3529 papers
This co-designed qualitative study reveals that the inconsistent implementation of reasonable adjustments across the learning disability annual health check pathway stems from reactive rather than proactive approaches involving personal, professional, and organizational factors, highlighting the need for system-level changes to effectively reduce health inequalities.
This mixed-methods study evaluating Nepal's primary healthcare system readiness for non-communicable disease management between 2020 and 2022 reveals that while readiness varies by facility type and region, overall capacity remains insufficient due to critical shortages in equipment, medicines, trained staff, and guidelines, necessitating targeted government interventions to strengthen infrastructure and supply chains.
This study of 330 women in Nakuru City, Kenya, reveals that while personal hygiene knowledge is adequate, menstrual waste disposal is predominantly high-risk due to infrastructural deficits, and the adoption of sustainable alternatives is hindered by low awareness, cultural taboos, and negative attitudes toward reusable products.
This prospective cohort study conducted in Georgia demonstrates that prenatal maternal stress, characterized by elevated salivary cortisol levels, is significantly associated with poorer physical growth and lower neurodevelopmental scores in infants during their first year of life.
This national repeated cross-sectional study of Korea from 1998 to 2024 reveals a mixed nutrition transition characterized by reduced carbohydrate and sodium intake but a concerning shift toward higher fat consumption, decreased fruit and vegetable adequacy, and persistent micronutrient vulnerabilities, underscoring the need for policies that prioritize overall dietary quality beyond simple energy balance or sodium reduction.
A population-based cohort study in Western Australia reveals that mothers with psychotic illness face a significantly elevated risk (approximately 12 times higher) of assault-related hospitalization compared to those without mental illness, underscoring the critical need for routine violence screening and trauma-informed care in perinatal and psychiatric services.
This study demonstrates that performing conservative tangential excision combined with xenogeneic dermal grafting within 12 to 24 hours post-burn for extensive critical burns effectively maintains hemodynamic stability, reduces fluid resuscitation needs and systemic inflammation, and improves clinical outcomes by lowering infection rates, surgical requirements, and hospital stay duration.
This retrospective study of 104 invasive lobular carcinoma cases reveals that neoadjuvant systemic therapy yields limited pathological response and fails to significantly increase breast-conserving treatment rates compared to primary surgery, highlighting the challenges of managing ILC's distinct biological features.
This cross-sectional study of over 52,000 Chinese women demonstrates that higher TyG index and TG/HDL-C ratio levels are independently and positively associated with hypertension, exhibiting non-linear dose-response relationships with identified clinical thresholds of TyG > 8.0 and TG/HDL-C > 1.4 that could serve as effective, low-cost screening tools for early risk identification.
This cross-sectional study developed and validated a feasible Intrinsic Capacity Index (ICI) based on the WHO ICOPE framework, demonstrating that lower ICI scores in community-dwelling older adults are significantly associated with adverse geriatric outcomes such as frailty, functional dependence, and polypharmacy.