Facial Aging Research Articles

Evaluation of Online Inquiry Competencies of Chilean Elementary School Students: A Dataset

In the age of abundant digital content, children and adolescents face the challenge of developing new information literacy competencies, particularly those pertaining to online inquiry, in order to thrive academically and personally. This article addresses the challenge encountered by Chilean students in developing online inquiry competencies (OICs) essential for completing school assignments, particularly in natural science education. A diagnostic study was conducted with 279 elementary school students (from fourth to eighth grade) from four educational institutions in Chile, representing diverse socioeconomic backgrounds. An instrument aligned with the national curriculum, featuring questions related to natural sciences, was administered through a game named NEURONE-Trivia, which integrates a search engine and a logging component to record students’ search behavior. The primary outcome of this study is a dataset comprising demographic information, self-perception, and information-seeking behaviors data collected during students’ online search sessions for natural science research tasks. This dataset serves as a valuable resource for researchers, educators, and practitioners interested in investigating the interplay between demographic characteristics, self-perception, and information-seeking behaviors among elementary students within the context of OIC development. Furthermore, it enables further examination of students’ search behaviors concerning source evaluation, information retrieval, and information utilization.

Real-world experience with a treatment with a skincare regimen of products containing the Macrocystis pyrifera ferment for optimizing facial skin rejuvenation.

Specialized aesthetic skincare treatments are an important part of helping reduce facial signs of aging. This article highlights real-world experience with a Macrocystis pyrifera ferment-containing skincare regimen comprising a cleansing foam, a serum, and a moisturizer with anti-aging, anti-inflammatory, anti-erythema, and healing properties for facial skin condition improvement. The real-world case (RWC) series presented highlights and the expert panel's clinical experience with the M. pyrifera ferment-containing skincare regimen used for 12 weeks to improve facial skin conditions. The panelists convened a meeting to discuss and select RWCs from their practice using the M. pyrifera ferment-containing skincare regimen. The RWC series showed that erythema and inflamed, easily irritated skin bother patients, even when it is mild. Reducing inflammation, erythema, and visible signs of facial aging and improving skin health contributed to patient satisfaction. The M. pyrifera ferment-containing skincare regimen comprising a cleansing foam, a serum, and a moisturizer is effective in decreasing the visible effects of inflammation and signs of aging while promoting healing by enhancing barrier resilience and recovery.

Photoaging and cosmeceutical solutions in sun-overexposed countries: The experience of Australia and Brazil.

Skin aging is the result of physiological changes determined by genetically driven processes and intrinsic factors, and exacerbated by a combination of multiple environmental factors, the main one being sun exposure. The effects of photoaging are particularly apparent on the face, where the appearance of aging signs can have a significant impact on the emotions conveyed and well-being. Photoprotection and facial skin care for managing photoaging signs are thus of particular importance for both physical and mental health. Countries, like Australia and Brazil, where the level of sun exposure is high and the populations have predominantly outdoor lifestyles, are particularly aware of the harms of photoaging and have implemented several measures to help reduce the risk of skin cancer in their populations. However, sun-seeking behaviours are difficult to change, and it takes time before interventions provide perceptible results. Australia still has some of the highest skin cancer incidence and mortality rates in the world. Solutions that target individuals can also be used for minimizing the clinical signs of facial aging and for improving skin quality, with the ultimate aim being not only to improve the appearance of the skin but also to mitigate the occurrence of pre-malignant and malignant lesions. This review summarizes the features of facial skin photoaging in photo-exposed populations, based on evidence gained from studies of Australian individuals, and discusses the various available solutions for skin photoaging, in particular those that are most popular in Brazil, which is a country with many years of experience in managing photoaged skin.

Decoding the Implications of Glucagon-like Peptide-1 Receptor Agonists on Accelerated Facial and Skin Aging.

Following the advent of glucagon-like peptide-1 receptor agonists (GLP1RA), subsequent unintended effects such as accelerated facial aging and altered skin health have been noted. This review delves deeper into the causative underlying mechanisms and provides insights into the intricate relationship between GLP-1RA, adipose tissue, and premature facial aging, thereby highlighting the need for a nuanced understanding of their effects on facial alterations and skin health. Studies exploring the potential effects of GLP-1RA on facial alterations and offering insights into the possible underlying mechanisms, causes and clinical implications were included. The accelerated facial aging and altered skin health observed in GLP-1RA patients appears to be multifactorial, involving loss of dermal and subcutaneous white adipose tissue, altered proliferation and differentiation of adipose-derived stem cells (ADSCs), and impacts on the production and secretion of hormonal and metabolic factors. These changes compromise the structural integrity and barrier function of the skin and may lead to diminished facial muscle mass, further exacerbating the appearance of aging. The insights presented call for a paradigm shift in the clinical management of facial changes induced by GLP-1RA, with a focus on treatment strategies aimed at targeting ADSC stimulation. These include autologous fat transfers to reintroduce cells rich in ADSCs for rejuvenation, composite fat grafting combining autologous fat with/without stromal vascular fraction, and the strategic use of soft tissue fillers for volume restoration and biostimulation. This review highlights the potential role of GLP-1RA in modulating adipose tissue dynamics, contributing to accelerated aging through metabolic, structural, and hormonal pathways.

The use of botulinum toxin in aesthetic procedures

Introduction: Botulinum toxin is a protein produced by the bacterium Clostridium botulinum. When administered orally in large quantities, it blocks nerve signals from the brain to the muscle, causing generalized paralysis, called botulism. However, by injecting very small amounts into a specific facial muscle, only the impulse that guides this muscle will be blocked, causing local relaxation. In this way, botulinum toxin acts as a blockade of the underlying muscles of the unwanted lines. In recent years, there has been an increase in the use of botulinum toxin in aesthetic procedures and knowledge about it is of great importance. Aim: The aim of this study was to demonstrate the use of botulinum toxin in aesthetic procedures. Methodology: This is a literature review study. Results: Botulinum toxin has been widely used in aesthetic procedures to temporarily reduce painful wrinkles, such as expression lines on the forehead, around the eyes (crow's feet) and between the eyebrows (glabella). Botulinum toxin is also used to treat gummy smiles, hyperhidrosis (excessive sweating) and facial asymmetry. Its aesthetic use provides a rejuvenated appearance and softens the marks of facial ageing. Clinical studies have shown positive results in terms of improved facial appearance and increased patient satisfaction with botulinum toxin procedures (CARRUTHERS, A., & CARRUTHER, J 2009). Conclusion: Botulinum toxin is extremely important in aesthetic procedures and requires a great deal of attention from professionals, as it brings great benefits if used correctly and in the correct dose.

Letter on Obesity, Glycemic Traits, Lifestyle Factors, and Risk of Facial Aging: A Mendelian Randomization Study in 423,999 Participants

Letter on Obesity, Glycemic Traits, Lifestyle Factors, and Risk of Facial Aging: A Mendelian Randomization Study in 423,999 Participants

Precision sketching with de-aging networks in forensics

Addressing the intricacies of facial aging in forensic facial recognition, traditional sketch portraits often fall short in precision. This study introduces a pioneering system that seamlessly integrates a de-aging module and a sketch generator module to overcome the limitations inherent in existing methodologies. The de-aging module utilizes a deepfake-based neural network to rejuvenate facial features, while the sketch generator module leverages a pix2pix-based Generative Adversarial Network (GAN) for the generation of lifelike sketches. Comprehensive evaluations on the CUHK and AR datasets underscore the system’s superior efficiency. Significantly, comprehensive testing reveals marked enhancements in realism during the training process, demonstrated by notable reductions in Frechet Inception Distance (FID) scores (41.7 for CUHK, 60.2 for AR), augmented Structural Similarity Index (SSIM) values (0.789 for CUHK, 0.692 for AR), and improved Peak Signal-to-Noise Ratio (PSNR) metrics (20.26 for CUHK, 19.42 for AR). These findings underscore substantial advancements in the accuracy and reliability of facial recognition applications. Importantly, the system, proficient in handling diverse facial characteristics across gender, race, and culture, produces both composite and hand-drawn sketches, surpassing the capabilities of current state-of-the-art methods. This research emphasizes the transformative potential arising from the integration of de-aging networks with sketch generation, particularly for age-invariant forensic applications, and highlights the ongoing necessity for innovative developments in de-aging technology with broader societal and technological implications.

Instrumental Analysis of Retaining Ligaments and Literature Review. What Can We Deduce?

Objective: This article aimed to review systematically the literature to better characterize retaining ligaments of the face and their changes correlated to facial aging. The authors have investigated the retaining ligament dimensions in 2 different cohorts of patients. Background: Osteocutaneous facial retaining ligaments play an important role in the aging face. With the advancement of techniques and technologies used in procedures of facial rejuvenation, several structures of the face must be highlighted to obtain clinical success as the facial retaining ligaments. It is known that classic characteristics of the aged face imply in the retaining ligaments, the intimate relationship of the ligaments with the cutaneous tissue can be modified by structural and functional changes. Methods: Sixty patients, divided into 2 different cohorts age correlated, have undergone soft tissue ultrasound echography to measure the dimensions (length and thickness) of 2 retaining ligaments (zygomatic cutaneous ligament and mandibular ligament). Results: No significant differences in age correlation have been found in the dimensions of the 2 major retaining ligaments of the face. Conclusion: Retaining ligaments do not undergo substantial time-correlated changes to absolve their retentive function, unlike other facial layers (bone and fat compartments). This observation suggests that retaining ligaments must be preserved during sub–superficial musculoaponeurotic system dissection in a facelift procedure.

Investigating The Determinants of Vocational Education and Economic Development in Digital Age: A Review from 2018 - 2023

Vocational education plays a crucial role in the development of individuals by providing them with the most essential skills. The crucial importance of vocational education necessitates support from various elements, including government policy and the educational aspect within the vocational school. However, higher vocational education and economic development in the digital age face several challenges, stemming from enrollment trends, policy interventions, labor market dynamics, and demographic shifts. This study provides a systematic review using PRISMA guidelines for addressing higher vocational education enrollment, policy interventions, labor market trends, and demographic factors that affect the integration of vocational education and economic development in the digital age. The initial phase involves the identification of a suitable source database, which may include prominent platforms such as Scopus, Google Scholar, or IEEE Xplore The findings of the study reveal that most students enrolling in higher vocational education recommend using hands-on training and practical skills that have been directly applicable to my current job in the IT industry. The program needs to focus on industry-relevant skills for the demands of the labor market. We also identifying and filling these research gaps could lead to a more comprehensive and critical understanding of vocational education. Vocational education programs can adapt to labor market trends by incorporating emerging technologies into their curricula, collaborating with industry experts to identify skill gaps, and offering continuing education courses to keep graduates up to date with the latest advancements. Finally, this study provides some recommendations for further studies.

Understanding the Interplay Between Skin, Fascia, and Muscles of the Midface in Facial Aging.

Surgical, minimally-invasive, and non-invasive aesthetic procedures try to ameliorate the signs of facial aging, but also focus on enhancing various individual features of beauty in each patient. Herein, the midface plays a central role due to its location but also its importance for the aesthetic perception and facial expression. To date, no study has investigated the interplay between facial muscles and its connecting subdermal architecture during facial aging to provide a more comprehensive understanding of the middle face. A total of 76 subjects, consisting of 30 males (39.5%) and 46 females (60.5%) with a mean age of 42.2 (18.7) years [range 19-80] and a mean BMI of 24.6 (3.7) kg/m2 [range 18-35], were enrolled in this investigation. Cutometry (skin aging), 3D skin displacement analyses (subdermal connective tissue aging), and sEMG (muscle aging) analyses were utilized. The results revealed that overall skin firmness increased, and skin elasticity decreased (p < 0.001), sEMG signal of the investigated muscles decreased (p < 0.001), whereas midfacial mobility remained unaltered (p = 0.722). The results of this study indicate that midfacial aging is a measurable effect when utilizing individual measurement modalities for assessing skin, subdermal fascia, and midfacial muscles. The function of midfacial muscles revealed a potential threshold effect, which is not reached during midfacial aging due to the unchanged soft tissue mobility at older age. However, to understand its clinical presentation all midfacial soft tissues need to be factored in and a holistic picture needs to be created. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes review articles, book reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to authors www.springer.com/00266 .

Age-Invariant Face Recognition Using FaceNet and Multi-task Cascaded Convolutional Networks (MTCNN)

In an era where face recognition technology serves as a cornerstone for security, surveillance, and human-computer interaction, the persistence of age-related variations in facial appearance presents a significant challenge. This research introduces an innovative solution that amalgamates the capabilities of the FaceNet deep learning model with Multi-task Cascaded Convolutional Networks (MTCNN) to achieve precise and robust face recognition across diverse age groups. Leveraging FaceNet's prowess in extracting distinctive features from facial images and mapping them to a high-dimensional feature space for efficient face matching, our system incorporates MTCNN as a pre-processing step to accurately detect and align faces, effectively mitigating age-related changes in facial geometry. Crucially, this novel approach obviates the need for age-specific databases and age group categorization, rendering it a versatile and practical solution for age-invariant face recognition. Rigorous experimentation on benchmark datasets underscores the system's resilience and accuracy across a broad spectrum of age groups, culminating in state-of-the-art results in age-invariant face recognition. The implications of this proposed approach are profound, promising to fortify security measures and enhance user experiences in applications such as access control, personal identification, and customer service, while ensuring dependable and accurate face recognition, irrespective of an individual's age. Key Words: Face recognition, face aging, generative adversarial networks

An Innovative Treatment Using Calcium Hydroxyapatite for Non-Surgical Facial Rejuvenation: The Vectorial-Lift Technique

BackgroundThe facial aging process entails alterations in the volume, shape, and texture of all skin layers over time. Calcium hydroxyapatite (CaHA) is a well-established safe skin filler with unique properties to resolve some skin alterations by stimulating neocollagenesis. The vectoral-lift (V-lift) technique targets the global repositioning of facial structures by addressing distinct anatomical injection planes. It includes deep facial augmentation with Radiesse PlusTM to retain ligament restructuring and superficial subcutaneous enhancement with diluted Radiesse DuoTM. Herein, we present cases that illustrate the use of this approach.MethodsThis pilot study enrolled 36 participants (33 women and three men; ages 37–68 years) in a Brazilian clinical setting, and all patients underwent a single treatment. Photographs were taken at rest, in frontal and oblique views, before injection, and 90 days after treatment.ResultsTreatment resulted in elevation of the upper and middle face, notable improvements in the infraorbital hollow, and adjustment of the mean facial volume.ConclusionsThe V-lift technique is a three-dimensional pan-facial treatment that relies on ligament support and face vectoring to obtain a lifting effect and facial contour restoration. It encompasses deep facial augmentation involving the use of Radiesse PlusTM for restructuring and retaining ligaments and Radiesse DuoTM for superficial subcutaneous enhancement. This approach targets a global repositioning of the facial structures by addressing distinct anatomical injection planes. It achieves a repositioning of the overall facial anatomy without requiring a substantial volumetric expansion.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Evaluation of Facial Aging in Different Age and Gender Groups With Computed Tomography-Based Calvarium and Face Measurements.

The human face is a complex area formed by the combination of many different components and varies among individuals according to gender, age, and ethnicity. The aim of this study was to evaluate age-related changes in the facial and calvarial bones in a large sample of both genders. The retrospective study included nontraumatic brain computed tomography scans of 280 Turkish adults. Participants were divided into 7-decade groups with the age ranging from 20 to 89 years. Measurements of the face and calvaria were recorded, and calvarial volume was calculated. The relationship of these parameters with age and gender was examined. Statistically significant differences were observed in all the facial and calvarial measurements, except the transverse diameter of the head, with increasing age in both genders. Regardless of age, no significant differences were found in facial and calvarial measurements between genders. In addition, there was a significant decrease in the calvarial volume in both genders after the seventh decade of life. The structure of the face and calvarium continues to change and differentiate throughout life. Taking these changes into account during surgical and facial rejuvenation procedures can help predict outcomes and avoid the use of incorrect techniques.

Efficacy and Safety of Monopolar Radiofrequency for Tightening the Skin of Aged Faces

Background: Monopolar radiofrequency (RF) has emerged as a promising modality for tightening the skin of aged faces. Although many studies have assessed the efficacy of monopolar RF via the clinical evaluation of photographs, few have examined the long-term effectiveness and safety of this therapy using various skin testing devices. Methods: Twenty women with aged faces participated in this study. After a single monopolar RF treatment, three blinded dermatologists who were not involved in the treatment evaluated its clinical efficacy and safety after 4, 12, and 24 weeks. Skin firmness, fine wrinkles, skin pores, and skin tone were also measured using an indentometer (Courage+Khazaka Electronic GmbH, Köln, Germany) and a facial aging measurement device (Mark-Vu; PSI Plus, Suwon-si, Republic of Korea). Results: Skin laxity in the jowls and nasolabial folds showed significant improvement 12 weeks after the single monopolar RF treatment when evaluated by dermatologists, and this improvement lasted 24 weeks (p &lt; 0.05). Moreover, the participants reported improvement at 4 weeks compared to baseline which lasted 24 weeks (p &lt; 0.05). Skin firmness measured in the cheek increased 4 weeks after treatment and continued to improve during 24 weeks of follow-up (p &lt; 0.01). Although there was a gradual increase in improvement in skin pores, fine wrinkles, and skin tones, there were no statistical differences compared to the baseline. No patients experienced pain during the treatment, and no burns, skin breakdown, or scarring occurred after treatment. Conclusions: A single monopolar RF treatment is effective for females with aged face. A significant improvement in the jowls and nasolabial folds and facial skin firmness was observed between the 4- and 24-week follow-ups without adverse effects.

Causal relationship between dyslipidemia and risk of facial aging: Insights from Mendelian randomization in East Asian populations.

Emerging observational studies showed an association between dyslipidemia and aging. However, it remains unclear whether this association is causal, particularly in the case of Asians, which are aging more rapidly than other continents. Given the visible manifestations of aging often include changes in facial appearance, the objective of this study is to assess the causal relationship between dyslipidemia and facial aging in East Asian populations. SNPs related to dyslipidemia in East Asian people such as Total cholesterol (TC), High-density-lipoprotein cholesterol (HDL), Low-density-lipoprotein cholesterol (LDL), and Triglyceride (TG) along with outcomes data on facial aging, were extracted from public genome-wide association studies (GWAS). A two-sample Mendelian randomization (MR) analysis was then performed using publicly available GWAS data to investigate the potential causal relationship. The effect estimates were primarily calculated using the fixed-effects inverse variance weighted (IVW) method. Totally, 88 SNPs related to HDL among 70657 East Asian participants in GWAS. Based on the primary causal effects model using MR analyses with the IVW method, high HDL level was demonstrated as significantly related to the risk of facial aging (OR, 1.060; 95% CI, 1.005-1.119, p=0.034), while high TC level (OR, 0.995; 95% CI, 0.920-1.076, p=0.903), high LDL level (OR, 0.980, 95% CI, 0.924-1.041, p=0.515), as well as high TG level (OR, 0.999, 95% CI, 0.932-1.071, p=0.974), showed no significant correlation with facial aging. The two-sample MR analysis conducted in this study revealed a positive causal relationship between high HDL levels and facial aging. In contrast, facial aging demonstrated no significant correlation with high levels of TC, LDL, or TG. Further large-sample prospective studies are needed to validate these findings and to provide appropriate recommendations regarding nutrition management to delay the aging process among old patients in East Asia.

Genetically Proxied Autoimmune Diseases and the Risk of Facial Aging.

Previous studies have suggested a relationship between autoimmune diseases and the risk of facial skin aging. However, evidence from population-based studies on this topic is limited, leaving the causal association between these factors unknown. This study aimed to systematically evaluate the causal effects of 18 autoimmune diseases on the risk of facial skin aging, aim of providing strategies to mitigate early facial aging in patients with autoimmune diseases. We conducted univariate Mendelian randomization (UVMR) analyses to examine the causal relationship between 18 autoimmune diseases and facial aging using publicly available summary data from genome-wide association studies (GWASs). We also conducted multivariate Mendelian randomization (MVMR) analyses to adjust for confounding factors, including smoking, alcohol consumption, and body mass index (BMI). The main inverse variance weighted (IVW) method revealed that genetically proxied ankylosing spondylitis (AS) (OR 1.017; 95% CI: 1.003-1.031; P=0.018), sicca syndrome (SS) (OR 1.008; 95% CI: 1.005-1.011; P= 2.66×10-6), systemic lupus erythematosus (SLE) (OR 1.006; 95% 1.001-1.011; P=0.014), multiple sclerosis (MS) (OR 1.004; 95% CI: 1.001-1.007; P=0.021), primary sclerosing cholangitis (PSC) (OR 1.002; 95% CI: 1.000-1.004; P=0.023), and celiac disease (CeD) (OR 1.002; 95% CI: 1.001-1.004; P=0.009) were significantly associated with higher risk of facial aging. After adjusting for potential confounding factors, the association persisted between AS, SLE, and CeD. These findings indicated that autoimmune diseases play a causal role in facial skin aging. Therefore, patients with autoimmune diseases should take appropriate measures to prevent early facial aging.

Evaluation of Platelet-rich Plasma and Microneedling for Facial Skin Rejuvenation

Background: The regenerative properties of platelet growth factors make platelet-rich-plasma (PRP) an attractive modality for treatment of aging skin. The main objective of this study was to determine efficacy and safety of PRP injections and microneedling compared with saline injections in women with aging skin of the face. Methods: In this prospective, randomized clinical trial, 18 women with facial aging were randomized to receive either PRP injections to the unilateral face and saline injections to the contralateral side, or vice versa. Microneedling was performed after injections on the entire face. Physician assessment, photographs, and treatment satisfaction questionnaires were used for outcome assessment at baseline and 16- and 24-week follow-ups. Results: There was no evidence of improvement and suggestion of worsening in skin laxity and rhytides from baseline to weeks 4, 16, and 24 for PRP and saline (all P ≤ 0.004) and no notable difference in skin roughness between baseline and follow-up time points for PRP or saline (all P ≥ 0.19). The degree of change in skin laxity, rhytides, and skin roughness from baseline to follow-up time points was similar for PRP and saline. All patients experienced some degree of pain/discomfort and burning/stinging sensation at treatment weeks 4, 8, and 12 for both saline and PRP. Conclusions: PRP injections did not seem to be effective for treatment of aging skin of the face in women, with no notable macroscopic improvement in appearance when compared with baseline or saline injections. Advanced age of study participants (&gt;45 years) and less-sensitive methods of evaluation may be potential contributing factors to the lack of detected response.

Examining Constraints: A Critical Appraisal of Autoimmune Diseases and Facial Aging Study [Letter

Examining Constraints: A Critical Appraisal of Autoimmune Diseases and Facial Aging Study [Letter

Triamcinolone Injection in the Treatment of Malar Edema.

Tear-through deformities can be a detectable sign of facial aging. Over recent years, minimally invasive procedures such as hyaluronic acid filler injections have been shown to be effective in improving this area. Malar edema is the accumulation of fluid over the malar eminence persisting for 1 month or more. Given its nature, the management remains problematic. The most commonly reported treatment modality is injection with hyaluronidase. To determine the safety and efficacy of triamcinolone injection in the treatment of malar edema. A total of 15 female patients with malar edema, with a mean age of 43.77 years, were treated with triamcinolone injections. The volume injected was chosen by the investigator. Prior to the triamcinolone injection, all patients had been treated with hyaluronidase, which turned out to be ineffective in all cases. Patients were asked to note all adverse effects. Satisfactory results were achieved after a single treatment session for 14 patients and after two treatments for one patient. Overall, injections with triamcinolone were well tolerated and no adverse reactions were reported. Injection with triamcinolone appears to be a safe and effective option for the management of malar edema following hyaluronic acid filler injection. Nevertheless, further research with larger patient groups is compulsory.

Face Age Prediction Based on Machine Learning

Age recognition, an essential attribute of human identity, plays a pivotal role in various social and medical applications. Due to the influences of photography equipment, lighting, and angles, age recognition based on facial images has always been a challenging topic. Fortunately, with the development of machine learning, especially the breakthroughs achieved by neural network models in image-related fields, researchers have applied machine learning to age recognition. From the perspective of research methodologies, age prediction can be regarded as either a regression or classification task. Therefore, this article analyzes from both regression and classification perspectives. Firstly, it introduces the commonly used datasets in the field of facial recognition. Then, it discusses the commonly used regression models, classification models, and optimization methods in age recognition tasks. Finally, the article summarizes the entire text and proposes future research ideas, providing references for researchers in related fields.