bluuebunny/crossref_metadata_2025 huggingface dataset:
The impacts of mind-wandering on flow: Examining the critical role of physical activity and mindfulness
Authors: Deng Yu-Qin , Zhang Binn , Zheng Xinyan , Liu Ying , Wang Xiaochun , Zhou Chenglin
Published: July 2022

Background

Individuals with mind-wandering experience their attention decoupling from their main task at hand while others with flow experience fully engage in their task with the optimum experience. There seems to be a negative relationship between mind-wandering and flow. However, it remains unclear to what extent mind-wandering exerts an impact on flow. And it is also elusive whether physical activity and mindfulness, which are as important factors that affected individuals’ attentional control and psychological health, are beneficial in explaining the association between mind-wandering and flow. The current study investigated the relationship between mind-wandering and flow, and the potential mediation effects of physical activity and mindfulness in this association.

Methods

A cross-sectional exploratory study design, including multiple scales such as the Mind-Wandering Questionnaire (MWQ), the International Physical Activity Questionnaire Short Form (IPAQ), Mindfulness Attention and Awareness Scale (MAAS), and the Short Dispositional Flow Scale (S-DFS) was applied. Descriptive statistics and bivariate correlation coefficients were applied in the analysis of these data. A multiple mediation model was used to examine the relationships between mind-wandering, flow, physical activity, and mindfulness.

Results

Mind-wandering was inversely associated with physical activity, mindfulness and flow, respectively; and flow was positively related to physical activity and mindfulness, respectively. Moreover, multiple mediation results demonstrated that physical activity and mindfulness, respectively, mediated the relationship between mind-wandering and flow.

Conclusion

These findings are helpful to understand how our minds attend to the present moment, and the crucial roles of physical activity and mindfulness in the association between mind-wandering and flow. An implication of these is the possibility that the effective strategies aimed at enhancing both the levels of physical activity and mindfulness are needed to reduce the negative impact of mind-wandering on flow.
Online Teaching Practicum in Malaysia in the Time of COVID-19 Pandemic
Authors: Annamalai Nagaletchimee , Ab Rashid Radzuwan , Harb Alqaryouti Marwan , Eddin Sadeq Ala , Al-Smadi Omar Ali , Kumar Jeya Amantha
Published: July 2022

When the teachers’ training practicum was paralyzed during the COVID-19 pandemic, preservice teachers in Malaysia were required to adapt to the online practicum. This qualitative case study was conducted with 20 preservice teachers to investigate their online teaching practicum experiences. The study drew on the Engagement Theory and Disaster Management Cycle framework to further suggest teaching approaches that might be effective during a tragic situation. Data were collected from interviews and video observations, and analyzed thematically. The findings contribute to the understanding of how preservice teachers learn to modify their teaching practices during the challenging context. A number of themes related to positive experience were identified: (i) higher confidence level, (ii) improved interaction, (iii) engagement in active learning, and (iv) adapting to online syllabus. On the other hand, the negative experience revolves around the problem with Internet connection. It is hoped that the findings of this study will encourage preservice teachers to consider hybrid approaches and online teaching in the future.
Episodic representation: A mental models account
Authors: Andonovski Nikola
Published: July 2022

This paper offers a modeling account of episodic representation. I argue that the episodic system constructsmental models: representations that preserve the spatiotemporal structure of represented domains. In prototypical cases, these domains are events: occurrences taken by subjects to have characteristic structures, dynamics and relatively determinate beginnings and ends. Due to their simplicity and manipulability, mental event models can be used in a variety of cognitive contexts: in remembering the personal past, but also in future-oriented and counterfactual imagination. As structural representations, they allow surrogative reasoning, supporting inferences about their constituents which can be used in reasoning about the represented events.
Prenatal Reflective Functioning as a Predictor of Substance-Using Mothers' Treatment Outcome: Comparing Results From Two Different RF Measures
Authors: Flykt Marjo , Belt Ritva , Salo Saara , Pajulo Marjukka , Punamäki Raija-Leena
Published: July 2022

Mothers with prenatal substance use disorder (SUD) often show broad deficits in their reflective functioning (RF), implying severe risk for the relationship with their baby. Two different types of prenatal maternal RF may be important for parenting: adult attachment-focused-RF (AAI-RF), regarding parent's own childhood experiences, and parenting-focused RF (PRF) regarding their own current process of becoming a parent. However, their inter-relations and potentially different roles for parenting intervention outcomes are not clear. This study examined the associations between mothers' prenatal AAI-RF and pre- and post-natal PRF, and their role in mother-infant interaction and substance use as treatment outcomes. The participants were 57 treatment-enrolled pregnant mothers with SUD and 50 low-risk comparison mothers. AAI-RF was measured with the Adult Attachment Interview. For a subsample of 30 mothers with SUD, PRF was measured with Pregnancy Interview (during pregnancy/pre-intervention), and with Parent Development Interview at 4 months (during intervention). Mother-infant interaction was measured with Emotional Availability Scales at 4 and 12 months (post-intervention), and maternal substance use by post-natal substance relapses. Prenatal AAI-RF and pre- and post-natal PRF were highly associated with each other. Only higher prenatal PRF predicted better mother-infant interaction quality at 4 months and less substance use during the child's first year. Interestingly, prenatal PRF and AAI-RF predicted opposite changes in mother-infant interaction: lower prenatal PRF, but higher AAI-RF predicting more positive change. AAI-RF was especially associated with a change in maternal intrusiveness and hostility, indicating that it represents a more general regulatory tendency. Further studies are needed in larger and lower-risk samples. Our results suggest, however, that AAI-RF and PRF are partially distinct and should be uniquely targeted in perinatal interventions.
The Influence Mechanism of High School English Grammar Science, Technology, Engineering, Art, and Mathematics Teaching Model on High School Students’ Learning Psychological Motivation
Authors: Lin Hong
Published: July 2022

This study aims to improve the effectiveness of English grammar teaching in high school. Firstly, the Science, Technology, Engineering, Art, and Mathematics (STEAM) educational model is comprehensively discussed. Then, the current situation and difficulties of English grammar teaching in high school are analyzed. Finally, based on the traditional and the STEAM teaching mode, a comprehensive study on the psychological motivation of students is carried out in high school English grammar teaching. The traditional teaching model had little effect on students’ psychological motivation in the process of English grammar teaching. Therefore, students’ satisfaction with English grammar teaching under the traditional teaching model is very low, especially in innovation and practice. The STEAM teaching model has greatly improved the psychological motivation of high school students in the English grammar teaching process. The overall satisfaction rate of the students with the English grammar teaching in the STEAM teaching model is 70%. This teaching model can greatly improve students’ requirements for innovation and practice. This study not only provides a reference for the improvement of English teaching in high schools but also contributes to the reform and development of education.
The interplay of Criterion A of the Alternative Model for Personality Disorders, mentalization and resilience during the COVID-19 pandemic
Authors: Maerz Jeff , Buchheim Anna , Rabl Luna , Riedl David , Viviani Roberto , Labek Karin
Published: July 2022

Background and aims

The COVID-19 pandemic has been accompanied by a worsening of mental health levels in some, while others manage to adapt or recover relatively quickly. Transdiagnostic factors such as personality functioning are thought to be involved in determining mental health outcomes. The present study focused on two constructs of personality functioning, Criterion A of the Alternative Model for Personality Disorders (AMPD, DSM-5) and mentalization, as predictors of depressive symptoms and life satisfaction during the COVID-19 pandemic. A second focus of the study was to examine whether this relationship was mediated by resilience.

Methods

Linear regression analyses were used to examine the relationship between personality functioning measured by Criterion A (AMPD, DSM-5) and mentalizing abilities as predictors, and depression and life satisfaction as mental health outcomes. To assess the hypothesis that this relationship is mediated by resilience a structural equation modeling approach was conducted. Data from N = 316 individuals from the general population were collected.

Results

Linear regression models revealed highly significant associations between Criterion A/mentalization and both outcome measures. Structural equation models showed a significant partial mediation by resilience of these relationships.

Conclusion

Our results support the hypothesis that mentalizing serves as a protective function by promoting resilience to the impact of stress and threats. Criterion A and mentalization performed similarly as predictors of mental health outcomes, providing empirically overlapping operationalizations of personality functioning. This finding emphasizes the importance of personality functioning in positive and negative mental health outcomes. Furthermore, our results are consistent with a mediating role of resilience.
Stable or changing well-being? Daily hassles and life satisfaction of Czech adolescents over the last three decades
Authors: Macek Petr , Ježek Stanislav , Lacinová Lenka
Published: July 2022

While the assumption that the sociopolitical and economic situation affects adolescents’ well-being, encompassing life satisfaction and a positive sense of self, is plausible, few studies have confirmed such macrosocial influences. The case of the Czech Republic offers an example of a society transitioning from totalitarian government (from 1989) to western democracy. Our study provides statistical description of Czech adolescents’ well-being over the past 30 years in association with the subjective perception of everyday problems. These daily hassles represent experiences and conditions of daily living that have been appraised as salient and harmful or threatening to adolescents’ well-being. We analyzed four samples of adolescents aged 14–17 years surveyed at four time points over the last three decades—1992, 2001, 2011, and 2019, totalN = 4,005 (1992: 255, 2001: 306, 2011: 363, 2019: 3081; 54.6% females). The results show that life satisfaction, self-esteem, and self-reported daily hassles changed only marginally from 1992 to 2019 with small differences related to the post-revolution 1992 cohort. Adolescents reported increasing problems in school, relationships with parents, sports, and leisure time over the study period. A model linking daily hassles and self-esteem to life satisfaction across four cohorts showed that daily hassles strongly predicted life satisfaction except in the post-revolution cohort of 1992 when life satisfaction was also the lowest. The effect was slightly higher in females. Across the cohorts, gender differences in life satisfaction changed from males being more satisfied in 1992 to females being more satisfaction in 2019. Limitations stemming from sampling differences across cohorts are discussed.
Intermittent Theta Burst Stimulation vs. High-Frequency Repetitive Transcranial Magnetic Stimulation in the Treatment of Methamphetamine Patients
Authors: Liu Qingming , Sun Huimeng , Hu Yitian , Wang Qiongyao , Zhao Zhiyong , Dong Da , Shen Ying
Published: July 2022

Background and Aims

In this brief report, we compare the effectiveness and safety of intermittent theta burst stimulation (iTBS) and conventional 10 Hz repetitive transcranial magnetic stimulation (rTMS) in patients with methamphetamine use disorder (MAUD). Our study suggests that iTBS would also reduce drug craving in patients with MAUD just as the 10 Hz; thus, there may be no difference in treatment effects between these two methods.

Methods

In total twenty male methamphetamine (MA) addicts were randomly assigned to iTBS (n = 10) or 10 Hz (n = 10) groups for 12 treatments. Cue-evoked cravings, anxiety, depression, and withdrawal symptoms were measured at baseline before the first treatment, and post-tests after days 10, 15, and 20.

Results

The results showed that iTBS and 10 Hz treatment had similar effectiveness in reducing cue-induced craving in male addicts for MA. Both 10 Hz and iTBS improved withdrawal symptoms of patients with MAUD.

Conclusions

Intermittent theta burst stimulation may be similar in effectiveness as 10 Hz in treating patients with MAUD. The clinical usefulness of rTMS could be improved substantially because of the increase in its capacity, cost, and accessibility. Importantly, the effectiveness of rTMS in the treatment of patients with MAUD is not yet proven, and should be tested in the large double-blind sham-controlled studies.
Reduced childhood social attention in autism model marmosets predicts impaired social skills and inflexible behavior in adulthood
Authors: Nakagami Akiko , Yasue Miyuki , Nakagaki Keiko , Nakamura Madoka , Kawai Nobuyuki , Ichinohe Noritaka
Published: July 2022

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by social and communication impairments and restricted and repetitive behavior. Although there is currently no established cure for ASD, early interventions for deficits of attention to other individuals are expected to reduce the progression of ASD symptoms in later life. To confirm this hypothesis and improve early therapeutic interventions, it is desirable to develop an animal model of ASD in which social attention is impaired in childhood and ASD-like social behavior is observed in adulthood. However, rodent models of ASD have difficulty in recapitulating the deficit of gaze-based social attention. In this study, we examined the direction of gaze toward other conspecifics during childhood and puberty in a three-chamber test setting using an ASD marmoset model produced by maternal exposure to valproic acid (VPA). We also conducted a reversal learning test in adult VPA-exposed marmosets as an indicator of perseveration, a core symptom of ASD that has not previously been investigated in this model. The results showed that time spent gazing at other conspecifics was reduced in VPA-exposed marmosets in childhood, and that mature animals persisted with previous strategies that required long days for acquisition to pass the test. In a longitudinal study using the same animals, deficits in social attention in childhood correlated well with ASD-like social disturbance (inequity aversion and third-party reciprocity) and inflexible behavior in adulthood. Since VPA-exposed marmosets exhibit these diverse ASD-like behaviors that are consistent from childhood to adulthood, VPA-exposed marmosets will provide a valuable means of elucidating mechanisms for early intervention and contribute to the development of early therapies.
The effects of the COVID-19 pandemic on the well-being of children with autism spectrum disorder: Parents’ perspectives
Authors: Amirova Aida , CohenMiller Anna , Sandygulova Anara
Published: July 2022

The COVID-19-related lockdown interrupted children’s learning progress and discontinued social learning and regular activities that children with autism spectrum disorder (ASD) rely on socially and physically. Negative consequences for children with ASD were reported far and wide. To investigate this problem in Kazakhstan, we conducted a mixed-methods study that drew on data from an online survey with 97 parents and semi-structured interviews with 14 parents. While parent-report quantitative results suggest that children were likely to experience negative impacts of the pandemic due to disrupted educational and therapeutic services, qualitative findings confirm that they have experienced an elevated mental health and behavioral challenges during the lockdown. Remote educational and therapeutic services were not helpful as families coped with pandemic-caused problems on their own. We highlight that continued support and care during and after a crisis is vital not only for children with ASD but also for the families under-resourced mentally and socially.
Addiction in the time of COVID-19: Longitudinal course of substance use, psychological distress, and loneliness among a transnational Tyrolean sample with substance use disorders
Authors: Lommer Kilian , Schurr Timo , Frajo-Apor Beatrice , Plattner Barbara , Chernova Anna , Conca Andreas , Fronthaler Martin , Haring Christian , Holzner Bernhard , Macina Christian , Marksteiner Josef , Miller Carl , Pardeller Silvia , Perwanger Verena , Pycha Roger , Schmidt Martin , Sperner-Unterweger Barbara , Tutzer Franziska , Hofer Alex
Published: July 2022

Introduction

Next to an increased use of alcohol, the current pandemic has been associated with increased psychological distress among the general population. Research on its effects on individuals suffering from substance use disorders (SUD) is scarce. This study aimed at expanding the existing literature on this topic with a focus on the impact of loneliness and perceived social support.

Methods

Sixty-eight people diagnosed with SUD according to ICD-10 from the Austrian state of Tyrol and from the Italian Province of South Tyrol who had been treated in a psychiatric hospital in 2019 and one hundred and thirty-six matched reference subjects of the same regional background participated in an online survey. Sociodemographic variables and scores on the Brief Symptom Checklist, the Three-Item Loneliness Scale, and the Multidimensional Scale of Perceived Social Support were collected at baseline and 5 months thereafter. Baseline took place after the first wave, while follow-up largely coincided with the second wave of the pandemic.

Results

Among both patients and the matched reference group, substance use as a means to feel better facing the pandemic rose and predicted higher levels of psychological distress. Patients were less likely to receive specific care at follow-up than at baseline and presented with a significantly higher prevalence of clinically relevant psychological distress and loneliness than the matched reference group at both assessment times. Among both groups, psychological burden remained unchanged over time. Perceived social support was generally significantly higher in the matched reference group than in patients. Loneliness and, to a lesser degree, low perceived social support predicted psychological distress.

Conclusion

These findings emphasize the need of preventive and educational measures regarding substance use behavior for both individuals suffering from SUD and those without mental health disorders.
Prevalence and factors associated with comorbid depressive symptoms among people with low back pain in China: A cross-sectional study
Authors: He Chunxia , Chen Hongxiu , Guo Ling , Xu Lisheng , Liu Qingquan , Zhang Jiali , Hu Xiuying
Published: July 2022

Background

Low back pain is a common medical condition among the general population that is associated with many adverse health effects when comorbid with depressive symptoms. However, little is known about depressive symptoms in the population with low back pain in China. Our study evaluated the prevalence of depressive symptoms and analyzed the factors associated with this condition in the Chinese population with low back pain.

Methods

We conducted a cross-sectional analysis of data from the 2018 China Health and Retirement Longitudinal Study. We collected low back pain information for each participant and identified depressive symptoms using the brief version of the Center for Epidemiologic Studies Depression Scale. A wide range of sociodemographic and health-related characteristics of the subjects were extracted. We measured the prevalence of depressive symptoms comorbid with low back pain and analyzed the associated factors by multiple logistic regression.

Results

A total of 5,779 respondents aged 45 and over with low back pain formed the sample, 41.8% of whom reported depressive symptoms. Multiple logistic regression analysis indicated greater vulnerability to depressive symptoms among females (OR = 1.41, 95% CI, 1.16–1.73), relatively younger persons (60–74 years: OR = 0.72, 95% CI, 0.63–0.83; ≥ 75 years: OR = 0.62, 95% CI, 0.49–0.79, reference: 45–59 years), those from the central and western regions (central: OR = 1.39, 95% CI, 1.18–1.64; western: OR = 1.56, 95% CI, 1.33–1.83), participants with extremely short sleep duration (OR = 2.74, 95% CI, 2.33–3.23), those with poor self-perceived health status (OR = 2.91, 95% CI, 2.34–3.63,), multisite pain (OR = 1.54, 95% CI, 1.20–1.98) and disability in activities of daily living (Basic: OR = 1.70, 95% CI, 1.47–1.98; Instrumental: OR = 1.95, 95% CI, 1.70–2.24).

Conclusion

Depressive symptoms were highly prevalent in the Chinese population ≥ 45 years with low back pain. More attention should be paid to the individuals at high-risk confirmed by this study to facilitate early identification and intervention against depressive symptoms.
Effects of a rework program in a university hospital and predictors of work restoration and maintenance in the participants
Authors: Yamashita Hitomi , Sakai Akari , Terao Takeshi
Published: July 2022

During sickness absence, it appears necessary for psychiatric patients suffering from depression or bipolar disorder to undergo a psychiatric rehabilitation called the rework program that aids in work restoration and maintenance. However, few studies have investigated the effects of such a program and predictors of work restoration and maintenance in the participants. Here, we aimed to investigate the effects of a rework program as well as to examine whether cognitive function and mental state at the end of the rework program predict the probability of work restoration and maintenance and whether the frequency of rework program participation predicts successful work restoration and maintenance. The rework program included both patients absent from work and unemployed patients. Patients completed assessments including Trail Making Test Type B (TMT-B), the Wisconsin Card Sorting Test, and the Social Adaptation Self-Evaluation Scale just before graduating from the rework program. Simultaneously, their depressive state was assessed using the Hamilton Depression Rating scale. The patients were divided into the job group, comprising 94 patients who were able to restore their work or get a new job, and the non-job group, comprising 34 patients who were not able to do so. We found that the program was more effective in patients absent from work than in unemployed patients, TMT-B could predict work restoration and maintenance, and the frequency of rework program participation could predict work restoration but not work maintenance. Based on the findings, we propose “Yamashita’s criterion” where a TMT-B completion time of 70 s is the cut-off point for work restoration. The present findings may provide useful evidence that could aid in the further development of rework program(s).
Experiences of siblings to children with autism spectrum disorder
Authors: Mokoena Naledi , Kern Anwynne
Published: July 2022

Autism spectrum disorder (ASD) is prevalent globally resulting in increased awareness and understanding of the disorder internationally and to a lesser extent in Southern African countries. This understanding has predominantly been in relation to the impact of the disorder on the neurodivergent child and family relations. Internationally, limited research has explored the impact on neurotypical siblings who have been raised alongside children diagnosed with ASD, with a dearth of such studies emerging from the South African context. The importance of neurotypical siblings’ developmental experiences emerging from their immediate environment is significant within the traditionally collectivist nation of South Africa. For this reason, this study aimed to explore South African neurotypical siblings’ experiences of living with a brother or sister diagnosed with ASD; through a qualitative study adopting an interpretative phenomenological design. Semi-structured interviews, aimed at generating demographic data and exploring the experiences of being raised alongside a sibling diagnosed with ASD, were conducted with eight university students. The data generated were analyzed employing the five stages of interpretive phenomenological analysis approach. Themes of emotional burden, perceived family dynamics, acceptance, and identity development emerged through data analysis. The participants reported experiences of pre-mature development, unfair treatment, and feelings of being overburdened, along with reported efforts toward acceptance of their sibling’s diagnosis, and support from community members. Consequently, an understanding that their neurodivergent sibling played a key role in the development of their identities and career trajectories emerged. The impact of being raised alongside a sibling diagnosed with ASD highlights the need for additional support for neurotypical individuals, supported by programs to enhance awareness about ASD in the general South African community. These interventions would be aimed at mitigating the impact of heightened childhood stress, stigmatization, and marginalization.
The determinants of the quality of clinical management among diabetic and hypertensive patients in a context of fragility: A cross-sectional survey from Lebanon
Authors: Saleh Shadi , Muhieddine Dina , Hamadeh Randa , Dimassi Hani , Diaconu Karin , Arakelyan Stella , Ager Alastair , Alameddine Mohamad
Published: July 2022

Introduction

The management of NCDs is a growing challenge in low- and middle-income settings with the increasing prevalence and the associated demands that such conditions make on health systems. Fragile settings both exacerbate the risk of NCDs and undermine systems capacity. Lebanon is a setting where strategies to address rising NCDs burden have faced particularly acute contextual challenges.

Methods

We conducted a cross-sectional survey with patients accessing non-communicable disease across 11 primary care centers within the Greater Beirut and Beqaa areas. Response were received from 1,700 patients. We generated a Clinical Management Index Score as a measure of quality of care, and scores related to a range of socio-demographic characteristics and other context specific variables.

Results

Significantly higher clinical management index scores (better quality of care) were associated with patients living in the semi-urban/rural context of Beqaa (compared to Greater Beirut), having health insurance coverage, aged above 60, having high levels of educational attainment, and making partial or full payment for their treatment. Relatively lower index scores (poorer quality of care) were associated with Syrian nationality (compared to Lebanese) and with patients suffering from diabetes or hypertension (compared to comorbid patients).

Conclusion

The study identified a wide margin for improving quality of NCDs care in fragile contexts with particular gaps identified in referral to ophthalmology, accessing all prescribed medication and receiving counseling for smoking cessation. Additionally, findings indicate a number of predictors of comparatively poor quality of care that warrant attention, notably with regard to Syrian nationality/legal status, lack of health coverage, seeking free health provision and lower educational attachment. Although these are all relevant risk factors, the findings call on donor agencies, NGOs and provider institutions to design targeted programs and activities that especially ensure equitable delivery of services to diabetic and hypertensive patients with compounded vulnerability as a result of a number of these factors.
Estimation of Excess Deaths Associated With the COVID-19 Pandemic in Istanbul, Turkey
Authors: Ucar Abdullah , Arslan Seyma
Published: July 2022

Background and Objectives

The official number of daily cases and deaths are the most prominent indicators used to plan actions against the COVID-19 pandemic but are insufficient to see the real impact. Official numbers vary due to testing policy, reporting methods, etc. Therefore, critical interventions are likely to lose their effectiveness and better-standardized indicators like excess deaths/mortality are needed. In this study, excess deaths in Istanbul were examined and a web-based monitor was developed.

Methods

Daily all-cause deaths data between January 1, 2015- November 11, 2021 in Istanbul is used to estimate the excess deaths. Compared to the pre-pandemic period, the % increase in the number of deaths was calculated as the ratio of excess deaths to expected deaths (P-Scores). The ratio of excess deaths to official figures (T) was also examined.

Results

The total number of official and excess deaths in Istanbul are 24.218 and 37.514, respectively. The ratio of excess deaths to official deaths is 1.55. During the first three death waves, maximum P-Scores were 71.8, 129.0, and 116.3% respectively.

Conclusion

Excess mortality in Istanbul is close to the peak scores in Europe. 38.47% of total excess deaths could be considered as underreported or indirect deaths. To re-optimize the non-pharmaceutical interventions there is a need to monitor the real impact beyond the official figures. In this study, such a monitoring tool was created for Istanbul. The excess deaths are more reliable than official figures and it can be used as a gold standard to estimate the impact more precisely.
A latent profile analysis of residents' knowledge, attitude, and practice toward common chronic diseases among ethnic minority area in China
Authors: Hu Huaqin , Xu Yihua , Shao Yingshan , Liang Yaxin , Wang Qionghua , Luo Shunmei , Lu Heyun , Meng Heng , Liu Chenxi
Published: July 2022

Background

Health literacy plays an important role in preventing and managing chronic diseases, while low levels of health literacy among ethnic minorities are a major manifestation of health inequities. We believe that before effective health literacy intervention strategies, it is preferable to understand the features of health literacy among ethnic minorities. The present study firstly updated insights on health literacy among ethnic minorities by investigating the knowledge, attitude, and practice (KAP) profile of common chronic diseases in ethnic minority areas, and secondly discussed the KAP profiles in detail to inspire future health education interventions.

Methods

A cross-sectional, health-literacy-sensitive study was conducted in China's typical ethnic minority area. Participants included 801 adult residents who lived in the ethnic minority area. The primary outcome was participant scores on the KAP questionnaire of common chronic diseases, followed by latent profile analysis to identify participants with similar KAP score patterns and determine whether membership in specific groups was associated with demographic or clinical characteristics.

Results

The participants included 496 ethnic minorities (61.9%) and 305 Han Chinese (38.1%). Three-profile solution was determined after the latent profile analysis: incomplete transfer [I.T.] (n = 215), better practice [B.P.] (n = 301), and average [A.V.] (n = 285). IT group (26.84%) was characterized by the highest level of knowledge and attitude toward common chronic diseases and below average level for practice. Participants in B.P. group performed poorly in both knowledge and attitude toward common chronic diseases but had the highest level of practice. A.V. group reflected average knowledge, attitude, and practice toward common chronic diseases among three subgroups. Ethnic minorities were the dominant population in A.V. group (68.8%). Compared with other groups, the A.V. group contained the largest proportions of married participants (84.2%), participants with no formal education (46.7%), and high annual out-of-pocket medical expense (33.3%).

Conclusion

A more specific and nuanced understanding of minority health literacy can enable service providers to provide more effective health education to their recipients, thereby improving health inequities.
Broad spectrum integration of climate change in health sciences curricula
Authors: Ogunseitan Oladele A.
Published: July 2022

In response to a University of California systemwide initiative to expand the knowledge base of climate change, two half-day workshops were held for faculty in the College of Health Sciences at the UC Irvine. In the first workshop, 20 participants who teach in the Schools of Nursing, Medicine, Pharmacy, and Pharmaceutical Science, or the Program in Public Health convened to explore concepts of sustainability, theoretical models of curriculum integration, challenges to adding new competencies into professional training, and strategies for integrating climate change modules and case studies into the curricula. The second half-day workshop was held a year after the first workshop to review how faculty members have modified their syllabus to integrate climate change information with varying degrees of success. A case study is presented regarding an asynchronous fully online course Introduction to Global Health, which is open to enrollment by students from all campuses of the University of California. The outcomes revealed preferential adoption of models of curriculum integration which minimized disruption of the sequence of topics in pre-existing courses. These include, for example, the use of longitudinal climate datasets for quantitative analysis of disease outcomes, and description of episodic events involving extreme weather conditions to explore differences in social determinants of vulnerability to climate change impacts in different populations. Integration of climate change as a distinct topic seems easier in elective courses in comparison with required courses designed to cover pre-established professional knowledge, competencies, and skills. The emergent requirement for interprofessional training in the health sciences provides an opportunity for the development of a cross-cutting competency domain including climate change as a unifying theme in a stand-alone course or set of courses in a sequenced model of curriculum integration.
How do people with physical/mobility disabilities benefit from a telehealth exercise program? A qualitative analysis
Authors: Wilroy Jereme D. , Kim Yumi , Lai Byron , Ivankova Nataliya , Herbey Ivan , Sinha Tanvee , Rimmer James H.
Published: July 2022

People with neurological and physical disabilities (PWD) experience a myriad of secondary and chronic health conditions, thus, reducing their participation and quality of life. A telehealth exercise program could provide a convenient opportunity for improving health in this population. To describe participants' perceived benefits of a telehealth physical activity program among PWD, we conducted semi-structured interviews with 30 study participants after completing the 24-week program SUPER-HEALTH (Scale-Up Project Evaluating Responsiveness to Home Exercise and Lifestyle TeleHealth). Interview data were recorded, transcribed verbatim, and analyzed using inductive thematic analysis. The mean age of the sample was 51 ± 13 years, the primary disability was Multiple Sclerosis, and there were nine men (30%) and 21 (70%) women. Inductive thematic analysis resulted in four themes that include the following: (1) improved health and function, (2) increased activity participation, (3) improved psychosocial health, and (4) optimized performance and benefits. These preliminary findings provided support for the use of a home exercise program and recommendations to improve it to enhance benefits among PWD.
Machine learning-based clustering in cervical spondylotic myelopathy patients to identify heterogeneous clinical characteristics
Authors: Zhou Chenxing , Huang ShengSheng , Liang Tuo , Jiang Jie , Chen Jiarui , Chen Tianyou , Chen Liyi , Sun Xuhua , Zhu Jichong , Wu Shaofeng , Ye Zhen , Guo Hao , Chen Wenkang , Liu Chong , Zhan Xinli
Published: July 2022

Background

Anterior cervical decompression and fusion can effectively treat cervical spondylotic myelopathy (CSM). Accurately classifying patients with CSM who have undergone anterior cervical decompression and fusion is the premise of precision medicine. In this study, we used machine learning algorithms to classify patients and compare the postoperative efficacy of each classification.

Methods

A total of 616 patients with cervical spondylotic myelopathy who underwent anterior cervical decompression and fusion were enrolled. Unsupervised machine learning algorithms (UMLAs) were used to cluster subjects according to similar clinical characteristics. Then, the results of clustering were visualized. The surgical outcomes were used to verify the accuracy of machine learning clustering.

Results

We identified two clusters in these patients who had significantly different baseline clinical characteristics, preoperative complications, the severity of neurological symptoms, and the range of decompression required for surgery. UMLA divided the CSM patients into two clusters according to the severity of their illness. The repose to surgical treatment between the clusters was significantly different.

Conclusions

Our results showed that UMLA could be used to rationally classify a heterogeneous cohort of CSM patients effectively, and thus, it might be used as the basis for a data-driven platform for identifying the cluster of patients who can respond to a particular treatment method.
Development and testing of a stifle function score in dogs
Authors: Gundersen Katie , Millis Darryl , Zhu Xiaojuan
Published: July 2022

Objective

The purpose of this study was to develop and test a quantitative stifle function score (SFS) in dogs with unilateral cranial cruciate ligament disease by combining clinical measures and functional tests. The objective of this study was to compare the proposed SFS to a symmetry index (SI) calculated from objective ground reaction forces (GRFs). We hypothesized that the SFS would have a strong correlation with SI.

Methods

Dogs with surgically and nonsurgically treated unilateral cranial cruciate ligament rupture and dogs with no known musculoskeletal problems were included in the study. Each dog was scored using the SFS and trotted across a force platform to obtain GRFs and calculate the SI, based on vertical GRFs. Fourteen items were included in the SFS: limb use at a walk, limb use at a trot, lameness at a walk, lameness at a trot, stair climbing, sit-to-stand, dancing, pain response, stifle effusion, thigh circumference/muscle atrophy, stifle extension, stifle flexion, and cranial drawer/tibial thrust, with each item scored based on previously determined criteria. A perfect SFS would receive a score of 100.

Results

Twenty-seven dogs were included in the study: twenty-one with unilateral cranial cruciate ligament disease and six control dogs. The mean SFS was 71.5 out of 100. To further characterize the association between SFS and SI the degree of gait asymmetry using SI was classified as <5%, 5.1–10%, 10.1–20%, 20.1–25%, and >25% difference between the pelvic limbs for all dogs. The mean SFS for each of the five categories were 97.8, 85.2, 65.4, 63, and 56.4, respectively. Correlation of SI and SFS was −0.863 (p< 0.0001). All of the individuals evaluated tests in the score were significantly correlated with SI except for pain response and stifle flexion. The SFS is in strong agreement with the SI, as confirmed by Bland–Altman analysis.

Conclusion

The SFS had a significant correlation and agreement with the SI calculated from GRFs. This SFS may be a useful, simple, and inexpensive tool to use in a clinical environment to monitor progression during the rehabilitation and recovery process following unilateral cranial cruciate ligament rupture.
COVID-19 in Kidney Transplant Recipients With Diabetes Mellitus: A Propensity Score Matching Analysis
Authors: Rangel Érika B. , de Lucena Débora D. , Aguiar-Brito Isabella , de Andrade Luís Gustavo Modelli , Veronese-Araújo Alexandre , Cristelli Marina P. , Tedesco-Silva Hélio , Medina-Pestana José O.
Published: July 2022

Kidney transplant recipients present higher rates of pre-existing comorbidities, in particular diabetes mellitus (DM), hypertension, and cardiac disease. We aimed to verify the main risk factors related to DM that contribute to COVID-19 progression and mortality in a kidney transplant setting. From March to August 2020, we evaluated 300 kidney transplant recipients affected by COVID-19. We used propensity score matching (PSM) to estimate the impact of DM on COVID-19. After matching, all baseline characteristics were well balanced between those with and without DM (n = 100 in each group). Case fatality rate, the requirement of invasive mechanical ventilation (IMV), and acute kidney injury (AKI) were associated with previous fasting blood glucose, and C-reactive protein (CRP), and lactate dehydrogenase (LDH) levels on admission. These findings were similar in kidney transplant patients with and without DM. Glycemia on admission and estimated glomerular filtration rate (eGFR) either on admission or basal correlated to the need of IMV and development of AKI, respectively. Poor glycaemic control, eGFR, markers of inflammation (CRP) and tissue damage (LDH) were indicative of COVID-19 burden in kidney transplant recipients and may be useful tools for risk-stratifying this population, independently of the DM status, during the pandemic.
Polydrug Use of Tobacco and Cannabis in a Cohort of Young People from Central Catalonia (2012–2020)
Authors: Codinach-Danés Eva , Obradors-Rial Núria , González-Casals Helena , Cirera-Guàrdia Maria Rosa , Catalina Queralt Miró , Vidal-Alaball Josep , Espelt Albert
Published: July 2022

The aim of this study was to estimate the prevalence of tobacco and cannabis use, and their relationship, in a cohort of adolescents from Central Catalonia in the period 2012–2020. The study had a prospective longitudinal design with 828 students in the 4th year of Compulsory Secondary Education. In 2012, 828 adolescents answered a health behaviour survey; in 2016, 342; and in 2020, 265. The dependent variables were: exclusive last month tobacco use; exclusive last month cannabis use; polydrug use of tobacco and cannabis; and no use of tobacco and cannabis in the last month. Independent variables were sex and follow-up year. For the analysis, prevalences were used with a significance level of 0.05. Polydrug use went from 11.5% (95% CI: 7.4–17.6) among girls and 8.2% (95% CI: 4.3–15.2) among boys in 2012, to 7.0% (95% CI: 3.9–12.3) among girls and 13.7% (95% CI: 8.4–21.7) among boys in 2020. With regards to those girls who used polydrug in the last month in 2012, 33.3% (14.8–58.9) continued using it in 2016, and 22.2% (7.9–48.6) continued in 2020; among boys, 33.3% (14.8–58.9) of those polydrug users in 2012 continued using it in 2016, and 44.4% (14.5–79.0) continued in 2020. There is association between tobacco and cannabis use, and there is an important percentage of young people who do polydrug consumption at very early ages.
Comparison of Short-Duration and Long-Duration Rice Cultivars Cultivated in Various Planting Densities
Authors: Chen Jiana , Cao Fangbo , Liu Yu , Tao Zui , Lei Tao , Abou-Elwafa Salah Fatouh , Huang Min
Published: July 2022

The selection of high-yielding, short-duration rice cultivars is essential for the double-rice cropping system. High hill density could be achieved with less labor under machine transplanted conditions. Therefore, dense planting is more practical for machine-transplanted rice. While few studies have been conducted to certify the feasibility of short-duration cultivar combined with dense planting in machine transplanted conditions. The current study was executed to determine the effects of dense planting on yield attributes and grain yield of short-duration cultivars under mechanically transplanted conditions. A field experiment comprises two treatments—i.e., the short-duration cultivar Lingliangyou104 cultivated at a high planting density (SDH) and the long-duration Taiyou390 cultivar cultivated at a low planting density (LDL)—were conducted in the 2018 and 2019 late seasons. The results showed that the SDH exhibited 17% and 19% higher panicle number in a unit, 26% and 24% higher spikelet filling, 8% and 8% higher grain weight, 21% and 11% higher harvest index, and consequently 12% and 4% higher grain yield and 13 and 15 days shortened growth duration compared to the LDL in the 2018 and 2019, respectively. The data revealed that the difference in grain yield between the SDH and LDL was mainly due to the higher harvest index and reasonable dry matter distribution of the SDH, which was conducive to improving yield components and increasing rice grain yield. As a result, short-duration rice cultivars combined with dense planting is a feasible strategy for improving the grain yield of mechanically transplanted late rice.
The Application of Tomato Plant Residue Compost and Plant Growth-Promoting Rhizobacteria Improves Soil Quality and Enhances the Ginger Field Soil Bacterial Community
Authors: Xie Kunhao , Sun Mintao , Shi Aokun , Di Qinghua , Chen Ru , Jin Duo , Li Yansu , Yu Xianchang , Chen Shuangchen , He Chaoxing
Published: July 2022

Treating and utilizing vegetable residues may reduce waste and improve rhizosphere soil. This study explored the effects of tomato plant residue compost and plant growth-promoting rhizobacteria (PGPR) on the physicochemical properties and microbial community of ginger field soil. Four treatment procedures were adopted: no compost or PGPR (CK), compost (TC), compost + Bacillus subtilis (TC-BS), and compost +Bacillus amyloliquefaciens SQR9 (TC-BA). The results showed that compared with the CK, TC significantly increased soil organic matter, alkali hydrolyzable nitrogen, available phosphorus, and available potassium by 17.34%, 21.66%, 19.56%, and 37.20%, respectively. Soil urease activity, neutral phosphatase activity, and sucrase activity increased by 55.89%, 35.59%, and 57.21%, respectively. Chloroflexi, Gemmatimonadetes, and Bacillus abundances increased by 1.40%, 1.80%, and 0.68%, respectively, while Firmicutes decreased by 0.80%. TC-BS significantly improved soil bacterial diversity than CK and TC, and relative abundance of Beneficial Proteobacteria, Acidobacteria, Chloroflexi, and Bacillus microorganisms dominated. Principal coordinate analysis revealed significant differences in bacterial community structure among different treatments. Redundancy analysis indicated total potassium (p = 0.002), pH (p = 0.0012), and available phosphorus (p = 0.016) as the main community composition driving factors. In conclusion, B. subtilis inoculation in ginger field soil supplemented with tomato compost enhanced bacterial diversity, altered bacterial community structure, enriched beneficial microorganisms, and promoted a healthy rhizosphere.