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Challenges confronting rural hospitals accentuated during COVId-19

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The Journal of Biomedical Research 2020年第6期34卷 397-409页

作者： anthony d.Slonim Helen See Sheila Slonim Renown Health RenoNV 89503USA Medicine and Pediatrics University of NevadaReno School of MedicineRenoNV 89557USA Hospital Operations Carilion ClinicRoanokeVA 24017USA.

The Balanced Budget Act of 1997 created a designation for critical access hospitals(CAHs)to sustain care for people living in rural communities who lacked access to care due to hospital closures over the preceding ***-five years later,1350 CAHs serve approximately 18% of the US population and a systematic policy evaluation has yet to be *** policy analysis serves to define challenges faced by CAHs through a literature review addressing the four major categories of payment,quality,access to capital,and ***,this analysis describes how current challenges to maintain sustainability of CAHs over time are accentuated by gaps in public health infrastructure and variability in individual health care plans exhibited during the COVId-19 pandemic.

关键词： rural hospitals critical access hospitals COVId-19 coronavirus

Fostering Children’s Participation in disaster Risk Reduction Through Play:A Case Study of LEGO and Minecraft

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International Journal of disaster Risk Science 2021年第6期12卷 867-878页

作者： Loïc Le dé JC Gaillard anthony Gampell Nickola Loodin Graham Hinchliffe School of Public Health and Interdisciplinary Studies Auckland University of TechnologyManukauAuckland 2025New Zealand School of Environment The University of Auckland.Auckland 1142.New Zealand Unit for Environmental Sciences and Management North-West UniversityPotchefstroom 2520South Africa School of Science.Auckland University of Technology Auckland 1010New Zealand

This article focuses on children’s participation in disaster risk *** draws on a 2018 study done in New Zealand with 33 school children who conducted participatory mapping with LEGO and the video game Minecraft to assess disaster risk in their locality and identify ways to be more *** research involved participatory activities with the children actively involved in the co-design,implementation,and evaluation of the initiative.A focus group discussion was also conducted to assess the project from the viewpoint of the *** results indicate that LEGO and Minecraft are playful tools for children to participate in disaster risk *** research identifies four key elements of genuine children’s participation,including the Participants,Play,the Process,and Power(4 Ps).This framework emphasizes that fostering children’s participation in disaster risk reduction requires focusing on the process through which children gain power to influence decisions that matter to *** process,through play,is child-centered and fosters *** article concludes that Play is essential to ground participation within children’s worldviews and their networks of friends and relatives.

关键词： Children's participation disaster risk reduction New Zealand Participatory game tools

Laparoscopic natural orifice specimen extraction-colectomy: A systematic review

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World Journal of Gastroenterology 2014年第36期20卷 12981-12992页

作者： Albert M Wolthuis anthony de Buck van Overstraeten André d'Hoore department of Abdominal Surgery University Hospital Leuven 3000 Leuven Belgium

Over the last 20 years, laparoscopic colorectal surgery has shown equal efficacy for benign and malignant colorectal diseases when compared to open surgery. However, a laparoscopic approach reduces postoperative morbidity and shortens hospital stay. In the quest to optimize outcomes after laparoscopic colorectal surgery, reduction of access trauma could be a way to improve recovery. To date, one method to reduce access trauma is natural orifice specimen extraction(NOSE). NOSE aims to reduce access trauma in laparoscopic colorectal surgery. The specimen is delivered via a natural orifice and the anastomosis is created intracorporeally. different methods are used to extract the specimen and to create a bowel anastomosis. Currently, specimens are delivered transcolonically, transrectally, transanally, or transvaginally. Each of these NOSEprocedures raises specific issues with regard to operative technique and application. The presumed benefits of NOSE-procedures are less pain, lower analgesia requirements, faster recovery, shorter hospital stay, better cosmetic results, and lower incisional hernia rates. Avoidance of extraction site laparotomy is the most important characteristic of NOSE. Concerns associated with the NOSE-technique include bacterial contamination of the peritoneal cavity, inflammatory response, and postoperative outcomes, including postoperative pain and the functional and oncologic outcomes. These issues need to be studied in prospective randomized controlled trials. The aim of this systematic review is to describe the role of NOSE in minimally invasive colorectal surgery.

关键词： Laparoscopy Colorectal surgery Natural orifice specimen extraction Natural orifice specimen extraction-colectomy Transcolonic Transrectal Transanal Transvaginal Transanal minimally invasive surgery Gastrointestinal endoscopy

An Operator-Based Approach for Modeling Influence diffusion in Complex Social Networks

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Journal of Social Computing 2021年第2期2卷 166-182页

作者： Chenting Jiang anthony d’Arienzo Weihua Li Shiqing Wu Quan Bai School of Information and Communication Technology University of TasmaniaHobart 7005Australia department of Mathematics University of Illinois at Urbana-ChampaignChampaignIL 61820USA School of Engineering Computer and Mathematical SciencesAuckland University of TechnologyAuckland 1010New Zealand

Social media have dramatically changed the mode of information *** models and algorithms have been developed to model information diffusion and address the influence maximization problem in complex social ***,it appears difficult for state-of-the-art models to interpret complex and reversible real interactive *** this paper,we propose a novel influence diffusion model,i.e.,the Operator-Based Model(OBM),by leveraging the advantages offered from the heat diffusion based model and the agent-based *** OBM improves the performance of simulated dissemination by considering the complex user context in the operator of the heat diffusion based *** experiment obtains a high similarity of the OBM simulated trend to the real-world diffusion process by use of the dynamic time warping ***,a novel influence maximization algorithm,i.e.,the Global Topical Support Greedy algorithm(GTS-Greedy algorithm),is proposed corresponding to the *** experimental results demonstrate its promising performance by comparing it against other classic algorithms.

关键词： influence diffusion influence maximization complex social networks operator-based model heat diffusion-based influence modeling

Colorectal cancer:Current imaging methods and future perspectives for the diagnosis, staging and therapeutic response evaluation

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World Journal of Gastroenterology 2013年第46期19卷 8502-8514页

作者： Maka Kekelidze Luigia d'Errico Michele Pansini anthony Tyndall Joachim Hohmann Clinic of Radiology and Nuclear Medicine University Hospital Basel University of Basel

In the last 10 years the mortality rate of colorectal cancer(CRC)has decreased by more than 20%due to the rising developments in diagnostic techniques and optimization of surgical,neoadjuvant and palliative *** methods currently used in the evaluation of CRC are heterogeneous and can vary within the countries and the *** article aims to discuss in depth currently applied imaging modalities such as virtual computed tomography colonoscopy,endorectal ultrasound,computed tomography(CT)and magnetic resonance imaging(MRI)in the diagnosis of *** focus is put on the potential of recent diagnostic developments as diffusion weighted imaging MRI,MRI biomarkers(dynamic enhanced MRI),positron emission tomography with 2-(fluorine-18)-fluoro-2-deoxy-d-glucose(FdG-PET)combined with computed tomography(PET/CT)and new hepatobiliary MRI contrast *** precise role,advantage and disadvantages of these modalities are evaluated controversially in local staging,metastatic spread and treatment monitoring of ***,the authors will touch upon the future perspectives in functional imaging evaluating the role of integrated FdG-PET/CT with perfusion CT,MRI spectroscopy of primary CRC and hepatic transit time analysis using contrast enhanced ultrasound and MRI in the detection of liver *** of these newer imaging techniques may lead to significant improvements in the management of patients with colorectal cancer.

关键词： Colorectal cancer Imaging Staging Computed tomography Magnetic resonance imaging diffusion weighted imaging Contrast enhanced ultrasound

Leading Approaches to Vascularize Kidney Constructs in Tissue Engineering

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Engineering 2022年第12期19卷 117-127页

作者： diana S.Lim John d.Jackson anthony Atala James J.Yoo Wake Forest Institute for Regenerative Medicine Wake Forest University School of MedicineMedical Center BoulevardNC 27157USA

There is an unprecedented need for new treatments for renal failure,as the incidence of this disease is increasing disproportionately to advancements in *** treatments are limited by the availability of viable organs,for which there is a worldwide *** treatment modalities also require a substantial amount of infrastructure,significantly limiting the access to care in most *** tissue engineering approaches promise to develop alternative solutions that address many of the inadequacies in current *** many advancements have been made—primarily in the past decade—in biofabrication and whole-organ tissue engineering,many challenges *** major hindrance to the progress of current tissue engineering approaches is establishing successful vascularization of developed engineered tissue *** review focuses on the recent advancements that address the vascular challenge,including the biofabrication of vasculature,whole-organ engineering through decellularization and recellularization approaches,microscale organogenesis,and vascularization using organoids in the context of kidney tissue *** also highlight the specific challenges that remain in developing successful strategies capable of clinical translation.

关键词： Kidney Vascularization Tissue engineering Biofabrication Organoids

Caecal pH is a biomarker of excessive colonic fermentation

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World Journal of Gastroenterology 2014年第17期20卷 5000-5007页

作者： Adam d Farmer Sahar d Mohammed George E dukes S Mark Scott anthony R Hobson Centre for digestive diseases Blizard Institute of Cell and Molecular ScienceWingate Institute of NeurogastroenterologyBarts and the London School of Medicine and DentistryQueen Mary University of LondonLondon E1 2AJUnited Kingdom GlaxoSmithKline Research and development durham County NC 27709-3398United States Functional Gut Clinic London W1G 6NBUnited Kingdom

AIM: To ascertain whether caecal pH is different in patients with irritable bowel syndrome (IBS), whose primary symptoms are bloating and distension, to healthy controls.

关键词： Caecal pH Caecoparesis Bloating Colonic microbiota Fermentation

Compositionally restricted attention-based network for materials property predictions

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npj Computational Materials 2021年第1期7卷 684-693页

作者： anthony Yu-Tung Wang Steven K.Kauwe Ryan J.Murdock Taylor d.Sparks Fachgebiet Keramische Werkstoffe/Chair of Advanced Ceramic Materials Technische Universität BerlinBerlinGermany department of Materials Science&Engineering University of UtahSalt Lake CityUTUSA

In this paper,we demonstrate an application of the Transformer self-attention mechanism in the context of materials *** network,the Compositionally Restricted Attention-Based network(CrabNet),explores the area of structure-agnostic materials property predictions when only a chemical formula is *** results show that CrabNet’s performance matches or exceeds current best-practice methods on nearly all of 28 total benchmark *** also demonstrate how CrabNet’s architecture lends itself towards model interpretability by showing different visualization approaches that are made possible by its *** feel confident that CrabNet and its attention-based framework will be of keen interest to future materials informatics researchers.

关键词： network property restricted

Current trends in leather science

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Journal of Leather Science and Engineering 2020年第1期2卷 344-352页

作者： anthony d.Covington William R.Wise Institute for Creative Leather Technologies University of NorthamptonUniversity DriveNorthampton NN15PHUK

In preparing the second edition of‘Tanning *** Science of Leather.’,the literature was updated and the content was revised and ***,the new findings are presented and *** developments include the necessary rethinking of the mechanism of sulfide unhairing because of new understanding of the aqueous chemistry of sulfide *** upwards of the value of the second pKa for sulfide species ionisation means that S2−cannot exist in an aqueous medium,so the unhairing species in hair burn reactions is HS−.Although the technology remains the same,this means the mechanisms of associated reactions such as immunisation must be *** preservation has benefitted from studies of the potential role of materials from plants which accumulate salt,but which also contribute terpene *** is also further discussion on the continuing issue of chromium(Ⅵ)in the leather *** application to processing of new solvents,ionic liquids and deep eutectics,is the coming technology,which offers transforming options for new chemistries and *** interest in vegetable tanning and methods of wet white processing are current ***,within the topic of reagent delivery is processing in a solid medium of plastic beads.

关键词： revised preparing chromium