Urgent Need For Recognition Research Articles

The Representation of Skepticism in Don’t Look Up Film: An Overview of Current Environmental Issue

This article explores the representation of skepticism in the film "Don't Look Up," highlighting its commentary on contemporary environmental issues. Through a satirical lens, the film portrays the tension between scientific evidence and societal indifference, revealing the complexities of public perception regarding climate change and ecological crises. The purpose of this study is to analyze the signs that represent skepticism in the film. This type of research is descriptive qualitative research using the semiotic theory of Pierce (1906) which consists of representation (sign), object, and interpretation. The researchers found types of representation in the form of 3 types of quali-sign, 15 sin-sign, and 2 legi-sign. The objects in the form 4 types of icons, 13 types of indexes, and a symbol. The interpretation in the form 17 of argument type. The signs that represent skepticism can be found in scenes in the form of dialogue, attributes, movements, and expressions. The film also represented that skepticism has a negative side towards the environment. In addition, this film represents that skepticism can be carried out in all aspects of social circles such as government, media, and society. The film serves as a critical reflection of current attitudes toward environmental challenges, emphasizing the dangers of misinformation and the necessity for collective action. Ultimately, this exploration underscores the film's relevance in stimulating discourse on the urgent need for recognition and response to the climate crisis, encouraging audiences to reconsider their roles in fostering awareness and advocacy in the face of skepticism.

The Rapid Emergence of Hypervirulent Klebsiella Species and Burkholderia pseudomallei as Major Health Threats in Southeast Asia: The Urgent Need for Recognition as Neglected Tropical Diseases.

The World Health Organization (WHO)'s list of neglected tropical diseases (NTDs) highlights conditions that are responsible for devastating health, social and economic consequences, and yet, they are overlooked and poorly resourced. The NTD list does not include conditions caused by Gram-negative bacilli (GNB). Infections due to GNB cause significant morbidity and mortality and are prevalent worldwide. Southeast Asia is a WHO region of low- and middle-income countries carrying the largest burden of NTDs. Two significant health threats in Southeast Asia are Burkholderia pseudomallei (causing melioidosis) and hypervirulent Klebsiella pneumoniae (HvKp). Both diseases have high mortality and increasing prevalence, yet both suffer from a lack of awareness, significant under-resourcing, incomplete epidemiological data, limited diagnostics, and a lack of evidence-based treatment. Emerging evidence shows that both melioidosis and HvKp are spreading globally, including in high-income countries, highlighting the potential future global threat they pose. In this article, we review both conditions, identifying current trends and challenges in Southeast Asia and areas for future research. We also argue that melioidosis and HvKp merit inclusion as NTDs, and that mandatory global surveillance and reporting systems should be established, and we make an urgent call for research to better understand, detect, and treat these neglected diseases.

The Kathmandu Declaration – Obesity in the south Asian region: An exigency statement

BackgroundThe South Asian Region shoulders more than its fair share of health-related challenges. While we continue to tackle acute and communicable illness, newer challenges and concerns have emerged. These include the rapidly increasing metabolic and endocrine syndromes such as diabetes, dyslipidemia and obesity. MethodsIn the past, SAFES has released the Dhaka Declaration (2015) on gestational diabetes mellitus, and the Colombo Declaration (2019) on prevention of diabetes. The authors from 8 countries have together drafted and agreed this declaration to improve healthcare delivery for the recognition and management of obesity in the region. ResultsIn this Kathmandu declaration we highlight the urgent need for recognition, evaluation and prevention of obesity in this region. It has described not only the need but also the methods to improve obesity outcomes in the region through advocacy, awareness and addressal. ConclusionThrough its member associations, South Asian Federation of Endocrine Societies (SAFES) works to ensure optimal endocrine health care delivery in South Asia and has worked on the Kathmandu Declaration to improve the obesity pandemic in the region.

Mojavia aguilerae and M. dolomitestris - two new Nostocaceae (Cyanobacteria) species from the Americas.

While nostocacean cyanobacteria are ubiquitous and play critical roles in terrestrial ecosystems, their taxonomy and biogeography still entail mysteries. We isolated two Nostoc-like cyanobacteria from biological soil crusts of the Atacama (Chile) and Mojave (USA) Deserts. An initial 16S rRNA gene phylogeny placed both in monophyly with Mojavia pulchra. Here, we describe two new species of the previously monotypic Mojavia using a polyphasic approach including morphology, 16S rRNA phylogenies, secondary structure, and percent similarity of the 16S-23S ITS region. Like M. pulchra, both new species produce compact microcolonies, arthrospore-like akinetes, and monocytes, traits characteristic of the genus. Mojavia aguilerae sp. nov. is morphologically distinct from both other species in producing bluntly conical end cells, abundant enlarged akinetes in multiseriate filaments, and gold-colored cells during senescence. Mojavia dolomitestris sp. nov. exhibited distinctly firm, light-colored, compartmentalized mucilage. M. dolomitestris is somewhat cryptic with M. pulchra, but has more densely packed microcolonies, rarity and later onset of brownish sheath pigmentation, and an origin from soils derived from dolomite. The two new species strengthened the position of Mojavia as a robust genus sister to Nostoc. Although 16S rRNA gene data could not separate the Mojavia species from each other, the three species showed distinct dissimilarities in secondary ITS structure and differed greatly from Nostoc sensu stricto. The high dissimilarities between their 16S-23S ITS regions suggest a long evolutionary history of the three species as separate lineages. Mojavia is an evolutionary and ecologically unique nostocacean genus, and its rarity and restricted habitat point to an urgent need for recognition and protection.

A Descriptive Study to Assess the Risk of Stroke among Patients with Hypertension and Type 2 Diabetes Mellitus at a Selected Hospital, Bangalore

Objective: Stroke is a major public health problem, both in developed and developing countries. Stroke is becoming an important cause of early death and disability in India due to increasing prevalence of the major key modifiable risk factors like type 2 diabetes mellitus and hypertension. Hence there is an urgent need for recognition of stroke risk factors and its warning signs. With this intention the present study aimed to assess the risk of stroke among patients with hypertension and type 2 diabetes mellitus. Methods: A non-experimental, descriptive survey method was adopted. Samples were selected by using quota sampling technique and 60 hypertensive and type 2 diabetes mellitus patients who met the inclusion criteria were selected for the study. Data were collected by an interview technique using a modified stroke risk assessment tool by the National Stroke Association, USA. Results: Out of 60 samples 48.3% of them were in high-risk category, 28.3% were in caution and 23.3% in low-risk category. There was a significant association found in relation to socio demographic variables such as education qualification, type of family, type of diet, weight and complications of hypertension (P<0.05). Discussion: The findings of the study suggested that there is an increased risk of stroke in hypertension and type 2 diabetes patients which can be aggravated by other risk factors and co-morbid conditions. Hence modifying these risk factors by changing lifestyle can help in prevention of stroke. Keywords: Stroke, risk assessment, hypertension and type 2 diabetes mellitus, comorbid conditions.

Implementation of Hypertension in Pregnancy Safety Bundle

The number of maternal deaths in most developed nations has been flat or declining; however, rates in the United States have risen sharply. Hospital records obtained indicate that at some hospitals, less than 15% of mothers in peril got recommended treatments. Women with preeclampsia or eclampsia have 3 to 25 times the risk of severe pregnancy complications. Hypertensive disorders account for 6.6% of deaths during pregnancy, 9.3% of deaths within 42 days of pregnancy, and 5.4% of deaths between 42 days and 1 year. This safety bundle uses evidenced-based guidelines to optimally manage hypertensive disorder of pregnancy and the postpartum period. The Hypertension in Pregnancy safety bundle is designed to create standardization of care. An Institutional Review Board–approved pilot study of randomized sample data was implemented. Baseline data included patients who were coded with one or more diagnoses of hypertension in pregnancy during the birth process. The randomized sample included 30 patients. Postbundle implementation data from patients were coded with one or more diagnoses of hypertension in pregnancy during the birth process. The randomized sample 20% of patients with HTN code(s) per month. Preliminary data showed that treatment of confirmed severe-range blood pressure within 60 minutes improved by 19.4% from baseline to post–safety bundle implementation. The percentage of confirmed hypertensive patients discharged with antihypertensive medication increased 20.3% from baseline to post–safety bundle implementation. The percentage of preeclampsia education provided at discharge to all postpartum women increased by 73% from baseline to post–safety bundle implementation. It is clear that the implementation of the safety bundle has greatly improved standardization of care for pregnant women with hypertension. In addition, the safety bundle has improved the urgency and necessity of providing immediate, timely, and continued treatment and education for pregnant and postpartum women with hypertension. By implementing the safety bundle, physicians and nurses have the knowledge and understanding of the urgent need for recognition and treatment of these frequently dangerous medical conditions.

Synergies in Design and Health. The role of architects and urban health planners in tackling key contemporary public health challenges.

Background and aim:Important public health improvements have been achieved over the past decades, but new challenges are emerging and progress cannot be taken for granted. Urban settlements host most of the global population, but they are also sources of several threats. The aim of the paper is to investigate the role of architects and planners in contributing to overcome these critical health challenges and propose strategic actions for collaboration with the public health workforce.Methods:Taking global trends and public health challenges as starting point, a scoping literature review has been conducted to illustrate the possible synergies that architecture and public health workforce should exploit to support population health improvement and tackle key public health challenges.Results:The built environment affects climate change and public health through the use of resources, site location, and green spaces. In architecture curricula, limited space is devoted to health and vice versa. There is an urgent need for recognition of the benefits of collaboration and cross-fertilisation between public health and planning workforce from local to global levels.Conclusion:Public health is evolving from a bio-medical to a socio-anthropological approach and architects/planners have fundamental roles; further collaboration, research and training are needed.

The soundscape standard—Its development and challenges

Soundscape entered the debate of noise annoyance issues in the nineties, most likely at the same time as when the EU Directive 2002/49/EC [PJ1] on Noise was under development. In 2014, the ISO standard ISO 12913-1: “Acoustics-Soundscape-Part 1: Definition and conceptual framework” was published, delivering the first framework for soundscape. This was followed in 2018 by “ISO/TS 12913-2 Acoustics—Soundscape—Part 2: Data collection and reporting requirements”, which provided evaluation processes and information for integrating stakeholder participation. The third part of the standard is now underway: ISO/ TS 12913-3 “Acoustics- Soundscape—Part 3: Data analysis.” Together, the international standard ISO 12913 provides guidance for accessing the key components in soundscape: people, acoustic environment, and context. The available standards in soundscape, psychoacoustics and noise management have provided a large step towards enhancing the quality of life for people. the urgent need for recognition but also for application with regard to new understandings of urbanism will be discussed.

Study on the Ship Arrival Pattern of Container Terminals

Container ship arrival pattern had an important effect on throughput capacity of container terminals. There is an urgent need for recognition of the ship arrival pattern of modern container terminal, owing to the change of the composition of both operating routes and arrival ships, which was brought up by the rapid development of Chinas coastal ports container service. This paper statistically analyzes the ship arrival data collected from some domestic container terminals from the view of the number of daily arrival vessels and the inter-arrival time between two ships by using Chi-Square Test. The results prove that the ship arrival pattern of container terminals vary with the constitute of container liner routes, and the number of daily arrival vessels follows either Poisson or normal distribution, and the inter-arrival time follows both negative-exponential and gamma distribution.

Modified Rare Earth Semiconductor Oxide As a New Nucleotide Probe

Recent rapid developments in biological analysis, medical diagnosis, pharmaceutical industry, and environmental control fuel the urgent need for recognition of particular DNA sequences from samples. Currently, DNA detection techniques use radiochemical, enzymatic, fluorescent, or electrochemiluminescent methods; however, these techniques require costly labeled DNA and highly skilled and cumbersome procedure, which prohibit any in-situ monitoring. Here, we report that hybridization of surface-immobilized single-stranded oligonucleotide on praseodymium oxide (evaluated as a biosensor surface for the first time) with complimentary strands in solution provokes a significant shift of electrical impedance curve. This shift is attributed to a change in electrical characteristics through modification of surface charge of the underlying modified praseodymium oxide upon hybridization with the complementary oligonucelotide strand. On the other hand, using a noncomplementary single strand in solution does not create an equivalent change in the impedance value. This result clearly suggests that a new and simple electrochemical technique based on the change in electrical properties of the modified praseodymium oxide semiconductor surface upon recognition and transduction of a biological event without using labeled species is revealed.

Primary HIV Infection and the Acute Retroviral Syndrome: The Urgent Need for Recognition

The new widespread availability of HIV viral-load testing, along with potent new antiviral therapeutic regimens, has created the opportunity for very early detection and treatment of acute HIV infection. It is critical that clinicians rapidly recognize primary HIV infection and consider the therapeutic options available during this early stage of disease. Recent evidence is a basis for hope that very early therapy will improve prognosis and perhaps even eradicate HIV. The period between initial exposure to and infection by HIV and the development of an HIV-specific antibody response is generally defined as primary HIV infection. Natural history during this stage of infection is characterized by both an enormous viremia and a vigorous immune response.1 During the peak period of viremia a rapid decline in CD4 cell count occurs. In six subjects studied by Cooper et al., all subjects had an initial decrease in total lymphocyte count. The lowest median CD4 and CD8 counts occurred nine days after the onset of clinical illness. Cooper also described a second phase of response to acute HIV infection, notable for an inversion of the CD4 to CD8 ratio. In the six subjects studied, the median inversion of CD4 to CD8 ratio occurred 16 days after the onset of clinical symptoms and the median value of the inverted ratio was 0.70. This inversion of ratio was secondary to an increase in the number of CD8 cells relative to CD4 lymphocytes and was temporally associated with the development of lymphadenopathy. A third phase of lymphocyte dynamics was noted to occur a median of 33 days after the onset of the clinical syndrome. The hallmark of this stage was an absolute increase in the number of circulating CD8 lymphocytes, resulting in an even greater inversion of the CD4 to CD8 ratio and probably reflecting a vigorous …

The intensive care complex.

To the Editor:— The article by Vreeland and Ellis ( 208 :332, 1969), Stresses on the Nurse in an Intensive Care Unit, emphasizes again the urgent need for recognition by the hospital and nursing administrations of the entirely different tempo, and aggressive type of emergency care required for critically ill patients. Although the article deals with a postsurgical intensive care unit (ICU), the warning applies equally to a cardiology or coronary unit (CICU). The training and orientation of the nurse must be specially adapted to the needs of the short-term, acutely ill, and usually monitored patient. The anxiety resulting from insecurity in her knowledge or inexperience in training should not be allowed to jeopardize either her capabilities or the efficiency of the whole ICU complex. The increased responsibilities expected of nurses in the care of patients likely to suffer cardiopulmonary arrest requires more up-dated, long-range administrative planning and orientation than ordinarily