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Recently, it has been observed that the weather is changing constantly because of global warming. The government is urging everyone, including scientists and the general public, to help address the severe challenges caused by climate change. Addressing the pivotal issue of carbon emissions stemming from transportation, this manuscript delves into the development of an efficient and coordinated management system. The proposed solution involves a green solid transportation system employing a two-stage network to implement a carbon cap and trade policy. A mathematical model is introduced to underscore the significance of this approach. Because of market fluctuations, supply and demand constraints are not always the same. Therefore, a two-folded uncertainty is included in this article for a better realistic outcome. A ranking defuzzification approach is employed to convert this uncertainty into a deterministic measure. Two illustrative numerical case studies are presented to underscore the effectiveness and feasibility of the proposed approaches. Then, three multi-objective techniques are employed to obtain Pareto-optimal solutions for the addressed problem. After that, a comparative study among these techniques is introduced and a sensitivity analysis is added to explore how the objective functions are influenced by potential changes in supply and demand. In conclusion, the paper offers important insights and identifies areas for future research in this field. [ABSTRACT FROM AUTHOR]

Introduction: Conventional implantable cardioverter-defibrillators (ICDs) and pacemakers carry a risk of pocket- and lead-related complications in particular. To avoid these complications, extravascular devices (EVDs) have been developed, such as the subcutaneous ICD (S-ICD) and leadless pacemaker (LP). However, data on patient or centre characteristics related to the actual adoption of EVDs are lacking. Objective: To assess real-world nationwide trends in EVD adoption in the Netherlands. Methods: Using the Netherlands Heart Registration, all consecutive patients with a de novo S‑ICD or conventional single-chamber ICD implantation between 2012–2020, or de novo LP or conventional single-chamber pacemaker implantation between 2014–2020 were included. Trends in adoption are described for various patient and centre characteristics. Result: From 2012–2020, 2190 S‑ICDs and 10,683 conventional ICDs were implanted; from 2014–2020, 712 LPs and 11,103 conventional pacemakers were implanted. The general use has increased (S-ICDs 8 to 21%; LPs 1 to 8%), but this increase seems to have reached a plateau. S‑ICD recipients were younger than conventional ICD recipients (p < 0.001) and more often female (p < 0.001); LP recipients were younger than conventional pacemaker recipients (p < 0.001) and more often male (p = 0.03). Both S‑ICDs and LPs were mainly implanted in high-volume centres with cardiothoracic surgery on-site, although over time S‑ICDs were increasingly implanted in centres without cardiothoracic surgery (p < 0.001). Conclusion: This nationwide study demonstrated a relatively quick adoption of innovative EVDs with a plateau after approximately 4 years. S‑ICD use is especially high in younger patients. EVDs are mainly implanted in high-volume centres with cardiothoracic surgery back-up, but S‑ICD use is expanding beyond those centres. [ABSTRACT FROM AUTHOR]

Purpose: Carbapenemase-producing Enterobacterales (CPE) pose a serious threat for healthcare facilities worldwide, yet the mode of transmission is often unclear. Recently, we recorded an increase of blaOXA-48-harboring isolates at our hospital associated with patients with previous medical treatment in the Ukraine. We used long-read whole genome sequencing (lrWGS) to characterize these isolates including their plasmids. Methods: Samples were collected as part of clinical routine diagnostic or screening of multi-drug resistance bacteria (MDRB). Antimicrobial susceptibility testing was performed and all MDRB (n = 10) were sequenced by lrWGS for genotyping, identification of antimicrobial resistance (AMR) genes, and characterization of plasmids. Results: While routine analysis of core genome multilocus sequence typing (cgMLST) did not show any genetic similarities between isolates, we found an unexpected high similarity in the plasmid diversity of different Enterobacterales in patients with previous medical treatment in the Ukraine. This included an IncL/M plasmid carrying blaOXA-48 and additional small non-AMR-coding plasmids. Conclusion: Our results show that lrWGS can be used in the routine setting to uncover similarities in plasmids and may give further information about potential epidemiologic associations. In the future, analysis of both AMR and non-AMR plasmids may provide an additional layer of information for molecular surveillance of CPE. [ABSTRACT FROM AUTHOR]

Atrial myopathy is a condition that consists of electrical, structural, contractile, and autonomic remodeling of the atria and is the substrate for development of atrial fibrillation, the most common arrhythmia. Pathophysiologic mechanisms driving atrial myopathy are inflammation, oxidative stress, atrial stretch, and neurohormonal signals, e.g., angiotensin-II and aldosterone. These mechanisms initiate the structural and functional remodeling of the atrial myocardium. Novel therapeutic strategies are being developed that target the pathophysiologic mechanisms of atrial myopathy. In this review, we will discuss the pathophysiology of atrial myopathy, as well as diagnostic and therapeutic strategies. [ABSTRACT FROM AUTHOR]

This article explores how well bibliometrics and altmetrics reflect research impact in relation to Boyer's Model of the Scholarship. Indices used for both types of metrics are explored and discussed while including an analysis on primary methodological works performed on each in the literature to date. As confirmatory in nature, we chose as our focus of analysis the most highly cited, solo-authored, peer-reviewed article from each of two scholars at an R1 institution in the field of higher education: a rising junior scholar and a well-established senior scholar. In addition to analysis of bibliometric and altmetrics, extensive textual analysis was conducted on the works (n = 165) of both scholars to determine how substantitive in-text citations were from authors citing these scholars' research. Different authors coded each of the citing works, and both inter-rater reliability (k < 0.001, = 0.055) and intraclass correlation tests (r =.000) were conducted at the nominal and interval levels to provide strong reliability measures of the rubric with each showing a confidence interval of 95% for coding results. In-text citations for dissertations were actually found to be more substantive than articles at a level of significance (p <.05). The vast majority of references were found to have a score of 3 or below, implying impact of the original research was not strong. In relation to Boyer's domains, inference can be made that the majority of research literature associated with citation metrics, either bibliometrics or altmetrics, do not move beyond the Scholarship of Discovery into the Scholarship of Integration. [ABSTRACT FROM AUTHOR]

Cardiac implantable electronic device (CIED) therapy is an essential element in treating cardiac arrhythmias. Despite their benefits, conventional transvenous CIEDs are associated with a significant risk of mainly pocket- and lead-related complications. To overcome these complications, extravascular devices (EVDs), such as the subcutaneous implantable cardioverter-defibrillator and intracardiac leadless pacemaker, have been developed. In the near future, several other innovative EVDs will become available. However, it is difficult to evaluate EVDs in large studies because of high costs, lack of long-term follow-up, imprecise data or selected patient populations. To improve evaluation of these technologies, real-world, large-scale, long-term data are of utmost importance. A Dutch registry-based study seems to be a unique possibility for this goal due to early involvement of Dutch hospitals in novel CIEDs and an existing quality control infrastructure, the Netherlands Heart Registration (NHR). Therefore, we will soon start the Netherlands—ExtraVascular Device Registry (NL-EVDR), a Dutch nationwide registry with long-term follow-up of EVDs. The NL-EVDR will be incorporated in NHR's device registry. Additional EVD-specific variables will be collected both retrospectively and prospectively. Hence, combining Dutch EVD data will provide highly relevant information on safety and efficacy. As a first step, a pilot project has started in selected centres in October 2022 to optimise data collection. [ABSTRACT FROM AUTHOR]

This article demonstrates how to create Chemical Space Networks (CSNs) using a Python RDKit and NetworkX workflow. CSNs are a type of network visualization that depict compounds as nodes connected by edges, defined as a pairwise relationship such as a 2D fingerprint similarity value. A step by step approach is presented for creating two different CSNs in this manuscript, one based on RDKit 2D fingerprint Tanimoto similarity values, and another based on maximum common substructure similarity values. Several different CSN visualization features are included in the tutorial including methods to represent nodes with color based on bioactivity attribute value, edges with different line styles based on similarity value, as well as replacing the circle nodes with 2D structure depictions. Finally, some common network property and analysis calculations are presented including the clustering coefficient, degree assortativity, and modularity. All code is provided in the form of Jupyter Notebooks and is available on GitHub with a permissive BSD-3 open-source license: https://github.com/vfscalfani/CSN_tutorial [ABSTRACT FROM AUTHOR]

Research has shown that linear relationships do not adequately represent publication and citation measurement behavior. They are much more curvilinear than that. However, we tend to try to look to citation counts linearly to draw outcomes about productivity. This study examines bibliometric and altmetric measures for emerging and senior scholars to see if power law behavior helps explain patterns for both of these groups. Findings indicating the presence of the power law for both groups suggests the majority of work receives few references while a select few works receive the majority of references. Alternative best fit transformations of the data are also detailed. [ABSTRACT FROM AUTHOR]

Purpose: The objective of this study is to evaluate predictors for attendance in a home-based adapted physical activity (APA) program for women with breast cancer during chemotherapy and radiotherapy treatment.Methods: This retrospective study was based on two prospective studies (SAPA and APAC), including a total of 73 patients with localized breast cancer during their treatment period. The same APA program lasting 27 weeks was proposed and registered. It consisted of three physical activity sessions (two aerobic and one strength training) per week. The predictors (age, height, body weight, body mass index (BMI), VO2peak, 6-min walking test distance (6MWT), fatigue (MFI), quality of life (EORTC-QLQ), anxiety and depression (HADS), and previous physical activity (IPAQ)) were evaluated before the APA program.Results: According to the multivariate regression analysis, the baseline 6MWT distance and quality of life were predictive of good attendance in the APA program. The univariate analysis showed that initial VO2peak, body weight, BMI, and fatigue influenced attendance in the APA program.Conclusions: This study helps to better understand the profile of patients who would be participative or non-participative in an APA program. 6MWT distance and quality of life accounted for 19% of attendance in an APA program before the start of treatment. These correlations between the initial predictors of women with breast cancer and their attendance in the APA program during their treatment period make it possible to adapt physical activity professional practices to these patients. [ABSTRACT FROM AUTHOR]

Cross-dockingis a useful concept used by many companies to control the product flow. It enables the transshipment process of products from suppliers to customers. This research thus extends the benefit of cross-docking with reverse logistics, since return process management has become an important field in various businesses. The vehicle routing problem in a distribution network is considered to be an integrated model, namely the vehicle routing problem with reverse cross-docking (VRP-RCD). This study develops a mathematical model to minimize the costs of moving products in a four-level supply chain network that involves suppliers, cross-dock, customers, and outlets. A matheuristic based on an adaptive large neighborhood search (ALNS) algorithm and a set partitioning formulation is introduced to solve benchmark instances. We compare the results against those obtained by optimization software, as well as other algorithms such as ALNS, a hybrid algorithm based on large neighborhood search and simulated annealing (LNS-SA), and ALNS-SA. Experimental results show the competitiveness of the matheuristic that is able to obtain all optimal solutions for small instances within shorter computational times. For larger instances, the matheuristic outperforms the other algorithms using the same computational times. Finally, we analyze the importance of the set partitioning formulation and the different operators. [ABSTRACT FROM AUTHOR]

Severe infections involving Panton-Valentine leukocidin-producing Staphylococcus aureus (PVL + Sa) are increasing. This monocentre, retrospective descriptive cohort assessed clinical characteristics and outcome of paediatric and adult patients admitted for community-acquired PVL + Sa infections to the unique intensive care unit (ICU) on New Caledonia Island. Overall, 72 patients (including 23 children) admitted for acute respiratory failure (42%), sepsis/septic shock (21%), and/or postoperative care (32%) were analysed. Most patients had pulmonary (64%), skin/soft tissue (SSTI) (54%) and/or osteoarticular (38%) infections. Multifocal infections (≥ 2 sites) and bacteraemia were reported in 65% and 76% of the patients, respectively. Methicillin-resistant S. aureus isolates were reported in 61% of adult cases versus 30% in children (p < 0.05). Mechanical ventilation, vasoactive support and source control were administered in 53%, 43% and 58% of the patients, respectively. All paediatric patients received adequate empirical antibiotic therapy versus 30/49 adults (p < 0.001). Adequate documented therapy was obtained ≤ 72 h in 70/72 (97%) patients. Death was only reported in adults (n = 10 (14%)), mainly during pulmonary infection (22%), SSTIs (21%) and bacteraemia (24%)). In summary, in ICU patients from New Caledonia Island the clinical presentation of severe community-acquired PVL + Sa infections seems different from Western European observations with high rates of multifocal infections and methicillin-resistant strains. [ABSTRACT FROM AUTHOR]

This paper presents a millimeter-wave direction of arrival estimation (DoA) technique powered by dynamic aperture optimization. The frequency-diverse medium in this work is a lens-loaded oversized mmWave cavity that hosts quasi-random wave-chaotic radiation modes. The presence of the lens is shown to confine the radiation within the field of view and improve the gain of each radiation mode; hence, enhancing the accuracy of the DoA estimation. It is also shown, for the first time, that a lens loaded-cavity can be transformed into a lens-loaded dynamic aperture by introducing a mechanically controlled mode-mixing mechanism inside the cavity. This work also proposes a way of optimizing this lens-loaded dynamic aperture by exploiting the mode mixing mechanism governed by a machine learning-assisted evolutionary algorithm. The concept is verified by a series of extensive simulations of the dynamic aperture states obtained via the machine learning-assisted evolutionary optimization technique. The simulation results show a 25 % improvement in the conditioning for the DoA estimation using the proposed technique. [ABSTRACT FROM AUTHOR]

Male hypogonadism is a clinical and biochemical testosterone insufficiency syndrome, caused by low testosterone and corresponding symptoms. Hypogonadism affects various organ functions and quality of life. Patients and clinicians struggle to treat hypogonadal males with an active or future wish to conceive. The use of exogenous testosterone therapy has serious disadvantages. It has a negative impact on the endogenic testosterone production and spermatogenesis which results in sub- or infertility during therapy and 1–2 years onwards after discontinuation. In 10% spermatogenesis will not recover at all. Nowadays human chorionic gonadotropin (HCG) is the only registered medication for this indication. Besides lifestyle changes, off-label selective estrogen receptor modulators (SERMS) and aromatase inhibitors (AIs) are being used. Clomiphene citrate, a selective estrogen receptor modulator, seems to be the most promising. It increases the testosterone level, seems to have a positive effect on bone health and, most important, does not affect spermatogenesis. [ABSTRACT FROM AUTHOR]

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Antenna arrays and multi-antenna systems are essential in beyond 5G wireless networks for providing wireless connectivity, especially in the context of Internet-of-Everything. To facilitate this requirement, beamforming technology is emerging as a key enabling solution for adaptive on-demand wireless coverage. Despite digital beamforming being the primary choice for adaptive wireless coverage, a set of applications rely on pure analogue beamforming approaches, e.g., in point-to-multi point and physical-layer secure communication links. In this work, we present a novel scalable analogue beamforming hardware architecture that is capable of adaptive 2.5-dimensional beam steering and beam shaping to fulfil the coverage requirements. Beamformer hardware comprises of a finite size Maxwell fisheye lens used as a scalable feed network solution for a semi-circular array of monopole antennas. This unique hardware architecture enables a flexibility of using 2 to 8 antenna elements. Beamformer development stages are presented while experimental beam steering and beam shaping results show good agreement with the estimated performance. [ABSTRACT FROM AUTHOR]

Erectile dysfunction (ED) is mostly due to the lack of blood flow into the penis. In the past 20 years, near-infrared spectroscopy (NIRS) was used in measuring the concentrations and temporal dynamics of different hemoglobin types. However, the dynamics of the light absorption (photoplethysmography; PPG) have not been applied to survey penile hemodynamics and erection quality. This paper compared the use of photoplethysmography (PPG) to study vascular ED with standard penile Doppler ultrasonography. Men diagnosed with vascular ED for at least 6 months and nominated for penile ultrasonography were included. PPG signals were collected during the ultrasound examination. All beat-to-beat PPG waveforms were aligned with the peak and averaged to one representative template waveform for feature analysis, including amplitude differences (APD) index, reflection time index (RTI), augmentation index (AI), and perfusion index (PI). An inverse correlation was found between end-erection amplitude and both erection hardness score (EHS) and resistive index (RI). APD index and EHS as well as the international index of erectile function-5 (IIEF) and RI were positively correlated. RTI and AI were inversely correlated to IIEF and RI. PI was positively correlated to RI. PPG may therefore be useful as a noninvasive, convenient, technique for sexual function evaluation. [ABSTRACT FROM AUTHOR]

This research mainly focuses on presenting an innovative study of a multi-stage multi-objective fixed-charge solid transportation problem (MMFSTP) with a green supply chain network system under an intuitionistic fuzzy environment. The most controversial issue in recent years is that greenhouse gas emissions such as carbon dioxide, methane, etc. induce air pollution and global warming, thus motivating us to formulate the proposed research. In real-world situations the parameters of MMFSTP via a green supply chain network system usually have unknown quantities, and thus we assume trapezoidal intuitionistic fuzzy numbers to accommodate them and then employ the expected value operator to convert intuitionistic fuzzy MMFSTP into deterministic MMFSTP. Next, the methodologies are constructed to solve the deterministic MMFSTP by weighted Tchebycheff metrics programming and min-max goal programming, which provide Pareto-optimal solutions. A comparison is then drawn between the Pareto-optimal solutions that are extracted from the programming, and thereafter a procedure is performed to analyze the sensitivity analysis of the target values in the min–max goal programming. Finally, we incorporate an application example connected with a real-life industrial problem to display the feasibility and potentiality of the proposed model. Conclusions about the findings and future study directions are also offered. [ABSTRACT FROM AUTHOR]

N-Acetylneuraminic acid is the most abundant sialic acid (SA) in humans and is expressed as the terminal sugar on intestinal mucus glycans. Several pathogenic bacteria harvest and display host SA on their own surfaces to evade Siglec-mediated host immunity. While previous studies have identified bacterial enzymes associated with SA catabolism, no reported methods permit the selective labeling, tracking, and quantitation of SA-presenting microbes within complex multi-microbial systems. We combined metabolic labeling, click chemistry, 16S rRNA gene, and whole-genome sequencing to track and identify SA-presenting microbes from a cultured human fecal microbiome. We isolated a new strain of Escherichia coli that incorporates SA onto its own surface and encodes for the nanT, neuA, and neuS genes necessary for harvesting and presenting SA. Our method is applicable to the identification of SA-presenting bacteria from human, animal, and environmental microbiomes, as well as providing an entry point for the investigation of surface-expressed SA-associated structures. [ABSTRACT FROM AUTHOR]

Rationale: Evaluation of pharmacotherapies for acute stress disorder (ASD) or post-traumatic stress disorder (PTSD) is challenging due to robust heterogeneity of trauma histories and limited efficacy of any single candidate to reduce all stress-induced effects. Pursuing novel mechanisms, such as the nociceptin/orphanin FQ (NOP) system, may be a viable path for therapeutic development and of interest as it is involved in regulation of relevant behaviors and recently implicated in PTSD and ASD. Objectives: First, we evaluated NOP receptor antagonism on general behavioral performance and again following a three-species predator exposure model (Experiment 1). Then, we evaluated effects of NOP antagonism on fear memory expression (Experiment 2). Methods: Adult, male rats underwent daily administration of NOP antagonists (J-113397 or SB-612,111; 0–20 mg/kg, i.p.) and testing in acoustic startle, elevated plus maze, tail-flick, and open field tests. Effects of acute NOP antagonism on behavioral performance following predator exposure were then assessed. Separately, rats underwent fear conditioning and were later administered SB-612,111 (0–3 mg/kg, i.p.) prior to fear memory expression tests. Results: J-113397 and SB-612,111 did not significantly alter most general behavioral performance measures alone, suggesting minimal off-target behavioral effects of NOP antagonism. J-113397 and SB-612,111 restored performance in measures of exploratory behavior (basic movements on the elevated plus maze and total distance in the open field) following predator exposure. Additionally, SB-612,111 significantly reduced freezing behavior relative to control groups across repeated fear memory expression tests, suggesting NOP antagonism may be useful in dampening fear responses. Other measures of general behavioral performance were not significantly altered following predator exposure. Conclusions: NOP antagonists may be useful as pharmacotherapeutics for dampening fear responses to trauma reminders, and the present results provide supporting evidence for the implication of the NOP system in the neuropathophysiology of dysregulations in fear learning and memory processes observed in trauma- and stress-related disorders. [ABSTRACT FROM AUTHOR]

Loss of normal tissue architecture is a hallmark of oncogenic transformation1. In developing organisms, tissues architectures are sculpted by mechanical forces during morphogenesis2. However, the origins and consequences of tissue architecture during tumorigenesis remain elusive. In skin, premalignant basal cell carcinomas form 'buds', while invasive squamous cell carcinomas initiate as 'folds'. Here, using computational modelling, genetic manipulations and biophysical measurements, we identify the biophysical underpinnings and biological consequences of these tumour architectures. Cell proliferation and actomyosin contractility dominate tissue architectures in monolayer, but not multilayer, epithelia. In stratified epidermis, meanwhile, softening and enhanced remodelling of the basement membrane promote tumour budding, while stiffening of the basement membrane promotes folding. Additional key forces stem from the stratification and differentiation of progenitor cells. Tumour-specific suprabasal stiffness gradients are generated as oncogenic lesions progress towards malignancy, which we computationally predict will alter extensile tensions on the tumour basement membrane. The pathophysiologic ramifications of this prediction are profound. Genetically decreasing the stiffness of basement membranes increases membrane tensions in silico and potentiates the progression of invasive squamous cell carcinomas in vivo. Our findings suggest that mechanical forces—exerted from above and below progenitors of multilayered epithelia—function to shape premalignant tumour architectures and influence tumour progression. Mathematical and experimental approaches are used to investigate the mechanical forces that shape the tumour architecture of two different common forms of skin cancer: basal cell carcinomas and invasive squamous cell carcinomas. [ABSTRACT FROM AUTHOR]

Amongst the rare-earth perovskite nickelates, LaNiO3 (LNO) is an exception. While the former have insulating and antiferromagnetic ground states, LNO remains metallic and non-magnetic down to the lowest temperatures. It is believed that LNO is a strange metal, on the verge of an antiferromagnetic instability. Our work suggests that LNO is a quantum critical metal, close to an antiferromagnetic quantum critical point (QCP). The QCP behavior in LNO is manifested in epitaxial thin films with unprecedented high purities. We find that the temperature and magnetic field dependences of the resistivity of LNO at low temperatures are consistent with scatterings of charge carriers from weak disorder and quantum fluctuations of an antiferromagnetic nature. Furthermore, we find that the introduction of a small concentration of magnetic impurities qualitatively changes the magnetotransport properties of LNO, resembling that found in some heavy-fermion Kondo lattice systems in the vicinity of an antiferromagnetic QCP. LaNiO3 is a strange metal, for reasons that are not well understood. Here, Liu et al. report evidence for scattering of charge carriers by antiferromagnetic quantum fluctuations in high-purity epitaxial thin films of LaNiO3, suggesting it is close to an antiferromagnetic quantum critical point. [ABSTRACT FROM AUTHOR]

Background: Three-dimensional (3D) printed crystal structures are useful for chemistry teaching and research. Current manual methods of converting crystal structures into 3D printable files are time-consuming and tedious. To overcome this limitation, we developed a programmatic method that allows for facile conversion of thousands of crystal structures directly into 3D printable files. Results: A collection of over 30,000 crystal structures in crystallographic information file (CIF) format from the Crystallography Open Database (COD) were programmatically converted into 3D printable files (VRML format) using Jmol scripting. The resulting data file conversion of the 30,000 CIFs proceeded as expected, however some inconsistencies and unintended results were observed with co-crystallized structures, racemic mixtures, and structures with large counterions that led to 3D printable files not containing the desired chemical structure. Potential solutions to these challenges are considered and discussed. Further, a searchable Jmol 3D Print website was created that allows users to both discover the 3D file dataset created in this work and create custom 3D printable files for any structure in the COD. Conclusions: Over 30,000 crystal structures were programmatically converted into 3D printable files, allowing users to have quick access to a sizable collection of 3D printable crystal structures. Further, any crystal structure (>350,000) in the COD can now be conveniently converted into 3D printable file formats using the Jmol 3D Print website created in this work. The 3D Print website also allows users to convert their own CIFs into 3D printable files. 3D file data, scripts, and the Jmol 3D Print website are provided openly to the community in an effort to promote discovery and use of 3D printable crystal structures. The 3D file dataset and Jmol 3D Print website will find wide use with researchers and educators seeking to 3D print chemical structures, while the scripts will be useful for programmatically converting large database collections of crystal structures into 3D printable files. [ABSTRACT FROM AUTHOR]

Purpose: Little is known about the prevalence of pediatric surgical conditions in low- and middle-income countries. Many children never seek medical care, thus the true prevalence of surgical conditions in children in Uganda is unknown. The objective of this study was to determine the prevalence of surgical conditions in children in Uganda.Methods: Using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey, we enumerated 4248 individuals in 2315 households in 105 randomly selected clusters throughout Uganda. Children aged 0-18 were included if randomly selected from the household; for those who could not answer for themselves, parents served as surrogates.Results: Of 2176 children surveyed, 160 (7.4 %) reported a currently untreated surgical condition. Lifetime prevalence of surgical conditions was 14.0 % (305/2176). The predominant cause of surgical conditions was trauma (48.4 %), followed by wounds (19.7 %), acquired deformities (16.2 %), and burns (12.5 %). Of 90 pediatric household deaths, 31.1 % were associated with a surgically treatable proximate cause of death (28/90 deaths).Conclusion: Although some trauma-related surgical burden among children can be adequately addressed at district hospitals, the need for diagnostics, human resources, and curative services for more severe trauma cases, congenital deformities, and masses outweighs the current capacity of hospitals and trained pediatric surgeons in Uganda. [ABSTRACT FROM AUTHOR]