Plos One
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Armed conflicts affect more than one in 10 children globally. While there is a large literature on mental health, the effects of armed conflict on children's physical health and development are not well understood. This systematic review summarizes the current and past knowledge on the effects of armed conflict on child health and development. ⋯ The available data document the pervasive effect of conflict as a form of violence against children and a negative social determinant of child health. There is an urgent need for research on the mechanisms by which conflict affects child health and development and the relationship between physical health, mental health, and social conditions. Particular priority should be given to studies on child development, the long term effects of exposure to conflict, and protective and mitigating factors against the harmful effects of armed conflict on children.
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Robust Artificial-neural-networks for k-space Interpolation (RAKI) is a recently proposed deep-learning-based reconstruction algorithm for parallel imaging. Its main premise is to perform k-space interpolation using convolutional neural networks (CNNs) trained on subject-specific autocalibration signal (ACS) data. Since training is performed individually for each subject, the reconstruction time is longer than approaches that pre-train on databases. In this study, we sought to reduce the computational time of RAKI. ⋯ The proposed implementations of RAKI bring the computational time towards clinically acceptable ranges. The new CNN architecture yields faster training, albeit at a slight performance loss, which may be acceptable for faster visualization in some settings.
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Comparative Study
Resource consumption of multi-substance users in the emergency room: A neglected patient group.
Multi-substance use is accompanied by increased morbidity and mortality and responsible for a large number of emergency department (ED) consultations. To improve the treatment for this vulnerable group of patients, it is important to quantify and break down in detail the ED resources used during the ED treatment of multi-substance users. ⋯ ED consultations of multi-substance users are expensive and resource intensive. Multi-substance users visited the ED more often and stayed longer at the ED and in-hospital. The findings of our study underline the importance of this patient group. Additional efforts should be made to improve their ED care. Special interventions should target this patient group in order to decrease the high frequency and costs of emergency consultations caused by multi-substance users.
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Comparative Study Observational Study
Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China.
Malnutrition is very common in elderly patients admitted to the hospital. The aim of our study is to assess the nutritional status of elderly patients and the use of nutritional support in a tertiary care hospital in China and to analyze the impacts of nutritional status and nutritional support on clinical outcomes. ⋯ Undernourishment and nutritional risk in elderly patients at hospital admission is a common occurrence. In the current study, the nutritional risk rate in the Gastroenterology department was higher than in other departments. Patients with normal nutritional status were still receiving nutritional support. Overall, there is a need to better apply nutritional support in the clinical treatment of elderly patients. In elderly patients with nutritional risk and malnutrition, nutritional support reduced the length of hospital stay and the incidence of infectious complications.
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Appropriate management of people exposed in the home to tuberculosis is essential to prevent morbidity. These household contacts, particularly children, should receive preventive therapy to prevent them from falling ill. However, few people receive preventive therapy worldwide. We sought to determine whether a community-based accompaniment intervention could improve tuberculosis contact management. ⋯ Accompaniment of TB patient households greatly improved the evaluation of household contacts for TB and increased the use of preventive therapy.