658 resultados para Collaborative Economy


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Iowa Workforce Development's newsletter.

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Iowa’s three million acres of forest land provide environmental benefits to all Iowans in terms of soil erosion control, air quality, and water quality. In 2013, more than 6.5 million trees died. Within those trees there were more than 125 million board feet of wood, compared to 98 million board feet of wood harvested. This level of mortality is the highest level reported from US Forest Service inventories in twenty years. This is disturbing when considering more than 18,000 Iowans are employed in the wood products and manufacturing industry, generating nearly $4 billion in annual sales, more than $900 million in annual payroll and more than $25 million to private woodland owners annually from the sale of timber.

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BACKGROUND: Maternal-infant transmission of hepatitis B virus (HBV) during birth carries a high risk for chronic HBV infection in infants with frequent subsequent development of chronic disease. This can be efficiently prevented by early immunization of exposed newborns. The purpose of this study was to determine the compliance with official recommendations for prevention of perinatal HBV transmission in hepatitis B surface antigen (HBsAg) exposed infants. METHODS: Records of pregnant women at 4 sites in Switzerland, admitted for delivery in 2005 and 2006, were screened for maternal HBsAg testing. In HBsAg-exposed infants, recommended procedures (postnatal active and passive immunization, completion of immunization series, and serological success control) were checked. RESULTS: Of 27,131 women tested for HBsAg, 194 (0.73%) were positive with 196 exposed neonates. Of these neonates, 143 (73%) were enrolled and 141 (99%) received simultaneous active and passive HBV immunization within 24 hours of birth. After discharge, the HBV immunization series was completed in 83%. Only 38% of children were tested for anti-HBs afterwards and protective antibody values (>100 U/L) were documented in 27% of the study cohort. No chronically infected child was identified. Analysis of hospital discharge letters revealed significant quality problems. CONCLUSIONS: Intensified efforts are needed to improve the currently suboptimal medical care in HBsAg-exposed infants. We propose standardized discharge letters, as well as reminders to primary care physicians with precise instructions on the need to complete the immunization series in HBsAg-exposed infants and to evaluate success by determination of anti-HBs antibodies after the last dose.