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Sustainability of ‘mHealth’ interventions in sub-Saharan Africa: A stakeholder analysis of an electronic community case management project in Malawi

BackgroundThe global health community and funding agencies are currently engaged in ensuring that worthwhile research-based programmes are sustainable. Despite its importance, few studies have analysed the sustainability of global health interventions. In this paper, we aim to explore barriers and facilitators for the wider implementation and sustainability of a mobile health (mHealth) interventio

An Economic Model for Estimating Trial Costs with an Application to Placebo Surgery Trials

Background and Objective: Waste in clinical trials remains rife. We developed an economic model to predict the cost of trials based on input costs, duration, power, number of sites, recruitment eligibility and consenting rates. Methods: We parameterised the model for three proxy placebo-controlled surgical trials using data from a systematic review, a bespoke cost survey, and from the literature.

Energy Efficiency in Meat Processing

Energy conservation plays a vital role towards sustainable development of meat processing. Energy costs for many meat plants represent the fourth highest operational cost. In meat processing, moderate levels of both electrical and thermal energy are consumed in wide range of processes and applications. However, energy efficiency improvement in the meat processing industry have been a focus to incr

Intensiva regn i Malmö

Kortvariga intensiva regn med varaktighet upp till en timme åren 1980–2007 från nederbördsmätare i Malmöhar analyserats för att finna intensiteter med lång återkomsttid. Oberoende observationer för olika stationer harsammanförts till en serie till vilken sannolikhetsfördelningar anpassats. Korttidsregnmätningars tillförlitlighetdiskuteras. De extrema händelserna har behandlats individuellt. För atShort-term intensive storms of duration up to an hour the years 1980–2007 from rain gauges in Malmö havebeen analyzed to find intensities of long return periods. Non-dependent observations from different stationshave been combined into a series to which probability functions have been adjusted. The extreme events havebeen investigated individually. The reliability of rain measurements is discussed

The External Dimensions of the European Union's Autocracy Crisis

This contribution analyses the external dimensions of the EU’s autocracy crisis. It argues that the internal and external dimensions of the crisis, and those relating to accession, are interlinked, and that more genuine social democracy, human rights, and rule of law would help address the crisis. It concludes that a paradigm shift to a holistic approach is needed to understand and address the cau

Weight change patterns and healthcare costs in patients with newly-diagnosed type-2 diabetes in Sweden

Aims To describe weight-change pathways in patients with type 2 diabetes (T2D) and associated healthcare costs using repeated BMI measurements and healthcare utilization data. Methods Patients with newly-diagnosed T2D with body mass index (BMI, kg/m2) at diagnosis and subsequent measures at year 1–3 were identified. Based on three-year BMI change, patients were assigned to one of 27 BMI change pat

Toward classification criteria for early osteoarthritis of the knee

Objective: To propose draft classification criteria for early stage osteoarthritis (OA) of the knee for use in a primary care setting. Methods: A group of basic scientists, physician-scientists, rheumatologists, orthopedic surgeons, and physiotherapists in a workshop setting discussed potential classification criteria for early osteoarthritis of the knee. The workshop was divided into sessions aro

Stroke doctors : Who are we? A World Stroke Organization survey

Background Specialist training provides skilled workforce for service delivery. Stroke medicine has evolved rapidly in the past years. No prior information exists on background or training of stroke doctors globally. Aims To describe the specialties that represent stroke doctors, their training requirements, and the scientific organizations ensuring continuous medical education. Methods The World