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Determinants of continued maternal care seeking during pregnancy, birth and postnatal and associated neonatal survival outcomes in Kenya and Uganda : analysis of cross-sectional, demographic and health surveys data

OBJECTIVES: To examine how maternal and sociodemographic factors determine continued care-seeking behaviour from pregnancy to postnatal period in Kenya and Uganda and to determine associated neonatal survival outcomes.DESIGN: A population-based analysis of cross-sectional data using multinomial and binary logistic regressions.SETTING: Countrywide, Kenya and Uganda.PARTICIPANTS: Most recent live bi

Explosive remnants in Swedish society : Standardization to visualize a complex risk picture

Explosive remnants from military activities imply a complex and costly risk to be dealt with in society. The problem involves different risks that are currently managed in isolation and by different stakeholders. For prioritization and ranking between all contaminated areas, a common risk picture needs to be presented and communicated to decision-makers. This chapter analyses the pros and cons of

Legitimation dynamics in industrial path development : new-to-the-world versus new-to-the-region industries

While economic geography has contributed deep insights into the knowledge-related determinants of industry emergence, less is known about the legitimacy that people confer to the new industries. Based on a comparative case study in the potable water reuse industry (California, United States) and the video games industry (Hamburg, Germany), this article explores the legitimation dynamics in regiona

Industrial packaging and its impact on sustainability and circular economy : A systematic literature review

Industrial packaging can enable efficient and sustainable logistics activities throughout supply chains. Such activities have a great impact on a company's sustainability performance. There has been an increase in research on industrial packaging and its potential to contribute to sustainable supply chains and a circular economy, but the current research is fragmented. The purpose of this study is

Accurate Prediction of Persistent Upper Extremity Impairment in Patients With Ischemic Stroke

Objective: To develop a simple and effective risk score for predicting which stroke patients will have persistent impairment of upper extremity motor function at 90 days. Design: Post hoc analysis of clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome. Setting: Patient were hospitalized at facilities across the United States

High risk of non-alcoholic liver disease mortality in patients with chronic hepatitis C with illicit substance use disorder

Aims: Hepatitis C virus (HCV) is a slowly progressive disease, often transmitted among people who inject drugs (PWID). Mortality in PWID is high, with an overrepresentation of drug-related causes. This study investigated the risk of death in patients with chronic hepatitis C virus (HCV) infection with or without illicit substance use disorder (ISUD). Methods: Patients with HCV were identified usin

Do patients or their physicians more accurately assess long-term risk associated with hypertension? A population-based study

Objective: To compare the assessments of 10-year probability by patients and their physicians of cardiovascular complications of hypertension with actual outcomes. Design: Patients with uncomplicated hypertension treated with at least one antihypertensive drug at inclusion were followed for 10 years through mandatory national health registers. Setting: 55 primary health care centres, 11 hospital o

Ecological factors associated with Emergency Department use by older people in Italy

Background: Many studies investigated factors associated with overuse of Emergency Department (ED) by older people. However, there is little evidence of how a better access to long-term care services can affect ED visit rates. Therefore, we estimated the association between ED use and contextual (distance to closest ED), need (priority level at admission and care deprivation), predisposing (socio-

The role of multimodality cardiovascular imaging in peripartum cardiomyopathy

The burden of pregnancy-related heart disease has dramatically increased over the last decades due to the increasing age at first pregnancy and higher prevalence of cardiovascular risk factors such as diabetes, hypertension, and obesity. Pregnancy is associated with physiological changes in the cardiovascular system, including hemodynamic, metabolic, and hormonal adaptations to meet the increased

Transcript expression-aware annotation improves rare variant interpretation

The acceleration of DNA sequencing in samples from patients and population studies has resulted in extensive catalogues of human genetic variation, but the interpretation of rare genetic variants remains problematic. A notable example of this challenge is the existence of disruptive variants in dosage-sensitive disease genes, even in apparently healthy individuals. Here, by manual curation of puta

The mutational constraint spectrum quantified from variation in 141,456 humans

Genetic variants that inactivate protein-coding genes are a powerful source of information about the phenotypic consequences of gene disruption: genes that are crucial for the function of an organism will be depleted of such variants in natural populations, whereas non-essential genes will tolerate their accumulation. However, predicted loss-of-function variants are enriched for annotation errors,

Patterns of recurrence in anal cancer : A detailed analysis

Background: Anal cancer is a rare disease, which might be the reason for the "one size fits all" approach still used for radiotherapy target contouring. To refine and individualize future guidelines, detailed and contemporary pattern of recurrence studies are needed. Methods: Consecutive anal cancer patients, all treated with curative intent intensity-modulated radiotherapy (IMRT), were retrospect

Clinical spectrum, genetic associations and management outcomes of Coats-like exudative retinal vasculopathy in autosomal recessive retinitis pigmentosa

Background: Coats-like retinal vasculopathy in retinitis pigmentosa (RP) is rare. This study describes its clinical spectrum, management outcomes and genetic associations in patients with autosomal recessive RP (arRP). Materials and methods: Retrospective review of ophthalmic, multimodal imaging, genetic findings and treatment outcomes of arRP patients who developed Coats-like features. Identifica

Nitrogen acquisition from mineral-associated proteins by an ectomycorrhizal fungus

In nitrogen (N)-limited boreal forests, trees depend on the decomposing activity of their ectomycorrhizal (ECM) fungal symbionts to access soil N. A large fraction of this N exists as proteinaceous compounds associated with mineral particles. However, it is not known if ECM fungi can access these mineral-associated proteins; accordingly, possible acquisition mechanisms have not been investigated.

Control-over-the-cloud: A performance study for cloud-native, critical control systems

In the Industry 4.0 era, time-sensitive and missioncritical control applications still have a long way to go, from being tied down and co-located with the systems they control, to taking full advantage of the cloud. Conservatively keeping applications local will deprive these complex applications of abundantcompute capacity, wider system integration, and the potential for collaborative control eff

Centralized Coordination of Autonomous Vehicles at Intersections

Recent advances in autonomous vehicles present new opportunities in Intelligent transportation systems (ITS) to address urban transport challenges. Therefore, urban traffic scenarios, and in particular intersections as a bottleneck of transportation network, has received significant attention. In this paper we investigate intelligent traffic control mechanisms for autonomous vehicles at intersecti

Anti-Aliasing method for ultrasonic 2D phase-sensitive motion estimator

A 2D motion estimator can estimate tissue motions and blood flow dynamics more accurately than a 1D motion estimator. In this study, we proposed a simple anti-Aliasing filter to unwrap the phase of the cross spectrum. The proposed method is evaluated by simulation mimicking steady flows, and the magnitude of the true velocity was changed from 200 to 2400 mm s-1. In the simulation, bias error was i

Dynamic decision-making of airline pilots in low-fidelity simulation

Dynamic decision-making in aviation involves complex problem solving in a dynamic environment characterized by goal conflicts and time constrains. Training mostly focuses on testing domain-specific knowledge and skills that may result in context-specific rather than general problem-solving skills. A low-fidelity decision-making simulation may favour the understanding of the decision process rather