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Objective This cross-sectional study examined environmental correlates of sedentary behavior (SB) and physical activity (PA) in preschool children in the urban area of Tianjin, China. Methods Data were collected from the Physical Activity and Health in Tianjin Chinese Children study, involving healthy children 3–6 years old and their families. In all children (n = 980), leisure-time SB (LTSB) and leisure-time PA (LTPA) were reported in min/day by parents. In a subgroup (n = 134), overall sedentary time, light PA, and moderate-to-vigorous PA (MVPA) were objectively measured using ActiGraph accelerometry (≥3 days, ≥10 h/day). Environmental correlates were collected using a questionnaire that included home and neighborhood characteristics (e.g., traffic safety, presence of physical activity facilities) and children's behaviors. Potential correlates were identified using linear regression analysis. Results Multiple linear regression analysis showed that “having grandparents as primary caregivers” (βs and 95% confidence interval (CI) for overall sedentary time: 29.7 (2.1 to 57.2); LTSB (ln): 0.19 (0.11 to 0.28)) and “having a television (for LTSB (ln): 0.13 (0.00 to 0.25)) or computer (for LTSB (ln): 0.13 (0.03 to 0.23)) in the child's bedroom” were both associated with higher SB. Furthermore, “having grandparents as primary caregivers” was associated with less MVPA (β (95%CI): −7.6 (−14.1 to −1.2)), and “active commuting to school by walking” correlated with more MVPA (β (95%CI): 9.8 (2.2 to 17.4)). The path model showed that “more neighborhood PA facilities close to home” was indirectly related to higher LTPA (ln), which was partly mediated by “outdoor play” (path coefficients (95%CI): 0.005 (0.002 to 0.008)) and “going to these facilities more often” (path coefficients (95%CI): 0.013 (0.008 to 0.018)). Traffic safety was not a correlate. Conclusion Family structure and media exposure in the home maybe important factors in shaping preschoolers’ PA patterns. Built environmental correlates could indirectly influence preschoolers’ LTPA through parental help with engaging in active behaviors.

Introduction Falls are a major health problem in elderly institutionalised patients, due to the associated high morbidity and mortality rates and the impact on future quality of life. Objective To analyse the incidence and patient profile for falls, and to identify potential causes and effects. We also assess the efficacy of intervention in selected patients in preventing further falls. Methods We performed a prospective study at a long-term care centre for 12 months. Data were collected via fall reports. The falls committee drafted a monthly data collection form. Results A total of 155 falls were recorded in 80 patients, with 40% presenting more than one fall. Patients aged over 70 years accounted for 84.5% of falls; 42.7% of patients are able to walk independently; 55.5% of falls occurred in the bedroom; 74.8% of patients had been prescribed sedatives or psychoactive, or antihypertensive drugs; 27.7% of falls were due to loss of balance and 22.5% were due to patients performing an activity for which they did not have the capacity. Fractures occurred in 1.9% of patients. Conclusions Patients aged over 70 years, walking independently, receiving sedatives or psychoactive or antihypertensive drugs, and with history of falls were at greatest risk. The majority of falls occurred in the bedroom. Physiotherapy interventions were highly effective in cases selected by the falls committee.

Mobility inside and outside the home, and in the community, is important to independence of lifestyle after stroke. Existing measures lack content validity relating to these three environments. The aim of this study was to contribute to the content validity phase of developing a new scale for assessing mobility of people with stroke in these settings. An open–ended questionnaire was used to obtain responses from 15 physiotherapists with substantial experience in neurological physiotherapy. Responses were coded to provide a comprehensive list of tasks and destinations. A wide range of destinations was identified for i) inside the home: bedroom, bathroom/toilet, living room, kitchen; ii) outside the home: access to and from property, outside buildings, clothesline, garden and letterbox; and iii) in the community: access to health and shopping facilities, leisure sites and public transport. Although a diverse range of tasks was identified, a common theme emerged to emphasise the impact of the environment on mobility. Responses were recorded in all dimensions of a recently published conceptual model of mobility that focused on environment. These dimensions included distance, time constraints, ambient conditions, terrain characteristics, external physical load, attentional demands, postural transitions and traffic level. Further work is required to quantify environmental dimensions which are relevant to the destinations identified in the three environmental settings of this study.

Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children in specially designed chilled bedrooms called "cool rooms." In an effort to develop resources to support hospice practitioners to provide this specialist area of care, this study aimed to identify the factors that influence decision making when moving and handling children's bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by 1 children's hospice. A total of 94.9% of eligible staff responded (n = 56). An inductive approach to thematic analysis was undertaken, using a 6-phase methodological framework. Three core themes were identified that inform practitioners' perception of the appropriateness of moving and handling decisions: care of the body, stages of care, and method of handling. The complexity of decision making and variation in practice was identified. Practitioners relied on both analytical and initiative decision making, with more experienced practitioners using an intuitive approach. Evidence-based policy and training influence the perception of appropriateness and the decisions and behavior of practitioners. The development of a policy and education framework would support practitioners in caring for children's bodies after death, standardizing expectations and measures of competence in relation to moving and handling tasks.

Aim To examine the external validity of the Family Affluence Scale (FAS) among adolescents in Sweden by using register data for parental earned income, level of education and occupational status. Methods Data from the baseline (2015–2019) of the Study of Adolescence Resilience and Stress (STARS), comprising 2283 13-year-olds in the region of Västra Götaland, were used. The FAS III consists of six items: unshared bedroom, car ownership, computer/tablet ownership, dishwasher, number of bathrooms and number of holidays abroad. Register data regarding earned income, educational level and occupational status from Statistics Sweden (2014–2018) were linked to adolescents. In total, survey data were available for 2280 adolescents, and register data were available for 2258 mothers and 2204 fathers. Results Total parental earned income was moderately correlated with adolescents’ scoring on FAS (0.31 r p r = 0.19 and r = 0.21, respectively, p r = 0.22, p Conclusions The FAS can mainly identify low- and high-income households in Sweden. It may be used as an alternative measure of parental earned income in studies using self-reported socioeconomic status among adolescents.

Purpose To evaluate whether home hazards and lighting levels are associated with higher fall rates in adults with varying degrees of visual field (VF) damage from glaucoma. Methods Participants with diagnosed or suspected glaucoma provided three years of prospective falls data via monthly falls diaries. A post-fall telephone questionnaire determined fall locations. Seven home areas were evaluated for hazards and lighting via an in-home assessment. Multivariate models adjusting for relevant confounders, including age, sex, comorbidity, and severity of VF damage, evaluated the influence of hazards and lighting on fall rates in each home region. Results Mean baseline age for the 170 participants was 71.0 (7.6) years and 78 (46%) of participants were female. Fifty-nine participants experienced a total of 83 home falls, with the greatest number of falls occurring on the indoor stairs (n = 24, 29%) and bedroom (n = 17, 21%). Neither the number nor the percentage of hazardous items graded as hazardous was associated with the rate of falls (P > .26). Each 10-fold increase in room lighting was associated with 35% fewer falls in that home region (P = .02). The relation between lighting and the rate of falls did not differ with the degree of visual field damage (P > .3), and a lower fall rate was noted with better lighting even in participants with mild or no VF damage (rate ratio = 0.52/10-fold better lighting; P = 0.01). Conclusions Fewer home falls were found with better lighting, but not with fewer home hazards. Lighting improvements at home may reduce fall rates in older adults. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.

Background: Asthma is a chronic respiratory disease most often found in children and has the highest prevalence in developing countries. House dust mites are the second most common trigger of asthma whose habitat is influenced by the criteria for a healthy.Objective: Understanding the correlation between sleep density and asthma status in pediatric patients and criteria for a healthy house.Methods: This study was an analytical observational method with a cross sectional study design that took place from June to October 2020. It involved 25 respondents of children with asthma patients aged 3-11 years. There is a confounding variable, namely the criterion score for a healthy house. Dust samples were collected in the bedroom of the respondent diagnosed with bronchial asthma. The identification process using the floating method was carried out at the Parasitology Laboratory, Faculty of Medicine, Diponegoro University, Semarang Indonesia. Respondent data were analyzed using statistical software programs. Non-parametric test with lambda correlation test.Results: The mean of house dust mite’s density in the respondent's house was 3.68 ± 2.32. House dust mite’s density was associated with the criteria for a healthy house (p 0.05).Conclusion: There is no correlation between pediatric asthma status and house dust mite density.

Introduction: The COVID-19 was the emerging disease caused by SARS-COV 2. Efficient transmission of this disease occurs through droplets and fomites. As COVID-19 has high transmission and hence susceptible household & non-household close contacts are at high risk of developing disease. Study Objectives: 1) To estimate secondary attack rate of COVID-19 among the contacts during the pandemic in Pune city; 2) To identify factors associated with transmission and development of COVID-19 disease. Material & Methods: This was a retrospective cohort study conducted in the month of June 2020. The sample includes 741 contacts of 119 Laboratory confirmed cases for COVID-19, resides in 15 ward offices areas of PuneMunicipal Corporation after written informed consent. A confidential telephonic interview was taken by using a prestructured questionnaire which includes socio demographic data, duration of stay, family background,outcome, type of house, development of symptoms etc. Results: The overall Secondary Attack Rate estimated to be 32.5%, 33.7% among the high risk contacts while 13.3% among the low risk contacts. In this city, 6 wards (40%) out of 15 wards showed SAR of more than 40%.The characteristics of primary cases associated with spread of disease were presence of symptoms and duration between onset of disease and isolation of primary case. The factors significantly affecting SAR were age, comorbidity, no. of family members, type of family, type of house, overcrowding, no. of rooms, bedroom attached with toilet, type of contact & containment zone. Conclusion: Higher SAR was seen in the household contacts. It is necessary to adopt rigorous measures to cut the transmission chain in this area of close contact. How to cite this article: Jagdale GR, Parande MA, Borle PS, Tapare VS, Tambe MP, Wavare S, Hatnapure M, Salunke P, Shinde P, Paunikar A. Secondary Attack Rate among the Contacts of COVID-19 Patients at the Beginning of the Pandemic in Pune City of Western Maharashtra, India. J Commun Dis. 2021;53(3):51-59. DOI: https://doi.org/10.24321/0019.5138.202138

Color preference for the interior of a bedroom of Le Corbusier's Swiss Pavilion was studied using 1931 Salubra color keyboards in a cross-cultural analysis. Results indicate that students from architecture and interior design slightly dislike or are indifferent to Le Corbusier color combinations and prefer pale and low saturated colors for interior architecture. The least preferred colors belong to green and brown hues. Scarce significant gender differences are found that follow a stereotyped tendency, with females preferring pinks, light blues and light greens, while males vivid oranges and Vermilions. Near Easterners are significantly more likely to green colors, while Western Europeans to dark greys. These data indicate that not only hue, but also value and saturation are important color features to inform preference for interior architecture.

Factors related to adolescents and sleep are understudied. We evaluate the relationship between bedtime technology use (TU), TV in bedroom, weight, and socioeconomic status in seventh graders (N = 3956) enrolled in a school-based wellness intervention. Sleep quantity was dichotomized to insufficient (

We conducted a randomized trial of portable HEPA air cleaners in the homes of children age 6-12 years with asthma in the Yakima Valley, Washington. All families received asthma education while intervention families also received two HEPA cleaners (child's bedroom, living room). We collected 14-day integrated samples of endotoxin in settled dust and PM10 and PM10-2.5 in the air of the children's bedrooms at baseline and one-year follow-up, and used linear regression to compare follow-up levels, adjusting for baseline. Seventy-one families (36 HEPA, 35 control) completed the study. Baseline geometric mean (GSD) endotoxin loadings were 1565 (6.3) EU/m2 and 2110 (4.9) EU/m2 , respectively, in HEPA vs. control homes while PM10 and PM10-2.5 were 22.5 (1.9) μg/m3 and 9.5 (2.9) μg/m3 , respectively, in HEPA homes, and 19.8 (1.8) μg/m3 and 7.7 (2.0) μg/m3 , respectively, in control homes. At follow-up, HEPA families had 46% lower (95% CI, 31%-57%) PM10 on average than control families, consistent with prior studies. In the best-fit heterogeneous slopes model, HEPA families had 49% (95% CI, 6%-110%) and 89% lower (95% CI, 28%-177%) PM10-2.5 at follow-up, respectively, at 50th and 75th percentile baseline concentrations. Endotoxin loadings did not differ significantly at follow-up (4% lower, HEPA homes; 95% CI, -87% to 50%).

Objectives The aim of this study was twofold. First, to confirm the deleterious aspect of evening screen exposure in school-aged children, in particular the effect of screens in the bedroom. Second, to explore the three-way association between degree of screen exposure, sleep disturbance, and ADHD symptoms. Solid evidence exists on the link between sleep disturbance and ADHD symptoms, and screen exposure and sleep disturbance. However, no studies have formally assessed the impact of screen exposure on ADHD symptoms in children, as a function of sleep disturbance. Methods Parents of 374 French children (201 girls, 173 boys, mean age of 10.8 ± 2.8 years old) completed the Sleep Disturbance Scale for Children (SDSC), the Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale, and a questionnaire about their children's screen habits (total hours in the morning, afternoon, and evening per day). Correlational analyses between evening screen exposure, sleep quality and behavioral problems were conducted. Then, formal mediation analyses were run in order to quantify the relationship between variables. Results School-aged children with screens in their bedrooms demonstrated more sleep and behavioral problems. Evening TV exposure was associated with higher SDSC and ADHD scores. Furthermore, the Structural Equation Modelling approach confirmed that evening screen exposure is directly associated with more disrupted sleep, which in turn is directly associated with behavioral problems. Conclusions These findings encourage families to avoid putting screens in their children's bedrooms, and limit evening screen exposure. They furthermore demonstrate the importance of taking into account screen exposure time (morning, afternoon, evening) and location (bedroom or elsewhere) in future studies.

Acute respiratory infections (ARI) is a disease that attacks one or more parts of the respiratory tract from the nose to the alveoli or lung. This disease which is caused by various factors (multifactorial) is the top rank disease in Indonesia, and is the biggest cause (17%) of the death of children under five years (toddlers). This study aims to determine the environmental risk factors for the incidence of ARI in children under five in the working area of the Panambungan Health Center. This type of research uses an observational analytic study with a cross-sectional design with a sample of 88 respondents obtained by simple random sampling technique. Data analysis was performed by using chi-square test and the magnitude of the risk with the odds ratio value. The results of statistical tests showed that the use of anti-mosquito coils (p = 0.021; OR = 3.573), kitchen ventilation (p = 0.000; OR = 0.112), and smoking habits of family members significantly affected ARI cases on toddlers in the working area of Panambungan Health Center, Makassar in 2020. Meanwhile, bedroom ventilation (p = 0.538; OR = 0.570) and the type of house floor (p = 0.269; OR = 1.889) did not significantly affect ARI cases on toddlers in the working area of Panambungan Health Center, Makassar in 2020.

This study aimed to examine the environmental and operational factors that disrupt sleep in the acute, non-ICU hospital setting. This was a prospective study of adult patients admitted to an acute tertiary hospital ward (shared versus single room) and sleep laboratory (single room conducive to sleep). This study measured ambient light (lux) and sound (dB), number of operational interruptions, and questionnaires assessing sleep and mental health. Sixty patients were enrolled, 20 in a double bedroom located close to the nursing station (‘shared ward’), 20 in a single bedroom located distant to the nursing station (‘single ward’) and 20 attending the sleep laboratory for overnight polysomnography (‘sleep laboratory’). Sleep was disturbed in 45% of patients in the shared and single ward groups (Pittsburgh Sleep Quality Index > 5). Light levels were appropriately low across all 3 locations. Sound levels (significant effect of room F(1.38) = 6.452, p = 0.015) and operational interruptions (shared ward 5.6 ± 2.5, single ward 6.2 ± 2.9, sleep laboratory 2.7 ± 2.1 per night, p

Aims Caregivers of persons living with ventricular assist devices (VADs) are integrally involved in both medical and non-medical care. We sought to understand tasks caregivers perform after surgical recovery, ways the home is adapted for those tasks, and presence of home safety hazards. Methods and results We conducted semi-structured interviews with persons living with a VAD and their caregivers. Pictures were taken of areas in the home where: (i) caregiving activities occurred, (ii) VAD or medical supplies were kept, and (iii) home adaptations were made for VAD care. Pictures were described in written detail and analysed. A qualitative descriptive approach was used for analysis. The sample consisted of 10 dyads, with mostly spousal relationships (60%) between male patients (60%) and female caregivers (80%). Three themes were identified: (i) Evolution of Caregiving and Support: Patients gain independence, but caregivers are still needed, (ii) Adapting the Home Environment: Changes are focused on functional needs, and (iii) Hidden Dangers: Illumination of safety concerns by photographs. Assistance with bathing, driveline care, and medication management were common caregiving tasks. Most home adaptations occurred in the bathroom and bedroom including sleeping recliners, shower chairs, removable shower heads, and hanging hooks to hold VAD equipment. Safety hazards included minimal space for safe ambulation, infection risk, and home-made adaptations to the environment. Conclusions These findings describe key home caregiving tasks, home adaptations, and safety concerns that require further education and support. Utilizing pictures may be a feasible method for assessing VAD teaching, caregiving needs, and identifying potential risks.

This article is an analysis of “bedroom community” - a residential neighborhood – in the prospects for its transformations, as in the past and so in the future. Attention is focused on residential neighborhoods, primarily in post-Soviet cities. The “bedroom community” is considered here from the economic, cultural and spatial aspects in the context of the formation of the memory of the place in the city and in the everyday life of a separate social subject - a resident of the city place. In a biographical context, as an element of identity. Local identity is often more significant for a person than state or national. Residents of settlements mostly rather positively assess the environment of their everyday life, than outside observers and analysts. They are sometimes biased in their assessments. But they should form their analysis not exclusively from the standpoint of “best experience”, but from immersion in the specifics of local history and everyday life practices. The article analyzes the elements of criticism of dormitory areas in the advocacy position: what has been defined as a negative characteristic for a long time, has been rethought from the perspective of positive effects and prospects for renovation. Indeed, there is a sense in transforming the social space of «bedroom community», but moderate ones, with attention to the elements of the local sociocultural space. The article pays attention to the fact that the predicate “bedroom” in modern realities no longer corresponds to reality and is gradually becoming rudimentary. Because gradually the so-called “bedroom community” are turning into residential areas, or, as they are more accurately defined, “large residential complexes”, which include small business and trade, educational services, sports and leisure locations, and often branched transport systems. Large residential complexes – micro-districts - spaces of wide opportunities for the formation and strengthening of local urban communities through the development of “third places” - institutions and spaces that form communication links between local residents that satisfy such needs as small purchases of goods, beauty and recreation services, and etc. “Bedroom community”, being formed mainly by “first places” (home), actively form the memory of the locals - those who spend a significant part of their lives there, satisfy the basic needs of comfortable rest and a place free from work. Accordingly, when analyzing social memory, it is worth paying attention to the contexts of everyday life, which are no less significant in the formation of identity as a component of a broader context - historical memory.

This study aimed to conduct an ozone application within a triage area that receives patients with suspected cases of COVID-19 The ozone application was carried out for 10 min to disinfect the air and surfaces of different rooms within the triage area A 3D model for ozone spread in the doctor’s office was developed Higher counts of bacteria (3 3 × 102 CFU · m−3) and fungi (1 3 × 103 CFU · m−3) before ozone treatment were observed in the administrative room, which experienced greater circulation by healthcare workers In this room, ozone was highly effective in reducing bacterial (95%;P

Background Customarily, bedrooms in Japan are left unheated. Although several studies have reported that the use of a heating system has positive outcomes on respiratory infection and asthma, the preventive effect of heating systems against infectious diseases in children is not well known. Methods We conducted a cohort study using two questionnaire surveys, one before the winter season in November, 2018 and the second after winter in March, 2019. Participants were 155 children who did not use a heating system in the bedroom and 156 children who did. Results Having a heated bedroom with a heating system was associated with decreased odds for the frequency of cold (≥3 times) (adjust odds ratio [AOR] 0.35; 95% confidence interval [CI], 0.19-0.65), duration of fever (≥3 days) (AOR 0.38; 95% CI, 0.22-0.66), duration of medicine for a cold (≥3 days) (AOR 0.91; 95% CI, 0.87-0.95), hospital visit due to cold (≥3 days) (AOR 0.54; 95% CI, 0.31-0.94), absence from school or nursery (≥3 days) (AOR 0.43; 95% CI, 0.27-0.70), influenza infection (AOR 0.43; 95% CI, 0.26-0.71), and gastroenteritis (AOR 0.39; 95% CI, 0.21-0.72). Influenza vaccination reduced the odds of influenza infection (AOR 0.36; 95% CI, 0.22-0.59) and absence from school or nursery (≥3 days) (AOR 0.62; 95% CI, 0.39-0.99). Conclusion This study implies that the heating of bedrooms may have a preventive effect against infections among children. Broader dissemination of this knowledge in Japan will require cultural change through public health awareness.

Background Our objective was the validation of a scale to assess the hygiene hypothesis and the link between hygiene, and asthma among 3 to 5 years old Lebanese children in preschool.Methods Between November 2018 and March 2019, this cross-sectional study was carried out, enrolled 515 preschool children’ asthma and potential risk factors, including hygiene, were assessed using a standardized questionnaire. A specific hygiene hypothesis related scale was generated and validated for this purpose.Results Items related to the hygiene hypothesis scale have led to a convergence over a nine factors solution, having over than 1 Eigenvalue, which explains the variance total of 65.86%. Cronbach’s alpha values corresponding to the hygiene hypothesis related scale (0.696) was deemed acceptable. The backward logistic regression, taking as dependent variable the asthma’s presence or absence in child, showed that living in prairie (ORa=2.42), playing outside (ORa=2.80), having respiratory problems (ORa=4.18), attending a kindergarten (ORa=2.76), and having a sister with seasonal allergy (ORa=6.86) had significant association with increased odds of occurrence of children’s asthma. The hygiene hypothesis related score was not found to be associated with increased asthma odds (p=0.663).Conclusion Current findings suggested that home cleaning and personal cleanliness were not correlated with asthma in preschool children. Future studies will require more in-depth analyses of microbial exposure, allowing proper identification of unequivocal species and functional characteristics.

Introduction Pharmacists, and thus pharmacy students, must participate in promoting awareness about proper storage and disposal of expired or unused medications. This study aimed to determine Saudi Arabian pharmacy students' knowledge and personal practices regarding storing and disposing of household medications. Methods This was a descriptive, cross-sectional, questionnaire-based study of pharmacy undergraduates or postgraduates across Saudi Arabia. The online survey was distributed to a convenience sample of participants and supplemented with snowball sampling on social media. Results: Of 807 pharmacy students who viewed the questionnaire, 464 students completed it (response rate 57.5%). Common reasons for keeping medications included having left-over medication (74%) and self-discontinuation of therapy (63.5%). The majority of students (79%) stored their medication in a bedroom or kitchen. Gender-specific variables revealed a gender difference in storing and disposing of these medications. Many students reported previously discarding medicines in the garbage (89%) or giving them to someone else to use (22%). More than half of the sample (60%) had not received any information on how to store or dispose of medications. Conclusions The current practice and knowledge of Saudi Arabian pharmacy students regarding storage and disposal of household medications was inappropriate. Concerned authorities (e.g., Ministry of Health, Ministry of Education) should provide proper education to all students on the safe storage and disposal of medications, which may necessitate curriculum reform.

The first time the little green video icon lit up on Epic, my heart rate kicked up a notch After years of providing diabetes education to both individuals and groups, delivering virtual health care was making my palms sweat Like many educators, I rely on a variety of props, visual aids, drawings, and handouts to explain diabetes and how to manage it Many of us employ a multimedia approach to drive home key messages We look for physical clues from patients that indicate if they are engaged and comprehending We watch for the moment they lean in, when the light bulb goes off, and they respond, “Nobody has ever explained it that way before ”Over the years, I had developed an arsenal of tools and strategies to tackle the variety of questions that come up in diabetes education I had mastered the art of whiteboard illustrations and explaining digestion, absorption, insulin release, and glucose uptake in a way a fifth grader could understand Then COVID-19 hit, and I had to find a different way Ambulatory clinics were shut down In-person care was limited to necessary and urgent procedures only We were told to work from home, but just figuring out how to log into the health care system from my bedroom raised my cortisol level How was I going to empower patients through a video camera?

The continual increase of the elderly population will render Malaysia with an ageing nation status by 2030. However, less emphasise was taken to accommodate the needs and preferences. This study aims to provide a comprehensive overview of the Elderly-Friendly Housing Design Features Preferences among Malaysians by using the mixed-method research strategy. Six (6) identified elderly-friendly housing design features preferences were; (1) Bathroom; (2) Bedroom; (3) Kitchen; (4) Floor; (5) Living Room; and (6) Staircase. The revealed findings will assist the industry in understanding the elderly housing needs and preferences better to enhance the quality of life of the Malaysian generations. Keyword: Elderly (Senior) Generation, Elderly-friendly housing, Elderly-Friendly Housing Design Features eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2510.

This article looks at the appearance of domestic spaces on the popular livestreaming platform Twitch.tv, with a focus on livestreams that appear to be shot in streamers’ bedrooms. Many Twitch streamers broadcast from their homes, making domestic space central to questions of placemaking for this rapidly growing digital media form. Within the home, bedrooms merit particular attention because they carry particular cultural connotations; they are associated with intimacy, embodiment, and erotics. Drawing from observations of gaming and nongaming streams, we map where bedrooms do and do not appear on Twitch. We locate the majority of bedrooms in categories that foreground connections between streamers and viewers, like Just Chatting, Music & Performing Arts, and autonomous sensory meridian response (ASMR). By contrast, across a wide range of video game genres, bedrooms remain largely absent from gaming streams. The presence of bedrooms on Twitch also breaks down along gender lines, with women streaming being far more likely to broadcast from their bedrooms than men. Here, we build from existing research on both livestreaming and digital placemaking to argue for an understanding of place on Twitch as fundamentally performative. This performance is inherently gendered and bound up with the affective labor of streaming. In addition, we demonstrate how the bedroom, even when it does not appear on screen, can be understood as a ‘structuring logic’ of placemaking on Twitch. Given the history of livestreaming, which grows out of women’s experiments with online ‘lifecasting’, the bedroom sets expectations for the type of spatial and emotional access a stream is imagined to offer viewers. In this sense, the absence of bedrooms in gaming streams can be understood as a disavowal of intimate domestic space: an attempt by predominantly male streamers to distance themselves from the implicit parallels between livestreaming and practices like webcam modeling.

Background The Golden Retriever Lifetime Study (GRLS) is one of the largest canine cohort studies undertaken in the United States to date. This study design allows for evaluation of multiple exposures and outcomes throughout the lifetime of each dog, but relies on participants to comply with study requirements over a long period of time. Failure to do so can lead to biased reporting of results. Objectives To examine factors associated with dog owner compliance for GRLS. Animals Golden Retrievers (n = 3044) whose owners elected to participate in GRLS. Methods Prospective, cohort study. A logistic regression model was constructed to examine associations between data collected at the time of initial enrollment in GRLS and the outcome of failure to fulfill all study obligations at the end of the first year after enrollment in GRLS. Results There were 192 (6.3%) owners who did not comply with study requirements 1 year after enrollment. Owners of dogs without a record of vaccination had nearly 4 times higher odds (adjusted OR: 3.7, 95% CI: 1.5, 9.2) of being noncompliant than owners of vaccinated dogs and owners of dogs that slept in the garage had nearly 6 times higher odds (adjusted OR: 5.7, 95% CI: 1.9, 17.0) of being noncompliant than owners of dogs that slept in their bedroom. Conclusions and clinical importance Survey questions about a dog's sleeping location at night and vaccination status are important indicators of an owner's odds of compliance in a prospective study. Use of similar questions during enrollment in cohort studies might help to predict owner compliance that can aid in subject selection.

Purpose The objective of this exploratory study was to evaluate the effects of a brief intervention intended to optimize the sleep environment in older people living in the community and to examine the way these effects change over time. Methods The sample was made up of 44 participants (19 men and 25 women) aged 65-85 years, with a mean age of 71.4. The intervention consisted in a group training session that covered the reasons for and ways to ("why" and "how") optimize a sleep environment. It comprises six themes: air quality and odors, luminosity, noises and sounds, comfort of the mattress, comfort of the pillow, and temperature. Participants completed a set of questionnaires before the intervention, and one month and four months later. Results Four months after the intervention, the replies to the questionnaires showed that the participants experienced reduced severity of insomnia, sleep latency and anxiety. The subjective quality of the participants' sleep along with their sleep efficacy also increased significantly during the same period. Conclusion A brief intervention intended to optimize the sleep environment appears promising as an addition or alternative to the two other sleep improvement options generally offered to older people: medication and cognitive behavioral therapy.

OBJECTIVE To assess the relationship between overactive bladder (OAB) and indoor temperatures in the living room and bedroom. METHODS Questionnaire data and indoor temperature measurements were obtained from a baseline survey collected during the winter months from November 2014 to March 2019. We performed multiple logistic regression to assess the relationships between OAB and indoor temperatures in the living room and bedroom. RESULTS The prevalence of overactive bladder was 16.4% among 4782 participants living in 2453 dwellings. The odds of having OAB were higher for participants whose average living room temperature at bedtime was lower than 12°C than for those whose average bedtime living room temperature was at least 18°C (adjusted odds ratio = 1.44, 95% confidence interval: 1.03-2.00). No association was observed between bedroom temperature and OAB. CONCLUSION These results suggest that thermal comfort in the living room—but not in the bedroom—may improve OAB symptoms. Additionally, using sufficient bedding may prevent cold bedrooms from having a negative impact in terms of OAB. Future studies should focus on housing interventions and education regarding lifestyle modification in patients with OAB.

Introduction Cardiorespiratory fitness (CRF) is a vital sign that can improve risk classification for adverse health outcomes. While lifestyle-related factors are associated with CRF, few have examined the influence of sleep characteristics, especially in youths. Social jetlag, a mismatch between one's biological clock and sleep schedule, is prevalent in adolescents and associated with increased adiposity, though its relationship with CRF is unclear. Objective To quantify the relationship between social jetlag and CRF, independent of other sleep characteristics. Methods This cross-sectional sample includes 276 New Zealand adolescents (14–18 years, 52.5% female). CRF (VO2max) was estimated from a 20-m multi-stage shuttle run. Average sleep duration, sleep disturbances, social jetlag, physical activity, and the number of bedroom screens were estimated from validated self-report surveys. Social jetlag is the difference in hours between the midpoint of sleep during weekdays (school) and weekend days (free). Combined and sex-stratified linear regression assessed the association between sleep outcomes and CRF, controlling for relevant covariates. Results Males slept 17.6 min less, had less sleep disturbances, and a 25.1-min greater social jetlag than their female peers (all p Conclusions Social jetlag is negatively associated with CRF in adolescent males and may be a simple, measurable target for public health interventions.

Building ventilation is important for occupants' health. There are few studies of associations between home ventilation and occupant's health in China. During 2013-2016, we measured ventilation in 399 homes in Tianjin and Cangzhou, China, and surveyed the health history of children. Ventilation rates were measured using mass balance of occupant generated CO2 . The associations of home ventilation with children's asthma and allergy were analyzed in different strata of time and space. A low bedroom ventilation at night was significantly associated with an increased proportion of rhinitis among children (rhinitis current, adjusted odds ratio (AOR): 1.59; 95% confidence interval (CI): 1.01-2.49; diagnosed rhinitis, AOR: 3.02 (1.16-7.89)). Our findings suggest a dose-response relationship between ventilation rate at night in children's bedrooms and rhinitis current. The night-time ventilation rate in bedrooms has a greater association with rhinitis than the whole home ventilation rate during daytime.

The article offers an analysis of Poltergeist (1982) by Steven Spielberg and Tobe Hooper. The author retraces the topographic model of the film Freelings’ house. The building, its separate rooms, and domestic devices become the ‘open cuboids’ through which the demonic forces enter the family’s estate. The presence of human protagonists in the haunted house manifests itself in heterogenous ways, and is divided mostly according to generational and functional criteria. In the author’s reading of the film, the spaces of the living room and interiors of the children’s bedroom function as a senseful representation of parental frustrations and children’s fascinations and anxieties. The analysis is accompanied by contextual references to the horror cinema of the 1980s and to other cultural texts using similar motifs and plots.

Background Environmental cleaning is an important approach to reducing healthcare-associated infection. The aim of this short research paper is to describe changes in the efficacy of post-discharge cleaning by examining the amount of bio-burden on frequent touch points (FTPs) in patient areas, using a validated Adenosine Triphosphate (ATP) bioluminescence sampling method. In so doing, we present findings from a secondary outcome of a recent trial, the Researching Effective Approaches to Cleaning in Hospitals (REACH) study. Methods The REACH study used a prospective, stepped-wedge randomised cluster design. Cross sectional ATP sampling was conducted at three of the 11 participating hospitals. At each hospital, during the control and intervention phase of the study, six Frequent Touch Points (FTPs) were sampled: toilet flush, bathroom tap, inside bathroom door handle, patient call button, over bed tray table, and bed rails. Results Across the three hospitals, 519 surfaces in 49 rooms (control phase) and 2856 surfaces in 251 rooms (intervention phase) were sampled. Bedroom FTP cleaning improved across all three hospitals. The cleaning of bathroom FTPs was generally high from the outset and remained consistent throughout the whole study period. Average cleaning outcomes for bathroom FTPs were consistently high during the control period however outcomes varied between individual FTP. Changes in cleaning performance over time reflected variation in intervention effectiveness at the hospital level. Conclusion Findings confirm improvement in cleaning in the FTPs in bedrooms, demonstrating improvements in discharge cleaning aligned with the improvements seen when using fluorescent marking technology as a marker of performance.

Purpose Exposure to particulate matter (PM) is a well-known risk factor in the triggering and exacerbation of allergic airway disease. Indoor environments, where people spend most of their time, are of utmost importance. To assess the effects of air purifiers [equipped with high-efficiency particulate air (HEPA) filters] on allergic rhinitis (AR) in adult patients, we performed a multicenter, randomized, double-blind, and placebo-controlled study. Materials and methods Patients with house dust mite (HDM)-induced AR were randomly assigned to either active or mockup (placebo) air-purification groups. Two air purifiers (placed in living room and bedroom) were operated for 6 weeks in each home environment. The primary study endpoint was to achieve improvement in AR symptoms and medication scores. Secondary endpoints were to achieve improvement in the quality of life (QoL) and visual analog scale (VAS) scores, as well as in the indoor (bedroom and living room) concentrations of PM2.5 and PM10. Results After 6 weeks of air purifier use, medication scores improved significantly in the active (vs. placebo) group, although subjective measures (symptoms, VAS, and QoL scores) did not differ. Bedroom PM2.5 concentrations initially exceeded living room or outdoor levels, but declined (by up to 51.8%) following active purifier operation. Concentrations of PM2.5 in living room and PM10 in bedroom and living room were also significantly reduced through active purification. Conclusion The use of air purifiers with HEPA filters significantly reduced medication requirements for patients with HDM-induced AR and significantly lowered indoor PM2.5 concentrations, regardless of room placement. Active intervention to reduce household air pollutants may help improve allergic airway disease (clinicaltrials.gov NCT03313453).

Purpose Fine particulate matter (PM2.5) air pollution is a leading risk factor for cardiovascular disease. Even low levels common to millions of Americans pose health risks. However, no study has tested protective measures such as in-home portable air cleaners (PACs) among at-risk cardiac patients. We conducted a pilot phase of the Cardiac Rehabilitation Air Filter Trial (CRAFT)-a randomized, double-blind, crossover study of outpatient cardiac rehabilitation patients at Michigan Medicine. Methods During a routine visit, patients were provided with 2 PACs to run continuously for 5 d in both the bedroom and the main living space. PACs were randomized as active (with HEPA filter) versus sham. On day 4, subjects wore a personal PM2.5 monitor for 24-hr without activity restrictions. After a 1-wk washout, patients crossed over to the opposite mode. Results Patients (n = 20; 4 women) were elderly (70.8 ± 9.6 yr) nonsmokers with cardiovascular disease living near the facility (10.7 ± 6.0 mi). Compared with sham, active in-home PAC use significantly lowered personal-level 24-hr PM2.5 exposures by 43.8% (-12.2 μg·m; 95% CI, -24.2 to -0.2). Sensitivity analyses corroborated the reductions in most patients. Conclusion An inexpensive in-home PAC can effectively lower personal PM2.5 exposures in cardiac patients. These benefits occurred even in a region with overall good air quality and if maintained over the long-term could translate into major reductions in cardiovascular events.

Monitoring sleep posture is important for avoiding bedsores after surgery, reducing apnea events, tracking the progression of Parkinson's disease, and even alerting epilepsy patients to potentially fatal sleep postures. Today, there is no easy way to track sleep postures. Past work has proposed installing cameras in the bedroom, mounting accelerometers on the subject's chest, or embedding pressure sensors in their bedsheets. Unfortunately, such solutions jeopardize either the privacy of the user or their sleep comfort. In this paper, we introduce BodyCompass, the first RF-based system that provides accurate sleep posture monitoring overnight in the user's own home. BodyCompass works by studying the RF reflections in the environment. It disentangles RF signals that bounced off the subject's body from other multipath signals. It then analyzes those signals via a custom machine learning algorithm to infer the subject's sleep posture. BodyCompass is easily transferable and can apply to new homes and users with minimal effort. We empirically evaluate BodyCompass using over 200 nights of sleep data from 26 subjects in their own homes. Our results show that, given one week, one night, or 16 minutes of labeled data from the subject, BodyCompass's corresponding accuracy is 94%, 87%, and 84%, respectively.

Long Lasting Insecticidal Net (LLIN) is an effective malaria prevention mechanism. However, ownership of LLIN does not imply its use among households. The availability of enough sleeping space is a natural prerequisite to install and use LLINs. The objective of this study was to explore the effect of sleeping space and other socio-demographic factors of households’ heads on LLINs usage among households. A cross-sectional household-based study was conducted using a quantitative approach. Data was collected exclusively from households that received LLINs at no direct financial cost to them in a mass malaria campaign conducted in the study area using a structured questionnaire. A total of 383 households sampled for the study received 1,181 LLINs with a range of 1 to 15 LLINs per household. Less than 16% of households that received more than 2 LLINs installed all the LLINs they received during the distribution. Among households that received LLINs, 45% of them did not use them at all and 36% of them used them every night including the night before data collection. The number of bedrooms, children and members per household, and the number of occupants per bedroom were also found statistically associated with the use of LLINs among households. The study used a quantitative approach to investigate sleeping space in relation to LLINs usage and malaria control, an area and topic that has not been adequately covered in the literature.

A surgeon failed to heed his own misgivings on taking a family vacation cruise. Despite scrupulous hand-washing and antiseptic precautions with anything within reach, he contracts COVID-19. His anxiety increased as his condition became increasingly serious: uncontrollable dry coughing spells, spiking fevers, and his worst symptom, progressive dyspnea and chest pain. From what he knew about the disease, he feared admission to the intensive care unit, a step that portended a significantly worse prognosis. After a week-and-a-half of illness, misery, and fear, he began to improve: first, his fevers diminished, breathing came more easily, and coughing spells occurred less frequently, if still unpredictably. Now with his strength slowly returning, he contemplated returning to work but was frustrated when tests showed he was still shedding active virions. Under quarantine and with time to reflect, he cautions against complacency with regard to the infectiousness of COVID-19. His own denial led to the loss of his health and livelihood. At home but still separated from his wife and children in a basement bedroom, the bittersweet circumstances of his reunion with them is a reminder of the preciousness of life and love of family.

Sleep is essential for the body to recover from both physical and psychological fatigue accruing throughout the day, and to restore energy to maintain bodily functions. Bedroom environmental qualit...

To understand the factors shaping commute behaviour, we need to relate dwelling tenure and location to commuting decisions, especially at the expanding edges of emerging megacities such as those in China. This paper proposes a cross-sectional examination of housing choice, public transport provision and automobile related behaviour to understand the underlying mechanism for travel behaviour. Residential communities at the urban periphery (n = 25) were randomly sampled by stratified house price in three suburban extension areas of Beijing. Respondents intercepted in the public environment (n = 1224) provided information on household characteristics, housing tenure, and commute choices over a timeframe. The relationships among these variables were examined using partial least squares structural equation modelling. Research findings showed that public transport provision had positive effect on car ownership, and housing choice including dwelling tenure and job-housing distance had significant impact on automobile ownership and commute as well. Within housing choice, tenure status had positive significant effect on job-housing distance. Public transport provision was also found to have significant impact on housing choice behaviours. While previous work on commuting behaviour has concentrated on transport-related factors, these results indicate that travel outcomes are related to a considerable extent to urban development factors that are susceptible to policy control.

This study aims to evaluate the residents’ satisfaction with public housing in the Maiduguri metropolis. The study assessed the levels of quality of housing components, occupants' preference and satisfaction. The study adopted a quantitative approach and data were collected through a questionnaire survey from 265 household heads of the housing estate proportionately selected from the target population in Maiduguri metropolis. The data collected were subjected to descriptive and inferential statistics with mean ranking, frequency distribution and multiple regression analysis to achieve the research aim. The study showed that quality of building component, Condition of a bedroom, condition of living room, condition of the roof, condition of finishing and condition of the kitchen were ranked as very good and condition of the store, condition of the dining area, condition of garage and condition of toilets were good in the study area, while public housing quality and preference significantly influence occupants' satisfaction in Maiduguri metropolis. The research recommended that occupant peculiarities should be integrated into the design and development of housing estate. This will ensure that the satisfaction of the occupants is well co-opted in the development and therefore lead to higher satisfaction and functionality of the estates. The provision of facilities and amenities in public housing estates should be based on the occupant requirements and peculiarities. This will lead to the optimal utilization of the estate after development.

Sleep has increasingly been found to play a role in the overall health of an individual, but sleep quality has also been decreasing with the invasion of technology into the bedroom, "always-on" lifestyles, and increasing demands on one's time when awake. We have herein reviewed the literature to assess the impact of sleep on erectile dysfunction, lower urinary tract symptoms, hypogonadal symptoms, low testosterone, and male infertility. We find that erectile dysfunction, lower urinary tract symptoms, and hypogonadal symptoms all have a linear relationship with sleep, as worse symptoms occur with poorer sleep. Male infertility, interestingly, has an inverse U-shaped relation to sleep in which men with too little and too much sleep seem to be more at risk for infertility than those with 7-8 hours of sleep. Finally, the literature has not demonstrated a significant clinical relationship between hypogonadal symptoms or testosterone levels and sleep. Overall, a large number of men experience poor quality sleep. Given the impact that poor sleep can have on general health and men's health, in particular, screening for poor sleep quality and recommending interventions to improve sleep are becoming imperative during clinical evaluation and treatment.

Shared room housing is a growing private rental submarket, which offers flexible and affordable rental sub-lettings for sharing a bedroom or living room with non-related tenants. However, research ...

Human–computer interaction (HCI) is particularly interesting because full-immersive technology may be approached differently by users, depending on the complexity of the interaction, users’ personality traits, and their motivational systems inclination. Therefore, this study investigated the relationship between psychological factors and attention towards specific tech-interactions in a smart home system (SHS). The relation between personal psychological traits and eye-tracking metrics is investigated through self-report measures [locus of control (LoC), user experience (UX), behavioral inhibition system (BIS) and behavioral activation system (BAS)] and a wearable and wireless near-infrared illumination based eye-tracking system applied to an Italian sample (n = 19). Participants were asked to activate and interact with five different tech-interaction areas with different levels of complexity (entrance, kitchen, living room, bathroom, and bedroom) in a smart home system (SHS), while their eye-gaze behavior was recorded. Data showed significant differences between a simpler interaction (entrance) and a more complex one (living room), in terms of number of fixation. Moreover, slower time to first fixation in a multifaceted interaction (bathroom), compared to simpler ones (kitchen and living room) was found. Additionally, in two interaction conditions (living room and bathroom), negative correlations were found between external LoC and fixation count, and between BAS reward responsiveness scores and fixation duration. Findings led to the identification of a two-way process, where both the complexity of the tech-interaction and subjects’ personality traits are important impacting factors on the user’s visual exploration behavior. This research contributes to understand the user responsiveness adding first insights that may help to create more human-centered technology.

The objective of this study is to use measurements of activity and indoor air quality during sleep as features to predict nine sleep quality metrics gathered from wearable devices and ecological momentary assessments. We compare the predictive capabilities of three machine learning models - logistic regression (LR), K-nearest neighbor (KNN), and random forest (RF). Results using data from a field study with 20 participants collected over 2.5 months indicate that the LR and RF models predict device-measured sleep efficiency and self-reported restfulness and sleep time with adjusted F1-scores of 0.90, 0.92, and 0.80, respectfully. Our results show that typical machine learning methods have the power to give insights into how people might sleep based on easily measured parameters.

Introduction A child’s activities during the hour before bedtime forms the basis of the assessment for behavioural change interventions for children’s insomnia. The aim of this observational study was to identify patterns of behaviour around bedtime in a cohort of children with severe sleep difficulties and to explore deviations in behaviour from The Sleep Charity’s standard bedtime routine advice. Methods Data were collected by research staff using a questionnaire during a baseline face-to-face visit to the child’s home prior to sleep practitioner support as part of the Sheffield Children’s Sleeping Well study. Children were aged 2-17 years with a diagnosis of ADHD or were identified as a looked-after child. Data was input into NVivo where it was coded to identify common or recurring keywords or phrases in the responses. Results 51 parents were interviewed. Table 1 presents the coded responses to questions relating to sleep behaviours. For 32 children, bedtime routines lasted 30 mins-2 hours; 17 had no routine. Only 13 children were reported to have actively had technology removed within the hour before bedtime. 32 had no planned snack. of the 17 that did, snacks were usually cereal, toast, biscuit, warm milk although some snacks included chocolate, hot chocolate, crisps, burger and chips. Only10 children engaged in calming activities in the hour before bedtime such as reading, colouring, lego and crafts. 28 children were left to self-settle and 22 had a parent laying or sitting next to them in their bedroom in order to fall asleep. Conclusion There was marked variation from the recommended bedtime routine in children with severe behavioural sleep difficulties, accepting that in some, socially desirable responses may have been given to the research staff during the assessment. Further work to explore the important factors in helping a child to self-settle is ongoing.

Background Excess winter mortality caused by cardiovascular disease is particularly profound in cold houses. Consistent with this, accumulating evidence indicates that low indoor temperatures at home increase blood pressure. However, it remains unclear whether low indoor temperatures affect other cardiovascular biomarkers. In its latest list of priority medical devices for management of cardiovascular diseases, the World Health Organization (WHO) included electrocardiography systems as capital medical devices. We therefore examined the association between indoor temperature and electrocardiogram findings. Methods We collected electrocardiogram data from 1480 participants during health checkups. We also measured the indoor temperature in the living room and bedroom for 2 weeks in winter, and divided participants into those living in warm houses (average exposure temperature ≥ 18 °C), slightly cold houses (12–18 °C), and cold houses ( Results The average temperature at home was 14.7 °C, and 238, 924, and 318 participants lived in warm, slightly cold, and cold houses, respectively. Electrocardiogram abnormalities were observed in 17.6%, 25.4%, and 30.2% of participants living in warm, slightly cold, and cold houses, respectively (p = 0.003, chi-squared test). Compared to participants living in warm houses, the odds ratio of having electrocardiogram abnormalities was 1.79 (95% confidence interval: 1.14–2.81, p = 0.011) for those living in slightly cold houses and 2.18 (95% confidence interval: 1.27–3.75, p = 0.005) for those living in cold houses. Conclusions In addition to blood pressure, living in cold houses may have adverse effects on electrocardiogram. Conversely, keeping the indoor thermal environment within an appropriate range through a combination of living in highly thermal insulated houses and appropriate use of heating devices may contribute to good cardiovascular health. Trial registration The trial was retrospectively registered on 27 Dec 2017 to the University hospital Medical Information Network Clinical Trials Registry (UMIN-CTR, https://www.umin.ac.jp/ctr/, registration identifier number UMIN000030601).

The aim of the present study was to explore potential factors of inadequate sleep health (i.e. sleep duration, quality, and timing) of school-aged children. Data were collected among 382 primary school children (aged 4-13 years) and their parents. Personal characteristics (i.e. age, sex), individual lifestyle behaviours (i.e. screen use, sleep hygiene behaviour), social and community factors (i.e. parental sleep-related practices, parental barriers, perceived ethnicity), and living conditions (i.e. parental educational level, sleep environment) were assessed with a parental questionnaire. Sleep duration, quality, and timing were assessed with a sleep diary. Associations were analysed using linear mixed models and logistic regression analyses. In total, 332 children, with a mean (range) age of 7.5 (4-13) years, were included in the analyses. The mean sleep duration was 632 min/night, the mean sleep quality score was 40, on a scale from 10 to 50, and 25% had a bedtime that varied >40 min between weekdays. Factors negatively associated with children's sleep health included older age, perceived non-Dutch cultural background, lower parental pre-sleep emotional support, the parental barrier to get their child to bed on time when siblings have a later bedtime, high parental educational level, sleeping in a darkened bedroom, and being brought to bed after falling asleep. On average, children in the present study had adequate sleep health. The factors found to be associated with children's sleep health are useful for future healthy sleep research and intervention development.

Ventilation is essential to expel indoor generated pollutants from indoor air or weaken their focus to satisfactory levels. CO2 and bio-effluents are natural products of human metabolism, but consuming high CO2 levels can result in unhealthy symptoms such as sore throat, irritated nose/sinus, combined mucous membrane, tight chest, etc., wheezing. The modern air conditioner is designed to exhaust polluted indoor air. Ventilation is not an issue for those who rich enough. But indoor polluted air is a big problem for the middle-class and poor. As part of this study, the homes of 20 middle-class families (Families with at least one Pulmonary patient were chosen) with different numbers of occupants were inspected among 50 selected families. As part of the inspection, the concentration of CO2 in the families' bedrooms was ceaselessly measured over an average of 3 days. An average CO2 concentration was recorded at night in bedrooms of all families, 03 bedrooms had below 1000 ppm, and 17 bedrooms had above 2000 ppm, and in 03 bedrooms had above 4000 ppm. The CO2 concentration was recorded in the identical bedrooms after deploying the developed Automated Ventilation System. Our system and architecture have 100% of efficiency in maintaining the bedroom CO2 concentration below 1000 ppm.

Comfort temperature and sleep quality involving 20 participants were determined in two cases: Case A (arbitrary, controlled air-conditioner setting) and Case B (adjustment of 3 °C higher than the setting of Case A with cool bed linen). Data of indoor thermal comfort and electricity consumption were collected every night throughout the measurement period. Questionnaires on thermal comfort and sleep quality were distributed twice a night for a duration of three nights for each case, the first night was for respondents’ adaptation and the following two nights were for measurement. The sleep quality of the respondents was objectively measured using a commercially available activity tracker. Results found that most respondents were thermally comfortable in both cases, with 39% lower energy consumption reported for Case B compared to Case A. The thermal conditions of Case B were found to be more tolerable than those of Case A. Most respondents reported to have a calm and satisfied sleep for both cases. Comfort temperature and Sleep Efficiency Index (SEI) were found to be maintained in both cases.

In this article Ian Hunter considers his experiences, learning points and recommendations on running an international law firm research service from home for 6 months, after being sent home at one hour's notice. In the article he considers working from home, including the psychological benefits of having a ‘journey’ to work, providing a research service and a library service, managing a team and the use of communications technology.

Objective To investigate how mealtime setting, mealtime interaction and bedroom screens are associated with different trajectories of child overweight and obesity, using a population sample. Methods Growth mixture modelling used data from children in the Growing Up in Scotland Study born in 2004/5 (boys n = 2085, girls n = 1991) to identify trajectories of overweight or obesity across four time points, from 46 to 122 months. Using data from children present at all sweeps, and combining sexes (n = 2810), mutually adjusted associations between primary exposures (mealtime setting, mealtime interaction and bedroom screens) and trajectory class were explored in multinomial models; controlling for early life factors, household organisation and routines, and children’s diet patterns, overall screen use, physical activity and sleep. Results Five trajectories were identified in both sexes: Low Risk (68% of sample), Decreasing Overweight (9%), Increasing Overweight (12%), High/Stable Overweight (6%) and High/Increasing Obesity (5%). Compared with the Low Risk trajectory, High/Increasing Obesity and High/Stable Overweight trajectories were characterised by early increases in bedroom screen access (respective relative risk ratios (RRR) and 95% confidence intervals: 2.55 [1.30–5.00]; 1.62 [1.01–2.57]). An informal meal setting (involving mealtime screen use, not eating in a dining area and not sitting at a table) characterised the High/Increasing Obesity and Increasing Overweight trajectories (respective RRRs compared with Low Risk trajectory: 3.67 [1.99–6.77]; 1.75 [1.17–2.62]). Positive mealtime interaction was associated with membership of the Increasing Overweight trajectory (RRR 1.64 [1.13–2.36]). Conclusion Bedroom screen access and informal mealtime environments were associated with higher-risk overweight and obesity trajectories in a representative sample of Scottish children, after adjusting for a wide range of confounders. Findings may challenge the notion that positive mealtime interaction is protective. Promoting mealtimes in a screen-free dining area and removing screens from bedrooms may help combat childhood obesity.

Objective: To describe the use of exergames, associated factors and to quantify the time attributed to the use of exergames within the time spent on video games in a sample of adolescents from Curitiba, Paraná, Brazil. Methods: This was a cross-sectional study that evaluated frequency and weekly volume of physical activities using the Physical Activity Questionnaire for Adolescents. Weekly frequency and daily time of use of exergames and videogames were self-reported. Mann-Whitney and Kruskal Wallis tests were used to compare the time spent playing exergames, and Poisson regression was used to test the associations (p