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  • Open Access

    ARTICLE

    The financial impact of cancer care on renal cancer patients

    Doreen A. Ezeife1, Brendon Josh Morganstein2, Steven Yip1, Malcolm Ryan2, Jennifer H. Law2, Amy Yimin Guan3, Lisa W. Le3, Aaron R. Hansen2, Adrian Sacher2, Georg A. Bjarnason4, Mark K. Doherty4, Natasha B. Leighl2

    Canadian Journal of Urology, Vol.28, No.4, pp. 10762-10767, 2021

    Abstract Introduction: Advances in novel treatment options may render renal cell cancer (RCC) patients susceptible to the financial toxicity (FT) of cancer treatment, and the factors associated with FT are unknown.
    Materials and methods: Eligible patients were ≥ 18 years old and had a diagnosis of stage IV RCC for at least 3 months. Patients were recruited from Princess Margaret Cancer Centre and Sunnybrook Odette Cancer Centre (Toronto, Canada). FT was assessed using the validated Comprehensive Score for Financial Toxicity (COST) instrument, a 12-question survey scored from 0-44, with lower scores reflecting worse FT. Patient and treatment characteristics,… More >

  • Open Access

    ARTICLE

    Impact of COVID-19 pandemic on the presentation, management and outcome of testicular torsion in the pediatric population - an analysis of a large pediatric center

    Albert S. Lee, Hans G. Pohl, H. Gil Rushton, Tanya D. Davis

    Canadian Journal of Urology, Vol.28, No.4, pp. 10750-10755, 2021

    Abstract Introduction: To examine the impact of COVID-19 pandemic on the presentation, management and outcome of testicular torsion at our institution.
    Materials and methods: A retrospective review of a prospectively maintained testicular torsion database was performed. Patients ≤ 18 years of age evaluated in our emergency room between 3/11/2020 to 10/1/2020 (during-COVID-19) and the same period in 2018 and 2019 (pre-COVID-19) with US diagnosed and OR confirmed testicular torsion were included. Basic demographics, timing of presentation, referral rate, time to OR and orchiectomy rate were extracted and compared. P < 0.05 was considered statistically significant.
    Results: A total of… More >

  • Open Access

    ARTICLE

    Lymphoceles: impact on kidney transplant recipients, graft, and healthcare system

    Emily Nguyen1, Michelle Minkovich1, Olusegun Famure1, Yanhong Li1, Anand Ghanekar1,2, Markus Selzner1,2,*, S. Joseph Kim1,3,*, Jason Y. Lee1,4

    Canadian Journal of Urology, Vol.28, No.5, pp. 10848-10857, 2021

    Abstract Introduction: Following kidney transplantation, lymphoceles can impact patient and graft outcomes, while resulting in significant hospital resource utilization. We aimed to characterize the incidence, risk factors, outcomes, and clinical management of lymphoceles among kidney transplant recipients and review impact on health system utilization at a high-volume center.
    Materials and methods: We conducted a single-center, observational cohort study on adults transplanted between January 1, 2005 and December 31, 2017. Incidence, risk factors, and clinical outcomes were assessed using the Kaplan-Meier product-limit method, multivariable logistic regression model, and Cox proportional hazards model, respectively.
    Results: Lymphoceles developed in 72 of 1881… More >

  • Open Access

    ARTICLE

    Survey of COVID-19 impact on pediatric urology services

    Sheila Mallenahalli1, Matthew Fifolt2, Mohan Gundeti3, Yegappan Lakshmanan4, Patricio Gargollo5, Michael C. Ost6, Pankaj P. Dangle7

    Canadian Journal of Urology, Vol.28, No.5, pp. 10834-10840, 2021

    Abstract Introduction: To better understand how the COVID-19 pandemic has forced rapid operational changes in the global healthcare industry, changes implemented on an individual, institutional basis must be considered. There currently is not adequate literature about the overall impact COVID-19 has had on pediatric urology services worldwide. We believe that they have dramatically decreased during the COVID-19 crisis, but have adapted to accommodate changes. We hypothesize that patient care was widely variant due to inadequate standardized recommendations or crisis planning.
    Materials and methods: A web-based survey was deployed to 377 pediatric urologists globally via email to analyze COVID-19’s… More >

  • Open Access

    ARTICLE

    Impact of facility type and volume on survival in patients with metastatic renal cell carcinoma

    Furkan Dursun1, Ahmed Elshabrawy1, Hanzhang Wang1, James Oelsen1, Michael Liss1,2, Dharam Kaushik1,2, Chethan Ramamurthy1,2, Ronald Rodriguez1, Ahmed M. Mansour1,2,3

    Canadian Journal of Urology, Vol.28, No.5, pp. 10806-10816, 2021

    Abstract Introduction: To investigate the impact of facility type and volume on survival in patients with metastatic renal cell carcinoma (mRCC).
    Materials and methods: We investigated the National Cancer Database for patients with mRCC. Patients were stratified according to treatment facility type (academic vs. non-academic) and facility volume (high, intermediate, and low). Kaplan-Meier survival estimates and Cox proportional hazard models were fitted to evaluate overall survival (OS) as a function of facility type, volume, and different treatment modalities.
    Results: A total of 27,598 patients were identified, of which 10,938 (40%) were treated at academic centers (AC) and 16,131 (60%)… More >

  • Open Access

    ARTICLE

    Modelling of Contact Damage in Brittle Materials Based on Peridynamics

    Jingjing Zhao1,*, Guangda Lu2, Qing Zhang3, Wenchao Du4

    CMES-Computer Modeling in Engineering & Sciences, Vol.129, No.2, pp. 519-539, 2021, DOI:10.32604/cmes.2021.017268 - 08 October 2021

    Abstract As a typical brittle material, glass is widely used in construction, transportation, shipbuilding, aviation, aerospace and other industries. The unsafe factors of glass mainly come from its rupture. Thus, establishing a set of prediction models for the cracks growth of glass under dynamic load is necessary. This paper presents a contact damage model for glass based on the ordinary state-based peridynamic theory by introducing a contact force function. The Hertz contact (nonembedded contact) problem is simulated, and the elastic contact force is determined by adjusting the penalty factor. The proposed model verifies the feasibility of More >

  • Open Access

    ARTICLE

    Application of ferrous sulfate alleviates negative impact of cadmium in rice (Oryza sativa L.)

    JAVARIA AFZAL1,2,#, XIUKANG WANG3,*, MUHAMMAD HAMZAH SALEEM4,#, XUECHENG SUN1, SHAHID HUSSAIN5, IMRAN KHAN6, MUHAMMAD SHOAIB RANA1, SHAKEEL AHMED7, SAMRAH AFZAL AWAN6, SAJID FIAZ8, OMAR AZIZ9, KASHIF ALI KUBAR10, SHAFAQAT ALI11,12, CHENGXIAO HU1,*

    BIOCELL, Vol.45, No.6, pp. 1631-1649, 2021, DOI:10.32604/biocell.2021.014934 - 01 September 2021

    Abstract Soil contamination with toxic heavy metals [such as cadmium (Cd)] is becoming a serious global problem due to rapid development of social economy. Iron (Fe), being an important element, has been found effective in enhancing plant tolerance against biotic and abiotic stresses. The present study investigated the extent to which different levels of Ferrous sulphate (FeSO4) modulated the Cd tolerance of rice (Oryza sativa L.), when maintained in artificially Cd spiked regimes. A pot experiment was conducted under controlled conditions for 146 days, by using natural soil, mixed with different levels of CdCl2 [0 (no Cd), 0.5… More >

  • Open Access

    ARTICLE

    Impact of Financial Technology on Regional Green Finance

    Zheng Liu1, Juanjuan Song1, Hui Wu2,*, Xiaomin Gu2, Yuanjun Zhao3, Xiaoguang Yue4, Lihua Shi1

    Computer Systems Science and Engineering, Vol.39, No.3, pp. 391-401, 2021, DOI:10.32604/csse.2021.014527 - 12 August 2021

    Abstract Finance is the core of modern economy, and a strong country cannot do without the support of financial system. With the rapid development of economy and society, the traditional financial services can not support the increasingly large and complex economic system. As a brand-new format, financial technology can help the financial industry to restructure and upgrade. At the same time, as an international consensus, green development is the only way for China to achieve sustainable development. Therefore, it is of great practical significance to study the impact of finance on the regional development of green… More >

  • Open Access

    ARTICLE

    Statistical Model for Impact and Energy Absorption of 3D Printed Coconut Wood-PLA

    J. Kananathan1,2, M. Samykano2,*, K. Kadirgama3, D. Ramasamy2, M. M. Rahman2

    Energy Engineering, Vol.118, No.5, pp. 1305-1315, 2021, DOI:10.32604/EE.2021.016131 - 16 July 2021

    Abstract Fused deposition modeling (FDM)-3D printing has been the favored technology to build functional components in various industries. The present study investigates infill percentage and infill pattern effects on the printed parts’ impact properties through the 3D printing technique using coconut wood-filled PLA composites. Mathematical models are also proposed in the present study with the aim for future property prediction. According to the ASTM standard, fifteen specimens with different parameter combinations were printed using a low-cost FDM 3D printer to evaluate their impact properties. Statistical analysis was performed using MINITAB to validate the experimental data and… More >

  • Open Access

    ARTICLE

    Impacts of Torrefaction on PM10 Emissions from Biomass Combustion

    Zihao Wang, Dunxi Yu*, Jingkun Han, Jianqun Wu

    Energy Engineering, Vol.118, No.5, pp. 1267-1276, 2021, DOI:10.32604/EE.2021.016107 - 16 July 2021

    Abstract Typical biomass torrefaction is a mild pyrolysis process under conditions of ordinary pressure, low temperature (200–300°C) and inert atmosphere. Torrefaction is considered to be a competitive technology for biomass pretreatment, but its impacts on the emissions of particulate matter from biomass combustion are worthy of further study. In this paper, three kinds of biomass, i.e., bagasse, wheat straw and sawdust were selected for torrefaction pretreatment and the impacts of torrefaction on the emission characteristics of PM10 from biomass combustion were investigated. The combustion experiments were carried out on a drop tube furnace. The combustion-generated particulate and… More >

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