Single-case evaluation of oral feeding intervention and gastrostomy tube fading in adults with intellectual and multiple disabilities.

Background: Some adults with intellectual disabilities do not acquire oral feeding skills and are dependent on gastrostomy tube supplementation.

Methods: Two adults with intellectual and multiple disabilities received intervention for oral consumption during daily meals (standardised food and liquid quantities, individualised procedural guidelines, and consumption-contingent consequences) while the frequency and amount of gastrostomy tube feedings were gradually decreased and eliminated.

Results: Compared to baseline (pre-intervention) conditions, the adults increased oral consumption of food and liquid during the intervention and gastrostomy tube supplementation was eliminated.

Effect of health education in the control of schistosomiasis in Dass Emirate Council of Bauchi State, Nigeria: An intervention study.

Objective: Schistosomiasis has been recognized by WHO as a major contributor to mortality and morbidity, particularly in Sub-Sahara Africa, where it is most prevalent. There is a lack of reliable data on the effectiveness of health education interventions in reducing the prevalence of schistosomiasis in Bauchi State. Hence, the study assessed the prevalence of schistosomiasis and the knowledge, attitude and practices of community members of Dass Emirate towards the prevention and control of schistosomiasis before and after health education intervention.

Dual harm among patients in the Ontario forensic mental health system.

Background: Dual harm involves the unfortunate experience of harm to self and others/objects. Safeguarding individuals in forensic psychiatric settings against all forms of harm to self and others is sacrosanct. While understanding dual harm is crucial in the care and rehabilitation of patients in forensic psychiatric settings, only a few studies have explored this phenomenon.

Regional risk factors associated with adverse outcomes of COVID-19 infection among the older adult: A systematic review and meta-analysis.

The rapid global spread of Coronavirus Disease 2019 (COVID-19) has resulted in millions of infections and deaths, particularly impacting older adults. This study systematically analyzes risk factors reported in different geographical regions such as Asia and Europe that are associated with adverse outcomes in older adults with COVID-19. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched five databases up to December 2023 and conducted meta-analyses of odds ratios for 27 risk factors reported in at least two studies using R software (version 4.

Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria.

Background: Despite assumptions that insurance coverage would boost oral healthcare utilization in Nigeria, there is insufficient evidence supporting this claim. This study investigates the associations between residential location, awareness of the oral health insurance scheme, history of dental service utilization, and acceptance of oral health insurance among individuals benefiting from the Ilera Eko Scheme; a scheme that integrates preventive and curative oral health care into the state health insurance scheme.

Methods: A cross-sectional survey was conducted from July to November 2023 recruiting from a database of 1520 enrollees aged of 18 and 72-years-old who had been on the scheme for at least three months.

Therapeutic potential of 2S-hesperidin against the hepatotoxic effects of dichlorvos in rats.

Dichlorvos (DDVP) is an organophosphate insecticide that enhances food production and repels disease vectors. However, it provokes cytotoxicity. 2S-hesperidin (2S-HES) is a potent antioxidant, anti-inflammatory, and anti-lipidemic flavanone.

A Collaborative Online International Learning Experience for Doctoral Nursing Students and Faculty From Three Countries: Reshaping the Educational Landscape.

The COVID-19 pandemic presented opportunities for educational innovations and the development of intercultural learning experiences. A global health assignment guided by a collaborative online international learning pedagogy was assigned to doctoral nursing students from three different countries. Icebreaker activities, along with the Culturally You diagram, commenced the team-building process.

Weapon use during the index offense: a study among forensic psychiatry patients in Ontario, Canada.

Background: Understanding the nature and circumstances around the use of weapons to perpetrate an offense among individuals with mental illness is crucial for evidence-informed policies and actions. However, little is known about the prevalence and factors associated with weapon use during index offenses among patients in the forensic system. Therefore, the present study was designed to address this gap and determine the prevalence and the patient and victim characteristics associated with weapon use during the index offense in a Canadian province.

Synergistic Effects of Mannan Oligosaccharides and Onion Peels on In Vitro Batch Culture Fermentation of High Concentrate and Forage Diets.

The current study evaluated the effect of combining mannan oligosaccharide (MOS) and onion peel (OP) on ruminal in vitro total gas (GP), greenhouse gas emissions, dry matter and fiber fraction digestibility, partitioning factor (PF; mg degradable DM per mL gas), microbial mass, and volatile fatty acids using two dietary substrates: high forage (HF) and high concentrate (HC) diets. The study was arranged as a 2 × 2 × 6 factorial design with two dietary substrates, two time points (6 and 24 h), and six treatments. The treatments included a control group with no MOS or OP administration and groups administered with 2% of a mixture containing MOS and OP in the following ratios: 1:0 (MOS), 0:1 (OP), 1:1 (MOS:OP), 1:2 (MOS:2OP), and 1:3 (MOS:3OP).

Characterizing the relationship between psychosis and violence in the forensic psychiatric population: a systematic review.

Objective: The relationship between psychosis and violence is often construed focusing on a narrow panel of factors; however, recent evidence suggests violence might be linked to a complex interplay of biopsychosocial factors among forensic psychiatric patients with psychosis (FPPP). This review describes violence incidents in FPPP, the factors associated with violence, and relevant implications.

Methods: This review was conducted following the preferred reporting items for systematic reviews and meta-analyses guideline.

Mentorship in medical education: reflections on the importance of both unofficial and official mentorship programs.

Mentorship, consisting of its official and unofficial forms, transforms medical trainees into competent and well-rounded physicians. In this commentary, we reflected on existing mentorship programs at the McMaster School of Medicine, highlighted lessons from a new peer-based mentorship program, and revisited the benefits of integrating diverse mentorship styles to enhance medical education.

Long-Lasting, Fine-Tuned Anti-Tumor Activity of Recombinant Vaccine Is Controlled by Pyroptosis and Necroptosis Regulatory and Effector Molecules.

One of the main objectives of developing new anti-cancer vaccine strategies is to effectively induce CD8+ T cell-mediated anti-tumor immunity. Live recombinant vectors, notably , have been shown to elicit a robust in vivo CD8+ T-cell response in preclinical settings. Significantly, it has been demonstrated that induces inflammatory/immunogenic cell death mechanisms such as pyroptosis and necroptosis in immune cells that favorably control immunological responses.

Strive, Thrive & Survive: embracing challenges in pursuit of passion.

Challenges don't last; embracing them is crucial to growth and success. Knowing and absorbing this is very important for students in any program and at any level in the academic world. I have my bachelor's and master's degrees from Ladoke Akintola University of Technology and University of Ibadan, Nigeria, respectively.

Feeding limestone buffer to limit-fed dairy steers fed a high inclusion rate of distiller grains.

The study objective was to evaluate dietary limestone buffer inclusion rates for impacting nutrient digestibility and excretion when growing dairy cattle are fed high distiller grains with solubles (DDGS) limit-fed ration. The hypothesis was that feeding more limestone buffer would offset a low rumen pH when feeding a high DDGS inclusion rate. Five ruminally cannulated Holstein and Brown Swiss steers were used in a crossover design having 2-wk periods to evaluate high and low buffer inclusion rates when limit-fed.

Telomere-to-telomere assemblies of cattle and sheep Y-chromosomes uncover divergent structure and gene content.

Reference genomes of cattle and sheep have lacked contiguous assemblies of the sex-determining Y chromosome. Here, we assemble complete and gapless telomere to telomere (T2T) Y chromosomes for these species. We find that the pseudo-autosomal regions are similar in length, but the total chromosome size is substantially different, with the cattle Y more than twice the length of the sheep Y.

A Contemporary Review on Heart Failure with Preserved Ejection Fraction: Epidemiology, Diagnosis, and Management.

Heart failure with preserved ejection fraction (HFpEF) includes almost half of heart failure cases typified by a specific clinical syndrome. Despite diagnostic and management advances, HFpEF still presents a diagnostic challenge and a paucity of therapies specifically aimed at enhancing survival and improving quality of life is still lacking. This review elucidates the diagnostic complexity of HFpEF, highlighting the use of both subjective and objective criteria within algorithmic frameworks.

Male Holstein calves fed a milk replacer and pelleted calf starter containing a botanical extract or a direct-fed microbial alone or in combination.

Botanical extracts (BE; Apex, Adisseo North America, Atlanta, GA) are known to enhance DMI and gut health, whereas direct-fed microbials (DFM), such as a Lactobacillus acidophilus fermentation product (EX: Excel; Pacer Technology Inc., Murtaugh, ID), have demonstrated improved gut health and growth performance when fed to growing neonatal Holstein calves. The hypothesis was this combination may be synergistic to neonatal calf growth performance and intestinal health.

Attention-Deficit/Hyperactivity Disorder in Adults.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder involving functionally disruptive inattentive and/or hyperactive/impulsive behaviors, such as being easily distracted, regularly failing to follow through on tasks, being restless, or often interrupting others. ADHD diagnosed in childhood often persists into adulthood, with 14.6% of U.