Search

Regression algorithms are regularly used for improving the accuracy of satellite precipitation products. In this context, satellite precipitation and topography data are the predictor variables, and gauged-measured precipitation data are the dependent variables. Alongside this, it is increasingly recognised in many fields that combinations of algorithms through ensemble learning can lead to substantial predictive performance improvements. Still, a sufficient number of ensemble learners for improving the accuracy of satellite precipitation products and their large-scale comparison are currently missing from the literature. In this study, we work towards filling in this specific gap by proposing 11 new ensemble learners in the field and by extensively comparing them. We apply the ensemble learners to monthly data from the PERSIANN (Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks) and IMERG (Integrated Multi-satellitE Retrievals for GPM) gridded datasets that span over a 15-year period and over the entire contiguous United States (CONUS). We also use gauge-measured precipitation data from the Global Historical Climatology Network monthly database, version 2 (GHCNm). The ensemble learners combine the predictions of six machine learning regression algorithms (base learners), namely the multivariate adaptive regression splines (MARS), multivariate adaptive polynomial splines (poly-MARS), random forests (RF), gradient boosting machines (GBM), extreme gradient boosting (XGBoost) and Bayesian regularized neural networks (BRNN), and each of them is based on a different combiner. The combiners include the equal-weight combiner, the median combiner, two best learners and seven variants of a sophisticated stacking method. The latter stacks a regression algorithm on top of the base learners to combine their independent predictions. Its seven variants are defined by seven different regression algorithms, specifically the linear regression (LR) algorithm and the six algorithms also used as base learners. The results suggest that sophisticated stacking performs significantly better than the base learners, especially when applied using the LR algorithm. It also beats the simpler combination methods. [ABSTRACT FROM AUTHOR]

Aim Bayley Scales of Infant and Toddler Development (Bayley-III) determines scaled scores and converts these into composite scores. It was shown that applying the German and the U.S. manual leads to different results. This study aims to systematically analyze the differences between the U.S. and German Bayley-III version and to develop conversion equations. Methods This simulation study generated a dataset of pairs of U.S. and German Bayley-III composite scores (cognitive: n = 4,416, language: n = 240,000, motor: n = 314,000) by converting the same number of achievable tasks for 48 age groups. Bland–Altman plot and regression analyses were performed to develop conversion equations for all age groups. Results German and US Bayley-III scores demonstrate distinct slope and interception for cognitive, language, and motor composite scores. Lower developmental performance leads to higher composite scores with U.S. norms compared with German norms (up to 15 points). These differences varied between age groups. With newly developed conversion equations, the results can be converted (R 2 > 0.98). Interpretation This study confirms systematic differences between U.S. and German Bayley test results due to different reference cohorts. Our data consider the full age range and add conversion equations. These findings need to be acknowledged when comparing Bayley Scores internationally. [ABSTRACT FROM AUTHOR]

US and Canadian approaches to tribal legal orders have taken different paths, and here I argue that the Canadian model should move towards free-standing Indigenous courts as they currently exist in the United States. The Canadian approach has focussed on the issue of over-incarceration of Indigenous prisoners, but even newer efforts have stopped short of recognising at least partial criminal and civil jurisdiction. The Canadian approach fails to support Indigenous jurisdiction and community rebuilding and leaves Indigenous peoples vulnerable to non-Indigenous judges, who fail to accommodate Indigenous approaches to justice. Early attempts at shared jurisdiction have been naïve regarding Indigenous internal social processes and the struggle over what constitutes proper cultural practices. My data come from my own work with Coast Salish tribes, where I have studied tribal histories and legal practices on both sides of the international border as well their views of federal policy in both Canada and the United States. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this study is to assess the prevalence of treatment with radiotherapy and/or chemotherapy in the general adult population of five countries (Brazil, China, France, Russia and the USA) and to evaluate the use of different Supportive Care in Cancer (SCC) services. Methods: A total of 11,100 individuals representing the general population over 18 years of age were recruited from the five countries via a rigorous quota sampling method. Results: There are between 4.1% and 8.78% of respondents reported having undergone medical cancer treatment. Among these subpopulations, the use of at least one SCC was reported by 63% to 86% of respondents. The most commonly used SCC was psychological counselling in France, dietary counselling in Brazil and China, participating in a focus group in the USA and using alternative medicine in Russia. Alternative medicines were chosen by 50% to 61% of patients in every country. Conclusion: This study provides information on the prevalence of patients treated by chemotherapy and/or radiotherapy in representative populations from five countries. Among them, SCC was widely used. However, these uses varied both in proportion and choice, given the cultural differences in patients' and families' health beliefs and values, differences among organisations, in available resources and in ethics and policies among countries. [ABSTRACT FROM AUTHOR]

A common view is that states formulate and administer policy. However, there is much in the classification and administration of persons that is not narrowly governmental. As an example, this article traces long-term developments in Australia and the United States which have made possible recent broadening and "de-racializing" of governmental formulations of Indigenous identity. This most recent phase has seen emergent kinds of "new politics," here called "hyper-identification." This is the self-identification of significant numbers of people as Indigenous, well beyond strictly "demographic" factors. It is easy, and probably partly accurate, to regard such hyper-identification as opportunistic, given the range of entitlements that Indigenous identification may permit. Yet an explanation in terms of opportunity, strategy, or psychology does not treat the conditions that enable that process. This paper attempts to do so in its focus on the relation between state classifications and shifts in the public sphere. [ABSTRACT FROM AUTHOR]

Introduction: Case reports are perceived as having diminished value relative to other study designs. It has been said that medical toxicology (MT) is based largely upon case report literature and thought to be unique in this regard. We sought to quantify recent MT publication of case reports compared with top periodicals from emergency medicine (EM) and internal medicine (IM) journals., Methods: A retrospective review examined 5 years of articles in 6 U.S.-based medical journals-MT (Journal of Medical Toxicology, Clinical Toxicology), EM (Annals of Emergency Medicine, Journal of Emergency Medicine), and IM (JAMA Internal Medicine, New England Journal of Medicine) was performed using on-line resources. Every article in each issue was categorized into Case report vs. Research and Analysis articles vs. Excluded. "Case report" was defined as one (or ≤ 5) individual patients, one patient's data, etc. Total articles per issue were reported after removing Excluded items., Results: Between 2018 and 2022, these 6 periodicals published 522 issues; with 2644 case reports; and 8246 total included articles. Comparison of MT case reports vs. EM revealed a significant difference and odds (Odds Ratio = 1.7, (95% CI: [1.49, 2.03], p < 0.001); MT compared with IM was not significantly different (Odds Ratio = 1.1, (95% CI: [0.96, 1.30], p = 0.150). The percent of case reports increased in the IM and EM journals compared with a relative decrease in the MT journals. Cumulative case report precents were consistently greater in EM and IM than in MT., Conclusion: In the past 5 years, MT journals published fewer and had a declining trend of case reports compared with leading EM and IM journals. Future research is needed to determine the effect on MT practice resulting from the diminished body of case report literature., (© 2024. The Author(s).)

Background: There are several databases across the world that collect pediatric KT data. We compare the hospitalization outcomes for pediatric KT recipients from a large Canadian transplant center (SickKids database; The Hospital for Sick Children Kidney Transplantation Institutional Database), United States (NAPRTCS), and Europe (CERTAIN registry). Methods: An institutional retrospective review of KT was performed between 2000 and 2015. Baseline characteristics, duration of initial hospitalization/readmission at 1–5 and 6‐ to 11‐month posttransplant, and 1‐year graft survival data were collected. Corresponding data from the NAPRTCS 2014 Annual Transplant Report and CERTAIN registry were compared. Results: Posttransplant, patients from NAPRTCS had the shortest duration of hospitalization within the first month (10.4 days, SE 0.2), followed by SickKids (20.3 days, SE 0.7) and CERTAIN (25.5 days, SE 0.7). For both living and deceased donor populations, patients from SickKids were most likely to be hospitalized at 1‐ to 5‐month posttransplant (82.4% [89/108]; 72.1% [98/136]), followed by Europe (52.1% [198/380]; 61.6% [501/813]) and United States (45.4% [2379/5241]; 51.4% [2517/4896]). Patients from Europe were most likely to be hospitalized at 6‐ to 12‐month posttransplant (42.1% [160/380]; 51.7% [420/813]), followed by SickKids (35.2% [38/108]; 37.5% [51/136]) and United States (28.3% [1387/4901]; 31.6% [1411/4465]). Across all databases, the most commonly addressed issues during readmissions were infectious complications. Conclusion: The differences observed in this investigation may reflect the local reimbursement models, resources for outpatient management, and practice variations across a large Canadian transplant center, United States, and European countries. [ABSTRACT FROM AUTHOR]

Background: The new high-sensitivity cardiac troponin T (hs-cTnT) is now widely used in the United States.Objectives: We aimed to examine outcomes associated with the introduction of the new 5th generation hs-cTnT assay among patients presenting to the emergency department (ED) with cardiovascular (CV) disorders.Methods: The study comprised 5377 patients presenting to the ED with CV disorders between January and September 2018. Outcomes included rates of direct ED discharge, cardiac testing/procedures, and mortality. CV indications for troponin testing were categorized as rule-out acute coronary syndrome (RO-ACS) and other-CV (O-CV).Results: Mean age was 62 ± 17 years, and 47% were female. Demographics and medical history did not differ significantly between the troponin groups. The use of hs-cTnT was associated with increased rates of direct discharge from the ED in the RO-ACS (48% vs. 37%; p < 0.01), but not in the O-CV (25% vs. 25%) cohort. Cardiac tests/procedures were more often performed after hs-cTnT vs. cTnT testing in both cohorts (45% vs. 41% for RO-ACS, and 33% vs. 28% for O-CV; p < 0.05 for both). Multivariate analysis demonstrated that hs-cTnT was not associated with a significant increase in postdischarge mortality in both cohorts (RO-ACS: hazard ratio = 1.47 [p = 0.13], O-CV: hazard ratio = 0.97 [p = 0.87]).Conclusions: Among patients with RO-ACS, hs-cTnT implementation resulted in increased rates of direct home discharge from the ED, without a significant increase in postdischarge mortality. Among patients presenting with O-CV indication, hs-cTnT implementation resulted in increased rates of cardiac testing procedures without an effect of ED discharge rates or long-term mortality. [ABSTRACT FROM AUTHOR]

Without a building permit, a construction project cannot be legally implemented. For this, the building project must undergo a review process by the competent authority. As the number of building projects to be inspected increases, building authorities are faced with ever greater challenges, due to the lack of adequate personnel to manage the inefficient, labor extensive, and lengthy building permit process. In-depth scientific studies of the existing building permit processes are missing so far. This paper introduces a proposed framework that aims to investigate and compare the building permit processes in Germany and in the United States of America (USA). Among other things, the processes are studied for both by-right and non-by-right cases. In doing so, the data are based on a collected empirical study in the form of qualitative expert interviews. The findings of the comparison provide a detailed description and illustration of the current building permit processes, as well as the lessons learned from both countries. [ABSTRACT FROM AUTHOR]

Alexis de Tocqueville's Democracy in America can be read as an extended anthropological comparison of hierarchical and egalitarian societies ('aristocracies' and 'democracies,' in his terms). In its use of comparative method, it is strikingly modern, almost post-modern: secular social science. And yet, for Tocqueville, divine knowledge provided another comparative perspective. In this essay, I explore the implications of Tocqueville's consideration of divine order for his work as a seemingly secular comparative anthropologist. I argue that one of the foundational concepts of secular social science, 'society,' may not be universally applicable since, as Tocqueville's work suggests, it is ill-suited for the study of people who thought of their world as a divine, not a social, order. [ABSTRACT FROM AUTHOR]

What was the rationale of exploiting slave laborers instead of employing non-slave laborers? The question has given rise to a long-standing debate among historians. One key controversy in this debate is whether it was economically cheaper to obtain labor from slaves than from non-slaves. This article contributes with the first quantitative estimates comparing the cost of slave and non-slave labor, empirically studying the critical case of the antebellum Southern United States. The findings suggest that the cost of obtaining slave labor was much lower than the cost of obtaining non-slave laborers in this case, and that the difference was large enough to have had important consequences for the production involved, primarily of cotton. [ABSTRACT FROM AUTHOR]

Background: Minimizing bariatric surgery care costs is important since more than 250,000 patients undergo bariatric surgery annually in the United States. The study objective was to compare perioperative costs for the two most common bariatric procedures: laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). In addition, we sought to identify predictors of high-cost perioperative care. Methods: Adult patients who underwent LSG or LRYGB from 2012 to 2017 were identified using our institutional bariatric surgery database. Perioperative costs, defined as costs incurred from the time of entering the preoperative unit until exiting the postanesthesia care unit, were obtained through billing data. Median perioperative cost components of LSG and LRYGB were compared using Mann-Whitney tests. Multivariable logistic regression was performed to investigate patient-level predictors of high-cost care, defined as the top tercile of perioperative costs. Results: We included 546 bariatric surgery patients with a mean age and body mass index (BMI) of 49.7 years and 45.9 kg/m2, respectively. There were no significant differences in median perioperative costs between LSG and LRYGB ($14,942 versus $15,016; P = .80). Stapler use was the largest cost contributor for both procedures, accounting for 27.7% and 29.2% of costs for LSG and LRYGB, respectively. In multivariable analyses, preoperative patient characteristics, including BMI, were not associated with high-cost perioperative care. Conclusions: Perioperative costs for LSG and LRYGB were similar in our single institution study. Reducing costs outside of the operating room, including those related to ED visits and complications, may be more impactful than focusing on cost reduction directly related to perioperative care. [ABSTRACT FROM AUTHOR]

Adolescents (13–24 years of age) account for more than one-fifth of new HIV diagnoses yearly, and the United States has one of the highest rates of adolescent pregnancy among high resource countries. However, there is limited information on the characteristics and outcomes of adolescents living with HIV (ALWHIV) during pregnancy and differences with pregnancy in adults living with HIV. We performed a retrospective cohort study to compare demographic characteristics, HIV viral suppression, and pregnancy outcomes in adolescents (n = 90) as compared with adults (n = 250) in an urban HIV pregnancy clinic from 2003 to 2015. Seventy-one women overall were diagnosed with HIV during pregnancy (adolescents, 25/90; adults, 46/250). One-fifth of adolescents acquired HIV perinatally. Adolescents were more likely than adults to have unintended pregnancy (83.6% vs. 68.7%, p = 0.016) and were less likely to be virally suppressed at delivery (50.0% vs. 69.7% overall, p = 0.001; 48.0% vs. 78.2% in postuniversal antiretroviral therapy era, p = 0.007%). Over one-third of adolescents reported a history of any illicit substance use, and adolescents were more likely than adults to use marijuana during pregnancy (29.2% vs. 16.9%, p = 0.013). Adolescents were less likely to experience preterm labor (11.0% vs. 24.1%, p = 0.012) or preterm premature rupture of membranes (3.7% vs. 16.7%, p = 0.003). There was one case of maternal–fetal transmission, which occurred in an adult pregnancy. Despite the high rate of unintended pregnancy, one-third of adolescents were discharged without an identified contraception plan. We identify several opportunities for intervention to improve reproductive health outcomes in ALWHIV. [ABSTRACT FROM AUTHOR]

A report published in 2016 by the President's Council of Advisors on Science and Technology (PCAST) criticized studies that have been published regarding the discipline of firearm identification. This study was designed to answer some of these criticisms and involved 30 consecutively manufactured Beretta brand 9 mm Luger caliber barrels. This study had an "open set" design to help the discipline of firearm identification establish "Foundational Validity" which is outlined in the PCAST report. Seventy‐two qualified firearm examiners completed and submitted answers for this study that included 15 knowns and 20 unknowns. There were an additional 5 firearms with similar characteristics as the Beretta barrels that were also included as unknowns which provided "known non‐match" comparisons. Test sets were created using the random function in Microsoft Excel. Collaborative Testing Services (CTS) funded, facilitated, distributed the tests, and collected the answers from qualified firearm examiners throughout the United States and the world. Firearm examiners were able to complete the test of fired bullets with a low error rate. The error rate for the corrected data was 0.08% (1 in 1250) with the lower confidence interval as low as 0.01% (1 in 10,000) and the upper confidence interval being as high as 0.4% (1 in 250). [ABSTRACT FROM AUTHOR]

This population-based study compares U.S. effectiveness with 20 Other Western Countries (OWC) in reducing mortality 1989–1991 and 2013–2015 and, responding to criticisms of Britain's National Health Service, directly compares U.S. with U.K. child (0–4), adult (55–74), and 24 global mortality categories. World Health Organization Age-Standardized Death Rates (ASDR) data are used to compare American and OWC mortality over the period, juxtaposed against national average percentages of Gross Domestic Product (GDP) Expenditure on Health (%GDPEH) drawn from World Bank data. America's average %GDPEH was highest at 13.53% and Britain's the lowest at 7.68%. Every OWC had significantly greater ASDR reductions than America. Current U.S. child and adult mortality rates are 46% and 19% higher than Britain's. Of 24 global diagnostic mortalities, America had 16 higher rates than Britain, notably for Circulatory Disease (24%), Endocrine Disorders (70%), External Deaths (53%), Genitourinary (44%), Infectious Disease (65%), and Perinatal Deaths (34%). Conversely, U.S. rates were lower than Britain's for Neoplasms (11%), Respiratory (12%), and Digestive Disorder Deaths (11%). However, had America matched the United Kingdom's ASDR, there would have been 488,453 fewer U.S. deaths. In view of American %GDPHE and their mortality rates, which were significantly higher than those of the OWC, these results suggests that the U.S. health care system is the least efficient in the Western world. [ABSTRACT FROM AUTHOR]

Background: Comorbid cardiovascular diseases have been associated with poor outcomes in total knee arthroplasty (TKA); however, our understanding of TKA with prior cardiac treatment procedures has largely been undocumented. In this study, we examined TKA patients who had undergone different cardiac interventions that addressed their condition. The purpose was to characterize and compare outcomes for a growing patient population not yet analyzed., Materials and Methods: The 2016-2019 Nationwide Inpatient Sample database was queried for 558,256 patients who had TKA (ICD-10CM). Backgrounds significant for pacemaker [PM] (n = 8025), coronary artery bypass [CABG] (n = 12,683), heart valve surgery [HV] (n = 4125), or coronary stent [CS] (n = 19,483) were compared against those without, across demographics, admission information, and various complications., Results: Cardiac interventions were associated with increased age, male gender, length of stay, and cost of care. CABG, and Stent groups had more diabetics, but HV had significantly fewer (p = 0.008). PM and HV had significantly less tobacco use and, in addition to CABG, less obesity. Postoperatively, mortality was elevated in the PM [Odds ratio (OR) 2.89, p = 0.008], CABG (OR 2.53, p = 0.006) and CS group (OR 1.94, p = 0.018), but not HV. Myocardial infarctions were elevated in the CABG (OR 3.874) and CS group (OR 5.11) (p < 0.001). PM, HV, and CS had increased odds of periprosthetic fracture by 2.15-fold (p < 0.001), 2.09-fold (p < 0.001), 1.29-fold (p = 0.011) respectively. HV saw increased periprosthetic mechanical complications (OR 1.48, p = 0.006). CABG increased the odds of deep surgical site infection 14.23-fold and CS 9.22-fold (p < 0.001). Postoperative pneumonia was increased in PM, CABG, and CS groups (OR 2.15,), (OR 2.21,), (OR 1.64,) (p < 0.001)., Conclusions: Patients who have undergone cardiac intervention are generally at risk for adverse stays. Furthermore, risk factors and complications vary between the groups. Our analysis emphasizes the importance of individualized medical care and as a basis for electing and informing patients for TKA., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

On March 11, 2020 the World Health Organization classified COVID‐19, caused by Sars‐CoV‐2, as a pandemic. Although not much was known about the new virus, the first outbreaks in China and Italy showed that potentially a large number of people worldwide could fall critically ill in a short period of time. A shortage of ventilators and intensive care resources was expected in many countries, leading to concerns about restrictions of medical care and preventable deaths. In order to be prepared for this challenging situation, national triage guidance has been developed or adapted from former influenza pandemic guidelines in an increasing number of countries over the past few months. In this article, we provide a comparative analysis of triage recommendations from selected national and international professional societies, including Australia/New Zealand, Belgium, Canada, Germany, Great Britain, Italy, Pakistan, South Africa, Switzerland, the United States, and the International Society of Critical Care Medicine. We describe areas of consensus, including the importance of prognosis, patient will, transparency of the decision‐making process, and psychosocial support for staff, as well as the role of justice and benefit maximization as core principles. We then probe areas of disagreement, such as the role of survival versus outcome, long‐term versus short‐term prognosis, the use of age and comorbidities as triage criteria, priority groups and potential tiebreakers such as 'lottery' or 'first come, first served'. Having explored a number of tensions in current guidance, we conclude with a suggestion for framework conditions that are clear, consistent and implementable. This analysis is intended to advance the ongoing debate regarding the fair allocation of limited resources and may be relevant for future policy‐making. [ABSTRACT FROM AUTHOR]

Background: Several distinct plant-based diet indices (PDIs) have been developed to characterize adherence to plant-based diets.Objective: We contrasted 5 PDIs in a community-based cohort by assessing characteristics of the diet and evaluating whether these PDIs are associated with risk of incident hypertension.Methods: Using FFQ data from adults (45-64 y, n = 8041) without hypertension at baseline in the Atherosclerosis Risk in Communities (ARIC) Study, we scored participants' diets using the overall PDI (oPDI), healthy PDI (hPDI), less healthy (unhealthy) PDI (uPDI), provegetarian diet index, and PDI from the Rotterdam Study (PDI-Rotterdam). For the oPDI, provegetarian diet, and PDI-Rotterdam, higher intakes of all or selected plant foods received higher scores. For the hPDI, higher intakes of plant foods identified as healthful received higher scores. For the uPDI, higher intakes of less healthy plant foods received higher scores. All indices scored higher intakes of animal foods lower. We examined agreement between indices, and whether scores on these indices were associated with risk of hypertension using Cox proportional hazard models.Results: The PDIs were moderately-to-strongly correlated and largely ranked subjects consistently, except for the uPDI. Over a median follow-up of 13 y, 6044 incident hypertension cases occurred. When adjusted for sociodemographic characteristics, other dietary factors, and health behaviors, the highest compared with the lowest quintile for adherence to the oPDI, hPDI, and provegetarian diet was associated with a 12-16% lower risk of hypertension (all P-trend <0.05). Highest adherence to the uPDI was associated with a 13% higher risk of hypertension, when clinical factors were further adjusted for (P-trend = 0.03). No significant association was observed with the PDI-Rotterdam. The oPDI, hPDI, and provegetarian diet moderately improved the prediction of hypertension.Conclusions: In middle-aged US adults, despite moderate agreement in ranking subjects across PDIs, operational differences can affect the ability to detect diet-disease associations, such as hypertension. [ABSTRACT FROM AUTHOR]

Although studies acknowledge that the level of digitalization in the media domain plays an important role for Internet use, conceptual and operational ambiguities remain as to whether digitalization speaks to an infrastructural attribute of societies and countries or instead refers to digitized media preferences and use of individuals. Using survey data from Europe, China, and the United States, this study examines both micro (individual) and macro (infrastructural) levels of digitalization and their interaction effects on use of the Internet. Through multilevel regression modeling, this study reveals that individuallevel digitalization negatively relates to Internet news consumption, but positively relates to use of the Internet for other purposes. In addition, it shows that infrastructural-level digitalization only positively and significantly affects the use of the Internet for news consumption and for work-related purposes. The study further reveals cross-level interactions of digitalization on Internet use. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to analyze the Austrian health care system using the ecology of care model. Our secondary aim was to compare data from Austria with those available from other countries. Design: 3508 interviews employing a 30-item questionnaire related to the utilization of the health care system including demographic factors were conducted. Participants were chosen by a Random Digital Dialing procedure. Further, a literature review of studies of other countries use of the ecology of care model was conducted. Main outcome measures: Austria has one of the highest utilization of health care services in any of the assessed categories. The comparison with the literature review shows that Austria has the highest utilization of specialists working in the outpatient sector as well as the highest hospitalization rates. Taiwan and Korea have comparable utilization patterns. Canada, Sweden, and Norway are countries with lower utilization patterns, and the U.S. and Japan are intermediate. Conclusion: In Austria and similarly organized countries, high utilization of all health care services can be observed, in particular, the utilization of specialists and hospitalizations. The over-utilization of all levels of health care in Austria may be due to the lack of a clear demarcation line between the primary and secondary levels of care, and the presence of universal health coverage, which also allows for unrestricted and undirected access to all levels of care. Previous studies have shown that comparable countries lack the health benefits of a strong primary care system with its coordination function. In Austria and similarly organized countries, there appears to be high utilization of health care in general, as well as with particular utilization of specialists and hospitalizations. The high utilization of all levels of care in Austria may be the result of competition, lack of a clear demarcation line between the primary and secondary level of care, and the presence of universal health coverage. Pathways between primary and secondary care should be strengthened as previous studies have shown that comparable countries lack the health benefits of strong primary care and its function for health care coordination. [ABSTRACT FROM AUTHOR]

Objective: To compare components of inpatient rehabilitation (IR) for patients with traumatic brain injury (TBI) between Canada and the US facilities. Design: Secondary analysis of the TBI-practice-based evidence dataset. Participants: Patients with TBI who had a higher Functional Independence Measure (FIMTM) cognitive function score (≥21) that were admitted to 1 IR facility in Canada (n = 103) and 9 IR facilities in the US (n = 401). Main measures: demographic and clinical characteristics, type and intensity of activities by discipline, discharge location, FIM-Rasch score, social participation and quality of life. Results: Time from injury to rehabilitation admission was significantly longer in the Canadian cohort and they experienced a longer rehabilitation length of stay (p <.001, Cohen's d >.8). Patients in Canada received a greater total time of individual therapy and lower intensity of interventions per week from all disciplines. They also showed a higher score at discharge in FIM components, while US patients had better cognitive recovery and community participation long-term post-discharge. Conclusions: This study informs stakeholders of the large variation in service provision for patients who were treated in these two countries. These findings suggest the need for robust analyzes to investigate predictors of short and long-term outcomes considering the variation in health-care delivery. List of abbreviations: TBI: traumatic brain injury, CSI: comprehensive severity index, LoS: length of stay, OT: occupational therapy, PT: physical therapy, SLP: speech language pathology, IR: inpatient rehabilitation [ABSTRACT FROM AUTHOR]

This work aims to compare the evaluation and rating systems of public libraries from the United States and China with a view to understand the similarities and differences and to learn from both systems. First, the main evaluation and rating systems of public libraries from the US are discussed, including Hennen's American Public Library Ratings and Library Journal Index. Second, we discuss the Sixth National Evaluation and Rating System (SNERS) of public libraries above the county level in China. Finally, we compare and analyse the similarities and differences between the evaluation systems from the US and China. Between the two evaluation systems, there is one similarity (i.e. people-orientedness) and many differences in terms of goals, properties, subjects, processes, object classification, cycle, data sources, indicators, weights, scoring and result treatment. The public libraries of the US (a developed country) pay more attention to library services, whereas the public libraries of China (a developing country) pay more attention to a library's basic construction and infrastructure. By comparing and analysing the evaluation and rating systems of public libraries from the US and China, this paper helps gain some insights into these different systems. We believe this will be helpful for librarians and library evaluators interested in assessing the service quality of public libraries in any country. [ABSTRACT FROM AUTHOR]

Noting a strong imperative to understand precipitation extremes, and that considerable uncertainty affects observational data sets, this paper compares the representation of extremes in a number of widely used daily gridded products, derived from rain gauge data, satellite retrieval and reanalysis for the conterminous United States. Analysis is based upon the concept of "tail dependence" arising in multivariate extreme value theory, and we infer the level of temporal dependence in the joint tail of the precipitation probability distribution for pairwise comparisons of products. In this way, we consider the range of products more like an ensemble and examine the relationships between members, and do not attempt to define, or compare products to, some ground truth. Linear correlation between products is also computed. Considerable discrepancy between groups of products, both annually and seasonally, is linked to source data and complex terrain. In particular, products based on rain gauge data showed remarkable similarity, but differed considerably, showing almost total loss of extremal dependence during DJF in mountainous regions, when compared with satellite products. Additionally, simulated re-forecasts revealed reasonable temporal agreement with large scale generated extremes. The diversity and extent of discrepancies identified across all products raises important questions about their use, and we urge caution, particularly for products derived from satellite data. [ABSTRACT FROM AUTHOR]

Abstract: The Department of Government at Essex University provided a favourable environment for the development of Anthony King's work. While his primary interest was the UK, his intellectual interests were far broader in scope and informed by comparative insights. His key work was on political leadership, but he also made crucial contributions on other issues such as ungovernability. He had a particular concern with the quality of government, reflected in the Blunders book he wrote with Ivor Crewe. [ABSTRACT FROM AUTHOR]

Objectives A population-based controlled study to determine whether adult (55-74 years) neurological disease deaths are continuing to rise and are there significant differences between America and the twenty developed countries 1989-91 and 2012-14. Method Total Neurological Deaths ( TND) rates contrasted against control Cancer and Circulatory Disease Deaths ( CDD) extrapolated from WHO data. Confidence intervals compare USA and the other countries over the period. The Over-75's TND and population increases are examined as a context for the 55-74 outcomes. Results Male neurological deaths rose >10% in eleven countries, the other countries average rose 20% the USA 43% over the period. Female neurological deaths rose >10% in ten counties, averaging 14%, the USA up 68%. USA male and female neurological deaths increased significantly more than twelve and seventeen countries, respectively. USA over-75s population increased by 49%, other countries 56%. Other countries TND up 187% the USA rose fourfold. Male and female cancer and CDD fell in every country averaging 26% and 21%, respectively, and 64% and 67% for CDD. Male neurological rates rose significantly more than Cancer and CCD in every country; Female neurological deaths rose significantly more than cancer in 17 countries and every country for CDD. There was no significant correlation between increases in neurological deaths and decreases in control mortalities. Conclusions There are substantial increases in neurological deaths in most countries, significantly so in America. Rises in the 55-74 and over-75's rates are not primarily due to demographic changes and are a matter of concern warranting further investigation. [ABSTRACT FROM AUTHOR]

Based on main laws and regulations and practices of China - USA plan Environmental Impact Assessment (P-EIA), comparative analysis is conducted from five aspects: intervening time, screening mechanism, evaluation focus, alternative comparison and public participation of P-EIA. Moreover, five focus points of improving P-EIA effectiveness of China in next stage are proposed: firstly promoting the integration of planning process and P-EIA process by refining statute requirements; secondly establishing plan screening mechanism by combining checklist and procedure; thirdly promoting the matching of evaluation content and planning depth by program design; fourthly creating condition for P-EIA participation in alternative comparison by improving decision-making process; fifthly increasing public participation quality by improving information disclosure and participation ways. [ABSTRACT FROM AUTHOR]

Bendamustine hydrochloride (BDM) is approved in the United States to treat chronic lymphocytic leukemia and relapsed indolent B-cell non-Hodgkin lymphoma. The first formulation marketed in the United States (original BDM) was a lyophilized product requiring reconstitution prior to dilution to the final admixture. A liquid formulation of BDM was subsequently introduced that did not require reconstitution before dilution. Both formulations are administered as a 500 mL admixture with a recommended infusion time of 30 or 60 minutes for chronic lymphocytic leukemia and indolent B-cell non-Hodgkin lymphoma, respectively. A newer liquid BDM formulation (rapid BDM) is a ready-to-dilute solution not requiring reconstitution that dilutes into an admixture of only 50 mL and can be safely administered in a shorter infusion time (10 minutes). Rapid BDM admixture also has longer stability at room temperature than both lyophilized and liquid BDM formulations (6 vs 2 to 3 hours). This phase 1, open-label, randomized, crossover (3-period, partially replicated) study, conducted in 'end-of-life' cancer patients at 10 oncology centers in the United States, demonstrates that rapid BDM is bioequivalent to original BDM as determined by area under the curve. Expected differences in maximum plasma concentration and time to maximum plasma concentration were observed between study treatments, given the substantially shorter infusion time of rapid BDM. No clinically relevant differences in other evaluated pharmacokinetic parameters were found. Rapid BDM infusions were safe and tolerable for cancer patients in this study. The overall safety profiles of the 2 BDM formulations were comparable, with no new safety signals identified and no differences in infusion-related adverse events. [ABSTRACT FROM AUTHOR]

Background Stent-assisted coil embolization and flow diversion with the Pipeline embolization device (PED) are both effective endovascular treatment options for ophthalmic segment aneurysms (OSAs) of the internal carotid artery. Here we present a large comparative cohort study. Methods A multicenter, retrospective cohort comparison study of consecutively treated OSAs was conducted at 2 academic institutions in the United States comparing stent-coiling (between 2007 and 2015) and PED (between 2011 and 2016). Results A total of 62 of OSAs were treated with stent-coiling and 106 were treated with the PED. The stent-coiling–treated aneurysms were larger, although the maximum diameter was not significantly different between the 2 groups ( P = 0.05). The median duration of follow-up was 22.5 months for the stent-coiling group and 8.7 months for the PED group ( P = 0.0002). Complete occlusion at last follow-up was achieved in 75.9% of aneurysms in the stent-coiling group and in 81.1% of aneurysms in the PED group ( P = 0.516). The retreatment rate was higher with stent-coiling, but the difference did not reach statistical significance ( P = 0.062). A good functional outcome was achieved in 96.6% of patients in the stent-coiling group and in 94.7% of those in the PED group ( P = 0.707). The rate of neurologic complications was 4.8% in the stent-coiling group and 9.4% in the PED group ( P = 0.376). Conclusion Stent-coiling and the PED were equally effective for treating OSAs. There were no significant differences in terms of procedural complications, angiographic, functional, and visual outcomes. PED may be more favorable for multiple adjacent OSAs. [ABSTRACT FROM AUTHOR]

Understanding the psychosocial factors that influence public transportation usage behavior can provide important implications for transport policies aimed at managing travelers’ mobility behavior. In the current study, a four-step analysis approach is developed to investigate the psychosocial determinants of public transportation usage behavior within the background of a small-sized Chinese city. The results suggest that public transportation specific factors including attitude, subjective norm, satisfaction, habit, and behavioral intention, as well as perceived car control, all contribute to explaining the target choice behavior. Behavioral intention is confirmed to be the most critical factor that influences public transportation usage behavior, while habit and satisfaction are important mediators in the process defined by the theory of planned behavior. Moreover, an examination upon “gendered” difference reflects that effects of both perceived car control and satisfaction vary distinctively across men and women groups, which demonstrates the necessity of demand management differentiation. [ABSTRACT FROM AUTHOR]

Numerous drought indices have been developed to monitor drought conditions. However, different drought indices have differing characteristics, and are suitable for specific environments. The aim of this study was to compare the occurrence of drought, as detected by remote sensing across the Continental United States (CONUS). We used drought events during 2011 and 2012 to compare various indices developed for the study of drought phenomena. Three in situ drought indices, the Palmer drought severity index (PDSI), Z -index and standardized precipitation indices (SPI) with different time scales were used to evaluate drought conditions in different climate divisions. The drought indices compared in this study include the vegetation condition index (VCI), the temperature condition index (TCI), the perpendicular drought index (PDI) and modified PDI (MPDI) derived from moderate-resolution imaging spectroradiometer (MODIS) data, the precipitation condition index (PCI) derived from tropical rainfall measuring mission (TRMM) data, and the soil moisture condition index (SMCI) derived from advanced microwave scanning radiometer - earth observing system (AMSR-E). Other synthesized drought indices, which combine indices such as VCI, TCI, SMCI and PCI, were also compared in this study. These included the vegetation health index (VHI), temperature vegetation dryness index (TVDI), scaled drought condition index (SDCI), the microwave integrated drought index (MIDI), the synthesized drought index (SDI), the optimized meteorological drought index (OMDI), and the optimized vegetation drought index (OVDI). The results include a wide variety of drought conditions based on different drought indices. Meteorological drought indices indicated that more regions were under severe drought than agricultural drought indices did. Drought indices appear to be more similar to standard drought indices than PDI, MPDI and TVDI. The results also indicate that different indices have strengths and weaknesses in different climates across CONUS. SMCI has a good correlation with short-term SPI, and the sensitivity of SMCI is strongly dependent on terrain, as it performs worse in regions with heavy tree cover than in regions with a low density of vegetation. TCI, VCI, PDI and MPDI are more similar to 3-month SPI data, but correlate weakly with station-based indices located in areas of high precipitation, higher soil permeability, large-scale agriculture and forests. PCI is more strongly correlated with short-term drought conditions in almost all climate divisions than other single indices. VCI would be more reliable if there were only red and NIR surface reflectance bands available, while VHI would be a better choice if only NDVI and LST data were available. Condition index-based drought indices (PCI, TCI, VCI, SMCI, VHI, SDCI, SDCI, MIDI, OVDI, OMDI) performed better than other categories of drought indices, and the use of time series analysis may be a contributing factor to this difference in performance. [ABSTRACT FROM AUTHOR]

Buildings consume large amounts of energy and resources and have a significant impact on environment. In 2010 buildings accounted for 32% of total global final energy use and 19% of energy-related GHG emissions. This energy use and related emissions may double or potentially even triple by mid-century. China is the world's largest energy consumer and CO 2 emitter. With the process of urbanization, China has been entering into a period of great prosperity for construction, about 1.6–2.0 billion m 2 buildings are constructed each year, which accounts for about 40% of the world's total new buildings. It is predicted that China’s building energy use and related emissions will continue to increase over the next 15 years. Therefore, promoting green building development has become an urgent issue in China. However, green building is a highly complicated system engineering, its promotion needs evaluation standards as technical support. Many countries had issued a series of green building evaluation standards since 1990. Currently, there are some representative green building assessment schemes. Code for Sustainable Homes (CSH) has been fully implemented as the national authoritative standard of the UK since 2010. Leadership in Energy and Environmental Design (LEED) developed by the USA, was revised and updated regularly with the latest version issued in 2013. China enacted its national evaluation standard for green building in 2006, and revised the standard in 2014. Based on introducing the latest evaluation standards for green buildings in China, Britain and United States, the paper compared these standards from 5 aspects including energy-saving, water-saving, material-saving, site selection and the outdoor and indoor environmental quality. The comparison mainly focuses on evaluation methods and evaluation indicators in the three standard systems. Besides, the characteristics of each standard system were summarized and some suggestions for improving China’s evaluation standard for green building were proposed. [ABSTRACT FROM AUTHOR]

Objective: The aim of the research was to characterize the diversity of current pharmacy faculty members in the US and UK. Methods: An online self-completion survey was designed and sent to the faculty members from the top 40 accredited pharmacy institutions in USA and top 20 in the UK. Data were analyzed to identify differences between pharmacy faculty members in both regions. Results: The response rate was 9.4% (411/4355). In both UK and US, more female faculty members stand at junior academic positions (e.g. assistant professor/associate professor in US or lecturer/senior lecturer in UK), while male professors were significant more in senior academic level (e.g. professor in US or reader/professor in UK). The results indicated the obstacles for female faculty members to pursue the further professional progression in pharmacy academics. Caucasians accounted for high proposition of faculty members at UK (95.4%) and US (89.6%), while there were very few Hispanic or African/Caribbean-descent faculty members in both countries. Thus, there was significant underrepresentation of minority in pharmacy faculty in both countries. Among the pharmacy discipline, pharmacy practice comprised over half of respondents (53% in UK and 58% in US), while science-related subjects (e.g. medicinal chemistry, pharmaceutics and pharmacology) took the rest positions. The results showed that the training models of pharmacy education in UK and US emphasized on clinical pharmacy and practice. Conclusion: Our research provided a comparative view of the professional development to current pharmacy faculty members in the US and UK. It is also an effective reference to the administrators in pharmacy school. [ABSTRACT FROM AUTHOR]

Valvular heart disease (VHD) is common and poses important challenges from the standpoints of diagnosis and therapeutic management. Clinical practice guidelines have been developed to help health care professionals to overcome these challenges and provide optimal management to patients with VHD. The American College of Cardiology, in collaboration with the American Heart Association, and the European Society of Cardiology, in collaboration with the European Association for Cardio-Thoracic Surgery, recently updated their guidelines on the management of VHD. Although these 2 sets of guidelines are generally concordant, there are some substantial differences between these guidelines, which may have significant implications for clinical practice. This review prepared on behalf of the EuroValve Consortium describes the consistencies and discrepancies between the guidelines and highlights the gaps in these guidelines and the future research perspectives to fill these gaps., Competing Interests: Funding Support and Author Disclosures Dr Garbi was The NICE Topic Adviser for the NICE Guidelines on heart valve disease presenting in adults: investigation and management. Dr Dahl has received speaker fees from Edwards. Dr Barbanti has served as a consultant for Edwards Lifesciences, Medtronic, and Boston Scientific. Dr Vannan has received research grants and a speaker honorarium (to Piedmont Heart Institute, not to self) from Abbott, Medtronic, and Edwards Lifesciences. Dr Vassiliou served as an advisor for the NICE Guidelines on valvular heart disease (NG208) referred to in this paper; and has received grants for investigator-initiated research by Medtronic and B Braun Ltd. Dr de Paulis has received royalties from Edwards for a mitral ring; and has received speaker fees from Edwards and Medtronic. Dr Pibarot has received institutional research grants from Edwards Lifesciences, Medtronic, Pi-Cardia, Cardiac Success, and Roche Diagnostics. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose., (Copyright © 2023 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives: To test for regional differences in total hospital costs (THC) across the United States in bladder cancer patients treated with open radical cystectomy (ORC) or robotic-assisted radical cystectomy (RARC)., Materials: We relied on the National Inpatient Sample (NIS) database (2016-2019) and stratified RC patients according to census region (Midwest, Northeast, South, West). Primary statistical analyses consisted of THC-trend analyses and multivariable log-link linear regression models, after adjustment for hospital clustering (Generalized Estimating Equation function) and discharge disposition weighting. Finally, sensitivity analysis, relying on most favorable patient cohort, was performed., Results: Of 5280 eligible patients, 1441 (27%), 1031 (20%), 1854 (35%) and 954 (18%) underwent RC in the Midwest, Northeast, South and West, respectively. Median THC was 28,915$ and differed significantly between regions (Midwest: 28,105$; Northeast: 28,886$; South: 26,096$; West: 38,809$; p < 0.001). After stratification between ORC and RARC, highest THC was invariably recorded in the West: ORC 36,137$ vs 23,941-28,850$ and RARC 43,119$ vs 28,425-29,952$ (both p < 0.05). In multivariable log-link linear regression models, surgery in the West was independently associated with higher THC: ORC (Exponent beta [Exp[β]]: 1.39; 95%-CI: 1.32-1.47; p < 0.001) and RARC (Exp[β]: 1.46; 95%-CI: 1.38-1.55; p < 0.001). Results remained unchanged when analyses were refitted in most favorable patient subgroup., Conclusions: Important regional differences in ORC and RARC THC distinguish the West from other United States regions. The THC discrepancy clearly requires closer examination to identify underlying processes that contribute to inflated costs in the West., Competing Interests: Declaration of competing interest The authors declare that there is no conflict of interests., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

We proposed a new image compositing algorithm (MAX-RNB) based on the maximum ratio of Near Infrared (NIR) to Blue band (RNB), and evaluated it together with nine other compositing algorithms: MAX-NDVI (maximum Normalized Difference Vegetation Index), MED-NIR (median NIR band), WELD (conterminous United States Web-Enabled Landsat Data), BAP (Best Available Pixel), PAC (Phenology Adaptive Composite), WPS (Weighted Parametric Scoring), MEDOID (medoid measurement), COSSIM (cosine similarity), and NLCD (National Land Cover Database). Each algorithm was applied to time series of Landsat observations collected within two separate years at six locations around the world, to produce monthly (July 1 ± 15 days), seasonal (July 1 ± 45 days), and annual (July 1 ± 180 days) composite images free of cloud, cloud shadow, and snow/ice. By comparing the composite images to reference Landsat images acquired in the growing season (closest to July 1 within ±15 days) for each year, we evaluated the performance of the algorithms in preserving the spectral and spatial fidelity (hereafter referred to as spectral and spatial evaluation, respectively), as well as land cover classification and land change detection (hereafter referred to as application evaluation). The results demonstrated that no single algorithm outperformed all other algorithms in all the evaluations, but that performance depended on compositing intervals and cloud cover. For monthly composites, the MAX-RNB algorithm generally produced the best results in the spectral and application evaluations. For seasonal composites, the NLCD algorithm produced the best results in the spectral and application evaluations. For annual composites, the PAC algorithm produced the best results in the spectral evaluation and change detection, whereas BAP produced the best results in land cover classification. The BAP algorithm also produced the best results in the spatial evaluation for all the compositing periods. This study provides a comprehensive guidance for selecting the most appropriate image compositing algorithm for different Landsat-based applications. • A new MAX-RNB image compositing algorithm is proposed. • 10 Landsat image compositing algorithms were evaluated. • Visual, spectral, spatial, and application evaluations were performed. • Provided guidance on the selection of different image compositing algorithms. [ABSTRACT FROM AUTHOR]

A new guideline for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death has been published by the European Society of Cardiology (ESC). Beside the 2017 American Heart Association/American College of Cardiology/Heart Rhythm Society (AHA/ACC/HRS) guideline and the 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society (CCS/CHRS) position statement, this guideline provides evidence-based recommendations for clinical practice. As these recommendations are periodically updated integrating the latest scientific evidence, there are similarities in many aspects. Nevertheless, notable differences in the recommendations can be found resulting from different scopes and publication years, differences in data selection, interpretation, and weighing, and regional factors such as differing drug availability. The aim of this paper is to compare specific recommendations to identify differences while acknowledging the commonalities and to provide an overview of the status of current recommendations with a special emphasis on gaps in evidence and future directions of research. Overall, the recent ESC guideline places a greater emphasis on the value of cardiac magnetic resonance, genetic testing in cardiomyopathies and arrhythmia syndromes, and the use of risk calculators for risk stratification. Further significant differences can be found regarding diagnostic criteria for genetic arrhythmia syndromes, the management of hemodynamically well-tolerated ventricular tachycardia, and primary preventive implantable cardioverter-defibrillator therapy., Competing Interests: Funding Support and Author Disclosures Dr Eckardt has received lecture fees from Abbott, Bayer, Boston Scientific, Daiichi Sankyo, Medtronic, Biotronik, Sanofi Aventis, and Bristol Myers Squibb. Dr Zeppenfeld has received research funding from Biosense Webster (research electrophysiology). All other authors have reported that they have no relationships relevant to the contents of this paper to disclose., (Copyright © 2023 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

A variety of land-use and land-cover (LULC) models operating at scales from local to global have been developed in recent years, including a number of models that provide spatially explicit, multi-class LULC projections for the conterminous United States. This diversity of modeling approaches raises the question: how consistent are their projections of future land use? We compared projections from six LULC modeling applications for the United States and assessed quantitative, spatial, and conceptual inconsistencies. Each set of projections provided multiple scenarios covering a period from roughly 2000 to 2050. Given the unique spatial, thematic, and temporal characteristics of each set of projections, individual projections were aggregated to a common set of basic, generalized LULC classes (i.e., cropland, pasture, forest, range, and urban) and summarized at the county level across the conterminous United States. We found very little agreement in projected future LULC trends and patterns among the different models. Variability among scenarios for a given model was generally lower than variability among different models, in terms of both trends in the amounts of basic LULC classes and their projected spatial patterns. Even when different models assessed the same purported scenario, model projections varied substantially. Projections of agricultural trends were often far above the maximum historical amounts, raising concerns about the realism of the projections. Comparisons among models were hindered by major discrepancies in categorical definitions, and suggest a need for standardization of historical LULC data sources. To capture a broader range of uncertainties, ensemble modeling approaches are also recommended. However, the vast inconsistencies among LULC models raise questions about the theoretical and conceptual underpinnings of current modeling approaches. Given the substantial effects that land-use change can have on ecological and societal processes, there is a need for improvement in LULC theory and modeling capabilities to improve acceptance and use of regional- to national-scale LULC projections for the United States and elsewhere. [ABSTRACT FROM AUTHOR]

This contribution examines the different concepts known as social informatics that have historically been separate. The paradigm that is preferred worldwide (based on Kling) is well described and often promoted, with a strong base both in the USA and Europe. This article, however, introduces lesser-known paradigms (based on Sokolov and later Ursul) that originated in the era of the USSR and have so far been employed chiefly in post-Soviet countries, including Russia. These paradigms have been neglected in English-written scientific literature, mainly because of the limited number of articles available in English. Other approaches are also introduced and related, which were historically named or classified as social informatics (American, British, Norwegian, Slovenian, German and Japanese). The present article introduces and further discusses the origin, historical development and basic methodological grounding of these approaches. All the approaches are then discussed and their differences as well as their similarities are pointed out. The aim is to create connections across the current generation of researchers, which includes the formation and conceptualization of different approaches and an exploration of possible areas for future cooperation. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic caused an increase in fear, anxiety, and depressive symptoms globally. For populations at increased risk for adverse outcomes due to illness, such as cancer patients, these worries may have been exacerbated. Understanding how the pandemic impacted cancer patients will inform better preparation for future events that cause disturbances to cancer care delivery., Methods: This study analyzed data from two surveys to determine whether cancer patients' responses differed from a cancer-free population-based sample in terms of concerns, preventive behaviors, and thoughts on their healthcare provider's communication regarding COVID-19 in a US Midwestern state. In August 2020, a survey was sent to 10,009 Iowans aged 18 and older, randomly selected from the 2018 Iowa voter registration file. In September 2020, a survey was emailed to 2,954 cancer patients aged 18 and older who opted into the University of Iowa Holden Comprehensive Cancer Center's Patients Enhancing Research Collaborations at Holden program. Previously validated and pretested Likert-type and multiple-choice items assessed concern regarding COVID-19, social distancing perception and behaviors, and demographic characteristics of respondents. We used χ2 tests and logistic regression to examine differences between the cancer patient and general population survey responses., Results: We included 3,622 responses from the general population survey and 780 responses from the cancer patient survey in this analysis. Cancer patient survey respondents were more frequently older, lived in urban areas, had Medicare insurance coverage, had a college degree or higher, and were married. Cancer patients were more likely to report engaging in social distancing behaviors and greater concern regarding the pandemic., Conclusion: This study suggests differences in the impact of the COVID-19 pandemic on cancer patients compared to cancer-free members of the general population. These results indicate the need for consideration of cancer patients' physical and mental health during large-scale disruptions to cancer care., (© 2023 S. Karger AG, Basel.)

Copyright of Patrimônio e Memória is the property of Centro de Documentacao e Apoio a Pesquisa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Highlights: [•] Existing energy monitoring platforms lack standards of data model and collection. [•] Good data at various time intervals are key to energy profiling and diagnostics. [•] An energy data model based on the ISO Standard 12655 is key for energy benchmarking. [•] Buildings in the U.S. and China performed differently due to design and operations. [•] Different retrofit measures should apply to buildings in the U.S. and China. [ABSTRACT FROM AUTHOR]

Children's books may provide an important resource of culturally appropriate emotions. This study investigates emotion displays in children's storybooks for preschoolers from Romania, Turkey, and the US in order to analyze cultural norms of emotions. We derived some hypotheses by referring to cross-cultural studies about emotion and emotion socialization. For such media analyses, the frequency rate of certain emotion displays can be seen as an indicator for the salience of the specific emotion. We expected that all children's storybooks would highlight dominantly positive emotions and that US children's storybooks would display negative powerful emotions (e.g., anger) more often and negative powerless emotions (e.g., sadness) less often than Turkish and Romanian storybooks. We also predicted that the positive and negative powerful emotion expressions would be more intense in the US storybooks compared to the other storybooks. Finally, we expected that social context (ingroup/outgroup) may affect the intensity emotion displays more in Turkish and Romanian storybooks compared to US storybooks. Illustrations in 30 popular children's storybooks (10 for each cultural group) were coded. Results mostly confirmed the hypotheses but also pointed to differences between Romanian and Turkish storybooks. Overall, the study supports the conclusion that culture-specific emotion norms are reflected in media to which young children are exposed. [ABSTRACT FROM AUTHOR]

The current study aimed to examine whether the prevalence and risk factors for suicidal ideation and attempts differ when comparing two American Indian reservation samples to the U.S. general population. Data were from the baseline nationally representative National Comorbidity Survey (N = 5,877) and the representative American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP; N = 3,084). Face-to-face interviews were conducted using the fully structured World Health Organization Composite International Diagnostic Interview. American Indians from these Northern Plains and Southwest tribes appeared significantly less likely to have suicidal thoughts in their lifetime when compared with the general population, odds ratio (OR) of 0.49 (99% CI [0.36, 0.66]) and 0.36 (99% CI [0.25, 0.51]), respectively. However, members of the Northern Plains tribe were more likely to have attempted suicide in their lifetime compared with the general population (OR = 1.96, 99% CI [1.45, 2.65]). Suicide attempts without suicidal ideation were more common in the two American Indian samples than in the general population. In contrast, correlates of suicidal behavior appear quite similar when comparing the groups. Increased attention is needed to determine why rates of ideation and attempts may differ in American Indians when compared with the general population. [ABSTRACT FROM AUTHOR]