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Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

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International Journal of Disaster Risk Science 2024年第1期15卷 1-17页

作者： Benjamin J.Ryan Mayumi Kako Shelby Garner Rok Fink Ismail Tayfur Jonathan Abrahams Sanjaya Bhatia Adriana Campelo Matthew Fendt Alicia Fontenot Nahuel Arenas Garcia Tim Hatch Ryoma Kayano LaShonda Malrey‑Horne Makiko MacDermot md moshiur rahman Chaverle Noel Shuhei Nomura Jeremy P.Novak Maria Opazo Kendell Oliver Luciana Peters Sohel rahman PerihanŞimşek Andrew Stricklin Raymond Swienton Bryan W.Brooks Frist College of Medicine Belmont UniversityNashvilleTN 37212USA Department of Environmental Science Environmental Health Science ProgramCollege of Arts and SciencesBaylor UniversityWacoTX 76798USA Division of Nursing Science School of Biomedical and Health SciencesHiroshima UniversityHiroshima 734-8553Japan Gordon E.Inman College of Health Sciences and Nursing Belmont UniversityNashvilleTN 37212USA Faculty of Health Sciences University of Ljubljana1000 LjubljanaSlovenia Department of Emergency Medicine University of Health Sciences34668 IstanbulTurkey Monash University Accident Research Center MelbourneVIC 3800Australia Global Education and Training Institute United Nations Ofce for Disaster Risk ReductionIncheon 22004Republic of Korea Regional Ofce for the Americas and Caribbean United Nations Ofce for Disaster Risk ReductionPanama City 0843-03441Panama Engineering and Computer Science Baylor UniversityWacoTX 76798USA Department of Public Health Robbins College of Health and Human SciencesBaylor UniversityWacoTX 76798USA Alabama Department of Public Health MontgomeryAL 36092USA World Health Organization Centre for Health Development(WHO Kobe Centre) Kobe 651-0073Japan Waco-McLennan County Public Health District WacoTX 76707USA Department of Health Policy and Management School of MedicineKeio UniversityTokyo 160-8582Japan Department of Global Health Policy Graduate School of MedicineThe University of TokyoTokyo 113-0033Japan Tokyo Foundation for Policy Research Tokyo 106-6234Japan Global Development College BrisbaneQLD 4000Australia Municipality of Pudahuel 13124 PudahuelChile City Hall of Porto Alegre Porto Alegre 90010-170Brazil Ministry of Health and Family Welfare Government of the People’s Republic of BangladeshDhaka 1000Bangladesh Department of Emergency Aid and Disaster Management Trabzon University61335 TrabzonTurkey Department of Emergency Medicine UT SouthwesternDallasTX 75390USA

The COVID-19 pandemic highlighted the urgent need to strengthen public health *** response,the United Nations Disaster Risk Reduction(UNDRR) Public Health System Resilience Scorecard(Scorecard) was applied in workshops across multiple *** aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system *** conducted a workshop from 14 to 16 March 2023,at the UNDRR Global Education and Training Institute in Incheon,Republic of Korea.A sequential modified Delphi method was utilized to develop a set of prioritized resilience *** were drawn from 70 strategies identified from 13 distinct workshops in eight *** two surveys,23 strategies were *** received ratings of "High" or Very High" from89% of *** related to the inclusion of public health risks in emergency plans,integrating multidisciplinary teams into public health,enabling local transport mechanisms,and improving the ability to manage an influx of *** Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system *** leveraging this methodology,our study demonstrated how resilience strategies could inform disaster risk reduction funding,policies,and actions.

关键词： Health system resilience Public policy Resilience scorecard Workshops

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Multivariate morphometric investigation to delineate species diversity and stock structure of mud crab Scylla sp. along the coastal regions of Bangladesh

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Aquaculture and Fisheries 2021年第1期6卷 84-95页

作者： md Asaduzzaman Ismat Jahan Aysha Rahi Noor md Moudud Islam md moshiur rahman Faculty of Fisheries Chattogram Veterinary and Animal Sciences UniversityKhulshi4225Bangladesh Fisheries and Marine Resource Technology Discipline Khulna UniversityKhulna9208Bangladesh

Despite the importance of mud crab species(genus Scylla)in both coastal aquaculture and artisanal fisheries,knowledge of the species diversity and stock structure of mud crab population for their sustainable management across the coastal region of Bangladesh remains ***,the present study was conducted to delineate the diversity and stock structure of mud crab species based on the 24 morphometric length measurements and 27 morphometric ratios data collected from the three coastal regions(Chittagong,Cox’s Bazar and Bagerhat)of *** on the taxonomic keys,majority of the species(about 82.4%)were identified as ***,while the remaining(about 17.6%)was *** consistent to our preliminary analysis,both the univariate proportion and multivariate analysis of the collected morphometric lengths and ratios data also distinctly divided the mud crabs population into two multivariate spaces as *** and *** the further analysis of the stock structure of these two species,data were subjected to the univariate ANOVA,multivariate ANOVA,Canonical Variate Analysis(CVA),and Principal Component Analysis(PCA)according to their collection *** plots of CVA scores between CV1 and CV2 and PCA scores between PC1 and PC2 showed that the individuals of both species clearly made clusters into three multivariate spaces with minimum overlaps according to their collection *** morphometric traits Linear Discriminant Function Analysis(LDFA),the average percentage of correctly classified(PCC)into the original groups of the *** and *** was 100%.For stock discrimination,the average PCC into their original groups of collection sites were 100%and 99%for the *** and ***,***,dendrogram based on the Euclidean distances consistently separated *** and *** and stock structures similar to other multivariate *** conclusion,our study shows that *** is the dominant mud crab speci

关键词： Mangrove crabs Morphometric traits Species delineation Discriminant function analysis Principal component analysis Univariate ANOVA

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Electrospinning and Electrospun Nanofibers

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World Journal of Nano Science and Engineering 2016年第2期6卷 45-50页

作者： Lefayet Sultan Lipol md. moshiur rahman University of Borås Bor&arings Sweden

Electro-spinning is a very modern process which can be used in various purposes. We did this experimental work at Swerea IVF in Sweden during M. Sc in Textile Technology programme at University of Bor?s. We should especially thank our supervisor—Anna Thorvaldsson and course teacher—Ioannis S. Chronakis. In this report, we have tried to explain the basic manufacturing techniques of the electrospun nanofiber by the electro-spinning, how one can characterize it by SEM (Scanning Electron Microscopy) and its various applications in the practical field, e.g wound healing, Tissue Engineering Scaffold. The experimental work helped us a lot to gather sufficient knowledge about the electro-spinning process which we wanted to share with all.

关键词： Nano-Fibers Tissue Engineering Scaffold Nano-Collagen Cartilage and Bones Bladder and Kidney SEM (Scanning Electron Microscopy)

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Performance Evaluation of a miniPET Camera for Brain Scanning

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International Journal of Medical Physics, Clinical Engineering and Radiation Oncology 2015年第1期4卷 71-75页

作者： Arif Mahmud md. moshiur rahman Department of Physics BGMEA University of Fashion and Technology Dhaka Bangladesh Department of Physics Jahangirnagar University Dhaka Bangladesh

A nuclear miniPET camera was constructed with 2 bucket rings, each having 8 BGO detector modules for brain scanning. After calibration of the camera, an experimental investigation of sensitivity was carried out to evaluate the performance of this PET scanner. The characteristics of NECR were examined for comparisons of count rate considering the statistical noise due to scattered and random events. NECR performance was observed using 10 cm diameter phantom filled with 1 L water and 240 MBq of 18F. All data were acquired in 2D acquisition mode but without septa. Randoms were estimated by introducing delay into the coincidence circuit which was an extra 100 ns time delay. Multiples were recorded simultaneously with the prompt and delayed events. The true plus scattered coincidence events were calculated as the difference between prompt and random plus multiple events. After recording all the data, the noise equivalent count rate (NECR) was calculated and graphically presented. It is observed that NEC value is significantly lower than other similar scanners. Comparing the individual components of the count rate, a much higher randoms rate is observed for the camera because of the absence of any side shielding, so that out of field activity contributes significantly to the randoms rate and hence reduces the NECR value.

关键词： PET BGO NECR Prompt-Events Detector-Module & Septa

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Analysis of the Incidence of Hepatitis B and Hepatitis C and Association with Socio-Economic Factors in Various Regions in China

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Health 2018年第9期10卷 1210-1220页

作者： Ying’ai Cui Michiko Moriyama md moshiur rahman Graduate School of Biomedical & Health Sciences Hiroshima University Hiroshima Japan

The incidence of liver cancer in China accounts for more than half of the world, and the majority of them is caused by hepatitis B and hepatitis C. China is known as a great contributor to hepatitis. The Chinese government has implemented a series of preventive measures to solve this problem, especially the policy of free hepatitis B vaccination for newborn babies and effectively reduced the incidence of hepatitis. The incidence of infectious diseases is often related to socio-economic factors. Therefore, we used data on the incidence of hepatitis B and C and socioeconomic factors to analyze and find out the relationship among them in various regions. There were high incidence areas and low incidence areas in China, and the high incidence area of hepatitis B was also the high incidence area of hepatitis C. Especially in Xinjiang, the highest incidence of hepatitis B and hepatitis C was observed at the same time. The incidence of hepatitis B and hepatitis C was more affected by regional economic factors. The economic factors in low incidence areas of hepatitis were better than those in high incidence areas. There was a negative correlation between economic factors and the incidence of hepatitis. In conclusion, in economically developed areas, the government has invested more money and resources in public health and people’s health awareness in comparison to underdeveloped areas. In the future, various preventive strategies should be carried out according to the background of different regions.

关键词： Hepatitis Socioeconomic Factors Incidence Prevention China

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Health Resource Utilization and Comorbidities in Patients with Mental Disorders: Analysis Based on Health Insurance Claim Data

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Health 2017年第4期9卷 763-777页

作者： Kana Kazawa Susumu Iwamoto md moshiur rahman Michiko Moriyama Institute of Biomedical & Health Sciences Hiroshima University Hiroshima Japan Department of Economics Yamaguchi University Yamaguchi Japan

The number of patients with mental disorders is increasing all over the world and they have a high prevalence of physical complications. To analyze and compare the cost of mental disorders with the total medical costs such as mental disorders and physical disorders, we analyzed the cost that patients with mental disorders incurred. We investigated the distribution of medical costs and the characteristics of diseases by using the health insurance claims of people in City A, Japan from March 2013 to February 2014. The subjects had one or more of 4 mental disorders: schizophrenia, alcohol related disorders, bipolar disorder, and depressive episode. As a result, the total number of patients who met inclusion criteria per year was 7403 (6522 outpatients and 881 inpatients). It was revealed that the hospitalization rate of patients with mental disorders increased with age, and many inpatients stayed in hospital for a long time. Also, it was revealed that many patients with mental disorders were in complicated condition with more than one mental or physical disorders and incurred medical costs for these comorbidities. In conclusion, this analysis indicated that many patients with mental disorders switch from attending the outpatient department to hospitalization as they become older. Further, they incurred a lot of medical expenses for complication management. To improve their QOL, comprehensive assessment of their mental/ physical health, self-management education, coordination of services, and support for decision making regarding treatment are necessary.

关键词： Mental Disorder Medical Cost Comorbidity

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Identifying Factors of Obesity in Papua New Guinea: A Descriptive Study

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Health 2016年第14期8卷 1616-1629页

作者： Andrew Pus Michiko Moriyama Mariko Uno md moshiur rahman Division of Nursing Institute of Biomedical & Health Sciences Hiroshima University Hiroshima Japan Institute of Biomedical & Health Sciences Hiroshima University Hiroshima Japan

Obesity and overweight are complex phenomena due to causes and consequences as these are the predisposing factors for developing lifestyle-related diseases. In the recent times, obesity and chronic diseases are being taken very seriously than ever before. Once upon a time, obesity was considered as a problem only in developed countries, now it is of a serious concern in low- and middle-income countries. In Papua New Guinea (PNG), a few studies have been conducted on obesity-related issues. However, there is not enough data on obesity to clearly understand about the leading contributing factors. Our research group designed this study to assess the influencing factors of obesity and as well as to identify the principal cause. It is a descriptive study, used structured and semi-structured interview and survey questionnaire. This study was conducted in the capital city of PNG, Port Moresby, and recruited 87 adults aged 30 - 50 years. According to interview and analysis findings, the contributing factors of obesity are less physical movement, unhealthy diet, lifestyle, cultural value system, low education and social system. Government strategies and initiatives are not strong enough to educate and motivate the community people. This study suggests developing an effective coordination among all stakeholders to ensure quality education and increase awareness to prevent obesity and its complications. The standard health policies and strategies are also recommended at the local, national and international level with strong commitment.

关键词： Obesity Papua New Guinea Factors Cultural Value Life Style

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Factors Affecting Children’s Cholesterol Levels with a View to Prevent Cardiovascular Disease—The Unique Benefits of Health Screening at the Elementary School

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Health 2017年第1期9卷 172-188页

作者： Akihiro Kihara Hiromi Kawasaki Satoko Yamasaki Mika Nishiyama md. moshiur rahman Graduate School of Biomedical & Health Sciences Hiroshima University Hiroshima Japan Institute of Biomedical & Health Sciences Hiroshima University Hiroshima Japan Department of Welfare Hiroshima Bunkyo Women’s University Hiroshima Japan

Background: The prevention of cardiovascular disease (CVD) can substantially contribute to reducing the mortality rate across countries. The level of interest in cholesterol among experts increases when the subjects are elderly and obese individuals. However, specialists do not recommend that children should receive the cholesterol test. The objective of this study was to investigate the distribution of cholesterol levels among the children of public school and their parents’ lifestyles that are associated with cholesterol levels, and to assess the need for and utility of cholesterol testing in school settings. Methods: The study investigated a group of 226 fourth-grade public school children aged between 9 and 10 years and guardians in Akitakatacity of Hiroshima Prefecture, Japan. Multiple regression analyses were performed with the logarithmic value of cholesterol levels as a response variable, awareness about lifestyles and health of children as an explanatory variable, and child’s sex and body mass index (BMI) as moderating variables. Using questionnaires about lifestyles, the step-down procedure was applied in multiple regression analyses to narrow down relevant lifestyle variables. Results: The percentage of children with the high total cholesterol (TC) value was about 15 and with low-density lipoprotein (LDL) cholesterol value was about 10. Children with low high-density lipoprotein (HDL) cholesterol value were 5%. Treatment was not required according to the comprehensive assessment. Cholesterol levels were associated with the situation of the children and their guardians as follows, guardian need to consider the food, and child has the correct knowledge about food like how to eat snacks. Conclusions: Children had poor cholesterol levels. From childhood, along with the parents, there is a need to learn about appropriate level of cholesterol for CVD prevention.

关键词： Children’s Lifestyle-Related Disease Cardiovascular Disease Health Promotion for Family School Health

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The link between intracellular calcium signaling and exosomal PD-L1 in cancer progression and immunotherapy

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Genes & Diseases 2024年第1期11卷 321-334页

作者： md Rakibul Alam md Mizanur rahman Zhiguo Li Department of Toxicology and Cancer Biology College of MedicineUniversity of KentuckyLexingtonKY 40506USA Department of Medicine(Nephrology) Faculty of Medicine and DentistryUniversity of AlbertaEdmontonAlberta T6E2H7Canada

Exosomes are small membrane vesicles containing microRNA,RNA,DNA fragments,and proteins that are transferred from donor cells to recipient *** cells release exo-somes to reprogram the factors associated with the tumor microenvironment(TME)causing tu-mor metastasis and immune *** evidence revealed that cancer cell-derived exosomes carry immune inhibitory molecule program death ligand 1(PD-L1)that binds with re-ceptor program death protein 1(PD-1)and promote tumor progression by escaping immune ***,some FDA-approved monoclonal antibodies are clinicallyused for cancer treatment by blocking PD-1/PD-L1 *** notable treatment outcomes,some pa-tients show poor drug *** PD-L1 plays a vital role in lowering the treatment response,showing resistance to PD-1/PD-L1 blockage therapy through recapitulating the ef-fect of cell surface *** enhance therapeutic response,inhibition of exosomal PD-L1 is *** signaling is the central regulator of tumorigenesis and can regulate exosome biogenesis and secretion by modulating Rab GTPase family and membrane fusion ***-mune checkpoints are also connected with calcium signaling and calcium channel blockers like amlodipine,nifedipine,lercanidipine,diltiazem,and verapamil were also reported to suppress cellular PD-L1 ***,to enhance the PD-1/PD-L1 blockage therapy response,the reduction of exosomal PD-L1 secretion from cancer cells is in our therapeutic *** this review,we proposed a therapeutic strategy by targeting calcium signaling to inhibit the expression of PD-L1-containing exosome levels that could reduce the anti-PD-1/PD-L1 therapy resistance and increase the patient's drug response rate.

关键词： Calcium signaling CD8^(+)T cells Exosomal PD-L1 Exosomes biogenesis Immunosuppression Immunotherapy

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Endoscopic third ventriculostomy in children:problems and surgical outcome:analysis of 34 cases

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Chinese Neurosurgical Journal 2021年第2期7卷 137-142页

作者： md moshiur rahman S.I.M.Khairun Nabi Khan Robert Ahmed Khan Rokibul Islam Mainul Haque Sarker Neurosurgery Department Holy Family Red Crescent Medical CollegeDhakaBangladesh Neurosurgery Department Bangabandhu Sheikh Mujib Medical UniversityDhakaBangladesh

Background:Endoscopic third ventriculostomy(ETV)has been established as a viable treatment option for obstructive hydrocephalus of children over 6 weeks of *** in pediatric groups may be unsuccessful due to the failure of absorption of cerebrospinal fluid(CSF)or reclosure of ventriculostomy stoma or due to *** exact cause is still *** issues like failure to eliminate the second membrane during the procedure or formation of the new arachnoid membrane at the stoma are still not *** study aims to assess the surgical failure of ETV and its predisposing ***:Thirty-four pediatric patients with hydrocephalus were analyzed *** patients’age limit was between 2.5 months and 14 *** is a retrospective study of 34 patients in a single private hospital between June 2012 and January *** having hydrocephalus in pediatric groups more than 6 weeks of age were included in the ***:The mean age of all patients was 51.25±53.90 months and the mean follow-up period was 50.47±20.84 *** 34 surgeries,the success rate was 79%and the failure rate was 21%.Within 2 years,the success rate was 68.42%and above 2 years’success rate was 93.33%.In this series,7 cases of ETV were re-explored and found ventriculostomy stoma closure in 3 cases,the presence of the second membrane in re-exploration 2 cases,and presence of inflammatory arachnoid membrane in re-exploration 2 *** use of dexamethasone around the stoma in inflammatory stoma was useful,having no *** one patient of the second membrane probably due to absorption failure in communicating hydrocephalus re-exploration was failed and was managed successfully with VP ***:Predisposing factors causing ETV failure are ventriculostomy stoma closure by new arachnoid granulation tissues,remnants of the second membrane inside the stoma,CSF absorption failure,infection/high protein in CSF and inappropriate patient selection.

关键词： Endoscopic third ventriculostomy Cerebrospinal fluid VP Shunt Communicating Hydrocephalus

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