Health Inequalities amongst Refugees and Migrant Workers in the Midst of the COVID-19 Pandemic: a Report of Two Cases

Malaysia hosts a significant number of refugees, asylum-seekers and migrant workers. Healthcare access for these individuals has always proved a challenge: language barriers, financial constraints and mobility restrictions are some of the frequently cited hurdles. The COVID-19 pandemic has exacerbated these existing inequalities, with migrants and refugees bearing the brunt of chronic systemic injustices. Providing equitable healthcare access for all, regardless of their citizenship and social status remains an ethical challenge for healthcare providers, particularly within the framework of a resource-limited healthcare system. Inclusive healthcare and socio-economic policies are necessary to ensure every individual’s equal opportunity to attain good health. The collective experiences of refugees and migrants in the pursuit of healthcare, as highlighted by the two cases described, showcases the importance of equity in healthcare access and the detrimental implications of non-inclusive healthcare and socio-economic policies.

Associations of Nutritional Behavior and Gut Microbiota with the Risk of COVID-19 in Healthy Young Adults in Poland

The numerous consequences of the coronavirus disease 2019 (COVID-19) pandemic in healthy young people and the lack of clarity as to the long-term disease outcomes have spurred the search for risk factors for SARS-CoV-2 infection. We aimed to evaluate the associations of nutritional behaviors, gut microbiota, and physical activity with the risk of COVID-19 in healthy young nonobese people. Data on body composition, anthropometric measurements, physical activity, dietary intake, and gut microbiota were obtained from 95 adults (mean age, 34.66 ± 5.76 years). A balanced diet rich in vegetables and fruit, including nuts, wholegrain cereal products, and legumes, covers the need for vitamins and minerals. Such a diet can be an effective measure to reduce the risk of COVID-19 in nonobese healthy physically active young people with normal immune function. People with balanced diet and an average daily consumption of >500 g of vegetables and fruit and >10 g of nuts had an 86% lower risk of COVID-19 compared with those whose diet was not balanced and who consumed lower amounts of these products. It is well documented that proper nutrition, physical activity, and maintenance of normal weight facilitate good health by ensuring optimal immune function. The beneficial effects of these interventions should be strongly emphasized during the COVID-19 pandemic.

Depressive Symptomology, Identity and Religious Practices among Catholics and Evangelicals: Differences between the Mapuche and Non-Indigenous Chilean Population

Background: Chile is a highly religious country. Although a majority of the population describes itself as Catholic, there has been a substantial growth in Evangelism, especially among indigenous people. In this context, the aim of this study is to analyse the relationship between Catholic and Evangelical religiosity in terms of identity and practices and depressive symptoms in the Mapuche and non-indigenous Chilean population. Methods: The study was conducted using secondary data from the Longitudinal Intercultural Relations Study of 2017, estimating linear regressions to explain variations on the PHQ-9 scale between the adult Mapuche and non-indigenous Chilean population by first including the controls variables, followed by religious identification, churchgoing, and prayer. Results: Social support, good health, and age showed a negative association with PHQ-9 in both groups. Being a woman and not having a partner were only positively related with depression in the non-indigenous group. A negative association was found between Evangelical religious identity and depressive symptoms among the Mapuche population, while churchgoing was negatively associated and prayer was positively associated with depression in the non-indigenous group. Conclusions: The findings confirm that religiosity is a protective factor against depressive symptomology in the Chilean population. However, the analysis reveals significant ethnic differences.

Effect of Time and Amount of Colostrum Feeding on Physiological Parameters and Health Scores in Surti Buffalo Calves

Background: Timely feeding of adequate colostrum to new born calf is important to ensure transfer of passive immunity to prevent several infections. Present study has evaluated effect of time and amount of colostrum feeding on physiological parameters and health scores in Surti buffalo calves. Methods: Based on amount and time of feeding colostrum after birth, 24 Surti buffalo calves were divided into four groups as T1 (7%; 0-4), T2 (7%; 4-8), T3 (10%; 0-4) and T4 (10%; 4-8). Physiological parameters (twice daily upto day 5) and naval, nasal, eye and faecal scores on day 1, 7, 14, 21, 28, 35 and 42 were recorded. Lying behavior was recorded on day 2. Result: Significant (p less than 0.05) interaction between treatment and weeks and nonsignificant effect of treatment was observed. Calves that received colostrum late had significantly (p less than 0.05) higher faecal score as well as evening heart and respiration rate. Calves that received colostrum early had significant (p less than 0.05) higher lying time. Normal scores of naval, nasal, eye and faecal indicated good health of calves. It was concluded that early feeding of colostrum @ 7 or 10% body weight within 4 hours after birth is beneficial for optimum health in buffalo calves.

AI-Based Quantification of Fitness Activities Using Smartphones

To encourage more active activities that have the potential to significantly reduce the risk of people’s health, we aim to develop an AI-based mobile app to identify four gym activities accurately: ascending, cycling, elliptical, and running. To save computational cost, the present study deals with the dilemma of the performance provided by only a phone-based accelerometer since a wide range of activity recognition projects used more than one sensor. To attain this goal, we derived 1200 min of on-body data from 10 subjects using their phone-based accelerometers. Subsequently, three subtasks have been performed to optimize the performances of the K-nearest neighbors (KNN), Support Vector Machine (SVM), Shallow Neural Network (SNN), and Deep Neural Network (DNN): (1) During the process of the raw data converted to a 38-handcrafted feature dataset, different window sizes are used, and a comparative analysis is conducted to identify the optimal one; (2) principal component analysis (PCA) is adopted to extract the most dominant information from the 38-feature dataset described to a simpler and smaller size representation providing the benefit of ease of interpreting leading to high accuracy for the models; (3) with the optimal window size and the transformed dataset, the hyper-parameters of each model are tuned to optimal inferring that DNN outperforms the rest three with a testing accuracy of 0.974. This development can be further implemented in Apps Store to enhance public usage so that active physical human activities can be promoted to enhance good health and wellbeing in accordance with United Nation’s sustainable development goals.

Factors That Impact Acceptance of COVID-19 Vaccination in Different Community-Dwelling Populations in China

(1) Background: It is important to improve vaccination strategies and immunization programs to achieve herd immunity to infectious diseases. (2) Methods: To assess the acceptance of COVID-19 vaccination, we conducted face-to-face surveys and online surveys in Shanghai, Zhejiang, and Qinghai provinces. A fixed-effect model and a random effects model were used to analyze factors associated with the acceptance of COVID-19 vaccination. (3) Findings: We initially recruited 3173 participants, 3172 participants completed the full questionnaire (the response rate was nearly 100%), of which 2169 were valid questionnaires, with an effective rate of 87.3%. The results indicated that 82.6% of participants were willing to receive vaccination when it was available in the community, and 57.2% of deliverymen, 43.3% of medical workers, 78.2% of parents of primary and secondary school children, and 72.2% of parents of preschool children were willing to receive vaccination. The models showed that participants who were male (female vs. male: OR = 1.49, 95% CI (1.12, 1.98)), 60 to 69 years-old (60–69 vs. <30: OR = 0.52, 95% CI (0.29, 0.92)), had less education (medium vs. low: OR = 1.50, 95% CI (1.05, 2.23)), had good health status (good vs. low: OR = 0.36, 95% CI (0.15, 0.88)), and had positive attitudes and trust (OR = 0.14, 95% CI (0.10, 0.20)) in vaccines approved by the National Health Commission were more likely to accept vaccination. Participants also had an increased vaccination acceptance if it was recommended by government sources, doctors, relatives, or friends. Most participants learned about COVID-19 vaccination from television, radio, and newspapers, followed by community or hospital campaigns and the internet. (4) Conclusions: Government sources and doctors could increase the acceptance of vaccination by promoting the efficacy and safety of COVID-19 vaccination by the use of mass media and emphasizing the necessity of vaccination for everyone.

Onset of Weight Gain and Health Concerns for Men: Findings from the TAP Programme

With shown reticence by men to engage with dietary interventions for weight loss, investigations that provide detail on men’s perceptions for the causes of weight gain and subsequent concerns over health and image are important. Such discoveries have potential to make a valuable contribution to male gendered programme design aimed at tackling weight gain and promoting good health. Connecting to men to health using their hobbies and interests, this study deployed semi-structured interviews of eight male participants (age > 35 years) enrolled on The Alpha Programme (TAP). TAP is a 12-week football and weight management intervention delivered in local community venues. Results captured men’s lived experiences and feelings of being overweight, their attempts at dietary modification, health and causes of weight gain. Results signify externalized attribution for weight gain, entrenched habitual intake practices, despondency related to weight stigmatization, self-objectification and low self-worth. Moreover, this study outlines the processes for capturing this information using a male friendly approach and setting. Outcomes have potential for shaping bespoke men’s weight management and health improvement interventions in the future.

Nursing students’ understanding of health literacy and health practices: a cross-sectional study at a university in Namibia

Background A poor understanding of health literacy and inadequate health practices among nurses can be detrimental to a population’s health. The starting point of solving this problem is through the provision of methodical health literacy and health practice education in the nursing curriculum. This study explored nursing students’ understanding of the concept of ‘health literacy’ and their health practices at a university in Namibia. Methods A descriptive cross-sectional study was carried out among 205 nursing students. A simple stratified sampling method was used and data were collected using a self-reporting Understanding of Health Literacy (UHL) questionnaire. Pearson correlation, independent t-test and One-way ANOVA were used to analyse the data. Results The overall mean Understanding of Health Literacy score was 13.04 ± 1.52. The majority (n = 157; 76.5%) of the students were found to have adequate health literacy scores, 21.5% had moderate health literacy scores, and only 2% had inadequate health literacy scores. The overall mean health practice score was 32.4 ± 5.50. Most (n = 106; 51.7%) of the students were found to have poor health practices, 44.4% had average health practices, and just 3.9% had good health practices. There was no significant relationship between the health literacy levels and health practices of the students (p = 0.63). Conclusions Nursing students have a good understanding of the concept of health literacy, but more effort can be made to translate this understanding into health literacy skills. There is a need to investigate the contributing factors to poor health practices, as well as develop strategies that can support good health practices among nursing students. These health literacy skills could then be transferred into the students' professional careers as nurses.

Biogenic Nanosilica Synthesis Employing Agro-Waste Rice Straw and Its Application Study in Photocatalytic Degradation of Cationic Dye

The current study aims towards a holistic utilization of agro-waste rice straw (RS) to synthesize nanosilica (SiNPs) employing the sol–gel method. The effect of ashing temperature was evaluated for the synthesis process. X-ray diffraction demonstrated a broad spectrum at 21.22° for SiNPs obtained using RSA-600, signifying its amorphous nature, whereas crystalline SiNPs were synthesized using RSA-900. The EDX and FTIR spectra confirmed the significant peaks of Si and O for amorphous SiNPs, confirming their purity over crystalline SiNPs. FE-SEM and TEM micrographs indicated the spheroid morphology of the SiNPs with an average size of 27.47 nm (amorphous SiNPs) and 52.79 nm (crystalline SiNPs). Amorphous SiNPs possessed a high surface area of 226.11 m2/g over crystalline SiNPs (84.45 m2/g). The results obtained attest that the amorphous SiNPs possessed better attributes than crystalline SiNPs, omitting the need to incorporate high temperature. Photocatalytic degradation of methylene blue using SiNPs reflected that 66.26% of the dye was degraded in the first 10 min. The degradation study showed first-order kinetics with a half-life of 6.79 min. The cost-effective and environmentally friendly process offers a sustainable route to meet the increasing demand for SiNPs in industrial sectors. The study proposes a sustainable solution to stubble burning, intending towards zero waste generation, bioeconomy, and achieving the Sustainable Development Goals (SDGs), namely SDG 13(Climate Action), SDG 3(Good health and well-being), SDG 7(use of crop residues in industrial sectors) and SDG 8 (employment generation).

Accelerating the Nature Deficit or Enhancing the Nature-Based Human Health during the Pandemic Era: An International Study in Cambodia, Indonesia, Japan, South Korea, and Myanmar, following the Start of the COVID-19 Pandemic

In modern society, the opportunity to experience nature is separate from everyday life, requiring time and effort. Since the start of the COVID-19 pandemic, restrictions on freedom of activity and communication around the world have become a crisis, causing a nature deficit by accelerating the process of separation from nature. At the same time, the pandemic has increased people’s motivation to return to nature, providing an opportunity to seek experiences and health recovery in nature. The authors conducted an international cross-sectional study in five Asian countries, investigating changes in the perception of recreational activities and health restoration in the natural environment, one of the many effects of the COVID-19 pandemic on human society. An online survey, completed by 524 respondents, has confirmed the efficacy of the SEM model, which includes COVID-19 stress, increased indoor activity, a preference for the natural environment, and the perception of health recovery. Although the five countries had different response values for each theme, the stress caused by restricted activities and communication during the pandemic was linked to a preference for natural experiences and the motivation to visit natural environments in all five countries, ultimately affecting perceptions of health recovery in nature. This study has shown that the COVID-19 pandemic, a disaster afflicting all human civilization, has changed people’s perceptions by enhancing their preference for natural recreational activities and health. It has accelerated people’s return to nature and fostered a positive perception of nature’s ability to promote good health.