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Purpose: Children and youth with disabilities are at increased risk of abuse a major societal and public health problem in Cameroon. The aim was to explore the causes of abuse among children and youth with disabilities in homes and institutions in the Northwest Region of Cameroon. Methods: A qualitative study was conducted, including 50 in-depth interviews with children and youth with disabilities
Hexavalent chromium (Cr(VI)) can induce oxidative stress, genomic instability, and epigenetic modifications. In occupational settings, Cr(VI)-exposed workers may also be exposed to other toxicants, such as elements besides Cr, and per- and polyfluoroalkyl substances (PFAS). However, research on the extent of these co-exposures and their combined effects remains limited. The objective of this study
BACKGROUND: Totally implantable venous access ports (TIVAPs) are essential for administering chemotherapeutic drugs and nutritional support, but carry a risk of infectious complications. We hypothesized that the design of the current port needle (Huber) could facilitate the collection of bacteria from the skin during puncture, potentially introducing them into TIVAPs and causing infections. This s
Using data on 119 low- and lower-middle-income countries from 2002 to 2020, we fit fixed-effects (FE) models to evaluate the impacts of three types of official development assistance (ODA) on access to three types of sexual and reproductive health (SRH) services: access to skilled birth attendance, access to modern contraceptives and coverage of antiretroviral therapies against HIV/AIDS. The resul
A new species of Diglyphus Walker, D. albifemur Liu, Hansson & Guo, sp. nov., is described based on extensive material from China collected from 2016 to 2024. The entire material included here has been reared from agromyzid leafminers (Diptera, Agromyzidae), mainly from Phytomyza vitalbae Kaltenbach, mining leaves of Clematis orientalis L. The new species is morphologically similar to the Euro
Obesity is a known risk factor for development of osteoarthritis (OA). Numerical tools like finite-element (FE) models combined with degenerative algorithms have been developed to understand the interplay between OA and obesity. In this study, we aimed to predict knee cartilage degeneration in a cohort of obese adults to investigate the importance of patient-specific information on degeneration pr
In this paper we present the differentiable log-Mel spectrogram (DMEL) for audio classification. DMEL uses a Gaussian window, with a window length that can be jointly optimized with the neural network. DMEL is used as the input layer in different neural networks and evaluated on standard audio datasets. We show that DMEL achieves a higher average test accuracy for sub-optimal initial choices of th
Background: Understanding patients' goals and values is important to ensure goal-concordant care; however, such discussions can be challenging. Little is known about the impact of having these discussions on hospitalists. Objective: To assess the impact on hospitalists of a system that reminds them to have serious illness conversations with their patients identified with potential unmet palliative
Objectives: Bacteremia is an acute severe infection with high mortality. Changes in healthcare services and coinfections with SARS-CoV-2 may have affected the mortality for bacteremia during the COVID-19 pandemic, which has been reported for other major diseases. In this study we examine the all-cause bacteremia mortality amidst the COVID-19 pandemic. Methods: A population-based cohort study compr
Predicting an uncertain future with uncertain knowledge is a challenge. The success of efforts to preserve biodiversity, to maintain biosecurity and to reduce a negative impact from climate change, depend on scientifically based predictions of future events. The ongoing introduction of non-indigenous species threatens ecological systems for which empirical data is sparse and scientific knowledge i
Hormone-sensitive lipase (HSL) is active throughout the brain and its genetic ablation impacts brain function. Its activity in the brain was proposed to regulate bioactive lipid availability, namely eicosanoids that are inflammatory mediators and regulate cerebral blood flow (CBF). We aimed at testing whether HSL deletion increases susceptibility to neuroinflammation and impaired brain perfusion u
This article applies an agenda-setting approach to the impact of New Public Management on health-care reform in Sweden and Finland (1993–2016). A system-level view of agenda setting and New Public Management implementation is used to order the historical data derived from literature reviews of each health reform process. New Public Management is viewed as a hybrid concept rooted in the search for
This report introduces the background and framing of the concept of mission portfolios, focusing on portfolios of actions. It describes portfolio management approaches, explaining the uses and benefits, as well as the challenges of applying a portfolio approach in mission implementation. Further, it presents several existing examples of portfolio approaches in practice at different levels of gover
Olfactory communication can be of critical importance for mate choice decisions. Lepidoptera are key model systems for understanding olfactory communication, particularly considering sex pheromone signaling in the context of sexual selection. Solvent extraction or rinsing of pheromone-producing structures is a widespread method for quantifying sex pheromones, but such measures reflect what is stor
