Wagnercombs1921

Systolic/diastolic blood pressure of 130 to 139/80 to 89 mm Hg has been defined as stage I hypertension by the 2017 Hypertension Clinical Practice Guidelines. Drug treatment is recommended for stage I hypertensive patients aged ≥65 years without cardiovascular disease in the 2017 Hypertension Clinical Practice Guidelines but not in the 2018 Chinese guidelines. However, the cost-effectiveness of drug treatment among this subgroup of Chinese patients is unclear. This study developed a microsimulation model to compare costs and effectiveness of drug treatment and nondrug treatment for the subgroup of stage I hypertensive patients over a lifetime horizon from a government affordability perspective. Event rates of mortality and cardiovascular complications were estimated from 3 cohorts in the Chinese population. Costs and health utilities were obtained from the national statistics report and published literature. The model predicted that drug treatment generated quality-adjusted life-years of 13.52 and associated with expected costs of $6825 in comparison with 13.81 and $7328 produced by nondrug treatment over a lifetime horizon among stage I hypertensive patients aged ≥65 years without cardiovascular disease. At a willingness-to-pay threshold of $8836/quality-adjusted life-year (the GDP per capita in 2017), drug treatment only had a 1.8% probability of being cost-effective compared with nondrug treatment after 10 000 probabilistic simulations. Sensitivity analysis of treatment costs, benefits expected from treatment, health utilities, and discount rates did not change the results. Our results suggested that drug treatment was not cost-effective compared with nondrug treatment for stage I hypertensive patients aged ≥65 years without cardiovascular disease in China.This study determined the effects of a six-week lower-limb wearable resistance training (WRT) intervention on sprint running time, velocity, and horizontal force-velocity mechanical variables. Twenty-two collegiate/semi-professional rugby athletes completed pre- and post-intervention testing of three maximal effort 30 m sprints. A radar device was used to measure sprint running velocity from which horizontal force-velocity mechanical profiling variables were calculated. All athletes completed two dedicated sprint training sessions a week for six-weeks during pre-season. The intervention (wearable resistance, WR) group completed the sessions with 1% body mass load attached to the left and right shanks (i.e. 0.50% body mass load on each limb), whilst the control group completed the same sessions unloaded. For the control group, all variables were found to detrain significantly (p ≤ 0.05) over the training period with large detraining effects (ES > 0.80) for theoretical maximal horizontal force, slope of the force-velocity profile, maximal ratio of force, index of force application, 5 and 10 m times. For the WR group, there were no significant changes to any recorded variables (all p >  0.05) and all effects of training were trivial or small (ES  0.80) except theoretical maximal velocity, 30 m time, and maximal velocity. The addition of light wearable resistance to sprint training during a six-week pre-season block enables the maintenance of sprint performance and mechanical output qualities that otherwise would detrain due to inadequate training frequencies.Dye removal from effluents is a major problem for most textile industries. At present, wastewater treatments are currently based on physico-chemical methods which are expensive, energy inefficient and of limited versatility. The aim of this work was to find a low-cost and efficient method for dye removal. To do this, we designed a combined system based on the immobilization of the ligninolytic white-rot fungus Peniophora laxitexta (BAFC 4687) on mixed supports consisting of two polyurethane foam discs and a middle layer of diverse lignocellulosic substrates soybean hulls, wheat straw or cellulose spent casings. As a corticioid fungus, P. laxitexta was able to completely colonize the supports developing a compact and tight structure that maintained the integrity of the system after several dye removal cycles. The immobilized fungus removed between 30% and 50% of the azoic dye Xylidine and more than 50% of the anthraquinonic dye RBBR in three successive cycles, and near 90% of the triphenylmethane Malachite Green in 10 repeated cycles without any loss of efficiency. Our analysis showed that the removal of the dyes was due to the combined effect of adsorption to the supports and enzymatic decolorization by soluble laccases and enzymes associated with the mycelium. Additionally, we showed that the presence of Malachite Green induced the expression of a new laccase isoform with high decolorization capacity. Based on these results, we propose that this inoculated laminar biocarrier could be effectively used for dye removal in textile wastewater.Despite being rated as some of the world's most gender equal countries, Sweden and neighboring Nordic nations show high rates of intimate partner violence against women (IPVAW). As the news media contribute to the shaping of public attitudes, this article pursues a two-step discourse analysis of how IPVAW was represented in seven Swedish newspapers during 2018. Although an individualistic discourse on IPVAW was found to be most prevalent, articles where perpetrators were presented as non-Swedish more frequently contained a structural framing of IPVAW. this website This confirms previously noted tendencies toward individualization and othering of IPVAW in Sweden.Oil emulsions are very stable, so both the treatment and the recovery of marine oil spills require expensive technologies, sometimes inefficient. Thus, studies of alternative methods for the treatment of oily effluents and phytoremediation are very important for sustainable development. The objective of this study was to use a chemically modified biomass of Salvinia sp. (SOH), for the removal of oil from oil-in-water emulsions. Initially, a chemical modification was carried out to remove interferences and to increase the adsorption capacity of the biomass. Physicochemical characterization tests were performed to understand the structure of the adsorbent produced as well as to verify changes going on the surface of the material. Adsorption tests were done, such as concentration variation, time, temperature and pH. The maximum adsorption capacity (qmax) of SOH was obtained in 15 min and was 574.86 mg g-1 in oil-in-salt water emulsion and 525.92 mg g-1, for oil-in-water emulsion. The isotherm model that best fitted was Freundlich model and for the kinetic model, the best fit was obtained with the intraparticle diffusion model.