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The rapid growth of the livestock and poultry industries has resulted in the production of a large amount of wastewater, and the treatment of this wastewater requires sustainable and environmentally friendly approaches such as phytoremediation. A substrate-free floating wetland planted with water dropwort (Oenanthe javanica), a common vegetable in Southeast China, was constructed to purify a lagoon with anaerobically and aerobically treated swine wastewater in Suqian, China. The average removal rates of total nitrogen, ammonium nitrogen, nitrite nitrogen, and chemical oxygen demand were 79.96%, 95.04%, 86.14%, and 59.91%, respectively, after 40 days of treatment. A total of 98.18 g∙m-2 nitrogen and 19.84 g∙m-2 phosphorus were absorbed into plants per harvest through the rapid growth of water dropwort biomass, and the nitrogen accumulation ability was similar to that observed of other plants, such as water hyacinth. In addition, the edible part of water dropwort was shown to comply with the Chinese National Food Sanitation Standards and be safe for human consumption. Its low soluble sugar content also makes it a suitable addition to the daily diet. Overall, substrate-free floating constructed wetlands planted with water dropwort could be more widely used for livestock wastewater purification and could be integrated with plant-livestock production in China because of its high removal efficiency and recycling utilization of water dropwort biomass.Disasters pose a real threat to the lives and property of citizens; therefore, it is necessary to reduce their impact to the minimum possible. In order to achieve this goal, a framework for enhancing the current disaster management system was proposed, called the smart disaster management system. The smart aspect of this system is due to the application of the principles of information and communication technology, especially the Internet of Things. All participants and activities of the proposed system were clarified by preparing a conceptual design by using The Unified Modeling Language diagrams. This effort was made to overcome the lack of citizens' readiness towards the use of information and communication technology as well as increase their readiness towards disasters. JNJ-42226314 in vitro This study aims to develop conceptual design that can facilitate in development of smart management system for flooding disaster. This will assist in the design process of the Internet of Things systems in this regard.
The benefits of breastfeeding are widely known; however, continuation after returning to work (RTW) is not. We aimed to conduct a systematic review and meta-analysis to assess the prevalence of breastfeeding after RTW. The secondary objectives were to compare the economic statuses between continents.
PubMed, Cochrane Library, Base, and Embase were searched until 1 September 2020, and two independent reviewers selected the studies and collated the data. To be included, articles needed to describe our primary outcome, i.e., prevalence of breastfeeding after RTW.
We included 14 studies, analyzing 42,820 women. The overall prevalence of breastfeeding after RTW was 25% (95% CI, 21% to 29%), with an important heterogeneity (I
= 98.6%)-prevalence ranging from 2% to 61%. Stratification by continents and by GDP per capita also showed huge heterogeneity. The Middle East had the weakest total prevalence with 10% (6% to 14%), and Oceania the strongest with 35% (21% to 50%). Despite the prevalence of breastfeeding in general increasing with GDP per capita (<US$5000 19%, US$5000-30,000 22%; US$30,000 to 50,000 25%, >US$50,000 42%), the prevalence of non-exclusive breastfeeding follows more of a U-curve with the lowest and highest GDP per capita having the highest percentages of breastfeeding (<US$5000 47% and >US$50,000 50%, versus <28% for all other categories).
Breastfeeding after RTW is widely heterogeneous across the world. Despite economic status playing a role in breastfeeding after RTW, cultural aspects seem influential. The lack of data regarding breastfeeding after RTW in most countries demonstrates the strong need of data to inform effective preventive strategies.
Breastfeeding after RTW is widely heterogeneous across the world. Despite economic status playing a role in breastfeeding after RTW, cultural aspects seem influential. The lack of data regarding breastfeeding after RTW in most countries demonstrates the strong need of data to inform effective preventive strategies.In Latin American and Caribbean countries, the main concern of public health care managers has been traditionally placed on problems related to funding, payment mechanisms, and equity of access. However, more recently, there is a growing interest in improving the levels of efficiency and reducing costs in the provision of health services. In this paper we focus on measuring the technical efficiency and productivity change of public hospitals in Panama using bootstrapped Malmquist indices, which allows us to assess the statistical significance of changes in productivity, efficiency, and technology. Specifically, we are interested in comparing the performance of hospitals belonging to the two different management schemes coexisting in the country, the Social Security Fund (SSF) and the Ministry of Health (MoH). Our dataset includes data about 22 public hospitals (11 for each model) during the period between 2005 and 2015. The results showed that the productivity growth of hospitals belonging to the SSF has been much higher than that of the hospitals belonging to the Ministry of Health over the evaluated period (almost 4% compared to 1.5%, respectively). The main explanation for these divergences is the superior growth of technological change in the former hospitals, especially in the final years of the evaluated period.The health benefits associated with spending time in natural environments have been highlighted during the COVID-19 pandemic. Lockdowns and restrictions to safeguard public health have exacerbated the pre-existing mental health crisis and rise of non-communicable diseases. Thus, the importance of nature as a health resource has been elevated, hastening calls for a better understanding of how health benefits might differ across user groups and nature provisions. In this regard, urban green spaces have become the greatest research focus; however, blue spaces, especially inland freshwater (e.g., wetlands), remain less studied. First-hand user experiences are also under-represented. This exploratory study examines the motivations and benefits of active wetland centre users in the UK, both during and after visits. Responses to three open-ended questions were collated online from 385 participants, and a qualitative content analysis was conducted based on an existing taxonomy from users of urban green spaces. The reco-benefits.Although patient rights are an important issue, this remains an understudied research area. Patients are unaware of their rights, lacking control of health care treatments they might deserve. This can contribute to sustaining inequality as well as failure in achieving welfare policy goals. Drawing on channel complementarity theory, the current study explored patients' awareness toward their rights, and the credibility of information sources related to patient rights. In a web-based survey, 994 Israeli participants, suffering from chronic illness and using health services, were recruited. To examine the study's theoretical framework and relationships among the constructs and test the hypotheses, a path analysis was conducted using Structural Equation Modeling. The research model depicts direct and indirect relationships between constructs, and the relevant coefficients. The results show a direct and positive interaction between information credibility and patient rights awareness (β = 0.10, p = 0.019). Information credibility partially mediates the relationship between public service information sources and patient rights awareness (bootstrap with 95% CI 0.01-0.07; p = 0.015). The mass media information sources construct is directly and positively related to information credibility (β = 0.36, p = 0.000). Age was found as a moderator, indicating that information credibility is a factor only at lower ages. Therefore, patient rights should be systematically and reliably accessible in order to raise the awareness and trust of chronic patients regarding information about patient rights. Using planned health communication campaigns mainly via public service sources that are perceived as trustworthy can help contribute to approach patients more effectively and provide them with accessible and detailed information about their rights.Evidence-based strategies are needed to curb the growing cases of physical inactivity related morbidities. Delivering holistic care through collaborative shared decision making could boost the effectiveness of physical activity referral schemes (PARS) and foster the quality of care for patients with multimorbidity. A qualitative study involving semi-structured telephone interviews was utilised to gain insights from Australian PARS stakeholders (general practitioners, exercise physiologists, and patients). A pluralistic evaluation approach was employed to explore and integrate participants' opinions and experiences of PARS and their recommendations were used to develop a model for quality care delivery in PARS initiatives. Five overarching themes promote, relate, incentivise, communicate, and educate were identified as the 'PRICE' for developing effective and functional PARS programmes that foster quality patient care. It was evident that PARS programmes or policies aimed at optimising publicity, encouraging incentives, improving interdisciplinary information sharing and professional relationships between patients and healthcare professionals can transform healthcare delivery and provide top quality PARS care services to patients. Therefore, governments, healthcare systems, and PARS administrators can translate and leverage the insights from this study to optimise the delivery of high quality care to PARS patients.Recent scientific literature has published about the Isolating Gender Violence (IGV), the violence exerted by harassers against those who support their victims. IGV provokes suffering to advocates with health and well-being consequences that have been analyzed by more recent research; but IGV provokes also suffering on the victims of gender violence when they see the suffering of those who have supported them and also for their isolation. Thus, the aim of the present study is to explore the health and well-being consequences of IGV on gender violence survivors. The methodology includes three narratives of gender violence survivors whose advocates supporting them were victimized by IGV. The results show, on the one hand, an increase of the health and well-being effects of gender violence already analyzed by scientific literature; on the other hand, new health and well-being effects appear. All survivors interviewed say that, besides those new consequences for their health, the support of those advocates has decreased the global health effects of the total gender violence they suffered.
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