ali Earliest evidence of a meteorite hitting Earth found in Australia By www.newscientist.com Published On :: Wed, 15 Mar 2023 20:44:09 +0000 Tiny pieces of stone found in a rock formation in Western Australia may be the oldest evidence of a meteorite impact on Earth, dating back nearly 3.5 billion years Full Article
ali Dried-up lake may explain why California is 'overdue' major earthquake By www.newscientist.com Published On :: Wed, 07 Jun 2023 17:00:17 +0100 Pressure on the San Andreas fault from a now-dried lake could have been sufficient to trigger past major earthquakes in California. The lake’s disappearance could explain why there have been no such quakes for nearly 300 years Full Article
ali NASA’s UFO task force has released its final report – it’s not aliens By www.newscientist.com Published On :: Thu, 14 Sep 2023 19:25:26 +0100 An independent task force formed by NASA to look into unidentified anomalous phenomena found no evidence of alien craft, and suggests that if we want to find proof of visitors we need better data Full Article
ali Rare Australian pink diamonds emerged when a supercontinent broke up By www.newscientist.com Published On :: Tue, 19 Sep 2023 17:00:47 +0100 Understanding how the world’s largest-known collection of pink diamonds came to the surface in Australia around 1.3 billion years ago could help us find hidden deposits elsewhere in the world Full Article
ali Vast submerged area near Australia may once have hosted 500,000 people By www.newscientist.com Published On :: Tue, 02 Jan 2024 14:13:45 +0000 An area of the seabed north of Australia has been mapped in detail for the first time, revealing that large numbers of people could have lived there until it was inundated by rising seas Full Article
ali Is personalised nutrition better than one-size-fits-all diet advice? By www.newscientist.com Published On :: Wed, 30 Oct 2024 19:00:00 +0000 Our metabolism's response to food is highly idiosyncratic and there are hints that tailoring our diet to these personal differences can deliver health benefits Full Article
ali Data centres may soon burn as much extra gas as California uses daily By www.newscientist.com Published On :: Thu, 31 Oct 2024 21:00:32 +0000 In support of their AI ambitions, tech companies are rapidly expanding US data centres, and this growth is on track to significantly increase US gas demand by 2030 Full Article
ali Is it time for a more subtle view on the ultimate taboo: cannibalism? By www.newscientist.com Published On :: Wed, 14 Feb 2024 18:00:00 +0000 New archaeological evidence shows that ancient humans ate each other surprisingly often - sometimes for compassionate reasons. The finds give us an opportunity to reassess our views on the practice Full Article
ali Indigenous Australians have managed land with fire for 11,000 years By www.newscientist.com Published On :: Mon, 11 Mar 2024 16:00:20 +0000 Lake sediments reveal the ancient history of Aboriginal people’s use of fire to manage the landscape, a tradition that has benefits for biodiversity Full Article
ali Australia’s Indigenous people were making pottery over 2000 years ago By www.newscientist.com Published On :: Tue, 09 Apr 2024 22:00:58 +0100 An excavation on an island in the Coral Sea shows that Indigenous Australians were producing ceramics long before the arrival of Europeans Full Article
ali Early humans took northern route to Australia, cave find suggests By www.newscientist.com Published On :: Wed, 22 May 2024 15:00:21 +0100 An excavation on Timor reveals humans first settled on the island 44,000 years ago, long after the earliest occupation of Australia – suggesting migration to the latter took another route Full Article
ali Ancient artefacts suggest Australian ritual endured for 12,000 years By www.newscientist.com Published On :: Mon, 01 Jul 2024 17:00:43 +0100 Wooden sticks found in an Australian cave appear to match the accounts of a 19th-century anthropologist, suggesting the GurnaiKurnai people practised the same ritual at the end of the last glacial period Full Article
ali Ancient plant artefact reveals humanity's epic journey to Australia By www.newscientist.com Published On :: Tue, 13 Aug 2024 01:01:07 +0100 We know that modern humans took one of two routes to first reach Australia, and now an ancient chunk of plant resin has tipped the evidence towards the northern option Full Article
ali Neolithic engineers used science knowledge to build megalith monument By www.newscientist.com Published On :: Fri, 23 Aug 2024 20:00:02 +0100 A monument in southern Spain that dates to between 3600 and 3800 BC appears to have been built with an understanding of geology and physics Full Article
ali A gripping account of morality shows how we work out right from wrong By www.newscientist.com Published On :: Wed, 28 Aug 2024 19:00:00 +0100 Where do morals come from? In Animals, Robots, Gods, anthropologist Webb Keane argues imagination and differing senses of the world are key to discerning right from wrong Full Article
ali A cave in France is revealing how the Neanderthals died out By www.newscientist.com Published On :: Tue, 08 Oct 2024 17:00:00 +0100 Discoveries from the genomes of the last Neanderthals are rewriting the story of how our own species came to replace them Full Article
ali Dealing With Grief on the Cancer Journey By www.medicinenet.com Published On :: Fri, 19 Aug 2022 00:00:00 PDT Title: Dealing With Grief on the Cancer JourneyCategory: Health NewsCreated: 8/19/2022 12:00:00 AMLast Editorial Review: 8/19/2022 12:00:00 AM Full Article
ali How Much Is a Healthy and Realistic Amount of Weight You Can Lose In a Month? By www.medicinenet.com Published On :: Mon, 15 Aug 2022 00:00:00 PDT Title: How Much Is a Healthy and Realistic Amount of Weight You Can Lose In a Month?Category: Health and LivingCreated: 8/15/2022 12:00:00 AMLast Editorial Review: 8/15/2022 12:00:00 AM Full Article
ali Swelling After Knee Injury May Hinder Healing By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Swelling After Knee Injury May Hinder HealingCategory: Health NewsCreated: 8/31/2007 12:00:00 AMLast Editorial Review: 8/31/2007 12:00:00 AM Full Article
ali Cialis, Viagra Labels to Note Amnesia By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Cialis, Viagra Labels to Note AmnesiaCategory: Health NewsCreated: 8/25/2008 12:00:00 AMLast Editorial Review: 8/25/2008 12:00:00 AM Full Article
ali Quality of Pain Counts as Much as Intensity, Researchers Say By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Quality of Pain Counts as Much as Intensity, Researchers SayCategory: Health NewsCreated: 8/26/2010 4:10:00 PMLast Editorial Review: 8/27/2010 12:00:00 AM Full Article
ali Multiple Brain Tumors Even More Malignant: Study By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Multiple Brain Tumors Even More Malignant: StudyCategory: Health NewsCreated: 8/24/2012 2:05:00 PMLast Editorial Review: 8/27/2012 12:00:00 AM Full Article
ali Race May Affect Quality of Prostate Cancer Surgical Care By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Race May Affect Quality of Prostate Cancer Surgical CareCategory: Health NewsCreated: 8/28/2012 6:05:00 PMLast Editorial Review: 8/29/2012 12:00:00 AM Full Article
ali Stress, a 'Type A' Personality May Boost Stroke Risk By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Stress, a 'Type A' Personality May Boost Stroke RiskCategory: Health NewsCreated: 8/30/2012 10:05:00 AMLast Editorial Review: 8/30/2012 12:00:00 AM Full Article
ali California Trees Harbor Fungus Deadly to People With HIV By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: California Trees Harbor Fungus Deadly to People With HIVCategory: Health NewsCreated: 8/28/2014 9:35:00 AMLast Editorial Review: 8/28/2014 12:00:00 AM Full Article
ali After Heart Attack, Quitting Smoking Boosts Mental Health, Quality of Life By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: After Heart Attack, Quitting Smoking Boosts Mental Health, Quality of LifeCategory: Health NewsCreated: 8/25/2015 12:00:00 AMLast Editorial Review: 8/26/2015 12:00:00 AM Full Article
ali Dog Walking a Treat for Pet and Owner Alike By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Dog Walking a Treat for Pet and Owner AlikeCategory: Health NewsCreated: 9/1/2017 12:00:00 AMLast Editorial Review: 9/1/2017 12:00:00 AM Full Article
ali Tourist With Measles Visited Southern California Attractions By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Tourist With Measles Visited Southern California AttractionsCategory: Health NewsCreated: 8/26/2019 12:00:00 AMLast Editorial Review: 8/26/2019 12:00:00 AM Full Article
ali Personality Reboots Are Possible, Studies Suggest By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Personality Reboots Are Possible, Studies SuggestCategory: Health NewsCreated: 8/28/2019 12:00:00 AMLast Editorial Review: 8/28/2019 12:00:00 AM Full Article
ali Hospitals Must Report COVID-19 Data or Be Penalized By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Hospitals Must Report COVID-19 Data or Be PenalizedCategory: Health NewsCreated: 8/28/2020 12:00:00 AMLast Editorial Review: 8/28/2020 12:00:00 AM Full Article
ali Jesse Jackson, Wife Hospitalized With COVID By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Jesse Jackson, Wife Hospitalized With COVIDCategory: Health NewsCreated: 8/24/2021 12:00:00 AMLast Editorial Review: 8/24/2021 12:00:00 AM Full Article
ali Salmonella Outbreak in 17 States Tied to Italian-Style Meats By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Salmonella Outbreak in 17 States Tied to Italian-Style MeatsCategory: Health NewsCreated: 8/24/2021 12:00:00 AMLast Editorial Review: 8/25/2021 12:00:00 AM Full Article
ali Unrelated Folks Who Look Alike Share Similar DNA By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Unrelated Folks Who Look Alike Share Similar DNACategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
ali Wife of California Congressman Died After Using Herbal Remedy for Diabetes, Weight Loss By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Wife of California Congressman Died After Using Herbal Remedy for Diabetes, Weight LossCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
ali California Will Produce Its Own Insulin to Bring Down Prices By www.medicinenet.com Published On :: Fri, 8 Jul 2022 00:00:00 PDT Title: California Will Produce Its Own Insulin to Bring Down PricesCategory: Health NewsCreated: 7/8/2022 12:00:00 AMLast Editorial Review: 7/8/2022 12:00:00 AM Full Article
ali Even Chores, Socializing Might Lower Your Odds for Dementia By www.medicinenet.com Published On :: Fri, 29 Jul 2022 00:00:00 PDT Title: Even Chores, Socializing Might Lower Your Odds for DementiaCategory: Health NewsCreated: 7/28/2022 12:00:00 AMLast Editorial Review: 7/29/2022 12:00:00 AM Full Article
ali Rural Americans With Early Alzheimer's Find It Tough to See Specialists By www.medicinenet.com Published On :: Tue, 9 Aug 2022 00:00:00 PDT Title: Rural Americans With Early Alzheimer's Find It Tough to See SpecialistsCategory: Health NewsCreated: 8/9/2022 12:00:00 AMLast Editorial Review: 8/9/2022 12:00:00 AM Full Article
ali Salicylate Sensitivity Causes, Symptoms, and Foods to Avoid By www.medicinenet.com Published On :: Fri, 8 Jul 2022 00:00:00 PDT Title: Salicylate Sensitivity Causes, Symptoms, and Foods to AvoidCategory: Health and LivingCreated: 7/8/2022 12:00:00 AMLast Editorial Review: 7/8/2022 12:00:00 AM Full Article
ali Australia's Current Flu Season Is Tough: Will America's Be the Same? By www.medicinenet.com Published On :: Fri, 5 Aug 2022 00:00:00 PDT Title: Australia's Current Flu Season Is Tough: Will America's Be the Same?Category: Health NewsCreated: 8/4/2022 12:00:00 AMLast Editorial Review: 8/5/2022 12:00:00 AM Full Article
ali Noninvasive diagnostic modalities and prediction models for detecting pulmonary hypertension associated with interstitial lung disease: a narrative review By err.ersjournals.com Published On :: 2024-10-09T00:15:15-07:00 Pulmonary hypertension (PH) is highly prevalent in patients with interstitial lung disease (ILD) and is associated with increased morbidity and mortality. Widely available noninvasive screening tools are warranted to identify patients at risk for PH, especially severe PH, that could be managed at expert centres. This review summarises current evidence on noninvasive diagnostic modalities and prediction models for the timely detection of PH in patients with ILD. It critically evaluates these approaches and discusses future perspectives in the field. A comprehensive literature search was carried out in PubMed and Scopus, identifying 39 articles that fulfilled inclusion criteria. There is currently no single noninvasive test capable of accurately detecting and diagnosing PH in ILD patients. Estimated right ventricular pressure (RVSP) on Doppler echocardiography remains the single most predictive factor of PH, with other indirect echocardiographic markers increasing its diagnostic accuracy. However, RVSP can be difficult to estimate in patients due to suboptimal views from extensive lung disease. The majority of existing composite scores, including variables obtained from chest computed tomography, pulmonary function tests and cardiopulmonary exercise tests, were derived from retrospective studies, whilst lacking validation in external cohorts. Only two available scores, one based on a stepwise echocardiographic approach and the other on functional parameters, predicted the presence of PH with sufficient accuracy and used a validation cohort. Although several methodological limitations prohibit their generalisability, their use may help physicians to detect PH earlier. Further research on the potential of artificial intelligence may guide a more tailored approach, for timely PH diagnosis. Full Article
ali Systematic identification of interchromosomal interaction networks supports the existence of specialized RNA factories [METHODS] By genome.cshlp.org Published On :: 2024-10-29T06:46:08-07:00 Most studies of genome organization have focused on intrachromosomal (cis) contacts because they harbor key features such as DNA loops and topologically associating domains. Interchromosomal (trans) contacts have received much less attention, and tools for interrogating potential biologically relevant trans structures are lacking. Here, we develop a computational framework that uses Hi-C data to identify sets of loci that jointly interact in trans. This method, trans-C, initiates probabilistic random walks with restarts from a set of seed loci to traverse an input Hi-C contact network, thereby identifying sets of trans-contacting loci. We validate trans-C in three increasingly complex models of established trans contacts: the Plasmodium falciparum var genes, the mouse olfactory receptor "Greek islands," and the human RBM20 cardiac splicing factory. We then apply trans-C to systematically test the hypothesis that genes coregulated by the same trans-acting element (i.e., a transcription or splicing factor) colocalize in three dimensions to form "RNA factories" that maximize the efficiency and accuracy of RNA biogenesis. We find that many loci with multiple binding sites of the same DNA-binding proteins interact with one another in trans, especially those bound by factors with intrinsically disordered domains. Similarly, clustered binding of a subset of RNA-binding proteins correlates with trans interaction of the encoding loci. We observe that these trans-interacting loci are close to nuclear speckles. These findings support the existence of trans-interacting chromatin domains (TIDs) driven by RNA biogenesis. Trans-C provides an efficient computational framework for studying these and other types of trans interactions, empowering studies of a poorly understood aspect of genome architecture. Full Article
ali A Qualitative Analysis of a Primary Care Medical-Legal Partnership: Impact, Barriers, and Facilitators By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Background: Certain health-related risk factors require legal interventions. Medical-legal partnerships (MLPs) are collaborations between clinics and lawyers that address these health-harming legal needs (HHLNs) and have been shown to improve health and reduce utilization. Objective: The objective of this study is to explore the impact, barriers, and facilitators of MLP implementation in primary care clinics. Methods: A qualitative design using a semistructured interview assessed the perceived impact, barriers, and facilitators of an MLP, among clinicians, clinic and MLP staff, and clinic patients. Open AI software (otter.ai) was used to transcribe interviews, and NVivo was used to code the data. Braun & Clarke’s framework was used to identify themes and subthemes. Results: Sixteen (n = 16) participants were included in this study. Most respondents were women (81%) and white (56%). Four respondents were clinic staff, and 4 were MLP staff while 8 were clinic patients. Several primary themes emerged including: Patients experienced legal issues that were pernicious, pervasive, and complex; through trusting relationships, the MLP was able to improve health and resolve legal issues, for some; mistrust, communication gaps, and inconsistent staffing limited the impact of the MLP; and, the MLP identified coordination and communication strategies to enhance trust and amplify its impact. Conclusion: HHLNs can have a significant, negative impact on the physical and mental health of patients. Respondents perceived that MLPs improved health and resolved these needs, for some. Despite perceived successes, integration between the clinical and legal organizations was elusive. Full Article
ali Using Primary Health Care Electronic Medical Records to Predict Hospitalizations, Emergency Department Visits, and Mortality: A Systematic Review By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Introduction: High-quality primary care can reduce avoidable emergency department visits and emergency hospitalizations. The availability of electronic medical record (EMR) data and capacities for data storage and processing have created opportunities for predictive analytics. This systematic review examines studies which predict emergency department visits, hospitalizations, and mortality using EMR data from primary care. Methods: Six databases (Ovid MEDLINE, PubMed, Embase, EBM Reviews (Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register, Health Technology Assessment, NHS Economic Evaluation Database), Scopus, CINAHL) were searched to identify primary peer-reviewed studies in English from inception to February 5, 2020. The search was initially conducted on January 18, 2019, and updated on February 5, 2020. Results: A total of 9456 citations were double-reviewed, and 31 studies met the inclusion criteria. The predictive ability measured by C-statistics (ROC) of the best performing models from each study ranged from 0.57 to 0.95. Less than half of the included studies used artificial intelligence methods and only 7 (23%) were externally validated. Age, medical diagnoses, sex, medication use, and prior health service use were the most common predictor variables. Few studies discussed or examined the clinical utility of models. Conclusions: This review helps address critical gaps in the literature regarding the potential of primary care EMR data. Despite further work required to address bias and improve the quality and reporting of prediction models, the use of primary care EMR data for predictive analytics holds promise. Full Article
ali Physician Satisfaction Should Be the Measure of Electronic Health Record Quality for the Nation By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Full Article
ali Development and Validation of a Customized Amplex UltraRed Assay for Sensitive Hydrogen Peroxide Detection in Pharmaceutical Water By journal.pda.org Published On :: 2024-10-22T08:20:35-07:00 For clean-room technologies such as isolators and restricted access barrier systems (RABS), decontamination using hydrogen peroxide (H2O2) is increasingly attractive to fulfill regulatory requirements. Several approaches are currently used, ranging from manual wipe disinfection to vapor phase hydrogen peroxide (VPHP) or automated nebulization sanitization. Although the residual airborne H2O2 concentration can be easily monitored, detection of trace H2O2 residues in filled products is rather challenging. To simulate the filling process in a specific clean room, technical runs with water for injection (WfI) are popular. Thus, the ability to detect traces of H2O2 in water is an important prerequisite to ensure a safe and reliable use of H2O2 for isolator or clean room decontamination. The objective of this study was to provide a validated quantitative, fluorometric Amplex UltraRed assay, which satisfies the analytical target profile of quantifying H2O2 in WfI at low nanomolar to low micromolar concentrations (ppb range) with high accuracy and high precision. The Amplex UltraRed technology provides a solid basis for this purpose; however, no commercial assay kit that fulfills these requirements is available. Therefore, a customized Amplex UltraRed assay was developed, optimized, and validated. This approach resulted in an assay that is capable of quantifying H2O2 in WfI selectively, sensitively, accurately, precisely, and robustly. This assay is used in process development and qualification approaches using WfI in H2O2-decontaminated clean rooms and isolators. Full Article
ali Dysregulating mTORC1-4E-BP2 signaling in GABAergic interneurons impairs hippocampus-dependent learning and memory [RESEARCH PAPERS] By learnmem.cshlp.org Published On :: 2024-10-28T08:52:55-07:00 Memory formation is contingent on molecular and structural changes in neurons in response to learning stimuli—a process known as neuronal plasticity. The initiation step of mRNA translation is a gatekeeper of long-term memory by controlling the production of plasticity-related proteins in the brain. The mechanistic target of rapamycin complex 1 (mTORC1) controls mRNA translation, mainly through phosphorylation of the eukaryotic initiation factor 4E (eIF4E)-binding proteins (4E-BPs) and ribosomal protein S6 kinases (S6Ks). mTORC1 signaling decreases throughout brain development, starting from the early postnatal period. Here, we discovered that in mice, the age-dependent decrease in mTORC1 signaling occurs selectively in excitatory but not inhibitory neurons. Using a gene conditional knockout (cKO) strategy, we demonstrate that either up- or downregulating the mTORC1-4E-BP2 axis in GAD65 inhibitory interneurons, but not excitatory neurons, results in long-term object recognition and object location memory deficits. Our data indicate that the mTORC1 pathway in inhibitory but not excitatory neurons plays a key role in memory formation. Full Article
ali A circular split nanoluciferase reporter for validating and screening putative internal ribosomal entry site elements [METHOD] By rnajournal.cshlp.org Published On :: 2024-10-16T07:18:13-07:00 Internal ribosomal entry sites (IRESs) recruit the ribosome to promote translation, typically in an m7G cap-independent manner. Although IRESs are well-documented in viral genomes, they have also been reported in mammalian transcriptomes, where they have been proposed to mediate cap-independent translation of mRNAs. However, subsequent studies have challenged the idea of these "cellular" IRESs. Current methods for screening and discovering IRES activity rely on a bicistronic reporter assay, which is prone to producing false positive signals if the putative IRES sequence has a cryptic promoter or cryptic splicing sites. Here, we report an assay for screening IRES activity using a genetically encoded circular RNA comprising a split nanoluciferase (nLuc) reporter. The circular split nLuc reporter is less susceptible to the various sources of false positives that adversely affect the bicistronic IRES reporter assay and provides a streamlined method for screening IRES activity. Using the circular split nLuc reporter, we find that nine reported cellular IRESs have minimal IRES activity. Overall, the circular split nLuc reporter offers a simplified approach for identifying and validating IRESs and exhibits reduced propensity for producing the types of false positives that can occur with the bicistronic reporter assay. Full Article
ali Longitudinal validation of King's Sarcoidosis Questionnaire in a prospective cohort with mild sarcoidosis By beta.openres.ersjournals.com Published On :: 2024-11-11T01:50:25-08:00 Background Quality of life is impaired in patients with sarcoidosis. The King's Sarcoidosis Questionnaire (KSQ) is a brief questionnaire assessing health-related quality of life in patients with sarcoidosis, comprising subdomains of General Health Status (GHS), Lung, Medication, Skin and Eyes. The aim of this study was to enhance the validation of the KSQ, incorporating longitudinal validation and known-groups validity in a cohort with mild sarcoidosis. Methods The KSQ was linguistically validated according to guidelines. Patients with sarcoidosis completed KSQ and other questionnaires at baseline, after 2 weeks and at 12 months. Forced vital capacity (FVC) was measured. Concurrent validity, reliability and responsiveness were assessed. Results In patients (n=150), the KSQ had moderate to strong correlations with the Short Form-12 (Mental Component Summary), the King's Brief Interstitial Lung Disease questionnaire and the Fatigue Assessment Scale (r=0.30–0.70) and weak correlations with the Short Form-12 (Physical Component Summary) and FVC (r=0.01–0.29). The KSQ GHS and Lung domains were able to discriminate between groups of patients stratified according to fatigue, treatment and FVC. The KSQ had high internal consistency (Cronbach's α=0.73–0.90) and repeatability (interclass correlation coefficients 0.72–0.81). Correlations to comparable questionnaires at baseline were moderate or strong for the GHS, Lung and GHS–Lung subdomains and weak or moderate for FVC. The KSQ was responsive to changes over time. Conclusion This study strengthened the validation of the KSQ by introducing known-groups validity and assessments of responsiveness over 12 months in patients with mild sarcoidosis. Full Article
ali Can the International Conference on Population and Development Programme of Action and Cairo Consensus Normalize the Discourse on Population? By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 Full Article
ali Early Lessons From Working With Local Partners to Expand Private-Sector Health Care Networks in Burundi and Mali By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 ABSTRACTThe private health care sector is an important source of service delivery in low- and middle-income countries (LMICs). Yet, the private sector remains fragmented, making it difficult for health system actors to support and ensure the availability of quality health care services. In global health programs, social franchising is one model used to engage and organize the private health care sector. Two social franchise networks, ProFam in West Africa and Tunza in East and Central Africa, provide health care through branded networks of facilities. However, these social franchise networks include a limited number of private health care facilities, and in fragile contexts, like Burundi and Mali, they have faced challenges in integrating with national health systems. The MOMENTUM Private Healthcare Delivery (MPHD) project in Burundi and Mali sought to expand the number of health facilities it engaged beyond the existing ProFam and Tunza networks. The expansion aimed to help improve service quality in more private facilities while advancing localization and reducing fragmentation for improved stewardship by health system actors. MPHD achieved this expansion by removing barriers for private health facilities to join inclusive, nonbranded networks and engaging local partners to build and maintain these networks. We share lessons learned regarding the growing role of local organizations as actors within mixed health systems and provide insights on strengthening stewardship of the increasingly heterogeneous private health care delivery sector in LMICs, particularly in fragile settings. Full Article