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4041
The combination of kidney function variables with cell cycle arrest biomarkers identifies distinct subphenotypes of sepsis-associated acute kidney injury: a post-hoc analysis (the...
Published 2024-12-01“…Early detection of SA-AKI subphenotypes might facilitate the rapid provision of individualized care.Patients and methods In this post-hoc analysis of a multicenter prospective study, we combined conventional kidney function variables with serial measurements of urine (tissue inhibitor of metalloproteinase-2 [TIMP-2])* (insulin-like growth factor-binding protein [IGFBP7]) at 0, 6, 12, and 24 h) and then using an unsupervised hierarchical clustering of principal components (HCPC) approach to identify different phenotypes of SA-AKI. …”
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4042
COVID-19 and children with congenital anomalies: a European survey of parents’ experiences of healthcare services
Published 2022-07-01“…Objective To survey parents and carers of children with a congenital anomaly across Europe about their experiences of healthcare services and support during the COVID-19 pandemic.Design Cross-sectional study.Setting Online survey in 10 European countries, open from 8 March 2021 to 14 July 2021.Population 1070 parents and carers of children aged 0–10 years with a cleft lip, spina bifida, congenital heart defect (CHD) requiring surgery and/or Down syndrome.Main outcome measures Parental views about: the provision of care for their child (cancellation/postponement of appointments, virtual appointments, access to medication), the impact of disruptions to healthcare on their child’s health and well-being, and satisfaction with support from medical sources, organisations and close relationships.Results Disruptions to healthcare appointments were significantly higher (p<0.001) in the UK and Poland, with approximately two-thirds of participants reporting ‘cancelled or postponed’ tests (67/101; 256/389) and procedures compared with approximately 20% in Germany (13/74) and Belgium/Netherlands (11/55). …”
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4043
Forest Attribute Dynamics in Secondary Forests: Insights for Advancing Ecological Restoration and Transformative Territorial Management in the Amazon
Published 2025-01-01“…Such practices are essential to enhance the ecological resilience of SFs and ensure their long-term sustainability, fostering their role as key contributors to restoration efforts and the provision of ecosystem services.…”
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4044
Migrant Health Country Profile tool (MHCP-t) for transforming health data collection and surveillance in the Middle East and North African (MENA) region: tool development protocol...
Published 2025-01-01“…To address this problem, we aim to design and pilot test the Migrant Health Country Profile tool (MHCP-t) which can collate country-level data collection around migration health data, policies and healthcare provision.Methods and analysis The MHCP-t development is a stepwise process that will integrate a process evaluation model with active involvement and engagement of multilevel stakeholders. …”
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4045
Clinico-Epidemiological Profile of Children Orphaned due to AIDS Residing in Care Giving Institutions in Coastal South India
Published 2019-01-01“…From our study we draw conclusion that even though the children orphaned due to AIDS are rehabilitated in terms of having shelter and provision of education and health care, much needs to be done in terms of improving the nutritional status of these children and alleviating the discriminatory attitude of the society towards them.…”
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4046
“Sleepless nights are a daily reality for us” how women experiencing homelessness in Addis Ababa, Ethiopia describe street life: a photovoice study
Published 2025-02-01“…They also emphasised the critical need for employment opportunities, non-discriminatory provision of social support, treatment programs for substance misuse, and legal and social protection.ConclusionThis study contributes to understanding how women experiencing homelessness describe and articulate their living circumstances and what they perceive needs to be addressed. …”
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4047
Deep-Learning-Based Land Cover Mapping in Franciacorta Wine Growing Area
Published 2025-01-01“…Additionally, addressing challenges such as data availability, computational resources, and model interpretability is essential for advancing the field of remote sensing, in support of biodiversity conservation and the provision of ecosystem services and sustainable agriculture.…”
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4048
Advancing soil-structure interaction (SSI): a comprehensive review of current practices, challenges, and future directions
Published 2025-01-01“…SSI plays a pivotal role in seismic design, influencing the stiffness, damping, and natural frequency of structures, yet its application in practical design remains underutilized due to challenges in modelling and integrating code provisions. This review synthesizes existing knowledge on SSI, emphasizing its impact on buildings, bridges, and foundations under static and dynamic loads. …”
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4049
Effect of Informative Cesarean Delivery Operative Steps Video on Maternal Anxiety Level: A Randomized Controlled Trial [version 3; peer review: 2 approved]
Published 2024-12-01“…Moreover, most of the participants in the intervention group showed a low level of anxiety after the operation, while half of the control group remained at a moderate to high level score. Conclusions The provision of an informative educational video before cesarean delivery is a powerful tool that significantly reduces cesarean operative anxiety and improves health outcomes. …”
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4050
Analysis of the growth trajectories of junior residents in Japan: a longitudinal cohort study using data from a nationwide e-portfolio system (EPOC2)
Published 2025-01-01“…The study objective is to identify the learning trajectory of junior residents to provide insights into the provision of better postgraduate and undergraduate medical education in Japan.Design Longitudinal cohort study.Setting Hospitals nationwide adopting EPOC2.Participants 7671 residents who participated in clinical training programmes at hospitals adopting EPOC2 between April 2020 and March 2022.Primary outcome measure Formative evaluation scores assessed through self-evaluation by junior residents and evaluations by supervisors/senior physicians at the end of each rotation in each clinical department.Results For all evaluation items, growth trajectories were divided into six groups, each with distinct characteristics based on the specific content of the evaluation form. …”
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4051
Supporting older adults with mobility disabilities through voice-activated digital assistants and smart home technologies
Published 2025-01-01“…Research aim: This study investigated how voice-activated digital assistants and connected smart home technologies can specifically benefit older adults with mobility disabilities, with the provision of facilitating conditions such as instructional support for initial and continued use. …”
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4052
Defining indicators for disease burden, health outcomes, policies and barriers and facilitators to health services for migrant populations in the Middle East and North African regi...
Published 2024-07-01“…Introduction The Middle East and North African (MENA) region is characterised by high and complex migration flows, yet little is known about the health of migrant populations, their levels of underimmunisation and access to healthcare provision. Data are needed to support regional elimination and control targets for key diseases and the design and delivery of programmes to improve health outcomes in these groups. …”
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4053
Essential core competencies for scope of practice of paediatric oncology nurses in Latin America: a scoping review protocol
Published 2022-07-01“…Introduction Nurses comprise the largest group of health workers globally and are essential to the provision of care necessary for delivering curative therapy to children with cancer. …”
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4054
Utilisation of alcohol-related treatment after a first alcohol use disorder diagnosis in Hamburg, Germany
Published 2025-01-01“…Structural and social barriers should be minimised to ensure healthcare provision for those affected. …”
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4055
A systematic review of military-to-civilian transition, The role of gender.
Published 2025-01-01“…Female veterans also struggled with the legacies of gender inequality, discrimination, and sexual assault which affected their development of a female veteran identity and affected the provision of services designed to meet their needs as a female. …”
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4056
Evidence that the domesticated fungus Leucoagaricus gongylophorus recycles its cytoplasmic contents as nutritional rewards to feed its leafcutter ant farmers
Published 2023-09-01“…Yet, little is known about how gongylidia form, and thus how fungal physiology and ant provisioning collectively govern farming performance. …”
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4057
From consumers to pioneers: insights from thermal energy communities in Denmark, Germany and the Netherlands
Published 2025-01-01“…Abstract Background While energy communities working on electricity provision have been extensively studied, thermal energy communities (TECs) focusing on bringing district heating (DH) systems to decarbonise heat systems in buildings have been relatively under-researched. …”
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4058
A qualitative study to understand the facilitators of and barriers to retention in care to the national PMTCT Option B+ programme in Uganda.
Published 2025-01-01“…Emphasis on the use of community health workers and provision of financing, as well as institutionalization of quality improvement would provide alternatives for overcoming barriers to retention in care.…”
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4059
Association between maternal satisfaction and other indicators of quality of care at childbirth: a cross-sectional study based on the WHO standards
Published 2020-09-01“…Objectives This study aimed to explore the association between maternal satisfaction and other indicators of quality of care (QoC) at childbirth, as defined by WHO standards.Design Cross-sectional study.Setting Referral hospital in Northeast Italy.Participants 1244 consecutive mothers giving birth in the hospital participated in a survey.Data collection and analysis Univariate analyses were performed to evaluate the association between maternal satisfaction and 61 variables, including measures of ‘provision of care’, ‘experience of care’, ‘availability of resources’ and other maternal characteristics. …”
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4060
Constitutional consolidation of the rule of law as the basis for the development of the Ukrainian state: historical origins and implementation practice
Published 2024-06-01“…The need for general provision and observance of the rule of law both at the national and international level is recognized by all UN member states, because the rule of law is one of the basic values shared by the European Union and its members. …”
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