Real-world healthcare utilization and costs of peripheral nerve stimulation with a micro-IPG system.

Aim: To characterize real-world healthcare resource utilization (HCRU) and costs in adults with chronic pain of peripheral nerve origin treated with peripheral nerve stimulation (PNS) using the micro-implantable pulse generator (IPG).

Materials & Methods: This retrospective observational study (9/1/19-1/31/23) linked patients from the Nalu medical database to the OM1 Real-World Data Cloud (RWDC). Eligible patients received the micro-IPG implant for PNS, were identifiable in both databases, and had ≥ 12 months of RWDC pre/post-implantation claims data.

Factors affecting mental health service delivery from primary healthcare facilities of western hilly district of Nepal: a qualitative study.

Aim: To explore factors at different socioecological levels that affect mental health service delivery from primary healthcare (PHC) facilities of Arghakhanchi district, a western hilly district of Nepal.

Background: Mental health service delivery has seen four transformational shifts from Alma Ata to Astana Declaration. Mental Health Gap Action Programme has facilitated the delivery of evidence-based interventions on mental, neurological and substance use disorders by non-specialised health workers in PHC settings as well as advocated scaling up of mental healthcare through integration of mental health in PHC.

Do targeted intergovernmental fiscal transfers improve health outcomes? Evidence from Kenyan decentralization using the difference-in-differences technique.

Background: As envisioned by the 2010 Constitution, Kenya implemented a devolved system of government in March 2013, setting up 47 counties and a corresponding number of local governments. These counties differed in their levels of development. While counties such as Nairobi and Kiambu led in social and economic indicators, others such as Turkana, Mandera and Wajir were at the bottom of the list.

Thermally stable and polar zwitterionic liquid stationary phases for gas chromatography: Understanding the impact of chemical structure.

The chemical structure of nine imidazolium sulfonate and triflimide zwitterionic liquids (ZILs) were systematically tuned to increase their thermal stability for gas chromatography (GC) separations. Substituents for imidazolium and 2-phenylimidazolium cation systems, comprised of alkyl, benzyl, and oligoether groups of varying chain lengths, were studied as stationary phases in GC. Propanesulfonate, ethanesulfonate, and propanetriflimide anions were examined to understand the effect of linker length and nucleophilicity on ZIL thermal stability.

Extract from endophytic isolates stimulates seed germination of the host and protocorm development of non-host orchids.

We isolated endophytic strains from the healthy roots, stems, and leaves of to investigate their plant growth-promoting activities in vitro. Subsequently, Indole acetic acid (IAA) was quantified and the gene (responsible for IAA synthesis in fungi) was amplified and sequenced. Finally, a germination assay was performed with seeds of and a plant growth assay with protocorms of to test their plant growth-promoting activities.