‘Antibiotics are like gold’: a qualitative study of patient perspectives on the use of antibiotics without a prescription by Larissa Grigoryan, Michael K Paasche-Orlow, Roger Zoorob, Lindsey A Laytner, Patricia Chen, Barbara Wells Trautner, Susan Nash, Ashley Collazo, Fabrizia Faustinella, Kiara Olmeda, Azalia Mancera

“…Healthcare system barriers revealed two themes: (1) patients encounter obstacles to healthcare (eg, transportation, long wait times, high healthcare costs and lack of reliable telemedicine options) and (2) patients express convenience in using non-prescription antibiotics from multiple sources (eg, leftover prescriptions, social networks or purchased without a prescription).Conclusions Barriers to care, the convenience of obtaining non-prescription antibiotics, and patients’ beliefs regarding the powerful value of antibiotics and their agency to direct this aspect of care present challenges that need to be explored to design effective outpatient antibiotic stewardship programmes.…”
Get full text

Inter and intrasentential code switching among late bilinguals by Barzan Jaafar Ali

“…Evangelia Adamou and Rachel Shen (2019) There are no language switching costs when code switching is frequent. International Journal of Bilingualism, SAGE Publications. …”
Get full text

Advances in Resourceful Recycling Technology of Lepidolite Tailings by Chuan PENG, Xuejun HU, Jing ZHAO, Xiaolong YU, Junfeng ZHANG

“…Nonetheless, additional investigation is required to tackle the intricate composition of tailings, the high costs, and the complexities associated with their utilization. …”
Get full text

Using Machine Learning Approaches on Dynamic Patient-Reported Outcomes to Cluster Cancer Treatment-Related Symptoms by Nora Asper, Hans Friedrich Witschel, Louise von Stockar, Emanuele Laurenzi, Hans Christian Kolberg, Marcus Vetter, Sven Roth, Gerd Kullak-Ublick, Andreas Trojan

“…Deviations in the electronic patient-reported symptoms from the treatment-associated symptom patterns could dynamically indicate treatment non-adherence or lower treatment efficacy, without clinician input or additional costs. Similar analyses on larger patient cohorts are needed to validate these preliminary findings and to identify specific and robust treatment profiles.…”
Get full text

A GIS Approach to Modeling the Ecological Niche of an Ecotype of <i>Bouteloua curtipendula</i> (Michx.) Torr. in Mexican Grasslands by Alma Delia Baez-Gonzalez, Jose Miguel Prieto-Rivero, Alan Alvarez-Holguin, Alicia Melgoza-Castillo, Mario Humberto Royo-Marquez, Jesus Manuel Ochoa-Rivero

“…The reliance on imported seeds for grassland rehabilitation in Mexico has led to increased costs and other difficulties in implementing grassland rehabilitation programs. …”
Get full text

Instance Segmentation of Sugar Apple (<i>Annona squamosa</i>) in Natural Orchard Scenes Using an Improved YOLOv9-seg Model by Guanquan Zhu, Zihang Luo, Minyi Ye, Zewen Xie, Xiaolin Luo, Hanhong Hu, Yinglin Wang, Zhenyu Ke, Jiaguo Jiang, Wenlong Wang

“…Predominantly found in tropical regions of the Americas and Asia, its harvesting remains labor-intensive in orchard settings, resulting in low efficiency and high costs. This study investigates the use of computer vision for sugar apple instance segmentation and introduces an improved deep learning model, GCE-YOLOv9-seg, specifically designed for orchard conditions. …”
Get full text

Potensi Reduksi Emisi GRK dan Kelayakan Finansial dari Teknologi Hidrotermal untuk Pengolahan Sampah di Kabupaten Tangerang by Rania Salsabila Ayuvitari, Pini Wijayanti

“…One of potential measures is hydrothermal treatment technology for urban scale, but its implementation is costly. This study aims to: estimate the potential GHGs emissions prior the hydrothermal project, estimate the potential GHGs emission reduction after the project, and analyze the financial feasibility of the project. …”
Get full text

The effect of supplementary parenteral nutrition with different energy intakes on clinical outcomes of patients after gastric cancer surgery by Sida Sun, Wenxing Sun, Wenhui Xie, Fuya Zhao, Xianzhong Guo, Junfeng Zhou, Qingliang He, Hanfeng Zhou

“…Additionally, no increase in hospitalization costs or non-infectious complications occurred in the H-SPN group. …”
Get full text

Flexible Screen-Printed Gold Electrode Array on Polyimide/PET for Nickel(II) Electrochemistry and Sensing by Norica Godja, Saied Assadollahi, Melanie Hütter, Pooyan Mehrabi, Narges Khajehmeymandi, Thomas Schalkhammer, Florentina-Daniela Munteanu

“…Wastewater analysis typically relies on sensitive but costly techniques such as ICP-MS, AAS, and ICP-AES, which require complex equipment and are unsuitable for on-site testing. …”
Get full text

Validity of smartwatch-derived estimates of lactate threshold heart rate and pace compared to graded exercise testing by Changda Lu, Wei Cui, Zheng Zhu, Yiwei Wu, Qingjun Xing, Bingyu Pan, Bingyu Pan, Yanfei Shen, Yanfei Shen

“…Traditional methods like maximal lactate steady state and graded exercise testing are valid but invasive and costly. Advances in smartwatch technology offer a non-invasive alternative for monitoring LT, though their measurement protocols and outcomes have been less validated.MethodsThis study evaluates the validity of three mainstream smartwatches (Huawei GT Runner®, Garmin Forerunner 265® or 265s®, and Coros Pace3®) in estimating lactate threshold heart rate (LT HR) and pace (LT Pace), comparing these to measurement protocols and results from the modified Dmax method in laboratory standards. …”
Get full text

Effects of an online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder (OMPR... by Stephan Herpertz, Peter Henningsen, Jan Dieris-Hirche, Laura Bottel, Magdalena Pape, Bert Theodor te Wildt, Klaus Wölfling, Nina Timmesfeld, Anja Neumann, Silke Neusser, Rainer Beckers

“…Secondary outcomes include time spent on the internet, motivation for change (Stages of Change Readiness and Treatment Eagerness Scale for Internet Use Disorder), comorbid mental symptoms (Patient Health Questionnaire-9, Generalized Anxiety Disorder Screener-7), quality of life (EuroQoL Standardised Measure of Health-related Quality of Life–5 Dimensions, General Life Satisfaction-1), self-efficacy (General Self-Efficacy Scale), personality traits (Big Five Inventory-10), therapeutic alliance (Helping Alliance Questionnaire) and health economic costs. The diagnosis of (comorbid) mental disorders is carried out with standardised clinical interviews. …”
Get full text

YOLOv11-RDTNet: A Lightweight Model for Citrus Pest and Disease Identification Based on an Improved YOLOv11n by Qiufang Dai, Shiyao Liang, Zhen Li, Shilei Lyu, Xiuyun Xue, Shuran Song, Ying Huang, Shaoyu Zhang, Jiaheng Fu

“…This model integrates multi-scale features and attention mechanisms to enhance recognition performance in complex scenarios, while adopting a lightweight design to reduce computational costs and improve deployment adaptability. The model introduces three key enhancement features: First, shallow RFD (SRFD) and deep RFD (DRFD) downsampling modules replace traditional convolution modules, improving image feature extraction accuracy and robustness. …”
Get full text

A bayesian network model for neurocognitive disorders digital screening in Chinese population: development and validation study by Yifan Yu, Shuaijie Zhang, Hongkai Li, Fuzhong Xue

“…Early screening for neurocognitive disorders is conducive to improving patients’ quality of life and reducing healthcare costs. Therefore, there is an urgent need to develop an inexpensive and convenient screening model for neurocognitive disorders that can be applied to large populations to improve the efficiency of neurocognitive disorders screening. …”
Get full text

Exploring the prevalence and risk factors of peripheral artery disease in patients with type 2 diabetes in sub-Saharan Africa: a systematic review and meta-analysis by Kirubel Eshetu Haile, Atitegeb Alebachew Amsalu, Gizachew Ambaw Kassie, Yordanos Sisay Asgedom, Gedion Asnake Azeze, Amanuel Yosef Gebrekidan

“…BackgroundType 2 diabetes and lower-extremity peripheral artery disease (PAD) are growing global health problems associated with considerable cardiovascular and limb-related morbidity and mortality, poor quality of life, and high healthcare resource use and costs. Diabetes is a well-known risk factor for PAD, which further increases the risk of long-term complications. …”
Get full text

The Effects of Presenting AI Uncertainty Information on Pharmacists’ Trust in Automated Pill Recognition Technology: Exploratory Mixed Subjects Study by Jin Yong Kim, Vincent D Marshall, Brigid Rowell, Qiyuan Chen, Yifan Zheng, John D Lee, Raed Al Kontar, Corey Lester, Xi Jessie Yang

“… BackgroundDispensing errors significantly contribute to adverse drug events, resulting in substantial health care costs and patient harm. Automated pill verification technologies have been developed to aid pharmacists with medication dispensing. …”
Get full text

Exploring challenges in implementing antimicrobial stewardship interventions across eight African nations: A multi case study by Ms Maxencia Nabiryo, Miss Maxencia Nabiryo, Dr Helena Rosado, Miss Frances Garraghan, Miss Claire Brandish, Miss Victoria Rutter

“…HPs reported issues such as inconsistent access to running water, costly laboratory reagents with short expiry dates, staff shortages, and antibiotic stockouts. …”
Get full text

Benefícios da atenção domiciliar ao idoso portador de dano crônico: revisão sistemática da literatura [Benefits of home care to the elderly with chronic diseases: systematic litera... by Carolina Baltar Day, Lisiane Paskulin

“…Mortality was lower in patients receiving home care, meanwhile for hospitalizations, mean day of hospitalization, functional capacity and quality of were also similar among those receiving home care to those who received other care. Regarding costs, the home care was less expensive. The results are not unanimous, further studies are necessary to the effectiveness of these interventions.   …”
Get full text

Microbiological spectrum of pathogens in cardiac surgery patients in the intensive care unit by К.П. Чиж, Т.А. Малишева, А.П. Мазур

“…The presence of hospital-acquired flora in patients prolongs their stay in the ICU, increases the duration of antibiotic therapy, and treatment costs. The occurrence of such an infection is the result of a complex interaction of pathogenic (virulence, antibiotic resistance), patients’ (comorbidities, acute illnesses, emergency surgery), and treatment factors (invasive devices), and the work of the health care system (staffing, preventive measures). …”
Get full text

Aquificae overcomes competition by archaeal thermophiles, and crowding by bacterial mesophiles, to dominate the boiling vent-water of a Trans-Himalayan sulfur-borax spring. by Nibendu Mondal, Subhajit Dutta, Sumit Chatterjee, Jagannath Sarkar, Mahamadul Mondal, Chayan Roy, Ranadhir Chakraborty, Wriddhiman Ghosh

“…A large proportion of these genes being attributable to Aquificae, and Proteobacteria (very few were ascribed to Archaea), it could be worth exploring in the future whether antibiosis helped the Aquificae overcome niche overlap with other thermophiles (especially those belonging to Archaea), besides exacerbating the bioenergetic costs of thermal endurance for the mesophilic intruders of the ecosystem.…”
Get full text

Quantum-Enhanced Predictive Degradation Pathway Optimization for PV Storage Systems: A Hybrid Quantum–Classical Approach for Maximizing Longevity and Efficiency by Dawei Wang, Shuang Zeng, Liyong Wang, Baoqun Zhang, Cheng Gong, Zhengguo Piao, Fuming Zheng

“…The increasing deployment of photovoltaic and energy storage systems (ESSs) in modern power grids has highlighted the critical challenge of component degradation, which significantly impacts system efficiency, operational costs, and long-term reliability. Conventional energy dispatch and optimization approaches fail to adequately mitigate the progressive efficiency loss in PV modules and battery storage, leading to suboptimal performance and reduced system longevity. …”
Get full text