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Outdoor ozone (O3) is elevated on hot, sunny days when residential air conditioning is used most. We evaluated the impact of direct evaporative coolers (ECs) and vapor-compression air conditioners (ACs) on indoor O3 concentrations in homes (N = 31) in Utah County, Utah, United States of America. Indoor and outdoor O3 concentrations were measured for 24 h at each home using nitrite-impregnated glass-fiber filters. AC homes (n = 16) provided a protective envelope from outdoor O3 pollution. Only one AC home had O3 levels above the limit of detection (LOD). Conversely, EC homes (n = 15) provided minimal protection from outdoor O3. Only one EC home had O3 levels below the LOD. The average indoor O3 concentration in EC homes was 23 ppb (95% CI 20, 25). The indoor-to-outdoor (I/O) ratio for O3 in EC homes was 0.65 (95% CI 0.58, 0.72), while the upper bound for the I/O ratio for AC homes was 0.13 (p < 0.001). Indoor exposure to O3 for residents in EC homes is approximately five times greater than for residents of AC homes. Although ECs offer energy and cost-saving advantages, public health awareness campaigns in O3-prone areas are needed, as well as research into O3 pollution controls for direct ECs such as activated carbon filtration. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate and compare justice sensitivity between self-perceived beneficiaries, victims, and observers in a sample of 90 healthcare workers (nurses and physiotherapists) at the Varaždinske Toplice Special Medical Rehabilitation Hospital, Croatia. For this purpose we used a questionnaire consisting of demographic data and the Croatian version of the justice sensitivity inventory developed by Schmitt. Regardless of its limitations, our study clearly shows that healthcare professionals at Varaždinske Toplice are most sensitive to injustice from the beneficiary's perspective, that is, as persons who personally benefitted from injustice, although they may not have been instrumental to this effect. They are less sensitive to injustice perceived on the outside (observer's perspective) or to injustice suffered by themselves (victim's perspective). Another important finding is that participants of female gender, rural residence, and nurses (who are all women) are significantly more sensitive to injustice, whereas age and marital status do not seem to contribute to justice sensitivity. Future research should investigate the perception of injustice over a longer timeframe and involve all healthcare workers. It could also address different approaches to management, especially in terms of worker rewards and career advancement. Qualitative research among healthcare workers could provide a broader and clearer idea of social injustice at their workplace. [ABSTRACT FROM AUTHOR]

In Tanzania, and all over the world, including Tanzania Zanzibar, courts of laws have considered domicile as an important connecting factor in the determination of various disputes brought before the court of laws in cases relating to conflict of laws, especially on issues relating to jurisdiction of the courts and capacity to marry in various marital disputes. In a most cases, the courts attempt to investigate how far and the extent to which domicile may be considered as the connecting factor in settling issues of validity of marriages or determination of divorce cases between disputants. Legal speaking, when a person files a lawsuit in a court of law relating to a conflict of laws, one of the interesting questions the court would wish to test is how the matter in question is connected or linked with the domicile of the disputant. It is on this basis that this research article discusses domicile as a personal connecting factor in conflict of laws disputes in Tanzania, with special attention to the above-stated case law, as decided by the Zanzibar courts. The decision by the Zanzibar courts, as discussed in this article, has laid a basic foundation on the domicile as the connecting factor in conflict of laws. The article further examines the extent to which domicile was considered as connecting factor by the Zanzibar courts in determining above selected case law in conflict of laws.

To gain a deeper understanding of the human–land coupling relationship, this study analyzes the coupling relationships with the spatial distribution of construction land from two perspectives: the residential population and the employment population, exploring the similarities and differences in coupling relationships among different subsystems. The Beijing–Tianjin–Hebei region of China is selected as the study area, covering the period from 2000 to 2020. An analytical framework is proposed, encompassing three approaches: coupling analysis based on county-level spatial units; mean center position analysis based on construction land grids; and regression fitting and residual analysis based on homogeneous grid units. The analysis results indicate: (1) the coupling between the employment population and construction land shows a significant advantage; (2) the coupling between the residential population and construction land has improved faster in recent years; (3) factors such as location, development level, and strategic opportunities have an important influence on the spatial and temporal changes in the coupling relationship. The study further discusses the trade-off relationship between different subsystems, key measures to enhance coupling degree, and the application pathways of this analytical framework at various stages of planning. Considering the limitations of industry sector differences, spatial unit precision, and construction land development intensity, this paper also outlines future research directions. [ABSTRACT FROM AUTHOR]

In Tanzania, and all over the world, including Tanzania Zanzibar, courts of laws have considered domicile as an important connecting factor in the determination of various disputes brought before the court of laws in cases relating to conflict of laws, especially on issues relating to jurisdiction of the courts and capacity to marry in various marital disputes. In a most cases, the courts attempt to investigate how far and the extent to which domicile may be considered as the connecting factor in settling issues of validity of marriages or determination of divorce cases between disputants. Legal speaking, when a person files a lawsuit in a court of law relating to a conflict of laws, one of the interesting questions the court would wish to test is how the matter in question is connected or linked with the domicile of the disputant. It is on this basis that this research article discusses domicile as a personal connecting factor in conflict of laws disputes in Tanzania, with special attention to the above-stated case law, as decided by the Zanzibar courts. The decision by the Zanzibar courts, as discussed in this article, has laid a basic foundation on the domicile as the connecting factor in conflict of laws. The article further examines the extent to which domicile was considered as connecting factor by the Zanzibar courts in determining above selected case law in conflict of laws. [ABSTRACT FROM AUTHOR]

Abstract Introduction Despite the advancement in sexual and reproductive healthcare services and several public health measures aimed at controlling fertility rates, countries in sub-Saharan Africa (SSA) still experience higher adolescent fertility rates than other low-and middle-income countries. This study examined the disparities in adolescent fertility in 39 countries in SSA, focusing on socioeconomic and residence-based dimensions. Methods This study involved a secondary analysis of data obtained from 39 recent Demographic and Health Surveys conducted in SSA. The measures of difference (D), ratio (R), population attributable fraction (PAF), and population attributable risk (PAR) were estimated using the Health Equity Assessment Tool (HEAT) software version 3.1 developed by the World Health Organization. The measures: D, R, PAF, and PAR were used to examine the inequalities in adolescent fertility across the socioeconomic and residence-based dimensions. Results Out of the 39 countries included in the study, Guinea (D=27.70), Niger (D=27.50), Nigeria (D=23.90), and Côte d’Ivoire (D=23.60) exhibited the most significant residence-based inequalities in the rate of adolescent fertility, with the higher rate observed among adolescents in rural areas. Rwanda was the sole country that showed a slight inclination towards rural inequality in terms of the rate of adolescent fertility, with a value of D = -0.80. The burden of adolescent fertility was disproportionately higher among young women with low economic status across all the countries, exacerbating wealth-based inequities. The countries with the largest absolute discrepancies were Nigeria (D=44.70), Madagascar (D=41.10), Guinea (D=41.00), and Cameroon (D=40.20). We found significant disparities in educational attainment contributing to unequal inequalities in adolescent fertility, particularly among young women who lack access to formal education. Countries such as Madagascar (D=59.50), Chad (D=55.30), Cameroon (D=54.60), and Zimbabwe (D=50.30) had the most significant absolute disparities. Conclusion This study revealed that young women residing in rural areas, those in households with low economic status and those with limited educational opportunities experience a disproportionately high burden of adolescent fertility across the 39 countries in SSA. The current findings offer valuable information to governmental entities at all levels regarding the need to ensure the provision of equitable, accessible, and dependable sexual and reproductive health services to the populace, particularly for young women. Therefore, the various stakeholders need to enhance the effectiveness of health policies and legislation pertaining to adolescent women living in rural areas, those from economically disadvantaged households, and those with limited or no access to formal education. Such interventions could potentially reduce adolescent fertility rates and mitigate the adverse maternal and child outcomes associated with high adolescent fertility in SSA.

Abstract The COVID-19 pandemic has provided valuable lessons that deserve deep thought to prepare for the future. The decay pattern of surface contamination by SARS-CoV-2 RNA in the residences of COVID-19 patients is important but still unknown. We collected 2,233 surface samples from 21 categories of objects in 141 residences of COVID-19 patients in Shanghai when attacked by the omicron variant in spring 2022. Several characteristics of the patients and their residences were investigated to identify relevant associations. The decay of contamination was explored to determine the persistence. Approximately 8.7% of the surface samples were tested positive for SARS-CoV-2 RNA. The basin, water tap, and sewer inlet had the highest positive rates, all exceeding 20%. Only time was significantly associated with the level of surface contamination with SARS-CoV-2, showing a negative association. The decrease fit a first-order decay model with a decay rate of 0.77 ± 0.07 day−1, suggesting a 90% reduction in three days. Positive associations between the cumulative number of newly diagnosed patients in the same building and the positive rate of SARS-CoV-2 RNA in the public corridor were significant during the three days. Our results, in conjunction with the likely lower infectivity or viability, demonstrate that fomite transmission played a limited role in COVID-19 spread. The time determined SARS-CoV-2 RNA contamination, which was reduced by three days. This study is the first to show the decay patterns of SARS-CoV-2 contamination in real residential environments, providing insight into the patterns of transmission, as well as community-based prevention and control of similar threats.

Introduction: Despite the advancement in sexual and reproductive healthcare services and several public health measures aimed at controlling fertility rates, countries in sub-Saharan Africa (SSA) still experience higher adolescent fertility rates than other low-and middle-income countries. This study examined the disparities in adolescent fertility in 39 countries in SSA, focusing on socioeconomic and residence-based dimensions. Methods: This study involved a secondary analysis of data obtained from 39 recent Demographic and Health Surveys conducted in SSA. The measures of difference (D), ratio (R), population attributable fraction (PAF), and population attributable risk (PAR) were estimated using the Health Equity Assessment Tool (HEAT) software version 3.1 developed by the World Health Organization. The measures: D, R, PAF, and PAR were used to examine the inequalities in adolescent fertility across the socioeconomic and residence-based dimensions. Results: Out of the 39 countries included in the study, Guinea (D=27.70), Niger (D=27.50), Nigeria (D=23.90), and Côte d'Ivoire (D=23.60) exhibited the most significant residence-based inequalities in the rate of adolescent fertility, with the higher rate observed among adolescents in rural areas. Rwanda was the sole country that showed a slight inclination towards rural inequality in terms of the rate of adolescent fertility, with a value of D = -0.80. The burden of adolescent fertility was disproportionately higher among young women with low economic status across all the countries, exacerbating wealth-based inequities. The countries with the largest absolute discrepancies were Nigeria (D=44.70), Madagascar (D=41.10), Guinea (D=41.00), and Cameroon (D=40.20). We found significant disparities in educational attainment contributing to unequal inequalities in adolescent fertility, particularly among young women who lack access to formal education. Countries such as Madagascar (D=59.50), Chad (D=55.30), Cameroon (D=54.60), and Zimbabwe (D=50.30) had the most significant absolute disparities. Conclusion: This study revealed that young women residing in rural areas, those in households with low economic status and those with limited educational opportunities experience a disproportionately high burden of adolescent fertility across the 39 countries in SSA. The current findings offer valuable information to governmental entities at all levels regarding the need to ensure the provision of equitable, accessible, and dependable sexual and reproductive health services to the populace, particularly for young women. Therefore, the various stakeholders need to enhance the effectiveness of health policies and legislation pertaining to adolescent women living in rural areas, those from economically disadvantaged households, and those with limited or no access to formal education. Such interventions could potentially reduce adolescent fertility rates and mitigate the adverse maternal and child outcomes associated with high adolescent fertility in SSA. Plain summary: Adolescent fertility is a major health problem for many developing countries, especially those in sub-Saharan Africa (SSA). Although several sexual and reproductive health initiatives have been introduced in these countries, the number of births among adolescents continues to be high. The present study looked at the socioeconomic and geographical differences in adolescent fertility across 39 countries in SSA using data from the Demographic and Health Surveys embedded into the World Health Organization's Health Equity Assessment Toolkit (WHO HEAT) software. The study found that in countries like Guinea, Niger, Nigeria, and Côte d'Ivoire, the rates of adolescent fertility varied a lot, with higher rates in rural areas. Generally, poorer young women were more likely to have babies, which made the gap between the rich and the poor even wider. Nigeria, Madagascar, Guinea, and Cameroon had the biggest differences. Education also played a role. In countries like Madagascar, Chad, Cameroon, and Zimbabwe, young women who did not go to school (had no education) were more likely to have children as teenagers. The study showed that in all 39 countries, young women living in rural areas, those who were poorer and those who did not go to school (had no education) faced a bigger problem with adolescent fertility. The study suggests that if people who make health policies pay more attention to teenage girls in the rural areas, those who are poor and do not have much education, they could make a significant difference in reducing adolescent fertility. [ABSTRACT FROM AUTHOR]

Beyond cultural ties and economic demands, considerations of the conditions of the natural environment may play a role in determining which U.S. state to reside within. Every year, millions of people suffer from the effects of natural hazards such as avalanches, blizzards, earthquakes, extreme cold, extreme heat, flooding, hurricanes, severe thunderstorms, tornadoes, tsunamis, volcanic eruptions, and wildfires. The recorded actual occurrence and frequency of these natural hazards, in addition to public perception of the danger of individual natural hazards, shapes an idea of relative concern for these natural hazards. In this study we combine actual hazard occurrence data recorded from 2009-2018, with concern values gathered from an online survey of 1,326 individuals to output "vulnerability" scores for each U.S. State. Ultimately, these values help to answer the question: which U.S. States have the highest vulnerability for natural hazards? The results show that Rhode Island, New Jersey, Delaware, Illinois, and Maryland in this order received the highest vulnerability scores. [ABSTRACT FROM AUTHOR]

Copyright of Tourism & Rural Development Studies / Turisztikai és Vidékfejlesztési Tanulmányok is the property of CampInvest Kft. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The COVID-19 pandemic has provided valuable lessons that deserve deep thought to prepare for the future. The decay pattern of surface contamination by SARS-CoV-2 RNA in the residences of COVID-19 patients is important but still unknown. We collected 2,233 surface samples from 21 categories of objects in 141 residences of COVID-19 patients in Shanghai when attacked by the omicron variant in spring 2022. Several characteristics of the patients and their residences were investigated to identify relevant associations. The decay of contamination was explored to determine the persistence. Approximately 8.7% of the surface samples were tested positive for SARS-CoV-2 RNA. The basin, water tap, and sewer inlet had the highest positive rates, all exceeding 20%. Only time was significantly associated with the level of surface contamination with SARS-CoV-2, showing a negative association. The decrease fit a first-order decay model with a decay rate of 0.77 ± 0.07 day−1, suggesting a 90% reduction in three days. Positive associations between the cumulative number of newly diagnosed patients in the same building and the positive rate of SARS-CoV-2 RNA in the public corridor were significant during the three days. Our results, in conjunction with the likely lower infectivity or viability, demonstrate that fomite transmission played a limited role in COVID-19 spread. The time determined SARS-CoV-2 RNA contamination, which was reduced by three days. This study is the first to show the decay patterns of SARS-CoV-2 contamination in real residential environments, providing insight into the patterns of transmission, as well as community-based prevention and control of similar threats. [ABSTRACT FROM AUTHOR]

Abstract This article uses 2012–2021 UK survey data to explore differences in subjective well-being (i.e. happiness, anxiety, life satisfaction, and having a worthwhile life) between those born in the UK and foreign-born residents who migrated for different reasons to the country (i.e. employment, study, family reunion, and asylum). Previous literature looking at objective indicators such as employment rates and health suggests that migrants’ reasons for migration relate to major differences across groups in these types of well-being indicators. In contrast, our analysis suggests that differences in subjective well-being with the UK-born are relatively similar across those who migrated for different reasons to the country. Moreover, across reasons for migration, there is a clear pattern of convergence to the subjective well-being levels of the UK-born as length of residence in the UK increases. This differs from studies looking at objective well-being indicators, in which some groups (e.g. those who migrated for family or asylum reasons) take longer to converge to the levels of those born in the country.

Abstract Background This study investigated the relationship between activities of daily living (ADL) limitations and the use of physical examination among older adults receiving informal care, and to further examine whether this relationship varies by gender and urban-rural areas. Methods The data in this study were obtained from the sixth Health Service of Shandong province, China. In total, 8,358 older adults aged 60 years or older who received informal care were included in the analysis. Binary logistic regression models were conducted to explore the association between ADL limitations and the use of physical examination and examine the differences between gender and urban-rural areas. Results The prevalence of limitations in ADL and physical examination utilization rate among older adults receiving informal care in Shandong Province were 14.12% and 72.31%, respectively. After adjusting for confounders, ADL limitations were negatively correlated with the utilization of physical examination services among older adults receiving informal care (OR = 0.74, 95% CI: 0.64, 0.87, P

Kentlerde, kent merkezindeki yapılaşmalar yoğunlaşmış ve merkezde ihtiyaç duyulan sosyal donatılara erişim zorlaşmıştır. Ayrıca ulaşım, otopark, güvenlik gibi sorunlar ortaya çıkmıştır. Orta ve üst sınıflara yönelik üretilen rezidans yapıları ise bahsedilen sorunları çözme vaadi vermektedir. Ancak 6 Şubat Depremleri’ nde depreme dayanıklı olarak nitelendirilen rezidansların büyük hasar aldığı veya yıkıldığı görülmektedir. Bu tezat durum hem kullanıcıların güvenini sarsmış hem de işini doğru yapanlardan bile şüphe duyulmasına neden olmuştur. Sonucunda, Türkiye’de büyük vaatlerle kullanıcıya sunulan rezidans yapılarının vaat ettiği şartları sağlayamadığı, sismik koruma yöntemleri konusunda hukuki yetersizliğin bulunduğu, proje müelliflerinin, yapı uygulayıcılarının ve denetçilerinin meslek etiği hususunda daha çok bilgi sahibi olması gerektiği ve bir mimari projenin sorumlusu olan mimarın deprem ve depremden korunma hakkında asıl bilgi sahibi kişi olması gerektiği saptanmıştır. Çalışmada rezidanslar özelinde yaşanan büyük yıkımların nedenleri araştırılmış olup, Türkiye’de bundan sonra meydana gelebilecek depremlerde aynı hataların yapılmaması ve can kayıplarının önlenmesi amaçlanmıştır.

This article uses 2012–2021 UK survey data to explore differences in subjective well-being (i.e. happiness, anxiety, life satisfaction, and having a worthwhile life) between those born in the UK and foreign-born residents who migrated for different reasons to the country (i.e. employment, study, family reunion, and asylum). Previous literature looking at objective indicators such as employment rates and health suggests that migrants' reasons for migration relate to major differences across groups in these types of well-being indicators. In contrast, our analysis suggests that differences in subjective well-being with the UK-born are relatively similar across those who migrated for different reasons to the country. Moreover, across reasons for migration, there is a clear pattern of convergence to the subjective well-being levels of the UK-born as length of residence in the UK increases. This differs from studies looking at objective well-being indicators, in which some groups (e.g. those who migrated for family or asylum reasons) take longer to converge to the levels of those born in the country. [ABSTRACT FROM AUTHOR]

Copyright of Jurnal Ilmiah Islam Futura is the property of Jurnal Ilmiah Islam Futura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: This study investigated the relationship between activities of daily living (ADL) limitations and the use of physical examination among older adults receiving informal care, and to further examine whether this relationship varies by gender and urban-rural areas. Methods: The data in this study were obtained from the sixth Health Service of Shandong province, China. In total, 8,358 older adults aged 60 years or older who received informal care were included in the analysis. Binary logistic regression models were conducted to explore the association between ADL limitations and the use of physical examination and examine the differences between gender and urban-rural areas. Results: The prevalence of limitations in ADL and physical examination utilization rate among older adults receiving informal care in Shandong Province were 14.12% and 72.31%, respectively. After adjusting for confounders, ADL limitations were negatively correlated with the utilization of physical examination services among older adults receiving informal care (OR = 0.74, 95% CI: 0.64, 0.87, P < 0.001), and there were gender and rural-urban differences. The association between ADL limitations and the use of physical examination was statistically significant in older women receiving informal care (OR = 0.65, 95% CI: 0.53, 0.80, P < 0.001). And only among urban older adults receiving informal care, those with ADL limitations had lower utilization of physical examination services than participants without ADL limitations (OR = 0.59, 95% CI: 0.47, 0.74, P < 0.001). Conclusions: Our study suggested that the relationship between ADL limitations and the use of physical examination among older adults receiving informal care differed by gender and urban-rural areas in Shandong, China. These findings implied that the government should provide more health resources and personalized physical examination service programs, especially to meet the differential needs of women and urban old adults receiving informal care, to contribute to the implementation of healthy aging strategies. [ABSTRACT FROM AUTHOR]

When it comes to qualifications, based on practical reality, professionals are directly in contact with daily health work. For the development of this study, we opted for a methodological design characterized as descriptive, of the experience report type. Action research is part of this line, as it associates research with action/practice, to describe the experience of a resident in public health, as well as their performance in a field outside the municipality of Uberlândia. During my experience, in primary care, it was possible to understand the work process and identify how nursing care was being designed. The experience in these fields of practice provided me with a dynamic and pioneering experience, as it gave me an enriching, pleasurable, and stimulating performance. It is essential to build emotional and trusting bonds, as countless life stories, individual, collective, and familiar, are intertwined with our practice, considering the occurrence of those served, seeking out residents not only to treat the problems covered by each specialty but to seek advice, overcome everyday difficulties and invest in health promotion. [ABSTRACT FROM AUTHOR]

Copyright of Archaeologia Historica is the property of Masaryk University, Faculty of Arts and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of the article is to identify and compare the essential characteristics of migration attitudes among Ukrainian and Polish students, and to outline trends in their development in the future. Methodology. The subjects of the research are students of various courses and specialties of the Lviv National Environmental University and the University of Life Sciences in Lublin (Poland). To collect empirical information, an online survey was conducted in October 2023, with 187 Ukrainian and 187 Polish students (n=374) participating. The questionnaire consisted of 10 questions, the results of which will be analysed in this study. The survey results showed that students of both higher education institutions have a rather positive attitude towards international migration processes, both women and men. Possible manifestations of student mobility can be seen as a fact that characterises the social role of modern students. Practical implications. The work is a study of young people's attitudes to migration, i.e., it is prospective, not retrospective. Such research can be extremely useful for the development of an effective socio-economic policy of the country. Since the research results reflect the moods of young people, they cannot claim to be highly predictive. However, a vision of what might happen if people's hypothetical aspirations were to become reality can be a powerful argument for politicians and statesmen in developing migration-related policies, both now and in the future. Value/Originality. Survey data from different age groups of students at two universities allow for a better understanding of their attitudes towards migration, immigration, and mobility and a comparison of these indicators in a peaceful country and in times of war. Possible manifestations of student mobility should be seen as a fact that characterises the social role of modern students. The problem, however, is that there are currently no effective mechanisms for managing these processes. There are also no mechanisms capable of ensuring the systemic effectiveness of communication links between different actors at the intercultural level, with the possibility of meeting their socio-cultural, professional and material needs in the process of socialisation of modern youth, as well as for the adequate reproduction of the intellectual potential of society as a whole. However, student emigration cannot be viewed exclusively from a negative perspective, as a "brain drain", although it is obvious that if students who study and work abroad do not return, the country loses part of its intellectual potential (Adamic, Dyachuk, 2023; Tokar, 2022). If to consider the return and emigration not as a purely territorial movement of students, but as a movement of intellectual resources, one can identify a positive trend: significant intellectual potential in the form of ideas, technologies and professional knowledge is returning to the country.

Background: Antihyperglycemic drug utilization studies are conducted frequently and describe the uptake of new drug therapies across may jurisdictions. An increasingly important, yet often absent, aspect of these studies is the impact of rurality on drug utilization. Objective(s): The objective of this study was to explore the association between place of residence (rural, urban, metropolitan) and the use of dipeptidyl peptidase 4 inhibitors (DPP-4i) for first treatment intensification of type 2 diabetes. Methods: A retrospective cohort study was conducted from April 1, 2008 to March 31, 2019 of new metformin users. A multivariable logistic regression analysis was performed to determine the association between place of residence (using postal codes) and likelihood of DPP-4i dispensing. Results: After adjusting for confounders, analysis revealed that rural-dwellers are less likely to have a DPP-4i dispensed, compared with metropolitan-dwellers (aOR:0.64; 95%CI:0.61–0.67) and over-time, the uptake in rural areas was slower. Conclusions: This study demonstrates that rurality can have an impact on drug therapy decisions at first treatment intensification, with respect to the utilization of new therapies.

Introduction: Burn is defined as any injury due to heat or acute trauma, according to the International Society of Burns Injury (ISBI). A neglected aspect of our country is the gender-specific pattern of burn injuries. This study aims to highlight the gender-based disparities of burns injuries and overcome the drastic effects of burns on an individual's life. Method: The data from the burns centre of Dr Ruth.K.M.Pfau Civil Hospital Karachi from Jan 1, 2021, to Dec 31, 2021, were retrospectively analyzed to perform this study. Different variables such as aetiology, circumstances, residence, age, TBSA, degree and occupation were recorded from the patient's files. They were compared by gender to find out any existing correlation. Results: The estimated sample size was 375, 180(48%) females, and 195(52%) were burned males. A significant correlation was found for gender with a degree of burns, aetiology, age, occupation, and residence. Whereas circumstances of burns and TBSA were non-significantly correlated to gender. Conclusion: In conclusion, our study determined that men most commonly suffer from burn injuries. In contrast, thermal injury is the most dominant etiological factor in every age group in both genders. Several risk factors are associated with a specific gender, requiring adaptive prevention and management approaches to culminate this issue.

Abstract Background Cervical cancer stands as one of the most prevalent cancer types among women, despite its preventable nature through early screening and vaccination strategies. The link between being overweight or obese and various adverse health outcomes, including an elevated cancer risk, is well established. Within this study, our central objective was to explore the correlation between body mass index (BMI) and cervical cancer screening (CCS) rates. Moreover, we sought to investigate whether socioeconomic status potentially modulates this relationship. Methods Our analysis encompassed 1791 respondents who participated in the World Health Organization’s STEPwise approach to noncommunicable disease risk factor surveillance carried out in Eswatini in 2014. We assessed the connection between BMI, along with other determinants, and CCS through both unadjusted and adjusted logistic regression models. Results The uptake of CCS was 14.4% and the prevalence of overweight and obesity was estimated at 28.1 and 34.9% respectively. After accounting for other pertinent variables, the likelihood of obtaining CCS was amplified for individuals classified as obese (adjusted odds ratio [aOR] = 1.99, 95% confidence interval [CI] = 1.26–3.12) or overweight (aOR = 1.98, 95% CI = 1.05–3.74). Furthermore, factors such as being separated or divorced (aOR = 2.03, 95% CI = 1.11–3.72) and engaging in regular physical exercise (aOR = 3.02, 95% CI = 1.21–6.02) were associated with increased odds of undergoing CCS. Conclusions This study underscores the noteworthy role played by both overweight and obesity, in conjunction with various socioeconomic factors, in shaping CCS patterns among the surveyed women. For Eswatini, targeted interventions aimed at enhancing CCS participation should take into account the multifaceted factors highlighted within this investigation.

Purpose: Wild edible mushrooms are used worldwide and in Bulgaria as well. This inquiry investigation aimed at evaluating some mushroom usage practices by inhabitants in towns and villages in the Region of Varna, Bulgaria. Material/Methods: We carried out a study of 200 adult individuals, 100 males and 100 females, on the territory of the Region of Varna using anonymous inquiry with a set of 12 concrete items about wild edible mushroom usage. Statistical data processing was performed using descriptive and correlation analysis. Results: There was a domination of the negative attitude towards the wild edible mushrooms among the respondents from the towns, the villages and all the respondents as a whole on the territory of the Region of Varna. The inhabitants in the villages used more commonly cooking than those in the towns, and the inhabitants in the towns dried more seldom fresh mushrooms than those in the villages. Freezing was very rarely made use among all the respondents. There were statistically significant correlations between main town residence, on the one hand, and wild edible mushroom traditional usage, including cooking, drying, preservation and freezing, on the other hand. Conclusion: This inquiry investigation revealed some peculiarities of the attitudes towards wild edible mushrooms among the urban and rural population in the Region of Varna and the extent of usage of common mushrooms in dependence on espondents’ main residence.

Unhealthy diets, physical inactivity and high body mass index (BMI) are preventable risk factors for non-communicable diseases throughout a person's lifespan. The higher prevalence of these risk factors in children from lower socio-economic groups has been generally observed. The aim of this study is to explore the effect of parents' socio-economic conditions on children's consumption of fruit, vegetables and sugar-sweetened drinks, and inactivity, sedentary behaviour, overweight and obesity. This study used data from the sixth cross-sectional survey of the surveillance "OKkio alla Salute" (Italian COSI), involving 2467 schools and 53,275 children in 2019. All the information was collected through four questionnaires addressed to parents, children, teachers and head teachers. The weights and heights of the children were measured with standard techniques and equipment to classify overweight/obesity according to the WOF-IOTF cut-offs. The results showed a high percentage of children who do not adhere to health recommendations and a high prevalence of overweight and obesity. In particular, "less healthy" behaviours and higher BMI were more frequent in children from families with a lower socio-economic status and those residing in Southern Italy. These findings highlight the need for effective interventions that address the differences in these health-related behaviours. [ABSTRACT FROM AUTHOR]

Background: "Locality" is a significant factor in substance initiation, maintenance, and relapse. The pattern of substance dependence among rural and urban populations varies across studies and is scarcely studied, warranting further research. To compare presenting patterns (sociodemographic and drug-related variables), reasons for substance use, and psychiatric comorbidities (prevalence, type, and severity) between rural and urban substance-dependent groups. Materials and Methods: This study was a cross-sectional analytical study in a government de-addiction center, including rural and urban patient groups aged 18-65. International Classification of Diseases, Tenth Revision (ICD-10) criteria, and severity of dependence scale were used for diagnosing substance dependence. After detoxification, psychiatric comorbidity was assessed using brief psychiatric rating scale, Young's mania rating scale, and patient health questionnaire -- somatic, anxiety, and depression symptoms scale. Post-analysis was performed to assess socioeconomic variables and access to de-addiction services. Results: The final sample was 500 (250 rural and 250 urban). The post-analysis sample size was 386 (211 rural and 175 urban). The mean age was 38.2 ± 12.4 years, mostly males (n = 495, 99%). Substance frequency was opioids (92%)> benzodiazepines (24.8%) > alcohol (22%) > cannabis (1.6%) for rural and opioids (91.2%) > alcohol (29.6%) > benzodiazepines (14.8%) > cannabis (2%) for urban patients. More than half of patients had comorbid nicotine dependence. Rural patients were more benzodiazepine dependent (P = 0.007), and urban were more opioid + alcohol dependent (P = 0.001). Rural patients had higher age (P = 0.012), less education (P < 0.001), positive family history of substance (P = 0.028), daily wagers, and farmers (P < 0.001) than urban patients who were younger, students (P = 0.002), businessmen and government employed (P < 0.001). Urban patients expended more on drugs (P < 0.001), had higher treatment attempts (P = 0.008), and had better availability and accessibility of de-addiction services (P < 0.001). More rural users initiated substances to "enhance performance," whereas urban ones initiated for "stress relief/novelty" (P < 0.001). For treatment seeking, "External pressure" was a more common reason in urban patients (P < 0.001), who also had more psychiatric comorbidities (P = 0.026). Conclusion: Significant pattern differences exist between rural and urban substance dependents, warranting emphasis on locality-specific factors for appropriate intervention. [ABSTRACT FROM AUTHOR]

Background: The double burden of malnutrition (DBM), characterized by concurrent undernutrition and overnutrition, is a growing global concern. Families share resources and eating behaviors and programs often target households, yet evidence of the DBM at the family level is scarce. Objectives: This study examined trends and inequality in the intrahousehold DBM in India between 2006 and 2021. Methods: Data were from 3 waves of India's National Family Health Survey (NFHS 2006, 2016, and 2021). We examined 3 types of household member (with children aged <5 y) combinations: mother-child (N = 328,039 across 3 waves), father-child, and parent (mother and father)-child (N = 47,139 for each pair). The DBM was defined as one or more individuals with undernutrition (either wasting or stunting in children or underweight in adults) and one or more overweight individuals within the same household. DBM was examined over time, at national and subnational levels, and by residence and wealth. Results: Nearly all DBM was in the form of an overweight parent and an undernourished weight or stunted child. The prevalence of parent-child DBM increased from 15% in 2006 to 26% in 2021. Father-child pairs experienced the most rapid DBM increase, from 12% in 2006 to 22% in 2021, an 83% increase, driven by increasing overweight among men. In 2021, the DBM was highest in North-Eastern and Southern states, and among relatively rich households from urban areas. The increase in the DBM was faster in rural areas and among poor households compared with that in urban areas and rich households. Urban-rural and rich-poor inequalities in the DBM have decreased over time. Conclusions: The intrahousehold DBM has increased over time, affecting 1 in 4 households in India in 2021. Family-based interventions that can simultaneously address child underweight and parent overweight are required to address India's increasing intrahousehold DBM. [ABSTRACT FROM AUTHOR]

Abstract Good food handling practices should be adopted in the home setting, as inadequate practices could lead to the outbreak of foodborne illnesses. The aim of the present study was to investigate knowledge and good food handling practices for products of animal origin by consumers in the home setting and test associations with the socioeconomic characteristics of the respondents. A questionnaire was answered by a non-probabilistic sample. The questionnaire was available online on free access digital platforms for seven days and was used to collect information on the gender, age, income, and schooling of the respondents as well as safe food handling practices in the home setting. Data analysis involved descriptive statistics and the chi-square test to compare the frequencies of the answers per category. A total of 666 responses were obtained. Most respondents were women, had a university/college education, were between 30 and 59 years of age, and had an income of more than four times the monthly minimum wage. The majority of respondents reported positive practices and attitudes regarding food handling in the home setting; 99.5% washed their hands prior to handling food, 89% performed the cooking of animal products and 85.6% washed the cutting surface after cutting each food. Associations were found between some attitudes reported by consumers and the categories of gender, age, schooling, and income (p ≤ 0.05). Women had more good food handling practices compared to men. The results suggest that most respondents practiced good food handling practices. Safe practices were related to the level of schooling, monthly income and age of the participants.

Background: Cervical cancer stands as one of the most prevalent cancer types among women, despite its preventable nature through early screening and vaccination strategies. The link between being overweight or obese and various adverse health outcomes, including an elevated cancer risk, is well established. Within this study, our central objective was to explore the correlation between body mass index (BMI) and cervical cancer screening (CCS) rates. Moreover, we sought to investigate whether socioeconomic status potentially modulates this relationship. Methods: Our analysis encompassed 1791 respondents who participated in the World Health Organization's STEPwise approach to noncommunicable disease risk factor surveillance carried out in Eswatini in 2014. We assessed the connection between BMI, along with other determinants, and CCS through both unadjusted and adjusted logistic regression models. Results: The uptake of CCS was 14.4% and the prevalence of overweight and obesity was estimated at 28.1 and 34.9% respectively. After accounting for other pertinent variables, the likelihood of obtaining CCS was amplified for individuals classified as obese (adjusted odds ratio [aOR] = 1.99, 95% confidence interval [CI] = 1.26–3.12) or overweight (aOR = 1.98, 95% CI = 1.05–3.74). Furthermore, factors such as being separated or divorced (aOR = 2.03, 95% CI = 1.11–3.72) and engaging in regular physical exercise (aOR = 3.02, 95% CI = 1.21–6.02) were associated with increased odds of undergoing CCS. Conclusions: This study underscores the noteworthy role played by both overweight and obesity, in conjunction with various socioeconomic factors, in shaping CCS patterns among the surveyed women. For Eswatini, targeted interventions aimed at enhancing CCS participation should take into account the multifaceted factors highlighted within this investigation. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Architectural Sciences & Applications (JASA) is the property of Journal of Architectural Sciences & Applications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Koya University Journal of Humanities & Social Sciences is the property of Koya University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Inonu University Law Review / İnönü Üniversitesi Hukuk Fakültesi Dergisi is the property of Inonu University Law Review (IULR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The issue of equal access of citizens to land remains a concern of public authorities to respond to issues related to household food security, especially in rural areas. Along the way, a legal and regulatory framework has been developed to give substance to the development options of the primary sector consisting of agriculture and livestock. However, the criteria identified in the context of the allocation of land in the national domain are sometimes biased due to considerations based on the social position of the person concerned. Indeed, the notion of capacity to be able to develop the land requested naturally excludes certain strata that do not meet the financial conditions required for such exploitation. According to our surveys, the category of people who find themselves in this situation is often made up of women, young people, the elderly and those with disabilities. However, there are a series of measures that would aim to restore the equality of citizens for the access and use of natural and land resources. Land projects and programs in collaboration with the State and rural communes make consideration of the gender aspect a component. This concern has enabled vulnerable groups to be better taken into account in the land allocation activities of the national domain at the level of the commune of Diama, notwithstanding the breakthrough of large-scale land acquisitions (ATE). [ABSTRACT FROM AUTHOR]

PurposeThe type of dwelling where a child lives is an important factor when considering residential exposure to environmental agents. In this paper, we explore its role when estimating the potential effects of magnetic fields (MF) on leukemia using data from the California Power Line Study (CAPS). In this context, dwelling type could be a risk factor, a proxy for other risk factors, a cause of MF exposure, a confounder, an effect-measure modifier, or some combination.MethodsWe obtained information on type of dwelling at birth on over 2,000 subjects. Using multivariable-adjusted logistic regression, we assessed whether dwelling type was a risk factor for childhood leukemia, which covariates and MF exposures were associated with dwelling type, and whether dwelling type was a potential confounder or an effect-measure modifier in the MF-leukemia relationship under the assumption of no-uncontrolled confounding.ResultsA majority of children lived in single-family homes or duplexes (70%). Dwelling type was associated with race/ethnicity and socioeconomic status but not with childhood leukemia risk, after other adjustments, and did not alter the MF-leukemia relationship upon adjustment as a potential confounder. Stratification revealed potential effect-measure modification by dwelling type on the multiplicative scale.ConclusionDwelling type does not appear to play a significant role in the MF-leukemia relationship in the CAPS dataset as a leukemia risk factor or confounder. Future research should explore the role of dwelling as an effect-measure modifier of the MF-leukemia association.

Background: “Locality” is a significant factor in substance initiation, maintenance, and relapse. The pattern of substance dependence among rural and urban populations varies across studies and is scarcely studied, warranting further research. To compare presenting patterns (sociodemographic and drug-related variables), reasons for substance use, and psychiatric comorbidities (prevalence, type, and severity) between rural and urban substance-dependent groups. Materials and Methods: This study was a cross-sectional analytical study in a government de-addiction center, including rural and urban patient groups aged 18–65. International Classification of Diseases, Tenth Revision (ICD-10) criteria, and severity of dependence scale were used for diagnosing substance dependence. After detoxification, psychiatric comorbidity was assessed using brief psychiatric rating scale, Young's mania rating scale, and patient health questionnaire – somatic, anxiety, and depression symptoms scale. Post-analysis was performed to assess socioeconomic variables and access to de-addiction services. Results: The final sample was 500 (250 rural and 250 urban). The post-analysis sample size was 386 (211 rural and 175 urban). The mean age was 38.2 ± 12.4 years, mostly males (n = 495, 99%). Substance frequency was opioids (92%)> benzodiazepines (24.8%) > alcohol (22%) > cannabis (1.6%) for rural and opioids (91.2%) > alcohol (29.6%) > benzodiazepines (14.8%) > cannabis (2%) for urban patients. More than half of patients had comorbid nicotine dependence. Rural patients were more benzodiazepine dependent (P = 0.007), and urban were more opioid + alcohol dependent (P = 0.001). Rural patients had higher age (P = 0.012), less education (P < 0.001), positive family history of substance (P = 0.028), daily wagers, and farmers (P < 0.001) than urban patients who were younger, students (P = 0.002), businessmen and government employed (P < 0.001). Urban patients expended more on drugs (P < 0.001), had higher treatment attempts (P = 0.008), and had better availability and accessibility of de-addiction services (P < 0.001). More rural users initiated substances to “enhance performance,” whereas urban ones initiated for “stress relief/novelty” (P < 0.001). For treatment seeking, “External pressure” was a more common reason in urban patients (P < 0.001), who also had more psychiatric comorbidities (P = 0.026). Conclusion: Significant pattern differences exist between rural and urban substance dependents, warranting emphasis on locality-specific factors for appropriate intervention.

Based on a wide and varied range of documentary and statistical sources, the present study traces the history of the municipality of Cahul from a demographic, economic, urban and cultural point of view between the two world wars. The study contains a short foray into the history of documentary attestation and the foundation of the city of Cahul, the oldest name being “Șcheia”, a name attested in an official act of ruler Ștefan cel Mare dated July 2, 1502, but also “Frumoasa”, as it appears on the map of Moldova drawn up by Dimitrie Cantemir in 1716. An analysis of the events produced in the locality during the years of the national renaissance from 1917–1918 is carried out, noting the beneficial nature of the great event of the Union of Bessarabia with the Old Kingdom of Romania, including for the population of the city of Cahul. The second part of the study deals with the actual history of the town. Cahul between the two world wars. At a distance of over three decades of free evolution of national historiography, the truth appears as obvious that during the Soviet years, the city of Cahul, like all the localities in the Pruto-Dniester interfluve, had a parallel history, ideologized and falsified, in significant contradiction with the real history of the locality, especially the events and processes produced during the Romanian interwar decades being falsified, distorted and presented according to the patterns of Soviet ideology.

Indonesia is one of the countries with high nutritional problems caused by inadequate feeding practices. A minimum acceptable diet (MAD) is used to assess feeding practices in children with low achievement (53,6%) aged 6-23 months. This study aimed to determine the factors influencing MAD in children aged 6-23 months in Indonesia. This study uses a cross-sectional study design to use secondary data from the 2017 IDHS. The subjects in this study were 4.783 children aged 6-23 months. Data were collected using the 2017 IDHS and WHO UNICEF 2010 questionnaires in assessing feeding practices. Statistical tests used were Chi-square, Spearman, and Multiple logistic regression. This study showed that the prevalence of MAD was 53.7%. Factors influencing MAD were the location of residence (p= 0,001), wealth index (p

Copyright of Intersecoes: Revista de Estudios Interdisciplinares is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Understanding habitat use patterns of animal populations across space and time is fundamental to identifying ecological requirements, and informing threat mitigation and conservation strategies. Persistent data gaps tend to occur with cryptic species in difficult-to-access environments, where the use of appropriate monitoring tools is indispensable for detection. Three populations of threatened and endangered killer whales occur year-round in waters off British Columbia, Canada; however, their winter habitat use patterns are not well known. Here we quantify wintertime use of the northern Strait of Georgia by these sympatric killer whale populations, revealing the importance of this previously understudied region. Using a network of passive acoustic monitoring devices deployed over three winter periods, we examine site-specific and regional patterns of occurrence of Bigg’s, and Southern and Northern Resident killer whales. All three populations frequented these waters in nearly every month from November to April, and across all study years. Bigg’s killer whales were detected most frequently, followed by Southern Residents, then Northern Residents. Population-specific differences in site use was apparent, with Southern Resident detections occurring more often than expected off the southwest side of Texada Island, while Northern Residents appeared to favor the east side of Texada Island. Remarkably, the patterns of winter use we observe in this region by Resident killer whale populations have seemingly persisted for at least 50 years. Additionally, we evaluate and discuss the effect of using multiple simultaneous recorders to characterize habitat use patterns. Lastly, we present a data-driven approach for estimating acoustic residence time, describe inter-population differences in winter residency in the northern Strait of Georgia, and discuss implications for critical habitat designation. This study fills important knowledge gaps related to killer whale winter occurrence off western Canada, highlighting the significance of the northern Strait of Georgia for these at-risk populations.

This paper is devoted to the problem of housing discrimination. The relevance of the study is conditioned, on the one hand, by the presence of facts indicating the existence of discriminatory phenomena in the housing sector, and on the other – by the lack of modern research on this issue. In addition, researchers have not yet established a stable terminology on discrimination issues and have not revealed the characteristic features of housing discrimination as a civil category. The solution of these problems is important both for further theoretical and legal developments in this area, and for bringing national legislation in line with international standards as soon as possible. The purpose of the study is to define the essence and features of housing discrimination as a civil category, identify its facts and grounds. The research material includes statistical data on the number and situation of vulnerable persons in the housing sector in Ukraine, facts of discrimination in Ukrainian society; scientific publications on housing rights and housing discrimination; report of the Commissioner for Human Rights in Ukraine for 2020; national legislation; statistics of internally displaced persons in 2022, etc. The materials and objectives of the study determined the choice of research methods. The primary method is axiological, which allows substantiating the value of housing for a person. Methods of analysis and synthesis helped identify general approaches to the concept of discrimination, characterise its grounds, and formulate a definition of housing discrimination. It is established that housing discrimination is a restriction of the right to housing, as a result of which a person does not have the opportunity to purchase housing and live in it. It was found out that most often a vulnerable group of people (internally displaced persons, families with children, homosexual couples, etc.) face housing discrimination. It is noted that national legislation does not distinguish housing discrimination as an independent legal category. The paper describes the content and features of housing discrimination in Ukraine. The characteristics (gender, nationality, citizenship, age, sexual orientation, family residence without marriage registration, the presence of children and animals, internal displacement) that cause housing discrimination and inability to exercise the proper right to housing are established. It is proved that discrimination can manifest itself in refusal to conclude or extend a lease/rental agreement, unjustified rent increases, etc. The paper can be used for further scientific study by young researchers dealing with the problems of improving housing legislation.

Resumen: Introducción: La enfermedad del sistema musculoesquelético es una causa frecuente de demanda asistencial. El conocimiento en medicina musculoesquelética (MME) debe ser esencial para gran parte de las especialidades. Desafortunadamente, gran parte de los médicos internos residentes (MIR) reconocen tener falta de confianza y de competencia en este campo. Material y métodos: Cincuenta MIR recién incorporados a su plaza (32 de ellos residentes de COT de la Comunidad Valenciana) completaron el test de competencia básica en MME de Freedman y Berstein. Además, realizaron un cuestionario sobre el grado de confianza a la hora de desempeñar 5 tareas habituales en la práctica clínica y sobre la percepción de la carga curricular de MME en su formación académica. Resultados: La puntuación media global obtenida en el test fue de 69,44% (SD 13,32%), mientras que la puntuación concreta para 5 preguntas que se consideraban «banderas rojas» fue de 14,34%(SD 2,58%). Ambas mostraron diferencias significativas entre los residentes de COT y otras especialidades.La mediana obtenida en la valoración del nivel de confianza en la exploración de heridas fue de 2 sobre 5 (IQR 2), con diferencias significativas (p = 0,014) entre el grupo COT y el de otras especialidades. La percepción del tiempo dedicado en la facultad en materia de MME fue considerada como adecuada (mediana 3, IQR 1). El 64% modificaría el planteamiento de la parte práctica del currículo en MME. Conclusiones: La prueba global fue superada por el 50% de los residentes, lo cual pone de manifiesto que la enseñanza en MME es deficitaria durante el periodo universitario y formativo preMIR. Consideramos primordial la planificación de acciones formativas que se traduzca en un aumento de los conocimientos y aptitudes necesarias para su correcto manejo, ya que ello se traduciría en una mayor agilidad del sistema, una mejor asistencia sanitaria y un mejor cribado de derivaciones especializadas. Abstract: Introduction: Pathology of the musculoskeletal system is a frequent cause of healthcare requirements. Knowledge of musculoskeletal medicine (MSM) should be essential for most specialties. Unfortunately, many medical intern residents (MIRs) admit to a lack of confidence and competence in this field. Material and methods: 50 recently hired MIRs (32 of whom were COT residents from the Comunidad Valenciana) completed the Freedman and Berstein test of basic competency in MSM. In addition, they completed a questionnaire about their confidence in performing five common tasks in clinical practice and their perception of the curricular importance of medicine in their academic training. Results: The overall mean score obtained on the test was 69.44% (SD 13.32%), while the specific score for 5 “red flags” questions was 14.34% (SD 2.58%). Both of them showed significant differences between COT residents and other specialties.The median obtained in the evaluation of the level of confidence in wound examination was 2 above 5 (IQR 2), with significant differences (p = .014) between the COT group and other specialties. The perception of the time spent in the faculty on MSM was considered adequate (median 3, IQR 1). 64% of participants would modify the approach to the practical part of the curriculum in MME. Conclusions: The overall test was passed by 50% of the residents, which shows that the teaching of MME is deficient during the university and pre-MIR training period. We believe that it is important to plan training actions to increase the knowledge and skills necessary for its correct handling; this way, the system would be more efficient with better health care and a better screening of specialised derivations.

Objective: Mental health problems in children, adolescents, and adults with developmental disabilities (DD) are an underserviced clinical area. Although the Royal College of Physicians and Surgeons of Canada requires that experiences with patients with DD must be included during psychiatry residency training, the type and extent of this experience is not specified. The purpose of this study was to examine the current educational opportunities regarding DD in Canadian psychiatry residency programs. Methods: A survey asking about training in DD was sent to psychiatry residency directors at all 17 medical schools in Canada. The survey consisted of three sections focused on didactic teaching and clinical rotations (required and elective) in DD for residents. Results: Program directors of all psychiatry residency programs noted that their program included didactic teaching specific to DD, although the time dedicated to this differed greatly, ranging from 2 to 20 hours. Although 13 programs offered electives in DD, only five programs required residents to complete a clinical rotation specific to DD. Two programs did not have required or elective rotations in DD. Conclusion: These results suggest that training specific to DD is probably inadequate for most residents. This is likely to result in limitations in knowledge and skills required to assess and treat people with DD, decreased comfort working with them, and ultimately reduced quality and availability of psychiatric care for this underserved population. More specific and comprehensive training requirements and opportunities are needed to ensure that residents receive appropriate training in this area. [ABSTRACT FROM AUTHOR]

The study examined the factors sustaining the practice of human corpse burial in residence in Nigeria, analyzed the implications of cemetery management on use for corpse interment in Nigeria, and reviewed the public health implications of residence burial in Nigeria. The research design was a case study, and data for the study were sourced from secondary materials. Information gathered was presented through thematic analyses. The study revealed that no law forbidding the interment of the dead in any part of the state, including residence. The only requirement is the consent of the government. It was also noted that there are three forms of the cemetery; community, private and public. Hence, while the public and community cemeteries are poorly managed, the private is expensive and meant for the rich. The study noted that the public health implication of residence burial includes contamination of well, water sources available to residents, and also catalysis for community transmission of contagious infection, including covid-19. The study concluded that the issues of poor administration in the public cemetery and huge costs in the private cemetery could be responsible for home interment since the law does not prohibit the act. The practice of residence burial has evidently been impacting public health ranging from water contamination to the spread of contagious infections, including Covid-19. [ABSTRACT FROM AUTHOR]

This article presents dimensions of analysis that became the object of reflection of the teaching practices developed, in the context of pandemic during the years 2020 and 2021, by the students of the career of Teacher training on biological science at UNC. For this purpose, a documentary study was carried out, taking as objects of analysis the reports that the students wrote about their residencies carried out at the higher level and in high school. In the study, categories derived from theoretical references together with new emerging aspects were identified, new dimensions were constructed and, finally, a re-analysis and coding was made taking as reference the new constructed categories. The main results indicate that the students were able to question and challenge their own decisions applying the new meanings that were built from the challenges posed during the practices. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic declaration in 2019 required schools and universities to close, challenging students and their education. The mandatory stay-at-home quarantine rules and change to online education accentuate how mental health plays a crucial role in maintaining performance during challenging times. Coping self-efficacy (CSE) is associated with higher mental health levels and resilience to distress. Therefore, this study aimed to evaluate students' CSE and related factors. Methods: In this cross-sectional study, CSE scores and demographic characteristics of the participants were evaluated through online questionnaires. A total of 364 medical students from Tabriz University Medical Sciences completed the questionnaires and were included in the study. CSE scores of students and their demographic characteristics were obtained, and the analysis was performed using a t-test and one-way ANOVA. Results: Of those included, 37.1% were males and the mean CSE score of the students was 83.75 ± 24.8. Students' type of residence was found to be significantly related to their CSE scores (P = 0.003). Students living with their spouses had the highest CSE scores, while those living with their parents had the lowest CSE scores. The association of CSE scores with gender, marital status, academic year of study, and source of income was not significant. Conclusion: According to the findings of this study, students living with their parents had the lowest CSE scores. CSE plays a crucial role in managing distressful events, and our findings may be useful in identifying groups prone to stressful factors and help enhance future educational policies and planning. [ABSTRACT FROM AUTHOR]

Context and background Residing in flood-risk informal settlements is more or less regular among low-income households in most cities of developing countries. While living in such settlements presents a challenge to the quality of life, many among the urban poor resort to settle in these areas. Goal and objectives: This paper's focus is understanding why urban residents may choose to settle in areas that are considered flood prone. To understand this phenomenon, the factors that drive urban residents to acquire land and build houses in such areas are analysed. Methodology: Msasani Bonde la Mpunga in the city of Dar es Salaam was selected as a case study area. Data were collected using household questionnaires, key informant interviews, focus group discussions (FGDs) and field observations. Quantitative data were analysed using SPSS software, while for qualitative data, thematic and content analysis were employed using MAXQDA. Results: Reasons for opting for land in marginal areas, including flood-prone sites, include; proximity to workplaces, easy and cheap land access, convenient access to social services, and connections to neighbours and friends. Others who had come in the settlement as tenants due to high proximity to low rental prices, later acquired land in the area. Other reasons include failure to acquire planned plots due to stringent procedures such as urban planning and house construction standards. Poverty and little awareness about flood risk were also contributing factors for people to acquire land in the area. Whilst the findings reveal that multiple factors shape home builders' decisions to acquire land in flood-risk areas, the paper calls for rethinking the strategies and opportunities for housing land delivery for low-income households in urban areas. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic declaration in 2019 required schools and universities to close, challenging students and their education. The mandatory stay-at-home quarantine rules and change to online education accentuate how mental health plays a crucial role in maintaining performance during challenging times. Coping self-efficacy (CSE) is associated with higher mental health levels and resilience to distress. Therefore, this study aimed to evaluate students’ CSE and related factors. Methods: In this cross-sectional study, CSE scores and demographic characteristics of the participants were evaluated through online questionnaires. A total of 364 medical students from Tabriz University Medical Sciences completed the questionnaires and were included in the study. CSE scores of students and their demographic characteristics were obtained, and the analysis was performed using a t-test and one-way ANOVA. Results: Of those included, 37.1% were males and the mean CSE score of the students was 83.75±24.8. Students’ type of residence was found to be significantly related to their CSE scores (P=0.003). Students living with their spouses had the highest CSE scores, while those living with their parents had the lowest CSE scores. The association of CSE scores with gender, marital status, academic year of study, and source of income was not significant. Conclusion: According to the findings of this study, students living with their parents had the lowest CSE scores. CSE plays a crucial role in managing distressful events, and our findings may be useful in identifying groups prone to stressful factors and help enhance future educational policies and planning.

Background and purpose: The present study assessed the incidence of Temporomandibular Disorders (TMD) and its relationship with demographic variables, previous orthodontic treatment, and mandibular mobility in patients attending Sari Dental School. Materials and methods: In this cross-sectional study, 68 individuals were randomly selected. Data were obtained by interviewing the patients and clinical examinations. The relation between TMD and other variables was then analyzed applying Chi-square test and exact fisher test in SPSS V22. Results: TMD was found in 75% (n=51), including 35.3% of men and 64.7% of women. Among these, 14 had previously received orthodontic treatment, 34 had a monthly salary of less than one million tomans ($30), and 49 were city dwellers. Maximum mouth opening was 44.52±7 mm in patients without TMD (P= 0.84). People without TMD had greater maximal lateral mandibular movement to the right (P= 0.2) and left (P= 0.84), but this was not statistically significant. Conclusion: A history of orthodontic treatment can contribute to the development of TMD. Nevertheless, good financial status helps in benefiting from more follow-up treatments and decreases the incidence and progression of TMD, although this was not significantly correlated with other variables.

Abstract Background Antenatal care is an essential platform to provide all the necessary health interventions during pregnancy that aim to reduce maternal and newborn morbidity and mortality. Although the antenatal care coverage has been increasing in Ethiopia in the last two decades, the country has not been able to meet its own coverage target to date. Most pregnant women who initiated antenatal care also do not complete the full recommended follow up contacts. This study investigated the trend in coverage and the inequalities related to the use of antenatal care in Ethiopia. Methods This study utilized data from five rounds of Demographic and Health Surveys (DHSs) conducted in Ethiopia in the period between 2000 and 2019. The DHS respondents were women in the age group 15-49 who had a live birth within the five years preceding the surveys. The outcome of interest for this study was antenatal care utilization coverage. We used concentration curve and concentration index to identify the inequalities using the World Health Organization recommended Health Equity Analysis Toolkit software. We did a regression analysis to identify the drivers of urban-rural inequalities. Result The coverage trend for both initiating Antenatal care and completing the recommended four antenatal contacts showed a steady increase during 2000-2019. However, the coverages have not yet reached the national target and unlikely to meet targets by 2025. Although the economically better-off, urban and educated mother still have a better coverage, the inequality gaps within the wealth, residence and education categories generally showed significant reduction. Women in the lowest wealth quantile, those who were uneducated and those living in rural areas remained disadvantaged. Household economic status and maternal education was the stronger drivers of urban-rural inequalities. Conclusion The Antenatal care coverage is lagging below the country’s target. Despite narrowing inequality gaps women from poor households, who are uneducated and residing in rural areas are still less likely to fully attend the recommended number of antenatal care contacts. Addressing these inequalities through a multisectoral efforts is critical to increase the chances of achieving the national antenatal care coverage targets in Ethiopia.

Measuring the degree of spatial satisfaction of the pattern of housing and residential complexes, includes a wide range of cultural, social, physical components, etc., which in total shows the value of the quality of the residential environment. Housing quality indicators are always considered as the most sensitive housing planning tool. In order to ensure social growth, the housing sector, in addition to the housing unit itself, also includes the surrounding environment. Satisfaction with housing is a multidimensional matter and it is necessary to pay attention to various factors that make up its quality and satisfaction in developing an evaluation model. Assessing the level of residents' satisfaction can be effective in measuring the achievement of the goals of urban projects, and also the results of such research can be used to improve the quality of living environment, especially in residential complexes. The aim of this study was to evaluate the satisfaction of residents of Tabriz residential complexes by descriptive-analytical method and for final evaluation of data, SPSS software and statistical methods such as sample t-test, one-way analysis of variance and Pearson correlation test were used. The method of collecting information is based on checklists for questionnaire techniques, observation, study of spatial-spatial features, and in this direction, documentary studies and libraries have been used. Performed studies indicate that people's satisfaction in the field of functional diagram and form of outdoor spaces at a very good level and building form, form of indoor spaces and dimensions of residential units, ceiling height of residential units and dimensions and size of common, facilities and communications of outdoor space. The average (above average) and the number of rooms in the residential unit and the number of units in the complex are poor (below average) and in general, the level of residents' satisfaction with this residential complex is above average.