Active transport

主动运输
  • 文章类型: Journal Article
    作为脆弱的道路使用者,行人和骑自行车的人面临越来越多的伤亡,这引起了全球越来越多的安全问题。根据2012年至2021年在澳大利亚首都地区(ACT)收集的撞车记录,本研究首先通过整合路网特征建立了扩展的撞车数据集,土地利用特征,和其他功能。使用扩展的数据集,我们进一步从宏观和微观层面探讨行人和骑自行车的撞车事故。在宏观层面,随机参数负二项(RPNB)模型用于评估基于变量的郊区和地区(SLZ)对行人和骑车人撞车频率的影响。在微观层面,采用二元logit模型来评估基于事件的变量对行人和骑车人碰撞严重程度的影响。研究结果表明,多种因素与行人总撞车和致命/伤害撞车的高频率相关,包括人口密度高,城市主干道比例高,低公路自行车道密度,大量的交通信号灯和大量的学校。同时,许多因素与骑车人总撞车和致命/伤害撞车的频率高有关,包括人口密度高,骑自行车上班的居民比例很高,家庭收入中位数高,没有机动车的家庭比例很高,城市主干道和农村公路的比例很高,大量的公共汽车站和大量的学校。此外,发现更严重的行人碰撞发生:(I)在非信号十字路口,(ii)在郊区,(iii)清晨,和(四)平日。当碰撞类型被翻倒或撞击物体/行人/动物时;当涉及一名以上骑车人时;以及当碰撞发生在公园/绿地/自然保护区区域时,观察到更严重的骑车人碰撞。
    As vulnerable road users, pedestrians and cyclists are facing a growing number of injuries and fatalities, which has raised increasing safety concerns globally. Based on the crash records collected in the Australian Capital Territory (ACT) in Australia from 2012 to 2021, this research firstly establishes an extended crash dataset by integrating road network features, land use features, and other features. With the extended dataset, we further explore pedestrian and cyclist crashes at macro- and micro-levels. At the macro-level, random parameters negative binomial (RPNB) model is applied to evaluate the effects of Suburbs and Localities Zones (SLZs) based variables on the frequency of pedestrian and cyclist crashes. At the micro-level, binary logit model is adopted to evaluate the effects of event-based variables on the severity of pedestrian and cyclist crashes. The research findings show that multiple factors are associated with high frequency of pedestrian total crashes and fatal/injury crashes, including high population density, high percentage of urban arterial road, low on-road cycleway density, high number of traffic signals and high number of schools. Meanwhile, many factors have positive relations with high frequency of cyclist total crashes and fatal/injury crashes, including high population density, high percentage of residents cycling to work, high median household income, high percentage of households with no motor vehicle, high percentage of urban arterial road and rural road, high number of bus stops and high number of schools. Additionally, it is found that more severe pedestrian crashes occur: (i) at non-signal intersections, (ii) in suburb areas, (iii) in early morning, and (iv) on weekdays. More severe cyclist crashes are observed when the crash type is overturned or struck object/pedestrian/animal; when more than one cyclist is involved; and when crash occurs at park/green space/nature reserve areas.
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  • 文章类型: Journal Article
    背景:关于主动通勤之间的关联知之甚少(即,步行或骑自行车上学)与年轻人的生活方式参数和心理健康有关。本研究的目的是调查心理健康问题与抑郁症状之间的关系,焦虑,和生活方式的压力(即,饮食习惯,屏幕时间,身体活动,和睡眠质量),积极通勤,和性别。
    方法:共有511名儿童和青少年(男孩,n=249;女孩,n=262),年龄在10至17岁之间。使用抑郁焦虑和压力量表(DASS-21)评估生活方式参数和心理健康。
    结果:女孩报告的焦虑水平更高(p=0.001),抑郁症(p=0.001),和压力(p=0.001)。心理健康问题与性别呈正相关(女孩,β=3.06,p<0.001)和与饮食习惯呈负相关(β=-0.65,p=0.019)。焦虑与性别呈正相关(β=7.88,p<0.001),与饮食习惯呈负相关(β=-0.23,p=0.019)。性别(女孩)和饮食习惯也与抑郁症状有关(分别为β=2.29,p<0.001和β=-0.27,p=0.005)。最后,主动通勤与压力成反比(β=-1.24,p=0.008),压力与性别呈正相关(β=2.53,p<0.001)。
    结论:积极通勤,生活方式参数,性别与儿童和青少年的心理健康相关。此外,女孩报告的焦虑程度更高,抑郁症的症状,和压力。
    BACKGROUND: Little is known about the association between active commuting (i.e., walking or cycling to school) with lifestyle parameters and mental health in youths. The objective of the present study was to investigate the association between mental health problems and symptoms of depression, anxiety, and stress with lifestyle (i.e., food habits, screen time, physical activity, and sleep quality), active commuting, and gender.
    METHODS: A total of 511 children and adolescents (boys, n = 249; girls, n = 262) aged 10 to 17 years participated in the study. Lifestyle parameters and mental health were evaluated using the Depression Anxiety and Stress Scale (DASS-21).
    RESULTS: Girls reported higher levels of anxiety (p = 0.001), depression (p = 0.001), and stress (p = 0.001). Mental health problems showed a positive association with gender (girls, β = 3.06, p < 0.001) and a negative association with food habits (β = -0.65, p = 0.019). Anxiety was positively associated with gender (β = 7.88, p < 0.001) and negatively associated with food habits (β = -0.23, p = 0.019). Gender (girls) and food habits were also associated with symptoms of depression (β = 2.29, p < 0.001 and β = -0.27, p = 0.005, respectively). Finally, active commuting was inversely associated with stress (β = -1.24, p = 0.008), and stress was positively linked to gender (β = 2.53, p < 0.001).
    CONCLUSIONS: Active commuting, lifestyle parameters, and gender were associated with mental health in children and adolescents. Moreover, girls reported higher levels of anxiety, symptoms of depression, and stress.
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  • 文章类型: Journal Article
    联合国,通过其2030年议程和可持续发展目标,倡导建立有利于身体活动的环境,遵循生态模式。根据这一倡议,活跃的交通成为一种无障碍的交通,成本效益高,以及提高日常体力活动水平的可持续方法。本研究协议旨在评估植根于生态模型的主动交通教育计划对高中生身心健康的影响。借鉴科学见解,我们假设16周的主动交通干预将导致平均体脂百分比减少3%,执行功能显著增强(包括抑制,认知灵活性,和工作记忆),身体健康(包括心肺健康和肌肉力量),和心理健康(包括情绪障碍和认知功能)。如果这种干预被证明是有效的,它可以为学校社区提供一个可行的解决方案,特别是在减少学校环境内的拥堵。该研究协议旨在评估基于生态模型的主动交通教育计划对高中生身心健康的影响。位于塔尔卡市区的三所高中,智利,将随机选择(一个公众,一个私人补贴,和一个私人非补贴)。每个高中将被随机分配一个实验组(n=30)和一个对照组(n=30;无干预)。实验组将在体育课期间接受主动交通教育干预,为期4个月(60至90分钟,每周一次),而对照组将不接受干预。主要结果将提供有关身体组成和执行功能的信息。次要结果将包括客观的身体活动水平,身体健康,心理健康,学术成就,与健康相关的生活质量,对环境城市特征的感知,身体活动障碍,坚持积极运输。预计MOV-ES项目的结果将超越学童的身体健康,对学校社区产生影响,尤其是通过减轻学校环境的负担。
    The United Nations, through its 2030 Agenda and Sustainable Development Goals, advocates for the establishment of conducive environments for physical activity, following the ecological model. In line with this initiative, active transportation emerges as an accessible, cost-effective, and sustainable approach to augmenting daily physical activity levels. This study protocol endeavors to assess the impact of an active transportation education program rooted in the ecological model on the physical and mental well-being of high school students. Drawing upon scientific insights, we hypothesize that a 16-week active transportation intervention will lead to a 3% reduction in average body fat percentage and a noteworthy enhancement in executive function (including inhibition, cognitive flexibility, and working memory), physical fitness (comprising cardiorespiratory fitness and muscle strength), and mental health (encompassing mood disorders and cognitive functioning). If this intervention proves effective, it could offer a viable solution for the school community, especially in reducing congestion within the school environment. The study protocol aims to evaluate the impact of an active transportation educational program based on the ecological model on the physical and mental well-being of high school students. Three high schools located in the urban area of Talca, Chile, will be randomly selected (one public, one privately subsidized, and one private non-subsidized). Each high school will be randomly assigned an experimental group (n = 30) and a control group (n = 30; without intervention). The experimental groups will receive an active transportation educational intervention during their physical education classes for four months (60 to 90 min sessions, once a week), while the control group will receive no intervention. The primary outcome will provide information on body composition and executive function. Secondary outcomes will include objective physical activity level, physical fitness, mental well-being, academic achievement, health-related quality of life, perception of environmental urban features, physical activity barriers, and adherence to active transportation. It is expected that the results of the MOV-ES Project will transcend the physical health of schoolchildren and will have an impact on the school community, especially by decongesting the school environment.
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  • 文章类型: Journal Article
    作为一种广泛使用的农药,阿维菌素可能对非靶标生物构成威胁。在这项研究中,首次探讨了阿维菌素对克氏原龙脑渗透调节的毒性机制。这项研究的结果表明,随着阿维菌素浓度的增加,刺丝的膜结构被破坏,随着ATP酶活性的变化,转运内容,生物胺含量,和基因表达水平。这项研究的结果表明,在0.2mg/L阿维菌素,离子扩散可以维持渗透调节。在0.4毫克/升阿维菌素,被动运输由于对g丝膜结构的破坏而受到抑制,和主动运输需要加强渗透调节。在0.6毫克/升阿维菌素,刺丝的膜结构严重受损,渗透调节相关基因的表达水平下降,但是生物体仍在动员各种转运蛋白,ATPases,和生物胺来解决阿维菌素应激。本研究为进一步研究水环境污染物对甲壳类动物健康的影响提供了理论依据。
    As a widely used pesticide, abamectin could be a threat to nontarget organisms. In this study, the toxic mechanism of abamectin on osmoregulation in Procambarus clarkii was explored for the first time. The results of this study showed that with increasing abamectin concentration, the membrane structures of gill filaments were damaged, with changes in ATPase activities, transporter contents, biogenic amine contents, and gene expression levels. The results of this study indicated that at 0.2 mg/L abamectin, ion diffusion could maintain osmoregulation. At 0.4 mg/L abamectin, passive transport was inhibited due to damage to the membrane structures of gill filaments, and active transport needed to be enhanced for osmoregulation. At 0.6 mg/L abamectin, the membrane structures of gill filaments were seriously damaged, and the expression level of osmoregulation-related genes decreased, but the organisms were still mobilizing various transporters, ATPases, and biogenic amines to address abamectin stress. This study provided a theoretical basis for further study of the effects of contaminations in aquatic environment on the health of crustaceans.
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  • 文章类型: Journal Article
    背景:胎盘在妊娠期间对胎儿的生长发育起着至关重要的作用,保护胎儿免受母体药物和化学暴露。然而,多种药物和化学物质(外源性物质)可以穿透母体胎盘屏障,导致有害的,对胎儿健康的不利影响。此外,胎盘酶可以将药物和化学物质代谢为对胎儿更具毒性的化合物。因此,评估药物和化学物质通过胎盘屏障转移和代谢的分子机制至关重要。在这方面,这篇全面的文献综述旨在通过批判性地总结和审查潜在的分子过程和机制来提供一种整体方法,这些过程和机制控制药物以及跨胎盘屏障的化学转移和代谢,这可能会导致胎儿毒性效应,以及分析目前可用的用于评估外源性物质胎盘转移和代谢的实验方法。
    方法:在诸如PubMed、Scopus,和WebofScience通过使用与外源性胎盘转移和代谢相关的相关和有效的关键词,检索8830发表的文章,直到2024年2月5日。在应用了几个严格的排除和纳入标准后,最终包括148篇相关文章。
    结果:在怀孕期间,几种药物和化学物质可以通过被动扩散或通过胎盘转运蛋白从母体转移到胎儿,导致胎儿暴露和潜在的胎儿毒性效应。一些药物和化学物质似乎也通过胎盘屏障代谢,导致对母亲和胎儿都有更多的有毒产品。目前,越来越多的研究开发不同的实验方法,以确定潜在的分子过程和机制的药物和化学胎盘转移和代谢。所有当前可用的方法都有特定的优势和局限性,强调了利用它们的有效组合的强烈需求,以获得有关药物和化学转移以及跨胎盘屏障代谢的可靠证据。为了获得最一致和安全的证据,体外研究,离体灌注方法,以及体内动物和人体研究可以与最终目标一起应用,以最大程度地减少潜在的胎儿毒性作用。
    结论:正在进行越来越多的研究,以准确和安全地评估药物和化学物质跨胎盘屏障的运输和代谢,应用先进技术的组合,以避免潜在的胎儿毒性作用。当前可用技术的改进以及新型实验方案和方法的开发对于保护母亲和胎儿免受异种生物暴露至关重要。以及尽量减少潜在的胎儿毒性效应。
    BACKGROUND: The placenta exerts a crucial role in fetus growth and development during gestation, protecting the fetus from maternal drugs and chemical exposure. However, diverse drugs and chemicals (xenobiotics) can penetrate the maternal placental barrier, leading to deleterious, adverse effects concerning fetus health. Moreover, placental enzymes can metabolize drugs and chemicals into more toxic compounds for the fetus. Thus, evaluating the molecular mechanisms through which drugs and chemicals transfer and undergo metabolism across the placental barrier is of vital importance. In this aspect, this comprehensive literature review aims to provide a holistic approach by critically summarizing and scrutinizing the potential molecular processes and mechanisms governing drugs and chemical transfer and metabolism across the placental barrier, which may lead to fetotoxicity effects, as well as analyzing the currently available experimental methodologies used to assess xenobiotics placental transfer and metabolism.
    METHODS: A comprehensive and in-depth literature review was conducted in the most accurate scientific databases such as PubMed, Scopus, and Web of Science by using relevant and effective keywords related to xenobiotic placental transfer and metabolism, retrieving 8830 published articles until 5 February 2024. After applying several strict exclusion and inclusion criteria, a final number of 148 relevant published articles were included.
    RESULTS: During pregnancy, several drugs and chemicals can be transferred from the mother to the fetus across the placental barrier by either passive diffusion or through placental transporters, resulting in fetus exposure and potential fetotoxicity effects. Some drugs and chemicals also appear to be metabolized across the placental barrier, leading to more toxic products for both the mother and the fetus. At present, there is increasing research development of diverse experimental methodologies to determine the potential molecular processes and mechanisms of drug and chemical placental transfer and metabolism. All the currently available methodologies have specific strengths and limitations, highlighting the strong demand to utilize an efficient combination of them to obtain reliable evidence concerning drug and chemical transfer and metabolism across the placental barrier. To derive the most consistent and safe evidence, in vitro studies, ex vivo perfusion methods, and in vivo animal and human studies can be applied together with the final aim to minimize potential fetotoxicity effects.
    CONCLUSIONS: Research is being increasingly carried out to obtain an accurate and safe evaluation of drug and chemical transport and metabolism across the placental barrier, applying a combination of advanced techniques to avoid potential fetotoxic effects. The improvement of the currently available techniques and the development of novel experimental protocols and methodologies are of major importance to protect both the mother and the fetus from xenobiotic exposure, as well as to minimize potential fetotoxicity effects.
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  • 文章类型: Journal Article
    积极的学校旅行(AST)是增加儿童身体活动和独立活动的有效途径,但缺乏支持AST的政策。本研究旨在探索儿童接受AST的经验,以提供政策建议。采用了定性方法的Photovoice方法,孩子们在上学的路上拍照。随后是焦点小组,孩子们根据他们的照片探索他们对AST的体验。采用定性内容分析法对数据进行分析。结果表明,孩子们重视独立的流动性,并希望参与旅行决策;因此,他们也表达了责任感和个人成长的感觉。尽管孩子们认识到基础设施方面的改进领域,特别是对于危及旅行安全的繁忙交通,他们继续使用AST。最后,孩子们谈到了AST的健康和环境效益的价值。友谊的机会,玩,并为自己的时间做出决定被强调为重要的激励措施。AST对儿童有很多好处,以及社会。结果为AST提供了政策建议,和孩子的输入将被用来传达的建议。倾听儿童的声音可能是形成未来健康流动计划的垫脚石。在这个过程中,在制定成功采用和实施AST政策时,关键是要纳入儿童的观点。
    Active school travel (AST) is an effective approach for increasing children\'s physical activity and independent mobility, but policy supporting AST is lacking. This study aims to explore children\'s experiences of AST to inform a policy recommendation. Photovoice methodology with a qualitative approach was applied, with children taking pictures on their way to school. This was followed by focus groups where the children explored their experiences of AST based on their photos. The data were analyzed using qualitative content analysis. The results show that the children valued independent mobility and wanted to be involved in decisions about their travels; they also expressed feelings of increased responsibility and personal growth as a consequence. Although the children recognized areas of improvement regarding infrastructure, especially regarding heavy traffic that jeopardized travel safety, they continued using AST. Finally, the children talked about the value of the health and environmental benefits of AST. Opportunities for friendship, play, and making decisions about their own time were highlighted as important incentives. The benefits from AST are many for children, as well as for society. The result has informed policy recommendations for AST, and the children\'s input will be used to communicate the recommendations. Listening to the voices of children could be a steppingstone toward forming future healthy mobility initiatives. In that process, it is key to include children\'s perspectives when formulating the AST policy for successful adoption and implementation.
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  • 文章类型: Journal Article
    在陆地和水生生态系统中,磷(P)的可用性控制初级生产,对气候监管和全球粮食安全的影响。了解全球磷循环的微生物控制是最大限度地减少我们对不可再生磷矿储量的依赖和减少与过量磷肥使用相关的污染的先决条件。这一公认的重要性重新激发了微生物磷循环的研究,这是75年前通过研究人类致病菌与宿主的相互作用而开创的。固定化的有机P占总P库的很大一部分。因此,微生物已经进化出大量的机制来将这部分转化为不稳定的无机磷酸盐,构成众多生物分子的基石。“基因组学时代”揭示了环境中存在的有机磷循环基因的非凡多样性,而“回到实验室”的研究正在确定这种多样性与功能的关系。通过这种综合方法,已经发现了许多迄今未知的参与微生物P循环的基因和蛋白质。这些基本发现不仅推动了我们知识的前沿,但是有几个例子也为生物技术提供了令人兴奋的机会,并提出了可能的解决方案来提高我们种植食物的可持续性,本地和全球。在这次审查中,我们提供了细菌有机磷循环的全面概述,涵盖人类病原体的研究,以及这些知识如何为环境微生物学的新发现提供信息。
    In terrestrial and aquatic ecosystems, phosphorus (P) availability controls primary production, with consequences for climate regulation and global food security. Understanding the microbial controls on the global P cycle is a prerequisite for minimising our reliance on non-renewable phosphate rock reserves and reducing pollution associated with excessive P fertiliser use. This recognised importance has reinvigorated research into microbial P cycling, which was pioneered over 75 years ago through the study of human pathogenic bacteria-host interactions. Immobilised organic P represents a significant fraction of the total P pool. Hence, microbes have evolved a plethora of mechanisms to transform this fraction into labile inorganic phosphate, the building block for numerous biological molecules. The \'genomics era\' has revealed an extraordinary diversity of organic P cycling genes exist in the environment and studies going \'back to the lab\' are determining how this diversity relates to function. Through this integrated approach, many hitherto unknown genes and proteins that are involved in microbial P cycling have been discovered. Not only do these fundamental discoveries push the frontier of our knowledge, but several examples also provide exciting opportunities for biotechnology and present possible solutions for improving the sustainability of how we grow our food, both locally and globally. In this review, we provide a comprehensive overview of bacterial organic P cycling, covering studies on human pathogens and how this knowledge is informing new discoveries in environmental microbiology.
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  • 文章类型: Meta-Analysis
    背景:缺乏身体活动是一个全球性的公共卫生问题。一个实用的解决方案是通过使用主动运输方式将身体活动纳入日常工作。运输方式的选择可以通过对身体活动水平的影响来影响癌症风险,久坐的时间,和环境污染。这篇综述综合了有关特定运输方式与特定部位癌症风险关联的现有证据。
    方法:在PubMed,Embase,和Scopus从1914年到2023年2月17日。对于两个或更多研究中具有可用于特定运输模式的效应测量的癌症部位,进行随机效应荟萃分析,以汇集相对风险(RR),比较最高与最低活动组以及每周运输相关身体活动的每10个代谢等效任务(MET)小时增量(〜150分钟的步行或90分钟的骑自行车)。
    结果:27项符合条件的研究(11项队列,15病例控制,和1个病例队列)被确定,报告了运输模式与10种特定部位癌症的关联。在荟萃分析中,每周与运输相关的体力活动增加10MET小时与子宫内膜癌风险降低相关(RR:0.91,95%CI:0.83-0.997),结直肠癌(RR:0.95,95%CI:0.91-0.99)和乳腺癌(RR:0.99,95%CI:0.89-0.996)。最高水平的步行或步行和骑自行车的组合模式,与最低水平相比,与乳腺癌和子宫内膜癌风险分别降低12%和30%显著相关。骑自行车,与机动模式相比,与总体癌症发病率和死亡率的较低风险相关。
    结论:主动运输似乎可以降低癌症风险,但是结肠直肠以外的癌症部位的证据,乳房,子宫内膜目前有限。
    BACKGROUND: Physical inactivity is a global public health problem. A practical solution would be to build physical activity into the daily routine by using active modes of transport. Choice of transport mode can influence cancer risk through their effects on levels of physical activity, sedentary time, and environmental pollution. This review synthesizes existing evidence on the associations of specific transport modes with risks of site-specific cancers.
    METHODS: Relevant literature was searched in PubMed, Embase, and Scopus from 1914 to 17th February 2023. For cancer sites with effect measures available for a specific transport mode from two or more studies, random effects meta-analyses were performed to pool relative risks (RR) comparing the highest vs. lowest activity group as well as per 10 Metabolic Equivalent of Task (MET) hour increment in transport-related physical activity per week (∼150 min of walking or 90 min of cycling).
    RESULTS: 27 eligible studies (11 cohort, 15 case-control, and 1 case-cohort) were identified, which reported the associations of transport modes with 10 site-specific cancers. In the meta-analysis, 10 MET hour increment in transport-related physical activity per week was associated with a reduction in risk for endometrial cancer (RR: 0.91, 95% CI: 0.83-0.997), colorectal cancer (RR: 0.95, 95% CI: 0.91-0.99) and breast cancer (RR: 0.99, 95% CI: 0.89-0.996). The highest level of walking only or walking and cycling combined modes, compared to the lowest level, were significantly associated with a 12% and 30% reduced risk of breast and endometrial cancers respectively. Cycling, compared to motorized modes, was associated with a lower risk of overall cancer incidence and mortality.
    CONCLUSIONS: Active transport appears to reduce cancer risk, but evidence for cancer sites other than colorectum, breast, and endometrium is currently limited.
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  • 文章类型: Journal Article
    背景:积极的学校旅行(AST)举措符合《渥太华健康促进宪章》,这要求“创造支持性环境”和“加强社区行动”。\'然而,他们对志愿者的依赖构成了可持续性挑战。这项研究的主要目标是记录动机,满意,以及参与整个学年在安大略省维持两项AST计划的志愿者的经验。
    方法:金斯敦的两个由志愿者主导的学校街计划,安大略省在每个上学日的接送时间内成功运营。第一个计划在整个2021-2022学年运行,第二个在整个2022-2023学年运行。这些举措是安大略省的第一个此类举措,加拿大。来自两个网站的志愿者(n=56)参加了在线调查及其动机,满意,并使用双侧费舍尔精确检验比较了他们的作用经验。
    结果:超过80%的志愿者高度积极地促进安全,超过70%的志愿者高度积极地破坏不支持的现状,通过重新想象如何使用街道,以汽车为中心的城市环境。通过采取集体行动来重塑这些公立学校周围的环境,以支持健康,积极生活,我们的调查结果显示,超过90%的志愿者非常满意。志愿者中,87%的人认为他们为儿童安全做出了贡献,85%的人认为他们建立了更牢固的社区联系。他们赞赏短(即,40分钟)每个班次的时间承诺,领导该计划的社区组织每周进行电子邮件通信,志愿者的时间表。他们还赞赏志愿者轮班期间的积极社交互动,他们觉得这胜过了他们所经历的最小阻力。
    结论:这项研究证明了后勤的重要性,动机,以及招募和留住社区主导的学校街道志愿者的社会因素。我们的发现支持吸引潜在志愿者在实现学校街目标方面的影响力(例如,提高安全性)在招聘工作中,以及突出学校街道的创新方法。在整个学校街规划和实施过程中与志愿者沟通,并限制封闭街道区域的交通(即,通过将学校工作人员停车场和私人车道排除在范围之外)是基于本研究结果的额外建议。
    BACKGROUND: Active School Travel (AST) initiatives align with the Ottawa Charter for Health Promotion, which calls for \'creating supportive environments\' and \'strengthening community action.\' However, their reliance on volunteers poses sustainability challenges. The main objectives of this study were to document the motivations, satisfaction, and experiences of volunteers involved in sustaining two AST initiatives in Ontario for an entire school year.
    METHODS: Two volunteer-led School Street initiatives in Kingston, Ontario successfully operated during pick-up and drop-off times of each school day. The first initiative operated for the entire 2021-2022 school year, and the second operated for the entire 2022-2023 school year. These initiatives were the first of their kind in the province of Ontario, Canada. Volunteers from both sites (n = 56) participated in online surveys and their motivations, satisfaction, and experiences of their role were compared using the 2-sided Fisher\'s Exact Test.
    RESULTS: Over 80% of volunteers were highly motivated to promote safety and over 70% of volunteers were highly motivated to disrupt the status quo of unsupportive, car-centric urban environments by reimagining how streets can be used. By taking collective action to re-shape the environment around these public schools to support healthy, active living, our findings reveal that over 90% of volunteers were highly satisfied. Of the volunteers, 87% felt they contributed to child safety and 85% felt they had developed stronger community connections. They appreciated the short (i.e., 40 minute) time commitment of each shift, weekly email communications by the community organization leading the initiative, and the volunteer schedule. They also appreciated the positive social interactions during volunteer shifts, which they felt outweighed the minimal resistance they experienced.
    CONCLUSIONS: This research demonstrates the importance of logistical, motivational, and social factors in recruiting and retaining volunteers for community-led School Streets. Our findings support appealing to prospective volunteers\' influence in achieving School Street objectives (e.g., improved safety) in recruitment efforts, as well as highlighting School Streets\' innovative approach. Communicating with volunteers throughout School Street planning and implementation processes and limiting traffic in the closed street zone (i.e., by excluding the school staff parking lot and private driveways from the scope) are additional recommendations based on the findings of this study.
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  • 文章类型: Journal Article
    血脑屏障对用于治疗脑疾病的治疗分子的施用提出了关键限制。虽然口服或静脉注射的药物必须穿过这个屏障才能到达大脑目标,嗅觉系统独特的解剖结构提供了直接向大脑输送药物的途径。通过受体进入大脑,承运人,鼻嗅觉和三叉神经区域的吸附介导的胞吞作用有可能增加药物递送。在这次审查中,我们介绍了鼻腔的生理和解剖结构,并总结了鼻-脑通路中可能的运输方式以及相关的受体和载体。此外,我们提供了开发用于鼻内药物递送到大脑的纳米治疗剂的例子。可以应用于鼻内递送系统的纳米颗粒的进一步开发有望通过增加分子进入大脑来改善药物功效并减少耐药性和不良反应。本文分为:治疗方法和药物发现>神经疾病的纳米医学。
    The blood-brain barrier presents a key limitation to the administration of therapeutic molecules for the treatment of brain disease. While drugs administered orally or intravenously must cross this barrier to reach brain targets, the unique anatomical structure of the olfactory system provides a route to deliver drugs directly to the brain. Entering the brain via receptor, carrier, and adsorption-mediated transcytosis in the nasal olfactory and trigeminal regions has the potential to increase drug delivery. In this review, we introduce the physiological and anatomical structures of the nasal cavity, and summarize the possible modes of transport and the relevant receptors and carriers in the nose-to-brain pathway. Additionally, we provide examples of nanotherapeutics developed for intranasal drug delivery to the brain. Further development of nanoparticles that can be applied to intranasal delivery systems promises to improve drug efficacy and reduce drug resistance and adverse effects by increasing molecular access to the brain. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Neurological Disease.
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