105 research outputs found
ΠΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ Π²ΡΡΠΎΠΊΠΎΡΠ½Π΅ΡΠ³Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΡΡΠΊΠΎΠ² Π±ΡΡΡΡΡΡ ΡΠ»Π΅ΠΊΡΡΠΎΠ½ΠΎΠ² Π½Π° ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ½ΡΠ΅ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎ-Π·Π°ΡΠΈΡΠ½ΡΠ΅ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΡ
ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΎ Π²Π»ΠΈΡΠ½ΠΈΠ΅ ΠΏΡΡΠΊΠΎΠ² Π±ΡΡΡΡΡΡ
ΡΠ»Π΅ΠΊΡΡΠΎΠ½ΠΎΠ² Π½Π° ΡΡΡΡΠΊΡΡΡΡ ΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π° ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΠΎ-Π·Π°ΡΠΈΡΠ½ΡΡ
ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½Π½ΡΡ
ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ², ΠΊΠ°ΠΏΡΡΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π² ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ½ΡΠ΅ ΡΠ΅ΡΠΌΠΎΠΏΠ»Π°ΡΡΠΈΡΠ½ΡΠ΅ ΠΎΠ±ΠΎΠ»ΠΎΡΠΊΠΈ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ°ΡΡΠ΅ΡΠΎΠ² ΠΏΡΠΎΠ±Π΅Π³Π° Π±ΡΡΡΡΡΡ
ΡΠ»Π΅ΠΊΡΡΠΎΠ½ΠΎΠ² Π² ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ½ΠΎΠΌ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΠ΅, ΠΎΡΠ΅Π½ΠΊΠ° Π·Π°ΡΠΈΡΠ½ΡΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ ΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΌΠΎΡΠ½ΠΎΡΡΠΈ Π΄ΠΎΠ·Ρ ΡΠ»Π΅ΠΊΡΡΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΈΠ·Π»ΡΡΠ΅Π½ΠΈΡ Π·Π° ΡΠ»ΠΎΡΠΌΠΈ ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΠ° Ρ ΠΎΠ±ΡΠ΅ΠΌΠ½ΡΠΌ ΡΠ»Π΅ΠΊΡΡΠΈΡΠ΅ΡΠΊΠΈΠΌ Π·Π°ΡΡΠ΄ΠΎΠΌ. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π° Π°ΠΌΠΎΡΡΠ½ΠΎ-ΠΊΡΠΈΡΡΠ°Π»Π»ΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΡΡΡΠΊΡΡΡΠ°, ΠΌΠ°ΠΊΡΠΎΡΠ²ΠΎΠΉΡΡΠ²Π° ΠΈ Π΄Π΅ΡΡΡΡΠΊΡΠΈΡ ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΠ°.ΠΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½ΠΎ Π²ΠΏΠ»ΠΈΠ² ΠΏΡΡΠΊΡΠ² ΡΠ²ΠΈΠ΄ΠΊΠΈΡ
Π΅Π»Π΅ΠΊΡΡΠΎΠ½ΡΠ² Π½Π° ΡΡΡΡΠΊΡΡΡΡ Ρ Π²Π»Π°ΡΡΠΈΠ²ΠΎΡΡΡ ΡΠ°Π΄ΡΠ°ΡΡΠΉΠ½ΠΎ-Π·Π°Ρ
ΠΈΡΠ½ΠΈΡ
ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΡΠΉΠ½ΠΈΡ
ΠΌΠ°ΡΠ΅ΡΡΠ°Π»ΡΠ², ΠΊΠ°ΠΏΡΡΠ»ΡΡΠΎΠ²Π°Π½ΠΈΡ
Π² ΠΏΠΎΠ»ΡΠΌΠ΅ΡΠ½Ρ ΡΠ΅ΡΠΌΠΎΠΏΠ»Π°ΡΡΠΈΡΠ½Ρ ΠΎΠ±ΠΎΠ»ΠΎΠ½ΠΊΠΈ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ½ΠΈΡ
ΡΠΎΠ·ΡΠ°Ρ
ΡΠ½ΠΊΡΠ² ΠΏΡΠΎΠ±ΡΠ³Ρ ΡΠ²ΠΈΠ΄ΠΊΠΈΡ
Π΅Π»Π΅ΠΊΡΡΠΎΠ½ΡΠ² Π² ΠΏΠΎΠ»ΡΠΌΠ΅ΡΠ½ΠΎΠΌΡ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΡ, ΠΎΡΡΠ½ΠΊΠ° Π·Π°Ρ
ΠΈΡΠ½ΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ Ρ Π΅ΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΠΏΠΎ Π·ΠΌΡΠ½Ρ ΠΏΠΎΡΡΠΆΠ½ΠΎΡΡΡ Π΄ΠΎΠ·ΠΈ Π΅Π»Π΅ΠΊΡΡΠΎΠ½Π½ΠΎΠ³ΠΎ Π²ΠΈΠΏΡΠΎΠΌΡΠ½ΡΠ²Π°Π½Π½Ρ Π·Π° ΡΠ°ΡΠ°ΠΌΠΈ ΠΏΠΎΠ»ΡΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΡ Π· ΠΎΠ±'ΡΠΌΠ½ΠΈΠΌ Π΅Π»Π΅ΠΊΡΡΠΈΡΠ½ΠΈΠΌ Π·Π°ΡΡΠ΄ΠΎΠΌ. ΠΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π° Π°ΠΌΠΎΡΡΠ½ΠΎ-ΠΊΡΠΈΡΡΠ°Π»ΡΡΠ½Π° ΡΡΡΡΠΊΡΡΡΠ°, ΠΌΠ°ΠΊΡΠΎΠ²Π»Π°ΡΡΠΈΠ²ΠΎΡΡΡ ΡΠ° Π΄Π΅ΡΡΡΡΠΊΡΡΡ ΠΏΠΎΠ»ΡΠΌΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡΡ.In work influence of bunches of rapid electrons is explored on a structure and properties of radiation-protective materials of compositions, kapsulirovannykh in polymeric termoplastichnye shells. The results of theoretical calculations of run of rapid electrons are presented in polymeric kompozite, estimation of protective descriptions and experimental results on a change power of dose of electronic radiation after the layers of polymeric kompozita with a by volume electric charge. An amorphously-crystalline structure and destruction of polymeric kompozita, is explored
Efficient depolymerization of lignin to biobased chemicals using a two-step approach involving ozonation in a continuous flow microreactor followed by catalytic hydrotreatment
Lignin is a promising feedstock for the replacement of conventional carbon sources for the production of chemicals and fuels. In this paper, results are reported for the depolymerization of various residual lignins in the absence of a catalyst by utilizing ozone. Reactions were performed in a microreactor setup ensuring high gas-liquid mass transfer rates, a low inventory of ozone, and straightforward scale-up possibilities. The ozonation is demonstrated using a representative model compound (vanillin) and various lignins (pyrolytic and organosolv) dissolved in methanol (2.5 wt %). Experiments were performed under ambient conditions, at gas-liquid flow ratios ranging from 30 to 90 and short residence times on the order of 12-24 s. Analyses of the products after methanol removal revealed the presence of (di)carboxylic acids, methyl esters, and acetals. Extensive depolymerization was achieved (i.e., up to 30% for pyrolytic lignin and 70% for organosolv lignins). Furthermore, a two-step approach in which the ozonated lignin is further hydrotreated (350-400 degrees C, 100 bar H-2, 4 h, Pd/C as catalyst) showed a substantial increase in depolymerization efficiency, yielding a 2.5-fold increased monomer yield in the product oil compared to a hydrotreatment step only
Ethnic differences in Internal Medicine referrals and diagnosis in the Netherlands
As in other Western countries, the number of immigrants in the Netherlands is growing rapidly. In 1980 non-western immigrants constituted about 3% of the population, in 1990 it was 6% and currently it is more than 10%. Nearly half of the migrant population lives in the four major cities. In the municipality of Rotterdam 34% of the inhabitants are migrants. Health policy is based on the ideal that all inhabitants should have equal access to health care and this requires an efficient planning of health care resources, like staff and required time per patient. The aim of this study is to examine ethnic differences in the use of internal medicine outpatient care, specifically to examine ethnic differences in the reason for referral and diagnosis.
Methods
We conducted a study with an open cohort design. We registered the ethnicity, sex, age, referral reasons, diagnosis and living area of all ne
Acculturation and use of health care services by Turkish and Moroccan migrants: a cross-sectional population-based study
<p>Abstract</p> <p>Background</p> <p>There is insufficient empirical evidence which shows if and how there is an interrelation between acculturation and health care utilisation. The present study seeks to establish this evidence within first generation Turkish and Moroccan migrants, two of the largest migrant groups in present-day Western Europe.</p> <p>Methods</p> <p>Data were derived from the Amsterdam Health Monitor 2004, and were complete for 358 Turkish and 288 Moroccan foreign-born migrants. Use of health services (general practitioner, outpatient specialist and health care for mental health problems) was measured by means of self-report. Acculturation was measured by a structured questionnaire grading (i) ethnic self-identification, (ii) social interaction with ethnic Dutch, (iii) communication in Dutch within one's private social network, (iv) emancipation, and (v) cultural orientation towards the public domain.</p> <p>Results</p> <p>Acculturation was hardly associated with the use of general practitioner care. However, in case of higher adaptation to the host culture there was less uptake of outpatient specialist care among Turkish respondents (odds ratio [OR] = 0.90, 95% confidence interval [CI] = 0.82-0.99) and Moroccan male respondents (OR = 0.81, 95% CI = 0.71-0.93). Conversely, there was a higher uptake of mental health care among Turkish men (OR = 0.81, 95% CI = 0.71-0.93) and women (OR = 0.81, 95% CI = 0.71-0.93). Uptake of mental health care among Moroccan respondents again appeared lower (OR = 0.74, 95% CI = 0.55-0.99). Language ability appeared to play a central role in the uptake of health care.</p> <p>Conclusion</p> <p>Some results were in accordance with the popular view that an increased participation in the host society is concomitant to an increased use of health services. However, there was heterogeneity across ethnic and gender groups, and across the domains of acculturation. Language ability appeared to play a central role. Further research needs to explore this heterogeneity into more detail. Also, other cultural and/or contextual aspects that influence the use of health services require further identification.</p
70-ΡΡΡΡΡ ΡΠ»Π΅Π½Π°-ΠΊΠΎΡΠ΅ΡΠΏΠΎΠ½Π΄Π΅Π½ΡΠ° ΠΠΠ Π£ΠΊΡΠ°ΡΠ½ΠΈ Π.Π. ΠΠΎΡΠΎΡΠ½ΠΎΠ³ΠΎ
28 Π»ΠΈΠΏΠ½Ρ Π²ΠΈΠΏΠΎΠ²Π½ΠΈΠ»ΠΎΡΡ 70 ΡΠΎΠΊΡΠ² Π²ΠΈΠ΄Π°ΡΠ½ΠΎΠΌΡ ΠΌΠ°ΡΠ΅ΠΌΠ°ΡΠΈΠΊΡ ΡΠ»Π΅Π½ΠΎΠ²Ρ-ΠΊΠΎΡΠ΅ΡΠΏΠΎΠ½Π΄Π΅Π½ΡΠΎΠ²Ρ ΠΠΠ Π£ΠΊΡΠ°ΡΠ½ΠΈ ΠΡΡΠ°Π»ΡΡ ΠΠ°Π²Π»ΠΎΠ²ΠΈΡΡ ΠΠΎΡΠΎΡΠ½ΠΎΠΌΡ
Neonatal sepsis definitions from randomised clinical trials
Introduction: Neonatal sepsis is a leading cause of infant mortality worldwide with non-specific and varied presentation. We aimed to catalogue the current definitions of neonatal sepsis in published randomised controlled trials (RCTs). Method: A systematic search of the Embase and Cochrane databases was performed for RCTs which explicitly stated a definition for neonatal sepsis. Definitions were sub-divided into five primary criteria for infection (culture, laboratory findings, clinical signs, radiological evidence and risk factors) and stratified by qualifiers (early/late-onset and likelihood of sepsis). Results: Of 668 papers screened, 80 RCTs were included and 128 individual definitions identified. The single most common definition was neonatal sepsis defined by blood culture alone (nβ=β35), followed by culture and clinical signs (nβ=β29), and then laboratory tests/clinical signs (nβ=β25). Blood culture featured in 83 definitions, laboratory testing featured in 48 definitions while clinical signs and radiology featured in 80 and 8 definitions, respectively. Discussion: A diverse range of definitions of neonatal sepsis are used and based on microbiological culture, laboratory tests and clinical signs in contrast to adult and paediatric sepsis which use organ dysfunction. An international consensus-based definition of neonatal sepsis could allow meta-analysis and translate results to improve outcomes
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