RESUMEN
Chlorine (Cl)-containing chemicals, including hydrogen chloride, generated during thermal degradation of polyvinyl chloride (PVC) and corresponding mixture impede the chemical recycling of PVC-containing plastic wastes. While upgrading plastic-derived vapors, the presence of Cl-containing chemicals may deactivate the catalysts. Accordingly, herein, catalytic upgrading of pyrolysis vapor prepared from a mixture of PVC and polyolefins is performed using a fixed-bed reactor comprising zeolites. Among the H-forms of zeolites (namely, ZSM-5, Y, ß, and chabazite) used in this study, a higher yield of gas products composed of hydrocarbons with lower carbon numbers is obtained using H-ZSM-5, thus indicating further decomposition of the pyrolysis vapor to C1-C4 hydrocarbons on it. Although the formation of aromatic compounds is better on H-ZSM-5, product distributions can be adjusted by further modifying the acidic properties via the alteration of the Si/Al molar ratio, and maximum yields of C1-C4 compounds (60.8%) and olefins (64.7%) are achieved using a Si/Al molar ratio of 50. Additionally, metal ion exchange on H-ZSM-5 is conducted, and upgrading of PVC-containing waste-derived vapor to aromatic chemicals and small hydrocarbon molecules was successfully performed using Co-substituted H-ZSM-5. It reveals that the highest yield of gas products on 1.74 wt% cobalt (Co)-substituted H-ZSM-5 is acquired via the selection of an appropriate metal and metal ion concentration adjustment. Nevertheless, introduction of excess Co into the H-ZSM-5 surface decreases the cracking activity, thereby implying that highly distributed Co is required to achieve excellent cracking activity. The addition of Co also adjusted the acid types of H-ZSM-5, and more Lewis acid sites compared to Brønsted acid sites selectively produced olefins and naphthenes over paraffins and aromatics. The proposed approach can be a feasible process to produce valuable petroleum-replacing chemicals from Cl-containing mixed plastic wastes, contributing to the closed loops for upcycling plastic wastes.
Asunto(s)
Cloro , Zeolitas , Zeolitas/química , Hidrocarburos , Alquenos/química , CatálisisRESUMEN
Background and Objectives: Metabolic syndrome is a growing health concern globally, and its prevalence continues to increase. This study investigated whether a marine healing program could improve metabolic syndrome indicators and mental health in adults with a metabolic syndrome and those at risk of developing it. Materials and Methods: This study enrolled 30 participants who were assigned to either the experimental or control groups. The duration of the study was set at 4 weeks. Both groups received metabolic syndrome management education, and the experimental group additionally participated in two marine healing programs. Anthropometric indicators, biochemical indicators, and mental health indicators were collected before and after the intervention. Results: The findings indicate that the experimental group had significantly lower systolic blood pressure, triglycerides, and body weight, as well as higher levels of high-density lipoprotein (HDL-C) and uric acid. Mental health indicators (Hospital Anxiety and Depression Scale and quality of life measures) additionally showed improvement. Pre-post comparisons between the experimental group and the control group showed that the experimental group had significantly decreased by 1.05 kg in body weight, whereas the control group increased by 0.29 kg in body weight. In addition, HDL-C decreased by 0.91 mg/dL in the control group and increased by 3.7 mg/dL in the experimental group. Conclusions: Overall, these results suggest that marine healing programs could improve metabolic syndrome indicators such as body weight and HDL-C better than the control treatment.
Asunto(s)
Síndrome Metabólico , Adulto , Humanos , Síndrome Metabólico/epidemiología , Calidad de Vida , Salud Mental , Peso Corporal/fisiología , TriglicéridosRESUMEN
BACKGROUND: Along with the rapid transmission of COVID-19, adherence to preventive behaviours plays a crucial role with respect to the control of COVID-19. However, different individuals' psychological characteristics and risk perception result in various forms of response to preventive behaviours. Based on the Health Belief Model, this study identifies the factors associated with preventive behaviours towards COVID-19 in South Korea during the initial stage of the COVID-19 pandemic. METHODS: A cross-sectional study was conducted in April 2020 through an anonymous online survey. A total of 1207 people in the age bracket of 20-59 years participated in the survey. Single and multiple linear regression analyses were conducted to identify the determinants of preventive behaviours against COVID-19. RESULTS: The following factors were associated with preventive behaviours towards COVID-19: female gender (ß = .124, p < 0.001), has a master's degree or above (ß = 0.065, p = 0.010), perceived susceptibility (ß = .197, p < 0.001), self-efficacy (ß = .404, p < 0.001), trust in radio (ß = -.080, p = .006), trust in official government website (ß = .057, p = .045), trust in social networks (ß = .054, p = .033), and trust in family and friends (ß = .068, p = .009), with an explanatory power of 41.5% (R2 = 0.415). CONCLUSIONS: To flatten the epidemic curve, it is important to understand the public's risk perception and the motivation behind behavioural responses that aim to promote preventive behaviours among the public. Thus, this study calls for the provision of accessible and credible information sources and demonstrates a public health campaign that encourages the public's engagement in preventive behaviours towards COVID-19.
Asunto(s)
COVID-19 , Adulto , COVID-19/prevención & control , Estudios Transversales , Femenino , Humanos , Persona de Mediana Edad , Pandemias/prevención & control , República de Corea/epidemiología , SARS-CoV-2 , Encuestas y Cuestionarios , Adulto JovenRESUMEN
The efficient strategy for waste conversion and resource recovery is of great interest in the sustainable bioeconomy context. This work reports on the catalytic upcycling of waste corrugated cardboard (WCC) into lactic acid using lanthanide triflates catalysts. WCC, a primary contributor to municipal solid wastes, has been viewed as a feedstock for producing a wide range of renewable products. Hydrothermal conversion of WCC was carried out in the presence of several lanthanide triflates. The reaction with erbium(III) triflate (Er(OTf)3) and ytterbium(III) triflate (Yb(OTf)3) resulted in high lactic acid yields, 65.5 and 64.3 mol%, respectively. In addition, various monomeric phenols were readily obtained as a co-product stream, opening up opportunities in waste management and resource recovery. Finally, technoeconomic analysis was conducted based on the experimental results, which suggests a significant economic benefit of chemocatalytic upcycling of WCC into lactic acid.
Asunto(s)
Elementos de la Serie de los Lantanoides , Administración de Residuos , Catálisis , Ácido Láctico , Residuos Sólidos/análisisRESUMEN
Endophytic fungi occupy inner plant tissues, which results in various interactions between the fungus and host. Studies on endophytic fungi have been conducted in Korea for over 30 years. This paper summarizes the published results of those studies. The endophytic fungi of approximately 132 plant species in Korea have been studied since the 1990s, resulting in over 118 publications. The host plants featured in these studies comprised 3 species of mosses, 34 species of woody plants, and 95 species of herbaceous plants. At the family level, the most studied plants were members of the Poaceae family, covering 18 species. Regionally, these studies were conducted throughout Korea, but over half of the studies were conducted in Gyeongsangbuk-do, Gangwon-do, and Chungcheongnam-do. Relatively few studies have been conducted in a metropolis such as Seoul. We confirmed 5 phyla, 16 classes, 49 orders, 135 families, 305 genera, and 855 taxa of endophytic fungi, excluding Incertae sedis, whose relationship with others are unknown. Most of the endophytic fungi belonged to Ascomycota (93.2%), and a few belonged to Basidiomycota (3.6%). Since the diversity of endophytic fungi differs depending on the host plant, plant tissue, and distribution region, future studies should be conducted on multiple host plants and in various regions. Future studies on endophytic fungi are expected to broaden, including genomics and taxonomic and ecological studies of secondary metabolites.
RESUMEN
Although liquid products derived from the pyrolysis of biomass are promising for the production of petroleum-like hydrocarbon fuels, the catalytic burden of hydrodeoxygenation must be reduced to achieve feasible upgrading processes. Herein, mild hydrotreating of an acid-rich biomass pyrolysis oil (bio-oil) with an unusually high total acid number (588 mg KOH/g bio-oil) was performed to stabilize the low-quality bio-oil. Ru-added TiO2-supported transition metal catalysts stabilized the bio-oil by reducing its acidity more compared to what could be achieved by Ru-free catalysts; this process also leads to lower loss of organic compounds compared to when using a Ru/TiO2 catalyst. Based on the performance of transition metal catalysts, including Ni, Co, and Cu, supported on TiO2, tungstate-zirconia, or SiO2, supported bimetallic catalysts were prepared by adding Ru to the TiO2-supported metal catalysts. The bimetallic catalysts Ru/Ni/TiO2 and Ru/Co/TiO2 exhibited good decarboxylation activity for the removal of carboxylic acids and a higher yield of organic compounds compared to that provided by Ru, which can be deemed appropriate for feedstocks when hydrodeoxygenation needs to suppress the loss of organic reactants. Using these catalysts, the carboxylic acid concentration was reduced to 319-323 mg KOH/g bio-oil with organic yields of 62-63 wt% at reaction temperatures 150-170 °C lower than the temperature required for direct conversion of carboxylic acids to alcohols or deoxygenates. The improved catalytic hydrotreating activity of Ru-added transition metals can be attributed to the high acid site densities of these catalysts along with their improved hydrogenation activities.
Asunto(s)
Biocombustibles , Dióxido de Silicio , Catálisis , Calor , Aceites de Plantas , PolifenolesRESUMEN
BACKGROUND: The relationship between socioeconomic status and the risk of contracting coronavirus disease (COVID-19) remains controversial. We aimed to investigate whether socioeconomic status affected the risk of contracting COVID-19 in the South Korean population. METHODS: The NHIS-COVID-19 database cohort was used in this population-based study. We collected the data of COVID-19 patients who were diagnosed between January 1, 2020 and June 4, 2020 and those of the control population. The income levels of all individuals as of February 2020 were extracted, and study participants were classified into four groups based on quartiles: Q1 (the lowest) to Q4 (the highest). Data were statistically analyzed using multivariable logistic regression modeling. RESULTS: In total, 122,040 individuals-7669 and 114,371 individuals in the COVID-19 and control groups, respectively-were included in the final analysis. The multivariable logistic regression model showed that the Q1 group had a 1.19-fold higher risk of contracting COVID-19 than the Q4 group, whereas the Q2 and Q3 groups showed no significant differences. In the 20-39 years age group, compared with the Q4 group, the Q3 and Q2 groups showed 11 and 22% lower risks of contracting COVID-19, respectively. In the ≥60 years age group, compared with the Q4 group, the Q1, Q2, and Q3 groups showed a 1.39-, 1.29-, and 1.14-fold higher risks of COVID-19, respectively. CONCLUSIONS: Lower socioeconomic status was associated with a higher risk of contracting COVID-19 in South Korea. This association was more evident in the older population (age ≥ 60 years), whereas both lower and higher socioeconomic statuses were associated with higher risks of contracting COVID-19 in the young adult population (in the 20-39 year age group). Strategies for the prevention of COVID-19 should focus on individuals of lower socioeconomic status and on young adults of higher and lower socioeconomic status.
Asunto(s)
COVID-19/epidemiología , Disparidades en el Estado de Salud , Clase Social , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Bases de Datos Factuales , Femenino , Humanos , Masculino , Persona de Mediana Edad , República de Corea/epidemiología , Medición de Riesgo , Adulto JovenRESUMEN
CARBOHYDRATE-: or sugar-derived compounds were used as environmentally friendly additives for the depolymerization of Kraft lignin waste and organosolv lignin prepared from Miscanthus giganteus. The yields of the aromatic monomers obtained from Kraft lignin increased from 5.1 to 49.2% with the addition of mannitol, while those obtained from organosolv lignin increased from 44.4 to 83.0% with the addition of sucrose. This improved lignin depolymerization was also confirmed by gel permeation chromatography and nuclear magnetic resonance spectroscopy. The above results clearly indicate the beneficial effects of carbohydrate derivatives on the lignin depolymersization process, more specifically, suggesting that the presence of carbohydrates improve the lignin depolymerization of lignocellulose, as observed for the raw lignocellulose feed.
Asunto(s)
Lignina , Poaceae , Carbohidratos , Catálisis , Cromatografía en GelRESUMEN
BACKGROUND: As of April 30, 2020, a total of 2,039 cases of the novel coronavirus disease 2019 (COVID-19) were confirmed in the Republic of Uzbekistan after the first detection on March 15. Reports on symptoms of COVID-19 are non-specific and known to vary from asymptomatic, mild to severe, or fatal. This study aimed to analyze the symptomatic and clinical characteristics of study participants based on the medical records of participants hospitalized with COVID-19 in Uzbekistan. METHODS: We collected all data from medical records of COVID-19 confirmed patients in 19 hospitals from 13 regions of Uzbekistan between March 15 and April 30. We selected 1,030 patients discharged from the hospitals after COVID-19 treatment as study participants, excluding those with missing data. Further, we collected demographics, symptoms, clinical outcomes, and treatment data through medical records. RESULTS: More than half (57.6%) of confirmed cases of COVID-19 were males, and the median age was 36.0 years. The most frequent symptoms at the first inspection on hospital admission of all patients were fatigue (59.7%), dry cough (54.1%), pharyngalgia (31.6%), headache (20.6%), and anorexia (12.5%). Compared to the oldest group, the youngest group showed a lower frequency of symptoms. About half of the group aged 18-49 years reported that they came from abroad. One-fifth of patients in group 50-84 received oxygen support, while no patients in group aged 0-17 years received oxygen support. About two-thirds of the participants from intensive care unit (ICU) came from abroad, whereas 42.1% of the non-ICU group returned from other countries. Regarding symptoms, 16.9% of the patients in the ICU group were asymptomatic, while 5.8% in the non-ICU group were asymptomatic. CONCLUSION: This study suggests that the medical delivery system and resource distribution need to be implemented based on clinical characteristics by age and severity to delay and effectively respond to the spread of infections in the future. This study analyzed symptoms of COVID-19 patients across Uzbekistan, which is useful as primary data for policies on COVID-19 in Uzbekistan.
Asunto(s)
COVID-19/diagnóstico , Adolescente , Adulto , Antivirales/uso terapéutico , COVID-19/epidemiología , COVID-19/terapia , COVID-19/virología , Niño , Preescolar , Tos/etiología , Fatiga/etiología , Femenino , Glucocorticoides/uso terapéutico , Humanos , Oxigenoterapia Hiperbárica , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , SARS-CoV-2/aislamiento & purificación , Uzbekistán/epidemiología , Adulto JovenRESUMEN
OBJECTIVES: To identify factors associated with the continuum of maternal, newborn and child health care in The Gambia. DESIGN: A secondary statistical analysis using Demographic and Health Survey conducted in 2013. SETTING: The Gambia. PARTICIPANTS: 1308 married women (or with a partner) whose most recent children were aged 12-23 months at the time of the survey. OUTCOME MEASURES: The main outcome was continuum of care for maternal, newborn and child health. The modified composite coverage index was calculated to express the completion level of continuum of care. RESULTS: The following factors were associated with the continuum of maternal, newborn and child health care: women's autonomy in decision-making of her own healthcare (ß=0.063, p=0.015), having higher educated husbands (ß=0.138, p<0.001), listening to the radio at least once a week (ß=0.078, p=0.006), having a child with birth order less than 5 (ß=0.069, p=0.037), initiating the first antenatal care within 16 weeks of pregnancy (ß=0.170, p<0.001), having been informed of signs of pregnancy complications (ß=0.057, p=0.029), living in rural areas (ß=-0.107, p=0.006) and having higher burden due to distance to health facility (ß=-0.100, p<0.001), with an explanatory power of 15.5% (R2=0.155). CONCLUSIONS: Efforts on future policies and programmes should focus on the concept of continuum of care considering the associated factors. In particular, more attention should be given to providing country-wide family planning and education to women, men and community members in The Gambia.
Asunto(s)
Salud Infantil , Servicios de Salud Materna , Niño , Preescolar , Continuidad de la Atención al Paciente , Estudios Transversales , Demografía , Femenino , Gambia , Humanos , Lactante , Recién Nacido , Masculino , Embarazo , Atención Prenatal , Factores SocioeconómicosRESUMEN
This study examines differences between the level of objective knowledge regarding radio-frequency electromagnetic fields (RF-EMF) and risk perception of cell phones in Korea. We also investigate the extent to which socio-demographic factors, perceived EMF exposure, objective knowledge regarding EMF, and psychological factors influence the risk perception of cell phones using hierarchical multiple regression. All 3393 study subjects completed a survey measuring the degree of risk perception of EMF. They were sampled in accordance with representative proportions of sex, age group, and region of residence as shown in the 2019 Resident Registration Population Statistics reported by Korea. The variables that have the most influence on risk perception of cell phones can be induced from the beta values for each variable: The subjective factor, perceived level of exposure to EMF (ß = 0.253), was more strongly related to risk perception of cell phones than level of knowledge regarding EMF, an objective factor in this study. Of the psychological factors, Dreadfulness (ß = 0.331), Personal knowledge (ß = -174), and Familiarity (ß = -089) influenced risk perceptions of cell phones; Controllability did not. On the risk cognition map, people though that it was easy to control risk related to Cell phone use in daily life, while risk related to High technology was uncontrollable.
Asunto(s)
Teléfono Celular , Campos Electromagnéticos , Adulto , Campos Electromagnéticos/efectos adversos , Exposición a Riesgos Ambientales/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ondas de Radio , República de Corea , Riesgo , Adulto JovenRESUMEN
The coverage of the fifth-generation network has increased steadily since the network was introduced in 2019. However, public protests around the globe against the construction of 5G network base stations have continued to occur for fear that electromagnetic (EM) waves emitted from the stations would cause adverse health effects. To identify factors that have contributed to such increased risk perception, we conducted a cross-sectional study using data obtained from a survey that assessed Korean adults' risk perception of EM wave-related objects. We found that female gender, high level of perceived exposure to EM waves, evaluation of public policies as ineffective, and high level of objective knowledge on EM waves were associated with increased risk perception. Furthermore, we found that higher ratings on a few risk characteristics such as "personal knowledge," "seriousness of the risk to future generations," "dreadfulness," and "severity of consequences" were also associated with increased risk perception as well. Bioelectromagnetics. © 2020 The Authors. Bioelectromagnetics published by Wiley Periodicals LLC on behalf of Bioelectromagnetics Society.
Asunto(s)
Radiación Electromagnética , Percepción , Telecomunicaciones/instrumentación , Adulto , Femenino , Humanos , Masculino , Exposición a la Radiación/efectos adversos , Ondas de Radio/efectos adversos , Medición de Riesgo , Encuestas y CuestionariosRESUMEN
SiO2@MnO x @Na2WO4@SiO2 core-shell catalysts were prepared and their fabrication was confirmed using transmission electron microscopy. The formation of Mn-based nanosheets on the silica spheres is important for the deposition of nanoscopic Na2WO4. The SiO2@MnO x @Na2WO4@SiO2 core-shell catalysts were used for the oxidative coupling of methane at a temperature of 700-800 °C at which the nanostructures were completely destroyed. Although the core-shell structures did not survive the high-temperature oxidative coupling of methane, the selective production of olefins and paraffins can be attributed to highly dispersed Na2WO4 derived from confined core-shell structures.
RESUMEN
This study examined the effects of oxygen species on the unsteady-state oxidative coupling of methane (OCM) using a lengthy catalyst bed of Na2WO4/Mn/SiO2. The reaction conditions, including the methane-to-oxygen ratio, ratio of feed gas dilution by N2, quantity of catalyst, and feed flow rate were adjusted for the continuous flow fixed bed reaction system. While the O2 gas initiated methyl radical formation from methane, the surface lattice oxygen atoms improved the dehydrogenation of paraffins to olefins without significant activation of methane. The addition of CO2 as a mild oxidizing agent was also tested and slightly improved OCM selectivity with slightly lower methane conversion were observed.
RESUMEN
BACKGROUND: The Korean National Health Insurance Service (NHIS) was developed to provide population data for medical research. The aim of this study was to estimate trends in prescription opioid use in South Korea, and to determine the association between chronic opioid use and 5-yr mortality in cancer and non-cancer patients. METHODS: A population-based cohort study was conducted amongst the South Korean adult population using data from the NHIS. Those prescribed a continuous supply of opioids for ≥90 days were defined as chronic opioid users. Multivariable Cox regression analysis was used to assess the association between chronic opioid use and 5-yr mortality. RESULTS: The proportion of chronic weak opioid users increased from 1.03% in 2002 to 9.62% in 2015. The proportion of chronic strong opioid users increased from 0.04% in 2002 to 0.24% in 2015. In the 2010 cohort (n=822 214), compared with non-users, chronic weak opioid users had a significantly lower 5-yr mortality (hazard ratio [HR]: 0.93; 95% confidence interval [CI]: 0.89-0.96; P<0.001), and chronic strong opioid users had a significantly higher 5-yr mortality (HR: 1.45; 95% CI: 1.28-1.63; P<0.001). Similar results were observed in non-cancer patients, but chronic weak opioid users were not significantly associated with 5-yr mortality in cancer patients (P=0.063). CONCLUSIONS: In South Korea, chronic opioid use has increased since 2002. Chronic strong opioid use was associated with a higher 5-yr mortality, and chronic weak opioid use was associated with a slightly lower 5-yr mortality. However, the findings regarding chronic weak opioid users should be interpreted carefully because there might be residual confounders in this study. Further study is needed to confirm these retrospective findings.
Asunto(s)
Analgésicos Opioides/administración & dosificación , Dolor Crónico/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Dolor Crónico/mortalidad , Estudios de Cohortes , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Prescripciones de Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/tendencias , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/tratamiento farmacológico , Neoplasias/mortalidad , Modelos de Riesgos Proporcionales , República de Corea/epidemiología , Estudios Retrospectivos , Factores SocioeconómicosRESUMEN
BACKGROUND: This study aimed to analyze the barriers affecting the utilization of antenatal care (ANC) among Senegalese mothers. METHODS: Health facility staffs were surveyed to examine the availability coverage of ANC (infrastructural capacity of health posts to handle maternal and newborn healthcare). A total of 113 women of childbearing age were surveyed to identify factors associated with the accessibility coverage (physical, economic, and information accessibility factors), acceptability coverage (socio-cultural features, social acceptance, and language), and effectiveness coverage (ratio of mothers having completed 4 visits) of ANC. Further, to identify the socio-cultural factors and the specific characteristics of the barriers, 5 focus group discussions were conducted with women of childbearing age, their husbands and mothers-in-law, community health workers, and health facility staff. The effectiveness coverage of ANC was analyzed by reviewing materials from the District Health Information System 2 of Senegal. RESULTS: Key barriers of ANC utilization were associated with acceptability coverage. ANC during early pregnancy was avoided owing to the negative social stigma surrounding miscarriage. The survey results indicated an extremely high miscarriage rate of 30.9% among the participants. The social stigma towards unmarried mothers caused them to hide their pregnancy, which deterred ANC utilization. The husband was the final decision maker and social supporter on ANC utilization. CONCLUSION: To promote the utilization of ANC services among pregnant women in Senegal, it is important to alleviate the social stigma towards miscarriages and unmarried mothers, and to provide greater social support for pregnancies and newborn deliveries within family.
Asunto(s)
Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Atención Prenatal/estadística & datos numéricos , Aborto Espontáneo , Adolescente , Adulto , Femenino , Humanos , Entrevistas como Asunto , Salud Materna , Persona de Mediana Edad , Embarazo , Senegal , Apoyo Social , Encuestas y Cuestionarios , Adulto JovenRESUMEN
PURPOSE: Patients receiving palliative care make avoidable emergency department visits (AvED), which may increase economic and social costs. However, the proportion of AvED among all patients, including cancer patients after curation, and the resulting costs are unknown in Asia. This study aimed to investigate the proportion, characteristics, and costs regarding factors associated with AvED among cancer patients. METHODS: This retrospective cohort study analyzed the medical records of patients who visited the emergency department (ED) at a tertiary care hospital in Korea in 2016. Data regarding patients' demographic, cancer-related, and clinical characteristics were collected. RESULTS: ED visits by a total of 4346 patients were included in the analysis, of which 2420 visits (55.7%) were avoidable. In the multivariate logistic model, the following main factors were associated with AvED: stay in ED (odds ratio [OR] 0.998, 95% confidence interval [CI] 0.997-0.999, P < 0.001), distance to the home from the ED (OR 0.998, 95% CI 0.997-0.999, P < 0.001), multiple ED visits in 1 year (OR 1.204, 95% CI 1.156-1.255, P < 0.001), primary progression (vs. after curation) (OR 0.748, 95% CI 0.627-0.892, P = 0.001), and chief complaint being a gastrointestinal symptom (vs. pain) (OR 1.871, 95% CI 1.188-2.946, P = 0.007). The average cost per visit in the AvED group was $369.80, and the annual total cost for all AvEDs was $894,877. CONCLUSIONS: Our study showed that 55.7% of all ED visits by cancer patients visiting the ED of a tertiary care hospital were avoidable, and several factors were associated with AvED.
Asunto(s)
Urgencias Médicas , Hospitalización , Neoplasias , Adulto , Anciano , Anciano de 80 o más Años , Atención Ambulatoria/economía , Atención Ambulatoria/estadística & datos numéricos , Urgencias Médicas/economía , Urgencias Médicas/epidemiología , Servicio de Urgencia en Hospital/economía , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Costos de la Atención en Salud/estadística & datos numéricos , Hospitalización/economía , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/economía , Neoplasias/epidemiología , Neoplasias/terapia , Cuidados Paliativos/economía , Cuidados Paliativos/estadística & datos numéricos , Medicina Preventiva/economía , Medicina Preventiva/estadística & datos numéricos , República de Corea/epidemiología , Estudios Retrospectivos , Factores de Riesgo , Centros de Atención Terciaria , Adulto JovenRESUMEN
OBJECTIVES: This study analyzed the associations between mobile phone call frequency and duration with non-specific symptoms. METHODS: This study was conducted with a population group including 532 non-patient adults established by the Korean Genome and Epidemiology Study. The pattern of phone call using a mobile phone was investigated through face-to-face interview. Structured methods applied to quantitatively assess health effects are Headache Impact Test-6 (HIT-6), Psychosocial Well-being Index-Short Form, Beck Depression Inventory, Korean-Instrumental Activities of Daily Living, Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index, and 12-item Short Form Health Survey where a higher score represents a higher greater health effect. RESULTS: The average daily phone call frequency showed a significant correlation with the PSS score in female subjects. Increases in the average duration of one phone call were significantly correlated with increases in the severity of headaches in both sexes. The mean (standard deviation) HIT-6 score in the subgroup of subjects whose average duration of one phone call was five minutes or longer was 45.98 (8.15), as compared with 42.48 (7.20) in those whose average duration of one phone call was <5 minutes. The severity of headaches was divided into three levels according to the HIT-6 score (little or no impact/moderate impact/substantial or severe impact), and a logistic regression analysis was performed to investigate the association between an increased phone call duration and the headache severity. When the average duration of one phone call was five minutes or longer, the odds ratio (ORs) and the 95% confidence intervals (CIs) for the moderate impact group were 2.22 and 1.18 to 4.19, respectively. The OR and 95% CI for the substantial or severe impact group were 4.44 and 2.11 to 8.90, respectively. CONCLUSIONS: Mobile phone call duration was not significantly associated with stress, sleep, cognitive function, or depression, but was associated with the severity of headaches.
RESUMEN
Aromatic hydrocarbons were produced from lignin, a complex natural amorphous polymer commonly regarded as by-product of the pulping process and from biofuel production. The catalytic decomposition of lignin using supported Pt catalysts was performed to produce small molecule hydrocarbons. Aromatic small-molecule hydrocarbon products were identified and quantified using GC/MS and GC-FID, which demonstrated that 27.6% of aromatic hydrocarbons were obtained from the activated carbon-supported Pt (Pt/AC) catalyst which had the highest Pt surface area.