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92[0.70-1.19]ng/ml) and moderate stroke (0.93[0.63-1.21]ng/ml). At discharge, 113 patients (33.2%) experienced poor functional outcome (mRS >2) and vaspin serum levels in those patients were lower as compared with patients who experienced good outcome (0.71[0.45-0.98] vs. 0.91[0.71-1.19]ng/ml). In multivariate analyses, lower level of vaspin ( less then median) was associated with a 2.5-fold (odds ratio [OR] 2.46; 95% confidence interval [CI] 1.75-4.45) increased risk for severe stroke and a 2.1-fold (2.03; 1.42-3.58) increased risk for poor outcome. Conclusion In conclusion, reduced serum levels of vaspin at admission are significantly related to stroke severity and prognosis, which illustrates a predictive role of reduced vaspin in ischemic stroke.China is experiencing an enormous increase in municipal household solid waste (MHSW) generation and is facing multiple problems associated with the treatment of MHSW. This paper analyses factors affecting residents' satisfaction with MHSW treatment performance. Six factors were identified by the Delphi method (a) pick-up frequency by waste collection vehicles, (b) fund supply situation, (c) charging standard for waste treatment, (d) waste bin arrangement, (e) laws and regulations, (f) publicity and education. We examine the significance of these six influencing factors, estimating binary logistic regression models. Data for this study are derived from the survey responses of 469 households in Harbin, one of the largest cities in northeast China. The results indicate that 'pick-up frequency by waste collection vehicles' is ranked the first and most important determinant of Harbin residents' satisfaction with MHSW treatment; this is closely followed by 'publicity and education'. The third and fourth significant influencing factors, respectively, are 'fund supply situation' and 'charging standard for waste treatment'. The last two factors are 'laws and regulations' and 'waste bin arrangement'. By understanding the influence of various factors on residents' satisfaction, this study aims to help in designing an effective waste management system to reduce the cost of MHSW management, and to raise the residents' satisfaction with municipal solid waste treatment. Based on the research findings, we advocate that establishing a reasonable waste transport (pick-up) system as well as strengthening publicity and education of waste management are key to improving residents' satisfaction with the MHSW treatment performance.As stated in the European Commission's waste framework directive, the geographic proximity of wastes to the potential recovery/disposal site is of paramount importance in attaining an effective resource recycling paradigm. The global interest in achieving an end-of-waste scenario encourages the recovery of useful products/secondary raw materials from locally available waste materials. Sugarcane bagasse ash is an abundantly available waste (44,200 tonnes day-1) from sugar plants in India which has the potential to be used as a partial replacement to cement in ready-mix concrete plants. Although pozzolanic performance of sugarcane bagasse ash and its ability in reducing the carbon emissions associated with concrete production have been reported in earlier research studies, its use in concrete is hindered due to the lack of availability and accessibility data. In this study, the geographical distribution of sugar plants and the available quantity of sugarcane bagasse ash in India have been determined. In addition, a detailed network analysis using a geographic information system was conducted to quantify the geographic proximity of bagasse ash, fly ash and slag sources to ready-mix concrete plants. The study results indicate that for most of the ready-mix concrete plants in India, the probability of having a bagasse ash source in proximity is higher than the probability of encountering slag/fly ash sources.Our objective was to explore the socio-demographic, clinical, and nutritional factors of body appreciation in type 2 diabetics. This is a cross-sectional observational study with 179 adults and older adults (60 ± 10 years old). Most of the sample was female (n = 133; 74.3%). Through logistic regression analysis, it was observed that being perceived as overweight was associated with a 91.6% lower chance of being satisfied with one's body. Trusting hunger and satiety cues doubled the chances of body satisfaction. Thus, eating more intuitively, attending to the signs of hunger and satiety, is associated with greater body satisfaction in type 2 diabetics.Using information on stated motives for migrating among working-age individuals in the 2007 Swedish Motives for Migration survey (N = 1,852), we use multinomial logistic regression to examine whether and how moves for family reasons are linked to labour market outcomes in ways that differ from migration initiated for other motives, including more overtly labour-related factors. The results indicate that family-based migration is associated with worse labour market outcomes than migration for employment or other reasons. Additionally, family-motivated migrants with co-resident children are more likely to experience labour market deterioration than those without children. Among those who were unemployed before moving, those who reported family as a motive for moving were significantly more likely to be employed after the move. These results help us better assess how families and social networks impact economic outcomes-negatively in some circumstances and positively in others.This study examined potential differences between maximally cushioned (MAX) shoes and standard cushioned (STND) shoes during countermovement vertical jump (CMVJ) performance. Twenty-one males (23[2] y; 86.5[15.4] kg; 179.8[6.3] cm) completed eight jumps each in MAX and STND shoes while three-dimensional kinematic and kinetic data were collected. Paired-samples t-tests (α = 0.05) and Cohen's d effect sizes (ES) were used to compare the following variables vertical jump displacement, jump time, hip, knee and ankle joint angles at the start of the countermovement, the end of the unloading phase, the end of the eccentric phase, and at takeoff, peak joint power, and the joint contributions to total lower extremity work during the eccentric and concentric phases. selleck products The ankle was more dorsiflexed at the end of the countermovement in the MAX shoe (p = 0.002; ES = 0.55) but greater plantarflexion occurred in the STND shoes at takeoff (p = 0.028; ES = 0.56). No other differences were observed. The result of this study suggests that unique ankle joint angular positioning may be employed when wearing MAX versus STND shoes. Since the unique ankle joint positioning did not alter jump performance, potential MAX footwear users might not need to consider the potential for altered CMVJ performance when determining whether to adopt MAX footwear.
Stroke can affect a person's ability to drive a motor vehicle. In Australia, there is a 4-week restriction in driving after stroke and a 2-week restriction after transient ischemic attack. Concerns exist as to whether people discharged home from the acute setting receive education about these driving restrictions.
This study sought to investigate health professionals' knowledge about, and responsibilities for patients return-to-driving (RTD) education after stroke and TIA.
A cross-sectional online survey was designed and included questions about health professional demographic characteristics and knowledge and opinions of RTD guidelines. An open-ended question at the end of the survey enabled respondents to provide additional, free text information. Descriptive analyses were used to describe respondents' demography and characteristics. Chi-square analysis was used to compare responses across the different professional groups. Significance was tested using a
-value of 0.05. Data obtained from the free text question were analyzed through an inductive thematic approach.
A total of 455 health professionals responded to the survey, with 45% being occupational therapists. Only 22% of health professionals correctly selected the 4-week restriction period after stroke and 27% selected the 2-week restriction period for those with TIA. Occupational therapists were identified by 85% of respondents as the profession responsible for providing RTD education, followed by doctors (72%). Health professionals lack clarity in RTD guidelines and often defer the responsibility of managing RTD to others.
Education of health professionals in RTD guidelines is recommended to improve the processes of care after stroke.
Education of health professionals in RTD guidelines is recommended to improve the processes of care after stroke.The aim of this study was to identify the prevalence of media addiction and its associated factors in elementary school children based on the problem behavior theory. This cross-sectional study was a secondary data analysis using national data from the 10th Panel Study on Korean Children 2017, which included 1,078 families of third-grade students (8-9 years of age). Descriptive statistics were used to examine the prevalence of media addiction, and logistic regression analysis was conducted to identify factors associated with media addiction. Prevalence of media addiction was 22.91% in this sample. Media addiction was significantly associated with general characteristics (gender, education level of mother, and time spent without parents), socialization (media use time), factors in the personal system (happiness), and factors in the perceived-environment system (parenting style). More comprehensive, tailored education may prevent elementary school children's media addiction. In addition, parents should participate in media addiction education with their children.
The AngioVac system (AngioDynamics, Latham, NY, USA) provides a method for the minimally invasive, percutaneous aspiration of thrombus formations originating from the central venous system as well as solid matter such as lead vegetations and right atrial thrombi.
This retrospective, observational study describes the initial experience in 52 adult patients with the AngioVac system, focusing mainly on the development of the extracorporeal circuit to improve usability and safety.
The mean patient age was 62.9 years (range 23-86 years). 22 patients were female and 30 were male. Indications for percutaneous aspiration were lead vegetations (n = 36; 69.2%), right atrial thrombi (n = 9; 17.3%), central venous thrombi (n = 5; 9.6%) and pulmonary embolisms (n = 2; 3.8%). Successful aspiration was performed in 44 cases (84.6%) and partial success was achieved in five patients (9.6%), while failure to remove thrombi or vegetations occurred in three cases (5.8%). Our practical experience led to the installation of a shunt line for recirculation and the implementation of safety features concerning air handling, which are also employed in minimally invasive extracorporeal bypass circuits. Initial tests monitored the level of negative pressure according to differences in flow and access sites but these still have to be validated on a larger scale.
In this initial experience, the AngioVac system appeared to be safe regarding the extracorporeal circulation and the elimination of thrombi and lead vegetations.
In this initial experience, the AngioVac system appeared to be safe regarding the extracorporeal circulation and the elimination of thrombi and lead vegetations.
