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4481
Community-level mental health screening and referral using task-sharing with student volunteers in Kerala, India: a scalable model for low and middle income countries
Published 2025-04-01“…Abstract Background Untreated mental illness poses a significant threat to achieving global mental health targets. …”
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4482
Influence of load-bearing wall material properties on building mine-induced dynamic response
Published 2025-08-01“…Additionally, it provides a practical finding that low-stiffness materials (especially cellular concrete) can lead to increased dynamic responses in mining areas, potentially posing a risk of damage.…”
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4483
Navigating family-witnessed resuscitation in hospitals: content analysis of free-text survey data
Published 2025-06-01“…Helping or harming the family captured the dual perception that family presence could facilitate understanding of the resuscitation process and support grieving if the patient did not survive, while also posing a risk of trauma for family members. Conclusions: Family-witnessed resuscitation presents significant ethical and practical challenges for healthcare professionals. …”
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4484
Benchmark dataset for hydraulic simulations of flash floods in the French Mediterranean region
Published 2025-06-01“…<p>The absence of validation or comparison data for verifying flood mapping methods poses a significant challenge in developing operational hydraulic approaches. …”
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4485
Sustainable nanophytosome-based therapies against multidrug-resistant Escherichia coli in urinary tract infections: an in Vitro and in vivo study
Published 2025-03-01“…The rise in multidrug-resistant (MDR) E. coli strains as the predominant cause of UTIs presents a substantial public health concern and poses a challenge to existing antibiotic treatments. …”
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4486
Perspectives of primary care nurses on the organization of the COVID-19 vaccine rollout: a qualitative study
Published 2025-02-01“…Rapidly evolving information made it difficult for nurses to stay informed and training for vaccine delivery posed barriers due to time requirements and redundancy. …”
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4487
PO27 | B-cell lymphoproliferative disorder and acquired coagulopathy: an insidious link
Published 2025-08-01“…Case Report: An 81-year-old female presented with recurrent episodes of anterior epistaxis and ecchymoses, without history of personal bleeding disorders. …”
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4488
Genotypic characterization of extended-spectrum beta-lactamase-producing E. coli from dogs in northern Germany
Published 2025-07-01“…Many of the isolates exhibited genetic multidrug resistance and virulence features, posing challenges for effective treatment and control. …”
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4489
Cirrhosis epidemiology in Denmark 1998–2022, and 2030 forecast
Published 2025-05-01“…Impact and implications: Alcohol-related liver (ALD) cirrhosis poses a substantial and growing burden on hospitals worldwide. …”
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4490
Supporting Muslim undergraduate medical students through medical school: lessons from a novel, student-led case-based learning intervention
Published 2025-05-01“…This promoted a sense of partnership that enabled participants in the sessions to take ownership of their own learning.DiscussionCBL presented a valuable format for student-faculty discussions to promote cultural competence and equity in medical education. …”
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4491
Psychological insights for electric vehicles
Published 2025-10-01“…However, managing the uncertainties associated with user behavior, renewable energy generation, and dynamic grid demand poses significant challenges to achieving optimal vehicle-to-grid (V2G) system performance. …”
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4492
Climate-related financial policies as an enabler of circularity: a new insight from selected countries of the European Union
Published 2025-05-01“…These countries’ aggressive economic progress necessitates considerable demands for energy and raw resources, posing environmental concerns like resource exploitation and garbage creation. …”
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4493
The Effect of Hydrogen Peroxide on Biogas and Methane Produced from Batch Mesophilic Anaerobic Digestion of Spent Coffee Grounds
Published 2025-01-01“…AD of SCG, while promising, is hindered by its complex lignocellulosic structure, which poses a significant challenge. This study investigates the efficacy of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) pretreatment in addressing this issue, with a particular focus on enhancing biogas and methane production. …”
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4494
Availability of essential medicines, inventory management practices, and related challenges in internally displaced persons (IDP) camps, eastern Amhara, Ethiopia: an explanatory se...
Published 2025-08-01“…Quantitative data were entered into Epi Data version 4.6 and analyzed by SPSS window version 26, and descriptive statistics were computed and summarized results were presented by using text, tables and graphs, while thematic analysis using open code software was employed for qualitative data analysis. …”
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4495
A novel TID + IDN controller tuned with coatis optimization algorithm under deregulated hybrid power system
Published 2025-02-01“…Abstract Implementing a suitable load frequency controller to maintain the power balance equation for a multi-area system with many power generating units poses a challenge to a power system engineer. Incorporation of renewable energy sources along with non-renewable units is another challenge while maintaining the stability of the system. …”
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4496
Social focus of the educational activity of the university: Declaration of goals and practice
Published 2022-03-01“…The focus on the social side of education presupposes the formation of value community in the university environment, while the characteristics of the socio-cultural identity of the members in educational activity and the consideration of research results in practice become decisive.Aim. The aim of the present research work was to identify the conditions of extra-curricular educational activities. …”
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4497
IN THE AGE OF HYBRIDIZATION: MUSIC—MEDIA—MINORITIES / IM ZEITALTER DER HYBRIDISIERUNGEN: MUSIKEN — MEDIEN — MINDERHEITEN
Published 2018-12-01“…Transculturality, crossover and mixture are the other keywords in this context. The article poses the question about which terms, concepts and methods we have in cultural studies, so that we can observe and analyze cultural processes in global modernity. …”
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4498
Oral and parenteral treatment with a third-generation cephalosporin promotes the proliferation of diverse ESBL-producing Escherichia coli in the chicken intestinal tract
Published 2025-07-01“…Most plasmids belonged to IncFII, with IncX1 and IncN also present. These findings highlight how 3GC treatments rapidly impact ESBL-producing E. coli diversity in the intestine.IMPORTANCEThe global rise of antimicrobial resistance (AMR) poses a critical public health challenge, with Escherichia coli playing a central role in the spread of extended-spectrum beta-lactamase (ESBL) genes like blaCTX-M, which confer resistance to third-generation cephalosporins (3GCs). …”
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4499
Design and Implementation of the Protein-Distinct Macronutrient-Equivalent Diet (PRODMED) Study: An Eighteen-Week Randomized Crossover Feeding Trial Among Free-Living Rural Older A...
Published 2025-05-01“…The objectives of this methods-report are to 1) describe the development of preportioned, ready-to-eat, macronutrient-matched, low ultra-processed, plant-forward, protein-distinct menus aligned with the Dietary Guidelines for Americans for home consumption, and 2) present evidence-based strategies addressing the unique challenges posed by an all-food-provided, protein-distinct intervention. …”
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4500
A Comparative Study of Iran and China's Perspectives on the Liberal International Order and Its Impact on Bilateral Relations
Published 2024-12-01“…The central question posed is: why are relations between the two countries facing significant obstacles? …”
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