bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessing the Needs of People with Disabilities for Physical Activities and Sports in South Korea
Authors: Oh Ahra , So Wi-Young
Published: January 2022

This study’s objective was to understand the physical activities and sports-related needs of people with disabilities in South Korea and how those needs should be reflected in policy and practice to improve these people’s quality of life. Accordingly, focus group interviews were conducted with 35 people with disabilities who had participated in physical activities. Interviews were conducted one-on-one or in small groups of three or four. The interview questions related to their participation experiences in physical activities and sports, their difficulties with such participation, and their thoughts on what was needed to improve their participation. For data analysis, the interviews were transcribed and the content analyzed, with content triangulation performed for validity. From this, a total of 307 meaningful references were derived, comprising four categories, eight theme clusters, and 40 themes. The current physical activities and sports programs for people with disabilities in South Korea are led by the government to provide an environment for them to participate; however, to improve the quality of life for these people, these must be transformed into consumer-centric programs. To provide an opportunity for people with disabilities to choose the exercise program of their choice, it is necessary to research in advance what kind of exercise program these people want, centering on the local community. To strengthen the professionalism of disabled sports instructors, it is necessary to provide a stable environment for them in sports facilities and continue training them to build capacity. In terms of facilities, the expansion of sports facilities that can be used by people with disabilities is an urgent priority, and the opinions of users with disabilities must be actively collected and addressed in the operation of these facilities. Additionally, at the national level, information should be continuously provided through mass media and the Internet so that people with disabilities can know the importance of physical activity and sports and manage their own health. To that end, it would be helpful to conduct an in-depth analysis of countries with effective participation policies for people with disabilities and consider how these could be adapted to the situation in Korea.
Risk of Dehydration Due to Sweating While Wearing Personal 2 Protective Equipment in COVID-19 Clinical Care: A Pilot Study
Authors: Rojo-Rojo Andrés , Pujalte-Jesús Maria José , Hernández-Sánchez Encarna , Melendreras-Ruiz Rafael , García-Méndez Juan Antonio , Muñoz-Rubio Gloria María , Leal-Costa César , Díaz-Agea José Luis
Published: January 2022

Objective: The objectives of this study were (a) to determine the physical impact of the personal protective equipment (PPE) used in COVID-19 care, specifically the impact on the hydration state of the temperature and the comfort of the healthcare workers who use it, and (b) to show the high-fidelity simulated environment as an appropriate place to test the experimental designs to be developed in real environments for COVID-19. Background: All healthcare staff use full PPE in the care of COVID-19 patients. There are problems, such as excessive sweating, which have not been quantified thus far. Methods: A descriptive pilot design was used in a simulated high-fidelity setting. There was paired activity, with mild–moderate physical activity, between 45 and 60 min continuously, with the COVID-19 PPE. Sixteen intensive care nurses were selected. The before–after differential of weight, thirst, weight use of the PPE, body temperature, thermal body image, general and facial warmth sensation, and perspiration sensation were measured. Results: All subjects lost weight in the form of sweat with both PPEs during the simulation scenario, with a mean of 200 g (0.28% of initial weight), and increased thirst sensation. Body thermal image increased by 0.54 °C in people using the full COVID-19 PPE. Conclusions: The use of PPE in the management of critically ill COVID-19 patients generates weight loss related to excessive sweating. The weight loss shown in this pilot test is far from the clinical limits of dehydration. The use of ventilated PPE, such as PAPR, reduce the body temperature and heat sensation experienced by the users of it; at the same time, it improves the comfort of those who wear it. The simulated environment is a suitable place to develop the piloting of applicable research methodologies in future studies in a real environment.
Identifying Cardiovascular Risk Profiles Clusters among Mediterranean Adolescents across Seven Countries
Authors: Tesler Riki , Barak Sharon , Reges Orna , Moreno-Maldonado Concepción , Maor Rotem , Gaspar Tânia , Ercan Oya , Sela Yael , Green Gizell , Zigdon Avi , Marques Adilson , Ng Kwok , Harel-Fisch Yossi
Published: January 2022

Cardiovascular diseases (CVDs) are the number one cause of death globally and are partially due to the inability to control modifiable lifestyle risk factors. The aim of this study was to analyze the profiles of adolescents from seven Mediterranean countries (Greece, Israel, Italy, Macedonia, Malta, Portugal, Spain) according to their modifiable lifestyle risk factors for CVD (overweight/obesity, physical activity, smoking, alcohol consumption). The sample consisted of 26,110 adolescents (52.3% girls) aged 11, 13, and 15 years who participated in the Health Behavior in School-aged Children (HBSC) survey in 2018 across the seven countries. Sociodemographic characteristics (sex, age, country of residence, socioeconomic status) and CVD modifiable lifestyle risk factors (overweight/obesity, physical activity, smoking, alcohol consumption) were recorded. A two-step cluster analysis, one-way analysis of variance, and chi-square test were performed. Four different cluster groups were identified: two low-risk groups (64.46%), with risk among those with low physical activity levels; moderate-risk group (14.83%), with two risk factors (unhealthy weight and low physical activity level); and a high-risk group (20.7%), which presented risk in all modifiable lifestyle risk factors. Older adolescents reported a higher likelihood of being in the high-risk group. Given that the adolescence period constitutes an important time for interventions aimed at CVD prevention, identifying profiles of moderate- and high-risk adolescents is crucial.
A Survey on Treatment Status of Korean Medicine Doctors for the Behavioral and Psychological Symptoms of Dementia: Preliminary Data for Guidance of Integrative Care
Authors: Kwon Chan-Young , Lee Boram
Published: January 2022

Behavioral and psychological symptoms of dementia (BPSD) are major causes of care burden in patients with dementia. Integrative care, including Western medicine (WM) and Korean medicine (KM), can be an attractive option for this condition. To investigate the experience and perceptions of dementia care; experience, knowledge, and perceptions of management for BPSD; the need for guidance of integrative care for BPSD management, KM doctors were surveyed. A total of 137 KM doctors completed the survey. Most institutions where the participants worked were able to provide integrative care services (88.32%). The rate of referral for dementia patients from the WM to KM departments was also highest in the convalescent hospital setting (94.92%), while the rate was lowest in the public health center setting (38.46%). The common purpose of KM treatments for patients with dementia included “psychological symptom treatment” (37.23%); however, the number of referrals from WM to KM departments for BPSD management was relatively few (25.64%). Participants perceived that knowledge about KM or integrative care for BPSD of non-KMD personnel working at the same institution was generally low. Based on these results, facilitating mutual exchange between WM and KM can help establish integrative care for dementia management in Korea.
The Risk of COVID-19 Infection in Prisons and Prevention Strategies: A Systematic Review and a New Strategic Protocol of Prevention
Authors: Esposito Massimiliano , Salerno Monica , Di Nunno Nunzio , Ministeri Federica , Liberto Aldo , Sessa Francesco
Published: January 2022

Health risks within prisons are well known and have worsened with the 2019 coronavirus pandemic (COVID-19), becoming a public health emergency. To date, there are more than 10 million inmates in the world; in most cases, conditions are bad and health care is scarce. A SARS-CoV-2 outbreak inside a prison is extremely rapid. The aim of this systematic review was to analyze all possible prevention techniques to reduce the risk of COVID-19 related infection within prisons. A systematic review of the literature was performed according to the PRISMA guidelines. Scopus, Web of Science, PubMed, and Google Scholar were used as search engines from 1 January 2020 to 1 November 2021 to evaluate the prevention of COVID-19 in prisoners. A total of 1757 articles were collected. Of them, 486 duplicates were removed. A total of 1250 articles did not meet the inclusion criteria. In conclusion, 21 articles were included in the present systematic review. From this analysis, it emerged that the most common COVID-19 prevention methods were the screening of the entire population (prisoners and workers) inside the prison through swab analysis and the reduction in overcrowding in prisons. Few studies concerned the prevention of COVID-19 infection through vaccination and the implementation of quarantine. To our knowledge, this is the first systematic review that evaluates the prevention of COVID-19 within jails and the real effectiveness of all possible methods used and published in the literature. Finally, a very useful strategic protocol is provided to reduce the incidence of infection and to control and manage COVID-19 in prisons.
Ethnobotanical Uses, Nutritional Composition, Phytochemicals, Biological Activities, and Propagation of the Genus Brachystelma (Apocynaceae)
Authors: Aremu Adeyemi Oladapo , Hlophe Nqobile P. , Van Staden Johannes , Finnie Jeffrey F.
Published: January 2022

The Brachystelma genus (family: Apocynaceae) consists of geophytes that are traditionally utilised among rural communities, especially in East Africa, southern Africa, West Africa, and northern and western India. Apart from being used as a food source, they are indicated as treatment for ailments such as colds, chest pains, and wounds. This review provides a critical appraisal on the ethnobotanical uses, nutritional value, phytochemical profiles, and biological activities of Brachystelma species. In addition, we assessed the potential of micropropagation as a means of ensuring the sustainability of Brachystelma species. An inventory of 34 Brachystelma species was reported as a source of wild food and traditional medicine (e.g., respiratory-related conditions, pains, and inflammation) across 13 countries, predominantly in Africa and Asia. Brachystelma circinnatum and Brachystelma foetidum were the most popular plants based on the high number of citations. Limited data for the nutritional content was only available for Brachystelma edulis and Brachystelma naorojii, as well as phytochemical profiles (based on qualitative and quantitative techniques) for five Brachystelma species. Likewise, a few Brachystelma species have evidence of biological activities such as antimicrobial, antioxidant, and acetyl cholinesterase (AChE) inhibitory effects. Extensive studies on Brachystelma togoense have resulted in the isolation of four compounds with therapeutic potential for managing different health conditions. As a means of contributing to the sustainability of Brachystelma species, micropropagation protocols have been devised for Brachystelma glabrum, Brachystelma pygmaeum, Brachystelma ngomense, and Brachystelma pulchellum. Nevertheless, continuous optimisation is required to enhance the efficiency of the micropropagation protocols for these aforementioned Brachystelma species. Despite the large number of Brachystelma with anecdotal evidence as food and medicine, a significant number currently lack empirical data on their nutritional and phytochemical profiles, as well as their biological activities. The need for new propagation protocols to mitigate the declining wild populations and ensure their sustainability remains pertinent. This is important should the potential of Brachystelma species as novel food and medicinal products be achieved.
Onion Germplasm Possesses Lower Early Season Thrips Numbers
Authors: Shahabeddin Nourbakhsh Seyed , Cramer Christopher S.
Published: January 2022

Onion is one of the most valuable vegetable crops in the US. Onion thrips were identified as one of the main threats to the US onion industry. An integrated approach, including host plant tolerance, is required. For this study, four New Mexico State University breeding lines, along with two thrips-attractive cultivars, were evaluated for their attractiveness to thrips. In addition, this study observed thrips population dynamics throughout the growing season and the relationship between onion plant size and thrips attractiveness. The experiment was designed as a randomized complete block design with three blocks, each containing four replications. Thrips-infested bulbs were used to ensure the presence of thrips and thrips-attractive plants were used to ensure equal thrips distribution throughout the field. Ten plants were randomly selected from each plot and thrips and leaf numbers were counted multiple times through the growing season. Plants of NMSU breeding lines were observed to have fewer thrips, be more tolerant to thrips pressure and produce more leaves and larger bulbs than thrips-attractive entries. Early in the growing season, leaf number was not a determining factor in thrips population dynamics. The larger bulb weights of the breeding lines allowed them to maintain their market value. A delay in thrips population buildup in plants of the breeding lines may result in the critical threshold for spraying for thrips being reached later in these lines. This would potentially allow for fewer pesticide applications by growers, increasing growers’ profits and ensuring a more environmentally friendly approach to plant production.
Degreening, Softening and Chilling Sensitivity of Early Harvested ‘Zesy002’ Kiwifruit under Elevated Temperature Conditioning in a Controlled Atmosphere
Authors: Burdon Jeremy , Fullerton Christina , Billing David
Published: January 2022

Commercially produced volumes of Actinidia chinensis var. chinensis ‘Zesy002’ (Zespri® SunGold Kiwifruit, Tauranga, New Zealand) are increasing rapidly. One approach to managing the harvest logistics is to start the harvest season earlier by harvesting fruit before they have fully degreened on the vine. However, there are risks: the fruit are chilling-sensitive and they may soften excessively while degreening at elevated temperatures off the vine. Degreening and softening were investigated for ‘Zesy002’ kiwifruit harvested before fully degreened, and then allowed to degreen for 2 or 4 weeks at 10 °C in air or in a controlled atmosphere (CA; 2% oxygen/2% carbon dioxide). Fruit were then stored in air or CA at 1 °C up to 16 weeks from harvest, after which they were assessed for chilling injury. The main findings were that holding fruit in CA rather than air at 10 °C caused slower degreening, delayed the change to rapid softening, and also delayed the loss of chilling sensitivity. It is concluded that if ‘Zesy002’ fruit are to be degreened in CA, then either a longer conditioning period in CA, or more advanced fruit, should be used.
Impact of COVID-19 on the Quality of Life of Households in Saudi Arabia
Authors: Islam Md. Mazharul , Alharthi Majed
Published: January 2022

The COVID-19 pandemic has affected every stratum of the population and all categories of households to varying degrees. The impact of the pandemic on the quality of life (QoL) of populations is complex and can vary by region, socio-economic status, and other demographic factors. The main purpose of this study was to empirically examine the effects of pandemic trauma on the QoL of households in Saudi Arabia. Primary data from 506 households in different regions were collected through online surveys and estimated using descriptive statistics, analysis of variance (ANOVA), statistical regression techniques, and ordered Probit analysis. It was found that the QoL of Saudi households dropped significantly due to the COVID-19 crisis. Demographically, there were significant differences in the impact of COVID-19 on QoL. Low-income households, large households, male-led households, urban households, households living in the central and western regions, households with head unemployment or low educational attainment, and households with elderly head reported greater QoL declines. The findings emphasize the significance of generating on-the-ground survey data to track the well-being of households during the crisis to accumulate the information required to construct evidence-based policy responses. This study makes a significant contribution to the literature on the impact of COVID-19 by providing additional evidence of the pandemic’s impact at the household level. The study paints a grim picture of the effects of COVID-19, as it was carried out at a time when the coronavirus was spreading, millions were dying or fighting it in healthcare centers, and lockdowns were imposed throughout the world.
COVID-19 Information Overload and Cyber Aggression during the Pandemic Lockdown: The Mediating Role of Depression/Anxiety and the Moderating Role of Confucian Responsibility Thinking
Authors: Wang Qiong , Luo Xiao , Tu Ruilin , Xiao Tao , Hu Wei
Published: January 2022

Many countries adopted lockdown measures to curb the spread of the outbreak in 2020, while information about COVID-19 has dominated various media outlets, which has led to information overload for people. However, previous research has mainly focused on cancer information overload and the corresponding consequence, and failed to examine its adverse effects in the context of major public health events. Based on the Frustrate Aggression Theory and the Scapegoat Theory, the present study established a moderated mediation model to investigate the emotional and behavioral outcomes of COVID-19 information overload. The mediating role of depression/anxiety in the association between COVID-19 information overload and cyber aggression, as well as the moderating role of Confucian responsibility thinking, were tested. This model was examined with 1005 Chinese people (mean age = 26.91 years, SD = 9.94) during the COVID-19 outbreak. Mediation analyses revealed that COVID-19 information overload was positively related to cyber aggression, depression, and anxiety, parallelly and partially mediated this relationship. Moderated mediation analyses further indicated that Confucian responsibility thinking not only moderated the direct link between COVID-19 information overload and cyber aggression, with the effect being significant only for people with a low level of Confucian responsibility thinking, but also moderated the relationship between COVID-19 information overload and depression/anxiety respectively, with the associations being much more potent for individuals with low levels of Confucian responsibility thinking. These findings have the potential to inform the development of prevention and intervention programs designed to reduce the negative emotions and cyber aggression associated with information overload in public health events.
Indoor Pollen Concentrations of Mountain Cedar (Juniperus ashei) during Rainy Episodes in Austin, Texas
Authors: Jochner-Oette Susanne , Jetschni Johanna , Liedl Petra , Menzel Annette
Published: January 2022

Standard pollen monitoring programs evaluate outdoor pollen concentrations; however, information on indoor pollen is crucial for human wellbeing as people spend most of the day in indoor environments. In this study, we investigated the differences in indoor mountain cedar pollen loads between rooms of different uses and with different ventilation at The University of Texas in Austin and focused on the effect of rainy episodes on indoor/outdoor ratios of pollen concentrations. Pollen were sampled outdoors and indoors, specifically in seven rooms and in two thermal labs with controlled ventilation, during the daytime on 6 days in 2015. We calculated daily pollen concentrations, campaign pollen integrals (CPIn, the sum of all daily pollen concentrations) and ratios between indoor and outdoor concentrations (I/O ratio). Pollen concentrations differed substantially based on features related to room use and ventilation: Whereas the highest CPIn was observed in a room characterized by a frequently opened window and door, the smallest CPIn was related to a storeroom without any windows and no forced ventilation. Our results showed that rainy episodes were linked to a higher mean I/O ratio (0.98; non-rainy episodes: 0.05). This suggests that pollen accumulated indoors and reached higher levels than outdoors. Low ratios seem to signal a low level of risk for allergic people when staying inside. However, under very high outdoor pollen concentrations, small ratios can still be associated with high indoor pollen levels. In turn, high I/O ratios are not necessarily related to a (very) high indoor exposure. Therefore, I/O ratios should be considered along with pollen concentration values for a proper risk assessment. Exposure may be higher in indoor environments during prevailing precipitation events and at the end of the pollen season of a specific species. Standardized indoor environments (e.g., thermal labs) should be included in pollen monitoring programs.
Improved Monitoring and Assessment of Meteorological Drought Based on Multi-Source Fused Precipitation Data
Authors: Chen Si , Li Qi , Zhong Wushuang , Wang Run , Chen Dong , Pan Shihan
Published: January 2022

Meteorological drought, one of the most frequent climate-related disasters, causes great danger for human health and socioeconomic development. With an aim to improve the accuracy of meteorological drought monitoring, this study collected multi-source remotely-sensed precipitation products, i.e., the Tropical Rainfall Measuring Mission (TRMM), the Global Precipitation Measurement Mission (GPM), and Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS), and compared their performance over Hubei Province, China. The geographic difference analysis was used to blend the best-fitted product with gauged precipitation data. Based on the fused dataset with verification, the spatio-temporal characteristics of drought were investigated. Results showed that GPM performed the best in precipitation numerical evaluation and event detection with a 5 mm/d threshold. The fused data accurately captured 80% of historical drought events and indicated that extreme annual droughts mainly occurred in the northern and northwestern regions, while slight, moderate, and severe droughts mainly occurred in the central and eastern parts. The short-term drought exhibited the highest frequency of 33% in summer and the lowest frequency of 27% in spring, while the medium-term drought showed a higher frequency in autumn and winter. This could be a preliminary assessment of drought based on multi-source fused precipitation data for precise drought outlook and risk management.
Attitudes of Students of Social Sciences and Humanities towards People with Physical Disabilities (MAS-PL)
Authors: Tomczyszyn Dorota , Pańczuk Anna , Szepeluk Adam
Published: January 2022

Negative social attitudes towards people with disabilities are a serious barrier to their social, professional, and cultural functioning. Due to negative perception, disabled individuals are often homebound. The present study was an attempt to compare declared attitudes with the results of other studies using the Polish version of an international assessment tool. The aim was to verify the MAS-PL tool and to analyse the attitudes of students of social sciences and humanities towards people with physical disabilities. An additional aim was to compare declared attitudes with the results of other studies using the Polish version of an international assessment tool for students of medicine and health sciences. In total, 540 students were surveyed using the Polish adaptation of the Multidimensional Attitudes Scale towards Persons with Disabilities (MAS-PL). The study confirmed the high reliability of the MAS-PL Scale. The mean global score of the scale was 82.79. There were no significant differences in the global MAS-PL score depending on respondents’ sex; however, an effect of this variable on the subscales was found. The surveyed females exhibited more positive attitudes in terms of the cognitive and behavioural components, whereas the males showed more positive attitudes in the affective subscale. There was no significant impact of the place of residence, age, and majors. Along with the year of studies, the intensity of the global and affective scale slightly increased. The surveyed students of social sciences and humanities exhibited similar attitudes towards people with physical disabilities to those declared by Polish students of medical and health sciences surveyed by Radlińska et al. The authors recommend implementation of didactic classes, projects, and activities at the stage of planning and creation of student education programs to promote tolerance towards disabled people.
Acceptance Mindfulness-Trait as a Protective Factor for Post-Natal Depression: A Preliminary Research
Authors: Tharwat Dahlia , Trousselard Marion , Fromage Dominique , Belrose Célia , Balès Mélanie , Sutter-Dallay Anne-Laure , Ezto Marie-Laure , Hurstel Françoise , Harvey Thierry , Martin Solenne , Vigier Cécile , Spitz Elisabeth , Duffaud Anaïs M.
Published: January 2022

(1) Background: the prevalence of postnatal depression (PND) reaches up to 20%. PND could be based on the interaction between a psychological vulnerability and chronic stress that pregnancy would activate. Vulnerability factors reflect a psychological profile mirroring mindfulness-trait (MT). A high level of MT is associated with an efficient regulation of both physiological and psychological stress, especially negative moods. Interestingly, mindfulness level can be improved by program based on mindfulness meditation. We hypothesize that MT is a protective factor for PND. We also postulate that negative moods increase during the pregnancy for women who develop a PND after delivery (2) Methods: we conducted a multicentric prospective longitudinal study including 85 women during their first trimester of their pregnancy and 72 from the childbirth to the baby’s first birthday”. At the inclusion, presence and acceptance of MT and various variables of personality and of psychological functioning were assessed. Mood evolution was monitored each month during the pregnancy and a delivery trauma risk was evaluated after delivery. PND detection was carried out at 48 h, 2, 6 and 12 months after the delivery with the Edinburgh Postnatal Depression Scale with a screening cut-off >11. (3) Results: high-acceptance MT is a protective factor for PND (OR: 0.79). Women without PND displayed less negative mood during pregnancy (p < 0.05 for Anxiety, Confusion and Anger). (4) Conclusions: these results suggest the value of deploying programs to enhance the level of mindfulness, especially in its acceptance dimension, before, during and after pregnancy, to reduce the risk of PND.
Assessment of Human Exposure Levels Due to Mobile Phone Antennas in 5G Networks
Authors: Bonato Marta , Dossi Laura , Gallucci Silvia , Benini Martina , Tognola Gabriella , Parazzini Marta
Published: January 2022

The recent deployment of 5G networks is bringing benefits to the population but it is also raising public concern about human RF-EMF exposure levels. This is particularly relevant considering the next 5G mobile devices, which are placed in close proximity to the subjects. Therefore, the aim of the following paper is focused on expanding the knowledge of the exposure levels in 5G exposure scenarios, specifically for mobile applications, using computational methods. The mobile antenna was designed considering the 5G technology innovations (i.e., mm-wave spectrum, beamforming capability, high gain and wide coverage), resulting in a phased-array antenna with eight elements at the working frequency of 27 GHz. To assess the exposure levels, different types of skin models with different grades of details and layers were considered. Furthermore, not only was the presence of a mobile phone user simulated, but also that of a person in their proximity, who could be hit by the main beam of the phased-array antenna. All the simulations were conducted in Sim4Life platform, where the exposure levels were assessed in terms of absorbed power density averaged over 4 cm2 and 1 cm2, following the ICNIRP guidelines. The results highlighted that the use of the homogeneous skin model led to the absorbed power density peaks being greatly underestimated, with respect to those obtained in multilayer skin models. Furthermore, interestingly, we found that the exposure levels obtained for the person passing nearby were slightly higher than those experienced by the mobile phone user himself. Finally, using the allowed input power for real mobile applications, all the values remained below the limits indicated by the ICNIRP guidelines.
Influence of Dance Programmes on Gait Parameters and Physical Parameters of the Lower Body in Older People: A Systematic Review
Authors: Rodríguez Bárbara , Paris-Garcia Federico
Published: January 2022

(1) Background: The regular practice of dancing benefits the physical condition, improving quality of life and minimising the adverse effects of ageing. Therefore, this review aims to evaluate the impact of dance programmes by quantifying different physical parameters of the lower body in older adults. (2) Methods: A systematic qualitative review in the English language (PubMed, Scopus, OvidSP, Cochrane and PEDro database) until mid-2020 considering the PRISMA guidelines and the PEDro quality criteria considering the following parameters of gait: stride length and width, speed. Physical parameters: flexion and dorsiflexion joint, muscle strength and range of motion were carried out. (3) Results: 9 studies with a population of 544 subjects from 5 continents and 6 types of dances were taken into account. The improvement of some parameters over others depended on the type of dance and the movements generated, having moderate positive effects on strength, agility, mobility and balance. (4) Conclusions: there is a general improvement in the functional capacity of the elderly through the practice of ballroom dancing, with specific improvement of each parameter depending on the type of dance.
The Outbreak of Digital Detox Motives and Their Public Health Implications for Holiday Destinations
Authors: Díaz-Meneses Gonzalo , Estupinán-Ojeda Miriam
Published: January 2022

This paper aims to analyze the external and objective barriers of the digital difference between being at home and being on holiday, and the intrinsic and subjective inhibitors to remaining online once at a destination. In this study, the literature is thoroughly reviewed, going beyond the traditional economic and technological explanations, along with those related to skill, to consider those rooted in well-being and psychology. Hence, a more integrative and exhaustive framework deals with how tourists approach their perceived hazardous and oversaturating digital environment. Finally, the role played by sociodemographics is studied by profiling those who are predisposed toward disconnecting in order to preserve their wellness. In total, 346 tourists were surveyed at random, with proportional stratification, on the island of Gran Canaria. The measuring instrument comprised a questionnaire whose scales gathered information about more than eighteen devices, twenty-eight social media platforms, and sixteen device and social media barriers. The obtained evidence demonstrates how crucial “detox” motivations are when trying to elucidate the differences in digital behavior between their home and holiday destination. Similarly, the evidence highlights that while gender, age, nationality, and income are associated with these differences, education is not. This study pioneers an analysis of the detox barrier regarding staying connected while on holiday and provides insight into how this intrinsic and subjective inhibitor interacts with other external hindrances to people’s health, both where they live and where they travel.
Gestational Age, Newborn Metabolic Markers and Academic Achievement
Authors: Wehby George L.
Published: January 2022

Background: Gestational age is associated with greater school achievement and variation in newborn metabolic markers. Whether metabolic markers are related to gestational age differences in achievement is unknown. This study examines whether newborn metabolic markers are associated with gestational age differences in performance on standardized school tests. Methods: This retrospective cohort study linked birth certificates of children born in Iowa between 2002 and 2010 to newborn screening records and school tests between 2009 and 2018. The analytical sample includes up to 229,679 children and 973,247 child-grade observations. Regression models estimate the associations between gestational age and 37 newborn metabolic markers with national percentile ranking (NPR) scores on math, reading comprehension, and science tests. Results: An additional gestational week is associated with 0.6 (95% CI: 0.6, 0.7), 0.5 (95% CI: 0.4, 0.5), and 0.4 (95% CI: 0.4, 0.5) higher NPRs on math, reading, and science, respectively. Compared to full term children (37–44 weeks), preterm children (32–36 weeks) have 2.2 (95% CI: −2.6, −1.8), 1.5 (95% CI: −1.9, −1.1), and 1.0 (95% CI: −1.4, −0.7) lower NPRs on math, reading comprehension, and science. Very preterm children (20–31 weeks) have 8.3 (95% CI: −9.4, −7.2), 5.2 (95% CI: −6.2, −4.0), and 4.7 (95% CI: −5.6, −3.8) lower NPRs than full term children on math, reading, and science. Metabolic markers are associated with 27%, 36%, and 45% of gestational age differences in math, reading, and science scores, respectively, and over half of the difference in test scores between preterm or very preterm and full term children. Conclusions: Newborn metabolic markers are strongly related to gestational age differences in school test scores, suggesting that early metabolic differences are important markers of long-term child development.
Study of Occupational Safety Risks in Prefabricated Building Hoisting Construction Based on HFACS-PH and SEM
Authors: Song Yinghui , Wang Junwu , Liu Denghui , Guo Feng
Published: January 2022

As the concern for environmental pollution and occupational safety caused by the construction industry is gradually increasing worldwide, the prefabricated building model has become a type of construction promoted by sustainable societies. In China, the management codes of prefabricated buildings are not mature enough and safety accidents occur frequently during the construction process. Therefore, how to analyze and determine the main factors that affect the safety of the construction of prefabricated buildings has become a problem to protect the lives and health of construction workers. In this study, we focused our research on the accident-prone component-hoisting construction phase. First, through the questionnaire and accident data, the traditional human factors analysis and classification system (HFACS) was improved into the HFACS–prefabricated building hoisting (PH) risk model. This study also established a comprehensive safety prevention and control system for the component-hoisting process of prefabricated buildings by combining the factor analysis of using structural equation modeling (SEM). The prevention and control measures to avoid the occurrence of prefabricated building component-hoisting accidents were also proposed from four aspects: external environment, organizational factors, prerequisites for triggering accidents, and unsafe leadership behaviors. The results showed the following: (1) For the external environment, occupational safety and health system standards should be established and safety supervision responsibilities should be implemented. (2) For organizational factors, safety management systems should be improved with more capital investment. (3) For unsafe leadership behaviors, safety education and training should be strengthened to ensure workers’ optimal physical and psychological states. (4) For the prerequisite of accidents, it is necessary to create a good hoisting work environment.
Predictors of Postpartum Depression among Italian Women: A Longitudinal Study
Authors: Molgora Sara , Saita Emanuela , Barbieri Carones Maurizio , Ferrazzi Enrico , Facchin Federica
Published: January 2022

Introduction: Postpartum depression is commonly experienced by mothers worldwide and is associated with anxiety disorders, parenting stress, and other forms of distress, which may lead to a complex illness condition. Several studies have investigated the risk factors for this disorder, including biological and socio-demographic variables, medical and obstetric factors, and psychological and relational dimensions. The present study aimed to describe the psychological status of mothers up to 12 months postpartum, and to investigate the predictors of depressive symptoms at 12 months postpartum, considering obstetric factors along with psychological and relational variables. Methods: A sample of 137 women completed a questionnaire composed of a sheet on anamnestic and obstetric information and the following scales: Wijma Delivery Experience Questionnaire; State-Trait Anxiety Inventory; Edinburgh Postnatal Depression Scale; Parenting Stress Index (Short Form); Dyadic Adjustment Scale; and Multidimensional Scale of Perceived Social Support. Data were collected at four assessment times: 2–3 days, 3 months, 6 months, and 12 months postpartum. Results: Findings showed that the highest percentage of women with clinically significant symptoms of anxiety (state and trait) and depression was found at 12 months postpartum, which indicated that this was the most critical time. The quality of childbirth experience and trait anxiety at three months postpartum emerged as significant predictors of postpartum depression at 12 months. Conclusion: Our findings highlight the importance of providing stable programs (such as educational programs) to mothers in the first year postpartum. Furthermore, because the quality of the childbirth experience is one of the most important predictors of PPD at 12 months postpartum, effort should be made by healthcare professionals to guarantee a positive experience to all women to reduce possible negative long-term consequences of this experience.
Sudden Cardiac Arrest in an Adult with Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): Case Report
Authors: Prandi Francesca Romana , Zaidi Ali N. , LaRocca Gina , Hadley Michael , Riasat Maria , Anastasius Malcolm O. , Moreno Pedro R. , Sharma Samin , Kini Annapoorna , Murthy Raghav , Boateng Percy , Lerakis Stamatios
Published: January 2022

Introduction: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare coronary artery anomaly that carries 90% mortality in the first year of life when left untreated. The diagnosis of ALCAPA is rare in adulthood, and it includes a broad spectrum of clinical manifestations, including sudden cardiac death (SCD). Case report: We report a rare case of resuscitated sudden cardiac arrest in a 55-year-old female, who was diagnosed with ALCAPA and underwent successful surgical correction and implantable cardioverter defibrillator (ICD) implantation for secondary prevention. Discussion: ALCAPA diagnosis is not confined to childhood, and it represents a rare cause of life-threatening arrhythmias and SCD in the adult population. Surgical correction is recommended, regardless of age, presence of symptoms or inducible myocardial ischemia. Multimodality imaging is crucial for diagnosis, management planning and follow up. Assessment of the risk of recurrent ventricular arrhythmias, despite full revascularization, should be performed in all adults with ALCAPA. Myocardial scar detected via late gadolinium enhancement represents a potential irreversible substrate for ventricular arrhythmias, and it provides additional information to evaluate indication of an ICD for secondary prevention.
Optimization of Ultrasonic-Assisted Extraction of Chlorogenic Acid from Tobacco Waste
Authors: Zeng Guoming , Ran Yujie , Huang Xin , Li Yan , Zhang Maolan , Ding Hui , Ma Yonggang , Ma Hongshuo , Jin Libo , Sun Da
Published: January 2022

Using tobacco waste as raw material, the ultrasonic-assisted extraction of chlorogenic acid was optimized by response surface methodology (RSM). After repeated freezing and thawing of tobacco waste twice, the effect of pH value, ethanol volume fraction, temperature and extraction time on the extraction rate of chlorogenic acid was investigated by a single factor experiment. On the basis of this, the factors affecting the yield of chlorogenic acid were further optimized by using RSM. The optimum extraction conditions for chlorogenic acid were set at pH = 4.1, ethanol volume fraction was 49.57% and extraction time was 2.06 h. Under the above conditions, the extraction rate of chlorogenic acid could reach 0.502%, which was higher than traditional extraction and unpretreated ultrasonic extraction. All these results can be used as a reference for the extraction of effective ingredients in tobacco waste.
“Where There Is Light, There Is Also Darkness”: Discussing Young Adults’ Willingness to Disclose Data to Use Wearables and Health Applications—Results from a Focus Group Study
Authors: Koinig Isabell , Diehl Sandra
Published: January 2022

In recent years, the Internet of Medical Things (IoMT) has gained momentum. This development has only been intensified by the current COVID-19 crisis, which promotes the development of applications that can help stop the virus from spreading by monitoring people’s movements and their social contacts. At the same time, it has become increasingly difficult for individuals to control the use of their private data by commercial companies. While Internet users claim to be highly interested in protecting their privacy, their behaviors indicate otherwise. This phenomenon is discussed in literature as the so-called privacy paradox. The existence of the privacy paradox has also been confirmed by previous studies, which found individuals’ claims and actions to contradict one another. The present study investigates the following research questions: (1) What significance do individuals attribute to protecting their privacy, with a special focus on the health sector? (2) To what extent are they willing to grant commercial parties access to their data in order to use applications in general and health applications in particular? Results from seven focus groups with 40 respondents aged 20–30 years were conducted in an urban setting in Austria in late 2019. The respondents’ inputs are meant to provide answers to these questions. The results indicate that, overall, the young generation is well-informed about the growing data collection and is quite critical of it. As such, their willingness to share information in the health context is only moderately pronounced. Thus, only a moderately pronounced privacy paradox can be detected for the health sector when compared to other sectors. In conclusion, implications and directions for further research are addressed.
Usage of Digital Health Tools and Perception of mHealth Intervention for Physical Activity and Sleep in Black Women
Authors: Liao Yue , Brown Kyrah K.
Published: January 2022

Black women of reproductive age are disproportionately affected by chronic health conditions and related disease risk factors such as physical inactivity and obesity. Health promotion studies need to focus on this population since optimizing preconception health will lead to improvement of both birth outcomes and the woman’s long-term health. mHealth interventions that utilize wearable sensors to provide personalized and timely feedback can be used to promote physical activity (PA). This study aimed to examine Black women’s wearable sensor usage and their perceptions about future mHealth interventions that target PA and sleep. Our analysis included 497 Black women (aged 18–47 years) who completed a cross-sectional online survey. Ninety-two percent of participants did not meet the recommended level of PA, and 32.3% reported poor sleep quality. More participants indicated interest in a remote PA program (77%) than an in-person one (73%). More than half of participants indicated interest in receiving personalized feedback messages based on wearable trackers about PA (58.1%) and sleep (63.5%). This perceived acceptability of remote intervention and wearable-based feedback messages did not differ by socioeconomic status. Remotely delivered mHealth interventions that utilize wearables can be a viable behavioral change strategy to promote PA and sleep quality in Black women.
The Refraction Assessment and the Electronic Trial Frame Measurement during Standing or Sitting Position Can Affect Postural Stability
Authors: Rossato Massimo , Nart Alessandra , Messina Giuseppe , Favro Francesco , Rossato Valentina , Rrutja Enxhi , Biancalana Vincenzo
Published: January 2022

Vision has been shown to influence body posture. The purpose of this study is to investigate the correlations between visual acuity and body postural control both in a standing and seated position. This cohort study included 37 patients examined using Adaptica’s (Italy) Kaleidos and VisionFit. Objective refraction was measured with Kaleidos both in a standing and seated position by the same operator and in the same environmental conditions. The parameters obtained with the device were binocular refraction, monocular refraction, pupil distance, pupil size, head tilt, gaze, phorias, and tropias. The results obtained were then subjectively tested using VisionFit: an electronic trial frame with phoropter functionalities. The study’s outcome revealed that the differences in the visual acuity parameters obtained in standing and seated positions were statistically significant; the Student’s t-test showed a p-value < 0.001 in all parameter averages. Automated refraction is widely being performed and postural control can affect the visual acuity parameters; therefore, it is relevant to consider the possibility of measuring in orthostatism. It might be appropriate to take into account the possibility of measuring in orthostatism and wearing trial frames in orthostatic conditions as well as walking freely around the room, looking outside of a window, sitting, and reading.
Airborne Microorganism Inactivation by a UV-C LED and Ionizer-Based Continuous Sanitation Air (CSA) System in Train Environments
Authors: Baldelli Giulia , Aliano Mattia Paolo , Amagliani Giulia , Magnani Mauro , Brandi Giorgio , Pennino Carmelo , Schiavano Giuditta Fiorella
Published: January 2022

Improving indoor air quality present in environments where people live is important to protect human health. This particularly applies to public transportation, where air quality may affect the health and safety of passengers, workers and staff. To provide better air quality, many buildings and transports are provided with heating, ventilation and air conditioning (HVAC) systems, which are always equipped with filters to retain the particulate present in the airflow, but they lack continuous air sanitization systems. In this study, a new UV-C LED and ionizer-based continuous sanitation air (CSA) system to be installed in a train HVAC was developed (international patent: N.PCT/IB2021/054194) and its sanitation efficacy against various microbial species (bacteria and fungi) was assessed. The device proved to be very effective at the microbial killing of aerodispersed microorganisms, both in its experimental configuration (ISO 15714:2019) and in a train setting. The installation of this CSA system on public transportation appears to be a promising solution to guarantee high microbiological air quality with a very low environmental impact due to its eco-friendly components.