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s must be emphasized for a better understanding of COVID-19.The interest in using geographic methods for health monitoring has grown strongly over the last two decades. Through these methods, analysis and visualization of health data can be more focused and target-group specific. The application in health monitoring is possible mostly due to broader technical possibilities and more available datasets. In this article, we show which geographic aspects are adapted in health monitoring at different levels (federal, state, municipality).For example, at the federal level, surveillance methods are used; at the state level health atlases are created; and on the municipality level geographic analyses are performed for possible public health interventions.Methods range from simple maps on different levels of aggregation to more complex methods like space-temporal visualization or spatial-smoothing methods. While the technical possibilities are in place, a broader implementation of geographic methods is mostly hindered by missing data access to small-area information and data protection policies. Better access to data could especially improve the possibility for geographic methods in health monitoring and could inform the population and decision makers to inform and improve population health or healthcare.
Population health monitoring, the regular and institutionalized production and dissemination of information and knowledge about the health status of apopulation, is an essential element of public health. Nevertheless, while epidemiology and biostatistics, for example, are well-recognized disciplines, this does not (yet) apply to population health monitoring. Over the past decade, however, it has matured as adistinct field of expertise.
This paper presents acomprehensive model for population health monitoring and describes its current status as afield of expertise. It concludes with an overview of the most important developments that are likely to shape the health information systems and population health monitoring practices of the future.
Combining the information pyramid (an application of the data-information-knowledge-wisdom hierarchy), describing outputs, and aso-called monitoring chain, describing activities, results in acomprehensive model for population health monitoring. The steps of the activioring chain, describing activities, results in a comprehensive model for population health monitoring. The steps of the activity chain can be viewed as a stairway by which the information pyramid is climbed, reaching evidence-informed policymaking at the top. Population health monitoring has several inherent strengths, such as its high societal relevance; its integrative, comprehensive, and structured approach; and the fact that it makes use of routinely collected data. In practice, however, secondary use of routine data is often hampered by technical, motivational, economic, political, ethical, and legal barriers. Important developments that will shape health information systems and population health monitoring practices of the future include digitalization and data-driven technology, citizen science, and the growing need for intersectoral approaches. Population health monitoring practice will need to adapt in order to counteract the risks and reap the benefits that these developments hold.The management of hemodynamic instability in the context of sepsis or septic shock is at the forefront in emergency care as well as in the intensive care unit. Cardiovascular instability has a dramatic impact on the rate of organ complications and mortality from sepsis. According to the guideline for the treatment of sepsis, mean arterial pressure should not fall below 65 mm Hg. Crystalloid balanced fluid and catecholamines are the cornerstones of therapy management for septic cardiovascular instability. In this article, the most important points of what, when and how much regarding circulation therapy are presented and critically discussed.
BSA-seq combined with whole-genome resequencing map-based cloning delimited the cucumber det-novel locus into a 44.5kb region in chromosome 6 harboring a putative candidate gene encoding a phosphatidylethanolamine-binding protein (CsCEN). Dactinomycin order Determinate and indeterminate growth habits of cucumber can affect plant architecture and crop yield. The TERMINAL FLOWER 1 (TFL1) controls determinate/indeterminate growth in Arabidopsis. In this study, a novel mutation in cucumber TFL1 homolog (CsCEN) has shown to regulate determinate growth and product of terminal flowers in cucumber (Cucumis sativus L.), which is similar to the function of CsTFL1 as previously reported. Genetic analysis in two determinate genotypes (D226 and D082) and indeterminate genotype (CCMC) revealed that a single recessive gene is responsible for this determinate growth trait. With the combination of BSA-seq and whole-genome resequencing, the locus of determinate-novel (det-novel) trait was mapped to a 44.5kb genomic region in chromosome 6. Sequas significantly lower in D226 compared to CCMC, suggesting its essential role in sustaining indeterminate growth habit. Identification and characterization of the CsCEN in the present study provide a new insight into plant architecture modification and development of cucumber cultivars suited to mechanized production system.KEY MESSAGE qKRN8, a major QTL for kernel row number in maize, was fine mapped to an interval of ~ 520 kb on chromosome 8 and the key candidate gene was identified via expression analysis. Kernel row number (KRN) is one of the most important yield-influencing traits and is closely associated with female inflorescence development in maize (Zea mays L.). In this study, an F23 population derived from a cross between V54 (low KRN line) and Lian87 (high KRN line) was used to map quantitative trait loci (QTLs) conferring KRN in maize. We identified 12 QTLs for KRN in four environments, each explaining 1.40-14.95% of phenotypic variance. Among these, one novel major QTL (named qKRN8) was mapped to bin 8.03 in all four environments, explaining 8.79-14.95% of phenotypic variation. By combining map-based cloning with progeny testing of recombinants, we ultimately mapped qKRN8 to an ~ 520 kb genomic interval, harboring six putative candidate genes. Among them, one candidate gene showed contrasted expression level in immature ears of the near-isogenic lines qKRN8Lian87 and qKRN8V54.
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