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Frequency of smoking cessation interventions from health care providers in Minnesota

Open Journal of Preventive Medicine 2012年第2期2卷 229-234页

作者： Megan N. Whittet Raymond G. Boyle Jeong Kyu Lee Ann W. St. Claire Joanne D’Silva peter rode Ann M. Kinney Center for Health Statistics Minnesota Department of Health St. Paul USA Research Department ClearWay MinnesotaSM Minneapolis USA

Objective: There is strong evidence supporting the impact of health care provider advice on patients’ smoking behavior. This paper examines adult smoker reports of health care provider smoking cessation interventions. Design: The 2010 Minnesota Adult Tobacco Survey (MATS) is a random digit dial telephone survey with 7057 Minnesota adults. Both landline and mobile telephone samples were included. These samples were combined and weighted to represent the population of adults in Minnesota. Results: Among adult Minnesotans, 16.1% were current smokers, 80.9% reported seeing a health care provider in the past 12 months and 80.2% of those adults were asked if they smoke. Among smokers who saw any provider in the past 12 months, 94.4% reported they were asked about smoking and 71.8% were advised not to smoke. In contrast, 43.9% of smokers received referrals from a health care provider and among those, 37.5% were recommended medications and 24.8% were referred to a quit smoking program. Conclusion: Given the large body of evidence supporting cessation interventions by health care providers, the increase in use of electronic medical records and the availability and success of evidence-based cessation programs, efforts to improve rates of identifying and treating each tobacco user are needed. Further research is needed to explore how cessation intervention responsibilities can be shared among the clinical team and integrated into ongoing clinical care.

关键词： Smoking Cessation Survey Research Guideline Health Care Provider

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STRENGTHENING REQUIREMENT SPECIFICATION IN SUSTAINABLE PROCUREMENT-AN INVESTIGATION OF CHALLENGES

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Journal of Green Building 2017年第1期12卷 107-122页

作者： Marlene Hagen Eriksen Søren peter Bjarløv Carsten rode Technical University of Denmark Department of Civil EngineeringDenmark

To reap the benefits of sustainability in the construction sector,it is crucial that the stakeholders involved can implement it in *** have shown that choices made in the early phases of the building process are of very great importance for the outcome and the initiatives and decisions taken by the build-ing owner are *** paper presents research on Danish building practitioners’ability to make requirements for sustainability in *** the basis of an action research strategy,we asked practitioners to help identify the challenges involved in requiring sustainable solutions through *** included among others a lack of knowledge or experience in sustainable procurement and inter-disciplinary *** research showed that practitioners are able to for-mulate specific requirements for sustainability in *** the challenges found imply that a sustainable approach in procurement is not fully implemented in a Danish *** suggests that there is a need for guidance in the area,if the practitioners are to move from good intentions to making more specific requirements for sustainability in procurement.

关键词： sustainable procurement requirement specification procurement challenges Danish construction industry building life cycle

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Introducing 3D-potting:a novel production process for artificial membrane lungs with superior blood flow design

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Bio-Design and Manufacturing 2022年第1期5卷 141-152页

作者： Fellx Hesselmann Jannls M.Focke peter C.Schlansteln NIklas B.Steuer Andreas Kaesler Sebastlan D.Relnartz Thomas Schmltz-rode Ulrlch SteInselfer Sebastlan V.Jansen Jutta Arens Department of Cardiovascular Engineering Instituteof Applied Medical EngineeringHelmholtz.InstituteRWTH Aachen UniversityPauwelsstrasse 2052074 AachenGermany Department of Diagnostic and Interventional Radiology Uniklinik RWTH AachenPauwelsstrasse 3052074 AachenGermany Department of Biomechanical Engineering Faculty of EngineeringTechnology University of TwenteDrienerlolaan 57522 NB EnschedeThe Netherlands

Currently,artificial-membrane lungs consist of thousands of hollow fiber membranes where blood flows around the fibers and gas flows inside the fibers,achieving diffusive gas *** both ends of the fibers,the interspaces between the hollow fiber membranes and the plastic housing are filled with glue to separate the gas from the blood *** a uniaxial centrifugation process,the glue forms the“potting.”The shape of the cured potting is then determined by the centrifugation process,limiting design possibilities and leading to unfavorable stagnation zones associated with blood *** this study,a new multiaxial centrifugation process was developed,expanding the possible shapes of the potting and allowing for completely new module designs with potentially superior blood flow guidance within the potting ***-phase simulations of the process in conceptual artificial lungs were performed to explore the possibilities of a biaxial centrifugation process and determine suitable parameter sets.A corresponding biaxial centrifugation setup was built to prove feasibility and experimentally validate four conceptual designs,resulting in good agreement with the *** summary,this study shows the feasibility of a multiaxial centrifugation process allowing greater variety in potting shapes,eliminating inefficient stagnation zones and more favorable blood flow conditions in artificial lungs.

关键词： Potting process Flow design Membrane lung Artificial lung Hollow fiber membrane module Manufacturing

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