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Asthma, bronchiectasis, and chronic obstructive pulmonary disease: the Bermuda Triangle of the airways

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Chinese medical Journal 2022年第12期135卷 1390-1393页

作者： miguel Angel martinez Garcia joan B.Soriano Pneumology Department Hospital Universitario y Politecnico la Fe de ValenciaSpain CIBERES de enfermedades respiratorias Instituto de salud Carlos IIIMadridSpain Servicio de Neumologia Hospital Universitario de la PrincesaMadridSpain Facultad de medicina Universidad Autonoma de MadridMadridSpain

Also known as the Devil's Triangle or Hurricane Alley,the Bermuda Triangle is an area of the Atlantic Ocean with vertices in miami,San Juan de Puerto Rico,and Bermuda,which has been credited for causing mass disappear... 详细信息

关键词： airway obstructive Atlantic

Aiming for the end of the COVID-19 pandemic:the what,how,who,where,and when

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Chinese medical Journal 2023年第1期136卷 1-3页

作者： joan B.Soriano Alberto Infante Servicio de Neumología Hospital Universitario de la PrincesaMadridSpain Facultad de medicina Universidad Autónoma de MadridMadridSpain Centro de Investigación en Red de Enfermedades Respiratorias(CIBERES) Instituto de Salud Carlos III(ISCIII)MadridSpain National School of Public Health Institute of Health Carlos IIIMadridSpain

Severe acute respiratory syndrome coronavirus 2(SARSCoV-2)is a new virus,still full of *** of September 2022,there have been over 605 million confirmed cases of coronavirus disease 2019(COVID-19),including 6.5 million deaths reported to the World Health Organization(WHO).[1]SARS-CoV-2 is a bad virus,which often produces new variants that scape natural immunity and sometimes vaccines[Figure 1].

关键词： immunity acute respiratory

Roadmap for managing SARS-CoV-2 and Other Viruses in the Water Environment for Public Health

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Engineering 2022年第5期8卷 139-144页

作者： Gang Liu Jiuhui Qu joan Rose Gertjan medema Key Laboratory of Drinking Water Science and Technology Research Centre for Eco-Environmental SciencesChinese Academy of SciencesBeijing 100085China Department of Fisheries and Wildlife Michigan State UniversityEast LansingMI 48823USA KWR Water Research Institute Nieuwegein 3433 PENetherlands Sanitary Engineering Department of Water ManagementFaculty of Civil Engineering and GeosciencesDelft University of TechnologyDelft 2628 CNNetherlands

The water sector needs to address viral-related public health issues,because water is a virus carrier,which not only spreads viruses(e.g.,via drinking water),but also provides information about the circu-lation of viruses in the community(e.g.,via sewage).It has been widely reported that waterborne viral pathogens are abundant,diverse,complex,and threatening the public health in both developed and developing ***,there is great potential for viral monitoring that can indicate biosafety,treatment performance and community *** developments in technology have been rising to meet the emerging challenges over the past *** the current coronavirus disease 2019(COVID-19)pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),the world’s attention is directed to the urgent need to tackle the most challenging public health issues related to waterborne *** on critical analysis of the water viral knowledge progresses and gaps,this article offers a roadmap for managing COVID-19 and other viruses in the water environments for ensur-ing public health.

关键词： Virus Water environment Viral indicators Sewage surveillance Biosafety

The relationship between fire severity and burning efficiency for estimating wildfire emissions in mediterranean forests

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林业研究:英文版 2023年第5期34卷 1195-1206页

作者： Bountouraby Balde Cristina Vega-Garcia Pere joan Gelabert Aitor Ameztegui marcos Rodrigues Department of Agriculture and Forest Engineering University of LleidaAv.Alcalde Rovira Roure19125198 LleidaSpain Department of Geography and Land management University of ZaragozaPedro Cerbuna 1250009 SaragossaSpain

Forests are exposed to changing climatic conditions reflected by increasing drought and heat waves that increase the risk of wildfire ignition and *** variables such as rain and wind as well as vegetation structure,land configuration and forest management practices are all factors that determine the burning potential of *** assessment of emissions released by vegetation combustion is essential for determining greenhouse gases and air *** estimation of wildfire-related emissions depends on factors such as the type and fraction of fuel(i.e.,live biomass,ground litter,dead wood)consumed by the fire in a given area,termed the burning *** approaches estimate live burning efficiency from optical remote sensing *** study used a data-driven method to estimate live burning efficiency in a mediterranean *** severity estimations from Lands at imagery(dNBR),which relate to fuel consumption,and quantitative field data from three national forest inventory data were combined to establish the relationship between burning severity and live burning *** proxies explored these relationships based on dNBR interval classes,as well as regres sion *** correlation results between live burning efficiency and dNBR for conifers(R=0.63)and broad-leaved vegetation(R=0.95)indicated ways for improving emissions *** estimations by severity class(low,moderate-low,moderate-high,and high)are provided for conifers(0.44-0.81)and broad-leaves(0.64-0.86),and regression models for the live fraction of the tree canopy susceptible to burning(m,2-7 cm,>7 branches,and leaves).The live burning efficiency values by severity class were higher than previous studies.

关键词： Forest wildfires Emissions Greenhouse gases Satellite images

Utilization of access to colorectal cancer screening modalities in low-income populations after medicaid expansion

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World Journal of Gastrointestinal Oncology 2023年第9期15卷 1653-1661页

作者： Gerald Fletcher joan Culpepper-morgan Alvaro Genao Eric Alatevi Department of Gastroenterology NYC Health+Hospitals/HarlemNew YorkNY 10037United States Department of Gastroenterology NYC Health+Hospitals/Harlem506 Lenox AveNew YorkNY 10037United States

BACKGROUND Colorectal cancer(CRC)remains a relevant public health *** research suggests that racial,economic and geographic disparities impact *** the expansion of medicaid eligibility as a key component of the Affordable Care Act(ACA),there is a dearth of information on the utilization of newly gained access to CRC screening by low-income *** study investigates the impact of the ACA’s medicaid expansion on utilization of the various CRC screening modalities by low-income *** working hypothesis is that medicaid expansion will increase access and utilization of CRC screening by low-income *** To investigate the impact of the Affordable Care Act and in particular the effect of medicaid expansion on access and utilization of CRC screening modalities by medicaid state expansion status across the United *** This was a quasi-experimental study design using data from the Behavioral Risk Factor Surveillance System,a large health system survey for participants across the United States and with over 2.8 million *** period of the study was from 2011 to 2016 which was dichotomized as pre-ACA medicaid expansion(2011-2013)and post-ACA medicaid expansion(2014-2016).The change in utilization of access to CRC screening strategies between the expansion periods were analyzed as the dependent *** analyses included stratification of the access by ethnicity/race,income,and education *** A greater increase in utilization of access to CRC screening was observed in medicaid expansion states than in nonexpansion states[+2.9%;95%confidence interval(95%CI):2.12,3.69].Low-income participants showed a+4.02%(95%CI:2.96,5.07)change between the expansion periods compared with higher income groups+3.19%(1.70,4.67).Non-Hispanic Whites and Hispanics[+3.01%(95%CI:2.16,3.85)vs+5.51%(95%CI:2.81,8.20)]showed a statistically significant increase in utilization of access but not in Non-Hispanic Blac

关键词： medicaid expansion Colorectal cancer screening Low-income Disparities minorities Affordable care act

Near obstructing painful anorectal mass and facial rash in a man with monkeypox: A case report

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World Journal of Clinical Cases 2023年第30期11卷 7418-7423页

作者： Kesiena Akpoigbe Jones Yannick joan Culpepper-morgan Department of Gastroenterology Columbia University Medical Center Health+Hospitals/Harlem AffiliationNew YorkNY 10037United States Department of Internal medicine Columbia University Medical Center Health+Hospitals/Harlem AffiliationNew YorkNY 10037United States

BACKGROUND monkeypox(mPX)is a zoonotic infection that is endemic in Western and Central Africa along the Congo River *** has a high case fatality rate especially in younger age *** belongs to the virus family orthopoxvirus like *** is transmitted from wild animals to humans but human to human transmission has been *** is often a self-limited infection in endemic ***,attention has been given to mPX with the spread of infection to Europe and the United States of America(USA).There is currently sporadic infection of mPX in the USA especially amongst men who have sex with men(mSm).It is a serious life-threatening infection in human immunodeficiency virus/acquired immunodeficiency syndrome co-infected individuals especially those who are treatment naïve with severe *** SUmmARY We report a 38-year old man who presented with rectal pain,and anal,torso,and facial *** computed tomography scan showed a near obstructive rectal mass with peri-anal *** was *** was started on tecovirimat(TPOXX)and HAART *** treatment provided included vaccinia immunoglobulin following his clinical *** This case highlights a rare presentation of mPX with peri-anal fistula and near obstructive rectal mass,and the significance of mPX as a differential diagnosis in proctitis in mSm in addition to other sexually transmitted infection like gonorrhea and chlamydia.

关键词： Proctitis monkeypox Human Immunodeficiency Virus men who have sex with men Tecovirimat Vaccinia Immunoglobulin Case report

Implications of turbulent shear on clay floc break-up along the Atlantic estuary(Bouregreg),morocco

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International Journal of Sediment Research 2022年第2期37卷 248-257页

作者： Krishnamoorthy Lakshmi Ammal Priya Soufiane Haddout joan Cecilia Catubig Casila Department of Civil Engineering TKM College of Engineering Department of Physics Faculty of Science Ibn Tofail University Land and Water Resources Division IABE CEAT University of the Philippines Los Ba?os

Water depth,salinity,current,and suspended sediment concentration(SSC) were measured along with the grain size distribution of bed sediment along an estuarine longitudinal *** floc size increased with increase in the percentage of clay and silt,while decreased with increase in the percentage of sand content of bed *** turbulent shear,G,had a direct effect on floc size with its value increasing with increase in G up to a G value of 15 s,while an inverse relation existed between floc size and G at higher G(C> 15 s).Further,higher turbulence enabled sand to get resuspended and cause additional shear leading to the break-up of *** attempt was made to modify G to account for the combined effect of water turbulence(C) and shear imparted by sand(C) and the impact of the modification of G on the predictability of floc size was evaluated.A new model was developed which explains floc size in terms of sediment concentration(C),salinity gradient(S),and G for different scenarios based on the value of *** analysis was done for observed floc size(FS) and predicted floc size using four approaches:(Ⅰ) FS β C~χ;(Ⅱ) FS α C~χS;(Ⅲ) FS α C~χSG~z for G 15 s; and(Ⅳ) FS α C~χSGfor G> 15 sand G=G+G,where x,y,and z are determined by *** was observed that the predictability of the floc size improved when the turbulence was modified to account for shear imparted by sand so that the coefficient of determination was increased from 0.78 for model Ⅲ to 0.89 for model Ⅳ.Further,the settling velocity was expressed as a function of suspended sediment concentration,turbulent shear,and salinity *** predictability of settling velocity was improved(R~2 increased from 0.77 to 0.86) when the additional turbulence created by sand was incorporated in the non-dimensional empirical *** study highlights the influence of sand in causing the break-up of flocs and suggests that for turbulence shear values high enough to resuspend

关键词： Floc size Settling velocity Turbulent shear Non-cohesive sediment Bouregreg estuary morocco

Nurses’ and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice

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International Journal of Nursing Sciences 2023年第2期10卷 199-205页

作者： Daniel m.Nzengya Albanus K.mutisya miriam C.A.Wagoro molly Secor-Turner joan Edwards Research and Innovation St.Paul’s UniversityLimuruKenya School of Nursing Jomo Kenyatta University of Agriculture&TechnologyNairobiKenya Department of Nursing Sciences University of NairobiNairobiKenya mark and Robyn Jones College of Nursing Montana State UniversityBozemanMTUSA Nelda C.Stark College of Nursing Texas Woman's UniversityHoustonTXUSA

Objective To assess the level of participation of nurses and midwives in health-related research,determine the status of utilization of research to inform nursing and midwifery practice in Kenya,and explore perspectives of nurses and midwives about strategies to empower nurses/midwives to engage in health research in *** Data were extracted from online survey responses of 156 nurse and midwife educators,practitioners,and managers/*** version 26 was used to analyze quantitative data;qualitative data were analyzed using Excel to organize data into *** Over one-third of participants reported ever publishing research(37.2%,58/156).Participants reported using knowledge gained in nursing school to guide practice most frequently(n=148).Utilization of research findings to guide practice was reported by 80.3%(110/137)of *** to enhance participation in the research included research training,research forums,policy reforms,and emphasis on research in *** There is need to intensify and prioritize proposed strategies to empower nurses/midwives to engage in health research.

关键词： Evidence-based practice Kenya midwifery Nurses Research

Potential Economic Value of Chitin and Its Derivatives as major Biomaterials of Seafood Waste,with Particular Reference to Southeast Asia

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Journal of Renewable materials 2022年第4期10卷 909-938页

作者： Hsiao Wei Tan Zhi Yin joan Lim Nur Airina muhamad Fong Fong Liew Institute of Research management and Services Research and Innovation Management ComplexUniversity of MalayaKuala Lumpur50603Malaysia Department of Restorative Dentistry Faculty of DentistryMAHSA UniversitySaujana Putra CampusJenjarum42610Malaysia Institute of Biological Sciences Faculty of ScienceUniversity of MalayaKuala Lumpur50603Malaysia Department of Oral Biology&Biomedical Sciences Faculty of DentistryMAHSA UniversitySaujana Putra CampusJenjarum42610Malaysia

With a growing population,changes in consumerism behavior and trends in consumption in Indo-Pacific Asia,our seafood processing and consumption practices produce a large volume of waste *** are several advantages in regulating and sustaining shellfish processing *** major advantage of waste management is that it leads to better conservation of natural resources in the long *** shell waste contains useful biomaterials,which are still untapped due to inadequate waste disposal and solid waste ***,the major component of shell waste,can be extracted either chemically or *** chemical extraction approaches,which use acids and alkali,could be an environmental *** the other hand,biological methods can be eco-friendly alternatives for shell waste *** this review,recent trends in management of shellfish waste as sources of chitin,conversion of chitin into chitosan,economic aspects of waste treatment and application of chitosan will be discussed.

关键词： Seafood waste waste management chitin chitosan economic value Southeast Asian fisheries