Haastrupknapp1564

OBJECTIVE This study aims to establish the typical population, safety, and outcomes of pediatric thyroidectomies, specifically identifying surgical complication rates. Furthermore, the study compares management and complication differences between the two specialties that most often manage these patients - Pediatric General Surgery and Otolaryngology. METHODS National Surgical Quality Improvement Program - Pediatrics (NSQIP-P) data between the years of 2012 and 2016 was reviewed and analyzed for patient characteristics, perioperative course and outcomes. Sub-group analysis was used to compare groups based on surgeon sub-specialty Otolaryngology or Pediatric General Surgery. RESULTS The study identified 516 cases pediatric patients operated on by Pediatric Otolaryngology (229; 44.4%) and Pediatric General Surgery (287; 55.6%). Overall, rates of surgical and medical adverse events were low (1.2% and 0.7%, respectively). Upon univariate analysis, there were no differences between specialties in surgical adverse events (p = 1.000), medical adverse events (p = 0.196), reoperation (p = 0.505), or readmission (p = 0.262). Indication for surgery differed between specialties, with benign neoplasm more common in the Pediatric Otolaryngology group (48.9% vs. 35.2%), and thyrotoxicosis more common in the Pediatric General Surgery group (43.9% vs. 23.1%) (p  less then  0.001). Compared to cases done by Otolaryngology, Pediatric General Surgery was independently associated with a shorter operative time (B -31.583 min [95% CI -42.802 to -20.364]; p  less then  0.001). CONCLUSION Thyroidectomy in the pediatric population is a safe procedure with no differences in adverse outcomes noted when comparing Pediatric General Surgeons to Pediatric Otolaryngologists. Pediatric General Surgeons were observed to have a significantly shorter operative time. Published by Elsevier B.V.Studying biohydrogen production from alfalfa is of practical significance to cleaner production and biomass utilization. The performances of biohydrogen production through active/passive saccharification and photo-fermentation were compared. The effects of initial pH, substrate concentration, and cellulase loading on biohydrogen production from alfalfa by photosynthetic bacteria HAU-M1 were presented. It was found that the maximum hydrogen yield of 55.81 mL/g was achieved at initial pH of 6.90, substrate concentration of 31.23 g/mL, and cellulase loading of 0.13 g/g. Hydrogen yield of active saccharification and photo-fermentation was much higher as compare to passive saccharification and photo-fermentation. Initial pH value showed a more significant influence on photosynthetic bacteria in comparison to cellulase in active saccharification and photo-fermentation biohydrogen production. The low yield of propionic acid suggested that it was an efficient photosynthetic hydrogen production. Photo-fermentation hydrogen production from alfalfa provides a novel path for efficient utilization of alfalfa. Petrochemical wastewaters treatment represents a serious challenge due to the high toxicity and complex chemical components. In this study, the biodegradability, mineralization behaviors and methane productivity of eight different types of petrochemical wastewaters were evaluated in series of semi-continuous bioreactors. Methane production strongly depended on the characteristics of wastewaters and chemical constituents. The highest methane yield of 305.9 ± 2.7 mL/g-COD was achieved by purified terephthalic acid wastewater, followed by ethylene glycol, polyester, etc. Comparatively, one-step-SCN- wastewater produced the lowest methane yield (4.7 ± 0.7 mL/g-COD) owing to high toxicity and low biodegradability. Modified Gompertz model confirmed that purified terephthalic acid, ethylene glycol and polyester wastewaters had a short lag-phase of 1.2, 1.7 and 0.2 days, respectively. Nonetheless, the formation of by-products such as proteins, polysaccharides and ammonia nitrogen throughout anaerobic digestion reflected the high activity of anaerobic microorganisms, confirming the technical feasibility of anaerobic biotechnology in treating petrochemical wastewaters. Type I (Methylomicrobium album) and II (Methyloferula stellata) methanotrophs were encapsulated by alginate and polyvinyl alcohol (PVA) to improve methanol production from simulated biogas [methane (CH4) and carbon dioxide (CO2)] in the presence of CH4 vector. Polymeric matrix alginate (2%) and PVA (10%) were found to be optimum for the immobilization of both the methanotrophs, with a relative efficiency of methanol production up to 80.6 and 88.7%, respectively. The stability of methanol production by immobilized cells was improved up to 13.2-fold under repeated batch-culture over free cells. The addition of CH4 vectors showed 1.7-fold higher methanol production on using simulated biogas than in the control. The maximum methanol production of 7.46 and 7.14 mmol/L was noted for PVA-encapsulated M. album and M. stellata, respectively. Peficitinib molecular weight This study successfully established the beneficial effects of CH4 vectors on methanol production by methanotrophs from greenhouse gases that can be applied for real biogas feedstock. We evaluated a novel, empirically-based cognitive therapy for compulsive checking - a common form of obsessive-compulsive disorder. Twelve adults completed 12 sessions of the therapy. Significant reductions in checking-related symptoms were found pre- to post-treatment, and pre-treatment to 6-month follow-up (moderate to large effect sizes). Participants reported high treatment acceptability after the third session, which was maintained at post-treatment. This pilot trial provides preliminary support for treating compulsive checking using this novel cognitive approach. BACKGROUND We sought to understand differences in surgical practice, compensation, personal life, and health and wellness between male and female trauma surgeons. METHODS An electronic survey study of members of The Eastern Association for the Surgery of Trauma was carried out. Using univariate and bivariate analyses, we compared the differences in surgical practice, compensation, family life, and health status among female and male trauma surgeons and used chi-squared tests for categorical variables. Analyses were performed using SPSS (Version 25, IBM). RESULTS The overall response rate was 37.4%. Women reported working more than 80 h a week more commonly (30% versus 23%; P  less then  0.001), yet reported lower incomes, with 57% of female surgeons reporting before-tax incomes of $300,000 or higher, compared with 83% of male surgeons (P  less then  0.001). These differences persisted when adjusting for academic versus nonacademic practices. Gender-based salary disparity remained significant when adjusting for the age of the respondent.