Environmental Protective Factors Research Articles

Addressing the Treatment and Service Needs of Young Adults with Attention Deficit Hyperactivity Disorder.

The transition from adolescence to adulthood is a complex period in which multiple changes take place (education, work, independent living, and social relations). This stage is especially difficult for adolescents suffering from attention deficit hyperactivity disorder (ADHD), who have to move on from child and adolescent mental health services to adult mental health services. This review analyzes developmental and environmental risk and protective factors as well as critical variables such as executive functioning and self-monitoring that influence the course of ADHD in transitional age youth and guide the priorities for an optimal transition of care. The influence of the COVID-19 pandemic is also discussed. We reflect on the unmet needs for an optimal transition of care and propose practice and policy recommendations to achieve this goal.

Association of Cyberbullying Experiences and Perpetration With Suicidality in Early Adolescence

Adolescent suicidality (ie, suicidal ideation or attempts) is a major public health concern. Cyberbullying experiences and perpetration have become increasingly prevalent and are associated with mental health burden, but their roles as independent suicidality risk factors remain unclear. Data are needed to clarify their contribution to teen suicidality to inform suicide prevention efforts. To examine whether cyberbullying experiences and perpetration are distinct stressors divergent from other forms of peer aggression experiences in their association with suicidality in early adolescence. This cross-sectional analysis used data collected between July 2018 and January 2021 from the Adolescent Brain Cognitive Development (ABCD) study, a large, diverse sample of US children aged 10 to 13 years. Youth reports of cyberbullying experiences or perpetration. The main outcome was youth-reported suicidality (past or present, as reported in the ABCD 2-year follow-up assessment). Covariates included demographics, established environmental risk and protective factors for youth suicidality, psychopathology, and experiences or perpetration of offline peer aggression. A total of 10 414 ABCD participants were included in this study. Participants had a mean (SD) age of 12.0 (0.7) years and 4962 (47.6%) were female; 796 (7.6%) endorsed suicidality. A total of 930 (8.9%) reported experiencing cyberbullying and 96 (0.9%) reported perpetrating cyberbullying. Of the perpetrators, 66 (69.0%) also endorsed experiencing cyberbullying. Controlling for demographics, experiencing cyberbullying was associated with suicidality (odds ratio [OR], 4.2 [95% CI, 3.5-5.1]; P < .001), whereas perpetrating cyberbullying was not (OR, 1.3 [95% CI, 0.8-2.3]; P = .30). Experiencing cyberbullying remained associated with suicidality when accounting for negative life events, family conflict, parental monitoring, school environment, and racial and ethnic discrimination (OR, 2.5 [95% CI, 2.0-3.0]; P < .001) and when further covarying for internalizing and externalizing psychopathology (OR, 1.8 [95% CI, 1.4-2.4]; P < .001). Both being a target and being a perpetrator of offline peer aggression were associated with suicidality (OR, 1.5 [95% CI, 1.1-2.0] for both), controlling for all covariates described earlier. Cyberbullying experiences remained associated with suicidality (OR, 1.7 [95% CI, 1.3-2.2]; P < .001, controlling for all covariates) when included with offline peer aggression experiences and perpetration. In this cross-sectional study, experiencing-but not perpetrating-cyberbullying was associated with suicidality in early adolescence. This association was significant over and above other suicidality risk factors, including offline peer aggression experiences or perpetration. These findings can inform adolescent suicide prevention strategies, and they suggest that clinicians and educational staff working with this population should routinely evaluate for adolescents' experience with cyberbullying.

Designing a Reverse Logistics Network Model for Waste Batteries

The logistics industry plays an important role in circular economy. Therefore, not only economic benefits, but also environmental protection factors have to be considered in reverse logistics. This paper uses the multi-objective 0-1 mixed integer programming to establish a reverse logistics network optimization model for waste batteries. The objective function is to minimize both, logistics costs and carbon dioxide emissions. The model considers the basic settings of reverse logistics (including recycling nodes, manufacturing, and processing nodes) and the material flow between different settings. In solving the model, Lingo 14.0 is used in this paper. An actual case of a waste battery reverse logistics enterprise verifies the effectiveness of the model in this paper. The results show that the application of this model can effectively improve the operating efficiency of waste battery reverse logistics enterprises.

Psychosocial factors of risk and protection associated with juvenile cyberbullying victimization: results from an international multi-city study (International Self-Report Delinquency Study 3, ISRD3)

The growing use of technologies makes it easy for children and young people to access or produce offensive content, giving rise to a new form of bullying: cyberbullying. Several individual and environmental protection and risk factors are involved with cyberbullying victimization. The present study aims to provide some empirical data that can help in understanding cyberbullying and in the formulation of programmes for its prevention. For this purpose, the data of the ISRD3 (International Self-Report Delinquency Study 3) survey were used. Data show that, for strategies of prevention and intervention to be effective, they should consider multiple systems, such as the family, peers, school and community.

Resilience and Wellbeing in Mental Health Workforce: Why it Matters and How to Develop it

Resilience, mental health, and well-being are currently being discussed in general and for healthcare workers. Employees in the mental health workforce are subject to a variety of stresses. There have been long-standing stresses due to structural and discipline-specific conditions. In addition, there are special challenges due to the pandemic.The systemic perspective of the biopsychosocial model of human development focuses on biochemical, muscular-neuronal, emotional, cognitive, and environmental risk and protective factors. These systemic events are embedded in different environmental systems that represent micro- to macrosystemic conditions. All these factors need to be reflected, evaluated, and positively developed in a profession- and workplace-specific manner. In this sense, “career resilience” can be promoted individually, at team level and organizationally. Corresponding evidence-based programs for prevention and intervention are presented. In the discussion, it becomes clear that expectations of societal requirements can also be derived under the concern of prevention and promotion. It is necessary to complement self-care with the “caring team community” to promote the development of a comprehensive “caring society”. Thus, we contribute to an overarching conception in terms of transdisciplinary consilience of resilience and wellbeing in mental health workforce.DisclosureNo significant relationships.

Life Course Investments at the Maternal and Child Health Bureau.

Life Course Investments at the Maternal and Child Health Bureau.

Support and Empowerment for Older Adult Spousal Caregiving of People with Mild and Moderate Dementia: A Participatory Action Research

Background: Little attention has been given to the older adult caregivers of spouses with mild and moderate dementia in the caring dynamics process. The aim of this action research was to develop a program for providing support and empowerment to older adult caregivers of spouses with mild and moderate dementia in the community. Methods: The researchers acted as facilitators, with a view to empowering participants. We recruited participants from a day-care center and two community service stations. Data were collected with semi-structured, in-depth interviews with 19 dementia care dyads and from the notes, reflections, and feedback of collaborative researchers. Relevant themes for content analysis were extracted. Results: Three action cycles were completed over 18 months. The results revealed goals of three cycles: to connect the home situation and effective dialogue as a bridge to the researcher, to confirm the daily needs or expectations of the caregiver and the patient, and to enhance the interactions and quality of life of family members with resources and network. This process was cyclical and repetitive, and it also generated partnerships that built relationships among the interdisciplinary team, families, and researchers. At the same time, team workers formed a cooperative and coordinated family service mechanism to reflect the professional values and practice capabilities. Conclusions: The intervention program was based on the promotion of factors for the caregiver, linking to environmental protective factors, and the stabilization of mental and neurological symptoms of dementia patients, thereby enhancing the response capabilities of home caregivers while meeting the patient’s care needs in life. It is a tool that can effectively be used for support and empowerment in this population.

Distribution of 54 polygenic risk scores for common diseases in long lived individuals and their offspring.

A surprising and well-replicated result in genetic studies of human longevity is that centenarians appear to carry disease-associated variants in numbers similar to the general population. With the proliferation of large genome-wide association studies (GWAS) in recent years, investigators have turned to polygenic scores to leverage GWAS results into a measure of genetic risk that can better predict the risk of disease than individual significant variants alone. We selected 54 polygenic risk scores (PRSs) developed for a variety of outcomes, and we calculated their values in individuals from the New England Centenarian Study (NECS, N = 4886) and the Long Life Family Study (LLFS, N = 4577). We compared the distribution of these PRSs among exceptionally long-lived individuals (ELLI), their offspring, and controls, and we also examined their predictive values, using t-tests and regression models adjusting for sex and principal components reflecting the ancestral background of the individuals (PCs). In our analyses, we controlled for multiple testing using a Bonferroni-adjusted threshold for 54 traits. We found that only 4 of the 54 PRSs differed between ELLIs and controls in both cohorts. ELLIs had significantly lower mean PRSs for Alzheimer's disease (AD) and coronary artery disease (CAD) than controls, suggesting a genetic predisposition to extreme longevity may be mediated by reduced susceptibility to these traits. ELLIs also had significantly higher mean PRSs for improved cognitive function and parental extreme longevity. In addition, the PRS for AD was associated with a higher risk of dementia among controls but not ELLIs (p = 0.003, 0.3 in NECS, p = 0.03, 0.9 in LLFS, respectively). ELLIs have a similar burden of genetic disease risk as the general population for most traits but have a significantly lower genetic risk of AD and CAD. The lack of association between AD PRS and dementia among ELLIs suggests that the genetic risk for AD that they do have is somehow counteracted by protective genetic or environmental factors.

The comprehensive, customized, cost-effective approach (CCCAP) to prevention of dementia.

The Food and Drug Administration's controversial approval of aducanumab has sounded a wake-up call. Is the search of a silver bullet to stop Alzheimer's disease the only way to prevent dementia? The controversies and costs have opened minds to alternative approaches, the most promising being that we are already preventing some dementias in some high-income countries but do not know yet how. This article proposes one way. It requires that the approach be (1) comprehensive, taking into account all relevant environmental, socioeconomic, and individual risk and protective factors; (2) customized, because contributing factors vary by region and among individuals; and (3) cost effective, implemented in actionable units. Savings of scale could occur by preventing stroke, heart disease, and dementia together. They share the same risk factors and pose risks for each other. Brain health could be the unifying, motivating, and actionable key to health, productivity, and well-being.

Features of insect species diversityin the forest plantings disturbed by anthropogenic impact

Insects are universal objects for monitoring biogeocenoses. Wide distribution, close connection with various components of the environment and the abundance of individual species in disturbed ecosystems, the variety of responses to anthropogenic impacts, quick response to changes in the quality of the environment, as well as there is a clear correlation between the level of exposure and the degree of manifestation of the response time they make it possible to use insects as indicators. Green spaces are an important environmental protection and environmental-forming factor of the urban environment, which determines changes in the composition and structure of entomological complexes. At the same time, plantings of different types and environmental categories are in different conditions in relation to air pollution, that what determines the features of biodiversity and the balance of the population structure. Among the most significant among them are the exhaust gases of motor vehicles, various chemicals used to combat icing of the roadway in winter, as well as the selective destruction of weed vegetation within the decorative design of highways, etc. The need to study the responses to environmental pollution, manifested in changes in the composition and structure of entomofauna, the dynamics of the number and the change in the role of individual species in the transformed territories determines the direction of this study. The analysis of insect responses at the species level allows us to identify the consequences of the transformation of biocenoses, changes in faunal abundance, the structure of dominance and, as a result, determines the stability of ecosystems.

The evolving epidemiology and differential etiopathogenesis of eating disorders: implications for prevention and treatment.

The evolving epidemiology and differential etiopathogenesis of eating disorders: implications for prevention and treatment.

Prevalence and risk factors of myopia amongst Grade 8 learners in the Vhembe district, South Africa

Background: Myopia is the most common cause of refractive errors in both adults and children in many countries. However, it is not a simple refractive error but sometimes and eyesight-threatening disorder. The disorder has a great impact on public health and the socio-economic well-being of people, particularly children.Aim: The study aimed to assess the prevalence of myopia amongst secondary school learners.Setting: The study was conducted in the Vhembe District, South Africa.Methods: A cross-sectional study was carried out amongst 297 Grade 8 students of 13 to 14 years of age. The students were selected using a multi-stage-stratified cluster sampling technique from three secondary schools. Two public secondary schools and one private secondary school. The learners’ socioeconomic background, type of school and parental myopia were assessed by a questionnaire before visual acuity assessment. Learners with visual acuity of less than or equal to 6/12 in the worse eye, who showed vision improvement with pinhole, underwent non-cycloplegic retinoscopy and subjective refraction were selected. Myopia was defined as a spherical equivalent of less than or equal to −0.50 dioptre (D). Data were analysed using descriptive statistics.Results: A total of 289 learners completed the study (156 aged 14 years and 133 aged 13 years). A total of 30 learners were identified to have myopic refractive error making the prevalence of 10.4%. Of the 154 females, 14 (47.0%) had myopia, whilst 16 (53.0%) of the 135 males had myopia making males slightly more myopic than females. From the total learners diagnosed to have refractive error (n = 40), myopia constituted 30/40 (75.0%) of the learners indicating that it is the commonest type of refractive error amongst secondary learners. Myopia was more common amongst older age children (14 years; 57.0%). About 18 (60.0%) participants were from the urban area. A total of 17 (57%) of the myopic learners attended private school and about 63% of the participants’ parents were myopic.Conclusion: Spending more time indoor and continuous reading without resting are risk factors of myopia whilst increased outdoor activities were observed as protective environmental factors against myopia in secondary school learners. Doing more outdoors activities may be beneficial to protect against myopia onset.

Resilience On Career Soldier Officer In Indonesian National Armed Forces Headquarters

Career Soldier Officer Undergraduate Resources experience adversity during the educational process. When they can rise from difficulty, they can be said to have resiliency. This study aims to reveal the resiliency among career soldier Officer Undergraduate Resources within the Indonesian National Armed Forces Headquarters. The design of this research is descriptive quantitative research. Forty officers participated in this research through a purposive sampling technique. Data were collected by using a Likert scale. Product Moment statistical test from Pearson showed a significance level of 5%, r&gt; r table (0.312), valid items 89 out of 144 items. Based on the data analysis, the results (a) Career Soldier Officer Undergraduate Resources overall showed resiliency (b) The officer who has served ten to sixteen years is no more resilient than those who have served less than ten years but is more resilient than those undergoing the service period is more than sixteen years. (c) Internal protective factors were slightly higher than environmental protective factors with a difference in the value of 0.047

WOUND HEALING EFFICACY OF HONEY, ALOE VERA, AND TURMERIC

Skin naturally acts as a body's protective layer and external environmental factors that can harm internal body organs are protected by it.So, maintaining skin integrity is vital for normal physiological functioning.In our daily lives, the bodies of both animals and humans are subjected to various forms of violence, some of which are severe enough to destroy the skin's continuity.A wound is a breakdown in the continuity of the skin. When the skin's continuity is disrupted, the body's interior organs are exposed.There's a risk of death in this case.There's a risk of death in this case. The skin's immediate response to a wound is the first step in the healing process, which begins automatically after the injury has been inflicted.It is possible to speed up this process in a variety of ways, including keeping the wound free of bacterial infection, moisture, and dirt.A number of antiseptic dressings are available for this purpose, and when applied topically,they help to speed up the healing process of wounds.They protect the wound from contamination by microorganisms and speed up the healing process.Among these are Aloe vera, honey, and turmeric, all of which have considerable wound healing capabilities.Turmeric, honey, and Aloe vera are all considered good for promoting wound healing.They are involved in the prevention of platelet aggregation, myocardial infarction, tumour formation, inflammatory cytokine release, oxidative stress, and metastasis.Several studies have demonstrated that they play a critical function in the promotion of wound healing. Their use for wound dressing has proven to be a successful method. The primary goal of this review is to summarise previous scientists' findings with authentic concluding verse for the use of Aloe vera,Turmeric and Honey that are safe, readily available, and less expensive.

Climate crisis and its impact on human health

The climate crisis and its consequences represent the greatest challenge facing human health and health care system in the 21st century. It threatens to undermine the last decades of health gains. Rising temperatures, fires, floods and droughts can directly and indirectly cause human pathologies, that are physical and mental. Extreme weather events lead to loss of life, basic life resources and cause severe mental burden. More intense and frequent heat waves due to global warming impact human health and increase mortality, especially for those most vulnerable. The heat-related health risk depends on individual state of health as well as environmental and socioeconomic characteristics of residential areas. Increasing exposure to air pollutants, due to wildfires and anthropogenic emissions, raises respiratory and cardiovascular mortality. Climate warming changes ecosystems and enhances biological invasions that can better adapt to warm environments. Pathogen profiles are changing, transmission and spread of vector-borne diseases as Malaria or Dengue are increasing. Further, rising temperatures and air pollution increase the production and allergenicity of pollen, associated with higher prevalence of allergic diseases. Protective environmental factors, as biodiversity or diverse microbiome, should be given greater consideration in future research.Health sector has the central responsibility as the fifth-largest greenhouse gas emitter to transform in a climate-neutral and sustainable way, e. g. by efficient use of resources. Further education and training in this area should be intensified and included in curricula for medical staff. Furthermore, medical professionals must educate patients about the burden of climate change, climate resilience, and the benefits of CO2 reduction - for human but also for planetary health.

Prevalence and risk factors of myopia amongst Grade 8 learners in the Vhembe district, South Africa

Background: Myopia is the most common cause of refractive errors in both adults and children in many countries. However, it is not a simple refractive error but sometimes and eyesight-threatening disorder. The disorder has a great impact on public health and the socio-economic well-being of people, particularly children. Aim: The study aimed to assess the prevalence of myopia amongst secondary school learners. Setting: The study was conducted in the Vhembe District, South Africa. Methods: A cross-sectional study was carried out amongst 297 Grade 8 students of 13 to 14 years of age. The students were selected using a multi-stage-stratified cluster sampling technique from three secondary schools. Two public secondary schools and one private secondary school. The learners’ socioeconomic background, type of school and parental myopia were assessed by a questionnaire before visual acuity assessment. Learners with visual acuity of less than or equal to 6/12 in the worse eye, who showed vision improvement with pinhole, underwent non-cycloplegic retinoscopy and subjective refraction were selected. Myopia was defined as a spherical equivalent of less than or equal to −0.50 dioptre (D). Data were analysed using descriptive statistics. Results: A total of 289 learners completed the study (156 aged 14 years and 133 aged 13 years). A total of 30 learners were identified to have myopic refractive error making the prevalence of 10.4%. Of the 154 females, 14 (47.0%) had myopia, whilst 16 (53.0%) of the 135 males had myopia making males slightly more myopic than females. From the total learners diagnosed to have refractive error ( n = 40), myopia constituted 30/40 (75.0%) of the learners indicating that it is the commonest type of refractive error amongst secondary learners. Myopia was more common amongst older age children (14 years; 57.0%). About 18 (60.0%) participants were from the urban area. A total of 17 (57%) of the myopic learners attended private school and about 63% of the participants’ parents were myopic. Conclusion: Spending more time indoor and continuous reading without resting are risk factors of myopia whilst increased outdoor activities were observed as protective environmental factors against myopia in secondary school learners. Doing more outdoors activities may be beneficial to protect against myopia onset.

Comprehensive epidemiological analysis of the risk of malignant neoplasms: experience of the implementation

Introduction. The high level of morbidity and mortality from malignant neoplasms among the population is one of the pressing health problems. The aim of the study is to assess cancer risk according to the array of epidemiological indicators and identify risk zones in the Irkutsk region. Materials and methods. The work was carried out according to the official statistical reporting data. The analysis included 37 locations of malignant neoplasms under ICD-X. Data analysis was carried out in three stages using cluster analysis methods and relative risk assessment. Results. Two priority groups of risk areas have been identified. The highest levels of incidence, prevalence, and mortality are noted in cluster 1. Cluster 1 includes industrial cities with accumulated technogenic impact. 2 cluster includes mainly northern territories, where the highest level and growth of mortality, morbidity, morbidity and neglect are noted. Rural areas in the central part of the Irkutsk region, where the bulk of the Buryat population traditionally lives, are characterised by relatively low morbidity and mortality rates from malignant neoplasms. This feature determines the need for targeted research to identify protective genetic and environmental factors. Conclusion. Tested in this work, the three-stage approach to analysing epidemiological indicators of oncological pathology can be used to identify critical problems in other territories.

The effects of disability status and perceived neighbourhood cohesion and safety on adverse childhood experiences among college students.

Adverse childhood experiences (ACEs) are early traumatic events that can have adverse long-term developmental effects on a person's health and well-being. Individuals with disabilities are at a greater risk of all types of ACEs. However, the impact of having a disability and neighbourhood context on ACEs is under-researched, and even less is known about whether neighbourhood cohesion and safety affect the relationship between disability status and ACEs. The purpose of this study is to examine the direct and indirect pathways between disability status, childhood neighbourhood environment and ACEs. The final study sample of this study was 2,049 college students, consisting of 494 students with disabilities and 1,555 students without disabilities from six universities in the U.S. and Canada between March 2016 and June 2017. Data analysis included Pearson correlations and structural equation modelling procedures using Stata 16 software to test a partial mediation model. Having a disability has both a direct effect and an indirect effect through the neighbourhood environment on ACEs after controlling for socio-demographic characteristics associated with neighbourhood environment or ACEs. The findings suggest that neighbourhood cohesion and safety can be a mediator between disability status and ACEs, and the potential cumulative risk and protective factors that can contribute to ACEs. To elucidate the relationship between disability status and a higher risk for ACEs fully and prevent ACEs that can negatively impact the long-term health outcomes, greater attention to environmental risk and protective factors is urgently needed.

Chronic disease and where you live: Built and natural environment relationships with physical activity, obesity, and diabetes

BackgroundDiabetes is among the most prevalent non-communicable diseases causing significant morbidity and mortality globally. The aetiology and disease development of diabetes are influenced by genetic, lifestyle, and environmental factors. Due to an increasing number of cases each year, it is imperative to improve the understanding of modifiable environmental risk and protective factors. In this study we aimed to analyse associations between built and natural environment features and diabetes prevalence; and two major risk factors: physical activity and obesity and their mediation effects. MethodsWe analysed relationships between walkability and park availability with physical activity, obesity, and diabetes, using self-reported data from a large cross-sectional survey in British Columbia, Canada (n = 22,418). We validated results with an independent cohort (n = 11,972) in a subset of the analyses. The outcome measures included walking, moderate to vigorous physical activity (MVPA), body mass index (BMI), and diabetes. Built and natural environment features within a 1 km road network buffer around residential postal code centroids were assessed using validated indicators of walkability and park availability. We used general linear multivariable models (GLM) to examine the direct relationship between environmental features, physical activity, obesity, and diabetes respectively. Path models were developed to analyse mediation effects of physical activity and obesity on the association between environmental indicators and diabetes. The relative contribution of direct versus indirect effects was assessed. All models were adjusted for age, gender, income. ethnicity, years lived in neighbourhood and regional accessibility. ResultsWalkable neighbourhoods and areas with greater park availability were associated with lower rates of diabetes. There was a direct association of walkability and park availability on physical activity (highest vs. lowest quintile OR = 1.15; 95% CI: 1.00, 1.33 and OR = 1.28, 95% CI: 1.13, 1.45 respectively), obesity (highest vs. lowest quintile OR = 0.58, 95% CI: 0.49, 0.70 and OR = 0.57, 95% CI: 0.48, 0.68 respectively) and diabetes (highest vs. lowest quintile OR = 0.62, 95% CI: 0.45, 0.85, and OR = 0.63, 95% CI: 0.47, 0.84 respectively). Results were similar in the independent cohort. The associations between diabetes and walkability and park availability respectively were partly mediated by obesity (41% of total association for walkability and 53% of total association for park availability). The mediating effect of physical activity was negligible. ConclusionResults support investments in walkability through active transportation and transit infrastructure. Changes in zoning and subdivision regulations governing land use actions are required to enable compact mixed-use environments with access to parks and high quality transit service. Future studies including cost-benefit analyses of health-related economic impacts of such investments can contribute to evidence-based decisions for healthier cities.

Analysis of Development Status of High Performance Water-based Drilling Fluid

Deep wells, ultra deep wells and unconventional oil and gas exploitation have gradually become the focus of exploration and development. The oil-based drilling fluid is gradually replaced by water-based drilling fluid because of the impact of cost and environmental protection factors. In order to better replace oil-based drilling fluid, research on high-performance water-based drilling fluid has been carried out at home and abroad, and its comprehensive performance has gradually approached that of oil-based drilling fluid. The research progress and future development trend of high performance water-based drilling fluid abroad are introduced.