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https://www.readbyqxmd.com/read/28931119/aging-in-the-republic-of-bulgaria
#1
Natalie Pitheckoff
Bulgaria, a southeastern European nation with 7.1 million inhabitants, is ranked 4th in the world for its rate of population aging. Bulgaria has one of the highest proportions of older adults in the world with approximately 20% aged 65 and older. Three main demographic factors have led to rapid population aging. These include emigration, high death rates, and low birth rates. This "perfect storm" of demographic factors has created numerous political, social, and economic challenges for Bulgaria. For example, informal support of older adults is declining as younger generations move abroad or to urban areas for greater employment opportunities...
October 1, 2017: Gerontologist
https://www.readbyqxmd.com/read/28931078/microgeographic-population-structuring-of-aedes-aegypti-diptera-culicidae
#2
André Barretto Bruno Wilke, Ramon Wilk-da-Silva, Mauro Toledo Marrelli
Aedes aegypti is one of the species most favored by changes in the environment caused by urbanization. Its abundance increases rapidly in the face of such changes, increasing the risk of disease transmission. Previous studies have shown that mosquito species that have adapted to anthropogenic environmental changes benefit from urbanization and undergo population expansion. In light of this, we used microsatellite markers to explore how urbanization processes may be modulating Ae. aegypti populations collected from three areas with different levels of urbanization in the city of São Paulo, Brazil...
2017: PloS One
https://www.readbyqxmd.com/read/28931037/assessment-of-renal-function-in-routine-care-of-people-living-with-hiv-on-art-in-a-resource-limited-setting-in-urban-zambia
#3
Andreas Deckert, Florian Neuhann, Christina Klose, Thomas Bruckner, Claudia Beiersmann, John Haloka, Mannie Nsofwa, Greg Banda, Maik Brune, Helmut Reutter, Dietrich Rothenbacher, Martin Zeier
INTRODUCTION: Data on renal impairment in sub-Saharan Africa (SSA) remains scarce, determination of renal function is not part of routine assessments. We evaluated renal function and blood pressure in a cohort of people living with HIV (PLWH) on antiretroviral treatment (ART) in the Renal Care Zambia project (ReCaZa). METHODS: Using routine data from an HIV outpatient clinic from 2011-2013, we retrospectively estimated the glomerular filtration rate (eGFR, CKD-Epi formula) of PLWH on ART in Lusaka, Zambia...
2017: PloS One
https://www.readbyqxmd.com/read/28930956/implications-of-the-trauma-quality-improvement-project-inclusion-of-nonsurvivable-injuries-in-performance-benchmarking
#4
Jiselle Bock Heaney, Rebecca Schroll, Jennifer Turney, Lance Stuke, Alan B Marr, Patrick Greiffenstein, Rosemarie Robledo, Amanda Theriot, Juan Duchesne, John Hunt
BACKGROUND: The Trauma Quality Improvement Project (TQIP) uses an injury prediction model for performance benchmarking. We hypothesize that at a Level I high-volume penetrating trauma center, performance outcomes will be biased due to inclusion of patients with nonsurvivable injuries. METHODS: Retrospective chart review was conducted for all patients included in the institutional TQIP analysis from 2013 to 2014 with length of stay (LOS) less than 1 day to determine survivability of the injuries...
October 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28930951/routine-computed-tomography-after-recent-operative-exploration-for-penetrating-trauma-what-injuries-do-we-miss
#5
April E Mendoza, Christopher A Wybourn, Anthony G Charles, Andre R Campbell, Bruce A Cairns, Margaret M Knudson
BACKGROUND: Patients with penetrating trauma who cannot be stabilized undergo operative intervention without preoperative imaging. In such cases, postoperative imaging may reveal additional injuries not identified during the initial operative exploration. The purpose of this study is to explore the utility of postoperative CT imaging in the setting of penetrating trauma. METHODS: This was a retrospective analysis of patients with penetrating trauma treated at an urban Level 1 trauma center between 2010 and 2015...
October 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28930763/a-new-community-health-center-academic-medicine-partnership-for-medicaid-cost-control-powered-by-the-mega-teaching-health-center
#6
Richard E Rieselbach, Ted Epperly, Aaron Friedman, David Keahey, Eleanor McConnell, Karen Nichols, Greg Nycz, Jeanette Roberts, Kenneth Schmader, Peter Shin, Derri Shtasel
Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28930623/multipartner-fertility-in-nicaragua-complex-family-formation-in-a-low-income-setting
#7
Kammi K Schmeer, Jake Hays
CONTEXT: Multipartner fertility (having children with more than one partner) is an important topic in demographic research, but little is known about its incidence and correlates in low-income settings, where rates may be high because of poverty, union instability and early childbearing. METHODS: Data from the 2011-2012 Encuesta Nicaragüense de Demografía y Salud were used to calculate the prevalence of multipartner fertility among 8,320 mothers and 2,141 fathers with two or more children...
March 3, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/28930515/changes-in-transportation-related-air-pollution-exposures-by-race-ethnicity-and-socioeconomic-status-outdoor-nitrogen-dioxide-in-the-united-states-in-2000-and-2010
#8
Lara P Clark, Dylan B Millet, Julian D Marshall
BACKGROUND: Disparities in exposure to air pollution by race-ethnicity and by socioeconomic status have been documented in the United States, but the impacts of declining transportation-related air pollutant emissions on disparities in exposure have not been studied in detail. OBJECTIVE: This study was designed to estimate changes over time (2000 to 2010) in disparities in exposure to outdoor concentrations of a transportation-related air pollutant, nitrogen dioxide (NO2), in the United States...
September 14, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28930196/socio-demographic-and-lifestyle-factors-predict-5-year-changes-in-adiposity-among-a-group-of-black-south-african-adults
#9
Cornelie Nienaber-Rousseau, Olusola F Sotunde, Patricia O Ukegbu, P Hermanus Myburgh, Hattie H Wright, Lize Havemann-Nel, Sarah J Moss, Iolanthé M Kruger, H Salomé Kruger
The rising prevalence of obesity and excessive adiposity are global public health concerns. Understanding determinants of changes in adiposity over time is critical for informing effective evidence-based prevention or treatment. However, limited information is available to achieve this objective. Cultural, demographic, environmental, and behavioral factors including socio-economic status (SES) likely account for obesity development. To this end, we related these variables to anthropometric measures in 1058 black adult Tswana-speaking South Africans who were HIV negative in a prospective study over five years...
September 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28930059/the-role-of-alcohol-on-antiretroviral-therapy-adherence-among-persons-living-with-hiv-in-urban-india
#10
Stephen L Schensul, Toan Ha, Jean J Schensul, Melita Vaz, Rajendra Singh, Joseph A Burleson, Kendall Bryant
OBJECTIVE: The purpose of this study was to estimate the prevalence of alcohol use among men living with HIV on antiretroviral therapy (ART) and examine the association of alcohol use and psychosocial variables on ART adherence. The study was a cross-sectional survey supplemented by medical records and qualitative narratives as a part of the initial formative stage of a multilevel, multicentric intervention and evaluation project. METHOD: A screening instrument was administered to men living with HIV (n = 3,088) at four ART Centers using the Alcohol Use Disorders Identification Test-consumption questions (AUDIT-C) to determine alcohol use for study eligibility...
September 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28929984/developing-a-hospital-disaster-preparedness-plan-for-mass-casualty-incidents-lessons-learned-from-the-downtown-beirut-bombing
#11
Mazen El Sayed, Ali F Chami, Eveline Hitti
Mass casualty incidents (MCIs) are becoming more frequent worldwide, especially in the Middle East where violence in Syria has spilled over to many neighboring countries. Lebanon lacks a coordinated prehospital response system to deal with MCIs; therefore, hospital preparedness plans are essential to deal with the surge of casualties. This report describes our experience in dealing with an MCI involving a car bomb in an urban area of downtown Beirut, Lebanon. It uses general response principles to propose a simplified response model for hospitals to use during MCIs...
September 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28929938/fo-md-hybrid-system-for-real-dairy-wastewater-recycling
#12
Hongwei Song, Fang Xie, Weiwei Chen, Jinrong Liu
This study investigated a forward osmosis and membrane distillation (FO/MD) hybrid system for real dairy wastewater recycling. Two types of FO membranes, cellulose triacetate embedded polyester screen support (CTA-ES) and aquaporin inside (AQP), were employed. Sodium chloride was used as the draw solution. A cross-flow FO cell and an air gap membrane distillation (AGMD) module were established to conduct individual FO experiments and FO/MD experiments. From the experiments, an analysis of the water flux (Jw), reverse draw solute flux (Js), Js/Jw ratio and contaminant rejection was performed...
September 7, 2017: Environmental Technology
https://www.readbyqxmd.com/read/28929893/long-term-health-outcomes-of-childhood-sexual-abuse-and-peer-sexual-contact-among-an-urban-sample-of-behaviourally-bisexual-latino-men
#13
Brian Mattera, Ethan C Levine, Omar Martinez, Miguel Muñoz-Laboy, Carolina Hausmann-Stabile, José Bauermeister, M Isa Fernandez, Don Operario, Carlos Rodriguez-Diaz
While previous research indicates high rates of childhood sexual abuse among Latino men who have sex with men, few studies have examined the long-term health outcomes of childhood sexual abuse specifically among behaviourally bisexual Latino men. In a sample of 148 behaviourally bisexual Latino men in New York City, we examined associations between childhood sexual abuse and multiple dimensions of adult health: sexual risk behaviours; sexually transmitted infections incidence; polydrug use; depressive symptoms; and perceived stress...
September 20, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28929800/microcosm-investigation-of-growth-and-phytoremediation-potential-of-azolla-japonica-along-nitrogen-gradients
#14
Hun Park, Uhram Song
Although Azolla species are among the most promising plants for use in phytoremediation, more studies on their growth and nitrogen (N) uptake along the N gradients of growing media are required. In this study, N concentration-dependent growth in growing media and phosphorus (P) and N accumulation by Azolla japonica were studied by estimating direct N uptake from media by molybdenum-iron proteins. The doubling time of A. japonica was less than a week, regardless of the N concentration (0, 5, and 25 mg N/L) present in the growth media, indicating that this plant is suitable for remediation...
October 3, 2017: International Journal of Phytoremediation
https://www.readbyqxmd.com/read/28929790/the-variability-of-pm10-and-pm2-5-concentrations-in-selected-polish-agglomerations-the-role-of-meteorological-conditions-2006-2016
#15
Joanna Jędruszkiewicz, Bartosz Czernecki, Michał Marosz
The research focuses on the analysis of PM10 and PM2.5 concentrations variability at 11 stations in selected urbanized areas of Poland (Tricity, Poznań, Łódź, Kraków). Methods comprised: the analysis of basic statistical characteristics in yearly/monthly/daily/hourly scale and threshold exceedance frequencies. Also, correlations between PM10 and meteorological variables were investigated. GEV distribution analysis allowed the estimation of the return levels of monthly maxima of PM10 and PM2.5. Results show that in Tricity there are fewer than 5 % of days with PM10 and PM2...
September 20, 2017: International Journal of Environmental Health Research
https://www.readbyqxmd.com/read/28929498/dog-skin-parasite-load-tlr-2-il-10-and-tnf-%C3%AE-expression-and-infectiousness
#16
Dandara Camila Morais Pereira-Fonseca, Fernanda Muller de Oliveira-Rovai, Lílian Aparecida Colebrusco Rodas, Carolina Aparecida Carlin Beloti, Rafaela Beatriz Pintor Torrecilha, Píer Kenji Rauschkolb Katsuda Ito, Saulo Vinícius Avanço, Rafael Silva Cipriano, Yuri Tani Utsunomiya, Roberto Mitsuyoshi Hiramoto, Leontides Calvo-Bado, Orin Courtenay, Gisele Fabrino Machado, Valéria Marçal Felix de Lima, Cáris Maroni Nunes
Visceral leishmaniosis is a zoonotic disease that is transmitted by Lutzomyia longipalpis sandflies. Dogs are the main peri-urban reservoir of the disease, and progression of canine leishmaniosis is dependent on the type of immune response elaborated against the parasite. Type 1 immunity is characterized by effective cellular response, with production of pro-inflammatory cytokines such as tumor necrosis factor alpha (TNF-α). In contrast, Type 2 immunity is predominantly humoral, associated with progression of the disease, and mediated by anti-inflammatory cytokines such as interleukin 10 (IL-10)...
September 20, 2017: Parasite Immunology
https://www.readbyqxmd.com/read/28929396/prevalence-of-echinococcus-granulosus-taeniasis-in-stray-dogs-in-the-region-of-constantine-north-east-algeria
#17
K Kohil, M C Benchikh El Fegoun, M Gharbi
In North Africa, the domestic dog is regarded as the main reservoir for infection by Echinococcus granulosus of domestic livestock and man. In Algeria, there is very little data on the rate of infestation of dogs, while the prevalence of E. granulosus in the definitive host is a very reliable marker of the potential risk of transmission of cystic tapeworm to humans and livestock. To find out this information, a survey was conducted to assess the prevalence of infection with E. granulosus in stray dogs in the region of Constantine (North-East Algeria)...
September 20, 2017: Bulletin de la Société de Pathologie Exotique
https://www.readbyqxmd.com/read/28929369/air-quality-study-in-the-coastal-city-of-crotone-southern-italy-hosting-a-small-size-harbor
#18
Paola Romagnoli, Francesca Vichi, Catia Balducci, Andrea Imperiali, Mattia Perilli, Lucia Paciucci, Francesco Petracchini, Angelo Cecinato
Particulate polycyclic aromatic hydrocarbons (PAHs), n-alkanes, and gaseous pollutants were collected from the harbor and the urban area of Crotone (Southern Italy) in October 2015. The atmospheric concentrations of organic substances associated to PM10 were determined daily, while gaseous pollutants (BTEX, O3, SO2, NOx, NO2, and NH3) were monitored on monthly basis by means of diffusive sampling. Total PAHs reached, on the average, 1.56 ± 0.72, 0.33 ± 0.14, and 0.59 ± 0.37 ng/m(3) at the urban monitoring stations (Fiore, Fermi) and at the harbor, respectively...
September 19, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28929301/urban-heart-detroit-a-tool-to-better-understand-and-address-health-equity-gaps-in-the-city
#19
R Mehdipanah, A J Schulz, B A Israel, C Gamboa, Z Rowe, M Khan, A Allen
The Urban Health Equity Assessment Response Tool (Urban HEART) combines statistical evidence and community knowledge to address urban health inequities. This paper describes the process of adopting and implementing this tool for Detroit, Michigan, the first city in the USA to use it. The six steps of Urban HEART were implemented by the Healthy Environments Partnership, a community-based participatory research partnership made up of community-based organizations, health service providers, and researchers based in academic institutions...
September 19, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28929297/discontinuous-permeable-adsorptive-barrier-design-and-cost-analysis-a-methodological-approach-to-optimisation
#20
Giovanni Francesco Santonastaso, Immacolata Bortone, Simeone Chianese, Armando Di Nardo, Michele Di Natale, Alessandro Erto, Despina Karatza, Dino Musmarra
The following paper presents a method to optimise a discontinuous permeable adsorptive barrier (PAB-D). This method is based on the comparison of different PAB-D configurations obtained by changing some of the main PAB-D design parameters. In particular, the well diameters, the distance between two consecutive passive wells and the distance between two consecutive well lines were varied, and a cost analysis for each configuration was carried out in order to define the best performing and most cost-effective PAB-D configuration...
September 19, 2017: Environmental Science and Pollution Research International
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