bluuebunny/crossref_metadata_2025 huggingface dataset:
Feelings of Polish and Palestinian Students after Receiving Vaccinations against COVID-19
Authors: Zdziarski Krzysztof , Karakiewicz-Krawczyk Katarzyna , Awad Mariam S. , Qumsieh Narmeen , Landowska Anna , Karakiewicz Beata
Published: October 2022

The COVID-19 pandemic has limited human freedom in many areas. Developing a COVID-19 vaccine has been a key task to contain the spread of the virus. In many countries, there is increasing concern about anti-vaccines due to complications after receiving the vaccine. The research problem concerns the opinions of Polish and Palestinian students after receiving vaccinations against COVID-19. This study involved 657 respondents (332 from Poland and 325 from Palestine) who completed the original questionnaire online. The respondents present two different cultures, embedded in different existential conditions, also in terms of health care, and especially the availability of vaccines. The obtained data indicate that almost 50% of research participants from both countries believe that vaccines are an effective antidote to the pandemic situation. Respondents in both populations believed that it was their personal choice to undergo vaccinations. The social motivation for vaccination in both groups was the desire to participate in public life, and the possibility of free travel for Poles, and the fear of infecting other people for Palestinians. The most common side effect reported after vaccination was pain at the site of the infection. Medical assistance was more often sought by respondents from Palestine. From an existential, psychosocial and health perspective, vaccines contributed to strengthening the vital forces in a large part of the population, allowed rebuilding social interactions and gave a sense of security in the daily functioning of a person.
Navigating Pregnancy and the Healthcare System during COVID-19: A Qualitative Study with Perinatal Women of Color
Authors: Hoang Tuyet-Mai H. , Hsieh Wan-Jung , Lee B. Andi , Lukacena Kaylee Marie , Tabb Karen M.
Published: October 2022

Objective: To address health disparities in the perinatal period (i.e., during pregnancy and through one year after birth) by exploring the intersectional experiences of perinatal Black, Indigenous, and other People of Color (BIPOC) women during the COVID-19 pandemic. In this study, participants were asked if and how COVID-19 had impacted their experiences of receiving healthcare, whether they had faced any challenges during this time, how they had navigated these challenges, and what recommendations they had for improving perinatal healthcare. Methods: Between November 2021 and March 2022 our team conducted eight virtual focus groups comprising perinatal BIPOC women. A semi-structured interview protocol was used, and interviews were voice recorded and transcribed verbatim. The data were analyzed using reflexive thematic analysis. Results: Three major themes common in BIPOC perinatal healthcare experiences during COVID-19 were generated through engaging in reflexive thematic analysis: (1) an overwhelming lack of support from providers, (2) experiences of blame and shame, and (3) difficulties navigating institutional policies that were unclear or ever-changing during the COVID-19 pandemic. Recommendations from participants included greater empathic communication from providers in the face of uncertainty during COVID-19, greater access to information and guidance for caring for themselves and their babies, and an overall request for greater compassion while navigating an exciting and busy time. Relevance: These findings have implications for trauma-informed and inclusive perinatal care that can reduce the impacts of systemic inequalities for perinatal BIPOC women. This study offers a discussion of implications for future training for maternal health providers and implications for community-based programs.
Physical Changes of Preschool Children during COVID-19 School Closures in Fujian, China
Authors: Li Guobo , Yang Le , Xu Xingyan , Chen Mingjun , Cai Yingying , Wen Yeying , Xie Xiaoxu , Lu Xinyue , Luo Suping , Lin Shaowei , Li Huangyuan , Wu Siying
Published: October 2022

The COVID-19 pandemic may constitute an “obesogenic lifestyle” that results in exacerbating childhood obesity. However, studies investigating regional sociodemographic factors including different age groups or sexes in children with obesity are lacking. We aimed to clarify the high obesity prevalence populations of preschool children to provide a regional basis for children’s health policy during the COVID-19 school closures. From May to September 2019, a total of 29,518 preschool children were included in a large sample, multicenter cross-sectional study to explore physical status in Fujian Province by stratified cluster random sampling. In October 2019 and October 2020, we also conducted a cross-sectional study exploring physical development including changes in height, weight, and BMI of 1688 preschool children in Fuzhou before and after the COVID-19 school closures. Student’ s t-test, Mann–Whitney U test, or chi-square test was used to assess differences in physical development and overweight and obesity rates among preschool children before and after school closures. For regional factors, the weight of urban preschool children of all ages became higher after the outbreak (p (age 3–4) = 0.009; p (age 4–5) < 0.001; p (age 5–6) = 0.002). For sex factors, overweight and obesity in boys had a greater prevalence than in girls before and after the outbreak. In four age groups, overweight and obesity rates in the 5-year-old group (15.5% and 9.9%) were higher than before (11.4% and 6.0%). The weight and BMI of 4- to 5-year-old children also increased faster than before (p < 0.001). The COVID-19 pandemic has promoted the epidemic of childhood obesity. Living in urban/coastal (economically developed) areas, boys, and aged 4–6 years old may be a susceptible population to obesity development after the outbreak.
Improving Water Quality Index Prediction Using Regression Learning Models
Authors: Mohd Zebaral Hoque Jesmeen , Ab. Aziz Nor Azlina , Alelyani Salem , Mohana Mohamed , Hosain Maruf
Published: October 2022

Rivers are the main sources of freshwater supply for the world population. However, many economic activities contribute to river water pollution. River water quality can be monitored using various parameters, such as the pH level, dissolved oxygen, total suspended solids, and the chemical properties. Analyzing the trend and pattern of these parameters enables the prediction of the water quality so that proactive measures can be made by relevant authorities to prevent water pollution and predict the effectiveness of water restoration measures. Machine learning regression algorithms can be applied for this purpose. Here, eight machine learning regression techniques, including decision tree regression, linear regression, ridge, Lasso, support vector regression, random forest regression, extra tree regression, and the artificial neural network, are applied for the purpose of water quality index prediction. Historical data from Indian rivers are adopted for this study. The data refer to six water parameters. Twelve other features are then derived from the original six parameters. The performances of the models using different algorithms and sets of features are compared. The derived water quality rating scale features are identified to contribute toward the development of better regression models, while the linear regression and ridge offer the best performance. The best mean square error achieved is 0 and the correlation coefficient is 1.
Prevalence of Psychopathological Symptoms and Their Determinants in Four Healthcare Workers’ Categories during the Second Year of COVID-19 Pandemic
Authors: Gorini Alessandra , Giuliani Mattia , Fiabane Elena , Bonomi Alice , Gabanelli Paola , Pierobon Antonia , Moretta Pasquale , Pagliarulo Giovanna , Spaccavento Simona , Vaudo Gaetano , Pirro Matteo , Mannarino Massimo R. , Milani Laura , Caruso Maria Paola , Baiardi Paola , Dalla Vecchia Laura Adelaide , La Rovere Maria Teresa , Pistarini Caterina , Baldassarre Damiano
Published: October 2022

Highly stressful situations, such as the current COVID-19 pandemic, induce constant changes in the mental state of people who experience them. In the present study, we analyzed the prevalence of some psychological symptoms and their determinants in four different categories of healthcare workers during the second year of the pandemic. A total of 265 physicians, 176 nurses, 184 other healthcare professionals, and 48 administrative employees, working in different Italian healthcare contexts, answered a questionnaire including variables about their mental status and experience with the pandemic. The mean scores for anxiety and depressive symptoms measured more than one year after the onset of the pandemic did not reach the pathological threshold. In contrast, post-traumatic and burnout symptoms tended toward the critical threshold, especially in physicians. The main determinant of psychological distress was perceived stress, followed by job satisfaction, the impact of COVID-19 on daily work, and a lack of recreational activities. These results increase the knowledge of which determinants of mental distress would be important to act on when particularly stressful conditions exist in the workplace that persist over time. If well-implemented, specific interventions focused on these determinants could lead to an improvement in employee well-being and in the quality of care provided.
Patient Acceptability of Home Monitoring for Neovascular Age-Related Macular Degeneration Reactivation: A Qualitative Study
Authors: O’Connor Seán , Treanor Charlene , Ward Elizabeth , Wickens Robin , O’Connell Abby , Culliford Lucy , Rogers Chris , Gidman Eleanor , Peto Tunde , Knox Paul , Burton Benjamin , Lotery Andrew , Sivaprasad Sobha , Reeves Barnaby , Hogg Ruth , Donnelly Michael ,   MONARCH Study Group
Published: October 2022

Neovascular age-related macular degeneration (nAMD) is a chronic, progressive condition and the commonest cause of visual disability in older adults. This study formed part of a diagnostic test accuracy study to quantify the ability of three index home monitoring (HM) tests (one paper-based and two digital tests) to identify reactivation in nAMD. The aim of this qualitative research was to investigate patients’ or participants’ views about acceptability and explore adherence to weekly HM. Semi-structured interviews were held with 78/297 participants (26%), with close family members (n = 11) and with healthcare professionals involved in training participants in HM procedures (n = 9) (n = 98 in total). A directed thematic analytical approach was applied to the data using a deductive and inductive coding framework informed by theories of technology acceptance. Five themes emerged related to: 1. The role of HM; 2. Suitability of procedures and instruments; 3. Experience of HM; 4. Feasibility of HM in usual practice; and 5. Impediments to patient acceptability of HM. Various factors influenced acceptability including a patient’s understanding about the purpose of monitoring. While initial training and ongoing support were regarded as essential for overcoming unfamiliarity with use of digital technology, patients viewed HM as relatively straightforward and non-burdensome. There is a need for further research about how use of performance feedback, level of support and nature of tailoring might facilitate further the implementation of routinely conducted HM. Home monitoring was acceptable to patients and they recognised its potential to reduce clinic visits during non-active treatment phases. Findings have implications for implementation of digital HM in the care of older people with nAMD and other long-term conditions.
The Mediating Role of Physical Activity and Physical Function in the Association between Body Mass Index and Health-Related Quality of Life: A Population-Based Study with Older Adults
Authors: Nascimento Marcelo de Maio , Gouveia Élvio Rúbio , Gouveia Bruna R. , Marques Adilson , Campos Pedro , García-Mayor Jesús , Przednowek Krzysztof , Ihle Andreas
Published: October 2022

This study aimed (1) to investigate the association between body mass index (BMI), physical activity (PA), and physical function (PF) with health-related quality of life (HRQoL), and (2) to examine in-depth whether PA and PF mediate the relationship between BMI and HRQoL in older adults. We investigated 802 individuals (mean age 69.8 ± 5.6 years), residents of the Autonomous Region of Madeira, Portugal. Harmol and PA were assessed using the SF-36 and Baecke questionnaires, respectively, and PF by the Senior Fitness Test. The prevalence of overweight was 71.3%, 26.5% for normal weight, and 2.1% for underweight. We verified a small correlation between age and sex with BMI, PA, PF, and medium borderline with HRQoL. After adjusting for covariates (i.e., sex, age, comorbidities), the multivariate regression analysis indicated a 93.1% chance of improvement in HRQoL for low BMI, while PA and PF revealed a chance of increasing HRQoL by 91.8% and 60.0%, respectively. According to the serial mediation pathway, PA and PF partially mediated the association between BMI and HRQoL by 32.3% and 81.5%, respectively. The total variance of the model was 90%. It was concluded that BMI can negatively affect HRQoL. On the other hand, PA and PF are able to increase HRQoL levels during the aging process.
Pesticide Safety Awareness among Rural Farmers in Dadinkowa, Gombe State, Nigeria
Authors: Moda Haruna Musa , Anang Daniel Mensah , Moses Newton , Manjo Felix Mandoli , Joshua Victoria Ibukun , Christopher Nwadike , Doka Paulina , Danjin Mela
Published: October 2022

Introduction: Because of the longer growing season and warmer climate, weeds and insect pests spread are on the rise, thereby increasing the demand for pesticide use and consequently harmful emissions that further exacerbate climate change. Unsafe occupational exposure to pesticide residue is associated with a lack of product knowledge and safety awareness among farmers in low- and middle-income countries (LMICs). Materials and Methods: A cross-sectional descriptive study design was adopted for this study in which a face-to-face administered questionnaire was used to collect data from 285 respondents who were selected using convenient snowball sampling technique. Knowledge, awareness, and practices related to pesticide storage, handling, application, and containers disposal among the farmers were measured. Categorical variables were analysed and presented using descriptive statistics in the form of frequency count and percentage, while numeric items were summarized using mean and standard deviation. Results: Dichlorvos and Perfekthion 2.5 EC listed in the WHO Group I pesticide classification were among the most frequently used pesticides. Symptoms of pesticide intoxication reported include headaches (56.1%), dizziness (56.5%), skin irritation (53.3%), and fatigue (45.6%), respectively. Farmers’ behaviour during pesticide application include blowing clogged nozzle with mouth (42.7%), talking while spraying (59.8%), and mixing pesticide with bare hands (31.1%). Furthermore, 38.5% of them use pesticide containers for other domestic purposes. Conclusions: Socioeconomic factors, i.e., educational level, age, and years of farm practice, influenced farmers safety behaviour. Based on these findings, an approach that will help strengthen capacity building programmes and the enhancement of knowledge-based initiatives around the adoption of non-synthetic pest-control methods should be encouraged.
Potential Access to Emergency General Surgical Care in Ontario
Authors: Nantais Jordan , Larsen Kristian , Skelhorne-Gross Graham , Beckett Andrew , Nolan Brodie , Gomez David
Published: October 2022

Limited access to timely emergency general surgery (EGS) care is a probable driver of increased mortality and morbidity. Our objective was to estimate the portion of the Ontario population with potential access to 24/7 EGS care. Geographic information system-based network-analysis was used to model 15-, 30-, 45-, 60-, and 90-min land transport catchment areas for hospitals providing EGS care, 24/7 emergency department (ED) access, and/or 24/7 operating room (OR) access. The capabilities of hospitals to provide each service were derived from a prior survey. Population counts were based on 2016 census blocks, and the 2019 road network for Ontario was used to determine speed limits and driving restrictions. Ninety-six percent of the Ontario population (n = 12,933,892) lived within 30-min’s driving time to a hospital that provides any EGS care. The availability of 24/7 EDs was somewhat more limited, with 95% (n = 12,821,747) having potential access at 30-min. Potential access to all factors, including 24/7 ORs, was only possible for 93% (n = 12,471,908) of people at 30-min. Populations with potential access were tightly clustered around metropolitan centers. Supplementation of 24/7 OR capabilities, particularly in centers with existing 24/7 ED infrastructure, is most likely to improve access without the need for new hospitals.
Using the Oral Assessment Guide to Predict the Onset of Pneumonia in Residents of Long-Term Care and Welfare Facilities: A One-Year Prospective Cohort Study
Authors: Yamanaka Masahiro , Yamaguchi Kanetaka , Muramatsu Masumi , Miura Hiroko , Ochi Morio
Published: October 2022

Appropriate oral health care, depending on oral assessments, reduces the onset of pneumonia. However, the relationship between risk evaluation using an oral assessment tool and pneumonia in residents of long-term care facilities has not been fully elucidated. In the present study, we aim to examine the relationship between the total scores of the Oral Assessment Guide (OAG) and the incidence of pneumonia after a one-year baseline study of residents in long-term care facilities. The settings for sampling include nine long-term care facilities in Hokkaido. At baseline, there were 267 study subjects. A total of 72 individuals dropped out and 11 individuals met the exclusion criteria. Therefore, the subject sample included 184 individuals. Among the subjects included in our analyses, eight individuals developed pneumonia (six males and two females). A multiple logistic regression analysis was performed with the risk factors for developing pneumonia. Evaluations were performed based on the odds ratio (OR) and 95% confidence interval (CI). We observed that the OR for pneumonia onset was 2.29 (CI: 1.27–4.14) after being adjusted for pneumonia risk factors. Therefore, it was suggested that the total scores of the OAG could be used to screen for the risk of pneumonia onset in residents of long-term care and welfare facilities.
Assessment of the Speed and Power of Push-Ups Performed on Surfaces with Different Degrees of Instability
Authors: Marquina Nieto Moisés , Rivilla-García Jesús , de la Rubia Alfonso , Lorenzo-Calvo Jorge
Published: October 2022

(I) Training in unstable conditions, with different elements, platforms, or situations, has been used because there is a significant increase in muscle activation, balance, proprioception, and even sports performance. However, it is not known how the devices used are classified according to performance variables, nor the differences according to instability experience. (II) This study aims to analyze the differences in power and speed in push-ups with different situations of instability in trained and untrained male subjects. Power and speed in push-up exercise were analyzed in 26 untrained and 25 trained participants in 6 different situations (one stable and five unstable) (1) stable (PS), (2) monopodal (PM), (3) rings (PR), (4) TRX® (PT), (5) hands-on Bosu® (PH) (6) feet on Bosu® (PF). The variables were analyzed using a linear position transducer. (III) The best data were evidenced with PS, followed by PR, PM, PT, PH and PF. The trained subjects obtained better results in all the conditions analyzed in mean and maximum power and speed values (p < 0.001). The decrease in these variables was significantly greater in the untrained subjects than in the trained subjects in the PR situation (8% and 18% respectively). In PF there were differences between groups (p < 0.001), reaching between 32–46% in all variables. The difference between the two groups was notable, varying between 12–58%. (IV) The results showed a negative and progressive influence of instability on power and speed in push-ups. This suggests that instability should be adapted to the subject’s experience and is not advisable in untrained subjects who wish to improve power.
Enhanced Adsorption of Tetracycline by Thermal Modification of Coconut Shell-Based Activated Carbon
Authors: Kim Do-Gun , Boldbaatar Shinnee , Ko Seok-Oh
Published: October 2022

Tetracycline (TC) is one of the most frequently detected antibiotics in various water matrices, posing adverse effects on aquatic ecosystems. In this study, coconut shell-based powdered activated carbon (PAC) was thermally modified under various temperatures to enhance TC adsorption. The PAC subjected to 800 °C (PAC800) showed the best TC adsorption. PAC and PAC800 were characterized using N2 adsorption/desorption isotherm, X-ray photoelectron spectroscopy, Raman spectroscopy, XRD, Boehm titration, and zeta potential analyses. Increases in the specific surface area, C/O ratio, C=O, surface charge, basic groups, and the number of stacked graphene layers along with a decrease in structural defects were observed for PAC800 compared to PAC. The TC adsorption was significantly improved for PAC800 compared to that of PAC, which is attributable to the enhanced electrostatic attraction and π-π EDA interactions induced by the changes in the properties. The Freundlich isotherm was the best fit indicating the heterogeneous nature, and the Freundlich constant of PAC and PAC800 increased from 85.8 to 119.5 and 132.1 to 178.6 (mg/g)‧(L/mg)1/n, respectively, when the temperature was increased from 296.15 to 318.15 K. The kinetics were well described by the pseudo-second-order adsorption model and the rate constant of PAC and PAC800 increased from 0.80 to 1.59 and from 0.72 to 1.29 × 10−3 g/mg‧min, respectively, as the temperature was increased. The activation energy of PAC and PAC800 was 23.7 and 19.6 J/mol, respectively, while the adsorption enthalpy was 196.7 and 98.5 kJ/mol, respectively, indicating endothermic nature. However, it was suggested that TC adsorption onto PAC800 was more favorable and was more contributed to by physisorption than that onto PAC. These results strongly suggest that the properties, adsorption capacity, and adsorption mechanisms of carbonaceous adsorbents can be significantly changed by simple thermal treatment. More, the results provide valuable information about the design of carbonaceous adsorbents with better performance where the structures and functional groups, which positively affect the adsorption, must be improved.
Mental Health Impacts of Tornadoes: A Systematic Review
Authors: Lee Sangwon , First Jennifer M.
Published: October 2022

Tornadoes are one of the most prevalent natural hazards in the United States, yet they have been underrepresented in the disaster mental health comprehensive literature. In the current study, we systematically reviewed available scientific evidence within published research journals on tornadoes and mental health from 1994 to 2021. The electronic search strategy identified 384 potentially relevant articles. Of the 384 articles, 29 articles met the inclusion criteria, representing 27,534 participants. Four broad areas were identified: (i) Mental health impacts of tornadoes; (ii) Risk factors; (iii) Protective factors; and (iv) Mental health interventions. Overall, results showed adverse mental health symptoms (e.g., post-traumatic stress disorder, depression, anxiety) in both adult and pediatric populations. A number of risk factors were found to contribute to negative mental health, including demographics, tornado exposure, post-tornado stressors, and prior exposure to trauma. Protective factors found to contribute to positive outcomes included having access to physical, social, and psychological resources. Together, these findings can serve as an important resource for future mental health services in communities experiencing tornadoes.
Association between Homophobia and Sociodemographic Characteristics in Health Workers in Southern Chile
Authors: Oyarce-Vildósola Oscar , Rodríguez-Fernández Alejandra , Maury-Sintjago Eduard
Published: October 2022

Homophobic attitude in health workers is a social determinant in the health of the homosexual population because it affects healthcare and its access and equity. The objective was to determine the relationship between the level of homophobia and sociodemographic characteristics of primary health workers in southern Chile. This was an analytical cross-sectional study. The sample consisted of 491 public servants from health centers in southern Chile. The attitudes toward lesbians and gay men (ATLG) scale was applied, and a binary logistic regression model was performed to evaluate the association. The study participants were predominantly women (76.0%), under 40 years of age (63.5%), heterosexuals (93.5%), and unpartnered (68.2%) but with children (61.7%), and they also had an educational attainment ≥ 12 years (66.6%). About 87.6% of the participants held healthcare positions, and the majority were religious believers (74.3%) and had a centrist political affiliation (51.0%). Results indicated that 34% of the participants exhibited homophobic attitudes; there were statistically significant differences with respect to age, number of children, educational attainment, religion, and political affiliation (p < 0.01). These were higher in individuals ≥40 years of age, with ≥3 children, with educational attainment ≥ 12 years, holding a healthcare position, who were religious believers, and who had right-wing political affiliation.
Acute Effects of Whole-Body Electromyostimulation during a Single Maximal Strength Training Session
Authors: Fernández-Elías Valentín E. , Tobía David , Recarey Anel , Fernández Álvaro , Clemente-Suárez Vicente J. , Burgos-Postigo Silvia
Published: October 2022

Whole-body electromyostimulation (WB-EMS) training is effective in improving training adaptation. However, WB-EMS may have side effects and contraindications that can lead to excessive muscle damage and physiological impairment. This randomized crossover study aimed to analyze the acute effects of WB-EMS on muscle damage, autonomic modulation and performance during a single maximal strength session in physically active participants. Twenty healthy and physically active participants randomly performed three maximal strength training sessions (90% 1RM) consisting of bench presses and squat exercises, with a continuous stimulus, a coordinated stimulus with concentric and eccentric phases, and without WB-EMS. Data showed no significant differences between the trials for muscle damage (blood creatine kinase levels), lactate blood levels and performance after exercise. Likewise, the heart rate, blood oxygen saturation and the rate of perceived exertion were similar during exercise between trials. The heart rate variability analysis also showed a similar autonomic response among the trials. Training with WB-EMS seemed to be safe at the observed time intervals while offering a stimulus similar to regular training in physically active participants, regardless of the delivery of the electrical stimuli. More studies are needed to assess the effectiveness of WB-EMS in improving exercise adaptations during training programs.
Efficacy and Safety of Vasopressin and Terlipressin in Preterm Neonates: A Systematic Review
Authors: Al-Saadi Abdulrahman , Sushko Katelyn , Bui Vivian , van den Anker John , Razak Abdul , Samiee-Zafarghandy Samira
Published: October 2022

Introduction: The use of arginine vasopressin (AVP) and terlipressin to treat hypotension in preterm neonates is increasing. Our aim was to review the available evidence on the efficacy and safety of AVP and terlipressin for use in preterm neonates. Methods: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, and Google Scholar from inception to September 2021 were searched for studies of AVP and terlipressin in the treatment of hypotension of any cause in preterm neonates. Primary outcomes were improvement in end-organ perfusion and mortality. The risk of bias assessment and certainty of the evidence were performed using appropriate tools. Results: Fifteen studies describing the use of AVP (n = 12) or terlipressin (n = 3) among 148 preterm neonates were included. Certainly, the available evidence for the primary outcome of end-organ perfusion rated as very low. AVP or terlipressin were used to treat 144 and 4 neonates, respectively. Improvement in markers of end-organ perfusion was reported in 143 (99%) neonates treated with AVP and 3 (75%) treated with terlipressin. The mortality rate was 41% (n = 59) and 50% (n = 2) for neonates who received AVP and terlipressin, respectively. Hyponatremia was the most frequently reported adverse event (n = 37, 25%). Conclusion: AVP and terlipressin may improve measured blood pressure values and possibly end-organ perfusion among neonates with refractory hypotension. However, the efficacy–safety balance of these drugs should be assessed on an individual basis and as per the underlying cause. Studies on the optimal dosing, efficacy, and safety of AVP and terlipressin in preterm neonates with variable underlying conditions are critically needed.
Generation Paths of Major Road Accidents Based on Fuzzy-Set Qualitative Comparative Analysis
Authors: Lei Yu , Zhang Guirong , Lu Shan , Qian Jiahuan
Published: October 2022

In the process of continuously promoting safety management, major road accidents have become a key obstacle to improving overall road safety. The analysis of the overall road accidents hides the characteristics and laws of major road accidents. To clarify the causes of major road accidents, an analysis framework of “individual-vehicle-environment-management” is presented based on a literature review. Considering the interaction of the above variables, the fuzz-set qualitative comparative analysis (fsQCA) was used to explore the generating paths of major road accidents based on 42 road accidents. The work shows that: (1) Major road accidents are caused due to the interactive coupling of “individual-vehicle-environment-management” elements. Major road accidents can occur with normal driving behaviors or sufficient response and rescue capabilities. (2) General road accidents and relatively major road accidents are more likely to occur in the presence of driving behavior errors, favorable road facilities, and sufficient response and rescue capabilities. Moreover, major road accidents are more likely to occur due to large vehicles with adverse vehicle performances. (3) There are three path modes and five condition configurations in major road accidents, namely individual-vehicle-management induced, individual-vehicle-environment induced, and vehicle induced mode. This work enriches the accident causation mode from a new configuration perspective and explains which variable combinations lead to the occurrence of major road accidents. Clarification of the differences between general accidents and major accidents will help to accurately predict and restrain the development of major road accidents.
Factors Affecting the Use of Social Networks and Its Effect on Anxiety and Depression among Parents and Their Children: Predictors Using ML, SEM and Extended TAM
Authors: Abu-Taieh Evon M. , AlHadid Issam , Masa’deh Ra’ed , Alkhawaldeh Rami S. , Khwaldeh Sufian , Alrowwad Ala’aldin
Published: October 2022

Previous research has found support for depression and anxiety associated with social networks. However, little research has explored parents’ depression and anxiety constructs as mediators that may account for children’s depression and anxiety. The purpose of this paper is to test the influence of different factors on children’s depression and anxiety, extending from parents’ anxiety and depression in Jordan. The authors recruited 857 parents to complete relevant web survey measures with constructs and items and a model based on different research models TAM and extended with trust, analyzed using SEM, CFA with SPSS and AMOS, and ML methods, using the triangulation method to validate the results and help predict future applications. The authors found support for the structural model whereby behavioral intention to use social media influences the parent’s anxiety and depression which correlate to their offspring’s anxiety and depression. Behavioral intention to use social media can be enticed by enjoyment, trust, ease of use, usefulness, and social influences. This study is unique in exploring rumination in the context of the relationship between parent–child anxiety and depression due to the use of social networks.
Factors Associated with Passive Sedentary Behavior among Community-Dwelling Older Women with and without Knee Osteoarthritis: The Otassha Study
Authors: Deguchi Naoki , Kojima Narumi , Osuka Yosuke , Sasai Hiroyuki
Published: October 2022

Passive sedentary behavior (SB) may lead to adverse health outcomes; however, it remains unclear whether the factors relevant to passive SB differ between older adults with and without knee osteoarthritis (KOA). This cross-sectional study examined factors associated with passive SB among 688 community-dwelling older women with (n = 128) and without (n = 560) KOA. Passive SB (min/day) was assessed using the Japanese-translated version of the Measure of Older Adults’ Sedentary Time questionnaire. Demographic, lifestyle, and psychosocial factors; pain; and physical performance were evaluated in multiple regression models with an interaction term concerning SB between the two groups. The mean (SD) total SB for those without and with KOA was 490.4 (200.9) min/day and 487.4 (185.8) min/day, respectively, and the majority of SB was passive, with no difference between groups. Passive SB was associated with an obese status and less time spent in group activities. However, no KOA-specific SB factors were identified. Therefore, effective interventions to promote social participation and weight loss, especially for individuals with obesity, may reduce passive SB, regardless of KOA. Longitudinal studies are warranted to identify causal relationships.
Efficiency Evaluation and Influencing Factors of Green Innovation in Chinese Resource-Based Cities: Based on SBM-Undesirable and Spatial Durbin Model
Authors: Yu Yaguai , Xu Zanzan , Shen Panyi , Zhang Lening , Ni Taohan
Published: October 2022

Based on data from 64 resource-based cities in China from 2010 to 2019, the efficiency of green innovation is evaluated by using the super-efficiency SBM Model with undesired outputs, while influencing factors of green innovation efficiency are analyzed by the spatial Durbin model. The results are as follows. First, as for the efficiency evaluation, the average green innovation efficiency in 62 resource-based cities from 2010 to 2019 is only 0.5689, while the green innovation efficiency of declining cities is the highest, and the growth type is the lowest in the comprehensive planning cities. Second, based on spatial self-correlation in resource-based cities, the government support, and the influencing factors including the industrial structure and economic development, have positive impacts, while the environmental regulations and opening to the outside world will inhibit the urban green innovation. Therefore, to enhance the green innovation efficiency in resource-based cities, some suggestions include formulating differentiated development strategies, forming regional cooperation mechanisms, increasing government scientific and technological support, determining the reasonable intensity of environmental regulations, setting entry barriers for polluting enterprises, and optimizing industrial structure.
Modification of Clinoptilolite as a Robust Adsorbent for Highly-Efficient Removal of Thorium (IV) from Aqueous Solutions
Authors: Alotaibi Abdulrahman Masoud , Ismail Aznan Fazli
Published: October 2022

The natural zeolite has been modified with sulphate and phosphate. The adsorption of thorium from the aqueous solutions by using the natural and modified zeolites has been investigated via a batch method. The adsorbent samples were characterized by X-ray Diffraction (XRD), N2 adsorption–desorption (BET), Fourier transform infrared (FTIR), field emission scanning electron microscopy (FESEM), and energy dispersive X-ray spectroscopy (EDX). Modification of natural zeolite with sulphate and phosphate was found to increase its adsorption capacity of thorium but reduced its specific surface area (SBET). The adsorption experiments were expressed by Langmuir, Freundlich and Dubinin–Radushkevitch (D–R) isotherm models and the results of adsorption demonstrated that the adsorption of thorium onto the natural and modified zeolites correlated better with the Langmuir isotherm model than with the Freundlich isotherm model. The maximum adsorption capacity (Qo) was determined using the Langmuir isotherm model at 25 °C and was found to be 17.27, 13.83, and 10.21 mg/g for phosphate-modified zeolite, sulfate-modified zeolite, and natural zeolite, respectively. The findings of this study indicate that phosphate-modified zeolite can be utilized as an effective and low-cost adsorbent material for the removal of thorium from aqueous solutions.
Characteristics of Occupational Burnout among Nurses of Various Specialties and in the Time of the COVID-19 Pandemic—Review
Authors: Ślusarz Robert , Cwiekala-Lewis Klaudia , Wysokiński Mariusz , Filipska-Blejder Karolina , Fidecki Wiesław , Biercewicz Monika
Published: October 2022

Occupational burnout is particularly common among nurses due to their work being associated with stress, showing understanding, compassion, and commitment, along with the simultaneous need to maintain the necessary emotional distance. The aim of this review was to assess the occurrence and characterization of burnout among nurses working within neurology, geriatric care, intensive care units and with patients infected with the novel COVID-19 virus. PRISMA guidelines were used to conduct the review. The search for literature was limited to articles meeting the inclusion criteria and published from 2017 to 2022 in PubMed, Scopus, Science Direct, Google Scholar, and Wiley. A total of 768 articles from this category have been found. Ultimately, after in-depth analysis, 20 articles were included in the study. The group of respondents ranged from 49 to 3100 participants. According to the data, the percentages of nurses suffering from burnout in the presented research ranged from 14.3% to 84.7%, with the highest value of burnout among nurses who worked in the ICU during the COVID-19 pandemic. There are certain factors among nurses that significantly affect the occurrence of burnout. These include, among others, working time, age, exposure to infection and contact with infected patients, lack of training on COVID-19 prevention, providing care to an increased number of COVID-19 patients per shift, lack of personal protective equipment, lack of support of administration, lack of pay satisfaction, intrinsic motivation and turnover intention.
Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth
Authors: Michalak Piotr , Polak-Szlósarczyk Paulina , Dyduch-Dudek Wioletta , Kęsek Barbara , Zarzecka-Francica Elżbieta , Styrna Maria , Czekaj Łukasz , Zarzecka Joanna
Published: October 2022

The purpose of this article was to evaluate reported oral and mucosal complaints among seniors residing in institutionalized 24-h care of the Municipal Center for Older and Dependent People (MHCOD) and the 3-month rehabilitation program of the Daily Medical Care House (DMCH). We evaluated the feasibility of using the dental mirror slidding test to assess dry mouth of seniors. Patients underwent a questionnaire, and clinical examination. The Visual Analogue Scale (VAS) was used to assess pain, Fox’s questionnaire and Challacombe’s scale with Clinical Oral Dryness Score to assess dryness of the mouth, dental mirror slidding test to assess buccal mucosal resistance. Dryness, mucosal burning, impaired taste, food intake are symptoms associated with seniors, and their frequency does not depend on the type of care. The incidence of mucosal burning (Mdn = 4.0, IQR = 4.75, p = 0.032) and difficulty in using dental prosthetics (Mdn = 3.0, IQR = 4.00, p = 0.010) increase with the length of stay at MHCOD. Seniors are at risk of side effects of polypharmacy, which cause dryness (p = 0.036), complaints of lack of saliva (p = 0.009) and taste disorders (p = 0.041. Seniors with higher levels of dry mouth are more likely to exhibit mucosal burning (p = 0.026) and difficulty in taking food (p = 0.037). The implementation of the dental mirror slidding test in the scope of the primary care of geriatric examination should be discussed.
Tick Infestation in Migratory Birds of the Vistula River Valley, Poland
Authors: Zając Zbigniew , Kulisz Joanna , Kunc-Kozioł Renata , Woźniak Aneta , Filipiuk Maciej , Rudolf Robert , Bartosik Katarzyna , Cabezas-Cruz Alejandro
Published: October 2022

Migratory birds play an important role in the eco-epidemiology of tick-borne diseases due to their ability to carry ticks for long distances. The aim of the present study was to investigate the prevalence and factors influencing the intensity of tick infestation in migratory birds. The study was conducted in a locality situated in the Vistula River valley, eastern Poland, during autumn, when the high migratory activity of birds is registered in the region. The birds were captured using ornithological nets and identified at the species level. In the next step, they were carefully inspected for attached ticks. Tick infestation was observed in 4.43% of the captured birds. The highest mean intensity of tick infestation was observed in birds foraging on the ground or in low shrubs and by long- and medium-distance migrants, i.e., Turdus merula (2.73), T. philomelos (2.04), and Erithacus rubecula (1.58). Ixodes ricinus was found to infest the birds most frequently. However, other tick species, i.e., I. trianguliceps, I. crenulatus (synonym I. canisuga), and I. apronophorus, rarely found in eastern Poland, were also found parasitizing birds. The occurrence of I. persulcatus, I. frontalis, and I. acuminatus (synonym I. redikorzevi) was confirmed in the region for the first time. The results of the study suggest that captured bird species are susceptible to tick infestation and could play an important role in the circulation of some tick-borne pathogens. They also play a significant role in the spread of ticks. The ecology and ethology of birds, including their foraging styles and migratory habits, are factors determining the risk of exposure of birds to tick attacks.
Effects of Strength Training on BDNF in Healthy Young Adults
Authors: Babiarz Miroslaw , Laskowski Radoslaw , Grzywacz Tomasz
Published: October 2022

The physical improvements from strength and resistance training have been known for decades, but the cognitive benefits of this type of activity are not as well-known. The aim of this review article is to provide a summary of studies presenting the effects of strength and resistance training on BDNF in healthy young adults. A systematic search of various electronic databases (PubMed, Web of Science, Science Direct and Google Scholar) was conducted in September 2022. Studies that examined associations between strength training and BDNF in healthy young adults aged 18–30 years were included. The final sample included 10 studies published between 2009 and 2020. The results of this literature review are inconclusive. Based on the results of the 10 studies, there is no clear answer as to whether strength training has positive effects on BDNF in healthy young adults.
The Effectiveness Assessment of Agricultural Subsidy Policies on Food Security: Evidence from China’s Poverty-Stricken Villages
Authors: Li Chengyou , Sha Zhouhao , Sun Xiaoqin , Jiao Yong
Published: October 2022

This paper builds a theoretical model based on a representative peasant household in the neoclassical model, comprehensively considers three types of farmer households in China, and evaluates the effects of the agricultural subsidy policy under equilibrium conditions. Based on the two bottom lines of guaranteeing China’s grain security and ensuring no large-scale return to poverty, this paper uses 2010, 2012, and 2014 tracking survey data from the Mutual Aid Fund for Poverty-Stricken Villages in China to construct an econometric model to evaluate agricultural subsidy effectiveness from the three aspects of farmers’ total sown area, total grain output, and total income. The research draws the following conclusions: (1) Agricultural subsidies can significantly increase the sown area, grain production, and total income of farmers in poverty-stricken areas, which is conducive to improving the farmers’ comprehensive capacity for grain production as well as income, and this conclusion remains valid after performing a series of robustness tests and solving endogeneity problems. (2) The effects of the agricultural subsidy policy are affected by natural conditions, economic development levels, and functional orientation of grain production in different regions, and they have divergent influences on farmers’ total sown area, total output, and total income. (3) Agricultural subsidies boost farmers’ willingness to cultivate grain, reduce land abandonment, and increase the total sown area, total output, and total grain income. The willingness to cultivate grain is an important mechanism that affects the effectiveness of the agricultural subsidy policy.
Factors Associated with Poor Health-Related Quality of Life in Physically Active Older People
Authors: Valdés-Badilla Pablo , Alarcón-Rivera Miguel , Hernandez-Martinez Jordan , Herrera-Valenzuela Tomás , Branco Braulio Henrique Magnani , Núñez-Espinosa Cristian , Guzmán-Muñoz Eduardo
Published: October 2022

This study aimed to associate morphological variables and physical fitness with health-related quality of life (HRQoL) in physically active older people. A cross-sectional study was carried out that evaluated 470 older people (89.57% female) with a mean age of 70.13 ± 6.57 years, residing in two regions of Chile. Morphological variables (body weight, bipedal height, waist circumference, body mass index, and waist to height ratio), physical fitness through the Senior Fitness Test protocol, and HRQoL using the SF-36 questionnaire were obtained. Logistic regression analysis was used to identify risk factors between morphological variables and physical fitness associated with HRQoL. The main results indicated that overweight (OR = 1.52; p = 0.034), a waist circumference with risk (OR = 1.56; p = 0.021), poor performance in the back scratch tests (OR = 1.02; p = 0.008) and timed up-and-go (OR = 1.19; p = 0.040) increased the probability of having a low general HRQoL. Also, the low performance of chair stand and arm curl tests was associated with poor physical and social dimensions of HRQoL (p < 0.05). In conclusion, a low HRQoL in physically active older people is associated with both morphological and physical fitness factors.