Sort by
Incidence and Spatial Mapping of Tuberculosis and Multidrug-Resistant Tuberculosis in Libreville, Republic of Gabon, in 2022: A Region-Wide Hotspots Analysis
Casimir Manzengo,
Nlandu Roger Ngatu,
Stredice Manguinga-Guitouka,
Fleur Lignenguet,
Ghislaine Nkone-Asseko,
Marie Nsimba-Miezi,
Nobuyuki Miyatake,
Jose Lami-Nzunzu,
Tomohiro Hirao
Posted: 18 November 2025
Survival, Mortality Predictors, and Morbidity in Extremely Low Birth Weight Neonates: A Retrospective Cohort Study at a Tertiary Hospital in the Eastern Cape, South Africa
Sithembinkosi Manyoni Gonya,
Kim Harper,
Isabel Michaelis
Extremely low birth weight (ELBW) neonates (< 1000 g) contribute significantly to global neonatal and under-five mortality, with heightened vulnerability in resource-limited settings. The overall aim of this manuscript is to evaluate the survival outcomes and associated factors among ELBW infants in a resource-limited tertiary care setting in South Africa. This retrospective cohort study examined survival outcomes, causes of death, and associated morbidities among 192 ELBW infants admitted to Frere Hospital, South Africa (SA), between January 2020 and February 2025. Kaplan-Meier survival analysis and multivariable Poisson regression were used to identify predictors of mortality. Overall, 42% of neonates survived discharge. Common morbidities included respiratory distress syndrome (78%) and extreme prematurity (30%). Extreme prematurity (< 28 weeks) was associated with a markedly increased risk of mortality (adjusted IRR = 0.20; 95% CI: 0.08–0.53; p < 0.001), while caesarean section conferred a protective effect compared to vaginal delivery (adjusted IRR = 0.38; 95% CI: 0.23–0.64; p < 0.001). These findings support strengthening antenatal interventions, timely respiratory support, equitable access to neonatal intensive care, and protocols tailored to reduce neonatal mortality in resource-limited settings.
Extremely low birth weight (ELBW) neonates (< 1000 g) contribute significantly to global neonatal and under-five mortality, with heightened vulnerability in resource-limited settings. The overall aim of this manuscript is to evaluate the survival outcomes and associated factors among ELBW infants in a resource-limited tertiary care setting in South Africa. This retrospective cohort study examined survival outcomes, causes of death, and associated morbidities among 192 ELBW infants admitted to Frere Hospital, South Africa (SA), between January 2020 and February 2025. Kaplan-Meier survival analysis and multivariable Poisson regression were used to identify predictors of mortality. Overall, 42% of neonates survived discharge. Common morbidities included respiratory distress syndrome (78%) and extreme prematurity (30%). Extreme prematurity (< 28 weeks) was associated with a markedly increased risk of mortality (adjusted IRR = 0.20; 95% CI: 0.08–0.53; p < 0.001), while caesarean section conferred a protective effect compared to vaginal delivery (adjusted IRR = 0.38; 95% CI: 0.23–0.64; p < 0.001). These findings support strengthening antenatal interventions, timely respiratory support, equitable access to neonatal intensive care, and protocols tailored to reduce neonatal mortality in resource-limited settings.
Posted: 18 November 2025
TB Data Improvement in Nkembo Health Treatment Center in Libreville, Gabon, 2022
Casimir Manzengo,
Farai Mavungha,
Nlandu Roger Ngatu,
Fleur Lignenguet,
Stredice Manguinga,
Ghislaine Asseko Nkone
Posted: 17 November 2025
Women’s Experiences of Compassion During Facility Births in Sub-Saharan Africa: Scoping Narrative Review
Petronella Lunda,
Catharina Susanna Minnie,
Welma Lubbe
Posted: 17 November 2025
Characterization of Nutritional Consumption in Vegan Pregnant Women and its Effects on Birth Weight
Efrat Paz Dubinsky,
Tomer Avnon,
Sivan Shaham,
Yaffa Elbaum Shiff,
Yariv Yogev,
Ronit Anbar
Posted: 17 November 2025
Role, Resources, and the Integration of Accompanying Patients in Oncology: A Qualitative Study from the AP’s Perspective
Sarit Kang-Auger,
Margaux Deroi,
Khaled Katergi,
Soline Bernard,
Monica Iliescu Nelea,
Cécile Vialaron,
Louise Normandin,
Marie-Andrée Côté,
Mado Desforges,
Marie-Pascale Pomey
Posted: 17 November 2025
Harnessing Medical-Bioethics Mediation to Advance One Health Governance
Olympia Lioupi,
Polychronis Kostoulas,
Gustavo Monti,
Konstadina Griva,
Charalambos Billinis,
Costas Tsiamis
Posted: 17 November 2025
Surgical Management of Spinal Chordomas: A Narrative Review
Uzair Yaqoob,
Fahad Zahid,
Ahsan Ali Khan,
Syed Muhammad Hussain,
Falak Zahra,
Tabeer Tanwir Awan
Posted: 17 November 2025
AI-Driven Tuberculosis Hotspot Mapping to Optimize Active Case-Finding: Implementing the Epi-Control Platform in Uganda
Geofrey Amanya,
Sumbul Hashmi,
Jessica Sarah Stow,
Philip Tumwesigye,
Bernadette Nkhata,
Kelvin Roland Mubiru,
Anne-Laure Budts,
Matthys Gerhardus Potgeiter,
Seyoum Dejene Balcha,
Muzamiru Bamulooba
+4 authors
Posted: 17 November 2025
A Mixed-Methods Comparative Evaluation of a Multimedia-Enhanced Microteaching Intervention for Improving Oral Health Outcomes in Indonesian Elementary Schools
Selviawaty Sarifuddin Panna,
Ayub Irmadani Anwar,
Irfan Sugianto,
Nurlindah Hamrun,
Marhamah Firman Singgih,
Ichlas Nanang Afandi
Background: Oral health issues in school-aged children persist as a global concern, particularly in underdeveloped nations. Despite numerous school-based health promotion initiatives, Indonesia still has a high rate of dental cavities and poor oral hygiene among elementary school kids. Objective: This study sought to assess, via a mixed-methods comparative design, the efficacy of a multimedia-enhanced microteaching training model for primary school educators in enhancing students’ oral health knowledge, behavior, and clinical outcomes. Methods: A mixed-methods sequential explanatory design was utilized, integrating quantitative and qualitative data. A total of 582 students and their teachers from public elementary schools in Pohuwato District, Gorontalo, Indonesia, were recruited and divided into three groups: (1) multimedia + microteaching training (intervention 1), (2) multimedia-only training (intervention 2), and (3) a control group (no training). The Oral Hygiene Index Simplified (OHI-S), DMFT scores, and Knowledge–Attitude–Practice (KAP) questionnaires were utilized for quantitative evaluation. Friedman and Wilcoxon tests were used to look at the data. Focus Group Discussions (FGDs) qualitatively examined teachers’ experiences. Results: The multimedia-enhanced microteaching group exhibited the most significant enhancement in students’ oral hygiene (p < 0.001) and knowledge–attitude–practice scores (p < 0.05) when compared to both the multimedia-only and control groups. Qualitative studies indicated enhanced teacher confidence, improved communication with students, and increased sustainability of oral health behaviors. Conclusion: The multimedia-enhanced microteaching methodology was far better than traditional training at improving both behavioral and clinical oral health outcomes in primary school kids. This new idea provides a scalable mechanism for adding teacher-centered oral health education to health promotion programs in Indonesian schools.
Background: Oral health issues in school-aged children persist as a global concern, particularly in underdeveloped nations. Despite numerous school-based health promotion initiatives, Indonesia still has a high rate of dental cavities and poor oral hygiene among elementary school kids. Objective: This study sought to assess, via a mixed-methods comparative design, the efficacy of a multimedia-enhanced microteaching training model for primary school educators in enhancing students’ oral health knowledge, behavior, and clinical outcomes. Methods: A mixed-methods sequential explanatory design was utilized, integrating quantitative and qualitative data. A total of 582 students and their teachers from public elementary schools in Pohuwato District, Gorontalo, Indonesia, were recruited and divided into three groups: (1) multimedia + microteaching training (intervention 1), (2) multimedia-only training (intervention 2), and (3) a control group (no training). The Oral Hygiene Index Simplified (OHI-S), DMFT scores, and Knowledge–Attitude–Practice (KAP) questionnaires were utilized for quantitative evaluation. Friedman and Wilcoxon tests were used to look at the data. Focus Group Discussions (FGDs) qualitatively examined teachers’ experiences. Results: The multimedia-enhanced microteaching group exhibited the most significant enhancement in students’ oral hygiene (p < 0.001) and knowledge–attitude–practice scores (p < 0.05) when compared to both the multimedia-only and control groups. Qualitative studies indicated enhanced teacher confidence, improved communication with students, and increased sustainability of oral health behaviors. Conclusion: The multimedia-enhanced microteaching methodology was far better than traditional training at improving both behavioral and clinical oral health outcomes in primary school kids. This new idea provides a scalable mechanism for adding teacher-centered oral health education to health promotion programs in Indonesian schools.
Posted: 17 November 2025
Relationships Between PM2.5 and Maternal Anemia in Sub-Saharan African Women of Reproductive Age
Muhammad A Saeed,
Harris Khokhar,
Mohammad R Saeed,
Adeena Zaidi,
Binish Arif Sultan,
Sarim Karimi,
Ammar Muhammad,
Harris Majeed,
Bhargavi Rao
Posted: 14 November 2025
Epidemiology Meets Advocacy: Understanding Pediatric Dental Trauma and Delayed Care in Post-Conflict Syria
Yasser Alsayed Tolibah,
Nada Bshara,
Rama E. Makieh,
Marwan Alhaji,
Mohammed N. Al-Shiekh,
MHD Bashier AlMonakel,
Osama Aljabban,
Ziad D. Baghdadi
Posted: 14 November 2025
Deep Learning for Tumor Segmentation and Multiclass Classification in Breast Ultrasound Images Using Pretrained Models
K. E. Arun Kumar,
Matthew E Wilson,
Nathan E Blake,
Tylor J Yost,
Matthew Walker
Posted: 14 November 2025
Ambient Temperatures and Anemia Among Women of Reproductive Age in South Asia
Muhammad A Saeed,
Bhargavi Rao,
Mohammad R Saeed,
Xaviera Ayaz,
Aleena Fatima,
Mohammad Usman,
Vatsal Vermuri,
Uzair Mohammad,
Binish Arif Sultan,
Harris Majeed
Posted: 14 November 2025
Parental Stress in Parents of Children with Autism Spectrum Disorder
Dolores Merino-Navarro,
María-del-Rocío Martínez-López,
Emilia-Isabel Martins-Teixeira-da-Costa,
María Ángeles Merino-Godoy,
Francisco Javier Gago-Valiente
Posted: 14 November 2025
Beyond Disability Scores: The Provocative Truth of Psychosocial Resilience in Battling MS Quality of Life in Western Greece
Christina Ravazoula,
Constantinos Koutsojannis
Posted: 14 November 2025
Pharmaceutical Development in Nepal and a Comparative Critical Review of the Nepal Pharmacy Council Act (2000)
Bishesh Bista,
Nisha Adhikari,
Dirgha Raj Joshi
Posted: 14 November 2025
What to Know About Falls in Older Adults? Risk Factors, Predictors, and Therapeutic Interventions
Fernanda Bueno Pilastri,
Julia Fantim Lopes,
Eric Nkansah Boateng,
Nise Ribeiro Marques
Posted: 14 November 2025
Oral Health and Quality of Life of Pediatric Patients with Complex Chronic Conditions
Willian Brito Sampaio,
Luanderson Lopes,
Ana Rita Guimarães Duarte,
Maria Cristina Teixeira Cangussu,
Andreia Cristina Leal Figueiredo
Posted: 14 November 2025
Examining Gender Differences and Their Associations Among Psychosocial Distress, Social Support, and Financial Well-Being of Informal Caregivers of Older Adults
Nasreen Lalani,
Evans Appiah Osei,
Zihan Xu
Posted: 14 November 2025
of 267