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.

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.

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.

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.

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.

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.

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.

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.

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.

Vaping and COVID-19 Risk: Perceived link and its correlates among at-risk adolescents.

Research shows that a significant number of adolescents and young adults quit vaping or reduced the amount of nicotine consumed since the beginning of the COVID-19 pandemic. However, there is a lack of evidence on adolescent risk perceptions regarding the link between vaping and susceptibility to contracting COVID-19. This study examined the level of perceived COVID-19 risk due to vaping among at-risk adolescents. A sample (N = 1,251) of adolescents aged 13 to 17 and susceptible to future vaping were recruited through Qualtrics to participate in an online survey. More than two thirds of the sample (68.34%) reported that vaping would increase one's risk of contracting COVID-19. Ordinal logistic regression showed that this risk perception was positively associated with perceived prevalence of vaping among peers (AOR = 1.186, 95%CI = 1.019-1.382) and prior exposure to vaping product advertising (AOR = 1.371, 95%CI = 1.221-1.539), and negatively associated with past 30-day vaping (AOR = 0.579, 95%CI = 0.406-0.825) and number of closest friends who vaped (AOR = 0.873, 95%CI = 0.779-0.978). Further analysis stratified by past 30-day vaping showed that, among those who vaped in the past 30 days, vaping-related covid risk perception was positively associated with susceptibility to future vaping (AOR = 1.562, 95%CI = 1.161-2.101) and sensation-seeking (AOR = 1.212, 95%CI = 1.003-1.463). These results are open to different interpretations because of the cross-sectional nature of the data. Additional research is needed to better understand the observed relationships and their implications for vaping prevention during the pandemic.

Motivation-based segmentation of game meat consumers: A look at the beliefs of food consumers during the COVID-19 crisis in China.

OBJECTIVES: This research aims to explore the factors motivate consumers to eat game meat during a multi-state disease outbreak. METHODS: It proposes a segmentation of consumers based on their attitudes toward and reveals the consumers' food beliefs that motivate their actions. Three segments of game meat consumers were identified: identity seekers, health seekers, and taste seekers. RESULTS: A survey of the potential impact that the COVID-19 crisis has on these three clusters' future food choices showed that the identity and health seekers are more open to a change in food choices. However, the taste seekers are less likely to be influenced by external factors. CONCLUSIONS: This research indicates that for the policymakers, the key is to take game meat consumers as an effective intervention entry point. It is crucial to facilitate healthy food choices and to promote socially- and culturally-appropriate food beliefs by improving public awareness of the risks of game meat, and invest in organic food. RESEARCH IMPLICATIONS: This research provides new insights into the food beliefs of game meat consumers via motivation-based segmentation.

The Influence of Masculinity and the Moderating Role of Religion on the Workplace Well-Being of Factory Workers in China.

This paper explores how the intersection of masculinity and religion shapes workplace well-being by focusing on Christianity and the social construction of masculinity among factory workers in a city in China. While existing work on public and occupational health has respectively acknowledged masculinity's influences on health and the religious and spiritual dimensions of well-being, there have been limited efforts to examine how variegated, and especially religious, masculinities influence people's well-being in the workplace. Drawing on ethnography and in-depth interviews with 52 factory workers and 8 church leaders and factory managers, we found that: (1) Variegated masculinities were integrated into the factory labor regime to produce docile and productive bodies of workers. In particular, the militarized and masculine cultures in China's factories largely deprived workers of their dignity and undermined their well-being. These toxic masculinities were associated with workers' depression and suicidal behavior. (2) Christianity not only provided social and spiritual support for vulnerable factory workers, but also enabled them to construct a morally superior Christian manhood that phytologically empowered them and enhanced their resilience to exploitation. This paper highlights not only the gender mechanism of well-being, but also the ways religion mediates the social-psychological construction of masculinity.

Running bodies and the affective spaces of health in and beyond marathon running in China.

This paper explores the affective formation of health and space/place through an examination of the affective and bodily practices of marathon runners in China. By elaborating the idea of "affective spaces of health", we investigate not only how the affective potential of running bodies enables a therapeutic and individualised form of selfhood in response to China's post-socialist transformation, but also how affective atmospheres might condition and discipline runners' affective capacities for health. The paper therefore questions the simplistic association of health with particular qualities of place, and calls for research to focus on the affective, dispersed and fluid spaces of health instead.

Investigating the "Embodied Spaces of Health" in Marathon Running: The Roles of Embodiment, Wearable Technology, and Affective Atmospheres.

This paper examines how spaces of health are produced through embodied and affective practices in marathon running in China. While the social-cultural effects of distance running have gained increasing attention among public health scholars and policymakers, there has been little effort paid to the spatiality of running and its contributions to producing healthy spaces for the general public. This paper therefore fills the lacuna through a qualitative study that was conducted with 29 amateur marathon runners in China. Drawing on the Gioia Methodology in coding and analyzing qualitative data, we highlight the interactive effects of body, wearable technology, and affective atmospheres in producing what we call "embodied space of health." We suggest that the embodied space of health is not simply the bodily experience per se but rather a relational space constituted through the co-production of body, non-human objects, and space/place. It is through these relational spaces that the effects of health and well-being (e.g., self-exploration and therapeutic feelings) emerge in marathon.

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.

Helping Mothers and Daughters Talk about Environmental Breast Cancer Risk and Risk-Reducing Lifestyle Behaviors.

Background: Mothers and daughters struggle to talk about breast cancer risk. Even less attention is paid to environmental determinants of cancer. Third-party online approaches can be helpful navigating these conversations. The aim of this study was to obtain feedback from mothers exposed to a social media intervention ("mommy bloggers") and identify their preferences for message-design approaches that could help them talk to their daughter(s) about environmental breast cancer risk. Methods: We conducted semi-structured interviews with 50 mothers. A thematic analysis was conducted using the constant comparative method. Results: Mothers identified four approaches to message design that could help facilitate mother-daughter communication about environmental breast cancer risk. These included two action-oriented approaches that centered on getting the conversation started and keeping the conversation going and two approaches based on lifespan factors to promote daughters' engagement by using age-appropriate language and visuals and focusing on developmentally specific lifestyle behaviors. Mothers also provided recommended strategies within each approach. Conclusions: Mothers identified various approaches interventionists can utilize to overcome barriers to talking to daughters about environmental breast cancer risk. To promote mother-daughter communication, the messages should be action-oriented to facilitate interaction, but also developed with lifespan and developmental considerations in mind to engage daughters.

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

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