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Health Care Provider and Caregiver Preferences Regarding Nasogastric and Intravenous Rehydration

Some children with gastroenteritis fail to respond to oral rehydration. Subsequent interventions are dictated by regional preference. In North America, nasogastric rehydration is rarely administered. Caregiver and health care providers’ perspectives regarding its use have not been described previously.

Both caregivers and health care providers would select intravenous rehydration instead of nasogastric rehydration when oral rehydration fails. Greater knowledge mobilization efforts will be required for nasogastric rehydration to be adopted into clinical practice. (Read the full article)




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Risk Factors for Urolithiasis in Gastrostomy Tube Fed Children: A Case-Control Study

Patients who are fed via gastrostomy tube represent a heterogeneous, complex group of patients who may be at increased risk for kidney stones. To date, no previous studies have examined risk factors for kidney stone development in this population.

This case-control study of risk factors for urolithiasis in patients fed via gastrostomy suggests that topiramate use, urinary infections, and shorter length of time with a gastrostomy tube (possibly a marker for dehydration) are all associated with stone development. (Read the full article)




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SB 14-28 Scottish North Sea oil and gas industry

24 April 2014This briefing is produced to assist the Economy, Energy and Tourism Committee in their inquiry into Scotland’s Economic Future Post-2014.




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Combination Therapy Using Benznidazole and Aspirin During the Acute Phase of Experimental Chagas Disease Prevents Cardiovascular Dysfunction and Decreases Typical Cardiac Lesions in the Chronic Phase [Clinical Therapeutics]

Chagas disease, caused by the protozoan Trypanosoma cruzi, is one of the main causes of death due to cardiomyopathy and heart failure in Latin American countries. The treatment of Chagas disease is directed at eliminating the parasite, decreasing the probability of cardiomyopathy, and disrupting the disease transmission cycle. Benznidazole (BZ) and nifurtimox (NFX) are recognized as effective drugs for the treatment of Chagas disease by the World Health Organization, but both have high toxicity and limited efficacy, especially in the chronic disease phase. At low doses, aspirin (ASA) has been reported to protect against T. cruzi infection. We evaluated the effectiveness of BZ in combination with ASA at low doses during the acute disease phase and evaluated cardiovascular aspects and cardiac lesions in the chronic phase. ASA treatment prevented the cardiovascular dysfunction (hypertension and tachycardia) and typical cardiac lesions. Moreover, BZ+ASA-treated mice had a smaller cardiac fibrotic area than that in BZ-treated mice. These results were associated with an increase in the number of eosinophils and reticulocytes and level of nitric oxide in the plasma and cardiac tissue of ASA-treated mice relative to respective controls. These effects of ASA and BZ+ASA in chronically infected mice were inhibited by pretreatment with the LXA4 receptor antagonist, Boc-2, indicating that the protective effects of ASA are mediated by ASA-triggered lipoxin. These results emphasize the importance of exploring new drug combinations for treatments of acute phase of Chagas disease that are beneficial for chronic patients.




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Antiemetics in Children With Acute Gastroenteritis: A Meta-analysis

CONTEXT:

Several antiemetics have been used in children with acute gastroenteritis. However, there is still controversy over their use.

OBJECTIVE:

To determine the effectiveness and safety of antiemetics for controlling vomiting in children with acute gastroenteritis.

DATA SOURCES:

Medline, Embase, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Latin America and the Caribbean Literature on Health Sciences, and gray literature, until December 2018.

STUDY SELECTION:

We selected randomized clinical trials comparing metoclopramide, ondansetron, domperidone, dexamethasone, dimenhydrinate, and granisetron.

DATA EXTRACTION:

Two reviewers independently screened abstracts and full texts, extracted the data, and assessed the risk of bias. We performed pairwise and network meta-analysis using the random-effects model.

RESULTS:

Twenty-four studies were included (3482 children). Ondansetron revealed the largest effect in comparison to placebo for cessation of vomiting (odds ratio = 0.28 [95% credible interval = 0.16 to 0.46]; quality of evidence: high) and for hospitalization (odds ratio = 2.93 [95% credible interval = 1.69 to 6.18]; quality of evidence: moderate). Ondansetron was the only intervention that reduced the need for intravenous rehydration and the number of vomiting episodes. When considering side effects, dimenhydrinate was the only intervention that was worse than placebo.

LIMITATIONS:

Most treatment comparisons had low- or very low–quality evidence, because of risk of biases and imprecise estimates.

CONCLUSIONS:

Ondansetron is the only intervention that revealed an effect on the cessation of vomiting, on preventing hospitalizations, and in reducing the need for intravenous rehydration. Ondansetron was also considered a safe intervention.




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Hunger in Venezuela becoming 'a fuel more dangerous than gasoline'

Lima, Peru, Apr 26, 2020 / 06:18 am (CNA).- An archbishop in Venezuela warned that desperation is growing in the country, as the national coronavirus quarantine measures have compounded a tenuous political and economic situation. He urged people in the country to resist violence and social unrest.

Extreme hunger “does not reason or know rules,” said Archbishop Ulises Gutiérrez of Ciudad Bolívar, adding that this desperate hunger “is becoming a fuel more dangerous than gasoline.”

Gutiérrez spoke with ACI Prensa, CNA’s Spanish language news partner, in an April 23 interview, after looting and protests broke out in seven states in Venezuela.

Protestors objected to price hikes on food and a gasoline shortage exacerbated by the ongoing quarantine that was imposed last month to halt the spread of the COVID-19 pandemic. According to the latest government report, there have been 298 cases and 10 deaths in the country due to the virus.

Even before the coronavirus pandemic, Venezuela has been marred by violence and social upheaval under the socialist administration of Nicolas Maduro, with severe shortages of food and medicine, high unemployment, power outages, and hyperinflation. Some 4.5 million Venezuelans have emigrated since 2015.

The current COVID-19 quarantine is “aggravating the situation,” the archbishop said, noting that the quarantine was implemented without accompanying measures to protect the most vulnerable.

As a result, families are suffering, and many cannot access clean water, electricity or gasoline.

The country is experiencing “a totally destroyed economy in which agricultural producers can’t get their products out because they’re not getting gasoline supplied to them, or they have to buy it on the black market for 2 or 3 dollars a liter,” he said. In some cases, crops are rotting in farmers’ fields due to lack of fuel to transport them to market.

Gutiérrez voiced concern over the hunger-fueled looting and protests throughout the country, as well as the government’s violent suppression of the protests.

“The common denominator in all these protests is hunger,” he stressed.

With equipment in short supply and many of the country’s doctors have already emigrated due to the political and economic crisis, Gutiérrez acknowledged, the pandemic poses a significant threat.

“In short, the outlook is very dark,” he said.

But despite the desperate situation, the archbishop urged people not to resort to looting and violence.

“[S]atisfying hunger short term [by committing robbery] only leads to the destruction of regular commerce,” he said.

“The situation we’re going through is very tough, difficult, and fragile,” Gutiérrez said, likening the conditions to a pressure cooker, “which could lead us to unprecedented explosive social unrest, which nobody wants, and which would bring with it more hunger and greater suffering for the people.”

Still, the archbishop said he has reason for hope: “Our trust is in God and his providence keeps us going, encouraging and accompanying our people, assisting them with our Caritas social programs.”

“We have community soup kitchens, a medicine bank, outpatient medical care, programs for infant nutrition and nursing mothers, etc., which although it’s impossible to reach everyone, is a sign of God’s love through the Church,” he said.




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Reducing greenhouse gas emissions using microwave plasma technology

A multi-disciplinary collaborative relationship, developed between Penn State EMS Energy Institute researchers and a Pittsburgh-based start-up company, may hold the answer to reducing global greenhouse gas (GHG) emissions while also paving the way to disrupt the chemical and material industries.




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Student Killed During Activities After School in North Las Vegas

Authorities say the single victim of a shooting this week at a high school in North Las Vegas, Nev., was an 18-year-old student.




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Minor Gas Leak In LPG Container Of Goods Train At Bhopal: Rail Official

Gas leak was detected on a goods train transporting LPG on Saturday at Bhopal railway station in Madhya Pradesh, a Railways official said.




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Flag Lowering for Las Vegas Victims

This morning, President Trump ordered American flags at all U.S. government buildings and facilities to be flown at half-staff until October 6, 2017 as a mark of respect for the victims of the senseless act of violence in Las Vegas. In concurrence with the President’s order and as an expression of Delaware’s sympathy for the […]




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TRAFFIC ALERT - Closure of Southern Boulevard for Gas Line Installation

Camden-Wyoming --

Location: Southern Boulevard at Railroad Avenue, Camden-Wyoming

Times and Dates: 7:00 a.m. on April 6, 2020 until 5:00 p.m. on May 8, 2020, pending weather.

Traffic Information: DelDOT announces to motorists that Southern Boulevard will be closed for the installation of a gas line.

Detour Routes:

Westbound: Motorists will continue to Railroad Avenue, turn left at Southern Boulevard and turn left onto Railroad Avenue, right turn onto Camden-Wyoming Avenue and return to Southern Boulevard. [More]




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Vizag gas leak: At least 9 die, over 300 hospitalised

Andhra Pradesh chief minister YS Jagan Mohan Reddy has constituted a high-level committee to probe into the gas leak and announced an ex-gratia of Rs 1 crore to each of the families of the nine who lost their lives.




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After Vizag Gas Leak, Demand For Action Over Safety Violation

A chemical plant where a gas leak killed 11 and left 1,000 sick in Andhra Pradesh's Visakhapatnam may face investigation on whether its safety protocols were in place and whether it followed all...




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Andhra Announces Rs 1 Crore Compensation To Visakhapatnam Gas Leak Victims

Andhra Pradesh Chief Minister YS Jaganmohan Reddy has announced Rs one crore as compensation to the families of those who died because of exposure to a toxic gas that leaked overnight at a chemical...




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Company Will Be Asked To Explain Gas Leak That Killed 11: Andhra Minister

Andhra Pradesh Industries Minister M Goutham Reddy on Thursday said the state government is airlifting 500 kg inhibitors as a foolproof safety measure to neutralize the chemical substances in the...




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Vizag Gas Leak: LG Polymers India Fined Rs 50 Crore By Green Court NGT

The National Green Tribunal slapped an interim penalty of Rs 50 crore on LG Polymers India and sought response from the Centre and others on Friday in the gas leak incident in Visakhapatnam, Andhra...




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Chandrababu Naidu Asks PM To Seek Experts' Help In Vizag Gas Leak Probe

Former Andhra Pradesh Chief Minister and Telugu Desam Party (TDP) chief N Chandrababu Naidu on Friday wrote a letter to Prime Minister Narendra Modi, requesting a scientific probe into Vizag gas leak...




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The Grand Tour Madagascar Special nearly finished: Jeremy Clarkson explains episode delays

The next Grand Tour episode has been delayed, and host Jeremy Clarkson put producer Andy Wilman on the spot to answer the internet’s questions to when the episode will be released. The live session on Youtube revealed some good insights.




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All you need to know about LG Polymers plant at the centre of Vizag gas leak

LG Polymer plant uses raw material styrene to make its products, which is highly flammable and releases a poisonous gas when burnt.




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Visakhapatnam gas leak: LG Polymers’ Vizag plant produced stuff used to make disposable plastic cutlery

The Vizag plant manufactures polystyrene (PS) that finds wide utility in the food-service industry as rigid trays and containers, disposable utensils, and foamed cups, plates and bowls.




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Dharmendra Pradhan hints at new gas policy, says low oil prices no answer

Pradhan did not elaborate on the policy reforms planned. The BJP-led government had in October 2014 evolved a new pricing formula using rates prevalent in gas surplus nations like the US, Canada and Russia to determine the price in a net importing country. Prices using this formula are calculated semi-annually.




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Vizag gas leak explained: What exactly is styrene gas and how does exposure to it affect human body?

Vizag gas leak shocks the nation! India, yet again, has had to face another gas tragedy at a time when people are already grappling with Coronavirus pandemic.




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Visakhapatnam gas leak: AIIMS director says long-term health effects due to styrene vapour exposure small

Guleria said inhalation and ingestion of styrene can cause effect the skin and the eyes.




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Visakhapatnam gas leak: Styrene gas and its harmful effect on human body explained; check details

The central nervous system is affected by exposure to styrene smoke. It is the mucous membrane, which is primarily affected by styrene gas exposure. The styrene gas leak in Visakhapatnam triggered acute breathlessness among many men, some of whom were asphyxiated to death.




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Experts say coronavirus lockdown may reduce greenhouse gas emissions, but it’s only temporary

Weeks of lockdown in the country to fight coronavirus may have reduced greenhouse gas emissions enabling people to breathe cleaner air and feast on blue skies, but it is only a temporary phase and will not benefit the environment in the long run.




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Visakhapatnam Gas Leak

WHAT HAS HAPPENED?While India was already dealing with the increasing number of Covid-19 case and a terrorist attack in Hardwar which martyred 6 military personnel, the nation today woke up to the terrible news of styrene gas leak in the outskirts of




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Villagers Hit By Vizag Gas Leak Can't Return Till Chemical Neutralised

The Andhra Pradesh government has today informed that those evacuated from villages affected by the gas leak from a chemical plant in Visakhapatnam could not return till the impact of the chemical was...




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After Gas Leak, Employee Of Chhattisgarh Paper Factory Arrested

The operator of a paper mill in Raigarh in Chhattisgarh, where a gas leak on May 6 evening led to the hospitalisation of seven people, was arrested on Friday for criminal conspiracy and attempt to...




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TDP chief urges PM Modi to set up scientific experts’ committee to probe Vizag gas leak incident

Following the gas leak incident, the National Green Tribunal ordered LG Polymers India to pay interim damages of Rs 50 crore and issued notices to the company, Central Pollution Control Board (CPCB), state and Centre.




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Vizag gas leak: Situation ‘normal’ says Andhra govt; DGP inspects plant amid protests

The Andhra Pradesh government on Saturday said the situation was "normal" in RR Venkatapuram village, where a styrene vapour leak from the LG Polymers plant claimed 12 lives and left over 300 people hospitalized with various ailments.




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South Africa Steps Up to Help Madagascar Test Herbal Cure for COVID-19

[RFI] South Africa's government will assist the authorities in Madagascar to test and analyse an unproven herbal treatment for Covid-19, according to health minister Zweli Mkhize. Madagascar's President Andry Rajoelina is promoting a tea infusion based on the artemisia plant, praising its benefits in treating the coronavirus.




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Hundreds exposed to gas after deadly leak at Indian chemical factory

Gas from LG Polymers plant in Andhra Pradesh leaked into nearby homes while families slept

At least 11 people have been killed and hundreds more taken to hospital after a gas leak at a chemical factory in south-east India.

A plastics plant owned by South Korea’s LG Corp started leaking styrene into the surrounding residential area at about 3am on Thursday. Some people were enveloped as they slept, while others collapsed in the streets as they tried to flee the area on the outskirts of the coastal city of Visakhapatnam.

Related: 'Bhopal’s tragedy has not stopped': the urban disaster still claiming lives 35 years on

Continue reading...




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India chemical leak: more evacuations amid fears of second gas release

Everyone within 5km of the plant in Andhra Pradesh told to leave over fear of repeat of accident that has left at least 11 dead

Indian officials have evacuated more people from the area around a chemical plant in the south of the country that leaked toxic gas, killing at least 11 people and sickening hundreds more.

There was confusion about whether the wider evacuation orders were sparked by a renewed leak at the LG Chem factory in Andhra Pradesh, or by the fear that rising temperatures at the plant could lead to another leak.

Related: India's chemical plant disaster: another case of history repeating itself

Related: 'Bhopal’s tragedy has not stopped': the urban disaster still claiming lives 35 years on

Continue reading...




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About Degassing Hole

I use "Degassing" function in APD. It provides the options "Even Layers" and "Odd Layers". 

My first question is that is there any additional setting to choose the specific layer? 

The second question is that  is there any way to select a range to place degassing hoe? I don't want to place holes at the whole layer.

Thanks!  




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Gas leak : પર્યાવરણ મંત્રાલયની મંજૂરી વગર એલજી પૉલિમરમાં ચાલી રહ્યું કામ







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Q&A with an oil and gas executive turned EV charging infrastructure champion

Miriam Gozalo is an electrification project development manager at BP, one of the largest oil and gas companies in the world. Her work is squarely focused on the energy transition. Read what she has to say about her role working on ultra-fast electric vehicle charging stations in a company that most people associate with drilling rigs and gasoline.




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Natural Gas beat coal in the US. Will renewables and storage beat gas?

In April 2019, in the heart of coal country, Indiana regulators rejected a proposal by its electric and gas utility, Vectren, to replace baseload coal plants with a new $900 million, 850 megawatt (MW) natural gas-fired power plant. Regulators were concerned that with the dramatic decline in the cost of renewable energy, maturation of energy storage and rapidly changing customer demand, such a major gas plant investment could become a stranded, uneconomic asset in the future. Regulators are now pushing Vectren to consider more decentralized, lower-carbon resources such as wind, solar and storage that would offer greater resource diversity, flexibility and cost effectiveness.




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Shell to replace gas with solar for Oman port

SOHAR deep-sea port and free-zone has signed a 600-hectare lease agreement with Shell Development Oman (SDO) for land to set up industrial and commercial solar panels. The port is managed in a joint-venture between the Port of Rotterdam and the Sultanate of Oman.





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Natural Gas beat coal in the US. Will renewables and storage beat gas?

In April 2019, in the heart of coal country, Indiana regulators rejected a proposal by its electric and gas utility, Vectren, to replace baseload coal plants with a new $900 million, 850 megawatt (MW) natural gas-fired power plant. Regulators were concerned that with the dramatic decline in the cost of renewable energy, maturation of energy storage and rapidly changing customer demand, such a major gas plant investment could become a stranded, uneconomic asset in the future. Regulators are now pushing Vectren to consider more decentralized, lower-carbon resources such as wind, solar and storage that would offer greater resource diversity, flexibility and cost effectiveness.




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Jerry Seinfeld's "Comedians In Cars Getting Coffee" is out of gas

After 11 seasons and more than 80 episodes, it looks like funny man and avid car nut Jerry Seinfeld's "Comedians In Cars Getting Coffee" is finally running out of gas. During a press conference to discuss his new Netflix special “Jerry Seinfeld: 23 Hours to Kill,” Seinfeld said he feels like there's nothing left to achieve with...




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Report: Renewables, Energy Efficiency in New England Will Replace the Need for Gas Pipelines

A report that examines statements about rolling blackouts made by regional grid operator ISO-New England, shows that sustained growth of renewables, and not more gas, will boost reliability of New England’s electric power system.




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Renewable Energy and DERs Are a Better Deal than New Gas Generation Almost Every Time

Utilities and independent power producers (IPPs) plan to invest $110 billion through 2025 to build new, natural gas-fired power plants. They, their shareholders and society would be better served were that capital invested in new, distributed, renewable power generation and distributed energy resources (DERs), including utility-customer demand response and energy efficiency programs, the Rocky Mountain Institute says.




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Global Investments in Electricity Beat Investments in Oil and Gas for Second Year in a Row

IEA report reveals that more than US $750 billion went to the electricity sector while US $715 billion was spent on oil and gas supply globally as the world continues on the path to electrification.




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Sempra to Fund Cow-Dung Powered Renewable Natural Gas Program

Reparations for the worst-ever U.S. natural gas leak will involve cow-dung duty.




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Australian Gas Peaker Plant To Get 4-MW Battery

In an Australian first, Origin will install a 4-MW/4-MWh grid scale battery at its Mt Stuart Power Station in Townsville. Mt Stuart Power Station is a 414-MW open cycle gas power station, designed to supply electricity at times of peak demand and is the largest such facility in North Queensland. In the U.S., these plants are called “peakers.”




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Midwest Utility Turning to Cows, Landfills for a Gas Alternative

CenterPoint Energy Inc. wants to introduce a pilot program in Minnesota offering customers access to a renewable form of natural gas recovered from dairy farms and landfills.