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Mistreatment during Childbirth: Impact on Maternal Outcomes and Importance of Provider Perspectives

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Open Journal of Obstetrics and Gynecology 2024年第2期14卷 227-233页

作者： Samantha Truong katherine Lindsey Doughty Mary Greenwald Annekathryn Goodman Department of Obstetrics and Gynecology Massachusetts General Hospital Harvard Medical School Boston USA

Background: Dying in childbirth is one of the most common causes of death for women. While maternal mortality rates, defined as deaths per 100,000 live births, have been steadily dropping in most countries worldwide, maternal mortality rates have doubled in the United States in the last twenty years. This commentary examines the various contributing factors to this trend. Methods: A literature review was performed using the keywords: maternal mortality, United States, disrespectful maternity care, obstetric violence, provider perspectives, and disparities. Maternal mortality statistics were obtained from the World Health Organization website. Results: Medical factors associated with maternal mortality include increased maternal age and cardiovascular conditions. Social factors include barriers to healthcare access, delays in receiving medical care, reduction in reproductive health services in some states, and non-obstetrical deaths such as accidents, domestic violence, and suicide. Racial inequities and disparities of care are reflected in higher maternal mortality rates for minorities and people of color. Disrespectful maternity care or obstetric violence has been reported worldwide as a factor in delay of lifesaving obstetrical care and reluctance by a pregnant person to access the healthcare system. About one in five US women has reported experiencing mistreatment, varying from verbal abuse to lack of privacy, from coerced procedures to neglect during childbirth. Conclusion: This commentary highlights the importance of inclusion of providers in research on respectful maternity care. Provider burnout, moral distress, limited time, and burden of clinical responsibilities are known challenges to respectful and comprehensive medical care. The association of disrespectful care with poor maternal outcomes needs to be studied. Exploring root causes of disrespectful childbirth care can empower nurses, midwives, and physicians to improve their environment and find solutio

关键词： Maternal Mortality United States Disrespectful Maternity Care Obstetric Vi-olence Provider Perspectives Disparities

Perceptions of Bark Beetle Landscape Disturbance Effects on Natural Resources and Drinking Water: Assessing Communication and Knowledge Exchange in the Rocky Mountain Region, USA

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Open Journal of Ecology 2024年第1期14卷 77-100页

作者： Stuart P. Cottrell katherine Mattor Jana Raadik Cottrell Human Dimensions of Natural Resources Colorado State University Fort Collins CO USA Forest and Rangeland Stewardship (FRS) Colorado State University Fort Collins CO USA University Honors Program Colorado State University Fort Collins CO USA Kuressaare College of Tallinn University of Technology Kuressaare Estonia

Widespread changes to forested watersheds affected by the mountain pine beetle (Dendroctonus ponderosae Hopkins) epidemic across western North America raised concerns about the effects of this climate-induced disturbance on drinking water and natural resources. Effective communication and knowledge exchange across scientists and stakeholders (i.e., drinking water managers) is essential for constructively responding to such landscape scale disturbances, providing improved adaptive capacity through knowledge sharing. An assessment of stakeholder knowledge levels, information needs, primary concerns, and suggested communication strategies were conducted via an online elicitation survey and World Science Café workshops. Knowledge levels, assessed via a survey of local water managers and experts, were relatively low with approximately half of the respondents reporting little to no knowledge of the effects of mountain pine beetle on drinking water quality and quantity, thereby indicating limited knowledge exchange between scientists and drinking water stakeholders. Increased accessibility and dissemination of research findings pertinent to the mountain pine beetle epidemic’s effects on drinking water quality and quantity is necessary for natural resource management. Recommendations for improved communication among scientists and drinking water stakeholders in particular and forest health in general include dispersal of non-academic research summaries, information exchange through existing media and community resources, demonstration projects, and information clearinghouses. This information provides a better understanding of the challenges, concerns, and first-hand experience of stakeholders of a landscape disturbance issue to apply this knowledge to enhance land management practice and how researchers on this overall project enhanced science communication efforts.

关键词： Adaptive Capacity Climate Change Forested Watersheds Water Quality Water Quantity

Association of initial assessment variables and mortality in severe pediatric traumatic brain injury

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World Journal of Pediatric Surgery 2024年第2期7卷 125-133页

作者： katherine C Bergus Kelli N Patterson Lindsey Asti Josh Bricker Tariku J Beyene Lauren N Schulz Dana M Schwartz Rajan K Thakkar Eric A Sribnick Pediatric Surgery Nationwide Children's HospitalColumbusOhioUSA CenterforSurgical Outcomes Research Nationwide Children's HospitalColumbusOhioUSA Neurologic Surgery The Ohio State UniversityColumbusOhioUSA Neurologic Surgery Nationwide Children's HospitalColumbusOhioUSA

Background Predictive scales have been used to prognosticate long-term outcomes of traumatic brain injury(TBI),but gaps remain in predicting mortality using initial trauma resuscitation *** sought to evaluate the association of clinical variables collected during the initial resuscitation of intubated pediatric severe patients with TBI with in-hospital *** Intubated pediatric trauma patients<18 years with severe TBI(Glasgow coma scale(GCS)score≤8)from January 2011 to December 2020 were *** between initial trauma resuscitation variables(temperature,pulse,mean arterial blood pressure,GCS score,hemoglobin,international normalized ratio(INR),platelet count,oxygen saturation,end tidal carbon dioxide,blood glucose and pupillary response)and mortality were evaluated with multivariable logistic *** Among 314 patients,median age was 5.5 years(interquartile range(IQR):2.2-12.8),GCS score was 3(IQR:3-6),Head Abbreviated Injury Score(hAIS)was 4(IQR:3-5),and most had a severe(25-49)Injury Severity Score(ISS)(48.7%,153/314).Overall mortality was 26.8%.GCS score,hAIS,ISS,INR,platelet count,and blood glucose were associated with in-hospital mortality(all p<0.05).As age and GCS score increased,the odds of mortality *** 1-point increase in GCS score was associated with a 35%decrease in odds of *** hAIS,INR,and blood glucose increased,the odds of mortality *** each 1.0 unit increase in INR,the odds of mortality increased by 1427%.Conclusions Pediatric patients with severe TBI are at substantial risk for in-hospital *** are needed to examine whether earlier interventions targeting specific parameters of INR and blood glucose impact mortality.

关键词： mortality pediatric traumatic

Outcomes following minimally invasive dorsal cheilectomy for hallux rigidus:A systematic review

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World Journal of Orthopedics 2024年第6期15卷 585-592页

作者： katherine Esser James J Butler Mackenzie Roof Nathaniel P Mercer Michael C Harrington Alan P Samsonov Andrew J Rosenbaum John G Kennedy Department of Orthopaedic Surgery University of Toledo Medical Center University of Toledo College of Medicine and Life SciencesToledoOH 43614United States Department of Orthopedic Surgery NYU Langone HealthNew YorkNY 10002United States Department of Orthopedic Surgery Albany Medical CenterAlbanyNY 12208United States

BACKGROUND Cheilectomy of the 1^(st)metatarsophalangeal joint(MTPJ)is one of the most common procedures for the management of hallux ***,there is no consensus regarding outcomes following minimally invasive dorsal cheilectomy(MIDC)for the management of hallux *** To evaluate outcomes following MIDC for the management of hallux *** During November 2023,the PubMed,EMBASE and Cochrane Library databases were systematically reviewed to identify clinical studies examining outcomes following MIDC for the management of hallux *** Six studies were *** total,348 patients(370 feet)underwent MIDC for hallux rigidus at a weighted mean follow-up of 37.9±16.5 *** distribution of patients by Coughlin and Shurna's classification was recorded in 4 studies as follows:Ⅰ(58 patients,27.1%),Ⅱ(112 patients,52.3%),Ⅲ(44 patients,20.6%).Three studies performed an additional 1^(st)MTPJ arthroscopy and debridement following *** intra-articular bone debris was observed in 100%of patients in 1 *** weighted mean American orthopedic foot and ankle society score improved from a preoperative score of 68.9±3.2 to a postoperative score of *** complication rate was 8.4%,the most common of which was persistent joint pain and ***-two failures(8.7%)were ***-three secondary procedures(8.9%)were performed at a weighted mean time of 8.6±3.2 months following the index *** This systematic review demonstrated improvements in subjective clinical outcomes together with a moderate complication rate following MIDC for the management of hallux rigidus at short-term follow-up.A moderate reoperation rate at short-term follow-up was *** marked heterogeneity between included studies and paucity of high quality comparative studies limits the generation of any robust conclusions.

关键词： Minimally invasive dorsal cheilectomy Hallux rigidus The first metatarsophalangeal joint Cheilectomy Minimally invasive surgery

Implications of de Facto Reuse on Future Regulatory Developments for Beaufort-Jasper Water & Sewer Authority in Okatie, South Carolina, USA

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Journal of Environmental Protection 2024年第2期15卷 173-192页

作者： Tricia H. Kilgore Shubhashini Oza Jeremy Hatfield katherine Y. Bell Department of Technology and Innovation Beaufort-Jasper Water & Sewer Authority Okatie SC USA Department of Research and Innovation Brown and Caldwell Charlotte NC USA Department of Digital Solutions Brown and Caldwell Cleveland OH USA Department of Research and Innovation Brown and Caldwell Nashville TN USA

A significant portion of the national water supply can be attributed to de facto or unplanned potable reuse, though the extent of its contribution is difficult to estimate. Fortunately, the contribution of Water Resource Recovery Facility (WRRF) effluent to waters that supply drinking water treatment plants has been documented by some communities. In the United States (US), among the top 25 most impacted drinking water treatment plants by upstream WRRF, 16% of the influent flow to the drinking water treatment plant under average streamflow and up to 100% under low-flow conditions is WRRF effluent. Currently, the full extent of de facto reuse in the US may be much higher because of population growth. The scenario is no different for Beaufort-Jasper Water and Sewer Authority (BJWSA) in South Carolina, US, with contributions to the Savannah River originating from numerous WRRF and other upstream dischargers. South Carolina coastal utilities such as BJSWA are considering direct and indirect potable reuse options, driven by disposal limitations and challenges. Currently, South Carolina does not have a framework, guidelines, or regulations for reuse, but discussions have started among the regulated community. In addition to understanding the extent of de facto reuse, the state will need to develop standards and best practices to enable future adoption of planned potable reuse solutions to water resources challenges. Such guidance should address human health risk management and technical considerations regarding treatment in addition to other factors, including source control, storage, fail-safe operation, monitoring, non-cost factors, and public acceptance. This study conducted a mapping assessment specific to BJWSA, sampled at four locations on Savannah River, and observed that de facto reuse is approximately 4.6% to 5.9% during low-flow months and is within the range generally observed nationwide. When coupled with evidence that planned potable reuse can improve human h

关键词： Water Reuse De Facto Reuse Planned Potable Reuse Water Recycling Wastewater Derived Contaminants

Isolated traumatic orbital floor fracture:An analysis of the National Trauma Data Bank

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第3期10卷 187-192页

作者： Emma De Ravin D katherine Xu Christian Fritz Harman S.Parhar Karthik Rajasekaran Department of Otorhinolaryngology Head and Neck Surgery University of PennsylvaniaPhiladelphiaPennsylvaniaUSA Perelman School of Medicine at the University of Pennsylvania PhiladelphiaPennsylvaniaUSA Leonard Davis Institute of Health Economics University of PennsylvaniaPhiladelphiaPennsylvaniaUSA

Objectives:To date,no study provides a comprehensive analysis of traumatic orbital floor fractures across the United *** aimed to characterize patient demographics,injury-related variables,and operative management in this ***:The National Trauma Data Bank was queried for open or closed orbital floor fractures from 2008 to *** data were ***:Overall,148,592 orbital floor fractures were identified,with 142,577(95.9%)closed-and 6158(4.1%)open-type fractures.A total of 106,243(71.5%)patients were male and the median patient age was 41 *** majority of patients(79.2%)had abbreviated injury scale scores of≤2,indicating minor/moderate *** mechanism of injury(MOI)differed by gender,with the most frequent being unarmed fights in men(34.3%)and falls in women(14.0%).There were 29,600 patients(19.9%)with isolated orbital floor(I-OF)*** MOI most strongly associated with operative intervention of with I-OF fractures were penetrating injuries caused by a firearm(odds ratio[OR]:2.91;95%confidence interval[CI]:1.62–5.20)and cuttings/piercings(OR:2.17;95%CI:1.29–3.65).Conclusion:This large epidemiological study reveals that orbital floor fractures tend to present with minor or moderate injuries and are more likely to require operative intervention in setting of firearm or cut/pierce injuries.

关键词： epidemiology National Trauma Data Bank orbital fracture risk factors trauma

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利用量子干涉的分子晶体管

科技纵览 2024年第6期 12-13页

作者： katherine Bourzac 不详

新器件的运行接近能源效率的物理极限。晶体管的尺寸不断缩小,可以在更小的空间内容纳更多的计算能力,但在此过程中存在一个很大的量子力学问题:在微小的器件中,电子会出现泄漏,这不仅会耗费能量,还会降低性能。

关键词：分子晶体管量子干涉物理极限能源效率量子力学计算能力新器件

Primary and Secondary Microplastic and Nanoplastic Regulations: Perspectives on Water Industry Impacts

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Journal of Environmental Protection 2024年第6期15卷 697-715页

作者： Shirin Estahbanati Giridhar Upadhyaya Martha J. M. Wells katherine Y. Bell Brown and Caldwell New York NY USA Brown and Caldwell Irvine CA USA EnviroChem Services Cookeville TN USA Brown and Caldwell Nashville TN USA

Plastic pollution, both primary and secondary, is an environmental challenge, prompting regulatory actions at global and regional levels. With increasing research about the impacts of micro- and nanoplastics on ecosystems and human health, governments worldwide have undertaken efforts to address this issue. The global community has advanced regulatory efforts that have led to the implementation of national laws or regulations in numerous countries. These measures ban or restrict the use of primary and secondary microplastics and nanoplastics. An overview of global and European regulatory frameworks is presented to provide context for the United States (US). In the endeavor to document plastics regulation development in the US, a description of regulatory agencies and their roles in advancing policy and rules as well as future direction and areas for improvement in regulating plastics are introduced. A discussion of what emerging regulations mean to utilities and industries is also provided along with a comparison of regulatory frameworks.

关键词： Microplastic Regulation Environmental Governance Plastic Pollution Mitigation Regulatory Framework

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开学第一天

初中生 2024年第3期 26-29页

作者： katherine Follet 潘麟之(编译) 不详

去新学校的第一天,遇上新同学、新老师,身处新环境,你是否感到兴奋、紧张?作为一名新老师,遇到新环境、新学生,会不会同样有些手足无措、志志不安呢?

关键词：环境老师学校同学