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Community health workers (CHWs) play a significant role in supporting health services delivery in communities with few trained health care providers. There has been limited research on ways to optimize the role of CHWs in HIV prevention service delivery. This study explored CHWs' experiences with offering HIV prevention services [HIV testing and HIV pre- and post-exposure prophylaxis (PrEP and PEP)] during three pilot studies in rural communities in Kenya and Uganda, which aimed to increase biomedical HIV prevention coverage via a structured patient-centered HIV prevention delivery model.

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Introduction: In current and anticipated future conflicts, including large-scale combat operations, medical teams are tasked to provide prolonged casualty care (PCC) or extended patient care that occurs when delays in evacuation exceed the team's capabilities. Although the principles of PCC are often taught to military medical providers using simulation, educators rarely dedicate the time to training required to simulate the prolonged nature of these encounters. Therefore, a lack of knowledge exists regarding which aspects of extended care may be lost in an accelerated training scenario.

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Inverse stochastic resonance in a two-dimensional airfoil system with nonlinear pitching stiffness driven by Lévy noise.

Chaos

January 2025

State Key Laboratory of Mechanics and Control for Aerospace Structures, College of Aerospace Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China.

The aircraft can experience complex environments during the flight. For the random actions, the traditional Gaussian white noise assumption may not be sufficient to depict the realistic stochastic loads on the wing structures. Considering fluctuations with extreme conditions, Lévy noise is a better candidate describing the stochastic dynamical behaviors on the airfoil models.

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Purpose: Human trafficking survivors' successful social reintegration is of paramount importance. However, survivors found it difficult to build their lives in Bangladesh upon return. The specific challenges encountered by Bangladeshi trafficking survivors remain underexplored, particularly regarding individual, socio-cultural, and systematic factors.

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Ultrasound-guided minimally invasive thread release of carpal tunnel: a cadaveric study.

Radiol Med

January 2025

Neuromuscular Imaging Ordinationszentrum Döbling, Heiligenstädter Straße 46-48, 1190, Vienna, Austria.

Purpose: Thread release of the carpal tunnel is the most recent of several minimally invasive ultrasound-guided carpal tunnel release techniques. The purpose of this article is to provide a step-by-step guide for minimally invasive, ultrasound-guided thread release of the carpal tunnel focused on transecting the transverse carpal ligament with minimal damage to the palmar aponeurosis on anatomical specimens.

Methods: Fifteen ultrasound-guided carpal tunnel thread releases were performed on the wrists of soft-embalmed anatomical specimens, which were dissected immediately after the intervention.

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