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861
The AFFIRM Framework for gender-affirming care: qualitative findings from the Transgender and Gender Diverse Health Equity Study
Published 2025-02-01“…Themes about gender-affirming care coalesced into the acronym AFFIRM: (1) Affirms in individual interactions: Participants called for affirmation of TGD identity, lived expertise, and competent TGD providers and staff. (2) Flexible and accessible: Participants expressed the need for gender-affirming care to be available beyond urban population-specific clinics, in a timely fashion without long wait lists, and in a community-centered manner such as offering non-traditional times and settings. (3) Fights systemic oppression: Participants emphasized the need for providers and health systems to eliminate gatekeeping practices for gender-affirming care and create care models that resist intersecting oppressive systems such as racism and cisgenderism. (4) Interacts with community: Patients desired intentional interaction with TGD community to holistically address health and unmet gender affirmation needs. (5) Retains patients in care: Patients shared the need to collaboratively identify and problem-solve obstacles to gender-affirming care with providers and healthcare systems to optimize TGD-specific retention strategies. (6) Multidisciplinary: Patients called for interdisciplinary teams with co-located services such as primary care and mental healthcare with letter-writing for surgical care, and incorporation of peer navigators to meet the broader social, health, and well-being needs of TGD people. …”
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862
Determinants of poor access to health care among women of reproductive age in Sierra Leone: a cross-sectional study
Published 2025-02-01“…Women living in rural areas [aOR = 1.88; 95% CI: 1.30, 2.71] had higher odds of poor access to healthcare than those living in urban areas. Women with secondary [aOR = 0.74; 95% CI: 0.62, 0.89] and higher education [aOR = 0.48; 95% CI: 0.34, 0.68] had lower odds of poor healthcare access than those without education. …”
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863
From Peril to Protection: an evaluation of regulations impacting eScooter injuries
Published 2025-02-01“…We believe that our work can serve as a model for other urban centers seeking to reduce eScooter-related injuries and implement effective safety measures.Level of evidence IV, prognostic/epidemiologic.…”
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864
Environmental and health risk assessment of polycyclic aromatic hydrocarbons and toxic elements in the red sea using Monte Carlo simulation
Published 2025-02-01“…The identified clusters, reflective of industrial, petroleum-related, and urban runoff contamination sources, were consistently validated and clarified through PCA, enhancing the reliability of the findings. …”
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865
Prevalence of and Risk factors associated with hypertension: a community based- cross sectional study in Ndorwa West Health Sub District, Kabale district, southwestern Uganda.
Published 2024“…The prevalence of HT and pre-HT in this rapidly transitioning rural–urban population was high. The risk of CVDs is about 16 folds higher among pre-HT compared to no HT and doubles for every 10-mmHg increase in BP. …”
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866
Characteristics and outcomes of women using emergency medical services for third-trimester pregnancy-related problems in India: a prospective observational study
Published 2016-07-01“…Time from initial call to hospital arrival was longer for rural/tribal compared with urban patients (66 min (IQR 51–84) vs 56 min (IQR 42–73), respectively, p<0.0001). …”
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867
Post-vaccination campaign evaluation of systemic and mucosal immunity of trivalent oral poliovirus vaccine in Karachi, Pakistan (2020–2021): a cross-sectional studyResearch in cont...
Published 2025-02-01“…Methods: A cross-sectional survey was conducted in four peri-urban sites (Cattle Colony, Ibrahim Hyderi, Ali Akber Shah, Rehri Goth) Karachi, Pakistan. …”
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868
Effects of a nutrition education intervention on nutrition knowledge and attitude among overweight and obese primary schoolchildren: a cluster randomized controlled trial
Published 2025-02-01“…There was also a significant improvement in the nutrition knowledge score with AMD among boys (6.02%), urban children (8.07%), and non-Malays (10.4%). In contrast, after controlling for mean nutrition attitude score at baseline, gender, location, school group (intervention vs control) and ethnicity, there was no significant difference in the nutrition attitude scores between the intervention and the control groups in the overall, gender, location and ethnicity. …”
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869
Supporting primary care clinicians in caring for patients with alcohol use disorder: study protocol for Records for Alcohol Care Enhancement (RACE), a factorial four-arm randomized...
Published 2025-02-01“…This four-arm factorial design randomized trial will assess whether population health management (PHM) and clinical care management (CCM) support for primary care providers (PCPs) are associated with improved AUD treatment engagement among their patients, beyond electronic health record (EHR) prompting and decision support alone. Methods PCPs from an urban safety-net hospital-based primary care clinic are randomized to one of four groups (1) EHR best practice advisory (BPA) and clinical decision support tools for unhealthy alcohol use (BPA), (2) BPA plus population health manager support, (3) BPA plus clinical care manager support, and (4) all three. …”
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870
Concentrations and human health risks attributed to potentially toxic elements (PTEs) in water resources in China: Systematic review and meta-analysis
Published 2025-02-01“…The concentration of PTEs was meta-analyzed using random effects model in water resources (surface water and groundwater) and location of study (urban and rural locations) subgroups. Human health risk assessment due to PTEs in water from ingestion and dermal contact pathways was estimated using target hazard quintet (THQ) and carcinogenic (CR) in adult males and female consumers in China. …”
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871
Investigating the Role of the basic Components of Smart Governance in Realizing a Smart City with the ISM Method (Case Study: Tehran)
Published 2024-09-01“…Conclusion Cities across the globe are confronting numerous challenges, including traffic congestion, air pollution, excessive energy consumption, and uncontrolled urban sprawl. The concept of a smart city has emerged as a potential solution to these challenges. …”
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872
Low ITN utilization among households in SWEPR Ethiopia: challenge for malaria elimination, a mixed design approach
Published 2025-02-01“…From the multivariable logistic regression analysis, the urban residents, NGO employees, having a corrugated iron sheet house type, having good knowledge toward malaria, having good knowledge toward ITNs, having a favorable attitude towards malaria and having a favorable attitude towards ITNs had higher odds of the proper utilization of ITNs as compared to their counterparts. …”
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873
Analisis Perpindahan Wisatawan dan Preferensi Desrinasi Wisata Favorit Berdasarkan Geotag Instagram (Studi Kasus pada Destinasi Wisata Bandung Raya)
Published 2022-06-01“…The majority of tourist destinations with urban recreational attractions are in the bottom 20. …”
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874
Evidence adaptation and tailored implementation of family bereavement support in specialised palliative care: A multi-method study
Published 2025-06-01“…Settings and participants: Two specialised palliative care services located at urban teaching hospitals in German-speaking Switzerland. …”
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875
Barriers to healthcare access among female youths in Mozambique: a mixed-effects and spatial analysis using DHS 2022/23 data
Published 2025-02-01“…Married youths had a 1.22 times higher likelihood of facing barriers (AOR = 1.22, 95% CI: 1.03, 1.44), and rural residents were three times more likely to experience challenges compared to urban residents (AOR = 3.00, 95% CI: 2.24, 4.01). …”
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876
A lightweight wheat ear counting model in UAV images based on improved YOLOv8
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877
Pre-exposure Prophylaxis Awareness and Endorsement among Adolescents and Young Adults in Tanzania: Insights from the 2022 Demographic and Health Survey
Published 2025-01-01“…Female respondents (adjusted odds ratio [aOR] = 0.69; 95% CI 0.51–0.91) and rural residents (aOR = 0.78; 95% CI 0.61–1.00) had lower odds of PrEP awareness compared with male respondents and urban residents, respectively. Previously, HIV testing and receiving test results (aOR = 2.00; 95% CI 1.50–2.66) and an age of 20–24 years versus 15–19 years (aOR = 1.54; 95% CI 1.20–1.96) were associated with increased odds of PrEP awareness. …”
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878
Estimation of blue carbon stock in the Liaohe Estuary wetland based on soil thickness and multi-scenario modeling
Published 2025-02-01“…Shallower soil thickness areas in wetlands were distributed near urban residential areas, while deeper soil thickness areas were in phragmites australis wetlands and tidal flat areas. (2) From 2000 to 2023, the wetland ecology in the study area was gradually restored. …”
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879
The hidden crisis: double burden of malnutrition among refugee children in South Asia – a systematic review and meta-analysis from observational studies
Published 2025-02-01“…The 10 studies covered a total of 4,274 participants with 3,536 urban and 738 rural refugee children aged between 0 and 19 years [refugee children (n = 8) and refugee adolescents (n = 2)]. …”
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880