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Fulltext Perceptions of Quality of Life during the Pandemic: A Case Study on B40 Single Mothers

Zakaria SM, Abdullah N, Md Akhir N, Amin AS, Mohd Shukry ANA, Abdul Rashid MR, et al.

Int J Environ Res Public Health, 2022 Sep 27;19(19).
PMID: 36231521 DOI: 10.3390/ijerph191912219

During the pandemic, the lives of B40 single mothers were severely affected, especially in terms of social, economic, and psychological factors. The reduction of income caused by the crisis has forced single mothers and their children to live frugally and without luxury. They also had to perform more than one job at a time during the pandemic to meet their children's needs. A qualitative study has been conducted to explore the perceptions of quality of life during the pandemic among B40 single mothers. Respondents were selected based on demographic characteristics established before the study. A focus group discussion has been conducted on ten (10) B40 single mothers in Balik Pulau, Penang. Single mothers were selected based on purposive sampling. They had to meet the inclusive criteria required to participate in the study, specifically: aged between 20 and 60 years old, belonged to the B40 income category, had children under 18 years old living together, and became single mothers due to divorce or death of husbands. The focused group discussion explored issues related to qualities of life during the pandemic. B40 single mothers expressed their concern about access to health facilities, security in residence, children's education, and economic stability. These areas of life quality have been significantly affected especially during Movement Control Order (MCO). In short, the quality of life of these single mothers has been significantly affected by the pandemic. Their vulnerability towards stress, anxiety, and depression have worsened due to financial issues. Besides the need for emotional and social support, this study found that these single mothers entail financial support.
Fulltext The Mediating Role of Work Engagement in the Relationship between Executive Functioning Deficits and Employee Well-Being

Tan CS, Nasir H, Pheh KS, Cong CW, Tay KW, Cheong JQ

Int J Environ Res Public Health, 2022 Oct 17;19(20).
PMID: 36293965 DOI: 10.3390/ijerph192013386

Executive functioning and its related components have been found to promote well-being. However, there is a limited understanding of the underlying mechanism. Drawing from the job demands-resources and PERMA models, the present study examined the hypothetical mediating role of work engagement in the relationship between executive functioning deficit and well-being among 314 working adults in Malaysia. Participants answered a survey consisting of the Executive Skills Questionnaire-Revised (ESQ-R; a new measure of executive functioning deficits for working adults), Utrecht Work Engagement Scale, Employee Well-Being Scale, and Self-Rated Creativity Scale. Pearson correlation analysis showed that the ESQ-R score was negatively associated with all other target variables, while the latter was positively related to each other. Moreover, supporting the hypotheses, the results of mediation analysis using PROCESS macro found that work engagement mediated the negative relationship between executive functioning deficits and well-being after statistically controlling for the creativity score. The findings not only replicate the beneficial role of executive functioning in employees' well-being but also shed light on the underlying process of the relationship. Implications and directions for future studies are discussed.
Fulltext The Efficacy of Positive Education Intervention for Academic Boredom and Intrinsic Motivation among College Students: A Quasi-Experimental Study

Jie Z, Roslan S, Muhamad MM, Md Khambari MN, Zaremohzzabieh Z

Int J Environ Res Public Health, 2022 Oct 15;19(20).
PMID: 36293911 DOI: 10.3390/ijerph192013323

(1) Background: The influence of academic boredom and intrinsic motivation on students' learning and achievements is receiving more attention from scholars. Nevertheless, studies on how intervention decreases academic boredom and promotes intrinsic motivation during study remain unexplored. (2) Purpose: The purpose of this study is to investigate whether positive education intervention based on the PERMA model would help Chinese college students with learning-related academic boredom, class-related academic boredom, and intrinsic motivation. (3) Methods: This study is quasi-experimental research with a control group including pre-test and post-test. The study was conducted with 173 students, including 86 (n1 = 86) experimental and 87 (n2 = 87) control group students. (4) Results: Results revealed that students in the intervention condition reported significant reductions in learning-related academic boredom and class-related academic boredom, and significant increases in intrinsic motivation in comparison to their counterparts in the control group. (5) Conclusions: These findings indicate that positive education intervention for college students is a promising approach to reducing academic boredom and increasing intrinsic motivation among Chinese college students.
Fulltext Relationship between Different Dimensions of Workplace Spirituality and Psychological Well-Being: Measuring Mediation Analysis through Conditional Process Modeling

Ahmed RR, Soomro FA, Channar ZA, Hashem E AR, Soomro HA, Pahi MH, et al.

Int J Environ Res Public Health, 2022 Sep 07;19(18).
PMID: 36141514 DOI: 10.3390/ijerph191811244

The present study aims to identify the relationship between workplace spirituality, compassion, relationship with others at work, spiritual orientation, organizational value and alignment of personal values, and psychological well-being among universities' teachers. Further, the mediating effect of job stress was also identified between workplace spirituality and psychological well-being. Similarly, the mediation of environmental mastery between organizational values and alignment of personal values and psychological well-being was examined. Finally, we examined the mediation of personal growth between spiritual orientation and psychological well-being. The data were collected through a structured and adapted five-point Likert scale using a purposive sampling technique, with a total sample of 873 male and female university teachers working in the private and government universities. We employed structural equation modeling to check the relationship among the considered variables for analysis purposes. The results show a strong positive relationship between the independent and dependent variables. The findings further demonstrated that the mediation analysis confirms that job stress mediates the relationship between workplace spirituality and psychological well-being, and environmental mastery mediates between organizational values and alignment of personal values and psychological well-being. Finally, personal growth mediates between spiritual orientation and psychological well-being. To maintain the excellent quality of education, educational institutes need to identify and imply the practice of workplace spirituality that will help to reduce job stress and improve the psychological well-being of universities' teachers, thus resulting in better educational output.
Fulltext Perceived Risk for Dengue Infection Mediates the Relationship between Attitude and Practice for Dengue Prevention: A Study in Seremban, Malaysia

Ahmad Zamzuri M'I, Abd Majid FN, Dapari R, Hassan MR, Isa AMM

Int J Environ Res Public Health, 2022 Oct 14;19(20).
PMID: 36293856 DOI: 10.3390/ijerph192013252

Dengue remains a public health concern due to limited curative treatment and safe vaccine availability. Prevention by individual is utmost necessary but its practice is still lacking. Perceived risk to disease has been reported to exert a good effect on health behaviour change. However, limited evidence showed its relationship towards attitude and practice for dengue prevention. Hence, we aim to measure the mediating effect of dengue risk perception in the relationship between dengue attitude and dengue prevention practice. A cross-sectional study was conducted from April 2021 to November 2021 in a district of Seremban using a pre-validated questionnaire. Informed consent was obtained from the respondents prior to inclusion in the study. The study was approved by the ethical research committee. A total of 347 respondents took part in the survey, but only 341 data points were included in the final analysis. The majority of the respondents were female (63.0%), of Malay ethnicity (86.8%), married (55.4%), and currently employed (71.0%). The pooled confirmatory factor analysis result demonstrated an RMSEA value of 0.038 (<0.08), CFI value of 0.969 (>0.90), TLI value of 0.9565 (>0.90), and ChiSq/df = 1.479 (<3.0). All the hypotheses for direct effect yielded a significant and positive relationship. Bootstrapping analysis to test for mediation revealed a partial mediation effect as both indirect and direct effects are significant. Risk perception is a mediator variable between attitude and dengue prevention practice. Therefore, our recommendation is to increase health awareness activity that helps to improve individual's risk perception through active health promotion and a health educational campaign that inculcates dengue risk messages. Ultimately, this effort can enhance good health prevention behaviour.
Fulltext Bibliometric Analysis of the Research on the Impact of Environmental Regulation on Green Technology Innovation Based on CiteSpace

Li M, Wang X, Wang Z, Maqbool B, Hussain A, Khan WA

Int J Environ Res Public Health, 2022 Oct 14;19(20).
PMID: 36293848 DOI: 10.3390/ijerph192013273

With increasing environmental regulation (ER), the requirements for green technology innovation (GTI) in enterprises are also rising. However, there are relatively few systematic summaries of the themes of ER-affecting GTI. Adopting the method of bibliometrics and visual analysis, this research discusses the status of research and development trends of ER-affecting GTI and summarizes the research in this field. The paper takes 738 papers from 2001 to 2021 in the core database of Web of Science as the research sample. Based on CiteSpace, this paper makes a visual analysis of the number of published papers, institutions, authors, keywords, countries (regions) and journals. The study found that to some extent, favorable collaboration between authors and institutions in this field needs to be strengthened. Research hotspots in this field include innovation, technology, performance, policy and environmental regulation. Renewable energy consumption, the pollution haven hypothesis, sustainable development, carbon dioxide emission, energy technology and environmental Kuznets curve are the current research frontiers in this field. In terms of the number of published papers, research in this field has been conducted in a national (regional) layout with China as the core force, and Italy, America, Britain, Germany and other European countries as important forces. This field covers three main research areas: enterprise performance, policy instruments and research methods, going through the start-up phase (2001-2011), the growth phase (2012-2018) and the development phase (2019-2021). Future research can further incorporate the digital economy and synergy of multiple environmental regulation policies into this field, which will continuously enrich the theoretical research system in this field. The content, methods and conclusions of research in this field are becoming increasingly diverse.
Fulltext Associations between Schizotypal Facets and Symptoms of Disordered Eating in Women

Swami V, Barron D, Furnham A

Int J Environ Res Public Health, 2022 Sep 06;19(18).
PMID: 36141444 DOI: 10.3390/ijerph191811157

Research has suggested that schizotypy-a personality organisation representing latent vulnerability for schizophrenia-spectrum disorders-may be elevated in women with symptoms of disordered eating. However, studies have not fully considered associations between symptoms of disordered eating and multidimensional schizotypy. To overcome this limitation, we asked an online sample of 235 women from the United States to complete measures of symptoms of disordered eating (drive for thinness, body dissatisfaction, and bulimic symptoms) and multidimensional schizotypy. Correlational analyses indicated significant associations between drive for thinness and bulimic symptoms, respectively, and most schizotypal facets. Body dissatisfaction was significantly associated with only two schizotypal facets. Overall, the strength of correlations was weak-to-moderate. Regression results indicated that only the schizotypal feature of excessive social anxiety was significantly associated with all risk for disordered eating factors. These results are consistent with aetiological models of disordered eating that highlight socio-affective difficulties as risk factors for symptoms of disordered eating.
Fulltext Patient Outcomes following Immediate Tracheostomy and Emergency Decompressive Craniectomy in the Same Setting

Kumar R, Zenian MS, Maeng TY, Fadzil F, Mohd Azli AN

Int J Environ Res Public Health, 2022 Nov 26;19(23).
PMID: 36497820 DOI: 10.3390/ijerph192315746

Early tracheostomy is recommended for patients with severe traumatic brain injury or stroke. Tracheostomy in the same setting as emergency decompressive craniectomy, on the other hand, has never been investigated. Our goal was to compare the outcomes related to the duration of mechanical ventilation in patients who had immediate (IT) vs. early (ET) tracheostomy following an emergency decompressive craniectomy in a Neurosurgical centre in Sabah, Malaysia. We reviewed 135 patients who underwent emergency decompressive craniectomy for traumatic brain injury (TBI) and stroke patients between January 2013 and January 2018 in this retrospective cohort study. The cohort included 49 patients who received immediate tracheostomy (IT), while the control group included 86 patients who received a tracheostomy within 7 days of decompressive surgery (ET). The duration of mechanical ventilation, length of stay (LOS) in the critical-care unit, and intravenous sedation were significantly shorter in the IT group compared to the ET group, according to the study. There was no significant difference between the two groups in the incidence of ventilator-associated pneumonia (VAP), tracheostomy-related complications, or 30-day mortality rate. In conclusion, compared to early tracheostomy, immediate tracheostomy in the same setting as emergency decompressive craniectomy is associated with a shorter duration of mechanical ventilation and LOS in critical-care units with acceptable morbidity and mortality rates. This practise could be used in busy centres with limited resources, such as those where mechanical ventilators, critical-care unit beds, or OT wait times are an issue.
Fulltext Generating Trust in Participatory Research on Plasmodium knowlesi Malaria: A Study with Rural Community Gatekeepers during the COVID-19 Pandemic

Naserrudin NA, Culleton R, Pau Lin PY, Baumann SE, Hod R, Jeffree MS, et al.

Int J Environ Res Public Health, 2022 Nov 26;19(23).
PMID: 36497837 DOI: 10.3390/ijerph192315764

BACKGROUND: Plasmodium knowlesi malaria is a zoonotic infection that affects rural communities in South East Asia. Although the epidemiology of the disease has been extensively researched, the voices of individuals within affected communities often go unheard. Here, we describe a study that explores the importance of gatekeepers in conducting research among rural communities, their perspectives on the challenges encountered when attempting to avoid malaria infection, and their views on participatory research.
METHODS: Between 1 November 2021 and 28 February 2022, we conducted a study in Kudat district, Sabah, using a multi-method design. All participants consented to the study, which included health care workers (HCWs) (n = 5), community leaders (n = 8), and faith leaders (n = 1). We conducted interviews, transect walks, and observations with gatekeepers to ensure data trustworthiness. All interviews were conducted in the Sabah Malay dialect. The sessions were audio- and video-recorded, transcribed into English and analyzed using thematic analysis.
RESULTS: Between 2017 and 2021, the number of cases of P. knowlesi malaria detected in humans ranged from 35 to 87 in villages under the care of the Lotong primary health care clinic. The challenges in controlling malaria include social norms, lifestyles, socioeconomic factors, environmental factors, and limitations of basic resources. Critical discussions regarding participation with the gatekeepers identified that face-to-face interviews were preferable to online discussions, and influenced willingness to participate in future research.
CONCLUSION: This study was conducted among village gatekeepers during the COVID-19 pandemic and generated information to drive methodological changes, opening up new ideas by sharing perspectives on challenges in P. knowlesi malaria control among vulnerable communities. The study generated trust in the community and expanded knowledge regarding participation that is critical for future community-based studies.
Fulltext Social Connections and Self-Perceived Depression: An Enhanced Model for Studying Teenagers' Mental Wellbeing

Sarwar A, Islam MA, Mohiuddin M, Tareq MA, Siddika A

Int J Environ Res Public Health, 2022 Nov 27;19(23).
PMID: 36497866 DOI: 10.3390/ijerph192315791

The rising prevalence of depression among teenagers in Malaysia as well as globally makes it a vital issue to study. The purpose of this research is to examine the effects of social connection and self-perceived depression towards the improved mental wellbeing of the teenagers of Malaysia. Moreover, the mediating role of self-perceived depression on the improvement of the mental wellbeing of teenagers is examined in this study. This study followed a questionnaire-based approach. The sample of this study included 289 students aged between 15 and 19 years from Klang Valley, Malaysia. Prior permission was obtained from school authorities as well as from parents to allow their children to participate in the survey. To find out the structural relationship between the variables, PLS-SEM was utilized. This study finds that stronger social connections with family and friends may result in reduced self-perceived depression among Malaysian teenagers. Moreover, self-perceived depression among the teenagers surveyed had a negative effect on their improved mental wellbeing. The findings of this study will significantly affect how depression theories are currently understood and have consequences for social work, services, and policy interventions regarding teenagers in Malaysia.
Fulltext Current Evidence on the Association of Micronutrient Malnutrition with Mild Cognitive Impairment, Frailty, and Cognitive Frailty among Older Adults: A Scoping Review

Mustafa Khalid N, Haron H, Shahar S, Fenech M

Int J Environ Res Public Health, 2022 Nov 25;19(23).
PMID: 36497797 DOI: 10.3390/ijerph192315722

Micronutrient malnutrition is thought to play an important role in the cause of cognitive impairment and physical frailty. The purpose of this scoping review was to map current evidence on the association between micronutrient deficiency in blood and mild cognitive impairment, frailty, and cognitive frailty among older adults. The scoping review was conducted based on the 2005 methodological framework by Arksey and O'Malley. The search strategy for potential literature on micronutrient concentration in blood and cognitive frailty was retrieved based on the keywords using electronic databases (PubMed, Cochrane Library, Google Scholar, Ovid, and Science Direct) from January 2010 to December 2021. Gray literature was also included in the searches. A total of 4310 articles were retrieved and 43 articles were incorporated in the review. Findings revealed a trend of significant association between low levels of B vitamins (folate and vitamin B12), vitamin D, vitamin A, vitamin E, omega 3 fatty acid, and albumin, and high homocysteine levels in blood with an increased risk of mild cognitive impairment among older adults. The results also indicated that low vitamin D levels, albumin, and antioxidants (lutein and zeaxanthin) in blood were significantly associated with frailty among older adults, while β-cryptoxanthin and zeaxanthin in blood were inversely associated with the risk of cognitive frailty. Vitamin D and antioxidants seemed to be targeted nutrients for the prevention of cognitive frailty. In conclusion, a wide range of micronutrient deficiency was associated with either mild cognitive impairment or frailty; however, little evidence exists on the dual impairment, i.e., cognitive frailty. This scoping review can serve as preliminary evidence for the association between micronutrient deficiency in blood and mild cognitive impairment, frailty, and cognitive frailty among older adults and prove the relevancy of the topic for future systematic reviews.
Fulltext Influence of Salts on the Photocatalytic Degradation of Formic Acid in Wastewater

Che Abdul Rahim AN, Yamada S, Bonkohara H, Mestre S, Imai T, Hung YT, et al.

Int J Environ Res Public Health, 2022 Nov 26;19(23).
PMID: 36497814 DOI: 10.3390/ijerph192315736

Conventional wastewater treatment technologies have difficulties in feasibly removing persistent organics. The photocatalytic oxidation of these contaminants offers an economical and environmentally friendly solution. In this study, TiO2 membranes and Ag/TiO2 membranes were prepared and used for the decomposition of dissolved formic acid in wastewater. The photochemical deposition of silver on a TiO2 membrane improved the decomposition rate. The rate doubled by depositing ca. 2.5 mg of Ag per 1 g of TiO2. The influence of salinity on formic acid decomposition was studied. The presence of inorganic salts reduced the treatment performance of the TiO2 membranes to half. Ag/TiO2 membranes had a larger reduction of ca. 40%. The performance was recovered by washing the membranes with water. The anion adsorption on the membrane surface likely caused the performance reduction.
Fulltext Identification of Noise Levels for Skill Training Activities, Equipment, Machines and Power Tools at TVET Institutes in Malaysia

Abdul Rahim KA, Jewaratnam J, Che Hassan CR

Int J Environ Res Public Health, 2022 Nov 27;19(23).
PMID: 36497858 DOI: 10.3390/ijerph192315783

The use of various machines, equipment and power tools at TVET Institute causes the institute's environment to be exposed to noise hazards that are similar to the industry. However, not much data has been published regarding noise exposure at TVET institutes. This study was carried out to document the noise exposure of work activities training in public TVET institutes in Malaysia that implement skill training programs in metal fabrication, furniture manufacturing and automotive maintenance. The identification of excessive noise, task-based noise exposure monitoring and source measurement was conducted. The noise contribution from each work activity to the daily A-weighted noise exposure level and sound pressure level emitted by machines and equipment was documented. The findings of this study recorded 20 activities with task-based noise contribution to the daily A-weighted noise exposure level between 75.3 dB and 95 dB. Based on the findings, the training environment at the TVET institutes has a risk of operating with excessive noise. The documented data can be used in planning the implementation of suitable noise control measures in TVET institutes.
Fulltext Text Messages for Depression, Anxiety and Alcohol Abuse Therapy-Are Construction Guidelines Needed?

Rahman TFA, Nayan NM

Int J Environ Res Public Health, 2022 Nov 25;19(23).
PMID: 36497775 DOI: 10.3390/ijerph192315701

Despite the effectiveness of text messaging therapy in improving mental health conditions, limited attention has been paid to how the text messages are constructed. Thus, this study questions whether there is a need to develop a model of text message construction for mental health therapy. In this backdrop, this study reviews how a text message for mental health therapy is constructed, specifically focused on the process and guidelines. This study also aims to identify the research gap regarding the guideline of text message construction for mental health therapy and to identify mental health professionals' practices in text messaging therapy. In addition, the opinions of mental health professionals on the need to develop a text message construction guideline were also gathered. The findings from the literature review confirmed that there are still limited guidelines explaining the process of constructing text messages for mental health therapy. Meanwhile, results from the online survey found that mental health professionals expressed a high need to explore and develop a model of text message construction for mental health therapy. With this research gap addressed, this study proposes further research into the development of a text message construction model for mental health therapy.
Fulltext Urban Green Space and Subjective Well-Being of Older People: A Systematic Literature Review

Xu T, Nordin NA, Aini AM

Int J Environ Res Public Health, 2022 Oct 31;19(21).
PMID: 36361106 DOI: 10.3390/ijerph192114227

A growing number of articles have identified and reported the benefits and importance of urban green spaces for improving human well-being, but there is a significant knowledge gap regarding the impact of urban green spaces on the subjective well-being of older adults. The literature search (August 2015-August 2022) was derived from two major scientific databases, Google Scholar, and Web of Science. As a result, 2558 articles were found, 1527 of which were retrieved from WOS and the rest from Google Scholar. Bibliometric methods and VOSviewer software were used to screen and organize the articles in the relevant fields. Finally, 65 articles met the review criteria. The included studies aim to capture the benefits of various features of urban green spaces in meeting or enhancing the subjective well-being needs of older adults. The results of our review further support the existence of a strong link between older adults' subjective well-being and various features of urban green spaces, providing new insights for future in-depth reexamination and policy development. Furthermore, the relationship between urban green spaces and older adults' subjective well-being depends not only on the urban green spaces themselves but also on the characteristics of the older adult population that uses them.
Fulltext School Gardening, Cooking and Sports Participation Intervention to Improve Fruits and Vegetables Intake and Moderate-to-Vigorous Physical Activity among Chinese Children: Study Protocol for a Cluster Randomized Controlled Trial

Qi Y, Rong S, Liao K, Huo J, Lin Q, Hamzah SH

Int J Environ Res Public Health, 2022 Oct 28;19(21).
PMID: 36360973 DOI: 10.3390/ijerph192114096

Inadequate intake of fruits and vegetables (FV) and moderate-to-vigorous physical activity (MVPA) in children has become a global public health problem. Therefore, school-based gardening and cooking (SGC) and sports participation (SP) interventions may be effective in improving children's FV intake and MVPA. The aim of this study is to develop and evaluate the effectiveness of SGC and SP interventions on FV intake and MVPA among Chinese children. In this cluster randomized controlled trial study, 237 children in grades 4-5 from six public primary schools from Changsha, Hunan Province, China will be randomly assigned to: (1) a SGC and SP combined intervention group; (2) a SP intervention group; (3) a regular practice group. The intervention clusters will be implemented for a period of 6 months and follow up will be carried out after 12 months. The outcome will be collected using a combination of self-reported and objective measures. Primary outcomes will include children's FV intake and duration of MVPA per day, and secondary outcomes will included frequency and attitudes of FV intake and SP, in addition to other measures. Finally, a process evaluation will be used to analyze the facilitators and barriers to intervention implementation. Trial Registration: (Registration Number: ChiCTR2200064141).
Fulltext Biomechanics Analysis of the Firefighters' Thorax Movement on Personal Protective Equipment during Lifting Task Using Inertial Measurement Unit Motion Capture

Yunus MNH, Jaafar MH, Mohamed ASA, Azraai NZ, Amil N, Zein RM

Int J Environ Res Public Health, 2022 Oct 31;19(21).
PMID: 36361112 DOI: 10.3390/ijerph192114232

Back injury is a common musculoskeletal injury reported among firefighters (FFs) due to their nature of work and personal protective equipment (PPE). The nature of the work associated with heavy lifting tasks increases FFs' risk of back injury. This study aimed to assess the biomechanics movement of FFs on personal protective equipment during a lifting task. A set of questionnaires was used to identify the prevalence of musculoskeletal pain experienced by FFs. Inertial measurement unit (IMU) motion capture was used in this study to record the body angle deviation and angular acceleration of FFs' thorax extension. The descriptive analysis was used to analyze the relationship between the FFs' age and body mass index with the FFs' thorax movement during the lifting task with PPE and without PPE. Sixty-three percent of FFs reported lower back pain during work, based on the musculoskeletal pain questionnaire. The biomechanics analysis of thorax angle deviation and angular acceleration has shown that using FFs PPE significantly causes restricted movement and limited mobility for the FFs. As regards human factors, the FFs' age influences the angle deviation while wearing PPE and FFs' BMI influences the angular acceleration without wearing PPE during the lifting activity.
Fulltext Ecological Study of Sick Building Syndrome among Healthcare Workers at Johor Primary Care Facilities

Salvaraji L, Shamsudin SB, Avoi R, Saupin S, Kim Sai L, Asan SB, et al.

Int J Environ Res Public Health, 2022 Dec 19;19(24).
PMID: 36554980 DOI: 10.3390/ijerph192417099

INTRODUCTION: Persistent exposure to indoor hazards in a healthcare setting poses a risk of SBS. This study determines the prevalence of and risk factors for SBS among healthcare workers in health clinics.
METHODS: A cross-sectional study was conducted across four health clinics from February 2022 to May 2022. As part of the study, self-administered questionnaires were completed to determine symptoms related to SBS. An indoor air quality (IAQ) assessment was conducted four times daily for fifteen minutes at five areas in each clinic (laboratory, lobby, emergency room, pharmacy, and examination room).
RESULT: Most of the areas illustrated poor air movement (<0.15 m/s), except for the laboratory. The total bacterial count (TBC) was above the standard limit in both the lobby and emergency room (>500 CFU/m3). The prevalence of SBS was 24.84% (77) among the healthcare workers at the health clinics. A significant association with SBS was noted for those working in the examination room (COR = 2.86; 95% CI = 1.31; 6.27) and those experiencing high temperature sometimes (COR = 0.25; 95% CI = 0.11; 0.55), varying temperature sometimes (COR = 0.31; 95% CI = 0.003), stuffy air sometimes (COR = 0.17; 95% CI = 0.005; 0.64), dry air sometimes (COR = 0.20; 95% CI = 0.007; 0.64), and dust sometimes (COR = 0.25; 95% CI = 0.11; 0.60) and everyday (COR = 0.34; 95% CI = 0.14; 0.81). Only healthcare workers in the examination room (AOR = 3.17; 95% CI = 1.35; 7.41) were found to have a significant risk of SBS when controlling for other variables.
CONCLUSION: SBS is prevalent among healthcare workers at health clinics.
Fulltext Motivations Influencing Alipay Users to Participate in the Ant Forest Campaign: An Empirical Study

Wang S, Ibrahiem MH, Li M

Int J Environ Res Public Health, 2022 Dec 18;19(24).
PMID: 36554915 DOI: 10.3390/ijerph192417034

As one of the largest payment platforms in China, Alipay, launched a green behavior project called Ant Forest. The purpose of taking this initiative by Alipay is to make the world greener. This mobile application has motivated many users to plant millions of trees. However, minimal studies have been conducted to empirically disclose the factors that motivate Alipay users to participate in Ant Forest. A mixed-method approach is used to examine the factors influencing Alipay users to participate in Ant Forest and the level of satisfaction they got from it. The qualitative method was carried out through a structured questionnaire from 400 Alipay users and qualitative data from 20 users who have applied to Ant Forest and successfully planted trees. Additionally, alongside the mixed method employed to rationalize the relationship highlighted, a multiple regression model was employed to predict the value of a dependent variable (level of satisfaction) based on the value of several independent variables (namely, number of years engaged with Ant Forest activities, age, gender, profession, and education). The empirical results show that intrinsic motivations (enjoyment, social interaction, fulfilment, altruism) and extrinsic motivations (external rewards, competition) influence Alipay users to participate in the Ant Forest project. Further insights are presented in the concluding section for all stakeholders for environmental sustainability among the users of Alipay.
Fulltext Patients' Intention to Adopt Fintech Services: A Study on Bangladesh Healthcare Sector

Hassan MS, Islam MA, Sobhani FA, Hassan MM, Hassan MA

Int J Environ Res Public Health, 2022 Nov 19;19(22).
PMID: 36430018 DOI: 10.3390/ijerph192215302

Advancement in technology has facilitated the shift toward new financial services. Numerous industries have undergone a digital transformation because of the expansion of cashless payment systems and other cutting-edge technologies. This study aimed to identify the factors that stimulate the patient's intention to adopt fintech services in the Bangladesh healthcare sector. To facilitate the study, data were collected through survey questionnaires from different hospitals and diagnostic centers patients. A total of 279 patients responded to the survey. The study employed structural equation modelling to analyze the data using SMART PLS 3.2.9. The results revealed that a significant relationship exists between perceived ease of use, social influence, facilitating conditions, personal innovativeness, and perceived trust in fintech services, and the adoption intention of the patients. The results of the study are beneficial to the healthcare sector and fintech companies who wish to make necessary arrangements to advance the growth of cashless fintech-based transactions.

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