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Does Brand Attitude Complement Influencer Credibility in Shaping Purchase Intention of Indian GenZ Consumers?
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.157553.2
Pranav Vilas Chavare, Smitha Nayak, Ramona Birau, Varalakshmi Alapati

Introduction: The social media landscape has undergone radical changes and has revolutionized consumer perspectives, purchasing habits, and behaviours. Amidst this emerging trend is the rise of influencer marketing and its impact on the purchase intentions of followers. The objective is to explore the characteristics of influencers that contribute to their credibility. This research aims to explore the role of consumers' attitude toward brands on their intention to adopt brands endorsed by influencers.

Methods: This cross-sectional research was undertaken among GenZ in the urban landscape of India. Data collected was analyzed using SmartPLS4 software.

Findings: Trust, expertise, and similarity were the significant antecedents of the formation of influencer credibility. Attractiveness did not have a significant influence on influencer credibility. A complementary partial mediation of Attitude towards a brand is observed in the association between influencer credibility and the purchase intention of followers. Attitude towards the video also had a significant positive influence on purchase intention.

Conclusion: The study found that Gen Z places little importance on an influencer's attractiveness, as it has no significant impact on credibility. However, attitude toward the brand strongly influenced purchase intention and partially mediated the relationship between influencer credibility and purchase intention.

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引用次数: 0
Factors contributing to persistent shoulder pain after arthroscopic rotator cuff repair: Protocol for a scoping review. 关节镜下肩袖修复后导致持续肩痛的因素:评估方案。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.156193.2
Anupama Prabhu B, G Arun Maiya, Vivek Pandey, Kiran K V Acharya, Prabu Raja G, James Elliott M, Mira Meeus

Introduction: Rotator cuff (RC) tears are the most common and disabling musculoskeletal ailments among patients with shoulder pain. Although most individuals show improvement in function and pain following arthroscopic rotator cuff repair (ARCR), a subgroup of patients continue to suffer from persistent shoulder pain following the surgical procedure. Identifying these factors is important in planning preoperative management to improve patient outcomes.

Objective: This scoping review aims to identify biological factors, psychological factors, and social determinants of health contributing to the development of persistent pain in individuals after the ARCR procedure.

Inclusion criteria: All prospective and retrospective longitudinal studies reporting the risk factors contributing to persistent pain three months or longer after the ARCR surgery will be considered for this scoping review.

Methods: Our review will adhere to the Joanna Briggs Institute (JBI) scoping review methodology. Four electronic databases PubMed, CINAHL, Embase, and Scopus will be searched for studies in the English language. Additional studies can be found by conducting a citation analysis of the included studies. Title and abstract screening will be performed by two independent reviewers following the inclusion criteria, a third reviewer will be consulted about any differences. Next, full-text screening will be conducted, and the remaining search results will be reviewed to extract data, as well as to synthesize findings from all research. An overview of findings will be depicted in tabular format accompanied by a narrative summary of various factors contributing to persistent pain.

简介:肩袖撕裂是肩痛患者中最常见和致残性的肌肉骨骼疾病。尽管大多数人在关节镜下肩袖修复(ARCR)后功能和疼痛得到改善,但有一小部分患者在手术后仍然遭受持续的肩部疼痛。识别这些因素对于制定术前管理计划以改善患者预后非常重要。目的:本综述旨在确定生物因素、心理因素和健康的社会决定因素对ARCR手术后个体持续疼痛发展的影响。纳入标准:所有前瞻性和回顾性的纵向研究报告的风险因素导致持续疼痛三个月或更长时间后的ARCR手术将被纳入本范围审查。方法:我们的评估将遵循乔安娜布里格斯研究所(JBI)的范围评估方法。四个电子数据库PubMed, CINAHL, Embase和Scopus将搜索英语研究。通过对纳入的研究进行引文分析,可以找到其他研究。标题和摘要筛选将由两名独立审稿人按照纳入标准进行,如有差异,将咨询第三名审稿人。接下来,将进行全文筛选,并对剩余的搜索结果进行审查,以提取数据,并综合所有研究的结果。调查结果的概述将以表格形式描述,并附有导致持续疼痛的各种因素的叙述摘要。
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引用次数: 0
Predictors of mortality for blunt trauma patients in intensive care: A retrospective cohort study. 重症监护中严重创伤患者死亡率的预测因素:一项回顾性队列研究
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-06 eCollection Date: 2023-01-01 DOI: 10.12688/f1000research.138364.1
Michael Jennings, James Booker, Amy Addison, Rebecca Egglestone, Ahilanandan Dushianthan

Background: Major trauma places substantial demand on critical care services, is a leading cause of death in under 40-year-olds and causes significant morbidity and mortality across all age groups. Various factors influence patient outcome and predefining these could allow prognostication. The aim of this study was to identify predictors of mortality from major trauma in intensive care.

Methods: This was a retrospective study of adult trauma patients admitted to general intensive care between January 2018 and December 2019. We assessed the impact on mortality of patient demographics, patterns of injury, injury scores (Glasgow Coma Score (GCS), Charlson's comorbidity index (CCI), Acute Physiology and Health Evaluation II (APACHE II), Injury Severity Score (ISS) and Probability of Survival Score (Ps19)), number of surgeries and mechanism of injury using logistic regression.

Results: A total of 414 patients were included with a median age of 54 years (IQR 34-72). Overall mortality was 18.6%. The most common mechanism of injury was traffic collision (46%). Non-survivors were older, had higher ISS scores with lower GCS on admission and lower probability of survival scores. Factors independently predictive of mortality were age 70-80 (OR 3.267, p = 0.029), age >80 (OR 27.043, p < 0.001) and GCS < 15 (OR 8.728, p < 0.001). Ps19 was the best predictor of mortality (p <0.001 for each score category), with an AUROC of 0.90.

Conclusions: The significant mortality predictors were age, fall from <2 metres, injury of head or limbs, GCS <15 and Ps19. Contrary to previous studies, CCI and APACHE II did not significantly predict mortality. Although Ps19 was found to be the best current prognostic score, trauma prognostication would benefit from a single validated scoring system incorporating both physiological variables and injury patterns.

背景:严重创伤对重症监护服务提出了巨大的需求,是40岁以下人群死亡的主要原因,并在所有年龄组中造成显著的发病率和死亡率。各种因素会影响患者的预后,预先定义这些因素可以进行预测。本研究的目的是确定重症监护中重大创伤死亡率的预测因素。方法:这是一项对2018年1月至2019年12月期间接受普通重症监护的成年创伤患者的回顾性研究。我们使用逻辑回归评估了患者人口统计学、损伤模式、损伤评分(格拉斯哥昏迷评分(GCS)、查尔森共病指数(CCI)、急性生理和健康评估II(APACHE II)、损伤严重程度评分(ISS)和生存概率评分(Ps19))、手术次数和损伤机制对死亡率的影响。结果:共纳入414名患者,中位年龄为54岁(IQR 34-72)。总死亡率为18.6%。最常见的损伤机制是交通碰撞(46%)。非幸存者年龄较大,ISS评分较高,入院GCS评分和生存概率评分较低。独立预测死亡率的因素是年龄增加(OR 1.06,p<0.001)和入院时GCS<15(OR 7.21,p<001)。Ps19是死亡率的最佳预测因子(每个评分类别p<0.001,AUROC为0.90)。结论:重要的死亡率预测因素是年龄、从<2米处坠落、头部或四肢损伤、GCS<15和Ps19。与之前的研究相反,CCI和APACHE II并没有显著预测死亡率。尽管Ps19被发现是目前最好的预后评分,但创伤预后将受益于一个综合了生理变量和损伤模式的单一验证评分系统。
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引用次数: 0
Comments about the comparative bulk RNA sequencing between palmoplantar pustulosis and dyshidrotic palmoplantar eczema. 掌跖脓疱病与湿性掌跖湿疹比较大体积RNA测序的评述。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.159565.1
Kazuki Yatsuzuka, Jun Muto, Masamoto Murakami

This correspondence discusses the recent findings by Straalen et al., highlighting molecular similarities and distinctions between palmoplantar pustulosis (PPP) and dyshidrotic palmoplantar eczema (DPE). The study emphasizes shared proinflammatory pathways and T-cell-related gene upregulation while detailing unique features such as neutrophil involvement in PPP and lipid antigen processing in DPE. We elaborate on histopathological differences, especially intraepidermal vesicle formation in PPP linked to IL-1-mediated pathways and the absence of hyaluronan expression, contrasting with Th2 cytokines-driven spongiosis in DPE. By addressing IL-4, hyaluronan synthases, and keratinocyte adhesion molecules, this correspondence aims to deepen understanding of PPP and DPE pathophysiology.

本文讨论了Straalen等人最近的发现,强调了掌跖脓疱病(PPP)和湿性掌跖湿疹(DPE)之间的分子相似性和区别。该研究强调了共同的促炎途径和t细胞相关基因上调,同时详细介绍了中性粒细胞参与PPP和DPE中的脂质抗原加工等独特特征。我们详细阐述了组织病理学差异,特别是与il -1介导途径相关的PPP表皮内囊泡形成和透明质酸表达缺失,与Th2细胞因子驱动的DPE海绵状病形成对比。通过对IL-4、透明质酸合成酶和角质细胞粘附分子的研究,本文旨在加深对PPP和DPE病理生理的理解。
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引用次数: 0
Women's representation in higher leadership positions in Ethiopia in the last three decades since 1991. 自 1991 年以来的三十年间,埃塞俄比亚妇女担任高级领导职务的情况。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.150421.1
Zeynie Chekol Degu, Flimon Hadaro Hando

Gender equality in decision-making positions is crucial to achieving the goals of good governance, peace, democracy, and inclusive/sustainable development. The major aim of this research article is to investigate the representation trend of women in higher decision-making positions over the last thirty years, since 1991. The federal three organs of government (law formulating, law enforcing, and law interpreting bodies) were the focus of this research. This research is a mixed type of research that inculcates both qualitative and quantitative data types. Secondary data sources from relevant government institutions were mostly used. The data was analyzed through content analysis of documents and presented via descriptive data presenting techniques. The research findings reveal that although women's representation in positions of decision-making has advanced considerably in recent years, the empirical data throughout the previous thirty years demonstrated the underrepresentation of women in higher leadership positions within the Ethiopian federal government. Furthermore, Women never held certain higher-level government leadership positions, such as the Prime Minister position, which seems to be forbidden for women. Women made up 23%, 19%, 19%, and 24% of the House of Peoples Representatives (HPR), the House of Federation (HoF), ministerial posts, and judicial bodies, respectively over the last three decades. Women are visibly underrepresented in the executive positions as compared to others. Thus, substantial policy and practical initiatives are needed to remove institutional, social, and economic barriers to boost women's advanced visibility in senior leadership roles.

决策职位上的性别平等对于实现善治、和平、民主和包容性/可持续发展目标至关重要。本研究文章的主要目的是调查自 1991 年以来的三十年间,妇女在高级决策职位上的任职趋势。联邦三大政府机关(法律制定机构、法律执行机构和法律解释机构)是本研究的重点。本研究是一项混合型研究,包含定性和定量两种数据类型。大部分数据来源于相关政府机构。数据通过文件内容分析和描述性数据呈现技术进行分析。研究结果表明,虽然近年来妇女在决策职位上的代表性有了很大提高,但过去三十年的实证数据表明,妇女在埃塞俄比亚联邦政府高级领导职位上的代表性不足。此外,妇女从未担任过某些高级政府领导职务,如总理职位,这似乎是禁止妇女担任的。在过去三十年中,妇女在人民代表院(HPR)、联邦院(HoF)、部长职位和司法机构中的比例分别为 23%、19%、19%和 24%。与其他职位相比,担任行政职务的妇女人数明显不足。因此,需要采取实质性的政策和实际举措来消除体制、社会和经济障碍,以提高妇女在高级领 导职位上的能见度。
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引用次数: 0
Recent Advances in Biopesticide Research and Development with a Focus on Microbials. 以微生物为重点的生物农药研究与开发的最新进展。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.154392.2
Kahsay Tadesse Mawcha, Lawrence Malinga, Debbie Muir, Jing Ge, Dennis Ndolo

Biopesticides are pest control products derived from natural sources such as microbes, macro-organisms (insects and pathogens), plant extracts, and certain minerals. Many biopesticides are considered environmentally safe and can complement or substitute conventional chemical pesticides. They can also be highly specific or broad spectrum with a unique mode of action controlling a wide range of pest species. Due to their target-specificity and low to no environmental residuality, biopesticides conform to the 3 pillars of Climate-Smart Agriculture, the Sustainable Development Goals, and, ultimately, the Paris Agreement. This review focuses largely on microbial biopesticides derived from fungi, bacteria, viruses, and nematodes. It discusses (i) the various microbial biopesticide formulations, (ii) the mode of microbial biopesticide action, (iii) the factors that affect the potential efficacy of biopesticides, (iv) challenges to the adoption of microbial biopesticides, and (v) the role of microbial biopesticides in Integrated Pest Management programs. Finally, advancements in application techniques, as well as future research directions and gaps, are highlighted.

生物农药是从微生物、大型生物(昆虫和病原体)、植物提取物和某些矿物质等天然来源提取的害虫控制产品。许多生物农药被认为对环境安全,可以补充或替代传统的化学农药。它们还可以具有高度特异性或广谱性,以独特的作用模式控制多种害虫。由于生物农药具有靶标特异性和低环境残留性,因此符合气候智能型农业的三大支柱、可持续发展目标以及最终的《巴黎协定》。本综述主要侧重于从真菌、细菌、病毒和线虫中提取的微生物生物农药。它讨论了(i)各种微生物生物农药配方,(ii)微生物生物农药的作用模式,(iii)影响生物农药潜在功效的因素,(iv)采用微生物生物农药所面临的挑战,以及(v)微生物生物农药在虫害综合防治计划中的作用。最后,强调了应用技术的进步以及未来的研究方向和差距。
{"title":"Recent Advances in Biopesticide Research and Development with a Focus on Microbials.","authors":"Kahsay Tadesse Mawcha, Lawrence Malinga, Debbie Muir, Jing Ge, Dennis Ndolo","doi":"10.12688/f1000research.154392.2","DOIUrl":"10.12688/f1000research.154392.2","url":null,"abstract":"<p><p>Biopesticides are pest control products derived from natural sources such as microbes, macro-organisms (insects and pathogens), plant extracts, and certain minerals. Many biopesticides are considered environmentally safe and can complement or substitute conventional chemical pesticides. They can also be highly specific or broad spectrum with a unique mode of action controlling a wide range of pest species. Due to their target-specificity and low to no environmental residuality, biopesticides conform to the 3 pillars of Climate-Smart Agriculture, the Sustainable Development Goals, and, ultimately, the Paris Agreement. This review focuses largely on microbial biopesticides derived from fungi, bacteria, viruses, and nematodes. It discusses (i) the various microbial biopesticide formulations, (ii) the mode of microbial biopesticide action, (iii) the factors that affect the potential efficacy of biopesticides, (iv) challenges to the adoption of microbial biopesticides, and (v) the role of microbial biopesticides in Integrated Pest Management programs. Finally, advancements in application techniques, as well as future research directions and gaps, are highlighted.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"13 ","pages":"1071"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enter the Matrix: Fibroblast-immune cell interactions shape extracellular matrix deposition in health and disease.
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.143506.2
Anthony Altieri, Grace V Visser, Matthew B Buechler

Fibroblasts, non-hematopoietic cells of mesenchymal origin, are tissue architects which regulate the topography of tissues, dictate tissue resident cell types, and drive fibrotic disease. Fibroblasts regulate the composition of the extracellular matrix (ECM), a 3-dimensional network of macromolecules that comprise the acellular milieu of tissues. Fibroblasts can directly and indirectly regulate immune responses by secreting ECM and ECM-bound molecules to shape tissue structure and influence organ function. In this review, we will highlight recent studies which elucidate the mechanisms by which fibroblast-derived ECM factors (e.g., collagens, fibrillar proteins) regulate ECM architecture and subsequent immune responses, with a focus on macrophages. As examples of fibroblast-derived ECM proteins, we examine Collagen Triple Helix Repeat Containing 1 (CTHRC1) and Transforming Growth Factor-β-inducible protein (TGFBI), also known as BIGH3. We address the need for investigation into how diverse fibroblast populations coordinate immune responses by modulating ECM, including the fibroblast-ECM-immune axis and the precise molecular mediators and pathways which regulate these processes. Finally, we will outline how novel research identifying key regulators of ECM deposition is critical for therapeutic development for fibrotic diseases and cancer.

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引用次数: 0
Effect of preoperative hair removal vs. no removal on surgical site infections: a systematic review and meta-analysis. 术前脱毛与不脱毛对手术部位感染的影响:一项系统回顾和荟萃分析。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.158369.1
Abdulsalam Aleid, Saud Nayef Aldanyowi, Abdulmajeed Aljabr, Hasan Ali Abdullah Alaidarous, Zainab Aleid, Abdulaziz Alharthi, Mutlaq Alsubaie, Lama AlOraini, Abdulrahman Almoslem, Abbas Al Mutair

Background: The practice of preoperative hair removal has been debated regarding its role in Surgical Site Infection (SSI) prevention. This study aimed to compare the different hair removing modalities and investigate the effect of preoperative hair removal on SSI rates.

Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. Three databases-PubMed, Web of Science, and Cochrane Library-were searched for relevant studies comparing preoperative hair removal to no hair removal. Studies eligible for inclusion were randomized controlled trials (RCTs) and cohort studies reporting SSI rates. Odds ratios, mean differences, and p-values were analyzed using a random effect model.

Results: Seventeen studies involving 5,407 patients were included. No statistically significant difference in SSI rates was found between the hair removal and no removal groups (OR = 1.066, 95% CI 0.646-1.758, p = 0.803). When comparing clipping to no hair removal, there was no significant difference (OR = 0.967, 95% CI 0.642-1.455, p = 0.870). Razor shaving was associated with higher skin damage and slightly increased SSI risk compared to clipping but not statistically significant (OR = 0.749, 95% CI 0.346-1.623, p = 0.464). Depilatory creams, however, were favored over razor shaving (OR = 3.235, 95% CI 1.543-6.785, p = 0.002), as they were linked to less skin damage and easier application.

Conclusion: Preoperative hair removal does not significantly impact SSI rates. Clipping appears to be a safer alternative to shaving, while depilatory creams show promise as an effective, less damaging option.

背景:术前脱毛在手术部位感染(SSI)预防中的作用一直存在争议。本研究旨在比较不同的脱毛方式,并探讨术前脱毛对SSI发生率的影响。方法:根据PRISMA指南进行系统评价和荟萃分析。三个数据库- pubmed, Web of Science和Cochrane library -被检索了术前脱毛和未脱毛的相关研究。符合纳入条件的研究是报告SSI发生率的随机对照试验(RCTs)和队列研究。优势比、平均差异和p值采用随机效应模型进行分析。结果:纳入17项研究,5407例患者。脱毛组和未脱毛组的SSI发生率无统计学差异(OR = 1.066, 95% CI 0.646-1.758, p = 0.803)。剪发与不脱毛比较,差异无统计学意义(OR = 0.967, 95% CI 0.642-1.455, p = 0.870)。与修剪相比,剃刀剃须与更高的皮肤损伤和略增加的SSI风险相关,但没有统计学意义(OR = 0.749, 95% CI 0.346-1.623, p = 0.464)。然而,脱毛膏比剃刀剃须更受欢迎(OR = 3.235, 95% CI 1.543-6.785, p = 0.002),因为它们与皮肤损伤较小和更容易使用有关。结论:术前脱毛对SSI发生率无显著影响。剪毛似乎是一种比剃须更安全的选择,而脱毛膏则是一种有效的、伤害更小的选择。
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引用次数: 0
Impact of contingent rewards and punishments on employee performance: the interplay of employee engagement. 偶然奖惩对员工绩效的影响:员工敬业度的相互作用。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.144019.2
Debika Layek, Navin Kumar Koodamara

Background: This paper investigated the connection between transactional leadership styles, contingent rewards, punishments, and employee performance while emphasizing employee engagement's mediating role. Existing research has predominantly focused on isolated associations between contingent rewards, punishment, and employee performance, leaving gaps in the empirical exploration of these mediating mechanisms. To address this research gap, our study has introduced a conceptual framework to understand the multifaceted connection between contingent rewards, punishment, and their effects on employee performance, with a specific emphasis on the mediating function of employee engagement.

Methods: We involved 273 full-time non-clinical healthcare professionals employed in NABH-accredited hospitals in Jharkhand, India. A structured survey instrument was employed for data collection from the specific survey participants, with the investigation of the research hypotheses conducted through the application of partial least squares-structural equation modeling (PLS-SEM).

Results: Preliminary findings suggested that contingent rewards and punishment do not directly influence employee performance. Instead, our study highlighted the critical mediating role of employee engagement, particularly its dimensions of Vigor, absorption, and dedication.

Conclusions: This research has underscored rewards and punishments as essential tools for influencing employee behaviour, motivation, and performance. Employee engagement, as a multifaceted construct, not only benefits individual employees but also significantly impacts overall organizational performance and success.

背景:研究交易型领导风格、偶然奖惩与员工绩效之间的关系,强调员工敬业度的中介作用。现有的研究主要集中在偶然奖励、惩罚和员工绩效之间的孤立联系上,在这些中介机制的实证探索中留下了空白。为了解决这一研究空白,我们的研究引入了一个概念框架来理解偶然奖励、惩罚及其对员工绩效的影响之间的多方面联系,并特别强调了员工敬业度的中介作用。方法:我们纳入了印度贾坎德邦nabh认证医院的273名全职非临床医疗保健专业人员。采用结构化调查工具对具体调查对象进行数据收集,应用偏最小二乘-结构方程模型(PLS-SEM)对研究假设进行调查。结果:初步发现偶然奖惩对员工绩效没有直接影响。相反,我们的研究强调了员工敬业度的关键中介作用,特别是其活力、吸收和奉献的维度。结论:本研究强调了奖励和惩罚是影响员工行为、动机和绩效的重要工具。员工敬业度,作为一个多方面的结构,不仅有利于员工个人,也显著影响整体组织绩效和成功。
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引用次数: 0
Unveiling the fibrotic puzzle of endometriosis: An overlooked concern calling for prompt action. 揭开子宫内膜异位症的纤维化之谜:一个被忽视的问题,呼吁迅速采取行动。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI: 10.12688/f1000research.152368.3
Megha M Anchan, Guruprasad Kalthur, Ratul Datta, Kabita Majumdar, Karthikeyan P, Rahul Dutta

Endometriosis is a benign, estrogen-dependent, persistent chronic inflammatory heterogeneous condition that features fibrotic adhesions caused by periodic bleeding. The characteristic ectopic lesions are marked by a widely spread dense fibrotic interstitium comprising of fibroblasts, myofibroblasts, collagen fibers, extracellular proteins, inflammatory cells, and active angiogenesis. Fibrosis is now recognized as a critical component of endometriosis because of which current treatments, such as hormonal therapy and surgical excision of lesions are largely ineffective with severe side effects, high recurrence rates, and significant morbidity. The symptoms include dysmenorrhea (cyclic or noncyclic), dyspareunia, abdominal discomfort, and infertility. The significant lack of knowledge regarding the underlying root causes, etiology, and complex pathogenesis of this debilitating condition, hinders early diagnosis and implement effective therapeutic approaches with minimal side effects presenting substantial hurdles in endometriosis management. Emerging research offer a close relationship between endometriosis and fibrosis, which is believed to be tightly linked to pain, a primary contributor to the deterioration of the patient's quality of life. However, the underlying pathophysiological cellular and molecular signaling pathways behind endometriosis-associated fibrosis are poorly addressed. The available experimental disease models have tremendous challenges in reproducing the human characteristics of the disease limiting the treatment effectiveness. Future translational research on the topic has been hindered by the lack of an adequate fibrotic model of endometriosis emphasizing the necessity of etiological exploration. This review article focuses on recent developments in the field and highlight the necessity for novel fibrotic models for early diagnosis, a better understanding the disease's etiology and develop effective anti-fibrotic treatments. By addressing these knowledge gaps, we want to open fresh avenues for a thorough investigation and extended research in the field of endometriosis.

子宫内膜异位症是一种良性、雌激素依赖性、持续性的慢性炎症性异位症,其特征是周期性出血引起的纤维化粘连。异位病灶的特征是广泛分布的致密纤维化间质,由成纤维细胞、肌成纤维细胞、胶原纤维、细胞外蛋白、炎症细胞和活跃的血管生成组成。目前,纤维化已被认为是子宫内膜异位症的重要组成部分,因此,目前的治疗方法,如激素治疗和病灶切除手术,大多无效,且副作用大、复发率高、发病率高。症状包括痛经(周期性或非周期性)、排便困难、腹部不适和不孕。由于对子宫内膜异位症的根本原因、病因和复杂的发病机理缺乏了解,妨碍了早期诊断和实施副作用最小的有效治疗方法,给子宫内膜异位症的治疗带来了巨大障碍。新近的研究表明,子宫内膜异位症与纤维化关系密切,纤维化被认为与疼痛密切相关,而疼痛是导致患者生活质量下降的主要因素。然而,子宫内膜异位症相关纤维化背后的潜在病理生理细胞和分子信号通路却鲜有人问津。现有的实验性疾病模型在再现人类疾病特征方面面临巨大挑战,限制了治疗效果。由于缺乏适当的子宫内膜异位症纤维化模型,未来有关该主题的转化研究受到了阻碍,这强调了病因学探索的必要性。这篇综述文章重点介绍了该领域的最新进展,并强调了新型纤维化模型对于早期诊断、更好地了解病因和开发有效的抗纤维化治疗方法的必要性。通过填补这些知识空白,我们希望为子宫内膜异位症领域的深入调查和扩展研究开辟新的途径。
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引用次数: 0
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