Preparation and Properties of an Efficient Purification Material for Personal Protection

At present, the filtration of virus and other small particles in the air by meltblown cloth produced by electret treatment mainly depends on its electrostatic adsorption mechanism. However, because the surface charge of melt blown fabric can not be maintained for a long time, it can not maintain high efficiency filtration for a long time. Therefore, there is no guarantee for the medical staffs to not be infected by COVID-19. Therefore, it is necessary to improve the mechanical filtration efficiency of melt blown fabric in the situation of an electric charge loss. In this paper, nylon 6 (PA6) nanofibers were electrospun on melt blown cloth by electrospinning technology, and a sandwich material with melt blown cloth as surface layer and PA6 nanofibers as middle layer was made by hot- pressing technology;the surface morphology, thermal and mechanical properties of the sandwich material were characterized, and its filtration performance was tested. The experimental results show that the surface integrity of the sandwich material is high, and the diameter of nanofibers can reach about 67 nm;without the electret treatment, the filtration efficiency of the sandwich material for particles in an size of 0.2 μm is more than 95%,while the filtration efficiency of non-woven fabric is zero;the filtration resistance of the material is about 284 Pa, which is suitable for personal protection. © 2023 Chengdu University of Science and Technology. All rights reserved.

Non-Hodgkin's lymphoma complicated with human coronavirus HKU1 pneumonia: A case report and literature review.

Objective: To analyze the clinical manifestations, diagnostic methods and treatment process of the patients with non-Hodgkin's lymphoma complicated with human coronavirus(HCoV)-HKU1 pneumonia and improve the clinical medical staff's awareness of the disease, and to reduce the occurrence of clinical adverse events. Method(s): The clinical data of a patient with non-Hodgkin's lymphoma complicated with HCoV-HKU1 pneumonia with hot flashes and night sweats, dry cough and dry throat as the main clinical features who were hospitalized in the hospital in January 2021 were analyzed, and the relevant literatures were reviewed and the clinical manifestations and diagnosis of HCoV-HKU1 were analyzed. Result(s): The female patient was admitted to the hospital due to diagnosed non-Hodgkin's lymphoma for more than 2 months. The physical examination results showed Karnofsky score was 90 points;there was no palpable enlargement of systemic superfical lymph nodes;mild tenderness in the right lower abdomen, no rebound tenderness, and slightly thicker breath sounds in both lungs were found, and a few moist rales were heard in both lower lungs. The chest CT results showed diffuse exudative foci in both lungs, and the number of white blood cells in the urine analysis was 158 muL-1;next generation sequencing technique(NGS) was used the detect the bronchoalveolar lavage fluid, and HCoV-HKU1 pneumonia was diagnosed. At admission, the patient had symptoms such as dull pain in the right lower abdomen, nighttime cough, and night sweats;antiviral treatment with oseltamivir was ineffective. After treatment with Compound Sulfamethoxazole Tablets and Lianhua Qingwen Granules, the respiratory symptoms of the patient disappeared. The re-examination chest CT results showed the exudation was absorbed. Conclusion(s): The clinical symptoms of the patients with non-Hodgkin's lymphoma complicated with HCoV-HKU1 pneumonia are non-specific. When the diffuse shadow changes in the lungs are found in clinic, and the new coronavirus nucleic acid test is negative, attention should still be paid to the possibility of other HCoV infections. The NGS can efficiently screen the infectious pathogens, which is beneficial to guide the diagnosis and treatment of pulmonary infectious diseases more accurately.Copyright © 2023 Jilin University Press. All rights reserved.

Spatiotemporal Distribution and Influencing Factors of Theft during the Pre-COVID-19 and COVID-19 Periods: A Case Study of Haining City, Zhejiang, China

Theft is an inevitable problem in the context of urbanization and poses a challenge to people's lives and social stability. The study of theft and criminal behavior using spatiotemporal, big, demographic, and neighborhood data is important for guiding security prevention and control. In this study, we analyzed the theft frequency and location characteristics of the study area through mathematical statistics and hot spot analysis methods to discover the spatiotemporal divergence characteristics of theft in the study area during the pre-COVID-19 and COVID-19 periods. We detected the spatial variation pattern of the regression coefficients of the local areas of thefts in Haining City by modeling the influencing factors using the geographically weighted regression (GWR) analysis method. The results explained the relationship between theft and the influencing factors and showed that the regression coefficients had both positive and negative values in the pre-COVID-19 and COVID-19 periods, indicating that the spatial distribution of theft in urban areas of Haining City was not smooth. Factors related to life and work indicated densely populated areas had increased theft, and theft was negatively correlated with factors related to COVID-19. The other influencing factors were different in terms of their spatial distributions. Therefore, in terms of police prevention and control, video surveillance and police patrols need to be deployed in a focused manner to increase their inhibiting effect on theft according to the different effects of influencing factors during the pre-COVID-19 and COVID-19 periods.

Design of upper limb rehabilitation evaluation system based on deep learning

The topic of non-contact diagnosis became a hot topic during COVID-19 and online consultation gained popularity. In this research, a deep learning-based autonomous limb evaluation system is developed for online consultation and remote rehabilitation training for people with physical limitations. Its main goal is to collect and analyze information about limb states. The patient can evaluate the limb state at home using the mobile app, and the doctor can view the data and connect with the patient via the web's chat module to offer diagnostic opinions. Deep learning is used for the Start/End Attitude Determination Model and OpenCV for the limb and hand evaluation model, with the results being uploaded to the server. © The Authors. Published under a Creative Commons Attribution CC-BY 3.0 License.

Stability of SARS-CoV-2 on the Army Combat Uniform and Recommendations for Cleaning.

SARS-CoV-2 is the virus responsible for the disease that is known as COVID-19. While there have been numerous studies detailing the survival rates of SARS-CoV-2 on various materials, there are currently no published data regarding whether this virus is stable on standard military uniforms. Consequently, there are no standard operating procedures for washing uniforms once exposed to the virus. This study aimed to determine whether SARS-CoV-2 could be removed from Army combat uniform material by washing with a commercially available detergent and tap water. Washing the fabric with detergent followed by a rinse step with tap water effectively removes detectable viral particles. Importantly, it was found that washing with hot water alone was not effective. Therefore, it is recommended that military personnel wash their uniforms with detergent and water as soon as possible after exposure to SARS-CoV-2; hot water should not be used as a substitute for detergent.

Mortality in Catalonia during the summer of 2022 and its relation with high temperatures and COVID-19 cases.

Purpose: To analyse the association between the mortality during the summer 2022 and either high temperatures or the COVID-19 wave with data from the Catalan Health Care System (7.8 million people). Methods: We performed a retrospective study using publicly available data of meteorological variables, influenza-like illness (ILI) cases (including COVID-19) and deaths. The study comprises the summer months of the years 2021 and 2022. To compare the curves of mortality, ILI and temperature we calculated the z-score of each series. We assessed the observed lag between curves using the cross-correlation function. Finally, we calculated the correlation between the z-scores using the Pearson correlation coefficient (R2). Results: During the study period, 33,967 deaths were reported in Catalonia (16,416 in the summer of 2021 and 17,551 in the summer of 2022). In 2022, the observed lag and the correlation between the z-scores of temperature and all-cause deaths was 3 days and R2 = 0.86, while between ILI and all-cause deaths was 22 days and R2 = 0.21. This high correlation between temperature and deaths increased up to 0.91 when we excluded those deaths reported as COVID-19 deaths, while the correlation between ILI and non-COVID-19 deaths decreased to -0.19. No correlation was observed between non-COVID deaths and temperature or ILI cases in 2021. Conclusion: Our study suggests that the main cause of the increase in deaths during summer 2022 in Catalonia was the high temperatures and its duration. The contribution of the COVID-19 seems to be limited.

Research on blended teaching reform based on computational thinking

The outbreak of COVID-19 has impacted traditional teaching methods in schools, and blended teaching in the post-pandemic has gradually become a hot topic of research in higher education. Computational thinking, as one of the core literacies to be acquired in the 21st century, can help students realize the importance of computers as well as enable them to solve specific problems more effectively when facing real-life situations. The article takes the C language programming course as an example, analyzes the problems faced in teaching in the post-pandemic, introduces the concept of computational thinking and integrates it into all aspects of blended teaching design, pays attention to students' individual differences, and proposes a blended teaching model based on computational thinking and puts it into practice. The results show that this teaching model can improve students' learning performance, exercise students' computational thinking skills, and promote blended teaching reform and students' personalized development. © 2022 IEEE.

Extreme development of dragon fruit agriculture with nighttime lighting in Southern Vietnam

Dragon fruit is widely grown in Southeast Asia and other tropical or subtropical regions. As a high-value cash crop ideal for exportation, dragon fruit cultivation has boomed during the past decade in southern Vietnam. Light supplementing during the winter months using artificial lighting sources is a widely adopted cultivation technique to boost productivity in the major dragon fruit planting regions of Vietnam. The application of electric lighting at night leads to a significant increase of nighttime light (NTL) observable by satellite sensors. The strong seasonality signal of NTL in dragon fruit cultivation enables identifying dragon fruit plantations using NTL images. We employed Visible Infrared Imaging Radiometer Suite (VIIRS) Day/Night Band (DNB) monthly nighttime imagery from 2012 to 2019 to extract the growing area of dragon fruit in Bình Thuan Province, the largest dragon fruit growing region of Vietnam. The Breakpoint for Additive Seasonal Trend (B-FAST) analysis was applied to calculate the seasonality of NTL inside the dragon fruit plantations and distinguish them from the background. The results indicated that the dragon fruit cultivation strongly increased after 2014 and reached a plateau after 2017. In recent years, dragon fruit cultivation has experienced a slight decrease due to market fluctuations. We applied a buffer analysis over the largest dragon fruit cultivation area in Bình Thuan to analyze the spatial trend of the expansion of dragon fruit planting. Our results suggest that the dragon fruit cultivation of Bình Thuan has expanded to cover most inter-hill plains, reaching a spatial extent capacity due to the topographical constraints, and thus has begun to encroach into the low-elevation foothill area. In the case of emergency lock-down orders in February 2020 during the COVID-19 pandemic, NTL used for dragon fruit cultivation changed heterogeneously in space and time, driven by market price and shipping limitations far away from the local restrictions. Under the dual rural-urban hot spot situation with strong and contemporary developments of both dragon fruit agriculture and the urban tourism industry, building structures were detected densely in the city and gradually dispersed well into the rural landscape in Bình Thuan. The outcomes of this study will be valuable for local policymakers to better understand of the available area for dragon fruit cultivation and achieve better-coordinated cultivation planning against future fluctuations of the global market while providing insights and new understanding into the dual hot-spot developments valuable for planning rural-urban change strategies. © Springer Nature Switzerland AG 2022. All rights reserved.

Exploring information and assistance calls during covid-19

Area Agencies on Aging (AAA) developed the service of Information and Assistance Calls to help older adults during COVID-19. This study examined how well AAA managed this service. We used the random effect model on panel data of California 33 Planning and Service Area's (PSA) calls across 49 weeks. We examined the association between calls (either inbound or outbound calls as the dependent variable) with COVID-19 cases, deaths, and PSA characteristics (independent variables). We observed a positive relationship between the number of calls (either inbound or outbound) with COVID-19 deaths and older adults living alone, i.e. the number of calls and the number of COVID-19 deaths and older adults living alone are positively correlated. We also observed a negative relationship between the number of calls and COVID-19 cases, i.e. the number of calls and COVID-19 cases are negatively correlated. These findings might result from volunteer and social worker shortages, encouraging AAA to provide more preventative and beneficial services to older people. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

EMERALD trial analysis of patient-reported outcomes (PROs) in patients with ER+/HER2- advanced or metastatic breast cancer (mBC) comparing oral elacestrant vs standard of care (SoC) endocrine therapy

Background: The phase III EMERALD trial (NCT03778931) reported significantly prolonged progression-free survival (PFS) and a manageable safety profile with elacestrant vs SoC endocrine therapy (ET) in patients (N=478) with ER+/HER2- advanced or mBC following progression on prior CDK4/6i plus ET. PROs measuring quality of life (QoL) are reported here. Method(s): EMERALD patients (pts) completed 3 PRO tools at prespecified time points: the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), the PRO version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE), and the EuroQoL 5 Dimension 5 Level (EQ-5D-5L). Result(s): The ratio of PROs tools completed vs. PROs tools expected was 80-90% through cycle 4 and approximately 70% at cycle 6;likely due to clinical study period overlapping with COVID-19 period. Overall, the EORTC QLQ-C30 scores were similar for elacestrant and SoC, with no differences across all time points for both functional and symptom scales. However, PRO-CTCAE results showed that fewer pts who received elacestrant reported very severe nausea (4.0% vs 14.3% by cycle 6) or very severe vomiting (9.1% vs 50% by cycle 6) compared with SoC. There were no clinically meaningful differences across all time points in adverse events typically observed with pts with cancer on ET, such as fatigue, nausea, vomiting, joint and muscle pain and hot flashes. EQ-5D-5L scores were generally comparable throughout treatment for both study arms, with elacestrant showing numerically better outcomes vs SoC for mobility, self-care and usual activities. Similar trends were observed for the full intent-to-treat population and in pts with detectable estrogen receptor 1 mutations (ESR1m). Conclusion(s): This analysis confirmed that QoL was maintained between treatment groups in the EMERALD trial. Together with the previously described statistically significant prolonged PFS and manageable safety profile, these PRO results provide additional evidence that oral elacestrant is clinically meaningful in this patient population with limited therapeutic options. Clinical trial identification: NCT03778931. Editorial acknowledgement: Jeffrey Walter, IQVIA. Legal entity responsible for the study: Stemline Therapeutics/Menarini Group. Funding(s): Stemline Therapeutics/Menarini Group. Disclosure: J. Cortes: Financial Interests, Personal, Advisory Board: Roche, Celgene, Cellestia, AstraZeneca, Seattle Genetics, Daiichi Sankyo, Erytech, Athenex, Polyphor, Lilly, MERCK SHARP& DOHME, GSK, LEUKO, Bioasis, Clovis oncology, Boehringer Ingelheim, Ellipses, Hibercell, BioInvent, Gemoab, Gilead, Menarini, Zymeworks, Reveal Genomics;Financial Interests, Personal, Invited Speaker: Roche, Novartis, Celgene, Eisai, Pfizer, Samsung Bioepis, Lilly, MERCK SHARP& DOHME, Daiichi Sankyo;Financial Interests, Personal, Other, Consulting/advisor: Expres2ion Biotechnologies;Financial Interests, Personal, Stocks/Shares: MedSIR, Nektar Therapeutics;Financial Interests, Institutional, Research Grant: Roche, Ariad Pharmaceuticals, AstraZeneca, Baxalta GMBH/Servier Affaires, Bayer healthcare, Eisai, Guardant Health, Merck Sharp & Dohme, Pfizer, Piqur Therapeutics, Puma B, Queen Mary University of London;Other, Travel cost and expenses: Roche, Novartis, Eisai, Daiichi Sankyo, Pfizer, Gilead, AstraZeneca. F.C. Bidard: Financial Interests, Personal, Advisory Role: Pfizer, AstraZeneca, Lilly, Novartis, Radius Health, Menarini;Financial Interests, Institutional, Advisory Role: Menarini;Financial Interests, Personal, Speaker's Bureau: Pfizer, Novartis, AstraZeneca, Roche, Lilly, Rain Therapeutics;Financial Interests, Institutional, Research Grant: Novartis, Pfizer, Menarini Silicon Biosystems, Prolynx;Financial Interests, Institutional, Other, patents: ESR1 & MSI detection techniques;Financial Interests, Personal, Other, Travel, Accommodations, Expenses: Roche, Pfizer, AstraZeneca, Novartis. A. Bardia: Financial Interests, Personal, Advisory Board: Pfizer, Novartis, Genentech, Merck, Sanofi, Eisa , Lilly, Mersana, AstraZeneca/Daiichi, Menarini, Gilead;Financial Interests, Personal, Royalties: UpToDate;Financial Interests, Institutional, Invited Speaker: Genentech, Novartis, Pfizer, Merck, Sanofi, Radius Health, Immunomedics/Gilead, Daiichi Pharma/AstraZeneca, Eli Lilly.;Non-Financial Interests, Principal Investigator: Gilead, Mersana, AstraZeneca/Daiichi, Novartis, Pfizer, Genentech, Lilly, Merck, Sanofi. V.G. Kaklamani: Financial Interests, Personal, Other, Honoraria: Genentech, Novartis, Pfizer, Genomic Health, Puma Biotechnology, AstraZeneca, Seattle Genetics, Daichi, Gilead Sciences;Financial Interests, Personal, Advisory Role: Amgen, Eisai, Puma Biotechnology, Celldex, AstraZeneca, Athenex, bioTheranostics;Financial Interests, Personal, Speaker's Bureau: Genentech, Novartis, Genomic Health, Puma Biotechnology, Pfizer, AstraZeneca/Daiichi Sankyo;Financial Interests, Personal, Research Grant: Eisai. I. Vlachaki: Financial Interests, Personal, Full or part-time Employment: Menarini Hellas A.E. G. Tonini: Financial Interests, Personal, Full or part-time Employment: Menarini Ricerche S.p.A. N. Habboubi: Financial Interests, Personal, Full or part-time Employment: Stemline Therapeutics;Financial Interests, Personal, Leadership Role: Stemline Therapeutics. P.G. Aftimos: Financial Interests, Personal, Advisory Board: Boehringer Ingelheim, Macrogenics, Roche, Novartis, Amcure, Servier, G1 Therapeutics, Radius, Deloitte, Menarini, Gilead, Novartis, Eisai, Lilly;Financial Interests, Personal, Invited Speaker: Synthon, Amgen;Financial Interests, Institutional, Research Grant: Roche.Copyright © 2023

Analysis of environmental performance and interactivity of ports and regions

The port is the basic support for regional economic development and the global allocation of resources. With the rapid development of China's economy and growing ecological awareness, the assessment of port and regional efficiency has received unprecedented attention. In the current context of the COVID-19 pandemic, how the port and its region will be coordinated under the common goal of development has become a hot topic. In this study, the port subsystem (P-subsystem) and the regional subsystem (R-subsystem) are unified into the port–region system (PR system), and a new meta-frontier two-stage data envelopment analysis model is constructed to evaluate the P-subsystem efficiency and the environmental efficiency of the PR system. This research also measures the port–regional coordination level using the coordination index and explores the inefficiency of the PR system with the help of management improvement and technology improvement indices. Main results show that the overall efficiency of the Chinese PR system is increasing. The technological level of the PR system in coastal areas is close to the optimal level. The inefficiency of the Chinese PR system is mainly affected by management inefficiency. The coordination of regional and port development in China is also poor. Finally, on the basis of the research findings, this study provides targeted countermeasure suggestions to promote the efficiency enhancement and coordinated development of the PR system. © 2023 Elsevier Ltd

Accelerating Biosafety Capacity Building to Ensure National Biosecurity

Biosafety is an essential part of the national security system, which is related to people's lives and health, the country's longterm stability, and sustainable development, which is the bottom line that must be guaranteed. The international biosafety situation is grim and complex, while domestic biosafety faces challenges. Therefore, biosafety capacity building has become an international hot spot, among which scientific and technological innovation, talent training, and infrastructure platform construction are the top priorities. Although China has achieved strategic results in the rapid identification of pathogens, research, and development of specific vaccines and medicine in fighting against COVID-19 by relying on scientific research, it has shown the urgency for scientific and technological innovation in biosafety. Therefore,China has developed a strategic plan on "promoting the modernization of the national security system and capabilities, resolutely safeguarding national security and social stability" included in the 20th National Congress of the Communist Party of China. Hence, it is suggested to promote biosafety capacity building further to improve China's biosecurity system, protect people's health, ensure national security, and maintain long-term peace and stability by improving the layout of scientific and technological frontiers, promoting the construction of biosafety discipline, training of more special talents, and infrastructure platform construction.

A Bibliometric Analysis of Trending Mobile Teaching and Learning Research from the Social Sciences

With the development of computer and information technology, mobile teaching has enjoyed pride of place among teaching mediums in the past two decades. To visually explore the mobile learning hotspots and trends present in international journals, this study adopted two science mapping tools (CiteSpace and VOSviewer) to first detect and then visualise emerging trends (i.e., hotspots) in the mobile learning literature. A total of 528 mobile learning articles published between 2003 and 2021 that appeared in 21 international educational technology journals indexed in the SSCI database were retrieved for bibliometric analysis. The results show (1) there was a remarkable increase in academic output in this field starting in 2008 that topped out in 2021;(2) co-authorship with academics from diverse countries/regions and institutions was evident;(3) three trending foci in the literature include defining mobile learning, designing learning systems, and exploring mobile learning effectiveness;and (4) the high-frequency co-cited publications focus on the effectiveness of mobile devices via different research methods. This study provides scholars with an accessible summary of the current trends in mobile learning, identifies the active researchers in this field, and reports on which outlets are most relevant for research produced on this topic. In addition, the findings have direct implications for the education and private sectors. Mobile devices are not widely adopted in classroom settings and are often considered a learning tool more suited for out-of-class assignments or practice. Therefore, it is necessary for information technology educators to invest in actively initiating the integration of mobile technology into the classroom. Those in the technology industry should aim to develop mobile devices and relevant educational applications/software that can be utilised not only within the confines of the classroom but also to bridge in-class and out-of-class learning.

Working Group for Myositis within the Swedish Rheumatism Association

The Swedish Rheumatism Association, our umbrella Organization: In Sweden, there are approximately one million people with different rheumatic diseases, and about 1400 of them have a myositis diagnosis. In addition to several local associations, there are 3 nationwide diagnostic groups for systemic inflammatory diseases: Working group for systemic lupus erythematosus (SLE), Working group for Systemic Sclerosis and Working group for Myositis. Goals and vision: We form opinion and influence politicians and decision-makers at all levels in issues that are important to us, such as access to rapid care and opportunities for rehabilitation. Knowledge and Education: We educate: * Representatives who can share knowledge based on their own experience and to provide support and help for people living with rheumatic disease. * Volunteers for patient schools. * Patient Research Partners since 2008. Research and fundings: : * We are the single largest private funder of Swedish rheumatology research. * Patient Research Partners should become obvious members in research projects. Working group for Myositis was established in 2020 and most of our activities have been on-line. The number of members is growing as we spread out the information. We will continue with our on-line events and together with our experts arrange our first patient conference in 2022. We are a member of the Swedish Rare Disease Association and European Network ERN ReCONNET. We have now three Patient Research Partners with myositis and we will continue to participate in international research projects, such as IMACS, Rehabilitation & exercise SIG. Our mission is to give support to myositis patients and their families, share knowledge of their disease, facilitate meeting with others with the same diagnosis for an exchange of experiences or just for fun. Our goals are to: * Inform through newsletters, patient meetings, website and webcasts. * Arrange lectures by myositis experts. * Arrange annual patient conference. * Raise awareness for the disease in society and inform healthcare professionals within primary care units. * Contribute to that all patients receives equally good care all over the country. * Inform about research results, ongoing studies and update information on new treatments and drugs. * Contribute to that all newly diagnosed patients have access to patient education and written information material about myositis. * Contribute for opportunities for rehabilitation, such as training in warm water pools and access to rehabilitation facilities in warm climate. * Collaborate with the Youth organization of the Swedish Rheumatism Association for Juvenile Dermatomyositis and provide support for parents, children and adolescents. * Collaborate with the myositis organizations in other countries. Our Webinars: The experts who have shared their knowledge on our webinars are: Ingrid Lundberg, Professor;Maryam Dastmalchi, MD, Rheumatologist;Helene Alexanderson, PhD, Associate professor, PT;Malin Regardt, PhD, OT;Balsam Hanna, Specialist Rheumatology;Dag Leonard, MD, Rheumatologist;Antonella Notarnicola, MD, Rheumatologist;Fabricio Espinosa, Rheumatologist, PhD candidate;Kristofer Andreasson, PT, PhD candidate;Jonatan Sjogren, OT;Lars Nordelv, CBT Therapist, also a patient;Helena Andersson, MD, Rheumatologist;Hanna Brauner, PhD, Dermatologist. Among the topics our webinars have covered so far are: Diagnostic criteria of myositis, new research findings, existing treatments and ongoing studies, Physical activity and its effects on depression, safety of high-intensity interval training, Occupational therapy, Patient Reported Outcomes, Myositis Associated Antibodies and how to deal with anxiety, cardiac involvement and osteoporosis in myositis, clinical findings and treatments for Antisynthetase syndrome skin involvement in Dermatomyositis, Covid-19 and vaccination.

BETONG: A POTENTIAL WELLNESS TOURISM DESTINATION IN THE DEEP SOUTH OF THAILAND

According to the world wellness tourism trend, Thailand has promoted wellness tourism to boost its competitiveness. Therefore, this study aimed to determine the potential of Betong district in Yala province to be a wellness destination in the deep south of Thailand serving both domestic and international tourists. This study applied qualitative analysis to primary and secondary data on tourists' demand for wellness tourism services and the standard of wellness tourism services supplied in Betong. The findings revealed that Betong's wellness tourism services, found to have high market potential, include gastronomy services, Betong hot springs, and historical and community-based tourism destinations. These indicated that Betong has the potential to become a wellness tourism destination. However, Betong has to develop new services like herbal tourism and halal tourism as well as creative tourism products and services to increase its competitiveness and achieve inclusive income distribution and sustainable growth.

An ecological study of vulnerability to COVID-19 in Serbia - using Hotspot Analysis for Evidence-Based Population Health Policy

The risk of severe illness or death from COVID-19 is associated with specific demographic characteristics or composition of the population within geographic areas, and the spatial relationship between these areas. The aim of this paper is to identify areas with a higher concentration of population vulnerable to COVID-19, relying on the concept of spatial dependence. Hence, we focus on the share of vulnerable populations using several salient proxy measures at municipality level data for Serbia. The degree of vulnerability at the municipality level was determined by hotspot analysis, specifically the Getis-Ord Gi* statistics. The results indicate heterogeneity in the spatial patterning and typologies of clusters across Serbia. This spatial heterogeneity reveals potentially differing degrees of risk across municipalities. The results can inform decision-makers in the fight against COVID-19 by helping to identify those areas with vulnerable populations that if exposed may stress the local health care system. © 2022 University of Craiova, Faculty of Social Sciences, Department of Geography. All rights reserved.

Evaluation and Current State of Primary and Secondary Zinc Production—A Review

This article presents the history of zinc, its production and demand. The quantity of zinc production, both primary zinc from ores and concentrates, and secondary zinc from scrap and zinc-rich waste, was discussed. A comprehensive economic analysis covers zinc prices in the years 1960–2021. The basic methods of obtaining zinc from ores, including pyrometallurgical (Imperial Smelting Process ISP, Kivcet, Ausmelt) and hydrometallurgical (roasting–leaching–electrowinning RLE, atmospheric direct leaching ADL, Engitec Zinc Extraction EZINEX, zinc pressure leach) and their short characteristics, are presented. The global zinc market and the main areas of its application were analyzed. Technologies used for the recovery of zinc from scrap are discussed along with their characteristics. Galvanized steel is the main source of secondary zinc, both in the galvanizing process and in the remelting of galvanized steel. It can be easily recycled with other scrap steel in the electric arc furnace (EAF) for steel production. Currently, with high volatility in the price of zinc, as well as its natural resources in the earth's crust, recycling is an important activity, despite the fact that zinc concentrates have a relatively constant chemical composition, while the resulting zinc waste contains zinc in varying amounts.

Anastrozole dose escalation for optimal estrogen suppression in postmenopausal early stage breast cancer: A prospective trial

Introduction: We performed matched case-control studies utilizing cohorts of postmenopausal women with ER+ breast cancer receiving adjuvant aromatase inhibitors (AI) on MA.27 [anastrozole, exemestane] or PreFace [letrozole] to assess the association between estrogen suppression after 6 months of treatment and an early breast cancer (EBC) event within 5 years of AI initiation (Clin Cancer Res 2020;26:2986-98). We found a significant 3.0-fold increase in risk of an EBC event for those taking anastrozole with levels of estrone (E1) >=1.3 pg/mL and estradiol (E2) >=0.5 pg/mL, but not for exemestane or letrozole. Given these findings we designed a prospective pharmacodynamic (PD) study to evaluate the impact of anastrozole (1 mg/day: ANA1) on E1 and E2 levels, and among those with inadequate estrogen suppression (IES: E1 >=1.3 pg/mL and E2 >=0.5 pg/mL), to evaluate the safety and PD efficacy of high-dose anastrozole (10 mg/day: ANA10), which has been found to be safe in prior clinical trials (Cancer 1998;83:1142-52). Method(s): Post-menopausal women with stage I-III, ER >=1% positive/HER2-negative breast cancer who were candidates for anastrozole were eligible after completion of locoregional therapy and chemotherapy, as clinically indicated. Women who were pre-menopausal at diagnosis were not eligible. All patients received 8-10 weeks of ANA1, after which those with adequate estrogen suppression (AES: E1< 1.3 pg/mL or E2< 0.5 pg/mL) came off study. Those with IES went on to receive ANA10 for 8-10 weeks, followed by letrozole (2.5 mg/day: LET) for 8-10 weeks. All patients were managed at their treating oncologist's discretion following study discontinuation. E1 and E2 blood levels were measured pre-treatment and after completion of each treatment cycle by a CLIA-approved liquid chromatography with tandem mass spectrometry in the Immunochemical Core Laboratory at Mayo Clinic. With a sample size of 29 patients with IES after ANA1, a one-sided binomial test of proportions with a significance level of 0.05 will have an 87% chance of rejecting the proportion with AES after ANA10 is at most 25% (Ho) when the true proportion is at least 50%. Specifically, the null hypothesis is rejected if the number of women with AES after ANA10 is 12 or more. Data lock was July 6, 2022. Result(s): Of the 161 women enrolled from April 2020 through May 2022, 3 withdrew consent prior to start of ANA1 and 2 were ineligible;thus, 156 women comprised the study cohort. Median patient age was 64 years (range 44-86), 10% of patients were of Hispanic ethnicity and/or non-white race, and 15% received chemotherapy. Six patients remain on ANA1, and 10 discontinued ANA1 due to refusal (7), adverse event (AE) (2), or COVID-19 (1). Forty-one of the remaining 140 patients (29.3% 95%CI: 21.9- 37.6%) had IES with ANA1. Nine of these 41 patients did not go on to ANA10 due to refusal (6) or AE (3). Of the 32 patients who started ANA10, 8 remain on treatment, 5 discontinued due to refusal (3) or AE (1-grade 2 urinary tract infection;1-grade 1 palpitations), and 19 had a blood draw 45 days or more after starting ANA10. No grade 3-5 AEs or grade 2 hot flashes or arthralgias were reported. Of these 19 patients, 14 achieved AES with ANA10 (73.7% 95%CI: 48.8-90.9%). All 19 patients switched to LET of which 3 remain on treatment, 1 is missing E1/E2 data, and 15 had a blood draw 45 days or more after starting LET. Of these 15 patients, 10 maintained AES, 2 acquired AES with LET, and 3 no longer had AES. Anastrozole and letrozole drug levels will be reported at the meeting. Conclusion(s): Approximately 29% of postmenopausal women with ER+/HER2- BC receiving adjuvant anastrozole 1 mg/daily had IES. A majority of these patients achieved AES with dose escalation to ANA10 without tolerability issues. E1 and E2 levels are logical biomarkers given the mechanism of action of anastrozole, and further study utilizing them to determine the optimal dose of anastrozole for a given patient should be performed.

Effect of mineral nanoparticles obtained from thermal spring water on COVID-19

Background: Coronavirus disease 2019 (COVID-19) is presently a life-threatening condition, and despite of multiple attempts, no functional method has been introduced against this pandemic problem yet. In this study, for the first time, the possible antiviral aspects of mineral nanoparticles (MNPs) obtained from a natural source, thermal spring water, were evaluated. Methods: At first, MNPs obtained from the Gishki thermal spring, Kerman province, Iran, were characterized by transmission electron microscope (TEM). Then, the presence of mineral elements in MNPs was identified by X-ray fluorescence (XRF), Energy-dispersive X-ray spectroscopy (EDX), inductively coupled plasma mass spectrometry (ICP-MS), and MTT assay. Finally, 17 cases suspected of COVID-19 were randomly selected, and their nasal swab samples were exposed to two concentrations of MNPs (50 and 100 u/mL). Results: The results of real-time polymerase chain reaction (RT-PCR) test manifested that MNPs had a destructive effect on 4 (33%) COVID-19 cases. Conclusion: Therefore, MNPs of thermal spring water may act as an obstacle against COVID-19. © 2023 The Author(s).