36 research outputs found

    Damage assessment of tunnels caused by the 2004 Mid Niigata Prefecture Earthquake using Hayashi’s quantification theory type II

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    Mountain tunnels, being underground structures and situated deep within rock layers, are generally considered to suffer appreciably less damage from earthquakes than surface structures. However, it has been reported that many tunnels were damaged by the 1923 Great Kantou earthquake, the 1995 Great Hanshin Earthquake, the 1999 Taiwan Chi-Chi Earthquake, the 2004 Mid Niigata Prefecture Earthquake and the May 2008 Great Wenchuan Earthquake in China. In this study, the damaged tunnels resulted of the 2004 Mid Niigata Prefecture Earthquake are the study objects. The damage patterns are analyzed, and the information which is considered to be of influence, such as the distance to epicenter, the completion time, the geological conditions, etc., are collected. A database of the damaged tunnels has been created using a Geographic Information System (GIS). The influence ranking for these factors has been analyzed using Hayashi\u27s quantification theory II. The degree of the tunnel damage has also been assessed using GIS and Hayashi\u27s quantification theory II. The field investigation is in close agreement with the assessment results following Hayashi\u27s quantification theory II

    Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

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    BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

    Enzyme production from food wastes using a biorefinery concept

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    According to Food and Agricultural Organization (FAO), one-third of food produced globally for human consumption (nearly 1.3 billion tonnes) is lost along the food supply chain. In many countries food waste is currently landfilled or incinerated together with other combustible municipal wastes for possible recovery of energy. However, these two options are facing more and more economic and environmental stresses. Due to its organic- and nutrient-rich nature, theoretically food waste can be converted to valuable products (e.g. bio-products such as methane, hydrogen, ethanol, enzymes, organic acids, chemicals and fuels) through various fermentation processes. Such conversion of food waste is potentially more profitable than its conversion to animal feed or transportation fuel. Food waste valorisation has therefore gained interest, with value added bio-products such as methane, hydrogen, ethanol, enzymes, organic acids, chemicals, and fuels. Therefore, the aim of this review is to provide information on the food waste situation with emphasis on Asia–Pacific countries and the state of the art food waste processing technologies to produce enzymes

    Access to highly active antiretroviral therapy for injection drug users: adherence, resistance, and death

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