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Digital sensors (non-invasive) for early detection of risk factors for recurrent stroke: A systematic review 用于早期检测复发性中风危险因素的数字传感器(非侵入性):系统综述
Pub Date : 2024-07-19 DOI: 10.12688/f1000research.17627.2
I. M. Kariasa, Elly Nurachmah, S. Setyowati, R. Koestoer
Background Improving awareness in patients with stroke to detect risk factors of recurrent stroke has recently become a major challenge for all health professionals in preventing recurrence among stroke survivors. Utilization of advanced technology, such as digital sensors, (a non-invasive device) is among the breakthroughs in detecting the risk of disease and promotes more effective prevention and improves quality of care. This study aims to conduct a systematic review on studies addressing early detection of the risk factors of recurrent stroke through the utilization of digital sensors. Methods A literature search was carried out on articles published between 2011 - 2018 on EBSCO, Elsevier, Science Direct, ProQuest, Springer link, PubMed, MEDLINE, PLoS, and the Journal of Community Nursing. The search identified quantitative research studies on the utilization of digital sensors in cases of hypertension, diabetes mellitus, hypercholesterolemia, and cardiac disorders that contributed to stroke recurrence. Each study’s bias was assessed using Review Manager 5. Results Ten articles were analyzed through data extraction. Robust assessment of independent risk factors which provoke recurrent stroke such as hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases could lead to conservation of health resources. It is very important to monitor these factors. With the development of technology, the potential use of non-invasive monitoring for hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases as risk factors for recurrent stroke events is considered effective because it is easy, simple, low cost, sensitive, and does not cause additional suffering for patients. Conclusion A practical and non-invasive method for early detection and monitoring of risk factors may reduce the risk of stroke recurrence among stroke survivors.
背景 提高脑卒中患者对检测脑卒中复发风险因素的认识,已成为所有医务人员预防脑卒中幸存者复发的主要挑战。利用数字传感器(一种非侵入性设备)等先进技术是检测疾病风险的突破之一,可促进更有效的预防并提高护理质量。本研究旨在对利用数字传感器早期检测复发性中风风险因素的研究进行系统综述。方法 对 EBSCO、Elsevier、Science Direct、ProQuest、Springer link、PubMed、MEDLINE、PLoS 和《社区护理杂志》上 2011 - 2018 年间发表的文章进行文献检索。该检索确定了有关在高血压、糖尿病、高胆固醇血症和心脏病导致中风复发的病例中使用数字传感器的定量研究。使用 Review Manager 5 对每项研究的偏倚性进行了评估。结果 通过数据提取分析了 10 篇文章。对高血压、糖尿病、高胆固醇血症和心脏病等导致脑卒中复发的独立危险因素进行全面评估可节约医疗资源。对这些因素进行监测非常重要。随着技术的发展,无创监测高血压、糖尿病、高胆固醇血症和心脏病作为脑卒中复发的危险因素被认为是有效的,因为它简便易行、成本低、灵敏度高,而且不会给患者带来额外的痛苦。结论 早期检测和监测风险因素的实用无创方法可降低中风幸存者中风复发的风险。
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引用次数: 0
Fish oil-containing edible films with active film incorporated with extract of Psidium guajava leaves: preparation and characterization of double-layered edible film 含鱼油的食用薄膜,其活性薄膜中加入了番石榴叶提取物:双层食用薄膜的制备和表征
Pub Date : 2024-07-19 DOI: 10.12688/f1000research.153383.1
Aji Sukoco, Yukihiro Yamamoto, Hiroyuki Harada, Atsushi Hashimoto, Tomoyuki Yoshino
Background The utilization of zein and gum arabic has grown in an attempt to formulate wall materials based on protein–polysaccharide complexes. This mixture provides a versatile shelter for hydrophilic (guava leaf extract, GLE) or lipophilic (fish oil, FO) bioactive compounds from unwanted environmental factors, and it can be used as an edible film-forming polymer. This study was undertaken to characterize FO-containing edible films that were double-layered with a film containing GLE. Methods Modified zein and gum arabic solutions (MG complex) were mixed at a ratio of 1:1.5 (v/v), adjusted to pH 5, added with glycerol (20% of the complex) and FO (5% of the complex), and finally adjusted to pH 5. This was prepared as the bottom/lower layer. The upper/active layer was prepared by mixing MG complex, glycerol, and GLE (1, 3, and 5% w/v of the complex). Physical, mechanical, microstructural, thermal, microbiological, and oxidative measurements were also performed. Results The total phenolic and flavonoid contents in GLE were 15.81 mg GAE/g extract and 6.99 mg QE/g extract, respectively. The IC50 of the DPPH radical scavenging activity of GLE was 26.86 ppm with antibacterial activity against Bacillus subtilis and Escherichia coli of 9.83 and 12.55 mm. The total plate counts of films double-layered with a film containing GLE were retained below 3 log CFU/g during 28-day storage. The peroxide values of these films were dimmed for no more than 9.08 meq/kg sample on day 28 of storage. Thickness (872.00-971.67 μm), water vapor transmission rate (12.99-17.04 g/m2/day), tensile strength (1.56-2.02 kPa), elongation at break (61.53-75.41%), glass transition (52.74-57.50°C), melting peak (131.59-142.35°C), inhibition against B. subtilis (33.67-40.58 mm), and inhibition against E. coli (2.05-9.04 mm) were obtained by double-layer films. Conclusions GLE can be successfully incorporated into the active layer of a double-layer film to improve its characteristics while significantly slowing down the microbial contamination and oxidation rate.
背景 玉米蛋白和阿拉伯树胶的使用量不断增加,试图在蛋白质-多糖复合物的基础上配制壁材。这种混合物为亲水性(番石榴叶提取物,GLE)或亲油性(鱼油,FO)生物活性化合物提供了一个多功能庇护所,使其免受有害环境因素的影响,还可用作可食用的成膜聚合物。本研究的目的是描述含有 FO 的可食用薄膜与含有 GLE 的薄膜双层的特性。方法 将改性玉米蛋白和阿拉伯树胶溶液(MG 复合物)按 1:1.5 的比例(v/v)混合,调节 pH 值至 5,加入甘油(复合物的 20%)和 FO(复合物的 5%),最后调节 pH 值至 5。上层/活性层是通过混合 MG 复合物、甘油和 GLE(复合物的 1%、3% 和 5% w/v)制备的。此外,还进行了物理、机械、微结构、热、微生物和氧化测量。结果 GLE 中的总酚和类黄酮含量分别为 15.81 毫克 GAE/克提取物和 6.99 毫克 QE/克提取物。GLE 的 DPPH 自由基清除活性 IC50 为 26.86 ppm,对枯草杆菌和大肠杆菌的抗菌活性分别为 9.83 和 12.55 mm。含有 GLE 的双层薄膜的菌落总数在 28 天的储存期间保持在 3 log CFU/g 以下。在储存的第 28 天,这些薄膜的过氧化值降低到不超过 9.08 meq/kg 样品。厚度(872.00-971.67 微米)、水蒸气透过率(12.99-17.04 克/平方米/天)、拉伸强度(1.56-2.02 千帕)、断裂伸长率(61.53-75.41%)、玻璃化转变(52.74-57.50°C)、熔点(131.59-142.35°C)、对枯草杆菌的抑制率(33.67-40.58 毫米)和对大肠杆菌的抑制率(2.05-9.04 毫米)。结论 GLE 可以成功地加入到双层薄膜的活性层中,以改善其特性,同时显著减缓微生物污染和氧化速度。
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引用次数: 0
Factors Influencing Climate-Smart Agriculture Practices Adoption and Crop Productivity among Smallholder Farmers in Nyimba District, Zambia 影响赞比亚宁巴区小农采用气候智能型农业措施和作物生产力的因素
Pub Date : 2024-07-19 DOI: 10.12688/f1000research.144332.1
chavula petros, Samuel Feyissa, Million Sileshi, C. Shepande
Background The profound impacts of climate change on the environment, economy, and society are anticipated to significantly influence smallholder farmers, whose livelihoods and traditional ways of life are inextricably intertwined with the natural environment. This comprehensive study delves into the multifaceted factors shaping the adoption of climate-smart agricultural practices and their subsequent effects on crop productivity among the small-scale farming communities in Nyimba District, situated within Zambia. Methods The study collected data from 194 smallholder farmer households across 12 villages in 4 agricultural camps of Nyimba District between June and July 2022. A logistic regression model was utilized to assess the factors influencing crop production and the adoption of climate-smart agricultural practices in response to climate change and variability within the study area. Furthermore, propensity score matching was performed to evaluate the impacts of adopting climate-smart agriculture by comparing adopter households with their non-adopter counterparts. Results The logit regression model’s findings from the research indicate that several factors influence smallholder farmer households’ adoption of climate-smart agricultural techniques and crop productivity. These factors include the farmer’s educational level, household size, fertilizer utilization, the household head’s age and gender, farming experience duration, livestock ownership status, annual household income, farmland size, the household head’s marital status, and access to climate-related information. Additionally, the propensity score matching analysis revealed that crop yields among smallholder farmers who adopted climate-smart agricultural practices were 20.20% higher compared to non-adopters. Furthermore, the analysis showed that implementing such practices in the study area led to a 21.50% increase in maize yields for adopter households relative to their non-adopter counterparts. Conclusion The findings of this research offer valuable insights to policymakers, guiding them in enhancing farmers’ climate change adaptation strategies and formulating relevant policies. Nevertheless, these initiatives and concerted efforts possess the potential to mitigate the detrimental impacts posed by climate change and climatic variability. This manuscript is an extract from my master of science degree in climate-smart agriculture from Haramaya University titled ‘Climate-Smart Practices: Effects of Agroforestry and Conservation Agriculture on Selected Physicochemical Properties of Soils and Crop Productivity among Smallholder Farmers, in Nyimba, Zambia.’ Please refer to this link; http://ir.haramaya.edu.et/hru/bitstream/handle/123456789/6402/PETROS%20CHAVULA.pdf?isAllowed=y&sequence=1
背景 气候变化对环境、经济和社会的深刻影响预计将对小农产生重大影响,而小农的生计和传统生活方式与自然环境密不可分。本综合研究深入探讨了影响赞比亚尼因巴县小规模农业社区采用气候智能型农业实践的多方面因素及其对作物生产力的后续影响。方法 该研究于 2022 年 6 月至 7 月间收集了尼因巴区 4 个农业营地 12 个村庄 194 户小农家庭的数据。利用逻辑回归模型评估了影响作物产量的因素,以及为应对研究地区的气候变化和变异性而采用气候智能型农业实践的情况。此外,通过比较采用气候智能型农业的家庭和未采用气候智能型农业的家庭,对采用气候智能型农业的影响进行了倾向得分匹配评估。结果 对数回归模型的研究结果表明,有几个因素会影响小农家庭采用气候智能型农业技术和作物生产率。这些因素包括农民的受教育程度、家庭规模、化肥使用情况、户主的年龄和性别、务农时间、牲畜拥有状况、家庭年收入、农田面积、户主的婚姻状况以及获得气候相关信息的渠道。此外,倾向得分匹配分析显示,采用气候智能型农业措施的小农的作物产量比未采用者高出 20.20%。此外,分析还显示,在研究地区实施这些做法后,采用者家庭的玉米产量比未采用者家庭的玉米产量提高了 21.50%。结论 本研究的结果为政策制定者提供了宝贵的见解,指导他们加强农民的气候变化适应战略并制定相关政策。尽管如此,这些举措和共同努力仍有可能减轻气候变化和气候多变性带来的不利影响。本手稿摘自我在哈拉马亚大学(Haramaya University)获得的气候智能型农业理学硕士学位,题为 "气候智能型实践:农林业和保护性农业对赞比亚尼因巴小农户的部分土壤理化性质和作物生产力的影响》。请参阅此链接;http://ir.haramaya.edu.et/hru/bitstream/handle/123456789/6402/PETROS%20CHAVULA.pdf?isAllowed=y&sequence=1
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引用次数: 0
Drug-related problems associated to antibiotic use in cesarean delivery: a retrospective analysis in a secondary care hospital. 与剖腹产使用抗生素相关的药物问题:一家二级医院的回顾性分析。
Pub Date : 2024-07-19 DOI: 10.12688/f1000research.153567.1
Katherine Romero Viamonte, Adrian Salvent Tames, A. Bustillos, María Victoria Rojo Manteca, Ana Martín-Suárez
Background/Objectives A drug-related problem (DRP) is an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. The aim of this study is to identify and categorize the DRPs associated with the use of antibiotics in women undergoing cesarean delivery and to analyze the causes of these problems, making an improvement proposal of preoperative antibiotic prophylaxis (PAP) use in accordance with international guidelines. Methods Observational, retrospective, descriptive study of 814 women undergoing cesarean delivery. Prescription adequacy was assessed based on the selection, administration, dose and duration of the antibiotic therapy. DRP analysis and characterization was conducted using the Pharmaceutical Care Network Europe (PCNE) Classification V 9.1. Results DRPs were detected in all women (1125, 1.38 DRPs/patient), the most frequent ones associated to failure to administer PAP (30.10% of patients) and to unnecessary postsurgical antibiotic (100%). Of the 1935 possible causes for DRPs identified, most of them were related to inappropriate drug selection. Cefazolin was administered to 98.07% of women with PAP and 71.45% of patients received postsurgical cefalexin, with 13 different antibiotics being used in total. Conclusions The implementation of therapeutic protocols and early identification of DRPs is proposed in order to optimize antibiotic use in the institution.
背景/目的 与药物相关的问题(DRP)是指涉及药物治疗的事件或情况,实际或潜在地干扰了预期的健康结果。本研究旨在识别和分类与剖宫产产妇使用抗生素相关的 DRP,并分析这些问题的原因,根据国际指南提出术前抗生素预防(PAP)使用的改进建议。方法 对 814 名接受剖宫产手术的产妇进行观察性、回顾性和描述性研究。根据抗生素治疗的选择、给药、剂量和持续时间来评估处方的充分性。采用欧洲药品护理网络(PCNE)分类 V 9.1 对 DRP 进行了分析和定性。结果 在所有妇女(1125 人,每名患者 1.38 例)中都发现了 DRP,其中最常见的是未使用 PAP(30.10% 的患者)和不必要的术后抗生素(100%)。在已确定的 1935 个可能导致 DRP 的原因中,大多数与药物选择不当有关。98.07%的 PAP 妇女使用了头孢唑啉,71.45%的患者术后使用了头孢氨苄,总共使用了 13 种不同的抗生素。结论 建议实施治疗方案并及早识别 DRP,以优化该机构的抗生素使用。
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引用次数: 0
A guide to selecting high-performing antibodies for Synaptotagmin-1 (Uniprot ID P21579) for use in western blot, immunoprecipitation, immunofluorescence and flow cytometry 用于 Western 印迹、免疫沉淀、免疫荧光和流式细胞术的 Synaptotagmin-1(Uniprot ID P21579)高效抗体选择指南
Pub Date : 2024-07-19 DOI: 10.12688/f1000research.154034.1
M. Biddle, Charles Alende, Maryam Fotouhi, Carolyn Jones, Riham Ayoubi, K. Southern, C. Laflamme, H. Virk
Synaptotagmin-1 is a synaptic vesicle transmembrane protein that senses calcium influx via its tandem C2-domains, triggering synchronous neurotransmitter release. Disruption to SYT1 is associated with neurodevelopmental disorders, highlighting the importance of identifying high-quality research reagents to enhance understanding of Synaptotagmin-1 in health and disease. Here we have characterized thirteen Synaptotagmin-1 commercial antibodies for western blot, immunoprecipitation, immunofluorescence and flow cytometry using a standardized experimental protocol based on comparing read-outs in knockout cell lines and isogenic parental controls. These studies are part of a larger, collaborative initiative seeking to address antibody reproducibility issues by characterizing commercially available antibodies for human proteins and publishing the results openly as a resource for the scientific community. While use of antibodies and protocols vary between laboratories, we encourage readers to use this report as a guide to select the most appropriate antibodies for their specific needs.
SYT1是一种突触小泡跨膜蛋白,通过其串联的C2-结构域感知钙离子的流入,从而触发神经递质的同步释放。SYT1 的破坏与神经发育障碍有关,这凸显了鉴定高质量研究试剂的重要性,以加深对突触表蛋白-1 在健康和疾病中的作用的了解。在此,我们采用标准化实验方案,比较了基因敲除细胞系和同源亲本对照的读出结果,鉴定了 13 种 Synaptotagmin-1 商用抗体,用于 Western 印迹、免疫沉淀、免疫荧光和流式细胞术。这些研究是一项大型合作计划的一部分,该计划旨在通过鉴定市售的人类蛋白质抗体来解决抗体的可重复性问题,并将结果公开发表,作为科学界的资源。虽然不同实验室使用的抗体和方案各不相同,但我们鼓励读者以本报告为指南,根据自己的具体需要选择最合适的抗体。
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引用次数: 0
Enhancing comparative politics education in the Asia-Pacific region: A study on the effectiveness of Chinese checkers game for strategy and negotiation learning 加强亚太地区的比较政治教育:中国跳棋游戏对战略和谈判学习的有效性研究
Pub Date : 2024-07-18 DOI: 10.12688/f1000research.151777.1
Mario de la Puente, Heidy Rico, Elkyn Rafael Lugo Arias, Jose Torres
xx.
xx.
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引用次数: 0
Exploring the landscape of digital servitization: A systematic review 探索数字服务化的前景:系统回顾
Pub Date : 2024-07-18 DOI: 10.12688/f1000research.150946.1
Hendri Ginting, Hamidah Nayati Utami, Riyadi Riyadi, Benny Hutahayan
Background Digital servitization is a strategic transformation where companies adopt a service-focused approach in response to the prevailing trend of digitalization. Utilizing digital technology, businesses manage product and service operations and develop new value propositions. Further research into digital servitization is essential for maintaining competitiveness and meeting evolving market demands globally. This study aims to comprehend the evolution of digital services from theoretical and practical viewpoints and examines how these challenges are tackled. Methods Utilizing a systematic literature review methodology, the study adopts the PRISMA approach to identify 26 pertinent articles from a pool of 340 papers obtained through a SCOPUS database search. These papers were published between 2019 and 2024 and were retrieved using the keywords (‘digitalization OR digital AND servitization OR servitization’). The selection process involved scrutinizing titles, abstracts, and keywords based on predefined criteria. Results The findings reveal that current digital servitization research emphasizes five determinant variables: digitization, servitization, manufacturing servitization, process innovation, and product innovation. Additionally, response variables influenced by digital servitization were identified, including firm competitiveness, firm performance, financial performance, firm profitability, and sustainable performance. Discussion The results of this review point to inconsistencies, underscoring the necessity for additional research into the factors influencing digital servitization across companies beyond the manufacturing sector. This highlights the importance of gaining a deeper understanding of digital servitization strategies and their impacts across various industries. By expanding the scope of research to include a broader range of sectors, researchers can provide more comprehensive insights into the complexities and nuances of digital servitization adoption. This broader perspective enables a more thorough examination of the challenges and opportunities associated with implementing digital servitization strategies, ultimately contributing to a richer understanding of its implications for businesses across diverse industries.
背景 数字服务化是一种战略转型,企业采用以服务为中心的方法来应对当前的数字化趋势。企业利用数字技术管理产品和服务运营,并开发新的价值主张。要在全球范围内保持竞争力并满足不断变化的市场需求,就必须进一步研究数字化服务化。本研究旨在从理论和实践角度理解数字化服务的演变,并探讨如何应对这些挑战。方法 本研究采用系统的文献综述方法,采用 PRISMA 方法,从通过 SCOPUS 数据库搜索获得的 340 篇论文中筛选出 26 篇相关文章。这些论文发表于 2019 年至 2024 年之间,使用关键词("数字化或数字化和服务化或服务化")进行检索。筛选过程包括根据预定标准仔细检查标题、摘要和关键词。结果 研究结果表明,当前的数字化服务化研究强调五个决定性变量:数字化、服务化、制造服务化、流程创新和产品创新。此外,还确定了受数字化服务化影响的响应变量,包括企业竞争力、企业绩效、财务绩效、企业盈利能力和可持续绩效。讨论 本综述的结果表明,除制造业外,其他公司的数字化服务化也存在不一致之处,这突出表明有必要对影响数字化服务化的因素进行更多研究。这凸显了深入了解各行业数字化服务化战略及其影响的重要性。通过将研究范围扩大到更广泛的行业,研究人员可以更全面地了解数字服务化应用的复杂性和细微差别。这种更广阔的视角可以更深入地研究与实施数字服务化战略相关的挑战和机遇,最终有助于更丰富地了解其对各行各业企业的影响。
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引用次数: 0
Floristic Diversity of Natural Forest Patches Across Agroclimatic Zones in Northwestern Ethiopian 埃塞俄比亚西北部不同农业气候区天然森林斑块的植物多样性
Pub Date : 2024-07-17 DOI: 10.12688/f1000research.150296.1
Melkamu Kassaye, Yonas Derebe, Mulugeta Tamir, Amsalu Nigatu, Bahiru Gedamu, Estegenet Emiru, Meseret Chanie, Mebratu Yigzaw
Background Natural forest resources in northwestern Ethiopia are currently under threat, requiring immediate conservation measures and a management strategy. Thus, an understanding of the present floristic diversity status is required. There is lack of such type of studies specific to fragmented forest patches and across environmental factors. Consequently, this study aimed to examine the existing state of these resources to apply sustainable forest management practices. Methods To achieve this, transects with 200 square plots measuring 400 m2 were set up at nine forest patches with 200m spacing between plots and transects. Vegetation and environmental data were collected and analyzed using R version 4.1. Results Significant variations (p 0.008) were found in vegetation features along the slope, forest patches, and agroclimatic zone. When compared to other forest patches, highland, and mid-altitude forest patches had the highest species diversity (2.48) and stocking (2578 trees/ha). The gentle slope has the most species diversity (2.83). The species similarity between highland and mid-altitude forest habitats was found significant (69%). The vegetation cover in the mid-altitude forest patches was also high (abundance: 5-12%). In all the forest patches examined, tree life forms exceeded shrubs, climbers, and herbs. Conclusions According to the study’s findings, the state of forest resources varies considerably across different environmental variations. Despite the impression of entire forest patches from the outside, the interiors are open, with only huge and mature trees covering the canopy. This state has been triggered by deforestation, degradation, and inappropriate human and grazing operations.
背景 埃塞俄比亚西北部的天然森林资源目前正受到威胁,需要立即采取保护措施和管理策略。因此,需要了解目前的植物多样性状况。目前还缺乏针对破碎森林斑块和各种环境因素的此类研究。因此,本研究旨在考察这些资源的现有状况,以采用可持续森林管理方法。为此,在九个森林片区设置了 200 个面积为 400 平方米的方形地块,地块与地块之间的间距为 200 米。使用 R4.1 版收集和分析植被和环境数据。结果 发现沿斜坡、森林斑块和农业气候带的植被特征存在显著差异(p 0.008)。与其他森林斑块相比,高原和中海拔森林斑块的物种多样性(2.48)和蓄积量(2578 棵/公顷)最高。缓坡的物种多样性最高(2.83)。高原和中海拔森林栖息地的物种相似性显著(69%)。中海拔森林斑块的植被覆盖率也很高(丰度:5-12%)。在所有考察的森林斑块中,乔木的数量超过了灌木、攀缘植物和草本植物。结论 根据研究结果,在不同的环境变化中,森林资源状况差异很大。尽管从外部看,整个森林斑块给人的印象是完整的,但内部却是空旷的,只有巨大的成熟树木覆盖着树冠。造成这种状况的原因是森林砍伐、退化以及人类和放牧的不当行为。
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引用次数: 0
Clean innovation ecosystems: Lifting distressed communities in Appalachia with clean energy 清洁创新生态系统:用清洁能源拯救阿巴拉契亚贫困社区
Pub Date : 2024-07-17 DOI: 10.12688/f1000research.150557.1
William Paolillo, Benjamin Cross, Charles Zelek, Donald Wingate, Adam Berkebile
The U.S. government has invested in distressed communities in the 21st century but with minimal effect. Regarding income, poverty, joblessness, and vacancy rates, the average distressed zip code in 2018 showed no improvement compared to its standing relative to the average prosperous zip code in 2000. We have discovered the formation of unique business clusters funded by public-private partnerships have the potential to make a difference in lifting distressed communities. Our research of literature and artifacts (photographs, videos, documents, digital media - websites or social media posts) suggests the discovery of a Clean Innovation Ecosystem (CIE). CIE refers to the network of social entrepreneurs, organizations, institutions, and individuals that work together to promote sustainable technologies and practices. As of the 4th quarter of 2023, manufacturing annual run rate construction spending has skyrocketed to over $200 billion. There are another $600 billion of Voltage Valley projects announced that have not yet been built. Over the past two decades, private investment has been between $20 billion and $100 billion annually in U.S. manufacturing infrastructure. Governments are making unprecedented investments in clean energy - which include approximately $400 billion in funding from the Inflation Reduction Act (IRA), $8 billion to establish 6–10 regional Hydrogen Hubs in the U.S., investments in carbon capture, renewable energy technologies, and other investments in clean energy sectors and technologies. All these investments come with the condition that the investment lifts distressed communities. This article explains why investing in Appalachia and geographic regions with similar characteristics will maximize the social benefit of public investment in a Clean Innovation Ecosystem. Our case study covers the Greater Central Appalachian Voltage Valley (GCAVV) – the states of Kentucky, West Virginia, Ohio, Upstate New York, and Michigan, as well as the Central Appalachian region as defined by 56 of the 85 distressed communities of Appalachia.
21 世纪以来,美国政府对贫困社区进行了投资,但收效甚微。在收入、贫困、失业和空置率方面,2018 年的平均贫困区与 2000 年的平均繁荣区相比没有任何改善。我们发现,在公私合作伙伴的资助下形成独特的企业集群,有可能在改善窘迫社区方面有所作为。我们对文献和人工制品(照片、视频、文件、数字媒体--网站或社交媒体帖子)的研究表明,我们发现了清洁创新生态系统(CIE)。CIE 指的是由社会企业家、组织、机构和个人组成的网络,他们共同致力于推广可持续技术和实践。截至 2023 年第四季度,制造业年运行率建筑支出已飙升至 2000 多亿美元。此外,还有 6000 亿美元的电压谷项目已经宣布,但尚未开工建设。过去二十年来,美国制造业基础设施的私人投资每年在 200 亿至 1000 亿美元之间。各国政府正在对清洁能源进行史无前例的投资,其中包括《通货膨胀削减法案》(IRA)提供的约 4000 亿美元资金、80 亿美元用于在美国建立 6-10 个地区性氢能中心、对碳捕获和可再生能源技术的投资,以及对清洁能源行业和技术的其他投资。所有这些投资都有一个条件,那就是投资要帮助贫困社区摆脱困境。本文将解释为什么在阿巴拉契亚以及具有类似特征的地理区域进行投资将使清洁创新生态系统中的公共投资产生最大的社会效益。我们的案例研究涵盖大阿巴拉契亚中部电压谷(GCAVV)--肯塔基州、西弗吉尼亚州、俄亥俄州、纽约上州和密歇根州,以及阿巴拉契亚 85 个贫困社区中的 56 个所定义的阿巴拉契亚中部地区。
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引用次数: 0
A study of association between early menarche and anxiety in undergraduate  students 关于大学生月经初潮过早与焦虑之间关系的研究
Pub Date : 2024-07-17 DOI: 10.12688/f1000research.149757.1
Poorva Bakshi, Sharanya B. Shetty, Abira Shrama, Vasudha K G, Keshava Pai, Radhika K, P. D'Souza, Reshma N S
Background Anxiety has been reported to be one of the most common epidemics in recent years. The present study focused on understanding the association between early menarche and the prevalence of anxiety and anxiety symptoms among adult undergraduate students. Methods This was an observational, case-control study. The sample included 146 young female adults aged more than or equal to 18 years pursuing the Bachelor of Medicine and Bachelor of Surgery (MBBS) and Bachelor of Dental Sciences (BDS). Using an online questionnaire, participants were asked to recall and enter the age at which they attained menarche. We used the Generalized Anxiety Disorder 7- Item Questionnaire (GAD-7) to measure the severity of their present anxiety symptoms. Results The results showed a significant increase in anxiety symptoms in participants who had early menarche compared to those who did not have early menarche. The mean score on the GAD-7 Questionnaire for the cases was 9.93 and the control group was 6.89. The GAD-7 scores among the cases group were significantly higher in the GAD-7 scores than in the control group. Conclusions This study concluded that early menarche is associated with higher anxiety levels in young adults.
背景 据报道,焦虑症是近年来最常见的流行病之一。本研究旨在了解成年大学生中初潮提前与焦虑和焦虑症状发生率之间的关系。方法 这是一项观察性病例对照研究。样本包括 146 名年龄大于或等于 18 岁、攻读医学和外科学士学位(MBBS)和牙科学学士学位(BDS)的年轻女性。通过在线问卷调查,参与者被要求回忆并输入其月经初潮的年龄。我们使用广泛性焦虑症 7 项问卷(GAD-7)来测量她们目前焦虑症状的严重程度。结果 结果显示,与月经初潮早的女性相比,月经初潮早的女性的焦虑症状明显增加。病例组 GAD-7 问卷的平均得分为 9.93 分,对照组为 6.89 分。病例组的 GAD-7 评分明显高于对照组。结论 本研究得出结论,初潮过早与青壮年焦虑水平较高有关。
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