Malawi is one of the countries experiencing an unprecedented HIV/AIDS epidemic in an environment where malnutrition is rampant. In 2001 Malawi started providing ARVs to HIV patients. This ARV programme is now being scaled up to cover the whole country. Since underlying malnutrition is associated with adverse ART outcomes, the Malawi government commissioned a study to design a programme for integrating nutrition in the ARV scale up plan. This study used a Participatory qualitative research methodology. The study recommends that nutritional support should include therapeutic feeding, food supplements and take home ration and proposes a clear enrolment and discharge criteria.
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http://dx.doi.org/10.4314/mmj.v20i3.10961 | DOI Listing |
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January 2025
National and Local Joint Engineering Laboratory for Lithium-ion Batteries and Materials Preparation Technology, Key Laboratory of Advanced Battery Materials of Yunnan Province, Faculty of Metallurgical and Energy Engineering, Faculty of Materials Science and Engineering, Kunming University of Science and Technology, Kunming, 650093, China.
Owing to its abundant manganese source, high operating voltage, and good ionic diffusivity attributed to its 3D Li-ion diffusion channels. Spinel LiMnO is considered a promising low-cost positive electrode material in the context of reducing scarce elements such as cobalt and nickel from advanced lithium-ion batteries. However, the rapid capacity degradation and inadequate rate capabilities induced by the Jahn-Teller distortion and the manganese dissolution have limited the large-scale adoption of spinel LiMnO for decades.
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January 2025
College of Petroleum Engineering, Liaoning Petrochemical University, Fushun, China.
The laminae of varying lithologies are characteristic of shale oil reservoirs, with their pronounced heterogeneity and fluid-solid coupling significantly impacting oil productivity. To this end, this study initially quantified the permeability and mechanical heterogeneity in lamina-developed shale through permeability tests and quasi triaxial mechanical experiments on shale cores from different orientations in the Jiyang Depression. These tests revealed marked brittleness in horizontally oriented cores and elasticity in vertically oriented cores.
View Article and Find Full Text PDFProblemThe U.S. physician scholar workforce, currently comprising less than 1.
View Article and Find Full Text PDFRev Med Chil
July 2024
Servicio de Neurología, Complejo Asistencial Barros Luco Trudeau, Santiago, Chile.
Unlabelled: Multiple sclerosis (MS) is a pathology that mainly affects the young population, causing irreversible disability without treatment. The national multiple sclerosis program improves access to diagnosis, treatment, and prognostic of patients with relapsing-remitting multiple sclerosis (RRMS).
Aim: Describe the biggest cohort of patients with RRMS in the Chilean public health system, analyze the impact of the national program in the clinical evolution and the diagnostic opportunity (time in years between the first outbreak and entry into the program) before and after 2010, date of incorporation of the pathology to the explicit health guarantees program (GES) of the Ministry of Health (MINSAL).
Heliyon
December 2024
Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N. Pepper Ave, Colton, CA, 92324, USA.
Background: Large language models (LLMs) such as ChatGPT-4 (CG4) are proving to be valuable tools in the medical field, not only in facilitating administrative tasks, but in augmenting medical decision-making. LLMs have previously been tested for diagnostic accuracy with expert-generated questions and standardized test data. Among those studies, CG4 consistently outperformed alternative LLMs, including ChatGPT-3.
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