Characteristics of unintentional childhood injury during COVID-19: a single-center comparative study.

Background: There are many articles related to child injuries during the coronavirus disease of 2019 (COVID-19) in other countries, but only few studies in this field in China. This study analyzes the clinical characteristics of unintentional childhood injury during the pandemic, to provide reference for the prevention of unintentional childhood injury in the context of pandemic. Methods: A comparative study was performed on the medical data of 2,497 children with unintentional injury who were hospitalized at Chengdu Women's and Children's Central Hospital between 1 January, 2018 and 31 May, 2021. The study period was divided into 2 periods, before the pandemic (1 January, 2018 to 31 May, 2019), during the pandemic (1 January, 2020 to 31 May, 2021). The number of unintentional childhood injuries and age distribution before and during the pandemic were compared. Group differences were examined using Mann-Whitney U for continuous variables and Chi-squared or Kruskal-Wallis tests for categorical variables. Results: There were significant differences in age, accident location, hospitalization days, and medical expenses before and during the pandemic (P<0.05). During the pandemic, the number of children's unintentional injuries increased by 34.24% (1,066 vs. 1,431, P=0.000), and the significantly increased types of unintentional injuries included foreign bodies, falls, crush injuries, and sharp injuries. During the pandemic, the highest proportion of unintentional injury to children was foreign bodies, whereas the proportion of falls was the highest before the pandemic. During the pandemic, the number of foreign body injuries in toddler was significantly higher than before the pandemic (P=0.001), but the number of falls, crush injuries, and sharp injuries in preschooler was significantly higher (P<0.05). Conclusions: In the circumstance of the COVID-19, the number of foreign bodies, falls, crush injuries, and sharp injuries, in children increased significantly. It is necessary to strengthen the prevention of foreign bodies in toddler, and falls, crush injuries, and sharp injuries in preschooler.

Cultural inclusion and corporate sustainability: evidence from food culture and corporate total factor productivity in China.

This article constructed a food taste deviation index using text analysis based on food culture as a measure of cultural inclusion. Cultural inclusion was related to corporate total factor productivity, aiming to investigate whether the cultural inclusion affects corporate sustainability. The findings showed uneven distribution of cultural inclusion in various areas of China, contributing to the unbalanced sustainable development of firms in different regions, as reflected by the higher total factor productivity of firms located in regions with higher cultural inclusion. A test using mountainous undulation as an instrumental variable verified the causal relationship between cultural inclusion and firm sustainability. Besides, a regression discontinuity design was employed to mitigate the impacts of the bidirectional causality. Moreover, a high level of cultural inclusion in top managers' hometown significantly improved corporate sustainability, suggesting that executives can transmit cultural inclusion in society. In addition, firms in more inclusive regions are more motivated to increase their social responsibility to staff as a way to promote their total factor productivity, suggesting that cultural inclusion promotes firm sustainability by increasing firms' care for staff. This article also found that cultural inclusion has heterogeneous effects across firms of different levels of industry competition, and different levels of analyst attention. The research reveals the impact of cultural inclusion on the real economy and help academics dissect the informal institutional reasons behind the sustainable development of firms in different geographies from a new perspective, contributing to the promotion of economic sustainability at the regional level and related policy formulation.

Identification of factors influencing core competence promotion among professional nurses and midwives: A qualitative study using the COM-B model.

AIM: To identify factors influencing a behaviour of improving core competencies among nurses and midwives in the Maternity and Child Health Care Hospital using the capability, opportunity, motivation and behaviour (COM-B) model. BACKGROUND: With the increasing number of women with pregnancy complications and the COVID-19 pandemic, nurses and midwives are being challenged and enhancing their core competencies is imperative to ensure high-quality care. To develop effective intervention strategies, it is essential to systematically explore what influences nurses and midwives to improve their core competencies. To this end, this study applied the COM-B model of behavioural change. DESIGN: Qualitative study using the COM-B model. METHODS: This qualitative descriptive study was conducted in 2022 using face-to-face interviews, including 49 nurses and midwives. Topic guides for the interviews were developed based on the COM-B model. Transcribed verbatim interviews were analysed using deductive thematic analysis. RESULTS: The COM-B model captures several factors. Capability factors included clinical knowledge and self-directed learning abilities. Opportunity factors included professional education covering necessary clinical skills, adequate clinical practice, personalised training, available time, insufficient clinical learning resources, absence of scientific research resources and support from leadership. Motivational factors were access to long-term work, incentive policies based on individuals' work values and responses to upward social comparison. CONCLUSIONS: The findings of this study suggested that prior to developing intervention strategies to enhance the core competencies of nurses and midwives, processing barriers to nurses' and midwives' capabilities, opportunities and motivation can facilitate the implementation of interventions.

Disposal and resource utilization of waste masks: a review.

Waste masks pose a serious threat to the environment, including marine plastic pollution and soil pollution risks caused by landfills since the outbreak of COVID-19. Currently, numerous effective methods regarding disposal and resource utilization of waste masks have been reported, containing physical, thermochemical, and solvent-based technologies. As for physical technologies, the mechanical properties of the mask-based materials could be enhanced and the conductivity or antibacterial activity was endowed by adding natural fibers or inorganic nanoparticles. Regarding thermochemical technologies, catalytic pyrolysis could yield considerable hydrogen, which is an eco-friendly resource, and would mitigate the energy crisis. Noticeably, the solvent-based technology, as a more convenient and efficient method, was also considered in this paper. In this way, soaking the mask directly in a specific chemical reagent changes the original structure of polypropylene and obtains multi-functional materials. The solvent-based technology is promising in the future with the researches of sustainable and universally applicable reagents. This review could provide guidance for utilizing resources of waste masks and address the issues of plastic pollution.

Disposal and resource utilization of waste masks: a review

Waste masks pose a serious threat to the environment, including marine plastic pollution and soil pollution risks caused by landfills since the outbreak of COVID-19. Currently, numerous effective methods regarding disposal and resource utilization of waste masks have been reported, containing physical, thermochemical, and solvent-based technologies. As for physical technologies, the mechanical properties of the mask-based materials could be enhanced and the conductivity or antibacterial activity was endowed by adding natural fibers or inorganic nanoparticles. Regarding thermochemical technologies, catalytic pyrolysis could yield considerable hydrogen, which is an eco-friendly resource, and would mitigate the energy crisis. Noticeably, the solvent-based technology, as a more convenient and efficient method, was also considered in this paper. In this way, soaking the mask directly in a specific chemical reagent changes the original structure of polypropylene and obtains multi-functional materials. The solvent-based technology is promising in the future with the researches of sustainable and universally applicable reagents. This review could provide guidance for utilizing resources of waste masks and address the issues of plastic pollution.

5-Hydroxymethylcytosine Signatures in Circulating Cell-Free DNA as Early Warning Biomarkers for COVID-19 Progression and Myocardial Injury.

Background: The symptoms of coronavirus disease 2019 (COVID-19) range from moderate to critical conditions, leading to death in some patients, and the early warning indicators of the COVID-19 progression and the occurrence of its serious complications such as myocardial injury are limited. Methods: We carried out a multi-center, prospective cohort study in three hospitals in Wuhan. Genome-wide 5-hydroxymethylcytosine (5hmC) profiles in plasma cell-free DNA (cfDNA) was used to identify risk factors for COVID-19 pneumonia and develop a machine learning model using samples from 53 healthy volunteers, 66 patients with moderate COVID-19, 99 patients with severe COVID-19, and 38 patients with critical COVID-19. Results: Our warning model demonstrated that an area under the curve (AUC) for 5hmC warning moderate patients developed into severe status was 0.81 (95% CI 0.77-0.85) and for severe patients developed into critical status was 0.92 (95% CI 0.89-0.96). We further built a warning model on patients with and without myocardial injury with the AUC of 0.89 (95% CI 0.84-0.95). Conclusion: This is the first study showing the utility of 5hmC as an accurate early warning marker for disease progression and myocardial injury in patients with COVID-19. Our results show that phosphodiesterase 4D and ten-eleven translocation 2 may be important markers in the progression of COVID-19 disease.

Online Self-Regulated Learning Profiles: A Study of Chinese as a Foreign Language Learners.

The role of self-regulated learning (SRL) in achieving academic success has been widely investigated for campus-based college students. However, research on online learners' SRL is limited, while the number of online learners has been increasing tremendously in recent years, especially after the COVID-19 pandemic worldwide. As SRL is context-bound, differences caused by classroom and home environments may be expected. This study investigated the factor structures of online learners' SRL in Chinese as a foreign language education and the existence of SRL profiles in online learners. Data were collected from 378 international students enrolled in online Chinese language courses in 2020. Ten latent factors were revealed by exploratory factor analysis with motivation and learning strategies scales of the Motivated Strategies for Learning Questionnaire (MSLQ). A follow-up latent profile analysis showed three profiles of low, moderate, and high self-regulated learners. The study supports the context-bound nature of SRL and calls for developing adaptive training programs according to SRL profiles of Chinese language learners.

Fingerprint characteristics and health risks of trace metals in market fish species from a large aquaculture producer in a typical arid province in Northwestern China.

Concentrations of nine metals were measured in eight common cultured fish species obtained from forty-three aquatic product markets across three cities in Xinjiang province, to establish fingerprint characteristics and assess potential human health risks due to the consumption of fish. Metal levels ( µ g/kg, wet weight) in fish muscles were: 1204.88-5113.19 Al, 2.09-12.44 V, 6.10-31.86 Cr, 2368.80-8949.52 Fe, 2.01-10.26 Co, 4082.72-12785.68 Zn, 174.89-763.83 Cu, 0.33-2.24 Cd, and 5.74-9.90 Pb. Fingerprint analysis revealed that the studied fish species from the three cities exhibited a similar pattern of distribution. From the viewpoint of human health, the assessment of non-carcinogenic risk indicated no significant adverse health effects due to consumption of the assessed fish species.