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Twenty-Seven Steps to a Paper Tape! 制作纸带的27步!
Pub Date : 2018-05-01 DOI: 10.19080/arr.2018.02.555579
Murali Krishna Chemuturi
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引用次数: 0
Deramatophilosis in Draught and Dairy Cattle in Tamil Nadu Delta Districts of India 印度泰米尔纳德邦三角洲地区耕牛和奶牛的嗜皮病
Pub Date : 2018-04-26 DOI: 10.19080/arr.2018.02.555576
S. K. Kumar
Chronic dermatitis caused by Dermatophilosis in dairy and drought animals were studied in delta districts of Tamilnadu. Dermatophilosis is a contagious zoonotic skin disease caused by Dermatophilus congolensis with wide host range and most commonly affects cattle, sheep and horse. The disease is characterized by exudative dermatitis with scab formation. Factors such as prolonged wetting by rain, high humidity, high temperature, mechanical injury to the skin, concurrent disease, stress and tick infestation that reduce or permeate the natural barrier of the integument influence the development, prevalence, seasonal incidence and transmission of Dermatophilosis. A cross sectional study on prevalence of Deramtophilosis was carried out and epidemiologic risk factors like age, breed, sex and seasonal coditions were corelated with the prevalence of Dermatophilosis. This study concludes that winter season, higher age group, female and jersey cross bred will be the risk factors for Dermatophilosis prevalence and oxytetracycline is the chioce of antibiotic for clinical management.
研究了泰米尔纳德邦三角洲地区奶牛和干旱动物因皮肤病引起的慢性皮炎。皮肤嗜病是由刚果皮肤嗜菌引起的传染性人畜共患皮肤病,宿主范围广泛,最常影响牛、羊和马。本病的特点是渗出性皮炎伴结痂形成。长时间的淋雨、高湿、高温、皮肤的机械损伤、并发疾病、压力和蜱虫侵扰等因素减少或渗透了被保护层的自然屏障,影响了皮肤病的发展、流行、季节性发病率和传播。对皮肤病患病率进行了横断面研究,发现年龄、品种、性别、季节等流行病学危险因素与皮肤病患病率相关。本研究认为,冬季、较高年龄组、雌性和泽西杂交是皮肤病流行的危险因素,临床治疗宜选用土霉素。
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引用次数: 1
Theories and Models of Agricultural Development 农业发展理论与模式
Pub Date : 2018-04-25 DOI: 10.19080/arr.2018.01.555574
Udemezue Jc
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引用次数: 22
Food Insecurity among College Students in the United States: A Mini Review 美国大学生的食物不安全:一个小评论
Pub Date : 2018-04-25 DOI: 10.19080/arr.2018.01.555573
O. Brown
Food insecurity is defined as a circumstance that exists “whenever the availability of nutritionally adequate and safe foods or the ability to acquire acceptable foods in socially acceptable ways is limited or uncertain”. Food insecurity is brought about by circumstantial and economic barriers that bring about challenges that limit access to sufficient and nutritious food by certain populations [1]. Food insecurity is also impacted by lack of food and financial management skills for example food preparation and budgeting for expenses [2].
粮食不安全被定义为“当营养充足和安全的食品的供应或以社会可接受的方式获得可接受的食品的能力有限或不确定时”存在的情况。粮食不安全是由环境和经济障碍造成的,这些障碍带来的挑战限制了某些人群获得充足和有营养的食物。粮食不安全还受到缺乏食品和财务管理技能(例如食品准备和支出预算)的影响。
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引用次数: 6
Corneal Micropigmentation 角膜Micropigmentation
Pub Date : 2018-04-25 DOI: 10.19080/arr.2018.01.555575
C. Zwerling
Corneal micro pigmentation is an alternative surgical treatment to enucleation in blind formed eyes. Micro pigmentation is a form of tattooing in which minute, metabolically inert pigment granules are placed mechanically or manually below the epidermis for the purpose of caosmetic and/or corrective enhancement. Micro pigmentation is also known as permanent makeup, cosmetic tattooing and differs from classic tattooing in which indelible pigments are implanted intradermally and/or the skin is scarred to create legends, decorative art and/or symbolism for the purpose of body adornment. Recently, there has been a renewed interest in mechanical pigmentation of the cornea as a surgical option to enucleation and treatment of unstable corneal surfaces in patients with blind eyes.
角膜微色素沉着是一种替代手术治疗失明形成的眼睛去核。微色素沉着是一种纹身形式,其中微小的,代谢惰性的色素颗粒被机械或手动放置在表皮下,目的是美容和/或矫正增强。微色素沉着也被称为永久性化妆,美容纹身,与传统纹身不同,传统纹身是将不可磨灭的色素植入皮肤内和/或在皮肤上留下疤痕,以创造传说,装饰艺术和/或象征意义,以达到身体装饰的目的。最近,有一个新的兴趣在机械色素沉着的角膜作为手术选择去核和治疗不稳定的角膜表面的失明患者。
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引用次数: 1
Spatiotemporal Climate Change and Resilience through Nature Conservation in Ethiopia 埃塞俄比亚时空气候变化与自然保护的复原力
Pub Date : 2018-04-09 DOI: 10.19080/arr.2018.01.555572
A. Reda
World Bank (2006) asserts that rainfall variability costs the Ethiopian economy 38% of its potential growth rate. Net revenue per hectare will be reduced by USD 177.62 and 464.71 consequent to a unit increase in temperature during summer and winter seasons, respectively. Climate change is therefore a threat to the Ethiopian economy. The available option for Ethiopia to reduce the wide-ranging impacts of climate change is to develop mitigation strategy for resilience. Vulnerabilities are local and require location specific adaptation and mitigation measures. Ethiopia is expected to be hardest hit by climate change and the most vulnerable sectors are agriculture, water resources, and human health (C. Arndt et al., 2009, GEF, 2009). This can significantly reverse the progress towards poverty reduction and food security in Ethiopia. Analyzing and assessing the spatiotemporal climate change trends would help better understand impacts of climate change to formulate better strategies for climate change adaptation and mitigation in Ethiopia and encourage local proactive community participation and national efforts as a contribution to global climate change mitigation. Proactive approaches to managing climate risks within vulnerable rural communities and among institutions operating at community, sub-national, and national levels is a crucial step towards achieving the sustainable economic development [1-7].
世界银行(2006年)断言,降雨变化使埃塞俄比亚经济损失了其潜在增长率的38%。由于夏季和冬季的单位温度升高,每公顷净收入将分别减少177.62美元和464.71美元。因此,气候变化对埃塞俄比亚经济构成了威胁。埃塞俄比亚减少气候变化的广泛影响的现有选择是制定适应能力的缓解战略。脆弱性是地方性的,需要针对具体地点采取适应和缓解措施。预计埃塞俄比亚将受到气候变化的最严重打击,最脆弱的部门是农业、水资源和人类健康(C. Arndt等人,2009年,全球环境基金,2009年)。这可能会大大扭转埃塞俄比亚在减贫和粮食安全方面取得的进展。分析和评估气候变化的时空趋势将有助于更好地了解气候变化的影响,从而在埃塞俄比亚制定更好的适应和减缓气候变化战略,并鼓励当地社区积极参与和国家努力,为减缓全球气候变化作出贡献。在脆弱的农村社区以及社区、次国家和国家层面的机构之间采取积极主动的方法来管理气候风险,是实现可持续经济发展的关键一步[1-7]。
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引用次数: 0
Evaluating the Clinical Utility of Testing for Autoimmune Disorders in the Setting of Leukopenia/Neutropenia in an Ambulatory Hematology Clinic 评价自身免疫性疾病在血液门诊白细胞减少/中性粒细胞减少情况下的临床应用
Pub Date : 2017-12-07 DOI: 10.1182/BLOOD.V130.SUPPL_1.1000.1000
Devin Malik, P. Kuriakose, J. Philip, A. Hejab, A. Horbal, V. Mendiratta
Introduction: Leukopenia (WBC count of Methods: After obtaining institutional review board approval, we searched for outpatient hematology consults with a diagnosis of leukopenia and/or neutropenia using ICD-9 and ICD-10 diagnostic codes between 2005-2015 at Henry Ford Hospital. Data points included demographics and antibody serology. Patients were excluded if they had a known hematologic disorder, known rheumatologic disorder or were on active chemotherapy. A positive ANA or RF were considered if titers were >1:80 or RF >14 IU/mL, respectively as these are institutional cutoffs. Complete blood counts were reviewed for patients who were not excluded based on above criteria. Hematology and rheumatology notes were reviewed looking for symptoms suggestive of autoimmune conditions or if an alternative diagnosis was made. Results: A total of 561 patients were seen in our outpatient clinic during the 10 year interval with an associated diagnostic code for leukopenia/neutropenia.199 were excluded due to incomplete data or inadequate follow up period, 35 patients for known malignancy, 14 for known rheumatologic disorder, and 122 for being on active chemotherapy. The remaining 191 patients were reviewed for data analysis. Patient demographics are summarized in table 1. A total of 116 patients (61%) were tested for ANA, of which 27 (23%) were positive. 22 of those 27 (81%) patients were referred to rheumatology, 6 of which were diagnosed with rheumatologic diseases (22%). RF was tested in 110 patients (58%), of which 15 were positive (14%) all were referred to rheumatology, and 5(42%) were diagnosed with rheumatologic diseases. Test results, referral rate and rheumatologic diagnosis are listed in table 2. The majority of patients who were diagnosed with rheumatologic disorders had associated findings suggestive of underlying disease (3 patients with systemic lupus erythematosus (SLE) had mild thrombocytopenia (100-150K/uL), 1 patient with mixed connective tissue disease had Raynaud9s phenomenon, 3 patients with rheumatoid arthritis (RA) had arthralgias and 1 had myalgias, all with correlating physical exam or radiographic findings). Other alternative diagnoses for leukopenia/neutropenia included drug induced, viral and bacterial infections, hematologic malignancies, ethnic neutropenia, transient leukopenia, and idiopathic. Conclusion: Ambulatory hematology consults for leukopenia/neutropenia are a common occurrence in practice. Our study showed that 11 patients out of 191 (6%) were found to have an associated rheumatologic disorder, with the majority having other signs/symptoms or associated lab abnormalities suggestive of autoimmune disease. This study shows that testing for ANA and RF in patients with leukopenia/neutropenia are of limited clinical utility in asymptomatic patients with no other lab abnormalities and it should not be part of a routine work up unless directed by symptoms. Primary care providers need to screen for other abnormalities (sympto
简介:白细胞减少症(WBC计数方法:在获得机构审查委员会的批准后,我们在2005年至2015年期间在亨利福特医院使用ICD-9和ICD-10诊断代码搜索诊断为白细胞减少症和/或中性粒细胞减少症的门诊血液学咨询。数据点包括人口统计学和抗体血清学sorder或正在接受积极化疗。如果滴度分别>1:80或RF>14 IU/mL,则认为ANA或RF呈阳性,因为这是机构临界值。根据上述标准,对未被排除在外的患者进行了全血细胞计数检查。回顾了血液学和风湿病的记录,寻找提示自身免疫性疾病的症状或是否做出了替代诊断。结果:在10年的时间间隔内,共有561名患者在我们的门诊就诊,其相关诊断代码为白细胞减少症/中性粒细胞减少症。由于数据不完整或随访期不足,199名患者被排除在外,35名患者为已知恶性肿瘤,14名为已知风湿病,122名患者正在接受积极化疗。对其余191名患者进行数据分析。患者人口统计汇总见表1。共有116名患者(61%)接受了ANA检测,其中27名(23%)呈阳性。27名患者中有22名(81%)转诊至风湿病,其中6名被诊断为风湿病(22%)。对110名患者(58%)进行了RF检测,其中15名(14%)呈阳性,全部转诊至风湿病,5名(42%)被诊断为风湿病。表2列出了检测结果、转诊率和风湿病诊断。大多数被诊断为风湿病的患者都有提示潜在疾病的相关发现(3名系统性红斑狼疮(SLE)患者有轻度血小板减少症(100-150K/uL),1名混合结缔组织疾病患者有雷诺现象,3名类风湿性关节炎(RA)患者有关节痛,1名肌痛,所有这些都具有相关的身体检查或射线照相结果)。白细胞减少症/中性粒细胞减少症的其他替代诊断包括药物诱导的、病毒和细菌感染、血液系统恶性肿瘤、少数民族中性粒细胞减症、短暂性白细胞减少和特发性。结论:白细胞减少/中性粒细胞减少的动态血液学咨询在实践中很常见。我们的研究表明,191名患者中有11名(6%)患有相关的风湿病,大多数患者有其他体征/症状或相关的实验室异常,提示自身免疫性疾病。这项研究表明,白细胞减少症/中性粒细胞减少症患者的ANA和RF检测在没有其他实验室异常的无症状患者中的临床应用有限,除非有症状,否则不应作为常规检查的一部分。初级保健提供者需要筛查其他异常(症状/临床发现),以确定从亚专业转诊中受益最大的患者。披露无需声明相关利益冲突。
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引用次数: 0
The Effect of Education on Households Spending Choices and Poverty Status in Burkina Faso: Evidence from the 2009 Survey on Household Living Conditions 教育对布基纳法索家庭支出选择和贫困状况的影响:2009年家庭生活条件调查的证据
Pub Date : 2017-06-06 DOI: 10.2139/SSRN.2980261
Ibrahim Niankara, D. Zoungrana
This study contributes to the overall debate on education and development, and is concerned with analyzing the effect of educational attainment on households per-capita spending choices, and the reflection of those spending choices on households poverty status in Burkina Faso. In this formulation, a household is said to be experiencing monetary poverty if its annual per-capita consumption spending is less than the poverty line of 130,375 CFA Franc. The study uses the 2009 National Survey on Household Living Conditions administered by the National Institute for Statistics and demography (INSD), along with a Random Utility modeling framework to explain households' per-capita consumption choices and thus poverty status. We then specify multivariate probit and logit models to describe the choice probabilities, and uncover the parameters using Maximum Likelihood Methods. The results show that education, along with other covariates is a key determinant of households' spending choices and poverty status in Burkina Faso. In fact, compared to households with uneducated heads, those headed by someone with a primary, secondary, and higher education are respectively 1.45 times, 4.13 times, and 18.04 times more likely to spend a per-capita amount above the poverty threshold of 130,375 CFA franc. These results suggest that education could successfully be used as an effective policy tool to reduce the incidence of chronic poverty in Burkina Faso.
这项研究有助于全面讨论教育与发展问题,并分析教育程度对布基纳法索家庭人均支出选择的影响,以及这些支出选择对家庭贫困状况的影响。在这个公式中,如果一个家庭的年人均消费支出低于130375非洲金融共同体法郎的贫困线,则称其为货币贫困。该研究使用了国家统计和人口学研究所管理的2009年全国家庭生活条件调查,以及随机效用建模框架来解释家庭的人均消费选择,从而解释贫困状况。然后,我们指定了多变量probit和logit模型来描述选择概率,并使用最大似然方法来揭示参数。结果表明,教育和其他协变量是布基纳法索家庭支出选择和贫困状况的关键决定因素。事实上,与户主未受过教育的家庭相比,那些由受过小学、中学和高等教育的人户主的家庭,人均支出超过130375非洲法郎贫困线的可能性分别高1.45倍、4.13倍和18.04倍。这些结果表明,教育可以成功地作为一种有效的政策工具,减少布基纳法索长期贫困的发生率。
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Annals of reviews and research
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