OBJECTIVE To investigate the reperfusion time in patients with ST-segment elevation myocardial infarction (STEMI) in Henan Province, China, and discuss the strategies for shortening that period. METHODS The reperfusion times of 1556 STEMI cases in 30 hospitals in Henan Province were analyzed from January 2008 to August 2012, including 736 cases from provincial hospitals, 462 cases from munici...

It is currently estimated that the lack of adequate pain management affects 80% of the global population and the phenomenon poses a serious problem in more than 150 countries. On a national level, the greatest burden of inadequate treatment is borne, among others, by elderly patients. The purpose of the paper was to compare the prevalence of barriers to optimum post-operative pain management in...

Although tax arbitrage is central to the literatures on tax capitalization, implicit taxes, and even capital structure, there is little empirical evidence of the extent to which firms actually engage in tax arbitrage. This paper provides some evidence on the topic by focusing on a simple and observable corporate arbitrage strategy in the market for municipal bonds. It poses a puzzle for the lit...

Since first established as Kofu Clinic in 1955, KofuKyoritsu Hospital has developed alongside the local community based on the idea that the importance of human life should not be swayed by wealth disparities. After bankruptcy in 1983, the hospital was rebuilt with the support of the local community and today, Kofu-Kyoritsu Hospital has 233 general beds and 50 community-based integrated care be...

within a 15-minute drive, one can travel from historic urban neighborhoods to productive working farms. Open space and natural features enhance all of our communities, from rural to urban. The need to plan for open space preservation is on-going. With the improving economy and accompanying development pressures, the need to plan to preserve open space is stronger than ever. This newsletter will...

Rapid urbanization and industrialization, population growth and economic growth in developing countries make management of municipal solid waste more complex comparing with developed countries. Furthermore, the conventional municipal solid waste management approach often is reductionists, not tailored to handle complexity. Therefore, the need to a comprehensive and multi-disciplinary approach r...

Exogenous estrogens or pollutants with estrogen-like activity can induce vitellogenin (VTG) synthesis in male and juvenile fish, making this protein a useful indicator of chemicals that mimic estrogenic activity. The purpose of this study was to investigate the impact of municipal wastewater on blood biochemical parameters of common carp (Cyprinus carpio). Under experimental conditions, biomark...

Concerning the population growth and urban development, significant growth in the rate of personal car usage has caused more transportation and thus growth in occupying the street areas for parking vehicles. This has caused much transporting problems and traffic. Hence concerning the parking issue is crucial in traffic and municipal management.The important issue is the suitable place for the p...

The objective of this article is to outline the elements of an international burn care outreach program in a resource-constrained country. The program has grown from a collaborative effort with Ukrainian physicians and healthcare officials. With this collaboration, a multipronged approach has been developed to address the gaps in burn care as discovered by years of interaction with the medical ...

The leachate contains dissolved and suspended organic and inorganic, toxic or chemicals pollutants. Leachate can contaminate groundwater, surface water and soil. It can further have detrimental health effects on human being. This study sets out to investigate the effects of land treatment of municipal landfill’s leachate on the natural reduction of nitrogen and phosphorous density existing in t...