Environmental risk assessment of the surface sediments based on trace elements analysis from the largest freshwater lake in the southern slope of the Himalaya, Nepal.

Freshwater ecosystems, including high-altitude lakes, can be affected by trace metal pollution derived from a mix of natural sources and anthropogenic activities. These pollutants often collect in surface sediments, with notable concentrations in the deeper areas of lakes. To evaluate the environmental risk associated with metal contaminated sediment in Rara Lake, southern Himalaya, surface sediment samples were systematically collected in November 2018, with a subsequent specific emphasis on determinations of trace element concentrations.

Integration of Peer Navigators Into Longitudinal Research.

Objective: To assess consent rates and reasons for refusing consent after the introduction of peer navigators into the Outcomes of Babies With Opioid Exposure (OBOE) Study.

Design: Secondary analysis of data from the OBOE Study, a multisite observational study.

Setting: Medical centers in Alabama, Ohio, and Pennsylvania (N = 4).

Clinical outcomes of a twice daily metronidazole dosing strategy for Bacteroides bloodstream infections.

Objective: The optimal metronidazole dose for the treatment of Bacteroides spp. has not been well-defined.

Methods: This study was a multicenter, retrospective chart review of adult patients with bacteremia secondary to Bacteroides spp.

Australian general practice registrars' billing patterns: a cross-sectional analysis from the Registrars Clinical Encounters in Training (ReCEnT) study.

Background: In Australia, a government insurance scheme (Medicare) pays set rebates for a range of distinct general practitioner (GP) services. GPs may 'bulk-bill' and accept the Medicare rebate fee directly, or 'privately-bill' by charging the patient a higher fee that is partially reimbursed by Medicare. The billing behaviour of Australian GP registrars (trainees) and their decision to bulk- or privately-bill patients is an evidence gap.