wang Zhuo , Jia Xuejing , Li Rui , Chen Jianping , Liu Xiaofei , Song Bingbing , Zhong Saiyi , Qi Yi
Published: December 2022

Heparinoid, a type of compound that has structures similar to heparin, has been found in marine organisms such as shrimp head. This shrimp waste products were used to prepare, characterize, and evaluate the antithrombotic effect of heparinoid. Two heparinoid compounds were obtained from shrimp head, and the main fraction F1 was →4)-GlcA-(1→3)-GalNAc-(1→ with Ara, while the minor fraction F2 composed mainly of the backbone as →4)-β-D-GlcA (or IdoA)-(1→4)-β-D-GlcN (or GlcNAc)-(1→. Both F1 and F2 could extend activated partial thromboplastin time and thrombin time concentration-dependently, and F2 has stronger activity than F1 at the same concentration. The potential anticoagulant mechanism of F1 and F2 may relate to their combination with more antithrombin III, which binds to and potentiates the action of antithrombin as well as inhibiting coagulation factors Xa and IIa, preventing blood clot formation. Furthermore, heparinoid F1 and F2 were found to have high fibrinolytic capability in vitro and in vivo via activating the self-fibrinolytic system. In conclusion, heparinoids (F1 and F2) derived from shrimp head wastes could be used as candidate compounds to prevent thrombosis while posing a lower hemorrhagic risk.
Effects of Heat-Moisture Treatment on the Digestibility and Physicochemical Properties of Waxy and Normal Potato Starches
Authors: Fang Guihong , Liu Ke , Gao Qunyu
Published: December 2022

Heat-moisture treatment (HMT) is a safe, environmentally friendly starch modification method that reduces the digestibility of starch and changes its physicochemical properties while maintaining its granular state. Normal potato starch (NPS) and waxy potato starch (WPS) were subjected to HMT at different temperatures. Due to erosion by high-temperature water vapor, both starches developed indentations and cracks after HMT. Changes were not evident in the amylose content since the interaction between the starch molecules affected the complexation of amylose and iodine. HMT increased pasting temperature of NPS from 64.37 °C to 91.25 °C and WPS from 68.06 °C to 74.44 °C. The peak viscosity of NPS decreased from 504 BU to 105 BU and WPS decreased from 384 BU to 334 BU. The crystallinity of NPS decreased from 33.0% to 24.6% and WPS decreased from 35.4% to 29.5%. While the enthalpy values of the NPS declined from 15.74 (J/g) to 6.75 (J/g) and WPS declined from 14.68 (J/g) to 8.31 (J/g) at 120 °C. The solubility and swelling power of NPS decreased while that of WPS increased at 95 °C. Due to the lack of amylose in WPS, at the same HMT processing temperature, the reduction in peak viscosity of treated WPS compared to that of native starch was smaller than that of NPS. The resistant starch (RS) content of NPS after HMT at 120 °C was 73.0%. The slowly digestible starch (SDS) content of WPS after HMT at 110 °C was 37.6%.
Lactoferrin—The Health-Promoting Properties and Contemporary Application with Genetic Aspects
Authors: Jańczuk Anna , Brodziak Aneta , Czernecki Tomasz , Król Jolanta
Published: December 2022

The aim of the study is to present a review of literature data on lactoferrin’s characteristics, applications, and multiple health-promoting properties, with special regard to nutrigenomics and nutrigenetics. The article presents a new approach to food ingredients. Nowadays, lactoferrin is used as an ingredient in food but mainly in pharmaceuticals and cosmetics. In the European Union, bovine lactoferrin has been legally approved for use as a food ingredient since 2012. However, as our research shows, it is not widely used in food production. The major producers of lactoferrin and the few available food products containing it are listed in the article. Due to anti-inflammatory, antibacterial, antiviral, immunomodulatory, antioxidant, and anti-tumour activity, the possibility of lactoferrin use in disease prevention (as a supportive treatment in obesity, diabetes, as well as cardiovascular diseases, including iron deficiency and anaemia) is reported. The possibility of targeted use of lactoferrin is also presented. The use of nutrition genomics, based on the identification of single nucleotide polymorphisms in genes, for example, FTO, PLIN1, TRAP2B, BDNF, SOD2, SLC23A1, LPL, and MTHFR, allows for the effective stratification of people and the selection of the most optimal bioactive nutrients, including lactoferrin, whose bioactive potential cannot be considered without taking into account the group to which they will be given.
Addition of Chickpea Flour in Durum Wheat Flour Makes Tortilla More Nutritious and Palatable, and Technologically Acceptable
Authors: Benayad Asmaa , Taghouti Mona , Benali Aouatif , Zouahri Abdelmajid , Bikri Samir , Aboussaleh Youssef , Benbrahim Nadia , Kumar Shiv
Published: December 2022

In order to contribute to the reduction of nutritional deficiencies in Morocco, this study was undertaken to develop a healthier tortilla with higher iron and protein, while maintaining adequate technological and sensory qualities. Composite durum wheat flour enriched with 20, 25, 30, and 35% chickpea flour was assessed for nutritional, functional, and technological properties. Then, we selected two composite blends of 75:25 and 70:30 of durum wheat and chickpea flours for making tortillas to study nutritional, technological, and sensorial qualities. In addition, we studied the effects of making and cooking process and storage time. Kruskal–Wallis and Mann—Whitney tests were used for data analysis, and GraphPad Prism was used to create graphs. The results showed that composite tortilla had significantly higher nutritional value than durum wheat tortilla, and the best ratio was 30% chickpea flour. At this ratio, the results showed the best cooking time and the best yellowness, but tortilla fluffiness and puffiness decreased. Tortilla processing significantly increased protein at 30% chickpea flour, while minerals except sodium, weight, and diameter decreased. Adding 30% chickpea flour to durum wheat tortilla improved flavor. Then, storage decreased the weight resulting in decreased flexibility, and sanitary quality was lost early for 30% chickpea flour. In conclusion, adding 30% chickpea flour to durum wheat flour results in a healthier and tastier tortilla, which should be consumed fresh.
Emission Modeling in the EHT–ngEHT Age
Authors: Anantua Richard , Dúran Joaquín , Ngata Nathan , Oramas Lani , Röder Jan , Emami Razieh , Ricarte Angelo , Curd Brandon , Broderick Avery E. , Wayland Jeremy , Wong George N. , Ressler Sean , Nigam Nitya , Durodola Emmanuel
Published: December 2022

This work proposes a methodology for testing phenomenologically motivated emission processes that account for the flux and polarization distribution and global structure of the 230 GHz sources imaged by the Event Horizon Telescope (EHT): Messier (M)87* and Sagittarius (Sgr) A*. We introduce into general relativistic magnetohydrodynamic (GRMHD) simulations some novel models to bridge the largely uncertain mechanisms by which high-energy particles in jet/accretion flow/black hole (JAB) system plasmas attain billion-degree temperatures and emit synchrotron radiation. The “Observing” JAB Systems methodology then partitions the simulation to apply different parametric models to regions governed by different plasma physics—an advance over methods in which one parametrization is used over simulation regions spanning thousands of gravitational radii from the central supermassive black hole. We present several classes of viewing-angle-dependent morphologies and highlight signatures of piecewise modeling and positron effects, including a MAD/SANE dichotomy in which polarized maps appear dominated by intrinsic polarization in the MAD case and by Faraday effects in the SANE case. The library of images thus produced spans a wide range of morphologies awaiting discovery by the groundbreaking EHT instrument and its yet more sensitive, higher-resolution next-generation counterpart, ngEHT.
Novel Insights into Potential Cannabis-Related Cancerogenesis from Recent Key Whole Epigenome Screen of Cannabis Dependence and Withdrawal: Epidemiological Commentary and Explication of Schrott et al.
Authors: Reece Albert Stuart , Hulse Gary Kenneth
Published: December 2022

Whilst the cannabis-cancer link has been traditionally described as controversial recent whole nation and whole continent studies have demonstrated that well documented laboratory-based multimodal cannabinoid genotoxicity is indeed reflected in numerous cancer types in larger epidemiological series. A recent longitudinal human sperm epigenome-wide DNA methylation screen in both cannabis dependence and cannabis withdrawal has revealed remarkable insights into the manner in which widespread perturbations of DNA methylation may lead to cancerogenic changes in both the exposed and subsequent generations as a result of both cannabis exposure and withdrawal. These results therefore powerfully strengthen and further robustify the causal nature of the relationship between cannabinoid exposure and cancerous outcomes well beyond the previously published extensive mechanistic literature on cannabinoid genotoxicity. The reported epigenomic results are strongly hypothesis generating and call powerfully for further work to investigate oncogenic mechanisms in many tissues, organs and preclinical models. These epigenomic results provide an extraordinarily close predictive account for the epidemiologically observed pattern of cannabis-related malignant disease and indicate that malignant and multigenerational cannabinoid epigenotoxicity is potentially a significant and major public health concern.
3-D Reconstruction of Rock Samples via Structure-From-Motion for Virtual Reality Applications: A Methodological Proposal
Authors: Inocencio Leonardo Campos , Veronez Maurício Roberto , da Silveira Luiz Gonzaga , Tognoli Francisco Manoel Wohnrath , de Souza Laís Vieira , Bonato Juliano , Diniz Jaqueline Lopes
Published: December 2022

This article presents a methodological proposal for the three-dimensional reconstruction of rock samples via structure-from-motion. The presented methodological steps aimed to provide a reproducible workflow to create virtual rock samples to be applied in virtual applications. The proposed methodology works as a how-to guide as well as a preemptive troubleshooting guide for the complete process. Four geologists with different scholar levels volunteered to test this methodological proposal, applying it to three rock samples as the methodology steps were provided in an inverse-proportional manner to the graduate level. When analyzing the results of the performed reconstructions, all analyzed elements presented a proportional reduction due to the lack of information provided. An initial questionnaire was applied to verify the difficulties encountered, and subsequently, all volunteers received the complete methodology. In the second reconstruction, the results were equivalent to those obtained initially with the complete methodology. A technology acceptance model questionnaire was applied to determine the perception of utility and ease of use of the presented methodology. In both cases the results presented themselves in a positive way, indicating that the methodology was able to solve the problems found simply and objectively through a repeatable workflow.
Donanemab for Alzheimer’s Disease: A Systematic Review of Clinical Trials
Authors: Rashad Areeba , Rasool Atta , Shaheryar Muhammad , Sarfraz Azza , Sarfraz Zouina , Robles-Velasco Karla , Cherrez-Ojeda Ivan
Published: December 2022

Amyloid-β (Aβ) plaques and aggregated tau are two core mechanisms that contribute to the clinical deterioration of Alzheimer’s disease (AD). Recently, targeted-Aβ plaque reduction immunotherapies have been explored for their efficacy and safety as AD treatment. This systematic review critically reviews the latest evidence of Donanemab, a humanized antibody that targets the reduction in Aβ plaques, in AD patients. Comprehensive systematic search was conducted across PubMed/MEDLINE, CINAHL Plus, Web of Science, Cochrane, and Scopus. This study adhered to PRISMA Statement 2020 guidelines. Adult patients with Alzheimer’s disease being intervened with Donanemab compared to placebo or standard of care in the clinical trial setting were included. A total of 396 patients across four studies received either Donanemab or a placebo (228 and 168 participants, respectively). The Aβ-plaque reduction was found to be dependent upon baseline levels, such that lower baseline levels had complete amyloid clearance (<24.1 Centiloids). There was a slowing of overall tau levels accumulation as well as relatively reduced functional and cognitive decline noted on the Integrated Alzheimer’s Disease Rating Scale by 32% in the Donanemab arm. The safety of Donanemab was established with key adverse events related to Amyloid-Related Imaging Abnormalities (ARIA), ranging between 26.1 and 30.5% across the trials. There is preliminary support for delayed cognitive and functional decline with Donanemab among patients with mild-to-moderate AD. It remains unclear whether Donenameb extends therapeutic benefits that can modify and improve the clinical status of AD patients. Further trials can explore the interplay between Aβ-plaque reduction and toxic tau levels to derive meaningful clinical benefits in AD patients suffering from cognitive impairment.
Rasch and Confirmatory Factor Analyses of the Arabic Version of the Diabetes Self-Management Scale (DSMS): An Intercultural Approach
Authors: Kaabi Yahia Ali , Alshaikh Nahla A. , Jerah Ahmed A. , Halawi Mustafa A. , Habibullah Mahmoud M. , Abdelwahab Siddig Ibrahim
Published: December 2022

The current study was designed to validate the Arabic version of the Diabetes Self-Management Scale (DSMS) using Rasch and confirmatory factor analyses. This included person and item fit, separation, and reliability; rating scale functionality to evidence substantive validity; unidimensional structure to evidence structural validity; and item technical quality to evidence content validity. The study was conducted between September 2021 and March 2022. Utilizing AMOS-based confirmatory factor analysis (CFA), the study also assured the dimensionality of the DSMS. The participants were 103 diabetic patients in Saudi Arabia with a mean age of 44.72 years (standard deviation = 17.35). The analysis was performed using a trichotomous rating scale, and only one item exhibited a misfit (DSMS14). The item difficulty range was −1.0 to +1.0 logits, while the person’s ability range was −3.0 to +3.0 logits. The first construct proved one Rasch dimension, which was explained and further analyzed using AMOS-CFA for the one-factor model. The DSMS was shown to be beneficial as a screening instrument for patient-reported diabetes self-management, despite several flaws that need to be addressed to improve the scale further.
The Effects of a Scenario-Based Spiritual Care Course on Spiritual Care Competence among Clinical Nurses: A Quasi-Experimental Study
Authors: Hsieh Suh-Ing , Hsu Li-Ling , Hinderer Katherine A. , Lin Hui-Ling , Tseng Yi-Ping , Kao Chen-Yi , Lee Ching-Yun , Kao Shu-Hua , Chou Yen-Fang , Szu Li-Yun , Ho Lun-Hui
Published: December 2022

Across their lifespans, and in many clinical settings, patients have spiritual care needs. Many nurses lack competence related to providing spiritual care. Popular educational strategies, such as simulated educational programs and objective structured clinical examinations (OSCE), have not been widely adopted in nursing spiritual care education. The purpose of this study was to explore the effects of a scenario-based spiritual care course on spiritual care competence in nurses. This quasi-experimental study employed a repeated-measures pre-test/post-test design with assessments immediately before, immediately after, and 3 months post-intervention. Nurses providing direct patient care in diverse clinical settings were recruited from a large medical foundation in northern Taiwan. The intervention was a one day scenario-based spiritual care course and OSCE. The experimental group (n = 53) and controls (n = 85) were matched for their similar units, ages, working experience, and clinical ladder status. The Spiritual Care Competence Scale (SCCS), Spiritual Perspective Scale (SPS), Spiritual Care Perspective Scale-Revised (SCPS-R), and reflection logs were completed by both experimental and control groups. The Course Satisfaction Scale, OSCE Checklist, and Standardized Patient Feedback Scale (SPFS) were completed by the experimental group only. The experimental group had significantly higher SPS scores and self-evaluated SCCS scores, and lower SCPS-R scores (more positive spiritual perspectives), than controls at 3 months post-intervention. The experimental group showed significant within-subject effects at three time points on SPS scores, SCPS-R scores, and self-evaluated SCCS scores. Mean global performance of OSCE was 3.40 ± 0.91, and SP feedback indicated strengths and areas for improvement. In conclusion, the scenario-based spiritual care course effectively enhanced nurses’ spiritual care competence, competence, and skills. Blended education techniques can therefore enhance nurses’ ability to support patients with spiritual care needs.
Green Operation Strategies in Healthcare for Enhanced Quality of Life
Authors: Thomas Albi , Ma Suresh , Ur Rehman Ateekh , Usmani Yusuf Siraj
Published: December 2022

Healthcare services have now become a fundamental requirement for all individuals owing to rising pollution levels and shifting lifestyles brought on by fast modernization. The hospital is a specialized healthcare facility where doctors, nurses, and other medical professionals offer their services. Academics and professionals have emphasized green operation initiatives such as green design, green purchasing, green supply chain, and green manufacturing to increase public awareness of environmental problems affecting company operations associated with healthcare for the quality of life. The purpose of this research is to use total interpretive structural modeling and MICMAC (matrix cross multiplication applied to a classification) analysis to investigate and analyze the elements impacting green operations strategies in healthcare. The data are gathered using a closed-ended questionnaire together with a scheduled interview. The components’ interactions are explored using the total interpretive structural modeling technique, and the MICMAC analysis is used to rank and categorize the green operation strategy variables. The study is a novel effort to address and focus on stakeholders, vision and structure, resources, and capabilities. Green operations strategies have only been the subject of a small number of studies in the past, and those studies were mostly addressed at manufacturing-specific green strategies. Thus, by promoting energy efficiency programs, green building design, alternative sources of energy, low-carbon transportation, local food, waste reduction, and water conservation, the health sector can develop multiple key strategies to become more climate-friendly with significant health, environmental, and social co-benefits for quality of life.
The Ecological-Dynamics Framework for Medical Skills
Authors: Taraporewalla Kersi , van Zundert André , Watson Marcus , Renshaw Ian
Published: December 2022

Physicians are required to move and manipulate equipment to achieve motor tasks such as surgical operations, endotracheal intubations, and intravenous cannulation. Understanding how movements are generated allows for the analysis of performance, skill development, and methods of teaching. Ecological-Dynamics (ECD) is a theoretical framework successfully utilized in sports to explain goal-directed actions and guide coaching and performance analysis via a Constraint-Led Approach (CLA). Its principles have been adopted by other domains including learning music and mathematics. Healthcare is yet to utilize ECD for analyzing and teaching practical skills. This article presents ECD theory and considers it as the approach to understand skilled behavior and developing training in medical skills.
Exploring the Presence of Humanoid Social Robots at Home and Capturing Human-Robot Interactions with Older Adults: Experiences from Four Case Studies
Authors: Leung Angela Y. M. , Zhao Ivy Y. , Lin Shuanglan , Lau Terence K.
Published: December 2022

Background: Social robots have the potential to bring benefits to aged care. However, it is uncertain whether placing these robots in older people’s home is acceptable and whether human-robot interactions would occur or not. Methods: Four case studies were conducted to understand the experiences of older adults and family caregivers when humanoid social robot Ka Ka was placed in homes for two weeks. Results: Four older adults and three family caregivers were involved. Older adults interacted with the social robot Ka Ka every day during the study period. ‘Talking to Ka Ka’, ‘listening to music’, ‘using the calendar reminder’, and ‘listening to the weather report’ were the most commonly used features. Qualitative data reported the strengths of Ka Ka, such as providing emotional support to older adults living alone, diversifying their daily activities, and enhancing family relationships. The voice from Ka Ka (female, soft, and pleasing to the ear) was considered as ‘bringing a pleasant feeling’ to older adults. Conclusions: In order to support aging-in-place and fill the gaps of the intensified shortage of health and social manpower, it is of prime importance to develop reliable and age-friendly AI-based robotic services that meet the needs and preferences of older adults and caregivers.
A Confirmatory Factor Analysis of the ‘Return to Duty Readiness Questionnaire’
Authors: Cooper Carly , Frey Bruce , Long Haiying , Day Charles
Published: December 2022

The Readiness to Return to Duty Questionnaire (RDRQ) is a recently developed screening instrument for detecting fear-avoidance behavior in a military musculoskeletal pain population. The RDRQ was developed based on the Fear-Avoidance Model which postulates four factors resulting in overall fear-avoidance behavior. While research investigating the factor structure of the RDRQ does not exist, research investigating the factor structure of other measures of fear avoidance have found evidence of one and two factor solutions. In the present paper we assess the adequacy of the proposed factor structure of the RDRQ using confirmatory factor analysis. The results favor a three-factor model. Theoretical implications for research using the RDRQ are discussed.
Factors Associated with Engagement in University Life, and Help Seeking Attitudes and Behaviour in First Year Undergraduate Students
Authors: Gulliver Amelia , Wysoke Taliah , Calear Alison L. , Farrer Louise M.
Published: December 2022

Students transitioning from secondary school to university may experience unique issues that impact their mental health. There is limited research, however, on what drives first year students to seek professional help for mental health problems. There is also a current lack of knowledge about the factors that may be associated with engagement with university life in students transitioning to university, and how engagement may be related to help seeking attitudes and behaviours in a first year university population. Data (N = 165) were drawn from two waves (Wave 1, February 2021, and Wave 4, June 2021) of a longitudinal study of Australian university students commencing study for the first time, which included measures of engagement, belonging, stigma and help seeking intentions and behaviours. The results showed that students with higher levels of depression stigma prior to commencing university at Wave 1 had less positive attitudes towards help seeking at Wave 4. Students had increased odds of seeking help for a mental health problem in Wave 4 if they had moved away for university, reported higher levels of mental health literacy or willingness to disclose, had lower levels of engagement with university life and were experiencing higher levels of general psychological distress. Students experiencing higher thwarted belongingness were also found to have lower levels of engagement with university at Wave 4. Both thwarted belongingness and stigma were found to be associated with engagement with university and help seeking behaviours and should be examined further.
Towards a Characterization of Background Music Audibility in Broadcasted TV
Authors: Batlle-Roca Roser , Herrera-Boyer Perfecto , Meléndez-Catalán Blai , Molina Emilio , Serra Xavier
Published: December 2022

In audiovisual contexts, different conventions determine the level at which background music is mixed into the final program, and sometimes, the mix renders the music to be practically or totally inaudible. From a perceptual point of view, the audibility of music is subject to auditory masking by other aural stimuli such as voice or additional sounds (e.g., applause, laughter, horns), and is also influenced by the visual content that accompanies the soundtrack, and by attentional and motivational factors. This situation is relevant to the music industry because, according to some copyright regulations, the non-audible background music must not generate any distribution rights, and the marginally audible background music must generate half of the standard value of audible music. In this study, we conduct two psychoacoustic experiments to identify several factors that influence background music perception, and their contribution to its variable audibility. Our experiments are based on auditory detection and chronometric tasks involving keyboard interactions with original TV content. From the collected data, we estimated a sound-to-music ratio range to define the audibility threshold limits of the barely audible class. In addition, results show that perception is affected by loudness level, listening condition, music sensitivity, and type of television content.
Translation and Cross-Cultural Adaptation of the International Questionnaire to Measure the Use of Complementary and Alternative Medicine (I-CAM-Q) for the Polish and Cross-Sectional Study
Authors: Jędrzejewska Aneta Brygida , Ślusarska Barbara Janina , Jurek Krzysztof , Nowicki Grzegorz Józef
Published: December 2022

According to the World Health Organization (WHO), complementary and alternative medicine (CAM) encompasses a broad set of health care practices that are not part of a country’s traditional or conventional medicine and are not fully integrated into the prevailing health care system. The aim of this study is the linguistic and cross-cultural adaptation of the Polish version of the International Questionnaire to Measure Use of Complementary and Alternative Medicine (I-CAM-Q) and the assessment of the occurrence and factors related to CAM among patients in Poland. A methodological model of translation and cross-cultural adaptation of research tools according to Beaton et al. with a Delphi—Technique was used for the linguistic and cultural adaptation of the Polish version of I-CAM-Q. The Delphi consensus was achieved in the scale assessment between the experts in two rounds (with a score of above 80% of expert agreement). Data was collected using an online survey within 38 thematically different groups on Facebook, among 524 participants. Over half (59.7%, n = 313) of the respondents used the services of at least one CAM practitioner. On the other hand, 50.8% (n = 266) of the respondents declared using physician’s advice. The use of herbs and plant products was reported by 84.7% (n = 444), and vitamins and minerals by 88.4% (n = 463) of respondents. The most commonly used self-help practices among the respondents were relaxation techniques (49.6%), praying for one’s health (43.3%) and meditation (41.2%). The consensual methodology of validating the Polish version of the I-CAM-Q scale allowed for creation of a conceptually and linguistically equivalent tool with the original international instrument. A high frequency of CAM use was found among the respondents. Therefore, strategies should be implemented to improve patient-physician communication on the use of CAM in Poland.
Masquerade of Polish Society—Psychological Determinants of COVID-19 Precautionary Behaviors
Authors: Józefacka Natalia Maja , Podstawski Robert , Płoszaj Małgorzata Barbara , Szpakiewicz Elżbieta , Kołek Mateusz Franciszek , Pomianowski Andrzej , Kania Gabriela , Niedźwiecka Anna , Łabno Dominika , Michalec Aleksander , Paw Weronika
Published: December 2022

The risk of contracting COVID-19 was a very specific situation of uncertainty and ambi-guity, and of course, cognitively interesting for psychologists studying the determinants of behaviors of different personality types. In this study, we set our sights on trying to find a correlation between adherence to wearing masks and receiving vaccinations and having certain character traits that we thought might influence preventive behavior or not. We focused on the Dark Triad—psychopathy, Machiavellianism and narcissism—as well as social approval and the need for cognition closure, as these traits have previously been linked to heightened conspiracy mentalities. We recruited 159 subjects in the experiment, including 53 male and 106 female participants over the age of 18 to take part in an online survey investigating personality and COVID-19 information. The results confirmed our hypothesis that age, empathy, the need for social approval and other psychological traits are the factors that differentiates people who wear face masks from those who do not. However, it seems impossible to define one set of features that would predispose people to not wear face masks. In our study, the importance of psychological features differed depending on the category of public places. We discuss possible implications of these findings and provide direction for future research.
Investigation of Psychological Stress and Sleep Quality of Emergency Medical Technicians in Taiwan Fire Department during the COVID-19 Pandemic
Authors: Cheng Chiao-Yin , Sun Jen-Tang , Chang Hung-Pin , Chen Yen-Lin , Pei Dee , Liang Yao-Jen
Published: December 2022

When the coronavirus disease 2019 (COVID-19) began to ravage the world in 2019, the World Health Organization became concerned. The epidemic has a high mortality and contagion rate, with severe health and psychological impacts on frontline emergency medical service system practitioners. There are many hospital staff surveys, but few have covered the stress among emergency medical technicians. DASS-21, PSQI, and AUDIT questionnaires were used to evaluate the sources of psychological stress factors of firefighters in Taiwan. Multiple logistic regression was used to analyze the questionnaire content. We conducted questionnaire surveys from May 2022 to July 2022. Our sample comprised 688 participants. The odds ratios of increased depression, anxiety, and stress levels due to reduced family or peer understanding and support were 2.72 (95% CI: 1.50–4.92), p = 0.001; 2.03 (95% CI: 1.11–3.68), p = 0.021; and 3.27 (95% CI: 1.83–5.86), p < 0.001, respectively. The odds ratios of poor sleep quality due to depression, anxiety, and increased stress levels were 5.04 (3.18–7.99), p < 0.001; 2.44 (95% CI: 1.57–3.81), p < 0.001; and 4.34 (95% CI: 2.76–6.82), p-value < 0.001, respectively. During the COVID-19 pandemic, poor sleep quality and a lack of understanding and support from the Taiwan firefighting agency staff, family, or peers resulted in increased depression, anxiety, and stress levels.
An Empirical Study on the Promotion of Students’ Physiological and Psychological Recovery in Green Space on Campuses in the Post-Epidemic Era
Authors: Zhang Ping , He Qianyi , Chen Zexuan , Li Xi , Ma Jun
Published: December 2022

Human health is closely related to the environment; a relaxing and pleasant landscape environment can make people feel less stressed and more energetic. To investigate the restorative potential of landscape types and landscape elements in the post-epidemic era from the perspective of visual perception, this study selected Sichuan Agricultural University’s Laoban hill, Jiuqu bridge, and the ginkgo garden to carry out physiological and psychological measurement experiments with college students. Research results on the psycho-biological and perceptual recovery vary with the types of landscape spaces. The results of the physiological data showed that all three space types had no significant effect on the recovery of blood pressure and heart rate; Laoban hill and Jiuqu bridge had some impact on concentration, while the ginkgo garden had no significant effect; and all three space types had some effect on the relaxation of the subjects’ mental state. The results of the psychological data showed that the subjects’ emotions were significantly improved in the three different landscape space types. The space with the strongest restorative effect on negative emotions was the ginkgo garden, followed by Jiuqu bridge and Laoban hill. The spaces with the strongest restorative potential for positive emotions were Jiuqu bridge and the ginkgo garden, followed by Laoban hill. The results of the perceptual restoration data showed that the Laoban hill space had the most effective restorative potential on the human body, followed by Jiuqu bridge, with the ginkgo garden having the least effective restorative potential. The results of the study on the difference between the aesthetic preference of different landscape elements and the perception restorative effect of a space showed that “the harmony between artificial structures such as garden pieces and the environment”, “plant species”, “waterscape state”, and “boundary clarity” were identified as significant landscape elements with perception-restorative effects. These findings summarize campus landscape types and elements with optimal restorative potential. In the future, in campus landscape design—an active approach with a scientific combination and configuration of campus landscape types and elements—can provide a feasible solution to enhance the potential of campus landscape restorative effects.
Autofluorescence Image-Guided Endoscopy in the Management of Upper Aerodigestive Tract Tumors
Authors: Mat Lazim Norhafiza , Kandhro Abdul Hafeez , Menegaldo Anna , Spinato Giacomo , Verro Barbara , Abdullah Baharudin
Published: December 2022

At this juncture, autofluorescence and narrow-band imaging have resurfaced in the medicine arena in parallel with current technology advancement. The emergence of newly developed optical instrumentation in addition to the discovery of new fluorescence biomolecules have contributed to a refined management of diseases and tumors, especially in the management of upper aerodigestive tract tumors. The advancement in multispectral imaging and micro-endoscopy has also escalated the trends further in the setting of the management of this tumor, in order to gain not only the best treatment outcomes but also facilitate early tumor diagnosis. This includes the usage of autofluorescence endoscopy for screening, diagnosis and treatment of this tumor. This is crucial, as microtumoral deposit at the periphery of the gross tumor can be only assessed via an enhanced endoscopy and even more precisely with autofluorescence endoscopic techniques. Overall, with this new technique, optimum management can be achieved for these patients. Hence, the treatment outcomes can be improved and patients are able to attain better prognosis and survival.
Temporal Characteristics of Ozone (O3) in the Representative City of the Yangtze River Delta: Explanatory Factors and Sensitivity Analysis
Authors: Lu Yu , Wu Zhentao , Pang Xiaobing , Wu Hai , Xing Bo , Li Jingjing , Xiang Qiaoming , Chen Jianmeng , Shi Dongfeng
Published: December 2022

Ozone (O3) has attracted considerable attention due to its harmful effects on the ecosystem and human health. The Yangtze River Delta (YRD), China in particular has experienced severe O3 pollution in recent years. Here, we conducted a long-term observation of O3 in YRD to reveal its characteristics. The O3 concentration in autumn was the highest at 72.76 ppb due to photochemical contribution and local convection patterns, with its lowest value of 2.40 ppb in winter. O3 exhibited strong diurnal variations, showing the highest values in the early afternoon (15:00–16:00) and the minimum in 07:00–08:00, specifically, peroxyacetyl nitrate (PAN) showed similar variations to O3 but PAN peak usually occurred 1 h earlier than that of O3 due to PAN photolysis. A generalized additive model indicated that the key factors to O3 formation were NO2, PAN, and temperature. It was found that a certain temperature rise promoted O3 formation, whereas temperatures above 27 °C inhibited O3 formation. An observation-based model showed O3 formation was VOCs-limited in spring and winter, was NOx-limited in summer, and even controlled by both VOCs and NOx in autumn. Thus, prevention and control strategies for O3 in the YRD are strongly recommended to be variable for each season based on various formation mechanisms.
The Impact of Health Insurance Policy on the Fertility Intention of Rural Floating Population in China: Empirical Evidence from Cross-Sectional Data
Authors: Xing Yiqing , Tarimo Clifford Silver , Ren Weicun , Zhang Liang
Published: December 2022

Declining total fertility rates pose a severe challenge to the economy, society, culture, and politics of any region. Low fertility rates among China’s rural floating population with strong fertility are aggravating these challenges. Previous research has confirmed the relationships between health insurance and fertility intention. However, it is still unclear whether the existing association is favorable or not. Moreover, the majority of existing studies in China employ data from either urban or rural populations, whereas evidence from rural floating populations remains scarce. Based on the “China Migrants Dynamic Survey (CMDS)” in 2016, the current study used the logistic regression model to explore the impact of health insurance policy on the fertility intention of the rural floating population in China. Propensity Score Matching (PSM) was used to address potential selection bias. Three important findings were observed: Firstly, participating in the Basic Medical Insurance System (BMISUR) significantly improved rural floating populations’ fertility intentions in China. Secondly, the association between age and the fertility intention of the floating population was “inverted u-shaped” with the highest fertility intention among those aged 25 to 34. There was also a positive correlation between personal income and fertility intention, and it was found between local housing purchase, formal employment, the co-residents scale, and the fertility intention in the rural floating population in China. Interprovincial mobility was positively associated with the fertility intention among rural migrants. Thirdly, the impact of health insurance policies on the fertility intention of the rural migrant population varies by gender, age, and inflow areas. The aforementioned findings can guide the Chinese government in its efforts to improve the fertility intention of the rural floating population, reform the social security system with a focus on “targets”, and implement differentiated welfare policies aimed at promoting the equalization of basic public services, thereby contributing to China’s population structure and long-term development.
Accelerometer-Measured Physical Activity, Inactivity, and Related Factors in Family Caregivers of Patients with Terminal Cancer
Authors: Valero-Cantero Inmaculada , Casals Cristina , Corral-Pérez Juan , Barón-López Francisco Javier , Wärnberg Julia , Vázquez-Sánchez María Ángeles
Published: December 2022

The physical activity (PA) and inactivity of family caregivers of cancer patients were investigated and related to burden and quality of life through a cross-sectional multicentre study. A total of 75 caregivers were recruited from June 2020 to March 2021. The levels of PA and inactivity were estimated with a wrist accelerometer, 24 h a day, for 7 consecutive days. The Quality of Life Family Version, the Caregiver Strain Index, the total duration of care, the average number of hours spent in care, and the assistance received were registered. Our results showed that moderate-to-vigorous PA was 96.40 ± 46.93 min/day, with 90.7% of participants performing more than 150 min/week of physical activity, and this was significantly associated with age (r = −0.237). Daily inactivity was 665.78 ± 94.92 min, and inactivity for 20–30 min was significantly associated with caregiver burden (r = 0.232) and quality of life (r = −0.322). Compliance with the World Health Organization recommendations was significantly associated with a lower quality of life (r = −0.269). The strength of these associations was limited (r ~0.2). In conclusion, the PA performed by most caregivers met the established recommendations, although older caregivers (>65 years old) performed lower moderate-to-vigorous PA than younger ones. In addition, the mean inactive time was high (11 h/day), showing slight relationships with the burden and quality of life of caregivers.
The Longitudinal Effects of Depression on Academic Performance in Chinese Adolescents via Peer Relationships: The Moderating Effect of Gender and Physical Activity
Authors: Bi Yingchen , Moon Minkwon , Shin Myoungjin
Published: December 2022

This study aims to examine whether there is a difference in the sequential effect of depression on academic performance through peer relationships in Chinese adolescents based on gender and physical activity by using longitudinal data. Data from 7170 people from the China Education Panel Survey (CEPS) were used for analysis. The analysis showed that the indirect effect of depression on academic performance through peer relationships varied depending on gender and physical activity. Specifically, in male students experiencing depression, there was an indirect effect on academic performance through peer relationships in both high and low physical activity groups. In female students experiencing depression, the indirect effect on academic performance through peer relationships was offset if they participated more in physical activity. In other words, for female students participating in physical activity, improvement in peer relationships did not lead to higher academic performance, whereas for male students, improvement in academic performance could be anticipated by improving peer relationships regardless of participation in physical activity. Moreover, since peer relationships play a critical role in improving the academic performance of adolescents experiencing depression, it is important to develop a physical activity or sports program to strengthen peer relationships to improve academic performance.
Network Analysis of Neurobehavioral Symptom Patterns in an International Sample of Spanish-Speakers with a History of COVID-19 and Controls
Authors: Perrin Paul B. , Ramos-Usuga Daniela , West Samuel J. , Merced Kritzia , Klyce Daniel W. , Lequerica Anthony H. , Olabarrieta-Landa Laiene , Alzueta Elisabet , Baker Fiona C. , Iacovides Stella , Cortes Mar , Arango-Lasprilla Juan Carlos
Published: December 2022

(1) Background: Psychometric network analysis provides a novel statistical approach allowing researchers to model clusters of related symptoms as a dynamic system. This study applied network analysis to investigate the patterns of somatic, cognitive, and affective neurobehavioral symptoms in an international sample of Spanish-speaking individuals with a history of COVID-19 positivity and non-COVID controls; (2) methods: the sample (n = 1093) included 650 adults from 26 countries who reported having previously tested positive for COVID-19 (COVID+) through a viral and/or antigen test (average of 147 days since diagnosis). The control group (COVID−) was comprised of 443 adults from 20 countries who had completed the survey prior to the COVID-19 pandemic; (3) results: relative to the COVID− network, the COVID+ network was very well-connected, such that each neurobehavioral symptom was positively connected to the network. The organize-to-headache and dizzy-to-balance connections in the COVID+ network were stronger than in the COVID− network. The hearing, numbness, and tense symptoms were more central to the COVID+ network with the latter connected to the sleep, fatigue, and frustrated symptoms. The COVID− network was largely disjointed, with most of the somatosensory symptoms forming their own cluster with no connections to other symptom groups and fatigue not being connected to any other symptom. The cognitive and affective symptoms in the COVID− network were also largely connected to symptoms from within their own groups; (4) conclusions: These findings suggest that many of the long-term neurobehavioral symptoms of COVID-19 form a discernable network and that headaches, frustration, hearing problems, forgetfulness, and tension are the most central symptoms. Cognitive and behavioral rehabilitation strategies targeting these central symptom network features may hold promise to help fracture the lingering symptom network of COVID-19.