Murdockmcgarry3913

Geochemical detection using a portable XRF analyser is highly effective for nondestructive surface analysis in archaeological and geological obsidians. The data obtained in rock slabs, fragments, anhydrous nuclei, flaked and ground stone from Sonora, Mexico, were used to select certain analysed elements (Fe, Mn, Zr, Nb, Y, Th, Rb, Sr, Zn) that help to formulate geochemical variation diagrams to identify chemical trends and correlations between the samples. It proves to be an excellent analytical method for the provenance studies of archaeological artifacts. Subsequently, the integration of the obtained data here and their arrangement with the existing chemical analysis of obsidians for different localities of NW Mexico and the SW of the United States will allow for better knowledge of the primary sources of obsidian in the extraction and manufacture of archaeological artifacts.

Individuals with cerebral palsy (CP) are vulnerable to non-trauma fracture (NTFx) and premature mortality due to respiratory disease (RD); however, very little is known about the contribution of NTFx to RD risk among adults with CP. The purpose of this study was to determine if NTFx is a risk factor for incident RD and if NTFx exacerbates RD risk in the adult CP population.

Data from 2011 to 2016 Optum Clinformatics® Data Mart and a random 20% sample Medicare fee-for-service were used for this retrospective cohort study. CDK inhibitor Diagnosis codes were used to identify adults (18+ years) with and without CP, NTFx, incident RD at 3-, 6-, 12-, and 24-month time points (pneumonia, chronic obstructive pulmonary disease, interstitial/pleura disease), and comorbidities. Crude incidence rates per 100 person years of RD were estimated. Cox regression estimated hazard ratios (HR and 95% confidence interval [CI]) for RD measures, comparing (1) CP and NTFx (CP+NTFx); (2) CP without NTFx (CP w/o NTFx); (3) without CP and with N vs. without CP.

Study findings suggest that NTFx is a risk factor for incident RD, including pneumonia and interstitial/pleura disease, among adults with CP and that NTFx exacerbates RD risk for adults with vs. without CP.

Emerging evidence has indicated a role for pharmacologic agents in the primary prevention of osteoporotic fracture, but have not yet been systematically reviewed for meta-analysis. We conducted a meta-analysis to evaluate the efficacy of pharmacologic interventions in reducing fracture risk and increasing bone mineral density (BMD) in postmenopausal women with osteopenia or osteoporosis but without prevalent fragility fracture.

The Medline, EMBASE, and CENTRAL databases were searched from inception to September 30, 2019. Only randomized placebo-controlled trials evaluating postmenopausal women with -1.0>bone mineral density (BMD) T-score>-2.5 (low bone mass) and those with BMD T-score≤-2.5 (osteoporosis) but without baseline fractures, who were receiving anti-osteoporotic agents, providing quantitative outcomes data and evaluating risk of vertebral and/or non-vertebral fragility fracture at follow-up. The PRISMA guidelines were followed, applying a random-effects model. The primary endpoint was the ctures, reducing their incidence and improving BMD in postmenopausal women with osteopenia or osteoporosis.

This review aimed to explore the independent risk factors of postpartum urinary retention (PUR) after a vaginal delivery.

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed and relevant studies were retrieved from eleven databases. The quality of the included articles was assessed using Critical Appraisal Skills Programme tools or the Appraisal tool for Cross-Sectional Studies. The data analysis was performed using Review Manager version 5.3.

A total of nine articles were included and five risk factors were identified, namely, episiotomy (

=2.99, 95%CI=1.31-6.79,

=0.009), epidural analgesia (

=2.48, 95%CI=1.09-5.68,

=0.03), primiparity (

=2.17, 95%CI=1.06-4.46,

=0.03), instrumental delivery (

=4.01, 95%CI=1.97-8.18,

<0.001), and the duration of the second stage of labor (

=15.24, 95%CI=11.20-19.28,

<0.001). However, fetal birth weights of more than 3800g were not identified as an independent risk factor (

=64.41, 95%CI=-12.59 to 141.41,

=0.10).

This systematic review indicated that the independent risk factors for PUR were found to include episiotomy, epidural analgesia, instrumental delivery, primiparity, and a longer second stage of labor. In clinical practice, healthcare providers could pay more attention to women with these factors and prevent postpartum urinary retention.

This systematic review indicated that the independent risk factors for PUR were found to include episiotomy, epidural analgesia, instrumental delivery, primiparity, and a longer second stage of labor. In clinical practice, healthcare providers could pay more attention to women with these factors and prevent postpartum urinary retention.

Inpatient suicide is an important part of patient safety management in general hospitals. Incidence of inpatient suicide can be decreased by health personnel mastering inpatient suicide prevention strategy. To enhance health personnel's inpatient suicide prevention strategy, education intervention is a common method. Educational interventions in the researches varied in contents, duration and outcome measurements. However, there has been not synthesis of education interventions targeting health personnel on inpatient suicide prevention.

Prevention of inpatient suicide is a critical priority in patient safety management in general hospitals. Incidence of inpatient suicide can be decreased by effective strategies mastered by health personnel through education interventions. Educational interventions in researches varied in contents, duration and outcome measurements. We aimed to review education interventions targeting health personnel on inpatient suicide prevention.

A scoping review was used to analyze .

The evidence showed that education interventions on inpatient suicide prevention had positive impact on health personnel's knowledge, attitude and skills about inpatient suicide prevention in general hospitals. However, the best health personnel-targeted education intervention on inpatient suicide prevention in general hospitals was yet to be determined. In the future, it is necessary to combine evidence in this review and the actual condition in clinical practice.

The evidence showed that education interventions on inpatient suicide prevention had positive impact on health personnel's knowledge, attitude and skills about inpatient suicide prevention in general hospitals. However, the best health personnel-targeted education intervention on inpatient suicide prevention in general hospitals was yet to be determined. In the future, it is necessary to combine evidence in this review and the actual condition in clinical practice.