Publications by authors named "L Rubenstein"

Background: Individuals who are newly diagnosed with clinically isolated syndrome (CIS) or relapsing-remitting multiple sclerosis (RRMS) may choose not to undergo disease-modifying therapies (DMTs) due to concerns about expenses or potential adverse effects. Thus, many individuals will opt for alternative therapies, such as dietary modifications. Among these dietary approaches, the modified Paleolithic elimination diet has shown promise for improving MS-related symptoms; however, restriction of certain food groups can lead to inadequate intake of nutrients.

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Background: Throughout the Syrian conflict, the Syrian government has intentionally attacked health facilities, violating International Humanitarian Law. Previous studies have qualitatively described health system disruptions following attacks on healthcare or established associations between armed conflict and health service utilisation, but there are no quantitative studies exploring the effects of health facility attacks. Our unprecedented study addresses this gap by quantifying the effects of health facility attacks on health service use during the Syrian conflict.

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Article Synopsis
  • Emerging evidence suggests dietary interventions may improve outcomes for multiple sclerosis (MS), but limited data exists on how they affect functional disability.
  • A study pooled data from two 12-week trials to assess the impact of a modified Paleolithic diet (Paleo) on functional disability in MS patients, measuring outcomes with the MS Functional Composite (MSFC).
  • The results indicated that while there was no significant overall difference between the Paleo and Control groups, the Paleo group showed reduced functional disability over time, particularly in specific tests, highlighting potential benefits linked to this diet for certain types of MS.
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Introduction: Attacks on healthcare have further weakened the already fragile health system in the Central African Republic. We investigated attacks on healthcare in three conflict-affected prefectures-Ouaka, Haute-Kotto, and Vakaga-from 2016 to 2020. The study aim was to gain an in-depth understanding of the immediate and long-term effects of attacks on healthcare workers, facilities, supply chain, quality of care, and other components of the health system.

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