关键词： Infertility risk perception   Semen analysis   Pediatric Initiative Network (PIN) criteria   Male childhood cancer survivors  

摘要： Purpose This study aimed to characterize associations between male childhood cancer survivors' perception of infertility risk and objective fertility status and to identify factors contributing to risk perception. Methods Participants were from SJLIFE, exposed to alkylating agents but not radiation, and completed a Men's Health Questionnaire (MHQ) and semen analysis. Samples were obtained following the 2010 World Health Organization Guidelines, and classified as azoospermic (0 sperm), oligospermic (> 0 and < 15 million sperm/ml), or normospermic (>= 15 million sperm/ml). Participants were classified as at minimally or high/significantly increased risk for infertility according to the Pediatric Initiative Network (PIN) criteria. Perception of infertility risk was assessed via self-report where survivors indicated the following: (1) more risk than peers without cancer history, (2) less risk, or (3) equal risk, as well as factors contextualizing perceived risk. Chi-squared tests or Fishers' exact tests assessed differences in variables of interest. Results Among 238 participants (age 27 +/- 6 years, 85% NH White, 47% survivors of leukemia), 58% perceived increased infertility risk than peers without cancer history, 29% equal risk, and 13% less risk. A larger proportion of survivors with azoospermia perceived higher risk than other groups (74%) (p = 0.01). No differences were observed in risk perception by PIN criteria. No differences were observed by sperm concentration category or PIN criteria in factors contextualizing perceived risk. ConclusionsMale survivors not exposed to radiation in the SJLIFE cohort are generally aware of their infertility risk. Implications for Cancer *** survivors should seek continued follow-up care regarding fertility and information on risk from reputable sources. Conclusions Male survivors not exposed to radiation in the SJLIFE cohort are generally aware of their infertility risk. Implications for Cancer *** survivor

关键词： acute coronary syndrome   complication   coronary artery bypass   myocardial infarction   percutaneous coronary intervention   postoperative  

摘要： Background: In the post-left internal thoracic artery (LITA)–to–coronary artery bypass graft (CABG) setting, anginal symptoms are associated with the presence of large, unligated LITA side branches. These symptoms are mediated by a variable arterial steal phenomenon. Case Summary: This report describes an atypical case of ST-segment elevation myocardial infarction (STEMI) following LITA-CABG secondary to a variable arterial steal phenomenon induced by both a branch variant of the LITA and an intercostal artery. Angiography-guided embolization of the branch vessels successfully resolved the patient's ischemia. Discussion: STEMI secondary to LITA branch-mediated steal has not been previously reported. This case demonstrates that large LITA side branches can lead to myocardial infarction and that embolization of the relevant side branches is an effective treatment strategy. Take-Home Messages: Providers should be aware that LITA side branches, if not ligated during surgery, may lead to threatening coronary ischemia. If such side branches cannot be ligated intraoperatively, then intravascular embolization is an effective treatment strategy. © 2025 The Authors

关键词： Social work   COVID-19   job satisfaction   challenge appraisal   resilience   Sosialt arbeid   jobbtilfredshet   resiliens  

摘要： The outbreak of COVID-19 in 2020 produced infection control measures within European countries and globally. Social workers faced changed working conditions and new health-related responsibilities and were affected by higher job demands and psychological stress. However, research has also shown social workers' ability to adapt in creative and innovative manners during the pandemic. This cross-sectional study of 3737 Norwegian social workers examines how changes in working conditions related to COVID-19 affected their job satisfaction. The majority experienced a negative effect on job satisfaction. However, a stepwise hierarchical regression showed that positive assessment of health-related influence on tasks and on the ability to provide help to target groups is positively associated with job satisfaction, and with an indirect effect through positive appraisal of professional mastery. Positive appraisal of professional mastery has a positive impact on job satisfaction. This highlights the potential of positive challenge appraisal for resilience in the face of demanding and extraordinary circumstances. The findings are discussed considering resilience theory and previous research. Finally, we recommend future studies of social work during extraordinary times to further understand nuances in job satisfaction and identify how appraisals and resilience vary between individuals in different crisis scenarios.

关键词： 金融强监管   现金持有   银行监管处罚   监督效应   成本效应  

摘要： 在全面加强金融监管的形势下,金融监管的经济效应值得重视。基于2006-2022年我国银行业行政处罚和A股上市公司数据,实证研究银行监管处罚对企业现金持有的影响。研究发现,银行监管处罚降低了企业现金持有,该结论在缓解内生性问题和经过一系列稳健性检验后依然成立。机制分析表明,银行监管处罚主要通过强化银行作为企业债权人的监督作用和提高现金持有的边际成本降低企业现金持有。异质性分析表明,银行监管处罚降低企业现金持有在企业产权性质、资产特征、持有长期金融股权和地区金融发展水平等方面存在差异。进一步分析发现,银行监管处罚促使企业减少货币资金但增加交易性金融资产,降低了企业现金持有的金融收益。本研究对完善金融监管、加强银行合规审慎经营和优化企业现金持有决策具有一定参考价值。

关键词： 科技型企业   投融资   融资渠道   融资成本  

摘要： 在当今经济全球化以及我国实行创新驱动发展战略的时代背景下,科技型企业成为我国推动社会进步和经济增长的重要力量,而这类企业要实现成长不仅依赖于其创新能力,还需要具备有效的投融资策略。目前,很多科技型企业在投融资过程中面临一系列的问题,例如融资渠道有所局限、担保体系存在不足、对外融资成本较高、投融资决策不科学、缺乏长期投资规划等,对企业的投融资活动以及业务的发展均构成了不利的影响。基于此,文章首先论述了科技型企业投融资背景以及其投融资的特征;其次总结了科技型企业投融资中存在的问题;最后提出了科技型企业投融资的优化对策,以期为各科技型企业提供有价值的参考。

关键词： 财务管理   业财融合   策略  

摘要： 全球经济一体化之下,企业在传统财务管理模式下面对许多挑战,因为传统财务常事后记录,决策时难以提供有效支持,所以已难适应环境变化。与之相对,业财融合管理模式应时而生,其旨在打破财务与业务的壁垒达成协同效应。凭借精细化管理推动企业走向现代化,在复杂经济形势里,增强企业适应能力,提升核心竞争力,该模式实施后,企业管理效率和质量能得到提高,为可持续发展筑牢根基。本文研究了企业财务管理中业财融合提升策略,旨在为相关人员工作提供参考。

关键词： 数字化转型   服装企业   市场营销策略   数据驱动   全渠道  

摘要： 服装企业正经历着一场深刻的变革,从传统的商业模式向数字化转型,伴随着数字技术的飞速发展。数字化改造在重塑企业生产流程和供应链管理的同时,也深刻影响着营销策略。通过分析服装企业数字化转型的现状,探讨其在目标市场定位、产品策略、价格策略、渠道策略、促销策略等方面的具体影响,并结合波司登的实战案例,揭示数字化转型如何通过数据驱动提升市场竞争力,通过全渠道的精准营销、整合营销等手段,实现数字化转型的变革,研究发现,数字化改造可以帮助企业在激烈的市场竞争中取得优势,实现消费者洞察更精准、产品创新更灵活、定价动态优化、多渠道协同以及个性化推广等多方面的能力。对数字化时代服装企业营销策略的制定提供了理论上的支持,同时也提供了实践上的借鉴。