To evaluate the incidence of post-interventional contrast staining (PICS) in acute ischemic stroke (AIS) Chinese patients who were treated with endovascular thrombectomy (ET) and investigate potential association of PICS with functional outcome and intracerebral hemorrhage (ICH). This observational study was based on a single-center prospective registry study. AIS patients who underwent ET from January 2013 to February 2017 were recruited into this study. All patients had dual-energy CT (DECT) scan of the head at 12 to 24 hours post-ET. The primary outcome was the incidence of PICS. Secondary outcomes were total ICH, symptomatic ICH (sICH), 3-month functional outcome, and long-term functional outcome. One hundred and eighty patients were enrolled in this study. PICS was detected in 50 patients (28%) based on the post-interventional CT scan. We first used basic statistical analyses, showing that the incidence of both total ICH (60% vs. 25%, p<0.001) and sICH (18% vs. 8%, p=0.044) were higher in patients with PICS than those without, and fewer patients achieved no disability (mRS≤1) in the PICS group compared to the control group at both 3-month and long-term follow-up (p<0.01 each). However, multivariate regression analysis further revealed that PICS only increased total (adjusted odds ratio, 7.38; 95% confidence interval 1.66 to 32.9; p=0.009) but not sICH risk. Furthermore, the logistic regression analyses did not show statistical difference in good clinical outcomes or mortality between the two groups. PICS is a common phenomenon in Chinese AIS patients. It is associated with total ICH after ET, but it seems to have no effect on functional outcome and sICH. Further large-scale studies are warranted to validate these results.
This study focused on the role of public recognition in fostering lower levels of price sensitivity to green products and the factors that influence this relationship. We conducted three studies to analyze the relationship between public recognition and price sensitivity to green products and the moderating effects of self-construal and temporal distance on this relationship. A total of 865 persons took part in the research. Study 1 found that public recognition significantly reduces price sensitivity to green products. In addition, with the activation of public recognition, consumers with higher levels of independent self-construal (IND SC) were more price-sensitive compared to consumers with higher levels of interdependent self-construal (INTER SC). Study 2 reassessed the results of Study 1 using a different product and larger sample size; it also provided a sample database for Study 3. Results from Study 2 and Study 3 showed that, in relation to their initial green purchase behavior, consumers with higher levels of IND SC were more price-sensitive in subsequent green purchase behavior than consumers with higher levels of INTER SC when public recognition was activated. Furthermore, IND SC consumers' price sensitivity to green products between initial purchase and a subsequent purchase appears as an inverse U-shaped curve by temporal distance matching from present to near future (7 days later) and then to distant future (15 days later). The study sheds light on the important roles of public recognition, self-construal, and temporal distance in predicting price sensitivity to green products.
Combining freshwater consumption and wastewater emissions into a unified analysis framework and utilizing the epsilon-based measure (EBM) model with the characteristics of radial model and non-radial model, this paper evaluates green water use efficiency (GWUE) of 11 provincial-regions in the Yangtze River Economic Belt (YREB) and investigates its spatiotemporal differences during the period 2005-2014, on basis of which the contribution rate of each input-specific green water use inefficiency in the overall green water use efficiency and the potential of freshwater-saving and wastewater emissions reduction are also calculated. The Theil index is used to explore the sources of the provincial gap of green water use inefficiency, and a random-effect panel Tobit model is applied to test the impact of the influencing factors of green water use inefficiency in the YREB. It is found that green water use inefficiency of the YREB is relatively low and regional differences is significant during the sample period, indicating a large potential of water-saving and water pollution reduction, and narrowing BGAP and WGAP of the Upstream is the key for improving green water use inefficiency in the YREB. The panel Tobit regression results show that economic development, technological innovation, water use structure, water resources endowment, environmental regulation and regional differences all play positive/negative effects on green water use inefficiency in the YREB, while these factors' influencing direction, degree and significance are significantly different. The conclusions of our study can provide considerably valuable information for the YREB to reserve water resources and reduce wastewater emissions.
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