Resident Quality Research Articles

The Quality of Life of Residents Migrating from The Mainland to The Islands: Case Study of Bach Long VI Island, Vietnam

The purpose of this article was to identify the factors that influenced the quality of residents’ life in Bach Long Vi island, Vietnam. Survey data were collected from 63 households per total 150 household on Bach Long Vi Island, Vietnam. The research model was proposed from the studies of Quality of life (QOL). QOL is proposed as a multi-scale, multi-dimensional concept that contains interacting objective and subjective elements. The article relates QOL to the opportunities that are provided to meet human need in form of material well-being, community well-being, emotional well-being and health and safety well-being. Issues related to defining, measuring, and scaling those concepts are discussed. Policy implication will be showed to give conditions for maximizing QOL at individual and community in that island and all similar islands in Vietnam.

The Influence of Autogenic Relaxation Therapy on Sleep Quality in Elderly Residents at the Rumoh Seujahtra Geunaseh Sayang Social Home, Ulee Kareng, Banda Aceh

Aging is a stage in life marked by a decline in the body’s ability to adapt to its surroundings, leading to various health issues, including impaired sleep quality. One non-pharmacological intervention to address sleep disturbances is autogenic relaxation therapy, which helps modulate physiological responses and can enhance sleep quality for elderly. This study aimed to assess the impact of autogenic relaxation therapy on the sleep quality of elderly residents at the Rumoh Seujahtra Geunaseh Sayang Social Home in Ulee Kareng, Banda Aceh. This pre-experimental research employed a one-group pretest-posttest design. The population consisted of 59 elderly individuals, with a purposive sampling technique used to select a sample of 37 participants. Data were collected using a structured questionnaire. The study was conducted from May 17-19, 2024, at the Rumoh Seujahtra Geunaseh Sayang Social Home. The findings revealed that prior to the intervention, the majority of participants (78.9%, or 29 respondents) had poor sleep quality, while after receiving autogenic relaxation therapy, 59.5% (22 respondents) exhibited good sleep quality. Statistical analysis using the non-parametric Wilcoxon test showed a significant improvement in sleep quality with a p-value of 0.000 (p < 0.05). The study concluded that autogenic relaxation therapy has a positive effect on improving sleep quality in the elderly at the Rumoh Seujahtra Geunaseh Sayang Social Home, Ulee Kareng, Banda Aceh. It is recommended that elderly residents incorporate autogenic relaxation therapy into their routines to enhance sleep quality.

Association Between Organizational Context and Resident Pain in Assisted Living: A Repeated Cross-Sectional Study.

Resident pain has been a common quality challenge in congregate care for older adults, and organizational context may explain variations in resident pain beyond resident-level factors. Most studies have focused on nursing homes (NHs), largely neglecting assisted living (AL). AL residents are at similar risk for pain as NH resident, but with AL providing fewer services and staffing resources. Our objective was to examine whether organizational context in AL was associated with resident pain during the first two waves of the COVID-19 pandemic. This repeated cross-sectional study linked AL home surveys, collected in COVID-19 waves 1 (March-June 2020) and 2 (October 2020-February 2021) from a key contact, to administrative Resident Assessment Instrument-Home Care (RAI-HC) records in these homes. Surveys assessed preparedness for COVID-19 outbreaks, availability of a registered nurse or nurse practitioner, direct care staff shortages, decreased staff morale, COVID-19 outbreaks, confinement of residents to their rooms, supporting video calls with physicians, facilitating caregiver involvement. The dependent variable (moderate daily pain or pain of a severe intensity) and resident covariates came from the RAI-HC. Using general estimating equations, adjusted for repeated resident assessments and covariates, we assessed whether AL organizational context was associated with resident pain during the pandemic. We included 985 residents in 41 facilities (wave 1), and 1134 residents in 42 facilities (wave 2). Pain prevalence [95% confidence interval] decreased non-significantly from 20.6% [18.6%-23.2%] (March-June 2019) to 19.1% [16.9%-21.6%] (October 2020-February 2021). Better preparedness (odds ratio=1.383 [1.025-1.866]), confinement of residents to their rooms (OR=1.616 [1.212-2.155]), availability of a nurse practitioner (OR=0.761 [0.591-0.981]), and staff shortages (OR=0.684 [0.527-0.888]) were associated with resident pain. AL organizational context factors were associated with resident pain. Policy and management interventions can and must address such factors, providing potentially powerful levers for improving AL resident quality of care.

HCA PIECESTM Care Coach Program: Peer to peer approach to promote person-centred care in long-term care

In Long-Term Care (LTC) settings, the potentially inappropriate use of antipsychotics for behavioural and psychological symptoms of dementia is a persistent issue, with high rates despite limited benefit and serious risk. Best practice is a non-pharmacological, person-centred approach to care, though this can be challenging in LTC settings. To help address this gap, we developed the PIECESTM HCA Care Coach Program and described its implementation and outcomes observed at 13 LTC homes. This program empowers Health Care aides with training, tools, and processes to practice the principles of person-centred care and provide peer mentorship to the care team. After 1 year, we found declining antipsychotics use (by 4.4%) and positive indicators of improved staff experience and improved resident quality of life. The Care Coach Program can be adapted and spread to a variety of LTC settings to help reduce potentially inappropriate antipsychotic use and better support people living with dementia.

The price of pressure: nationwide survey on lifestyle disturbances, occupational burnout and compromised perceived-competency among radiology residents in China.

The competency of radiology directly affects the quality and equity of medical services. Due to their different occupational characteristics compared to other specialists, this study aims to evaluate the impacts of lifestyles on competency and burnout in radiology residents in China. A nationwide, cross-sectional survey was conducted from December 1, 2020 to April 30, 2021. A total of 12,208 radiology residents during their standardized residency training in China were invited. Multivariate linear regression and logistic regression were conducted to identify perceived competency and burnout associated with lifestyles. Of the 3,666 participants, 58.02% were female, 82.24% were aged <30 years, 40.53% were from the Eastern region, and 92.06% obtained a bachelor's degree. The radiology residents with high-level lifestyles had higher competency (β = 0.16, 95% CI = [0.01, 0.32]), particularly in the realms of sleep, physical activity, and alcohol consumption. The correlation was stronger in residents with longer work hours and more night shifts. Residents with insomnia (OR = 7.69, 95% CI = [4.23, 14.67]) and less exercise (OR = 6.24, 95% CI = [1.33, 29.37]) had higher burnout risk, while residents who smoked had a lower risk (OR = 0.60, 95% CI = [0.40, 0.89]). And lifestyle factors had a slightly different impact on emotional exhaustion and depersonalization. Radiology residents' lifestyles can be emphasized, as it may reflect their pressure and wellbeing and influence their concentration, competency, burnout and performance. Policymakers and hospital administrators should incorporate practical and modifiable strategies into work routines to improve the lifestyle quality of residents.

Integrated Design Methods for Sustainable Public Seating in Urban Communities—A Shanghai Case Study

In the context of sustainable regeneration of urban communities, the sustainable construction of community urban furniture has gradually been emphasized. This study focuses on the existing problems of experience, culture, environmental protection, function, and other aspects of community urban furniture; starts from the user’s perspective to screen the user’s sustainable design needs for community public seating; and combines the scientific method to quantify and transform them into design factors to form a reasonable community sustainable public seating design program. Taking the public seating in Gumei Community Park in Shanghai as an example, the study adopts the qualitative research method to obtain demand indicators of users. It utilizes the integrated design framework of “AHP-QFD-FBS” to quantify the user needs and maps them into the product structure to identify the ten factors affecting the sustainability of public seating. A community co-creation workshop was conducted to complete a sustainability assessment with the help of life cycle assessment and scales. From the perspective of residents’ needs, it emphasizes the scientific process of demand transformation and ultimately produces sustainable design factors and serialized products for public seating. This approach introduces new ideas for the sustainable renewal of urban furniture and enhances the quality of urban residents’ leisure time.

Cognitive function characteristics and influencing factors in patients with depressive disorders: a 5-year follow-up report based on the epidemiological survey of mental disorders in Shandong Province, China.

Cognitive impairment represents a notable feature of depressive disorders. Comprehending its characteristics and influencing factors is vital for patient rehabilitation. This study is based on the 2015 Shandong Province epidemiological survey of mental disorders, from which 871 individuals meeting DSM-IV criteria for depressive disorders were selected as the research group. Using 1:1:1 matching by sex, age, and residence, we randomly selected 825 individuals with no DSM-IV diagnosis but positive on GHQ-12 and additional risk assessments as the elevated risk control group, and 825 with negative screenings as the minimal risk control group. In 2020, a follow-up survey was conducted, resulting in a final analysis of 1,855 cases. The survey included demographic data, various clinical information, and a series of screening and questionnaire assessments. The current depressive group scored lower on the MoCA than the non-depressive group (t=8.86, P<0.01). The research group scored lower on the MoCA than the elevated and minimal risk group (F=11.98, P<0.01). The depression-unremitted group scored lower than the depression-remitted group (t=6.44, P<0.01). The Analysis indicated that males, with better life quality, poor early psychological status and, and longer education were associated with higher MoCA scores. Conversely, older age, rural residency, employment, current depression, and poor marital were associated with lower MoCA scores. Individuals with depression commonly suffer cognitive impairment, which tends to partially improve as depression remits. Individual cognitive function is influenced by early psychological health, depressive status, quality of life, age, sex, educational level, residence, occupational, and marital status.

Impact of urban-rural resident basic medical insurance on consumption quality of middle-aged and older adult residents: evidence from rural China.

In the context of the Chinese government's advocacy for "Internal Circulation", ongoing reforms in medical insurance policies raise critical questions about whether the basic medical insurance system can stimulate resident consumption and enhance its quality. Based on five waves of panel data from the China Health and Retirement Longitudinal Survey (CHARLS), this paper analyzes the impact of medical insurance on the consumption scale and structure of middle-aged and older adult rural residents by using the time-varying difference-in-differences (time-varying DID) method. The findings indicate that the Urban-Rural Resident Basic Medical Insurance (URRBMI) effectively stimulates the consumption scale of rural middle-aged and older adult individuals, particularly enhancing non-food consumption, development-oriented spending, and hedonic consumption. This, in turn, optimizes the consumption structure and improves overall consumption quality. Notably, URRBMI significantly enhances the consumption scale and structure among rural middle-aged and older adult women, unmarried individuals, and residents in western China. These results suggest that URRBMI plays a crucial role in alleviating consumption inequality within rural areas and across different regions, providing a theoretical foundation for policy-making.

The Nexus Between Real Estate Industry and Economy Growth: Case study of Shanghai

In the 1970s, the theory circle of China put forward the idea of housing commercialization for the first time. After the 1990s, the housing monetization policy began to be implemented. After China opened the door of reform and opening up and the door of urbanization process, the real estate industry also continuously seized the opportunity brought by the reform and opening up to make its own growth. In addition, the real estate industry not only promotes the growth of national economy, but also plays an significant role in improving residents' living quality and seeking benefits for residents. So far, the real estate industry has become the bellwether and main force of China's economic development. The outbreak of the global financial crisis in 2008, followed by 2013, China began to advocate the "new normal" trend of economic development, explore new ways of economic growth and improve the structure of economic growth, which hindered the development of the real estate industry to varying degrees. However, under the macro-background of a series of policies and controls, the real estate industry still plays an immeasurable role in China's economic growth. Therefore, this chapter attempts to carry on a further elaboration in the current macroeconomic background, to clarify the purpose and significance of the research。 In this context, this paper will analyze the relevant data of Shanghai real estate from 1991 to 2021 as the basis. Through the process of data analysis to explain the real estate industry to Shanghai's economic contribution. It also determines whether the relationship between Shanghai real estate industry and economic growth is negative or positive and fills the literature gap between Shanghai real estate industry and economic growth. Provide strong support for future research or policy decision.

Detached eddy simulation of traffic-induced air pollution in an urban highway with complex surrounding morphology

Air pollution caused by traffic is a major contributor to unhealthy ambient air quality in the vicinity of urban highways and puts the health of residents and pedestrians at risk. Therefore, it is imperative to examine local pollution reduction methods. The present paper is concerned with Detached Eddy Simulation (DES) of an urban area with high concentration of air pollutants. As an example of a complex surrounding morphology, the studied domain encompasses a 2.5 km stretch of high-traffic highway, a bus terminal, and the nearby residential buildings. The numerical procedure is validated with some benchmark wind tunnel and numerical data. The locations of pollution accumulation have been identified and the effect of the ambient wind speed on the change of the maximum pollution concentration points has been investigated. Furthermore, potential pollution reduction strategies for such complex morphologies have been proposed based on the geometry change to prevent the formation of critical zones of pollution accumulation. The results show that critical zones are generally formed behind the walls of upstream buildings, adjacent to the upstream wall of the highway, and in front of the walls of downstream buildings. It was also found that changes in the ambient wind speed do not significantly alter the location of these critical zones. Furthermore, increasing the distance between adjacent buildings and the highway from 21 m to 30 m, can result in an average reduction of 76% in maximum carbon monoxide concentration values. An investigation into the impact of upstream buildings height indicates that reducing the height of certain buildings can effectively diminish pollution concentration to zero in residential areas and surrounding sidewalks. Additionally, increasing the depth of the highway and erecting 2 m solid barriers on either side of the highway are identified as two other effective techniques for reducing pollution concentration on both sides of the highway. The findings can be utilised to develop novel strategies aimed at enhancing air quality for residents and pedestrians.

Didactic Instruction's Impact on Medicolegal Quality of Radiation Oncology Resident Physician Documentation.

Effective documentation serves as a cornerstone for communication and patient care, especially in radiation oncology (RO). Studies have shown room for improvement in documentation practices, and although documentation guidelines exist, it is uncertain if RO physicians are aware of or adhere to them. We aimed to assess RO resident physicians' medicolegal knowledge and the impact of an educational intervention on documentation practices. Grading rubrics for consultation and progress notes were created using guidelines, comprising of a fundamental score and total score. Residents from two institutions attended a didactic seminar on medicolegal documentation. Pre- and post-seminar, an electronic anonymous survey was used to assess resident knowledge and perspectives and random resident consultation and progress notes were scored. Mean documentation and survey item scores from pre- and post-seminar were compared. Fourteen resident physicians participated and completed surveys, and 48 consultation notes and 40 progress notes were analyzed. No participant had prior education specific to RO documentation, nor were any aware of available resources. Post-seminar, participants' medicolegal documentation knowledge significantly increased (86.61% vs. 95.54%, p = 0.001), as did the fundamental score (83.64% vs 89.29%, p = 0.041) and total scores of consultation notes (69.82% vs. 78.98%, p = 0.001) and total score of progress notes (55% vs. 75.19%, p < 0.001). Our seminar significantly enhanced residents' medicolegal knowledge and quality of documentation, and surveys revealed a lack of speciality specific documentation education. This combined with findings from other studies and participant opinions suggest that resident physicians would benefit from such training during residency.

Acoustic resonant metasurfaces with roughened necks for effective low-frequency sound absorption

The rise in environmental low-frequency noise from human-induced activities due to global urbanization has had a noticeable effect on the health and life quality of urban residents. Despite the implementation of conventional noise mitigation methods, they are only effective within a narrowband frequency range and their efficiency deteriorates when dealing with low-frequency noise. To address the existing problem in noise attenuation, an acoustic resonant metasurface that incorporates sliced Helmholtz-resonator-like substructures with embedded roughened necks is designed to achieve low-frequency sound absorption within a subwavelength scale. The theoretical model of this metasurface is first established, and then parametric studies are conducted to analyze the impact of various geometrical parameters on the sound absorption effect of the proposed metasurface. Subsequently, the sound absorption performance of the proposed design is investigated through numerical and experimental studies using two samples at both single and broadband frequencies. Excellent absorption performances by the samples at a low-frequency spectrum have been achieved. To understand the underlying absorptive mechanism of the proposed metasurface models, theoretical investigations are conducted for acoustic impedance and complex frequency, while numerical studies are also carried out to examine the distribution of acoustic pressure, acoustic velocity and thermoviscous power dissipation density. The research findings presented in this study may facilitate the development of an effective acoustic barrier for low-frequency noise (≤ 200 Hz).

Influence of Digital Health Technologies among Healthcare Providers on Long-term Care Services Implementation for Elderly with Disabilities

Purpose: The traditional paradigm of home care in China is not up to the challenges posed by the country's increasing population's advancing age and lack of available resources. Digital monitoring technology solutions are thought to be advantageous for managing caregivers' workloads while also improving resident safety and care quality in assisted living facilities. To effectively provide the best possible services, teamwork is crucial in New Hampshire. Due to several issues such staffing shortages, rising resident expectations, and increased demands, NH are consequently embracing the use of Knowledge Management (KM) activities more and more to facilitate knowledge development, storage, transfer, and application. Method: In China, the lack of an established system for caring for the elderly is having a significant impact on society as a whole, making it imperative to establish one. The researcher examined the real impacts of their quality management system and KM efforts on service quality, as well as the KM adjustments made by two China state NH that adopted the E-Qalin management of quality model, in the qualitative research. Additionally, the researchers looked at the approaches used by two China private NH that address service quality from a knowledge management standpoint but have not implemented a certified management of quality program. There were eighty nursing professionals in the sample. Teamwork is crucial in every NH included in this study, and each participant in the researcher’s poll is a member of a team. In this work, the researchers used linear regression to analyse connections between individual variables. Results: Between the development, transmission, and application of knowledge in the state of New Hampshire regardless of the E-Qalin certificate, the researchers discovered a strong and favourable correlation. The researchers found a statistically significant and favourable association between knowledge storage and service quality, but only in New Hampshire with an E-Qalin certificate. Thus, the researcher’s study's findings highlight the necessity of learning more about quality control and knowledge management in the context of New Hampshire. Conclusion: The government, tech companies, and nursing homes need to further restructure the current system before more elderly people adopt sophisticated technology in home care settings. The study's findings, which centre on the transmission of tacit knowledge, substantially advance the field of knowledge management research in New Hampshire.

Remote Sensing Monitoring and Multidimensional Impact Factor Analysis of Urban Heat Island Effect in Zhengzhou City

In the 21st century, the rapid urbanization process has led to increasingly severe urban heat island effects and other urban thermal environment issues, posing significant challenges to urban planning and environmental management. This study focuses on Zhengzhou, China, utilizing Landsat remote sensing imagery data from five key years between 2000 and 2020. By applying atmospheric correction methods, we accurately retrieved the land surface temperature (LST). The study employed a gravity center migration model to track the spatial changes of heat island patches and used the geographical detector method to quantitatively analyze the combined impact of surface characteristics, meteorological conditions, and socio-economic factors on the urban heat island effect. Results show that the LST in Zhengzhou exhibits a fluctuating growth trend, closely related to the expansion of built-up areas and urban planning. High-temperature zones are mainly concentrated in built-up areas, while low-temperature zones are primarily found in areas covered by water bodies and vegetation. Notably, the Normalized Difference Built-up Index (NDBI) and the Normalized Difference Vegetation Index (NDVI) are the two most significant factors influencing the spatial distribution of land surface temperature, with explanatory power reaching 42.7% and 41.3%, respectively. As urban development enters a stable stage, government environmental management measures have played a positive role in mitigating the urban heat island effect. This study not only provides a scientific basis for understanding the spatiotemporal changes in land surface temperature in Zhengzhou but also offers new technical support for urban planning and management, helping to alleviate the urban heat island effect and improve the living environment quality for urban residents.

Assessing Residential Satisfaction Among The Residents In Ogbomoso Urban Centre, Nigeria

The importance of residents’ satisfaction with housing cannot be over-emphasised as it contributes to the quality of residents’ life. This study assess residential satisfaction among residents in Ogbomoso Urban Centre. Multistage sampling techniques and simple random sampling were applied, with the aid of questionnaire administration among 430 residents in twenty political wards but only 378 copies were properly filled, returned, and analysed. The population of the study area was collected from the National Population Commission to determine the population trend and the number of copies of the questionnaires to be administered in each of the political wards. Residential satisfaction was obtained through factors that contribute to the residents’ satisfaction and satisfaction level. At the beginning of the analysis, a factor analysis was applied to reduce the data set and to group various variables as factors. This is to present the magnitudes of residential satisfaction among the residents. Descriptive analysis with the use of frequency and percentage, cross-tabulation, regression analysis, mean index, residents’ relative satisfaction index, and relative importance satisfaction index were explored to assess residential satisfaction among the residents. The results revealed that the residents are not satisfied with the house and neighbourhoods. Their current demographic status has constrained them to continue staying within their residential neighbourhoods. The authors believe that, there is a need for a realistic and vigorous approach towards the provision of better housing and environment that enhance better living. This will invariably improve residents’ quality of life and reduce the socio-spatial divergence among various social groups.

THE IMPACT OF ATTITUDE CHANGE FOR CLEANLINESS AMONG LOW COST FLAT RESIDENTS TOWARDS QUALITY OF LIFE IN JOHOR BAHRU, MALAYSIA

The primary cause of cleaning problems in low-cost flats is the attitude of the residents, who are frequently perceived as disliking their shared accountability and dedication to maintaining their dwelling zones. Hence, these attitudes will impact low-cost flats' quality of life (QOL). However, the relationship and effects of a change in attitude toward cleanliness from a property management perspective have received less attention in the literature. This study is conducted to determine attitude change factors for cleanliness among low-cost flat residents and to analyse the impact of attitude change factors towards resident's quality of life (QOL) near Johor Bahru. The quantitative method was used through a questionnaire survey from 100 respondents among low-cost residents. Descriptive analysis, factors analysis and correlation analyses were used for the data. The result shows that cognitive biases and belief formation are the top attitude change factors among the residents. The correlation between attitude change factors and QOL showed a strong correlation between cognitive and behavioural elements. This result can be a basis for further exploration of the change in the cleanliness attitude of low-cost residents.

Evaluation of electric field (E) exposure levels and its relationship with the sleep quality of residents around the BTS antennas in Sabzevar, Iran.

Mobile devices and base transceiver station (BTS) are the main sources of human exposure to radio frequency electromagnetic fields (RF-EMFs). Therefore, the aim of the present study was to evaluate the levels of exposure to RF-EMF in three different time intervals and three different distances from BTS antennas in Sabzevar. Additional goals were to investigate the electric field (E) difference between different microenvironments, between the suburbs and downtown, and evaluating the sleep quality of residents around BTS antennas at different distances. The results showed significant differences between the values of E Avg and E max Avg at different times (T1, T2, and T3), different distances (50, 100, and 300m) from BTS antennas, and between BTS antennas located in the suburbs and downtown. No significant differences were observed between the values of E Avg and E max Avg in terms of microenvironments. Poor sleep quality (>5) was recorded in the residents around the BTS antennas at different distances, and a significant difference was observed between the sleep quality of the residents at a distance of ˂100m compared to the residents at a distance of ˃300m. The recorded levels of E in all places and times were below the human safety limits set by the Iranian National Standardization Organization, the Information and Communication Technologies Authority and the International Commission on Non-Ionizing Radiation Protection, indicating the absence of potential risk due to exposure to E in the study area.

Relationship between Urban Forest Fragmentation and Urban Shrinkage in China Differentiated by Moisture and Altitude

Forest fragmentation and urban shrinkage have become the focus of attention in global ecological conservation, with the goal of achieving sustainable development. However, few studies have been concerned with urban forest patterns in shrinking cities. It is necessary to explore whether the loss of the population will mitigate urban forest degradation. Thus, in this study, 195 shrinking cities were identified based on demographic datasets to characterize the spatiotemporal patterns of urban forests in China against a depopulation background. To illustrate the explicit spatial evolution of urban forests in shrinking cities in China, in this study, we reclassified land-use products and determined the annual spatial variations from 2000 to 2022 using area-weighted centroids and landscape pattern indexes. The effects of different climatic and topographical conditions on the spatiotemporal variations in the urban forest patterns against population shrinkage were discussed. The results demonstrated that the forest coverage rate in the shrinking cities of China increased from 40.05 to 40.47% with a generally southwestern orientation, and the most frequent decrease appeared from 2010 to 2015. Except for the temperate humid and sub-humid Northeast China, with plains and hills, all geographical sub-regions of the shrinking cities exhibited growing urban forests. Relatively stable movement direction dynamics and dramatic area changes in climatic sub-regions with large forest coverage were observed. The urban forest centroids of shrinking cities at a lower elevation exhibited more fluctuating changes in direction. The urban forests in the shrinking cities of China were slightly fragmented, and this weakened condition was identified via the decelerating fragmentation. The urban forests of the shrinking cities in the warm-temperate, humid, and sub-humid North China and basin regions exhibited the most pattern variations. Therefore, it is emphasized that the monitoring of policy implementation is essential due to the time lag of national policies in shrinking cities, especially within humid and low-altitude regions. This research concludes that the mitigation of urban deforestation in the shrinking cities of China is greatly varied according to moisture and altitude and sheds light on the effects of the population density from a new perspective, providing support for urban forest management and improvements in the quality of residents’ lives.

An analysis of the relationship between domestic trade costs and the dietary quality of Chinese residents

Abstract Domestic trade flow in China is an indispensable factor affecting food availability to the public. The aim of this study is to focus on the cost of domestic trade within China and the dietary health of Chinese residents. Based on the China-regional input-output tables and the CHNS micro-database, we calculated China’s domestic trade costs and Healthy Eating Index (HEI) of Chinese urban and rural residents. We find that domestic trade costs are negatively correlated with residents’ whole grain and mixed beans, vegetables, fruits, beef, mutton, poultry, and aquatic products consumption, having a significant negative influence on residents’ dietary quality score. Domestic trade costs can influence residents’ food consumption structure by affecting income and traditional market scores. Domestic trade costs have a greater negative influence on the dietary quality of rural residents, low-income residents, and elderly residents. The results suggest that reducing domestic trade costs increased residents’ food consumption and improved their dietary quality. Increasing the people’s income and stimulating traditional markets can alleviate the decline in dietary quality of the population caused by an increase in domestic trade costs.

The impact of the COVID-19 pandemic on the quality of sleep of medical residents in a tertiary care hospital.

The COVID-19 pandemic has created unprecedented levels of stress and anxiety, which has a profound effect on sleep quality. However, limited data are available on the sleep quality of medical residents who work directly with patients infected with SARS-CoV-2. As sleep is a crucial brain state, our goal is to know the sleep quality of these medical residents. This study evaluated sleep quality among medical residents caring for COVID-19 patients at Hospital São Paulo, SP, Brazil. It used a validated questionnaire and assessed sleep habits and sociodemographic variables. The study focused on sleep latency, bedtime changes, early awakening, and discouragement. 150 resident physicians participated, 93 females and 57 males. We observed poor sleep quality in 72.7%, discouragement complaints in 91.33%, what was moderate or intense in 52.0%. Discouragement was associated with sleep fragmentation and awakening early in the morning; sleeping pill users had a greater sleep latency (p<0.00001). Poor sleep quality was linked to changes in bedtime and use of sleeping medications during social isolation in 2020 (p=0.037 and p<0.001, respectively). During the COVID-19 pandemic, more than two-thirds of resident physicians experienced poor sleep quality. They changed their bedtime, increased sleep latency, the use of hypnotics, feelings of discouragement, fragmented sleep, and early awakening in the morning. These findings should serve as a wake-up call for everyone, especially those in administrative roles. They are a matter of concern for medical residents, chief residents, supervising physicians, medical directors, and faculties. Maximās grātiās vōbīs agimus.