Influence of rural-urban migration on the fertility of migrants in developing

노트 : Final repor

The inpatient burden of abdominal and gynecological adhesiolysis in the US

<p>Abstract</p> <p>Background</p> <p>Adhesions are fibrous bands of scar tissue, often a result of surgery, that form between internal organs and tissues, joining them together abnormally. Postoperative adhesions frequently occur following abdominal surgery, and are associated with a large economic burden. This study examines the inpatient burden of adhesiolysis in the United States (i.e., number and rate of events, cost, length of stay [LOS]).</p> <p>Methods</p> <p>Hospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. Procedures were aggregated by body system.</p> <p>Results</p> <p>We identified 351,777 adhesiolysis-related hospitalizations: 23.2% for primary and 76.8% for secondary adhesiolysis. The average LOS was 7.8 days for primary adhesiolysis. We found that 967,332 days of care were attributed to adhesiolysis-related procedures, with inpatient expenditures totaling $2.3 billion ($1.4 billion for primary adhesiolysis; $926 million for secondary adhesiolysis). Hospitalizations for adhesiolysis increased steadily by age and were higher for women. Of secondary adhesiolysis procedures, 46.3$220 million in attributable costs.</p> <p>Conclusions</p> <p>Adhesiolysis remain an important surgical problem in the United States. Hospitalization for this condition leads to high direct surgical costs, which should be of interest to providers and payers.</p

Noodle consumption patterns of American consumers: NHANES 2001-2002

Although noodles occupy an important place in the dietary lives of Americans, up until the present time research and in-depth data on the noodle consumption patterns of the US population have been very limited. Therefore, this study aimed to analyze the food consumption and diet patterns of noodle consumers and non-consumers according to age, gender, income, and ethnicity. The 2001-2002 NHANES databases were used. The NHANES 2001-2002 data showed that noodle consumers reporting noodle consumption in their 24-h recall were 2,035 individuals (23.3% of total subjects). According to the results, the mean noodle consumption was 304.1 g/day/person, with 334.3 g for males and 268.0 g for females. By age, the intake of those in the age range of 9-18 years old ranked highest at 353.0 g, followed by the order of 19-50 year-olds with 333.5 g, 51-70 year-olds with by 280.4 g, older than 71years old with 252.3 g, and 1-8 year-olds with 221.5 g. By gender, males consumed more noodles than females. Also, according to income, the intake amount for the middle-income level (PIR 1~1.85) of consumers was highest at 312.5 g. Noodle intake also showed different patterns by ethnicity in which the "other" ethnic group consumed the most noodles with 366.1 g, followed by, in order, Hispanics with 318.7 g, Whites with 298.6 g, and Blacks with 289.5 g. After comparing food consumption by dividing the subjects into noodle consumers and non-consumers, the former was more likely to consume milk, fish, citrus fruits, tomatoes, and alcoholic beverages while the latter preferred meat, poultry, bread, and non-alcohol beverages

Maternal self-efficacy and 1–5-year-old children's brushing habits

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73681/1/j.1600-0528.2007.00313.x.pd

The effects of alcohol consumption, psychological distress and smoking status on emergency department presentations in New South Wales, Australia

BACKGROUND: Despite clear links between risky alcohol consumption, mental health problems and smoking with increased morbidity and mortality, there is inconclusive evidence about how these risk factors combine and if they are associated with increased attendance at emergency departments. This paper examines the population-level associations and interactions between alcohol consumption, psychological distress and smoking status with having presented to an emergency department in the last 12 months. METHODS: This study uses data from a representative sample of 34,974 participants aged 16 years and over from the New South Wales Population Health Survey, administered between 2002 and 2004. Statistical analysis included univariate statistics, cross-tabulations, and the estimation of prevalence rate ratios using Cox's proportional hazard regression model. RESULTS: Results show that high-risk alcohol consumption, high psychological distress and current smoking were all significantly and independently associated with a greater likelihood of presenting to an emergency department in the last year. Presenting to an emergency department was found to be three times more likely for women aged 30 to 59 years with all three risk factors and ten times more likely for women aged 60 years or more who reported high risk alcohol consumption and high psychological distress than women of these age groups without these risk factors. For persons aged 16 to 29 years, having high-risk alcohol consumption and being a current smoker doubles the risk of presenting to an emergency department. CONCLUSION: The combination of being a high-risk consumer of alcohol, having high psychological distress, and being a current smoker are associated with increased presentations to emergency departments, independent of age and sex. Further research is needed to enhance recognition of and intervention for these symptoms in an emergency department setting in order to improve patient health and reduce future re-presentations to emergency departments

Durable Zinc Oxide-Based Regenerable Sorbents for Desulfurization of Syngas in a Fixed-Bed Reactor

A fixed-bed regenerable desulfurization sorbent, identified as RVS-land developed by researchers at the U.S. Department of Energy's National Energy Technology Laboratory, was awarded the R&amp;D 100 award in 2000 and is currently offered as a commercial product by Sued-Chemie Inc. An extensive testing program for this sorbent was undertaken which included tests at a wide range of temperatures, pressures and gas compositions both simulated and generated in an actual gasifier for sulfidation and regeneration. This testing has demonstrated that during these desulfurization tests, the RVS-1 sorbent maintained an effluent H2S concentration of &lt;5 ppmv at temperatures from 260 to 600 C (500-1100 F) and pressures of 203-2026 kPa(2 to 20 atm) with a feed containing 1.2 vol% H{sub 2}S. The types of syngas tested ranged from an oxygen-blown Texaco gasifier to biomass-generated syngas. The RVS-1 sorbent has high crush strength and attrition resistance, which, unlike past sorbent formulations, does not decrease with extended testing at actual at operating conditions. The sulfur capacity of the sorbent is roughly 17 to 20 wt.% and also remains constant during extended testing (&gt;25 cycles). In addition to H{sub 2}S, the RVS-1 sorbent has also demonstrated the ability to remove dimethyl sulfide and carbonyl sulfide from syngas. During regeneration, the RVS-1 sorbent has been regenerated with dilute oxygen streams (1 to 7 vol% O{sub 2}) at temperatures as low as 370 C (700 F) and pressures of 304-709 kPa(3 to 7 atm). Although regeneration can be initiated at 370 C (700 F), regeneration temperatures in excess of 538 C (1000 F) were found to be optimal. The presence of steam, carbon dioxide or sulfur dioxide (up to 6 vol%) did not have any visible effect on regeneration or sorbent performance during either sulfidation or regeneration. A number of commercial tests involving RVS-1 have been either conducted or are planned in the near future. The RVS-1 sorbent has been tested by Epyx, Aspen Systems and McDermott Technology (MTI), Inc for desulfurization of syngas produced by reforming of hydrocarbon liquid feedstocks for fuel cell applications. The RVS-1 sorbent was selected by MTI over other candidate sorbents for demonstration testing in their 500-kW ship service fuel cell program. It was also possible to obtain sulfur levels in the ppbv range with the modified RVS-1 sorbent

Fitting multilevel models in complex survey data with design weights: Recommendations

Abstract Background Multilevel models (MLM) offer complex survey data analysts a unique approach to understanding individual and contextual determinants of public health. However, little summarized guidance exists with regard to fitting MLM in complex survey data with design weights. Simulation work suggests that analysts should scale design weights using two methods and fit the MLM using unweighted and scaled-weighted data. This article examines the performance of scaled-weighted and unweighted analyses across a variety of MLM and software programs. Methods Using data from the 2005–2006 National Survey of Children with Special Health Care Needs (NS-CSHCN: n = 40,723) that collected data from children clustered within states, I examine the performance of scaling methods across outcome type (categorical vs. continuous), model type (level-1, level-2, or combined), and software (Mplus, MLwiN, and GLLAMM). Results Scaled weighted estimates and standard errors differed slightly from unweighted analyses, agreeing more with each other than with unweighted analyses. However, observed differences were minimal and did not lead to different inferential conclusions. Likewise, results demonstrated minimal differences across software programs, increasing confidence in results and inferential conclusions independent of software choice. Conclusion If including design weights in MLM, analysts should scale the weights and use software that properly includes the scaled weights in the estimation.</p