BACKGROUND Hospice care plays an important role in improving the quality of life of advanced cancer patients,but controversy remains over whether age affects the attitudes of family members toward hospice care.AIM To ...BACKGROUND Hospice care plays an important role in improving the quality of life of advanced cancer patients,but controversy remains over whether age affects the attitudes of family members toward hospice care.AIM To investigate the attitudes of family members of advanced cancer patients of different ages toward hospice care.METHODS The study participants were 175 family members of patients with advanced cancer from January 2020 and October 2022.The participants were divided into youth(<40 years,n=65),middle-aged(40–60 years,n=59),and elderly(>60 years,n=51)groups.Researchers investigated and compared the degree of awareness regarding hospice care,attitudes,and whether the family members of patients would choose hospice care.RESULTS Among the family members of 175 patients,approximately 28%(49/175)were aware of hospice care.Awareness of hospice care,the proportion of hospice care acceptance and adaptation attitudes,and the proportion of those who chose hospice care in the youth group were higher in the middle-aged and elderly groups(P<0.05).No statistically significant difference was found in these three indicators between the middle-aged and elderly groups(P>0.05).Hospice care was chosen mainly to relieve pain and reduce unnecessary treatment,whereas the reasons for not choosing hospice care were mainly distrust and ethical concerns.CONCLUSION The family members of patients with advanced cancer had relatively low awareness of hospice care,while youth had a higher awareness of hospice care,acceptance,and adaptation attitudes,and were more willing to choose hospice care.展开更多
With the increasing integration of technology in modern workplaces, concerns have emerged regarding the addictive nature of technology and its potential consequences on employee productivity. This research aims to inv...With the increasing integration of technology in modern workplaces, concerns have emerged regarding the addictive nature of technology and its potential consequences on employee productivity. This research aims to investigate the impact of technological addiction on workplace productivity within the public sector of Zimbabwe. The study employed a mixed-methods approach, combining surveys, interviews, and a case study analysis, to examine the prevalence and effects of technological addiction in affecting productivity in the public sector of Zimbabwe. The findings indicate that excessive use of social media, and other digital distractions is a growing concern in the public sector, leading to decreased focus, missed deadlines, and strained teamwork. Factors such as unrestricted internet access, lack of clear usage policies, and inadequate self-regulation contribute to the problem The research outcomes also highlight the need for awareness and interventions to address social media addiction in the workplace, promote healthier technology use, and uphold productivity and employee well-being.展开更多
PANoptosis is a newly identified type of regulated cell death that consists of pyroptosis,apoptosis,and nec roptosis,which simultaneously occur during the pathophysiological process of infectious and inflammatory dise...PANoptosis is a newly identified type of regulated cell death that consists of pyroptosis,apoptosis,and nec roptosis,which simultaneously occur during the pathophysiological process of infectious and inflammatory diseases.Although our previous lite rature mining study suggested that PANoptosis might occur in neuronal ischemia/repe rfusion injury,little experimental research has been reported on the existence of PANoptosis.In this study,we used in vivo and in vitro retinal neuronal models of ischemia/repe rfusion injury to investigate whether PAN optosis-like cell death(simultaneous occurrence of pyroptosis,apo ptosis,and necroptosis)exists in retinal neuronal ischemia/repe rfusion injury.Our results showed that ischemia/repe rfusion injury induced changes in morphological features and protein levels that indicate PANoptosis-like cell death in retinal neurons both in vitro and in vivo.Ischemia/repe rfusion inju ry also significantly upregulated caspase-1,caspase-8,and NLRP3 expression,which are important components of the PANoptosome.These results indicate the existence of PANoptosis-like cell death in ischemia/reperfusion injury of retinal neurons and provide preliminary experimental evidence for future study of this new type of regulated cell death.展开更多
In this paper, the author uses the listed company's annual report and financial statements to do the empirical research, the selected areas are information technology industries. The results show that the average age...In this paper, the author uses the listed company's annual report and financial statements to do the empirical research, the selected areas are information technology industries. The results show that the average age of employees, professional proportion, and the average assesses and executives' shareholdings have no significant impact with P/B. The industry statistics revealed no significant impact between average age and P/B because each group of age has its own advantages. By using these indicators, the author can improve the human resources information voluntary disclosure, make the disclosure of information comparable, and provide the empirical reference to the listed companies.展开更多
Experiencing urban green and blue spaces(GBSs)can be a nature-based solution to improve mental well-being and cope with negative moods for people exposed to PM2.5 pollution.In this study,a total of 1257 photos were co...Experiencing urban green and blue spaces(GBSs)can be a nature-based solution to improve mental well-being and cope with negative moods for people exposed to PM2.5 pollution.In this study,a total of 1257 photos were collected to recognize their posted emotions of Sina Weibo users from 38 parks in 22 cities in Northeast China in 2021,when atmospheric PM_(2.5)and landscape metrics were evaluated for GBSs of each park.Autumn and winter had heavy atmospheric PM_(2.5)pollutions in resource-dependent cities of Liaoning.Net positive emotions(happy minus sad scores)decreased in larger green spaces.The perception of blue space countered the presentation of sadness only for a limited period over four seasons.High elevation decreased the level of happiness presented in winter.Overall,this study confirms that visiting large urban green spaces at low elevations can benefit the perception of positive sentiments for people exposed to PM_(2.5)in autumn.For planning urban forests in Northeast China,more green spaces should be constructed in cities in southern Jilin province to alleviate air PM_(2.5)pollution and gain better well-being of local people.展开更多
The poor bonding performance between aqueous adhesives represented by melamine-urea formaldehyde(MUF)resins and reed straw hinders their applications in the field of non-wood-based panels.Multi-hydroxyl polymers are h...The poor bonding performance between aqueous adhesives represented by melamine-urea formaldehyde(MUF)resins and reed straw hinders their applications in the field of non-wood-based panels.Multi-hydroxyl polymers are highly reactive and are often used as crosslinkers.This study fabricated a resin with a strengthened crosslinked structure by combining a multi-hydroxyl polymer and MUF resin prepolymer.The reed particleboard was prepared by using this resin as an adhesive and reed stalk as the matrix.The results show that neighboring molecules combined to form C–O–C bonds that strengthened the cross-linked structure of the resin.In addition,the viscosity of the resin was increased,and a continuous adhesive layer on the surface of reed particles was formed,which slowed the penetration of reed particles.The adhesive layer significantly improved the mechanical properties of the reed particleboard.The maximum modulus of rupture(MOR),modulus of elasticity(MOE),and internal bonding strength(IB)of the reed particleboard were 33.53,4126,and 0.79 MPa,respectively.The IB of the board was 3.3 times higher than that of the reed particleboard prepared with a conventional MUF resin.Reed straw is a non-wood biomass material that has the advantage of sustainable development and may replace woodbased materials to produce particleboard.This resin-prepared reed particleboard is expected to be used in areas such as custom furniture and engineering materials.展开更多
Although it is becoming increasingly popular for organizations to offer programs of mind–body practices to their employees to improve their physical and mental health,the effects that after-work sessions of mind–bod...Although it is becoming increasingly popular for organizations to offer programs of mind–body practices to their employees to improve their physical and mental health,the effects that after-work sessions of mind–body prac-tices have on employees’work behavior remain unclear.Using the model of proactive motivation and experience sampling,this study explored the relationship between employees’mind–body practices after work and their proactive behavior in the workplace on the following day.A multilevel path analysis of data from 82 employees over seven consecutive workdays showed that employees’mind–body practices after work had a positive effect on their proactive behavior in the workplace on the following day.The relationship was mediated by next-day high-activated positive affect and problem-solving confidence.Furthermore,job control positively moderated the rela-tionship between high-activated positive affect and proactive behavior but not that between problem-solving con-fidence and proactive behavior.We discuss the theoretical and practical implications of thesefindings,and propose future research directions.展开更多
BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations,multiple subtypes,and unknown etiology and pathogenesis.Existing studies regarding GA in children are scarce.AIM To examine the correlation between ...BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations,multiple subtypes,and unknown etiology and pathogenesis.Existing studies regarding GA in children are scarce.AIM To examine the correlation between clinical manifestation and histopathology of pediatric GA.METHODS A total of 39 patients under 18 years of age with both a clinical and pathological diagnosis of GA at Kunming Children's Hospital from 2017 to 2022 were retrieved.Their medical records were consulted,and clinical data of the children were recorded and summarized,including gender,age,disease site,etc.Existing wax blocks of skin lesion specimens of children and pathological films were retrieved for further study and relevant histology,including hematoxylin-eosin,Alcian blue,elastic fiber(Victoria blue-Lichon red method),and antacid staining.Finally,the children’s clinical manifestations,histopathological results,and special staining characteristics were analyzed.RESULTS The clinical manifestations of granuloma annulare in children were diverse:11 cases presented with a single lesion,25 with multiple lesions,and 3 with generalized lesions.The pathological typing comprised histiocytic infiltration,palisading granuloma,epithelioid nodular,and mixed types in 4,11,9,and 15 cases,respectively.Thirty-nine cases were negative for antacid staining.The positive rate of Alcian blue staining was 92.3%,and that of elastic fiber staining was 100%.The degree of elastic fiber dissolution and granuloma annulare histopathological typing were positively correlated(r=0.432,P<0.05).No correlation was found between clinical presentation and histopathological typing of the granuloma annulare in children.In the pathological diagnosis of granuloma annulare,the positive elastic fiber staining rate was higher than that of Alcian blue staining.A correlation was found between elastic fiber dissolution degree and histopathological staging.However,the differences in pathological staging may have been related to the pathological manifestation of granuloma annulare at different periods.CONCLUSION Elastic fiber degradation may be a critical step in the pathogenesis of pediatric granuloma annulare.This is also one of the first studies focused on granuloma annulare in children.展开更多
AIM:To evaluate the contribution of alcohol dehydrogenase-1B(ADH1B)and aldehyde dehydrogenase-2 (ALDH2)polymorphisms to the risk of esophageal cancer.METHODS:Nineteen articles were included by searching MEDLINE,EMBASE...AIM:To evaluate the contribution of alcohol dehydrogenase-1B(ADH1B)and aldehyde dehydrogenase-2 (ALDH2)polymorphisms to the risk of esophageal cancer.METHODS:Nineteen articles were included by searching MEDLINE,EMBASE and the Chinese Biomedical Database,13 on ADH1B and 18 on ALDH2.We performed a meta-analysis of case-control studies including 13 studies on ADH1B(cases/controls:2390/7100)and 18 studies on ALDH2(2631/6030).RESULTS:The crude odds ratio[OR(95%confidence interval)]was 2.91(2.04-4.14)for ADH1B*1/*1(vs ADH1B*2/*2)and 1.32(1.17-1.49)for ADH1B*1/*2.The crude OR for ALDH2*1/*2(vs ALDH2*1/*1)was 2.52(1.76-3.61).ADH1B*1/*1 increased the risk of esophageal cancer among never/rare[1.56(0.93-2.61)],moderate[2.71(1.37-5.35)],and heavy drinkers[3.22 (2.27-4.57)].ADH1B*1/*2 was associated with a modest risk among moderate drinkers[1.43(1.09-1.87)].ALDH2*1/*2 increased the risk among never/rare[1.28 (0.91-1.80)],moderate[3.12(1.95-5.01)],and heavy [7.12(4.67-10.86)]drinkers,and among ex-drinkers [5.64(1.57-20.25)].ALDH2*2/*2 increased the risk among drinkers[4.42(1.72-11.36)].ADH1B*1/*1 plus ALDH2*1/*2 was associated with the highest risk for heavy drinkers[12.45(2.9-53.46)].The results of the meta-regression analysis showed that the effects of ADH1B*1/*1 and ALDH2*1/*2 increased with the level of alcohol consumption.ALDH2*1/*2 was associated with a high risk among Taiwan Chinese and Japanese drinkers,as opposed to a moderate risk among drinkers in high-incidence regions of China's Mainland.ADH1B*1/*1 in heavy drinkers and ALDH2*1/*2 in moderate-toheavy drinkers was associated with similarly high risk among both men and women.CONCLUSION:ADH1B/ALDH2 genotypes affect the risk of esophageal cancer,and the risk is modified by alcohol consumption,ethnicity,and gender.展开更多
Small and medium-sized enterprises have developed rapidly under the guidance and support of the national industrial policy.Because of the influence of the post financial crisis,the rate of the global economy developme...Small and medium-sized enterprises have developed rapidly under the guidance and support of the national industrial policy.Because of the influence of the post financial crisis,the rate of the global economy development decreased and the market competition increased,the profit of small and medium-sized enterprises is on the decline or even in a loss.The paper,based on the value creation logic of Balanced Score Card,put forward that we should,with the Differentiation Strategy as the basis,using Strategy Map and Cascade Strategy,integrate the key internal procedures to increase the strategic preparation of intangible assets to guide the business model innovation of small and medium-sized enterprises and promote the rapid development of small and medium-sized enterprises.展开更多
The upper and lower portions of Musa sapientum pseudo-stem sheaths were exposed in four types of treatments: pectin decomposing bacteria, magnesium oxide (MgO), both pectin decomposing bacteria and MgO and control....The upper and lower portions of Musa sapientum pseudo-stem sheaths were exposed in four types of treatments: pectin decomposing bacteria, magnesium oxide (MgO), both pectin decomposing bacteria and MgO and control. The fibre strength properties were tested using SIRIM Standard methods and colour changed using gray scale. The bioaugmentation of pectin decomposing bacteria together with MgO additions were found to enhance retting process and reduced retting periods 52% and yielded better strength on the fibres. The lower portion pseudo-stem sheaths gave the higher strength than upper portion. Colour changed showed that the bioaugmentation of pectin bacteria enhanced the degradation colouring compound in banana fibres.展开更多
The effect of two fixed vertical boundaries, a finite distance apart, on the dynamics of a column of buoyant fluid rising in a less buoyant fluid is investigated in the presence of vertical rotation. It is shown that ...The effect of two fixed vertical boundaries, a finite distance apart, on the dynamics of a column of buoyant fluid rising in a less buoyant fluid is investigated in the presence of vertical rotation. It is shown that the presence of the boundaries introduces two main effects on a rotating plume. They tend to stabilise the plume but succeed only reducing the value of the growth rate and the plume remains unstable for all finite values of the distance between the boundaries and the plume. In the absence of the sidewalls, two modes of the instability were found known as the sinuous mode and the varicose mode. The influence of the boundaries is such that it reduces the growth rate of the varicose mode more than that of the sinuous mode and consequently the modified sinuous mode is always preferred in the presence of the boundaries.展开更多
Fused magnesium aluminate spinel carbon materials were prepared using fused magnesium aluminate spinel and flake graphite as the main raw materials and phenolic resin as the binder.The effects of the Al-Si alloy addit...Fused magnesium aluminate spinel carbon materials were prepared using fused magnesium aluminate spinel and flake graphite as the main raw materials and phenolic resin as the binder.The effects of the Al-Si alloy addition(0,2%,4%,6%,8%and 10%,by mass)on the properties of fused magnesium aluminate spinel carbon materials were studied.The results show that fiber materials are generated in the samples with Al-Si alloy addition,which can significantly improve the cold and hot modulus of rupture,the cold elastic modulus,and the thermal shock resistance of the samples.When the addition of Al-Si alloy is 6%-8%,the comprehensive performance of the sample is the optimum.展开更多
Introducing carbon trading into electricity market can convert carbon dioxide into schedulable resources with economic value.However,the randomness of wind power generation puts forward higher requirements for electri...Introducing carbon trading into electricity market can convert carbon dioxide into schedulable resources with economic value.However,the randomness of wind power generation puts forward higher requirements for electricity market transactions.Therefore,the carbon trading market is introduced into the wind power market,and a new form of low-carbon economic dispatch model is developed.First,the economic dispatch goal of wind power is be considered.It is projected to save money and reduce the cost of power generation for the system.The model includes risk operating costs to account for the impact of wind power output variability on the system,as well as wind farm negative efficiency operating costs to account for the loss caused by wind abandonment.The model also employs carbon trading market metrics to achieve the goal of lowering system carbon emissions,and analyze the impact of different carbon trading prices on the system.A low-carbon economic dispatch model for the wind power market is implemented based on the following two goals.Finally,the solution is optimised using the Ant-lion optimisation method,which combines Levi's flight mechanism and golden sine.The proposed model and algorithm's rationality is proven through the use of cases.展开更多
Autism spectrum disorder(ASD)is regarded as a neurological disorder well-defined by a specific set of problems associated with social skills,recurrent conduct,and communication.Identifying ASD as soon as possible is f...Autism spectrum disorder(ASD)is regarded as a neurological disorder well-defined by a specific set of problems associated with social skills,recurrent conduct,and communication.Identifying ASD as soon as possible is favourable due to prior identification of ASD permits prompt interferences in children with ASD.Recognition of ASD related to objective pathogenicmutation screening is the initial step against prior intervention and efficient treatment of children who were affected.Nowadays,healthcare and machine learning(ML)industries are combined for determining the existence of various diseases.This article devises a Jellyfish Search Optimization with Deep Learning Driven ASD Detection and Classification(JSODL-ASDDC)model.The goal of the JSODL-ASDDC algorithm is to identify the different stages of ASD with the help of biomedical data.The proposed JSODLASDDC model initially performs min-max data normalization approach to scale the data into uniform range.In addition,the JSODL-ASDDC model involves JSO based feature selection(JFSO-FS)process to choose optimal feature subsets.Moreover,Gated Recurrent Unit(GRU)based classification model is utilized for the recognition and classification of ASD.Furthermore,the Bacterial Foraging Optimization(BFO)assisted parameter tuning process gets executed to enhance the efficacy of the GRU system.The experimental assessment of the JSODL-ASDDC model is investigated against distinct datasets.The experimental outcomes highlighted the enhanced performances of the JSODL-ASDDC algorithm over recent approaches.展开更多
BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations including papules,plaques,and nodules on the extremities that are skin-colored,pink,or purple.Approximately 15%of all GA cases are considered genera...BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations including papules,plaques,and nodules on the extremities that are skin-colored,pink,or purple.Approximately 15%of all GA cases are considered generalized GA.CASE SUMMARY Herein,we describe the case of a pediatric patient who initially presented with papules and later developed generalized atrophic macules.Upon examination,two different morphologic lesions were histopathologically confirmed:Epithelioid nodular GA and scattered histiocytic infiltrative GA.This patient exhibited rare clinical manifestations that differed throughout the course of the disease.The varying histopathological types and clinical manifestations of GA may be linked to the different stages of the disease.CONCLUSION This rare case demonstrates the different histopathological features of different stages and clinical manifestations of granuloma annulare in an infant.展开更多
Some scholars have recently developed the concept of PANoptosis in the study of infectious diseases where pyroptosis,apoptosis and necroptosis act in consort in a multimeric protein complex,PANoptosome.This allows all...Some scholars have recently developed the concept of PANoptosis in the study of infectious diseases where pyroptosis,apoptosis and necroptosis act in consort in a multimeric protein complex,PANoptosome.This allows all the components of PANoptosis to be regulated simultaneously.PANoptosis provides a new way to study the regulation of cell death,in that different types of cell death may be regulated at the same time.To test whether PANoptosis exists in diseases other than infectious diseases,we chose cerebral ischemia/reperfusion injury as the research model,collected articles researching cerebral ischemia/reperfusion from three major databases,obtained the original research data from these articles by bibliometrics,data mining and other methods,then integrated and analyzed these data.We selected papers that investigated at least two of the components of PANoptosis to check its occurrence in ischemia/reperfusion.In the cell model simulating ischemic brain injury,pyroptosis,apoptosis and necroptosis occur together and this phenomenon exists widely in different passage cell lines or primary neurons.Pyroptosis,apoptosis and necroptosis also occurred in rat and mouse models of ischemia/reperfusion injury.This confirms that PANoptosis is observed in ischemic brain injury and indicates that PANoptosis can be a target in the regulation of various central nervous system diseases.展开更多
Background: Esophageal cancer is associated with substantial disease burden in China, and data on the economic burden are fundamental for setting priorities in cancer interventions. The medical expenditure for the dia...Background: Esophageal cancer is associated with substantial disease burden in China, and data on the economic burden are fundamental for setting priorities in cancer interventions. The medical expenditure for the diagnosis and treatment of esophageal cancer in China has not been fully quantified. This study aimed to examine the medical expenditure of Chinese patients with esophageal cancer and the associated trends.Methods: From 2012 to 2014, a hospital-based multicenter retrospective survey was conducted in 37 hospitals in 13 provinces/municipalities across China as a part of the Cancer Screening Program of Urban China. For each esophageal cancer patient diagnosed between 2002 and 2011, clinical information and expense data were extracted by using structured questionnaires. All expense data were reported in Chinese Yuan(CNY; 1 CNY = 0.155 USD) based on the2011 value and inflated using the year-specific health care consumer price index for China.Results: A total of 14,967 esophageal cancer patients were included in the analysis. It was estimated that the overall average expenditure per patient was 38,666 CNY, and an average annual increase of 6.27% was observed from 2002(25,111 CNY) to 2011(46,124 CNY). The average expenditures were 34,460 CNY for stage Ⅰ,39,302 CNY for stage Ⅱ,40,353 CNY for stage Ⅲ, and 37,432 CNY for stage IV diseases(P < 0.01). The expenditure also differed by the therapy type, which was 38,492 CNY for surgery, 27,933 CNY for radiotherapy, and 27,805 CNY for chemotherapy(P < 0.05).Drugs contributed to 45.02% of the overall expenditure.Conclusions: These conservative estimates suggested that medical expenditures for esophageal cancer in China substantially increased in the last 10 years, treatment for early-stage esophageal cancer costs less than that for advanced cases, and spending on drugs continued to account for a considerable proportion of the overall expenditure.展开更多
Recently,we have shown that FOXP3,a critical transcription factor in regulatory T cells(Tregs),is expressed in pancreatic epithelial cells,and restrain the activity of CD8+T cells by upregulating PD-L1,which in turn r...Recently,we have shown that FOXP3,a critical transcription factor in regulatory T cells(Tregs),is expressed in pancreatic epithelial cells,and restrain the activity of CD8+T cells by upregulating PD-L1,which in turn regulates immune escape in pancreatic ductal adenocarcinoma(PDAC)^(1).On the basis of a series of studies of our laboratory,we hypothesize that a subset of pancreatic epithelial cells mimics the phenotype and function of Tregs(named quasi-Tregs or qTregs);this concept has been supported by a peer-reviewed commentary^(2).Moreover,evidence suggests that tumor epithelial cells can mimic other types of immune cells and participate in the formation of a tumor immunosuppressive microenvironment(TIM).展开更多
Background: Cervical Cancer is one such a disease that remains with high mortality unless prevented or detected early and managed. It is one of the most common cancers of the child bearing age between 20 and 45 years ...Background: Cervical Cancer is one such a disease that remains with high mortality unless prevented or detected early and managed. It is one of the most common cancers of the child bearing age between 20 and 45 years world over. It is rated as the second most prevalent cancer among women. There is high consensus among various scholars that high quality screening, effective treatment and routine follow-up care are cardinal in helping women. The main objective of the study was to identify the factors influencing cervical cancer screening in Kitwe District, Zambia. Methods: An analytical cross-sectional study design was employed that included the use of a researcher-administered questionnaire. Simple random sampling was used to sample 210 participants. Data were analyzed using SPSS version 25 and chi-square test was used to determine associations among variables. Binary logistic regression was used for multivariate analysis. Statistical significance was set at p Results: The age of the women enrolled in the study ranged from 20 to 59 years, with a mean age of 30.4 years (SD: 8.36). Majority (46.2%) of the women were aged between 25 to 34 years and the mean age reported for sexual debut among respondents was 19.7 (SD: 4.01) years ranging from 12 to 31 years at first sexual encounter. Almost all (99%) the women were Christians and 42.9% had attained secondary school education. Fifty nine (59%) of the respondents were married and 77.6% had children. Over three quarters (77.6%) of the respondents were knowledgeable on cervical cancer and screening, majority (61%) of the respondents demonstrated a more positive attitude towards cervical cancer screening, and the overall perception level among study respondents was more positive (71.9%). The findings of the present study indicated that the magnitude of cervical cancer screening was 44.8%. In the binary logistic regression analysis, older age (35 to 44 years: AOR = 10.91, 95% CI: 2.67 - 44.48, p = 0.001;45 to 59 years: AOR = 10.28, 95% CI: 1.52 - 69.68, p = 0.017, respectively), and having a positive attitude (AOR = 67.5, 95% CI: 15.42 - 295.44, p < 0.001) were independently associated with cervical cancer screening utilization. Conclusion: The study has shown that despite women having adequate knowledge, positive attitudes and perceptions, the number of women who had been screened was still low. However, middle aged and older women, and positive attitudes were found to independently influence women to go for cervical cancer screening. Therefore, attempts should be made to reach women who rarely visit health care services, for example, through increasing health campaigns in partnership with other organizations in the area.展开更多
文摘BACKGROUND Hospice care plays an important role in improving the quality of life of advanced cancer patients,but controversy remains over whether age affects the attitudes of family members toward hospice care.AIM To investigate the attitudes of family members of advanced cancer patients of different ages toward hospice care.METHODS The study participants were 175 family members of patients with advanced cancer from January 2020 and October 2022.The participants were divided into youth(<40 years,n=65),middle-aged(40–60 years,n=59),and elderly(>60 years,n=51)groups.Researchers investigated and compared the degree of awareness regarding hospice care,attitudes,and whether the family members of patients would choose hospice care.RESULTS Among the family members of 175 patients,approximately 28%(49/175)were aware of hospice care.Awareness of hospice care,the proportion of hospice care acceptance and adaptation attitudes,and the proportion of those who chose hospice care in the youth group were higher in the middle-aged and elderly groups(P<0.05).No statistically significant difference was found in these three indicators between the middle-aged and elderly groups(P>0.05).Hospice care was chosen mainly to relieve pain and reduce unnecessary treatment,whereas the reasons for not choosing hospice care were mainly distrust and ethical concerns.CONCLUSION The family members of patients with advanced cancer had relatively low awareness of hospice care,while youth had a higher awareness of hospice care,acceptance,and adaptation attitudes,and were more willing to choose hospice care.
文摘With the increasing integration of technology in modern workplaces, concerns have emerged regarding the addictive nature of technology and its potential consequences on employee productivity. This research aims to investigate the impact of technological addiction on workplace productivity within the public sector of Zimbabwe. The study employed a mixed-methods approach, combining surveys, interviews, and a case study analysis, to examine the prevalence and effects of technological addiction in affecting productivity in the public sector of Zimbabwe. The findings indicate that excessive use of social media, and other digital distractions is a growing concern in the public sector, leading to decreased focus, missed deadlines, and strained teamwork. Factors such as unrestricted internet access, lack of clear usage policies, and inadequate self-regulation contribute to the problem The research outcomes also highlight the need for awareness and interventions to address social media addiction in the workplace, promote healthier technology use, and uphold productivity and employee well-being.
基金supported by the National Natural Science Foundation of China,Nos.81772134,81971891,82172196,81571939(ail to KX)the Key Laboratory of Emergency and Trauma(Hainan Medical University)of Ministry of Education,No.KLET-202108(to KX)+1 种基金the Fundamental Research Funds for the Central Universities of Central South University of China,No.2020zzts218(to WTY)Hunan Provincial Innovation Foundation for Postgraduate of China,No.CX20200116(to WTY)。
文摘PANoptosis is a newly identified type of regulated cell death that consists of pyroptosis,apoptosis,and nec roptosis,which simultaneously occur during the pathophysiological process of infectious and inflammatory diseases.Although our previous lite rature mining study suggested that PANoptosis might occur in neuronal ischemia/repe rfusion injury,little experimental research has been reported on the existence of PANoptosis.In this study,we used in vivo and in vitro retinal neuronal models of ischemia/repe rfusion injury to investigate whether PAN optosis-like cell death(simultaneous occurrence of pyroptosis,apo ptosis,and necroptosis)exists in retinal neuronal ischemia/repe rfusion injury.Our results showed that ischemia/repe rfusion injury induced changes in morphological features and protein levels that indicate PANoptosis-like cell death in retinal neurons both in vitro and in vivo.Ischemia/repe rfusion inju ry also significantly upregulated caspase-1,caspase-8,and NLRP3 expression,which are important components of the PANoptosome.These results indicate the existence of PANoptosis-like cell death in ischemia/reperfusion injury of retinal neurons and provide preliminary experimental evidence for future study of this new type of regulated cell death.
文摘In this paper, the author uses the listed company's annual report and financial statements to do the empirical research, the selected areas are information technology industries. The results show that the average age of employees, professional proportion, and the average assesses and executives' shareholdings have no significant impact with P/B. The industry statistics revealed no significant impact between average age and P/B because each group of age has its own advantages. By using these indicators, the author can improve the human resources information voluntary disclosure, make the disclosure of information comparable, and provide the empirical reference to the listed companies.
基金funded by the Department of Science and Technology of Jilin Province (20190303126SF)the Project of Beihua University (320121060)+1 种基金National Natural Science Foundation of China (31771695 and 31971464)Fundamental Research Funds for the Central Universities (0919/140124)。
文摘Experiencing urban green and blue spaces(GBSs)can be a nature-based solution to improve mental well-being and cope with negative moods for people exposed to PM2.5 pollution.In this study,a total of 1257 photos were collected to recognize their posted emotions of Sina Weibo users from 38 parks in 22 cities in Northeast China in 2021,when atmospheric PM_(2.5)and landscape metrics were evaluated for GBSs of each park.Autumn and winter had heavy atmospheric PM_(2.5)pollutions in resource-dependent cities of Liaoning.Net positive emotions(happy minus sad scores)decreased in larger green spaces.The perception of blue space countered the presentation of sadness only for a limited period over four seasons.High elevation decreased the level of happiness presented in winter.Overall,this study confirms that visiting large urban green spaces at low elevations can benefit the perception of positive sentiments for people exposed to PM_(2.5)in autumn.For planning urban forests in Northeast China,more green spaces should be constructed in cities in southern Jilin province to alleviate air PM_(2.5)pollution and gain better well-being of local people.
基金supported by the Hunan Province Science and Technology Major Project[2021NK1050]Strategic Research and Consulting Project of the Chinese Academy of Engineering:Research on Green and Low-Carbon Technology Innovation Strategy of Wood-Based Panel Industry[2022-XY-62]+1 种基金Changsha Science and Technology Project[kq2004096]Hunan Provincial Technical Innovation Platform and Talent Program in Science and Technology[2016TP1013].
文摘The poor bonding performance between aqueous adhesives represented by melamine-urea formaldehyde(MUF)resins and reed straw hinders their applications in the field of non-wood-based panels.Multi-hydroxyl polymers are highly reactive and are often used as crosslinkers.This study fabricated a resin with a strengthened crosslinked structure by combining a multi-hydroxyl polymer and MUF resin prepolymer.The reed particleboard was prepared by using this resin as an adhesive and reed stalk as the matrix.The results show that neighboring molecules combined to form C–O–C bonds that strengthened the cross-linked structure of the resin.In addition,the viscosity of the resin was increased,and a continuous adhesive layer on the surface of reed particles was formed,which slowed the penetration of reed particles.The adhesive layer significantly improved the mechanical properties of the reed particleboard.The maximum modulus of rupture(MOR),modulus of elasticity(MOE),and internal bonding strength(IB)of the reed particleboard were 33.53,4126,and 0.79 MPa,respectively.The IB of the board was 3.3 times higher than that of the reed particleboard prepared with a conventional MUF resin.Reed straw is a non-wood biomass material that has the advantage of sustainable development and may replace woodbased materials to produce particleboard.This resin-prepared reed particleboard is expected to be used in areas such as custom furniture and engineering materials.
基金supported by the Natural Science Foundation of Hubei Province(2021CFB297)the Natural Science Foundation of Guangdong Province(2022A1515010563).
文摘Although it is becoming increasingly popular for organizations to offer programs of mind–body practices to their employees to improve their physical and mental health,the effects that after-work sessions of mind–body prac-tices have on employees’work behavior remain unclear.Using the model of proactive motivation and experience sampling,this study explored the relationship between employees’mind–body practices after work and their proactive behavior in the workplace on the following day.A multilevel path analysis of data from 82 employees over seven consecutive workdays showed that employees’mind–body practices after work had a positive effect on their proactive behavior in the workplace on the following day.The relationship was mediated by next-day high-activated positive affect and problem-solving confidence.Furthermore,job control positively moderated the rela-tionship between high-activated positive affect and proactive behavior but not that between problem-solving con-fidence and proactive behavior.We discuss the theoretical and practical implications of thesefindings,and propose future research directions.
基金Supported by Spring City Project Famous Doctor Special
文摘BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations,multiple subtypes,and unknown etiology and pathogenesis.Existing studies regarding GA in children are scarce.AIM To examine the correlation between clinical manifestation and histopathology of pediatric GA.METHODS A total of 39 patients under 18 years of age with both a clinical and pathological diagnosis of GA at Kunming Children's Hospital from 2017 to 2022 were retrieved.Their medical records were consulted,and clinical data of the children were recorded and summarized,including gender,age,disease site,etc.Existing wax blocks of skin lesion specimens of children and pathological films were retrieved for further study and relevant histology,including hematoxylin-eosin,Alcian blue,elastic fiber(Victoria blue-Lichon red method),and antacid staining.Finally,the children’s clinical manifestations,histopathological results,and special staining characteristics were analyzed.RESULTS The clinical manifestations of granuloma annulare in children were diverse:11 cases presented with a single lesion,25 with multiple lesions,and 3 with generalized lesions.The pathological typing comprised histiocytic infiltration,palisading granuloma,epithelioid nodular,and mixed types in 4,11,9,and 15 cases,respectively.Thirty-nine cases were negative for antacid staining.The positive rate of Alcian blue staining was 92.3%,and that of elastic fiber staining was 100%.The degree of elastic fiber dissolution and granuloma annulare histopathological typing were positively correlated(r=0.432,P<0.05).No correlation was found between clinical presentation and histopathological typing of the granuloma annulare in children.In the pathological diagnosis of granuloma annulare,the positive elastic fiber staining rate was higher than that of Alcian blue staining.A correlation was found between elastic fiber dissolution degree and histopathological staging.However,the differences in pathological staging may have been related to the pathological manifestation of granuloma annulare at different periods.CONCLUSION Elastic fiber degradation may be a critical step in the pathogenesis of pediatric granuloma annulare.This is also one of the first studies focused on granuloma annulare in children.
文摘AIM:To evaluate the contribution of alcohol dehydrogenase-1B(ADH1B)and aldehyde dehydrogenase-2 (ALDH2)polymorphisms to the risk of esophageal cancer.METHODS:Nineteen articles were included by searching MEDLINE,EMBASE and the Chinese Biomedical Database,13 on ADH1B and 18 on ALDH2.We performed a meta-analysis of case-control studies including 13 studies on ADH1B(cases/controls:2390/7100)and 18 studies on ALDH2(2631/6030).RESULTS:The crude odds ratio[OR(95%confidence interval)]was 2.91(2.04-4.14)for ADH1B*1/*1(vs ADH1B*2/*2)and 1.32(1.17-1.49)for ADH1B*1/*2.The crude OR for ALDH2*1/*2(vs ALDH2*1/*1)was 2.52(1.76-3.61).ADH1B*1/*1 increased the risk of esophageal cancer among never/rare[1.56(0.93-2.61)],moderate[2.71(1.37-5.35)],and heavy drinkers[3.22 (2.27-4.57)].ADH1B*1/*2 was associated with a modest risk among moderate drinkers[1.43(1.09-1.87)].ALDH2*1/*2 increased the risk among never/rare[1.28 (0.91-1.80)],moderate[3.12(1.95-5.01)],and heavy [7.12(4.67-10.86)]drinkers,and among ex-drinkers [5.64(1.57-20.25)].ALDH2*2/*2 increased the risk among drinkers[4.42(1.72-11.36)].ADH1B*1/*1 plus ALDH2*1/*2 was associated with the highest risk for heavy drinkers[12.45(2.9-53.46)].The results of the meta-regression analysis showed that the effects of ADH1B*1/*1 and ALDH2*1/*2 increased with the level of alcohol consumption.ALDH2*1/*2 was associated with a high risk among Taiwan Chinese and Japanese drinkers,as opposed to a moderate risk among drinkers in high-incidence regions of China's Mainland.ADH1B*1/*1 in heavy drinkers and ALDH2*1/*2 in moderate-toheavy drinkers was associated with similarly high risk among both men and women.CONCLUSION:ADH1B/ALDH2 genotypes affect the risk of esophageal cancer,and the risk is modified by alcohol consumption,ethnicity,and gender.
基金the phased achievement of the social science research project of Shandong Province:Research on industrial transformation and upgrading of equipment manufacturing industry in Shandong Province(No:13CJJJ02)
文摘Small and medium-sized enterprises have developed rapidly under the guidance and support of the national industrial policy.Because of the influence of the post financial crisis,the rate of the global economy development decreased and the market competition increased,the profit of small and medium-sized enterprises is on the decline or even in a loss.The paper,based on the value creation logic of Balanced Score Card,put forward that we should,with the Differentiation Strategy as the basis,using Strategy Map and Cascade Strategy,integrate the key internal procedures to increase the strategic preparation of intangible assets to guide the business model innovation of small and medium-sized enterprises and promote the rapid development of small and medium-sized enterprises.
文摘The upper and lower portions of Musa sapientum pseudo-stem sheaths were exposed in four types of treatments: pectin decomposing bacteria, magnesium oxide (MgO), both pectin decomposing bacteria and MgO and control. The fibre strength properties were tested using SIRIM Standard methods and colour changed using gray scale. The bioaugmentation of pectin decomposing bacteria together with MgO additions were found to enhance retting process and reduced retting periods 52% and yielded better strength on the fibres. The lower portion pseudo-stem sheaths gave the higher strength than upper portion. Colour changed showed that the bioaugmentation of pectin bacteria enhanced the degradation colouring compound in banana fibres.
文摘The effect of two fixed vertical boundaries, a finite distance apart, on the dynamics of a column of buoyant fluid rising in a less buoyant fluid is investigated in the presence of vertical rotation. It is shown that the presence of the boundaries introduces two main effects on a rotating plume. They tend to stabilise the plume but succeed only reducing the value of the growth rate and the plume remains unstable for all finite values of the distance between the boundaries and the plume. In the absence of the sidewalls, two modes of the instability were found known as the sinuous mode and the varicose mode. The influence of the boundaries is such that it reduces the growth rate of the varicose mode more than that of the sinuous mode and consequently the modified sinuous mode is always preferred in the presence of the boundaries.
基金National Key Research and Development Program of China(2021YFB3701404)National Natural Science Foundation of China(51932008)for the support of the work
文摘Fused magnesium aluminate spinel carbon materials were prepared using fused magnesium aluminate spinel and flake graphite as the main raw materials and phenolic resin as the binder.The effects of the Al-Si alloy addition(0,2%,4%,6%,8%and 10%,by mass)on the properties of fused magnesium aluminate spinel carbon materials were studied.The results show that fiber materials are generated in the samples with Al-Si alloy addition,which can significantly improve the cold and hot modulus of rupture,the cold elastic modulus,and the thermal shock resistance of the samples.When the addition of Al-Si alloy is 6%-8%,the comprehensive performance of the sample is the optimum.
基金National Natural Science Foundation of China,Grant/Award Number:51677059。
文摘Introducing carbon trading into electricity market can convert carbon dioxide into schedulable resources with economic value.However,the randomness of wind power generation puts forward higher requirements for electricity market transactions.Therefore,the carbon trading market is introduced into the wind power market,and a new form of low-carbon economic dispatch model is developed.First,the economic dispatch goal of wind power is be considered.It is projected to save money and reduce the cost of power generation for the system.The model includes risk operating costs to account for the impact of wind power output variability on the system,as well as wind farm negative efficiency operating costs to account for the loss caused by wind abandonment.The model also employs carbon trading market metrics to achieve the goal of lowering system carbon emissions,and analyze the impact of different carbon trading prices on the system.A low-carbon economic dispatch model for the wind power market is implemented based on the following two goals.Finally,the solution is optimised using the Ant-lion optimisation method,which combines Levi's flight mechanism and golden sine.The proposed model and algorithm's rationality is proven through the use of cases.
文摘Autism spectrum disorder(ASD)is regarded as a neurological disorder well-defined by a specific set of problems associated with social skills,recurrent conduct,and communication.Identifying ASD as soon as possible is favourable due to prior identification of ASD permits prompt interferences in children with ASD.Recognition of ASD related to objective pathogenicmutation screening is the initial step against prior intervention and efficient treatment of children who were affected.Nowadays,healthcare and machine learning(ML)industries are combined for determining the existence of various diseases.This article devises a Jellyfish Search Optimization with Deep Learning Driven ASD Detection and Classification(JSODL-ASDDC)model.The goal of the JSODL-ASDDC algorithm is to identify the different stages of ASD with the help of biomedical data.The proposed JSODLASDDC model initially performs min-max data normalization approach to scale the data into uniform range.In addition,the JSODL-ASDDC model involves JSO based feature selection(JFSO-FS)process to choose optimal feature subsets.Moreover,Gated Recurrent Unit(GRU)based classification model is utilized for the recognition and classification of ASD.Furthermore,the Bacterial Foraging Optimization(BFO)assisted parameter tuning process gets executed to enhance the efficacy of the GRU system.The experimental assessment of the JSODL-ASDDC model is investigated against distinct datasets.The experimental outcomes highlighted the enhanced performances of the JSODL-ASDDC algorithm over recent approaches.
文摘BACKGROUND Granuloma annulare(GA)has diverse clinical manifestations including papules,plaques,and nodules on the extremities that are skin-colored,pink,or purple.Approximately 15%of all GA cases are considered generalized GA.CASE SUMMARY Herein,we describe the case of a pediatric patient who initially presented with papules and later developed generalized atrophic macules.Upon examination,two different morphologic lesions were histopathologically confirmed:Epithelioid nodular GA and scattered histiocytic infiltrative GA.This patient exhibited rare clinical manifestations that differed throughout the course of the disease.The varying histopathological types and clinical manifestations of GA may be linked to the different stages of the disease.CONCLUSION This rare case demonstrates the different histopathological features of different stages and clinical manifestations of granuloma annulare in an infant.
基金supported by the National Natural Science Foundation of China,Nos.81772134(to KX),81971891(to KX),82172196(to KX),81571939(to KX)the Fundamental Research Funds for the Central Universities of Central South University of China,No.2020zzts218,(to WTY)Hunan Provincial Innovation Foundation For Postgraduate of China,Nos.CX20200116(to WTY),CX20190139(to LSL).
文摘Some scholars have recently developed the concept of PANoptosis in the study of infectious diseases where pyroptosis,apoptosis and necroptosis act in consort in a multimeric protein complex,PANoptosome.This allows all the components of PANoptosis to be regulated simultaneously.PANoptosis provides a new way to study the regulation of cell death,in that different types of cell death may be regulated at the same time.To test whether PANoptosis exists in diseases other than infectious diseases,we chose cerebral ischemia/reperfusion injury as the research model,collected articles researching cerebral ischemia/reperfusion from three major databases,obtained the original research data from these articles by bibliometrics,data mining and other methods,then integrated and analyzed these data.We selected papers that investigated at least two of the components of PANoptosis to check its occurrence in ischemia/reperfusion.In the cell model simulating ischemic brain injury,pyroptosis,apoptosis and necroptosis occur together and this phenomenon exists widely in different passage cell lines or primary neurons.Pyroptosis,apoptosis and necroptosis also occurred in rat and mouse models of ischemia/reperfusion injury.This confirms that PANoptosis is observed in ischemic brain injury and indicates that PANoptosis can be a target in the regulation of various central nervous system diseases.
基金supported by the National Health and Family Plan Commission of P. R. China
文摘Background: Esophageal cancer is associated with substantial disease burden in China, and data on the economic burden are fundamental for setting priorities in cancer interventions. The medical expenditure for the diagnosis and treatment of esophageal cancer in China has not been fully quantified. This study aimed to examine the medical expenditure of Chinese patients with esophageal cancer and the associated trends.Methods: From 2012 to 2014, a hospital-based multicenter retrospective survey was conducted in 37 hospitals in 13 provinces/municipalities across China as a part of the Cancer Screening Program of Urban China. For each esophageal cancer patient diagnosed between 2002 and 2011, clinical information and expense data were extracted by using structured questionnaires. All expense data were reported in Chinese Yuan(CNY; 1 CNY = 0.155 USD) based on the2011 value and inflated using the year-specific health care consumer price index for China.Results: A total of 14,967 esophageal cancer patients were included in the analysis. It was estimated that the overall average expenditure per patient was 38,666 CNY, and an average annual increase of 6.27% was observed from 2002(25,111 CNY) to 2011(46,124 CNY). The average expenditures were 34,460 CNY for stage Ⅰ,39,302 CNY for stage Ⅱ,40,353 CNY for stage Ⅲ, and 37,432 CNY for stage IV diseases(P < 0.01). The expenditure also differed by the therapy type, which was 38,492 CNY for surgery, 27,933 CNY for radiotherapy, and 27,805 CNY for chemotherapy(P < 0.05).Drugs contributed to 45.02% of the overall expenditure.Conclusions: These conservative estimates suggested that medical expenditures for esophageal cancer in China substantially increased in the last 10 years, treatment for early-stage esophageal cancer costs less than that for advanced cases, and spending on drugs continued to account for a considerable proportion of the overall expenditure.
基金This work was funded by the National Natural Science Foundation of China(Grant No.81772633)the Taishan Researchers Program of Shandong Province,and the Major State Basic Research Development Program of Natural Science Foundation of Shandong Province in China(Grant No.ZR2020ZD11).
文摘Recently,we have shown that FOXP3,a critical transcription factor in regulatory T cells(Tregs),is expressed in pancreatic epithelial cells,and restrain the activity of CD8+T cells by upregulating PD-L1,which in turn regulates immune escape in pancreatic ductal adenocarcinoma(PDAC)^(1).On the basis of a series of studies of our laboratory,we hypothesize that a subset of pancreatic epithelial cells mimics the phenotype and function of Tregs(named quasi-Tregs or qTregs);this concept has been supported by a peer-reviewed commentary^(2).Moreover,evidence suggests that tumor epithelial cells can mimic other types of immune cells and participate in the formation of a tumor immunosuppressive microenvironment(TIM).
文摘Background: Cervical Cancer is one such a disease that remains with high mortality unless prevented or detected early and managed. It is one of the most common cancers of the child bearing age between 20 and 45 years world over. It is rated as the second most prevalent cancer among women. There is high consensus among various scholars that high quality screening, effective treatment and routine follow-up care are cardinal in helping women. The main objective of the study was to identify the factors influencing cervical cancer screening in Kitwe District, Zambia. Methods: An analytical cross-sectional study design was employed that included the use of a researcher-administered questionnaire. Simple random sampling was used to sample 210 participants. Data were analyzed using SPSS version 25 and chi-square test was used to determine associations among variables. Binary logistic regression was used for multivariate analysis. Statistical significance was set at p Results: The age of the women enrolled in the study ranged from 20 to 59 years, with a mean age of 30.4 years (SD: 8.36). Majority (46.2%) of the women were aged between 25 to 34 years and the mean age reported for sexual debut among respondents was 19.7 (SD: 4.01) years ranging from 12 to 31 years at first sexual encounter. Almost all (99%) the women were Christians and 42.9% had attained secondary school education. Fifty nine (59%) of the respondents were married and 77.6% had children. Over three quarters (77.6%) of the respondents were knowledgeable on cervical cancer and screening, majority (61%) of the respondents demonstrated a more positive attitude towards cervical cancer screening, and the overall perception level among study respondents was more positive (71.9%). The findings of the present study indicated that the magnitude of cervical cancer screening was 44.8%. In the binary logistic regression analysis, older age (35 to 44 years: AOR = 10.91, 95% CI: 2.67 - 44.48, p = 0.001;45 to 59 years: AOR = 10.28, 95% CI: 1.52 - 69.68, p = 0.017, respectively), and having a positive attitude (AOR = 67.5, 95% CI: 15.42 - 295.44, p < 0.001) were independently associated with cervical cancer screening utilization. Conclusion: The study has shown that despite women having adequate knowledge, positive attitudes and perceptions, the number of women who had been screened was still low. However, middle aged and older women, and positive attitudes were found to independently influence women to go for cervical cancer screening. Therefore, attempts should be made to reach women who rarely visit health care services, for example, through increasing health campaigns in partnership with other organizations in the area.