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Chemotherapy-induced neutropenia is a serious global health concern. It is essential that student nurses who are the future of healthcare are equipped with the right knowledge to care for the unique needs of patients with neutropenia.

The study assesses student nurses' knowledge of neutropenia management and examines the difference in their knowledge with regard to their demographics.

A descriptive cross-sectional survey design was used.

Participants for this survey were recruited from four nursing schools from three countries Jordan, Oman, and Saudi Arabia.

The study sample comprised 230 student nurses representing all three countries.

Online data collection was implemented. A message including the link to the study questionnaire was sent to students through their university portal. Demographic data and the neutropenia knowledge questionnaire were collected.

The student nurses showed poor knowledge of neutropenia and its management (mean=10.1 out of 30). The bridging students (M=12.6, SD=9.8) hultifaceted and requires deliberate effort from various agencies. Developing innovative strategies to increase the coverage of oncology nursing in the curriculum, improving faculty expertise, enhancing staff nurses' knowledge and skills, provision of funding, and adoption of oncology-related competencies in the nursing program need to be explored as key solutions.
In the context of ongoing climate change, temperature variability (TV) has been considered as an important trigger of death. However, evidence of association between mortality and hourly temperature variability (HTV) is scarce at the multi-city level, and the time window of health effects of HTV is lack of investigation. This study aims at quantifying the mortality risk and burden of HTV and exploring subpopulations susceptible to HTV from a large-scale multi-city perspective.

Data on daily number of deaths and meteorology were collected for 31 Chinese major cities during 2007-2013. HTV was calculated as the standard deviation of hourly temperature within a few days. The optimal exposure period of HTV was chosen according to multiple scientific criteria. A quasi-Poisson regression combined with distributed lag nonlinear model was used to assess the city-specific HTV-mortality associations. Then, meta-analysis was further applied to pool city-specific effect estimates. Finally, we calculated the fraction operature variability.
HTV is associated with a considerable mortality burden, which may be modified by season, geographic and individual-level factors. Our findings highlight the practical importance of establishing early warning systems and promoting health education to mitigate the impacts of temperature variability.Cadmium (Cd) contamination in paddy fields is a serious health concern because of its high toxicity and widespread pollution. Recently, much progress has been made in elucidating the mechanisms involved in Cd uptake, transport, and transformation from paddy soils to rice grains, aiming to mitigate the associated health risk; however, these topics have not been critically reviewed to date. Here, we summarized and reviewed the (1) geochemical distribution and speciation of Cd in soil-rice systems, (2) mobilization, uptake, and transport of Cd from soil to rice grains and the associated health risks, (3) pathways and transformation mechanisms of Cd from soil to rice grains, (4) transporters involved in reducing Cd uptake, transport, and accumulation in rice plants, (5) factors governing Cd bioavailability in paddy, and (6) comparison of remediation approaches for mitigating the environmental and health risks of Cd contamination in paddy fields. Briefly, this review presents the state of the art about the fate of Cd in paddy fields and its transport from soil to grains, contributing to a better understanding of the environmental hazards of Cd in rice ecosystems. Challenges and perspectives for controlling Cd risks in rice are thus raised. The summarized findings in this review may help to develop innovative and applicable methods for controlling Cd accumulation in rice grains and sustainably manage Cd-contaminated paddy fields.In this paper, the degradation of three endocrine-disrupting chemicals (EDCs) bisphenol A (BPA), 17β-estradiol (E2) and 17α-ethinylestradiol (EE2) by manganite (γ-MnOOH) activated peroxymonosulfate (PMS) was investigated. Preliminary optimisation experiments showed that complete degradation of the three EDCs was achieved after 30 min of reaction using 0.1 g L-1 of γ-MnOOH and 2 mM of PMS. The degradation rate constants were determined to be 0.20, 0.22 and 0.15 min-1 for BPA, E2 and EE2, respectively. Combining radical scavenging approaches, Electron paramagnetic resonance (EPR) and X-ray photoelectron spectroscopy (XPS) analyses, we revealed for the first time that about 40% of EDCs degradation can be attributed to heterogeneous electron transfer reaction involving freshly generated Mn(IV), and 60% to sulfate radical degradation pathway. The influence of various inorganic ions on the γ-MnOOH/PMS system indicated that removal efficiency was slightly affected by chloride and carbonate ions, while nitrate and nitrite ions had negligible impacts. The application of γ-MnOOH/PMS system in real sewage treatment plant water (STPW) showed that degradation rate constants of EDCs decreased to 0.035-0.048 min-1 and complete degradation of the three EDCs after 45 min. This study provides new insights into the reactivity of combined γ-MnOOH and PMS, and opens new ways for the application of Mn-bearing species in wastewater treatment technologies.The crop-livestock system is responsible for a large proportion of global reactive nitrogen (Nr) losses, especially from China. There are diverse livestock systems with contrasting differences in feed, livestock and manure management. However, it is not yet well understood which factors greatly impact on the nitrogen (N) budgets and losses of each system. In this study, we systematically evaluated the N budgets of the crop-livestock production system from 1980 to 2050 in China by identifying the differences of 20 distinct livestock systems. During 1980 to 2010, the total N flow through the crop-livestock system increased from 21.4 to 49.7 Tg, with large variations in different input/output pathways, due to the strong livestock transitions of production towards to a monogastric and landless industrial system. see more Different systems contributed differently to the total N budgets in 2010. For example, the landless industrial system contributed 67% of livestock product N output, but accounted for 80% of total mineral N fertilizer use and feed N imports by the whole crop-livestock system.
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