bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial
Authors: Zhang Yuting , Zhu Jiemin , Li Sen , Huang Lingling , Fang Qiyu , Zheng Xujuan 
Published: February 2023

BackgroundMany primiparous women usually encounter various parenting and mental health issues after childbirth. The effects of intervention based on internet platform on parenting and mental health outcomes for Chinese first-time mothers remain unknown during the COVID-19 pandemic. Therefore, our research aimed to evaluate the effectiveness of an internet-based support program (ISP) on maternal self-efficacy (MSE), postpartum depression (PPD) and social support for primiparous women amid the pandemic.MethodsA multicenter randomized controlled trial (RCT) was conducted. From May 2020 to March 2021, 242 primiparous women were recruited in the maternity wards of two hospitals in Shenzhen City, China and randomly assigned to the intervention group and the control group. Women in control group (n = 118) received the routine postpartum care, and women in intervention group (n = 118) accessed to the ISP intervention (expert education and peer support) and routine postpartum care. Intervention outcomes were measured at baseline before randomization (T0), post-intervention (T1), and three-month follow up (T2) through questionnaires. The chi-square (χ2), the independent sample t-test and the repeated measures multivariate analysis of covariance were performed, and the two-tailed p-value &lt;0.05 was regarded as statistically significant.ResultsIn comparison with women in the control group, women in the intervention group had a significantly higher score of MSE at T1 (mean: 73.53, standard deviation [SD]: 6.21) and at T2 (mean: 72.90, SD: 6.73); and a lower score of PPD at T1(mean: 6.03, SD: 2.50) and T2 (mean: 5.70, SD: 2.23); and a higher score of social support at T1 (mean: 45.70, SD: 3.73), but no significant difference at T2 (mean: 42.90, SD: 3.29).ConclusionsThe effect of ISP was evaluated to significantly increase the levels of MSE, social support, and to alleviate PPD symptoms for Chinese first-time mothers. As an effective and easily accessible intervention, ISP could become a significant source for health professionals to support primiparous women on parenting and mental health during the COVID-19 pandemic.Trial registrationThe trial is registered at the Chinese Clinical Trials Registry (ChiCTR2000033154).
Barriers to COVID-19 vaccine uptake among resource-limited adults diagnosed with chronic illness
Authors: Spees Lisa P. , Biddell Caitlin B. , Angove Rebekah S. M. , Gallagher Kathleen D. , Anderson Eric , Christenbury Ashley , Rocque Gabrielle , Wheeler Stephanie B. 
Published: February 2023

BackgroundDespite the use of interventions (e.g., monetary incentives, educational campaigns, on-site workplace vaccination) to increase COVID-19 vaccination, differences in uptake persist by poverty level, insurance status, geography, race, and ethnicity, suggesting that these interventions may not be adequately addressing the barriers faced by these populations. Among a sample of resource-limited individuals with chronic illnesses, we (1) described the prevalence of different types of barriers to the COVID-19 vaccination and (2) identified associations between patients' sociodemographic characteristics and barriers to vaccination.MethodsWe surveyed a national sample of patients with chronic illness and demonstrated healthcare affordability and/or access challenges about barriers to COVID-19 vaccination in July 2021. We categorized participant responses into cost, transportation, informational, and attitudinal barrier domains and assessed the prevalence of each domain, both overall and by self-reported vaccination status. Using logistic regression models, we examined unadjusted and adjusted associations between respondent characteristics (sociodemographic, geographic, and healthcare access) and self-reported barriers to vaccination.ResultsOf 1,342 respondents in the analytic sample, 20% (264/1,342) reported informational barriers and 9% (126/1,342) reported attitudinal barriers to COVID-19 vaccination. Transportation and cost barriers were reported much less commonly, by only 1.1% (15/1,342) and 0.7% (10/1,342) of the sample, respectively. Controlling for all other characteristics, respondents with either a specialist as their usual source of care or no usual source of care had an 8.4 (95% CI: 1.7–15.1) and 18.1 (95% CI: 4.3–32.0) percentage point higher predicted probability, respectively, of reporting informational barriers to care. Compared to females, males had an 8.4% point (95% CI: 5.5–11.4) lower predicted probability of reporting attitudinal barriers. Only attitudinal barriers were associated with COVID-19 vaccine uptake.ConclusionAmong a sample of adults with chronic illnesses who had received financial assistance and case management services from a national non-profit, informational and attitudinal barriers were more commonly reported than logistical or structural access barriers (i.e., transportation and cost barriers). Interventions should target attitudinal barriers among patients with chronic illness, who may have particular concerns about the interaction of the vaccine with ongoing medical care. Additionally, interventions targeting informational barriers are particularly needed among individuals without a usual source of care.
Industry-specific prevalence and gender disparity of common mental health problems in the UK: A national repetitive cross-sectional study
Authors: Chen Shanquan , Wang Yuqi 
Published: February 2023

AimsThe aim of the study was to evaluate the prevalence and temporal trend of common mental health problems (CMHPs) in the UK by industrial classification from 2012–2014 to 2016–2018 while evaluating the corresponding gender disparities.MethodsWe used data from the Health Survey for England. CMPH was judged by a 12-item General Health Questionnaire. Industrial classifications were defined using the UK Standard Industrial Classification of Economic Activities. Data were fitted by the logistic models.ResultsIn this study, 19,581 participants covering 20 industries were included. In total, 18.8% of participants screened positive for CMHP in 2016–2018, which significantly increased from 16.0% in 2012–2014 [adjusted OR (AOR) = 1.17, 95% CI 1.08–1.27]. In 2016–2018, the prevalence of CMHP ranged from 6.2% in the industry of mining and quarrying to 23.8% in the industry of accommodation and food service activities. From 2012–2014 to 2016–2018, none of the 20 industries studied experienced significant decreases in the above prevalence; conversely, three industries saw significant increases, including wholesale and retail trade, repair of motor vehicles and motorcycles (AOR for trend = 1.32, 95% CI 1.04–1.67), construction (AOR for trend = 1.66, 95% CI 1.23–2.24), and other service activities, which cannot be classified (AOR for trend = 1.94, 95% CI 1.06–3.55). In total, 11 of the 20 industries studied had significant gender disparities against women, with the smallest gap being in the industry of transport and storage (AOR = 1.47, 95% CI 1.09–2.0) and the highest in the industry of arts, entertainment, and recreation (AOR = 6.19, 95% CI 2.94–13.03). From 2012–2014 to 2016–2018, gender disparities were narrowed only in two industries, including human health and social work activities (AOR for trend = 0.45, 95% CI 0.27–0.74), and transport and storage (AOR for trend = 0.5, 95% CI 0.27–0.91).ConclusionThe prevalence of CMHPs has increased and had a wide variation across industries in the UK. There were disparities against women, and the gender disparities have been keeping almost no improvement from 2012–2014 to 2016–2018.
Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review
Authors: Wu Meng-Chieh , Hung Chia-Chun , Fang Su-Chen , Lee Tony Szu-Hsien 
Published: February 2023

BackgroundImproper or insufficient treatment of mental health illness harms individuals, families, and society. When psychiatric treatment shifts from a hospital-based to a community-based health care system, risk management is essential to the provision of effective care.ObjectiveWe examine whether an upgrade in home visit frequency of psychiatric patients as identified by public health nurses can predict the subsequent need for emergency escort services for medical treatment.DesignA 2-year retrospective medical record review.Setting(s)A district of New Taipei City in Taiwan.ParticipantsA total of 425 patients with a diagnosed mental health illness cared for through home visits by public health nurses from January 2018 to December 2019.MethodsWe accessed the Ministry of Health and Welfare's psychiatric care management information system to identify a set of medical records, and analyzed these records using chi-square and regression analyses.ResultsThe analyses indicated that the groups experiencing the greatest need for emergency escort services were: male, 35–49 years old, with a senior high school level of education, without a disability identification card, with a schizophrenia diagnosis, and had been reported by the nurse as having progressed to a serious level. Nurses' increased frequency of home visits (an indicator that the patient's overall condition was worsening) and nurses' reports of increased severity of problems were significant predictors of the need for emergency escort services.ConclusionsThe nurses' adjustment of visit frequency based on the results of the visit assessment predicts the need for emergency escort services for mental patients. The findings support not only the professional roles and functions of public health nurses, but also the importance of strengthening psychiatric health community support services.
COVID-19 and parents of children with epilepsy: Experiences and positive changes
Authors: Koliouli Flora , Andrianakou Marianna 
Published: February 2023

IntroductionThe aim of this study is to explore the ways that parents with children or adolescents with epilepsy (CAWE) experienced the restrictive measures, as well as the stressors and challenges that they had to face.MethodsWe employed an experiential approach and fifteen Greek-speaking parents answered to an in-depth semi-structured interview, during the second lockdown period. Data were analyzed through the Thematic Analysis (TA).ResultsThe emerging themes were the challenges encountered in terms of medical monitoring, the “stay-home” impact on their everyday lives as a family, their psycho-emotional responses. More specifically, parents identified the irregular doctor appointments and their struggle to access the hospital services as the most important challenges. Moreover, parents reported that the “stay-home” impact has disrupted their children's daily routines among others. Finally, parents highlighted their emotional strain and worries experienced during the lockdown along with the positive changes that occurred.
School-based intervention on behavioral intention of adolescents regarding healthy diet in India
Authors: Jha Sweety Suman , Dobe Madhumita , Taklikar Chandrashekhar , Lahiri Arista 
Published: February 2023

IntroductionAdolescence is a distinctive period of life when intense physical, psychological, and cognitive development occurs. A healthy diet helps prevent various forms of malnutrition and non-communicable diseases (NCDs) like diabetes, heart disease, stroke, and cancer. The current study aimed to assess the change in behavioral intentions (measured based on the TPB) toward healthy dietary practices through health promotion intervention among adolescents studying in selected schools in an urban area of West Bengal, IndiaMethodsThe current study was a non-randomized controlled interventional study conducted among adolescents in either seventh, eighth, ninth, or tenth grades and aged between 12 and 16 years. Two-step cluster analysis with maximum likelihood estimation identified the intenders of a healthy diet. The intervention effect was measured using Relative Risk (RR) for being in the higher intention cluster through Generalized Linear Model (GLM) with a log-linear link under Poisson distribution assumptions and robust standard errors. A P-value of 0.05 or lesser was considered statistically significant.ResultsThere was no statistically significant difference in the mean score of “Attitude” in both groups. The mean score of “Subjective Norm” among the intervention group increased after intervention, and the difference was statistically significant. The mean score of “Perceived behavioral control” in the intervention group increased after the intervention, but the difference was statistically not significant. The intervention group's post-intervention proportion of intenders increased, and the difference was statistically significant. The relative risk of becoming an intender for healthy diet consumption in the Intervention group compared to the Control group was 2.07 (1.44–2.97).ConclusionsThe intervention package effectively brought about a positive change in behavioral intention toward healthy dietary practices among adolescents. Model-based and construct-oriented intervention packages can be adopted in school-setting to promote behavioral intention toward a healthy diet.
Development and initial validation of questionnaire on predictors for the use of hearing protection devices among noise exposed manufacturing workers in Tanzania: A methodological study
Authors: Nyarubeli Israel Paul , Tungu Alexander Mtemi , Pallesen Ståle , Moen Bente Elisabeth , Mamuya Simon Henry David 
Published: February 2023

IntroductionThe use of hearing protection devices (HPDs) has been an intervention of choice in many workplaces such as in the construction industry for quite some time due to impractical effects of engineering and administrative interventions. Questionnaires for assessment for HPDs use among construction workers have been developed and validated in developed countries. However, there is limited knowledge of the same, among manufacturing workers in developing countries that are assumed to have a different culture, work organizations and production processes.MethodsWe conducted a stepwise methodological study to develop a questionnaire to predict the use of HPDs among noise exposed workers in manufacturing factories in Tanzania. The questionnaire included 24 items and was developed through rigorous and systematic procedures involving three steps; (i) item formulation that involved two experts, (ii) expert content review and item rating that involving eight experts with vast experience in the field, and (iii) a field pre-test that involved 30 randomly selected workers from a factory with similar characteristics as a planned study site. A modified Pender's Health Promotion Model was adopted in the questionnaire development. We analyzed the questionnaire in terms of content validity and item reliability.ResultsThe 24 items were categorized into seven domains i.e., perceived self-efficacy, perceived susceptibility, perceived benefits, perceived barriers, interpersonal influences, situational influences and safety climate. The score for content validity for each item was satisfactory as the content validity index ranged between 0.75 to 1.00 for clarity, relevance, and essentiality criteria. Similarly, the scores for the content validity ratio (for all items) were 0.93, 0.88 and 0.93 for clarity, relevance, and essentiality, respectively. In addition, the overall value for Cronbach's alpha was 0.92 with domain coefficients: perceived self-efficacy 0.75; perceived susceptibility 0.74; perceived benefits 0.86; perceived barriers 0.82; interpersonal influences 0.79; situational influences; 0.70; and safety climate 0.79. The mean inter-item correlation was 0.49 suggesting good internal consistency.Discussion and conclusionThe developed and preliminary validated questionnaire can be used to predict the HPDs use among noise exposed manufacturing factory workers. Future surveys using this questionnaires warranted for further validation of the scale developed.
UAV multispectral multi-domain feature optimization for the air-to-ground recognition of outdoor injured human targets under cross-scene environment
Authors: Qi Fugui , Xia Juanjuan , Zhu Mingming , Jing Yu , Zhang Linyuan , Li Zhao , Wang Jianqi , Lu Guohua 
Published: February 2023

ObjectiveUAV-based multispectral detection and identification technology for ground injured human targets, is a novel and promising unmanned technology for public health and safety IoT applications, such as outdoor lost injured searching and battlefield casualty searching, and our previous research has demonstrated its feasibility. However, in practical applications, the searched human target always exhibits low target-background contrast relative to the vast and diverse surrounding environment, and the ground environment also shifts randomly during the UAV cruise process. These two key factors make it difficult to achieve highly robust, stable, and accurate recognition performance under the cross-scene situation.MethodsThis paper proposes a cross-scene multi-domain feature joint optimization (CMFJO) for cross-scene outdoor static human target recognition.ResultsIn the experiments, we first investigated the impact severity of the cross-scene problem and the necessity to solve it by designing 3 typical single-scene experiments. Experimental results show that although a single-scene model holds good recognition capability for its scenes (96.35% in desert scenes, 99.81% in woodland scenes, and 97.39% in urban scenes), its recognition performance for other scenes deteriorates sharply (below 75% overall) after scene changes. On the other hand, the proposed CMFJO method was also validated using the same cross-scene feature dataset. The recognition results for both individual scene and composite scene show that this method could achieve an average classification accuracy of 92.55% under cross-scene situation.DiscussionThis study first tried to construct an excellent cross-scene recognition model for the human target recognition, named CMFJO method, which is based on multispectral multi-domain feature vectors with scenario-independent, stable and efficient target recognition capability. It will significantly improve the accuracy and usability of UAV-based multispectral technology method for outdoor injured human target search in practical applications and provide a powerful supporting technology for public safety and health.
Vague language and context dependence
Authors: Lim Wooyoung , Wu Qinggong 
Published: February 2023

In this paper, we broaden the existing notion of vagueness to account for linguistic ambiguity that results from context-dependent use of language. This broadened notion, termedliteral vagueness, necessarily arises in optimal equilibria in many standard conversational situations. In controlled laboratory experiments, we find that, despite the strategic complexity in its usage, people can indeed use literally vague language to effectively transmit information. Based on the theory and the experimental evidence, we conclude that context dependence is an appealing explanation for why language is vague.JEL classification numbersC91, D03, D83.
A Post-Lockdown Assessment of Albendazole Treatment Coverage in Mass Drug Administration Campaigns Implemented Before and During COVID-19 Pandemic in Ekiti, Southwest Nigeria
Authors: Mogaji Hammed O. , Okoh Hilary I. , Lawal Abiodun M. , Ojo Kayode H. , Marcus Ayodele J. , Aaron Nwana O. , Adeleye Damilola R. , Olamiju Francisca O. , Ekpo Uwem F. 
Published: February 2023

Objective: This study assessed the coverage of albendazole (ALB) in mass drug administration (MDA) programs implemented before (2019) and during the (2020 and 2021) COVID-19 pandemic in Ekiti State, Nigeria.Methods: Standardized questionnaires were administered to 1,127 children across three peri-urban communities to ascertain if they received and swallowed ALB across the years. Reasons, why ALB was not received, were documented and analyzed in SPSS. 20.0.Results: In 2019, the medicine reach was between 42.2%–57.8%, however, during the pandemic, the reach significantly reduced to 12.3%–18.6%, and increased to 28.5%–35.2% in 2021 (p &lt; 0.000). About 19.6%–27.2% of the participants have missed 1 MDA, while 26.9%–37.8% and 22.4%–32.8% have missed 2 and 3 MDAs, respectively. The majority who did not receive ALB (60.8%–75%) claimed drug distributors never came, while about 14.9%–20.3% mentioned they did not hear about MDA. However, individual compliance towards swallowing was above 94% across the study years (p &lt; 0.00).Conclusion: These results highlight the need to explore the perceptions of those who have consistently missed MDAs, and also understand the health-system-related issues including those imposed by the pandemic affecting MDA.
Characterization of Phage vB_SalM_SPJ41 and the Reduction of Risk of Antibiotic-Resistant Salmonella enterica Contamination in Two Ready-to-Eat Foods
Authors: Li Tengteng , Chen Hong , Zhao Jiayi , Tao Zhenxiang , Lan Weiqing , Zhao Yong , Sun Xiaohong 
Published: February 2023

Salmonella enterica is a major cause of foodborne illness, and the emergence of antibiotic-resistant bacteria has led to huge pressures on public health. Phage is a promising strategy for controlling foodborne pathogens. In this study, a novel Salmonella phage vB_SalM_SPJ41 was isolated from poultry farms in Shanghai, China. Phage vB_SalM_SPJ41 was able to lyse multiple serotypes of antibiotic-resistant S. enterica, including S. Enteritidis, S. Typhimurium, S. Shubra, S. Derby, and S. Nchanga. It had a short incubation period and was still active at a temperature <80 °C and in the pH range of 3~11. The phage can effectively inhibit the growth of S. enterica in liquid culture and has a significant inhibitory and destructive effect on the biofilm produced by antibiotic-resistant S. enterica. Moreover, the phage was able to reduce S. Enteritidis and MDR S. Derby in lettuce to below the detection limit at 4 °C. Furthermore, the phage could reduce S. Enteritidis and S. Derby in salmon below the limit of detection at 4 °C, and by 3.9 log10 CFU/g and· 2.1 log10 CFU/g at 15 °C, respectively. In addition, the genomic analysis revealed that the phages did not carry any virulence factor genes or antibiotic resistance genes. Therefore, it was found that vB_SalM_SPJ41 is a promising candidate phage for biocontrol against antibiotic-resistant Salmonella in ready-to-eat foods.