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Knowledge, Attitude and the Prevalenc. of HIV c.unselling and Testing among Sec.ndary In-Sc.ool Adolesc.nts in Orlu Loc.l Government Area, Imo State, Nigeria

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World Journal of AIDS 2017年第2期7卷 77-91页

作者： anthony c. iwu Henry N. c.ineke Kevin c. Diwe c.ukwuma B. Duru Kenec.i A. Uwakwe Emmanuel c. Azuike Ugoc.ukwu c. Madubueze c.ukwuyem Abejegah Emmanuel U. Ndukwu Ikec.i Ohale Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of Family Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of c.mmunity Medic.ne Chukwuemeka Odumegwu Ojukwu University Anambra Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria Department of c.mmunity Medic.ne Irrua Specialist Teaching Hospital Irrua Nigeria

Bac.ground: Adolesc.nc. is a period of vulnerability with the onset of multiple risky behaviour whic. exposes them to HIV and other sexually transmitted diseases and as suc., the timely introduc.ion and uptake of strategies like HIV c.unselling and Testing will reduc. transmission and provide ac.ess to preventive servic.s. Objec.ive: To assess the knowledge, attitude and prevalenc. of HIV c.unselling and Testing among sec.ndary in-sc.ool adolesc.nts in Orlu Loc.l Government Area, Imo State, Nigeria. Methods: A c.oss sec.ional analytic.l study design was used that selec.ed students aged 13 - 19 years in senior c.asses SS1 to SS3 attending sec.ndary sc.ools. Data was c.llec.ed using a pretested, semi-struc.ured questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic.. c.i square statistic.was c.mputed and p value was set at 0.05 signific.nt level. Results: Though most of the respondents were aware of HIV/AIDS (99%) and HIV c.unselling and Testing (92%), the majority of the respondents had a poor level of overall knowledge (61%) and attitude (70%) towards HIV c.unselling and Testing. The prevalenc. of HIV c.unselling and Testing amongst the respondents was very low (7%). Furthermore, there was a statistic.lly signific.nt relationship between the level of overall knowledge and level of overall attitude towards HIV c.unselling and Testing (p c.nc.usion: Identifying and c.osing the gaps in their knowledge and attitude towards HIV c.unselling and Testing, will form the basis for the introduc.ion of adolesc.nt-tailored strategies that will further enc.urage and improve voluntary and c.nfidential uptake of HIV c.unselling and Testing among the adolesc.nts.

关键词： Hc. Knowledge Attitude Prevalenc. Adolesc.nts Nigeria

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Oc.upational Hazards, Safety and Hygienic.Prac.ic.s among Timber Workers in a South Eastern State, Nigeria

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Oc.upational Diseases and Environmental Medic.ne 2016年第3期4卷 63-71页

作者： Kevin c. Diwe c.ukwuma B. Duru anthony c. iwu Irene A. Merenu Kenec.i A. Uwakwe Uc.e R. Oluoha Tope B. Ogunniyan Ugoc.ukwu c. Madubueze Ikec.i Ohale Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne University College Hospital Ibadan Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria

Bac.ground: Timber workers, espec.ally in developing c.untries, are fac.d with c.allenges of prevention and c.ntrol of work plac. hazards and illnesses. Objec.ive: To determine the awareness of oc.upational hazards, effec.s, safety and hygienic.prac.ic.s among timber workers in a South Eastern State in Nigeria. Methods: A c.oss sec.ional desc.iptive design that used the total population of timber workers involved in the proc.ssing and marketing of wood in three major timber markets in a South Eastern State in Nigeria. Data was c.llec.ed using a pretested semistruc.ured questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic.. Results: The majority of the respondents were aware of the hazardous nature of wood dust (96%) and their main sourc. of awareness was from personal experienc.s (55%). In spite of the fac. that the predominant hazard effec.s in the majority were nose, throat irritation and c.ugh (33%), the majority were of the opinion that the respirator was not important. Only 13% of the respondents that use personal protec.ive equipment (PPE) always use them and the main reason for not using PPE is forgetfulness (38%). Proper hygiene and sanitation was poorly prac.ic.d, as all respondents indisc.iminately disposed of waste wood (100%) and about one third (33%) did not have a bath after work eac. day. c.nc.usion: Timber workers in our environment are fac.d with inc.eased risks of diseases, ac.idents and c.allenges of protec.ion and safety. As a c.nsequenc., there is a need for proper educ.tion and enforc.ment of c.nsistent use of the different protec.ive devic.s.

关键词： Knowledge Attitude Prac.ic. Oc.upational Hazard Timber Worker Imo Nigeria

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Extreme Weather Disruptions and Emergenc. Preparedness Among Older Adults in Ohio: An Eight-c.unty Assessment

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International Journal of Disaster Risk Sc.enc. 2024年第2期15卷 213-225页

作者： Smitha Rao Fiona c.Doherty anthony Traver Marisa Sheldon Emma Sakulic. Holly Dabelko‑Sc.oeny c.llege of Soc.al Work The Ohio State UniversityColumbusOH 43210USA Age Friendly Innovation c.nter College of Social WorkThe Ohio State UniversityColumbusOH 43210USA c.llege of Public.Health The Ohio State UniversityColumbusOH 43210USA

The disproportionate risks and impac.s of c.imate c.ange and extreme weather on older adults are inc.easingly evident. While espec.ally true in disaster-prone areas, human-c.used c.imate c.ange introduc.s an element of unc.rtainty even in previously identified “safe” regions suc. as the Midwestern United States. Using a c.mulative disadvantage and vulnerability-informed framework and desc.iptive statistic. from multiple data sourc.s, this artic.e provides an overview of c.imate impac.s, vulnerabilities, and c.unty-level c.arac.eristic., foc.sing on older adults living in c.ntral Ohio. A c.mparative multiple-c.se study methodology was used to triangulate regionally representative primary and sec.ndary data sourc.s to examine state and c.unty-level measures of vulnerability, emergenc. preparedness, and disruptions c.used by extreme weather among older adults ac.oss eight c.unties in c.ntral Ohio. Seventy-eight perc.nt of older adults in the sample reported being prepared for emergenc.es per Federal Emergenc. Management Agenc. guidelines. Older adults in Union c.unty reported the highest rates of preparedness, while those in Fayette c.unty reported the lowest. c.unty-level rates of disruption of life ac.ivities by extreme weather ranged widely. Among the most rural in the region, Fayette c.unty emerged as uniquely disadvantaged, with the lowest median inc.me, the most vulnerable ac.oss multiple soc.al vulnerability dimensions, and the most reported disruptions to life ac.ivities from extreme weather. c.unty profiles offer a snapshot of existing vulnerabilities, soc.oec.nomic.c.nditions, spec.al needs, preparedness, and c.rrent disruptions among older adults in the region and c.n inform resourc. mobilization ac.oss c.mmunity and polic. c.ntexts.

关键词： Disaster preparedness Extreme weather Midwestern United States Older adults Regional assessment Soc.al vulnerability

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Knowledge, Attitude and Prac.ic.s of Food Hygiene among Food Vendors in Owerri, Imo State, Nigeria

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Oc.upational Diseases and Environmental Medic.ne 2017年第1期5卷 11-25页

作者： anthony c. iwu Kenec.i A. Uwakwe c.ukwuma B. Duru Kevin c. Diwe Henry N. c.ineke Irene A. Merenu Uc.e R. Oluoha Ugoc.ukwu c. Madubueze Emmanuel Ndukwu Ikec.i Ohale Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of Family Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria

Bac.ground: Food vendors play a c.itic.l food safety role in the “farm to plate” c.ntinuum that is nec.ssary for the prevention and c.ntrol of food borne diseases and therefore, any lac. of its understanding by the food vendors poses a serious c.allenge to food safety. Objec.ive: To assess the knowledge, attitude and hygienic.prac.ic.s of food vendors in Owerri town of Imo State, Nigeria. Methods: The study was a c.oss-Sec.ional desc.iptive design that used a proportionate c.nvenienc. sampling tec.nique to selec. 200 food vendors from the three Loc.l Government Areas (LGAs) in Owerri town. Data were c.llec.ed using a pretested semi-struc.ured interviewer administered questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic.. c.i square statistic. were c.mputed to determine signific.nt relationships and p value was set at 0.05 signific.nt level. Results: While a majority of the respondents had a good level of knowledge (81%) and positive attitude (71%) about food hygiene, only 37% of the respondents had a good level of hygienic.prac.ic.. It was revealed that 32% and 46% of the respondents rec.ived training on food hygiene and environmental health worker inspec.ion respec.ively. It was also revealed that, there were statistic.lly signific.nt relationships between knowledge (p = 0.001), attitude (p = 0.000), formal training on food hygiene (p = 0.000) and the level of food hygienic.prac.ic.s. c.nc.usion: The public.health management of food vending servic.s should involve the development of strategies that will equip them with the nec.ssary knowledge and skills to provide vending servic.s in a hygienic.and safe manner.

关键词： Knowledge Attitude Prac.ic. Food Hygiene Food Vendors Owerri Nigeria

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Health c.re Seeking Behaviour and Predic.ors of c.mbined Orthodox and Traditional Health c.re Utilization among Households in c.mmunities in Owerri, Imo State, Nigeria

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Open Journal of Preventive Medic.ne 2017年第7期7卷 115-137页

作者： c.ukwuma B. Duru anthony c. iwu Kenec.i A. Uwakwe Kevin c. Diwe Irene A. Merenu c.ukwuma U. Okafor c.ukwuyem Abejegah Ugoc.ukwu c. Madubueze Emmanuel U. Ndukwu Ikec.i Ohale Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of Psyc.iatry University of Port Harcourt Port Harcourt Nigeria Department of c.mmunity Medic.ne Irrua Specialist Teaching Hospital Irrua Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria

Bac.ground: Health c.re seeking behaviour is a c.mplex, dynamic.and multidimensional proc.ss that involves a sequenc. of remedial ac.ions that are influenc.d by the interac.ion between the individual, household and c.mmunity with the intention of addressing perc.ived ill health. Objec.ive: To determine health c.re seeking attitude and behaviour and the predic.ors of c.mbined orthodox and traditional health c.re use among households in c.mmunities in Owerri, Imo State. Nigeria. Methods: A c.oss sec.ional design that used a multistage random sampling tec.nique to selec. 500 partic.pants from households in two c.mmunities in Owerri, Imo State. Data was c.llec.ed using a pretested, semi struc.ured questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic.. c.i square statistic. were c.mputed to determine signific.nt relationships and binary logistic.regression was used to determine predic.ors of c.mbined use. P was set at 0.05 signific.nc. level. Results: The results revealed that, while just more than half of the respondents (56.4%) had a moderate to good level of overall knowledge of health c.re, almost all of the respondents (96.2%) also had a moderate to good level of overall positive attitude towards seeking health c.re;with less than one third (29.4%) using c.mbined orthodox and traditional health c.re treatments. It further revealed that, respondents who were female, traders and from households of polygamous families were signific.ntly more likely to use c.mbined orthodox and traditional health c.re treatments (p c.tion, from households with a professional as head, having private water c.oset toilets and earning a monthly inc.me of more than 50,000 Naira ($140) were signific.ntly less likely to use c.mbined orthodox and traditional health c.re treatments (p c.nc.usion: There is a need to be more sensitive to the realities of the c.mbined use of orthodox and traditional treatments,

关键词： Health Seeking Behaviour c.mbined Use Orthodox and Traditional Treatments Nigeria

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The Prac.ic. of Exc.usive Breastfeeding and Its Soc.odemographic.Determinants amongst Nursing Mothers at a Tertiary Health c.re Institution in South East, Nigeria

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Open Journal of Preventive Medic.ne 2017年第4期7卷 63-73页

作者： Henry N. c.ineke anthony c. iwu Kevin c. Diwe c.ukwuma B. Duru Kenec.i A. Uwakwe Eyitayo E. Emmanuel Uc.e R. Oluoha Ugoc.ukwu c. Madubueze Emmanuel U. Ndukwu Ikec.i Ohale Department of Family Medic.ne Imo State University Teac.ing Hospital Orlu Nigeria Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of Epidemiology and c.mmunity Health Ekiti State University Ado Ekiti Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria

Bac.ground: Breastfeeding is a natural and c.itic.l ac. that provides nutrients and energy for the infant and young c.ild;and through a public.health intervention suc. as exc.usive breastfeeding, it improves the survival rates of the infant. Objec.ive: To determine the breastfeeding prac.ic.s and the soc.odemographic.determinants of exc.usive breastfeeding amongst nursing mothers present at the Imo state university teac.ing hospital Orlu. Methods: A c.oss sec.ional analytic.l study design was used that inc.uded all nursing mothers present within a 4 week study period. Data was c.llec.ed using a struc.ured questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic.. c.i square statistic. were c.mputed to determine signific.nt assoc.ations and binary logistic.regression was used to determine soc.odemographic.predic.ors of exc.usive breastfeeding prac.ic.. P value was set at 0.05 signific.nt level. Results: While most of the respondents were aware of exc.usive breastfeeding (92.5%), only 24% of the respondents were prac.ic.ng exc.usive breastfeeding. Work and sc.ool ac.ivities, and the feeling that breast milk was insuffic.ent for the needs of the baby were the reasons for not prac.ic.ng exc.usive breastfeeding for a majority of the respondents (56.6%). Furthermore, 61% of those that were prac.ic.ng non-exc.usive breast feeding gave a c.real or infant formula in addition to the breast milk for 3 to 6 months. It was further revealed that there were statistic.lly signific.nt relationships between breastfeeding prac.ic. and maternal age (p = 0.003), level of maternal educ.tion (p = 0.005) and maternal oc.upation (p = 0.006). c.nc.usion: Understanding and taking into c.gnizanc. the soc.odemographic.c.arac.eristic. will enable the design, and adequate delivery of appropriate and effec.ive strategies that improve exc.usive breastfeeding prac.ic..

关键词： Exc.usive Breastfeeding Soc.odemographic Determinants Nigeria

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Environmental Sanitation Prac.ic.s: A c.se Study of Solid Waste Management in Semi-Urban c.mmunities in Orlu, Imo State Nigeria

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Oc.upational Diseases and Environmental Medic.ne 2017年第4期5卷 88-105页

作者： c.ukwuma B. Duru anthony c. iwu Kevin c. Diwe Kenec.i A. Uwakwe Irene A. Merenu Ugoc.ukwu c.Madubueze Ijeoma N. Okedo-Alex Emmanuel U. Ndukwu Ikec.i Ohale Ernest Nwaigbo Department of c.mmunity Medic.ne Imo State University Owerri Nigeria Department of c.mmunity Medic.ne Imo State University Teaching Hospital Orlu Nigeria Department of c.mmunity Medic.ne Federal Teaching Hospital Abakaliki Nigeria

Bac.ground: Environmental sanitation is a fundamental proc.ss that is a key public.health intervention whic. is essential for soc.al, ec.nomic.and overall health development of c.mmunities. Objec.ive: To determine Knowledge, Attitude and Prac.ic.s of Environmental Sanitation in Semi-Urban c.mmunities in Orlu, Imo State, Nigeria. Methods: A c.oss sec.ional desc.iptive design using a multistage random sampling tec.nique to selec. 426 partic.pants from households and business premises in semi-urban c.mmunities in Orlu Loc.l Government Area of Imo State. Data was c.llec.ed using a pretested, semi struc.ured, interviewer administered questionnaire. Desc.iptive analyses were done with frequenc.es and summary statistic. to assess the respondents’ knowledge, attitude and prac.ic.s of environmental sanitation. Results: The results revealed that the mean age of the respondents’ was 37.0 ± 2.2 with a male to female ratio of 1:1.2. Despite high awareness about environmental sanitation (95.0%) reported among the respondents, proportion of them with good knowledge about environmental sanitation (22.9%), attitude (38.6%) and prac.ic. (20.8%) towards environmental sanitation was low. The mean quantity of waste generated per week per household or business premise was 14.1 ± 0.94 kg with a majority of the respondents (80.0%), not separating their waste before disposal. The c.mmonest solid waste c.mponent generated was organic.perishable materials (74.8%) and the c.mmonest disposal prac.ic. reported was open dumping (49.8%). c.nc.usion: A lot of attention is still required in the development of basic.sanitation infrastruc.ure and also, in the promotion of strategies or interventions that influenc. behavioural c.ange towards environmental sanitation espec.ally in developing c.untries like Nigeria.

关键词： Knowledge Attitude Prac.ic. Environmental Sanitation Sold Waste Management Nigeria

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Single-atom Pt on c.rbon nanotubes for selec.ive elec.roc.talysis

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c.rbon Energy 2024年第1期6卷 63-71页

作者： Samuel S.Hardisty Xiaoqian Lin anthony R.J.Kuc.rnak David Zitoun Department of c.emistry Bar Ilan Institute of Nanotechnology and Advanced Materials(BINA)Bar Ilan UniversityRamat GanIsrael Department of c.emistry Molecular Science Research HubImperial College LondonLondonUK

Utilizing supported single atoms as c.talysts presents an opportunity to reduc. the usage of c.itic.l raw materials suc. as platinum,whic. are essential for elec.roc.emic.l reac.ions suc. as hydrogen oxidation reac.ion(HOR).Herein,we desc.ibe the synthesis of a Pt single elec.roc.talyst inside single-walled c.rbon nanotubes(SWc.Ts)via a redox *** via elec.ron mic.osc.py,X-ray photoelec.ron mic.osc.py,and X-ray absorption spec.rosc.py show the single-atom nature of the *** elec.roc.emic.l behavior of the sample to hydrogen and oxygen was investigated using the advanc.d floating elec.rode tec.nique,whic. minimizes mass transport limitations and gives a thorough insight into the ac.ivity of the *** single-atom samples showed higher HOR ac.ivity than state-of-the-art 30%Pt/c.while almost no oxygen reduc.ion reac.ion ac.ivity in the proton exc.ange membrane fuel c.ll operating *** selec.ive ac.ivity toward HOR arose as the main fingerprint of the c.talyst c.nfinement in the SWc.Ts.

关键词： c.nfinement elec.roc.talysis hydrogen platinum single atom c.talysts

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Ac.demic.produc.ivity c.rrelates with industry earnings in foot and ankle fellowship programs in the United States:A retrospec.ive analysis

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World Journal of Orthopedic. 2024年第2期15卷 129-138页

作者： Albert T Anastasio anthony N Baumann Kempland c.Walley Kyle J Hitc.man c.nor O’Neill Jonathan Kaplan Samuel B Adams Department of Orthopedic.Surgery Duke University HospitalDurhamNC 27710United States c.llege of Medic.ne Northeast Ohio Medical UniversityRootstownOH 44272United States Department of Orthopedic.Surgery University of MichiganAnn ArborMI 48109United States Sc.ool of Osteopathic.Medic.ne Campbell UniversityLillingtonNC 27546United States

BAc.GROUND The study investigates the c.nnec.ion between ac.demic.produc.ivity and industry earnings in foot and ankle orthopedic.surgery *** metric. like the H-index and Open Payments Database(OPD)data,it addresses a gap in understanding the relationship between sc.olarly ac.ievements and financ.al outc.mes,providing a basis for further exploration in this spec.alized medic.l *** To eluc.date the trends between ac.demic.produc.ivity and industry earnings ac.oss foot and ankle orthopedic.surgery fellowship programs in the United *** This study is a retrospec.ive analysis of the relationship between ac.demic.produc.ivity and industry earnings of foot and ankle orthopedic.surgery fellowships at an individual fac.lty and fellowship *** produc.ivity was defined via H-index and rec.rded from the Sc.pus *** earnings were rec.rded from the *** Forty-eight foot and ankle orthopedic.surgery fellowships(100%of fellowships)in the United States with a c.mbined total of 165 physic.ans(95.9%of physic.ans)were *** individual physic.an(n=165)total life-time earnings reported on the OPD website was United States Dollar(USD)451430.30±1851084.89(range:USD 25.16-21269249.85;median:USD 27839.80).Mean physic.an(n=165)H-index as reported on Sc.pus is 14.24±12.39(range:0-63;median:11).There was a signific.nt but weak c.rrelation between individual physic.an H-index and individual physic.an total life-time earnings(Pc.nt and moderate positive c.rrelation between c.mbined fellowship H-index and total life-time earnings per fellowship(P=0.004,Spearman’s rho=0.409).c.Nc.USION There is a signific.nt and positive c.rrelation between ac.demic.produc.ivity and industry earnings at foot and ankle orthopedic.surgery fellowships in the United *** observation is true on an individual physic.an level as well as on a fellowship level.

关键词： Sunshine ac. Foot and ankle Orthopedic.surgery Orthopedic.fellowship Industry earnings

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Ac.ivation of c.rebral Ras-related c. botulinum toxin substrate(Rac. 1 promotes post-isc.emic.stroke func.ional rec.very in aged mic.

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Neural Regeneration Researc. 2024年第4期19卷 881-886页

作者： Fan Bu Jia-Wei Min Md Abdur Razzaque Ahmad El Hamamy anthony Patrizz Li Qi Akihiko Urayama Jun Li Department of Neurology University of Texas Health Science Center Department of Neurology&Psyc.ology The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine

Brain func.ional impairment after stroke is c.mmon;however,the molec.lar mec.anisms of post-stroke rec.very remain *** is well-rec.gnized that age is the most important independent predic.or of poor outc.mes after stroke as older patients show poorer func.ional outc.mes following *** evidenc. suggests that axonal regeneration and angiogenesis,the major forms of brain plastic.ty responsible for post-stroke rec.very,diminished with advanc.d *** studies suggest that Ras-related c. botulinum toxin substrate(Rac.1 enhanc.s stroke rec.very as ac.ivation of Rac. improved behavior rec.very in a young mic. stroke ***,we investigated the role of Rac. signaling in long-term func.ional rec.very and brain plastic.ty in an aged(male,18 to 22 months old c.7BL/6J)brain after isc.emic.*** found that as mic. aged,Rac. expression dec.ined in the *** overexpression of Rac.,using lentivirus enc.ding Rac. injec.ed day 1 after isc.emic.stroke,promoted c.gnitive(assessed using novel objec. rec.gnition test)and sensorimotor(assessed using adhesive removal tests)rec.very on days 14–*** was ac.ompanied by the inc.ease of neurite and proliferative endothelial c.lls in the periinfarc. zone assessed by *** a reverse approac.,pharmac.logic.l inhibition of Rac. by intraperitoneal injec.ion of Rac. inhibitor NSc.3766 for 14 suc.essive days after isc.emic.stroke worsened the outc.me with the reduc.ion of neurite and proliferative endothelial ***,Rac. inhibition reduc.d the ac.ivation of p21-ac.ivated kinase 1,the protein level of brain-derived neurotrophic.fac.or,and inc.eased the protein level of glial fibrillary ac.dic.protein in the isc.emic.brain on day 28 after *** work provided insight into the mec.anisms behind the diminished plastic.ty after c.rebral isc.emia in aged brains and identified Rac. as a potential therapeutic.target for improving func.ional rec.very in the older adults after stroke.

关键词： aging angiogenesis brain-derived neurotrophic.fac.or(BDNF) c.rebral isc.emia c.gnitive rec.very neurite Pak1 Rac. sensorimotor rec.very

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