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Association between high deductible health plan coverage and age at pediatric umbilical hernia repair

World Journal of Pediatric Surgery 2023年第2期6卷 70-76页

作者： Morgan e Doty Lindsay A Gil jennifer N Cooper The Ohio State University College of Medicine ColumbusOhioUSA Department of Surgery Nationwide Children's HospitalThe Ohio State UniversityColumbusOhioUSA Department of Pediatrics Nationwide Children's HospitalThe Ohio State UniversityColumbusOhioUSA

Background High deductible health plans(HDHPs)are associated with the avoidance of both necessary and unnecessary *** hernia repair(UHR)is a procedure that is frequently unnecessarily performed in young children,contrary to best practice *** hypothesized that children with HDHPs,as compared with other types of commercial health plans,are less likely to undergo UHR before 4 years of age but are also more likely to have UHR delayed beyond 5 years of *** Children aged 0-18 years old residing in metropolitan statistical areas(MSAs)who underwent UHR in 2012-2019 were identified in the IBM Marketscan Commercial Claims and encounters Database.A quasi-experimental study design using MSA/year-level HDHP prevalence among children as an instrumental variable was employed to account for selection bias in HDHP ***-stage least squares regression modeling was used to evaluate the association between HDHP coverage and age at *** A total of 8601 children were included(median age 5 years,IQR 3-7).Univariable analysis revealed no differences between the HDHP and non-HDHP groups in the likelihood of UHR being performed before 4 years of age(27.7%vs 28.7%,p=0.37)or after 5 years of age(39.8%vs 38.9%,p=0.52).Geographical region,metropolitan area size,and year were associated with HDHP *** variable analysis demonstrated no association between HDHP coverage and undergoing UHR atears of age(p=0.76)or>5 years of age(p=0.87).Conclusions HDHP coverage is not associated with age at pediatric *** studies should investigate other means by which UHRs in young children can be avoided.

关键词： pediatric hernia likely

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Behavioral interactions between a coexisting rodent Micaelamys namaquensis and macroscelid elephantulus myurus

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Current Zoology 2010年第4期56卷 395-400页

作者： jennifer LANCASTeR Neville PILLAY School of Animal Plant and Environmental Sciences University of the Witwatersrand

A number of mechanisms are known to influence coexistence in small mammal communities. However, the role ofbehavioral interactions in promoting species coexistence is under-represented in the literature. We studied the behavioral interactionsof two coexisting small mammals, the Namaqua rock mouse Micaelamys namaquensis (Rodentia) and the Rock sengi elephantulusmyurus (Macroscelidae), which have high dietary and microhabitat overlap. Using wild-caught individuals, intra- andinterspecific dyadic encounters were staged in tanks on a neutral rocky outcrop. Interspecific dyads displayed significantly moreactive avoidance behavior. There was no support for the prediction that the larger, more specialist species, e. myurus, is behaviorallydominant over M. namaquensis. Intraspecific encounters of e. myurus showed significantly more passive avoidance andamicable behavior, whereas the behavior of M. namaquensis did not differ between intra- and inter-specific encounters, both ofwhich were characterized by low levels of aggression and amicability. Thus, due to the lack of aggression, direct competition appearsweak and instead mutual avoidance may reduce or minimize interspecific interactions, potentially promoting coexistence.

关键词： Avoidance Coexistence elephantulus myurus Intraspecific behavior Interspecific behavior Micaelamys namaquensis

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Hello, goodbye, and everything in between

Hello, goodbye, and everything in between

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作者： Smith jennifer e.

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Neutron transmission imaging with a portable D-T neutron generator

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Radiation Detection Technology and Methods 2022年第2期6卷 234-243页

作者： Phillip Kerr Nerine Cherepy jennifer Church Gary Guethlein Jim Hall Colby McNamee Sean o'Neal kyle Champley Andy Townsend Mayuki Sasagawa Anthony Hardy Saphon Hok Lawrence Livermore National Laboratory LivermoreCA 94550USA

Purpose A portable fast-neutron imaging system is being developed to provide complementary information to field X-ray *** include inspection of vehicles and infrastructure for corrosion,measurement of material levels in containers,and inspection of munitions and suspicious *** fast-neuron imaging generally provides lower imaging resolution compared to X-rays,fast-neutron interaction cross-sections have a weak dependence on material *** enables imaging of low-Z materials inside high-Z ***,we discuss the limitations and current improvements in fast-neuron *** Limitations in portable fast-neutron imaging systems include low D-T neutron generator output,low light pro-duction in ZnS(Cu)imaging scintillators,low resolution due to scintillator thickness and D-T spot size,and digital-panel darknoise that varies in time and position and that can be 100×larger than the neutron *** have made improvements in these areas through development of a segmented high light yield scintillator,panel noise mitigation techniques,and testing of new high-output,small spot size D-T neutron *** The segmented high light yield fast-neutron scintillator demonstrated 5×increase in light compared to ZnS(Cu).An additional 2×improvement in signal-to-noise was demonstrated with panel-noise mitigation *** MCNP calculations also show good agreement with neutron imaging results Conclusions We have demonstrated improvements in fast-neutron imaging through development of a segmented high light yield neutron scintillator,mitigation of digital panel noise,and preliminary testing with new high-output,small spot size D-T neutron *** have also demonstrated good results modeling fast-neutron images and scatter effects using MCNP.

关键词： Fast-neutron radiography Portable neutron imaging Neutron scintillators Monte Carlo simulation

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Town-scale microbial sewer community and H2S emissions response to common chemical and biological dosing treatments

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Journal of environmental Sciences 2020年第1期32卷 133-148页

作者： elizabeth R.Mathews jennifer L.Wood Dean Phillips Nathan Billington Dean Barnett Ashley e.Franks Department of Physiology Anatomy and MicrobiologyLa Trobe UniversityMelbourneAustralia Centre for Future Landscapes La Trobe UniversityMelbourneAustralia Faculty of Science Engineering and TechnologySwinburne University of TechnologyMelbourneAustralia Western Water SunburyAustralia

Controlling hydrogen sulfide(H2S)odors and emissions using a single,effective treatment across a town-scale sewer network is a challenge faced by many water *** of a sewer diversion provided the opportunity to compare the effectiveness of magnesium hydroxide(Mg(OH)2)and two biological dosing compounds(Bioproducts A and B),with different modes of action(MOA),in a field-test across a large sewer ***(OH)2 increases sewer p H allowing suppression of H2S release into the sewer environment while Bioproduct A acts to disrupt microbial communication through quorum sensing(QS),reducing biofilm *** B reduces H2S odors by scouring the sewer of fats,oils and grease(FOGs),which provide adhesion points for the microbial *** revealed that only Mg(OH)2 altered the microbial community structure and reduced H2S emissions in a live sewer system,whilst Bioproducts A and B did not reduce H2S emissions or have an observable effect on the composition of the microbial community at the dosed *** results recommend in situ testing of dosing treatments before implementation across an operational system.

关键词： Microbially induced concrete corrosion Biological dosing treatments Magnesium hydroxide Hydrogen sulfide Sulfate-reducing bacteria Microbial ecology

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The benefits of being dominant:health correlates of male social rank and age in a marmot

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Current Zoology 2022年第1期68卷 19-26页

作者： Kenta UCHIDA Rachel NG Samuel A.VYDRO jennifer e.SMITH Daniel T.BLUMSTeIN Department of ecology&evolutionary Biology University of CaliforniaLos AngelesCA 90095-1606USA Department of Biology Mills CollegeOaklandCA 94613USA The Rocky Mountain Biological Laboratory Crested ButteCO 81224USA

The benefits of dominance may not come without costs,particularly for *** example,the“immunocompetence handicap hypothesis”states that males with enhanced mating success allocate resources to enhance reproductive output at a cost to their current health,whereas the“resource quality hypothesis”predicts that high-ranking males may benefit from increased reproduction and good *** the predictions from each have been well tested in captive animals and in a variety of highly social primates,fewer studies have been carried out in free-living,facultatively social *** adult male yellow-bellied marmots(Marmota flaviventer),we evaluated predictions of these hypotheses by examining the relationship between social rank and 2 health indicators—fecal glucocorticoid metabolite(FCM)levels,and neutrophil/lymphocyte(N/L)ratios—after accounting for variation explained by age,body mass,and *** found that higher-ranking males tended to have a lower N/L ratio(reflecting good health)than lower-ranking individuals,whereas FCM levels were not significantly related to *** addition,heavier male marmots had lower N/L ratios,whereas body mass was not associated with FCM *** also found that older adult males had lower FCM levels(reflecting less physiological stress)but higher N/L ratios than younger ***,we found that FCM levels decreased as the active season progressed and FCM levels were associated with the time of the ***,our results suggest that socially-dominant male marmots enjoyed better,not worse health in terms of lower N/L ratios.

关键词： immunocompetence handicap hypothesis life history trade-offs N/L ratio physiological stress resource quality hypothesis

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Dental microwear of sympatric rodent species sampled across habitats in southern Africa: Implications for environmental influence

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Integrative Zoology 2016年第2期11卷 111-127页

作者： Jenny H.e.BURGMAN jennifer LeICHLITeR Nico L.AVeNANT Peter S.UNGAR environmental Dynamics Program University of ArkansasFayettevilleArkansasUSA Department of Anthropology University of Colorado BoulderBoulderColoradoUSA National Museum and University of the Free State BloemfonteinSouth Africa Department of Anthropology University of ArkansasFayettevilleArkansasUSA

Dental microwear textures have proven to be a valuable tool for reconstructing the diets of a wide assortment of fossil ***,some studies have recently questioned the efficacy of this approach,suggesting that aspects of habitat unrelated to food preference,especially environmental grit load,might have a confounding effect on microwear patterning that obscures the diet *** we evaluate this hypothesis by examining microwear textures of 3 extant sympatric rodent species that vary in diet breadth and are found in a variety of habitat types:Mastomys coucha,Micaelamys namaquensis and Rhabdomys *** sample each of these species from 3 distinct environmental settings in southern Africa that differ in rainfall and vegetative cover:Nama-Karoo shrublands(semi-desert)and Dry Highveld grasslands in the Free State Province of South Africa,and Afromontane(wet)grasslands in the highlands of *** differences between habitat types are evident for some of the species,inconsistency in the pattern suggests that the microwear signal is driven by variation in foods eaten rather than grit-level per *** is clear that,at least for species and habitats sampled in the current study,environmental grit load does not swamp diet-related microwear signatures.

关键词： diet grit tooth wear

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Seasonal shifts in the solute ion ratios of vadose zone rock moisture from the eel River Critical Zone Observatory

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Acta Geochimica 2017年第3期36卷 385-388页

作者： jennifer L.Druhan Nicole Fernandez Jia Wang William e.Dietrich Daniella Rempe Department of Geology University of Illinois Urbana Champaign Department of earth and Planetary Science University of California Berkeley Jackson School of Geosciences University of Texas at Austin

One of the greatest challenges in critical zone studies is to document the moisture dynamics, water flux,and solute chemistry of the unsaturated, fractured and weathered bedrock that lies between the soil and groundwater table. The central impediment to quantifying this component of the subsurface is the difficulty associated with direct observations. Here, we report solute chemistry as a function of depth collected over a full year across the shale-derived vadose zone of the eel River Critical Zone Observatory using a set of novel sub-horizontal wellbores,referred to as the vadose zone monitoring system. The results of this first geochemical glimpse into the deep vadose zone indicate a dynamic temporal and depth-resolved structure. Major cation concentrations reflect seasonal changes in precipitation and water saturation, and normalized ratios span the full range of values reported for the world's largest rivers.

关键词： Vadose zone Solute ion ratios Critical Zone Observatory Seasonal solute dynamics

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Tooth loss patterns in older adults with special needs:a Minnesota cohort

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International Journal of Oral Science 2011年第1期3卷 27-33页

作者： jennifer J.Clark Department of Dental ecology University of North CarolinaChapel HillNC 27599USA

This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups （i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent）. Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs （P=0.001）. These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

关键词： tooth loss elderly special needs

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Androgen and estrogen receptors in placental physiology and dysfunction

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Frontiers in Biology 2018年第5期13卷 315-326页

作者： erin S McWhorter jennifer e Russ Quinton A Winger Gerrit J Bouma Department of Biomedical Sciences Animal Reproduction and Biotechnology Laboratory Colorado State University. 1683 Campus deliveryFort Collins CO 80523-1683 USA

BACKGROUND： The placenta is recognized as an endocrine organ, largely due to its secretions of steroid hormones, including progesterone, androgens, and estrogens. Steroid hormones play an essential role in the progression of pregnancy, fetal development, and growth. Furthermore, steroids are necessary for establishment and maintenance of a normal pregnancy, preparing the endometrium for implantation, stimulating endometrial secretions, and regulating uterine blood flow, however the exact mechanism of sex steroid signaling through their receptors in placental function is unknown. OBJeCTIVe： In this review, we will provide an overview of the current knowledge on sex steroid receptors in normal placental development, as well as evidence of abnormal signaling associated with placental dysfunction. MeTHODS： A systematic literature search was performed using the NCBI PubMed search engine, including the following key works： estrogen receptor, androgen receptor, placenta, placental development, cytotrophoblast, and differentiation. ReSULTS： Of the over 700 articles that were returned, 125 studies focused on estrogen and androgen receptors in human placenta development and function during normal and abnormal pregnancy, as well as in rodents and ruminants placentae. CONCLUSION： Receptors for both estrogens and androgens have been localized within the mammalian placenta, but surprisingly little is known about their signaling in trophoblast cell differentiation and function. An emerging picture is developing in which estrogen receptors possibly play role in cytotrophoblast proliferation and extravillous trophoblast invasion, whereas androgen receptors are involved in syncytiotrophoblast differentiation and function.

关键词： Placenta eSR AR preeclampsia IUGR PCOS

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