High Support Research Articles

Acupoint selection rules of acupuncture and moxibustion for stroke-related pneumonia

Using data mining technology, the rules of acupoint selection of acupuncture and moxibustion were explored in treatment of stroke-related pneumonia. The clinical articles of acupuncture and moxibustion in treatment of stroke-related pneumonia were retrieved from CNKI, SinoMed, Wanfang and VIP databases from their inception through to January l 2021, and then, the acupuncture-moxibustion prescription database was set up for stroke-related pneumonia. SPSS Modeler 18.0 Apriori algorithm was adopted to analyze the association rules of acupoints and draw complex network diagrams. SPSS26.0 was used in clustering analysis of acupoints. Finally, a total of 44 articles were included, with 51 acupoint prescriptions and 82 acupoints extracted. The total frequency of acupoints was 340 times. The high-frequency acupoints in treatment with acupuncture and moxibustion for stroke-related pneumonia were Feishu (BL 13), Fenglong (ST 40), Hegu (LI 4), etc. These acupoints were mainly distributed on the limbs and back and mostly from yang meridians. Of these extracted acupoints, the five-shu points, convergent points and back-shu points were selected specially. Regarding acupoint combination, the association of Quchi (LI 11) had the highest support with Hegu (LI 4) and Zusanli (ST 36). The core prescription of acupuncture-moxibustion treatment for stroke-related pneumonia could be composed of Quchi (LI 11), Hegu (LI 4), Zusanli (ST 36), Fenglong (ST 40) and Taichong (LR 3).

Ethical Practice in Disability Services: Views of Young People and Staff

ABSTRACT In recent years there has been increased focus on supporting the safety and wellbeing of children and young people with disability. This paper reports on a study that asked children and young people with disability and adults who work with them about practices that support their wellbeing and safety, including barriers and enablers to ethical practice. We used the theory of practice architectures to unpack the practices. Findings point to a range of practices that both young people and adults regarded as important in creating the cultural conditions for young people to feel happy, safe and well, albeit placing different emphases on particular practices. Several tensions within and between these practices and the evolving requirements of disability and safeguarding policy environments were also apparent. While often not well articulated, the inherent tensions have implications when considering what children and young people need, particularly those with higher support needs. Findings suggest closer attention needs to be given to the intersection between individual and systemic factors in shaping ethical practice aimed at supporting the wellbeing and safety of children and young people with disability.

Clinical effects of adaptive lung ventilation regime during weaning of mixed ICU patients

Background. Weaning from mechanical ventilation (MV) became one of the main problems of intensive care unit (ICU) physicians. Choosing the optimal mode of MV, which make possible to accelerate the process of weaning the patient, remain unresolved. A promising direction is the use of new adaptive ventilation modes.Objective. To compare the clinical efficacy of the iSV regimen with the traditional CPAP + PS (PSV) regimen in patients of a mixed ICU.Design and methods. 45 patients (age 31–81) were examined. Patients were on prolonged MV from 5 to 28 days. In group 1 pressure support (PSV) mode was used to adapt to spontaneous breathing. Group 2 consisted of patients in whom adaptive ventilation (iSV) mode was used.Results. Both modes of assisted ventilation provided effective respiratory support. In the PSV mode, on the 3rd and 5th days of weaning from MV, hypocapnia and a higher support by the pressure of spontaneous inspirations (PS) were noted. A higher daily energy requirement was revealed in PSV mode on day 3. The length of stay in ICU in iSV group was moderately decreased.Conclusion. Assisted ventilation modes PSV and iSV are effective in adapting patients to spontaneous breathing after prolonged MV. The iSV mode appears to cause less respiratory stress compared to the PSV mode. Assisted ventilation in iSV versus PSV can possibly reduce ICU length of stay.

Water security determines social attitudes about dams and reservoirs in South Europe

River barriers affect river dynamics and aquatic biota, altering the entire ecosystem. Nevertheless, dams and reservoirs provide goods like water supply and low-carbon energy that are becoming increasingly critical under current climate change. To know to what extent dams and reservoirs are important to the population, we explored social attitudes towards dams and reservoirs using a face-to-face questionnaire in two regions of contrasting climate and water security in Spain, a country with one of highest densities of dams in Europe. Results (N = 613) revealed a higher support for dams, mediated by the recognition of the services they provide, in the drier Mediterranean Malaga province (Andalusia), than in the wetter Atlantic Asturias province (Bay of Biscay), where water shortages are rare. Awareness of the impacts of the dams was more pronounced in Malaga, coupled with a higher willingness to pay for reconnecting rivers. Social awareness of both impacts and services provided by dams and reservoirs may depend on local climate and water security; different dam acceptance emphasizes the need to involve local citizens in the decision-making processes about water management.

Analisa Data Mining Pengembalian Pupuk Kadaluarsa Dari CV YOLAND ke Distributor Induk Menggunakan Algoritma Dynamicsome

The purpose of this study is to analyze the data mining of expired fertilizer returns from CV.YOLAND to the parent distributor using a dynamicsome algorithm which is expected to produce a more accurate output so that it will speed up the calculation process. The implementation of the dynamicsome algorithm uses methods from data mining which refer to Classification, Clustering, Association, Sequencing, Regression, Forecasting, Other Techniques and testing using the Tanagra software method. The analysis was carried out on an ongoing business process, then the results of the analysis were outlined in the Tanagra software which showed that it could accelerate the process of forming the trend of itemset combination patterns resulting from CV company data. Yoland, with the highest support and confidence is 0.25%. The application of the Dynamicsome Algorithm in data mining techniques is very efficient and can accelerate the process of forming the trend of itemset combination patterns.

Who supports expanding surveillance? Exploring public opinion of Chinese social credit systems

Pervasive surveillance in modern society has raised mounting debates, which are largely concentrated on the ethical dimension and lack sociological examination. Drawing on innovative national survey data, this study analyzes public opinion about social credit systems, an emerging infrastructure that expands the depth and breadth of surveillance in China. I find a general high support for expanding surveillance and punishment yet key variations among different social groups. Counterintuitively, people with higher political capital do not wholly embrace the expanding surveillance and punishment. For example, Chinese Communist Party members are less likely to support state-centered social credit systems compared with the general public. Higher political trust in the regime and socioeconomic status is consistently correlated with higher support, while different media consumption showed limited correlations. This study proposes an alternative theorization of surveillance and enriches our understanding of the heterogeneity and dynamic of the state and public in the authoritarian regime.

A cross-sectional study of factors associated with regular dog walking and intention to walk the dog

BackgroundDog walking is important for public health and dog welfare, yet some owners do not walk with their dogs regularly. This study examined factors associated with participation in regular dog walking and intention to dog walk, in order to inform physical activity interventions.Methods191 dog-owning adults from a UK community were surveyed about their participation in dog walking, intention to dog walk, attitudes and behavioural beliefs regarding dog walking, and dog and owner demographics. Principal components analysis identified owner profiles regarding attitudes and behavioural beliefs about dog walking. Univariable and multivariable logistic regression were used to identify factors associated with being a regular dog walker (achieving 150mins per week of dog walking) and having a high intention to dog walk (at least 30 mins per day for at least 5 days per week over the next month).ResultsParticipants walked with their dogs for a median 7 times/week and 230 total minutes/week; regular dog walkers 9 times/week (400 minutes/week), compared to twice/week for irregular dog walkers (45 minutes/week). Being a regular dog walker was positively associated with having a high level of intention to walk the dog in the next month (OR=12.1 95%CI=3.5-42.4, P<0.001), being married or living with a partner (OR=33.5, 95%CI=2.5-458.8, P=0.01), and higher scores on a dog walking habit index (OR=2.1, 95%CI=1.3-3.5, P<0.01). However, higher support from friends for walking was negatively associated with being a regular dog walker (OR=0.3, 95%CI=0.1-0.7, P<0.01). High intention to dog walk was associated with female owners (OR=4.7, 95%CI=1.2-18.5, P=0.03), dogs that lay on the sofa (OR=6.9, 95%CI=1.5-31.8, P=0.01), high levels of self-efficacy to walk the dog over the next month (OR=5.8, 95%CI=1.5-21.9, P=0.01), owner type with an attitude of high responsibility and enjoyment from walking (OR=2.1, 95%CI=1.2-3.8, P=0.02), and higher scores on a dog walking habit index (OR=1.9, 95%CI=1.0-3.7, P=0.05). Reporting someone else walks the dog was negatively associated with high intention (OR=0.1, 95%CI=0.0-0.7, P=0.02).ConclusionsInterventions to promote dog walking may benefit from increasing intention to dog walk in male owners, forming schedules and routines that involve multiple household members in dog walking, and establishing habits around dog walking. Interventions may also need to address how to overcome barriers and perceived challenges in regards to self-efficacy of dog walking, that may prevent intention from being translated into action.

Ambivalence in decision making: An eye tracking study

An intuition of ambivalence in cognition is particularly strong for complex decisions, for which the merits and demerits of different options are roughly equal but hard to compare. We examined information search in an experimental paradigm which tasked participants with an ambivalent question, while monitoring attentional dynamics concerning the information relevant to each option in different Areas of Interest (AOIs). We developed two dynamical models for describing eye tracking curves, for each response separately. The models incorporated a drift mechanism towards the various options, as in standard drift diffusion theory. In addition, they included a mechanism for intrinsic oscillation, which competed with the drift process and undermined eventual stabilization of the dynamics. The two models varied in the range of drift processes postulated. Higher support was observed for the simpler model, which only included drifts from an uncertainty state to either of two certainty states. In addition, model parameters could be weakly related to the eventual decision, complementing our knowledge of the way eye tracking structure relates to decision (notably the gaze cascade effect).

Who votes after a coup? Theory and evidence from Egypt

ABSTRACT More than half of leaders who come to power through military coups hold elections to legitimate their regimes, yet there is extensive subnational variation in how citizens accept or reject this process. In this paper, we examine district-by-district voting patterns in Egyptian presidential elections a few months following the July 2013 military coup to identify the ecological correlates of three district-level measures of citizen engagement with the electoral process: voter turnout, valid (non-spoilt) ballots, and votes cast for the regime-affiliated candidate. Controlling for baseline measures of these outcomes from the free and fair presidential elections prior to the coup, we find support for the enduring effect of partisanship: districts with higher support for the deposed candidate in pre-coup elections featured systematically lower turnout and rates of valid voting in post-coup elections.

Educational Concerns, Health Concerns and Mental Health During Early COVID-19 School Closures: The Role of Perceived Support by Teachers, Family, and Friends.

This study investigated whether school closures and health-related uncertainties in the early phases of the COVID-19 pandemic posed risk factors for adolescents’ mental health and whether perceived social support by parents, teachers, and friends functioned as protective factors. In particular, we argued that perceived social support would buffer negative associations between educational and health concerns and mental health. Based on a person-centered approach, we first examined resilience profiles. These profiles reflect configurations regarding the levels of these risk and protective factors and levels of mental health. Second, we analyzed whether these risk and protective factors predicted adolescents’ mental health differently by using a variable-centered approach. The sample consisted of 1’562 adolescents (Mage = 16.18, SD = 1.48, range = 14-20 years; 72% females) in lower and higher secondary education from three regions: German-speaking part of Switzerland, N = 486; Italian-speaking part of Switzerland, N = 760; and Northern Italy N = 316. Results from the person-centered approach revealed three latent profiles characterized by low (19%), average (47%), or high resilience (34%). Lower resilience was associated with higher educational concerns, lower perceived social support, and lower mental health, while high resilience was characterized by lower concerns, higher support, and higher mental health. Importantly, educational concerns varied more between profiles than health concerns, and perceived teacher and family support varied more than perceived friend support. Corroborating these findings, the variable-centered approach (i.e., a path analysis) revealed that educational concerns were a stronger predictor than health concerns and pointed to a higher relative importance of perceived family support for adolescents’ mental health relative to perceived teacher and friend support. Taken together, the findings suggest that adolescents’ educational concerns and perceived family support, respectively, were stronger risk and protective factors for their mental health during school closures related to the COVID-19 pandemic. Finally, adolescents from regions being more exposed to the COVID-19 pandemic, namely, Italian-speaking part of Switzerland and Northern Italy, were more likely classified in the low or the average rather than in the high resilience profile compared to students from the region with lower exposure, that is, the German-speaking part of Switzerland.

'I'll put up with things for a long time before I need to call anybody': Face work, the Total Institution and the perpetuation of care inequalities.

Failures in fundamental care (e.g. nutrition or pain‐relief) for hospitalised patients can have serious consequences, including avoidable deaths. Policy rhetoric of ‘shared decision‐making’ fails to consider how structural constraints and power dynamics limit patient agency in nursing staff‐patient interactions. Goffman's concepts of face work, the presentation of self and the Total Institution shaped our analysis of interview and focus group data from hospital patients. Patients avoided threatening ‘good’ patient and staff face by only requesting missed care when staff face was convincing as ‘caring’ and ‘available’ (‘engaged’). Patients did not request care from ‘distracted’ staff (‘caring’ but not ‘available’), whilst patient requests were ignored in Total Institution‐like ‘dismissive’ interactions. This meant patients experienced missed care with both ‘distracted’ and ‘dismissive’ staff. Patients with higher support needs were less able to carry out their own missed care to protect staff face, so experienced more serious care omissions. These findings show that many elements of the Total Institution survive in modern healthcare settings despite attempts to support individualised care. Unless nursing staff can maintain face as ‘engaged’ (despite organisational constraints that can reduce their capacity to do so) patient participation in care decisions will remain at the level of rhetoric.

Phylotranscriptomics Reveals Discordance in the Phylogeny of Hawaiian Drosophila and Scaptomyza (Diptera: Drosophilidae).

Island radiations present natural laboratories for studying the evolutionary process. The Hawaiian Drosophilidae are one such radiation, with nearly 600 described species and substantial morphological and ecological diversification. These species are largely divided into a few major clades, but the relationship between clades remains uncertain. Here, we present new assembled transcriptomes from 12 species across these clades, and use these transcriptomes to resolve the base of the evolutionary radiation. We recover a new hypothesis for the relationship between clades, and demonstrate its support over previously published hypotheses. We then use the evolutionary radiation to explore dynamics of concordance in phylogenetic support, by analyzing the gene and site concordance factors for every possible topological combination of major groups. We show that high bootstrap values mask low evolutionary concordance, and we demonstrate that the most likely topology is distinct from the topology with the highest support across gene trees and from the topology with highest support across sites. We then combine all previously published genetic data for the group to estimate a time-calibrated tree for over 300 species of drosophilids. Finally, we digitize dozens of published Hawaiian Drosophilidae descriptions, and use this to pinpoint probable evolutionary shifts in reproductive ecology as well as body, wing, and egg size. We show that by examining the entire landscape of tree and trait space, we can gain a more complete understanding of how evolutionary dynamics play out across an island radiation.

The new frontline: exploring the links between moral distress, moral resilience and mental health in healthcare workers during the COVID-19 pandemic

BackgroundGlobal health crises, such as the COVID-19 pandemic, confront healthcare workers (HCW) with increased exposure to potentially morally distressing events. The pandemic has provided an opportunity to explore the links between moral distress, moral resilience, and emergence of mental health symptoms in HCWs.MethodsA total of 962 Canadian healthcare workers (88.4% female, 44.6 + 12.8 years old) completed an online survey during the first COVID-19 wave in Canada (between April 3rd and September 3rd, 2020). Respondents completed a series of validated scales assessing moral distress, perceived stress, anxiety, and depression symptoms, and moral resilience. Respondents were grouped based on exposure to patients who tested positive for COVID-19. In addition to descriptive statistics and analyses of covariance, multiple linear regression was used to evaluate if moral resilience moderates the association between exposure to morally distressing events and moral distress. Factors associated with moral resilience were also assessed.FindingsRespondents working with patients with COVID-19 showed significantly more severe moral distress, anxiety, and depression symptoms (F > 5.5, p < .020), and a higher proportion screened positive for mental disorders (Chi-squared > 9.1, p = .002), compared to healthcare workers who were not. Moral resilience moderated the relationship between exposure to potentially morally distressing events and moral distress (p < .001); compared to those with higher moral resilience, the subgroup with the lowest moral resilience had a steeper cross-sectional worsening in moral distress as the frequency of potentially morally distressing events increased. Moral resilience also correlated with lower stress, anxiety, and depression symptoms (r > .27, p < .001). Factors independently associated with stronger moral resilience included: being male, older age, no mental disorder diagnosis, sleeping more, and higher support from employers and colleagues (B [0.02, |-0.26|].InterpretationElevated moral distress and mental health symptoms in healthcare workers facing a global crisis such as the COVID-19 pandemic call for the development of interventions promoting moral resilience as a protective measure against moral adversities.

Analysis of Prescription Rules of Neonatal Jaundice in 'Yibu Quanlu' Based on Data Mining

Objective: To analyze the prescription rules for the treatment of neonatal jaundice in 'Yibu Quanlu' based on data mining technology. Methods: The provisions of the treatment of neonatal jaundice recorded in the 'Yibu Quanlu' were collected. Through the collation and entry of the ancient and modern medical case cloud platform, the data included in the medical case were standardized, and then the standardized prescription database was generated. Finally, the data analysis module in the platform was used to process the frequency statistics, association rule analysis, cluster analysis and complex network analysis of traditional Chinese medicine. Results: Included in 57 provisions (including 6 ancient medical cases), 67 prescriptions of traditional Chinese medicine, involving 112 herbs, the cumulative frequency of 751 times. The highest frequency of use of traditional Chinese medicine is licorice, followed by atractylodes, the average dose of traditional Chinese medicine is Yinchen; the taste is mainly bitter cold, followed by Ganping; most of them belong to the spleen, stomach and lung meridians. The use of moisturizing drugs is the most, followed by tonifying drugs; the Chinese herbal pair with the highest support was Poria – Atractylodes macrocephala; core Chinese medicine prescription is Yinchen Wuling Powder and Yigong Powder. Conclusion: A comprehensive analysis of prescription and medication rules for treating neonatal jaundice in 'Yibu Quanlu', and finds that clearing heat and removing dampness, protecting spleen and stomach, and preventing transmission become the main guiding ideology for the diagnosis and treatment of this disease. Eliminating pathogenic factors and strengthening vital energy are the main characteristics of prescription medication for ancient doctors. This study can provide new ideas for the clinical diagnosis and treatment of neonatal jaundice in modern Chinese medicine and the development of new drugs.

Historical Developments of Bosnia and Herzegovina Pharmaceutical Industry - the Past and the Future Perspectives of Domestic Manufacturing.

Background:History of pharmaceutical industry in Bosnia and Herzegovina (B&H) has its roots from 1951. Importance of domestic industry not just from economical aspect but also from public health perspective and as scientific base has not been evaluated previously.Objective:The aim of this article was to provide the review of the pharmaceutical industry developments in Bosnia and Herzegovina, its roots, current position and future perspectives..Methods:Research of published scientific papers as well other documents and archives of pharmaceutical manufacturers has been conducted. We have also analysed market trends focusing on domestic producers.Results and Discussion:Over more than seventy years of B&H pharmaceutical industry has been developing. During Yugoslavia only two companies existed of which one, Bosnalijek is still present, while Sanofarm has been closed. After 1996, expansion of domestic manufacturers started and today six companies are present. They are mainly oriented to generic drugs production in different forms. Total market share of domestic producers in B&H is 20-25% which is relatively low comparing to other countries. Many of domestic manufacturers are exporting their products to some of the most demanding markets in Europe and Middle East.Conclusion:Long history of domestic drug manufacturers in B&H gives solid legacy for future developments. Importance of local producers has been confirmed during war in B&H and COVID-19 pandemic as a crisis situation, mainly from public health perspective and sustainable supply of essential medicines. Higher support by state and collaboration with academia in order to expand portfolio, especially in area of biologic medicines is required in future.

Investigation of Science Technology Ecocultural Society (STEcS) Model to Enhance Eco Critical Thinking Skills

The Purpose of this study was to investigate the goodness fit model of Eco Critical Thinking Skills (ECTS) and effectiveness Science Technology Ecocultural Society (STEcS) model in elementary school teacher education programs. Participants in this study were 229 students, taken from 3 universities. The data collection method was an open ended essay test and questioner. The research analysis the goodness fit model used was Lisrel 8 and effect size analysis. The results of the investigation indicated that the construct analysis on the instrument model was categorized as a good fit model category with P-value 0.28 ( 0.05), RMSEA 0.02 (0.08) and other indicators of fit model were above 0.90. Analysis of the effect size based on Cohen's d criteria of 1.391 ( 0.08) is classified as very high criteria. This research concluded that instrument is good fit, Interpretation dimension is highest support. STEcS model is effective to enhance Eco Critical Thinking Skills at elementary school teacher education program. The research implication is Eco Critical Thinking Skills of students can be improved through the application of the STEcS model. The STEcS model is an alternative model for preparing 21st century learning.

Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care \u2013 a longitudinal observational study

BackgroundWe investigated the need for additional professional support and associated factors in patients (pts) at initiation and in the course of in- and outpatient specialist palliative care (I-SPC/O-SPC).MethodsPts entering an urban SPC network consecutively completed questionnaires on psychosocial/spiritual problems and support needs within 72 h (T0) as well as within the first 6 weeks (T1) of SPC. Hierarchical linear regression analysis was used to investigate the impact of sociodemographic / disease-related variables, psychological / physical burden, social support, and SPC setting on the extent of support needs.ResultsFour hundred twenty-five pts (70 years, 48% female, 91% cancer, 67% O-SPC) answered at T0, and 167 at T1. At T0, main problems related to transportation, usual activities, and dependency (83–89%). At T1, most prevalent problems also related to transportation and usual activities and additionally to light housework (82–86%). At T0, support needs were highest for transportation, light housework, and usual activities (35–41%). Cross-sectional comparisons of SPC settings revealed higher problem scores in O-SPC compared to I-SPC at T0 (p = .039), but not at T1. Support need scores were higher in O-SPC at T0 (p < .001), but lower at T1 (p = .039). Longitudinal analyses showed a decrease of support need scores over time, independent from the SPC setting. At T0, higher distress (p = .047), anxiety/depression (p < .001), physical symptom burden (p < .001) and I-SPC (p < .001) were associated with higher support need scores (at T1: only higher distress, p = .037).ConclusionNeed for additional professional psychosocial/spiritual support was identified in up to 40% of pts. with higher need at the beginning of O-SPC than of I-SPC. During SPC, this need decreased in both settings, but got lower in O-SPC than in I-SPC over time. Support need scores were not only associated with psychological, but also physical burden.

Perceived Social Support and Well-Being of International Students at an Italian University

The present study aimed to explore international students’ well-being in relation to their perception of social support and dispersion of dependency on various resources. Participants were 139 international students at an Italian university who completed the WHO-5 Well-being Index, Symptom Checklist 90-R, Multidimensional Scale of Perceived Social Support, and Dependency Grids. Results showed that higher well-being correlated with higher support and lower distress and that higher dispersion of dependency was associated with higher perceived support. International students who sought professional psychological help also reported lower well-being, higher distress, and fewer resources compared to those who did not seek psychological support. Furthermore, coming from collectivist cultures (rather than individualist ones) as well as being a long-term (rather than short-term) student was mostly associated with higher distress and less perceived support. These results suggest that counselling services for international students should help them find new sources of social support.

Coronavirus disease 2019 convalescent children: outcomes after congenital heart surgery.

Children with exposure to coronavirus disease 2019 in recent times (asymptomatic or symptomatic infection) approaching congenital heart surgery programme are in increasing numbers. Understanding outcomes of such children will help risk-stratify and guide optimisation prior to congenital heart surgery. The objective of the present study was to determine whether convalescent coronavirus disease 2019 children undergoing congenital heart surgery have any worse mortality or post-operative outcomes. Consecutive children undergoing congenital heart surgery from Oct 2020 to May 2021 were enrolled after testing for reverse transcription-polymerase chain reaction or rapid antigen test and immunoglobulin G antibody prior to surgery. Convalescent coronavirus disease 2019 was defined in any asymptomatic patient positive for immunoglobulin G antibodies and negative for reverse transcription-polymerase chain reaction or rapid antigen test anytime 6 weeks prior to surgery. Control patients were negative for any of the three tests. Mortality and post-operative outcomes were compared among the groups. One thousand one hundred and twenty-nine consecutive congenital heart surgeries were stratified as convalescence and control. Coronavirus disease 2019 Convalescent (n = 349) and coronavirus disease 2019 control (n = 780) groups were comparable for all demographic and clinical factors except younger and smaller kids in control. Convalescent children had no higher mortality, ventilation duration, ICU and hospital stay, no higher support with extracorporeal membrane oxygenation, high flow nasal cannula, no higher need for re-intubations, re-admissions, and no higher infections as central line-associated bloodstream infection, sternal site infection, and ventilator-associated pneumonia on comparison with coronavirus disease 2019 control children. Convalescent coronavirus disease 2019 does not have any unfavourable outcomes as compared to coronavirus disease 2019 control children. Positive immunoglobulin G antibody screening prior to surgery is suggestive of convalescence and supports comparable outcomes on par with control peers.

Non-smokers’ and smokers’ support for smoke-free legislation in 14 indoor and outdoor settings across 12 European countries

BackgroundEuropean countries differ considerably in the scope and the extent of their policies to protect people from the harms of secondhand smoke exposure. Public opinion may have a substantial influence on several stages of policy development, implementation, and compliance. For this reason, we aimed to evaluate the population level of support for smoke-free policies and its correlates. MethodsWe used data from the TackSHS Survey (2017–2018), a cross-sectional study with representative samples of the general population aged ≥15 years from 12 European countries. We described the proportion of non-smokers’ and smokers’ support for the implementation of smoke-free legislation in 14 indoor and outdoor settings and the country-level characteristics associated with it. ResultsIn the total sample (n = 11,902), support for smoke-free legislation were the lowest for restaurants/bar patios (non-smokers = 53.0%; smokers = 29.2%) and the highest for workplaces (non-smokers = 78.5%; smokers = 66.5%). In the country-level analysis, the highest support among non-smokers was for workplaces in Bulgaria (93.1%) and the lowest for restaurants/bars patios in Greece (39.4%). Among smokers, the corresponding estimates were for children's playgrounds in Latvia (88.9%) and for cars in Portugal (21%). For most settings, support for smoke-free legislation was directly related with the countries' prevalence of secondhand smoke presence and reported smoking in each setting. DiscussionOur results show that the majority of European adults (including a large proportion of smokers) are supportive of implementing smoke-free legislation in indoor settings and extending it to selected outdoor settings. Such expressive support can be seen as an opportunity to advance legislation and protect the European population from secondhand smoke exposure.