Newborn Screening Programs: Next Generation Ethical and Social Issues
Abstract
2027 15324
Newborn Screening Programs: Next Generation Ethical and Social IssuesAbstract
The benefits of neonatal screening programs are undeniable: children’s lives are saved, and disease burden and morbidity alleviated. Without a doubt, « classical » neonatal screening programs are in the best interests of newborns. Indeed, those screening programs are recognized among the ten most important public health achievements. However, newborn screening programs raise ethical, legal and social challenges. For example, which criteria should govern whether or not to include a disease in the list of screened co [...] 2027 15324 |
Calculation of the Forces Applied to a Superconductor in Levitation in an Inhomogeneous Magnetic FieldAbstract
Stable levitation of systems consisting of a magnetic source and a superconductor is actively investigated due to the promising applications of this technology. While huge efforts have been made for modeling these setups with numerical simulations, analytical models, in spite of their use being limited to devices with a high degree of symmetry, can bring precious information on certain characteristics of levitating systems. Summarizing our previous work in the field, we present the mean-field model that we have pro [...] 2058 15321 |
Treatment Strategies for Antibody-mediated Rejection in Kidney Transplantation and Its PreventionAbstract
This article reviews the current treatment strategies of antibody-mediated rejection in kidney transplantation, which is increasingly recognized as the leading immunological cause of graft failure. The pathophysiologic complexity of this condition poses significant challenges for its treatment; however, progress toward advancing our understanding of its pathogenesis and diagnosis will allow for identification of new therapeutic targets. Emphasis is also given to prevention, which is mainly based on careful assessme [...] 1432 15313 |
Tongue Acupuncture as an Alternative Method for Treating Rosacea–A Case ReportAbstract
Rosacea is a chronic inflammatory disease of the skin characterized by facial papules, pustules, erythema, and telangiectasia. Emotional factors such as stress and anxiety may induce and aggravate the symptoms of rosacea. It is hypothesized that tongue acupuncture, a technique that has been used successfully in the treatment of various neurological and psychiatric diseases, could be beneficial in relieving rosacea symptoms. This study evaluated the immediate effect of tongue acupuncture at specific anatomical point [...] 1886 15286 |
Correction of Sunglint Effects in High Spatial Resolution Hyperspectral Imagery Using SWIR or NIR Bands and Taking Account of Spectral Variation of Refractive Index of Waterby
Abstract
Passive high spatial resolution hyperspectral and multispectral imaging systems in the solar spectral region from aircraft and satellite platforms are being increasingly used for remote sensing of coastal waters and inland lakes. However, the remotely sensed data are often contaminated by the specular reflection of solar radiation at the air/water interface. Thus, the effects of sunglint need to be corrected. The purpose of sunglint correction is to remove the undesired specular reflected portion of radiance that d [...] 2368 15275 |
The Rational Use of Diuretics in the Management of Cirrhotic Ascites in Japanby
Abstract
In cirrhosis, portal hypertension and hypoalbuminemia due to decreased albumin synthetic capacity and hormonal imbalance due to increased renin-angiotensin-aldosterone and vasopressin systems cause fluid retention and electrolyte abnormalities. Diuretics are indispensable for the control of body fluid volume in liver cirrhosis, and aldosterone antagonists and loop diuretics have been widely used until now. In Japan, tolvaptan, a vasopressin V2 receptor antagonists, became available in September 2013, expanding trea [...] 1502 15275 |
Newborn Screening for Severe Combined ImmunodeficiencyAbstract
Newborn screening (NBS) for Severe Combined Immunodeficiency (SCID) has been successfully implemented in all 50 United States and Puerto Rico from 2008-2018. This life-saving screening tool has drastically improved overall survival of babies diagnosed with SCID from 74% to 96%. TREC is a stable, circular DNA molecule that is produced during the process of T-cell receptor (TCR) rearrangement and is the target of the quantitative PCR screen on Guthrie cards. Low TRECs are a marker of low naive T cell numbers. This ne [...] 1157 15240 |
A Delirium Monitoring Program for Hospitalized Older Adults: An Approach to Age-Friendly Health SystemsAbstract
Delirium is an acute change in mental status with key features of inattention and disorganized thinking. It is particularly common in older adults, with multiple and varied causes. Delirium increases the risk of morbidity, mortality, institutionalization, and healthcare costs; however, it is often missed because it is difficult to recognize without the use of a validated screening tool. The Age-Friendly Health Systems (AFHS) initiative highlights the need for implementation of a delirium monitoring program in hospi [...] 2141 15178 |
Assessment of AAR and Sulfate Attack on Wadi Gravel Concrete after 4 Years in ServiceAbstract
Wadi gravel is a local aggregate in Qatar that could contribute to enhanced sustainability by replacing expensive imported gabbro. The material needs to be processed before use to reduce sulfate content to acceptable levels. The paper presents the performance assessment of three full-scale buildings, variously made with 50% and 100% Wadi gravel and conventional gabbro concretes. Site monitoring up to four years in service demonstrated the strength development with age and resistance to the aggressive exposure condi [...] 1505 15134 |
Architecture as Habitat: Enhancing Urban Ecosystem Services Using Building EnvelopesAbstract
The practice of reconciliation ecology in urban environments relies heavily on urban green space as the primary source of vegetated habitat in cities. However, most cities lack the quantity, connectivity, and accessibility of green space needed to provide essential ecosystem services for the health, well-being, and resilience of human and non-human species. In reaction to urban densification and the increasing frequency and severity of climate change impacts, this study argues that architecture could strategically [...] 1331 15132 |
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