This Excessive sugar-sweetened beverage (SSB) consumption and low health literacy skills have emerged as two public health concerns in the United States (US);however, there is limited research on how to effectively ad...This Excessive sugar-sweetened beverage (SSB) consumption and low health literacy skills have emerged as two public health concerns in the United States (US);however, there is limited research on how to effectively address these issues among adults. As guided by health literacy concepts and the Theory of Planned Behavior (TPB), this randomized controlled pilot trial applied the RE-AIM framework and a mixed methods approach to examine a sugar-sweetened beverage (SSB) intervention (SipSmartER), as compared to a matched-contact control intervention targeting physical activity (Move-More). Both 5-week interventions included two interactive group sessions and three support telephone calls. Executing a patient-centered developmental process, the primary aim of this paper was to evaluate patient feedback on intervention content and structure. The secondary aim was to understand the potential reach (i.e., proportion enrolled, representativeness) and effectiveness (i.e. health behaviors, theorized mediating variables, quality of life) of SipS- martER. Twenty-five participants were randomized to SipSmartER (n = 14) or MoveMore (n = 11). Participants’ intervention feedback was positive, ranging from 4.2 - 5.0 on a 5-point scale. Qualitative assessments reavealed several opportuneties to improve clarity of learning materials, enhance instructions and communication, and refine research protocols. Although SSB consumption decreased more among the SipS-martER participants (?256.9 ± 622.6 kcals), there were no significant group differences when compared to control participants (?199.7 ± 404.6 kcals). Across both groups, there were significant improvements for SSB attitudes, SSB behavioral intentions, and two media literacy constructs. The value of using a patient-centered approach in the developmental phases of this intervention was apparent, and pilot findings suggest decreased SSB may be achieved through targeted health literacy and TPB strategies. Future efforts are needed to examine the potential public health impact of a large-scale trial to address health literacy and reduce SSB.展开更多
Nowadays, sawdust has been widely regarded as a sand replacement material to produce sawdust concrete. This thesis uses orthogonal test to analyze the mechanical and heat preservation as well as heat insulation proper...Nowadays, sawdust has been widely regarded as a sand replacement material to produce sawdust concrete. This thesis uses orthogonal test to analyze the mechanical and heat preservation as well as heat insulation property with the sawdust replacement ratio of 0%, 3%, 5%, 7%, 10%, respectively, to get an optimal sawdust replacement ratio. Besides, it also discusses the deficiencies of this research.展开更多
Background:Many nutritional supplements and pharmacological agents have been reported to show preventive effects on colorectal adenoma and colorectal cancer(CRC).We performed a network meta-analysis to summarize such ...Background:Many nutritional supplements and pharmacological agents have been reported to show preventive effects on colorectal adenoma and colorectal cancer(CRC).We performed a network meta-analysis to summarize such evidence and assess the efficacy and safety of these agents.Methods:We searched PubMed,Embase,and the Cochrane Library for studies published in English until October 31,2021 that fit our inclusion criteria.We performed a systematic review and network meta-analysis to assess the comparative efficacy and safety of candidate agents(low-dose aspirin[Asp],high-dose Asp,cyclooxygenase-2 inhibitors[coxibs],calcium,vitamin D,folic acid,ursodeoxycholic acid[UDCA],estrogen,and progesterone,alone or in combination)for preventing colorectal adenoma and CRC.Cochrane risk-of-bias assessment tool was employed to evaluate the quality of each included study.Results:Thirty-two randomized controlled trials(278,694 participants)comparing 13 different interventions were included.Coxibs significantly reduced the risk of colorectal adenoma(risk ratio[RR]:0.59,95%confidence interval[CI]:0.44–0.79,six trials involving 5486 participants),advanced adenoma(RR:0.63,95%CI:0.43–0.92,four trials involving 4723 participants),and metachronous adenoma(RR:0.58,95%CI:0.43–0.79,five trials involving 5258 participants)compared with placebo.Coxibs also significantly increased the risk of severe adverse events(RR:1.29,95%CI:1.13–1.47,six trials involving 7109 participants).Other interventions,including Asp,folic acid,UDCA,vitamin D,and calcium,did not reduce the risk of colorectal adenoma in the general and high-risk populations compared with placebo.Conclusions:Considering the balance between benefits and harms,regular use of coxibs for prevention of colorectal adenoma was not supported by the current evidence.Benefit of low-dose Asp for chemoprevention of colorectal adenoma still requires further evidence.展开更多
赝电容超级电容器具有高功率密度、超长寿命以及可靠的安全性,使其在能源转化和存储中扮演着重要角色.但是,设计具有高容量、优异倍率性能以及出色的机械稳定性的电极材料依旧是一个挑战.本工作中,我们采用室温部分硫化策略来调节氢氧...赝电容超级电容器具有高功率密度、超长寿命以及可靠的安全性,使其在能源转化和存储中扮演着重要角色.但是,设计具有高容量、优异倍率性能以及出色的机械稳定性的电极材料依旧是一个挑战.本工作中,我们采用室温部分硫化策略来调节氢氧化钴纳米片的电子结构和晶态.得到的羟基硫化钴具有无定形结构,同时还有丰富的低价钴离子.三电极体系下,该电极在电流密度为1 A g^-1时的比电容达2110 F g^-1,当电流密度增大至10 A g^-1时容量仍有92.1%的保留,容量和倍率性能都远高于氢氧化钴前驱体(916 F g^-1@1 A g^-1,10 A g^-1的比电容保留率为80%).此外,利用该电极与商业活性炭组成的不对称电容器具有44.9 W h kg^-1的高能量密度以及优异的稳定性(8000次循环后仅衰减4%).展开更多
文摘This Excessive sugar-sweetened beverage (SSB) consumption and low health literacy skills have emerged as two public health concerns in the United States (US);however, there is limited research on how to effectively address these issues among adults. As guided by health literacy concepts and the Theory of Planned Behavior (TPB), this randomized controlled pilot trial applied the RE-AIM framework and a mixed methods approach to examine a sugar-sweetened beverage (SSB) intervention (SipSmartER), as compared to a matched-contact control intervention targeting physical activity (Move-More). Both 5-week interventions included two interactive group sessions and three support telephone calls. Executing a patient-centered developmental process, the primary aim of this paper was to evaluate patient feedback on intervention content and structure. The secondary aim was to understand the potential reach (i.e., proportion enrolled, representativeness) and effectiveness (i.e. health behaviors, theorized mediating variables, quality of life) of SipS- martER. Twenty-five participants were randomized to SipSmartER (n = 14) or MoveMore (n = 11). Participants’ intervention feedback was positive, ranging from 4.2 - 5.0 on a 5-point scale. Qualitative assessments reavealed several opportuneties to improve clarity of learning materials, enhance instructions and communication, and refine research protocols. Although SSB consumption decreased more among the SipS-martER participants (?256.9 ± 622.6 kcals), there were no significant group differences when compared to control participants (?199.7 ± 404.6 kcals). Across both groups, there were significant improvements for SSB attitudes, SSB behavioral intentions, and two media literacy constructs. The value of using a patient-centered approach in the developmental phases of this intervention was apparent, and pilot findings suggest decreased SSB may be achieved through targeted health literacy and TPB strategies. Future efforts are needed to examine the potential public health impact of a large-scale trial to address health literacy and reduce SSB.
文摘Nowadays, sawdust has been widely regarded as a sand replacement material to produce sawdust concrete. This thesis uses orthogonal test to analyze the mechanical and heat preservation as well as heat insulation property with the sawdust replacement ratio of 0%, 3%, 5%, 7%, 10%, respectively, to get an optimal sawdust replacement ratio. Besides, it also discusses the deficiencies of this research.
基金CAMS Innovation Fund for Medical Sciences(No.CIFMS2021-I2M-C&T-A-001)
文摘Background:Many nutritional supplements and pharmacological agents have been reported to show preventive effects on colorectal adenoma and colorectal cancer(CRC).We performed a network meta-analysis to summarize such evidence and assess the efficacy and safety of these agents.Methods:We searched PubMed,Embase,and the Cochrane Library for studies published in English until October 31,2021 that fit our inclusion criteria.We performed a systematic review and network meta-analysis to assess the comparative efficacy and safety of candidate agents(low-dose aspirin[Asp],high-dose Asp,cyclooxygenase-2 inhibitors[coxibs],calcium,vitamin D,folic acid,ursodeoxycholic acid[UDCA],estrogen,and progesterone,alone or in combination)for preventing colorectal adenoma and CRC.Cochrane risk-of-bias assessment tool was employed to evaluate the quality of each included study.Results:Thirty-two randomized controlled trials(278,694 participants)comparing 13 different interventions were included.Coxibs significantly reduced the risk of colorectal adenoma(risk ratio[RR]:0.59,95%confidence interval[CI]:0.44–0.79,six trials involving 5486 participants),advanced adenoma(RR:0.63,95%CI:0.43–0.92,four trials involving 4723 participants),and metachronous adenoma(RR:0.58,95%CI:0.43–0.79,five trials involving 5258 participants)compared with placebo.Coxibs also significantly increased the risk of severe adverse events(RR:1.29,95%CI:1.13–1.47,six trials involving 7109 participants).Other interventions,including Asp,folic acid,UDCA,vitamin D,and calcium,did not reduce the risk of colorectal adenoma in the general and high-risk populations compared with placebo.Conclusions:Considering the balance between benefits and harms,regular use of coxibs for prevention of colorectal adenoma was not supported by the current evidence.Benefit of low-dose Asp for chemoprevention of colorectal adenoma still requires further evidence.
基金surpported by the National Natural Science Foundation of China(21902108,21975163 and 51902204)China Postdoctoral Science Foundation(2019M663035)。
文摘赝电容超级电容器具有高功率密度、超长寿命以及可靠的安全性,使其在能源转化和存储中扮演着重要角色.但是,设计具有高容量、优异倍率性能以及出色的机械稳定性的电极材料依旧是一个挑战.本工作中,我们采用室温部分硫化策略来调节氢氧化钴纳米片的电子结构和晶态.得到的羟基硫化钴具有无定形结构,同时还有丰富的低价钴离子.三电极体系下,该电极在电流密度为1 A g^-1时的比电容达2110 F g^-1,当电流密度增大至10 A g^-1时容量仍有92.1%的保留,容量和倍率性能都远高于氢氧化钴前驱体(916 F g^-1@1 A g^-1,10 A g^-1的比电容保留率为80%).此外,利用该电极与商业活性炭组成的不对称电容器具有44.9 W h kg^-1的高能量密度以及优异的稳定性(8000次循环后仅衰减4%).
