Pneumonia: Drug-Related Problems and Hospital Readmissions

Pneumonia is one of the most common infectious diseases and the fourth leading cause of death globally. According to US statistics in 2019, pneumonia is the most common cause of sepsis and septic shock. In the US, inpatient pneumonia hospitalizations account for the top 10 highest medical costs, totaling $9.5 billion for 960,000 hospital stays. The emergence of antibiotic resistance in the treatment of infectious diseases, including the treatment of pneumonia, is a globally alarming problem. Antibiotic resistance increases the risk of death and re-hospitalization, prolongs hospital stays, and increases treatment costs, and is one of the greatest threats in modern medicine. Drug-related problems (DRPs) in pneumonia - such as suboptimal antibiotic indications, prolonged treatment duration, and drug interactions - increase the rate of antibiotic resistance and adverse effects, thereby leading to an increased burden in treatment. In a context in which novel and effective antibiotics are scarce, mitigating DRPs in order to reduce antibiotic resistance is currently a prime concern. A variety of interventions proven useful in reducing DRPs are antibiotic stewardship programs, the use of biomarkers, computerized physician order entries and clinical decision support systems, and community-acquired pneumonia scores

Land Conversion for Tourism Development under Vietnam’s Ambiguous Property Rights over Land

The paper aims to explore the process of land conversion for tourism development in Vietnam, under the present ambiguous and insecure property rights system. Four case studies in different geographical areas were selected to analyse land conversion and land compensation for tourism projects before and after the implementation of the new land law in 2013. The findings of this study show that, in the present legal system of land and property rights, the rights of local people are not sufficiently guaranteed due to the decisive role of the State not only in defining compensation prices for land in the case of compulsory land acquisition but also in determining whether tourism projects are in the public’s interest or not (thus deciding the appropriate land conversion approach as well as affecting price negotiations). The research also found that, although a voluntary land conversion approach (when the project is not in the public’s interest), based on the 2013 Land Law, offers land users a better negotiation position and a higher compensation payment, possibly reducing land-related conflicts between the State and land users, ambiguity over property rights in fact increased due to the government’s substantial discretion to choose between ‘public purpose’ and ‘economic purpose.’ The paper concludes with questioning whether the present legal basis for compulsory land acquisition is future proof since urbanisation pressure is likely to increase, which may lead to even more land conflicts in the near future

A novel inverse problems in emission imaging

No abstract provide

Determination of the Electronic Density in a Medium by an Inverse Method based on Double-Compton Scattering in Transmission Imaging

No abstract provide

Modulation de la toxicité des métaux vis-à-vis du développement des biofilms de cours d'eau (bassin versant de Decazeville, France)

[Departement_IRSTEA]MA [TR1_IRSTEA]QSA / DYNAQNational audienceDes études de terrain sur des biofilms matures nous ont permis de souligner une modulation de la toxicité des métaux lourds (cadmium, zinc) en fonction de la disponibilité nutritive. Ainsi, le long d'un gradient de contamination organique et métallique (bassin versant de Decazeville, France), le biofilm se développe plus abondamment (en épaisseur, en densité) dans des conditions nutritives élevées, et de façon comparable en conditions de contamination organique importante et de contaminations combinées nutriments / métaux. L'épaisseur du biofilm exerce un effet protecteur des métaux par : (i) l'existence de gradients de diffusion limitant leur pénétration vers les couches internes du biofilm, (ii) une mortalité élevée des cellules superficielles de la matrice, agissant comme une barrière supplémentaire, (iii) la production par les organismes de polypeptides complexant le métal sous forme moins biodisponible

Impacts of Payment for Forest Ecosystem Services on Local livelihoods in A Luoi District, Thua Thien Hue Province, Viet Nam

This paper analyses the impacts of the national Payment for Forest Environmental Services (PFES) policy in A Luoi district, Thua Thien Hue province, Viet Nam. There are mixed impacts of PFES in A Luoi district. While some surveyed households have experienced increases in income since PFES, for many other incomes have fallen. Our findings show PFES impacts on local communities and individuals are limited because most forest areas are managed by state agencies, leaving only 17.9% of PFES payments being channeled to these groups, while the rest goes to state government agencies and commune people’s committees. This disparity in PFES payments has further widened the income gap between state agencies and local households. PFES payments currently contribute little to household incomes, averaging only 2.64% of total earnings. PFES has little impact and additionality in advancing land tenure security and reducing natural forest product exploitation for generating income as impacts are similar to those found in non-PFES villages. PFES poverty reduction impacts vary from village to village, but in general, percentages of poor households receiving PFES payments range from 1% to 59%

Land Conversion for Tourism Development under Vietnam's Ambiguous Property Rights over Land

Contains fulltext : 221409.pdf (publisher's version ) (Open Access)The paper aims to explore the process of land conversion for tourism development in Vietnam, under the present ambiguous and insecure property rights system. Four case studies in different geographical areas were selected to analyse land conversion and land compensation for tourism projects before and after the implementation of the new land law in 2013. The findings of this study show that, in the present legal system of land and property rights, the rights of local people are not sufficiently guaranteed due to the decisive role of the State not only in defining compensation prices for land in the case of compulsory land acquisition but also in determining whether tourism projects are in the public’s interest or not (thus deciding the appropriate land conversion approach as well as affecting price negotiations). The research also found that, although a voluntary land conversion approach (when the project is not in the public’s interest), based on the 2013 Land Law, offers land users a better negotiation position and a higher compensation payment, possibly reducing land-related conflicts between the State and land users, ambiguity over property rights in fact increased due to the government’s substantial discretion to choose between ‘public purpose’ and ‘economic purpose.’ The paper concludes with questioning whether the present legal basis for compulsory land acquisition is future proof since urbanisation pressure is likely to increase, which may lead to even more land conflicts in the near future