Illegal unregulated and unreported fishing: Methods and increasing trends in Lake Naivasha, Kenya

2021 ◽  
Vol 26 (1) ◽  
pp. 13-22
Author(s):  
George N. Morara ◽  
James M. Njiru ◽  
Albert M. Getabu ◽  
Reuben Omondi ◽  
Ruth Lewo ◽  
...  
Keyword(s):  
Lake Naivasha ◽  
Increasing Trends

Trends in Periprosthetic Knee Infection and Associated Costs: A Population-Based Study Using National Data

2020 ◽  
Author(s):  
Robert Brochin ◽  
Jashvant Poeran ◽  
Khushdeep S. Vig ◽  
Aakash Keswani ◽  
Nicole Zubizarreta ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Length Of Stay ◽  
Knee Arthroplasty ◽  
Trend Test ◽  
Strong Impact ◽  
Hospitalization Costs ◽  
Teaching Status ◽  
Increasing Trend ◽  
Total Knee ◽  
Increasing Trends

AbstractGiven increasing demand for primary knee arthroplasties, revision surgery is also expected to increase, with periprosthetic joint infection (PJI) a main driver of costs. Recent data on national trends is lacking. We aimed to assess trends in PJI in total knee arthroplasty revisions and hospitalization costs. From the National Inpatient Sample (2003–2016), we extracted data on total knee arthroplasty revisions (n = 782,449). We assessed trends in PJI prevalence and (inflation-adjusted) hospitalization costs (total as well as per-day costs) for all revisions and stratified by hospital teaching status (rural/urban by teaching status), hospital bed size (≤299, 300–499, and ≥500 beds), and hospital region (Northeast, Midwest, South, and West). The Cochran–Armitage trend test (PJI prevalence) and linear regression determined significance of trends. PJI prevalence overall was 25.5% (n = 199,818) with a minor increasing trend: 25.3% (n = 7,828) in 2003 to 28.9% (n = 19,275) in 2016; p < 0.0001. Median total hospitalization costs for PJI decreased slightly ($23,247 in 2003–$20,273 in 2016; p < 0.0001) while median per-day costs slightly increased ($3,452 in 2003–$3,727 in 2016; p < 0.0001), likely as a function of decreasing length of stay. With small differences between hospitals, the lowest and highest PJI prevalences were seen in small (≤299 beds; 22.9%) and urban teaching hospitals (27.3%), respectively. In stratification analyses, an increasing trend in PJI prevalence was particularly seen in larger (≥500 beds) hospitals (24.4% in 2003–30.7% in 2016; p < 0.0001), while a decreasing trend was seen in small-sized hospitals. Overall, PJI in knee arthroplasty revisions appears to be slightly increasing. Moreover, increasing trends in large hospitals and decreasing trends in small-sized hospitals suggest a shift in patients from small to large volume hospitals. Decreasing trends in total costs, alongside increasing trends in per-day costs, suggest a strong impact of length of stay trends and a more efficient approach to PJI over the years (in terms of shorter length of stay).

New Hope for Resistant Hypertention

2012 ◽  
Vol 5 (1) ◽  
pp. 81-91
Author(s):  
Z Rahman ◽  
KK Karmaker ◽  
M Ahmed ◽  
M Aziz ◽  
S Chowdhury ◽  
...  
Keyword(s):  
Resistant Hypertension ◽  
Patient Adherence ◽  
Public Health Problem ◽  
Drug Regimen ◽  
Renal Sympathetic Denervation ◽  
Major Public Health Problem ◽  
Antihypertensive Medications ◽  
Baroreflex Activation Therapy ◽  
Activation Therapy ◽  
Increasing Trends

Hypertension is a major public health problem. Despite the increasing awareness of hypertension and its implications among patients and treating physicians, the prevalence of resistant hypertension    remains high.Resistant hypertension define as blood pressure that remains elevated above treatment goals despite administration of an optimal three drug regimen that include a diuretic1 The prevalence of resistant    hypertension is projected to increase, owing to the aging population and increasing trends in obesity, sleep apnea, and chronic kidney disease. It is estimated that at least 10% of all patients with hypertension are resistant to existing drugs. Management of resistant hypertension must begin with  a careful evaluation of the patient to confirm the diagnosis and exclude factors associated with “pseudo-resistance,” such as improper BP measurement technique, the white-coat effect, and poor patient adherence to life-style and/or antihypertensive medications. Despite the use of the appropriate dose and type of diuretic to overcome the management of resistant hypertension, we can’t achieve our goal. But there is at least two devices namely Baroreflex Activation Therapy and Catheter-based  renal sympathetic denervation make the new hope for the patient with resistant hypertension DOI: http://dx.doi.org/10.3329/cardio.v5i1.12278 Cardiovasc. j. 2012; 5(1): 81-91

ANALISIS PENGARUH EKSPOR TERHADAP PERTUMBUHAN EKONOMI INDONESIA

2017 ◽  
Vol 11 (1) ◽  
pp. 1-20
Author(s):  
Ari Mulianta Ginting
Keyword(s):  
Economic Growth ◽  
Export Performance ◽  
Descriptive Analysis ◽  
Correction Model ◽  
Administration System ◽  
Long Run ◽  
Short Run ◽  
Available Information ◽  
Increasing Trends ◽  
The Relationship

Ekspor merupakan salah satu faktor terjadinya peningkatan pertumbuhan ekonomi suatu negara, sejalan dengan hipotesis export-led growth (ELG). Penelitian ini menganalisis perkembangan ekspor dan pertumbuhan ekonomi Indonesia periode kuartal I 2001 sampai dengan kuartal IV 2015. Penelitian ini menggunakan analisis deskriptif dalam menggambarkan perkembangan pertumbuhan ekonomi serta ekspor dan analisis kuantitatif metode Error Correction Model (ECM) dalam menganalisis efek jangka panjang dan jangka pendek dari ekspor terhadap pertumbuhan ekonomi. Pada periode penelitian, data yang ada menunjukkan bahwa ekspor dan pertumbuhan ekonomi Indonesia sama-sama mengalami peningkatan. Hasil regresi ECM menunjukkan bahwa ekspor memiliki pengaruh yang positif dan signifikan secara statistik terhadap pertumbuhan ekonomi Indonesia, yang mendukung hipotesis bahwa ELG berlaku untuk Indonesia. Berdasarkan hasil penelitian ini, maka untuk mendorong pertumbuhan ekonomi Indonesia diperlukan peningkatan kinerja ekspor Indonesia. Peningkatan kinerja ekspor Indonesia dapat dilakukan dengan berbagai cara, salah satunya adalah dengan perbaikan sistem administrasi ekspor, peningkatan riset dan pengembangan produk Indonesia, peningkatan sarana dan prasarana infrastruktur, stabilitas nilai tukar dan perluasan pasar non tradisional, termasuk perbaikan struktur ekspor komoditas. Export is one of the factors behind the economic growth which is in line with the export-led growth hypotesis (ELG). This research analyzes the relationship between economic growth and export of Indonesia during first quarter of 2001 until fourth quarter of 2015. It employs descriptive analysis to describe export movement and economic growth during the study period and ECM model to analyze the long run and the short run effects of export on the economic growth. The available information indicated that, during the study period, both export and economic growth showed similar increasing trends. The result of the ECM model revealed that export had a positive and statistically significant relationship with the economic growth, supporting the hypotesis of ELG in Indonesia. Hence, to accelerate economic growth, efforts are required to boost the export performance in Indonesia. The Export performance can be increased by several way, such as improving the export administration system, increasing the research and development of Indonesian products, improving the facilities and infrastructure, exchange rate stability and the non-tradisional markets expansion, and including improvement of the export commodity structure.

scholarly journals The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage

2020 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Wedad M. Almutairi ◽  
Susan M. Ludington ◽  
Mary T. Quinn Griffin ◽  
Christopher J. Burant ◽  
Ahlam E. Al-Zahrani ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Retrospective Chart Review ◽  
Skin Contact ◽  
Labor Duration ◽  
Third Stage Of Labor ◽  
Estimated Blood Loss ◽  
Third Stage ◽  
Skin To Skin ◽  
Increasing Trends

Objectives: were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. Design: A retrospective chart review conducted using codes for atonic PPH. Setting: Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. Results: PPH rate increased by 47.50% from 2009–2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Conclusions: Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.

scholarly journals Change in mean and extreme temperature at Yingkou station in Northeast China from 1904 to 2017

2021 ◽  
Vol 164 (3-4) ◽  
Author(s):  
Xiaoying Xue ◽  
Guoyu Ren ◽  
Xiubao Sun ◽  
Panfeng Zhang ◽  
Yuyu Ren ◽  
...  
Keyword(s):  
Northeast China ◽  
Extreme Temperature ◽  
Maximum Temperature ◽  
Data Set ◽  
The Past ◽  
Significant Downward Trend ◽  
Cold Events ◽  
Temperature Indices ◽  
Increasing Trends ◽  
Change In Mean

AbstractThe understanding of centennial trends of extreme temperature has been impeded due to the lack of early-year observations. In this paper, we collect and digitize the daily temperature data set of Northeast China Yingkou meteorological station since 1904. After quality control and homogenization, we analyze the changes of mean and extreme temperature in the past 114 years. The results show that mean temperature (Tmean), maximum temperature (Tmax), and minimum temperature (Tmin) all have increasing trends during 1904–2017. The increase of Tmin is the most obvious with the rate of 0.34 °C/decade. The most significant warming occurs in spring and winter with the rate of Tmean reaching 0.32 °C/decade and 0.31 °C/decade, respectively. Most of the extreme temperature indices as defined using absolute and relative thresholds of Tmax and Tmin also show significant changes, with cold events witnessing a more significant downward trend. The change is similar to that reported for global land and China for the past six decades. It is also found that the extreme highest temperature (1958) and lowest temperature (1920) records all occurred in the first half of the whole period, and the change of extreme temperature indices before 1950 is different from that of the recent decades, in particular for diurnal temperature range (DTR), which shows an opposite trend in the two time periods.

scholarly journals Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017

2020 ◽  
Vol 5 (12) ◽  
pp. e003844
Author(s):  
Rana Islamiah Zahroh ◽  
George Disney ◽  
Ana Pilar Betrán ◽  
Meghan A. Bohren
Keyword(s):  
Caesarean Section ◽  
Health Facility ◽  
Rate Ratio ◽  
Maternal Education ◽  
Sociodemographic Characteristics ◽  
Public And Private ◽  
The Past ◽  
Life Saving ◽  
Facility Type ◽  
Increasing Trends

IntroductionCaesarean section (CS) rates are increasing globally. CS can be a live-saving procedure when medically indicated, but it comes with higher risks for women and newborns when done without medical indication. Crucially, inequalities in who receives CS exist, both within and across countries. Understanding factors driving increasing rates and inequalities of CS is imperative to optimise the use of this life-saving intervention. This study aimed to investigate trends of CS use and inequalities across sociodemographic characteristics in Indonesia over a 30-year period.MethodsSeven waves of the Indonesia Demographic and Health Survey were used to estimate trends and inequalities in CS from 1987 to 2017. Relative and absolute inequalities across a range of sociodemographic characteristics were estimated and trends in inequalities were assessed through changes in rate ratio and rate difference.ResultsThe proportion of facility-based births in Indonesia has increased in the past 30 years, coinciding with an increase in CS rate (CSR) (1991 CSR: 1.6% (95% CI 1.3 to 1.9); 2017 CSR: 17.6% (95% CI 16.7 to 18.5)). Higher rates of CS are observed mostly in Western Indonesia, while lower CSRs are observed in Eastern Indonesia. Inequalities of CSRs in Indonesia are observed across type of health facility (public/private), regions, places of residence, wealth quintiles and maternal education, with the highest CSRs in more affluent and educated groups. Widening absolute inequalities of CS are observed across all sociodemographic characteristics, except facility type, where CSR gaps between public and private facilities have closed on both relative and absolute scales.ConclusionThis study provides evidence of increasing trends in CSRs and widening absolute inequalities in CSRs across different sociodemographic groups of women in Indonesia. The context of increasing CSRs across society, however, may have resulted in more stable relative inequalities. Improving understanding of the drivers of these trends in Indonesia and, particularly, of women’s and providers’ perspectives and preferences for childbirth, should be prioritised to optimise the use of CS.

scholarly journals Trends in the Frequency of Intense Precipitation Events in Southern and Southeastern Brazil during 1960–2004

2011 ◽  
Vol 24 (7) ◽  
pp. 1913-1921 ◽  
Author(s):  
Mateus da Silva Teixeira ◽  
Prakki Satyamurty
Keyword(s):  
Extreme Rainfall ◽  
Southeastern Brazil ◽  
Extreme Rainfall Event ◽  
Southern Brazil ◽  
Extreme Rainfall Events ◽  
Rainfall Events ◽  
Annual Frequency ◽  
Long Term Trends ◽  
Increasing Trends

Abstract A new approach to define heavy and extreme rainfall events based on cluster analysis and area-average rainfall series is presented. The annual frequency of the heavy and extreme rainfall events is obtained for the southeastern and southern Brazil regions. In the 1960–2004 period, 510 (98) and 466 (77) heavy (extreme) rainfall events are identified in the two regions. Monthly distributions of the events closely follow the monthly climatological rainfall in the two regions. In both regions, annual heavy and extreme rainfall event frequencies present increasing trends in the 45-yr period. However, only in southern Brazil is the trend statistically significant. Although longer time series are necessary to ensure the existence of long-term trends, the positive trends are somewhat alarming since they indicate that climate changes, in terms of rainfall regimes, are possibly under way in Brazil.

scholarly journals EPID-12. TEMPORAL AND GLOBAL GEOGRAPHIC VARIATION IN THE INCIDENCE OF PEDIATRIC CNS TUMORS, 1998–2012

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii321-iii321
Author(s):  
Karina Ribeiro ◽  
Sidnei Epelman
Keyword(s):  
Geographic Variation ◽  
Incidence Rates ◽  
Histological Subtype ◽  
Embryonal Tumors ◽  
Pooled Data ◽  
Males And Females ◽  
Rate Ratios ◽  
Increasing Trends ◽  
Central South ◽  
Cns Malignancies

Abstract AIMS To describe the temporal and geographic variation in the incidence of pediatric CNS malignancies worldwide, presenting analyses by sex, period, region, and histological subtype between 1998 and 2012. METHODS Data were extracted from volumes IX to XI of the Cancer Incidence in 5 Continents, covering the periods 1998–2002 (1), 2003–2007 (2), and 2008–2012 (3). We pooled data from 44 countries, classifying them into 6 regions (Africa (AF), Asia (AS), Oceania (O), Europe (E), Central/South America (CSA), North America (NA)). Age-standardized incidence rates (ASIR per million, 0–19 years) were calculated and temporal variation was evaluated using incidence rate ratios (IRR) (95% CI). RESULTS The highest incidence (Period 3) was observed in NA (34.0 and 30.2 for males and females, respectively). Astrocytic tumors were predominant in all regions, with percentages ranging between 24.5% (E, females) and 45.6% (NA, females). Increasing trends (Period 3 x 1) were observed in AS (IRR=1.15, 95% CI 1.06–1.25), CSA (IRR=1.25, 95% CI 1.01–1.55), and NA (IRR=1.05, 95% CI 1.03–1.07), for males and in AS (IRR=1.15, 95% CI 1.05–1.26) and NA (IRR=1.08, 95% CI 1.06–1.11) for females. Geographic discrepancies in time-trends were observed for astrocytomas, ependymomas, medulloblastomas, other embryonal tumors, and other specified tumors. Reductions in the incidence of unspecified tumors from period 1 to 3 were noted in E, AS, and NA, ranging from -20% (E, females) to -66% (AS, females). CONCLUSIONS Heterogeneous trends and improvement in the registration of histological types were noted. Geographic variation can help to raise hypotheses to investigate etiologic factors.

scholarly journals The Temporal and Spatial Distribution of Hazy Days in Cities of Jiangsu Province China and an Analysis of Its Causes

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Jiansu Wei ◽  
Weijun Zhu ◽  
Duanyang Liu ◽  
Xiao Han
Keyword(s):  
Meteorological Data ◽  
Jiangsu Province ◽  
Industrial Emissions ◽  
Coal Consumption ◽  
Temporal And Spatial Distribution ◽  
Coastal Cities ◽  
Regional Temperature ◽  
Haze Formation ◽  
Increasing Trends ◽  
Haze Days

Based on the surface meteorological data of Jiangsu Province during 1980–2012, the climatic characteristics and the trends of haze were analyzed. The results indicated that during 1980–2012 haze days increased; in particular, severe and moderate haze days significantly increased. In the northern and coastal cities of Jiangsu Province China, haze days showed a significant increase. Haze often appeared in fall and winter and rarely in summer in the study area. It also occurred more often inland, and less along the coast. Haze occurred more often in June due to straw burning in the harvest time. The haze day increased during the 1990s over southern and southwestern Jiangsu Province; in central and northern Jiangsu, haze day increased after 2000. The continuous, regional, and regional continuous haze days all showed increasing trends. As the urban area expanded each year, industrial emissions, coal consumption, and car ownership increased accordingly, resulting in regional temperature increase and relative humidity decrease, which formed the urban heat island and dry island effects. Hence, haze formation and maintenance conditions became more favorable for more haze days, which led to the increase of haze days, and the significant increases of continuous, regional, and regional continuous haze days.

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