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Correlates of Mistimed Pregnancy and Unmet Need for Family Planning among Women of Reproductive Age in Sandema, Ghana

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Advances in Reproductive Sciences 2024年第2期12卷 125-140页

作者： Elvis Junior Dun-Dery Elijah Yendaw Frederick Dun-Dery Lawrence Bagrmwin Menaal Kaushal department of Population and health Research Research Web Africa Sunyani Ghana department of Governance and Development Management Faculty of Planning and Land Management Simon Diedong Dombo University of Business and Integrated Development Studies Wa Ghana University of Calgary 2500 University Drive NW Calgary Alberta Canada Lambussie Polyclinic Ghana Health Service Lambusie Upper West Region Ghana department of Public health Lekma Hospital Ghana Health Service Accra Ghana

Background: Globally, an estimated 80 million unintended pregnancies comprising both mistimed and unwanted pregnancies are recorded yearly. Yet only half of the women at risk of mistimed pregnancy use contraceptives. In developing countries, over 100 million females have unmet need, and national surveys in Ghana indicate 23% unmet need rate. Methods: Using a cross-sectional community-based approach, a sample size of 300 women of reproductive age were selected using multi-step cluster sampling techniques. The study was quantitative, using structured interviewer-administered questionnaires. Results: Two-third (66%) of the women in reproductive age still had unmet need, 71% were currently pregnant, and more than a third (36%) confirmed ever having a mistimed pregnancy. Fifty-three percent (53%) of the women confirmed never communicating with their partners on family planning issues, a little below half (45%) took their own health care decisions. Seventy nine percent (79%) ever received family planning services from a health professional. Factors related to unmet needs included mistimed pregnancy, level of education, preferred birth/pregnancy interval, communication between partners and the autonomy to spend self-earnings. Conclusion: Considering that high rates of unmet need results in mistimed pregnancy, improved policies around the influence of unmet need on mistimed pregnancies are needed.

关键词： Contraception Family Planning Mistimed Pregnancy Ghana Unintended Pregnancy

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Simulated patient methodology as a“gold standard”in community pharmacy practice:Response to criticism

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World Journal of Methodology 2024年第2期14卷 172-174页

作者： Christian Kunow Bernhard Langer department of health NursingManagementNeubrandenburg University of Applied SciencesNeubrandenburg 17033Germany

The simulated patient methodology(SPM)is considered the“gold standard”as covert participatory *** is attracting increasing interest for the investigation of community pharmacy practice;however,there is criticism that SPM can only show a small picture of everyday pharmacy practice and therefore has limited external *** the one hand,a certain design and application of the SPM goes hand in hand with an increase in external *** if,on the other hand,this occurs at the expense of internal validity due to the trade-off situation,the justified criticism of the SPM for investigating community pharmacy practice can be countered.

关键词： Simulated patient methodology community pharmacy Gold standard Covert participatory observation Internal validity External validity

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Combatting anthrax outbreaks across Nigeria's national land borders: need to optimize surveillance with epidemiological surveys

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Infectious Diseases of Poverty 2024年第1期13卷 100-100页

作者： Hammed O.Mogaji Babatunde Adewale Stella I.Smith Ehimario U.Igumbor Chidumebi J.Idemili Andrew W.Taylor-Robinson Yale School of Public health Yale University New Haven USA Parasitology and Epidemiology Unit Federal University Oye-Ekiti Oye-Ekiti Nigeria department of Public health and Epidemiology Nigerian Institute of Medical Research Lagos Nigeria department of Molecular Biology and Biotechnology Nigerian Institute of Medical Research Lagos Nigeria Centre for Infectious Disease Research Nigerian Institute of Medical Research Lagos Nigeria department of Public health Walter Sisulu University Mthatha South Africa Institute of health Policy Management and Evaluation University of Toronto Toronto Canada College of health Sciences Vin University Hanoi Vietnam Center for Global health Perelman School of Medicine University of Pennsylvania Philadelphia USA

Background Anthrax is a non-contagious zoonotic disease caused by the Gram-positive,spore-forming bac-terium Bacillus *** is common in livestock and wild animals such as cattle,goats,sheep,camels,and *** humans,anthrax may occur after contact with contaminated carcasses or animal products like milk and *** best method to prevent anthrax in people is to ensure livestock are vaccinated,which significantly limits the risk of zoonotic spread to ***,the rate of vaccination of domesticated animals kept by nomadic pastoralists in West Africa is *** groups regularly cross over national boundaries with their grazing *** is a country that historically has done comparatively well to contain this public health ***,in 2023 several outbreaks of human disease appear linked to the consumption of anthrax-contaminated animal products brought into Nigeria by pastoralists from neighboring *** manifestations include skin sores or ulcers,nausea,vomiting,and *** article aims to raise awareness of recent outbreaks of anthrax in West Africa and to callfor a renewed focus on measures to combat this neglected public health concern to the *** body The imperative to pinpoint pivotal issues relating to the ongoing emergence of anthrax cases in Nigeria cannot be *** delving into the prevalence of anthrax in both livestock and human populations residing along Nigeria's borders,unraveling the genetic diversity and potential sources of *** strains,and identify-ing the primary animal host(s)responsible for transmission,we stand to enhance our understanding of this critical ***,investigating the multifaceted factors contributing to anthrax transmission,assessing community knowledge and practices,mapping common migratory routes of pastoralists,and formulating targeted interven-tion strategies tailored to the challenges of border communities,are each crucial steps towards eff

关键词： border Combat doubt

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Bacterial Exofactors Modulate Biofilm Growth and Resistivity to Antimicrobial Drugs

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Advances in Microbiology 2024年第1期14卷 11-24页

作者： Van Nguyen^# Bea Penaredondo^# Girdhari Rijal department of Medical Laboratory Sciences Public Health and Nutrition Science College of Health Sciences Tarleton State University A Member of Texas A & M University System Fort Worth Texas USA

Some bacteria have the ability to co-exist, proliferate and survive in a multicellular community, biofilm. Each participating bacteria can form its colonies and encases itself by a self-produced insoluble extracellular matrix substance (EPS). Microcolonies within biofilm are held together by interactions and bonding of the substances present in the EPS with their separation from the water channels. Similar to insoluble EPS, bacterial microcolonies release soluble exofactors that have direct impacts on the survivability, growth and antibacterial resistivity of other microcolonies made of single- or multi-species bacteria in the same biofilm. How the exofactors of microcolonies of one-type bacteria impact on microcolonies of other-type bacteria is still unclear. We studied about the role of exofactors released from Escherichia coli, Staphylococcus aureus and Pseudomonas aeruginosa, which are common biofilm-forming pathogenic bacteria. Exofactors facilitate to transform the microenvironment where bacteria can acquire alternative lifestyle with a long survival period and resistivity to certain antimicrobial drugs.

关键词： Biofilm Exofactors Antimicrobial Drugs Growth Extracellular Matrix Substance Microcolonies

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Influence of comorbidity on outcomes of older patients with acute pancreatitis based on a national administrative database

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Hepatobiliary & Pancreatic Diseases International 2015年第4期14卷 422-428页

作者： Atsuhiko Murata Makoto Ohtani Keiji Muramatsu Shinya Matsuda department of Preventive Medicine and community health School of Medicine University of Occupational and Environmental Health

Little information is available on the influ- ence of comorbidities on outcomes of older patients with acute pancreatitis. This study aimed to investigate the influence of co- morbidities on outcomes of older patients with acute pancreati- tis using data from a national Iapanese administrative database. METHODS： A total of 14 322 older patients （〉70 years） with acute pancreatitis were referred to 1090 hospitals between 2010 and 2012 in Japan. We collected patients＇ data from the administrative database to compare the in-hospital mortal- ity and length of stay of older patients with acute pancreatitis. The patients were categorized into four groups according to comorbidity level using the Charlson Comorbidity Index （CCI）： none （CCI score=0; n=6890）; mild （1; n=3874）; moder- ate （2; n=2192） and severe （〉3; n=1366）. RESULTS： Multiple logistic and linear regression analyses revealed that severe comorbidity was significantly associated with higher in-hospital mortality and longer length of stay [odds ratio （OR）=2.26; 95% confidence interval （CI）： 1.75-2.92, P〈0.001 and coefficient 4.37 days; 95% CI： 2.89-5.85, P〈0.001, respectively]. In addition, cardiovascular and renal diseases were the most significant comorbidities affecting outcomes of the older patients. ORs of cardiovascular and renal diseases for mortality were 1.44 （95% CI： 1.13-1.85, P=0.003） and 2.69 （95% CI： 1.88-3.85, P〈0.001）, respectively, and coefficients forlength of stay were 3.01 days （95% CI： 1.34-4.67, P〈0.001） and 3.72 days （95% CI： 1.01-6.42, P=0.007）, respectively. CONCLUSION： This study demonstrated that comorbidities significantly influenced outcomes of older patients with acute pancreatitis and cardiovascular and renal comorbidities were significant factors affecting outcomes.

关键词： acute pancreatitis comorbidity length of stay databases

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A Pricing-Based Cooperative Relay Selection Scheme for Reliable Communications

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China Communications 2024年第8期21卷 30-44页

作者： Xiao Yulong Wu Yu Amr Tolba Chen Ziqiang Li Tengfei School of Communications and Information Engineering Chongqing University of Posts and TelecommunicationsChongqing 400065China School of Cyber Security and Information Law Chongqing University of Posts and TelecommunicationsChongqing 400065China department of Computer Science Community CollegeKing Saud UniversityRiyadh 11437Saudi Arabia

With the rapid development and application of energy harvesting technology,it has become a prominent research area due to its significant benefits in terms of green environmental protection,convenience,and high safety and ***,the uneven energy collection and consumption among IoT devices at varying distances may lead to resource imbalance within energy harvesting networks,thereby resulting in low energy transmission *** enhance the energy transmission efficiency of IoT devices in energy harvesting,this paper focuses on the utilization of collaborative communication,along with pricing-based incentive mechanisms and auction *** propose a dynamic relay selection scheme,including a ladder pricing mechanism based on energy level and a Kuhn-Munkre Algorithm based on an auction theory employing a negotiation mechanism,to encourage more IoT devices to participate in the collaboration *** results demonstrate that the proposed algorithm outperforms traditional algorithms in terms of improving the energy efficiency of the system.

关键词： cooperative communication edge net-work energy harvesting relay selection

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Climate-influenced vector-borne diseases in Africa: a call to empower the next generation of African researchers for sustainable solutions

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贫困所致传染病(英文) 2024年第2期13卷 83-92页

作者： Obame-Nkoghe Judica?l Agossou Adjoavi Esse Mboowa Gerald Kamgang Basile Caminade Cyril Duke Dawn C. Githeko Andrew Karanja Ogega Obed M. Elloué Nestor Engone Sarr Fatou Bintou Nkoghe Dieudonné Kengne Pierre Ndam Nicaise T. Paupy Christophe Bockarie Moses Otomo Patricks Voua Molecular and Cellular Biology Laboratory (LabMC) Biology Department University of Science and Technology of Masuku BP Franceville Gabon Ecology and health Research Unit Interdisciplinary Center for Medical Research of Franceville BP Franceville Gabon department of Zoology and Entomology Faculty of Natural and Agricultural Sciences University of the Free State Private Bag x13 Phuthaditjhaba Republic of South Africa Laboratory of Pharmacology and Improved Traditional Medicines Department of Animal Physiology Faculty of Science and Technology University of Abomey-Calavi BP Cotonou Benin The African Center of Excellence in Bioinformatics and Data-Intensive Sciences Infectious Diseases Institute College of Health Sciences Makerere University P. O Box Kampala Uganda Africa Centers for Disease Control and Prevention African Union Commission Roosevelt Street P.O. Box WKAddis Ababa Ethiopia Centre for Research in Infectious Diseases P.O. Box Yaoundé Cameroon Earth System Physics department The Abdus Salam International Centre for Theoretical Physics Trieste Italy Africa Research Excellence Fund Charterhouse Street London EC1MHR UK community health Support Program P.O. Box Kisumu Kenya The African Academy of Sciences Nairobi Kenya Center for Phylosophical Studies and Research (CERP) Omar Bongo University (UOB) BP Libreville Gabon UMRED Health Training and Research Unit University of Iba Der Thiam of Thiès BP Thiès Senegal National Parasitic Diseases Control Program Ministry of Health Libreville Gabon MIVEGEC Univ. Montpellier CNRS IRD Montpellier France MERIT IRD Paris Cité University Paris France department of Parasitology Noguchi Memorial Institute for Medical Research University of Ghana LG Accra Ghana School of community health Sciences Njala University Bo Sierra Leone

We look at the link between climate change and vector-borne diseases in low- and middle-income countries in Africa. The large endemicity and escalating threat of diseases such as malaria and arboviral diseases, intensified by climate change, disproportionately affects vulnerable communities globally. We highlight the urgency of prioritizing research and development, advocating for robust scientific inquiry to promote adaptation strategies, and the vital role that the next generation of African research leaders will play in addressing these challenges. Despite significant challenges such as funding shortages within countries, various pan-African-oriented funding bodies such as the African Academy of Sciences, the Africa Research Excellence Fund, the Wellcome Trust, the U.S. National Institutes of health, and the Bill and Melinda Gates Foundation as well as initiatives such as the African Research Initiative for Scientific Excellence and the Pan-African Mosquito Control Association, have empowered (or are empowering) these researchers by supporting capacity building activities, including continental and global networking, skill development, mentoring, and African-led research. This article underscores the urgency of increased national investment in research, proposing the establishment of research government agencies to drive evidence-based interventions. Collaboration between governments and scientific communities, sustained by pan-African funding bodies, is crucial. Through these efforts, African nations are likely to enhance the resilience and adaptive capacity of their systems and communities by navigating these challenges effectively, fostering scientific excellence and implementing transformative solutions against climate-sensitive vector-borne diseases.

关键词： Climate change Vector-borne diseases Africa Environmental justice Research and development Pan-African funding initiatives

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Enhancing Mild Cognitive Impairment Detection through Efficient Magnetic Resonance Image Analysis

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Computers, Materials & Continua 2024年第8期80卷 2081-2098页

作者： Atif Mehmood Zhonglong Zheng Rizwan Khan Ahmad Al Smadi Farah Shahid Shahid Iqbal Mutasem K.Alsmadi Yazeed Yasin Ghadi Syed Aziz Shah Mostafa M.Ibrahim department of Computer Science and Technology Zhejiang Normal UniversityJinhua321002China Zhejiang Institute of Photoelectronics&Zhejiang Institute for Advanced Light Source Zhejiang Normal UniversityJinhua321004China department of Data Science and Artificial Intelligence Zarqa UniversityZarqa13100Jordan School of Chemical and Environmental Engineering College of ChemistryChemical Engineering andMaterials ScienceSoochow UniversitySuzhou215123China department of Management Information Systems College of Applied Studies and Community ServiceImam Abdulrahman Bin Faisal UniversityDammam32244Saudi Arabia department of Computer Science Al Ain UniversityAbu Dhabi999041United Arab Emirates department of Electrical Engineering Faculty of EngineeringMinia UniversityMinia61519Egypt healthcare Technology and Innovation Theme Faculty Research Centre for Intelligent HealthcareCoventry UniversityCoventryCV48BWUK

Neuroimaging has emerged over the last few decades as a crucial tool in diagnosing Alzheimer’s disease(AD).Mild cognitive impairment(MCI)is a condition that falls between the spectrum of normal cognitive function and ***,previous studies have mainly used handcrafted features to classify MCI,AD,and normal control(NC)*** paper focuses on using gray matter(GM)scans obtained through magnetic resonance imaging(MRI)for the diagnosis of individuals with MCI,AD,and *** improve classification performance,we developed two transfer learning strategies with data augmentation(i.e.,shear range,rotation,zoom range,channel shift).The first approach is a deep Siamese network(DSN),and the second approach involves using a cross-domain strategy with customized *** performed experiments on the Alzheimer’s Disease Neuroimaging Initiative(ADNI)dataset to evaluate the performance of our proposed *** experimental results demonstrate superior performance in classifying the three binary classification tasks:NC ***,NC ***,and MCI ***,we achieved a classification accuracy of 97.68%,94.25%,and 92.18%for the three cases,*** study proposes two transfer learning strategies with data augmentation to accurately diagnose MCI,AD,and normal control individuals using GM *** findings provide promising results for future research and clinical applications in the early detection and diagnosis of AD.

关键词： Alzheimer’s disease mild cognitive impairment normal control transfer learning classification augmentation

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Heparin-binding protein as a predictor of mortality in patients with diabetes mellitus and community-acquired pneumonia in intensive care unit:a propensity score matched study

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World Journal of Emergency Medicine 2024年第4期15卷 263-272页

作者： Yuhan Sun Baoqing Sun Zhigang Ren Mingshan Xue Changju Zhu Qi Liu Translational Medicine Center Department of Emergency Medicinethe First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China State Key Laboratory of Respiratory Disease National Clinical Research Center for Respiratory DiseaseGuangzhou Institute of Respiratory Healththe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou 510230China department of Infectious Disease the First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Henan Medical Key Laboratory of Emergency and Trauma Research Department of Emergency Medicinethe First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China

BACKGROUND:Patients with diabetes mellitus(DM)are vulnerable to community-acquired pneumonia(CAP),which have a high mortality *** aimed to investigate the value of heparin-binding protein(HBP)as a prognostic marker of mortality in patients with DM and ***:This retrospective study included CAP patients who were tested for HBP at intensive care unit(ICU)admission from January 2019 to April *** were allocated to the DM or non-DM group and paired with propensity score *** characteristics and clinical outcomes up to 90 days were *** primary outcome was the 10-day *** operating characteristic(ROC)curves,Kaplan-Meier analysis,and Cox regression were used for statistical ***:Among 152 enrolled patients,60 pairs were successfully *** was no significant difference in 10-day mortality,while more patients in the DM group died within 28 d(P=0.024)and 90 d(P=0.008).In the DM group,HBP levels at ICU admission were higher in 10-day non-survivors than in 10-day survivors(median 182.21[IQR:55.43-300]ng/ml *** 66.40[IQR:34.13-107.85]ng/mL,P=0.019),and HBP levels could predict the 10-day mortality with an area under the ROC curve of *** cut-off value,sensitivity,and specificity were 160.6 ng/mL,66.7%,and 90.2%,*** Cox regression analysis indicated that HBP was an independent prognostic factor for 10-day(HR 7.196,95%CI:1.596-32.455,P=0.01),28-day(HR 4.381,95%CI:1.449-13.245,P=0.009),and 90-day mortality(HR 4.581,95%CI:1.637-12.819,P=0.004)in patients with ***:Plasma HBP at ICU admission was associated with the 10-day,28-day,and 90-day mortality,and might be a prognostic factor in patients with DM and CAP.

关键词： community-acquired pneumonia Diabetes mellitus Heparin-binding protein Propensity score match

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Informing policy makers in developing countries:Practices and limitations of geriatric home medication review in Malaysia-A qualitative inquiry

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Asian Pacific Journal of Tropical Medicine 2024年第1期17卷 21-29,I0001-I0003页

作者： Ahlam Sundus Renukha Sellappans Tan Maw Pin Kulliyyah of Pharmacy International Islamic University MalaysiaJalan Sultan Ahmad ShahKuantanPahangMalaysia School of Pharmacy Faculty of Health and Medical SciencesTaylor’s UniversitySubang JayaSelangorMalaysia department of Medicine Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia

Objective:To explore existing practices and challenges in the delivery of geriatric home medication review(HMR).The study was part of a larger study aimed to offer solution to expand the range of geriatric ***:This study employed qualitative exploratory design through semi-structured individual in-depth interviews with the public pharmacists involved in the delivery of geriatric HMR at public *** purpose of the interviews was to explore challenges faced by them in the delivery of geriatric ***:Based on the emerging themes from the qualitative data,the study reveals that geriatric HMR in Malaysia is integrated as part of multidisciplinary home care visits,encompassing a diverse patient population with various healthcare ***,it faces challenges such as the lack of outcome monitoring,formal training,and workforce *** these hurdles,there is a pressing need for the expansion of this service to better serve the community,and collaboration with community pharmacists holds potential to broaden its ***,the findings suggest that pharmacist-led HMR is both warranted and feasible within the Malaysian healthcare *** order to optimize medicine-use among older people living in the community,approaches for expanding geriatric HMR services in Malaysia must be ***:This study holds profound implications as it attempts to illuminate policy makers in developing countries,enabling them to formulate effective HMR *** considering the challenges highlighted within this research,policy makers can design a comprehensive HMR service that caters adeptly to the healthcare needs of the mass population.

关键词： Home medication review Older adults Malaysia Pharmacists Low-to-middle-income countries

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