Limb salvage surgery (LSS) with megaprosthesis is a common treatment for distal femur tumors, but its impact on gait remains poorly understood. Traditional gait analysis methods are costly and require specialized equipment. This study aims to compare spatiotemporal gait parameters between patients with distal femur megaprosthesis and healthy controls using an inertial measurement unit (IMU). We conducted a case–control study with 79 participants: 31 patients with distal femur megaprosthesis and 48 healthy controls. Gait data were collected using an IMU placed at L5-S1, capturing metrics such as gait quality index (GQI), pelvic kinematics, propulsion index, and gait speed. Statistical analysis included Student’s t-test, Mann–Whitney U test, and one-way ANOVA to compare gait parameters across groups. Patients with megaprosthesis exhibited significantly lower gait speed, propulsion index and anteroposterior acceleration symmetry index compared to controls (p < .05). GQI was reduced in the healthy legs of the cases (92.3%) compared to control legs (96.6%). Adaptations included prolonged stance phases in healthy legs and decreased single support phases in prosthetic legs. Despite these changes, gait patterns remained within functional ranges. IMU-based gait analysis reveals significant but functional alterations in gait mechanics among patients with distal femoral megaprosthesis. These findings underscore the need for tailored rehabilitation strategies to address compensatory mechanisms, optimize mobility, and enhance long-term outcomes. The use of IMU technology offers a cost-effective and portable alternative for clinical gait assessments.

Common mental disorders (CMDs) are a leading cause of burden and disability globally. Approximately 75% of those living with CMDs reside in low- and middle-income countries (LMICs), and up to 90% of those needing mental health care do not receive it. The Friendship Bench is a task-sharing mental health intervention delivered by lay health workers (LHWs) that utilizes concepts of Problem-Solving Therapy. The aim of this systematic review is to identify and evaluate the barriers and facilitators to the implementation of research outcomes of the Friendship Bench and understand its systematic uptake to narrow the CMD treatment gap. We conducted a systematic review of articles that reported on the Friendship Bench in LMICs, CMDs, implementation research outcomes, and studies that utilized experimental, observational, or qualitative study designs. We identified articles using medical subject headings and keywords from APA PsycINFO, Cochrane, CINAHL, EMBASE, Global Health, OVID, PubMed/Medline, Science Direct, Web of Science, and Google Scholar in February 2023 and again in December 2023 to capture any additional articles. We screened 641 articles, and a total of 7 articles were included in the final analysis. All studies were conducted in Zimbabwe within the past 8 years, and across all the studies, all implementation research outcomes were reported. There is strong evidence that the Friendship Bench is acceptable, appropriate, and feasible to address the CMD treatment gap in Zimbabwe. Facilitators include that the Friendship Bench is culturally adaptable, utilizes trusted LHWs, and has relatively strong community and political buy-in. Conversely, barriers include a lack of a reliable mental health system, limitations in its ability to treat more serious mental conditions, and mental health stigma. There is an opportunity to explore the application of the Friendship Bench for CMDs in other countries and as a basis for novel task-sharing interventions for other health conditions.

Este artículo cuestiona la suposición común de que las organizaciones negras son inherentemente antirracistas, enfatizando la necesidad de explorar cómo esas organizaciones desarrollan perspectivas antirracistas que se integra en su trabajo y prácticas. A partir de una experiencia de trabajo con Sankofa Danzafro, este estudio analiza los resultados de seis laboratorios de danza realizados con niños, adolescentes y jóvenes afrocolombianos. Estos laboratorios culminaron en la creación de “Ancestros del Futuro”, una obra de danza inspirada en el afro-futurismo y el Black joy, interpretada por la compañía de danza afro contemporánea en Colombia. Esta investigación resalta cómo la perspectiva antirracista en la danza afro contemporánea se forma a través de una combinación única de estéticas que emergen de prácticas de danza rutinarias y una dimensión afectiva que evoluciona en momentos clave en las trayectorias de vida de los bailarines. Esta fusión desafía los discursos antirracistas dominantes que generalmente enmarcan el antirracismo como una agenda programática estática, presentándolo en cambio como una conciencia política-afectiva dinámica desarrollada mediante un compromiso reflexivo con el cuerpo a través de la danza.

Adults have an interconnected lexicon in which two words are related because their referents belong to the same semantic category, because they occur in the same context, or both. This interconnection has been explored by means of the priming effect, in which people respond more rapidly to related than to unrelated words and benefit from the lexical boost when the two types of interconnections are combined. Although substantial research has reported on the memory problems of people diagnosed with Alzheimer’s disease (AD), it remains unknown whether they experience problems with related words at these levels of comprehension. This study analyzed the lexical networks of older adults with AD and typically aging (TA) adults to understand their semantic memory related to word associations. We tested combined taxonomic-thematic, purely taxonomic, and purely thematic relationships using an eye tracker to analyze fixations to a named target picture preceded by a related or unrelated prime word. Participants with TA showed a priming effect in all three types of relationships, but those with AD showed this effect only with purely thematic pairs. Words that share more than one level of relationship seem to create competition, revealing a deficit in the lexical networks of people with AD.

A new species of bothriocephalid cestode in the genus Anantrum is described from the intestine of the shorthead lizardfish Synodus scituliceps from the north Pacific coast of Costa Rica. The new species is described based on an integrative taxonomic approach that includes the use of light and scanning electron microscopy, 28S rDNA sequencing, and phylogenetic analysis. Anantrum gallopintoi sp. nov. is the third known member of this genus and can be distinguished from A. tortum (Linton, 1905) and A. histocephalum Jensen & Heckmann, 1977 by a combination of morphological and ecological traits and, in particular, by having a vaginal sphincter, different number of testes, and different type host and type locality. The molecular analysis and the phylogenetic reconstructions supported its status as a new taxon placing it within a well-supported separate branch of Anantrum spp. subclade. According to the present finding, S. scituliceps represents a new host record and Costa Rica a new geographical record for Anantrum species, and, in general, for a bothriocephalid cestode.

A new species of trematode of anaporrhutine gorgoderid, from the gill chambers of the Munda round ray Urotrygon munda in Costa Rica is described, based on an integrative taxonomic approach that includes the use of light and scanning electron microscopy, ITS2 and 28S rDNA sequencing, and phylogenetic analysis. Anaporrhutum mundae sp. nov. can be distinguished from congeneric species by a combination of morphological traits and particularly by having the genital pore opening at the level of the intestinal bifurcation. The new species also can be distinguished from all other species of Anaporrhutum, except A. euzeti Curran, Blend & Overstreet, 2003, by having fewer testicular follicles per testis. Anaporrhutum mundae sp. nov. also differs from A. euzeti in its forebody shape and by having different morphology and location of the vitellaria. The study of the tegumental surface of A. mundae sp. nov., as revealed by scanning electron microscopy, allowed detection of new morphological characters for a member of Anaporrhutinae that may be of taxonomic value. These are: a stylet cavity dorsal to the oral sucker with a large penetration gland opening on each side of the cavity and small penetration gland openings located ventral to the stylet cavity, arranged in a circle around the mouth. This represents the first record of an Anaporrhutum species from Costa Rica. Further, A. mundae sp. nov. represents the first parasite described or reported in this host.

As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study’s intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.

Our main objective was to analyze the role of imageability in relation to the age of acquisition (AoA) of nouns and verbs in Spanish-speaking children with Down syndrome (DS) and their peers with typical development (TD). The AoA of nouns and verbs was determined using the MacArthur-Bates CDIs adapted to the profile of children with DS. The AoA was analyzed using a linear mixed-effect model, including factors of imageability, group, and word class, and controlling for word frequency and word length. This analysis showed that high imaginable and short words were acquired early. Children with DS acquired the words later than TD peers. An interaction between imageability and group indicated that the effect of imageability was greater in the DS group. We discuss this effect considering DS children’s phonological memory difficulties. The overall results confirm the role that imageability and word length play in lexical acquisition, an effect that goes beyond word class.

Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the Entre Nosotras intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of Entre Nosotras that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. This comparative effectiveness design may be a model for identifying effective components of psychosocial interventions.