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A Case Study on Climate Change Response and Adaptation: Fictional Aysese Islands in the South Pacific

American Journal of Climate Change 2014年第5期3卷 455-473页

作者： Amy Cannon Peter Lalor Shobha Sriharan Chunlei Fan gulnihal ozbay Department of Agriculture and Natural Resources Delaware State University Dover DE USA University of the Sunshine Coast Sunshine Coast Queensland Australia School of Agriculture Virginia State University Petersburg VA USA School of Computer Mathematical and Natural Sciences Morgan State University Baltimore MD USA

The Intergovernmental Panel on Climate Change (IPCC), established by the United Nations and World Meteorological Organization, has determined that humans have very likely influenced a net warming to the Earth from the increase of greenhouse gases, aerosols and land use changes. This warming has caused the amount of ice on the Earth to continue to decrease and sea levels to rise. In addition, extreme precipitation events are happening more often in selected regions of the world. A case study that assesses the impacts of, and adaptations to, these changes in climate is presented here. Two modeling programs, Sim CLIM and Train CLIM, (CLIM Systems, Hamilton, New Zealand) were used to support assessments for water supply, coastal zones and tropical cyclones in a fictitious island group in the South Pacific region. In the case study, a consulting group was “hired” to carry out these assessments. A final analysis and synthesis report were created to help the Ministry of the Environment of the made-up nation decide how to improve the governmental actions to address the real concerns posed by changing climate and sea level. Although a simulated island group is used in this article, there are sincere concerns about climate change and extreme weather events in this part of the world. It is important to address the real and dangerous threat that these islands and people face in the wake of a changing climate and a growing global society.

关键词： Climate Change Case Study Water Supply Coastal Zone Erosion Tropical Cyclones

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Monitoring Heavy Metals near Wastewater Facility in Delaware Inland Bays Tidal Canal

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Journal of Water Resource and Protection 2017年第8期9卷 985-998页

作者： Amy C. Cannon Lathadevi K. Chintapenta gulnihal ozbay Department of Agriculture and Natural Resources Delaware State University Dover DE USA

NOAA National Status and Trends Mussel Watch Report indicate the Delaware Bay has regionally medium levels of Cd and high levels of Pb. Environment New Jersey, a non-profit environmental group, reported the Delaware River, providing drinking water to millions, as the fifth most-polluted river in the country. These concerns resulted in this study monitoring water quality conditions near a wastewater facility in Delaware. Physical water quality parameters were measured, along with heavy metals Cd and Pb. Mean metal levels were consistently low at the wastewater discharge (1.3 μg/L Cd, 5.1 μg/L Pb), and high at the control location (9.2 μg/L Cd and 11.5 μg/L of Pb). Relationships were observed between heavy metals, salinity and pH levels. Results suggest water treated by the facility does not pose heavy metal contamination risks to the Lewes Rehoboth Canal. Further studies are warranted to seek heavy metal sources at the control point, farthest from the waste water treatment facility.

关键词： Heavy Metals Cadmium Lead Receiving Waters Impacts Water Quality Monitoring and Assessment

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Drinking Water Quality Clinics and Outreach in Delaware Focusing on Educating Master Well Owners

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Journal of Environmental Protection 2013年第12期4卷 21-32页

作者： gulnihal ozbay Amy Cannon Amanda Treher Stephanie Clemens Albert Essel Dyremple Marsh John Austin College of Agriculture & Related Sciences Cooperative Extension Delaware State University Dover Delaware USA Master Well Owner Network University Park Pennsylvania USA Office of Sponsored Research Delaware State University Dover Delaware USA

The United States Environmental Protection Agency (EPA) has the authority to regulate the public water systems. The EPA does not have the jurisdiction to regulate private drinking water wells. This leaves approximately fifteen percent of the nation’s population without any regulation being held in place to protect their source of drinking water. With that fifteen percent of the US population having private wells for drinking water, it makes the number of people whose drinking water is unprotected by regulation at a little over 15 million US households. This concern is even more acute in areas with groundwater that is close to the surface. Delaware residents live in a region with low elevation which is very close to the coast with low elevation and the shallow groundwater makes us concern about contaminated well water even more intense. As one of the Water Resources Program partners, we have offered free Drinking Water Quality Clinics to local well owners over the past 4 years in Delaware State University. Since 2009, over 400 Delaware residents have benefited from these clinics. At each clinic, an information session was offered in the evening, with an opportunity to hear from and speak with a drinking water well expert. Participants were given sample bottles and water testing performed the following day included pH, nitrite, nitrate, sulfate, alkalinity, fluoride, hardness, iron, lead, cadmium, arsenic, Total Coliform, and E. coli. Over half of the samples returned out of range values for pH, while 72 returned results positive for Total Coliform and Escherichia coli bacterium. Data are examined for correlations, and improved understanding of local well owners. These tests shared with local well owners insights into what may be wrong with their water. In addition, any tests that came back outside of the normal range were reported to homeowners in writing. Mailed with the written reports were also information specific to what test results were outside of the limits,

关键词： Water Quality Well Water Drinking Water Private Well Water Water Sample Testing

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Can fruit seeds and undigested plant residuals cause acute appendicitis

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Asian Pacific Journal of Tropical Biomedicine 2011年第2期1卷 99-101页

作者： Omer Engin Mehmet Yildirim Savas Yakan gulnihal Ay Coskun Izmir Bozyaka Training and Research Hospital Surgery Departmant Buca Seyfi Demirsoy Large State Hospital Pathology Departmant

Objective:To investigate the relation between fruit seeds,plants residuals and appendicitis. Methods:Among cases that underwent appendectomy,the appendicitis cases having fruit seeds and undigested plant residuals in their etiology were examined ***, histopathological features,age,sex,and parameters of morbidity and mortality were used. Results:Fruit seed was found in one case(0.05%) with presence of pus in appendix lumen, undigested plant residuals in 7 cases(0.35%).It was determined that there were appendix inflammation in 2 of the plant residuals cases,while there were obstruction and lymphoid hyperplasia in the appendix lumen of 5 *** mortality was ***:The ratio of acute appendicitis caused by plants is minimal among all appendectomised patients, but avoidence of eating undigested fruit seeds and chewing plants well may help to prevent appendicitis.

关键词： Acute appendicitis Fruit-vegetable consumption Bezoar Fruit seed

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Relationship between periodontitis and cardiovascular diseases: A literature review

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World Journal of Stomatology 2014年第1期3卷 1-9页

作者： Alper Kizildag Taner Arabaci gulnihal Emrem Dogan Department of Periodontology Faculty of Dentistry Ataturk University 25240 Erzurum Turkey

Periodontitis and cardiovascular disease have a complex etiology and genetics and share some common risk factors(i.e., smoking, age, diabetes, etc.). In recent years, the relationship between periodontal disease and cardiovascular disease has been investigated extensively. This research mostly focused on the fact that periodontitis is an independent risk factor for cardiovascular disease. Our aim in this article is to investigate the etiological relationship between periodontal disease and cardiovascular disease and the mechanisms involved in this association. According to the current literature, it is concluded that there is a strong relationship between these chronic disorders.

关键词： Periodontitis Cardiovascular disease Etiological factors Serum lipids Chronic inflammation

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Impact of adjuvant treatment modalities on survival outcomes in curatively resected pancreatic and periampullary adenocarcinoma

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Chinese Journal of Cancer Research 2015年第4期27卷 408-416页

作者： Nedim Turan Mustafa Benekli Olcun Umit Unal ?lkay Tugba Unek Didem Tastekin Faysal Dane Efnan Alg?n Sukran Ulger Tulay Eren Turkan Ozturk Topcu Esma Turkmen Nalan Akgül Babacan gulnihal Tufan Zuhat Urakci Basak Oven Ustaalioglu Ozlem Sonmez Uysal Ozlem Balvan Ercelep Burcu Yapar Taskoylu Asude Aksoy Mustafa Canhoroz Umut Demirci Erkan Dogan Veli Berk Ozan Balakan Ahmet ?iyar Ekinci Mukremin Uysal ?brahim Petekkaya Sel?uk Cemil Ozturk ?nder Tonyal? Bülent ?etin Mehmet Naci Aldemir Kaan Helvac? Nuriye Ozdemir ?lhan Oztop Ugur Coskun Aytug Uner Ahmet Ozet Suleyman Buyukberber Department of Medical Oncology Faculty of Medicine Cumhuriyet University Department of Medical Oncology Faculty of Medicine Gazi University Department of Medical Oncology Faculty of Medicine Dokuz Eylul University Department of Medical Oncology Faculty of Medicine Necmettin Erbakan University Department of Medical Oncology Faculty of Medicine Marmara University Department of Radiation Oncology Faculty of Medicine Gazi University Department of Medical Oncology Numune Education and Research Hospital Department of Medical Oncology Faculty of Medicine Karadeniz Technical University Department of Medical Oncology Faculty of Medicine Trakya University Department of Medical Oncology Rize Education and Research Hospital Department of Medical Oncology Faculty of Medicine Dicle University Department of Medical Oncology Dr.Lutfi Kirdar Kartal Education and Research Hospital Department of Medical Oncology Sakarya Education and Research Hospital Department of Medical Oncology Faculty of Medicine Pamukkale University Department of Medical Oncology Faculty of Medicine Inonu University Department of Medical Oncology Faculty of Medicine Firat University Department of Medical Oncology Dr.Abdurrahman Yurtaslan Education and Research Hospital Department of Medical Oncology Faculty of Medicine Yuzuncu Yil University Department of Medical Oncology Faculty of Medicine Erciyes University Department of Medical Oncology Faculty of Medicine Sutcu Imam University Department of Medical Oncology Diyarbakir Education and Research Hospital Department of Medical Oncology Faculty of Medicine Kocatepe University Department of Medical Oncology Dr.Ersin Arslan State Hospital Department of Medical Oncology Education and Research Hospital Ad?yaman University Department of Medical Oncology Faculty of Medicine Mustafa Kemal University Department of Medical Oncology Faculty of Medicine Ataturk University

Background： We examined the impact of adjuvant modalities on resected pancreatic and periampullary adenocarcinoma（PAC）.Methods： A total of 563 patients who were curatively resected for PAC were retrospectively analyzed between 2003 and ***： Of 563 patients, 472 received adjuvant chemotherapy（CT） alone, chemoradiotherapy（CRT） alone, and chemoradiotherapy plus chemotherapy（CRT-CT） were analyzed. Of the 472 patients, 231 were given CRT-CT, 26 were given CRT, and 215 were given CT. The median recurrence-free survival（RFS） and overall survival（OS） were 12 and 19 months, respectively. When CT and CRT-CT groups were compared, there was no significant difference with respect to both RFS and OS, and also there was no difference in RFS and OS among CRT-CT, CT and CRT groups. To further investigate the impact of radiation on subgroups, patients were stratified according to lymph node status and resection margins. In node-positive patients, both RFS and OS were significantly longer in CRT-CT than CT. In contrast, there was no significant differencebetween groups when patients with node-negative disease or patients with or without positive surgical margins were ***： Addition of radiation to CT has a survival benefit in patients with node-positive disease following pancreatic resection.

关键词： Pancreatic adenocarcinoma adjuvant chemotherapy(adjuvant CT) adjuvant radiotherapy

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