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Imagine that you and your traveling companion are toming the ruins of the ancient city of Pompeii. Your historically uninformed companion asks you, 'So, what caused the destruction of Pompeii?' [...]

Abstract During 2020-2021, the COVID-19 pandemic exposed significant vulnerabilities in hospital safety, with oxygen-related fires and explosions occurring at twice the usual rate. This highlighted insufficient preparedness for increased oxygen therapy demands and the associated risks of oxygen-enriched atmospheres. This study aimed to develop and test a smart monitoring system to detect increased oxygen concentrations in hospital environments, mitigating the risk of fires. Based on Internet of Things (IoT) technology, the system includes wireless sensors that measure oxygen levels at regular intervals and transmit the data to a database. Alerts are sent to hospital staff via short message service and e-mail when oxygen levels exceed predefined thresholds. The sensors were deployed in an intensive care unit and were validated through real-time measurements under hospital conditions. The system demonstrated high accuracy (±1%) in monitoring oxygen concentrations with low power consumption (345 µA for oxygen concentration measurements taken every minute). Notifications reliably informed staff of oxygen level thresholds, enabling timely interventions. The proposed IoT-based smart monitoring system is a cost-effective and efficient solution for improving safety in medical environments.

Physician-assisted suicide (PAS)-commonly but misleadingly called 'medical aid in dying' (1)--is now legal in 11 jurisdictions in the US. PAS remains an area of great controversy among physicians, medical ethicists, [...]

IntroductionOver the past decade, foundational courses in MCH have been revised and revamped to integrate the life course perspective and social determinants of health in ways that bring these essential issues to the core of the learning experience. Yet the racial reckoning of 2020 and the racially disparate health impacts of the COVID-19 pandemic underscore that a deeper, more focused approach to anti-racist pedagogy is now imperative for MCH educators and others responsible for developing the MCH workforce.MethodsIn this paper, we discuss our experience of building a 'community of practice' of anti-racist MCH trainees through our course, 'Foundations of Maternal and Child Health Policy, Practice, and Science.'ResultsWe identify four principles which guided our course: (1) building on students' experience, knowledge, identities and social justice commitments; (2) creating a common purpose and shared vocabulary related to racism; (3) organizing classroom activities to reflect real-world problems and professional practices related to addressing structural racism as a root cause of health inequities; and (4) building students' skills and confidence to recognize and address structural racism as MCH professionals.DiscussionWe hope that this description of our principles, along with examples of how they were put into practice, will be useful to MCH educators who seek to build anti-racist frameworks to guide MCH workforce development.

Background and Objectives: Surgical site infections (SSIs) are a significant complication following ventral hernia repair, potentially leading to prolonged hospital stays and increased morbidity. This study aimed to evaluate whether closed incision negative pressure wound therapy (ciNPWT) reduces the incidence of SSI after ventral hernia repair with polypropylene mesh compared to standard wound care. Materials and Methods: A randomized study was conducted with 100 patients undergoing ventral hernia repair using a polypropylene mesh. Participants were divided into two groups: a control group (n=50), which received standard sterile gauze dressing with an iodine-based disinfectant, and an intervention group (n=50), treated with the ciNPWT system (Vivano® by HARTMANN) for 5 days postoperatively. The primary outcome was the incidence of SSI within one year after surgery. Secondary outcomes included the influence of factors such as age, sex, smoking status, and hernia size on SSI occurrence. The study was approved by the Ethics Committee at the University Hospital Ostrava, adhering to the ethical standards of the Helsinki Declaration. Results: The incidence of SSI was lower in the ciNPWT group compared to the standard care group (4% vs. 12%), though this difference did not reach statistical significance. No significant effect of sex or smoking status on SSI was observed. The control group had a shorter mean length of hospital stay. Larger hernias in the non-ciNPWT group were more prone to SSIs, as expected. Conclusions: Although limited by a small sample size, the findings suggest that ciNPWT may be associated with a reduced rate of SSI following ventral hernia repair. Further studies with larger populations are needed to confirm these results.

There is much talk about the role of artificial intelligence (AI) in everyday life as well as in medicine. This has experts wondering: Can machines possess genuine consciousness? Are they [...]

Have you heard? The story of Paul Pelosi being attacked was fake--a false flag operation! (1) And the January 6 attack on the Capitol building? Give me a break! That [...]

The analysis of biomedical signals is a very challenging task. This review paper is focused on the presentation of various methods where biomedical data, in particular vital signs, could be monitored using sensors mounted to beds. The presented methods to monitor vital signs include those combined with optical fibers, camera systems, pressure sensors, or other sensors, which may provide more efficient patient bed monitoring results. This work also covers the aspects of interference occurrence in the above-mentioned signals and sleep quality monitoring, which play a very important role in the analysis of biomedical signals and the choice of appropriate signal-processing methods. The provided information will help various researchers to understand the importance of vital sign monitoring and will be a thorough and up-to-date summary of these methods. It will also be a foundation for further enhancement of these methods.

ABSTRACT This study evaluated how nutritional insults applied at different stages of intrauterine development affect the growth and development of total tract organs and the mRNA expression of genes that encode growth factors, tight junction proteins, digestive enzymes, and glucose transporters in the small intestine of newborn goats. Fourteen nulliparous dairy goats were assigned to one of two nutritional plans over gestation: maintenance-restriction (M-R, n = 8) – 100% of maintenance requirement from d 8-84 of gestation followed by feeding at 50% maintenance requirement from d 85 of gestation to parturition; or restriction-maintenance (R-M, n = 6) – 50% of maintenance requirement from d 8-84 of gestation followed by feeding at 100% maintenance requirement from d 85 of gestation to parturition. Fisher's least significant difference test was performed using SAS 9.4, considering a full fixed-effect model. When expressed per kg of body weight, the weights of the small intestine and total intestine were 18.7 and 18.1% lower, respectively, for R-M offspring. The lengths of the small intestine and the total intestine of the R-M newborns were 19.1 and 9.5% shorter, respectively. This group also had a lower villus height:intestinal crypt depth ratio. The R-M offspring tended to have lower Solute carrier family 5 member 1 (SLC5A1), Solute carrier family 2 member 2 (SLC2A2), and Occludin (OCLN) mRNA expressions. Therefore, feed restriction in the first half of gestation is detrimental to the second half of gestation, reducing the offspring's intestinal absorptive area but enhancing their intestinal permeability.

O artigo detém-se na análise de poemas e de canções e valoriza seus aspectos estruturais enfocando os níveis gráfico-visual, sonoro, morfossintático e semântico, para chegar à interpretação, na qual se expõe o envolvimento do leitor. Para demonstrar que o texto poético resulta, como afirma Vinícius de Moraes, de um trabalho de construção, que independe de épocas literárias, os poemas escolhidos traduzem uma progressão no âmbito da literatura brasileira e abrangem textos que vão do século XIX até a modernidade. O referencial teórico utilizado encontra em Norma Goldstein, Juracy Assmann Saraiva, Ernani Mügge, Gabriela Hoffmann Lopes e Tatiane Kaspari as bases para a análise e para a interpretação dos textos, cujo método é indutivo. O artigo conclui que a exploração de textos poéticos não se esgota no exercício lúdico da linguagem, pois estimula o leitor a voltar-se sobre si mesmo, sobre sua relação com o outro e sobre o contexto social que habita.

During 2020-2021, the COVID-19 pandemic exposed significant vulnerabilities in hospital safety, with oxygen-related fires and explosions occurring at twice the usual rate. This highlighted insufficient preparedness for increased oxygen therapy demands and the associated risks of oxygen-enriched atmospheres. This study aimed to develop and test a smart monitoring system to detect increased oxygen concentrations in hospital environments, mitigating the risk of fires. Based on Internet of Things (IoT) technology, the system includes wireless sensors that measure oxygen levels at regular intervals and transmit the data to a database. Alerts are sent to hospital staff via short message service and e-mail when oxygen levels exceed predefined thresholds. The sensors were deployed in an intensive care unit and were validated through real-time measurements under hospital conditions. The system demonstrated high accuracy (±1%) in monitoring oxygen concentrations with low power consumption (345 µA for oxygen concentration measurements taken every minute). Notifications reliably informed staff of oxygen level thresholds, enabling timely interventions. The proposed IoT-based smart monitoring system is a cost-effective and efficient solution for improving safety in medical environments. [ABSTRACT FROM AUTHOR]

The evolutionary conserved orphan cytokine receptor-like factor 3 (CRLF3) has been implicated in human disease, vertebrate hematopoiesis and insect neuroprotection. While its specific functions are elusive, experimental evidence points toward a general role in cell homeostasis. Erythropoietin (Epo) is a major regulator of vertebrate hematopoiesis and a general cytoprotective cytokine. Erythropoietic functions mediated by classical Epo receptor are understood in great detail whereas Epo-mediated cytoprotective mechanisms are more complex due to involvement of additional Epo receptors and a non-erythropoietic splice variant with selectivity for certain receptors. In the present study, we show that the human CRLF3 mediates neuroprotection upon activation with the natural Epo splice variant EV-3. We generated CRLF3 knock-out iPSC lines and differentiated them toward the neuronal lineage. While apoptotic death of rotenone-challenged wild type iPSC-derived neurons was prevented by EV-3, EV-3-mediated neuroprotection was absent in CRLF3 knock-out neurons. Rotenone-induced apoptosis and EV-3-mediated neuroprotection were associated with differential expression of pro-and anti-apoptotic genes. Our data characterize human CRLF3 as a receptor involved in Epo-mediated neuroprotection and identify CRLF3 as the first known receptor for EV-3.

ABSTRACT: This study evaluated the effect of maternal protein supplementation during mid or late gestation on energy metabolism of the skeletal muscle of beef calves. Sixteen pregnant cows were divided into 3 groups: CTRL (not supplemented); MID (supplemented from 30 to 180 days of gestation); and LATE (supplemented from 181 to 281 days of gestation). The supplement contained 30% crude protein. Thirty days after birth, blood and muscle samples of the calves were collected for analyses of gene expression, proteins, and metabolites. No differences (P ≥ 0.15) in birth weight, performance at weaning, or muscle expression of the genes evaluated (P ≥ 0.21) were observed. Calves born to CTRL cows had a lower ratio (P = 0.03) of p-AMPK/AMPK protein in the skeletal muscle. Calves born to MID cows had lower (P = 0.04) glucose concentration than those born to LATE cows. Changes in p-AMPK/AMPK protein, indicated a possible metabolic inflexibility in the skeletal muscle of calves born to CTRL cows. These results indicated that lack of protein supplementation in pregnant cows alter the energy metabolism of their calves and reflect in a metabolic inflexibility.

It took only 48 hours for the pop psychology 'diagnosis' of the Uvalde, Texas, shooter to hit the internet. One headline screamed, 'A teenage psychopath is still a psychopath ...' [...]