247 research outputs found

    Does compensative subsidy alleviate pollutant emission and improve welfare under crossindustry pollution?

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    This paper establishes a cross-industry pollution externality model under centralized labor union. In delineating the motivations of a benevolent government, it might be possible to tax part of the welfare gains and use the revenue to compensate the affected polluting industry for the damage costs, thereby improving welfare. We show that the magnitude of marginal pollution plays a critical role. When the marginal pollution is large, the government should tax the pollution firm to reduce the pollution. However, when the marginal pollution is small, the government should subsidize the polluted firm to increase output and enhance consumer surplus

    KINETIC DIFFERENCES IN LOWER EXTREMITY BETWEEN BASEBALL PITCHING FROM PITCHER’S MOUND AND FLAT-GROUND

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    The purpose of this study was to investigate the kinetic differences in lower extremity between pitching from a mound and flat-ground. A motion capture system and two force plates were used simultaneously to collect the dynamic data of 8 baseball male pitchers. The results revealed that pitching from the mound generated higher propulsive force at the trailing leg as well as greater braking force and vertical ground reaction force at the lead leg (p< .05). The trailing leg in the mound condition generated greater knee posterior joint force while the lead leg had greater axial joint force at ankle and knee, as well as greater extension moment at ankle, knee and hip (p< .05). It was concluded that pitching from the mound generated higher ground reaction force, which resulted in higher joint forces and moments and thus might increase stresses at lower extremity

    Feasibility of transtracheal thoracoscopy (natural orifice transluminal endoscopic surgery)

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    Natural orifice transluminal endoscopic surgery: A transtracheal approach for the thoracic cavity in a live canine model

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    BackgroundThe present study aimed to evaluate the performance of transtracheal thoracic exploration and pericardial window creation in a canine survival model.MethodsTransthoracic exploration was performed in 14 dogs. Under general anesthesia, after an incision in the right lateral wall of the middle–lower portion of the trachea was made, a 9-mm metal tube was advanced into the thoracic cavity. For thoracic cavity exploration and pericardial window creation, a flexible bronchoscope was introduced through the metal tube into the thoracic cavity. After thoracoscopy, a Dumon stent (Novatech, Grasse, France) was used to cover the tracheal incision site and facilitate healing. Animals were evaluated by endoscopy 1 and 2 weeks later. Animals were humanely killed, and necropsy was performed 2 weeks after the transtracheal natural orifice transluminal endoscopic surgery.ResultsFourteen dogs underwent transtracheal thoracic exploration lasting for an average of 110 minutes (range, 80–150), with 3 perioperative deaths. At 2 weeks after pericardial window creation, endoscopy revealed normal healing of the tracheal incision sites in all 11 surviving animals. Necropsy on the 11 animals at 2 weeks showed 9 adhesions around the pericardial window and 5 adhesions around the tracheal incision region. No mediastinitis or abscesses could be identified.ConclusionsTranstracheal thoracic exploration is technically feasible. Increasing surgical experience together with improvement in endoscopic techniques will further facilitate the development of natural orifice transluminal endoscopic surgery for thoracic diseases

    Carbapenem-Resistant Enterobacteriaceae Infections: Taiwan Aspects

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    Carbapenem-resistant Enterobacteriaceae (CRE), a major resistance concern emerging during the last decade because of significantly compromising the efficacy of carbapenem agents, has currently become an important focus of infection control. Many investigations have shown a high association of CRE infections with high case-fatality rates. In Taiwan, a few surveys observed that a significant proportion (29–47%) of the CR-Klebsiella pneumoniae isolates harbored a plasmidic allele encoding K. pneumoniae carbapenemases (KPC, especially KPC-2). A significant increase in the number of oxacillinase (OXA)-48-like carbapenemases among CR-K. pneumoniae isolates was observed between 2012 and 2015. By striking contrast, isolates of CR-Escherichia coli and CR-Enterobacter species in Taiwan had a much lower percentage of carbapenemase production than CR-K. pneumoniae isolates. This differs from isolates found in China as well as in the India subcontinent. Apart from the hospital setting, CRE was also cultured from the inpatients from communities or long-term care facilities (LTCF). Therefore, implementation of regular CRE screening of LTCF residents, strict disinfectant use in nursing homes and hospital settings, and appropriate control of antibiotic prescriptions is suggested to alleviate the spread of clinical CRE isolates in Taiwan. Although there are some promising new antibiotics against CRE, such as ceftazidime-avibactam, meropenem-vaborbactam, aztreonam-avibactam and cefiderocol, these agents are not available in Taiwan currently. Therefore, in order to effectively decrease case-fatality rates among patients with the infections owing to carbapenemase-producing CRE isolates, combination antibiotic schemes, including colistin (or amikacin) and/or tigecycline in combination with an anti-pseudomonal carbapenem agent, remain the mainstay for treating clinical CRE infections
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