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Health Status and Health Facility Utilization of Community-Dwelling Elderly Living Alone in the Philippines: A Nationwide Cross-Sectional Study

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Health 2019年第11期11卷 1554-1572页

作者： tj robinson moncatar Keiko Nakamura Mosiur Rahman Kaoruko Seino Department of Global Health Entrepreneurship Division of Public Health Graduate School of Tokyo Medical and Dental University Tokyo 113-8519 Japan

Background: Increase of elderly people living alone has been a concern even in the Philippines where filial piety is widely practiced with the support of large number of young people. Objectives of this study were to examine the relationships between living alone with self-reported illness among community elderly and living alone with health facility utilization among sick community elderly in the Philippines. Methods: Data of 5577 elderly (aged ≥ 60 years) from the 2013 Philippines National Demographic and Health Survey were retrieved. Variables on living arrangements, self-reported illness, frequency of health facility visits, and admission to a health facility were used for analysis. Results: Among the elderly included in the analysis, 5.0% of them were living alone. Percentage of living alone was larger among rural elderly (6.0%) compared with urban elderly (3.6%);and among poor elderly (9.0%) compared with rich elderly (2.8%). Results of adjusted multivariate logistic regression analysis showed that the elderly living alone were more likely to report suffering from common colds (AOR 2.12;95% CI 1.57 - 2.86) or non-communicable diseases (AOR 2.18;95% CI 1.55 - 3.06), regardless of their socioeconomic status or insurance coverage. Among those who reported illness, the elderly living alone were more likely to visit a health facility with non-communicable disease (AOR 1.95;95% CI 1.22 - 3.14), after adjustment of other variables. Although elderly living alone who reported illness were likely to be admitted in a health facility, statistically significant association was not observed. Conclusion: Elderly living alone are more likely to report self-reported illness and use health facilities when they recognize their illness.

关键词： Aging Living Alone Health Status Health Facility Utilization Philippines

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Regeneration of pitch pine (Pinus rigida) stands inhibited by fire suppression in Albany Pine Bush Preserve, New York

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Journal of Forestry Research 2019年第1期30卷 233-242页

作者： Chang-Seok Lee George R.robinson Ingrid P.robinson Hansol Lee Department of Bio and Environment Technology Seoul Women's University State University of New York at Albany State University of New York

The Pine Barrens in New York State are dominated by pitch pine(Pinus ridgida) and scrub oaks(Quercus ilicifolia and Q. prinoides). With fire suppression over the last 90 years or so, P. rigida regeneration has become sparse, even in areas set aside to preserve this type of vegetation. We evaluated the effects of fire and an alternative disturbance(mechanical removal of vegetation)for increasing P. rigida regeneration in the Albany Pine Bush Preserve in eastern New York State. By comparing cover, diameter and height of P. rigida, Q. ilicifolia, ***, and Vaccinium spp.(blueberry) growing on the sites with a known fire history, we documented structural and compositional changes in the vegetation since its establishment. We also compared sites on which Quercus sprouts were controlled through mechanical removal. In the years following a disturbance, height and cover of Q. ilicifolia increased continuously and the species became increasingly competitive. Both the density of P. rigida seedlings and Vaccinium cover decreased significantly as the diameter and height of Quercus increased. Our results confirmed that the dominance by P. rigida could be attributed to periodic fires at intervals of 20–25 years. We conclude that removing Q. ilicifolia can favor P. rigida dominance on the barren without fire by releasing pine seedlings from competition.

关键词： Fire Mechanical removal Pine barren Pinus rigida Quercus ilicifolia Quercus prinoides Regeneration Safe site

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Design of Buoys for Mounting Wind Turbines at Exposed Sites

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Journal of Ocean University of China 2018年第2期17卷 257-266页

作者： ERDOGAN Beytullah CELIKKOL Barbaros SWIFT robinson Department of Mechanical Engineering Bülent Ecevit UniversityZonguldak 67200Turkey Department of Mechanical Engineering University of New HampshireDurhamNH 03824USA

In this study, two designs for a buoy capable of supporting a 10 kW wind turbine and its tower were developed to operate at the University of New Hampshire's Center of Ocean Renewable Energy testing site located off the Isles of Shoals, New Hampshire. The buoys are to be moored by a catenary chain system. To evaluate wave response, two Froude-scaled models were constructed, tested, and compared at the Ocean Engineering wave tank at the University of New Hampshire. These buoys have been implemented and compared with wave tank measurements of the spar displacement at a reference elevation 2.44 m above the mean water level.

关键词： wind energy ocean wave buoy

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Genetics in medical school curriculum:A look at the University of Rochester School of Medicine and Dentistry

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2008年第1期9卷 10-15页

作者： Deanne M. robinson Chin-To FONG Department of Pediatrics University of Rochester School of Medicine and DentistryRochesterNY 14642USA

Genetics is assuming an increasingly important role in medicine. As a result,the teaching of genetics should also be increased proportionally to ensure that future physicians will be able to take advantage of the new genetic technology,and to understand the associated ethical,legal and social issues. At the University of Rochester School of Medicine and Dentistry,we have been able to incorporate genetic education into a four-year medical curriculum in a fully integrated fashion. This model may serve as a template for other medical curriculum still in development.

关键词： Genetics education Medical education Curriculum reform

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Classification of different sustainable flood retention basin types

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Journal of Environmental Sciences 2010年第6期22卷 898-903页

作者： Michelle robinson Miklas Scholz Nicolas Bastien Jennifer Carfrae Scottish Agricultural College Peter Wilson Building Institute for Infrastructure and Environment School of EngineeringThe University of EdinburghWilliam Rankine Building School of Built Environment Heriot-Watt University

Using a revised version of a previously published expert classification system, a database of potential Sustainable Flood Retention Basins has been developed for Scotland. The research shows that the majority of small and former （often old） drinking water reservoirs are kept full and their spillways are continuously in operation. Utilising some of the available capacity to contribute to flood control could significantly reduce the costs of complying with the European Union Flood Directive. Furthermore, the application of a previously developed classification model for Baden in Germany for the Scottish data set showed a lower diversity for basins in Scotland due to less developed infrastructure. The classification system appears to be robust and has the potential, with minor modifications, to be applied across Europe. The principle value of this approach is a clear and unambiguous categorisation, based on standard variables, which can help to promote communication and understanding between stakeholders.

关键词： classification system diffuse pollution control principal component analysis runoff control sustainable flood retention basin

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Photonic crystal ring resonator based add-drop filter using hexagonal rods for CWDM systems

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Optoelectronics Letters 2011年第3期7卷 164-166页

作者： robinson S Nakkeeran R Department of Electronics and Communication Engineering Pondicherry Engineering College

In this paper,theoretical analysis of two-dimensional photonic crystal ring resonator(2D PCRR) based add-drop filter(ADF) is presented for coarse wavelength division multiplexing(CWDM) system to drop a channel at 1511 nm using hexagonal rods that are positioned in the square *** 2D finite difference time domain(2D FDTD) method and plane wave expansion(PWE) method are used for obtaining the filter response and band structure of the filter *** to 100 dropping and coupling efficiencies at 1511 nm and 16 nm of bandwidth are observed through *** is very well meeting the requirement of ITU-T G.694.2 standard,which is specified for metro access and short haul optical *** overall size of the proposed filter is 11.4 μm×11.4 μ*** can also be used in integrated optics.

关键词：二维光子晶体 WDM系统滤波器谐振环纳米通道时域有限差分粗波分复用平面波展开

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Two-Dimensional Photonic Crystal Based Sensor for Pressure Sensing

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Photonic Sensors 2014年第3期4卷 248-253页

作者： Krishnan VIJAYA SHANTHI Savarimuthu robinson PG Scholar Communication Systems Mount Zion College of Engineering and Technology Pudukkottai-622507 TamilNadu India

In this paper, a two-dimensional photonic crystal （2DPC） based pressure sensor is proposed and designed, and the sensing characteristics such as the sensitivity and dynamic range are analyzed over the range of pressure from 0 GPa to 7 GPa. The sensor is based on 2DPC with the square array of silicon rods surrounded by air. The sensor consists of two photonic crystal quasi waveguides and L3 defect. The L3 defect is placed in between two waveguides and is formed by modifying the radius of three Si rods. It is noticed that through simulation, the resonant wavelength of the sensor is shifted linearly towards the higher wavelength region while increasing the applied pressure level. The achieved sensitivity and dynamic range of the sensor is 2 nm/GPa and 7 Gpa, respectively.

关键词： Photonic crystal waveguide photonic band gap optical sensor FDTD method pressure sensor

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A poetics of“Wind in a Box”

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Language and Semiotic Studies 2024年第3期10卷 408-414页

作者： John robinson West Virginia Department of Education CharlestonUSA

This essay is a re-application of the language codes of Roland Barthes and Jonathan Culler’s concept for Structuralist *** approach I use explores the codes demonstrated in Barthes’well-known text,S/Z with slight modifications for their application to *** concepts borrowed from *** are from his book of the same title:Structuralist Poetics:Structuralism,Linguistics and the Study of Literature(Cornell University Press,1975).Culler’s main argument is that there must be other,un-attempted strategies combined with conventional approaches in literature of that time *** answer to this problem was to develop a set of linguistic-based concepts to compensate for the reader in the analysis of literary works.I have applied in this essay my approach based on Culler’s methodology and the language codes of Roland Barthes:semantic,symbolic,cultural-referential,actional and hermeneutic.I apply Culler’s concepts to a reading of poetry followed by an application of the language codes as a further development of my work in revitalizing this never-before applied method.

关键词： poetics literary theory poetry

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Hyporheic Zone Flow Disruption from Channel Linings： Implications for the Hydrology and Geochemistry of an Urban Stream, St. Louis, Missouri, USA

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Journal of Earth Science 2016年第1期27卷 98-109页

作者： elizabeth a.hasenmueller heather k.robinson Department of Earth and Atmospheric Sciences Saint Louis University St. Louis MO 63108 USA

Cement channel linings in an urban stream in St. Louis, Missouri increase event water contributions during flooding, shorten transport times, and magnify geochemical variability on both short and seasonal timescales due to disruption of hyporheic flowpaths. Detailed analyses of water isotopes, major and trace elements, and in situ water quality data for an individual flood event reveal that baseflow contributions rise by 8% only 320 m downstream of the point where this particular channel changes from cement-lined to unlined. However, additional hydrograph separations indicate baseflow contributions are variable and can be much higher（average baseflow increase is 16%）. Stream electrical conductivity（EC） and solute concentrations in the lined reach were up to 25% lower during peak flow than in the unlined channel, indicating a greater event flow fraction. In contrast, during low flow, stream EC and solute concentrations in the lined reach were up to 30% higher due to the restricted inflow of more dilute groundwater. Over longer timescales, EC, solute concentrations, turbidity, and bacterial loads decrease downstream signifying increasing contributions of dilute baseflow. The decreased connectivity of surface waters and groundwaters along the hyporheic zone in lined channels increases the hydrologic and geochemical variability of urban streams.

关键词： stream channel linings hyporheic zone groundwater-surface water interactions,flood hydrograph urban geochemistry urban streams.

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The Importance of Evidence for the Integration of Traditional and Complementary Medicine into Western Healthcare?

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World Journal of Traditional Chinese Medicine 2016年第1期2卷 74-79页

作者： Nicola robinson Allied Health Sciences School of Health & Social Care London South Bank University

Policy makers should consider improving access to treatments normally considered outside of healthcare in the west, particularly given the recent WHO strategy. However, research on integrating traditional and complementary medicines(T&CM) into conventional health care is lacking. T& CM approaches, may provide a cost effective option given the increase in chronic diseases with evidence of effectiveness of T& CM being key if such approaches are to be offered as part of integrative patient care, in most countries, an integrated healthcare approach is unavailable to patients. Evidence based clinical guidelines on T& CM should influence care provision. However evidence that is available may not even be cited. Poor use of evidence may possibly be a reflection of lack of knowledge and/or biases of guideline developers but additionally stakeholders vary in their perceived need for evidence to implement health policy change. Journal editors should focus on publishing high quality manuscripts, with clear rationales, design and reporting frameworks. Researchers should consider carrying out careful feasibility studies prior to conducting trials taking into account the UK Medical Research Council's framework on complex interventions. Examples of feasibility studies highlighting their importance for trial design are given in this paper. If preparation for more definitive studies is conducted this will in turn improve the quality of research being designed, executed and published and subsequently encourage the inclusion of evidence by guideline developers. Robust evidence is necessary in order to inform governments' health policies providing appropriate T&CM interventions which can ultimately help to provide best patient care.

关键词： Integrated medicine traditional and complementary medicine clinical guidelines evidence based medicine Delphi Technique acupuncture

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