Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

Search Results (24)

Search Parameters:
Keywords = information screening contract

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
16 pages, 2628 KiB  
Article
Machine Learning-Based Analysis of Differentially Expressed Genes in the Muscle Transcriptome Between Beef Cattle and Dairy Cattle
by Shuai Li, Yaqiang Guo, Chenxi Huo, Lin Zhu, Caixia Shi, Risu Na, Mingjuan Gu and Wenguang Zhang
Int. J. Mol. Sci. 2025, 26(11), 5046; https://doi.org/10.3390/ijms26115046 - 23 May 2025
Cited by 1 | Viewed by 426
Abstract
Muscle is a crucial component of cattle, playing a vital role in determining the final quality of beef. This study aimed to identify candidate genes associated with muscle growth and lipid metabolism in beef and dairy cattle by utilizing the public database of [...] Read more.
Muscle is a crucial component of cattle, playing a vital role in determining the final quality of beef. This study aimed to identify candidate genes associated with muscle growth and lipid metabolism in beef and dairy cattle by utilizing the public database of the National Center for Biotechnology Information (NCBI) to download bovine muscle transcriptome data. Through differential expression analysis, weighted gene co-expression network analysis (WGCNA), and SHapley Additive exPlanation (SHAP) explains machine learning models, we integrated and screened for relevant genes. The results showed a total of 2588 differentially expressed genes (DEGs), with 933 upregulated and 1655 downregulated in beef cattle compared to dairy cattle. In the WGCNA, the purple, black, green, red, brown, and blue modules were identified as significant modules. Based on the results of five different machine learning models, the Adaptive Boosting (AdaBoost) model demonstrated superior classification performance (accuracy = 0.84) compared to the other four models and was therefore selected as the optimal model. SHAP analysis was then employed to interpret the results, yielding the top 500 SHAP genes. In combination with DEGs and WGCNA, a total of 117 genes were identified. Subsequent functional enrichment analysis of these 117 genes revealed significant enrichment in pathways such as lipoprotein metabolic process, muscle contraction, and cytoskeleton in muscle cells, followed by interaction network analysis of genes and pathways. Ultimately, the APOA1, ACTB, S1PR1, PKLR, and SLC27A6 genes were identified as potential key regulators of lipid metabolism and muscle growth in beef and dairy cattle. In summary, this study provides a feasible method for handling large-scale transcriptome data and lays a foundation for future research on meat quality and improving the economic benefits of Holstein cattle. Full article
(This article belongs to the Section Molecular Informatics)
Show Figures

Figure 1

23 pages, 748 KiB  
Article
Myotonia Congenita in Australian Merino Sheep with a Missense Variant in CLCN1
by Leah K. Manning, Katie L. M. Eager, Cali E. Willet, Shaun Slattery, Justine H. McNally, Zoe B. Spiers, Mark Hazelton, Georgina Child, Rick Duggan, Brendon A. O’Rourke and Imke Tammen
Animals 2024, 14(24), 3703; https://doi.org/10.3390/ani14243703 - 22 Dec 2024
Cited by 1 | Viewed by 1311
Abstract
Myotonia congenita is a hereditary, non-dystrophic skeletal muscle disorder associated with muscle stiffness due to delayed muscle relaxation after contraction. We review myotonia congenita in domesticated animals and humans and investigated suspected myotonia congenita in a flock of Merino sheep in Australia. In [...] Read more.
Myotonia congenita is a hereditary, non-dystrophic skeletal muscle disorder associated with muscle stiffness due to delayed muscle relaxation after contraction. We review myotonia congenita in domesticated animals and humans and investigated suspected myotonia congenita in a flock of Merino sheep in Australia. In 2020, a property in New South Wales reported a four-year history of lambs that would fall on disturbance before rapidly recovering, with 13 affected sheep identified in 2020. Episodes were associated with a short period of tetanic spasms and a stiff gait upon rising. Lambs were otherwise normal between episodes, although over time, lost body condition and occasionally died from misadventure. An inherited condition was considered from limited pedigree information and a preliminary diagnosis of myotonia congenita was made based on clinical presentation. Biochemistry from four sheep found variable, but typically mild increases in creatine kinase (CK) and aspartate aminotransferase (AST). Modified electromyography on six affected sheep found irregular electrical activity within the muscle. For four sheep, there were no consistent significant abnormalities on post mortem examination and histopathology—typical for this condition. A review of the Online Mendelian Inheritance in Man (OMIM) and Online Mendelian Inheritance in Animals (OMIA) databases was conducted to summarise information about myotonia congenita in humans and eight non-human species of animals. Comparing the characteristic clinical presentation, pathology and electromyography data of affected Merino sheep to similar conditions in other species assisted the identification of likely candidate genes. Whole genome sequencing of two affected lambs detected a missense variant in CLCN1 (NC_056057.1:g.107930611C>T; XM_004008136.5:c.844C>T; XP_004008185.4:p.(P282S)), with a predicted deleterious effect on protein function. An SNP genotyping assay was developed, and the variant segregated with the disease in 12 affected sheep and obligate carrier rams under an assumed recessive mode of inheritance. Identifying a likely causal variant and developing a diagnostic test allows screening of suspected affected or carrier Merino sheep for early intervention to reduce propagation of the variant within flocks. Full article
(This article belongs to the Section Small Ruminants)
Show Figures

Figure 1

22 pages, 4974 KiB  
Article
Modeling the Impacts of Climate Change on Potential Distribution of Betula luminifera H. Winkler in China Using MaxEnt
by Qiong Yang, Yangzhou Xiang, Suhang Li, Ling Zhao, Ying Liu, Yang Luo, Yongjun Long, Shuang Yang and Xuqiang Luo
Forests 2024, 15(9), 1624; https://doi.org/10.3390/f15091624 - 14 Sep 2024
Cited by 7 | Viewed by 1043
Abstract
Betula luminifera H. Winkler, a fast-growing broad-leaved tree species native to China’s subtropical regions, possesses significant ecological and economic value. The species’ adaptability and ornamental characteristics make it a crucial component of forest ecosystems. However, the impacts of global climate change on its [...] Read more.
Betula luminifera H. Winkler, a fast-growing broad-leaved tree species native to China’s subtropical regions, possesses significant ecological and economic value. The species’ adaptability and ornamental characteristics make it a crucial component of forest ecosystems. However, the impacts of global climate change on its geographical distribution are not well understood, necessitating research to predict its potential distribution shifts under future climate scenarios. Our aims were to forecast the impact of climate change on the potential suitable distribution of B. luminifera across China using the MaxEnt model, which is recognized for its high predictive accuracy and low sample data requirement. Geographical coordinate data of B. luminifera distribution points were collected from various databases and verified for redundancy. Nineteen bioclimatic variables were selected and screened for correlation to avoid overfitting in the model. The MaxEnt model was optimized using the ENMeval package, and the model accuracy was evaluated using the Akaike Information Criterion Correction (delta.AICc), Training Omission Rate (OR10), and Area Under the Curve (AUC). The potential distribution of B. luminifera was predicted under current and future climate scenarios based on the Shared Socio-economic Pathways (SSPs). The optimized MaxEnt model demonstrated high predictive accuracy with an AUC value of 0.9. The dominant environmental variables influencing the distribution of B. luminifera were annual precipitation, minimum temperature of the coldest month, and standard deviation of temperature seasonality. The potential suitable habitat area and its geographical location were predicted to change significantly under different future climate scenarios, with complex dynamics of habitat expansion and contraction. The distribution centroid of B. luminifera was also predicted to migrate, indicating a response to changing climatic conditions. Our findings underscore the importance of model optimization in enhancing predictive accuracy and provide valuable insights for the development of conservation strategies and forest management plans to address the challenges posed by climate change. Full article
(This article belongs to the Section Forest Meteorology and Climate Change)
Show Figures

Figure 1

42 pages, 8734 KiB  
Systematic Review
Blockchain Technology Adoption for Disrupting FinTech Functionalities: A Systematic Literature Review for Corporate Management, Supply Chain, Banking Industry, and Stock Markets
by Vasiliki Basdekidou and Harry Papapanagos
Digital 2024, 4(3), 762-803; https://doi.org/10.3390/digital4030039 - 10 Sep 2024
Cited by 4 | Viewed by 5022
Abstract
Blockchain technology (BCT) is regarded as one of the most important and disruptive technologies in Industry 4.0. However, no comprehensive study addresses the contributions of BCT adoption (BCA) on some special business functionalities projected as financial variables like BCA integrity, transparency, etc. Therefore, [...] Read more.
Blockchain technology (BCT) is regarded as one of the most important and disruptive technologies in Industry 4.0. However, no comprehensive study addresses the contributions of BCT adoption (BCA) on some special business functionalities projected as financial variables like BCA integrity, transparency, etc. Therefore, the primary objective of this study was to close this theoretical gap and determine how BCA has contributed to the four business sectors that were selected since FinTech had the greatest potential in these domains. The PRISMA approach, a systematic literature review model, was used in this work to make sure that the greatest number of studies on the topic were accessed. The PRISMA model’s output helped identify relevant publications, and an analysis of these studies served as the foundation for this paper’s findings. The findings reveal that BCA for companies with a disrupting financial technology (FinTech) attitude can help in securing corporate transaction transparency; offer knowledge, same-data, and information sharing; enhance fidelity, integrity, and trust; improve organizational procedures; and prevent fraud with cyber-hacking protection and fraudulence suspension. Moreover, blockchain’s smart contract utilization feature offers ESG and sustainability functionality. This paper’s novelty is the projection to four business sectors of the three-layer research sequence: (i) financial variables operated as BCA functionalities, (ii) issues, risks, limitations, and opportunities associated with the financial variables, and (iii) implications, theoretical contributions, questions, potentiality, and outlook of BCA/FinTech issues. And the ability of managers or practitioners to reference this sequence and make decisions on BCA matters is considered a key contribution. The proposed methodology provides business practitioners with valuable insights to reevaluate their economic challenges and explore the potential of blockchain technology to address them. This study combined a systematic literature review (SLR) with qualitative analysis as part of a hybrid research approach. Quantitative analysis was carried out on all 835 selected papers in the first step, and qualitative analysis was carried out on the top-cited papers that were screened. The current work highlights the key challenges and opportunities in established blockchain implementations and discusses the outlook potentiality of blockchain technology adoption. This study will be useful to managers, practitioners, researchers, and scholars. Full article
(This article belongs to the Special Issue Digital Transformation and Digital Capability)
Show Figures

Figure 1

21 pages, 7944 KiB  
Article
Analysis of the Prices of Recycling Byproducts Obtained from Mechanical–Biological Treatment Plants in the Valencian Community (Spain)
by Javier Rodrigo-Ilarri and María-Elena Rodrigo-Clavero
Sustainability 2024, 16(16), 6714; https://doi.org/10.3390/su16166714 - 6 Aug 2024
Viewed by 1860
Abstract
Municipal solid waste (MSW) management in Spain, particularly in the Valencian Community, heavily relies on mechanical–biological treatment (MBT) plants followed by landfill disposal. These MBT facilities utilize mechanical processes like shredding, screening, and sorting to segregate recyclables (metals, plastics, paper) from organic material [...] Read more.
Municipal solid waste (MSW) management in Spain, particularly in the Valencian Community, heavily relies on mechanical–biological treatment (MBT) plants followed by landfill disposal. These MBT facilities utilize mechanical processes like shredding, screening, and sorting to segregate recyclables (metals, plastics, paper) from organic material and other nonrecyclables. While public funding supports these plants, private entities manage them through complex, long-term concession contracts. This structure restricts access to crucial data on the sale prices of the byproducts generated during MBT. Publicly available information on relevant company and administration websites is typically absent, hindering transparency surrounding byproduct revenue. This study addresses this gap by analyzing 2012’s available data on revenues obtained from byproduct sales following mechanical treatment at MBT plants within the Valencian Community and comparing them with Spanish national data. This research revealed a significant finding—the statistical distribution of average prices obtained from Ecoembes auctions in the Valencian Community mirrored the corresponding distribution for prices calculated from auctions conducted in other Spanish regions. This suggests a potential uniformity in byproduct pricing across the country. It has also been found that none of the analyzed price distributions exhibited a normal (Gaussian) distribution. The findings also highlight the need for alternative pricing models that move beyond simple averages and account for regional variations and outliers. As actual prices are not available after 2012, this lack of transparency poses a challenge in comprehensively evaluating the economic viability of MBT plants. Furthermore, it raises concerns regarding whether the revenue generated from byproduct sales reflects fair market value. Limited public access to this information can potentially indicate conflicts of interest or inefficiencies within the waste management system. Full article
Show Figures

Figure 1

20 pages, 933 KiB  
Article
The Impact of the COVID-19 Pandemic on Elite Swimmers and Water Polo Players: Lessons for the Future
by Georgios Marinos, Dimitrios Lamprinos, Michail Papapanou, Anastasia Sofroni, Anastasia Papaioannou, Dionysios-Nikolaos Miletis, Paraskevi Deligiorgi, Kostas A. Papavassiliou, Gerasimos Siasos, Evangelos Oikonomou, George Rachiotis, Konstantinos Tsamakis and Dimitrios Schizas
Epidemiologia 2024, 5(2), 289-308; https://doi.org/10.3390/epidemiologia5020020 - 18 Jun 2024
Viewed by 1590
Abstract
Background: The COVID-19 pandemic has disrupted global daily life, including the world of elite athletes. This paper examines the multifaceted impact the COVID-19 pandemic had on elite swimmers and water polo athletes, specifically their mental health, their concerns over the virus, their intentions [...] Read more.
Background: The COVID-19 pandemic has disrupted global daily life, including the world of elite athletes. This paper examines the multifaceted impact the COVID-19 pandemic had on elite swimmers and water polo athletes, specifically their mental health, their concerns over the virus, their intentions of getting vaccinated, and sleep disturbances that they may have faced. Methods: We conducted a cross-sectional study on elite swimmers and water polo players, using an anonymous questionnaire. Results: A total of 200 elite athletes participated. The majority of the participants reported a negative impact on their mental health, screened positive for insomnia (n = 107 (53.5%), with females (n = 101; 57.7%), swimmers (n = 100, 66.7%), and university students (n = 71, 71.7%) being more vulnerable (p < 0.001). Concerns about contracting the disease especially during important training or tournament periods and potential career disruption also affected their psychological well-being. While the majority (75%) had the intention of getting vaccinated, an alarming percentage was yet uncertain over its decision. Conclusions: This study highlights the significant psychological distress faced by elite aquatic athletes during the pandemic. It emphasizes the difficulties faced by elite swimmers and water polo athletes and determines not only the importance of addressing the vaccination intentions of athletes, but also how critical it is to confront the challenges they face both for their personal health and for the restoration of world sports to their pre-pandemic state. More large-scale studies are required to inform policies targeted at minimizing disruption to the athletes’ career, provision of information on preventive measures and vaccination, and improvement in psychological well-being in case of similar major public health issues in the future. Additionally, this study calls for further research to explore the unique challenges faced by aquatic athletes, such as those related to their training environments and fear of contagion, to better support them in future public health crises. Full article
Show Figures

Figure 1

9 pages, 388 KiB  
Article
Newborn Screening for Krabbe Disease: Status Quo and Recommendations for Improvements
by Dietrich Matern, Khaja Basheeruddin, Tracy L. Klug, Gwendolyn McKee, Patricia U. Edge, Patricia L. Hall, Joanne Kurtzberg and Joseph J. Orsini
Int. J. Neonatal Screen. 2024, 10(1), 10; https://doi.org/10.3390/ijns10010010 - 28 Jan 2024
Cited by 4 | Viewed by 3594
Abstract
Krabbe disease (KD) is part of newborn screening (NBS) in 11 states with at least one additional state preparing to screen. In July 2021, KD was re-nominated for addition to the federal Recommended Uniform Screening Panel (RUSP) in the USA with a two-tiered [...] Read more.
Krabbe disease (KD) is part of newborn screening (NBS) in 11 states with at least one additional state preparing to screen. In July 2021, KD was re-nominated for addition to the federal Recommended Uniform Screening Panel (RUSP) in the USA with a two-tiered strategy based on psychosine (PSY) as the determinant if an NBS result is positive or negative after a first-tier test revealed decreased galactocerebrosidase activity. Nine states currently screening for KD include PSY analysis in their screening strategy. However, the nomination was rejected in February 2023 because of perceived concerns about a high false positive rate, potential harm to newborns with an uncertain prognosis, and inadequate data on presymptomatic treatment benefit or harm. To address the concern about false positive NBS results, a survey was conducted of the eight NBS programs that use PSY and have been screening for KD for at least 1 year. Seven of eight states responded. We found that: (1) the use of PSY is variable; (2) when modeling the data based on the recommended screening strategy for KD, and applying different cutoffs for PSY, each state could virtually eliminate false positive results without major impact on sensitivity; (3) the reason for the diverse strategies appears to be primarily the difficulty of state programs to adjust screening algorithms due to the concern of possibly missing even an adult-onset case following a change that focuses on infantile and early infantile KD. Contracts with outside vendors and the effort/cost of making changes to a program’s information systems can be additional obstacles. We recommend that programs review their historical NBS outcomes for KD with their advisory committees and make transparent decisions on whether to accept false positive results for such a devastating condition or to adjust their procedures to ensure an efficient, effective, and manageable NBS program for KD. Full article
14 pages, 3970 KiB  
Article
A Silicon-Based Field-Effect Biosensor for Drug-Induced Cardiac Extracellular Calcium Ion Change Detection
by Yong Qiu, Chiyu Ma, Nan Jiang, Deming Jiang, Zhengyin Yu, Xin Liu, Yuxuan Zhu, Weijie Yu, Fengheng Li, Hao Wan and Ping Wang
Biosensors 2024, 14(1), 16; https://doi.org/10.3390/bios14010016 - 28 Dec 2023
Cited by 4 | Viewed by 2399
Abstract
Calcium ions participate in the regulation of almost all biological functions of the body, especially in cardiac excitation–contraction coupling, acting as vital signaling through ion channels. Various cardiovascular drugs exert their effects via affecting the ion channels on the cell membrane. The current [...] Read more.
Calcium ions participate in the regulation of almost all biological functions of the body, especially in cardiac excitation–contraction coupling, acting as vital signaling through ion channels. Various cardiovascular drugs exert their effects via affecting the ion channels on the cell membrane. The current strategies for calcium ion monitoring are mainly based on fluorescent probes, which are commonly used for intracellular calcium ion detection (calcium imaging) and cannot achieve long-term monitoring. In this work, an all-solid-state silicone–rubber ion-sensitive membrane was fabricated on light-addressable potentiometric sensors to establish a program-controlled field-effect-based ion-sensitive light-addressable potentiometric sensor (LAPS) platform for extracellular calcium ion detection. L-type calcium channels blocker verapamil and calcium channel agonist BayK8644 were chosen to explore the effect of ion channel drugs on extracellular calcium ion concentration in HL-1 cell lines. Simultaneously, microelectrode array (MEA) chips were employed to probe the HL-1 extracellular field potential (EFP) signals. The Ca2+ concentration and EFP parameters were studied to comprehensively evaluate the efficacy of cardiovascular drugs. This platform provides more dimensional information on cardiovascular drug efficacy that can be utilized for accurate drug screening. Full article
(This article belongs to the Special Issue Microfluidic Chips for Life Science and Health Care Applications)
Show Figures

Figure 1

8 pages, 280 KiB  
Article
Lifestyle and Diet as Risk Factors for Urinary Stone Formation: A Study in a Taiwanese Population
by Ya-Chun Wu, Chen-Pang Hou and Shu-Chuan Weng
Medicina 2023, 59(11), 1895; https://doi.org/10.3390/medicina59111895 - 26 Oct 2023
Cited by 6 | Viewed by 2554
Abstract
Background and Objectives: Urinary tract stones have long been a common ailment afflicting the population, with a high incidence and a wide distribution across different age groups. Effectively preventing the occurrence of urinary tract stones is of paramount importance. The primary aim [...] Read more.
Background and Objectives: Urinary tract stones have long been a common ailment afflicting the population, with a high incidence and a wide distribution across different age groups. Effectively preventing the occurrence of urinary tract stones is of paramount importance. The primary aim of this study is to investigate the correlations between individual characteristics, water consumption habits, dietary habits, exercise habits, and the occurrence of urinary tract stones in a Taiwanese population. Materials and Methods: This study is cross-sectional research conducted over one month in 2022. One hundred eligible urinary stone cases were recruited through physician screening at outpatient clinics, and an additional one hundred samples from surgical outpatients without urinary tract stones were included as the control group. A questionnaire survey was employed to gather information on demographic variables, dietary habits, water consumption, and exercise habits of the cases. Descriptive statistics, chi-square tests, and logistic regression were used to explore the impact of relevant factors on urinary stone formation. Results: The analysis results revealed that among the demographic variables, males exhibited a higher risk of contracting urinary tract stones than females, and the majority of cases fell within the 40- to 49-year-old age group. Unhealthy lifestyle habits such as smoking and betel nut chewing also demonstrated a higher susceptibility to urinary tract stones. A logistic regression analysis showed that individuals who engaged in physical activity more than three times per week and those with inadequate water intakes had a higher risk of developing urinary tract stones. Conclusions: There is a close relationship between lifestyle and urinary tract stones. It is recommended that individuals continue to hydrate adequately during exercise. Full article
(This article belongs to the Special Issue New Insights in Minimal Invasive Urology)
20 pages, 1996 KiB  
Review
The Effects of Massage Guns on Performance and Recovery: A Systematic Review
by Ricardo Maia Ferreira, Rafael Silva, Pedro Vigário, Pedro Nunes Martins, Filipe Casanova, Ricardo Jorge Fernandes and António Rodrigues Sampaio
J. Funct. Morphol. Kinesiol. 2023, 8(3), 138; https://doi.org/10.3390/jfmk8030138 - 18 Sep 2023
Cited by 22 | Viewed by 24234
Abstract
The use of massage guns has become increasingly popular in recent years. Although their use is more and more common, both in a clinical and sports context, there is still little information to guide the practitioners. This systematic review aimed to determine the [...] Read more.
The use of massage guns has become increasingly popular in recent years. Although their use is more and more common, both in a clinical and sports context, there is still little information to guide the practitioners. This systematic review aimed to determine the effects of massage guns in healthy and unhealthy populations as pre- and post-activity or part of a treatment. Data sources used were PubMed, PEDro, Scopus, SPORTDiscus, Web of Science and Google Scholar, and the study eligibility criteria were based on “healthy and unhealthy individuals”, “massage guns”, “pre-activity, post-activity or part of a treatment” and “randomized and non-randomized studies” (P.I.C.O.S.). Initially, 281 records were screened, but only 11 could be included. Ten had a moderate risk of bias and one a high risk of bias. Massage guns could be effective in improving iliopsoas, hamstrings, triceps suralis and the posterior chain muscles’ flexibility. In strength, balance, acceleration, agility and explosive activities, it either did not have improvements or it even showed a decrease in performance. In the recovery-related outcomes, massage guns were shown to be cost-effective instruments for stiffness reduction, range of motion and strength improvements after a fatigue protocol. No differences were found in contraction time, rating of perceived exertion or lactate concentration. Massage guns can help to improve short-term range of motion, flexibility and recovery-related outcomes, but their use in strength, balance, acceleration, agility and explosive activities is not recommended. Full article
(This article belongs to the Special Issue Advances in Musculoskeletal Physiotherapy)
Show Figures

Figure 1

16 pages, 465 KiB  
Article
“I Use Strawberry Flavoured Condoms during My Periods”: Safe Sex Practices and STI Screening Behaviours among Female Sex Workers in Gulu City, Uganda
by Felix Bongomin, Winnie Kibone, Pebalo Francis Pebolo, Fiona Gladys Laker, Jerom Okot, Felix Ocaka Kaducu, Grace Madraa, Constantine Steven Labongo Loum, Silvia Awor, Agnes Napyo, David Musoke and Simple Ouma
Venereology 2023, 2(3), 108-123; https://doi.org/10.3390/venereology2030010 - 28 Aug 2023
Viewed by 3109
Abstract
Background: Female sex workers (FSWs) are at a higher risk of contracting and transmitting HIV and other sexually transmitted infections (STIs). We aimed to explore the sexual behaviour, knowledge and attitudes towards STIs, barriers, support and intervention for STI screening. Methods: In this [...] Read more.
Background: Female sex workers (FSWs) are at a higher risk of contracting and transmitting HIV and other sexually transmitted infections (STIs). We aimed to explore the sexual behaviour, knowledge and attitudes towards STIs, barriers, support and intervention for STI screening. Methods: In this community-based, concurrent quantitative–qualitative, exploratory mixed-methods study, we administered 87 semi-structured quantitative and six in-depth interviews to purposively select FSWs in Gulu City, Uganda. The qualitative methodology was based on descriptive phenomenology. Results: The quantitative study included 87 FSWs, with a median age of 28 years. Overall, 87.4% (n = 76) participants reported condom use during their last sexual encounter. Eighty-three (95.4%) participants were aware of their HIV status, with 6% (n = 5) reporting being HIV-positive. Seventy-six (87.4%) participants reported contracting at least one STI during sex work. In addition, 66.7% (n = 58) of the participants reported being screened for STIs in the past three months, with vulvovaginal candidiasis (55.3%, n = 42) and syphilis (32.9%, n = 25) being the most common STIs. However, only 2.3% (n = 2) of the participants reported current STIs symptoms. In the qualitative study, the main themes encompassed sexual behaviour, including condom-use negotiation strategies and challenges, as well as screening facilitators and barriers. Condom-use negotiation tactics involved leveraging health-risk information, increased charges for unprotected sex, and outright refusal. Complex challenges included limited agency in promoting safe sex due to economic reliance, vulnerability to violence, and difficulties in controlling the sexual environment. Facilitators for regular screening included social influences, emotional relief, established testing habits, and accessible clinics, while barriers encompassed cost, stigma, doubts about test accuracy, and inconvenient clinic hours. Conclusions: FSWs face significant vulnerabilities in Gulu City, Uganda, regarding STIs. While encouraging trends such as high HIV awareness and condom usage were observed, persistent challenges in STI screening, negotiation of safe sex practices, and access to prevention and treatment remain evident. To address these concerns, targeted interventions should be developed to enhance STI screening accessibility, empower sex workers with effective negotiation skills, and provide comprehensive support for STI prevention and treatment, thereby contributing to improved overall sexual health and well-being among this marginalized population. Full article
Show Figures

Figure 1

22 pages, 2951 KiB  
Article
Sustainable Quality-Incentive Contract Design of Public Technology Innovation Procurement under Asymmetry Information
by Yunjuan Liang, Xin Liang and Hua Wei
Sustainability 2023, 15(11), 8773; https://doi.org/10.3390/su15118773 - 29 May 2023
Cited by 4 | Viewed by 2249
Abstract
Public technology innovation procurement plays an essential role in alleviating current major social challenges. In the process of government procurement, the hidden adverse selection and moral hazard caused by the unobservable technology types and efforts of enterprises are not conducive to the sustainable [...] Read more.
Public technology innovation procurement plays an essential role in alleviating current major social challenges. In the process of government procurement, the hidden adverse selection and moral hazard caused by the unobservable technology types and efforts of enterprises are not conducive to the sustainable improvement of technology innovation quality. To sustainably encourage enterprises to improve the quality of public technology innovation procurement, based on principal-agent and incentive regulation theories, this paper designs quality-incentive contracts under single- and dual-asymmetric information conditions. We discuss the impact of various relevant factors on contract design and the level of effort by solving and analyzing the model. Furthermore, we validate the effects of the proportion of enterprise technological type, the uncertainty of technological innovation, and the quality-benefit coefficient on the contract parameters and the expected profits of both parties through numerical simulation. The results show that under dual-asymmetry information, the government can motivate enterprises to realize self-selection and improve the quality of technological innovation by designing information screening contracts. The government’s revenue is closely related to the proportion of enterprises’ technology types in the market, and information rents can swamp the government’s expected revenues when the market proportion of high-type enterprises is small. The uncertainty of technological innovation will reduce the effort of enterprises and the incentive effect of the contract. The quality-benefit coefficients of the government and enterprises have different impacts on the intensity of contract incentives with higher quality-benefit coefficients of the government, therefore having better incentive effects for enterprises. The research conclusion provides a reference for the government to design a sustainable incentive contract to improve the quality of public technology innovation. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
Show Figures

Figure 1

13 pages, 259 KiB  
Article
Adherence to Opioid Patient Prescriber Agreements at a Safety Net Hospital
by Soraira Pacheco, Linh M. T. Nguyen, John M. Halphen, Nikitha N. Samy, Nathaniel R. Wilson, Gregory Sattler, Shane E. Wing, Christine Feng, Rex A. D. Paulino, Pulin Shah, Supriyanka Addimulam, Riddhi Patel, Curtis J. Wray, Joseph A. Arthur and David Hui
Cancers 2023, 15(11), 2943; https://doi.org/10.3390/cancers15112943 - 27 May 2023
Cited by 2 | Viewed by 2306
Abstract
Patient prescriber agreements, also known as opioid contracts or opioid treatment agreements, have been recommended as a strategy for mitigating non-medical opioid use (NMOU). The purpose of our study was to characterize the proportion of patients with PPAs, the rate of non-adherence, and [...] Read more.
Patient prescriber agreements, also known as opioid contracts or opioid treatment agreements, have been recommended as a strategy for mitigating non-medical opioid use (NMOU). The purpose of our study was to characterize the proportion of patients with PPAs, the rate of non-adherence, and clinical predictors for PPA completion and non-adherence. This retrospective study covered consecutive cancer patients seen at a palliative care clinic at a safety net hospital between 1 September 2015 and 31 December 2019. We included patients 18 years or older with cancer diagnoses who received opioids. We collected patient characteristics at consultation and information regarding PPA. The primary purpose was to determine the frequency and predictors of patients with a PPA and non-adherence to PPAs. Descriptive statistics and multivariable logistic regression models were used for the analysis. The survey covered 905 patients having a mean age of 55 (range 18–93), of whom 474 (52%) were female, 423 (47%) were Hispanic, 603 (67%) were single, and 814 (90%) had advanced cancer. Of patients surveyed, 484 (54%) had a PPA, and 50 (10%) of these did not adhere to their PPA. In multivariable analysis, PPAs were associated with younger age (odds ratio [OR] 1.44; p = 0.02) and alcohol use (OR 1.72; p = 0.01). Non-adherence was associated with males (OR 3.66; p = 0.007), being single (OR 12.23; p = 0.003), tobacco (OR 3.34; p = 0.03) and alcohol use (OR 0.29; p = 0.02), contact with persons involved in criminal activity (OR 9.87; p < 0.001), use for non-malignant pain (OR 7.45; p = 0.006), and higher pain score (OR 1.2; p = 0.01). In summary, we found that PPA non-adherence occurred in a substantial minority of patients and was more likely in patients with known NMOU risk factors. These findings underscore the potential role of universal PPAs and systematic screening of NMOU risk factors to streamline care. Full article
(This article belongs to the Special Issue Cancer-Related Pain)
21 pages, 899 KiB  
Article
Safety Improvement of Sustainable Coal Transportation in Mines: A Contract Design Perspective
by Jun Tu, Liangdong Wan and Zijiao Sun
Sustainability 2023, 15(3), 2085; https://doi.org/10.3390/su15032085 - 21 Jan 2023
Cited by 3 | Viewed by 2941
Abstract
Considering safety management systems are composed of a coal mine enterprise and a manager, incentive contracts for coal mine production are designed to improve the safety level of coal mine production. Managers must devote costly efforts in terms of both safety and production [...] Read more.
Considering safety management systems are composed of a coal mine enterprise and a manager, incentive contracts for coal mine production are designed to improve the safety level of coal mine production. Managers must devote costly efforts in terms of both safety and production to increase the output of mines. Based on principal–agent theory, we designed an incentive contract considering moral hazard and a menu of contracts considering moral hazard and adverse selection. The results showed that when an enterprise cannot observe the manager’s efforts, the manager’s risk aversion reduces their production and safety efforts, and the enterprise needs to share its output risk with the manager. When the enterprise cannot observe the manager’s efforts and the cost type of the safety effort, a menu of contracts can be used to screen the manager’s cost type. However, high-cost contracts fail to motivate a high-cost manager and allow the high-cost manager to reduce safety and production efforts. A low-cost manager can obtain positive information rent from an enterprise without changing safety or production efforts. We provide some suggestions and references for the safety management of coal transportation in mines. Full article
Show Figures

Graphical abstract

11 pages, 2059 KiB  
Article
Effects of COPD on Left Ventricular and Left Atrial Deformation in Patients with Acute Myocardial Infarction: Strain Analysis Using Speckle-Tracking Echocardiography
by Julian Grebe, Tobias Müller, Ertunc Altiok, Michael Becker, András P. Keszei, Nikolaus Marx, Michael Dreher and Ayham Daher
J. Clin. Med. 2022, 11(7), 1917; https://doi.org/10.3390/jcm11071917 - 30 Mar 2022
Cited by 3 | Viewed by 2771
Abstract
Myocardial strain analysis, which describes myocardial deformation (shortening or lengthening), provides more detailed information about left ventricular (LV) and atrial (LA) functions than conventional echocardiography and delivers prognostic information. To analyze the effects of COPD on left heart function upon acute myocardial infarction [...] Read more.
Myocardial strain analysis, which describes myocardial deformation (shortening or lengthening), provides more detailed information about left ventricular (LV) and atrial (LA) functions than conventional echocardiography and delivers prognostic information. To analyze the effects of COPD on left heart function upon acute myocardial infarction (AMI), consecutive AMI patients were retrospectively screened, and patients were included if a post-AMI echocardiography and results of recent pulmonary function tests (PFTs) were available. Strain analysis was performed by a cardiologist who was blinded to clinical information. Overall, 109 AMI patients were included (STEMI: 38%, non-STEMI: 62%). COPD patients (41%) had significantly more impaired LV “global-longitudinal-strain” (LV-GLS) compared to non-COPD patients (−15 ± 4% vs. −18 ± 4%; p < 0.001, respectively), even after adjusting for LV-ejection-fraction (LVEF) and age (mean estimated difference: 1.7%, p = 0.009). Furthermore, COPD patients had more impaired LA strain (LAS) than non-COPD patients in all cardiac cycle phases (estimated mean differences after adjusting for LVEF and age: during reservoir phase: −7.5% (p < 0.001); conduit phase: 5.5% (p < 0.001); contraction phase: 1.9% (p = 0.034)). There were no correlations between PFT variables and strain values. In conclusion, the presence of COPD was associated with more impaired LV and LA functions after AMI, as detected by strain analysis, which was independent of age, LVEF, and PFT variables. Full article
Show Figures

Figure 1

Back to TopTop