Sufficient Support Research Articles

Knowledge on adolescent and reproductive health among secondary school students in Khulna City, Bangladesh

The main objective of this study was to investigate the depth and breadth of knowledge and ideas about adolescent health among secondary-level students. A concurrent mixed method approach, both quantitative and qualitative methods, was followed to carry out the study. Students enrolled in tenth grade under the Directorate of Secondary and Higher Education (DSHE) in Khulna City, Bangladesh, were chosen as the respondents of the study. Kotwali and Khanjahan Ali Thana of Khulna City were rationally chosen as the areas of the study. A total of 40 schools were randomly chosen, and 400 surveys, 10 surveys from each school, ideally 05 boys and 05 girls, were carried out, including 10 in-depth case studies. Findings indicated that, on average, more than half of the adolescents have knowledge gaps about adolescents and reproductive health, for example, misconceptions about the adolescent period and age range of puberty, vague understanding of the first sign(s) of physical appearances, and face critical emotional and social challenges. Both qualitative and quantitative data further showed that they hardly get sufficient cooperation and support from family and social environments in dealing with their challenges, display risky health behaviour, and make major decisions based on their self-discretionary assumptions to deal with crises. The findings of this study would provide important guidelines to parents and guardians, local and district and regional and national level GOs and NGOs health professionals who work with adolescent and reproductive health services, policymakers, academics, and researchers to create an adolescent-friendly environment.

Organisational and Ethical Challenges While Caring for Older People During the COVID-19 Pandemic in Sweden: AFocus Group Study.

During the COVID-19 pandemic, older people in Sweden's residential care facilities and home care services experienced high mortality rates. Prior to the pandemic, the care of older people in Sweden was challenged by organisational and regulatory changes, an ageing population and insufficient increases in staff numbers. These issues led to high staff turnover, increased workloads, stress, burnout and a perceived inability to provide satisfactory care. The pandemic brought about increased job strain, stress, anxiety, depression and post-traumatic stress disorder among the staff who cared for older people. The aim of this study was therefore to focus on assistant nurses and care aides' experiences of their work environments when caring for older people during the pandemic in Sweden. The data were collected through four focus groups interviews and analysed using qualitative content analysis. The results showed that the care staff had to navigate organisational and ethical challenges in poor and unsafe work environments. They lacked supportive leadership in their respective organisations, were neither valued, seen nor heard and were treated as 'plain doers'. During the pandemic, they were unable to protect or communicate easily with the older people in their care, which had harsh consequences. According to the participants, the pandemic left them, their working conditions and this part of the care system in a worse situation than before the pandemic. The pandemic thus revealed more unsustainable and unethical working conditions for the staff than before it, including the vulnerability of the older people in their care. The findings highlights the need of policies that ensure adequate training and instruction on medical issues, for managers responsible for overseeing the care of older people. There are also a need of provision of sufficient support for care staff and health care professionals during crises. The findings also underscore the need of feasible and efficient strategies do disseminate care information and address the psychosocial needs of older people.

The impact of information and communication technologies on international trade: A case of Sub-Saharan Africa

The aim of this research is to analyze the effect of information and communication technologies (ICT) on the bilateral trade flows of the countries of Sub-Saharan Africa (SSA). We use the method of generalized least squares (GLS) panel to correct for correlation and heteroskedasticity problems. We have employed the gravity model extended to ICT to examine the effects of key ICT indicators on bilateral exports and imports. The sample includes 44 African countries of the subcontinent, including 43 countries as partners (importers/exporters) and one reporter country (exporter/importer) and covers the period 2010 to 2019. The results show that access to mobile telephony and the internet, as well as the development of e-commerce, have a great potential for improving intra-African bilateral trade and that the effect of ICT is not unequivocal according to the category of flow considered. However, it emerges from these results that the development of ICT as it is today has not yet succeeded in overturning the argument of physical distance as a barrier to trade in sub-Saharan Africa. The key conclusion is that the establishment of better-quality ICT services and infrastructure is more critical to intra-African trade. African policymakers should accommodate sufficient support to establish the ICT infrastructure and expand ICT penetration by reducing the costs of communication, transactions and access to ICT.

Parameterization of the Vertical Mixing for the Luzon Undercurrent in the Northern Western Pacific Ocean

AbstractThe Luzon Undercurrent (LUC) is one of the most significant western boundary undercurrents in the northern western Pacific Ocean (WPO), essential for subsurface water transport and connecting subtropical–equatorial circulations. Over the last three decades, abundant observational progress has been made in revealing the basic features of the LUC. However, the dynamics and thus successful modeling of the LUC remain unresolved. In this work, we conducted a high‐resolution (3 km, 60 levels) numerical investigation of the WPO circulation using the China sea multi‐scale ocean modeling system. We paid particular attention to the vertical mixing, aiming to reasonably resolve the LUC by modifying the vertical mixing parameterization. Based on physics reasoning and experiments of physically based modeling, we designed an adaptive mixing scheme (AMS), which used a Munk‐like function in the thermocline for enhanced vertical mixing in the areas of small Richardson numbers. Using the AMS, we reproduced the two‐layer WPO circulations well and captured the inshore component of the LUC consistent with observations. Furthermore, we studied the dynamics of the LUC by analyzing the momentum balance and found that the LUC is primarily maintained by baroclinic pressure gradient force due to strong thermocline tilting near the western boundary. Enhanced vertical mixing in this highly sheared region crucially provides sufficient geostrophic support to sustain the LUC. Also, nonlinearity and submesoscale motions contribute positively to the LUC. This work advances physical understanding of the current‐undercurrent system and improves numerical capability in capturing the LUC and WPO circulations.

Integrating telemedicine in European healthcare settings: Key enablers for healthcare professionals

Abstract Background Conducted as part of WP4 (Sustainability) of the eCAN Joint Action (JA), we aimed to understand the facilitating factors for the use of telemedicine services in healthcare organisations (HCOs) involved in cancer care, such as comprehensive cancer centres and hospitals. eCAN JA runs pilot studies in 18 HCOs across 10 EU Member States (MS) to test the integration of telemedicine into the daily practice of healthcare professionals. Methods Based on a literature review, we identified 26 facilitators to implement telemedicine services at the organisational level; these were integrated to an online survey and sent to healthcare professionals working in cancer care. Next, they were invited to a foresight workshop to complement the quantitative survey data with qualitative insights. Results 24 healthcare professionals across 12 EU MS, predominantly from the pilot sites of the eCAN JA, responded to the survey. They advocate for trainings on telemedicine, emphasising the importance of user-friendly and interoperable platforms, alongside sufficient technological support, time, and financial resources to effectively implement telemedicine in HCOs. Trial periods for both healthcare professionals and patients should offer first-hand experience, while harmonising telemedicine protocols ensure consistency. In addition, promoting digital literacy among physicians and providing IT education from an early age could facilitate adoption. These strategies, coupled with awareness campaigns and infrastructure investments in HCOs, can pave the way for telemedicine adoption. Conclusions Based on the quantitative and qualitative outcomes, it can be concluded that policies should establish telemedicine training for healthcare professionals, support interoperability and user-friendliness of these services in HCOs. They should also address hospital workload challenges, create harmonised protocols, provide incentives, and invest in digital infrastructure in HCOs for telemedicine adoption. Key messages • Telemedicine implementation in HCOs requires equipping healthcare professionals with the necessary skills, ensuring system compatibility, and addressing resource constraints in HCOs for success. • Financial and infrastructural support to HCOs is crucial for the seamless integration of telemedicine services into the daily workflows of healthcare professionals, enhancing health service delivery.

Impact of extracorporeal cardiopulmonary resuscitation with ECPELLA on improvement of short-term survival in patients with refractory cardiac arrest

Abstract Background Extracorporeal cardiopulmonary resuscitation (E-CPR) is considered for cardiac arrest (CA) patients when conventional CPR is ineffective. While veno-arterial extracorporeal membrane oxygenation (VA-ECMO) robustly maintains systemic perfusion, it also increases left ventricular (LV) afterload. Recently, the transcatheter LV assist device Impella has been introduced, and the potential benefits of its combined use with VA-ECMO (ECPELLA) are anticipated. However, the utility and effective management of ECPELLA remain unclear. Purpose This single-site cohort study aimed to assess the impact of ECPELLA compared to VA-ECMO with or without intra-aortic balloon pump (IABP) in patients with refractory CA who received E-CPR. Methods We retrospectively reviewed 207 consecutive patients who underwent E-CPR between January 2012 and September 2023 at our institute. The patients were divided into two groups, ECEPLLA (n = 65) and VA-ECMO with or without IABP (n = 141). A propensity score analysis was conducted, utilizing 1:1 score matching based on variables including age, the rate of male gender, acute coronary syndrome, out-of-hospital CA (OHCA), in-hospital CA, shockable rhythm, and the time from collapse to VA-ECMO initiation, known as low flow time (LFT). We evaluated 180-day survival rates, hemodynamic data, and safety profiles. Result After propensity score matching, 57 ECPELLA patients and 57 VA-ECMO patients were included for analysis. No significant differences in the adjusted factors and comorbidities were found between the two groups. In the VA-ECMO group, 42 patients (74%) received concomitant use of IABP. During the first 72 hours following the initiation of VA-ECMO, the ECPELLA group received significantly higher total mechanical circulatory support flow compared to the VA-ECMO group, correspondingly received less catecholamine administration, and had more patients started on vasodilators and cardioprotective medications. There were no statistical differences in safety profiles, except for hemolysis and embolic cerebral infarction, between the two groups. Kaplan-Meier analysis demonstrated that the 180-day survival rates were significantly higher in the ECPELLA group than in the VA-ECMO group. In a multivariate Cox proportional hazard analysis that included age, shockable rhythm, OHCA, initial lactate levels, LFT, and ECPELLA, it was found that age (hazard ratio [HR], 1.28 [for 10-year increase]; 95% confidence interval [CI], 1.09–1.51; p = 0.002), initial lactate level (HR, 1.06; 95% CI, 1.01-1.11; p = 0.04), and ECPELLA (HR, 0.55; 95% CI, 0.36–0.85; p = 0.007) were significantly associated with 180-day mortality. Conclusion ECPELLA was associated with improvement of 180-day mortality in patient who received E-CPR. The results suggest that not only the choice of ECPELLA but also sufficient circulatory support during the acute phase, along with modulating catecholamines and vasodilators, may have influenced the prognosis.

Health literacy challenges of young adults with rheumatic diseased in the transition to adult care

Abstract Background For young people living with a chronic illness (such as rheumatic diseases), transitioning from youth to adult care is a challenging process requiring adequate health literacy (HL). Insight into the specific HL-challenges of young people with rheumatic diseases could contribute to preventing loss to follow-up, and improving medication adherence, health outcomes, and social participation. Methods A mixed-methods study was conducted among young adults (16-25 years old) living with rheumatic disease in the Netherlands. Participants were recruited at two clinics and through social media of patient initiatives. Quantitative data were digitally self-reported using the Health Literacy Questionnaire (HLQ) and Medication Adherence Report Scale (MARS). Qualitative data were collected through semi-structured interviews. Hierarchical cluster analysis of HLQ-data was used to identify health literacy profiles, uncovering strengths and weaknesses. Interview transcripts were analysed using content analysis and used to explore health literacy needs and confirm the HLQ results. Results Sixty-two participants completed the questionnaire and ten participants were interviewed. Six HL-profiles were identified, representing diverse strengths and weaknesses. Having sufficient information, social support, and critical appraisal were challenging across profiles. Some participants (particularly in profile 3) reported difficulties in taking medication. The interviews confirmed the quantitative findings and unveiled HL needs across seven categories, particularly the need for in-depth information and support, with a focus on (social) aspects of having a chronic illness as a young person. Conclusions HL-challenges of young adults with rheumatic diseases are similar to adult populations, but age-specific needs exist. The results can inform development of HL-responsive rheumatology services, for example during consultations or at the transition clinic.

The Importance of the Teachers’ Role in Imaginative Play

This study of Norwegian kindergartens investigates how teachers may support imaginative play, drawing on Vygotsky’s approaches to play and teachers’ positioning in play in terms of different roles. For this study, the empirical investigations were organized as both observations and focus group interviews. The sample was two kindergartens with in total 12 teachers and 44 children aged 3-5 years. The study was conducted in November 2021-April 2022. The analyses point to three main findings; firstly, changes according to daily schedule and content may have effect on play, secondly, the teacher’s role may be an obstacle in play, and thirdly, the teacher’s role may be a driving force in play. In the discussion of these findings, questions are raised about traditions and a lack of competence together can lead to children not receiving sufficient support in imaginative play. However, when the teachers are a play partner who both add new fictional elements and support the fiction by »lending« their experiences, the play’s potential and opportunity space is utilized. The conclusion is that the quality of the teachers’ role and involvement will have an impact on children’s cultural expression in play.

The development of exhaustion, cynicism, and inadequacy in general upper secondary education: perceived and received support, student engagement, and gender as predictors

ABSTRACT This study contributes to understanding the long-term development of burnout dimensions across students in general upper secondary education and of support, engagement, and gender as factors that contribute to this development. The study followed Finnish academic track students (N = 210) over three years to examine the development of three burnout dimensions (exhaustion, cynicism, inadequacy) and the predictors of these dimensions using latent growth modeling. The findings revealed that cynicism and inadequacy increased, while exhaustion remained stable; moreover, the three dimensions were strongly interrelated. Perceived support negatively predicted initial burnout levels, affective engagement negatively affected exhaustion and inadequacy, and cognitive engagement negatively affected cynicism. Further, girls reported higher exhaustion and inadequacy than boys. The findings yielded new insight on the importance of perceived support as an antecedent of burnout – sufficient and continuous support can help to reduce and prevent burnout among these students.

Displaying Altruism as a Sexual Signal in Human Mate Choice is an Adaptation – An Interdisciplinary Overview of the Evidence

AbstractNumerous studies in humans have shown that altruism may influence mate choice decisions, highlighting its potential role as a sexual signal. Whether using altruism as a signal is an adaptation, however, remains largely unresolved. In this review, we aim to investigate the adaptive nature of altruism as a sexual signal by constructing a comprehensive nomological network of evidence. Drawing upon interdisciplinary scientific modes of evidence (psychology, medicine, physiology, genetics, phylogenetics, hunter-gatherer studies, cross-cultural studies, and theoretical studies), our analysis reveals an extensive breadth of evidence across the various disciplines supporting the hypothesis that altruism is an adaptive sexual signal. However, only the psychological evidence demonstrates substantial depth. Other fields exhibit a lack of variation in research methods or a minimal amount of studies, limiting the strength of their respective contributions. Despite these limitations, there is still sufficient support for the nomological network. Based on the evidence of the various disciplines, we conclude that there is sufficient support that altruism as a sexual signal is an adaptation. We provide considerations for future research that would expand the scope of the evidentiary depth across the various disciplines, which would strengthen our understanding of the role of sexual selection in human altruism.

Spontaneous space closure after extraction of young first permanent molar. Retrospective cohort study.

Early compromised first-permanent-molar (FPM) extraction can adversely affect occlusion. However, the current literature does not provide sufficient support for definitive early extraction outcome. This cohort study aimed to evaluate the pattern of post-FPM extraction spontaneous space closure and its pre-extraction indicators. Patients of 7-13 years, with compromised FPM at three-tertiary-centers between 2015 and 2019 were retrospectively screened. Pre-extraction indicators were evaluated (extraction location, direction of the second permanent molar (SPM) long-axis, and SPM Demirjian development stage). Spontaneous space closure pattern was evaluated clinically and radiographically using the American Board of Orthodontics (ABO) grading system. In total, 112 FPMs (73-patients) were identified and five (4.5%) of the extraction sites showed favorable combined-ABO-scores. Distal direction of the SPM long-axis in the maxillary arch significantly decreased the relative risk (RR) of having a SPM rotation/alignment ABO score-1 (P = 0.002; RR = 0.64). For the mandibular arch, Demirjian stage D and E significantly decreased the RR of having ABO score-1 for spacing between the SPMs and second premolars (P = 0.029; RR:0.57, P = 0.004; RR:0.53, respectively) and vertical dimension (P = 0.02; RR = 0.53). The direction of the SPM long-axis and its developmental stage are key indicators of the favorable outcome pattern of spontaneous space closure after FPM early extraction.

A Review of Language Curriculum Development in Multilingual Classrooms

Integrated curriculum models in language teaching have gained prominence as educators seek to provide holistic, interdisciplinary learning experiences that improve both language proficiency and content knowledge. These models emphasize the meaningful application of language skills across various subjects, promoting deeper student engagement and critical thinking. However, the implementation of integrated curricula presents challenges related to teacher collaboration, resource availability, and institutional support, especially in traditional educational settings. This review aims to analyze the effectiveness of integrated curriculum models in language teaching by synthesizing findings from empirical studies and theoretical discussions. The study examines how these models influence language learning outcomes, foster critical thinking, and address the practical challenges faced by educators. Both qualitative and quantitative studies were included, covering various educational levels and cultural contexts. The findings indicate that integrated curriculum models enhance language proficiency, particularly in communicative and academic skills, while simultaneously improving student engagement and content mastery. Effective implementation depends on strong teacher collaboration and institutional support. However, barriers such as inadequate resources and lack of training often hinder the success of these models. In conclusion, integrated curriculum models offer substantial potential for improving language education, but their success requires careful planning and sufficient support. Future research should focus on long-term outcomes and the adaptation of these models to diverse educational contexts to maximize their impact.

Wide-Based Columellar Strut Graft: A Novel Boost for Enhanced Nasal Tip Support in Ethnic and Revision Rhinoplasty.

Adequate nasal tip support is crucial for achieving both aesthetic and functional outcomes in rhinoplasty. This study introduces a wide-based columellar strut graft (WB-columellar strut graft) as a new modification to provide enhanced support for the nasal tip, especially in challenging ethnic and revision rhinoplasty cases. To present and evaluate the effectiveness of the WB-columellar strut graft in providing sufficient nasal tip support and achieving satisfactory aesthetic outcomes in patients with ethnic noses, Asian noses, and revision rhinoplasty cases presenting with weak caudal septum or anterior nasal spine. A total of 32 patients, aged between 17 and 48, were included in this study. Of these, 11 were revision cases, 12 had ethnic noses, and nine had Asian noses. The technique involved preparing a WB-columellar strut graft in two different ways according to the need of particular case. WB-columellar strut graft-1: Constructed from either costal or septal cartilage, with a widened columellar base using bilateral grafts and a columellar strut graft. WB-columellar strut graft-2: Exclusively from costal cartilage, featuring a groove on the anterior surface for insertion of a columellar strut graft to form a wide-based structure. The grafts were applied to provide robust support in cases, where the caudal septum and spine were excessively resected. In 25 patients, the graft was prepared from costal cartilage, while in seven patients it was from septal cartilage. The WB-columellar strut graft-1 modification was used in 22 patients, and the WB-columellar strut graft-2 in 10 patients. Follow-up ranged from 12 to 24months, with only one case requiring a mini-revision due to visible tip graft. No significant complications were reported in other patients. The WB-columellar strut graft is an effective boost for enhancing nasal tip support in ethnic and revision rhinoplasty cases. It provides a more robust structural foundation, leading to long-lasting and satisfactory aesthetic results. This technique is particularly beneficial for patients with retracted caudal septum and weak anterior nasal spine, providing improved nasal tip projection and rotation. This 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 .

Application of Deterministic Multiple Linear Regression and Stochastic Analysis Through Monte Carlo Simulation to Model Loan Consumption Assuming Kenyan Data

The main focus of this survey is to examine the key determinants of loan consumption in Kenya, with a keen focus on variables such as monthly expenditure per adult, deposits, economic strength index, and diverse economic opportunities. The study's target population is Kenyan citizens aged 18 years and above. The study obtains data from the Kenya national census, aggregated at the county level. The literature review section presents sufficient support for the study’s hypothesis. In particular, the authors highlight Kenya as a country with one of the highest loan consumption in Africa, which plays as a motivation for conducting this survey. The survey methodology involves the use of quantitative analysis using descriptive statistics like tables, graphs and charts, deterministic multiple linear regression, and stochastic analysis through Monte Carlo simulation. The results of the survey show that monthly expenditure per adult, deposits, and economic strength index have a significant impact on loan consumption amount; that is, R-squared is equal to 0.88. The implication of this survey is based on its contribution to the understanding of loan consumption behaviors in Kenya, presenting relevant insights for policymakers, financial institutions, and other stakeholders in the lending and borrowing processes. The outcome has the potential to inform loan structure policies to enhance the promotion of responsible and sustainable loan consumption.

Experiences and the psychosocial situation of parental caregivers of children with spinal muscular atrophy against the background of new treatment options: a qualitative interview study

BackgroundSpinal muscular atrophy is a rare neurodegenerative disorder in children which leads untreated to muscle wasting, respiratory impairments, and a shortened life expectancy. Parents as primary caregivers are often physically and psychologically burdened. In recent years, new and promising treatment options have been approved, but it remains unclear if they have an impact on the psychosocial situation of affected families.ObjectivesThe aim of this study was to explore the views and experiences of parents as informal caregivers of children with SMA in the course of the disease against the background of new treatment options (Spinraza® or Zolgensma®).MethodsWe conducted qualitative interviews with 27 parents of children with SMA treated with Spinraza® and Zolgensma® from April to September 2020. The analysis was done using thematic analysis and reported according to the COREQ criteria.ResultsThe data analysis resulted in three main themes: a) caregiver burden and negative consequences for families, b) resources and protective aspects, c) psychosocial care needs. The results are discussed against the background of new treatment options and previous models of supportive care needs. Parental caregivers of affected children face multiple burdens in different stages of the child’s disease progression.ConclusionAlthough new treatment options for SMA showed observable effects for most parents, the main caregiver burden and reported symptoms were attributable to the overburdening care tasks. To unburden families, more screening for unmet needs, family-centered help services, professional caregivers, childcare, and sufficient financial support are needed.

Primary healthcare services' accessibility and quality under compulsory social health insurance in Kazakhstan.

Between 2020 and 2022, there was a rise in employment and entrepreneurial activity, despite some unemployment growth. In the Compulsory Social Health Insurance (CSHI), insured individuals, especially privileged and wage workers, increased. However, certain contributors, like those exempt from contributions and single social taxpayers, decreased, possibly due to legislative changes or the economic climate. The study aimed to evaluate the effectiveness and accessibility of medical services within the frameworks of Compulsory Social Health Insurance and the state Guaranteed volume of free medical care based on data regarding waiting times and the volume of services provided. This retrospective study analyzed data from 2020 to 2022 on patients receiving care under Kazakhstan's Mandatory Social Medical Insurance System (MSMIS) and Guaranteed Volume of Free Medical Care. Data included insurance status, labor market indicators, and medical service procurement. Descriptive statistics were calculated, and t-tests, with p-values indicating statistical significance (p < 0.05). It has been identified that overall, the execution of the plan for all types of medical care in Kazakhstan, including Almaty, reaches 100.0%, indicating sufficient financial support for the healthcare system. Rehabilitation centers and COVID-19 testing services stand out with shorter waiting times, whereas comprehensive diagnostic and advisory services require significantly longer waiting periods. The Guaranteed Volume of Free Medical Care typically offers a greater number of services with shorter waiting times compared to MSMIS, except for specialized medical care services in diagnosing new formations, where the Guaranteed Volume of Free Medical Care also has shorter waiting times but provides a greater number of services. The study has allowed us to identify differences in the availability and volume of medical services provided between Compulsory Social Health Insurance and the state Guaranteed volume of free medical care.

Symptom management for people with advanced dementia who are receiving end of life care.

This review aims to synthesise contemporary research on symptom management for people with advanced dementia who are thought to be in the final year of life. It highlights the unique challenges faced by palliative care and dementia care specialists, offering insights into the clinical decision-making required to support those with advanced dementia in various care settings. Recent studies indicate that people with advanced dementia often experience significant unmet palliative care needs, particularly regarding symptom management. Pain, breathlessness, and psychological distress are frequently mismanaged, which contributes to suboptimal care. Moreover, the unpredictable trajectory of dementia complicates the identification of end-of-life needs, which can result in fragmented care. Caregivers, both professional and family, struggle with managing complex symptoms, while family caregivers in home settings face added burdens in providing care without sufficient support. Palliative care for people with advanced dementia is currently inadequate due to a lack of tailored interventions, poor symptom management, and disjointed care systems. Enhancing training for caregivers, fostering interdisciplinary collaboration, and focusing on integrated care approaches across home and institutional settings are crucial to improving quality of life and symptom control for people with advanced dementia.

Enhancing distribution system stability and efficiency through multi‐power supply startup optimization for new energy integration

AbstractThis paper addresses the challenge of maximizing power capture from new energy sources, including coal, wind, solar, and hydroelectric power, which often lack sufficient inertia support. This deficiency can lead to frequency instability and cascading failures within the power system. A cooperative optimization model for the start‐up of multiple power supplies, designed to enhance the integration of new energy sources while maintaining system stability is proposed. The model incorporates primary frequency modulation and the intrinsic inertia support capabilities of self‐synchronous voltage source field stations, considering dynamic frequency constraints. Additionally, it employs new energy units with primary frequency modulation to provide inertia support during curtailment, particularly when conventional units cannot meet frequency standards due to existing constraints. Extensive simulations and comparative analyses demonstrate that the proposed model improves new energy utilization by up to 37.5% and reduces operational costs by approximately 16%, enhancing overall operational efficiency in high energy consumption scenarios.

Implementation of Sexual and Reproductive Health Education Policy in Schools in Asia and Africa: A Scoping Review

Objectives: This review aimed to map and synthesize existing literature on sex and reproductive education policy implementation in primary and secondary schools in Asia and Africa. Methods: Database searches yielded 24 relevant articles, which underwent thematic analysis. Results: Most studies were conducted in Africa and looked at barriers to implementation. Studies assessing implementation showed it was incomprehensive. Barriers were: policy/curriculum issues, societal opinions, teaching discomfort, lack of educator training, and lack of sufficient economical support. Conclusions: Based on the limited evidence, a cultural shift to reduce stigma seems necessary, alongside teacher and student involvement in policy formulation and implementation monitoring.

Low carbon energy industry and network economy prediction based on sensors and real-time data processing

The widespread use of sensors provides a large amount of real-time data for enterprises and decision-makers, providing more accurate information support for the prediction and decision-making of the network economy. With the help of Internet of Things technology, the data collected by sensors is transmitted in real time to data centers or cloud platforms. Real time data processing technology is used to clean, denoise, and analyze the data in real time, ensuring the accuracy and timeliness of the data. Perform pattern recognition and trend analysis on historical data, discover hidden patterns and correlations in the data, construct predictive and decision-making models to predict future economic trends and make reasonable decisions, continuously optimize and adjust the model to adapt to real-time data changes and dynamic changes in the economic environment, and improve the accuracy and efficiency of the model. The experimental results show that the network economy prediction and decision-making model based on sensor networks and Internet of Things technology can more accurately predict economic development trends, improve decision-making efficiency and accuracy. The large amount of data provided by sensor networks provides sufficient support for the construction and optimization of models.