Facilitators and barriers in managing older chronic heart failure patients in community health care centers: a qualitative study of medical personnel's perspectives using the socio... by Yan Lou, Min Zhang, Yun Zou, Le Zhao, Yangfan Chen, Yongzhen Qiu

“…Facilitators and barriers were identified within the five domains of the SEM. (1) Individual level: medical staff lack knowledge and experience in CHF management while patients' need for greater health education. (2) Interpersonal level: insufficient support from the patients' family and lack of trust in CHCs and staff. (3) Organizational level: inadequate medical knowledge and training programs for medical staff, shortage of medical staff and limited teamwork and few health promotion channels. (4) Community level: Lack of regular screening and follow-up, medical equipment and an information technology-assisted monitoring system. (5) Public policy level: lack of policy support, funding subsidies, national guidelines adapted to the local context and low medical insurance reimbursement rate.ConclusionThere are many impediments to chronic disease management in the community, so it is vital to improve public understanding of CHF, as well as to improve the quality of community health equipment and services, to improve reciprocal referral mechanisms between hospitals and the community, and to develop policies on chronic disease management for CHF.…”
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Experiences in a Clinical Innovation Pharmacy Fellowship: A Novel Model of Ambulatory Care Training and Practice Advancement by Alison Doane, Nicholas Cox, Shannon Gadd, Erin Gurney, Payson Ashmead, Kyle Turner

“…The purpose of this paper is to serve as a model by which fellowship programs elsewhere can be designed, as well as to show that partnerships between ambulatory clinics, payers, and pharmacists are both sustainable and beneficial to all parties including, most importantly, the patients who receive better care for their complex chronic disease states. …”
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Effect of group impromptu music therapy on improving test anxiety and emotional regulation ability in medical students by Li Song, Rong Xiao, Changjing Wang, Chaoyang Li, Qi Liu, Ying Zhang, Zhen Liu, Lei Zhang, Ming Zhang

“…The study also indicates that GIMT could be a promising clinical auxiliary method for dealing with test anxiety and should be considered for inclusion in the curriculum of healthcare professional education programs. Nonetheless, more efforts are needed to address the limitations of this method before it can be widely used for clinical practice.…”
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The importance of using mobile ultrasound devices in improving the quality and safety of emergency care, anesthesia and intensive care by A. A. Krishtafor, D. A. Krishtafor, O. V. Kravets, O. V. Pylypenko

“…Despite significant progress, there are limitations related to the anatomical features of patients, the difficulty of finding acoustic windows, and the need for specialized training of doctors. …”
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Exploring the patterns of availability and provision of sexual and reproductive health services to young people in primary healthcare centers in Ebonyi state, Nigeria by Joy Nkeiruka Ozughalu, Ozioma Patricia Nwankpa, Chinyere Ojiugo Mbachu, Obinna Onwujekwe

“…Results Rural areas reported higher service availability than urban areas, likely due to targeted national health programs. However, service provision remained inconsistent, especially for post-abortion care and support for survivors. …”
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Streamlining of Simple Sequence Repeat Data Mining Methodologies and Pipelines for Crop Scanning by Subramaniam Geethanjali, Palchamy Kadirvel, Mahender Anumalla, Nithyananth Hemanth Sadhana, Anandan Annamalai, Jauhar Ali

“…This review aims to provide a ‘one-stop shop’ of information to help each new user carefully select tools for identifying and utilizing SSRs in genetic research and breeding programs.…”
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The Role of LAIR1 as a Regulatory Receptor of Antitumor Immune Cell Responses and Tumor Cell Growth and Expansion by Alessandro Poggi, Serena Matis, Chiara Rosa Maria Uras, Lizzia Raffaghello, Roberto Benelli, Maria Raffaella Zocchi

“…It is becoming evident that the therapeutic effect of reawakening the immune response is to limit tumor cell growth and expansion. The use of immune checkpoint inhibitors, like blocking antibodies against programmed cell death receptor (PD) 1 and/or cytotoxic T lymphocyte antigen (CTLA) 4 alone or in combination with other drugs, has led to unexpected positive results in some tumors but not all. …”
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Knowledge, attitudes, and practices regarding malaria transmission and prevention in an indigenous Maijuna community: a qualitative study in the Peruvian Amazon by Kathryn M. Hogan, Michael Gilmore, Graziella P. McCarron, Brian M. Griffiths, Jeffrey W. Koehler, Guillermo A. García, Michael E. von Fricken

“…Conclusion These shared narratives should be used as a foundation for further studies and health interventions among communities in the Peruvian Amazon with limited access to health services where culturally resonant, community-based health programming is essential to improving health. …”
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Case-mix adjustment through inverse probability weighting to compare health indicators across territories or providers – an application in the agency for health protection of Milan... by Cristina Mazzali, Anita Andreano, Pietro Magnoni, Andrea Salvatori, Deborah Testa, Alberto Milanese, Adele Zanfino, Antonio Giampiero Russo

“…Abstract Background The Epidemiological Unit of the Agency for Health Protection of Milan (ATS) calculates several indicators, at hospital and at patients’ residence area level (group level of analysis), with monitoring and programming scopes. Outcome indicators are usually influenced by differences in subject case-mix; therefore, adjustment methods are applied to compare each group level with mean ATS values. …”
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The Influence of Preparation Methods on the Catalytic Performance of La2O2CO3/ZnO in Ethanol Dehydrogenation by Xinru QU, Dechen BO, Zhongxing GENG, Guoyu BAI, Dongmei LIU

“…For the reaction of catalytic dehydrogenation of ethanol to produce acetaldehyde, current catalysts face the challenge of limited selectivity, particularly exhibiting poor performance in the efficient generation of acetaldehyde. …”
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Dietary Diversity and Its Associated Determinants Among Senegalese Adolescent Girls by Nafissatou Ba Lo, Jérémie B. Dupuis, Aminata Ndene Ndiaye, El Hadji Momar Thiam, Aminata Diop Ndoye, Mohamadou Sall, Sonia Blaney

“…Potential determinants of their dietary quality should be considered in future nutrition programs and policies to ensure their optimal growth and development.…”
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Evaluating Gestational Weight Gain and Its Maternal and Fetal Outcomes at Tertiary Care Hospital, Abbottabad by Wajeeha Yahya, Rabia Hammad, Halima Sadia, Takasur Bibi, Naila Khan, Mamoona Kouser, Ejaz Ahmed

“…These findings underscored that there was an urgent need for targeted interventions including enhanced maternal education, nutritional support programs, and improved healthcare access in order to optimize pregnancy outcomes in resource-limited settings. …”
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Identification of powdery mildew resistance quantitative trait loci in melon and development of resistant near-isogenic lines through marker-assisted backcrossing by Chun-San Wang, Ssu-Yu Lin, Jin-Hsing Huang, Hsin-Yi Chang, Di-Kuan Lew, Yu-Hua Wang, Kae-Kang Hwu, Yung-Fen Huang

“….), an important cucurbit crop, faces production limitations due to powdery mildew (PM). Developing resistant varieties offers a sustainable, genetics-based alternative to chemical treatments. …”
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Early prediction of colorectal adenoma risk: leveraging large-language model for clinical electronic medical record data by Xiaoyu Yang, Jinjian Xu, Hong Ji, Jun Li, Bingqing Yang, Liye Wang

“…ObjectiveTo develop a non-invasive, radiation-free model for early colorectal adenoma prediction using clinical electronic medical record (EMR) data, addressing limitations in current diagnostic approaches for large-scale screening.DesignRetrospective analysis utilized 92,681 cases with EMR, spanning from 2012 to 2022, as the training cohort. …”
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Research progress on masticatory function assessment tools and influencing factors in patients after mandibular reconstruction by ZHANG Yue, GU Fen, WANG Yueping, YANG Wenyu, ZHAO Xiaomei

“…This paper reviews the scope and limitations of existing assessment tools for masticatory function in patients after mandibular reconstruction and systematically analyzes the key factors affecting postoperative masticatory function, aiming to promote a shift in clinical practice from "structural reconstruction" to a "function-perception collaborative rehabilitation" approach, and to provide a theoretical framework for constructing evidence-based, personalized masticatory rehabilitation programs.…”
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Understanding parental awareness of child developmental milestones in West Bank-Palestine: a cross-sectional study by Mohammad Yaser Hasan Awad, Haya Jebreen Mohammed Warasna, Farah Bilal Yousef Shahin, Bashar Yaser Hasan Awad, Afnan W. M. Jobran, Mohammed Abdulrazzak, Tarek A. Owais

“…Currently, healthcare institutions and pediatricians play limited roles in health education. Implementing effective health education programs and strategies is essential to enhance child development outcomes in the community.…”
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Mapping genes controlling percentage and rate of germination in sunflower under salinity stress conditions by F. Morsali Aghajari, R. Darvishzadeh, H. Hatami Maleki

“…The results of this study revealed some non-specific QTLs (co-localized) for studied charactristics which are valuable in plant breeding programs and make it possible to have simultaneous selection for several charactristics.…”
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The Quality of Frozen Semen Sexing with Percoll Medium and Bovine Serum Albumin (BSA) in Dorper Sheep and Saanen Goat by Sumaryadi Mas Y., Pangestu Mulyoto, Hidayah Chomsiatun N., Nugraha Aras P., Saleh Dadang Mulyadi, Sugiarto Mochammad

“…However, the quality of sexed frozen semen in Dorper sheep and Saanen goats was still within the limits that can be used for artificial insemination programs. …”
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Prevalence of Smoking Among Spontaneous Pneumothorax Patients and Its Impact on Treatment in Syria Country: A Cross‐Sectional Study by Muhanad Munzer, Nafiza Martini, Mhd Mustafa Albitar, Lilas Channiss, Mohammed Martini, Hussam Al bardan

“…Despite the global burden of SP, there is limited research on its prevalence and recurrence in Middle Eastern populations, particularly in Syria. …”
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ANATOMY AS A TOOL TO UNDERSTAND THE CAUSES OF SEED FAILURE: A STUDY OF CROSSES Eucalyptus SPECIES by Genaina Aparecida de Souza, Karine Fernandes Caiafa, Gleison Augusto dos Santos, Karoliny do Carmo Gandra, Carla Aparecida de Oliveira Castro, Igor Barcellos Pantuza, Josimar dos Santos Ladeira

“…ABSTRACT Seminal propagation of eucalypt plays a crucial role in breeding programs, serving internal consumption and commercial applications. …”
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