Greater Effect Research Articles

A INFLUÊNCIA DA MOTIVAÇÃO NO FUNCIONALISMO PÚBLICO

The objective of this work was to analyze the importance of motivation in the public sector, in order to investigate how its impact is reproduced on the quality of the work performed. To achieve this objective, the exploratory bibliographic review methodology was used, consolidating perspectives from different authors on the topic. In recent years, interest in employee motivation in the public environment has gained prominence. Government managers and leaders have come to understand the importance of motivation as a determining factor in optimizing the performance of public servants. Motivation is an intrinsically human characteristic, influenced by a complex interaction of internal and external factors. It is essential to ensure employee commitment, resulting in greater effectiveness and quality in the services provided, therefore contributing to achieving the objectives of the public sector. The motivation of public servants is a crucial element for the success of the state apparatus. When neglected, it can compromise modernization initiatives, the ability to meet citizens' demands, expand the supply of services, invest in technology and maintain the competitiveness and efficiency of the public sector. Therefore, it is imperative to adequately address the issue of human resource motivation in the context of the public sector, recognizing its strategic importance.

Bioactivity-guided Separation of Antinociceptive and Antioxidant Subfractions from Alkaline Chloroform Fraction of Fenugreek Seeds (Trigonella foenum-graecum L.) in an Animal Model

Background: Antinociceptive effect of fenugreek seeds (Trigonella foenum-graecum L.) has been reported in different animal models in response to various chemical or thermal stimuli. In a recent study, alkaline chloroform fraction (AKC) of this plant has exhibited the greatest analgesic effect. Objective: In the present study, to isolate the active component(s) from the plant, the subfractions resulting from AKC column chromatography were evaluated in an animal model for anti-nociception effect. Methods: From the 17 separated fractions, 5 major fractions (F4, F6, F14, F15 and F16) were used for the formalin test at three different doses (2.5, 5 10 mg/kg). Antioxidant activity of the most active subfractions was studied too. Results: Subsections F16 and F14 (5, 10 mg/kg) showed the greatest analgesic effect and reduced, which was similar to morphine and even stronger than morphine in some doses. The greatest antioxidant activity was observed by F14 (radical inhibition percentage of 17.34± 0.14 in DPPH assay, reduction power percentage of 74.05±4.23 in RPA versus green tea (91.68± 3.04 and 97.59± 6.24 in DPPH assay and RPA test respectively). The absorbance of F14 was 0.25±0.11 in the FTC method in comparison to ascorbic acid 10 μg/ml and 100 μg/ml (0.72±0.33 and 0.05±0.41 respectively). Conclusion: Separated subfractions exhibited more antinociceptive effect than AKC fraction, so further separation can lead to the acquisition of antinociceptive compound (s), while AKC fraction was found to be more potent antioxidant than separated sub-fractions in all three experiments. So, most likely, the anti-nociception effect of subfractions might be achieved via other mechanisms than antioxidant activity. Based on phytochemical screening, AKC and all sub-fractions especially F14, F15 and F16 were positive for the presence of alkaloids and only F14 was positive for flavonoids.

Non-household environments make a major contribution to dengue transmission: Implications for vector control.

The incidence of Aedes-borne pathogens has been increasing despite vector control efforts. Control strategies typically target households, where Aedes mosquitoes breed in household containers and bite indoors. However, our study in Kenyan cities Kisumu and Ukunda (2019-2022) reveals high Aedes abundance in public spaces, prompting the question: how important are non-household (NH) environments for dengue transmission and control? Using field data and human activity patterns, we developed an agent-based model simulating transmission across household (HH) and five NH environments, which was then used to evaluate preventive (before an epidemic) and reactive (after an epidemic commences) vector control scenarios. Our findings estimate over half of infections occur in NH settings, particularly workplaces, markets, and recreational sites. Control efforts in NH areas proved more effective than HH, contradicting the current global focus. Greater reductions in dengue cases occurred with early, high-coverage interventions, especially in NH locations. Additionally, local ecological factors, such as uneven water container distribution, influence control outcomes. This study underscores the importance of vector control in both household and non-household environments in endemic settings. It highlights a specific approach to inform evidence-based decision making to target limited vector control resources for optimal control.

Curry Leaf: Traditional Herb and its Medicinal Profile, Multipotential Nutraceutical Properties, Phytochemistry, and Pharmacological Activity

: This review briefly discusses about herbal medication, i.e., Murraya koenigii, also known as curry leaves, that have been useful in traditional medicine for centuries and natural products with different pharmacological activities. It might lead to a better knowledge of natural products' potential therapeutic effects and the creation of promising pharmaceuticals with minimal toxicity and great effectiveness for treating different ailments. The Chinese Biomedical Database (CBM), Technological Periodical Database (VIP), China National Knowledge Infrastructure (CNKI), Google Scholar, Elsevier, ScienceDirect, Sci Finder, and PubMed were used to compile the content of this review. From 1975 through 2020, data were collected. More than 23 components of M. koenigii have been discovered so far, with sterols, carbohydrates, flavonoids, and alkaloids causing the most concern. Due to its multicomponent nature, M. koenigii has a wide range of beneficial biological activities, including analgesic, anticancer, antioxidative, antimicrobial, antihypertensive, antidiabetic activities, antibacterial, and anti-inflammatory properties. This review discusses the vast details of M. koenigii (Curry leaves) and its possible medicinal use for different therapeutic purposes. The plant incorporates other essential substances, as discussed, are beneficial to remedy and deal with several ailment cures that exhibit different pharmacological actions. The accumulated ethnopharmacological details of that plant may be further helpful for the upcoming research about the said properties and use of M. koenigii.

Effects of transient, persistent, and resurgent sodium currents on excitability and spike regularity in vestibular ganglion neurons.

Vestibular afferent neurons occur as two populations with differences in spike timing regularity that are independent of rate. The more excitable regular afferents have lower current thresholds and sustained spiking responses to injected currents, while irregular afferent neurons have higher thresholds and transient responses. Differences in expression of low-voltage-activated potassium (K LV ) channels are emphasized in models of spiking regularity and excitability in these neurons, leaving open the potential contributions of the voltage-gated sodium (Na V ) channels responsible for the spike upstroke. We investigated the impact of different Na V current modes (transient, persistent, and resurgent) with whole-cell patch clamp experiments in mouse vestibular ganglion neurons (VGNs), the cultured and dissociated cell bodies of afferents. All VGNs had transient Na V current, many had a small persistent (non-inactivating) Na V current, and a few had resurgent current, which flows after the spike peak when Na V channels that were blocked are unblocked. Na V 1.6 channels conducted most or all of each Na V current mode, and a Na V 1.6-selective blocker decreased spike rate and altered spike waveforms in both sustained and transient VGNs. A Na V channel agonist enhanced persistent current and increased spike rate and regularity. We hypothesized that persistent and resurgent currents have different effects on sustained (regular) VGNs vs. transient (irregular) VGNs. Lacking blockers specific for the different current modes, we used modeling to isolate their effects on spiking of simulated transient and sustained VGNs, driven by simulated current steps and noisy trains of simulated EPSCs. In all simulated neurons, increasing transient Na V current increased spike rate and rate-independent regularity. In simulated sustained VGNs, adding persistent current increased both rate and rate-independent regularity, while adding resurgent current had limited impact. In transient VGNs, adding persistent current had little impact, while adding resurgent current increased both rate and rate-independent irregularity by enhancing sensitivity to synaptic noise. These experiments show that the small Na V current modes may enhance the differentiation of afferent populations, with persistent currents selectively making regular afferents more regular and resurgent currents selectively making irregular afferents less regular.

Computational Modeling of Bone Fracture Healing Under Different Initial Conditions and Mechanical Load.

Computational model of bone healing can replace animal experiments to study the parameters affecting the bone healing process, thus reducing the damage to experimental animals and saving a lot of time. We propose a computational model for continuous simulation of four phases of bone healing to study the effects of mechanical environmental and biological factors, including initial conditions at the fracture site, mechanical stimulus loading, and vascular growth rate. A finite element model of mechanobiological fracture healing containing several pre-determined variables was developed for bone healing after fracture in sheep, which included many relevant parameters and biological effects during fracture healing, such as the effects of mechanical environment, blood supply level in the local fracture area, cell migration and diffusion, and resorption effects of fracture healing. The effects of several parameters on indices such as Young's modulus of the callus during bone healing were obtained by simulation. The initial geometry of the healing tissue and mechanical loading had the greatest effect on fracture healing, and different preset values were likely to cause delayed or non-healing fractures. Changed initial tissue properties of the healing tissue showed a nonlinear effect on fracture healing rather than a linear delay or advancement. Parameters related to angiogenesis had a greater effect on fracture healing compared to those related to cell migration. This paper quantified the effect of fracture healing pre-determined variables on fracture healing to better understand the application of mechanobiology in fracture healing simulation models and optimization of treatment strategies. The importance of initial conditions and loads on fracture healing has been shown to help physicians treat bone nonunion or delayed bone healing after a fracture.

The use of improved premix recipes in rations of cattle

Complete balanced feeding of farm animals cannot be organized without the use of various balancing additives, in particular premixes. It is important to note that the greatest eff ect from the use of premixes is observed when their recipes are developed taking into account specifi c feeding and housing conditions. The purpose of this work was to study the eff ectiveness of using improved premix recipes based on an analysis of the actual nutritional value of feed in the rations of lactating cows and calves. During the research, two experiments were carried out. The experiments were carried out at the Staraya Chigla livestock complex in the Anninsky district of the Voronezh region. In the experiment on cows, 20 animals were selected, which were divided into two groups (control and experimental) of 10 heads in each using the method of analogue pairs. In an experiment to study the eff ectiveness of the premix in feeding of young animals, two groups of calves of 12 heads in each were similarly formed. Animals of the control groups received farm rations with the premix developed without taking into account the analysis of the nutritional value of the rations. In the experimental groups, cows and calves received new and improved premixes developed based on these specific feeding conditions. The use of the premix with an improved recipe in the rations of cows made it possible to increase the average daily milk yield by 5,61 %, the fat content by 0,05 abs.% and the protein content in milk by 0,15 abs.%. At the same time, there was an increase in the level of digestibility of dry matter by 1,25 abs.%, organic matter by 1,07 abs.%, crude protein by 1,56 abs.%, crude fat by 1,63 abs.%, crude fi ber by 1,08 abs.%, nitrogen-free extractive substances by 1,87 abs.%. Calculation of feed intake for the synthesis of 1 kg of milk showed that they were lower in the experimental group by 0,31 MJ of net lactation energy and 2,97 g of digestible protein. Positive results were also obtained in experiments on calves. The use of the premix developed on the basis of the actual nutritional value of feed and rations, made it possible to increase the live weight of heifers at 12 months of age by 5,04 %, the average daily gain in live weight during the experimental period by 5,74 %, the relative gain by 1,91 abs.%.

Influences of reaction parameters and complexation pretreatments on the distribution of phosphorus during hydrothermal carbonization of dewatered sewage sludge

This study investigated the effects of reaction parameters and pretreatments with complexing agents, namely ethylenediaminetetraacetic acid (EDTA), glutamate diacetic acid (GLDA), and citric acid (CA), on the phosphorus contents and forms in the sludge hydrothermal carbonization products. The results showed that reaction temperature had the greatest effect on the distribution and forms of phosphorus in liquid and solid products. High reaction temperatures inhibited the transfer of phosphorus from the solid phase to the liquid phase. Indeed, the proportions of phosphorus in the liquid phases only accounted for 3.56 % at reaction temperature and time of 160 °C and 60 min, respectively. However, this proportion increased to 16.32, 12.62, and 13.15 % following complexation pretreatments with EDTA, GLDA, and CA at 0.1 mol/L, respectively. In addition, the complexation pretreatments enhanced the transfer of phosphorus from the solid phase to the liquid phase. The total phosphorus contents in the liquid phase (TPL) reached 896.46 mg/L. The finding can be explained by the binding of the complexing agents with metal ions, such as Mg, Ca, Al, and Fe, transferring phosphorus originally bound to these metal ions to the liquid phase. In addition, the results demonstrated the effectiveness of the magnesium ammonium phosphate (MAP) crystallization method for recovering phosphorus from the EDTA-pretreated liquid product. X-ray diffraction (XRD) and scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) analyses showed high purity and crystallinity of the obtained struvite to some extent.

Failure behaviors and acoustic emission characteristics of flawed granite of different grain sizes: Insights from true triaxial experiments with a free face

In this study, a group of experiments using true triaxial stress conditions with free face loading are performed on granite specimens with non-penetrating double flaws. The crack development and failure characteristics of these specimens are explored by integrating video of the free face and acoustic emission technology, with the combination of the four different intermediate principal stresses and three different grain sizes of the granite chosen as variables. First, surface flaws with a depth of 50 mm are found to have limited influence on the specimen’s failure mode. The intermediate principal stress has a greater effect as it inhibits the development of surface cracks; however, surface cracks develop much more readily in coarse-grained specimens than in other specimens. Second, when the intermediate principal stress exceeds 10 MPa, the rock burst failure phenomenon occurs in the specimen. Third, irrespective of changes in the intermediate principal stress and granite specimen grain size, the specimens primarily fail by tensile-shear failure and shear failure. Extending inward from the free face in the σ3 direction, according to the failure types, the failure types can be classified into tensile failure, shear failure, and tensile-shear failure. Finally, using the stress state synthesis method, the specimen’s stress state and crack distribution mechanism on the σ2 loading plane are analyzed.

Abstract 4761: Understanding three-drug combinations: optimizing scheduling while avoiding toxicity

Abstract The promise of combination therapies in managing tumor resistance is constrained by the therapeutic window (the difference between efficacious and toxic doses). We have sought to understand the impact of dose scheduling on the emergence of resistance, using a mathematical model-based approach linking pharmacokinetics (PK) to a parsimonious evolutionary model of tumor growth incorporating the emergence of drug resistance. Here, we analyze the potential of a three-drug combination to minimize toxicity while preventing the emergence of resistance. We simulated eight tumor subpopulations representing resistance to one, two or three hypothetical drugs, using an exponential growth model with growth penalties based on drug concentrations. We used the model to simulate the effects of pairs of antagonistic, synergistic, and additive drugs on the growth of sensitive and resistant populations in a tumor. Final tumor volume and resistant population were used to compare the efficacy of various drug schedules. We assumed an overlapping neutropenia-like toxicity as the dose-limiting toxicity for the three drug combination, which we have previously shown to be proportional to the peak moving average drug concentration over 18 days. Final tumor volume and peak toxicity were used to compare the effectiveness of various dosing strategies and interaction combinations. Synchronous dosing results in the greatest drug interaction effect between any two drugs. When all interactions between the three drugs are either antagonistic or synergistic, the greatest effect is observed when all drugs are dosed simultaneously. The drugs are most toxic when all three are dosed simultaneously or nearly simultaneously. Our work shows that time sensitivity—that is, the magnitude of the changes in efficacy associated with small changes in schedule—varies with phase offset. Scheduling is most time sensitive when all drugs are dosed simultaneously or nearly simultaneously; dosing of two drugs simultaneously is less time sensitive. Three-drug combinations are an effective means of preventing complete resistance. While simultaneous dosing of two or more drugs confers the greatest efficacy, such simultaneous dosing results in greater peak toxicity because of higher simultaneous drug concentrations. A potential compromise is the simultaneous dosing of two of the three drugs, which results in an intermediate toxicity. Dosing of two drugs simultaneously is also less time sensitive, advantageous in a practical sense as it is more robust to patient dosing error. While the approach used here is based on hypothetical drug properties, it provides a framework that is readily applicable to real-world drug combinations, with the potential for practical insights to guide the framing of the Target Product Profile for three-drug combinations. Citation Format: Madison Stoddard, Lin Yuan, Debra Van Egeren, Andrew Chen, Dean Bottino, Arijit Chakravarty. Understanding three-drug combinations: optimizing scheduling while avoiding toxicity [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 4761.

Overexpression of CD44 as a predictor of metastatic potential in patients with colorectal cancer

Objective. To correlate CD44 expression with the clinicopathological characteristics of patients with colorectal carcinoma (CRC).
 Materials and methods. This study included 90 patients with CRC who underwent curative surgical resection. Standard histopathological techniques and immunohistochemistry analysis was used to investigate CD44 expression. Semi–quantitative scoring was used to categorize CD44 expression levels. Patients' clinicopathological characteristics were retrospectively examined.
 Results. Overexpression of CD44 was found in 46.7% of all patients with CRC. Patients with right colon cancer had the highest CD44 expression (54,6%). Overexpression of CD44 was present in 69.6% of patients with metastatic lesions in visceral organs. We found statistically significant differences between CD44 overexpression and the presence of visceral metastases (p = 0.015), different T categories (p = 0.011), N status (p = 0.006), and G differentiation (p = 0.011). Our results showed that the disease stage has the greatest effect on CD44 overexpression (p <0.001).
 Conclusion. Overexpression of CD44 could be a reliable predictor of metastatic potential and poor prognosis in patients with CRC.

Aerobic exercise interventions for promoting cardiovascular health and mobility after stroke: a systematic review with Bayesian network meta-analysis

ObjectiveTo determine the superiority of aerobic exercise (AE) interventions on key outcomes of stroke recovery, including cardiorespiratory fitness (V̇O2peak, primary outcome), systolic blood pressure (SBP) and mobility (6 min Walk...

Prognostic nomograms for predicting long-term overall survival in spindle cell melanoma: a population-based study.

There are few research findings on the survival prognosis of spindle cell melanoma (SCM), which is an unusual kind of melanoma. The purpose of this study was to develop a thorough nomogram for predicting the overall survival (OS) of patients with SCM and to assess its validity by comparing it with the conventional American Joint Committee on Cancer (AJCC) staging system. The Surveillance, Epidemiology, and End Results database was searched, and 2,015 patients with SCM were selected for the analysis. The patients were randomly divided into training (n = 1,410) and validation (n = 605) cohorts by using R software. Multivariate Cox regression was performed to identify predictive factors. A nomogram was established based on these characteristics to predict OS in SCM. The calibration curve, concordance index (C-index), area under the receiver operating characteristic curve, and decision-curve analysis were utilized to assess the accuracy and reliability of the model. The net reclassification improvement and integrated discrimination improvement were also applied in this model to evaluate its differences with the AJCC model. The developed nomogram suggests that race, AJCC stage, chemotherapy status, regional node examination status, marital status, and sex have the greatest effects on OS in SCM. The nomogram had a higher C-index than the AJCC staging system (0.751 versus 0.633 in the training cohort and 0.747 versus 0.650 in the validation cohort). Calibration plots illustrated that the model was capable of being calibrated. These criteria demonstrated that the nomogram outperforms the AJCC staging system alone. The nomogram developed in this study is sufficiently reliable for forecasting the risk and prognosis of SCM, which may facilitate personalized treatment recommendations in upcoming clinical trials.

Effects of the Molecular Structure of Malodor Substances and Their Masking on 1,2-Dioleoyl-sn-glycero-3-phosphocholine Molecular Layers.

Certain odors have been shown not only to cause health problems and stress but also to affect skin barrier function. Therefore, it is important to understand olfactory masking to develop effective fragrances to mask malodors. However, olfaction and olfactory masking mechanisms are not yet fully understood. To understand the mechanism of the masking effect that has been studied, the responses of several target substance (TS) molecules-1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC) mixed molecular layers to odorant (OD) molecules were examined as a simple experimental model of epithelial cellular membranes injured by TS molecules. Here, we examined trans-2-nonenal, 1-nonanal, trans-2-decenal, and 1-decanal as TS molecules to clarify the effects of double bonds and hydrocarbon chain lengths on the phospholipid molecular layer. In addition, benzaldehyde and cyclohexanecarboxaldehyde were utilized as OD molecules to clarify the masking effect of the aromatic ring. Surface pressure (Π)-area (A) isotherms were measured to clarify the adsorption or desorption of TS and OD molecules on the DOPC molecular layer. In addition, Fourier transform infrared spectroscopy was performed to clarify the interactions among DOPC, TS, and OD molecules. We found that TS molecules with and without double bonds had different effects on the DOPC molecular layer and that molecules with shorter chain lengths had greater effects on the DOPC molecular layer. Furthermore, OD molecules with aromatic rings counteracted the effects of the TS molecules. On the basis of this research, not only a detailed mechanism by which odor molecules affect lipid membranes without mediating olfactory receptors is elucidated but also more effective OD molecules with masking effects are proposed.

The Impacts of Animated Transport Safety Advertising Cross Two Cultures

ABSTRACT Transport safety campaigns are valuable for public health, as they prevent traffic fatalities and collisions. Authorities and nonprofit organizations attempt to promote transport safety by advertising via social media. Understanding the factors that make online transport safety campaigns successful is also important. However, studies exploring the impact of animated videos on transportation safety are scarce. We adopted the stimuli-organism-response (S-O-R) framework to examine the impact of music and graphics on transport users’ emotional states and behaviors. We also considered how the reactions varied across cultures. The respondents were shown animated transport safety advertisements produced by Metro Trains in Melbourne, Australia. A total of 217 valid questionnaires were collected from transportation users in Taiwan and Vietnam. In contrast, we explored the spillover effects of an animated transport safety promotion campaign across cultures. The findings show that music significantly impacts people’s emotions, which, in turn, are associated with positive behavioral intentions. Self-efficacy had the greatest effect on behavioral responses. We also found that transport users in Taiwan were more influenced by graphics, whereas those in Vietnam were more affected by music in the S-O path. Fear arousal affects the behavioral intentions of Vietnamese transportation users in the O-R path. Self-efficacy is the dominant factor affecting the ability of Taiwan’s transport users to obey traffic rules. Transport safety advertising should be designed to evoke emotions, and specific stimulus elements should be adjusted according to cultural preferences.

Triboelectric-Responsive Drug Delivery Hydrogel for Accelerating Infected Wound Healing.

Electrotherapy is of great interest in the field of tissue repair as an effective, well-tolerated, and noninvasive treatment. Triboelectric nanogenerator (TENG) has shown advantages in promoting wound healing due to its peak output characteristic and low Joule heating effect. However, it is limited in infected wound healing due to poor antimicrobial capacity. Here, a wearable triboelectric stimulator (WTS) is developed that consists of a flexible TENG (F-TENG) and a triboelectric-responsive drug delivery hydrogel (TR-DDH) for healing of bacterium-infected wounds. F-TENG can generate pulsed current to wounds by converting mechanical energy from body movements. Polypyrrole is prone to reduction and volume contraction under electrical stimulation, resulting in desorption of curcumin nanoparticles (CUR NPs) from the polypyrrole in TR-DDH. Therefore, the highly efficient and controllable release of CUR NPs can be achieved by triboelectric stimulation. According to the in vitro and in vivo experiments, WTS has the greatest antimicrobial effect and the fastest promotion of infected wound healing compared to treatment with electrical stimulation or curcumin. Finally, the safety assessment demonstrates that the WTS has excellent tissue safety for chronic wound healing. Synergistic therapy with WTS provides an efficient strategy for chronic wound healing and smart-responsive drug delivery systems.

Development of Novel Conditioning Method Using Thermal Shape Memory Characteristics of Polyurethane CMP Pad

Traditionally, the pad roughness has been maintained by wearing down the polyurethane pad with diamond disk. However, that method generates debris and reduces pad lifetime. This study propose a new approach to pad surface recovery by synthesizing a polyurethane-based raw material that exhibits shape memory behavior and can recover its shape upon heating. The findings suggest that the pad’s surface can be maintained by utilizing its shape memory trait and designing a system to heat the pad. The pad recovery tests were conducted using universal test machine (UTM) samples and found that, in terms of heat recovery, increasing the temperature had a greater effect than increasing the exposure time. CMP test was performed by using three conditioning potions: diamond disk conditioning, heat conditioning, and no conditioning. The results showed that pad asperity was recovered more efficiently with heat conditioning than with no conditioning (demonstrated by a 19% higher removal rate). The experimental results can be expected that combines diamond disk conditioning with heat conditioning could be a superior alternative for pad surface refreshment. Shape memory pads can return to their original form, leading to better chemical mechanical planarization (CMP) performance and an extended pad lifetime.

Axial length, more than aging, decreases the thickness and superficial vessel density of retinal nerve fiber layer in non-glaucomatous eyes

PurposeThis study seeks to build a normative database for the vessel density of the superficial retina (SVD) and evaluate how changes and trends in the retinal microvasculature may be influenced by age and axial length (AL) in non-glaucomatous eyes, as measured with optical coherence tomography angiography (OCTA). MethodsWe included 500 eyes of 290 healthy subjects visiting a county hospital. Each participant underwent comprehensive ophthalmological examinations and OCTA to measure the SVD and thickness of the macular and peripapillary areas. To analyze correlations between SVD and age or AL, multivariable linear regression models with generalized estimating equations were applied.ResultsAge was negatively correlated with the SVD of the superior, central, and inferior macular areas and the superior peripapillary area, with a decrease rate of 1.06%, 1.36%, 0.84%, and 0.66% per decade, respectively. However, inferior peripapillary SVD showed no significant correlation with age. AL was negatively correlated with the SVD of the inferior macular area and the superior and inferior peripapillary areas, with coefficients of −0.522%/mm, −0.733%/mm, and −0.664%/mm, respectively. AL was also negatively correlated with the thickness of the retinal nerve fiber layer and inferior ganglion cell complex (p = 0.004).ConclusionAge and AL were the two main factors affecting changes in SVD. Furthermore, AL, a relative term to represent the degree of myopia, had a greater effect than age and showed a more significant effect on thickness than on SVD. This relationship has important implications because myopia is a significant issue in modern cities.

Effect of Negative Online Reviews and Physician Responses on Health Consumers' Choice: Experimental Study.

The COVID-19 pandemic has highlighted the importance of online medical services. Although some researchers have investigated how numerical ratings affect consumer choice, limited studies have focused on the effect of negative reviews that most concern physicians. This study aimed to investigate how negative review features, including proportion (low/high), claim type (evaluative/factual), and physician response (absence/presence), influence consumers' physician evaluation process under conditions in which a physician's overall rating is high. Using a 2×2×2 between-subject decision-controlled experiment, this study examined participants' judgment on physicians with different textual reviews. Collected data were analyzed using the t test and partial least squares-structural equation modeling. Negative reviews decreased consumers' physician selection intention. The negative review proportion (β=-0.371, P<.001) and claim type (β=-0.343, P<.001) had a greater effect on consumers' physician selection intention compared to the physician response (β=0.194, P<.001). A high negative review proportion, factual negative reviews, and the absence of a physician response significantly reduced consumers' physician selection intention compared to their counterparts. Consumers' locus attributions on the negative reviews affected their evaluation process. Physician attribution mediated the effects of review proportion (β=-0.150, P<.001), review claim type (β=-0.068, P=.01), and physician response (β=0.167, P<.001) on consumer choice. Reviewer attribution also mediated the effects of review proportion (β=-0.071, P<.001), review claim type (β=-0.025, P=.01), and physician response (β=0.096, P<.001) on consumer choice. The moderating effects of the physician response on the relationship between review proportion and physician attribution (β=-0.185, P<.001), review proportion and reviewer attribution (β=-0.110, P<.001), claim type and physician attribution (β=-0.123, P=.003), and claim type and reviewer attribution (β=-0.074, P=.04) were all significant. Negative review features and the physician response significantly influence consumer choice through the causal attribution to physicians and reviewers. Physician attribution has a greater effect on consumers' physician selection intention than reviewer attribution does. The presence of a physician response decreases the influence of negative reviews through direct and moderating effects. We propose some practical implications for physicians, health care providers, and online medical service platforms.

Effect of non-metallic doping on the electronic structure and optical properties of ZrSe2

The optoelectronic properties of non-metal (B, N, O, C, F) doped and biaxial tensile strain in the x–y direction of O-doped and N-doped ZrSe2, including energy band structure, density of states, dielectric function, and absorption coefficients, have been calculated by a first-principles approach based on density-functional theory. It is shown that the doped system has a low formation energy, indicating that the structure can exist stably. The B, C, and N atom-doped systems show impurity energy levels near the Fermi energy level, narrowing the bandgap, enhancing the electron transport ability, and increasing the electrical conductivity. Biaxial stretching was applied to the ZrSe2 structure before and after O and N doping, and it was found that the stability of the ZrSe2, Zr9Se[Formula: see text]O[Formula: see text] and Zr9Se[Formula: see text]N1 structures was found to decrease gradually with increasing strain. The energy bandwidth of the doped system in the Zr9Se[Formula: see text] O1system at a tensile strain of 4% is a maximum of 0.924[Formula: see text]eV; from the density of states, it is found that there is a very obvious orbital hybridization of Se-4p and Zr-d. The doped system has the largest effect on the dielectric function at 6% tensile strain and on the absorption coefficient at 8%. In the Zr9Se[Formula: see text]N1 system, stretching 8% energy bandwidth is a maximum of 0.788[Formula: see text]eV, the tensile strain of 8% has the greatest effect on the dielectric function, and a tensile strain of 6% has the most significant effect on the absorption coefficient.