Knowledge, Attitudes, Motivations, Expectations, and Systemic Factors Regarding Antimicrobial Use Amongst Community Members Seeking Care at the Primary Healthcare Level: A Scoping... by Nishana Ramdas, Johanna C. Meyer, Natalie Schellack, Brian Godman, Eunice Turawa, Stephen M. Campbell

“…Four key themes were identified: (1) the ’patient’ theme, highlighting beliefs, knowledge, and expectations, which was the most prominent (40.5%); (2) the ’provider’ theme, emphasizing challenges related to clinical decision-making, knowledge gaps, and adherence to guidelines; (3) the ’healthcare systems’ theme, highlighting resource limitations, lack of infrastructure, and policy constraints; and (4) the ‘intervention/uptake’ theme, emphasizing strategies to improve future antibiotic use and enhance access to and quality of healthcare. …”
Get full text

Assessing vulnerability and climate risk to agriculture for developing resilient farming strategies in the Ganges Delta by Uttam Kumar Mandal, Fazlul Karim, Yingying Yu, Amit Ghosh, Taslima Zahan, Sonali Mallick, Mohammad Kamruzzaman, Priya Lal Chandra Paul, Mohammed Mainuddin

“…Through an extensive literature review, 18 biophysical and socio-economic variables were identified as critical and policy-relevant, including three related to exposure and 15 to vulnerability. …”
Get full text

A forestry investigation: Exploring factors behind improved tree species classification using bark images by Gokul Kottilapurath Surendran, Deekshitha, Martin Lukac, Martin Lukac, Jozef Vybostok, Martin Mokros

Get full text

Epidemiological Trends and Attributable Risk Burden of Cervical Cancer: An Observational Study from 1990 to 2019 by Hu Yao, Chen Yan, He Qiumin, Zhou Li, Ai Jiao, Li Xin, Li Hong

“…Alarmingly, ASIR in areas with low SDI is on the rise, which suggests that policy makers should pay attention to the allocation of public health resources and focus on the prevention and treatment of cervical cancer in underdeveloped areas, so as to reduce its incidence rate, mortality, and prognosis.…”
Get full text

Cervical cancer screening by cotesting method for Vietnamese women 25–55 years old: a cost-effectiveness analysis by Hien Thu Bui, Van Nu Hanh Pham, Thang Hong Vu

“…The objective is to provide evidence to inform policy and clinical practice in Vietnam.Design Cost-effectiveness analysis using a Markov model with 1 year cycles to simulate the natural progression of CC.Setting The Vietnamese healthcare system, modelled from the provider’s perspective, with parameters adapted to the local context through expert consultations.Participants A simulated cohort of Vietnamese women aged 25–55 years.Interventions The intervention involved cotesting (cytology and HPV testing) three times at 5 year intervals. …”
Get full text

The impact of gestational age limits on abortion-related outcomes: a synthesis of legal and health evidence by Fiona de Londras, Amanda Cleeve, Maria I. Rodriguez, Alana Farrell, Magdalena Furgalska, Antonella F. Lavelanet

“…Abstract Background Gestational age limits (GLs) are common in abortion laws and policies. They restrict when lawful abortion may be accessed by reference to the gestational duration of a pregnancy, in some cases specifying that abortion is a criminal offense after, but not before, the GL. …”
Get full text

Barriers and enablers to implementing clinical practice guidelines in primary care: an overview of systematic reviews by Tao Wang, Xian-Liang Liu, Jing-Yu (Benjamin) Tan, Isabella Zhao

“…Presence of technical support (‘institutional environment and resources factors’), and timely education and training for both primary care providers (PCPs) (‘healthcare provider-related factors’) and patients (‘patient-related factors’) were the frequently reported enablers.Conclusion Policy-driven strategies should be developed to motivate different levels of implementation activities, which include optimising resources allocations, promoting integrated care models, establishing well-coordinated multidisciplinary networks, increasing technical support, encouraging PCPs and patients’ engagement in guideline development, standardising the reporting of guidelines, increasing education and training, and stimulating PCPs and patients’ motivations. …”
Get full text

Social Structure Analysis in Management of South Sumatra Inland Waters by Fevi Rahma Dwi Putri, Arif Satria, Rilus A. Kinseng, Taryono Taryono

“…Further research should be conducted to research policy revitalization and develop strategic inland water management models. …”
Get full text

Management of rare and undiagnosed diseases: insights from researchers and healthcare professionals in Türkiye by Sinem Durmus, Emrah Yucesan, Sinem Aktug, Begum Utz, Ahmet Okay Caglayan, Ahmet Okay Caglayan, Pinar Gencpinar, Cagatay Günay, Yavuz Oktay, Ravza Nur Yildirim, Ayca Yigit, Ugur Ozbek

“…Survey results also suggest a number of policy improvements to accelerate research on RD: increased funding, establishment of robust surveillance systems, and development of comprehensive national action plans and guidelines on RD.DiscussionTo the best of our knowledge, this is the first study to be conducted in Türkiye. …”
Get full text

Secular trends of epidemiologic patterns of chronic kidney disease over three decades: an updated analysis of the Global Burden of Disease Study 2019 by Jing Liu, Xue Li, Yongping Liu, Xiaodong Sun, Xiaojin Feng, Ningning Hou, Zhenna Chen

“…Objectives To assess the characteristics of the global death burden imposed by chronic kidney disease (CKD) and the attributable risk factors from 1990 to 2019 to help inform a framework for policy discussions, resource allocation and research priorities.Design A population-based observational study.Setting The death data and relative risk factors were obtained from the Global Burden of Disease (GBD) Study 2019 database.Main outcome measures Based on the GBD database, we estimated the death burden attributable to CKD stratified by sociodemographic index (SDI), geographic location, sex, age group, time period and risk factors from 1990 to 2019.Results Over three decade study period, the global number of CKD-related deaths increased from 0.60 million (95% uncertainty interval (UI): 0.57–0.63 million) in 1990 to 1.43 million (95% UI: 1.31–1.52 million) in 2019. …”
Get full text

Revisiting teacher educators' training in Ethiopia: Implications for a new approach to curriculum development by Haftu Hindeya Gebremeskel, Ahmed Yibrie Ahmed, Dawit Asrat Getahun, Meskerem Lechissa Debele, Dawit Tibebu, Dereje Taye Wondem

“…A total of 37 participants (10 deans and vice-deans, 10 department heads, 6 teacher educators, 2 experts, 2 policy makers, 7 previous graduates) were purposely selected from five CTEs, two universities and from the Science and Mathematics Subjects Improvement Center at the Ministry of Education (MoE). …”
Get full text

The impact of precompetition state on athletic performance among track and field athletes using machine learning by Yuting Zhang, Pengyu Fu, Qi Yu, Qingmei Niu, Dongfeng Nie, Xiangya Dou, Xiaoqin Zhang

Get full text

Integrating microplastic research in sustainable agriculture: Challenges and future directions for food production by Marcelo Illanes, María-Trinidad Toro, Mauricio Schoebitz, Nelson Zapata, Diego A. Moreno, María Dolores López-Belchí

“…These results are significant for agricultural practices and policy formulation. As the prevalence of MPs in the environment continues to escalate, policymakers should address the potential risks these contaminants constitute to food safety and agricultural sustainability. …”
Get full text

Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment by Ramzi G Salloum, Mohammed Jawad, Aya Mostafa, Yousef Khader, Rima Nakkash, Niveen ME Abu-Rmeileh, Ali Chalak, Ruba Abla, Sameera Awawda

“…This should be taken into consideration in tobacco control strategies particularly when reducing tobacco consumption via taxation policies.…”
Get full text

Identification of individual-level clinical factors associated with increased risk of death during heatwaves: a time-stratified case-crossover study using national primary care rec... by Shakoor Hajat, Ross Thompson, Sari Kovats, Emer O’Connell, Helen Macintyre

“…Results presented have important implications for patient medication management during heat events, incorporating heat-risk considerations into other health policies such as suicide prevention plans and highlighted potential differences between clinical vulnerability and patients at risk.…”
Get full text

Incidence and risk factors for mortality of vertebral osteomyelitis: a retrospective analysis using the Japanese diagnosis procedure combination database by Hideo Yasunaga, Hirotaka Chikuda, Kiyohide Fushimi, Hiromasa Horiguchi, Toru Akiyama, Kazuo Saita

Get full text

One Health preparedness and response for mosquito-borne viruses: a stakeholder- and social network-analysis in the Netherlands by Pauline A. de Best, H. Broekhuizen, R. S. Sikkema, M. P. G. Koopmans, A. Timen

“…Interviewees not currently active in MBV policy were given the opportunity to share their experiences regarding ‘zoonotic infectious diseases’ or ‘healthy living environments’. …”
Get full text

Experience of Aging in the Ngäbe-Buglé Community in Coto Brus, Costa Rica: A Qualitative Study by Melissa Rallo, Nicholas Leahy, Alexis Vetack, Hima Konduru, Shania Bailey, Lillianna Pedersen, Christine Wan, Wendel Mora, Virginia Rowthorn, Shailvi Gupta, Carlos Faerron Guzmán

“…Addressing these issues will require governmental support and policy changes aimed at uplifting the Ngäbe-Buglé community.…”
Get full text

Burden of pertussis in infants in the Eastern Mediterranean Region and the impact of maternal vaccination: a systematic review by Randa K. Saad, Yousef Khader, Flor M. Munoz, Faris Lami, Ezzeddine Mohsni, Nadine Haddad

Get full text

Factors influencing reselection of village doctors in rural-oriented tuition-waived medical education program in Shanghai, China: a cross-sectional study by Jing Gao, Juhua Zhang, Chenlei Shi, Aiqin Fan, Peng Zhang

“…NGVDs who think village doctors can leverage their professional ability with “okay” (OR, 32.87 [95%CI, 3.69–293.64]) and “yes” (OR, 120.03 [95%CI, 12.78- > 999.99]) and who think NGVDs were “important” (OR, 3.74 [95%CI, 1.21–11.55]) were more inclinatively to reselect to be NGVD.ConclusionReasons for choosing RTME, understanding of the government’s policy, career identity, and job satisfaction were all influence the reselection of RTME. …”
Get full text