Matthiesenali8409

The Syrian crisis has had a devastating impact on displaced populations and among host communities in neighboring countries such as Jordan. Many of these individuals are at risk for non-communicable diseases (NCD) and mental health disorders, yet do not have access to services designed to manage or prevent these conditions. The purpose of this study was to examine the efficacy of a non-communicable disease (NCD) awareness educational intervention and an integrated NCD and mental health education intervention on reducing cardiovascular disease (CVD) risk among Jordanians and displaced Syrians. This natural experiment study was conducted in three health centers in Irbid, Jordan with 213 Syrian participants and 382 Jordanians. Participants were assigned to one of three study conditions the Healthy Community Clinic (HCC), a non-communicable disease educational intervention; the HCC with added mental health awareness sessions; standard healthcare. CVD risk factors were assessed at baseline, 12 and 18 months. The Hs for conflict-affected individuals and communities.

Although the United States is among the countries with the highest mortalities of COVID-19, inadequate geospatial studies have analyzed the disease mortalities across the nation.

In this county-level study, we investigated age-adjusted co-mortalities of 20 diseases, including cardiovascular, cancer, drug and alcohol disorder, respiratory and infectious diseases with COVID-19 over the first ten months of epidemic. One-way analysis of variance was applied to the Local Moran's

classes (High-High and Low-Low clusters, and non-significant counties of COVID-19) to examine whether the mean mortality measures of covariates that fall into the classes are significantly different. Moreover, a mixed-effects multinomial logistic regression model was employed to estimate the effects of mortalities on COVID-19 classes.

Results showed that the distribution of COVID-19 case fatality ratio (CFR) and mortality rate co-occurrence of High-High clusters were mainly concentrated in Louisiana, Connecticut, and New Jersey. Also, positive associations were observed between High-High cluster of COVID-19 CFR and Asthma (OR = 4.584, 95 % Confidence Interval (CI) 2.583-8.137), Hepatitis (OR = 5.602, CI 1.265-24.814) and Leukemia (OR = 2.172, CI 1.518-3.106) mortality rates compared to the non-significant counties, respectively.

Our results indicated that counties with higher mortality of some cancers and respiratory diseases are more vulnerable to fall into clusters of HH COVID-19 CFR. Future vaccine allocation and more medical professionals and treatment equipment should be a priority to those High-High clusters.

Our results indicated that counties with higher mortality of some cancers and respiratory diseases are more vulnerable to fall into clusters of HH COVID-19 CFR. Future vaccine allocation and more medical professionals and treatment equipment should be a priority to those High-High clusters.

Transforming the culture of STEM higher education to be more inclusive and help more students reach STEM careers is challenging. Herein, we describe a new model for STEM higher education transformation, the Sustainable, Transformative Engagement across a Multi-Institution/Multidisciplinary STEM, (STEM)

, "STEM-squared", Network. The Network embraces a pathways model, as opposed to a pipeline model, to STEM career entry. It is founded upon three strong theoretical frameworks Communities of Transformation, systems design for organizational change, and emergent outcomes for the diffusion of innovations in STEM education. Currently composed of five institutions-three private 4-year universities and two public community colleges-the Network capitalizes on the close geographic proximity and shared student demographics to effect change across the classroom, disciplinary, institutional, and inter-institutional levels.

The (STEM)

Network has increased the extent to which participants feel empowered to be changeitutional silos and leveraging the reward structure of the current system to support faculty as they work to transform this very system.

The online version contains supplementary material available at 10.1186/s40594-020-00262-z.

The online version contains supplementary material available at 10.1186/s40594-020-00262-z.We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Toyocamycin mouse Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.Congenital anterior urethrocutaneous fistula (CAUF) is a rare penile anomaly with only 63 cases reported in the literature. The anomaly can present in isolation or in association with chordee or hypospadias. We report the case of an 8-month-old boy with CAUF that resembles the embryological urethral groove. On examination, a wide urethral groove was noted to cover the midshaft of the penis with a well formed urethra extending proximally and distally and with a normal glandular anatomy, a wide glandular meatus, and a complete foreskin. The urethral groove was tubularized and covered in layers. Surgery was complicated with early superficial skin dehiscence not affecting the urethral repair. Refashioning of the skin was then performed. A satisfactory aesthetic and functional outcome was observed at 7 years' follow-up. Defining the anatomy of CAUF and distal urethra is key in management of these children.Kasai portoenterostomy (KPE) is currently the first-line treatment for biliary atresia. Many pediatric surgeons have reported that the dissection of the fibrous remnant at the porta hepatis is one of the most important components of this procedure. Furthermore, laparoscopic portoenterostomy is being increasingly used to treat biliary atresia. An advantage of laparoscopic surgery is that surgeons can more easily identify microbiliary ducts, owing to the magnification. We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy.