Introduction: the presence of anti-CCP is an important prognostic tool for rheumatoid arthritis (RA), but its relationship with the activity of the disease and functional capacity is still being investigated. Objectives: to study the relationship between anti-CCP and the indices of disease activity, functional capacity and structural damage, by means of conventional radiography (CR) and magnetic resonance imaging (MRI), in stabilized RA. Methods: cross-sectional study of RA patients with one to 10 years of disease. The participants were subjected to clinical evaluation with anti-CCP screening. Disease activity was assessed by means of the Clinical Disease Activity Index (CDAI) and functional capacity by means of the Health Assessment Questionnaire (HAQ). CR was analyzed by the Sharp van der Heijde index (SmvH) and MRI by the Rheumatoid Arthritis Magnetic Resonance Image Scoring System (RAMRIS). Results: 56 patients were evaluated, with median (IIq) of 55 (47.5–60.0) years, 50 (89.3%) were female among whom 37 (66.1%) were positive for anti-CCP. The median (IIq) of CDAI, HAQ, SmvH and RAMRIS were 14.75 (5.42–24.97), 1.06 (0.28–1.75), 2 (0–8) and 15 (7–35), respectively. There was no association between anti-CCP and CDAI, HAQ, SmvH and RAMRIS. Conclusion: our results did not establish the association of anti-CCP with the severity of the disease. So far, we cannot corroborate the anti-CCP as a prognostic tool in RA established.
The study examined the socio-demographic factors affecting access to and utilization of social welfare services in Yenagoa Local Government Area of Bayelsa State, Nigeria. Quantitative and qualitative approaches were adopted to select 570 respondents from the study area. Probability and non-probability sampling techniques were adopted in the selection of communities, and respondents. The quantitative data were analyzed using frequency distribution tables and percentages, while chi-square statistic was used to determine the relationship between socio-demographic variables and access to and utilization of social welfare services. The qualitative data were analyzed in themes as a complement to the quantitative data. This study reveals that although all the respondents reported knowing available social welfare services, 44.3% reported not having access to existing social services due to factors connected to serendipity variables, such as terrain condition, ethnicity and knowing someone in government. Therefore, the study recommends that the government and other stakeholders should push for the massive delivery of much-needed social welfare services to address the issue of welfare service deficit across the nation, irrespective of the ethnic group and whether the community is connected to the government of the day or not, primarily in rural areas.
Based on the population change data of 2005–2009, 2010–2014, 2015–2019 and 2005–2019, the shrinking cities in Northeast China are determined to analyze their spatial distribution pattern. And the influencing factors and effects of shrinking cities in Northeast China are explored by using multiple linear regression method and random forest regression method. The results show that: 1) In space, the shrinking cities in Northeast China are mainly distributed in the “land edge” areas represented by Changbai Mountain, Sanjiang Plain, Xiaoxing’an Mountain and Daxing’an Mountain. In terms of time, the contraction center shows an obvious trend of moving northward, while the opposite expansion center shows a trend of moving southward, and the shrinking cities gather further; 2) in the study of influencing factors, the results of multiple linear regression and random forest regression show that socio-economic factors play a major role in the formation of shrinking cities; 3) the precision of random forest regression is higher than that of multiple linear regression. The results show that per capita GDP has the greatest impact on the contraction intensity, followed by the unemployment rate, science and education expenses and the average wage of on-the-job workers. Among the four influencing factors, only the unemployment rate promotes the contraction, and the other three influencing factors inhibit the formation of shrinking cities to various degrees.
The gravure printing process is widely utilized for large-scale, high-quality, multi-colored printing tasks executed at high press speeds. This includes a diverse range of products such as art books, greeting cards, currency, stamps, wallpaper, magazines, and more. This thesis addresses the fire risks associated with gravure printing, acknowledging the use of highly flammable materials and the potential for static charge-related incidents. Despite its prevalence, there is limited research on fire prevention and control in gravure printing. The study employs field observations, stakeholder interviews, and an extensive review of literature on fire risk and control in printing press operations in India. It analyzes the causes of fires using the fire triangle model, emphasizing the role of heat, combustible materials, and oxygen in fire incidents within the printing press environment. The thesis categorizes preventive measures into fire prevention and fire suppression actions, focusing on reducing fire load, static charge mitigation, and implementing firefighting systems. It observes that poor housekeeping, lack of awareness, and inadequate emergency control plans contribute significantly to fire hazards in press facilities. Additionally, the research identifies key factors such as high press temperatures, low humidity, improper storage, and inadequacies in firefighting systems as potential causes of fires. It emphasizes the need for optimal environmental conditions, proper storage practices, and effective firefighting infrastructure within press facilities. The study concludes with comprehensive guidelines for loss prevention and control, including management programs, housekeeping, operator training, pre-emergency planning, preventive maintenance, and plant security. It also addresses safety measures specific to gravure printing presses, such as automatic sprinkler systems, fire hydrant system, carbon dioxide flooding systems, and portable fire extinguishers. In summary, this thesis provides valuable insights into the multifaceted nature of fire risks in gravure printing presses and recommends a holistic approach for effective fire prevention and control.
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