Miracle-dz/UniFAR-FTUs huggingface dataset:
Sources of fine organic aerosol. 5. Natural gas home appliances

Fine particle emissions from the combined exhaust of a vented natural gas-fired residential space heater plus a water heater have been examined using GC/MS techniques. Organic compounds such as n-alkanes, n-alkanoic acids, PAH, oxy-PAH, aza arenes, and thia arenes have been identified in the exhaust emissions. Total fine particle emission rates are fairly low, with 45.8 ng/kJ (±17.4); thus residential natural gas combustion does not add much to the total fine particulate organic carbon (OC) mass emissions to the urban atmosphere (about 0.1 % for the Los Angeles area). At least 22.5 % of the particle mass emitted consists of PAH, oxy-PAH, aza arenes, and thia arenes, and many of these compounds are known or suspected carcinogens or mutagens. If tests of additional units should show comparable emission rates, then residential and small commercial natural gas combustion in the Los Angeles area in 1982 could have contributed amounts of PAH and oxy-PAH to the urban atmosphere that are comparable to that emitted from diesel vehicles and that are about half as much as that released from catalyst-equipped automobiles. Therefore, in spite of its low mass emission rate, natural gas combustion aerosol may be of interest because of its high PAH content.
Death by hand sanitizer: syndemic methanol poisoning in the age of COVID-19

Abstract Background The advent of COVID-19 increased attention to hand hygiene in prevention of disease transmission. To meet the increased demand for hand sanitizer during the pandemic, the US FDA issued an Emergency Use Authorization allowing new manufacturers and importers to enter the market. Some of the newly introduced hand sanitizer products contained methanol in lieu of ethanol or isopropanol. We describe five patients with fatal methanol poisoning resulting from hand sanitizers improperly containing methanol. Case summary Comparing a 5-month period from 2019 to the same time frame in 2020, the Arizona Poison and Drug Information Center has seen an increase of 124% in exposures to hand sanitizer. Of these cases, 28% involved methanol-contaminated hand sanitizer. Five of these patients died from methanol poisoning. All five cases had similar clinical features with severe high anion gap metabolic acidosis and, in four patients, elevated osmolal gap. Methanol concentrations were consistently very elevated, but these results were not available before the patients succumbed. Four of the patients received fomepizole and adjunctive care. Two patients received emergency extracorporeal therapy. All five died despite maximal treatment efforts. Conclusion During the pandemic in 2020, there was a proliferation of alcohol-based hand sanitizers which contained methanol. Exposure to these products, which failed to meet regulatory standards, led to increased harm and death. Challenges to treatment of methanol poisoning, especially in rural areas, include lack of access to timely laboratory measurement of methanol concentrations and lack of available emergency hemodialysis without transfer of the patient.
The Impact of Organizational Support on Practice Outcomes in Nurse Practitioners in Taiwan

ABSTRACT Background Nurse practitioners (NPs) in Taiwan have practiced mainly in acute care hospitals since 2006. Although organizational support and level of support have been associated with the successful integration of NP roles and effective practice outcomes, organizational support in the context of NPs in inpatient settings is an area that has been rarely explored in the literature. Purpose The purpose of this study was to investigate the relationship between organizational support and the practice outcomes of job satisfaction, care effectiveness, and intention to leave in NPs. Methods A national survey of 512 NPs was conducted that included a demographic characteristics datasheet, the Nurse Practitioner Primary Care Organizational Climate Questionnaire, the Misener Nurse Practitioner Job Satisfaction Scale, and the Nurse Practitioner Care Effectiveness Scale. Multiple regression analysis was applied to explore the specific factors associated with job satisfaction. The statistical significance level was set at . 05 with a two-tailed test. All statistical analyses were conducted using SPSS Statistics Version 22.0 software. Results More than half of the participants were found to be dissatisfied with their hospital managers (54.8%) and with each dimension of organizational support. Overall, 82.1% of the participants were satisfied with their current practice. A multiple regression analysis showed that the participants who perceived higher levels of organizational support in the workplace (β = .53, p < .001), expressed satisfaction with working with their managers (β = .25, p < .001), or perceived better care outcomes (β = .10, p < .001) reported higher job satisfaction. In addition, the participants who expressed intention to leave within 1 year (β = −.09, p < .001) and those with higher patient loads (β = −.09, p < .001) reported lower job satisfaction. Organizational support was found to explain 50% of the variance in job satisfaction. Conclusions/Implications for Practice The results of this study highlight organizational support as the most important factor affecting job satisfaction in NPs. Therefore, administrators work to promote organizational support and improve the work environment to enhance the job satisfaction, increase the clinical practice retention, and improve the care outcomes of NPs.
Vertically Aligned Carbon Nanotubes/Graphene Hybrid Electrode as a TCO- and Pt-Free Flexible Cathode for Application in Solar Cells

Dye-sensitized solar cells (DSSCs) are an emerging photovoltaic technology with both low costs and good efficiency. However, the cathode used in most DSSCs is fluorine-doped tin oxide glass coated with a Pt film, which is both expensive and brittle and therefore limits the flexibility and large-scale implementation of this promising technology. We report here work which showed that flexible, seamlessly covalently bonded, three-dimensional vertically aligned few-walled carbon nanotubes (VAFWCNTs)/graphene on metal foil can act as a novel cathode free from transparent conducting oxide and Pt for application in DSSCs. This cathode has a lower charge transfer resistance and lower contact resistance between the catalyst and the substrate than the conventional combination in a brittle Pt/fluorine-doped tin oxide cathode. The covalently bonded graphene and VAFWCNTs ensure excellent electron transport through the electrode and the large surface area of the hybrid carbon materials rivals the catalytic capability of the Pt analogue. DSSCs utilizing this flexible VAFWCNTs/graphene hybrid cathode outperformed the Pt-based cells in both rigid (8.2% vs. 6.4%) and flexible (3.9% vs. 3.4%) assemblies. The VAFWCNTs/graphene on metal foil combination is a novel, inexpensive, high-performance, flexible cathode for application in solar cells.
Targetability of cervical cancer by magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU)-mediated hyperthermia (HT) for patients receiving radiation therapy

Abstract Purpose To evaluate the targetability of late-stage cervical cancer by magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU)-induced hyperthermia (HT) as an adjuvant to radiation therapy (RT). Methods Seventy-nine cervical cancer patients (stage IIIB–IVA) who received RT with lesions visible on positron emission tomography-computed tomography (PET-CT) were retrospectively analyzed for targetability using a commercially-available HT-capable MRgHIFU system. Targetability was assessed for both primary targets and/or any metastatic lymph nodes using both posterior (supine) and anterior (prone) patient setups relative to the transducer. Thirty-four different angles of rotation along subjects’ longitudinal axis were analyzed. Targetability was categorized as: (1) Targetable with/without minimal intervention; (2) Not targetable. To determine if any factors could be used for prospective screening of patients, potential associations between demographic/anatomical factors and targetability were analyzed. Results 72.15% primary tumors and 33.96% metastatic lymph nodes were targetable from at least one angle. 49.37% and 39.24% of primary tumors could be targeted with patient laying in supine and prone positions, respectively. 25°–30° rotation and 0° rotation had the highest rate of the posterior and anterior targetability, respectively. The ventral depth of the tumor and its distance to the coccyx were statistically correlated with the anterior and posterior targetability, respectively. Conclusion Most late-stage cervical cancer primaries were targetable by MRgHIFU HT requiring either no/minimal intervention. A rotation of 0° or 25°–30° relative to the transducer might benefit anterior and posterior targetability, respectively. Certain demographic/anatomic parameters might be useful in screening patients for treatability.
Cardiovascular and Cerebrovascular Complications With COVID-19

The coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus-2 has affected the health of people across the globe. Cardiovascular diseases (CVDs) have a significant relationship with COVID-19, both as a risk factor and prognostic indicator, and as a complication of the disease itself. In addition to predisposing to CVD complications, the ongoing pandemic has severely affected the delivery of timely and appropriate care for cardiovascular conditions resulting in increased mortality. The etiology behind the cardiac injury associated with severe acute respiratory syndrome coronavirus-2 is likely varied, including coronary artery disease, microvascular thrombosis, myocarditis, and stress cardiomyopathy. Further large-scale investigations are needed to better determine the underlying mechanism of myocardial infarction and other cardiac injury in COVID-19 patients and to determine the incidence of each type of cardiac injury in this patient population. Telemedicine and remote monitoring technologies can play an important role in optimizing outcomes in patients with established CVD. In this article, we summarize the various impacts that COVID-19 has on the cardiovascular system, including myocardial infarction, myocarditis, stress cardiomyopathy, thrombosis, and stroke.
Blood pressure responses to static and dynamic knee extensor exercise between sexes: Role of absolute contraction intensity

Males have larger blood pressure (BP) responses to relative intensity static handgrip exercise compared to females. Controlling for maximal voluntary contraction (MVC) absolute strength abolishes these differences. Whether similar observations exist during large muscle mass exercise or dynamic contractions remain unknown. BP, heart rate, muscle oxygenation (near‐infrared spectroscopy), and rectus femoris electromyography (EMG) were recorded in 28 males and 17 females during 10% and 30% MVC static (120s) and isokinetic dynamic (180s; 1:2 work‐to‐rest ratio; angular velocity: 60º/s) knee extensor exercise. At baseline and during exercise, continuous BP and heart rate were measured using finger photoplethysmography and single‐lead electrocardiography, respectively. MVC, as well as all submaximal exercise testing, was measured and performed on a dynamometer at 80⁰ of knee flexion, and voluntary activation was assessed using the interpolated twitch technique, with ≥90% voluntary activation of the knee extensors set as the acceptable activation threshold. Static and dynamic exercises were completed on separate visits, in a randomized order. The change from baseline of each variable was calculated for every 30 s during each submaximal test. Sex differences were then examined with and without statistical adjustment of MVC using analyses of covariance (ANCOVA). The males were taller and heavier than the females and had higher resting systolic BP (all P<0.05), while BMI, resting diastolic and mean arterial BP, and heart rate were similar between sexes (all P>0.05). Knee extensor MVC was higher in males than females (165 ± 40 vs. 94 ± 22 Nm, P<0.0001). Males had larger systolic BP responses (interaction, P<0.001) and muscle deoxygenation (interaction, P<0.01) than females during 10% static exercise, with no difference in EMG (interaction, P=0.73). Peak systolic BP was correlated to MVC (r=0.53, P=0.0002), and adjustment for MVC abolished sex differences in systolic BP (interaction, P=0.5). BP, heart rate, muscle oxygenation/deoxygenation, and EMG responses did not differ between sexes during 30% static exercise (interaction, All P>0.2), including following adjustment for MVC (All P>0.1). Males had larger systolic BP responses during dynamic exercise at 10% and 30% (interaction, Both P=0.01), which were abolished after adjustment for MVC (interaction, Both P>0.08). Systolic BP responses at 180s were correlated with MVC and stroke volume responses during 10% (r=0.31, P=0.04; r=0.61, P<0.0001, respectively) and 30% (r=0.4, P=0.007; r=0.59, P<0.0001, respectively). In conclusion, MVC can influence systolic BP responses to 10% but not 30% MVC static, as well as 10% and 30% MVC dynamic knee extensor exercise. MVC should be considered when comparing BP responses between males and females. Finally, the mechanisms mediating the larger pressor responses in stronger individuals across different exercise modalities warrant further investigation.
Relationship Between C-Reactive Protein to Albumin Ratio and Coronary Collateral Circulation in Patients With Stable Coronary Artery Disease

We investigated the relationship between the C-reactive protein (CRP) to albumin ratio (CAR) and coronary collateral circulation (CCC) in stable coronary artery disease (CAD). Patients with stable CAD (n = 354) who underwent coronary angiography for suspected CAD and had a total occlusion ≥1 major coronary artery were included in the study. The participants were divided into 2 groups according to the Rentrop score as satisfactory CCC (Rentrop 2-3) and poor CCC (Rentrop 0-1). Patients who had poor CCC had a higher CRP, neutrophil/lymphocyte ratio (NLR), and CAR levels compared with those who had satisfactory CCC (P < .001, P = .046, P < .001, respectively). The CAR (odds ratio: 3.522, 95% CI: 2.515-4.932, P < .001), CRP, NLR, and diabetes mellitus were independent predictors of poor CCC. In receiver operator characteristic curve (ROC) analysis, the optimal cutoff value of CAR to predict poor CCC was 1.27 (area under ROC curve = 0.735 [95% CI: 0.667-0.803], P < .001). A raised CAR may be an independent predictor of poor CCC.
Production and validation of educational technology on nursing care for syphilis prevention.

OBJECTIVES Validate script and storyboard of a video for educational intervention on nursing care for the prevention and management of syphilis. METHODS Methodological design study, with quantitative analysis approach. The content and appearance of the educational video script and storyboard was validated by a committee of experts on the subject and video. They were considered validated from the agreement of 78%, calculated by means of the Content Validity Index. RESULTS There were suggestions, which were analyzed; and, where relevant, the script and storyboard were changed. The degree of agreement among the expert judges on the subject obtained a Content Validity Index (CVI) of 100%, while, with the technical experts in video, all the questions in the educational material obtained the percentage above the recommended minimum of 78%. CONCLUSION The validated video is an important technological production and could be used in the context of health care.
Taxonomy and phylogeny of Koinocystididae (Platyhelminthes, Kalyptorhynchia), with the description of three new genera and twelve new species.

The taxon Koinocystididae is the third most species-rich family within Eukalyptorhynchia. However, its diversity and phylogeny have been largely neglected in former studies. We introduce three new genera and twelve new species of Koinocystididae including Simplexcystis asymmetrica gen. n. sp. n. , Galapagetula cubensis sp. n. , eight species of Reinhardorhynchus gen. n. and two species of Itaipusa. This raises the total number of species within Koinocystididae from 51 to 63. We also report on new distribution records for six known species: I. divae (Cuba, Panama and New Caledonia), I. karlingi (Sardinia and Lanzarote), Reinhardorhynchus riegeri comb. n. (Cuba), R. ruffinjonesi comb. n. (Cuba and Panama), Utelga heinckei (Cuba and Lanzarote), and U. pseudoheinckei (Sardinia). Simplexcystis asymmetrica gen. n. sp. n. is characterised by a male duct running eccentrically through the copulatory bulb, lack of any hard structures in the male system, lack of a bursa, and the fact that the epithelia of the female, the male, and part of the common atrium are covered by a brush border. Galapagetula cubensis sp. n. has a caudal gonopore, a divisa-type copulatory bulb with an unarmed penis papilla, and a female duct without a sphincter. The new species of Itaipusa and Reinhardorhynchus gen. n. differ from their congeners in the detailed structure of the copulatory bulb and especially the hard structures associated with it. In a molecular phylogenetic analysis based on all available 18S and 28S rDNA sequences of koinocystidids, we found support for the monophyly of the family and the genus Utelga Marcus, 1949. The genus Itaipusa is not monophyletic in that I. sinensis forms a clade with Rhinolasius dillonicus, while other species of Itaipusa that have a copulatory bulb armed with hooks form a clade together with Sekerana stolzi. As the type species of Itaipusa (I. divae) is in neither of these clades, we erected a new genus for I. sinensis (Koinogladius gen. n.) and one for species of Itaipusa having a hook-bearing copulatory bulb (Reinhardorhynchus gen. n.), respectively. Whether the remaining species of Itaipusa form a monophylum remains uncertain.
Cost utility analysis of intramedullary nailing and skeletal traction treatment for patients with femoral shaft fractures in Malawi

Background and purpose — In Malawi, both skeletal traction (ST) and intramedullary nailing (IMN) are used in the treatment of femoral shaft fractures, ST being the mainstay treatment. Previous studies have found that IMN has improved outcomes and is less expensive than ST. However, no cost-effectiveness analyses have yet compared IMN and ST in Malawi. We report the results of a cost-utility analysis (CUA) comparing treatment using either IMN or ST. Patients and methods — This was an economic evaluation study, where a CUA was done using a decision-tree model from the government healthcare payer and societal perspectives with an 1-year time horizon. We obtained EQ-5D-3L utility scores and probabilities from a prospective observational study assessing quality of life and function in 187 adult patients with femoral shaft fractures treated with either IMN or ST. The patients were followed up at 6 weeks, and 3, 6, and 12 months post-injury. Quality adjusted life years (QALYs) were calculated from utility scores using the area under the curve method. Direct treatment costs were obtained from a prospective micro costing study. Indirect costs included patient lost productivity, patient transportation, meals, and childcare costs associated with hospital stay and follow-up visits. Multiple sensitivity analyses assessed model uncertainty. Results — Total treatment costs were higher for ST ($1,349) compared with IMN ($1,122). QALYs were lower for ST than IMN, 0.71 (95% confidence interval [CI] 0.66–0.76) and 0.77 (CI 0.71–0.82) respectively. Based on lower cost and higher utility, IMN was the dominant strategy. IMN remained dominant in 94% of simulations. IMN would be less cost-effective than ST at a total procedure cost exceeding $880 from the payer’s perspective, or $1,035 from the societal perspective. Interpretation — IMN was cost saving and more effective than ST in the treatment of adult femoral shaft fractures in Malawi, and may be an efficient use of limited healthcare resources.
Trolley dilemma in the sky: Context matters when civilians and cadets make remotely piloted aircraft decisions

Crews operating remotely piloted aircrafts (RPAs) in military operations may be among the few that truly experience tragic dilemmas similar to the famous Trolley Problem. In order to analyze decision-making and emotional conflict of RPA operators within Trolley-Problem-like dilemma situations, we created an RPA simulation that varied mission contexts (firefighter, military and surveillance as a control condition) and the social “value” of a potential victim. We found that participants (Air Force cadets and civilian students) were less likely to make the common utilitarian choice (sacrificing one to save five), when the value of the one increased, especially in the military context. However, in the firefighter context, this decision pattern was much less pronounced. The results demonstrate behavioral and justification differences when people are more invested in a particular context despite ostensibly similar dilemmas.
A study of the click beetles (Coleoptera: Elateridae) of northwestern Iran with three new species Reitterelater prosternalis sp. n., Melanotus borumandi sp. n. and M. kurdestanicus sp. n.

More than 800 specimens collected during 2015-2018 are studied from northwestern Iran. Thirty four species belonging to five subfamilies and 21 genera are listed. Reitterelater prosternalis sp. n. , Melanotus borumandi sp. n. and M. kurdestanicus sp. n. are described. The genus Reitterelater and the species Pristilophus melancholicus (Fabricius) are recorded for the first time from Iran. Distributional map and climate data are presented for each species.
Discrimination and Substance Use: Examining the Moderating Role of Impulsivity among Racial-Ethnic Minority Adolescents

ABSTRACT Background: Research on substance use among racial-ethnic minority populations notes that discrimination experiences predict substance use outcomes. Individual-level factors, such as impulsivity, are also known risk factors for substance use. However, little is known about the direct and interaction effects between discrimination experiences and impulsivity among racial-ethnic minority youth. The current study examines the effects of perceived experiences of discrimination on alcohol and marijuana use among racial-ethnic minority youth, and whether individual differences in impulsivity traits help to further understand potential risk for substance use. Methods: Participants were 112 racial-ethnic minority adolescents (Mage = 15.27; African American, Hispanic, Multiracial, Native American/Alaskan Native, or Other). Adolescents completed self-report measures of perceived experiences of discrimination, alcohol and marijuana use (past year occurrence and problematic use), and five impulsivity traits (i.e., sensation seeking, lack of planning, lack of perseverance, negative urgency, and positive urgency). Results: A significant main effect of perceived discrimination on problem marijuana use was found, as well as a significant main effect of lack of premeditation on current marijuana use. Several marginally significant main effects emerged for alcohol use and problem alcohol use (i.e., positive urgency and sensation seeking, respectively). Conclusion: While no significant moderation effects emerged, marginal findings suggest a potential interactive effect of discrimination and impulsivity traits on problem alcohol and marijuana use among racial-ethnic minority youth. Further research is needed in this area to replicate findings, which is critical to informing effective intervention and prevention efforts for this population of youth.