bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge, Attitudes, and Perception as Predictors of COVID-19 Safety Practices of Ride-Hailing Operators in Ghana: A Cross-Sectional Study
Authors: Agyemang Ernest , Yaro Joseph Awetori
Published: March 2023

Since its outbreak, health authorities have launched vigorous COVID-19 health promotion campaigns. This study assesses ride-hailing operators’ COVID-19 knowledge, attitudes, and practices in Ghana, with the aim of engendering precautionary behaviour among the populace. A complementary mixed methods approach was adopted. This involved a cross-sectional survey of 1014 participants who were also allowed to share their COVID-19-related lived experiences qualitatively after successfully completing the survey. The aggregate correct knowledge score was 84%. Most respondents were frightful of the virus (96%), but the majority had faith in the COVID-19 protocols (87%). Thus, most participants reported high use of face masks (95%) and practise personal hygiene (92%). However, social media misinformation and the subsequent complacency have dissuaded some participants from complying with the safety protocols. The qualitative data also show evidence of high susceptibility to COVID-19. The perceived benefits of safe behaviour, including masking up, were equally high among drivers surveyed, albeit barriers to preventative behaviours remain rife. Therefore, this study emphasises the importance of sustaining and improving public awareness by highlighting the susceptibility of all demographic groups to the virus and the need to counteract misinformation on social media.
Development of a Prototype Observatory of Heat-Related Occupational Illnesses and Injuries through the Collection of Information from the Italian Press, as Part of the WORKLIMATE Project
Authors: Ionita Giulia , Bonafede Michela , Ariani Filippo , Marinaccio Alessandro , Morabito Marco , Levi Miriam
Published: March 2023

Exposure to heat is a recognized occupational risk factor. Deaths and accidents at work caused by high temperatures are underestimated. With the aim of detecting and monitoring heat-related illnesses and injuries, a prototype database of occupational events attributable to critical thermal conditions reported in Italian newspapers was created. Information was analyzed from national and local online newspapers using a web application. The analysis was conducted from May to September during the three-year period 2020–2022. Articles concerning 35 occupational heat-related illnesses and injuries were selected; 57.1% of the events were reported in 2022, and 31.4% of total accidents occurred in the month of July 2022, when the Universal Thermal Climate Index daily mean values corresponded to “moderate heat stress” (51.0%) and “strong heat stress” (49.0%). Fatal heat-related illnesses were the most frequent conditions described. In most cases, workers had been involved in outdoor activities in the construction sector. A comprehensive report was created by compiling all relevant newspaper articles to enhance awareness of this issue among relevant stakeholders and promote heat-risk prevention strategies in the current context where heatwaves are becoming increasingly frequent, intense and long-lasting.
The Relationship between Social Support for Physical Activity and Physical Activity across Nine Years in Adults Aged 60–65 Years at Baseline
Authors: Smith Genevieve S. E. , Moyle Wendy , Burton Nicola W.
Published: March 2023

Physical activity is consistently recognized as a key component of healthy aging. The current study aimed to investigate the prospective association between social support specific for physical activity (SSPA) and physical activity across nine years among adults aged 60–65 years at baseline (n = 1984). An observational longitudinal design was used, with mail surveys administered to a population-based sample across four waves. SSPA was measured using a score ranging from 5–25, and physical activity was assessed as time spent in walking, or engaging in moderate and vigorous activity, during the previous week. Data were analyzed using linear mixed-effects models. The results demonstrated a positive significant relationship between SSPA and physical activity, accounting for sociodemographic and health variables. Each unit of increase in SSPA was associated with 11 extra minutes of physical activity per week (p < 0.001). There was a significant interaction between SSPA and wave at the final timepoint, such that the relationship was weaker (p = 0.017). The results highlight the value of even small increases in SSPA. SSPA could be targeted to promote physical activity among older adults, but may be more impactful in young-old adults. More research is needed to understand impactful sources of SSPA, underlying mechanisms between SSPA and physical activity, and potential moderation by age.
Upper Secondary School Pupils’ Experience of a Lifestyle Plan Based on Physical Power, Mental Harmony, and Social Capacity
Authors: Lygnegård Fredrik , Alricsson Marie , Östenberg Anna Hafsteinsson
Published: March 2023

Purpose: This study aimed to illustrate upper secondary school pupils’ experience using a self-administered web-based health-promoting tool, the Swedish Physical Power, Mental Harmony, and Social Capacity (FMS) student profile. Method: Five upper secondary schools in Sweden were included. Focus group interviews with pupils (10 girls, 5 boys, 15–19 years) were conducted, and data were analyzed using qualitative content analysis. Result: Two themes were generated from six categories: a sense of participation and self-control of health: everyday well-being, objective formulation, disappointment, health awareness, limitations, and health-promoting change. The participants experienced that using the FMS made them aware of factors that influence their health. They also reported that being given feedback visually from the FMS, peers, and staff involved in the school was beneficial in increasing their motivation to maintain a health-promoting change regarding physical activity and lifestyle factors. Conclusion: The use of a self-administered web-based health-promoting tool is viewed as beneficial for raising awareness and motivation to implement strategies that help attain a healthier lifestyle in upper secondary school students regarding factors affecting perceived health.
Psychosocial Peer Support to Address Mental Health and Burnout of Health Care Workers Affected by COVID-19: A Qualitative Evaluation
Authors: Simms Lea , Ottman Katherine E. , Griffith James L. , Knight Michael G. , Norris Lorenzo , Karakcheyeva Viktoriya , Kohrt Brandon A.
Published: March 2023

Health care workers in the U.S. are experiencing alarming rates of burnout. Furthermore, the COVID-19 pandemic has worsened this issue. Psychosocial peer-support programs that address general distress and are tailored to health care systems are needed. A Care for Caregivers (CFC) Program was developed at an American metropolitan university hospital and outpatient health care system. The CFC program trains “Peer Caregivers” and managers and has four components: the identification of colleagues in need of support; psychological first aid; linkage to resources; and the promotion of hope among colleagues experiencing demoralization. Qualitative interviews (n = 18) were conducted with Peer Caregivers and Managers participating in the initial piloting of the program. Results suggest that the CFC program shifts the organizational culture, teaches staff skills for recognizing and supporting others in distress, and supports those staff who are already providing these services informally. Findings suggest that staff distress resulted primarily from external factors and secondarily from internal organizational stressors. External stressors were exacerbated by the COVID-19 pandemic. Although the program has promise for addressing staff burnout, other organizational efforts are needed to simultaneously promote staff wellness. Ultimately, psychosocial peer support programs for health care workers are feasible and potentially impactful, but also require other systemic changes within a health care system to improve and sustain staff well-being.
Artificial Intelligence and Public Health: An Exploratory Study
Authors: Jungwirth David , Haluza Daniela
Published: March 2023

Artificial intelligence (AI) has the potential to revolutionize research by automating data analysis, generating new insights, and supporting the discovery of new knowledge. The top 10 contribution areas of AI towards public health were gathered in this exploratory study. We utilized the “text-davinci-003” model of GPT-3, using OpenAI playground default parameters. The model was trained with the largest training dataset any AI had, limited to a cut-off date in 2021. This study aimed to test the ability of GPT-3 to advance public health and to explore the feasibility of using AI as a scientific co-author. We asked the AI asked for structured input, including scientific quotations, and reviewed responses for plausibility. We found that GPT-3 was able to assemble, summarize, and generate plausible text blocks relevant for public health concerns, elucidating valuable areas of application for itself. However, most quotations were purely invented by GPT-3 and thus invalid. Our research showed that AI can contribute to public health research as a team member. According to authorship guidelines, the AI was ultimately not listed as a co-author, as it would be done with a human researcher. We conclude that good scientific practice also needs to be followed for AI contributions, and a broad scientific discourse on AI contributions is needed.
Lessons Learned from Natural Disasters around Digital Health Technologies and Delivering Quality Healthcare
Authors: Lokmic-Tomkins Zerina , Bhandari Dinesh , Bain Chris , Borda Ann , Kariotis Timothy Charles , Reser David
Published: March 2023

As climate change drives increased intensity, duration and severity of weather-related events that can lead to natural disasters and mass casualties, innovative approaches are needed to develop climate-resilient healthcare systems that can deliver safe, quality healthcare under non-optimal conditions, especially in remote or underserved areas. Digital health technologies are touted as a potential contributor to healthcare climate change adaptation and mitigation, through improved access to healthcare, reduced inefficiencies, reduced costs, and increased portability of patient information. Under normal operating conditions, these systems are employed to deliver personalised healthcare and better patient and consumer involvement in their health and well-being. During the COVID-19 pandemic, digital health technologies were rapidly implemented on a mass scale in many settings to deliver healthcare in compliance with public health interventions, including lockdowns. However, the resilience and effectiveness of digital health technologies in the face of the increasing frequency and severity of natural disasters remain to be determined. In this review, using the mixed-methods review methodology, we seek to map what is known about digital health resilience in the context of natural disasters using case studies to demonstrate what works and what does not and to propose future directions to build climate-resilient digital health interventions.
Potentially Inadequate Real-Life Speech Levels by Healthcare Professionals during Communication with Older Inpatients
Authors: Stuck Anna K. , Born Stephan , Stuck Andreas E. , Kompis Martin
Published: March 2023

Background: The aim of this study was to investigate real-life speech levels of health professionals during communication with older inpatients in small group settings. Methods: This is a prospective observational study assessing group interactions between geriatric inpatients and health professionals in a geriatric rehabilitation unit of a tertiary university hospital (Bern, Switzerland). We measured speech levels of health professionals during three typical group interactions (discharge planning meeting (n = 21), chair exercise group (n = 5), and memory training group (n = 5)) with older inpatients. Speech levels were measured using the CESVA LF010 (CESVA instruments s.l.u., Barcelona, Spain). A threshold of <60 dBA was defined as a potentially inadequate speech level. Results: Overall, mean talk time of recorded sessions was 23.2 (standard deviation 8.3) minutes. The mean proportion of talk time with potentially inadequate speech levels was 61.6% (sd 32.0%). The mean proportion of talk time with potentially inadequate speech levels was significantly higher in chair exercise groups (95.1% (sd 4.6%)) compared to discharge planning meetings (54.8% (sd 32.5%), p = 0.01) and memory training groups (56.3% (sd 25.4%), p = 0.01). Conclusions: Our data show that real-life speech level differs between various types of group settings and suggest potentially inadequate speech levels by healthcare professionals requiring further study.
Decline in Partner-Accompanied Births during the COVID-19 Pandemic in Japan: A Nationwide Cross-Sectional Internet-Based Study
Authors: Uchida Mai , Okawa Sumiyo , Hosokawa Yoshihiko , Tabuchi Takahiro
Published: March 2023

The study objective was to describe trends in partner-accompanied birth between January 2019 and August 2021 and examine the associations of partner-accompanied birth with women’s psychological distress and partners’ housework and parenting. A total of 5605 women who had a live singleton birth between January 2019 and August 2021 and had a partner participated in this nationwide internet-based survey between July and August 2021 in Japan. The percentages of women’s intentions and actual experience of partner-accompanied births were calculated per month. Associations of partner-accompanied birth with scores on the Kessler Psychological Distress Scale (K6) ≥10, partners’ participation in housework and parenting, and factors associated with having a partner-accompanied birth were examined using a multivariable Poisson regression model. The proportion of women who had partner-accompanied births was 65.7% between January 2019 and March 2020, dropping to 32.1% between April 2020 and August 2021. Partner-accompanied birth was not associated with a K6 score ≥10, but was significantly associated with the partner’s daily housework and parenting (adjusted prevalence ratio 1.08, 95% CI 1.02–1.14). Partner-accompanied births have been substantially restricted since the beginning of the COVID-19 pandemic. The right to a birth partner should be protected, while addressing infection control.
The Effect of Travel-Chain Complexity on Public Transport Travel Intention: A Mixed-Selection Model
Authors: Yuan Yuan , Shao Chunfu , Cao Zhichao , Yin Chaoying
Published: March 2023

With urban expansion and traffic environment improvement, travel chains continue to grow, and the combination of travel purposes and modes becomes more complex. The promotion of mobility as a service (MaaS) has positive effects on facilitating the public transport traffic environment. However, public transport service optimization requires an accurate understanding of the travel environment, selection preferences, demand prediction, and systematic dispatch. Our study focused on the relationship between the trip-chain complexity environment and travel intention, combining the Theory of Planned Behavior (TPB) with travelers’ preferences to construct a bounded rationality theory. First, this study used K-means clustering to transform the characteristics of the travel trip chain into the complexity of the trip chain. Then, based on the partial least squares structural equation model (PLS-SEM) and the generalized ordered Logit model, a mixed-selection model was established. Finally, the travel intention of PLS-SEM was compared with the travel sharing rate of the generalized ordered Logit model to determine the trip-chain complexity effects for different public transport modes. The results showed that (1) the proposed model, which transformed travel-chain characteristics into travel-chain complexity using K-means clustering and adopted a bounded rationality perspective, had the best fit and was the most effective with comparison to the previous prediction approaches. (2) Compared with service quality, trip-chain complexity negatively affected the intention of using public transport in a wider range of indirect paths. Gender, vehicle ownership, and with children/without children had significant moderating effects on certain paths of the SEM. (3) The research results obtained by PLS-SEM indicated that when travelers were more willing to travel by subway, the subway travel sharing rate corresponding to the generalized ordered Logit model was only 21.25–43.49%. Similarly, the sharing rate of travel by bus was only 32–44% as travelers were more willing to travel by bus obtained from PLS-SEM. Therefore, it is necessary to combine the qualitative results of PLS-SEM with the quantitative results of generalized ordered Logit. Moreover, when service quality, preferences, and subjective norms were based on the mean value, with each increase in trip-chain complexity, the subway travel sharing rate was reduced by 3.89–8.30%, while the bus travel sharing rate was reduced by 4.63–6.03%.
The Relationship between Landscape Construction and Bird Diversity: A Bibliometric Analysis
Authors: Zhang Yanqin , Ye Enming , Liu Fan , Lai Ningjing , You Xianli , Dong Jianwen , Dong Jiaying
Published: March 2023

Urbanization development is the main cause of drastic habitat changes and biodiversity loss, and urban green space construction is one of the effective ways to mitigate biodiversity decay. The proper construction of urban green space landscapes can maintain or increase the resources provided by urban biodiversity, especially bird diversity. This paper is based on 4112 papers published in this research area between 2002 and 2022, and CiteSpace was used to conduct a bibliometric analysis of the research area in terms of the number of articles published, the country or region of publication, core authors, and academic development. The paper systematically reviews the hotspots, history, and frontiers of research on landscape architecture and bird diversity. At the same time, the relationship between landscape construction and bird diversity is discussed in the context of landscape features, vegetation characteristics, and human behavioral activities. The results revealed: (1) research on the association between landscape camping and bird diversity received high priority from 2002 to 2022. Moreover, this research area has become a mature discipline. (2) Throughout the research history, there are four research hotspots (fundamental research on bird communities, influencing factors related to changes in bird community characteristics, research on bird activity rhythms, and ecological and ornamental values of birds), four development stages (2002–2004, 2005–2009, 2010–2015, and 2016–2022), and several research frontiers. (3) Our aim was to reasonably consider the activity characteristics of birds in future landscape construction, and to thoroughly study the landscape construction strategies and management principles for the harmonious coexistence of humans and birds.
Saturday Night Fever: Interpersonal Violence as a Reason for Presentation in a University Emergency Department
Authors: Hörauf Jason-Alexander , Franz Jan-Niklas , Zabel Julian , Hartmann Frederik , Störmann Philipp , Marzi Ingo , Janko Maren , Verboket René D.
Published: March 2023

(1) Presentations to a trauma emergency department following a violent confrontation account for a relevant proportion of the overall population. To date, violence (against women) in the domestic setting has been studied in particular. However, representative demographic and preclinical/clinical data outside of this specific subgroup on interpersonal violence are limited; (2) Patient admission records were searched for the occurrence of violent acts between 1 January and 31 December 2019. A total of 290 patients out of over 9000 patients were retrospectively included in the “violence group” (VG). A “typical” traumatologic cohort (presentation due to, among other things, sport-related trauma, falls, or traffic accidents) who had presented during the same period served as comparison group. Then, differences in the type of presentation (pedestrian, ambulance, or trauma room), time of presentation (day of week, time of day), diagnostic (imaging) and therapeutic (wound care, surgery, inpatient admission) measures performed, and discharge diagnosis were examined; (3) A large proportion of the VG were male, and half of the patients were under the influence of alcohol. Significantly more patients in the VG presented via the ambulance service or trauma room and during the weekend and the night. Computed tomography was performed significantly more often in the VG. Surgical wound care in the VG was required significantly more often, with injuries to the head being the most common; (4) The VG represents a relevant cost factor for the healthcare system. Because of the frequent head injuries with concomitant alcohol intoxication, all mental status abnormalities should be attributed to brain injury rather than alcohol intoxication until proven otherwise, to ensure the best possible clinical outcome.
How Well Do Our Adsorbents Actually Perform?—The Case of Dimethoate Removal Using Viscose Fiber-Derived Carbons
Authors: Anićijević Vladan , Tasić Tamara , Milanković Vedran , Breitenbach Stefan , Unterweger Christoph , Fürst Christian , Bajuk-Bogdanović Danica , Pašti Igor A. , Lazarević-Pašti Tamara
Published: March 2023

Growing pollution is making it necessary to find new strategies and materials for the removal of undesired compounds from the environment. Adsorption is still one of the simplest and most efficient routes for the remediation of air, soil, and water. However, the choice of adsorbent for a given application ultimately depends on its performance assessment results. Here, we show that the uptake of and capacity for dimethoate adsorption by different viscose-derived (activated) carbons strongly depend on the adsorbent dose applied in the adsorption measurements. The specific surface areas of the investigated materials varied across a wide range from 264 m2 g−1 to 2833 m2 g−1. For a dimethoate concentration of 5 × 10−4 mol L−1 and a high adsorbent dose of 10 mg mL−1, the adsorption capacities were all below 15 mg g−1. In the case of high-surface-area activated carbons, the uptakes were almost 100% under identical conditions. However, when the adsorbent dose was reduced to 0.01 mg mL−1, uptake was significantly reduced, but adsorption capacities as high as 1280 mg g−1 were obtained. Further, adsorption capacities were linked to adsorbents’ physical and chemical properties (specific surface area, pore size distribution, chemical composition), and thermodynamic parameters for the adsorption process were evaluated. Based on the Gibbs free energy of the adsorption process, it can be suggested that physisorption was operative for all studied adsorbents. Finally, we suggest that a proper comparison of different adsorbents requires standardization of the protocols used to evaluate pollutant uptakes and adsorption capacities.
Evaluation of the Oral Health Conditions and Oral Health-Related Quality of Life in a Community-Dwellers Population Aged ≥ 45 Years in the Canton of Bern: A Preliminary Pilot Study
Authors: Roccuzzo Andrea , Borg-Bartolo Roberta , Schimmel Martin , Tennert Christian , Manton David J. , Campus Guglielmo
Published: March 2023

Objective: To evaluate oral health conditions and oral health-related quality of life in community-dwellers aged ≥ 45 years in the Canton of Bern, Switzerland. Materials and Methods: One hundred subjects (63% males; mean age: 73 years), selected randomly using a cluster procedure within the Canton of Bern, underwent a clinical oral examination after completing questionnaires on socio-economic level, medical history, oral health behaviour, and Geriatric Oral Health Assessment Index (GOHAI). Descriptive analyses and multinomial regression models were applied to investigate the association between oral health diseases (dental caries and periodontitis) and specific participant characteristics. Results: The mean number of decayed, missing, and filled teeth (DMFT) was 0.30, 4.20, and 8.75, respectively; the mean DMFT score = 13.35. Dental caries prevalence (ICDAS > 0) was 15% and periodontitis prevalence was 46%. Logistic regression models revealed that living in an urban area was associated with lower odds (OR 0.03, 95%CI 0.00–0.36) of having periodontal disease. Male gender was associated with lower odds for dental caries (OR 0.31, 95%CI 0.09–1.01) and total lack of professional tooth cleaning was associated with higher odds for dental caries (OR 41.99, 95%CI 0.01–0.38). Ordinal logistic regression revealed that both the presence of dental caries (RR 12.80, 95%CI 1.47–111.20) and periodontal disease (RR 6.91, 95%CI 1.16–84.00) were statistically significantly associated with rheumatoid arthritis. Conclusion: Within the study limitations, untreated dental caries and periodontal disease are prevalent in the Swiss population, despite the high level of self-performed oral hygiene and access to the dental care system.
Does Mindfulness Mediate the Relation between Impulsiveness and Job Stressfulness Perception of Professional Drivers?
Authors: Mamcarz Piotr , Droździel Paweł , Madleňák Radovan , Pukalskas Saugirdas , Gwiazdowska-Stańczak Sylwia
Published: March 2023

(1) Background: Professional driving is a stressful occupation that requires high levels of attention and decision-making, often leading to job stress. Impulsiveness, a personality trait characterized by a tendency to act without forethought, has been associated with negative outcomes such as anxiety, stress, and risky behaviors. Mindfulness has been proposed as a potential strategy for reducing job stress in various occupational settings. However, little is known about the relationship between these variables. This study aimed to investigate the mediating role of mindfulness in the relationship between impulsiveness and job stressfulness perception among professional drivers. (2) Methods: A total of 258 professional drivers from Poland, Lithuania, and Slovakia, have completed self-report questionnaires: Impulsiveness-Venturesomeness-Empathy; Subjective Assessment of Work; Five Facet Mindfulness. (3) Results: Results indicated a positive correlation between impulsiveness and job stressfulness perception, and a negative correlation with mindfulness. Mindfulness partially mediated the relationship between impulsiveness and job stressfulness perception. Additionally, variations were identified in the perceived work environment factors and mindfulness among drivers based on their country of origin. (4) Conclusions: The findings suggest that mindfulness could be a useful approach for reducing job stressfulness perception among professional drivers with high levels of impulsiveness. Given the implications of job stressfulness for professional drivers’ health and safety, developing mindfulness interventions tailored to their specific needs could be a promising direction for future research and intervention development.
Sleep Is a Family Affair: A Systematic Review and Meta-Analysis of Longitudinal Studies on the Interplay between Adolescents’ Sleep and Family Factors
Authors: Maratia Fabio , Bacaro Valeria , Crocetti Elisabetta
Published: March 2023

Family is one of the primary socialization contexts influencing adolescents’ psychological health. In this regard, a crucial indicator of adolescents’ health is their sleep quality. Nevertheless, it is still unclear how multiple family factors (i.e., demographic and relational) are intertwined with adolescents’ sleep quality. For this reason, this systematic review with meta-analysis aims to comprehensively summarize and integrate previous longitudinal research investigating the reciprocal relation between demographics (e.g., family structure) and positive (e.g., family support) and negative (e.g., family chaos) relational family factors and adolescents’ sleep quality. Several search strategies were applied, and a final set of 23 longitudinal studies that matched the eligibility criteria were included in this review. The total number of participants was 38,010, with an average age at baseline of 14.7 years (SD = 1.6, range: 11–18 years). On the one hand, the meta-analytic results showed that demographic factors (e.g., low socio-economic status) were not related to adolescents’ sleep quality at a later time point. On the other hand, positive and negative family relational factors were positively and negatively related to adolescents’ sleep, respectively. Furthermore, the results suggested that this association could be bidirectional. Practical implications and suggestions for future research are discussed.
Effectiveness of Prevention Interventions Using Social Marketing Methods on Behavioural Change in the General Population: A Systematic Review of the Literature
Authors: Roger Aude , Dourgoudian Mikael , Mergey Virginie , Laplanche David , Ecarnot Fiona , Sanchez Stéphane
Published: March 2023

In an effort to encourage people to adopt healthy behaviours, social marketing is increasingly used in disease prevention and health promotion. This systematic review aimed to evaluate the effect of prevention initiatives that use social marketing techniques on achieving behavioural change in the general population. We conducted a systematic review of PubMed, Embase, Science Direct, Cochrane, and Business Source Complete. Among 1189 articles identified across all databases, 10 studies met the inclusion criteria (six randomized controlled trials and four systematic reviews). The number of social marketing criteria used varies according to the studies. The results showed positive effects overall, albeit not always statistically significant. The quality of the studies was mixed: 3/4 of the systematic reviews did not meet the methodological criteria, and four out of six randomized trials had at least a high risk of bias. Social marketing is not fully exploited in prevention interventions. However, the greater the number of social marketing criteria used, the more positive the effects observed. Social marketing thus appears to be an interesting concept to bring about behavioural change, but it requires rigorous monitoring to ensure maximum effectiveness.
A Systematic Review of Associations and Predictors for Job Satisfaction and Work Engagement in Prehospital Emergency Medical Services—Challenges for the Future
Authors: Thielmann Beatrice , Schwarze Robin , Böckelmann Irina
Published: March 2023

Ambulance services are changing, and the SARS-CoV-2 pandemic has been a major challenge in the past three years. Job satisfaction and work engagement are important characteristics for a healthy organization and success in one’s profession. The purpose of the current systematic review was to evaluate the predictors of job satisfaction and work engagement in prehospital emergency medical service personnel. Electronic databases, such as PubMed, Ovid Medline, Cochrane Library, Scopus, Web of Science, PsycINFO, PSYNDEX, and Embase, were utilized in this review. Predictors (ß coefficient, odds ratio, rho) of higher job satisfaction and work engagement were examined. Only prehospital emergency medical service personnel were considered. The review included 10 studies worldwide with 8358 prehospital emergency medical service personnel (24.9% female). The main predictor for job satisfaction was supervisors’ support. Other predictors were younger or middle age and work experience. Emotional exhaustion and depersonalization, as burnout dimensions, were negative predictors for higher job satisfaction or work engagement. Quality demands for health care systems are a significant challenge for future emergency medical services. The psychological and physical strengthening of employees is necessary and includes constant supervision of managers or facilitators.
Social Support: The Effect on Nocturnal Blood Pressure Dipping
Authors: Birmingham Wendy C. , Jorgensen Anna , Hancock Sinclaire , Wadsworth Lori L. , Hung Man
Published: March 2023

Social support has long been associated with cardiovascular disease risk assessed with blood pressure (BP). BP exhibits a circadian rhythm in which BP should dip between 10 and 15% overnight. Blunted nocturnal dipping (non-dipping) is a predictor of cardiovascular morbidity and mortality independent of clinical BP and is a better predictor of cardiovascular disease risk than either daytime or nighttime BP. However, it is often examined in hypertensive individuals and less often in normotensive individuals. Those under age 50 are at increased risk for having lower social support. This study examined social support and nocturnal dipping in normotensive individuals under age 50 using ambulatory blood pressure monitoring (ABP). ABP was collected in 179 participants throughout a 24-h period. Participants completed the Interpersonal Support Evaluation List, which assesses perceived levels of social support in one’s network. Participants with low levels of social support demonstrated blunted dipping. This effect was moderated by sex, with women showing greater benefit from their social support. These findings demonstrate the impact social support can have on cardiovascular health, exhibited through blunted dipping, and are particularly important as the study was conducted in normotensive individuals who are less likely to have high levels of social support.
Urbanization, Human Inequality, and Material Consumption
Authors: Zhang Shuai , Zhu Dajian , Li Lilian
Published: March 2023

Global material consumption needs to be reduced to be within its planetary boundary. Urbanization and human inequality are two profound economic-social phenomena, which have potential impacts on material consumption. This paper aims to empirically explore how urbanization and human inequality affect material consumption. For this aim, four hypotheses are proposed and the coefficient of human inequality and material footprint per capita are employed to measure comprehensive human inequality and consumption-based material consumption, respectively. Based on an unbalanced panel data set of around 170 countries from 2010 to 2017, the regression estimations demonstrate that: (1) urbanization reduces material consumption; (2) human inequality increases material consumption; (3) the interaction effect between urbanization and human inequality reduces material consumption; (4) urbanization reduces human inequality, which explains why the interaction effect works; (5) urbanization makes more sense for reducing material consumption if the extents of human inequality are larger and the positive impacts of human inequality on material consumption are weakened if the extents of urbanization are larger. It is concluded that promoting urbanization and reducing human inequality are compatible with both ecological sustainability and social fairness. This paper contributes to understanding and achieving the absolute decoupling between economic-social development and material consumption.
Factors Contributing to Risk of Persistence of Positive and Negative Symptoms in Schizophrenia during Hospitalization
Authors: Witkowski Grzegorz , Januszko Piotr , Skalski Michał , Mach Anna , Wawrzyniak Zbigniew Maciej , Poleszak Ewa , Ciszek Bogdan , Radziwoń-Zaleska Maria
Published: March 2023

The aim of the study was to evaluate factors that may contribute to the persistence of positive, negative and other psychopathological symptoms of schizophrenia. All patients were treated in general psychiatric wards between January 2006 and December 2017. The initial study sample comprised of the medical reports of 600 patients. The main, specified inclusion criterion for the study was schizophrenia as a discharge diagnosis. Medical reports of 262 patients were excluded from the study due to no neuroimaging scans being available. The symptoms were categorised into three groups: positive, negative, and other psychopathological symptoms. The statistical analysis comprised modalities such as demographic data, clinical symptoms, as well as neuroimaging scans linking them to a potential impact of sustaining the mentioned groups of symptoms during the period of hospitalization. The analysis revealed that statistically significant risk factors of persistence of the three groups of symptoms are the elderly age, the increasing toll of hospitalizations, suicidal attempts in medical history, a family history of alcohol abuse, the presence of positive, negative and other psychopathological symptoms on admission to the hospital, as well as the absence of cavum septi pellucidi (CSP). The study showed that addiction to psychotropic drugs and a family history of schizophrenia were more frequent in patients with persistent CSP.
Association between Mothers’ Emotional Problems and Autistic Children’s Behavioral Problems: The Moderating Effect of Parenting Style
Authors: Lin Xiujin , Lin Lizi , Wang Xin , Li Xiuhong , Cao Muqing , Jing Jin
Published: March 2023

Mothers’ emotional problems are associated with autistic children’s behavioral problems. We aim to test whether parenting styles moderate associations between mothers’ mood symptoms and autistic children’s behavioral problems. A sample of 80 mother–autistic child dyads were enrolled at three rehabilitation facilities in Guangzhou, China. The Social Communication Questionnaire (SCQ) and the Strengths and Difficulties Questionnaire (SDQ) were used to collect the autistic symptoms and behavioral problems of the children. Mothers’ depression and anxiety symptoms were measured using the Patient Health Questionnaire 9 (PHQ-9) and the General Anxiety Disorder 7-item (GAD-7) scale, respectively, and parenting styles were measured using the Parental Behavior Inventory (PBI). Our results show that mothers’ anxiety symptoms were negatively associated with their children’s prosocial behavior scores (β = −0.26, p < 0.05) but positively related to their social interaction scores (β = 0.31, p < 0.05). Supportive/engaged parenting styles positively moderated the effects of mothers’ anxiety symptoms on their prosocial behavior score (β = 0.23, p = 0.026), whereas hostile/coercive parenting styles had a negative moderation (β = −0.23, p = 0.03). Moreover, hostile/coercive parenting styles positivity moderated the effects of mothers’ anxiety symptoms on social interaction problems (β= 0.24, p < 0.05). The findings highlight, where mothers adopted a hostile/coercive parenting style while experiencing high anxiety, their autistic child may have more serious behavioral problems.
Salt-Containing Recipes in Popular Magazines with the Highest Circulation in the United States Do Not Specify Iodized Salt in the Ingredient List
Authors: Uerling Josephine , Nieckula Emily , Mico Katarina , Rosas Arantxa Bonifaz , Cohen Emmie , Pachón Helena
Published: March 2023

Iodine deficiency is a public health problem in the US, with the iodine status of women of reproductive age decreasing in recent years. This may be attributable to voluntary salt iodization in the US. Magazines, a common source of recipes and nutritional information, may influence salt use and iodine intake. The aim of this study is to assess whether the magazines with the highest circulation in the US include recipes that contain salt and, if so, whether they specify “iodized salt” in the recipes. Recipes in eight of the top ten magazines by circulation in the US were examined. Standardized information was collected on the presence and type of salt in recipes in the last 12 issues reviewed per magazine. About 73% of the 102 issues reviewed contained recipes. A total of 1026 recipes were surveyed for salt; 48% of the recipes listed salt as an ingredient. None of the 493 recipes containing salt specified iodized salt as the type of salt to be used. About half of the recipes in the last 12 issues of popular magazines published in the US included salt in the ingredient list; however, none recommend the use of iodized salt. There is potential for editorial changes among magazines to call for iodized salt in recipes, which may further prevent iodine deficiency in the US.
Physician’s Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Authors: Alkhamees Abdulmajeed A. , Aljohani Moath S. , Kalani Simindokht , Ali Amira Mohammed , Almatham Fahad , Alwabili Afnan , Alsughier Naif Abdullah , Rutledge Thomas
Published: March 2023

The burnout rate among physicians is expected to be higher during COVID-19 period due to the additional sources of physical and emotional stressors. Throughout the current COVID-19 pandemic, numerous studies have evaluated the impacts of COVID-19 on physicians’ burnout, but the reported results have been inconsistent. This current systematic review and meta-analysis aims to assess and estimate the epidemiology of burnout and the associated risk factors during the COVID-19 pandemic among physicians. A systematic search for studies targeting physicians’ burnout was conducted using PubMed, Scopus, ProQuest, Cochrane COVID-19 registry, and pre-print services (PsyArXiv and medRχiv) for English language studies published within the time period of 1 January 2020 to 1 September 2021. Search strategies resulted in 446 possible eligible studies. The titles and abstracts of these studies were screened, which resulted in 34 probable studies for inclusion, while 412 studies were excluded based on the predetermined inclusion criteria. These 34 studies went through a full-text screening for eligibility, which resulted in 30 studies being included in the final reviews and subsequent analyses. Among them, the prevalence of physicians’ burnout rate ranged from 6.0–99.8%. This wide variation could be due to the heterogeneity among burnout definitions, different applied assessment tools, and even cultural factors. Further studies may consider other factors when assessing burnout (e.g., the presence of a psychiatric disorders, other work-related and cultural factors). In conclusion, a consistent diagnostic indices for the assessment of burnout is required to enable consistent methods of scoring and interpretation.
Patient Experiences and Perspectives of Their Decision-Making to Accept Lung Transplantation Referral: A Qualitative Study
Authors: Chen Mengjie , Zou Xueqiong , Nan Jiang , Nuerdawulieti Baiyila , Huxitaer Xiahere , Jiang Yuyu
Published: March 2023

Providing early lung transplantation referral services should be considered to reduce pre-transplant mortality in patients with advanced disease. This study aimed to explore the reasons for lung transplantation referral decisions in patients and provide evidence for the development of transplantation referral services. This was a qualitative, retrospective, and descriptive study involving conventional content analysis. Patients in evaluation, listing, and post-transplant stages were interviewed. A total of 35 participants (25 male and 10 female) were interviewed. Four main themes were defined: (1) expectations for lung transplantation leading to the decision (a gamble for a silver lining, a return to normal life, and occupation); (2) facing uncertain outcomes (personal luck arranging everything; belief in success; incidents leading to “It’s decided then”; hesitation when making a decision due to fear); (3) facing various information from peers, doctors, and so on; (4) complex policy and societal support (providing transplantation referral services earlier, family attachment and oral approval responses contribute to the referral decision, and so on). The findings of this study might enrich existing referral services, including training for family members and healthcare providers, a checklist and package of critical events in the patient lung transplantation referral decision-making process, precision services based on behavioral personas, and a curriculum to enhance patient decision self-efficacy.
Measurement of Common Prosperity of Chinese Rural Households Using Graded Response Models: Evidence from Zhejiang Province
Authors: Zhang Mei , Wang Xinliang
Published: March 2023

Common prosperity is an important feature of Chinese-style modernization. The difficulty and focus of promoting the construction of common prosperity in China lies in rural areas and rural households. How to evaluate the common prosperity of rural households is becoming an important research topic. Based on the perspective of meeting the people’s needs for a better life, this study designed 14 items or indicators from the dimensions of affluence, commonality, and sustainability. The common prosperity of rural households is regarded as a potential structure. Based on the survey data of 615 rural households in Zhejiang Province, graded response models were used to estimate the discrimination and difficulty coefficient, and an indicator selection and characteristics analysis were carried out. The research results show that there are 13 items suitable for measuring the common prosperity of rural households, and these indicators have strong distinguishing ability. However, different dimension indicators have different functions. In particular, the affluence dimension, the sharing dimension, and the sustainability dimension are suitable for distinguishing families with a relatively high level of common prosperity, a medium level of common prosperity, and a low level of common prosperity, respectively. Based on this, we propose policy recommendations such as building diversified governance strategies, formulating differentiated governance policies, and supporting the corresponding basic policy reform.
CFD Simulations of Ventilation and Interunit Dispersion in Dormitory Complex: A Case Study of Epidemic Outbreak in Shanghai
Authors: Dai Yuwei , Xu Dongmei , Wang Haidong , Zhang Fuyao
Published: March 2023

Since the beginning of March 2022, a new round of COVID-19 outbreaks in Shanghai has led to a sharp increase in the number of infected people. It is important to identify possible pollutant transmission routes and predict potential infection risks for infectious diseases. Therefore, this study investigated the cross-diffusion of pollutants caused by natural ventilation, including external windows and indoor ventilation windows, under three wind directions in a densely populated building environment with the CFD method. In this study, CFD building models were developed based on an actual dormitory complex and surrounding buildings under realistic wind conditions to reproduce the airflow fields and transmission paths of pollutants. This paper adopted the Wells–Riley model to assess the risk of cross-infection. The biggest risk of infection was when a source room was located on the windward side, and the risk of infection in other rooms on the same side as the source room was large in the windward direction. When pollutants were released from room 8, north wind resulted in the highest concentration of pollutants in room 28, reaching 37.8%. This paper summarizes the transmission risks related to the indoor and outdoor environments of compact buildings.