bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding Anthropogenic PM2.5 Concentrations and Their Drivers in China during 1998–2016
Authors: Yun Guoliang , Yang Chen , Ge Shidong
Published: January 2023

Air pollution poses serious challenges for human health and wellbeing. It also affects atmospheric visibility and contributes to climate change. As social and economic processes have increased, anthropogenic PM2.5 pollution caused by intensive human activities has led to extremely severe air pollution. Spatiotemporal patterns and drivers of anthropogenic PM2.5 concentrations have received increasing attention from the scientific community. Nonetheless, spatiotemporal patterns and drivers of anthropogenic PM2.5 concentrations are still inadequately understood. Based on a time series of remotely sensed anthropogenic PM2.5 concentrations, this study analyzed the spatiotemporal patterns of this crucial pollutant in China from 1998 to 2016 using Sen’s slope estimator and the Mann–Kendall trend model. This, in combination with grey correlation analysis (GCA), was used to reveal the socioeconomic factors influencing anthropogenic PM2.5 concentrations in eastern, central, and western China from 1998 to 2016. The results were as follows: (1) the average annual anthropogenic concentration of PM2.5 in China increased quickly and reached its peak value in 2007, then remained stable in the following years; (2) only 63.30 to 55.09% of the land area reached the threshold value of 15 μg/m3 from 1998 to 2016; (3) regarding the polarization phenomenon of anthropogenic PM2.5 concentrations existing in eastern and central China, the proportion of gradient 1 (≤15 μg/m3) gradually decreased and gradient 3 (≥35 μg/m3) gradually increased; and (4) the urbanization level (UR), population density (PD), and proportion of secondary industry to gross domestic product (SI) were the dominant socioeconomic factors affecting the formation of anthropogenic PM2.5 concentrations in eastern, central, and western China, independently. The improvements in energy consumption per gross domestic product (EI) have a greater potential for mitigating anthropogenic PM2.5 emissions in central and western China. These findings allow an interpretation of the spatial distribution of anthropogenic PM2.5 concentrations and the mechanisms influencing anthropogenic PM2.5 concentrations, which can help the Chinese government develop effective abatement strategies.
Working with Data in Adult English Classrooms: Lessons Learned about Communicative Justice during the COVID-19 Pandemic
Authors: Handley Margaret A. , Santos Maricel G. , Bastías María José
Published: January 2023

Throughout COVID-19, health officials have relied on data visualizations to communicate urgent messages about the spread of the virus and preventative measures. Relatively few efforts have employed participatory engagement with communities who have experienced a disproportionate burden of COVID-19 illness to shape these communications. Sociologist W.E.B. Du Bois viewed data visualization as an approach to changing the way people think about themselves. This paper describes a community-engaged approach to data literacy skill-building with bilingual Latina learners in an adult English program in Northern California, Bay Area. The curriculum combines data visualization activities with language instruction and preventive health themes. Early work on COVID-19 in 2020–21 emphasized improving health knowledge and message interpretation but later shifted to a critical data literacy perspective, focusing on myth-busting, improving risk messaging in their own social networks, and supporting learners to see the power of their own experiences in data story-telling processes. This pedagogical approach, guided by Charles Brigg’s idea of communicative justice priorities, locates adult learners’ data visualization work as part of a broader effort to be included in the perspectives that shape knowledge production in today’s healthcare system. This approach can be used to examine disparities in information access in linguistically minoritized communities and guide future education interventions.
When Is Authoritarian Leadership Less Detrimental? The Role of Leader Capability
Authors: Huang Qiufeng , Zhang Kaili , Wang Yanqun , Bodla Ali Ahmad , Zhu Duogang
Published: January 2023

We developed and tested a moderated mediation model of the relationship between authoritarian leadership and employees’ task performance as well as their affective organizational commitment. Analyses of multilevel, multisource, and three-wave data from 99 supervisors and 341 subordinates showed that leader effectiveness evaluations mediated the time-lagged relationship of authoritarian leadership with employees’ task performance and affective organizational commitment. Moreover, when leader capability is high, it mitigates the negative relationship between AL and employees’ outcomes. Furthermore, the leader capability moderates the indirect relationship of authoritarian leadership with employees’ task performance and affective organizational commitment via leader effectiveness evaluation. This study contributes to leadership research and extends our understanding of how and under what circumstances AL is less detrimental to employees’ workplace outcomes.
Understanding the Heavy Metal Pollution Pattern in Sediments of a Typical Small- and Medium-Sized Reservoir in China
Authors: Bao Qibei , Liu Cheng , Friese Kurt , Dadi Tallent , Yu Juhua , Fan Chengxin , Shen Qiushi
Published: January 2023

Heavy metal pollution in sediments is a common environmental issue in small- and medium-sized reservoirs not only in China but also worldwide; however, few interpretations of the pollution pattern exist. Based on the analyses of accumulation characteristics, ecological risks, and source apportionments of eight heavy metals (As, Cd, Cr, Cu, Hg, Pb, Ni, and Zn) in sediments, we derived a paradigm to describe the pollution pattern of heavy metals in sediments of a typical small- and medium-sized Tongjiqiao Reservoir. The results showed high levels of Cd, Hg, and As pollutants in the surface and upper sediment layers of the pre-dam area. Additionally, As, Cd, Hg, and Pb pollutants peaked in the middle layers of the inflow area, indicating a high ecological risk in these areas. The positive matrix factorization results implied that industrial, agricultural, and transportation activities were the main sources of heavy metals. The heavy metal pollution pattern exhibited three distinct stages: low contamination, rapid pollution, and pollution control. This pattern explains the heavy metal pollution process in the sediments and will provide scientific guidance for realizing the green and sustainable operation and development of the reservoir.
Latent Profile Analysis of Self-Supporting Ability among Rural Empty-Nesters in Northwestern China
Authors: Wei Lanzhi , Xu Jianou , Luo Caifeng , Lu Rongzhu , Shi Hui
Published: January 2023

The present study aimed to examine the multi-faceted self-supporting ability profiles of rural empty-nesters in northwestern China on the basis of the self-care ability, economic self-support ability, health self-maintenance ability, physical health self-maintenance ability, and psychological health self-maintenance ability using latent profile analysis. It identified the association of self-supporting ability profiles with demographic variables and sense of coherence. The analysis included 1066 participants (mean age = 70.2; SD = 4.3). The results of latent profile analysis identified three distinctive patterns of self-supporting ability―low physical health self-maintenance ability (C1, 20.5%), low psychological health self-maintenance ability (C2, 31.4%), and high social self-adaption ability (C3, 48.0%). The specific demographic variable age (p < 0.05), monthly income (p < 0.05), education level (p < 0.05), how often their children visit (p < 0.05), how often their children contact them (p < 0.05), whether they drink (p < 0.05), the frequency of physical exercise (p < 0.05), relationship with children (p < 0.05), relationship with neighbours (p < 0.05), medical insurance (p < 0.05), and the number of chronic diseases (p < 0.05) were significantly different among the identified three profiles. A statistically significant positive association existed between self-supporting ability profiles and sense of coherence (SOC) (p < 0.001). The results of multinomial logistic regression showed that a greater sense of coherence (SOC), age ≥ 80, monthly income (RMB) (RMB is the abbreviation for Renminbi) < 1000, a good relationship with neighbours, and one type of chronic disease were significantly associated with C1 when compared with C3 (p < 0.05). Furthermore, a greater SOC, their children visiting and contacting them many times per week or once per week were more significantly related to C2 than to C3 (p < 0.05). This study revealed three groups of self-supporting ability and its related predictors in empty-nesters. The predictors related to particular classes of self-supporting ability can provide information for targeted interventions to improve the self-supporting ability of empty-nesters living in rural areas.
The Impact of Health and Social Care Professionals’ Education on the Quality of Serious Illness Conversations in Nursing Homes: Study Protocol of a Quality Improvement Project
Authors: Gonella Silvia , Di Giulio Paola , Berchialla Paola , Bo Mario , Cotogni Paolo , Macchi Giorgia , Campagna Sara , Dimonte Valerio
Published: January 2023

Health and social care professionals (HCPs) who work in nursing homes (NHs) are increasingly required to sustain serious illness conversations about care goals and preferences. Although these conversations may also be challenging for experienced HCPs and the literature recognizes high-quality communication as key to providing patient-centered care, so far, no specific educational program has been developed for the NH setting to improve HCPs’ communication skills. Our study aims to test the feasibility and potential effectiveness of an innovative, blended communication skills training program (Teach-to-Communicate) targeting the HCPs who work in NHs. This program includes classroom-based theory, experiential learning, and e-learning, and relies on interdisciplinary contexts and several didactic methods. The study consists of two phases: phase I is the development of written resources that employ focus group discussion involving field experts and external feedback from key stakeholders. Phase II consists of a multicenter, pilot, pre-post study with nested qualitative study. The Teach-to-Communicate training program is expected to enhance the quality of communication in NH and HCPs’ confidence in sustaining serious illness conversations, reduce family carers’ psycho-emotional burden and improve their satisfaction with the care received, and increase advance care planning documentation. Our protocol will provide insight for future researchers, healthcare providers, and policymakers and pave the way for blended educational approaches in the field of communication skills training.
Potential Factors Conditioning the Compliance to Mandatory Face Covering in the Public Space Due to SARS-CoV-2 Pandemic
Authors: Józefacka Natalia Maja , Karpiński Emil Andrzej , Superson Barbara , Kołek Mateusz Franciszek , Skrzypczak Andrzej Robert , Kania Gabriela
Published: January 2023

Background: During the SARS-CoV-2 pandemic, we could observe different attitudes towards restrictive bans and orders. Aim: The research aimed to examine the potential psychological factors, such as generalized anxiety, fear of COVID-19 or social approval, related to the approach to mandatory face covering in public spaces. Methods: The web-assisted interviews survey was used among 202 participants, which included socio-demographical data, approach to face covering, the Generalized Anxiety Disorder Scale, the COVID-19 Anxiety Scale, and The Questionnaire of Social Approval. Result: The data showed a statistically significant correlation between compliance to the rule of face and nose covering vs. anxiety and compliance to the rule of face and nose covering vs. generalized anxiety. The results indicate differences between vaccinated and non-vaccinated people in the anxiety of COVID-19, generalized anxiety, and compliance with the rule of face and nose covering. Conclusions: People vaccinated has a higher level of anxiety and more often compliance with the rule of face covering. It is worth noting that an overly pronounced fear of COVID-19 could be a risk factor for mental health. More research about coping with anxiety in the group of vaccinated people is recommended.
Seaweed Derived Lipids Are a Potential Anti-Inflammatory Agent: A Review
Authors: Jaworowska Agnieszka , Murtaza Aliza
Published: January 2023

Chronic, low-grade inflammation is linked to the development of non-communicable diseases, including cancer, cardiovascular disease, obesity, insulin resistance, diabetes, and others which together contribute to more than 50% of deaths globally. Modulation of inflammatory responses may be a promising strategy, and n-3 long chain polyunsaturated fatty acids (n-3 LC-PUFA) may offer a new therapeutic option in inflammatory conditions. Seaweeds are characterised by high nutritional quality and are a good source of many bioactive compounds, including n-3 LC-PUFA. This review addresses the potential anti-inflammatory properties of seaweed derived lipids, and their immunomodulating mechanisms in order to identify the possible applications of seaweed as an anti-inflammatory functional food ingredient or dietary supplement. A few studies have evaluated the anti-inflammatory activity of seaweed lipids using crude lipid extracts, lipid fractions and isolated complex lipids from several seaweeds belonging to the Ochrophyta and Rhodophyta phyla, with only three Ulva rigida, Ulva sp. and Codium tomentosum within the Chlorophyta phylum. It was reported that seaweed derived lipids suppress inducible nitric oxide synthase and cyclooxygenase-2 expression and reduce nuclear factor κB p100 and myeloid differentiation primary response 88 protein levels leading to the downregulation of the production of several pro-inflammatory cytokines and nitric oxide. Further investigations are required to unravel the complex mechanisms underlying their preventive action against chronic inflammation and their potential use as a new functional food ingredient and/or health supplement.
Measuring the Non-Linear Relationship between Three-Dimensional Built Environment and Urban Vitality Based on a Random Forest Model
Authors: Lin Jinyao , Zhuang Yaye , Zhao Yang , Li Hua , He Xiaoyu , Lu Siyan
Published: January 2023

Urban vitality is a major indicator used for evaluating the sustainability and attractiveness of an urban environment. Global experience indicates that urban vitality can be stimulated through a reasonable urban design. However, it remains incompletely understood in the literature which building-related indicators can substantially affect urban vitality in Asian countries. To give an insight into this question, our study took a step forward by focusing specifically on the influence of the three-dimensional built environment on urban vitality, based on which decision makers could enhance urban vitality from the perspective of vertical building design. A machine-learning-based framework was developed in this study. First, we utilized several building-related indicators to thoroughly measure the spatial characteristics of buildings at the township level. Second, the relationship between a three-dimensional built environment and urban vitality was revealed based on a combined use of the correlation method, scatter charts, and a random forest. In the random forest, both a benchmark and a new model were constructed to evaluate the importance of those building-related indicators. The results suggested that urban vitality was closely related to the three-dimensional built environment, which played an even more important role than common benchmark factors in stimulating urban vitality. The building coverage ratio, density of tall buildings, and floor area ratio were essential spatial drivers behind urban vitality. Therefore, urban designers and decision makers should not only take traditional factors into account but also carefully consider the potential influence of high-rise buildings and the outdoor thermal environment so that urban vitality can be enhanced. Our study’s results can offer practical recommendations for improving urban vitality from the perspective of vertical building design. The proposed framework can also be used for measuring the potential influence of the three-dimensional built environment in other areas.
The Reliability and Validation of the Children’s Eating Attitude Test among Chinese Samples
Authors: Huang Ying , Wang Chang , Tong Lian
Published: January 2023

The purpose of this study was to examine the psychometric properties of the Children’s Eating Attitude Test (ChEAT) in a Chinese sample. A total of 906 children (mean age = 10.55, SD = 1.08) from three primary schools were evaluated by the ChEAT. Factor analysis was performed to examine the factor structure of the ChEAT. The children’s body mass index (BMI) was applied to assess the concurrent validity of the ChEAT. The ChEAT showed good internal consistency (Cronbach’s α = 0.819) and split-half reliability (0.816) in Chinese children. Exploratory factor analysis suggested a four-factor structure, consistent with previous studies, which explained 41.16% of the total variance. Confirmatory factor analysis indicated good construct validity for the Chinese sample. The Chinese version of the ChEAT showed evidence for reliability and validity to evaluate the eating attitudes and behaviors for Chinese children. The mean score of each factor of the ChEAT differed significantly among different genders and BMI groups. Overweight girls had more eating disorder problems than normal-weight girls, and boys with lower BMI showed higher social eating pressure.
Heart Rate Response, Temporal Structure and the Stroke Technique Distribution in Table Tennis National Category Matches
Authors: Picabea Jon Mikel , Cámara Jesús , Yanci Javier
Published: January 2023

The aims of this study were to analyze the heart rate response, the game temporal structure (i.e., mean total time of the matches, real playing time, total rest time) and the stroke technique distribution and to describe its relations in the table tennis national category in simulated competitions. A cohort of 60 table tennis male players (22.06 ± 8.32 years) played 30 simulated matches. The obtained results show a mean heart rate (HRmean) of 142.69 ± 14.10 bpm and a peak heart rate (HRpeak) of 167.26 ± 16.51 bpm. Total strokes were 7505, being the 57.88% and 42.12% forehand and backhand strokes, respectively. The most frequent forehand strokes were service (SERV) (33.13%) and forward spin technique (SPIN) (40.75%) stroke types, with the left quadrant of the table away from the net (Z_5) (25%) and right quadrant of the table away from the net (Z_6) (20.72%) being the most frequent ball bouncing placements. Meanwhile, the most frequent backhand strokes were backspin technique (PUSH) (42.74%) and SPIN (31.86%) stroke types, with the intermediate left quadrant of the table (Z_3) (17.21%), Z_5 (31.22%) and Z_6 (18.54%) being the most frequent ball placements. The mean total time of the matches was 15.74 ± 3.82 min, the mean real playing time was 4.14 ± 1.47 min and the total rest time was 11.60 ± 2.67 min. Heart rate variables did not correlate significantly with the different stroke types or the game temporal variables (p > 0.05). However, stroke types and game temporal structure variables were significantly correlated (p < 0.01). This information can be useful to reveal players’ strengths and weaknesses and prepare subsequent training sessions, adapting training sessions to the needs of the athletes.
Numerical Investigation of Very Low Reynolds Cross Orifice Jet for Personalized Ventilation Applications in Aircraft Cabins
Authors: Bode Florin Ioan , Nastase Ilinca
Published: January 2023

This study focuses on the numerical analysis of a challenging issue involving the regulation of the human body’s microenvironment through personalized ventilation. We intended to first concentrate on the main flow, namely, the personalized ventilation jet, before connecting the many interacting components that are impacting this microenvironment (human body plume, personalized ventilation jet, and the human body itself as a solid obstacle). Using the laminar model and the large eddy simulation (LES) model, the flow field of a cross-shaped jet with very low Reynolds numbers is examined numerically. The related results are compared to data from laser doppler velocimetry (LDV) and particle image velocimetry (PIV) for a reference jet design. The major goal of this study is to evaluate the advantages and disadvantages of the CFD approach for simulating the key features of the cross-shaped orifice jet flow. It was discovered that the laminar model overestimated the global jet volumetric flow rate and the flow expansion. LES looks more suitable for the numerical prediction of such dynamic integral quantities. In light of the computational constraints, it quite accurately mimics the mean flow behavior in the first ten equivalent diameters from the orifice, where the mesh grid was extremely finely tuned. From the perspective of the intended application, the streamwise velocity distributions, streamwise velocity decay, and volumetric flow rate anticipated by the LES model are rather well reproduced.
Unequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile
Authors: Oyarte Marcela , Cabieses Baltica , Rada Isabel , Blukacz Alice , Espinoza Manuel , Mezones-Holguin Edward
Published: January 2023

Globally, and particularly in the Latin American region, international migration continues to grow. Access and use of health care services by migrants vary according to their country of origin and residence time. We aimed to compare the access and use of health care services between international migrants (including settled migrants from Peru, Argentina, Bolivia, Ecuador; Emerging migrants from Venezuela, Dominican Republic, Colombia, Haiti; and migrants from other countries) and the Chilean population. After performing a secondary data analysis of population-based nationally representative surveys (CASEN 2011–2017), access and use patterns (insurance, complementary insurance, non-consultation, and non-treatment coverage) were described and compared among settled immigrants, recent emerging immigrants, others, and locals. Immigrants had a significantly higher uninsured population compared to locals. Specifically, in CASEN 2017, 19.27% of emerging (95% CI: 15.3–24.1%), 11.79% of settled (95% CI: 10.1–13.7%), and 2.25% of locals (95% CI: 2.1–2.4%) were uninsured. After 2013, settled and recent emerging migrants showed higher percentages of non-consultation. Collaborative and interculturally relevant strategies from human rights and equity perspectives are needed. Initiatives with a particular focus on recent immigrants can contribute to reducing the existing disparities in health care access and use with locals due to lack of insurance and treatment coverage.
A Qualitative Analysis of Management Perspectives on Seeking to Implement the Foster Cat Project in Residential Aged Care in the Context of COVID-19
Authors: Armitt Kellie-Ann , Young Janette , Boucaut Rose
Published: January 2023

This study explores the challenges facing a pilot project aiming to foster homeless cats in an Australian residential aged care facility. The global COVID-19 pandemic stalled the project but also presented an opportunity to gain reflective insights into the perceived barriers, enablers and tensions involved in seeking to implement pet animal inclusion in residential aged care. Perspectives from aged care management, animal welfare services and researchers/project managers were all sought using semi-structured interviews, and themes developed using a qualitative descriptive analysis. Perceived barriers to the project before and after the pandemic were not dissimilar with four key themes emerging: competing priorities, risk and safety, resources, and timing. All existed differently across stakeholder groups creating tensions to be negotiated. These themes are then mapped to the competencies established by the International Union of Health Promotion and Education (IUHPE) for undertaking health promotion, demonstrating that this skill base can be drawn on when seeking to implement human–animal inclusive projects. Creating supportive healthful environments for frail older persons is a moral imperative of extended lives. Health Promotion skills as outlined in the Ottawa Charter and IUHPE competencies for health promotion workers need to be extended to include animal services, agendas and cultures to promote multi-species health promotion into the future.
Structural Equation Model on the Problem Behavior of Adolescents
Authors: Kim Eun Mi , Lee Sona , Ahn Hye Young , Choi Hye Seon
Published: January 2023

This study aimed to explain direct and indirect relationship between psychological maltreatment, socio-psychological prevention factors, and problem behavior of adolescents based upon Jessor’s protective-risk model and Haase’s adolescent resilience model (ARM). A convenience sample of 138 Korean adolescents was recruited for the cross-sectional survey design. Using the collected data, the developed model was verified by structural equation modeling analysis using SPSS and AMOS program. Regarding model fit, χ2 = 151.62 (p < 0.001), GFI = 0.908, AGFI = 0.836, CFI = 0.911, SRMR = 0.060, and RMSEA = 0.10, showing acceptable fit levels. Psychological maltreatment explained 11.5% of perceived social support; psychological maltreatment, perceived social support, and self-control explained 89.9% of resilience; psychological maltreatment and perceived social support explained 53.2% of self-control; and psychological maltreatment, perceived social support, resilience, and self-control explained 39.7% of problem behavior. Psychological maltreatment directly and indirectly influenced perceived social support, self-control, and problem behavior. Psychological maltreatment and self-control were the factors that influence problem behavior of adolescents. The findings suggest that psychological maltreatment must be eradicated to reduce problem behavior of adolescents and enhance their socio-psychological protection factors.
Provision of Psychological Support to a 31-Year-Old Man with SARS-CoV2-Induced Pneumonia during and after Hospitalization: A Clinical Case Report
Authors: Callus Edward
Published: January 2023

A 31-year-old man hospitalized during the first wave of the pandemic in 2020 suffering from severe psychological distress, requested psychological assistance as his condition progressively worsened, eventually requiring intubation. After being referred to the clinical psychology service by a ward physician, the patient was assisted remotely for two months for a total of 22 sessions during hospitalization and after discharge. A psychometric evaluation was carried out when the patient was close to discharge and longitudinally, for a total of four times, for depression (Patient Health Questionnaire-9 (PHQ-9)), anxiety (Generalized Anxiety Disorder Scale-7 (GAD-7)), post-traumatic stress disorder (Impact of Event Scale—Revised (IES-R)) and insomnia (Insomnia Severity Index (ISI)). Support was provided remotely, mainly through audio and video calls, and text chats were also utilized when possible and as required. The initial psychometric evaluation indicated moderate depression, severe anxiety, the presence of post-traumatic stress disorder and sleep problems. Psychological distress decreased until reaching a situation of no distress in the final evaluation. Psychological interventions from which the patient benefitted were stress reduction and breathing techniques, empathic support, elaboration of the possibility of grief and cognitive restructuring regarding fears relative to his condition. Psychological support provided remotely and the monitoring of psychological status after discharge are highly advisable in pandemic emergency situations. The CARE checklist of information to include when writing a case report was utilized in the writeup of this case report.
Co-Transformation of Digital Health and eSport in Metaverse: Moderating Effects of Digital Personality on Mental Health in Multiplayer Online Battle Arena (MOBA)
Authors: Cai Lin , Huang Zengsong , Feng Qiujin , Chang Xiaoming , Yan Kexin
Published: January 2023

Mental health issues (e.g., social exclusion, depression, anxiety, and burnout) became highly prevalent in the global eSport industry. Likewise, the eSport trend in China also dramatically increased, while the attitudes and behaviours of the players also impacted their intentions to utilize video gaming. As China became the epicentre of the online video gaming industry, especially MOBA, it primarily influenced young athletes to adopt video gaming strategies for training purposes. Still, preventive measures are needed for video gaming addictions by athletes to improve their overall eSport performance. To conduct this study, self-administered questionnaires were distributed to 400 athletes aged 18–27 years; the response rate was adequate after screening, out of which 345 were finalized for the data analysis. The results indicate that metaverse-based digital healthcare significantly impacts eSport performance. Moreover, mental health significantly mediated the relationship between metaverse-based digital health and eSport performance. In addition, the digital personality also significantly moderated the relationship between metaverse-based digital healthcare and eSport performance. This research holds tremendous significance both from theoretical and practical perspectives. The study adds valuable insights to the growing body of literature regarding eSport gaming and mental health. The beneficial and constructive intuitions regarding eSport from a psychological perspective can be gained from this study, along with its pros and cons on the mental health of young Chinese athletes.
Filial Maturity, Resolution of a Parent’s Disease, and Well-Being in Offspring of Parents Diagnosed with Alzheimer’s Disease
Authors: Goldberg Alon
Published: January 2023

Background: Alzheimer’s Disease (AD) is one of the most common forms of dementia. However, research dealing with the experience of adult children of a parent diagnosed with AD, regardless of whether the offspring is a caregiver, is not well developed. Objective: The current research is a cross-sectional study that examines the associations between filial maturity, offspring’s coming to terms with their parent’s AD, and the well-being of the offspring. Method: one hundred and forty Israeli adult children of parents with AD participated in the study and completed self-report questionnaires assessing their filial maturity, resolution of their parent’s diagnosis with AD, the adult children’s well-being, and the severity of the parent’s AD according neurologist’s report.Results: Results showed that higher resolution of the parent’s disease was positively associated with well-being. In addition, filial maturity was negatively associated with resolution of the parent’s disease, and resolution of the parent’s disease mediated the association between filial maturity and well-being. Conclusion: Resolution of a parent’s AD is highly challenging for offspring with high filial maturity, and the lack of resolution affects their well-being. Offering prolonged emotional support for offspring of parents diagnosed with AD may improve their ability to integrate the new reality into their lives and foster their well-being.
Bridging the Gap between Research and the Community: Implementing Physical and Cognitive Interventions to Improve Spontaneous Walking Speed in Older Adults
Authors: Pothier Kristell , Kaushal Navin , Vrinceanu Tudor , Lussier Maxime , Bailly Nathalie , Comte Francis , Vu Thien , Berryman Nicolas , Bherer Louis
Published: January 2023

The application of interventions to enhance mobility in ecological settings remain understudied. This study was developed to evaluate the feasibility of training methods in a community centre and to evaluate their impact on mobility outcomes. Fifty-four participants were randomized to one of three 12-week training programs (three times/week): aerobic (AE), gross motor abilities (GMA) or cognitive (COG). Feasibility was evaluated by calculating adherence, feedback from participants and long-term participation. The impact of these interventions on mobility was assessed by comparing pre- and post-program on Timed-up-and-go (TUG) and spontaneous walking speed (SWS) performances. Results showed relatively high rates of adherence (85.1%) and long-term participation (66.7%), along with favorable feedbacks. SWS significantly improved in COG (0.10 ± 0.11 m.s−1; p = 0.004) and AE (0.06 ± 0.11 m.s−1; p = 0.017) groups, and TUG performance was maintained in all groups. Results of this feasibility study demonstrated successful implementation of physical and cognitive training programs, encouraging the development of real-world applications.
Prescribing Practices in Geriatric Patients with Cardiovascular Diseases
Authors: Awad Abdelmoneim , Al-Otaibi Haya , Al-Tamimi Sara
Published: January 2023

Inappropriate prescribing (IP) increases the risk of adverse medication reactions and hospitalizations in elderly patients. Therefore, it is crucial to evaluate prescribing patterns among this population. This study was designed to assess the prevalence of potentially inappropriate medication (PIMs) use and potential prescribing omissions (PPOs) among geriatrics with cardiovascular diseases (CVDs). In addition, it determined the predictors for IP in this population. A multi-center study was performed retrospectively on 605 patients’ medical records collected randomly from seven governmental hospitals in Kuwait. Three of these hospitals have specialized cardiac centers (tertiary care). Inclusion criteria were age ≥ 65 years, diagnosed with at least one CVD, and attended the outpatient clinic during the last 6 months before data collection. A total of 383 patients (63.3%; 95% CI: 59.3–67.1%) were found using at least one PIM or having PPO or both, based on STOPP/START criteria. Three hundred and ninety-one patients (64.6%; 95% CI: 60.7–68.4%) were prescribed PIMs categorized as C and/or D medicines according to the Euro-FORTA list. Over one-quarter (28.8%; 95% CI: 25.2–32.6%) of the patients had drug–drug interactions class D that require therapy modification and/or X that should be avoided. Patients taking ≥ five medications had significantly higher PIMs based on STOPP and FORTA criteria, drug–drug interactions (p < 0.001), and significantly higher PPOs based on START criteria (p = 0.041). Patients with three or more chronic diseases had significantly higher PIMs based on STOPP and FORTA criteria and PPOs based on START criteria (p-values: 0.028, 0.035, and 0.005, respectively). Significantly higher PIMs based on STOPP criteria and PPOs based on START criteria were found in general hospitals compared to specialized cardiac centers (p= 0.002, p= 0.01, respectively). These findings highlight the need to develop and implement multifaceted interventions to prevent or minimize inappropriate prescribing among the geriatric population with CVDs in Kuwait.
Differences in Cost-Effectiveness of Adherence to Nutritional Recommendations: Why, Where, and What?
Authors: de Mello Aline Veroneze , Sarti Flavia Mori , Barros Marilisa Berti de Azevedo , Goldbaum Moises , Cesar Chester Luiz Galvão , Fisberg Regina Mara
Published: January 2023

Cost-effectiveness analysis of diets may comprise an important tool to promote food security; however, studies show divergent evidence regarding the relationship between diet quality and cost in diverse populations. Thus, this study assesses differences in cost-effectiveness ratios regarding adherence to nutritional recommendations using data representative of the population level in Sao Paulo municipality, Brazil. Information from adolescents and adult individuals (n = 1742) was used to estimate diet quality and cost in 2015. Differences in cost-effectiveness ratios were investigated through application of two diet quality indexes and exploration of individuals’ personal and contextual characteristics. Results indicated that higher diet cost was associated with higher adherence to nutritional recommendations at the national level and inversely associated with adherence to international recommendations. Purchasing foods in street markets was linked to healthier diets at lower costs, and protein consumption was associated with higher diet cost regardless of diet quality; however, diet quality was linked to type of protein consumed by individuals. Differences in cost-effectiveness ratios were attributable to methodological choices in measuring dietary quality (why); individuals’ personal and contextual characteristics, in particular, access to retail equipment (where); and certain food choices (what). Therefore, cost-effectiveness analyses should be tailored to policy goals and local environments to ensure proper assessment of nutrition programs and to foster improvements in nutritional diet quality at lower cost.
Leading Predictors of COVID-19-Related Poor Mental Health in Adult Asian Indians: An Application of Extreme Gradient Boosting and Shapley Additive Explanations
Authors: Ikram Mohammad , Shaikh Nazneen Fatima , Vishwanatha Jamboor K. , Sambamoorthi Usha
Published: January 2023

During the COVID-19 pandemic, an increase in poor mental health among Asian Indians was observed in the United States. However, the leading predictors of poor mental health during the COVID-19 pandemic in Asian Indians remained unknown. A cross-sectional online survey was administered to self-identified Asian Indians aged 18 and older (N = 289). Survey collected information on demographic and socio-economic characteristics and the COVID-19 burden. Two novel machine learning techniques-eXtreme Gradient Boosting and Shapley Additive exPlanations (SHAP) were used to identify the leading predictors and explain their associations with poor mental health. A majority of the study participants were female (65.1%), below 50 years of age (73.3%), and had income ≥ $75,000 (81.0%). The six leading predictors of poor mental health among Asian Indians were sleep disturbance, age, general health, income, wearing a mask, and self-reported discrimination. SHAP plots indicated that higher age, wearing a mask, and maintaining social distancing all the time were negatively associated with poor mental health while having sleep disturbance and imputed income levels were positively associated with poor mental health. The model performance metrics indicated high accuracy (0.77), precision (0.78), F1 score (0.77), recall (0.77), and AUROC (0.87). Nearly one in two adults reported poor mental health, and one in five reported sleep disturbance. Findings from our study suggest a paradoxical relationship between income and poor mental health; further studies are needed to confirm our study findings. Sleep disturbance and perceived discrimination can be targeted through tailored intervention to reduce the risk of poor mental health in Asian Indians.
Persistent Organic Pollutant Levels in Maternal and Cord Blood Plasma and Breast Milk: Results from the Rio Birth Cohort Pilot Study of Environmental Exposure and Childhood Development (PIPA Study)
Authors: Santos Aline Souza Espindola , Moreira Josino Costa , Rosa Ana Cristina Simoes , Câmara Volney Magalhães , Azeredo Antonio , Asmus Carmen Ildes Rodrigues Froes , Meyer Armando
Published: January 2023

Levels of polychlorinated biphenyls (PCB) and organochlorine pesticides (OCP) were evaluated in the breast milk and maternal and umbilical cord blood of pregnant women and their newborns in Rio de Janeiro, Brazil. The concentration of 11 PCB and 17 OCP were measured in 135 samples of maternal, and 116 samples of cord blood plasma, as well as 40, 47, and 45 samples of breast milk at 1st, 3rd, and 6th months after birth, respectively, using gas chromatography-mass spectrometry (GC-MS-MS). Women were asked to answer an enrollment questionnaire with reproductive, lifestyle, residential and sociodemographic questions. The most commonly detected OCPs and PCBs in the maternal and cord blood were 4,4′-DDE; β-HCH; ɣ-HCH; and PCB 28. 4,4′-DDE was also the most commonly detected OCP in breast milk samples. Although not statistically significant, ∑DDT levels were higher among women with pregestational BMI ≥ 30, and who were non-white and older (age > 40). Newborns with an Apgar score ≤ 8 at minute 5 of life showed significantly higher levels of ∑DDT in the cord blood. Persistent OCPs and PCBs were still detected in maternal and umbilical cord blood and breast milk, even after decades of their banishment in Brazil. They may pose a risk to maternal, fetal and children’s health.
What We Ask about When We Ask about Quarantine? Content and Sentiment Analysis on Online Help-Seeking Posts during COVID-19 on a Q&A Platform in China
Authors: Li Luanying , Hua Lin , Gao Fei
Published: January 2023

The COVID-19 outbreak, a recent major public health emergency, was the first national health crisis since China entered the era of mobile social media. In this context, the public posted many quarantine-related posts for help on social media. Most previous studies of social media during the pandemic focused only on people’s emotional needs, with less analysis of quarantine help-seeking content. Based on this situation, this study analyzed the relationship between the number of quarantine help-seeking posts and the number of new diagnoses at different time points in the pandemic using Zhihu, the most comprehensive topic discussion platform in China. It showed a positive correlation between the number of help-seeking posts and the pandemic’s severity. Given the diversity of people’s help-seeking content, this study used topic model analysis and sentiment analysis to explore the key content of people’s quarantine help-seeking posts during the pandemic. In light of the framework of uses and gratifications, we found that people posted the most questions in relation to help with information related to pandemic information and quarantine information. Interestingly, the study also found that the content of people’s quarantine posts during the pandemic was primarily negative in sentiment. This study can thus help the community understand the changes in people’s perceptions, attitudes, and concerns through their reactions to emergencies and then formulate relevant countermeasures to address pandemic control and information regulation, which will have implications for future responses to public health emergencies. Moreover, in terms of psychological aspects, it will help implement future mental health intervention strategies and better address the public’s psychological problems.
Iatrogenic Injury of Biliary Tree—Single-Centre Experience
Authors: Nawacki Łukasz , Kozłowska-Geller Monika , Wawszczak-Kasza Monika , Klusek Justyna , Znamirowski Przemysław , Głuszek Stanisław
Published: January 2023

Cholecystolithiasis is among the most prevalent gastrointestinal disorders requiring surgical intervention, and iatrogenic damage to the bile tree is a severe complication. We aimed to present the frequency of bile duct injuries and how our facility handles these complications. We retrospectively analyzed bile duct injuries in patients undergoing surgery. We concentrated on factors such as sex, age, indications for surgery, type of surgery, primary procedure, bile tree injury, repair, and timing as well as early and late complications. There were 22 cases of bile duct injury in the studied material, primarily affecting women—15 individuals (68.2%). Eleven cases (45.7%) of acute cholecystitis were the primary reason for surgery, and an injury to the common bile duct that extended up to 2 cm from the common hepatic duct was the most common complication (European Association for Endoscopic Surgery grade 2). Roux-en-Y hepaticojejunostomy was the most common repair procedure in 14 cases (63.6%). Eleven patients (50%) experienced early complications following reconstruction surgery, whereas five patients (22.7%) experienced late complications. An annual mortality rate of 22.7% (five patients) was observed. Iatrogenic bile duct injury is a severe complication of surgical treatment for cholecystolithiasis. Reconstruction procedures are characterized by high complication rates and high mortality.
Demystifying Case Management in Aotearoa New Zealand: A Scoping and Mapping Review
Authors: Stretton Caroline , Chan Wei-Yen , Wepa Dianne
Published: January 2023

Background: Community-based case managers in health have been compared to glue which holds the dynamic needs of clients to a disjointed range of health and social services. However, case manager roles are difficult to understand due to poorly defined roles, confusing terminology, and low visibility in New Zealand. Aim: This review aims to map the landscape of case management work to advance workforce planning by clarifying the jobs, roles, and relationships of case managers in Aotearoa New Zealand (NZ). Methods: Our scoping and mapping review includes peer-reviewed articles, grey literature sources, and interview data from 15 case managers. Data was charted iteratively until convergent patterns emerged and distinctive roles identified. Results: A rich and diverse body of literature describing and evaluating case management work in NZ (n = 148) is uncovered with at least 38 different job titles recorded. 18 distinctive roles are further analyzed with sufficient data to explore the research question. Social ecology maps highlight diverse interprofessional and intersectoral relationships. Conclusions: Significant innovation and adaptations are evident in this field, particularly in the last five years. Case managers also known as health navigators, play a pivotal but often undervalued role in NZ health care, through their interprofessional and intersectoral relationships. Their work is often unrecognised which impedes workforce development and the promotion of person-centered and integrated health care.
Degradation of Praguicide Disulfoton Using Nanocompost and Evaluation of Toxicological Effects
Authors: Veronesi Mayne , Rodriguez Mariandry , Marinho Grazielle , Bomfeti Cleide Aparecida , Rocha Bruno Alves , Barbosa Fernando , Souza Marília Cristina Oliveira , da Silva Faria Márcia Cristina , Rodrigues Jairo Lisboa
Published: January 2023

Organophosphates (OPPs) are an important element of modern agriculture; however, because they are being used excessively, their residues are leaching and accumulating in the soil and groundwater, contaminating aquatic and terrestrial food chains. An important OPP called disulfoton is frequently used to eradicate pests from a wide range of crops, including Brazil’s coffee crops. Additionally, it does not easily degrade in the environment, and as such, this compound can slowly build up in living organisms such as humans. Moreover, this compound has been classified as “extremely hazardous” by the World Health Organization. This study evaluated the degradation efficiency of disulfoton using a Fenton-like reaction catalyzed by magnetite nanoparticles and determined the toxicity of the by-products of the degradation process using the bioindicator Allium cepa. Further, the removal efficiency of disulfoton was determined to be 94% under optimal conditions. On the other hand, the Allium cepa bioassay showed different toxic, cytotoxic, genotoxic, and mutagenic outcomes even after the remediation process. In conclusion, the Fenton process catalyzed by magnetite nanoparticles presents great efficiency for the oxidation of disulfoton. However, it is important to highlight that the high degradation efficiency of the Fenton-based process was not sufficient to achieve detoxification of the samples.