bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical Characteristics and Rehabilitation Strategies for the Stomatognathic System Disturbances in Patients with Stroke: A Systematic Review
Authors: Zapata-Soria Mónica , Cabrera-Martos Irene , López-López Laura , Ortiz-Rubio Araceli , Granados-Santiago María , Ríos-Asín Izarbe , Valenza Marie
Published: January 2023

Background: Understanding the stomatognathic system disturbances is key to diagnosing them early and implementing rehabilitation approaches to promote functional recovery. The objective of this study was to systematically review all published data that examined the assessment and rehabilitation strategies for the stomatognathic system disturbances in patients with stroke. Methods: Five databases (i.e., PubMed/MEDLINE, Scopus, Science Direct, Web of Science, and PEDro), were screened for manuscripts that included the assessment and rehabilitation strategies for stomatognathic system disturbances. The methodological quality was evaluated using the Mixed Methods Appraisal Tool. Results: Sixteen articles were included in this systematic review. The most frequently reported symptoms in patients with stroke included stiffness and thickness of the masseter muscle on the affected side and suprahyoid muscles; facial muscles’ asymmetry and weakness; temporomandibular disorders; and a reduced maximum lip force, tongue pressure, and saliva flow rate. The rehabilitation strategies more frequently reported included exercises directed to the jaw, temporomandibular joint, tongue, and neck. The mean score for methodological quality was 85%. Conclusion: The stomatognathic system disturbances are frequently reported among patients with stroke, leading to dysfunction in masticatory performance or swallowing. More studies on interventions for stomatognathic system disturbances are required before conclusions may be drawn. Key Practitioner Message: This systematic review has clinical implications for rehabilitation practices, given that the results may help to develop early assessment and rehabilitation strategies for stomatognathic disturbances in patients with stroke.
Adsorption Characteristics of Phosphate Based on Al-Doped Waste Ceramsite: Batch and Column Experiments
Authors: Ma Yameng , Zhu Jia , Yu Jianghua , Fu Yicheng , Gong Chao , Huang Xiao
Published: January 2023

Phosphorus widely existing in rainfall and wastewater impacts the water environment. In this study, sludge, cement block, and coal fly ash were employed as ceramsite material to synthesize Al-doped waste ceramsite (Al-ceramsite) for removing phosphate (PO43−-P) from aqueous solutions. Batch static adsorption–desorption experiments were designed to investigate the effect of various parameters such as Al-ceramsite dosage, PO43−-P concentration, temperature, initial pH, coexisting ions, and desorbents on the removal of PO43−-P. Also, the fate of PO43−-P removal efficiency in actual rainwater was studied through dynamic adsorption column experiments using Al-ceramsite. Results showed that Al-ceramsite could remove PO43−-P efficiently under the optimum parameters as follows: Al-ceramsite dosage of 40 g/L, initial PO43−-P concentration of 10 mg/L, temperature of 25 °C, and pH of 5. Besides that, the Al-ceramsite could completely remove PO43−-P in actual rainwater, and the effluent PO43−-P concentration was lower than the environmental quality standards for surface water Class Ⅰ (0.02 mg/L). The adsorption characteristics of Al-ceramsite on PO43−-P by X-ray photoelectron spectroscopy (XPS) were further explained. As a result, ligand exchange and complexation were confirmed as the main PO43−-P removal mechanism of Al-ceramsite. Thus, Al-ceramsite was prepared from industrial waste and has shown excellent potential for phosphorus removal in practical applications.
Impaired Speckle-Tracking-Derived Left Ventricular Longitudinal Strain Is Associated with Transposition of Great Arteries in Neonates: A Single-Center Study
Authors: Toma Daniela , Gabor-Miklosi Dorottya , Cerghit-Paler Andreea , Șuteu Carmen Corina , Cosma Marius-Catalin , Mărginean Claudiu , Iancu Mihaela , Gozar Liliana
Published: January 2023

The transposition of great arteries (TGA) is one of the most frequent and severe congenital heart diseases. After newborn stabilization and while pending surgical correction, echocardiographic monitoring with a careful evaluation of left ventricle (LV) performance is warranted. In this study, our objectives were (i) to compare myocardial function, assessed via speckle-tracking echocardiography, between neonates with TGA and neonates without TGA and (ii) to identify a strain parameter with a good discriminatory ability for TGA. We conducted a retrospective, single-center study. A total of 90 neonates were examined, of whom 66 were included (16 comprised the TGA group and 50 comprised the control group). The results of a bivariate analysis showed that classic echocardiography parameters displayed no significant differences between the two studied groups (p = 0.785 for EF, p = 0.286 for MAPSE and p = 0.315 for TAPSE). We found a statistically significant difference between the two groups for the mean values of the LVpGLS parameter (adjusted p = 0.0047), with impaired LV myocardium function being observed in the TGA group after adjusting for other covariates. Regarding segmental strain, the mean medial and apical inter-ventricular septum strain values were found to be significantly lower in the neonates with TGA than in the controls (95% CI for difference in means: [−6.45, −0.65], [−8.56, −1.97]). The results of an ROC analysis showed that LVpGLS had a significant ability to differentiate between neonates with TGA and controls (AUC = 0.712, 95% CI: [0.52, 0.903], p = 0.011). In conclusion, LVpGLS is a parameter with a significant discriminatory ability for LV dysfunction, and it is useful in the evaluation of ventricular myocardial function in newborns with TGA.
Transformational Leadership and Employees’ Psychological Wellbeing: A Longitudinal Study
Authors: Lindert Lara , Zeike Sabrina , Choi Kyung-Eun (Anna) , Pfaff Holger
Published: January 2023

Managers play a key role in realizing a humane organization of work. Transformational leadership aims to identify and examine leadership behaviors that strengthen employees’ awareness of the importance and values of task outcomes by articulating a vision for the future, providing a realistic action plan, and giving individualized support. Previous studies have revealed associations between transformational leadership and the psychological wellbeing of employees in different settings, while others did not find such associations. As research based on longitudinal data remains rare, this study builds on longitudinal data from two employee surveys conducted in 2015 and 2018 in a medium-sized German company. In this study, transformational leadershipt0 and gender had a significant impact on transformational leadershipt1, while psychological wellbeing∆, social capital∆, and age did not. Psychological wellbeingt0 and social capital∆ had a significant impact on psychological wellbeingt1, but transformational leadership∆, age, and gender did not. Therefore, it is worthwhile for companies to invest in social capital and focus on gender aspects at work. As underlying mechanisms regarding employees’ psychological wellbeing may differ between companies, it is worthwhile for each organization to conduct mental risk assessments to identify “red flags” and implement suitable measures.
Health Effects of Exposure to Indoor Semi-Volatile Organic Compounds in Chinese Building Environment: A Systematic Review
Authors: Ataei Yeganeh , Sun Yuexia , Liu Wei , S. Ellie Agnes , Dong Hui , Ahmad Umme Marium
Published: January 2023

People spend a considerable portion of their lives indoors; thus, the quality of the indoor environment is crucial. Semi-volatile organic compounds (SVOCs) are among the primary indoor pollutants responsible for various health risks. This paper systematically reviews the impact of SVOC exposure on human health in Chinese built environments. Based on a set of criteria, we judged 12 publications as providing sufficient information on both SVOC exposure and health effects to inform the relationship. Out of six studies on polycyclic aromatic hydrocarbons (PAHs), three observed a positive association between PAH exposure and lung cancer. Out of six studies of phthalate exposure, two studies reported a significant positive association between DEP and DiBP and asthma, between DEP and DEHP and dry cough among children, and between DBP and rhinitis among younger adults. The results of this review suggest that there might be a link between phthalate exposure and asthma and allergies, as well as a link between PAH exposure and lung cancer. However, due to the limited number of studies conducted, more evidence is necessary to definitively guide the establishment of standards for SVOC control in China.
COVID-19 Anxiety and Wellbeing at Work in Finland during 2020–2022: A 5-Wave Longitudinal Survey Study
Authors: Oksanen Atte , Oksa Reetta , Celuch Magdalena , Cvetkovic Anica , Savolainen Iina
Published: January 2023

The COVID-19 pandemic impacted workers globally during 2020–2022 and it has had major psychological implications for workers’ wellbeing. This longitudinal study analyzed risk and protective factors predicting COVID-19 anxiety among workers in Finland. Longitudinal national sample of Finnish workers (n = 685) participated in a five-wave study conducted in 2020–2022, covering multiple waves of the COVID-19 pandemic and its aftermath. Our outcome measure was COVID-19 anxiety. Predictors were psychological distress, work exhaustion, technostress, and loneliness. Models also controlled for self-regulation; social support at work and remote working; and socio-demographic background factors. Both within-person and between-person effects were analyzed using multilevel hybrid regression models. COVID-19 anxiety varied between time points which is explained by changes in circumstances during the pandemic. Highest anxiety was expressed in the middle of the Delta variant surge and lockdown in spring 2021. Within-person changes in psychological distress, work exhaustion, technostress, self-regulation, and perceived loneliness were all associated with COVID-19 anxiety. Between-person results showed that distressed, exhausted, technostressed, and lonely workers expressed more anxiety than others. Remote workers reported higher anxiety over time than others. Those who had reported high self-regulation reported lower anxiety than others. Female gender and younger age were associated with higher anxiety. COVID-19 anxiety continues to be an important phenomenon with a magnitude of consequences on people and numerous industries. This study showed that general mental health and work stressors predict COVID-19 anxiety. Promoting social support and workers’ self-regulation skills can be beneficial for overcoming anxiety during and after the pandemic.
Source Apportionment of Heavy Metals Based on Multiple Approaches for a Proposed Subway Line in the Southeast Industrial District of Beijing, China
Authors: Jia Xiaoyang , Xia Tianxiang , Liang Jing , Li Yandan , Zhu Xiaoying , Zhang Dan , Wang Jinsheng
Published: January 2023

Apportioning the sources of heavy metals (HMs) in soil is of great importance for pollution control. A total of 64 soil samples from 13 sample points at depths of 0–21 m were collected along a proposed subway line in the southeast industrial district of Beijing. The concentrations, distribution characteristics, and sources of eight HMs were investigated. The results showed that the concentrations of Hg, Cd, Cu, Pb, As, and Zn in the topsoil (0–2 m) exceeded the Beijing soil background values. Three sources were identified and their respective contribution rates calculated for each of the HMs using multiple approaches, including correlation analysis (CA), top enrichment factor (TEF), principal component analysis (PCA), and positive matrix factor (PMF) methods. As (63.11%), Cr (61.67%), and Ni (70.80%) mainly originated from natural sources; Hg (97.0%) was dominated by fossil fuel combustion and atmospheric deposition sources; and Zn (72.80%), Pb (69.75%), Cu (65.36%) and Cd (53.08%) were related to traffic sources. Multiple approaches were demonstrated to be effective for HM source apportionment in soil, whilst the results using PMF were clearer and more complete. This work could provide evidence for the selection of reasonable methods to deal with soils excavated during subway construction, avoiding the over-remediation of the soils with heavy metals coming from natural sources.
Spatial Distribution Pattern Evolution of the Population and Economy in Russia since the 21st Century
Authors: Chu Nanchen , Wu Xiangli , Zhang Pingyu , Xu Shuang , Shi Xiaonan , Jiang Bo
Published: January 2023

Under the background of “the Belt and Road” and “China, Mongolia and Russia economic corridor” initiatives, this paper studied the spatial distribution pattern evolution of population and economy in Russia since the 21st century, which could provide implications for the regional development planning, economic optimization layout, energy resource development, transportation infrastructure construction between China and Russia. Combined with the panel data of population, GDP, land area, etc., we used the gravity center analysis, geographic concentration degree, and inconsistency index to study Russia’s population pattern evolution trend, economic pattern evolution trend, spatial inconsistency types of population distribution and economic development. The results and conclusions are as follows. Russia’s population and economic gravity centers have migrated towards the northwest direction. Russia’s population and economic distribution pattern presents the unbalanced development trend, which could be characterized by the differentiation pattern of “High West, Low East” and “High South, Low North” divided by the Ural Federal District. In the southwest areas of Russia, the population concentration degree is higher than the economic concentration degree in most federal subjects. In the northeast areas of Russia, the economic concentration degree is higher than the population concentration degree in most federal subjects.
Quo Vadis, Amadeo Hand Robot? A Randomized Study with a Hand Recovery Predictive Model in Subacute Stroke
Authors: Serrano-López Terradas Pedro Amalio , Criado Ferrer Teresa , Jakob Iris , Calvo-Arenillas Jose Ignacio
Published: January 2023

Background. Early identification of hand-prognosis-factors at patient’s admission could help to select optimal synergistic rehabilitation programs based on conventional (COHT) or robot-assisted (RAT) therapies. Methods. In this bi-phase cross-over prospective study, 58 stroke patients were enrolled in two randomized groups. Both groups received same treatments A + B (A = 36 COHT sessions for 10 weeks; B = 36 RAT sessions for 10 weeks; 45 min/session; 3 to 5 times per week). Outcome repeated measures by blinded assessors included FMUL, BBT, NHPT, Amadeo Robot (AHR) and AMPS. Statistical comparisons by Pearson’s rank correlations and one-way analyses of variance (ANOVA) with Bonferroni posthoc tests, with size effects and statistic power, were reported. Multiple backward linear regression models were used to predict the variability of sensorimotor and functional outcomes.Results. Isolated COHT or RAT treatments improved hand function at 3 months. While “higher hand paresis at admission” affected to sensorimotor and functional outcomes, “laterality of injury” did not seem to affect the recovery of the hand. Kinetic-kinematic parameters of robot allowed creating a predictive model of hand recovery at 3 and 6 months from 1st session. Conclusions. Hand impairment is an important factor in define sensorimotor and functional outcomes, but not lesion laterality, to predict hand recovery.
Measuring Community Resilience and Its Determinants: Relocated Vulnerable Community in Western China
Authors: Liu Wei , Zhang Jingxuan , Qian Long
Published: January 2023

With the full implementation of poverty alleviation resettlement (PAR), the restoration and improvement of the comprehensive living standards of relocated households have received increasing attention from policy researchers. The measurement of resilience and its determinants provides new ideas for PAR at the community level. This article proposes a method for examining community resilience in the context of PAR through a survey of 459 relocated households in western China and uses regression analysis to identify the determinants of community resilience. The results showed that the four dimensions of community resilience, in descending order, included: environmental resilience, economic resilience, management resilience, and social resilience. Income level and livelihood diversification were positively correlated with the community resilience index. Relocation time, relocation type, and resettlement mode were all essential determinants of the community resilience of relocated households. Finally, some suggestions were put forward, such as the need to build an interpersonal relationship network, guide pure farmers and non-farmers to transform into diversified livelihood households, and formulate a unified community action plan and interest protection mechanism so as to provide a reference for decision-making among managers to make decisions.
Social Support Initiatives That Facilitate Exercise Participation in Community Gyms for People with Disability: A Scoping Review
Authors: Kennedy Rachel A. , McKenzie Georgia , Holmes Carlee , Shields Nora
Published: January 2023

People with disability report social support facilitates participation in physical activity. A scoping review explored social support strategies used to facilitate exercise participation for people with disability (aged ≥ 15 years) in community gym settings. Seven electronic databases were searched. Studies were screened for eligibility based on title and abstract followed by full-text review. Data were analysed using content analysis and narrative synthesis. Forty-two articles reporting data from 35 studies were included. Eight types of social support were identified: supervision (n = 30), peer support (n = 21), specialist support (n = 19), orientation (n = 15), education (n = 7), logistical support (n = 6), motivational support (n = 5) and organised social activities (n = 4). Direct supervision was typically provided 1:1 or in small groups by staff experienced working with people with disability. Peer support typically involved support from exercise group participants or a peer mentor. Specialist support was usually provided by a health or exercise professional either directly to people with disability or to the people providing support to them (e.g., trainer). Orientation to the gym environment, equipment and exercise program was usually provided over 1 or 2 sessions. Gym staff may use these strategies to guide the implementation of social supports within their facilities to promote social connectedness and participation for people with disability.
Prediction of Cavity Length Using an Interpretable Ensemble Learning Approach
Authors: Guo Ganggui , Li Shanshan , Liu Yakun , Cao Ze , Deng Yangyu
Published: January 2023

The cavity length, which is a vital index in aeration and corrosion reduction engineering, is affected by many factors and is challenging to calculate. In this study, 10-fold cross-validation was performed to select the optimal input configuration. Additionally, the hyperparameters of three ensemble learning models—random forest (RF), gradient boosting decision tree (GBDT), and extreme gradient boosting tree (XGBOOST)—were fine-tuned by the Bayesian optimization (BO) algorithm to improve the prediction accuracy and compare the five empirical methods. The XGBOOST method was observed to present the highest prediction accuracy. Further interpretability analysis carried out using the Sobol method demonstrated its ability to reasonably capture the varying relative significance of different input features under different flow conditions. The Sobol sensitivity analysis also observed two patterns of extracting information from the input features in ML models: (1) the main effect of individual features in ensemble learning and (2) the interactive effect between each feature in SVR. From the results, the models obtaining individual information both predict the cavity length more accurately than that using interactive information. Subsequently, the XGBOOST captures more correct information from features, which leads to the varied Sobol index in accordance with outside phenomena; meanwhile, the predicted results fit the experimental points best.
Changes in the Mechanical Properties of the Horizontal Force-Velocity Profile during a Repeated Sprint Test in Professional Soccer Players
Authors: Hermosilla-Palma Felipe , Loro-Ferrer Juan Francisco , Merino-Muñoz Pablo , Gómez-Álvarez Nicolás , Bustamante-Garrido Alejandro , Cerda-Kohler Hugo , Portes-Junior Moacyr , Aedo-Muñoz Esteban
Published: January 2023

The objective was to analyze the changes in the horizontal force-velocity profile (HFVP) during the execution of repeated sprinting. Methods: Seventeen first-division Chilean soccer players completed a repeated sprint protocol consisting of eight sprints of 30 m with 25-s pauses between repetitions. The behavior of HFVP variables in each attempt was recorded from video recordings and analysis in the MySprint® application. Results: Differences (p < 0.05) were found between sprints in the following: time (T), starting from sprint 5 (F = 35.6; η2p = 0.69); theoretical maximum speed (V0), starting from sprint 4 (F = 29.3; η2p = 0.51); maximum power (PM), starting from sprint 5 (F = 17; η2p = 0.52); rate of decrease in force index produced at each step (DRF), starting from sprint 1 (F = 3.20; η2p = 0.17); and RF10, starting from sprint 1 (F = 15.5; η2p = 0.49). In comparison, F0 and RFpeak did not present any differences (p > 0.05). Conclusion: The HFVP variables more sensitive to the effects of fatigue induced by an RSA protocol are those associated with the production of force at high speeds, being V0, DRF, and Pmax, while those that contribute to the generation of force at the beginning of the sprint, F0 and RFpeak, do not present essential variations.
Evaluating Spatial Identity Based on Climate Adaptation in Small Cities
Authors: Luo Tao , Zhang Zijing , Hong Xinchen , Wang Yanyun , Zhang Xuewei
Published: January 2023

Urban spatial identity is declining in Chinese cities overall due to urbanization, which is attracting increasing attention from the government. Research gaps include systematically comparing urban identities based on causes and manifestations in small cities. We developed a framework for estimating spatial identity from the perspective of climate adaptation, which is based on the relationship between regional climate and spatial form. Five small cities were selected in China: Wu’an, Qingcheng, Jintang, Changxing, and Lianjiang. Our findings suggest that (1) typical indicators include impervious surface rate, green coverage rate, water surface rate, average story number, and total gross floor area, contributing to morphological characteristics influenced by climate drivers; (2) for the hot humid climate zones, the city with the highest level of spatial identity is in Jintang, followed by Lianjiang and Changxing; and for the cold climate zones, the level of spatial identity in Qingcheng was higher than in Wu’an. This can contribute to the understanding and methodology of spatial identity based on climate adaptation in small cities.
Determination of Neonicotinoid Insecticides in Environmental Water by the Enrichment of MIL-53 Mixed Matrix Membrane Coupled with High Performance Liquid Chromatography
Authors: Wu Gege , Ma Jiping , Wei Chenxi , Li Shuang , Li Jinhua , Wang Xiaoyan , Chen Lingxin
Published: January 2023

Metal organic framework based mixed matrix membranes (MOF-MMMs) were synthesized and applied for dispersive membrane extraction (DME) of four neonicotinoid insecticides (nitenpyram, thiacloprid, imidacloprid, and acetamiprid) in environmental water, combined with high performance liquid chromatography (HPLC) for determination. Several experimental conditions were optimized in detail, involving dosage percentage of MOF, extraction time, sample pH, salinity, type and volume of eluent, and elution time. High sensitivity with limits of detection and quantification were achieved as 0.013–0.064 μg L−1 and 0.038–0.190 μg L−1, respectively, and good precision with relative standard deviations were obtained as 3.07–12.78%. The proposed method has been successfully applied to determine four neonicotinoid insecticides in tap water, surface water, and seawater, satisfactory recoveries of spiked water samples were between 72.50 and 117.98%. Additionally, the MOF-MMMs showed good reusability with the extraction efficiencies almost remaining stable after 14 cycles. The MOF-MMMs based DME followed by the HPLC method can be a promising utility for the determination of neonicotinoid insecticides in environmental water samples, with high sensitivity and convenient operation.
Substance Use and Psychological Distress in Mexican Adults during COVID-19 Pandemic: A Cross-Sectional Study
Authors: Ibarrola-Peña Juan Carlos , Cueto-Valadez Tania Abigail , Chejfec-Ciociano Jonathan Matías , Cifuentes-Andrade Luis Rodrigo , Cueto-Valadez Andrea Estefanía , Castillo-Cardiel Guadalupe , Cervantes-Cardona Guillermo Alonso , Cervantes-Pérez Enrique , Cervantes-Guevara Gabino , Guzmán-Ruvalcaba Mario Jesús , Sapién-Fernández José Héctor , Guzmán-Barba José Aldo , Esparza-Estrada Isaac , Flores-Becerril Paola , Brancaccio-Pérez Irma Valeria , Guzmán-Ramírez Bertha Georgina , Álvarez-Villaseñor Andrea Socorro , Barbosa-Camacho Francisco José , Reyes-Elizalde Emilio Alberto , Fuentes-Orozco Clotilde , González-Ojeda Alejandro
Published: January 2023

Objectives: This observational cross-sectional study examined changes in substance use during the coronavirus disease 2019 (COVID-19) pandemic in the Mexican population and evaluated whether depression or anxiety was associated with these new consumption patterns. Methods: An online survey was distributed to the general population. Participants were questioned about their demographics, situation during the COVID-19 pandemic, and substance consumption patterns. The Patient Health Questionnaire-9 for depression and the Coronavirus Anxiety Scale were used. Results: A total of 866 individuals completed the survey. The mean scores for the Patient Health Questionnaire-9 and Coronavirus Anxiety Scale were 8.89 ± 6.20 and 3.48 ± 3.22, respectively. The preferred substances were alcohol (19%), tobacco (16.5%), and marijuana (5.6%). Consumption of alcohol (p = 0.042) significantly increased during the pandemic and it was higher in women than in men (p = 0.040). Conclusions: Substance use patterns were affected by the pandemic, with an increase in the number of users and consumption rate, as well as the reported psychiatric symptoms.
Personality and Person-Work Environment Fit: A Study Based on the RIASEC Model
Authors: Batista Jonatan Santana , Gondim Sônia Maria Guedes
Published: January 2023

This study identifies if there are differences in the personality scores of professionals with varying degrees of congruence, considering each dimension of the RIASEC model. Method: A cross-sectional survey study. Participants responded to three measures: Vocational Interests Scale (VIS); Occupational Classification Inventory (OCI-R) for estimating congruence; and The Next Big Five Inventory (BFI-2) for estimating personality. Results: Congruence was associated with at least one personality dimension in the Realistic, Investigative, Artistic, and Conventional types. In addition, we identified significant differences between the personality scores of professionals according to the degree of congruence in the Realistic, Investigative, Artistic, and Enterprising types.
Gender Differences in Excessive Screen Time among Chinese High School Students in Henan Province
Authors: Cui Zhenti , Zou Ping , Lin Zihan , Cao Yingdong , Luo Yan
Published: January 2023

In a technology-driven society, adolescents are particularly vulnerable to the effects of excessive screen time, and gender disparities are notable. However, evidence on the gender difference in excessive screen time among Chinese high school students is scarce. This study examined gender differences in excessive screen time and its impact on mental health and urinary incontinence among 15,055 high school-aged adolescents, including 7514 (49.9%) males and 7541 (50.1%) females with the mean age of 16.72 (SD 0.88) in Henan Province, China. A stratified two-stage cluster sampling design was applied. Mental Health Inventory of Middle School Students and International Consultation on Incontinence Questionnaire—Short Form was used to collect data about mental health and urinary incontinence status. The percentage of students reporting excessive screen time was 9.4%, predominantly male (15.3% versus 3.5%; p < 0.001). Physical disease, living on campus, and cigarette or alcohol consumption were common factors associated with excessive screen time in both genders. Students in their second or third year showed significantly lower rates of excessive screen time than their peers. In males, younger age, active sexual behavior, chronic constipation, and having a mother with a Ph.D. degree were factors associated with a higher probability of reporting excessive screen time, while females living in a rural–urban continuum or whose mothers have a junior college degree were associated with higher odds of reporting excessive screen times. Excessive screen time was significantly positively correlated with mental health problems and urinary incontinence (p < 0.05). Results suggests the need to address excessive screen time and to focus separately on the mechanisms influencing excessive screen time in males and females.
Bacterial Community Characteristics Shaped by Artificial Environmental PM2.5 Control in Intensive Broiler Houses
Authors: Wang Wenxing , Dang Guoqi , Khan Imran , Ye Xiaobin , Liu Lei , Zhong Ruqing , Chen Liang , Ma Teng , Zhang Hongfu
Published: January 2023

Multilayer cage-houses for broiler rearing have been widely used in intensive Chinese farming in the last decade. This study investigated the characteristics and influencing factors of bacterial communities in the PM2.5 of broiler cage-houses. The PM2.5 samples and environmental variables were collected inside and outside of three parallel broiler houses at the early, middle, and late rearing stages; broiler manure was also gathered simultaneously. The bacterial 16S rRNA sequencing results indicated that indoor bacterial communities were different from the outdoor atmosphere and manure. Furthermore, the variations in airborne bacterial composition and structure were highly influenced by the environmental control variables at different growth stages. The db-RDA results showed that temperature and wind speed, which were artificially modified according to managing the needs for broiler growth, were the main factors affecting the diversity of dominant taxa. Indoor airborne and manurial samples shared numerous common genera, which contained high abundances of manure-origin bacteria. Additionally, the airborne bacterial community tended to stabilize in the middle and late stages, but the population of potentially pathogenic bacteria grew gradually. Overall, this study enhances the understanding of airborne bacteria variations and highlighted the potential role of environmental control measures in intensive farming.
Integrating Social and Family Support as a Measure of Health Outcomes: Validity Implications from the Integrated Model of Health Literacy
Authors: Faiola Anthony , Kamel Boulos Maged N. , Bin Naeem Salman , ur-Rehman Aziz
Published: January 2023

(1) Background: Health literacy (HL) is one of the key determinants of health and healthcare outcomes. The objectives of this study are to measure and validate Sørensen et al.’s integrated model of health literacy (IMHL) in a developing country’s youth population, as well as to assess the impact of family affluence and social and family support on healthcare domains. (2) Methods: A cross-sectional survey was carried out of undergraduate university students in 19 public and private sector universities in Pakistan during June–August 2022. A nine-factor measurement model was tested using confirmatory factor analysis (CFA), and structural equation modeling (SEM) based on the 56 valid items obtained from three different validated scales, such as the family affluence scale (FAS-II), the multidimensional scale of perceived social support (MSPSS), and the European Health Literacy Questionnaire (the HLS-EU-Q). (3) Results: The data were collected from 1590 participants with a mean age of 21.16 (±2.027) years. The model fit indices indicate that the model partially fitted the data: χ2 = 4.435, df = 1448, p = 0.000, RMSEA = 0.048, TLI = 0.906, CFI = 0.912, IFI = 0.912, GFI = 0.872, NFI = 0.889, RFI = 0.882, PGFI = 0.791. The structural equation model showed acceptable goodness of fit indices, indicating a significant direct influence of social and family support on healthcare and disease prevention. (4) Conclusions: Social and family support are the most influential factors, with regard to HL dimensions, in improving healthcare, disease prevention, and health promotion in low-income settings and among non-English-speaking communities.
Lifestyle, Insulin Resistance and Semen Quality as Co-Dependent Factors of Male Infertility
Authors: Zańko Adrianna , Siewko Katarzyna , Krętowski Adam Jacek , Milewski Robert
Published: January 2023

Infertility is a problem that affects millions of couples around the world. It is known as a disease of couples, not individuals, which makes diagnosis difficult and treatment unclear. Male infertility can have many causes, from mechanical ones to abnormal spermatogenesis or spermiogenesis. Semen quality is determined by a number of factors, including those dependent on men themselves, with the number of infertile men growing every year. These include, e.g., diet, physical activity, sleep quality, stress, among many others. As these factors co-exist with insulin resistance, which is a disease closely related to lifestyle, it has been singled out in the study due to its role in affecting semen quality. In order to examine connections between lifestyle, insulin resistance, and semen quality, a review of literature published from 1989 to 2020 in the following databases PubMed/Medline, EMBASE (Elsevier), Scopus, Web of Science, and Google Scholar was performed. Hence, semen quality, environment, and insulin resistance are interrelated, thus it is difficult to indicate which aspect is the cause and which is the effect in a particular relationship and the nature of possible correlations. Since the influence of lifestyle on semen quality has been extensively studied, it is recommended that more thorough research be done on the relationship between insulin resistance and semen quality, comparing the semen quality of men with and without insulin resistance.
Environmental Regulation Competition and Carbon Emissions
Authors: Cui Lizhi , Ding Yining , Li Xiangqian
Published: January 2023

To clarify the relationship between environmental regulatory competition and carbon emissions and provide a theoretical basis for carbon emission reduction governance, this paper explores the strategic interaction behavior of environmental regulatory competition by constructing a three-way evolutionary game model based on the perspective of the fusion of environmental federalism and local government competition theory. On this basis, the specific forms of carbon emission reduction competition are tested using the spatial Durbin model, and the mechanism of the effect of environmental regulation competition on carbon emissions is analyzed. The evolutionary game model shows that local governments make strategic choices based on the costs and benefits of environmental regulation, and there are strategic equilibria of “race to the bottom”, “race to the top”, and “differentiation of competition”. The empirical results show that the competition for environmental regulations as a whole after the 18th National Congress of the Communist Party of China is a “race to the top”, and the increase in the intensity of environmental regulations has an inhibitory effect on carbon emissions, which remains valid after a series of robustness tests. There is heterogeneity in environmental regulatory competition, and the effect of emissions reduction is most obvious in the central region. Mechanism analysis shows that environmental regulatory competition affects carbon emissions mainly through the effect of political performance assessment, the effect of industrial structure optimization, and the effect of low-carbon technology capability improvement. Therefore, the central government should follow the local government interest function and balance the interests of all parties, appropriately increase the proportion of environmental performance assessment and optimize the performance assessment system, and consider regional development differences to find the right carbon emissions reduction path.
Team Workload and Performance of Healthcare Workers with Musculoskeletal Symptoms
Authors: de Araújo Vieira Elamara Marama , da Silva Jonhatan Magno Norte , Leite Wilza Karla dos Santos , Lucas Ruan Eduardo Carneiro , da Silva Luiz Bueno
Published: January 2023

In healthcare professionals, musculoskeletal complaints are the most frequent health disorders with the greatest potential for productivity losses. The teamwork developed by these professionals can be a coping strategy, but it can also be one more demand for the maintenance of performance. For this reason, this research aimed to investigate the relationship between team workload and performance in healthcare workers with different intensities of musculoskeletal symptoms. A survey was conducted with health professionals from 24 institutions of the Brazilian public health system, recruited by stratified probability sampling. Through non-hierarchical cluster analysis, the sample was allocated into three groups based on the intensity of musculoskeletal symptoms. We analyzed the approximation between the variables of “team workload” and “performance” of the groups formed in the previous phase through multiple correspondence analysis. In the group with higher musculoskeletal symptom scores, there was lower performance and a worse team workload. As the intensity of symptoms decreased, team workload and performance became closer variables in a two-dimensional space, indicating that the relationship between team workload and performance is improved in situations of low musculoskeletal symptom intensity.
Examining Psychosocial and Economic Barriers to Green Space Access for Racialised Individuals and Families: A Narrative Literature Review of the Evidence to Date
Authors: Robinson Tila , Robertson Noelle , Curtis Ffion , Darko Natalie , Jones Ceri R.
Published: January 2023

Background: Social prescribing (such as green social prescribing), aims to address health disparities cross-culturally to improve well-being. However, evidence highlights racial disparities in relation to access to quality green space (including local/national parks and recreational spaces). This review aimed to identify the psycho-socioeconomic barriers to green space access for racialised individuals/families and Black Indigenous People of Colour (BIPOC), to understand what cultural adaptations might be made to help support them to access green social prescribing within the UK. Method: A narrative systematic review was conducted to identify barriers to green space access for racialised individuals/families and BIPOC. Searches of publication databases (APA PsycInfo, Cochrane Database of Systematic Reviews [CDSR], Cochrane Central Register of Controlled Trials [CENTRAL], Cumulated Index to Nursing and Allied Health Literature [CINAHL], and SCOPUS Preview) were undertaken from January to February 2022, to identify quantitative peer reviewed studies. Of the 4493 abstracts identified, ten studies met the inclusion criteria and were included for final review. Results: The results suggest that interpersonal, practical (such as transportation costs, entrance fees and lodging costs) and environmental factors can act as barriers to green space access for racialised individuals/families. Most frequently reported barriers were perceptions of safety and costs associated with travel and accessing green spaces, particularly for families. Conclusion: Factors such as diversity-friendly schemes (e.g., multiple languages on signs and additional prayer spaces in parks), funding and strategies to improve safety should be considered in the design and commissioning of green space and green social prescribing initiatives in primary care. By mitigating these barriers green space can become more accessible and improve inclusivity for racialised individuals/families. Future research could explore the inter-racial differences between racialised populations and which mechanisms reduce barriers to access and in what contexts.
PM2.5-Associated Hospitalization Risk of Cardiovascular Diseases in Wuhan: Cases Alleviated by Residential Greenness
Authors: Yang Haomin , Liao Jianpeng , Wang Jing , Yang Can , Jiao Kuizhuang , Wang Xiaodie , Huang Zenghui , Ma Xuxi , Liu Xingyuan , Liao Jingling , Ma Lu
Published: January 2023

PM2.5, a type of particulate matter with an aerodynamic diameter of less than 2.5 μm, is associated with the occurrence of cardiovascular diseases (CVDs), while greenness seems to be associated with better cardiovascular health. We identified 499,336 CVD cases in Wuhan’s 74 municipal hospitals between 2017 and 2019. A high-resolution PM2.5 model and a normalized difference vegetation index (NDVI) map were established to estimate individual exposures. The time-stratified case-crossover design and conditional logistic regression models were applied to explore the associations between PM2.5 and CVDs under different levels of environmental factors. Greenness could alleviate PM2.5-induced hospitalization risks of cardiovascular diseases. Compared with patients in the low-greenness group (ER = 0.99%; 95% CI: 0.71%, 1.28%), patients in the high-greenness group (ER = 0.45%; 95% CI: 0.13%, 0.77%) showed a lower increase in total CVD hospitalizations. After dividing the greenness into quartiles and adding long-term PM2.5 exposure as a control factor, no significant PM2.5-associated hospitalization risks of CVD were identified in the greenest areas (quartile 4), whether the long-term PM2.5 exposure level was high or low. Intriguingly, in the least green areas (quartile 1), the PM2.5-induced excess risk of CVD hospitalization was 0.58% (95% CI: 0.04%, 1.11%) in the long-term high-level PM2.5 exposure group, and increased to 1.61% (95% CI: 0.95%, 2.27%) in the long-term low-level PM2.5 exposure group. In the subgroup analysis, males and participants aged 55–64 years showed more significant increases in the PM2.5-induced risk of contracting CVDs with a reduction in greenness and fine particle exposure conditions. High residential greenness can greatly alleviate the PM2.5-induced risk of cardiovascular admission. Living in the areas with long-term low-level PM2.5 may make people more sensitive to short-term increases in PM2.5, leading to CVD hospitalization.
Selected Personality Traits and Employment as the Predictors of the Intensity of Psychosocial Problems Experienced by Chronically Ill Patients
Authors: Otrębski Wojciech , Mariańczyk Katarzyna , Krzysztofik Karolina
Published: January 2023

Background. This study sought to determine the effect of being employed or unemployed on the relationships between selected personal variables (acceptance of one’s illness, self-efficacy, and self-actualization) and the intensity of psychosocial problems experienced by chronically ill persons (ChIP). Participants and procedures. The PCH-R Scale, the Generalized Self-Efficacy Scale, the Acceptance-of-Illness Scale, and the Self-Actualization Scale were used to collect information from 236 employed and unemployed ChIP. Results. Acceptance of illness and self-efficacy predicted the intensity of general psychosocial problems and problems in the personal, family, social, and occupational spheres in both employed and unemployed ChIP. Conclusions. The results can significantly contribute to increasing the effectiveness of treatment and support offered to ChIP. Continued employment or reemployment after a period of intense therapy can protect them from a rapid degradation of their personal—and frequently, socio-economic—resources, which are necessary for them to be able to adapt to new challenges and maintain a good quality of life, despite experiencing a chronic illness.
Person-Centered Climate, Garden Greenery and Well-Being among Nursing Home Residents: A Cross-Sectional Study
Authors: Xu Lijuan , Lou Yan , Li Caifu , Tao Xuemei , Engström Maria
Published: January 2023

Nursing home residents’ well-being is often proxy-rated in studies, and few studies have explored the association between resident-rated person-centered climate, garden greenery, and resident-rated well-being. A cross-sectional study was conducted. Questionnaire data from a convenient sample of 470 nursing home residents in a city in Southeast China in 2021 were analyzed using multiple linear regressions, with block-wise models. The instruments used were the Person-centered Climate Questionnaire-Patient version, the Nursing Home Greenery Index, and, for well-being, the EuroQol-Visual Analogue Scale, the Life Satisfaction Questionnaire, and the 9-item Patient Health Questionnaire (depression symptoms). In the unadjusted models, the person-centered climate was positively associated with general health (β 0.29, p < 0.001), person-centered climate and greenery with life satisfaction (β 0.39, and 0.18; both p < 0.001), and negatively with depression (β −0.28, and β −0.23, both p < 0.001). After adjusting for personal and nursing home characteristics, the associations between person-centered climate, greenery, and well-being remained statistically significant. The three models explained 36%, 35%, and 21% of the variance in general health, life satisfaction, and depression, respectively. This study provides knowledge on person-centered climate in long-term care and the access to greenery.
Transportation Infrastructure, Population Mobility, and Public Health
Authors: Zhang Fen , Song Tianyi , Cheng Xiang , Li Tianhao , Yang Ziming
Published: January 2023

This paper constructs an overlapping generations model, including health human capital, to investigate the impact of transportation investment on public health with population mobility. The theoretical analysis shows that there is an inverted U-shaped relationship between transportation infrastructure and population flow, which also exists between transportation and health. Health is affected by transportation from three aspects: positive output effect, negative substitution effect on public health investment, and an indirect effect through population flow. In the empirical part, considered with the infectious diseases, we found that the more intensive the traffic facilities, the greater the population flow, and therefore, the traffic facilities will have a negative impact on health. When population mortality is used to measure the level of public health, transportation improvement will significantly enhance public health with an inverted U-shaped relationship, which is consistent with the theoretical portion.