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‘Synod’ and ‘synodality’ have become synonymous with Pope Francis. Since Pope Paul VI instituted the Synod of Bishops as a permanent office in 1965, there hasn't been any pontificate that has given these matters as much profile and attention as his has. Why is this the case, and what is Pope Francis’ vision for a synodal Church? More fundamentally, what is synodality, according to tradition of the Church, and Pope Francis? Several years into both local and global synodal-type processes and formation gatherings, it seems many people, even prominent Church leaders, readily admit that they still do not fully understand it. For this reason, this article sets out to provide a general overview and introduction.
In 2019, the World Health Organization (WHO) published the Health Emergency and Disaster Risk Management (H-EDRM) framework detailing how effective management of disasters, including mass-casualty incidents (MCIs), can be achieved through a whole-of-health system approach where each level of the health care system is involved in all phases of the disaster cycle. In light of this, a primary health care (PHC) approach can contribute to reducing negative health outcomes of disasters, since it encompasses the critical roles that primary care services can play during crises. Hospitals can divert non-severe MCI victims to primary care services by applying reverse triage (RT), thereby preventing hospital overloading and ensuring continuity of care for those who do not require hospital services during the incident.
Study Objective:
This study explores the topic by reviewing the literature published on early discharge of MCI victims through RT criteria and existing referral pathways to primary care services.
Methods:
A scoping literature review was performed and a total of ten studies were analyzed.
Results:
The results showed that integrating primary care facilities into disaster management (DM) through the use of RT may be an effective strategy to create surge during MCIs, provided that clear referral protocols exist between hospitals and primary care services to ensure continuity of care. Furthermore, adequate training should be provided to primary care professionals to be prepared and be able to provide quality care to MCI victims.
Conclusion:
The results of this current review can serve as groundwork upon which to design further research studies or to help devise strategies and policies for the integration of PHC in MCI management.
New data on the complete mitochondrial genome of Azygia robusta (Azygiidae) were obtained by the next-generation sequencing (NGS) approach. The mitochondrial DNA (mtDNA) of A. robusta had a length of 13 857 bp and included 12 protein-coding genes, two ribosomal genes, 22 transfer RNA genes, and two non-coding regions. The nucleotide sequences of the complete mitochondrial genomes of two A. robusta specimens differed from each other by 0.12 ± 0.03%. Six of 12 protein-coding genes demonstrated intraspecific variation. The difference between the nucleotide sequences of the complete mitochondrial genomes of A. robusta and Azygia hwangtsiyui was 26.95 ± 0.35%; the interspecific variation of protein-coding genes between A. robusta and A. hwangtsiyui ranged from 20.5 ± 0.9% (cox1) to 30.7 ± 1.2% (nad5). The observed gene arrangement in the mtDNA sequence of A. robusta was identical to that of A. hwangtsiyui. Codon usage and amino acid frequencies were highly similar between A. robusta and A. hwangtsiyui. The results of phylogenetic analyses based on mtDNA protein-coding regions showed that A. robusta is closely related to A. hwangtsiyui (belonging to the same suborder, Azygiida) that formed a distinct early-diverging branch relative to all other Digenea. A preliminary morphological analysis of paratypes of the two azygiid specimens studied showed visible morphological differences between them. The specimen extracted from Sakhalin taimen (Parahucho perryi) was most similar to A. robusta. Thus, we here provide the first record of a new definitive host, P. perryi, for A. robusta and also molecular characteristics of the trematode specimens.
Kernel regularized least squares (KRLS) is a popular method for flexibly estimating models that may have complex relationships between variables. However, its usefulness to many researchers is limited for two reasons. First, existing approaches are inflexible and do not allow KRLS to be combined with theoretically motivated extensions such as random effects, unregularized fixed effects, or non-Gaussian outcomes. Second, estimation is extremely computationally intensive for even modestly sized datasets. Our paper addresses both concerns by introducing generalized KRLS (gKRLS). We note that KRLS can be re-formulated as a hierarchical model thereby allowing easy inference and modular model construction where KRLS can be used alongside random effects, splines, and unregularized fixed effects. Computationally, we also implement random sketching to dramatically accelerate estimation while incurring a limited penalty in estimation quality. We demonstrate that gKRLS can be fit on datasets with tens of thousands of observations in under 1 min. Further, state-of-the-art techniques that require fitting the model over a dozen times (e.g., meta-learners) can be estimated quickly.
The full-scale invasion of Ukraine brought with it the criminalization of the free press in Russia and the bullying of independent reporters, exemplified by a red paint attack against Dmitry Muratov, one of the country’s foremost newspaper editors. The paint attack belongs to a cluster of wartime scenarios that make fluid use of “fake” blood and whose primary actors are not Kremlin cronies but antiwar protestors.
We conducted a scoping review to map and critically examine the knowledge, perceptions and utilization of generics and biosimilars, among physicians, pharmacists, patients, the general population, and other stakeholders from LAC.
A metasurface reflector-backed wideband planar antenna is designed for millimeter-wave (mmWave) applications. A simple meandering structure is used for radiation element design, while the back side consists of a partial ground plane and parasitic elements. The utilization of meander-shaped element led to small antenna dimensions. The partial ground plane is used to achieve wide bandwidth, while the parasitic elements are used to improve the impedance matching toward higher frequency bands. To achieve high gain and directional radiation characteristics, an array of metasurfaces is placed behind the radiating element. It is observed from the simulated results that the proposed antenna system offers 17.72 GHz of impedance bandwidth in the operating range of 22.28–40 GHz, while the measured impedance bandwidth is noted to be 15.8 GHz, ranging from 23 to 38.8 GHz. Furthermore, it is observed that a metasurface-based planar antenna tends to achieve a peak gain of ≈9 dBi in the band of interest.
The escalating adoption of wearable technology for health data monitoring has led to the real-time aggregation of personal information. This phenomenon has fuelled heightened apprehensions about data security and privacy, given the storage, processing, and sharing of personal health data by corporations. Regulatory frameworks have been enacted to safeguard individual privacy rights, as exemplified by the General Data Protection Regulation (GDPR). This research paper, by Ms Varda Mone and Ms Fayazullaeva Shakhlo, offers an overview of extant literature on privacy apprehensions concerning wearable devices, conducting an exhaustive review to discern pivotal privacy issues and proffer prospective remedies. Specifically, the paper delineates the ensuing privacy concerns associated with wearables. Predominantly, wearables introduce security vulnerabilities that may facilitate the misappropriation, compromise, or revelation of delicate health data. The copious health information amassed by wearables can be potentially sold or divulged to external parties’ sans user cognisance or consent. Furthermore, the deployment of wearable technology harbours the potential for discriminatory practices against those with disabilities or chronic ailments. Additionally, apprehensions pertaining to privacy and surveillance stem from the capacity of wearable devices to monitor and trace an individual's movements and activities. To conclude, the paper deliberates on plausible measures to address privacy concerns pertaining to wearable devices, encompassing: a) Fortifying the security apparatus of wearable devices, b) Amplifying user autonomy over their health data, and c) Regulating the collection and utilisation of user health data by wearables. The paper asserts that the amelioration of these privacy concerns is indispensable for leveraging wearable technology's potential to enhance human well-being while ensuring the preservation of personal privacy.
The recently published Tsinghua University bamboo manuscript *Wu ji 五紀 presents a manuscript copy that is riddled with curious irregularities, omissions, and mistakes in its text, punctuation, and the preparation of the slips. Only some of these mistakes were corrected by a proofreader, others reveal errors of misunderstanding by the scribe and/or punctuator. Furthermore, paratext that was included in a previous instantiation of the text was only preserved in paratextual notes in the present copy. An analysis of these aspects of the manuscript helps shed light on its potential status as a source and raises questions about the relationship between unearthed and transmitted texts more generally.