bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of Japanese and Mediterranean Dietary Patterns with Muscle Weakness in Japanese Community-Dwelling Middle-Aged and Older Adults: Post Hoc Cross-Sectional Analysis
Authors: Shimizu Akio , Okada Kiwako , Tomata Yasutake , Uno Chiharu , Kawase Fumiya , Momosaki Ryo
Published: October 2022

The association of Japanese and Mediterranean dietary patterns with muscle weakness in middle-aged and older Japanese individuals is unclear. This cross-sectional study investigated the association between Japanese and Mediterranean dietary patterns and muscle weakness in community-dwelling, middle-aged, and older Japanese individuals (enrolled from 2007 to 2011). Based on the dietary consumption information obtained from the brief self-administered diet history questionnaire, we assessed adherence to the Japanese (12-component revised Japanese diet index (rJDI12)) and Mediterranean (alternate Mediterranean diet (aMed) score) dietary patterns. Muscle weakness was defined as handgrip strength <28 and <18 kg for men and women, respectively. Logistic regression was used to ascertain the relationship between dietary pattern and muscle weakness. In our study, with 6031 participants, the Japanese, but not Mediterranean, dietary pattern was inversely associated with muscle weakness (p for trend = 0.031 and 0.242, respectively). In the model adjusted for confounders, including energy intake, the highest quartile of rJDI12 scores (9–12 points), and the rJDI12 scores, entered as continuous variables, showed an independent association (odds ratio (95% CI), 0.703 (0.507–0.974), and 0.933 (0.891–0.977), respectively). Our findings showed that adherence to the Japanese dietary pattern is associated with a low prevalence of muscle weakness.
Tpeak-Tend Interval during Pregnancy and Postpartum
Authors: Kandzia Tomasz , Markiewicz-Łoskot Grażyna , Binkiewicz Przemysław
Published: October 2022

Background: Pregnancy is a condition in which new cardiac arrhythmias can occur or prior undiagnosed arrhythmias may provide symptoms. The occurrence of severe ventricular arrhythmias and polymorphic ventricular tachycardia that may lead to fainting or sudden cardiac death is promoted by the prolongation of the QTc interval. The post-partum adaptation period is the most arrhythmogenic. TpTe (Tpeak-Tend interval) is a novel marker of arrhythmogenesis by many considered a more sensitive marker than QTc. Objective: The aim of our work was to determine the TpTe interval (Tpeak-Tend) in women in the first, second and third trimester of pregnancy and the post-partum period. Materials and Methods: The study group consisted of 128 women in pregnancy or postpartum and a control group of 32 non-pregnant women. A standard 12-lead ECG (electrocardiograph) recording with evaluation of the duration of TpTe and QTc was performed in all patients. Results: In comparison to the non-pregnant women, higher values of QTc and TpTe were observed starting in the first trimester with highest values observed in the postpartum period. Mean duration of TpTe interval during pregnancy (81.59 ± 5.92 ms) and in the whole study group (pregnancy + postpartum) (85.46 ± 6.45 ms) was significantly longer (p < 0.001) compared to the TpTe interval in the control group (74.06 ± 6.14 ms). During pregnancy and postpartum, the increase in the TpTe interval in comparison to the increase in the QTc parameter (31.10% vs. 4.18%) was significantly higher (p < 0.001). Conclusions: The study showed an increase in the duration of the TpTe interval and QTc parameter during pregnancy and postpartum with the highest values in the postpartum period. TpTe interval increase was significantly higher compared to QTc increase during pregnancy and postpartum. Changes of TpTe interval were not associated with any clinical outcome or measure of arrythmia burden. Further studies are needed in order to see the clinical significance of these ECG findings, in particular for larger groups of patients with automatic measurement in correlation with echocardiography
Rapid Analysis of Residues of 186 Pesticides in Hawk Tea Using Modified QuEChERS Coupled with Gas Chromatography Tandem Mass Spectrometry
Authors: Shu Xiao , Chu Nengming , Zhang Xuemei , Yang Xiaoxia , Meng Xia , Yang Junying , Wang Na
Published: October 2022

In this work, the QuEChERS method was modified and evaluated for the determination of 186 pesticides from caffeine-free and fatty hawk tea prior to their gas chromatography tandem mass spectrometry analysis for the first time. The results showed that the combination of MgSO4 + PSA + MWCNTs plus EMR-Lipid provided the lowest matrix effect and best recovery; 117 of 186 pesticides manifested weak matrix effects. Thus, for accurate quantification, it is necessary to use matrix-matched calibration curves to compensate for the matrix effect. At the spiked level of 0.1 mg/kg, the average recoveries of 184 pesticides were in the range of 70–120% and the RSDs were 0.3–14.4% by the modified method. Good linearity was shown for 186 analytes at concentration of 0.01 mg/L~0.4 mg/L, and the correlation coefficients exceeded 0.99 for 182 pesticides. The detection limits of 186 pesticides by the modified QuEChERS method were 0.001–0.02 mg/kg, and the limits of quantification (LOQ) were 0.005 mg/kg~0.05 mg/kg. The necessity of solvent exchange is also explained in this work. The successful application of the modified QuEChERS in real samples proved that this method could be one of the routine options for analysis of herbal tea.
Experiences of Organisations of (or That Serve) Persons with Disabilities during the COVID-19 Pandemic and National Lockdown Period in South Africa
Authors: Hlongwane Naomi , Ned Lieketseng , McKinney Emma , McKinney Vic , Swartz Leslie
Published: October 2022

Organisations have long played an effective role in advocating for and actioning crucial developmental and humanitarian functions around the world, often under challenging conditions, as well as servicing the health needs of persons with disabilities. This article reports on the experiences of organisations of (or that serve) persons with disabilities, hereafter called service providers, during the COVID-19 lockdown period in South Africa beginning 26 March 2020. Organisations participated in an online survey as well as virtual narrative interviews to voice out their experiences. Five major themes emerged: (1) difficulties in keeping the doors open; (2) continued care under lockdown; (3) restructuring of care (4) government systems and policies; and (5) reaching out to offer and receive support. The findings demonstrate that the South African government failed to ensure targeted support to organisations of persons with disabilities. A remarkable feature of the organisations we interviewed for this small study was their agility in responding creatively to the challenges they faced, despite the difficulties. There is a need for government support to include targeted efforts to support organisation of persons with disabilities during pandemics to avoid worsening service gaps.
Physiological and Ankle Functions Are Discriminating Factors for the Risk of Falls in Women in Treatment of Osteoporosis
Authors: Correa Renata Gonçalves Pinheiro , Silveira Gomes Anna Raquel , Borba Victoria Zeghbi Cochenski
Published: October 2022

Introduction: Elderly women with osteoporosis are at risk of falls and fractures. Objective: To compare the intrinsic factors of falls, including ankle evaluation, in a group of elderly women in treatment for osteoporosis compared with a control group. Methods: A cross-sectional study of elderly women in treatment for osteoporosis (TG) was paired with a control group (CG) not in treatment. All groups completed a questionnaire and underwent a bone mineral density test; the mini-mental state examination (MMSE); physical performance tests; lower-limb strength and power, ankle, and muscle architecture evaluations; and a physiological profile assessment (PPA). Results: A total of 128 women were included (68 TG, 60 CG); the mean age was 71.55 ± 3.07 years; TG had a worse performance in the intrinsic factors in the MMSE, plantarflexions range of motion, gait speed, plantarflexions peak isometric strength, and short physical performance battery (p < 0.05 for all). PPA stratification (proprioception and lower-limb strength) presented a greater risk of falls in the TG, with proprioception increasing the risk by 2.4 times. Conclusion: Patients undergoing treatment for osteoporosis are influenced by intrinsic factors of falls, many being present in the CG. PPA and ankle strength and flexibility tests are more discriminative for evaluating fall risks in patients in treatment for osteoporosis.
Analysis of Palliative Care Utilization and Medical Expenses among Patients with Chronic Diseases in Taiwan: A Population-Based Cohort Study
Authors: Lin Hui-Mei , Huang Yen-Chun , Ho Chieh-Wen , Chen Mingchih
Published: October 2022

Palliative care (PC) is an important alternative treatment for patients with chronic diseases, particularly for those in the later stages of disease progression. This is because these diseases are often irreversible, with progressive worsening of symptoms. By encouraging the use of tranquility resources for good death and spiritual relief, PC can reduce the physical and psychological burden on patients at the end of their lives. Currently, most discussions on PC have focused on patients with cancers, and few have further discussed the differences in medical expenses between PC and emergency treatment in patients with chronic diseases at the end of their lives. This study analyzed the top three chronic diseases in patients who used PC resources in the past decade and identified the impact of emergency treatment on mean survival time and medical expenses based on the medical records from the National Health Insurance Research Database. In total, 4061 patients with chronic diseases who were admitted to hospice wards were included in this study; of them, 85 patients still received emergency treatment, including urinary catheterization, nasogastric intubation, and respirator use, at the end of their lives. The mean survival time of patients aged 50–64 years who received emergency treatment was longer than that of the same age group who did not receive emergency treatment. Different comparisons of the mean survival time and medical expenses using real-world data provides important insights regarding PC management that may assist in establishing health policies in the future.
Surveying and Modelling 21st Century Online Learning Patterns of Medical Students
Authors: Liang Siya , Chai Ching Sing , Lee Vivian W. Y.
Published: October 2022

Medical education in the 21st century is shifting more toward online learning because of extensive application of information and communication technology (ICT). We surveyed medical students’ 21st century online learning experiences and modeled the interrelations among relevant dimensions of 21st century online learning. Based on the general themes proposed by multiple 21st century learning frameworks and current medical education emphases, a seven-factor instrument was developed for surveying 364 medical students’ learning process, thinking process, and basic science-related clinical ability. The associations among the seven factors and the structural relationships of how online learning practices and thinking processes affected basic science-related clinical ability were explored. The developed instrument was validated and possessed good reliability. The seven dimensions were interrelated. Specifically, meaningful learning with ICT was positively associated with other learning practices. The learning practices were positively associated with the thinking processes and the thinking processes were positively associated with students’ basic science-related clinical ability. Our findings suggested that students engaged in active and collaborative learning with technology would employ higher-order thinking and perceived better basic science-related clinical ability. The findings support engaging medical students with 21st century learning practices to strengthen students’ self-perception of clinical ability.
A Systematic Review of Mechanisms Underpinning Psychological Change Following Nature Exposure in an Adolescent Population
Authors: Rowley Megan , Topciu Raluca , Owens Matthew
Published: October 2022

This systematic review aimed to identify mechanisms of psychological change following exposure to nature within an adolescent population. Keyword searches within Scopus, PsychINFO and Web of Science were carried out to include articles published by 14 September 2021. Records were reviewed in line with inclusion criteria: samples with an average age of 24 and under, exposure to nature vs. control using an experimental or quasi-experimental design and outcomes of mental health and psychological status. The review resulted in 27 papers that were assessed for methodological quality and manually searched for mediation analyses. A range of psychological outcomes were identified and grouped into 10 categories: Mood and Affect, Mental Health, Wellbeing, Perceived Restoration, Stress, Energy, Cognitive Functioning, Resilience, Self-Concept and Pro-Social Behaviour. Only one formal mediation analysis was reported, highlighting a mediating role of belonging in increases in resilience. Limitations include the majority use of university student samples and over half of the papers being of low methodological quality. No firm conclusions on key mechanisms in an adolescent population were made due to insufficient evidence of mediating variables. The development of methodologically rigorous experimental studies with the inclusion of statistical pathway modelling is needed to test and specify plausible mechanisms.
Identification of Health Effects of Complex Air Pollution in China
Authors: Zhao Yuxin , An Xingqin , Sun Zhaobin , Li Yi , Hou Qing
Published: October 2022

After the Chinese government introduced a series of policies to strengthen the control of air pollution, the concentration of particulate matter has decreased, but the concentration of ozone has increased, and the problem of complex air pollution still exists, posing a serious threat to public health. Therefore, disentangling the health effect of multi-pollutants has been a long-discussed challenge in China. To evaluate the adverse effects of complex air pollution, a generalized additive model was used to assess the health risks of different pollution types in eight metropolises in different climates in China from 2013 to 2016. Instead of directly introducing multiple pollutant concentrations, we integrated the concentration levels of PM2.5, NO2, and O3 into a set of predictors by grouping methods and divided air pollution into three high single-pollutant types and four high multi-pollutant types to calculate mortality risk in different types. The comprehensive results showed that the impact of high multi-pollutant types on mortality risk was greater than that of high single-pollutant types. Throughout the study period, the high multi-pollutant type with high PM2.5, NO2, and O3 and the high multi-pollutant type with high PM2.5 and NO2 were more associated with death, and the highest RRs were 1.129 (1.080, 1.181) and 1.089 (1.066, 1.113), respectively. In addition, the pollution types that most threaten people are different in different cities. These differences may be related to different pollution conditions, pollutant composition, and indoor–outdoor activity patterns in different cities. Seasonally, the risk of complex air pollution is greater in most cities in the warm season than in the cold season. This may be caused by the modifying effects of high temperature on pollutants in addition to different indoor–outdoor activity patterns in different seasons. The results also show that calculating the effect of individual air pollutants separately and adding them together may lead to an overestimation of the combined effect. It further highlights the urgency and need for air pollution health research to move towards a multi-pollutant approach that considers air pollution as a whole in the context of atmospheric abatement and global warming.
Analysis of Vertical Distribution Changes and Influencing Factors of Tropospheric Ozone in China from 2005 to 2020 Based on Multi-Source Data
Authors: Zhang Yong , Zhang Yang , Liu Zhihong , Bi Sijia , Zheng Yuni
Published: October 2022

The vertical distribution of the tropospheric ozone column concentration (OCC) in China from 2005 to 2020 was analysed based on the ozone profile product of the ozone monitoring instrument (OMI). The annual average OCC in the lower troposphere (OCCLT) showed an increasing trend, with an average annual increase of 0.143 DU. The OCC in the middle troposphere showed a downward trend, with an average annual decrease of 0.091 DU. There was a significant negative correlation between the ozone changes in the two layers. The monthly average results show that the peak values of OCCLT occur in May or June, the middle troposphere is significantly influenced by topographic conditions, and the upper troposphere is mainly affected by latitude. Analysis based on multi-source data shows that the reduction in nitrogen oxides (NOx) and the increase in volatile organic compounds (VOCs) weakened the titration of ozone generation, resulting in the increase in OCCLT. The increase in vegetation is closely related to the increase in OCCLT, with a correlation coefficient of up to 0.875. The near-surface temperature increased significantly, which strengthened the photochemical reaction of ozone. In addition, the increase in boundary layer height also plays a positive role in the increase in OCCLT.
Humanistic Nursing Care for Patients in Low-Resourced Clinical Settings from Students’ Perspectives: A Participatory Qualitative Study
Authors: Zhu Yanlin , Liu Gan , Shen Yuqiu , Wang Junqiao , Lu Minmin , Wang Jing
Published: October 2022

Introduction. It is of utmost importance to understand how we can better prepare students to value humanistic spirits and provide humanistic care, a core element of quality care for patients/family characterized by empathy and holistic care, from school to clinical settings (practicum) in low-resourced healthcare environments with seriously low nursing staffing levels. The current study explored participants’ experiences of learning and delivering humanistic care for patients. Methodology. This is a participatory qualitative study. Eligible participants are undergraduate students who completed all the core curricula and are ready to start their one-year clinical practicum/internships. A total of 120 eligible undergraduate students were included in the study. Participants were encouraged to share their own thoughts, questions, and perspectives on learning and providing humanistic care in clinical settings during their one-year practicum from 2020 to 2021. Results. Three major themes emerged: 1. From Textbook to Providing Humanistic Care in low-resourced work contexts; 2. Ethical Considerations; and 3. Implications for Humanistic Nursing Care Education. Discussion. Systematic reforms are needed to make clinical settings more humanistic care-friendly for nurses and nursing students. It is significant to help students internalize the essence of humanistic care in low-resource settings.
Playing in ‘The Backyard’: Environmental Features and Conditions of a Natural Playspace Which Support Diverse Outdoor Play Activities among Younger Children
Authors: Loebach Janet , Cox Adina
Published: October 2022

Outdoor play in nature-rich spaces has been associated with healthy development among young children. The diverse play opportunities afforded to children by natural playspaces can scaffold health benefits, appreciation of nature, and pro-environmental behaviors into adulthood. Environmental features and conditions of outdoor playspaces significantly influence the diversity and quality of play opportunities. Understanding how the physical environment can support high-quality play experiences can inform the design of stimulating, health-promoting playscapes for children. An observational behavior mapping framework was utilized to examine the environmental features of The Backyard, a large natural playscape, associated with play activities among young children. The Tool for Observing Play Outdoors was used to capture outdoor play types OPT), along with associated behavioral and environmental data, during seven days of field observation. While the playspace supported most OPTs, Physical and Exploratory play were most prevalent. Associations with activity intensity and risk play are also presented. Loose parts, particularly natural loose parts, were highly involved in most OPTs, but especially associated with Exploratory play. Ground topography showed some association with several OPTs and warrants further investigation. The environmental features of The Backyard supported an abundant and diverse range of outdoor play activities for young children and families.
Prevalence of Burnout Syndrome in COVID-19 and Non-COVID-19 Units in University Hospital: A Cross-Sectional Study
Authors: Ulbrichtova Romana , Svihrova Viera , Tatarkova Maria , Svihra Jan , Novak Martin , Hudeckova Henrieta
Published: October 2022

The aim of this study was to assess prevalence and associated risk factors of burnout syndrome among healthcare workers (HCWs), especially among nurses during the pandemic of COVID-19. The sample of the cross-sectional study consists of 201 employees of University Hospital. The Maslach Burnout Inventory—Human Services Survey for Medical Personnel (MBI–HSS MP) was used. An anonymous questionnaire was administered between 15 January and 1 February 2022. The majority of HCWs were female (79.4%). Overall, 69.2% displayed high levels of emotional exhaustion (EE), 35.3% high levels of depersonalization (DP), and 35.5% low levels of personal accomplishment (PA). Burnout was frequent among staff working in COVID units (EE 76.1%; DP 47.8%; and PA 46.7%). Burnout in EE and DP (70.7% and 36.6%, respectively) significantly prevailed in nurses working in COVID-19 units compared to non-frontline nurses (59.6 and 21.1%, respectively). Prevalence of burnout in PA was significantly higher in nurses working in non-COVID-19 units (47.4% vs. 29.3%). It is crucial to pay attention to the high prevalence of burnout syndrome in HCWs, especially in nurses, and not only in the frontline.
The Effect of Olfactory Inhalation on KPGA Golfers’ Putting Performance, Postural Stability and Heart Rate
Authors: Ahn Hyoyeon , Ko Jihyun
Published: October 2022

Some athletes utilize olfactory inhalation treatments using ammonia salt and aromatic oils to attain their peak performance or for physical and psychological relaxation. However, there is still a lack of clear evidence on olfactory inhalation treatment and scent types via precise experiments, and there is no research regarding fine motor control performance in activities such as golf putting. Thus, the purpose of this study was to examine the effects of various olfactory inhalations (lavender, citrus, and ammonia) on professional golfers’ 3-meter putting performance (percentage of success), postural stability (CoP area), and heart rate (HR). In order to examine the effects of olfactory treatment on actual automated task performance, ten professional golfers were recruited for the putting task experiment. During the putting task, a biometric shirt was utilized to record the HR changes, and a force plate was used to measure changes in the CoP area. The results were as follows. First, the olfactory inhalation treatment inhibited the putting performance (no inhalation: 68.75%; lavender: 51.25%; citrus: 40.00%; ammonia: 52.50%); however, no statistically significant difference was found (p = 0.115). Second, the olfactory inhalation treatment inhibited postural stability while putting; it had a partially statistically significant lower value (address: p = 0.000; downswing: p = 0.035; total putting section: p = 0.047). Third, the olfactory inhalation treatment decreased the HR during putting; however, there was no statistically significant difference between groups (address: p = 0.838; putting: p = 0.878; total: p = 0.666). This study implies that olfactory inhalation affects putting performance, postural stability, and HR. The effect size results for the olfactory treatment in the CoP area during the putting task (address: η2 = 0.524; downswing: η2 = 0.349; total putting section: η2 = 0.298) suggest that arousal regulation through olfactory inhalation may have negative effects on dynamic postural stability in static tasks such as golf putting, showing the direction of its useful application for athletes in sports.
Prevalence and Risk Factors of Peri-Implant Disease: A Retrospective Case-Control Study in Western China
Authors: Zhao Rui , Zhao Wen , Huang Jin , Fang Ming , Dong Yan , Chen Jihua , Ji Zhaohua , Tian Min
Published: October 2022

Background: The present study aimed to investigate the prevalence of peri-implant disease and identify potential disease risk factors in western China. Methods: The present retrospective study was conducted in 131 consecutive patients receiving 248 dental implants treated with implant-supported prostheses with a mean follow-up of 2.52 years. Several patient-related, implant-related, and oral hygiene maintenance factors were analyzed. Results: Peri-implant disease developed in 68 (51.91%) patients and 110 (44.35%) implants. The prevalence of peri-implant mucositis and peri-implantitis were 45.80% and 7.63%, respectively, at the subject level, and 36.69% and 7.66%, respectively, at the implant level. Multivariate analysis exhibited that male [odds ratio (OR) = 1.91; 95% confidence interval (CI): 1.02–3.57; p = 0.04], implant length < 10mm (OR = 7.87; 95% CI:1.62–38.46; p = 0.01), poor proximal contact of the prosthesis (OR = 1.90; 95% CI: 1.06–3.42; p = 0.03), tooth brushing once a day (OR = 3.11; 95% CI: 1.26–7.68; p = 0.04) and moderate periodontitis (OR = 13.00; 95% CI: 4.38–38.60; p < 0.01) were independent risk factors for peri-implant disease.
Coping Methods and Satisfaction with Working from Home in Academic Settings during the COVID-19 Pandemic
Authors: Munobwa Jimmy Stephen , Ahmadi Fereshteh , Zandi Saeid , Davidsson Natalie , Akhavan Sharareh
Published: October 2022

In this paper, we examined how university staff and students coped with challenges related to working or studying from home during the COVID-19 pandemic, and the level of satisfaction with working from home. An online survey was conducted among faculty, staff, and students at universities in 24 countries (n = 674). The results show that over 80% of the respondents used multiple coping methods. Three clusters of coping methods were generated through factor analysis: (1) social and health factor, with focus on personal health and the social surrounding, (2) activity factor, i.e., being busy with work or studies, finding up-to-date information about COVID-19, while thinking about what one could do rather than what one could not do, and (3) public health factor, which meant trusting health authorities while avoiding misinformation from sources such as social media. Furthermore, 56% of the respondents were very or somewhat satisfied with working from home. Differences in the methods of coping and satisfaction with working from home highlight the need for employers to prepare for working from home beyond the COVID-19 pandemic.
Muscle Quality and Functional and Conventional Ratios of Trunk Strength in Young Healthy Subjects: A Pilot Study
Authors: Reyes-Ferrada Waleska , Rodríguez-Perea Ángela , Chirosa-Ríos Luis , Martínez-García Darío , Jerez-Mayorga Daniel
Published: October 2022

Background: The trunk strength conventional ratio (CR) has been evaluated. However, the functional ratio and the ratio of strength to body weight (BW) or muscle mass (MM) have been poorly explored. Relative strength is a measure of muscle quality. Objectives: To analyze the trunk strength ratio normalized by BW and MM and compare the trunk’s conventional and functional ratios collected in isokinetic and isometric conditions. Methods: Twenty-seven healthy males (21.48 ± 2.08 years, 70.22 ± 7.65 kg) were evaluated for trunk isometric and isokinetic strength using a functional electromechanical dynamometer. Results: The extensor’s strength was greater than the flexors, with a CR of 0.41 ± 0.10 to 0.44 ± 0.10. Muscle quality was higher in eccentric contraction and high velocity for flexors and extensors. The functional flexor ratio (FFR) ranged between 0.41 ± 0.09 and 0.92 ± 0.27. The functional extensor ratio (FER) ranged between 2.53 ± 0.65 and 4.92 ± 1.26. The FFR and FER showed significant differences between velocities when considering the peak strength (p = 0.001) and mean strength (p = 0.001). Conclusions: Trunk extensors were stronger than the flexors; thus, the CR was less than one. Muscle quality was higher at a high velocity. Unlike CR, FFR and FER behaved differently at distinct velocities. This finding highlights the need to explore the behavior of the functional ratio in different populations.
The Negative Effects of Physical Activity Calorie Equivalent Labels on Consumers’ Food Brand Evaluation
Authors: Yang Xiaoke , Hong Meiling , Shi Dejin , Chen Qian
Published: October 2022

(1) Background: To prevent excessive caloric intake, a food labeling strategy is widely adopted by governments. Physical activity calorie equivalent (PACE) labels prove to be effective in reducing calorie intake. However, previous literature has mainly discussed the effect of PACE labels on consumers’ purchase intention for high-calorie foods but has not analyzed whether consumers evaluate food brands negatively after inhibiting the consumers’ purchase intention for high-calorie foods. Therefore, the aims of this study are to explore the negative effects of PACE labels on consumers’ food brand evaluation and the underlying psychological mechanism. (2) Methods: This study manipulated the two calorie-information labeling (standard calorie label and PACE labels) in two studies, involving potato chips and chocolate products. It also adopted a prevention focus and anticipated enjoyment of food consumption variables to detect the moderation effects between consumers’ promotion focus and PACE labels. (3) Results: Results show that compared with calorie labels, PACE labels have a more negative influence on consumers’ food brand evaluation. Furthermore, consumers stimulated by PACE labels develop a stronger prevention focus, thereby reducing their anticipated enjoyment of food brands, and ultimately leading to lower brand evaluations. In addition, when consumers have a promotion focus before choosing food, PACE labels cannot reduce their anticipated enjoyment and food brand evaluation for food brands. (4) Conclusions: While focusing on the negative effect of PACE labels on consumers’ purchase intention for high-calorie foods, it should also be noted that PACE labels have a negative effect on food brand evaluation. Therefore, food enterprises should try their best to activate consumers’ promotion focus through various environmental cues, so as to avoid a double negative effect on consumers’ food purchases and brand evaluations.
Mindfulness and Defense Mechanisms as Explicit and Implicit Emotion Regulation Strategies against Psychological Distress during Massive Catastrophic Events
Authors: Di Giuseppe Mariagrazia , Orrù Graziella , Gemignani Angelo , Ciacchini Rebecca , Miniati Mario , Conversano Ciro
Published: October 2022

Emotion regulation is an important aspect of psychological functioning that influences subjective experience and moderates emotional responses throughout the lifetime. Adaptive responses to stressful life events depend on the positive interaction between explicit and implicit emotion regulation strategies, such as mindfulness and defense mechanisms. This study demonstrates how these emotion regulation strategies predict psychological health during the early phase of the COVID-19 pandemic. A convenience sample of 6385 subjects, recruited via snowball sampling on various social media platforms, responded to an online survey assessing psychological reaction to social restrictions imposed to limit the spread of COVID-19 in Italy. Psychological distress, post-traumatic stress symptoms, mindfulness, and defense mechanisms were assessed using SCL-90, IES-R, MAAS, and DMRS-30-SR, respectively. Higher mindfulness was significantly associated with higher overall defensive maturity and a greater use of high-adaptive defenses (p < 0.0001). Both mindfulness and defense mechanisms acted as good predictors of psychological health (R2 = 0.541) and posttraumatic symptoms (R2 = 0.332), confirming the role of emotion regulation in protecting against maladaptive responses to stressful situations.
Development and Effect of Child Obesity Management Program by Applied Nudge
Authors: Park Yoonji , Kim Jihyun
Published: October 2022

Background: Child obesity rates are increasing worldwide. In Korea, the proportion of overweight students has steadily increased from 21.8% in 2015 to 25.8% in 2019. Childhood obesity causes mental problems, such as depression and social phobia, due to mental stress, feelings of inferiority, and low self-esteem. Methods: This experimental study aimed to verify the effect of the child obesity management program on body changes (height, weight, obesity degree, body mass index [BMI], body fat percentage), eating habits, exercise habits, obesity knowledge, and social support. This child obesity management program applies the nudge technique based on an ecological model and induces autonomous weight management through environmental control. Results: As results of this study, the child obesity management program using the nudge technique developed in this study improved the height (t = −5.19, p < 0.001), obesity degree (z = −3.28, p = 0.001), BMI (z = −3.22, p = 0.001), exercise habits (t = −2.09, p = 0.040), and obesity knowledge of obese children (z = −2.99, p = 0.003). Conclusions: This multidimensional intervention improved obesity by inducing and sustaining behavioral changes in obese children. Therefore, applying the nudge techniques and multidimensional intervention methods based on ecological model are proposed to increase the effectiveness of the health promotion programs.
Teaching Social Marketing Using E-Service Learning Amidst Health and Humanitarian Crises: A Case Study from Lebanon
Authors: Bardus Marco , Nasser AlDeen Khawla , Kabakian-Khasholian Tamar , Kanj Mayada , Germani Aline
Published: October 2022

We present the design, implementation, and evaluation of an e-service learning course, “Social Marketing for Health Promotion”, offered to full-time and part-time students enrolled in the Master of Public Health at our institution. In a quasi-experimental trial, we introduced e-service learning in 2018, comparing a traditional face-to-face section to a blended course (33% online). Based on the positive feedback received, we progressively increased the online component in the following academic years, reaching 100% online in Fall 2020. We compared the quantitative and qualitative indicators evaluating three e-service learning-course iterations with a face-to-face control. The impact indicators included participation and engagement in the course, the attainment of the learning outcomes, satisfaction with the course, instructors and mode of delivery, and the impact of the experience beyond the classroom. Over the years, we trained 73 students whose engagement with the course remained relatively stable. The attainment of the learning outcomes and general course satisfaction steadily increased over time, demonstrating a positive impact on student learning. Qualitative data illustrate the importance of instructors in setting expectations and guiding students and community partners through a remote-learning process.
Magnetic Beads of Zero Valent Iron Doped Polyethersolfun Developed for Removal of Arsenic from Apatite-Soil Treated Water
Authors: Noorbakhsh Roya , Koohi Mohammad Kazem , Hassan Jalal , Rahmani Anosheh , Rashidi Nodeh Hamid , Rezania Shahabaldin
Published: October 2022

The drop immerses calcium chloride aqueous solution was utilized to prepare the zero valent iron-doped polyethersulfone beads (PES/ZVI) for the efficient removal of arsenic from apatite-soil treated waters. The proposed beads can assist in promoting uptake efficiency by hindering ZVI agglomeration due to a high porosity and different active sites. The PES/ZVI beads were characterized by Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), thermogravimetric analysis (TGA), and vibrating sample magnetism (VSM). The main objective of this study was to investigate the function of new PES/ZVI beads with an increased removal efficiency for the remediation of arsenic ions from the apatite-soil treated waters. A maximum adsorption removal of 82.39% was achieved when the experiment was performed with 80 mg of adsorbent for a contact time of 180 min. Based on the results, a removal efficiency >90% was obtained after 300 min of shaking time with an arsenic concentration of 20 mg·L−1. The experimental process was fitted with the Langmuir model due to the high R2 (0.99) value compared to the Freundlich model (0.91) with an adsorption capacity of 41.32 mg·g−1. The adsorption process speed was limited by pseudo-second-order (R2 = 0.999) and the adsorption mechanism nature was endothermic and physical.
Comparison of Beliefs about Health in Migrants and Swedish-Born Persons with Type 2 Diabetes
Authors: Hadziabdic Emina , Hjelm Katarina
Published: October 2022

Background: Based on findings from previous qualitative studies comparing migrants and Swedish-born persons with diabetes mellitus type 2, it was hypothesized that dissimilarities exist in beliefs about health, including factors of importance for health between groups. Methods: A survey in a diabetes clinic in a migrant-dense area in Sweden. Results: Migrants generally perceived their health as poorer than Swedes, although it was not significantly different. Health mainly meant feeling well, being alert, and healthy and learning to live with disease despite of person’s origin. Studying factors of importance for health, migrants perceived knowledge about the body and treatment to influence health to a lower extent (p 0.009) and use of nature cure remedies to a higher extent (p 0.029) than Swedish-born persons. Conclusions: The findings partly supported the hypothesis that dissimilarities in factors of importance for health exist between migrants and Swedish-born persons, and need to be assessed.
Spatio-Temporal Urban Land Green Use Efficiency under Carbon Emission Constraints in the Yellow River Basin, China
Authors: Su Hao , Yang Shuo
Published: October 2022

In the context of rapid urbanization and limited land amount, it is essential to scientifically evaluate the urban land green use efficiency (ULGUE) to promote regional sustainable development. Current studies are of great value for enriching the theoretical system and application research of ULGUE. Still, most of them only consider industrial pollution but ignore carbon emission as an essential environmental influencing indicator. This paper introduced carbon emissions into the input-output indicator system, measured ULGUE of 57 cities in the Yellow River Basin (YRB) over the 2004–2017 periods using the super-efficiency slacked-based measure (Super-SBM) model, analyzed its spatio-temporal patterns with the kernel density estimation (KDE) model and spatial autocorrelation model, and then identified the influencing factors with the Spatial Durbin model (SDM). As shown by the results, firstly, the ULGUE in the YRB over the 2004–2017 periods showed a trend of first decreasing and then increasing. Secondly, the ULGUE exhibited spatio-temporal imbalance characteristics across the YRB. Thirdly, ULGUE was the interaction of multiple indicators, and its influencing factors had spatial spillover effects. All in all, this paper is fundamental to the high-quality development of cities in the background of the Chinese policy of “carbon peak, carbon neutralization”.
Parental Adverse Childhood Experiences and Perpetration of Child Physical Punishment in Wales
Authors: Hughes Karen , Ford Kat , Bellis Mark A. , Amos Rebekah
Published: October 2022

Child physical punishment is harmful to children and, as such, is being prohibited by a growing number of countries, including Wales. Parents’ own childhood histories may affect their risks of using child physical punishment. We conducted a national cross-sectional survey of Welsh adults and measured relationships between the number of adverse childhood experiences (ACEs) parents (n = 720 with children aged < 18) had suffered during childhood and their use of physical punishment towards children. Overall, 28.2% of parents reported having ever physically punished a child, and 5.8% reported having done so recently (in the last year). Child physical punishment use increased with the number of ACEs parents reported. Parents with 4+ ACEs were almost three times more likely to have ever physically punished a child and eleven times more likely to have done so recently (vs. those with 0 ACEs). The majority (88.1%) of parents that reported recent child physical punishment had a personal history of ACEs, while over half reported recently having been hit themselves by a child. Child physical punishment is strongly associated with parents’ own ACE exposure and can occur within the context of broader conflict. Prohibiting physical punishment can protect children and, with appropriate family support, may help break intergenerational cycles of violence.
Is There a Relation between Brain and Muscle Activity after Virtual Reality Training in Individuals with Stroke? A Cross-Sectional Study
Authors: Dias Miqueline Pivoto Faria , Silva Santos Adriana Teresa , Calixto-Júnior Ruanito , De Oliveira Viviane Aparecida , Kosour Carolina , Silva Vilela Terra Andréia Maria
Published: October 2022

Objective—The aim was to verify the correlation between cerebral and muscular electrical activity in subjects trained in virtual reality after a stroke. Method—The trial design was a cross-sectional study. Fourteen volunteers who were diagnosed with a stroke participated in the study. The intervention protocol was to perform functional activity with an upper limb using virtual reality. The functional protocol consisted of four one-minute series with a two-minute interval between series in a single session. Results—We observed, at initial rest, a positive correlation between brachii biceps and the frontal canal medial region (F7/F8) (r = 0.59; p = 0.03) and frontal canal lateral region (F3/F4) (r = 0.71; p = 0.006). During the activity, we observed a positive correlation between the anterior deltoid and frontal anterior channel (AF3/AF4) (r = 0.73; p = 0.004). At final rest, we observed a positive correlation between the anterior deltoid and temporal region channel (T7/T8) (r = 0.70; p = 0.005). Conclusions—We conclude that there was no correlation between brain and muscle activity for the biceps brachii muscle in subjects trained with virtual reality. However, there was a positive correlation for the deltoid anterior muscle.
The Relationships among Proactive Personality, Work Engagement, and Perceived Work Competence in Sports Coaches: The Moderating Role of Perceived Supervisor Support
Authors: Lin Shin-Huei , Lu Wan-Chen , Chen Yi-Chieh , Wu Ming-Han
Published: October 2022

Grounded in the job demands-resources model, this study examines the moderating role of supervisor support and the mediating role of sports coaches’ work engagement in the relationship between proactive personality and perceived work competence. A total of 261 school sports coaches in Taiwan participated in the study. The results indicated that work engagement positively mediates the relationship between sports coaches’ proactive personality and perceived work competence. Separately, supervisor support weakens the link between proactive personality and work engagement but strengthens the relationship between work engagement and perceived work competence; however, taken together, supervisor support weakens the indirect effects of proactive personality on perceived work competence through job engagement. Under the boundary condition of perceived supervisor support, the sports coaches’ proactive personality is a critical antecedent of perceived work competence through work engagement. We suggest that proactive sports coaches are assets for schools because they possess the drive and energy for self-improvement, promoting organizational progress automatically.
Comparison of Concordance of Peptic Ulcer Disease, Non-Adenomatous Intestinal Polyp, and Gallstone Disease in Korean Monozygotic and Dizygotic Twins: A Cross-Sectional Study
Authors: Choi Hyo Geun , Kim So Young , Lim Hyun , Kim Joo-Hee , Kim Ji Hee , Cho Seong-Jin , Nam Eun Sook , Min Kyueng-Whan , Park Ha Young , Kim Nan Young , Hong Sangkyoon , Choi Younghee , Kang Ho Suk , Kwon Mi Jung
Published: October 2022

Epidemiological studies have suggested the role of multiple genetic and environmental factors in the development of non-neoplastic gastrointestinal (GI) diseases; however, little information is available on these factors in the Korean population. Therefore, this cross-sectional study explored the effect of these factors by analyzing the concordance of several benign GI disorders in 525 monozygotic twins compared to that in 122 dizygotic twins aged >20 years from the Healthy Twin Study data of the Korean Genome and Epidemiology Study (2005–2014). Chi-square test, Wilcoxon rank-sum, and binomial and multinomial logistic regression models were used for statistical analysis. There was lack of concordance of gastric/duodenal ulcers and cholelithiasis/cholangitis between monozygotic twins compared to that in dizygotic twins, suggesting that environmental factors may mediate those concordant disease expressions in monozygotic twins. The concordance of intestinal polyps in monozygotic twins was 32% lower than that in dizygotic twins (p = 0.028), indicating that the effect of genetic factors on the risk for intestinal polyp development may be low. In conclusion, the lack or low concordance of several benign GI diseases between monozygotic and dizygotic twin groups suggests the relative importance of environmental factors, indicating that these are preventable diseases.
Evaluation and Prediction of Low-Carbon Economic Efficiency in China, Japan and South Korea: Based on DEA and Machine Learning
Authors: Niu Huayong , Zhang Zhishuo , Luo Manting
Published: October 2022

Addressing global climate change has become a broad consensus in the international community. Low-carbon economic development, as an effective means to address global climate change issues, has been widely explored and practiced by countries around the world. As major carbon emitting countries, there has been much focus on China, Japan and South Korea, and it is of practical significance to study their low-carbon economic development. To further measure their trend of low-carbon economic development, this paper firstly constructs a low-carbon economic efficiency evaluation index system and uses the Slack Based Measure (SBM) model. This is a kind of data envelopment analysis (DEA) method, with undesirable output based on global covariance to measure the low-carbon economic efficiency of 94 provincial-level administrative divisions (PLADs) in China, Japan, and South Korea from 2013 to 2019. Subsequently, this paper uses 10 mainstream machine learning models and combining them with Grid Search with Cross Validation (GridSearchCV) methods, selects the machine learning model with the best prediction effect. The model predicts the low-carbon economic efficiency of PLADs in China, Japan, and South Korea from 2020 to 2024 based on the parameter configuration for the best prediction effect. Finally, according to the research results, this paper proposes targeted advice for regionalized cooperation on low-carbon economic development in China, Japan, and South Korea to jointly address global climate change issues.