What are the barriers to the diagnosis and management of chronic respiratory disease in sub-Saharan Africa? A qualitative study with healthcare workers, national and regional policy stakeholders in five countries by Angela Obasi, Rachel Tolhurst, Kingsley Rex Chikaphupha, Miriam Taegtmeyer, Kevin Mortimer, Louis Niessen, Maia Lesosky, Jahangir Khan, William Worodria, Jamie Rylance, Lindsay Zurba, Imelda Bates, Stellah G Mpagama, Elizabeth Henry Shayo, Rose Oronje, Emmanuel Addo-Yobo, Brian Allwood, Hastings Banda, Amsalu Binegdie, Adegoke Falade, Bertrand Mbatchou, Beatrice Mutayoba, Nyanda Elias Ntinginya, Heather Zar, Eliya Zulu, Helen Meme, Uzochukwu Egere, Asma Elsony, Martha Chinouya, S Bertel Squire, Stephen Mulupi, Irene Ayakaka, Nicole Kozak, Elhafiz Abdalla, Rashid Osman

“…This study aimed to explore the perspectives of healthcare workers and other health policy stakeholders on the barriers to effective diagnosis and management of CRD in Kenya, Malawi, Sudan, Tanzania and Uganda.Study design Qualitative descriptive study.Settings Primary, secondary and tertiary health facilities, government agencies and civil society organisations in five sub-Saharan African countries.Participants We purposively selected 60 national and district-level policy stakeholders, and 49 healthcare workers, based on their roles in policy decision-making or health provision, and conducted key informant interviews and in-depth interviews, respectively, between 2018 and 2019. …”
Get full text

Association between sleep patterns and depression in older adults: a cross-sectional study using data from the National Health and Nutrition Examination Survey 2007–2014 by Yi Niu, Yuqin Sun, Yijie Xie, Shun Yu

“…Methods A total of 5636 participants (2754 men and 2882 women) aged 60 years and older from the 2007–2014 waves of the National Health and Nutrition Examination Survey (NHANES) were included. …”
Get full text

Rehabilitation success and related costs following stroke in a regional hospital: a retrospective analysis based on the Australian National Subacute and Non-Acute Patient (AN-SNAP) classification by Fan He, George Mnatzaganian, Michael Njovu, David Rutherford, Tara Alexander, Irene Blackberry

“…Additionally, the relationship between rehabilitation costs following acute stroke, based on Australian National Subacute and Non-Acute Patient (AN-SNAP) casemix classification, and rehabilitation success remains unclear. …”
Get full text

Effectiveness and safety of metformin in 51 675 patients with type 2 diabetes and different levels of renal function: a cohort study from the Swedish National Diabetes Register by Katarina Eeg-Olofsson, Soffia Gudbjörnsdottir, Ann-Marie Svensson, Björn Eliasson, Linus Schioler, Björn Zethelius, Nils Ekström, Jan Cederholm, Junmei Miao Jonasson

“…Objective To evaluate the effectiveness and safety of metformin use in clinical practice in a large sample of pharmacologically treated patients with type 2 diabetes and different levels of renal function.Design Observational study between July 2004 and December 2010, mean follow-up 3.9 years.Setting Hospital outpatient clinics and primary care in Sweden.Participants 51 675 men and women with type 2 diabetes, registered in the Swedish National Diabetes Register, and on continuous glucose-lowering treatment with oral hypoglycaemic agents (OHAs) or insulin.Main outcome measures Risks of cardiovascular disease (CVD), all-cause mortality and acidosis/serious infection, associated with each treatment regimens, were analysed in all patients and in subgroups with different estimated glomerular filtration rate (eGFR) intervals. …”
Get full text

Clinical Practice Guidelines of the Russian Society for the Study of the Liver, the Russian Gastroenterological Association, the National Scientific Society of Infectious Disease Specialists for the Diagnosis and Treatment of Chronic Hepatitis C by V. T. Ivashkin, V. P. Chulanov, N. A. Mamonova, M. V. Maevskaya, M. S. Zharkova, I. N. Tikhonov, P. O. Bogomolov, E. V. Volchkova, A. S. Dmitriev, O. O. Znojko, E. A. Klimova, K. V. Kozlov, I. E. Kravchenko, E. Yu. Malinnikova, R. V. Maslennikov, M. I. Mikhailov, K. E. Novak, I. G. Nikitin, V. E. Syutkin, E. V. Esaulenko, A. A. Sheptulin, E. N. Shirokova, N. D. Yushchuk

Get full text

Adel Selmi, 2006, Administrer la nature. Le parc national de la Vanoise, Paris, Eds. de la MSH / Eds. Quae, 487 p. by Hélène Melin

Get full text

Gender-specific secular trends and related factors of high perceived stress level among Korean older adults: a nation-wide serial cross-sectional study by Eunjeong Choi, Hyun-Ju Seo, Kye Ha Kim, Sun-Young Jung

“…Methods This descriptive study analyzed secondary data from the nationally representative Korean Community Health Survey (KCHS) data from 2009 to 2019, including 274,883 older adults aged ≥ 65 years. …”
Get full text

Global and regional trends of the century+ in the Middle East: A new interpretation by V. А. Kuznetsov, V. V. Naumkin

Subjects: Get full text

Global Democratic World Order: Utopia or Reality? by An. A. Gromyko, Al. A. Gromyko

Subjects: Get full text

Knowledge and perceptions about clinical research and its ethical conduct among college students from non-science background: a representative nation-wide survey from India by Jeffrey Pradeep Raj, Suraj Kallarakal Tomy, Amrutha Jose, Aadrika Kashyap, Joseph Varghese Kureethara, Tomy K Kallarakal

Get full text

Disponibilité spatiale et temporelle des espèces alimentaires des chimpanzés et variations de densité inter-communautés dans le Parc national de Kibale (Ouganda) by Sarah Bortolamiol, Marianne Cohen, Protase Rwaburindore, John Kasenene, Andrew Seguya, Flora Pennec, Quentin Vignaud, Sabrina Krief

Subjects: Get full text

Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia by Desalegne Amare, Ayenew Negesse, Baye Tsegaye, Birtukan Assefa, Birehanu Ayenie

Get full text

New Species of Empidinae (Diptera) from San Rossore National Park, Italy, with the First Report on Leg Polymorphism in the Genus <i>Hilara</i> Meigen and Their DNA Barcoding Evidence by Miroslav Barták, Milan Kozánek, Antonio Belcari, Andrea Š. Tóthová

“…Altogether three species of Empidinae are described from San Rossore National Park, Italy: <i>Empis</i> (<i>Euempis</i>) <i>sanrossorensis</i> Barták sp. nov., <i>Hilara polymorpha</i> Barták sp. nov., and <i>Rhamphomyia</i> (<i>Megacyttarus</i>) <i>sanrossorensis</i> Barták sp. nov. …”
Get full text

Global, regional, and national burden of tracheal, bronchus, and lung cancer attributable to ambient particulate matter pollution among adults aged 70 and above in 1990–2021 and projected to 2044 by Ke-Jie He, Haitao Wang, Jianguang Xu, Guoyu Gong

Get full text

Use of computerised adaptive testing to reduce the number of items in patient-reported hip and knee outcome scores: an analysis of the NHS England National Patient-Reported Outcome Measures programme by Jose Maria Valderas, Andrew D Toms, Jonathan Peter Evans, Christopher Gibbons

Get full text

Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010 by Won Kyoung Cho, Hyojin Kim, Hyun Young Lee, Kyung Do Han, Yeon Jin Jeon, In Ah Jung, Shin Hee Kim, Kyoung Soon Cho, So Hyun Park, Min Ho Jung, Byung-Kyu Suh

“…Data were obtained from the Korea National Health and Nutrition Examination Survey (K-NHANES) conducted during 2008–2010. …”
Get full text

Association between Chinese visceral adiposity index and risk of new-onset hypertension in middle-aged and older adults with prediabetes: evidence from a large national cohort study by Lanlan Li, Lanlan Li, Linqiang Xi, Qianhui Wang

Get full text