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StackbarExtended: a user-friendly stacked bar-plot representation incorporating phylogenetic information and microbiota differential abundance analysis StackbarExtended:一种用户友好的堆叠条形图表示法,包含系统发育信息和微生物群差异丰度分析
Pub Date : 2024-08-09 DOI: 10.12688/f1000research.151662.1
T. Cuisiniere, Manuela M Santos
Background Microbial communities are mainly composed of bacteria, archaea, viruses and fungi, and are present in the gut, mouth, nose, skin, lungs, vagina, and bladder, among other places. In recent years, research has highlighted the critical role that these highly complex communities play in health and disease. Advances in sequencing technology have resulted in the development of high-dimensional data, which are challenging to effectively analyze and visualize. In this context, traditional stacked bar-plot visualizations, while widely used, fall short of conveying the fundamental phylogenic relationships between community members and are thus difficult to interpret. Methods StackbarExtended is implemented in native R, required version (≥ 4.0), and is platform independent, with its source code available on GitHub and archived on Zenodo. Results StackbarExtended allows for the plotting of relative abundance at user-defined taxonomic levels while displaying phylogenetic information using color gradients. Additionally, StackbarExtended integrates differential abundance statistics directly into the visualization process and performs clustering of low-abundance taxa. Conclusions StackbarExtended offers researchers a user-friendly tool for rapid visualization, presentation, and analysis of the microbiota composition.
背景 微生物群落主要由细菌、古生菌、病毒和真菌组成,存在于肠道、口腔、鼻腔、皮肤、肺部、阴道和膀胱等部位。近年来,研究突显了这些高度复杂的群落在健康和疾病中发挥的关键作用。测序技术的进步带来了高维数据的发展,而这些数据的有效分析和可视化具有挑战性。在这种情况下,传统的堆叠条形图可视化虽然被广泛使用,但无法表达群落成员之间的基本系统发生关系,因此难以解读。方法 StackbarExtended 是用本地 R 语言实现的,所需版本(≥ 4.0)与平台无关,其源代码可在 GitHub 上获取,并在 Zenodo 上存档。结果 StackbarExtended 可以在用户定义的分类水平上绘制相对丰度图,同时使用颜色梯度显示系统发育信息。此外,StackbarExtended 还将差异丰度统计直接整合到可视化过程中,并对低丰度类群进行聚类。结论 StackbarExtended 为研究人员提供了一种用户友好型工具,用于快速可视化、展示和分析微生物群的组成。
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引用次数: 0
The Nexus of Climate Change, Food Insecurity, and Conflict in Somalia: A Comprehensive Analysis of Multifaceted Challenges and Resilience Strategies 索马里气候变化、粮食不安全和冲突的关联:对多方面挑战和复原战略的全面分析
Pub Date : 2024-08-09 DOI: 10.12688/f1000research.154400.1
Mohamed Mustaf Ahmed, Hodo Aideed Asowe, N. I. Dirie, Abdirahman Khalif Mohamud, Don Eliseo Lucero-Prisno, III, O. Okesanya, J. Ogaya, Shuaibu Saidu Musa, Muhammad Kabir Musa, Z. Othman, D. Shomuyiwa, Abdullateef Abdulsalam
Climate change poses a significant threat to Somalia’s food security and stability. This review examines the complex interplay between climate change impacts, food insecurity, and conflict in Somalia. Recent climate data and forecasts paint a concerning picture: the rainfall probabilistic forecast for April- June 2024 indicates a high likelihood of above-normal rainfall across much of Somalia, thus increasing the flood risks. Concurrently, temperature forecasts project above-normal temperatures, potentially exacerbating drought conditions between the rainy seasons. Historical climatology data reveal Somalia’s vulnerability, with average temperatures ranging from 25°C to 30°C and significant seasonal variations affecting agriculture and water resources. These climate trends, combined with ongoing political instability and weak governance, have created a storm of challenges. This perspective explores how recurrent droughts and floods disrupt agricultural production, decimate livestock, and displace vulnerable populations, particularly those affecting rural and nomadic communities. It also examines how environmental stress exacerbates poverty and conflict, thereby creating a vicious cycle of vulnerability. This analysis draws on recent data on poverty rates, food expenditure patterns, and climate-related displacement, to illustrate the multifaceted nature of the crisis. Finally, this perspective proposed recommendations for building climate resilience, enhancing food security, and promoting sustainable development in Somalia, emphasizing the need for integrated approaches that combine immediate humanitarian assistance with long-term adaptation strategies.
气候变化对索马里的粮食安全和稳定构成重大威胁。本报告探讨了气候变化影响、粮食不安全和索马里冲突之间复杂的相互作用。最近的气候数据和预测令人担忧:2024 年 4 月至 6 月的降雨概率预测显示,索马里大部分地区的降雨量很可能高于正常水平,从而增加了洪水风险。同时,气温预测显示气温高于正常水平,可能加剧雨季之间的干旱状况。历史气候数据揭示了索马里的脆弱性,平均气温在 25°C 至 30°C 之间,季节变化显著,影响农业和水资源。这些气候趋势与持续的政治不稳定和治理薄弱相结合,形成了一场挑战风暴。本视角探讨了反复发生的干旱和洪水如何破坏农业生产、使牲畜死亡、使弱势人口流离失所,尤其是那些影响农村和游牧社区的干旱和洪水。它还探讨了环境压力如何加剧贫困和冲突,从而造成脆弱性的恶性循环。这一分析借鉴了有关贫困率、粮食支出模式以及与气候相关的流离失所问题的最新数据,以说明危机的多面性。最后,本视角提出了在索马里建设气候复原力、加强粮食安全和促进可持续发展的建议,强调需要采取综合方法,将紧急人道主义援助与长期适应战略结合起来。
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引用次数: 0
Publisher preferences for a journal transparency tool: A modified three-round Delphi study 出版商对期刊透明度工具的偏好:经过修改的三轮德尔菲研究
Pub Date : 2024-08-09 DOI: 10.12688/f1000research.154408.1
Jeremy Y. Ng, Henry Liu, Mehvish Masood, Rubaina Farin, Mireille Messih, Amaya Perez, I. J. Aalbersberg, J. Alperin, Gregory L. Bryson, Qiuxia Chen, Alan Ehrlich, Alfonso Iorio, Wim J. N. Meester, John M. Willinsky, Agnes Grudniewicz, Erik Cobo, Imogen Cranston, Phaedra E Cress, Julia Gunn, R. Haynes, B. S. Keenoo, Ana Marušić, Eleanor-Rose Papas, Alan Purvis, João de Deus Barreto Segundo, P. R. Shankar, P. Stoev, Josephine Weisflog, Margaret Winker, K. Cobey, D. Moher
Background We propose the creation of a journal transparency tool (JTT), which will allow users to obtain information about a given scholarly journal’s operations and policies. We are obtaining preferences from different stakeholders to inform the development of this tool. This study aimed to identify the publishing community’s preferences for the JTT. Methods We conducted a modified three-round Delphi survey. Representatives from publishing houses and journal publishers were recruited through purposeful and snowball sampling. The first two Delphi rounds involved an online survey with items about JTT metrics and user features. During the third round, participants discussed and voted on JTT metric items that did not reach consensus after round 2 within a virtual consensus meeting. We defined consensus as 80% agreement to include or exclude an item in the JTT. Results Eighty-six participants completed the round 1 survey, and 43 participants (50% of round 1) completed the round 2 survey. In both rounds, respondents voted on JTT user feature and JTT metric item preferences and answered open-ended survey questions regarding the JTT. In round 3, a total of 21 participants discussed and voted on JTT metric items that did not reach consensus after round 2 during an online consensus group meeting. Fifteen out of 30 JTT metric items and none of the four JTT user feature items reached the 80% consensus threshold after all rounds of voting. Analysis of the round 3 online consensus group transcript resulted in two themes: ‘factors impacting support for JTT metrics’ and ‘suggestions for user clarity.’ Conclusions Participants suggested that the publishing community’s primary concerns for a JTT are to ensure that the tool is relevant, user-friendly, accessible, and equitable. The outcomes of this research will contribute to developing and refining the tool in accordance with publishing preferences.
背景 我们建议创建一个期刊透明度工具(JTT),使用户能够获取有关特定学术期刊的运营和政策的信息。我们正在向不同的利益相关者了解他们的偏好,以便为该工具的开发提供信息。本研究旨在确定出版界对 JTT 的偏好。方法 我们进行了一次经过修改的三轮德尔菲调查。通过有目的和滚雪球式的抽样,我们招募了来自出版社和期刊出版商的代表。前两轮德尔菲调查是在线调查,调查项目包括 JTT 指标和用户功能。在第三轮中,与会者在虚拟共识会议上对第二轮后未达成共识的 JTT 指标项目进行了讨论和投票。我们将共识定义为 80% 的人同意将某个项目纳入或排除在 JTT 中。结果 86 名参与者完成了第一轮调查,43 名参与者(占第一轮的 50%)完成了第二轮调查。在这两轮调查中,受访者就 JTT 用户功能和 JTT 指标项目偏好进行了投票,并回答了有关 JTT 的开放式调查问题。在第三轮调查中,共有 21 位参与者在在线共识小组会议上对第二轮调查后未达成共识的 JTT 指标项目进行了讨论和投票。在 30 个 JTT 指标项目中,有 15 个项目以及 4 个 JTT 用户特征项目在各轮投票后都没有达到 80% 的共识阈值。对第三轮在线共识小组记录的分析产生了两个主题:"影响对 JTT 指标支持的因素 "和 "关于用户清晰度的建议"。结论 与会者认为,出版界对 JTT 的首要关注是确保该工具的相关性、用户友好性、可访问性和公平性。这项研究的成果将有助于根据出版界的偏好开发和完善该工具。
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引用次数: 0
Evaluation of NETosis (Neutrophil Extracellular Traps) biomarkers in smokers and nonsmokers periodontitis patients 评估吸烟者和非吸烟者牙周炎患者的中性粒细胞胞外捕获器(NETosis)生物标志物
Pub Date : 2024-08-08 DOI: 10.12688/f1000research.152917.1
Rasha Abdul Jabbar Najim, Batool Hassan Al Ghurabi
Background To evaluate the NETosis biomarkers citrullinated histone H3 (citH3), neutrophil elastase (ELA), calprotectin (CALPRO), and myeloperoxidase (MPO) as indicators of inflammation in the severe stages of periodontitis III and IV in both (smokers and nonsmokers) patients, and to determine the correlation between NETosis biomarkers and clinical periodontal parameters. Methods This study recruited male subjects with an age range of (20-60) years; 60 were stage III and stage IV periodontitis patients, 30 were cigarette smoker, and 30 were nonsmokers. After applying the inclusion and exclusion criteria to evaluate their eligibility for recruitment, 25 control subjects with a healthy periodontal status and good oral hygiene maintenance were included. Unstimulated saliva was obtained and evaluated using an enzyme-linked immunosorbent assay, and the following periodontal parameters were documented: [plaque index, bleeding on probing, periodontal pocket depth, and clinical attachment loss]. Results The mean levels of all salivary NETosis biomarkers citH3, ELA, CALPRO, and MPO were elevated in the periodontitis groups (smokers and nonsmokers) than in controls. Moreover, the mean NETosis biomarker‘s mean levels were significantly higher in smoker than in nonsmokers. In addition, the correlations were significant between CALPRO and CitH3 in smokers and between ELA and CitH3 in nonsmokers. Conclusions The results of this study showed that the chosen salivary biomarkers of NETosis revealed elevated clinical accuracy in differentiating the studied periodontitis groups (smokers and nonsmokers) from controls. In addition, cigarette smoking increases the risk of periodontitis, and neutrophils in smokers with periodontitis exhibited more susceptibility to form neutrophil extracellular traps when compared with nonsmokers.
背景 目的 评估作为炎症指标的NETosis生物标志物瓜氨酸组蛋白H3(citH3)、中性粒细胞弹性蛋白酶(ELA)、钙蛋白(CALPRO)和髓过氧化物酶(MPO)在严重牙周炎III期和IV期患者(吸烟者和非吸烟者)中的作用,并确定NETosis生物标志物与临床牙周参数之间的相关性。方法 本研究招募了年龄在(20-60)岁之间的男性受试者,其中 60 人为 III 期和 IV 期牙周炎患者,30 人为吸烟者,30 人为不吸烟者。在采用纳入和排除标准评估受试者的招募资格后,还纳入了 25 名牙周健康、口腔卫生保持良好的对照组受试者。采用酶联免疫吸附测定法采集和评估未经刺激的唾液,并记录以下牙周参数:[牙菌斑指数、探诊出血、牙周袋深度和临床附着丧失]。结果 牙周炎组(吸烟者和非吸烟者)所有唾液NETosis生物标志物citH3、ELA、CALPRO和MPO的平均水平均高于对照组。此外,吸烟者的NETosis生物标志物平均水平明显高于非吸烟者。此外,吸烟者的 CALPRO 与 CitH3 之间以及非吸烟者的 ELA 与 CitH3 之间存在显著相关性。结论 本研究结果表明,所选的唾液生物标志物在区分所研究的牙周炎组(吸烟者和非吸烟者)与对照组方面具有较高的临床准确性。此外,吸烟会增加罹患牙周炎的风险,与非吸烟者相比,患有牙周炎的吸烟者体内的中性粒细胞更容易形成中性粒细胞胞外陷阱。
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引用次数: 0
Trends of machine learning for dental caries research in Southeast Asia: insights from a bibliometric analysis 东南亚龋齿研究中的机器学习趋势:文献计量分析的启示
Pub Date : 2024-08-08 DOI: 10.12688/f1000research.154704.1
Faizul Hasan, Hendrik Setia Budi, Lia Taurussia Yuliana, Mokh. Sujarwadi
Background Dental caries is a common chronic oral disease, posing a serious public health issue. By analyzing large datasets, machine learning shows potential in addressing this problem. This study employs bibliometric analysis to explore emerging topics, collaborations, key authors, and research trends in Southeast Asia related to the application of machine learning in dental caries management. Methods A comprehensive selection using the Scopus database to obtain relevant research, covering publications from inception to July 2024 was done. We employed the Bibliometric approaches, including co-authorship networks, yearly publishing trends, institutional and national partnerships, keyword co-occurrence analysis, and citation analysis, for the collected data. To explore the visualization and network analysis, we employed the tools such as VOSviewer and Bibliometrix in R package. Results The final bibliometric analysis included 246 papers. We found that Malaysia became the top contributor with 59 publications, followed by Indonesia (37) and Thailand (29). Malaysia had the highest Multiple Country Publications (MCP) ratio at 0.407. Top institutions including the Universiti Sains Malaysia led with 39 articles, followed by Chiang Mai University (36) and the National University of Singapore (30) became the leader. Co-authorship analysis using VOSviewer revealed six distinct clusters. A total of 1220 scholars contributed to these publications. The top 10 keywords, including ‘human’ and ‘dental caries,’ indicated research hotspots. Conclusion We found growing evidence of machine learning applications to address dental caries in Southeast Asia. The bibliometric analysis highlights key authors, collaborative networks, and emerging topics, revealing research trends since 2014. This study underscores the importance of bibliometric analysis in tackling this public health issue.
背景 龋齿是一种常见的慢性口腔疾病,是一个严重的公共卫生问题。通过分析大型数据集,机器学习显示出解决这一问题的潜力。本研究通过文献计量分析,探讨东南亚地区与机器学习在龋齿管理中的应用相关的新兴课题、合作、主要作者和研究趋势。方法 使用 Scopus 数据库进行综合筛选,以获得相关研究,涵盖从开始到 2024 年 7 月的出版物。我们对收集到的数据采用了文献计量学方法,包括合著网络、年度出版趋势、机构和国家合作关系、关键词共现分析和引文分析。为了探索可视化和网络分析,我们使用了 R 软件包中的 VOSviewer 和 Bibliometrix 等工具。结果 最终的文献计量分析包括 246 篇论文。我们发现,马来西亚以 59 篇论文位居榜首,其次是印度尼西亚(37 篇)和泰国(29 篇)。马来西亚的多国发表率(MCP)最高,为 0.407。包括马来西亚理科大学在内的顶尖院校发表了 39 篇文章,清迈大学(36 篇)紧随其后,新加坡国立大学(30 篇)成为领头羊。使用 VOSviewer 进行的合著分析显示了六个不同的群组。共有 1220 名学者为这些出版物做出了贡献。包括 "人类 "和 "龋齿 "在内的前 10 个关键词表明了研究热点。结论 我们发现在东南亚有越来越多的证据表明机器学习应用于解决龋齿问题。文献计量分析突出了主要作者、合作网络和新兴课题,揭示了自2014年以来的研究趋势。这项研究强调了文献计量分析在解决这一公共卫生问题方面的重要性。
{"title":"Trends of machine learning for dental caries research in Southeast Asia: insights from a bibliometric analysis","authors":"Faizul Hasan, Hendrik Setia Budi, Lia Taurussia Yuliana, Mokh. Sujarwadi","doi":"10.12688/f1000research.154704.1","DOIUrl":"https://doi.org/10.12688/f1000research.154704.1","url":null,"abstract":"Background Dental caries is a common chronic oral disease, posing a serious public health issue. By analyzing large datasets, machine learning shows potential in addressing this problem. This study employs bibliometric analysis to explore emerging topics, collaborations, key authors, and research trends in Southeast Asia related to the application of machine learning in dental caries management. Methods A comprehensive selection using the Scopus database to obtain relevant research, covering publications from inception to July 2024 was done. We employed the Bibliometric approaches, including co-authorship networks, yearly publishing trends, institutional and national partnerships, keyword co-occurrence analysis, and citation analysis, for the collected data. To explore the visualization and network analysis, we employed the tools such as VOSviewer and Bibliometrix in R package. Results The final bibliometric analysis included 246 papers. We found that Malaysia became the top contributor with 59 publications, followed by Indonesia (37) and Thailand (29). Malaysia had the highest Multiple Country Publications (MCP) ratio at 0.407. Top institutions including the Universiti Sains Malaysia led with 39 articles, followed by Chiang Mai University (36) and the National University of Singapore (30) became the leader. Co-authorship analysis using VOSviewer revealed six distinct clusters. A total of 1220 scholars contributed to these publications. The top 10 keywords, including ‘human’ and ‘dental caries,’ indicated research hotspots. Conclusion We found growing evidence of machine learning applications to address dental caries in Southeast Asia. The bibliometric analysis highlights key authors, collaborative networks, and emerging topics, revealing research trends since 2014. This study underscores the importance of bibliometric analysis in tackling this public health issue.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Report: Localized retinal ischemia revealing an antiphospholipids syndrome: A case report and review of the literature 病例报告:局部视网膜缺血显示抗磷脂综合征:病例报告与文献综述
Pub Date : 2024-08-08 DOI: 10.12688/f1000research.153399.1
S. Sayhi, Houssem Abida, Yosr Boukhobza, A. Khallouli, A. Maalej, Nadia Ben Abdelhafidh
Introduction Antiphospholipids syndrome is a rare autoimmune whose Clinical manifestations are very wide and different. Vaso-occlusive manifestations are the most frequent ones. Vessels of all organs can be involved. Ocular involvement is among the rarest. We report a case of retinal arterial thrombosis in the context of APS. Case report A 46-year-old patient with no previous medical history was admitted to the ophthalmology department for visual field amputation of the right eye without other associated signs. On the fundus, the left side was without abnormality and the right side was the site of a mixed arterial and superior temporal venous occlusion. Retinal angiography revealed a retinal focus in the superior temporal region with mixed occlusion of arterial and venous branches with ischemia of the superior temporal quadrant on the right and a retinal focus in the superficial inferior temporal region without occlusion on the left. Optical coherence tomography revealed ischemia of the superficial layers with alteration of the macular microvascularization in the right superior temporal quadrant. Immunological work-up showed antinuclear antibodies to be positive at 160 and anti-bgp1 positive with an IgG level of 118 IgM higher than 118 IgA at 101. The patient was put on effective anticoagulation with good clinical evolution. Conclusion Ocular involvement is rare in APS and associated with poor prognosis, it seems to be difficult to diagnose but also to manage. Larger studies are required to establish guidelines on how and when to screen asymptomatic APS patients for ocular damage, but also on how to prevent and treat it.
导言 抗磷脂综合征是一种罕见的自身免疫性疾病,其临床表现多种多样。血管闭塞表现是最常见的表现。所有器官的血管都可能受累。眼部受累是最罕见的。我们报告了一例 APS 视网膜动脉血栓形成病例。病例报告 一名 46 岁的患者,既往无病史,因右眼视野缺损且无其他相关体征而入住眼科。眼底检查显示,左眼无异常,右眼为混合性动脉和颞上静脉闭塞。视网膜血管造影显示,右侧颞上区有一个视网膜病灶,动静脉分支混合闭塞,颞上象限缺血,左侧颞下浅区有一个视网膜病灶,但没有闭塞。光学相干断层扫描显示,右侧颞上象限浅层缺血,黄斑微血管改变。免疫学检查显示,抗核抗体呈 160 阳性,抗 bgp1 阳性,IgG 水平为 118 IgM 高于 118 IgA,IgG 水平为 101。患者接受了有效的抗凝治疗,临床进展良好。结论 眼部受累在 APS 中较为罕见,且与不良预后相关,似乎不仅难以诊断,而且难以处理。需要进行更大规模的研究,以便就如何和何时筛查无症状 APS 患者的眼部损害以及如何预防和治疗眼部损害制定指导方针。
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引用次数: 0
Articulating the ultimate objectives of research capacity strengthening programmes: Why this is important and how we might achieve it. 阐明加强研究能力计划的最终目标:为什么这很重要以及我们如何才能实现它。
Pub Date : 2024-08-08 DOI: 10.12688/f1000research.153447.1
Justin Pulford, M. N. Mutua, Imelda Bates, N. Tagoe
‘Research capacity strengthening’ (RCS) is an umbrella term that can be used to describe a wide variety of activities conducted in support of diverse objectives premised upon distinct, potentially opposing, views. Despite this, the ultimate objective of RCS activities is rarely made explicit which can be problematic when diverse objectives are possible. By ‘ultimate’ objective we are referring to the overarching (often long-term) goal an RCS initiative is intended to contribute towards (e.g. better population health) as opposed to the more immediate ‘proximate’ (often short-term) objectives of any such activity (e.g. improved capacity to undertake infectious disease research). We argue a need for those funding, designing and implementing RCS initiatives to make clear statements as to the ultimate objective that they foresee their respective initiative contributing towards as well as the proposed pathway and associated assumptions that underlie their approach. Examples of distinct ultimate objectives for RCS initiatives are presented alongside fictitious examples of how they may be transparently reported from both a funder and implementor perspective. Such transparency should be routine within the scope of funding calls for RCS activities (even when such activities are only a minor component of the call), subsequent applications to those calls and any description of an applied RCS activity/ies and/or the associated outcomes thereof. The process of determining one’s ultimate objective will further cause funders and actors to think through their respective initiatives more thoroughly and make informed choices and better designed RCS projects. Doing so would reduce any ambiguity associated with the use of the term ‘research capacity strengthening’ and would provide a stronger foundation for robust programme evaluation.
加强研究能力"(RCS)是一个总括术语,可以用来描述为支持不同目标而开展的各 种活动,这些目标的前提是不同的、可能是对立的观点。尽管如此,RCS 活动的最终目标却很少被明确提出,这在目标可能多种多样的情况下可能会产生问题。我们所说的 "最终 "目标,是指一项区域研究计划所要实现的总体目标(通常是长期目标)(如改善人口健康状况),而不是任何此类活动更直接的 "近期 "目标(通常是短期目标)(如提高开展传染病研究的能力)。我们认为,那些资助、设计和实施区域研究计划的人有必要明确说明他们预计各自的计划将有助于实现的最终目标,以及建议的途径和作为其方法基础的相关假设。本报告举例说明了区域监控服务计划的不同最终目标,并从资助者和实施者的角度,虚构了如何透明地报告这些最终目标。这种透明度应当在为地区监控活动(即使这些活动只是呼吁的一个次要组成部分)筹集资金的范围内、随后对这些呼吁的申请以及对所应用的地区监控活动和/或其相关成果的任何描述中成为例行公事。确定最终目标的过程将进一步促使资助者和行动者更全面地考虑各自的行动,做出 明智的选择,设计出更好的地区监控项目。这样做可以减少与使用 "加强研究能力 "一词有关的任何含糊不清之处,并为强有力 的计划评估奠定更坚实的基础。
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引用次数: 0
Immediate effects of Thai foot massage on renal blood flow, psychological stress, and heart rate variability in community-dwelling older adults: a randomized controlled trial 泰式足部按摩对社区老年人肾血流量、心理压力和心率变异性的即时影响:随机对照试验
Pub Date : 2024-07-26 DOI: 10.12688/f1000research.148453.1
Yada Thadanatthaphak, J. Kanpittaya, Wittawat Takong, Sutin Chanaboon, Kukiat Tudpor
Background Renal blood flow (RBF) is regulated by an autonomic nervous system and is reduced in older adults. Massage has been previously found to increase blood flow. Objective This two-armed double-blind, randomized controlled trial aimed to investigate the immediate effects of Thai foot massage (TFM) on RBF, psychological stress, and heart rate variability (HRV) in older adult persons. Material and Methods The 26 healthy older adult volunteers were recruited and randomly assigned to the TFM group (13 persons) and the control group (13 persons). The TFM group received a 15-minute Thai foot massage, and the control group received a 15-minute bed rest. Primary outcomes – RBF parameters [peak systolic velocity (PSV), end-diastolic velocity (EDV), resistive index (RI), volumetric arterial blood flow (VF)] and secondary outcomes – HRV parameters [standard deviation of the normal-to-normal intervals (SDNN), root mean square of successive differences (RMSSD), high frequency (HF), low frequency (LF), and low frequency per high frequency (LF/HF)] were measured after each intervention. Results Results showed that the VF significantly increased after TFM (P < 0.05) but not in control. Meanwhile, the stress index significantly reduced after TFM (P < 0.05). SDNN and RMSSD, the proxies of parasympathetic activity, also significantly increased in the TFM group (p < 0.05). Only RMSSD was significantly enhanced in the control group. No side effects were observed. Conclusion The TFM could increase RBF and alleviate psychological stress through parasympathetic activity actuation. Therefore, this intervention might improve RBF and relieve stress in the older population. Further study should be carried out on a larger population.
背景 肾血流量(RBF)由自主神经系统调节,老年人的肾血流量会减少。以前曾发现按摩能增加血流量。目的 该双臂双盲随机对照试验旨在研究泰式足底按摩(TFM)对老年人 RBF、心理压力和心率变异性(HRV)的直接影响。材料与方法 试验招募了 26 名健康的老年志愿者,并将他们随机分配到泰式足底按摩组(13 人)和对照组(13 人)。TFM 组接受 15 分钟泰式足部按摩,对照组卧床休息 15 分钟。每次干预后都测量了主要结果--RBF 参数[收缩峰值速度 (PSV)、舒张末期速度 (EDV)、阻力指数 (RI)、动脉血流容积 (VF)]和次要结果--心率变异参数[正常到正常间期的标准偏差 (SDNN)、连续差值的均方根 (RMSSD)、高频 (HF)、低频 (LF) 和低频/高频 (LF/HF)]。结果 结果显示,TFM 后 VF 明显增加(P < 0.05),而对照组没有增加。同时,压力指数在 TFM 后明显降低(P < 0.05)。副交感神经活动的代表指标 SDNN 和 RMSSD 在 TFM 组也明显增加(P < 0.05)。对照组中只有 RMSSD 有明显增强。未观察到副作用。结论 TFM 可通过激活副交感神经活动增加 RBF 并缓解心理压力。因此,这种干预措施可能会改善 RBF 并缓解老年人群的压力。应在更大范围的人群中开展进一步研究。
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引用次数: 0
Analysis of the dynamics of transition from non-colonization to colonization and Staphylococcus aureus bacteremia in hemodialysis patients using Markov models. 利用马尔可夫模型分析血液透析患者从非定植到定植和金黄色葡萄球菌菌血症的动态变化。
Pub Date : 2024-07-26 DOI: 10.12688/f1000research.151896.1
Daniela Montoya-Urrego, J. M. Vanegas, J. N. Jiménez, Difariney González-Gómez
Background Hemodialysis patients are frequently colonized by Staphylococcus aureus, leading to severe infections with high mortality rates. However, little is known about transition from non-colonization to colonization or bacteremia over time. The aim was to analyze the behavior of S. aureus colonization, identifying the probability of transition from non-colonized to colonized state or bacteremia, and the influence of some covariates. Methods The study was conducted in a dialysis unit associated with a high complexity hospital in Medellín between October 2017 and October 2019. An initial measurement was taken to evaluate S. aureus colonization, and follow-up measurements were performed 2 and 6 months later. Bacteremia evolution was monitored for 12 months. A two-state recurrent continuous-time Markov model was constructed to model transition dynamics from non-colonization to S. aureus colonization in hemodialysis patients. Subsequently, the model was applied to a third state of bacteremia. Results Of 178 patients on hemodialysis, 30.3% were colonized by S. aureus. Transition intensity from non-colonization to colonization was three times higher (0.21; CI: 0.14-0.29) than from colonization to non-colonization (0.07; CI: 0.05-0.11). The colonization risk increased in patients with previous infections (HR: 2.28; CI: 0.78-6.68), hospitalization (HR: 1.29; CI: 0.56-2.99) and antibiotics consumption (HR: 1.17; CI: 0.53-2.58). Mean non-colonized state duration was 10.9 months, while in the colonized state was 5.2 months. In the 3-state model, it was found that patients colonized were more likely to develop S. aureus infection (13.9%). Conclusion A more likely transition from non-colonization to colonization was found, which increases with factors such as previous infection. In addition, the development of bacteremia was more likely in colonized than in non-colonized patients. These results underline the importance of surveillance and proper management of S. aureus colonization to prevent serious complications, such as bacteremia, and improve prognosis in this vulnerable population.
背景 血液透析患者经常被金黄色葡萄球菌定植,导致严重感染,死亡率很高。然而,随着时间的推移,人们对从非定植到定植或菌血症的转变知之甚少。本研究旨在分析金黄色葡萄球菌的定植行为,确定从非定植状态过渡到定植状态或菌血症的概率,以及一些协变量的影响。方法 该研究于 2017 年 10 月至 2019 年 10 月期间在麦德林一家高复杂性医院的透析室进行。首次测量是为了评估金黄色葡萄球菌定植情况,2 个月和 6 个月后进行了随访测量。对菌血症的演变进行了为期 12 个月的监测。构建了一个双状态循环连续时间马尔可夫模型,以模拟血液透析患者从未定菌到金黄色葡萄球菌定菌的过渡动态。随后,该模型被应用于菌血症的第三种状态。结果 在 178 名血液透析患者中,30.3% 的患者被金黄色葡萄球菌定植。从非定植到定植的转变强度(0.21;CI:0.14-0.29)比从定植到非定植的转变强度(0.07;CI:0.05-0.11)高三倍。既往感染(HR:2.28;CI:0.78-6.68)、住院(HR:1.29;CI:0.56-2.99)和使用抗生素(HR:1.17;CI:0.53-2.58)的患者的定植风险增加。非定植状态的平均持续时间为 10.9 个月,定植状态的平均持续时间为 5.2 个月。在三状态模型中发现,定植患者更容易感染金黄色葡萄球菌(13.9%)。结论 发现从非定植到定植的过渡可能性更大,这与先前感染等因素有关。此外,与未定植菌落的患者相比,定植菌落的患者更容易发生菌血症。这些结果凸显了对金黄色葡萄球菌定植进行监测和适当管理的重要性,以防止出现菌血症等严重并发症,并改善这一易感人群的预后。
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引用次数: 0
Production costs and their effect on the profitability of the SMES in Latin America 生产成本及其对拉丁美洲中小型企业盈利能力的影响
Pub Date : 2024-07-26 DOI: 10.12688/f1000research.143777.1
Eva María Ventura Hernández, Marco Antonio Nolasco-Mamani, Domingo Hernández Celis, Julian Monrroy Aime, Efraín Jaime Guardia Huamani
Background The micro, small and medium-sized enterprises (SMEs) play a pivotal role in the Latin America economy, creating jobs, boosting local economic activity and contribute to the socio-economic development of the region. The purpose is to reflect on the current costs management prices, the common challenges faced by SMEs in the region, and effective strategies to improve the profitability and sustainability of these companies. Methods it is addressed as a review study of type reflective, which used the dialectic as a method for the construction of the speech, based on techniques of triangulation of information. Result in order to obtain the results, these study topics were pre-selected: (a) determinants of the costs of production in the SMES, b) strategies for the reduction and control of production costs, and c) impact of production costs on the profitability of SMES. Conclusion the present research article delves into the pivotal factors influencing production costs within microenterprises and small businesses situated in the Latin American context. This study posits that the determinants underpinning these costs encompass a spectrum of elements including but not limited to labor, raw materials and supplies, energy and utilities, infrastructure and logistics, regulatory frameworks, and administrative intricacies. Furthermore, the intricate interplay of technology adoption and innovative capabilities is also recognized as a crucial facet in this cost determination paradigm. The overarching understanding underscores the direct and substantial influence of these multifaceted determinants on the operational expenditure of microenterprises and small businesses.
背景 微型和中小型企业(SMEs)在拉丁美洲经济中发挥着举足轻重的作用,它们创造就业机 会,促进当地经济活动,为该地区的社会经济发展做出贡献。其目的是反思当前的成本管理价格、该地区中小型企业面临的共同挑战以及提高这些公司盈利能力和可持续性的有效战略。方法 作为一项反思型回顾研究,在信息三角测量技术的基础上,使用辩证法作为构建发言的方法。结果 为了获得研究结果,预先选择了以下研究课题:(a)中小型企业和微型企业生产成本的决定因素;(b)降低和控制生产成本的战略;(c)生产成本对中小型企业和微型企业盈利能力的影响。结论 本研究文章深入探讨了影响拉丁美洲微型企业和小型企业生产成本的关键因素。本研究认为,这些成本的决定因素包括但不限于劳动力、原材料和供应、能源和公用事业、基础设施和物流、监管框架以及错综复杂的行政管理。此外,技术采用和创新能力之间错综复杂的相互作用也被认为是这种成本决定模式的一个重要方面。总体认识强调了这些多方面决定因素对微型企业和小型企业业务支出的直接和实质性影响。
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