1.Effect of the Coronavirus Disease 2019 Pandemic on the Quality of Stroke Care in Stroke Units and Alternative Wards: A National Comparative Analysis
Dominique A. CADILHAC ; Joosup KIM ; Geoffrey CLOUD ; Craig S. ANDERSON ; Emma K. TOD ; Sibilah J. BREEN ; Steven FAUX ; Timothy KLEINIG ; Helen CASTLEY ; Richard I. LINDLEY ; Sandy MIDDLETON ; Bernard YAN ; Kelvin HILL ; Brett JONES ; Darshan SHAH ; Katherine JAQUES ; Benjamin CLISSOLD ; Bruce CAMPBELL ; Natasha A. LANNIN ;
Journal of Stroke 2022;24(1):79-87
Background:
and Purpose Changes to hospital systems were implemented from March 2020 in Australia in response to the coronavirus disease 2019 pandemic, including decreased resources allocated to stroke units. We investigate changes in the quality of acute care for patients with stroke or transient ischemic attack during the pandemic according to patients’ treatment setting (stroke unit or alternate ward).
Methods:
We conducted a retrospective cohort study of patients admitted with stroke or transient ischemic attack between January 2019 and June 2020 in the Australian Stroke Clinical Registry (AuSCR). The AuSCR monitors patients’ treatment setting, provision of allied health and nursing interventions, prescription of secondary prevention medications, and discharge destination. Weekly trends in the quality of care before and during the pandemic period were assessed using interrupted time series analyses.
Results:
In total, 18,662 patients in 2019 and 8,850 patients in 2020 were included. Overall, 75% were treated in stroke units. Before the pandemic, treatment in a stroke unit was superior to alternate wards for the provision of all evidence-based therapies assessed. During the pandemic period, the proportion of patients receiving a swallow screen or assessment, being discharged to rehabilitation, and being prescribed secondary prevention medications decreased by 0.58% to 1.08% per week in patients treated in other ward settings relative to patients treated in stroke units. This change represented a 9% to 17% increase in the care gap between these treatment settings during the period of the pandemic that was evaluated (16 weeks).
Conclusions
During the first 6 months of the pandemic, widening care disparities between stroke units and alternate wards have occurred.
2.ASSOCIATION BETWEEN LAND COVER AND HABITAT PRODUCTIVITY OF MALARIA VECTORS IN CENTRAL KENYAN RICELANDS
JACOB G. BENJAMIN ; MUTURI J. EPHANTUS ; FUNES E. JOSE ; SHILILU I. JOSEPH ; GITHURE I. JOHN ; NOVAK J. ROBERT
Acta Parasitologica et Medica Entomologica Sinica 2007;14(2):86-97,封2,封3
This research covers the current status of rice land malaria mapping with particular reference to recent developments in spaceborne data availability. A land cover map was generated in Erdas Imagine V8.7(R) using Quickbird 0.6 m and Ikonos 4.0 m visible and near-infrared (NIR) data acquired July 2005, for Kangichiri, Kiuria and Rurumi agro-village complexes within the Mwea Rice Scheme, Kenya. Field sampling data was acquired from the three study sites during July 2005 to July 2006. We performed a maximum likelihood unsupervised classification on the satellite datasets. Each paddy and canal habitat in the three study sites was digitally traced in Arc Info 9.1(R) which served as a grid. A unique identifier was placed in each grid cell. All habitats in each study site were stratified based on levels of rice stage ( 1 = ploughed, 2 = flooded, 3 = posttransplanting, 4 = tillering, 5 = flowering/maturation, 6 = fallow). Differentially corrected global positioning systems(DGPS) ground coordinates of rice land Anopheles oviposition sites were overlaid on the satellite datasets. An analyses of variance test between aquatic habitat, strata and study site was performed. The Ikonos data and the QuickBird data identified every rice land aquatic habitat by village and strata. Ikonos and QuickBird visible and NIR data of geo-referenced riceland An. arabiensis aquatic habitats can develop and implement an Integrated Vector Management (IVM) program based on larval productivity.
3.Effects of hsf1 genotype on the constitutive expression of alphaB-crystallin in mice myocardium.
Li LIU ; Hong-Hui ZHANG ; Guo-Xian DING ; Yun-Lin CHENG ; Liang-Jun YAN ; I J BENJAMIN
Chinese Journal of Applied Physiology 2004;20(1):30-33
AIMTry to clarify the effects of HSF1 gene on the constitutively expressed alphaBC.
METHODSTo investigate the levels of constitutively expressed alphaB-Crystallin (alphaBC) in hsf1 knockout (hsf1 -/-) and hsf1 wild type (hsf1 +/+) mice myocardium by Western blot and immunohistochemistry.
RESULTSThe alphaBC levels in hsf1 -/- and hsf1 +/+ were 68.42% +/- 4.16%, 100% +/- 7.58%, respectively (P < 0.05, cytosolic fraction), and 20.53% +/- 1.01%, 37.55% +/- 1.91%, respectively (P < 0.05, pellet fraction). The alphaBC signals decreased significantly in hsf1 -/- myocardium compared with hsf1 +/+ myocardium stained with fluorescence immunohistochemistry.
CONCLUSIONhsf1 is the important, but not the only factor, which mediates the constitutively expressed alphaBC.
Animals ; DNA-Binding Proteins ; genetics ; Female ; Genotype ; Heat Shock Transcription Factors ; Male ; Mice ; Mice, Knockout ; Myocardium ; metabolism ; Transcription Factors ; genetics ; alpha-Crystallin B Chain ; genetics ; metabolism

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