Formation mechanism of residents' intention to purchase commercial health insurance: the moderating effect of environmental pollution perception.

Aim: With the development of the social economy, commercial health insurance in China has gradually been recognized by residents, but it is still in the initial stage of the market. To identify influencing factors of residents' intention to purchase commercial health insurance and to explore the influencing mechanism and heterogeneity of intention, this study aimed to reveal the formation mechanism of intention to purchase commercial health insurance. Methods: This study introduced water and air pollution perceptions as moderating variables and, constructed a theoretical framework combining the stimulus-organism-response model and the theory of reasoned action models. The structural equation model was developed, and multigroup analysis and moderating effect analysis were carried out. Results: The results show that advertising marketing and the behavior of relatives and friends positively influence cognition. Cognition, as well as advertising marketing and behavior of relatives and friends, has a positive impact on attitude. Furthermore, purchase intention is positively affected by cognition and attitude. Both gender and residence play a significant moderating role in influencing purchase intention. Air pollution perceptions positively moderate the path from  attitude to purchase intention. Conclusion: The validity of the constructed model was verified and could be used to predict the willingness of residents to purchase commercial health insurance. Furthermore, policy recommendations to promote the further development of commercial health insurance were proposed. This study provides a valuable reference for insurance companies to expand the market and for the government to improve commercial insurance policies.

Effects of particulate matter exposure on semen quality: A retrospective cohort study.

BACKGROUND: Particulate matter (PM) exposure is closely associated with male infertility. Even though an association between poor semen quality and PM exposure has been widely accepted, which and when the semen parameter could be affected are still controversial. The purpose of this study is to estimate the effects of PM exposure on semen quality in Huai'an, China. OBJECTIVES AND METHODS: The study included 1955 men with 2073 semen samples between 2015 and 2017 with moderate to high exposure to air pollution in Huai'an, China. Three multivariable linear regression models were used to conduct exposure-response analyses for PM exposure and semen quality and to estimate the influence during different exposure periods by every 15 days period before ejaculation in all participants group and normal semen quality participants group. RESULTS: The average age of the observations was 28.9 ± 5.4 old years and the average abstinence period was 4.2 ± 1.5 days. The results showed high correlations between both PM2.5 and PM10 exposures throughout entire spermatogenesis and the declines of sperm count (ß: -0.93, p < 2 × 10-16 and ß: -1.00, p < 2 × 10-16), and sperm concentration (ß: -1.00, p < 2 × 10-16 and ß: -1.06, p < 2 × 10-16), and PM10 exposure decreased sperm total motility (ß: -0.60, p = 2.56 × 10-7), but not sperm progressive motility. Furthermore, PM2.5 exposure decreased sperm count and concentration during 15-75 lag days, and PM10 exposure showed significant association with sperm count and concentration during 0-75 lag days. PM2.5 and PM10 exposures during 45-59 lag days were both inversely associated with sperm total motility (all p value < 0.05). CONCLUSION: The present study revealed that ambient PM exposure throughout spermatogenesis during a long period, especially at early and middle stage were adversely associated with semen quality, sperm count and sperm concentration in particular.

Development of alginate hydrogel/gum Arabic/gelatin based composite capsules and their application as oral delivery carriers for antioxidant.

We have designed microcapsules-immobilized composite capsules and evaluated the oral delivery efficacy. The composite capsules were developed by encapsulating Perinereis aibuhitensis extract (PaE), a model substance possessing antioxidant activity, loaded gum Arabic/gelatin microcapsules in calcium alginate (CA) hydrogel (PaE:CA/GA/GE-CCs). In vitro antioxidant assay showed the obtained composite capsules were able to protect PaE from gastric acid, since O2- scavenging rate of encapsulated PaE was about 1.8 folds as that of free PaE after 5 h incubation in simulated gastrointestinal fluid. Moreover, in vivo study showed that after the treatment of oral administration for 30 days, the mice of PaE:CA/GA/GE-CCs group suffered significantly lower oxidative stress level than those of other groups, illustrated as higher SOD and catalase activity, as well as lower malondialdehyde content in liver cells. The results demonstrated the composite capsules could concentrate PaE in small intestine, and enhance the absorption efficiency and in vivo efficacy.

[Inhibin B level helps evaluate the testicular function of prepubertal patients with varicocele].

OBJECTIVE: To investigate the role of the serum inhibin B (INHB) level in evaluating the testicular function of the prepubertal patient with varicocele (VC) after high ligation of the spermatic vein (HLSV). METHODS: This study included 31 prepubertal male patients with left VC, averaging 12.55 years of age and 9 complicated by right VC. We collected peripheral blood samples before and at 4, 12 and 26 weeks after HLSV as well as spermatic venous blood samples intraoperatively for determination of the levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), anti-sperm antibody (AsAb) and serum INHB by ELISA. RESULTS: Compared with the baseline, statistically significant differences were observed in the INHB level in the peripheral blood at 12 and 26 weeks after operation (ï¼»255.18 ± 69.97ï¼½ vs ï¼»141.78 ± 59.82ï¼½ pg/ml, P < 0.05) and that in the spermatic venous blood intraoperatively (ï¼»255.18 ± 69.97ï¼½ vs ï¼»412.44 ± 259.42ï¼½ pg/ml, P < 0.01). Spearman's analysis showed a negative correlation between the level of INHB and that of FSH (r = －0.224, P < 0.01). CONCLUSIONS: The level of serum INHB in the peripheral blood of the prepubertal VC patient is decreased within 6 months after HLSV and negatively correlated with that of FSH. The levels of INHB and FSH may well reflect the testicular function of the prepubertal VC patient.

Enhanced light out-coupling efficiency of quantum dot light emitting diodes by nanoimprint lithography.

Extracting light from quantum dot light emitting diodes (QLEDs) by applying optical-functional nanostructures inside and outside the devices is essential for their commercial application in illumination and displays. In this paper, we demonstrate the highly effective extraction of waveguided light from the active region of QLEDs by embedding internal grating patterns fabricated using a nanoimprint lithography technique. The grating couples out waveguide mode power into the substrate without changing the device's electrical properties, resulting in an increase in both the external quantum efficiency and luminous efficiency for a green QLED from 11.13% to 13.45%, and 29 010 cd m-2 to 44 150 cd m-2, respectively. The observed improvement can be ascribed to the elimination of the waveguide mode by the grating nanostructures introduced in the device. Furthermore, the finite-difference time-domain (FDTD) simulation also demonstrated that the power loss due to the waveguide mode was reversed. The results indicate that internal nano-scattering pattern structures are attractive for enhancing the out-coupling efficiency of QLEDs.

Biosynthetic calcium-doped biosilica with multiple hemostatic properties for hemorrhage control.

In this study, we reported calcium-doped biosilica (Ca-biosilica) with multiple hemostatic properties derived from Coscinodiscus sp. frustule. The incorporation of calcium into the diatom frustule was achieved by a simple biosynthetic route through feeding the diatoms with calcium chloride, which was confirmed by calcein staining and EDXS. Ca-Biosilica exhibited an efficient water absorption ratio (36.36 ± 1.44 times its own weight of liquid), superior compatibility (hemolysis ratio <5%, no cytotoxicity against MEFs) and excellent hemostatic effect (203.67 ± 15.63 s at 5 mg mL-1; 145.01 ± 20.41 s at 10 mg mL-1). The intrinsic blood coagulation pathway was clearly strengthened by the unique interface of Ca-biosilica, which was rich in silanol groups and calcium, leading to fast hemorrhage control in rat-tail amputation model. The clotting time of Ca-biosilica was 88.34 ± 28.54 s, which was similar to that of Quickclot® zeolite, whereas only one-third blood loss by weight (0.21 ± 0.16 g) was found in Ca-biosilica-treated group compared with that of the Quickclot® zeolite group (0.63 ± 0.09 g). The results prove that Ca-biosilica is promising as a quick hemostatic agent due to its effectiveness, excellent biocompatibility and simple and environmentally friendly preparation process.

[Endpoint Temperature Prediction of the Basic Oxygen Furnace Based on the Flame Temperature Measurement at the Converter Mouth].

In the basic oxygen steelmaking process, the endpoint temperature of the molten steel is one of the key factors whether the molten steel is qualified for tapping. Currently, it mainly relies on the experienced operators to control the endpoint temperature of the molten steel, and the prediction precision may vary among different operators. In order to realize the effectively end-point steel temperature prediction of the basic oxygen furnace as well as to meet the requirement of different sizes of the converter mouth, a new method based on the flame temperature measurement at the converter mouth was proposed in this paper. Firstly, a fiber-optic spectrometer system in the visible and near infrared spectral range was designed which can real-timely and effectively realize the collection of the flame radiation information at the converter mouth. Secondly, in consideration of the actual temperature of the flame and the distance between the converter and the designed system, an improved calibration method instead of the halogen lamp was adopted, and the two-color method was employed for the flame temperature measurement. Then a regression model based on the support vector machine was built with the flame temperature and several other parameters of the steel-making process as the input variables of the model. Verification experiment was carried out on 68 industrial data collected in the steel-making workshop. The results show that the prediction accuracy of this method is superior to the experienced operators, and close to the sub-lance based method. As a result, the proposed method can provide a feasible and effective solution to the end-point steel temperature prediction for those small-sized and medium-sized converters.