Message Fatigue and COVID-19 Vaccine Booster Uptake in the United States.

Dissemination of public health information plays an essential role in communicable disease control and prevention. However, widespread and repeated messaging could become counterproductive if it leads to avoidance and disengagement due to message fatigue. Americans have been inundated with accurate and inaccurate COVID-19 information from myriad sources since the start of the pandemic. Using the health belief model (HBM) as a guiding framework, this study examines COVID-19-related message fatigue among adults in the United States who have gotten at least one dose of a COVID-19 vaccine and the association between message fatigue and COVID-19 booster uptake and intentions. A special survey module of The COVID States Project was fielded between August and September 2022 (n = 16,546). Results showed moderately high levels of message fatigue among vaccinated individuals. Message fatigue was negatively associated with the likelihood of having gotten a COVID-19 booster and intentions to do so among those who had not yet received a booster, above and beyond variance explained by the HBM constructs. These findings underscore the importance of monitoring and mitigating COVID-19-related message fatigue in encouraging the public to stay up to date with COVID-19 vaccination.

Framing Youth Vaping Prevention Messages: The Role of Uncertainty Tolerance.

Vaping is the most prevalent form of tobacco use among youth in the United States. Motivated by the certainty effect in prospect theory, this study investigated the role of uncertainty tolerance as a potential moderator of the effects of gain- vs. loss-framed text messages for youth vaping prevention. Youth susceptible to future vaping (N = 536) were randomized to view a series of eight gain- or loss-framed text messages about the health consequences of vaping. Cognitive and affective responses to the messages as well as beliefs, attitude, and intentions about vaping were assessed post-exposure. Results showed an overall advantage of the loss frame on several outcomes. Additionally, an interaction between framing and uncertainty tolerance was observed for most outcomes such that the loss frame was more effective for those high in uncertainty tolerance, while the gain frame held a slight edge for those low in uncertainty tolerance. Findings from this study have implications for further engaging prospect theory in message framing research. They may also inform audience segmentation and targeted message design for youth vaping prevention efforts.

Separation of binary and ternary oil/water mixtures from a highly hydrophobic metal mesh.

A highly hydrophobic metal mesh has great potential for its application in oil/water separation due to its special wettability. However, most current oil/water separation devices are simple with limited separation capacity. A separation device based on a highly hydrophobic metal mesh was constructed for different types of oil/water mixtures. Experimental results show that the device not only can be used for the continuous separation of binary oil/water mixtures of any density ratios but also can realize the simultaneous separation of heavy oil/water/light oil ternary mixtures. This achievement is meaningful for practical applications, which will gain great interest in the future.

A Content Analysis of Social Support Messages about Environmental Breast Cancer Risk within Blogs for Mothers.

Bloggers can help stimulate online conversations among their readers about a variety of health topics, including breast cancer. However, in previous studies, researchers have not specifically examined supportive messages within an online blogger community that stem from an intervention where bloggers were provided with evidence-based information about breast cancer risk that they could tailor and disseminate to their readers. In the current study, we content analyzed 282 supportive messages within online conversations from participants in blogger communities over a 2-month period immediately following an intervention where the authors provided 74 bloggers who write about motherhood issues with an infographic based on evidence-based information from the Breast Cancer and the Environment Research Program (BCERP) about environmental breast cancer risk/prevention. Bloggers who shared information about their personal breast cancer risk generated a significantly higher number of blog reader comments than bloggers who did not share information about their personal breast cancer risk. Bloggers who cited breast cancer statistics in posts were more likely to draw esteem and emotional support from their readers. Bloggers' repetition of information from blog intervention messages was more likely to elicit esteem, informational, and emotional support from readers. Disclosure of a personal breast cancer diagnosis was associated with mixed types of social support messages. The theoretical and practical implications are discussed along with key limitations of the study and future directions for research in this area.

Culturally Appropriate Breast Cancer and Environmental Risk Messages: Targeting Racially and Ethnically Diverse Mothers.

The National Institute of Environmental Health Sciences (NIEHS)-funded Breast Cancer and Environment Research Program (BCERP) provides evidence-informed educational materials targeting mothers with daughters to help them engage in lifestyle changes to reduce their environmental risk of breast cancer. Building on a partnership we developed to disseminate these materials via social media, we teamed with mommy bloggers and readers to evaluate the cultural appropriateness of the information using evidence-based practices for message design. We sought to (1) identify cross-culture factors that speak to a broad group of mothers and culture-specific factors to integrate when targeting specific cultures and (2) capture cultural challenges mothers encounter when they share the information with family to understand the social context in which they receive, interpret, and act on risk-reducing messages. We conducted 50 interviews with racially and ethnically diverse bloggers/readers and thematically analyzed transcripts, comparing findings across cultures. Across cultures, mothers identified five key factors for ensuring cultural appropriateness, but with notable cultural differences: (1) incorporate diverse images, (2) provide more information specific to environmental and cultural risk, (3) heighten the message of "it's a family affair", (4) make behavioral changes feasible, and (5) use less text, more visuals. Across cultures, women experienced intergenerational communication challenges with family, which were tied to (1) lack of openness, (2) relational norms, and (3) generational resistance. Findings provide message design considerations for targeting mothers broadly or based on race/ethnicity and support the notion that the larger family system should be considered when disseminating cancer risk education.

Using graphic text-messaging to promote smoking cessation among first-generation Chinese and Korean male immigrants.

First-generation Chinese and Korean male immigrants in the United States are at high risk for tobacco use. This study pilot-tested a graphic, native-language text-messaging intervention to promote smoking cessation among these groups. First-generation Chinese and Korean male immigrant smokers (N = 71) were recruited from the Washington DC area. Participants were randomly assigned to one of four conditions based on a between-subjects 2 (graphic plus text or text-only messages) � 2 (quitline information or quitting tips) design. The text-messaging intervention included 30 text messages in total and lasted one month. Participants completed an expired air carbon monoxide (CO) assessment and self-reported measures at both baseline and follow-up. Results show that, from baseline to follow-up, participants' expired air CO levels decreased significantly (P = 0.001). Attitude toward quitting also became more positive (P = 0.028). Compared with text-only messages, graphic text messages produced greater positive changes in quitting attitudes (P = 0.039) and elicited greater fear response (P = 0.005). Compared with quitting tip messages, quitline information resulted in greater regret (P = 0.016) and fear (P = 0.051). These findings suggest that graphic text-messaging can be an effective method to promote smoking cessation among first-generation Chinese and Korean male immigrants.

Partnering With Mommy Bloggers to Disseminate Breast Cancer Risk Information: Social Media Intervention.

BACKGROUND: Women are concerned about reducing their breast cancer risk, particularly if they have daughters. Social media platforms, such as blogs written by mothers, are increasingly being recognized as a channel that women use to make personal and family health-related decisions. Government initiatives (eg, Interagency Breast Cancer and Environmental Research Coordinating Committee) and researchers have called for scientists and the community to partner and disseminate scientifically and community-informed environmental risk information. OBJECTIVE: We developed and evaluated a blog intervention to disseminate breast cancer and environmental risk information to mothers. We teamed with mommy bloggers to disseminate a message that we developed and tailored for mothers and daughters based on scientific evidence from the Breast Cancer and the Environment Research Program (BCERP). We posited that the intervention would influence women's exposure to, acceptance of, and beliefs about environmental risks while promoting their intention to adopt risk-reducing behaviors. METHODS: Using a quasi-experimental design, we recruited 75 mommy bloggers to disseminate the breast cancer risk message on their respective blogs and examined the impact of the intervention on (1) readers exposed to the intervention (n=445) and (2) readers not exposed to the intervention (comparison group; n=353). RESULTS: Following the intervention, blog reader scores indicating exposure to the breast cancer risk and prevention information were greater than scores of blog readers who were not exposed (or did not recall seeing the message; mean 3.92, SD 0.85 and mean 3.45, SD 0.92, respectively; P<.001). Readers who recalled the intervention messages also had higher breast cancer risk and prevention information satisfaction scores compared with readers who did not see (or recall) the messages (mean 3.97, SD 0.75 and mean 3.57, SD 0.94, respectively; P<.001). Blog readers who recalled seeing the intervention messages were significantly more likely to share the breast cancer risk and prevention information they read, with their daughters specifically, than readers who did not recall seeing them (χ21=8.1; P=.004). Those who recalled seeing the intervention messages reported significantly higher breast cancer risk and prevention information influence scores, indicative of behavioral intentions, than participants who did not recall seeing them (mean 11.22, SD 2.93 and mean 10.14, SD 3.24, respectively; P=.003). Most women ranked Facebook as their first choice for receiving breast cancer risk information. CONCLUSIONS: Results indicated that blog readers who were exposed to (and specifically recalled) the BCERP-adapted intervention messages from mommy bloggers had higher breast cancer risk and prevention information exposure scores and higher breast cancer risk and prevention information satisfaction and influence scores than those who did not see (or recall) them. Mommy bloggers may be important opinion leaders for some women and key to enhancing the messaging, delivery, and impact of environmental breast cancer risk information on mothers.

Metadata Correction: Partnering With Mommy Bloggers to Disseminate Breast Cancer Risk Information: Social Media Intervention.

[This corrects the article DOI: 10.2196/12441.].

New Insight into Gap Electrospinning: Toward Meter-long Aligned Nanofibers.

Gap electrospinning is a facile technique to produce aligned nanofibers useful for many applications, but its potential has not yet been fully exploited in nature, leading to the fiber length still limited to several tens of centimeters at present. In this work, we report a breakthrough in the production of well-aligned nanofibers with record length and efficiency. Using a suitable poly(vinylidene fluoride) solution and a pair of parallel plates that are substrate-free and negatively connected, we demonstrate the ease of this technique to prepare length-controllable aligned fibers in a wide range (≤125 cm). Because of the crucial roles of both the jet whipping instability that continuously drives the jet to span across the static plates and the negative voltage on the plates that effectively attracts the positively charged jet, the jet can be made to move back and forth over the superlarge gap to form ultralong aligned nanofibers. By introducing a projection method, we also redefine fiber alignment in a broader sense. This work is believed to provide a new insight into the nature of gap electrospinning, which will greatly expand the versatility of this technique to create devices for a myriad of applications.

Influence of grating parameters on the performance of a high-power blue external-cavity semiconductor laser.

The influence of grating parameters, including the diffraction efficiency and ruling density, on the performance of high-power blue external-cavity (EC) semiconductor lasers has been studied. We find that for the Littrow-type EC laser with a zeroth-order diffracted beam as a coupling output, the high zeroth-order diffraction efficiency benefits the high external light extraction efficiency, and the high first-order diffraction efficiency contributes to the low threshold current and the wide wavelength tuning bandwidth. By using a grating with a zeroth-order diffraction efficiency of 76% and a first-order diffraction efficiency of 11.5%, the external light extraction efficiency can reach up to 80% with an output power of more than 1200 mW and a tuning bandwidth of 3.6 nm. When a grating with a first-order diffraction efficiency of 58.5% and a zeroth-order diffraction efficiency of 28.6% is used, the threshold current is reduced by 46% at the central Fabry-Perot resonance wavelength. Moreover, a tuning bandwidth of 8.3 nm ranging from 442.2 nm to 450.5 nm with an output power of more than 500 mW is achieved. Besides, we also find that the high ruling density is helpful in obtaining narrow lasing linewidth, especially for the EC laser system injected with low current. By using a grating with a ruling density of 2400 grooves/mm, the spectral linewidth of the EC laser can be narrowed to be 0.02 nm with an operating current of 300 mA. As the injection current is increased, the lasing linewidth is little affected by the ruling density of the grating due to the broadened feedback spectrum by the flattening of gain spectrum. The results above shed light on the improvement of the performance of EC lasers by selecting appropriate parameters for the grating.

Exposure to the Tips From Former Smokers Campaign Among Adolescents in the United States.

INTRODUCTION: Evaluation of the Tips from Former Smokers (Tips) campaign in the United States so far has focused exclusively on adult smokers. This study provides evidence on the level of exposure to Tips among adolescents in the United States, an important secondary audience for the campaign. METHODS: Data came from the 2013 National Youth Tobacco Survey (N = 18 406). Exposure to Tips was measured by ad recall. Characteristics of adolescents reporting exposure versus no exposure were examined through a series of bivariate analysis linking exposure to smoking status, demographics, and important risk factors. RESULTS: Most adolescents in the United States (63%, 95% confidence interval [CI] = 60.6%, 65.3%) were exposed to at least one Tips ad. Current smokers (70.6%, 95% CI = 67.7%, 73.4%), noncurrent smokers (67.7%, 95% CI = 65.5%, 69.7%), and high-risk never-smokers (63.8%, 95% CI = 60.2%, 67.2%) reported greater exposure than low-risk never-smokers (60.7%, 95% CI = 57.8%, 63.5%; all P < .05). Those who reported exposure were more likely to be female; be older in age; be white (vs. Hispanic); live with a smoker; have less firm smoking rules in the family; have one or more friends using tobacco or are not sure; have been exposed to tobacco advertising from one or more sources; and have skipped classes in the past 30 days. CONCLUSIONS: Tips has significant reach among adolescents in the United States, particularly among those with smoking experience and those whose life environments include more pro-smoking influences. Close monitoring of the Tips' impact on this important population is needed. IMPLICATIONS: This study shows substantial adolescent awareness of the Tips campaign in the United States. This evidence has important implications for the comprehensive evaluation of the public health impact of Tips. So far research on Tips has focused almost entirely on adult smokers. Findings of this study suggest that the potential impact of Tips on adolescents, particularly those at high risk of smoking, should become an integral part of the evaluation research agenda.

The association between exposure to "Tips" and smoking-related outcomes among adolescents in the United States.

The Tips From Former Smokers ("Tips") campaign in the United States primarily targets adult smokers, but considers adolescents an important secondary audience. This study examines the association between exposure to Tips and smoking outcomes in the adolescent population in the United States. We analyzed data from the 2013 National Youth Tobacco Survey, a nationally representative, cross-sectional survey of middle- and high-school students in the United States (n = 18 406). Multivariate logistic regression was used to assess the relationships between exposure to Tips advertisements and quitting intentions among current smokers and smoking susceptibility among experimenters and never smokers. Among current smokers, exposure to one Tips ad (versus no exposure) was positively associated with intending to quit. Similar associations also emerged for higher levels of exposure but did not reach significance. Among never smokers, exposure to four and more ads (versus no exposure) was associated with lower smoking susceptibility. Exposure to Tips ads was unrelated to smoking susceptibility among experimenters. The associations observed in the study suggest an intricate, and generally favorable, relationship between campaign exposure and smoking-related outcomes among current smokers and never smokers. Close monitoring of the Tips' impact on the adolescent population is needed.

Adherence to the atrial fibrillation better care pathway and its associated factors among rural patients with atrial fibrillation in China: A cross-sectional study.

BACKGROUND: The atrial fibrillation better care (ABC) pathway is an effective strategy for the integrated management of atrial fibrillation (AF). Current data on adherence to the ABC pathway among rural patients with AF in China are limited. OBJECTIVES: To investigated adherence to the ABC pathway and its associated factors among rural patients with AF in China. METHODS: In the cross-sectional study, we recruited 870 rural patients with AF from July 2022 to July 2023 in China. AF-related sociodemographic and clinical data was collected. RESULTS: Among the 870 rural patients with AF, 437 (50.23 %) were male, 714 (82.07 %) were ≥65 years old. The level of adherence to ABC pathway was extremely low (5.75 %), and its associated factors included patients ≥75 years (compared with those <65 years, OR=0.165, 95 %CI: 0.065-0.417, P < 0.001), junior middle school and senior middle school education or above (compared with primary school education or below, OR=3.441, 95 %CI: 1.144-10.351, P = 0.028; OR=11.438, 95 %CI: 3.758-34.814, P < 0.001), average monthly household income per capita 1000-3000 RMB and >3000 RMB (compared with <1000 RMB, OR=3.993, 95 %CI: 1.343-11.877, P = 0.013; OR=4.474, 95 %CI: 1.478-13.541, P = 0.008), persistent AF (compared with paroxysmal AF, OR=0.062, 95 %CI: 0.008-0.466, P = 0.007) and multimorbidity (OR=0.356, 95 %CI: 0.163-0.781, P = 0.010). CONCLUSIONS: There is an urgent need to develop targeted interventions and national policies to improve the adherence to the ABC pathway of rural AF patients in China.

Framing Effects in Youth E-Cigarette Use Prevention: Individual Text Messages Versus Simulated Text Exchanges.

Electronic cigarettes are the most widely used tobacco product among youth in the United States. Although rapidly growing, research on effective message strategies for e-cigarette use prevention is still limited. This study examined the relative effectiveness of gain framing versus loss framing in youth-targeting prevention text messages delivered either as individual expository texts or simulated text exchanges between a youth patient and a pediatrician. A national sample of 1,084 youth susceptible to future e-cigarette use was randomized to condition in an online message testing experiment featuring a 2 (framing: gain vs. loss) × 2 (format: individual texts vs. simulated exchange) factorial design. Results revealed a consistent interaction between framing and messaging format in message liking, positive affect, attitude toward e-cigarette use, and future e-cigarette use intentions. The gain frame outperformed the loss frame in the simulated exchange conditions while the reverse trend was true for the individual text conditions. Furthermore, the main effect of messaging format was significant on multiple outcomes in favor of simulated text exchanges. The main effect of framing was only significant on negative affective response with the loss frame eliciting stronger responses. These findings suggest that the relative effectiveness of gain framing versus loss framing depends on how messages are presented in youth-targeting text messaging interventions. When messages are likely to be delivered in a discrete manner, the loss frame should be preferred. When greater interactivity and narrative development are possible, the gain frame should be favored. E-cigarette prevention efforts should leverage these insights to enhance message effectiveness.

The effect of natural and socioeconomic factors on haze pollution from global and local perspectives in China.

Analyzing the factors that cause haze and the regional differences in the influence of factors on haze is the premise and critical to precise prevention and control of haze pollution. This paper explores the global effects of haze pollution drivers and the spatial heterogeneity of factors on haze pollution using global and local regression models. The results show that, from a global perspective, a 1 µg/m3 increase in the average PM2.5 concentration of a city's neighbors will increase the city's PM2.5 concentration by 0.965 µg/m3. Temperature, atmospheric pressure, population density, and green coverage of built-up areas are positively associated with haze, while GDP per capita is the opposite. From a local perspective, each factor has different influencing scales on haze pollution. Specifically, technical support is on a global scale, and for every 1 unit increase in technical support level, the PM2.5 concentration will decrease by 0.106-0.102 µg/m3. The influencing scales of other drivers are local. In southern China, the concentration of PM2.5 decreases by 0.001-0.075 µg/m3 for every 1 °C increase in temperature, while in northern China, the concentration of PM2.5 increases by 0.001-0.889 µg/m3. In the region around the Bohai Sea in eastern China, the concentration of PM2.5 will decrease by 0.001-0.889 µg/m3 for every 1 m/s increase in wind speed. Population density positively impacts haze pollution, and the impact intensity gradually increases from 0.097 to 1.140 from south to north. For every 1% increase in the proportion of the secondary industry in southwest China, the PM2.5 concentration will increase by 0.001-0.284 µg/m3. For cities in northeast China, for every 1% increase in the urbanization rate, the PM2.5 concentration will decrease by 0.001-0.203 µg/m3. These findings help policymakers develop targeted joint prevention and control policies for haze pollution, considering regional differences.

Impact of anti-dumping on global embodied air emissions: a complex network perspective.

After the rise of trade protectionism, anti-dumping has become a common means of political and trade games between countries. Global supply chains move production emissions between countries or regions through trade. In the context of carbon neutrality, anti-dumping measures representing the right to trade may become a tool for the game of emission rights between countries. Therefore, it is very important to study the environmental effects of anti-dumping to cope with global climate change and promote national development. Taking a sample of 189 countries and regions from the EORA input-output table with a study period of 2000-2016, we use the complex network, multi-regional input-output and panel regression models to verify the impact of anti-dumping on air emission transfer by constructing an anti-dumping network and an embodied air emission network. The results show that the initiator of anti-dumping can use anti-dumping to realize the cross-border transfer of ecological costs, reduce the burden of emission reduction and save more on emission quota. Developing countries lacking the right to speak in trade will increase the export volume of commodities after being subjected to a large number of anti-dumping sanctions, thus paying higher ecological costs and consuming more emission quotas. From a global perspective, additional emissions from product production can further contribute to global climate change.

Ecosystem sustainability of rice and aquatic animal co-culture systems and a synthesis of its underlying mechanisms.

Integrated planting and breeding of rice and aquatic animals, including traditional rice-fish co-culture (RF), has been conducted for over 1200 years. It is one of the primary modes of modern ecologically sustainable agriculture. Rice and aquatic animal (RA) co-culture systems reduce risks of environmental pollution, reduce greenhouse gas emissions, maintain soil fertility, stabilize grain incomes, and preserve paddy field biodiversity. Nevertheless, the mechanisms that underlie the ecological sustainability of these systems remain controversial and poorly understood, restricting their practice at a larger scale. Here, the latest advance in understanding the evolution and extension of RA systems is synthesized, in addition to a discussion of the underlying ecological mechanisms of taxonomic interactions, complementary nutrient use, and microbially-driven elemental cycling. Specifically, the aim of this review is to provide a theoretical framework for the design of sustainable agricultural systems by integrating traditional knowledge and modern technologies.

Passivity-based adaptive hybrid synchronization of a new hyperchaotic system with uncertain parameters.

We investigate the adaptive hybrid synchronization problem for a new hyperchaotic system with uncertain parameters. Based on the passivity theory and the adaptive control theory, corresponding controllers and parameter estimation update laws are proposed to achieve hybrid synchronization between two identical uncertain hyperchaotic systems with different initial values, respectively. Numerical simulation indicates that the presented methods work effectively.

Automated Detection Model Based on Deep Learning for Knee Joint Motion Injury due to Martial Arts.

Objective: Develop a set of knee joint martial arts injury monitoring models based on deep learning, train and evaluate the model's effectiveness. Methods: This paper mainly collects knee MRI images of 1546 patients with knee joint martial arts injuries from 2015 to 2020. Through manual annotation, the data set is divided into six categories: meniscus injury, tendon injury, ligament injury, epiphyseal cartilage injury and synovial joint capsule loss. The human knee collaborative MRI image database is established, and the data set is divided into the training and validation sets. And test set. Establish a deep neural network, train the model using the training set and validation set, locate the knee joint injury location, and classify the specific injury type. The model's validity was validated using the test set, and the model's sensitivity, specificity, and mean accuracy for detecting lesions were evaluated. Results: In the test set, the accuracy of meniscus injury, tendon injury, ligament injury, bone and bone cartilage injury and synovial joint capsule injury were 83.2%, 89.0%, 88.0%, 85.9%, 85.6% and 83.5%, respectively, and the overall average accuracy value was 86.0%. The sensitivity and specificity of the model were 91.3% and 87.3%, respectively. Conclusion: The application of the deep learning method in the classification and detection of knee joint martial arts injuries can significantly improve the diagnosis effect, reduce the diagnosis time and misdiagnosis rate, and provide decision support for surgery.

Candle Soot-Based Electrosprayed Superhydrophobic Coatings for Self-Cleaning, Anti-Corrosion and Oil/Water Separation.

The interest in candle soot (CS)-based superhydrophobic coatings has grown rapidly in recent years. Here, a simple and low-cost process has been developed for the fabrication of CS-based superhydrophobic coatings through electrospraying of the composite cocktail solution of CS and polyvinylidene fluoride (PVDF). Results show that the superhydrophobicity of the coating closely relates to the loading amount of CS which results in coatings with different roughnesses. Specifically, increasing the CS amount (not more than 0.4 g) normally enhances the superhydrophobicity of the coating due to higher roughness being presented in the produced microspheres. Further experiments demonstrate that the superhydrophobicity induced in the electrosprayed coating results from the synergistic effect of the cocktail solution and electrospray process, indicating the importance of the coating technique and the solution used. Versatile applications of CS-based superhydrophobic coatings including self-cleaning, anti-corrosion and oil/water separation are demonstrated. The present work provides a convenient method for the fabrication of CS-based superhydrophobic coatings, which is believed to gain great interest in the future.