16 pages, 4061 KiB  
Article
Determining the Shear Strength and Permeability of Soils for Engineering of New Paddy Field Construction in a Hilly Mountainous Region of Southwestern China
by Zhen Han, Jiangwen Li, Pengfei Gao, Bangwei Huang, Jiupai Ni and Chaofu Wei
Int. J. Environ. Res. Public Health 2020, 17(5), 1555; https://doi.org/10.3390/ijerph17051555 - 28 Feb 2020
Cited by 15 | Viewed by 3548
Abstract
As a constructed wetland ecosystem, paddy field plays an irreplaceable role in flood storage and detention, groundwater replenishment, environmental protection, and ecological balance maintenance. New paddy field construction can give full play to the production and ecological functions of paddy field and can [...] Read more.
As a constructed wetland ecosystem, paddy field plays an irreplaceable role in flood storage and detention, groundwater replenishment, environmental protection, and ecological balance maintenance. New paddy field construction can give full play to the production and ecological functions of paddy field and can adjust the development structure of the agricultural industry effectively. The soil properties of shear strength and permeability, which provide a theoretical basis for engineering design, construction, and post-operation, are important indexes in the site selection of new paddy field. The shear strength and permeability properties of soils from different land use types (vegetable field, gentle slope dryland, corn field, grapery, and abandoned dryland) for engineering new paddy field construction were investigated in this study. The results showed that the soil water content had a significant effect on the soil shear strength, internal friction angle, and cohesion. The total pressure required for soil destruction decreased with increasing water content under the same vertical pressure, resulting in easier destruction of soils. The internal friction angle decreased with increasing soil water content, and the soil cohesion first increased and then decreased with increasing soil water content. Considering that paddy fields were flooded for a long time, the soil strength properties had certain water sensitivity. Effective measures must be taken to reduce the change in soil water content, so as to ensure the stability of the embankment foundation, roadside ditch foundation, and cutting slope. In addition, the influence of changing soil water content on the strength properties of paddy soils should be fully considered in engineering design and construction, and the soil bulk density at the plough pan should reach at least 1.5 g cm−3 or more to ensure better water retention and the anti-seepage function of paddy field. The study can provide construction technology for engineering new paddy field construction in a hilly mountainous region of southwestern China. Full article
(This article belongs to the Section Environmental Science and Engineering)
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12 pages, 999 KiB  
Article
The German Basic Psychological Needs Satisfaction in Physical Education Scale: Adaption and Multilevel Validation in a Sample of Sixth-Grade Girls
by David J. Sturm, Joachim Bachner, Stephan Haug and Yolanda Demetriou
Int. J. Environ. Res. Public Health 2020, 17(5), 1554; https://doi.org/10.3390/ijerph17051554 - 28 Feb 2020
Cited by 4 | Viewed by 4786
Abstract
(1) Background: Self-determination theory (SDT) claims that need supportive behavior is related to the satisfaction of the basic psychological needs: autonomy, relatedness and competence. The student–teacher relationship is of special interest to understand mechanisms of physical activity behavior change in physical education (PE). [...] Read more.
(1) Background: Self-determination theory (SDT) claims that need supportive behavior is related to the satisfaction of the basic psychological needs: autonomy, relatedness and competence. The student–teacher relationship is of special interest to understand mechanisms of physical activity behavior change in physical education (PE). (2) Methods: In this cross-sectional study, 481 girls answered a German version of the Basic Psychological Need Satisfaction (BPNS) in PE Scale. Contrary to previous studies, the psychometric properties of this scale were examined by multilevel confirmatory factor analysis. (3) Results: A model with three latent factors on both levels showed acceptable fit and all items showed significant factor loadings. Although one item was excluded due to psychometric reasons, the scale showed good internal consistencies; α = 0.85 at the individual level and α = 0.84 at the class level. Subscales’ internal consistency at the individual levels was good, while at class level, the scores differed from poor to good. Small significant correlations of BPNS with moderate to vigorous physical activity support criterion validity. (4) Conclusion: The 11-item scale is a valid measurement tool to assess BPNS in PE and further application in the school setting would broaden the insights into the psychological impacts of SDT in PE. Full article
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10 pages, 592 KiB  
Article
The Mediating Effect of Community Identity between Socioeconomic Status and Sense of Gain in Chinese Adults
by Yanli Wang, Chao Yang, Xiaoyong Hu and Hong Chen
Int. J. Environ. Res. Public Health 2020, 17(5), 1553; https://doi.org/10.3390/ijerph17051553 - 28 Feb 2020
Cited by 20 | Viewed by 4157
Abstract
Background: Several studies have explored the positive relationship between socioeconomic status and sense of gain. However, little is known about the underlying mechanism between them. This study aimed to explore whether community identity had a mediating role between them among Chinese adults. Methods: [...] Read more.
Background: Several studies have explored the positive relationship between socioeconomic status and sense of gain. However, little is known about the underlying mechanism between them. This study aimed to explore whether community identity had a mediating role between them among Chinese adults. Methods: Data were collected from a nationally representative samples of 28,300 adults from the China Family Panel Studies. Socioeconomic status was assessed using individuals’ income and social status. Community identity was assessed through evaluation of the community’s public facilities, surrounding environment, surrounding security, neighborhood relationship, neighborhood assistance and feelings towards the community. Sense of gain was measured by evaluation of environmental conservation, gap between the rich and the poor, employment, education, medical treatment, housing, social security, and government corruption. Pearson’s correlation was used to examine the associations between major variables. Mediation analyses were performed to explore the mediating role of community identity between socioeconomic status and sense of gain. Results: Socioeconomic status was positively associated with sense of gain. Community identity played a mediating role between socioeconomic status and sense of gain. Conclusion: Community identity mediated the relationship between socioeconomic status and sense of gain. Promoting the mobility of socioeconomic status and actively intervening in community identity are conducive to improve sense of gain. Full article
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26 pages, 2493 KiB  
Article
Disparity in Risk Factor Severity for Early Childhood Blood Lead among Predominantly African-American Black Children: The 1999 to 2010 US NHANES
by Deniz Yeter, Ellen C. Banks and Michael Aschner
Int. J. Environ. Res. Public Health 2020, 17(5), 1552; https://doi.org/10.3390/ijerph17051552 - 28 Feb 2020
Cited by 58 | Viewed by 14587
Abstract
There is no safe detectable level of lead (Pb) in the blood of young children. In the United States, predominantly African-American Black children are exposed to more Pb and present with the highest mean blood lead levels (BLLs). However, racial disparity has not [...] Read more.
There is no safe detectable level of lead (Pb) in the blood of young children. In the United States, predominantly African-American Black children are exposed to more Pb and present with the highest mean blood lead levels (BLLs). However, racial disparity has not been fully examined within risk factors for early childhood Pb exposure. Therefore, we conducted secondary analysis of blood Pb determinations for 2841 US children at ages 1–5 years with citizenship examined by the cross-sectional 1999 to 2010 National Health and Nutrition Examination Survey (NHANES). The primary measures were racial disparities for continuous BLLs or an elevated BLL (EBLL) ≥5 µg/dL in selected risk factors between non-Hispanic Black children (n = 608) and both non-Hispanic White (n = 1208) or Hispanic (n = 1025) children. Selected risk factors included indoor household smoking, low income or poverty, older housing built before 1978 or 1950, low primary guardian education <12th grade/general education diploma (GED), or younger age between 1 and 3 years. Data were analyzed using a regression model corrected for risk factors and other confounding variables. Overall, Black children had an adjusted +0.83 µg/dL blood Pb (95% CI 0.65 to 1.00, p < 0.001) and a 2.8 times higher odds of having an EBLL ≥5 µg/dL (95% CI 1.9 to 3.9, p < 0.001). When stratified by risk factor group, Black children had an adjusted 0.73 to 1.41 µg/dL more blood Pb (p < 0.001 respectively) and a 1.8 to 5.6 times higher odds of having an EBLL ≥5 µg/dL (p ≤ 0.05 respectively) for every selected risk factor that was tested. For Black children nationwide, one in four residing in pre-1950 housing and one in six living in poverty presented with an EBLL ≥5 µg/dL. In conclusion, significant nationwide racial disparity in blood Pb outcomes persist for predominantly African-American Black children even after correcting for risk factors and other variables. This racial disparity further persists within housing, socio-economic, and age-related risk factors of blood Pb outcomes that are much more severe for Black children. Full article
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15 pages, 416 KiB  
Article
Relations among Romantic Myths, Offline Dating Violence Victimization and Cyber Dating Violence Victimization in Adolescents
by María-Jesús Cava, Sofía Buelga, Laura Carrascosa and Jessica Ortega-Barón
Int. J. Environ. Res. Public Health 2020, 17(5), 1551; https://doi.org/10.3390/ijerph17051551 - 28 Feb 2020
Cited by 61 | Viewed by 10215
Abstract
Cyber dating violence is an increasing problem with serious negative consequences for adolescents. Further knowledge about related variables is necessary to develop preventive strategies. The aim of this study was to analyze the correlations among cyber dating violence victimization (cyber-control and cyber-aggression), offline [...] Read more.
Cyber dating violence is an increasing problem with serious negative consequences for adolescents. Further knowledge about related variables is necessary to develop preventive strategies. The aim of this study was to analyze the correlations among cyber dating violence victimization (cyber-control and cyber-aggression), offline dating violence victimization (physical, verbal–emotional, and relational) and adolescents’ beliefs in myths of romantic love; and to examine possible differences in cyber-control victimization, cyber-aggression victimization and offline dating violence victimization (relational, physical and verbal–emotional) according to adolescents’ levels of belief (low vs. high) in myths of romantic love. The role of offline dating violence victimization (physical, verbal–emotional and relational) and romantic myths as predictor variables of cyber-control and cyber-aggression victimization was also explored. All these analyses were carried out separately with boys and girls. Of an initial sample of 919 adolescents, those who have had a dating relationship in the past year (492 adolescents, M = 15.10, SD = 1.59) were included. The regression analyses revealed that offline dating violence victimization and romantic myths were significant predictors of cyber-control and cyber-aggression victimization for both boys and girls, but explained variance was higher for girls. Verbal–emotional offline dating violence victimization was the main predictor of cyber-control victimization, and physical and relational offline dating violence victimizations were the main predictors of cyber-aggression victimization. These results can be useful for developing more effective offline and cyber dating violence prevention programs. Full article
13 pages, 1958 KiB  
Article
Selected Aspects of Navigation System Synthesis for Increased Flight Safety, Protection of Human Lives, and Health
by Milan Džunda, Peter Dzurovčin, Ivan Koblen, Stanislav Szabo, Jr., Edina Jenčová, Peter Čekan, Peter Korba, Ladislav Főző, Lucia Melníková, Alica Tobisová, Daniel Blaško and Jozef Galanda
Int. J. Environ. Res. Public Health 2020, 17(5), 1550; https://doi.org/10.3390/ijerph17051550 - 28 Feb 2020
Cited by 12 | Viewed by 3038
Abstract
Accurate navigation systems allow us to optimize the trajectory of flying objects and thus solve environmental problems in aviation and their impact on public health. In this paper, we present one of the methods of assessment of accuracy and resistance to interference of [...] Read more.
Accurate navigation systems allow us to optimize the trajectory of flying objects and thus solve environmental problems in aviation and their impact on public health. In this paper, we present one of the methods of assessment of accuracy and resistance to interference of distance-measuring equipment (DME). By using computer technology, the method enables us to determine the potential but also the real error measuring the distance of the flying object from DME. The credibility of the respective results of the solution on the task of DME optimal rangefinder synthesis depends on the accuracy of the previous data used, i.e., mathematical models of the respective flying objects flight dynamics, useful signals, and their parameters and interference. DME systems have an impact on air transport safety, and therefore the impact of interference on their operation must be investigated. Full article
(This article belongs to the Special Issue Environmental Issues in Aerospace and their Impact on Public Health)
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9 pages, 626 KiB  
Article
The Effects of Dog Walking on Gait and Mobility in People with Parkinson Disease: A Pilot Study
by Suzanne O’Neal, Megan Eikenberry and Byron Russell
Int. J. Environ. Res. Public Health 2020, 17(5), 1549; https://doi.org/10.3390/ijerph17051549 - 28 Feb 2020
Cited by 1 | Viewed by 3368
Abstract
The objective of this study was to assess the effects of dog walking on gait and mobility in people with Parkinson disease (PD). This single-group, single-session, observational pilot study included nineteen participants with PD in Hoehn and Yahr stages II (n = [...] Read more.
The objective of this study was to assess the effects of dog walking on gait and mobility in people with Parkinson disease (PD). This single-group, single-session, observational pilot study included nineteen participants with PD in Hoehn and Yahr stages II (n = 9) and III (n = 10). Primary measures were a gait analysis and the Timed Up and Go (TUG). Three trials of two conditions (walking with and without a dog) were completed. Walking with a dog resulted in slower gait velocity (mean difference = 0.11 m/s, p = 0.003, d = 0.77), shorter step length (left: mean difference = 7.11 cm, p = 0.000; right: mean difference = 3.05, p = 0.01), and stride length (left: mean difference = 7.52, p = 0.003; right: mean difference = 8.74, p = 0.001). The base of support was more narrowed (Z = −2.13, p = 0.03), with increased double limb stance time (left: Z = −2.89, p = 0.004; right: Z = −2.59, p = 0.01). Walking with a dog caused slower TUG times (mean difference = −1.67, p = 0.000) and increased number of steps (Z = −3.73, p = 0.000). No significant change shown in step time (left: mean difference = −0.001, p = 0.81; right: mean difference = 0.002, p = 0.77) or cadence (Z = −1.67, p = 0.10). In conclusion, there was an overall decline of gait parameters in people with PD when walking with a dog. Full article
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10 pages, 650 KiB  
Article
Comparing the Climatic and Landscape Risk Factors for Lyme Disease Cases in the Upper Midwest and Northeast United States
by Yuting Dong, Zheng Huang, Yong Zhang, Yingying X.G. Wang and Yang La
Int. J. Environ. Res. Public Health 2020, 17(5), 1548; https://doi.org/10.3390/ijerph17051548 - 28 Feb 2020
Cited by 12 | Viewed by 4363
Abstract
Lyme disease, recognized as one of the most important vector-borne diseases worldwide, has been increasing in incidence and spatial extend in United States. In the Northeast and Upper Midwest, Lyme disease is transmitted by Ixodes scapularis. Currently, many studies have been conducted [...] Read more.
Lyme disease, recognized as one of the most important vector-borne diseases worldwide, has been increasing in incidence and spatial extend in United States. In the Northeast and Upper Midwest, Lyme disease is transmitted by Ixodes scapularis. Currently, many studies have been conducted to identify factors influencing Lyme disease risk in the Northeast, however, relatively few studies focused on the Upper Midwest. In this study, we explored and compared the climatic and landscape factors that shape the spatial patterns of human Lyme cases in these two regions, using the generalized linear mixed models. Our results showed that climatic variables generally had opposite correlations with Lyme disease risk, while landscape factors usually had similar effects in these two regions. High precipitation and low temperature were correlated with high Lyme disease risk in the Upper Midwest, while with low Lyme disease risk in the Northeast. In both regions, size and fragmentation related factors of residential area showed positive correlations with Lyme disease risk. Deciduous forests and evergreen forests had opposite effects on Lyme disease risk, but the effects were consistent between two regions. In general, this study provides new insight into understanding the differences of risk factors of human Lyme disease risk in these two regions. Full article
(This article belongs to the Special Issue Epidemiological, Mitigation and Economic Impact of Zoonoses)
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17 pages, 704 KiB  
Article
Incidence and Predictors of Cognitive Frailty Among Older Adults: A Community-based Longitudinal Study
by Nurul Fatin Malek Rivan, Suzana Shahar, Nor Fadilah Rajab, Devinder Kaur Ajit Singh, Normah Che Din, Hazlina Mahadzir, Noor Ibrahim Mohamed Sakian, Wan Syafira Ishak, Mohd Harimi Abd. Rahman, Zainora Mohammed and Yee Xing You
Int. J. Environ. Res. Public Health 2020, 17(5), 1547; https://doi.org/10.3390/ijerph17051547 - 28 Feb 2020
Cited by 69 | Viewed by 7818
Abstract
(1) Background: Cognitive frailty (CF) is the simultaneous presence of physical frailty and cognitive impairment with an increased risk of dementia. Considering that the risk factors of CF are mostly elucidated from cross-sectional studies, we conducted a community-based longitudinal study to determine the [...] Read more.
(1) Background: Cognitive frailty (CF) is the simultaneous presence of physical frailty and cognitive impairment with an increased risk of dementia. Considering that the risk factors of CF are mostly elucidated from cross-sectional studies, we conducted a community-based longitudinal study to determine the incidence and the predictors of CF among Malaysian older adults.; (2) Methods: Out of 490 older adults participating in the Malaysian Towards Useful Aging (TUA) study, 282 were successfully followed-up at five-years for an analysis of the CF incidence. CF was defined as a comorbid physical frailty (>1 Fried criteria) and mild cognitive impairment (Petersen criteria). A comprehensive interview-based questionnaire was administered for sociodemographic information, cognitive function, physical function, dietary intake, psychosocial, and biochemical indices. Univariate analyses were performed for each variable, followed by a regression analysis to identify the predictors of CF that accounted for confounding effects between the studied factors; (3) Results: The incidence rate of CF was 7.1 per 100 person-years. Advancing age (OR=1.12, 95% CI:1.04-1.21, p < 0.05), depression (OR=1.20, 95% CI:1.05-1.37, p < 0.05), decreased processing speed, assessed by a lower digit symbol score (OR=0.67, 95%CI:0.0.56-0.80, p < 0.05), decreased functional mobility measured using Timed-Up-and-Go (TUG) (OR=1.23, 95% CI:1.04-1.46, p < 0.05), low vitamin D intake (OR:0.36, 95% CI:0.14-0.93, p < 0.05) and physical frailty (OR=2.16, 95% CI:1.02-4.58, p < 0.05) were predictors for CF incidence; and (4) Conclusions: Our study results could be used as an initial reference for future studies to formulate effective preventive management and intervention strategies to decelerate CF development among older adults. Full article
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10 pages, 328 KiB  
Article
Impact of Status-Based Rejection Sensitivity on Depression and Anxiety Symptoms in Gay Men
by Joseph Slimowicz, Jedidiah Siev and Paula M. Brochu
Int. J. Environ. Res. Public Health 2020, 17(5), 1546; https://doi.org/10.3390/ijerph17051546 - 28 Feb 2020
Cited by 17 | Viewed by 5658
Abstract
Status-based rejection sensitivity refers to the anxious expectation and tendency to perceive rejection in ambiguous social scenarios based on one’s minority identification. This study evaluates the implications of sensitivity to rejection based on sexual orientation identity on negative mental health outcomes. Current minority [...] Read more.
Status-based rejection sensitivity refers to the anxious expectation and tendency to perceive rejection in ambiguous social scenarios based on one’s minority identification. This study evaluates the implications of sensitivity to rejection based on sexual orientation identity on negative mental health outcomes. Current minority stress models include rejection sensitivity as a factor that may contribute to adverse negative psychosocial outcomes in LGBT persons. This study evaluates the role of rejection sensitivity alongside demographically relevant predictors such as age, race, education, and level of sexuality disclosure in predicting the presence of significant depression and anxiety scores among a sample of gay men. Results indicate that rejection sensitivity, sexuality openness, and anxiety were significant predictors of depression symptoms, whereas age and depression were significant predictors of anxiety symptoms. This study supports the role of rejection sensitivity as a contributor to negative mental health outcomes among gay men, particularly as it pertains to internalizing mental health disorders. Full article
14 pages, 376 KiB  
Article
Environmental UVR Levels and Skin Pigmentation Gene Variants Associated with Folate and Homocysteine Levels in an Elderly Cohort
by Patrice Jones, Mark Lucock, Christopher J. Scarlett, Martin Veysey and Emma Beckett
Int. J. Environ. Res. Public Health 2020, 17(5), 1545; https://doi.org/10.3390/ijerph17051545 - 28 Feb 2020
Cited by 6 | Viewed by 3539
Abstract
Ultraviolet radiation (UVR) is a ubiquitous exposure which may contribute to decreased folate levels. Skin pigmentation mediates the biological effect of UVR exposure, but its relationship to folate levels is unexamined. Interactions may exist between UVR and pigmentation genes in determining folate status, [...] Read more.
Ultraviolet radiation (UVR) is a ubiquitous exposure which may contribute to decreased folate levels. Skin pigmentation mediates the biological effect of UVR exposure, but its relationship to folate levels is unexamined. Interactions may exist between UVR and pigmentation genes in determining folate status, which may, in turn, impact homocysteine levels, a potential risk factor for multiple chronic diseases. Therefore, independent and interactive influences of environmental UVR and genetic variants related to skin pigmentation (MC1R-rs1805007, IRF4-rs12203592 and HERC2-rs12913832) on folate (red blood cell (RBC) and serum) and homocysteine levels were examined in an elderly Australian cohort (n = 599). Genotypes were assessed by RT/RFLP-PCR, and UVR exposures were assessed as the accumulated erythemal dose rate accumulated over 4 months (4M-EDR). Multivariate analysis found significant negative associations between 4M-EDR and RBC folate (p < 0.001, β = −0.19), serum folate (p = 0.045, β = −0.08) and homocysteine levels (p < 0.001, β = −0.28). Significant associations between MC1R-rs1805007 and serum folate levels (p = 0.020), and IRF4-rs12203592 and homocysteine levels (p = 0.026) occurred but did not remain significant following corrections with confounders. No interactions between 4M-EDR and pigmentation variants in predicting folate/homocysteine levels were found. UVR levels and skin pigmentation-related variants are potential determinants of folate and homocysteine status, although, associations are mixed and complex, with further studies warranted. Full article
(This article belongs to the Special Issue Gene-Nutrient-Environment Interactions)
18 pages, 1358 KiB  
Article
External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia
by Claudio Di Lorito, Alessandro Bosco, Kristian Pollock, Rowan H. Harwood, Roshan das Nair, Pip Logan, Sarah Goldberg, Vicky Booth, Kavita Vedhara, Maureen Godfrey, Marianne Dunlop and Veronika van der Wardt
Int. J. Environ. Res. Public Health 2020, 17(5), 1544; https://doi.org/10.3390/ijerph17051544 - 28 Feb 2020
Cited by 12 | Viewed by 5276
Abstract
Physical activity is beneficial for people with dementia. We previously developed a theoretical model to explain behaviour change in physical activity in dementia (PHYT-in-dementia). This study aimed to externally validate the model. Validation occurred through the process evaluation of a programme promoting activity [...] Read more.
Physical activity is beneficial for people with dementia. We previously developed a theoretical model to explain behaviour change in physical activity in dementia (PHYT-in-dementia). This study aimed to externally validate the model. Validation occurred through the process evaluation of a programme promoting activity in people with dementia (PrAISED 2). Twenty participants with dementia and their carers were interviewed to investigate their experience of the programme. The data were analysed through content analysis. The original constructs of the model were used as initial codes and new codes were generated, if elicited from the data. The constructs were also ranked, based on their frequency in the interviews. All of the original model constructs were validated and two novel constructs created: ‘personal history’ and ‘information/knowledge’. Certain constructs (e.g., support) were more frequently mentioned than others (e.g., personal beliefs). We suggested modifications and integrated them into a revised model. The PHYT-in-dementia recognised that dementia has an impact on motivation to initiate and maintain behaviour change over time. The model advocates that interventions adopt a more holistic approach than traditional behaviour change strategies. The suggested revisions require further validation to accurately predict behaviour change in physical activity in people with dementia. Full article
(This article belongs to the Collection Aging and Public Health)
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9 pages, 1820 KiB  
Article
Pacing and Performance Analysis of the World’s Fastest Female Ultra-Triathlete in 5x and 10x Ironman
by Caio Victor Sousa, Pantelis T. Nikolaidis, Vicente Javier Clemente-Suárez, Thomas Rosemann and Beat Knechtle
Int. J. Environ. Res. Public Health 2020, 17(5), 1543; https://doi.org/10.3390/ijerph17051543 - 27 Feb 2020
Cited by 5 | Viewed by 3069
Abstract
The aim of the present case study was to analyse the performance data of the world’s best female ultra-triathlete setting a new world record in a Quintuple (5xIronman) and Deca Iron (10xIronman) ultra-triathlon, within and between race days, and between disciplines (cycling and [...] Read more.
The aim of the present case study was to analyse the performance data of the world’s best female ultra-triathlete setting a new world record in a Quintuple (5xIronman) and Deca Iron (10xIronman) ultra-triathlon, within and between race days, and between disciplines (cycling and running) and races (Quintuple and Deca Iron ultra-triathlon). The subject was an elite female triathlete (52 kg, 169 cm) born in 1983. At the time of her world record in Quintuple Iron ultra-triathlon she had an age of 35 years and at the time of the world record in Deca Iron ultra-triathlon 36 years old. The distribution of time spent in each discipline and transitions was 8.48% in swimming, 51.67% cycling, 37.91% running, and 1.94% transitions. There was no difference between the race days of the average speed neither in cycling nor running. The running pace had a within-day variation larger than the cycling pace, and also varied more between race days. In conclusion, the world’s best female ultra-triathlete adopted a steady (even) pacing strategy for both cycling and running, without substantial variations within- or between race days, for both the world record in a Quintuple and a Deca Iron ultra-triathlon. Full article
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11 pages, 871 KiB  
Article
Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
by Giannicola Iannella, Bianca Vallicelli, Giuseppe Magliulo, Giovanni Cammaroto, Giuseppe Meccariello, Andrea De Vito, Antonio Greco, Stefano Pelucchi, Rossella Sgarzani, Ruggero Massimo Corso, Gloria Napoli, Giulia Bianchi, Salvatore Cocuzza, Antonino Maniaci and Claudio Vicini
Int. J. Environ. Res. Public Health 2020, 17(5), 1542; https://doi.org/10.3390/ijerph17051542 - 27 Feb 2020
Cited by 40 | Viewed by 5116
Abstract
Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty [...] Read more.
Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery. Full article
(This article belongs to the Special Issue Obstructive Sleep Apnea Syndrome: From Symptoms to Treatment)
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30 pages, 1384 KiB  
Article
Employing Participatory Citizen Science Methods to Promote Age-Friendly Environments Worldwide
by Abby C. King, Diane K. King, Ann Banchoff, Smadar Solomonov, Ofir Ben Natan, Jenna Hua, Paul Gardiner, Lisa Goldman Rosas, Patricia Rodriguez Espinosa, Sandra J. Winter, Jylana Sheats, Deborah Salvo, Nicolas Aguilar-Farias, Afroditi Stathi, Adriano Akira Hino, Michelle M. Porter and On behalf of the Our Voice Global Citizen Science Research Network
Int. J. Environ. Res. Public Health 2020, 17(5), 1541; https://doi.org/10.3390/ijerph17051541 - 27 Feb 2020
Cited by 91 | Viewed by 11817
Abstract
The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live. While “top–down” policy activities can have potentially wide impacts on such contexts, they often take time, resources, and political will, and therefore can be less [...] Read more.
The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live. While “top–down” policy activities can have potentially wide impacts on such contexts, they often take time, resources, and political will, and therefore can be less accessible to underserved communities. This article describes a “bottom–up”, resident-engaged method to advance local environmental and policy change, called Our Voice, that can complement policy-level strategies for improving the health, function, and well-being of older adults. Using the World Health Organization’s age-friendly cities global strategy, we describe the Our Voice citizen science program of research that has specifically targeted older adults as environmental change agents to improve their own health and well-being as well as that of their communities. Results from 14 Our Voice studies that have occurred across five continents demonstrate that older adults can learn to use mobile technology to systematically capture and collectively analyze their own data. They can then successfully build consensus around high-priority issues that can be realistically changed and work effectively with local stakeholders to enact meaningful environmental and policy changes that can help to promote healthy aging. The article ends with recommended next steps for growing the resident-engaged citizen science field to advance the health and welfare of all older adults. Full article
(This article belongs to the Special Issue Participatory Research in Health Promotion)
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