Publications by authors named "P Levin"
Integrated policy changes must be cross-sectoral, appropriate, strategic, and evidence-based.
View Article and Find Full Text PDFThorough evaluation of a rectovaginal fistula is essential to optimize surgical repair. The underlying cause should be addressed and treated, which can affect the timing and the approach to repair. It is imperative to be well prepared because the highest chance of successful closure occurs during the initial repair attempt.
View Article and Find Full Text PDFBackground: Tracheostomy in patients who are critically ill is generally performed due to prolonged mechanical ventilation and expected extubation failure. However, tracheostomy criteria and ideal timing are poorly defined, including equivocal data from randomized controlled trials and median intubation to tracheostomy times that range from 7-21 d. However, a consistent finding is that only ∼50% of late tracheostomy groups actually undergo tracheostomy, with non-performance due to recovery or clinical deterioration.
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- Climate change is increasing the need for urban greening, as trees provide environmental benefits and enhance human well-being by mitigating urban heat.
- Urban trees in Tacoma, Washington were found to significantly lower summer air temperatures near sidewalks, with areas lacking tree cover experiencing much higher temperatures.
- Increasing tree cover is crucial for cooling urban areas and improving climate resilience, emphasizing the importance of protecting existing trees and planting more in city environments.