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9 days for SILA, 2.4 days for CLA (P=0.144). Seven children required hospital readmission, 5 SILA and 2 CLA (P=0.244). Five of the children who returned had intra-abdominal abscesses, of whom 4 had SILA. There was no difference in cost.

The operative techniques had similar outcomes and operative times. There was a trend toward more intra-abdominal abscesses in the SILA group. Further study and longer follow up is needed to determine if there is an advantage to one laparoscopic approach over another.
The operative techniques had similar outcomes and operative times. There was a trend toward more intra-abdominal abscesses in the SILA group. Further study and longer follow up is needed to determine if there is an advantage to one laparoscopic approach over another.
Inherited colorectal cancer syndromes increase the risk of contracting colorectal and other cancers. International guidelines recommend the identification of individuals with hereditary colorectal cancer and the supervision of asymptomatic individuals with a family history. However, detection of hereditary colorectal cancer is suboptimal. The prevalence of genetic counselling and testing for individuals with high genetic risk is low.

To identify, characterize and summarize patient-targeted interventions on improving the uptake of colorectal cancer genetic evaluation for at-risk individuals and enhancing their informed decision making.

Systematic review.

Six electronic databases (PubMed, CINAHL, Web of Science, Embase, PsycINFO, and Cochrane library) were searched to identify eligible clinical trials from each database's inception to March 25, 2020. The reference lists of the included studies and reviews were checked for additional articles.

Studies were screened and independently appraised by two ret-risk individuals and their informed decision making. However, to our knowledge, this is the first systematic review to summarize the effectiveness of patient-targeted interventions to inform decision making and improve uptake of colorectal cancer genetic evaluation for at-risk individuals. This review provides important evidence for related topics. Future studies with rigorous designs are recommended. Nurses have a crucial role in personalized health care. The involvement of nurses in collaboration with all the stakeholders in the development, implementation and evaluation of cancer genetic screening programs to improve genetic referral of individual at risk.A frog can jump several times higher than its own height and then land smoothly on the ground. During the buffering phase, both forelimbs touch the ground and compact quickly to absorb most of the impact energy. However, the adjustment of the joint angles of the forelimb and the induced cushioning effect during the landing process have not been thoroughly investigated. In this study, we statistically summarized the angular displacements of forelimb joints with respect to landing velocities by using a high-speed motion capture system. It is found many joint angles were linearly influenced by landing velocity at both ground touching moment and maximum compression moment. Moreover, the double-peak pattern of ground reactive force was measured, which attributes to the forelimb landing and the followed abdomen/hindlimb landing. Before the appearance of the first peak, the compression of the forelimb and the reactive force revealed a linear relationship regardless of velocity, implying that the forelimbs act as a constant stiffness spring in landing. Accordingly, a simple spring-mass model was proposed and verified by simulation for forelimb cushioning of the frog. We anticipate our achievements to inspire the design of future landing mechanisms.Obstructive sleep apnea syndrome (OSAS) is a common disorder with recurrent pharyngeal airway collapse and sleep disruption. Recently, great progress has been made in investigating the physical mechanism of OSAS development and treatment using computational fluid dynamics (CFD). However, previous studies always neglected the oral cavity artificially in the patient's upper airway CFD model, but did not give any specific explanation. The oral cavity effect on the OSAS upper airway flow is still a matter of unclear. This paper reconstructed the patient-specific upper airway models based on the cone beam computed tomography images of ten children subjects (seven boys and three girls) and used CFD to simulate both the steady and unsteady expiration and inspiration states in the upper airway model with or without the oral cavity. A series of pressure measurement experiments based on the in vitro 11 scaled airway model were performed to validate the reliability of the present CFD methods. Finally, the CFD results indicate that the open oral cavity is almost a region of flow stasis with constant pressure, and both the upper airway aerodynamics with and without the oral cavity have the similar trends, with the maximum average relative difference less than 6%. The present study shows that the open oral cavity causes very little impacts on the upper airway flow of the children patients with OSAS using the nasal respiration only, and confirms the reasonability of ignoring the oral cavity for CFD simulation.Marine scientists and other experts depend on information found in archival documents and other historical records to investigate underwater munitions. These sources help them locate dumpsites, establish timelines, identify ordnance, and better understand the hazards, chemicals, and degradation products found in their studies. However, historical sources do not always satisfy these needs, and can sometimes lead investigators down convoluted, incomplete, and misleading trails of evidence. This article seeks to provide scientists with some advice about conducting archival research and interpreting meaning from historical sources by recounting the history of a dumping operation that never happened over the summer of 1921. In doing so, this article demonstrates the value of historical perspectives and research methodologies, and encourages scientists to better integrate historical evidence into their work and seek out more collaborative opportunities with historians.
The aim of this study was to understand the diet-related behaviors of Hainan centenarians and to analyze dietary factors that affect their nutritional status.

Data were collected from the China Hainan Centenarian Cohort Study, a full sample survey including questionnaires, physical examinations, and physiologic indices of the centenarian population. The study included 1002 centenarians. The diet-related behaviors were assessed using the food frequency questionnaire; nutritional status was determined according to the Mini Nutritional Assessment - short form scale scores. We used logistic regression models to analyze the main dietary risk factors of malnutrition.

Of all the centenarians, 94.6% maintained regular meals, 80.4% had three meals a day, 53.4% ate each meal until 80% full, 88.7% ate vegetables daily, and 70% drank one to two cups of water daily. Centenarians ate rice-based staple foods; eggs, dairy, legumes, nuts, and poultry were not popular. The main sources of meat were red meat and seafood. atus and provided scientific support for dietary strategies that may improve the nutritional status of the elderly population.Microbial stability and evolution are a critical aspect for biosensors, especially in detecting dynamic and emerging anaerobic biohythane production. In this study, two upflow air-cathode chamber microbial fuel cells (UMFCs) were developed for in situ monitoring of the biohydrogen and biomethane reactors under a COD range of 1000-6000 mg/L and 150-1000 mg/L, respectively. Illumina MiSeq sequencing evidenced the dramatic shift of dominant microbial communities in UMFCs from hydrolytic and acidification bacteria (Clostridiaceae_1, Ruminococcaceae, Peptostreptococcaceae) to acetate-oxidizing bacteria (Synergistaceae, Dysgonomonadaceae, Spirochaetaceae). In addition, exoelectroactive bacteria evaluated from Enterobacteriaceae and Burkholderiaceae to Desulfovibrionaceae and Propionibacteriaceae. Especially, Hydrogenotrophic methanogens (Methanobacteriaceae) were abundant at 93.41% in UMFC (for monitoring hydrogen reactor), which was speculated to be a major metabolic pathway for methane production. Principal component analysis revealed a similarity in microbial structure between UMFCs and methane bioreactors. Microbial network analysis suggested a more stable community structure of UMFCs with 205 days' operation.The effects of fungal pellets (FPs) dosage on both structural and functional stability of aerobic granular sludge (AGS) were investigated during 200-day operation. Results showed that the AGS induced by low (a dry mass ratio of FPs to seed sludge, 30%) and high FPs dosage (60%) exhibited good morphology integrity during the entire phase of operation, while the filamentous overgrowth and AGS breakup were observed in the control reactor (0% FPs). Moreover, the granules developed at high FPs dosage demonstrated excellent nutrients removal (COD 93%; NH4+-N 100%; TN 77%) and stable bioactivity with a maximum specific oxygen uptake rate (SOUR) of 52.6 ± 2.6 mg O2/(gVSS·h), a value being 12.2% and 26.7% higher than that of 30% and 0% dosage. selleck compound The microbial community analysis revealed 60% FPs dosage enriched various functional bacteria involved in nutrients removal. This study suggests a sustainable strategy for improving structural and functional stability of AGS.The non-structural components (extractives and ash) in biomass can affect the torrefaction characteristics. The objective of this study was to investigate the applicability of air oxidative and non-oxidative torrefaction for corn stalk, which has higher organic extractives and lower ash contents. The raw materials were torrefied with air and nitrogen in a fluidized bed reactor at 180℃~235℃ and 200℃~280℃ for 1 h, respectively. The proximate and ultimate analysis results demonstrated that the lower ash content (3.89%) was not favorable for deoxygenation. The organic extractives, extracted materials and mixture were torrefied with nitrogen at 260℃. The results indicated that the addition of organic extractives reduced the deoxidation efficiency of structural components during torrefaction. Compared to raw materials, the moderate and severe removal of hemicellulose can be achieved through torrefaction under air and nitrogen, respectively.Industries such as oil mining face challenges in the treatment of polyacrylamide (PAM)-containing wastewater produced during petroleum extraction. The feasibility of using revolving algae biofilm (RAB) reactors to treat PAM-contaminated wastewater for simultaneous removal of carbon and nitrogen was evaluated. The presence or absence of external nitrogen sources had a significant impact on the treatment effect of the RAB system. With the additional N source, the PAM, COD, TOC, and TN removal rates were 64.1 ± 2.0, 58 ± 1.5, 34.5 ± 1.5, and 85 ± 6.0%, respectively. High-throughput sequencing showed that the biofilms on RAB reactors contained a variety of bacteria, cyanobacteria, and green algae, degrading PAM through various mechanisms. The results of infrared spectroscopy analysis indicate that the product of these processes was carboxylic acid. Based on these results, it was concluded that RAB systems can be effectively applied to the treatment of polymer-containing wastewater.
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