Working conditions in hydrogen production: A social life cycle assessment

Social impacts of novel technology can, parallel to environmental and economic consequences, influence its sustainability. By analyzing the case of hydrogen production by advanced alkaline water electrolysis (AEL) from a life cycle perspective, this paper illustrates the social implications of the manufacturing of the electrolyzer and hydrogen production when installed in Germany, Austria, and Spain. This paper complements previous environmental and economic assessments, which selected this set of countries based on their different structures in electricity production. The paper uses a mixed method design to analyze the social impact for the workers along the process chain. Appropriate indicators related to working conditions are selected on the basis of the UN Agenda 2030 Sustainable Development Goals. The focus on workers is chosen as a first example to test the relatively new Product Social Impact Life Cycle Assessment (PSILCA) database version 2.0. The results of the quantitative assessment are then complemented and compared through an investigation of the underlying raw data and a qualitative literature analysis. Overall, advanced AEL is found to have least social impact along the German process chain, followed by the Spanish and the Austrian. All three process chains show impacts on global upstream processes. In order to reduce social impact and ultimately contribute to Sustainable Development, policymakers and industry need to work together to further improve certain aspects of working conditions in different locations, particularly within global upstream processes.     

Four human cases of Diphyllobothrium latum infection

Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. Three were diagnosed based on spontaneously discharged strobila of the adult worm in their feces, and 1 case was diagnosed by finding the worm at colonoscopy examination in a local clinic. The morphologic characteristics of the gravid proglottid and eggs were consistent with D. latum. All patients were treated with praziquantel 15 mg/kg, and follow-up stool examinations were done at 2 months after the medication. The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm's segments in their feces. The most probable source of infection was the flesh of salmon or trout according to a patient's past history. These are the 45th to 48th recorded cases diagnosed by the adult worm in the Republic of Korea since 1971.     

Fatal acute Chagas disease in a chimpanzee

Background  Chagas disease (CD) or American trypanosomiasis is caused by a hemoflagellate protozoan, Trypanosoma cruzi . This organism has been isolated from more than 100 mammalian species and several insect vectors demonstrating a wide host distribution and low host specificity.
Methods  A 23-year-old male chimpanzee died acutely and a complete necropsy was performed to evaluate gross and microscopic pathologic changes. After observation of trypanosomal amastigotes in the myocardium, PCR and immunohistochemistry was employed to confirm the diagnosis of T. cruzi .
Results  Gross findings were consistent with mild congestive heart failure. Microscopic findings included multifocal myocardial necrosis associated with severe lymphocytic to mixed inflammatory infiltrates, edema, and mild chronic interstitial fibrosis. Multifocal intracytoplasmic amastigotes morphologically consistent with T. cruzi were observed in cardiac myofibers. Trypanosoma cruzi was confirmed by PCR and immunohistochemistry .
Conclusion  We report, to the best of our knowledge, the first fatal spontaneous case of T. cruzi infection in a chimpanzee.     

Case series analysis for censored, perturbed, or curtailed post-event exposures

A new method is developed for analyzing case series data insituations where occurrence of the event censors, curtails,or otherwise affects post-event exposures. Unbiased estimatingequations derived from the self-controlled case series modelare adapted to allow for exposures whose occurrence or observationis influenced by the event. The method applies to transientpoint exposures and rare nonrecurrent events. Asymptotic efficiencyis studied in some special cases. A computational scheme basedon a pseudo-likelihood is proposed to make the computationsfeasible in complex models. Simulations, a validation study,and 2 applications are described.     

摩鹿加云斑蛛卵袋结构与纤维组成

采用扫描电子显微镜（SEM）和氨基酸自动分析仪对摩鹿加云斑蛛Cyrtophora moluccensis卵袋的结构和组成进行了观察研究.结果表明摩鹿加云斑蛛的卵袋呈椭球状,是由多种丝腺纺出的微米与纳米级的丝纤维形成的多个覆盖层构成的,包括白色框架、军绿色与灰白色外覆盖层和白色内覆盖层3部分.卵袋框丝与典型的拖牵丝氨酸组成基本相似,丙氨酸和甘氨酸的含量最丰富,分别约占39%和33%,其次是谷氨酸、丝氨酸和脯氨酸,分别约占7.8%、5.7%和3.6%;其余卵袋丝纤维的氨基酸组成与典型的柱状腺丝相似,与卵袋框丝相比,卵袋覆盖层的丝氨基酸的含量显著增加,约占21%,同时甘氨酸和脯氨酸的含量显著减少,分别约占12%和1%,并含有更多的极性和大侧链氨基酸,其丙氨酸的含量变化不大,仍占了27%左右.根据氨基酸组成与扫描电镜的结果综合分析了不同自径丝纤维的丝腺来源.     

病例分型管理办法在医院业绩评价体系中的应用

通过对黑龙江省某三级甲等医院应用病例分型现状的分析,同时按照医院管理年要求,根据地域特点,选取患有高血压、冠心病等疾病的住院患者为研究对象,从病历分型应用的现状出发,对医院整体的业绩进行评价,明确病例分型对医院发展的重要作用,旨在为各医疗机构实施病例分型管理提供借鉴和参考。     

Genetic risk factors for nonsyndromic cleft lip with or without cleft palate in a Mesoamerican population: Evidence for IRF6 and variants at 8q24 and 10q25

INTRODUCTION: Nonsyndromic cleft lip with or without cleft palate (NSCL/P) is one of the most common of all birth defects. NSCL/P has a multifactorial etiology that includes both genetic and environmental factors. The IRF6 gene and three further susceptibility loci at 8q24, 10q25, and 17q22, which were identified by a recent genome‐wide association scan (GWAS), are confirmed genetic risk factors for NSCL/P in patients of European descent. METHODS: A case‐control association study was performed to investigate whether these four risk loci contribute to NSCL/P in a Mesoamerican population using four single nucleotide polymorphisms to represent IRF6 and the three novel susceptibility loci. A total of 149 NSCL/P patients and 303 controls of Mayan origin were included. RESULTS: Single marker analysis revealed a significant association between NSCL/P and risk variants in IRF6 and the 8q24 and 10q25 loci. In contrast to previous findings, the association at the 8q24 locus was driven solely by homozygote carriers of the risk allele. This suggests that this locus might act in a recessive manner in the Mayan population. No evidence for association was found at the 17q22 locus. This may have been attributable to the limited power of the sample. CONCLUSION: These results suggest that IRF6 and the 10q25 and 8q24 loci confer a risk for the development of NSCL/P in persons of Mayan origin. Birth Defects Research (Part A), 2010. © 2010 Wiley‐Liss, Inc.     

Maternal panic disorder and congenital abnormalities: a population-based case-control study

BACKGROUND: Maternal panic disorder in pregnancy is the most common manifestation of anxiety disorders in Hungary. The association between panic disorder during pregnancy and structural birth defects, i.e., congenital abnormalities, was studied. METHODS: The prevalence of maternal panic disorder in cases with different congenital abnormalities was compared to that of matched controls in the population-based Hungarian Case-Control Surveillance System of Congenital Abnormalities. RESULTS: Of 22,843 cases with congenital abnormalities, 210 (0.9%) had mothers with panic disorder during pregnancy compared to 187 (0.5%) of 38,151 controls (adjusted prevalence odds ratio [POR] 1.6; 95% CI, 1.3-2.0). Specific groups of congenital abnormalities were also assessed versus controls. Cases with isolated cleft lip with or without cleft palate (CL/P) (adjusted POR, 3.4; 95% CI, 1.3-9.0) and multiple congenital abnormalities (adjusted POR, 3.0; 95% CI, 1.2-7.2) were more likely to have had mothers with panic disorder during the study pregnancy. Notably, among mothers with panic disorders, the associations were found only in offspring of untreated mothers. CONCLUSIONS: A higher rate of isolated CL/P and multiple congenital abnormalities may be caused by the direct biological effect of panic disorder or by the interaction of maternal panic disorder and lifestyle factors. Antipanic drug treatment seems to have a protective effect for isolated CL/P and multiple congenital abnormalities. Birth Defects Research (Part A), 2006.     

Repeated isolation of Cryptococcus laurentii from the oropharynx of an immunocompromized patient

Cryptococcus laurentii is one of the non-neoformans cryptococci that have rarely been isolated from humans. We report a case of repeated colonization of the oropharynx by Cr. laurentii in a patient with erythroleukaemia. The isolate was identified by phenotypic and genotypic tests and showed resistance to fluconazole. This revised version was published online in June 2006 with corrections to the Cover Date.