ABSTRACT
The proposal of the "dual carbon" targets has provided direction for promoting China's economic green transformation and green innovation. As enterprises are important entities driving technological innovation in China, enhancing their green innovation capabilities holds significant practical significance for reducing carbon emissions. While the flourishing development of the digital economy currently provides new avenues and impetus for enterprise green innovation, research on the micro-level effects of green innovation driven by digital economy is still lacking. Therefore, based on data from Chinese cities spanning 2010 to 2021 and micro-level data of listed enterprises, this paper employs fixed effect model and intermediary effect model to empirically test the effect and mechanism of urban digital economy development on the quality and quantity of enterprise green innovation. Additionally, it investigates the carbon emission reduction effect resulting from digital economy development. The findings are as follows: (1) The development of digital economy exhibits a significant green innovation effect, effectively enhancing both the "quality and quantity" of enterprise green innovation. Particularly noteworthy is its impact on the quality of green innovation in enterprises, a result corroborated by several robustness tests. (2) Promoting regional knowledge spillover and alleviating enterprise financing constraints emerge as mechanisms through which the digital economy enhances the "quality and quantity" of enterprise green innovation. (3) Heterogeneity testing reveals that the digital economy exerts a greater green innovation effect on enterprises located in regions characterized by higher environmental regulations, high-tech industries, and state-owned enterprises. (4) Further analysis demonstrates that the digital economy effectively reduces enterprises carbon emissions and enhances their carbon performance by driving green innovation, thus providing endogenous impetus for achieving the "dual carbon" goals. By examining the effects and mechanisms of green innovation driven by digital economy from the perspectives of promoting knowledge spillover and alleviating financing constraints, this study enriches theoretical research on the relationship between the digital economy and green innovation at the enterprise micro-level. It offers new insights for governments in formulating green innovation policies and serves as a reference for green innovation decision-making in other developing countries.
Subject(s)
Carbon , China , Economic Development , Inventions , CitiesABSTRACT
To minimize condylar positional and morphological changes after mandibular advancement through bilateral sagittal split ramus osteotomy (BSSRO), surgeons add either a bicortical screw or a two-hole plate distal to the conventional single miniplate. Since there have been no previous studies investigating the effect of this combination, our study aimed to evaluate the short- and long-term effects of these adjunctive fixation methods (AFM) on condylar positional and morphological changes after mandibular advancement through BSSRO. This retrospective cohort study included consecutive patients with retruded mandibles who were treated in the Department of Orthognathic and TMJ Surgery at West China Hospital of Stomatology, Sichuan University. The patients were divided into two groups based on the primary predictor variable, which was the addition of AFM - either a single bicortical screw or a two-hole plate in addition to the single miniplate. The primary outcome variable was the condylar positional and morphological changes after mandibular advancement through BSSRO. Three-dimensional facial CT scans were obtained at three different time points (preoperatively - T0, 1 week postoperatively - T1, and 1 year postoperatively - T2) and analyzed using ITK-SNAP, 3D Slicer, and SlicerSALT software. Intergroup comparisons were conducted with an independent t-test, with a p-value of <0.05 considered significant. Correlations between the variables were estimated by Pearson correlation. The study comprised 51 patients (32 females, 19 males; mean age 25.13 ± 4.24 years), involving a total of 81 condyles (21 unilateral and 60 bilateral). There was a significant difference in long-term condylar displacement in favor of AFM along with a single miniplate (p < 0.001). The bicortical screw group recorded less condylar displacement than the two-hole plate group horizontally (0.11 mm vs 0.22 mm) and sagittally (0.03 mm vs 0.17 mm), but more vertically (0.85 mm vs 0.03 mm). Bone formation associated with AFM occurred on all condylar surfaces, compared with only three surfaces in the single miniplate group. The adjunctive method in addition to the single miniplate fixation method showed less condylar displacement and more bone apposition after mandibular advancement through BSSRO. The follow-up duration variable was the only significant determinant for volumetric changes in the condyle.
Subject(s)
Bone Plates , Bone Screws , Imaging, Three-Dimensional , Mandibular Advancement , Mandibular Condyle , Osteotomy, Sagittal Split Ramus , Tomography, X-Ray Computed , Humans , Retrospective Studies , Osteotomy, Sagittal Split Ramus/methods , Mandibular Advancement/methods , Female , Male , Mandibular Condyle/diagnostic imaging , Mandibular Condyle/surgery , Adult , Imaging, Three-Dimensional/methods , Young Adult , AdolescentABSTRACT
This study aims to evaluate the accuracy of L-shaped reduction malarplasty with bone setback or resection on the zygoma and the mortice and tenon joint structure on the zygomatic arch under the guidance of virtual surgical planning (VSP). Adult patients with zygomatic protrusion or hypertrophy were enrolled and divided. L-shaped reduction malarplasty with or without bone resection and with the mortice and tenon joint structure on the zygomatic arch was conducted either by digital procedures comprising VSP and three-dimensional (3D) printing titanium templates (Group I) or by conventional methods (Group II). Positions of representative landmarks and superimposition models were analyzed by 3D cephalometry. Satisfaction rate and incidences of clinical complications were compared as well. Satisfactory reduction of zygomatic protrusion or hypertrophy was recognized among all 78 patients. Improved symmetry and great surgical accuracy were observed according to the cephalometry analyses. The bone segment movement of virtual plans and actual results in Group I were measured and showed no obvious difference for the inward movement (5.42 ± 0.98 mm vs. 5.33± 0.93 mm, P = 0.6906) and the sagittal overlap (4.77 ± 1.32 mm vs. 4.87± 1.21 mm, P = 0.7386) at the zygoma roots, along with the step length at the long-arm of the L-shaped osteotomy line (2.43 ± 1.11 mm vs. 2.39± 0.89 mm, P = 0.8665). The high resemblance between virtual plans and actual results was depicted via superimposition models. Meanwhile, a higher satisfaction rate (28 in 36, 78% vs. 20 in 42, 48%) and a lower incidence rate of complications (11 in 36, 31% vs. 21 in 42, 50%) were found in Group I. Within the limitations of the study it seems that the application of VSP in reduction malarplasty could significantly contribute to better surgical accuracy and reduced difficulties in the operation, which would be beneficial to patients with zygoma hypertrophy or prominence.
Subject(s)
Plastic Surgery Procedures , Adult , Humans , Retrospective Studies , Radiography , Osteotomy/methods , Zygoma/surgery , Hypertrophy/surgeryABSTRACT
In this study, we developed a novel self-catalytic oxidation system involving peroxymonosulfate (PMS) and permanganate (KMnO4), named as CUPP, to efficiently mineralize sulfamethoxazole (SMX) in groundwater. It was found that amorphous MnO2 derived from the in situ reduction of KMnO4 can directly adsorb HSO5-, a complex hydroxyl group, mediate the internal disproportionation reaction of HSO5- with the manganese complex, and effectively activate PMS, thereby promoting the oxidation of SMX and its degradation intermediates through sulfonate radiation. Furthermore, by using electron spin resonance (EPR), HPLC/MS full scan, and response surface methodology, the coexistence of HOË, SO4-Ë, O2-Ë, 1O2, and active chlorine (Cl2, HOCl) in the CUPP system was confirmed. A total of 24 intermediate products were detected, and four possible degradation pathways were identified for SMX. In addition, it was found that the CUPP system has a strong impact resistance to pH variations, groundwater anions, and natural organic matter stress. Undoubtedly, the CUPP system presents an innovative approach for the degradation of various emerging organic pollutants in groundwater.