bluuebunny/crossref_metadata_2025 huggingface dataset:
Translation and Validation of Nursing Students’ Knowledge and Attitudes of Lesbian, Gay, Bisexual, Transgender Health Concerns Survey in the Greek Language
Authors: Fradelos Evangelos C. , Montegrico James , Cornelius Judith , Bakalis Vissarion , Malliarou Maria , Papathanasiou Ioanna V. , Fasoi Georgia , Kelesi Martha , Kaba Evridiki , Alikari Victoria
Published: December 2022

Nursing students have limited knowledge of providing quality care to lesbian, gay, bisexual, and transgender individuals. The aim of this study was to explore the psychometric properties of the Nursing Students’ Knowledge of and Attitudes toward Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Concerns (NKALH) survey as well as to examine whether sociodemographic variables may affect attitudes toward LGBT individuals. In this cross-sectional study which was carried out from January–March 2022, 258 nursing students from two Greek universities completed the NKALH. For survey translation, the procedure of forward and backward translation was followed. Construct validity, reliability, and internal consistency were explored via confirmatory factor analysis, the test–retest reliability method, and Cronbach’s alpha index. The correlation between the dimensions of the attitude subscale was used to explore convergent validity. Analyses were carried out with the Statistical Package for the Social Sciences (SPSS), version 26.0. The level of significance was set at <0.05. Confirmatory factor analysis confirmed that the attitude subscale consists of three dimensions (Comfortable, Responsibility, Willingness to Care). The Pearson test (r) revealed strong correlations between two measurements (Comfortable r = 0.932, p < 0.001, Responsibility r = 0.938, p < 0.001, and Willingness to Care r = 0.915, p < 0.001), indicating good reliability. The Cronbach’s alpha index of the total scale was 0.783, highlighting its good internal consistency. Bivariate analysis revealed that sexual orientation, religion, and age are related to knowledge and attitudes toward LGBT individuals. The NKALH survey is a valid and reliable tool to measure the knowledge and attitudes of Greek nursing students on the health concerns of LGBT individuals.
Integrating Mindfulness into the Subject of Physical Education—An Opportunity for the Development of Students’ Mental Health
Authors: Delgado-Montoro Roberto , Ferriz-Valero Alberto , García-Taibo Olalla , Baena-Morales Salvador
Published: December 2022

Stress, uncertainty, and the abuse of technologies are components that have a negative impact on the physical, social, and psychological health of young people. One of the aims of the Education for Sustainable Development (ESD) is to empower individuals to reflect on their actions, and mindfulness arises as one tool with an important potential to contribute on this matter. Therefore, the objective of this study was to assess the effects of mindfulness practices on the ability of students to focus their attention on external, internal or kinesthetic factors, awareness in acting, and acceptance. Consequently, a quasi-experimental study was developed to compare groups between the pre and post condition. The study participants were a total of 127 students (52 women) from 4th year of secondary school and 1st year of a achelor’s degree (16.5 ± 1.5 years). The sample was assigned by academic convenience, with 54 students in the experimental group and 73 in the control group. The intervention was carried out for 4 weeks. During this period, the experimental group participated in mindfulness activities such as guided meditations at the end of the PE session or challenges that stimulated the student in daily actions. The control group continued with the planned programming in physical education class. These groups were subjected to the following test: (1) Mindfulness for School Scale (MSS) and (2) Child and Adolescent Mindfulness Measure (CAMM). To analyze the results, the normality of the sample was evaluated through the Mann–Whitney U test, resulting as non-parametric. The search for possible differences between the groups was carried out by using the Wilcoxon test. The statistics showed that the experimental group presented significant improvements (p ≤ 0.05) in most of the measured parameters: external attention, kinesthetics attention, and mean of the CAMM. These results seem to show that the use of mindfulness could be an appropriate tool to be implemented in the school context in order to directly contribute to the mental health of high school students, and thus to an education for the sustainable development.
Effects of Debriefing on Motivation and Reflective Thinking of Nursing Students during In-School Practicum Using a Flipped Learning Model
Authors: Kim Sisook , Son Yedong
Published: December 2022

Debriefing and flipped learning have been determined to be useful strategies for nursing education. Recently, it has been reported that applying debriefing and flipped learning together was helpful for educational outcomes. The objective of this study was to compare learning motivation and reflective thinking before and after debriefing during nursing practicums that applied flipped learning. We implemented a quasi-experimental procedure in the form of a pretest-posttest non-equivalent control group design (1 September to 22 October 2021). The participants comprised 63 nursing students in South Korea (33 in the experimental group and 30 in the control group). Each group took part in a nursing practice class, wherein the experimental group engaged in debriefing using flipped learning, while the control group engaged only in flipped learning. We then examined academic motivation and reflective thinking in both the groups, and found that reflective thinking was significantly higher in the experimental group (53.67 ± 5.71) versus the control group (50.80 ± 4.69) (t = 2.165, p = 0.034). However, there were no differences in learning motivation between the two groups (t = 1.864, p = 0.067). In sum, this study confirmed the benefits of this new teaching approach, in which debriefing and flipped learning were integrated and incorporated into a nursing practice class. Given our promising results, this approach can be applied in various cases to strengthen the clinical practice skills of nursing students.
Event-Specific Transmission Forecasting of SARS-CoV-2 in a Mixed-Mode Ventilated Office Room Using an ANN
Authors: Kapoor Nishant Raj , Kumar Ashok , Kumar Anuj , Zebari Dilovan Asaad , Kumar Krishna , Mohammed Mazin Abed , Al-Waisy Alaa S. , Albahar Marwan Ali
Published: December 2022

The emerging novel variants and re-merging old variants of SARS-CoV-2 make it critical to study the transmission probability in mixed-mode ventilated office environments. Artificial neural network (ANN) and curve fitting (CF) models were created to forecast the R-Event. The R-Event is defined as the anticipated number of new infections that develop in particular events occurring over the course of time in any defined space. In the spring and summer of 2022, real-time data for an office environment were collected in India in a mixed-mode ventilated office space in a composite climate. The performances of the proposed CF and ANN models were compared with respect to traditional statistical indicators, such as the correlation coefficient, RMSE, MAE, MAPE, NS index, and a20-index, in order to determine the merit of the two approaches. Thirteen input features, namely the indoor temperature (TIn), indoor relative humidity (RHIn), area of opening (AO), number of occupants (O), area per person (AP), volume per person (VP), CO2 concentration (CO2), air quality index (AQI), outer wind speed (WS), outdoor temperature (TOut), outdoor humidity (RHOut), fan air speed (FS), and air conditioning (AC), were selected to forecast the R-Event as the target. The main objective was to determine the relationship between the CO2 level and R-Event, ultimately producing a model for forecasting infections in office building environments. The correlation coefficients for the CF and ANN models in this case study were 0.7439 and 0.9999, respectively. This demonstrates that the ANN model is more accurate in R-Event prediction than the curve fitting model. The results show that the proposed ANN model is reliable and significantly accurate in forecasting the R-Event values for mixed-mode ventilated offices.
Climate Change and African Migrant Health
Authors: Sanni Omolara , Salami Bukola , Oluwasina Folajinmi , Ojo Folakemi , Kennedy Megan
Published: December 2022

Introduction: Climate change exacerbates existing sociopolitical and economic vulnerabilities, undermining livelihoods, inflating the risk of conflict, and making it difficult for people to remain stable. In 2019, around 25 million new displacements occurred due to natural disasters. This review aims to summarize the existing evidence regarding the impact of climate change on the health of African immigrants. Methods: Nine databases were systematically searched using a strategy developed in collaboration with a subject librarian. Potentially relevant articles were identified, screened, and reviewed by at least two reviewers, with a third reviewer resolving conflicts where necessary. Data were extracted from relevant articles using a standardized form. Results: Seven studies (three cross-sectional, two qualitative, one cohort, and one need assessment report) were identified; they included different categories of African migrants and reported on various aspects of health. The included articles report on climate change, e.g., flooding, drought, and excess heat, resulting in respiratory illness, mental health issues, malnutrition, and premature mortality among African immigrants. Conclusion: This review suggests climate change adversely affects the physical, mental, and social health of African immigrants. It also highlights a knowledge gap in evidence related to the impact of climate change on the health of African immigrants.
Metagenomic Analysis Reveals the Response of Microbial Communities and Their Functions in Lake Sediment to Environmental Factors
Authors: Song Dan , Huo Tangbin , Zhang Zhao , Cheng Lei , Wang Le , Ming Kun , Liu Hui , Li Mengsha , Du Xue
Published: December 2022

Jingpo Lake is the largest mountain barrier lake in China and plays a key role in breeding, power generation, and providing a source of drinking water. Microbes are important participants in the formation of lake resources and energy cycles. However, the ecological protection of Jingpo Lake has faced serious challenges in recent years. In this study, we investigate the responses of the microbial community’s composition of sediments at five locations to an environmental gradient representing water quality and water-depth changes using a metagenomic sequence. We found that the diversity and composition of the microbiota sediments were altered spatially and correlated with the physicochemical factors of water samples. In the microbial community, relatively lower Chao1, alternating conditional expectations, and Shannon and Simpson indices were found at the shallowest location with higher total phosphorus and chlorophyll a. Furthermore, the Kyoto Encyclopedia of Genes and Genomes analysis revealed that the metabolism function was the most abundant functional classification in Jingpo Lake. The levels of total phosphorus, chlorophyll a and pH were positively correlated with the abundance of Flavobacterium and the bacterial functions of the carbohydrate metabolism and amino acid metabolism. In conclusion, our results reveal the physical and chemical characteristics, as well as the microbial community characteristics, of Jingpo Lake, which provides new insights for studying the relationship between environmental factors and the bacterial community distribution of freshwater ecosystems, in addition to also providing a theoretical basis for the environmental monitoring and protection of the lake.
Depressive Symptoms and Control of Emotions among Polish Women with Polycystic Ovary Syndrome
Authors: Pokora Karolina , Kowalczyk Karolina , Wikarek Agnieszka , Rodak Małgorzata , Pędrys Karolina , Wójtowicz Mariusz , Wyskida Katarzyna , Jonderko Mariola
Published: December 2022

Introduction: Polycystic ovary syndrome (PCOS) is a disorder that substantially affects women’s health. It is particularly diagnosed in young patients. Women with PCOS are burdened with excessive weight gain, overweight and obesity (74%) compared to a healthy female population. Excessive weight influences psychological state and emotional well-being, whereas in the meantime, psychological and behavioral dysfunction is increasingly being diagnosed among patients with PCOS. Aim: To assess depressive symptoms and emotional control among women with PCOS in relation to BMI. Methods: The study was conducted among 671 self-reported PCOS women. The standardized Beck Depression Inventory (BDI) was used to assess depressive disorders. Emotion control was assessed using the Courtauld Emotional Control Scale (CECS). Results: Moderate and severe depressive symptoms were more common in PCOS women with abnormal BMI compared to normal BMI subjects (p < 0.01). In total, 27.1% of obese women had moderate depression and 28.8% had severe depression. Among overweight women, 19.9% suffered from moderate and 25% from severe depressive symptoms. Underweight women also reported moderate (25.6%) and severe (33.3%) depressive signs. There were no statistically significant differences between the body weight of the women studied and the CECS scores. Conclusions: Depressive symptoms are more common in women with PCOS and abnormal BMI than in women with PCOS and proper BMI. The severity of depressive symptoms increases with BMI, but underweight women with PCOS are also at risk of depressive disorders. The level of suppression of negative emotions is independent of BMI in women with PCOS.
Recognising Basic Health Literacy Capabilities: An Explorative Study on the Relevance of Health-Related Information in the Support of People with Profound Intellectual and Multiple Disabilities
Authors: Dins Timo , Keeley Caren
Published: December 2022

Background: People with profound intellectual disabilities represent a vulnerable and heterogeneous population whose health-related needs and questions often remain unheard. One reason for this is that they are usually unable to participate in verbal communication. However, there is also a lack of suitable approaches to communicate health-related information to them according to their capabilities. The research presented in this paper addresses this gap. Methods: Following grounded theory methodology, we used a multimethod approach. Based on a theoretical analysis, a Delphi study (n = 14) was conducted as a starting point to map the research field. In a second step, these findings were incorporated into an online survey targeting disability care professionals (n = 111). Three field studies supplemented the data, encompassing a variety of ethnographic methods. Results: People with PIMD have basic health-related capabilities that can improve their health literacy. Nevertheless, their support environments have to take over many health literacy-related requirements by proxy or substitution. One of the most important tasks is to engage health information in an individualised way. Conclusions: The findings underline the importance of focusing on more basic capabilities and intersubjective approaches in health literacy research and practice, especially regarding new perspectives on the inclusion of previously marginalised populations (such as people with PIMD).
Co-Thermal Oxidation of Lignite and Rice Straw for Synthetization of Composite Humic Substances: Parametric Optimization via Response Surface Methodology
Authors: Li Yanling , Chen Xi , Zhuo Zhen , Li Xueqin , Sun Tanglei , Liu Peng , Lei Tingzhou
Published: December 2022

In this study, Baoqing lignite (BL) and rice straw (RS), which were the representatives of low-rank coal and biomass, were co-thermally oxidized to produce composite humic substances (HS), including humic acid (HA) and fulvic acid (FA). Taking HS content as the output response, the co-thermally oxidizing conditions were optimized through single factor experiment and response surface methodology (RSM). The structures of HA and FA prepared under optimized conditions were analyzed by SEM, UV, and FTIR. Results showed that HS content was clearly influenced by the material ratio, oxidation time, and oxidation temperature, as well as their interactions. The optimized co-thermal oxidization condition was as follows: BL and RS pretreated with a material ratio of 0.53, oxidation time of 59.50 min, and oxidation temperature of 75.63 °C. Through verification, the experimental value (62.37%) had a small relative error compared to the predicted value (62.27%), which indicated that the developed models were fit and accurate. The obtained HA had a tightly packed block structure; FA had a loosely spherical shape. The molecular weight of FA was 2487 Da and HA was 20,904 Da; both had a smaller molecular weight than that reported in other literature. FA showed strong bands at 1720 cm−1, thus confirming the presence of more oxygen-containing functional groups. The appearance of double peaks at 2900~2980 cm−1 indicated that HA contains more aliphatic chains. The co-thermal oxidation of BL and RS gives a new method for the synthesis of HS, and the optimization of co-thermal oxidation conditions will provide fundamental information for the industrialization of composite HS.
Preparation and Performance of Carbon-Based Ce-Mn Catalysts for Efficient Degradation of Acetone at Low Temperatures
Authors: Li Tong , Wang Zhibo , Shi Yue , Yao Xiaolong
Published: December 2022

Based on the porous carbon material from citric acid residue, catalysts of different Ce-Mn ratios were prepared with incipient-wetness impregnation (IWI) to delve into their acetone-degrading performance and relevant mechanisms. When the Ce-Mn molar ratio is 0.8, the prepared catalyst Ce0.8-Mn/AC shows abundant and uniformly dispersed Mn and Ce particles on the surface. The content of Mn and Ce on the Ce0.8-Mn/AC surface reaches 5.64% and 0.75%, respectively. At the acetone concentration of 238 mg/m3 (100 ppm), the laws of acetone degradation in different catalysts at different catalyzing temperatures and with various oxygen concentrations were studied, and we found that the rate of acetone degradation by Ce0.8-Mn/AC can exceed 90% at 250 °C. Cerium oxide and manganese oxide are synergistic in the catalytic degradation of acetone. Adding cerium to manganese-based catalysts can increase the oxygen migration rate in the catalysts and thus raise the reduction rate of lattice oxygen in manganese oxide. The results offer new ideas and approaches for the efficient and comprehensive utilization of bio-fermentation by-products, and for the development of cheap and high degradation performance catalysts for acetone.
Exploring the Impact and Prevention of Epidemics from a New Perspective: COVID-19 Transmission through Express Boxes
Authors: Aikebaier Saierdaer , Song Yinghua , Li Moxiao , Liu Jiexin
Published: December 2022

The number of express boxes worldwide exceeded 170 billion in 2021, and, from several regions in China, tested positive. Therefore, it is important to study the transmission of viruses through express boxes. In this paper, we establish a model of express box virus transmission based on comprehensive consideration of environmental factors, such as temperature, disinfection, humidity, virus release intensity, and volume of vehicle, to study the transmission of express box virus, and explore the spatial and geographic spread variation of express box viruses in China. Several important findings emerged from the study, including: (1) Disinfection can prolong the spread of viruses in the express box for ≥21 h; (2) For every 1 °C rise in temperature, the infected time can be prolonged by ≥1.2 h, and for every 10% rise in relative humidity, the virus transmission time can be prolonged by ≥1.32 h; (3) In an environment suitable for virus transmission, when loaded with 1000, 2000, 4000 express boxes, areas where the express delivery time exceeds 22.56, 18, 14.64 h will face the risk of all the boxes in the carriage being infected. These findings could help public health departments prevent the risk of virus transmission from express boxes.
Changes in Anthropometric Measurements and Physical Fitness of Polish Students in 20-Year Period
Authors: Fugiel Jarosław , Kochan-Jacheć Katarzyna , Koźlenia Dawid , Domaradzki Jarosław
Published: December 2022

Background: Intergenerational changes are still being recorded worldwide, although their magnitude and direction may vary in different countries. The aim of this study was to determine changes in the magnitude and direction of changes in the body morphology and motor abilities of physically active adults over 20 years. Methods: Two hundred and fifty-two individuals aged 18–28 years volunteered to participate in the study. The changes were analyzed over a 20-year period (March 2001; P1 vs. March 2022; P2). The measured parameters were body height, weight, and body fat. Further, hand grip strength with dynamometer measurement, a sit-up test, a sit and reach test, and a standing long jump were performed to examine motor abilities. The results of the conducted tests were compared between subjects from both periods. Results: Our study confirms changes in trends concerning body morphology and motor ability performance. Higher values of body mass index and body fat were observed in P2 women, whereas these differences were not significant in men. Additionally, in terms of physical performance, the P2 group noted worse results than their peers from the past. Conclusion: Despite young adults claiming to have similar physical activity levels to those observed in the past, they demonstrate poorer physical performance and higher body fat levels. The observed changes can be considered negative.
A Systematic Review Exploring the Theories Underlying the Improvement of Balance and Reduction in Falls Following Dual-Task Training among Older Adults
Authors: Khan Mohammad Jobair , Kannan Priya , Wong Thomson Wai-Lung , Fong Kenneth N. K. , Winser Stanley John
Published: December 2022

Background: Balance impairment causes frequent falls in older adults, and preventing falls remains challenging. Dual-task (DT) training reduces falls by improving balance, but the precise theory is not fully understood. This review aims to explore the theories underlying the effectiveness of DT in improving balance and reducing falls in older adults. Methods: Eleven electronic databases were searched from database inception to June 2022. Two reviewers independently performed study screening and data extraction. The risk of bias (RoB) in the included studies was assessed using the Cochrane Collaboration RoB 2 tool. Results: The searches yielded 1478 citations, of which 30 studies met the inclusion criteria and were included in the review. Twenty-two of the 30 included studies utilized the motor-cognitive type of DT for training, while six used motor-motor and two utilized cognitive–cognitive DT. The included studies reported 20 different theories to explain the effectiveness of DT for improving balance and reducing falls in older adults. The predominant theory identified in the included studies was attention theory (n = 14). Overall, 26 studies reported improved balance and five studies found a reduction in fall incidence following DT training. Balance and falls improved significantly in 15 motor-cognitive DT intervention studies. Conclusion: Attention shifting between two tasks is reported to occur following DT training. Motor-cognitive DT training improves balance and reduces fall incidence in older adults by shifting attention based on the difficulty and priority of a task from the motor to the cognitive task.
Risk Assessment of Import Cold Chain Logistics Based on Entropy Weight Matter Element Extension Model: A Case Study of Shanghai, China
Authors: Fu Qiang , Sun Yurou , Wang Lei
Published: December 2022

The development of world trade and fresh-keeping technology has led to the rapid development of international cold chain logistics. However, the novel coronavirus epidemic continues to spread around the world at the present stage, which challenges disease transmission control and safety supervision of international cold chain logistics. Constructing an Import Cold Chain Logistics Safety Supervision System (ICCL-SSS) is helpful for detecting and controlling disease import risk. This paper constructs an evaluation index system of ICCL safety that comprehensively considers the potential risk factors of three ICCL processes: the logistics process in port, the customs clearance process, and the logistics process from port to door. The risk level of ICCL-SSS is evaluated by combining the Extension Decision-making Model and the Entropy Weight Method. The case study of Shanghai, China, the world’s largest city of ICCL, shows that the overall risk level of ICCL-SSS in Shanghai is at a moderate level. However, the processes of loading and unloading, inspection and quarantine, disinfection and sterilization, and cargo storage are at high risk specifically. The construction and risk assessment of ICCL-SSS can provide theoretical support and practical guidance for improving the safety supervision ability of ICCL regulation in the post-epidemic era, and helps the local government to scientifically formulate ICCL safety administration policies and accelerate the development of world cold chain trade.
First Results of Peer Training for Medical Staff—Psychosocial Support through Peer Support in Health Care
Authors: Hinzmann Dominik , Koll-Krüsmann Marion , Forster Andrea , Schießl Andreas , Igl Andreas , Heininger Susanne Katharina
Published: December 2022

Background: In view of the increasing strain on health workers, psychosocial support measures are becoming more important. The core of a sustainable concept is the establishment of peer support teams. Two aspects are central: first, target group-specific training content, and second, suitable staff members who are trained as peers. The goal of the study was to obtain a first look at what content can be taught in peer training for medical staff, how the training is evaluated by the target group, and which people are interested in training from peers. Methods: During the period 2017–2022, Peer Training for medical staff was developed by a non-profit institution in Germany with state funding and the support of a medical professional association and evaluated during the project. Participants (N = 190) in the Peer Training course were interviewed in advance about their experiences and stresses at work using an anonymous questionnaire. After completing the training modules, the participants filled out an evaluation form. Results: The participants of the Peer Training were predominantly female (70.5%) and middle-aged (between 31 and 50 years old). Most (80.3%) experienced stressful events themselves, mostly without any preparation (93.5%) or follow-up (86.8%) by the employer. The participants estimate their workload in the medium range. The proportion of stressed individuals among the participants was below that of various comparison groups as available reference values. The training module itself was evaluated very positively. Conclusions: The content and framework parameters of the training were rated very well. There is a high degree of fit with the requirements in the health sector. The participants in the Peer Training seem to represent a good cross-section of the target group medical staff, also regarding their own experiences, seem to have a good psychological constitution and are therefore very suitable to work as peers after the training.
Impacts of Built-Environment on Carbon Dioxide Emissions from Traffic: A Systematic Literature Review
Authors: Huang Ying , Zhang Yongli , Deng Feifan , Zhao Daiqing , Wu Rong
Published: December 2022

With the acceleration of global urbanization, the interaction between the urban built environment and transportation carbon emissions (TCE) has become an urgent problem and an area of intensive research. This paper presents a bibliometric and visual analysis of 1060 pieces of literature related to the built environment and TCE from 1998 to 2022. It explores the current research progress and future development trends in this field. The results show the following. (1) The number of papers published on the built environment and TCE during this period has shown a continuous increasing trend, and the periods of growth can be divided into three stages. (2) Research in this area has been carried out in many countries and regions around the world, involving different dimensions such as examinations at the city, provincial, and national levels. (3) Through an analysis involving keyword clustering, a keyword hotspot map, and a burst map, we have established that the research on TCE has exhibited step-by-step growth, and the carbon emissions from vehicles is the topic that has been considered over the longest period. (4) The impact of the built environment on TCE can be broadly divided into macro-functional and micromorphological factors.
Physical Activity Levels in Brazilian Adolescents: A Secular Trend Study (2007–2017/18)
Authors: Pinto André Araújo , Fernandes Rômulo Araújo , da Silva Kelly Samara , Silva Diego Augusto Santos , Beltrame Thais Silva , Cardoso Fernando Luiz , Pelegrini Andreia
Published: December 2022

Only a small proportion of Brazilian adolescents practice sufficient physical activity (PA). However, it is not clear whether this proportion has been decreasing over time. This study aimed to examine the 10-year trends of sufficient PA in adolescents and to investigate differences by sex and age. Using a standard protocol, we compared two cross-sectional cohorts of adolescents aged 15 to 18 years, recruited in 2007 (n = 1040) and in 2017/18 (n = 978). Using the International Physical Activity Questionnaire—Short Form (IPAQ-SF), the adolescents reported moderate-to-vigorous PA (MVPA) performed in the last seven days. Sufficient PA was defined as engaging in at least 60 min/day of MVPA. In the subgroups, investigated by sex or age, there was an increase in the prevalence of sufficient PA. Overall, sufficient PA declined by 28.1% from 2007 to 2017/18. Boys in 2007 were more active than their 2017/18 peers, and this was equally observed in girls in 2007 compared to those in 2017/18. The findings show decreasing secular trends in sufficient PA in the investigated adolescents. Not only are public health authorities in Brazil witnessing an escalation of insufficient PA, but they are also losing ground with the most active adolescents.
Process and Eco-Environment Impact of Land Use Function Transition under the Perspective of “Production-Living-Ecological” Spaces—Case of Haikou City, China
Authors: Du Wenxing , Wang Yuxia , Qian Dingyi , Lyu Xiao
Published: December 2022

Land use function transition can change the eco-environment. To achieve an “Intensive and efficient production space, moderately livable living space, and beautiful ecological space”, the ecological effects of land use function transition in the context of ecologically fragile areas and rapidly developing areas of socio-economic importance need to be studied. In this study, from the perspective of “production-living-ecological” spaces, we calculated the index of regional eco-environment quality, positive and negative effects of eco-environment impact, and the ecological contribution rate and analyzed the driving factors. We found the following: (1) The production space was greatly compressed, living space was expanded, and ecological space was significantly squeezed. Haikou underwent a rapid transformation from an agriculture-dependent city to an industrial city. Land supply for urban and rural living was guaranteed by the Chinese land management department. However, Haikou prioritized economic development over environmental protection. (2) The regional eco-environment quality index decreased from 2009 to 2018. The expansion of pasture-based ecological spaces is important for improving the quality of the eco-environment, and the reduction of forest ecological space strongly influences the deterioration of the eco-environment. (3) Resource base, historical level of utilization, suitability of land, the ecological value potentiality, and regional policies greatly affected land use function transition and its eco-environment. (4) Refining the planning of territorial space, comprehensively improving land and resources, and reforming the rural land system greatly influenced policy guidance and technical regulation for coordinating “production-living-ecological” spaces and improving the regional eco-environment. In this study, we tested the effect of regional policy regulation on land use function transition and provided a reference for coordinating “production-living-ecological” spaces.
“It Was Just Really Hard to Be Pregnant in a Smaller Town …”: Pregnant and Parenting Teenagers’ Perspectives of Social Support in Their Rural Communities
Authors: Baney Lauren , Greene Alison , Sherwood-Laughlin Catherine , Beckmeyer Jonathon , Crawford Brandon L. , Jackson Frederica , Greathouse Lisa , Sangmo Dechen , Ward Michaella , Kavaya Susan
Published: December 2022

Teenage pregnancy has a history of being a “social problem” in the United States, with there being higher rates in rural communities. Social support, a contributor to improving mental health outcomes, can significantly impact a teenager’s pregnancy and parenting experience. Using House’s (1981) social support framework, this study explores the teenagers’ perceptions of how their rural community reacted and responded to them as pregnant and parenting teenagers. The results were formulated through the thematic analysis of semi-structured interviews (n = 26) with current and former pregnant and/or parenting teenagers. The participants reported experiencing both positive and negative social support. There were more reports of emotional support and instrumental support among the forms of positive support than there were in the other categories. Informational support was lacking. The appraisal support from community members was negative. There is a need for rural communities to develop effective social support strategies to provide positive support for pregnant and parenting teenagers.
Validation of FES-I and Short FES-I Scales in the Polish Setting as the Research Tools of Choice to Identify the Fear of Falling in Older Adults
Authors: Zak Marek , Makara-Studzińska Marta , Mesterhazy Agnieszka , Mesterhazy Jacek , Jagielski Paweł , Januszko-Szakiel Aneta , Sikorski Tomasz , Jaworski Piotr , Miszczuk Renata , Brola Waldemar
Published: December 2022

Fear of falling is associated with a clear hazard to individual self-reliance, reduced physical activity, as well as a sense of shame and loss of self-confidence. The present study aimed to complete the applicable translation and validation protocol for the Falls Efficacy Scale—International (FES-I) tool, following its prior adaptation to ensure full compatibility with the Polish setting. The FES-I questionnaire, along with its abridged version, was translated in line with the recommended standards of the MAPI Institute, taking into account both the cultural fabric and pertinent language specifics of the country. The survey was attended by 740 individuals (N = 740; 463 women, 277 men), over 60 years old. All respondents were required to complete both the FES-I and FES-I (Short) questionnaires twice, following an intervening period, and subsequently had their responses statistically assessed. The FES-I questionnaire, along with its abridged version, may be recommended as an effective assessment tool for addressing the fear of falling issue among the older adults, consequently allowing the teams of attending physicians, physiotherapists, psychologists, or psychiatrists to complete an unambiguous diagnosis, with a view to helping the patients overcome this particular type of anxiety.
Re-Emergence of Dengue Serotype 3 in the Context of a Large Religious Gathering Event in Touba, Senegal
Authors: Dieng Idrissa , Fall Cheikh , Barry Mamadou Aliou , Gaye Aboubacry , Dia Ndongo , Ndione Marie Henriette Dior , Fall Amary , Diop Mamadou , Sarr Fatoumata Diene , Ndiaye Oumar , Dieng Mamadou , Diop Boly , Diagne Cheikh Tidiane , Ndiaye Mamadou , Fall Gamou , Sylla Mbacké , Faye Ousmane , Loucoubar Cheikh , Faye Oumar , Sall Amadou Alpha
Published: December 2022

Dengue virus (DENV) was detected in Senegal in 1979 for the first time. Since 2017, unprecedented frequent outbreaks of DENV were noticed yearly. In this context, epidemiological and molecular evolution data are paramount to decipher the virus diffusion route. In the current study, we focused on a dengue outbreak which occurred in Senegal in 2018 in the context of a large religious gathering with 263 confirmed DENV cases out of 832 collected samples, including 25 life-threatening cases and 2 deaths. It was characterized by a co-circulation of dengue serotypes 1 and 3. Phylogenetic analysis based on the E gene revealed that the main detected serotype in Touba was DENV-3 and belonged to Genotype III. Bayesian phylogeographic analysis was performed and suggested one viral introduction around 2017.07 (95% HPD = 2016.61–2017.57) followed by cryptic circulation before the identification of the first case on 1 October 2018. DENV-3 strains are phylogenetically related, with strong phylogenetic links between strains retrieved from Burkina Faso and other West African countries. These phylogenetic data substantiate epidemiological data of the origin of DENV-3 and its spread between African countries and subsequent diffusion after religious mass events. The study also highlighted the usefulness of a mobile laboratory during the outbreak response, allowing rapid diagnosis and resulting in improved patient management.
The Special Care Unit for People with Behavioral and Psychological Symptoms of Dementia (SCU- B) in the Context of the Project “RECage-Respectful Caring for Agitated Elderly”: A Qualitative Study
Authors: Guazzarini Anna Giulia , Casanova Georgia , Buchholz Friederike , Kozori Mahi , Lavolpe Sara , Lichtwarck Bjørn , Margioti Eleni , Mendes Aline , Montandon Marie-Louise , Murasecco Ilenia , Myhre Janne , Poptsi Elena , Reda Valentina , Ulshöfer Dorothea Elisabeth , Fascendini Sara
Published: December 2022

Background: Dementia is a priority for global public health. The management of behavioral and psychological symptoms of dementia (BPSD) is one of the highest ongoing challenges and needs new approaches. The special care unit for people with dementia and BPSD (SCU-B) is viewed in this context as a further medical intervention. Aim: this study aims to explore SCU-B units in order to describe their main characteristics in relation to different implementation contexts, identify the characteristics of their replicability, and examine the social innovation elements promoted by SCU-B units. Method: This qualitative study is based on focus groups (FGs) and interviews involving nine international centers. Five of the centers have a memory clinic unit and SCU-B, compared with six that only have a memory clinic unit. A total number of 18 FGs were held, which altogether involved 164 participants. All data were transcribed verbatim and analyzed by means of a content analysis and a SWOT (strengths, weaknesses, opportunities, and threats) analysis. Results: The qualitative analysis offers a vision of the SCU-B model as an innovative care unit for BPSD, promoting social innovation in the long-term care (LTC) sector. This system mainly targets people with dementia and BPSD and their informal caregivers but encourages collaboration between dementia care stakeholders at the micro and meso levels. Conclusions: Specific characteristics of the country’s LTC systems and the organization of specialized units are determinants for the success of the SCU-B experience. The replicability of the entire SCU-B model was considered low; however, the implementation of single elements composing the SCU-B model may foster innovation. This study provides relevant suggestions on how to implement the SCU-B unit and innovative solutions for dementia care.
Bayesian Analysis of the HR–VO2 Relationship during Cycling and Running in Males and Females
Authors: Vehrs Pat R. , Tafuna’i Nicole D. , Fellingham Gilbert W.
Published: December 2022

Professional organizations advise prescribing intensity of aerobic exercise using heart rate reserve (%HRR) which is presumed to have a 1:1 relationship with either maximal oxygen uptake (%VO2max) or %VO2 reserve (%VO2R). Even though running and cycling are popular modes of training, these relationships have not been investigated in a group of males and females during both running and cycling. This study evaluated the %HRR-%VO2max and %HRR–%VO2R relationships in 41 college-aged males (n = 21) and females (n = 20) during treadmill running and cycling. Heart rate (HR) and VO2 data were collected at rest and during maximal exercise tests on a treadmill and cycle ergometer. The HR and VO2 data were analyzed using a Bayesian approach. Both the %HRR-%VO2max and %HRR–%VO2R relationships did not coincide with the line of identity in males and females in both treadmill running and cycling. %HRR was closer to %VO2max than to %VO2R. There were no significant differences in the intercepts of the %HRR–%VO2max and %HRR–%VO2R relationships between males and females during running or cycling, or between running and cycling in males or females. The credible intervals of the intercepts and slopes suggest interindividual variability in the HR–VO2 relationship that would yield significant error in the prescription of intensity of aerobic exercise for an individual.
Reply to Nwosu, C.; Ward, K.D. Comment on “Alharbi et al. Adoption of Health Mobile Apps during the COVID-19 Lockdown: A Health Belief Model Approach. Int. J. Environ. Res. Public Health 2022, 19, 4179”
Authors: Alharbi Nouf Sahal , AlGhanmi Amany Shlyan , Fahlevi Mochammad
Published: December 2022

We really appreciate the comments given by [...]
Development and Validation of a New Gadget Addiction Scale (Screen Dependency Scale) among Pre-School Children in Malaysia
Authors: Abdul Hadi Azwanis , Roslan Siti Ruziana , Mohammad Aidid Edre , Abdullah Nurzulaikha , Musa Ramli
Published: December 2022

Background: Excessive screen time in young children is associated with many harmful consequences including screen dependency. Research has shown a worrying prevalence of media-related dependency among adolescents and pre-school children. There are a few available questionnaires among adolescents but none for pre-school children. This study aimed to design and validate a questionnaire to assess screen dependency among pre-school children aged 4 to 6 years old. Methodology: A cross-sectional two-phase study was carried out to develop the scale. In phase 1, a preliminary parent-report measure questionnaire was developed in Bahasa Malaysia. Later, it was sent to four experts for content validity followed by face validity. In Phase 2, a total of 386 parents of pre-school children aged 4 to 6 years old, split into two samples, were involved in the field study for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Result: Sample 1 was used to perform EFA to determine the factorial structure of the SDS. All items with a factor loading of >0.4 were included. Sample 2 was used to perform the CFA. RMSEA and CFI analysis showed that the SDS has a good fit and confirms the dimensional structure found via EFA. The final questionnaire consists of 15 items with a 4 factors’ structure and has excellent internal consistency reliability. Conclusions: The Screen Dependency Scale (SDS) is a reliable and valid questionnaire to detect screen dependency among pre-school children aged 4 to 6 years old in Malaysia.
HIV Detection and Delayed Diagnosis: A Time Series Analysis in China
Authors: Chen Junfang , Xu Junfang , Zhou Yuyin , Luo Yan
Published: December 2022

Background: Insufficient HIV detection and late presentation to antiretroviral therapy (ART) pose significant public health challenges. In China, universal access to HIV testing is available now. Under this background, we aim to analyze the trends of HIV detection and the prevalence of delayed HIV diagnosis (DHD) in order to provide evidence for HIV prevention and treatment in China. Methods: Data of HIV tests in Hangzhou city between 2007 and 2018 were collected from the Chinese National HIV/AIDS Comprehensive Response Information Management System (CRIMS). Descriptive statistics were used to describe the characteristics of HIV testing and detection and the prevalence of DHD among newly diagnosed HIV cases. Non-parametric tests were employed to examine the prevalence of DHD among newly diagnosed HIV cases. Moreover, logistic regression models were employed to explore the influencing factors of DHD. Results: Testing rates doubled from 14.1% in 2007–2010 to 28.2% in 2016–2018. The total positive rate of HIV tests was 5.3 per 10,000. Preoperative testing was the predominant pathway for HIV tests, accounting for 41.9%, followed by testing for health screening, maternal examination and other patients, accounting for 18.4%, 13.2% and 11.8%, respectively. Meanwhile, the predominant pathway for HIV case detection was also preoperative testing, accounting for 29.1%, followed by testing for other patients, testing at STD clinics and VCT, with the proportions of 18.8%, 15.8% and 13.6%, respectively. MSM (men who have sex with men) contact was the main transmission route, accounting for 55.3%, followed by heterosexual contact, accounting for 41.6%. Overall, DHD occurred in 29.0% of the newly diagnosed cases, and this rate had not improved over the years. A higher prevalence of DHD was found in those diagnosed through a pre-test for receiving blood/products [OR (95%CI): 5.42(2.95–9.97)], detection of other patients [OR (95%CI): 2.08(1.64–2.63)], preoperative testing [OR (95%CI): 1.83(1.44–2.32)] and spouse or sexual partner testing in positive person [OR (95%CI): 1.93(1.34–2.78)] compared with those diagnosed at a VCT clinic. Heterosexuals [OR (95%CI): 1.20(1.06–1.36)] had a higher risk of DHD than MSM. Diagnosis at a CDC [OR (95%CI): 0.68(0.55–0.83)] and community health centers [OR (95%CI): 0.54(0.39–0.75)] had a lower risk of DHD than in hospitals. Older age, males, being single/divorced or widowed and floating population were also associated with DHD. Conclusions: In China, DHD had not improved in the last 10 years, although HIV testing had been expanded. Therefore, it is important for continued efforts to promote early diagnosis of HIV to prevent transmission, morbidity and early mortality in HIV infection.