A Comparison of Quality of Care in Critical Access Hospitals and Other Rural Hospitals

Purpose: The United States has about 2100 rural hospitals. Approximately 1300 are Critical Access Hospitals (CAHs) with 25 beds or less. CAHs receive cost-based reimbursement through the federal Flex program with the goal to improve quality and access to health care. Reports on quality of care (QOC) and factors that influence quality in CAHs are mixed. This study compared QOC and factors that influence QOC in CAHs and other rural hospitals. Sample: 385 staff nurses in 6 CAHs and 9 other rural hospitals in North Carolina and Virginia. Method: Descriptive cross-sectional design using nurse surveys aggregated to the hospital level, data from provider of services file, and the United States Department of Agriculture, Economic Research files. Variables on community, hospital, and nursing unit characteristics, the nurse work environment, nurse rated QOC and community perception of hospital quality were compared using t-test or chi-square. Findings: There were no differences in the majority of factors influencing QOC. A culture of safety, the nurse work environment, and QOC were rated high in all hospitals. Compared to other rural hospitals CAHs tend to be located in communities with better economic status and their nurses had more years of nursing experience. More nurses in CAHs felt their community recognized their hospital as a good place for minor health issues and would recommend the hospital to family and friends. Conclusions: The high ratings of QOC were accompanied with the presence of safety cultures and work environments rated as highly as in Magnet hospitals. The lower poverty levels in communities with CAHs suggest possible community financial benefits from CAHs. More studies are warranted to explore these relationships. Further reporting to public quality indicator databases by all CAHs should be encouraged and QOC measures relevant for small rural hospitals should be developed

Hepcidin and sports anemia

Iron is an important mineral element used by the body in a variety of metabolic and physiologic processes. These processes are highly active when the body is undergoing physical exercises. Prevalence of exercise-induced iron deficiency anemia (also known as sports anemia) is notably high in athletic populations, particularly those with heavy training loads. The pathogenesis of sports anemia is closely related to disorders of iron metabolism, and a more comprehensive understanding of the mechanism of iron metabolism in the course of physical exercises could expand ways of treatment and prevention of sports anemia. In recent years, there have been remarkable research advances regarding the molecular mechanisms underlying changes of iron metabolism in response to physical exercises. This review has covered these advances, including effects of exercise on duodenum iron absorption, serum iron status, iron distribution in organs, erythropoiesis, and hepcidin’s function and its regulation. New methods for the treatment of exercise-induced iron deficiency are also discussed

The Intelligent Fiber Knitted Fabrics Development and Function Test

Introduction of a new type of intelligent Outlast textile fabric applied in top grade casual coat and children's coat. We discuss designing, developing, weaving, dyeing and finishing, and production. Also, to perform test on this kind of intelligent fabric temperature adjustment function, we can adopt test method like "warm model test", and "human being group test in laboratory

Cellular Fibronectin is Induced in Ultraviolet-Exposed Human Skin and Induces IL-10 Production by Monocytes/Macrophages

CD11b+ monocytic/macrophagic cells that infiltrate human skin after in vivo ultraviolet exposure potently produce interleukin-10. We hypothesized that binding of monocyte β1 integrins to ultraviolet-induced extracellular matrix ligands, such as fibronectin, after entry of blood monocytes into the dermis, is involved in the modulation of immunoregulatory monocytic cytokines. Immunostaining of human skin and reverse transcriptase–polymerase chain reaction studies revealed that the embryonic isoform of cellular fibronectin, in which the extra domain A (EDA) segment is spliced in (EDA+ cellular fibronectin), and confers enhanced binding to β1 integrins, is newly induced and is associated with infiltrating CD11b+ cells post in vivo ultraviolet exposure. We then tested the effect of fibronectin on resting purified peripheral monocytes in vitro. We found that monocyte interleukin-10, but not interleukin-12, was significantly induced in a concentration-dependent manner by in vitro binding to cellular fibronectin (n = 6), but not plasma fibronectin. Tumor necrosis factor-α was also induced in a concentration-dependent manner, but to a lesser extent. Monoclonal antibodies to β1 integrins β-subunit (CD29) also strongly induced tumor necrosis factor-α and interleukin-10 production, but not interleukin-12. Neutralization of tumor necrosis factor-α reduced by 54% the interleukin-10 production that was induced by monocytes binding to cellular fibronectin, indicating that interleukin-10 induction is at least in part dependent upon concomitant autocrine tumor necrosis factor-α release. In conclusion, ultraviolet skin injury results in increased production and deposition of EDA+ cellular fibronectin in the papillary dermis, which may be one of the key signals capable of inducing interleukin-10 but not interleukin-12 in monocytes that infiltrate micromilieu of human skin after ultraviolet exposure

Mitochondrial ferritin attenuates cerebral ischaemia/reperfusion injury by inhibiting ferroptosis

Ischaemic stroke is becoming the most common cerebral disease in aging populations, but the underlying molecular mechanism of the disease has not yet been fully elucidated. Increasing evidence has indicated that an excess of iron contributes to brain damage in cerebral ischaemia/reperfusion (I/R) injury. Although mitochondrial ferritin (FtMt) plays a critical role in iron homeostasis, the molecular function of FtMt in I/R remains unknown. We herein report that FtMt levels are upregulated in the ischaemic brains of mice. Mice lacking FtMt experience more severe brain damage and neurological deficits, accompanied by typical molecular features of ferroptosis, including increased lipid peroxidation and disturbed glutathione (GSH) after cerebral I/R. Conversely, FtMt overexpression reverses these changes. Further investigation shows that Ftmt ablation promotes I/R-induced inflammation and hepcidin-mediated decreases in ferroportin1, thus markedly increasing total and chelatable iron. The elevated iron consequently facilitates ferroptosis in the brain of I/R. In brief, our results provide evidence that FtMt plays a critical role in protecting against cerebral I/R-induced ferroptosis and subsequent brain damage, thus providing a new potential target for the treatment/prevention of ischaemic stroke

Improvement of the hillslope-storage Boussinesq model by considering lateral flow in the unsaturated zone

Abstract Unsaturated flow is an important factor that affects groundwater motion. Among various drainage models, the nonlinear Hillslope-storage Boussinesq (HSB) model has been commonly used to predict water flux along a slope. In this study, we improved this model by considering lateral flow in the unsaturated zone. Using modified van Genuchten functions, we analytically expressed the concept of equivalent propagation thickness in the vadose zone. This analytical expression was then incorporated into the HSB model to reflect two different stages of the drainage process and to simulate the hillslope drainage process more accurately. The model results indicated that lateral flow has significant effects in the unsaturated zone during the hillslope drainage process. Even in sandy aquifers, the amount of water contributed by the unsaturated zone is a key factor that enables a decrease in the water table during the middle and late stages of the process. A comparison between the measured and simulated results based on both convergent-type and divergent-type hillslope drainage processes revealed that the thickness of the saturated zone decreases as the unsaturated flow increases. This study emphasizes the necessity of considering unsaturated flow in the HSB model to improve the accuracy of predicting groundwater outflow rates and develop more accurate hydrographs. The concept of equivalent propagation thickness also provides a criterion for assessing the importance of unsaturated lateral flow for future drainage research

Response of rhizosphere microbial community structure and production performance of corn and soybean to belt planting mode

Soybean and corn strip cropping takes full advantage of the root characteristics and plant height differences between soybean and corn, which can improve crop photosynthesis and nutrient uptake as well as capitalize on the marginal effect of corn. However, there is not enough in-depth research on the effects of soybean and corn strip cropping modes on inter-root microbial communities and crop yield traits and their correlations, and the functional genes of inter-root microbes. In this study, the structural composition and functional genes of soil inter-root microbial communities under different strip cropping patterns of soybean and maize, Mode 1, Mode 2, and Mode 3, were studied using macro-genome high-throughput sequencing, and the yield traits of soybean and maize were determined and the correlation was understood, taking Zhonglian Soybean 1505 and Tiyu 108 maize as test materials at the experimental base of the Research Institute of Agricultural and Livestock Sciences, Xing'anmeng, Inner Mongolia. correlation between the two. The following results were found. Redundancy analysis found that rhizosphere microorganisms are mainly bacteria, followed by viruses, followed by archaea, and fungi are the least. Relatively speaking, viruses and bacteria are more susceptible to the influence of planting patterns than fungi. Alpha diversity analysis shows that the diversity index changes significantly during the peak flowering period. There is no difference between the other two stages. The diversity of maize rhizosphere microorganisms under Mode 1 or Mode 2 modes is higher than that under Mode 3 modes, while the diversity of soybean rhizosphere microorganisms under Mode 3 modes is higher than the other two modes. Profiling analysis found that different growth periods and planting patterns lead to varying degrees of changes in community structure. The dominant bacterial phyla include Pseudomonas, Actinobacteria, Bacteroidetes, and Streptococcus. The dominant genera of bacteria are rhizobia, pseudomonas, erythrobacteria, and pseudomonas. The relative abundance of slow root rhizobia in the three growth stages of maize rhizosphere is relatively low. The results of yield traits showed that corn yield under Mode 1 and Mode 2 planting was significantly higher than that under pattern III; soybean yield under pattern III planting was significantly higher than that under the other two patterns, indicating that pattern I or II planting is suitable for corn production, while Mode 3 planting mode is more suitable for soybean production. Correlation analysis showed that S_Massilis_putida was significantly and positively correlated with maize yield, and S_lysobacter_capsici was highly significantly and significantly positively correlated with the number of soybean plants per square meter, and the number of plants in 2 square meters. This study contributes to our further understanding of the classification of inter-root microorganisms and their functional relationships in maize and soybean under different conditions

Impact of glyphosate on the rhizosphere microbial communities of a double-transgenic maize line D105

Plant roots shape the rhizosphere microbiome, recruiting microbes with beneficial functions. While genetically engineered crops offer yield advantages, their impacts on rhizosphere microbial communities remain understudied. This study evaluated the effects of transgenic maize, alongside a non-transgenic counterpart, on rhizosphere bacterial and fungal community composition using 16S rRNA and ITS amplicon sequencing. Additionally, glyphosate was used to evaluate its impact on microbial assembly and the magnitude of its effect at various maize growth stages. The results showed that transgenic maize D105 line significantly increased bacterial alpha diversity but not fungal diversity. Beta diversity analysis showed clear separation between bacterial and fungal communities at higher glyphosate treatment. Specific bacterial taxa such as Pseudomonas and Sphingomonas were enriched, while fungal taxa such as Ascomycota, Lasiosphaeriaceae, Verticillium were differentially abundant in glyphosate treatments. LEfSe analysis identified distinct enrichment patterns of bacterial (Proteobacteria and Actinobacteria) and fungal taxa (Verticillium and Guehomyces) associated with the transgenic line and glyphosate levels. KEGG functional analysis suggested potential impacts on bacterial metabolic pathways and shifts in fungal trophic modes (saprotrophs, pathogens) within the rhizosphere microbiome. This research provides insights into the classification, functional relationships, and underlying mechanisms shaping microbial communities carrying insect resistance and glyphosate resistance traits