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1.
Soft Matter ; 2024 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-38980096

RESUMO

In this paper, coacervates were formed with mixed micelles consisting of the anionic amino acid surfactant sodium lauroylsarcosinate (NLS) and amphoteric surfactant cocamidopropyl betaine (CAPB) in combination with cationic guar gum. Based on personal care formulation studies, coacervates were prepared by diluting a concentrated system with water to better suit the product application process. The phase behavior during dilution was revealed by turbidity, which was influenced by the mixed micelle ratio (X), salt concentration, and dilution ratio (R). Optical microscopy, cryo-SEM, SAXS and rotational rheometry were used to characterize the structure and properties of the coacervates, which strongly depended on the interaction strength between the polymer and micelles. Dominated by electrostatic interactions, the coacervates exhibited a dense porous structure with low water content and a high viscoelastic modulus, while weakened interactions resulted in a looser mesh internal structure with lower viscoelasticity, enhancing skin adsorption. These findings enhance our understanding of polymer-mixed micelle systems and offer practical strategies for controlling the properties of coacervates.

2.
Insights Imaging ; 15(1): 161, 2024 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-38913225

RESUMO

OBJECTIVES: The clinical decision-making regarding choosing surgery alone (SA) or surgery followed by postoperative adjuvant chemotherapy (SPOCT) in esophageal squamous cell carcinoma (ESCC) remains controversial. We aim to propose a pre-therapy PET/CT image-based deep learning approach to improve the survival benefit and clinical management of ESCC patients. METHODS: This retrospective multicenter study included 837 ESCC patients from three institutions. Prognostic biomarkers integrating six networks were developed to build an ESCC prognosis (ESCCPro) model and predict the survival probability of ESCC patients treated with SA and SPOCT. Patients who did not undergo surgical resection were in a control group. Overall survival (OS) was the primary end-point event. The expected improvement in survival prognosis with the application of ESCCPro to assign treatment protocols was estimated by comparing the survival of patients in each subgroup. Seven clinicians with varying experience evaluated how ESCCPro performed in assisting clinical decision-making. RESULTS: In this retrospective multicenter study, patients receiving SA had a median OS 9.2 months longer than controls. No significant differences in survival were found between SA patients with predicted poor outcomes and the controls (p > 0.05). It was estimated that if ESCCPro was used to determine SA and SPOCT eligibility, the median OS in the ESCCPro-recommended SA group and SPOCT group would have been 15.3 months and 24.9 months longer, respectively. In addition, ESCCPro also significantly improved prognosis accuracy, certainty, and the efficiency of clinical experts. CONCLUSION: ESCCPro assistance improved the survival benefit of ESCC patients and the clinical decision-making among the two treatment approaches. CRITICAL RELEVANCE STATEMENT: The ESCCPro model for treatment decision-making is promising to improve overall survival in ESCC patients undergoing surgical resection and patients undergoing surgery followed by postoperative adjuvant chemotherapy. KEY POINTS: ESCC is associated with a poor prognosis and unclear ideal treatments. ESCCPro predicts the survival of patients with ESCC and the expected benefit from SA. ESCCPro improves clinicians' stratification of patients' prognoses.

3.
Free Radic Biol Med ; 222: 331-343, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38876456

RESUMO

The progressive loss of dopaminergic neurons in the midbrain is the hallmark of Parkinson's disease (PD). A newly emerging form of lytic cell death, ferroptosis, has been implicated in PD. However, it remains unclear in terms of PD-associated ferroptosis underlying causative genes and effective therapeutic approaches. This research explored the underlying mechanism of ferroptosis-related genes in PD. Here, Firstly, we found NOX1 associated with ferroptosis differently in PD patients by bioinformatics analysis. In vitro and in vivo models of PD were constructed to explore the underlying mechanism. qPCR, Western blot analysis, immunohistochemistry, immunofluorescence, Ferro orange, and BODIPY C11 were utilized to analyze the levels of ferroptosis. Transcriptomics sequencing was to investigate the downstream pathway and the analysis of immunoprecipitation to validate the upstream factor. In conclusion, NOX1 upregulation and activation of ferroptosis-related neurodegeneration, therefore, might be useful as a clinical therapeutic agent.

4.
Diagn Interv Radiol ; 30(4): 236-247, 2024 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-38164893

RESUMO

PURPOSE: The present study compares the diagnostic performance of unenhanced computed tomography (CT) radiomics-based machine learning (ML) classifiers and a radiologist in cystic renal masses (CRMs). METHODS: Patients with pathologically diagnosed CRMs from two hospitals were enrolled in the study. Unenhanced CT radiomic features were extracted for ML modeling in the training set (Guangzhou; 162 CRMs, 85 malignant). Total tumor segmentation was performed by two radiologists. Features with intraclass correlation coefficients of >0.75 were screened using univariate analysis, least absolute shrinkage and selection operator, and bidirectional elimination to construct random forest (RF), decision tree (DT), and k-nearest neighbor (KNN) models. External validation was performed in the Zhuhai set (45 CRMs, 30 malignant). All images were assessed by a radiologist. The ML models were evaluated using calibration curves, decision curves, and receiver operating characteristic (ROC) curves. RESULTS: Of the 207 patients (102 women; 59.1 ± 11.5 years), 92 (41 women; 58.0 ± 13.7 years) had benign CRMs, and 115 (61 women; 59.8 ± 11.4 years) had malignant CRMs. The accuracy, sensitivity, and specificity of the radiologist's diagnoses were 85.5%, 84.2%, and 91.1%, respectively [area under the (ROC) curve (AUC), 0.87]. The ML classifiers showed similar sensitivity (94.2%-100%), specificity (94.7%-100%), and accuracy (94.3%-100%) in the training set. In the validation set, KNN showed better sensitivity, accuracy, and AUC than DT and RF but weaker specificity. Calibration and decision curves showed excellent and good results in the training and validation set, respectively. CONCLUSION: Unenhanced CT radiomics-based ML classifiers, especially KNN, may aid in screening CRMs.


Assuntos
Neoplasias Renais , Aprendizado de Máquina , Tomografia Computadorizada por Raios X , Humanos , Feminino , Pessoa de Meia-Idade , Masculino , Tomografia Computadorizada por Raios X/métodos , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/patologia , Idoso , Sensibilidade e Especificidade , Doenças Renais Císticas/diagnóstico por imagem , Programas de Rastreamento/métodos , Estudos Retrospectivos , Curva ROC , Radiômica
5.
Adv Mater ; 36(5): e2303845, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37638643

RESUMO

Piezo-photocatalysis is a frontier technology for converting mechanical and solar energies into crucial chemical substances and has emerged as a promising and sustainable strategy for N2 fixation. Here, for the first time, defects and piezoelectric field are synergized to achieve unprecedented piezo-photocatalytic nitrogen reduction reaction (NRR) activity and their collaborative catalytic mechanism is unraveled over BaTiO3 with tunable oxygen vacancies (OVs). The introduced OVs change the local dipole state to strengthen the piezoelectric polarization of BaTiO3 , resulting in a more efficient separation of photogenerated carrier. Ti3+ sites adjacent to OVs promote N2 chemisorption and activation through d-π back-donation with the help of the unpaired d-orbital electron. Furthermore, a piezoelectric polarization field could modulate the electronic structure of Ti3+ to facilitate the activation and dissociation of N2 , thereby substantially reducing the reaction barrier of the rate-limiting step. Benefitting from the synergistic reinforcement mechanism and optimized surface dynamics processes, an exceptional piezo-photocatalytic NH3 evolution rate of 106.7 µmol g-1  h-1 is delivered by BaTiO3 with moderate OVs, far surpassing that of previously reported piezocatalysts/piezo-photocatalysts. New perspectives are provided here for the rational design of an efficient piezo-photocatalytic system for the NRR.

6.
Food Chem X ; 19: 100791, 2023 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-37780287

RESUMO

The aim of this study was to develop the composite films with antioxidant and biodegradable activity based on egg white protein (EWP) and epigallocatechin gallate (EGCG). Water susceptibility, light transmittance, microstructure and antioxidant properties of the composite films without and with EGCG were fully characterized. It was noted that the addition of EGCG might decrease the moisture content, water solubility and swelling capacity. SEM micrographs revealed that discontinuous blocks and rough surfaces were caused by increasing concentration of EGCG, whereas compact and homogeneous particles appeared when the concentration of EGCG reached to 80 µmol/L. Moreover, the biodegradability of the composite films was demonstrated by the soil degradation properties that they can be almost completely degraded within ten days. Experimental results on the application in chilled fresh pork showed that the EWP-based films could play an antioxidant role when incorporated with EGCG, indicating their great potential for food packaging.

7.
PLoS One ; 18(9): e0292110, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37768941

RESUMO

BACKGROUND: Machine learning algorithms used to classify cystic renal masses (CRMs) nave not been applied to unenhanced CT images, and their diagnostic accuracy had not been compared against radiologists. METHOD: This retrospective study aimed to develop radiomics models that discriminate between benign and malignant CRMs in a triple phase computed tomography (CT) protocol and compare the diagnostic accuracy of the radiomics approach with experienced radiologists. Predictive models were established using a training set and validation set of unenhanced and enhanced (arterial phase [AP] and venous phase [VP]) CT images of benign and malignant CRMs. The diagnostic capabilities of the models and experienced radiologists were compared using Receiver Operating Characteristic (ROC) curves. RESULTS: On unenhanced, AP and VP CT images in the validation set, the AUC, specificity, sensitivity and accuracy for discriminating between benign and malignant CRMs were 90.0 (95%CI: 81-98%), 90.0%, 90.5% and 90.2%; 93.0% (95%CI: 86-99%), 86.7%, 95.2% and 88.3%; and 95.0% (95%CI: 90%-100%), 93.3%, 90.5% and 92.1%, respectively, for the radiomics models. Diagnostic accuracy of the radiomics models differed significantly on unenhanced images in the training set vs. each radiologist (p = 0.001 and 0.003) but not in the validation set (p = 0.230 and 0.590); differed significantly on AP images in the validation set vs. each radiologist (p = 0.007 and 0.007) but not in the training set (p = 0.663 and 0.663); and there were no differences on VP images in the training or validation sets vs. each radiologist (training set: p = 0.453 and 0.051, validation set: p = 0.236 and 0.786). CONCLUSIONS: Radiomics models may have clinical utility for discriminating between benign and malignant CRMs on unenhanced and enhanced CT images. The performance of the radiomics model on unenhanced CT images was similar to experienced radiologists, implying it has potential as a screening and diagnostic tool for CRMs.


Assuntos
Algoritmos , Artérias , Estudos Retrospectivos , Rim , Tomografia Computadorizada por Raios X
8.
Dalton Trans ; 52(18): 6097-6104, 2023 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-37063088

RESUMO

Charge recombination severely restricts the photocatalytic efficiencies of materials. Loading cocatalysts on the surface of host photocatalysts is a promising strategy for charge separation, which, however, suffers from the large Schottky barrier at the cocatalyst/host interface. Herein, a series of Pt/PbTiO3 compounds were constructed as a proof-of-concept utilizing the piezoelectric field of PbTiO3 under acoustic vibrations to modulate the height of the interfacial Schottky barrier. These hybrid systems achieved highly efficient piezo-photocatalytic H2 evolution under simultaneous ultrasonication and light illumination. The manipulation of the height of the Schottky barrier by the piezoelectric effect was validated by the I-V characteristics collected from conductive AFM. It is proposed that the acoustic-wave-induced piezoelectric field increased the electron flow from PbTiO3 to Pt over the modulated Schottky barrier, which promoted the spatial separation of photo-generated charge carriers and consequently enhanced the H2 evolution. These findings will extend the fundamental understanding of the synergistic piezo-photocatalysis mechanism and provide a new opportunity toward the rational design of novel materials systems for clean energy conversion.

9.
Inorg Chem ; 62(13): 5253-5261, 2023 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-36942791

RESUMO

Iron-nitrogen coordinated catalysts are regarded as efficient catalysts for the oxygen (O2) reduction reaction (ORR), wherein the coordination environment of Fe sites is critical to the catalytic activity. Herein, we explored the effect of the nitrogen-coordination structure of dual-atomic Fe2 sites (i.e., Fe2-N6-C and Fe2-N4-C) on the performance of the ORR. The half-wave potential (E1/2) of Fe2-N6-C is 0.880 V vs RHE, outperforming that of the tetracoordinate Fe2-N4-C (0.851 V) and commercial Pt/C (0.850 V) in alkaline electrolytes. The Fe2-N6-C-based zinc-air battery delivers a maximum power density of (258.6 mW/cm2) and superior durability under 10 mA/cm2. Theoretical calculations unveil that the moieties of Fe2-N6 profits the d-electron rearrangement of the Fe2 sites. The electronic and geometrical structure of Fe2-N6 promotes the O2 molecules adsorbed on the Fe2 site and reduces the dissociation energy barrier of O2, benefiting fracture of O-O bonds and acceleration of the transformation of O2 to *OOH (the first step of the ORR process). Such exploration of modulating the local N-coordination environment of Fe2 dimers paves an in-depth insight to design and optimize dual-atomic catalysts.

10.
Am J Public Health ; 113(3): 331-336, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36657091

RESUMO

Dollar stores have rapidly expanded their food offerings in recent years. These foods tend to be higher in calories and lower in nutrients, raising public health concerns, especially in rural and low-income areas where food-access challenges are often greatest. However, there is limited empirical evidence evaluating the impact of this expansion on household food purchases on a national scale. Using data from a yearly, nationally representative panel of approximately 50 000 households, we estimated the share of food purchases from 2008 to 2020 by store type and evaluated the role of dollar stores as food retailers in the United States. We found that dollar stores were the fastest-growing food retailers by household expenditure share (increasing by 89.7%), with rural growth outpacing growth elsewhere (increasing by 102.9%). Though dollar stores still represent a small share of national household food purchases (2.1% in 2020), they play an increasingly prominent role in food-at-home purchases for certain disadvantaged and rural communities. Understanding the quality of the foods they offer and how this may affect diet-related health outcomes is warranted. (Am J Public Health. 2023;113(3):331-336. https://doi.org/10.2105/10.2105/AJPH.2022.307193).


Assuntos
Abastecimento de Alimentos , População Rural , Humanos , Estados Unidos , Alimentos , Dieta , Preferências Alimentares , Comércio
11.
J Public Health Manag Pract ; 29(2): 151-161, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36214651

RESUMO

CONTEXT: Tobacco use is a leading cause of preventable death, yet it is challenging to establish public policy to reduce tobacco use. Massachusetts has been a national leader in tobacco control, and its policy-making patterns can be informative to the country. OBJECTIVE: To identify factors associated with the adoption of tobacco policy within 351 Massachusetts municipalities. DESIGN: We obtained the 2019 Massachusetts municipality-level tobacco control policy information from Massachusetts' Tobacco Automated Fact Sheet Information system and compiled it with data from American Community Survey, Massachusetts Municipal Association, and Massachusetts state government's Web sites. We used k -means clustering method to identify statistical clustering patterns and hotspot analysis (Getis-Ord Gi*) and Local Indicators of Spatial Association to identify geographic clustering patterns. We then performed multinomial logistic regression to identify factors associated with policy clusters. SETTING: Massachusetts. PARTICIPANTS: Three hundred fifty-one municipalities in Massachusetts. MAIN OUTCOME MEASURE: Policy clusters-groups of municipalities with similar tobacco control policy behaviors. RESULTS: Based on the k -means analyses, we identified 3 clusters in Massachusetts municipal tobacco control policy behaviors: 54% (N = 191) of municipalities were "Policy Leaders" with a high adoption rate of the 6 tobacco control policies; 18% (N = 63) were "Peer-Influenced Actors" focused on tobacco purchase restrictions for individuals younger than 21 years; and 28% (N = 97) were "Policy Non-Actors," with no tobacco control policies in place. Policy Leaders were geographically clustered in larger cities and the MetroWest region. Policy Non-Actors were clustered in rural areas of Western and Central Massachusetts. Larger municipal population size, higher municipal tax income, and higher percentages of residents voting Democratic were associated with higher policy adoption activities. CONCLUSIONS: Local variation in the adoption of tobacco policies may exacerbate inequities in tobacco use and population health. Opportunities remain to implement additional tobacco control regulations at the local level to promote public health.


Assuntos
Política Pública , Controle do Tabagismo , Humanos , Fumar , Nicotiana , Massachusetts/epidemiologia , Análise por Conglomerados
12.
Chem Commun (Camb) ; 58(76): 10691-10694, 2022 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-36065893

RESUMO

Cs3Bi2Br9 decorated with crystalline-amorphous Pd nanocubes as cocatalysts is reported to photocatalytically coproduce ca. 1400 µmol h-1 g-1 of H2 and benzaldehyde from the selective benzyl alcohol oxidation. This route offers an alternative for photocatalytic H2 generation using metal halide perovskites under mild conditions.

13.
PLoS One ; 17(7): e0271788, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35862354

RESUMO

INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic could disproportionately affect individuals who have a substance use disorder (SUD). However, little information exists on COVID-19-related experiences among individuals with a SUD. We examined whether individuals with a SUD differ from other individuals with regard to COVID-19 testing, susceptibility, and employment-related vulnerability. METHODS: We used data from a U.S. nationally representative survey (n = 1,208). Using logistic regressions, we examined whether individuals with SUDs differ from other individuals regarding underlying health conditions, COVID-19 testing, access to paid sick leave, and loss of employment. Data were collected in late May-early June, 2020. RESULTS: Four percent of participants reported that a healthcare professional had told them they had a SUD. We found that, compared to those without SUDs, respondents with SUDs had higher odds of having lost their job due to the pandemic (adjusted odds ratio [AOR]:5.17, 95% confidence interval [CI]:2.28-11.74). Among individuals who were employed prior to the pandemic, people with SUDs had lower odds of having paid sick leave (AOR:0.26, 95% CI:0.09-0.74). CONCLUSION: Our study indicates that individuals with SUDs could be disproportionately affected by COVID-19 economically, which might worsen SUD and racial/ethnic health disparities.


Assuntos
COVID-19 , Transtornos Relacionados ao Uso de Substâncias , COVID-19/epidemiologia , Teste para COVID-19 , Estudos Transversais , Humanos , Pandemias , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Estados Unidos/epidemiologia
14.
Dalton Trans ; 51(18): 7127-7134, 2022 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-35466976

RESUMO

A dual-phase transition metal nitride (TMN) based Co4N-WNx system has been fabricated using nitridation of CoWO4. The interface between centrosymmetric Co4N and non-centrosymmetric WNx promotes charge carrier separation. This system also shows piezoelectric behavior. The piezoelectric property has been proved using piezoelectric force microscopy (PFM) measurements. In addition, modulating the non-centrosymmetric structure of Co4N-WNx allows a hydrogen production rate of about 262.7 µmol g-1 h-1 in pure water. We also show that the piezocatalytic hydrogen evolution efficiency is satisfactory. Co4N-WNx can also help achieve simultaneous piezocatalytic hydrogen production and RhB degradation. This work provides a novel strategy for designing efficient piezocatalytic materials.

15.
Inorg Chem ; 61(7): 3166-3175, 2022 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-35137576

RESUMO

Transition metal-nitrogen-carbon (M-N-C) catalysts (M = Fe, Co, etc.) are the most promising substituents of Pt-based catalysts for oxygen reduction reaction (ORR). However, the insufficient active species in catalysts inevitably hamper their widespread applications. Herein, we report the regulation of the active species in the catalysts of multicomponent N-doped carbon with Fe/Fe3C nanoparticles by polydopamine (PDA) coating. It is found that the PDA is conducive to increasing the pyridinic, graphitic, and total N content in the carbon matrix. Benefiting from the chelating effects, the PDA further profits the formation of Fe-Nx structures and the implantation of Fe/Fe3C nanoparticles in the matrix during the pyrolysis. As expected, the resultant catalysts exhibit over 15 times mass activity toward ORR than nitrogen-doped carbon. Moreover, our developed catalysts show long-term stability as well as high methanol tolerance, which is superior to that of the commercial Pt/C electrode. This work provides a new avenue to explore a wider range of high-performance ORR electrocatalysts by regulating the active species.

16.
Int J Equity Health ; 21(1): 12, 2022 01 28.
Artigo em Inglês | MEDLINE | ID: mdl-35090465

RESUMO

BACKGROUND: The principle of equity is fundamental to many current debates about social issues and plays an important role in community and individual health. Traditional research has focused on singular dimensions of equity (e.g., wealth), and often lacks a comprehensive perspective. The goal of this study was to assess relationships among three domains of equity, health, wealth, and civic engagement, in a nationally representative sample of U.S. residents. METHODS: We developed a conceptual framework to guide our inquiry of equity across health, wealth, and civic engagement constructs to generate a broad but nuanced understanding of equity. Through Ipsos' KnowledgePanel service, we conducted a cross-sectional, online survey between May 29-June 20, 2020 designed to be representative of the adult U.S. POPULATION: Based on our conceptual framework, we assessed the population-weighted prevalence of health outcomes and behaviors, as well as measures of wealth and civic engagement. We linked individual-level data with population-level environmental and social context variables. Using structural equation modeling, we developed latent constructs for wealth and civic engagement, to assess associations with a measured health variable. RESULTS: We found that the distribution of sociodemographic, health, and wealth measures in our sample (n = 1267) were comparable to those from other national surveys. Our quantitative illustration of the relationships among the domains of health, wealth, and civic engagement provided support for the interrelationships of constructs within our conceptual model. Latent constructs for wealth and civic engagement were significantly correlated (p = 0.013), and both constructs were used to predict self-reported health. Beta coefficients for all indicators of health, wealth, and civic engagement had the expected direction (positive or negative associations). CONCLUSION: Through development and assessment of our comprehensive equity framework, we found significant associations among key equity domains. Our conceptual framework and results can serve as a guide for future equity research, encouraging a more thorough assessment of equity.


Assuntos
Estudos Transversais , Adulto , Humanos , Inquéritos e Questionários , Estados Unidos
17.
J Am Nutr Assoc ; 41(3): 281-290, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33617731

RESUMO

OBJECTIVE: The Supplemental Nutrition Assistance Program (SNAP) provides nutritional assistance for United States residents with low income. Current SNAP policy discussion focuses on its work requirement: the Able Bodied Adults without Dependents (ABAWDs) time limit. This study sets out to analyze the effects the work requirement has on ABAWDs' health and employment status. METHODS: States can apply a waiver on the ABAWD work requirement if they can establish a labor surplus. Many states had this waiver expired due to economic recovery after the 2008 economic crisis. This study took advantage of a recent natural experiment created by states' differentiated timelines in phasing out the three-month waiver and applies a triple-differences approach to study the effects of the SNAP work requirement, using data from the Behavioral Risk Factor Surveillance System, 2015-2016. RESULTS: SNAP-eligible individuals, including ABAWDS, had more serious physical and mental health conditions compared with higher income individuals. Losing SNAP eligibility increased the incidence of experiencing physically unhealthy days by 14% (p < 0.05) but caused no significant change in employment status. CONCLUSIONS: The ABAWD time limit on SNAP may have negative consequences when there are insufficient opportunities for employment or positions in governmental Employ and Training programs. More studies are needed to better understand the reason for high SNAP participation even when the unemployment rate suggested a strong economy in 2015-2016. Decision-makers should be cautious in removing SNAP eligibility for ABAWDs or states' time-limit waivers.


Assuntos
Assistência Alimentar , Adulto , Definição da Elegibilidade , Emprego , Humanos , Pobreza , Desemprego , Estados Unidos/epidemiologia
18.
Prev Med Rep ; 24: 101494, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34277329

RESUMO

Understanding reasons for COVID-19 vaccine hesitancy is necessary to ensure maximum uptake, needed for herd immunity. We conducted a cross-sectional online survey between May 29-June 20, 2020 among a national sample of U.S. adults ages 18 years and over to assess cognitive, attitudinal and normative beliefs associated with not intending to get a COVID-19 vaccine. Of 1219 respondents, 17.7% said that they would not get a vaccine and 24.2% were unsure. In multivariable analyses controlled for gender, age, income, education, religious affiliation, health insurance coverage, and political party affiliation, those who reported that they were unwilling be vaccinated (versus those who were willing) were less likely to agree that vaccines are safe/effective (Relative Risk Ratio (RRR): 0.45, 95% confidence interval (CI): 0.31, 0.66), that everyone has a responsibility to be vaccinated (RRR: 0.39, 95% CI: 0.30, 0.52), that public authorities should be able to mandate vaccination (RRR: 0.75, 95% CI: 0.58, 0.98), and more likely to believe that if everyone else were vaccinated they would not need a vaccine (RRR: 1.36, 95% CI: 1.04, 1.78). Our results suggest that health messages should emphasize the safety and efficacy of vaccines, as well as the fact that vaccinating oneself is important, even if the level of uptake in the community is high.

19.
J Health Care Poor Underserved ; 32(2): 654-663, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34120966

RESUMO

Millions of Americans are formerly or currently under correctional supervision and their involvement with the correctional system imposes collateral consequences beyond sentencing times. We explore the creation of extended punishment through the intersection of correctional system involvement, food insecurity, and two Supplemental Nutrition Assistance Program (SNAP) policies. Given the high prevalence of food insecurity, individuals with correctional supervision involvement are likely to need assistance from SNAP; however, they face more barriers accessing SNAP benefits than the general population. We highlight two policies in particular: the restrictions for individuals with drug felony convictions and the able-bodied adults without dependents work requirement. Due to challenges with securing gainful employment and the need for SNAP benefits, these two policies create disparities with participation in the program and increase risk for food insecurity and other poor health outcomes among this population.


Assuntos
Assistência Alimentar , Adulto , Emprego , Insegurança Alimentar , Abastecimento de Alimentos , Humanos , Pobreza , Prevalência , Estados Unidos
20.
Environ Res ; 197: 111044, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33753076

RESUMO

Hydroxyl/amino and Fe(III) co-grafted graphite carbon nitride (CN) is fabricated via alkaline hydrothermal treatment and followed by an impregnation adsorption process. In this unique fabrication, hydroxyl and amino groups enriched on the surface play a vital role in improving the adsorption capacity for volatile organic compounds (VOCs), while the grafted amorphous Fe(III) clusters could dominantly regulate the path of molecular oxygen activation via photo-Fenton reaction, and change the selectivity of intermediate reactive oxygen species (ROS) with the assistant of the rich surficial hydroxyl groups. Meanwhile, both the grafted functional groups and Fe(III) clusters can serve as photogenerated charge acceptors for collaboratively accelerating carriers' separation. Besides, the Fe(III)-mediated interfacial charge transfer effect (IFCT) also could extend visible light absorption and boost carriers' generation. Benefiting from the virtues of the complementary and synergy of the grafted hydroxyl/amino and Fe(III), the dual-functionalized CN is qualified as an efficient photocatalyst for removal of VOCs, which exhibits 22 and 18 times isopropanol (IPA) adsorption capacity and CO2 production than of pristine CN during photocatalytic IPA removal, respectively. Moreover, this work provides a new strategy of surficial group-cluster bifunctionalization for systematically improving sustainable solar-to-chemical energy conversion towards VOCs mineralization.


Assuntos
Grafite , Compostos Orgânicos Voláteis , Catálise , Compostos Férricos , Nitrilas
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