Identity Change through Affordances Actualization: Evidence from Healthcare Workers

As more and more digital technologies are used in healthcare organizations, the way healthcare workers work and doctor-patient communication are changing. These changes will lead to identity change of healthcare workers. Some scholars try to understand technological changes in terms of the affordance theory. However, there are few relevant studies that incorporate specific application scenarios. In this paper, we explore the specific performance of the digital technology affordance and the impact on healthcare workers’ identity in China. We conducted in-depth interviews with 14 healthcare workers and used grounded theory to summarize three kinds of digital technology affordance, namely functional affordance, process affordance and performance affordance. The findings suggest that on the one hand, digital technology affordance increase the efficiency of healthcare workers and enhance collaboration among colleagues, thus reinforcing the healthcare workers’ identity. On the other hand, over-reliance on digital technology may also lead to unnecessary hassles that worsen healthcare workers’ identity. Our study enriches the affordance theory and identity theory, and has constructive implications for the quality of healthcare services in a digital context

Genistein Improves Neuropathology and Corrects Behaviour in a Mouse Model of Neurodegenerative Metabolic Disease

BACKGROUND: Neurodegenerative metabolic disorders such as mucopolysaccharidosis IIIB (MPSIIIB or Sanfilippo disease) accumulate undegraded substrates in the brain and are often unresponsive to enzyme replacement treatments due to the impermeability of the blood brain barrier to enzyme. MPSIIIB is characterised by behavioural difficulties, cognitive and later motor decline, with death in the second decade of life. Most of these neurodegenerative lysosomal storage diseases lack effective treatments. We recently described significant reductions of accumulated heparan sulphate substrate in liver of a mouse model of MPSIIIB using the tyrosine kinase inhibitor genistein. METHODOLOGY/PRINCIPAL FINDINGS: We report here that high doses of genistein aglycone, given continuously over a 9 month period to MPSIIIB mice, significantly reduce lysosomal storage, heparan sulphate substrate and neuroinflammation in the cerebral cortex and hippocampus, resulting in correction of the behavioural defects observed. Improvements in synaptic vesicle protein expression and secondary storage in the cerebral cortex were also observed. CONCLUSIONS/SIGNIFICANCE: Genistein may prove useful as a substrate reduction agent to delay clinical onset of MPSIIIB and, due to its multimodal action, may provide a treatment adjunct for several other neurodegenerative metabolic diseases

Optimised and Rapid Pre-clinical Screening in the SOD1G93A Transgenic Mouse Model of Amyotrophic Lateral Sclerosis (ALS)

The human SOD1G93A transgenic mouse has been used extensively since its development in 1994 as a model for amyotrophic lateral sclerosis (ALS). In that time, a great many insights into the toxicity of mutant SOD1 have been gained using this and other mutant SOD transgenic mouse models. They all demonstrate a selective toxicity towards motor neurons and in some cases features of the pathology seen in the human disease. These models have two major drawbacks. Firstly the generation of robust preclinical data in these models has been highlighted as an area for concern. Secondly, the amount of time required for a single preclinical experiment in these models (3–4 months) is a hurdle to the development of new therapies. We have developed an inbred C57BL/6 mouse line from the original mixed background (SJLxC57BL/6) SOD1G93A transgenic line and show here that the disease course is remarkably consistent and much less prone to background noise, enabling reduced numbers of mice for testing of therapeutics. Secondly we have identified very early readouts showing a large decline in motor function compared to normal mice. This loss of motor function has allowed us to develop an early, sensitive and rapid screening protocol for the initial phases of denervation of muscle fibers, observed in this model. We describe multiple, quantitative readouts of motor function that can be used to interrogate this early mechanism. Such an approach will increase throughput for reduced costs, whilst reducing the severity of the experimental procedures involved

Perivascular Expression and Potent Vasoconstrictor Effect of Dynorphin A in Cerebral Arteries

BACKGROUND: Numerous literary data indicate that dynorphin A (DYN-A) has a significant impact on cerebral circulation, especially under pathophysiological conditions, but its potential direct influence on the tone of cerebral vessels is obscure. The aim of the present study was threefold: 1) to clarify if DYN-A is present in cerebral vessels, 2) to determine if it exerts any direct effect on cerebrovascular tone, and if so, 3) to analyze the role of κ-opiate receptors in mediating the effect. METHODOLOGY/PRINCIPAL FINDINGS: Immunohistochemical analysis revealed the expression of DYN-A in perivascular nerves of rat pial arteries as well as in both rat and human intraparenchymal vessels of the cerebral cortex. In isolated rat basilar and middle cerebral arteries (BAs and MCAs) DYN-A (1-13) and DYN-A (1-17) but not DYN-A (1-8) or dynorphin B (DYN-B) induced strong vasoconstriction in micromolar concentrations. The maximal effects, compared to a reference contraction induced by 124 mM K(+), were 115±6% and 104±10% in BAs and 113±3% and 125±9% in MCAs for 10 µM of DYN-A (1-13) and DYN-A (1-17), respectively. The vasoconstrictor effects of DYN-A (1-13) could be inhibited but not abolished by both the κ-opiate receptor antagonist nor-Binaltorphimine dihydrochloride (NORBI) and blockade of G(i/o)-protein mediated signaling by pertussis toxin. Finally, des-Tyr(1) DYN-A (2-13), which reportedly fails to activate κ-opiate receptors, induced vasoconstriction of 45±11% in BAs and 50±5% in MCAs at 10 µM, which effects were resistant to NORBI. CONCLUSION/SIGNIFICANCE: DYN-A is present in rat and human cerebral perivascular nerves and induces sustained contraction of rat cerebral arteries. This vasoconstrictor effect is only partly mediated by κ-opiate receptors and heterotrimeric G(i/o)-proteins. To our knowledge our present findings are the first to indicate that DYN-A has a direct cerebral vasoconstrictor effect and that a dynorphin-induced vascular action may be, at least in part, independent of κ-opiate receptors

Would You Accept Doctor ChatGPT: An Empirical Study Based on the UTAUT Model

Since its introduction, ChatGPT has generated significant interest in many areas in just a few months, including healthcare. Recently, researchers have claimed that it has passed the U.S. medical licensure examination (Kung et. al, 2022). However, few empirical studies have investigated whether ChatGPT would be valued and accepted by public in the healthcare context. To understand the public\u27s willingness to accept Artificial Intelligence-Generated Content (AIGC) applications like ChatGPT in the healthcare sector, this study proposes a model of factors affecting the user acceptance of ChatGPT for healthcare purposes integrating the Unified Theory of Acceptance and Use of Technology (UTAUT) with the Trust Theory, the Perceived Risk Theory, and the Perceived Illness Theory. We will analyze the data collected from questionnaires using Structural Equation Modeling (SEM). The findings of this study will provide insights into the factors affecting the user acceptance of ChatGPT for healthcare services

The Role of Opinion Leaders in the Sustainable Development of Corporate-Led Consumer Advice Networks: Evidence from a Chinese Travel Content Community

Online community marketing and social media influencer marketing have aroused the interest of many researchers and practitioners around the world. Companies building online content communities to implement community marketing and influencer marketing has become a new corporate strategy, especially in the tourism and hotel industries in which experiential products are sold. However, based on the content community, maintaining the sustainable development of a consumer advice network composed of opinion leaders and consumers is a major challenge. This paper selects the travel content community of Qunar.com as the research object to study the role of opinion leaders in the sustainable development of corporate-led consumer advice networks (CANs). Empirical evidence based on network evolution data from 1356 “Hotel Sleep Testers” across 11 years shows that: (1) the creation and provision of information can obviously increase the probability of the relationship construction and increase the number of relationships, thus facilitating the formation of opinion leadership (OL); (2) active participation in interactions and withhigh-quality information brings greater effects; (3) the network structure variables, such as preferential attachment, structural equivalence, and similarity, can also better predict the probability of a potential relationship; and (4) reciprocity in consumer advice networks has no significant impact on the establishment of network relationships

Functionalized Boron Nitride Nanosheets/Poly(l-lactide) Nanocomposites and Their Crystallization Behavior

In this work, hydroxyl-functionalized boron nitride nanosheet (OH-BNNS) was prepared and was blended with poly(l-lactide) (PLLA) to yield PLLA/OH-BNNS nanocomposites with excellent dispersion of OH-BNNS via the interaction of carbonyl in PLLA and hydroxyl in OH-BNNS. The effects of OH-BNNS on the crystallization and melting behaviors, isothermal crystallization kinetics, macroscopic crystal morphology and crystal structure of PLLA were studied by means of various techniques. The addition of OH-BNNS nanofillers can effectively accelerate the crystallization of PLLA and enhance the nucleation density, leading to a smaller spherulite size, increased crystallinity, a more obvious crystallization peak upon cooling but weakened cold crystallization behavior upon heating. Low OH-BNNS loading can increase the relative content of α-crystal, but the relative content of less perfect α′-crystal is increased at high OH-BNNS loading due to the strong interaction between PLLA and OH-BNNS