Provider Perspectives on LGBTQ+ Youth Homelessness in Delaware.

Objective: This article details the results of focus groups with providers who work with LGBTQ+ youth experiencing or at risk of experiencing homelessness in Delaware.

Methods: Researchers interviewed 16 service providers in four focus groups held between May 24, 2023 and June 5, 2023. Providers included housing support specialists, social workers, community health workers, school counselors, mental health care providers, and other community-service-based practitioners.

Does neuropathic low back pain negatively influence work capacity? A cross-sectional study among Hungarian workers.

Low back pain (LBP) is a leading cause of disability worldwide and neuropathic low back pain (NLBP) represents a subset of LBP that involves nerve injury or dysfunction. This condition has been shown to have significant impacts on physical, psychological, and social well-being. The aim of our study was to investigate the association of NLBP on Work Ability Index (WAI) among postal delivery workers taking many covariates into account.

Diversity Drivers of Inland Saline Vegetation-What Unites Them and Divides Them?

The current knowledge on vegetation of salt-affected habitats has been advanced, calling for a supra-regional assessment. We evaluate the common and distinct features of inland saline/alkaline landscapes of temperate Europe in terms of floristic composition, vegetation types, and abiotic conditions to find out what are the main drivers of their spatial variability and diversity. We delineate 13 subregions with a high occurrence of inland saline/alkaline habitats and by utilizing extensive field surveys in the past 20 years we analyze factors presumably affecting their variability: the size of the area, its proximity to the seacoast, and bioclimatic variables.

Comparison of risk of malignancy and predictive value of diagnostic categories defined by Papanicolaou Society of Cytopathology system and WHO reporting system for pancreaticobiliary cytopathology in solid pancreatic lesions.

Background: The standardized diagnostic categories defined by the World Health Organization (WHO) reporting system support the interdisciplinary interpretation of cytological findings in the management of pancreatic cancer.

Objective: To compare this classification to the Papanicolaou Society of Cytopathology (PSC) system in terms of predictive value and risk of malignancy (ROM) in solid pancreatic lesions.

Design: Retrospective cohort study.

Long-term outcomes after endoscopic removal of malignant colorectal polyps: Results from a 10-year cohort.

Background: Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging, and evidence regarding a surveillance-only strategy is limited.

Aim: To evaluate long-term outcomes after endoscopic removal of malignant colorectal polyps.

Methods: A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020.

[Analysis of efficacy and safety of colonoscopic screening program at the University of Szeged and the Bács-Kiskun County Teaching Hospital between 2019 and 2022].

Introduction: The Hungarian population-based colorectal screening program was initiated in 2019 for asymptomatic individuals aged between 50 and 70, aiming to prevent the development of colorectal cancer. Objective: The study aimed to examine the quality indicators, outcome indicators, and safety of colonoscopies conducted at the University of Szeged and the Bács-Kiskun County Teaching Hospital within the context of the screening program, aligning with Hungarian professional guidelines. Methods: In this non-intervention, observational cohort study, we utilized prospectively collected data from the National Public Health Center register, supplemented retrospectively with data from the hospital information system.

Effects of different types of vegetation cover on soil microorganisms and humus characteristics of soda-saline land in the Songnen Plain.

Introduction: In the soda-saline grasslands of the Songnen Plain, Jilin Province, China, the prohibition of grazing has led to significant changes in plant communities and soil properties. However, the intricate interplay between soil physical and chemical attributes, the soil microbial community, and their combined influence on soil humus composition remains poorly understood.

Methods: Our study aimed to evaluate the impact of natural vegetation restoration on soil properties, microbial community diversity, and composition in the soda-saline soil region of the Songnen Plain.

Risk Factors and Interpretation of Inconclusive Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology in the Diagnosis of Solid Pancreatic Lesions.

Background: The inconclusive cytological findings of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) remain a major clinical challenge and often lead to treatment delays.

Methods: Patients who had undergone EUS-FNA sampling for solid pancreas lesions between 2014 and 2021 were retrospectively enrolled. The "atypical" and "non-diagnostic" categories of the Papanicolaou Society of Cytopathology System were considered inconclusive and the "negative for malignancy" category of malignancy was suspected clinically.

LGBTQ+ Youth Homelessness in Delaware:: Building a Case for Targeted Surveillance and Assessment of LGBTQ+ Youth Needs and Experiences.

Objective: In this article, we examine the issue of LGBTQ+ youth homelessness in Delaware, summarize current services available and prior research work that has been done, examining the number, needs, and experiences of unaccompanied unhoused LGBTQ+ youth.

Methods: We provide a literature review detailing risks associated with LGBTQ+ youth homelessness, resources available, and prior studies and surveys examining this population.

Results: LGBTQ+ youth experiencing homelessness are particularly vulnerable to physical and mental health challenges, abuse, and violence.

[Endoscopic ultrasound in the lower gastrointestinal tract].

Endoscopic ultrasound is a minimally invasive modality that combines endoscopy with ultrasound, providing a possibility to visualize the wall of the gastrointestinal tract and adjacent tissues and organs. Since the development of the modality in the 1980s, advancements in endoscopic ultrasound technology have led to increasingly broadening indications: besides diagnostic indications, therapeutic indications have also expanded greatly. According to recent guidelines regarding rectal cancer staging, rectal ultrasonography is mainly considered to be a secondary imaging modality compared to magnetic resonance imaging.

Reclamation effects of distinct volumes and concentrations of CaCl-amended brackish ice in different saline-sodic soils.

The proper usage of marginal soil and water resources has major implications for the sustainability of agriculture, such as brackish water and saline-sodic soils. The saline soils can be ameliorated though melting process of calcium-containing brackish ice, however, the optimum concentration and volume of brackish ice (water) for the reclamation of different saline-sodic soils remain to be determined. In this study, 108 soil columns representing four Ice salinity levels (16, 26, 36, 46 mmol L) and three Pore Volumes (2/3, 1.

Long-Term Efficacy and Safety of Left Atrial Appendage Closure Procedures.

The aim of the present single-center, nonrandomized, retrospective study was to assess the safety and long-term efficacy of percutaneous left atrial appendage closure (LAAC) procedures and to compare the different LAAC devices and therapeutic regimes in this respect.Medical data of 136 patients (pts) (mean age, 72.5 ± 7.

Comparison of therapeutic efficacy and treatment costs of self-expandable metal stents and plastic stents for management of malignant biliary obstruction.

Background: According to the European Society of Gastrointestinal Endoscopy guidelines, self-expandable metal stents (SEMSs) are preferable to plastic stents (PSs) in the management of pancreatic cancer, regardless of cancer stage. The aim of this study was to compare the therapeutic efficacy and treatment costs of SEMS and PS in the management of malignant biliary obstruction.

Methods: One hundred and thirty-five patients who underwent endoscopic stent placement were retrospectively enrolled and divided into PS (41 patients), primary SEMS (39 patients) and secondary SEMS (55 patients) groups.

[Infection risk related to gastrointestinal endoscopic procedures during the SARS-CoV-2 pandemic].

Introduction: COVID–19 significantly affects endoscopic labs’ workflow. Endoscopic examinations are considered high-risk for virus transmission. Objectives: To determine impact of COVID–19 pandemic on Hungarian endoscopic labs’ workflow and on infection risk of endoscopic staff.

Existence of a Long-Range Caudo-Rostral Sensory Influence in Terrestrial Locomotion.

In multisegmented locomotion, coordination of all appendages is crucial for the generation of a proper motor output. In running for example, leg coordination is mainly based on the central interaction of rhythm generating networks, called central pattern generators (CPGs). In slower forms of locomotion, however, sensory feedback, which originates from sensory organs that detect changes in position, velocity and load of the legs' segments, has been shown to play a more crucial role.

Soil bacterial microbiota predetermines rice yield in reclaiming saline-sodic soils leached with brackish ice.

Background: Saline-sodic lands threaten the food supply and ecological security in the western Songnen Plain of northeast China, and the gypsum is commonly adopted for restoration. However, the dynamics of soil bacterial community and the correlation with crop yield during restoring processes remain poorly understood. Here, we elucidated the soil chemical properties and bacterial communities and their associations with rice yield under different flue gas desulphurization gypsum (FGDG) application rates combined with brackish ice leaching.

Current Condition of Pannonic Salt Steppes at Their Distribution Limit: What Do Indicator Species Reveal about Habitat Quality?

Little is known about the suite of ecological conditions under which characteristic species may continue to develop under the pressure of recent habitat deterioration. We aimed to determine the niche of three indicator species of the priority habitat Pannonic salt steppes and to find out how their vegetation composition, land use, and soil chemistry mirror the current condition of their typical habitat. A plot-based vegetation survey was conducted in degraded and in pristine (reference) inland salt steppes in East-Central Europe.

Effect of COVID-19 pandemic on workflows and infection prevention strategies of endoscopy units in Hungary: a cross-sectional survey.

Background: Health care professionals in endoscopic labs have an elevated risk for COVID-19 infection, therefore, we aimed to determine the effect of current pandemic on the workflow and infection prevention and control strategies of endoscopy units in real-life setting.

Methods: All members of Hungarian Society of Gastroenterology were invited between 7 and 17 April 2020 to participate in this cross-section survey study and to complete an online, anonymous questionnaire.

Results: Total of 120 endoscopists from 83 institutes were enrolled of which 35.

Efficacy, tolerability and safety of a split-dose bowel cleansing regimen of magnesium citrate with sodium picosulfate - a phase IV clinical observational study.

Background: There are contradictory results about the effect of magnesium citrate plus sodium picosulfate bowel cleansing agents on the fluid and electrolyte balance. Therefore, this study aimed to determine the efficacy, tolerability and safety of this medication in colonoscopy preparation.

Methods: 233 patients were enrolled in this phase IV prospective observational study.

[Long-term follow-up of inflammatory bowel disease patients receiving anti-tumor necrosis factor-alpha therapy].

Unlabelled: Összefoglaló. Bevezetés: A gyulladásos bélbetegségek kezelésében a tumornekrózisfaktor-alfa-ellenes (anti-TNFα) antitestek elsődleges választási lehetőséget jelentenek a kortikoszteroid- és immunmoduláns kezelésre refrakter páciensek kezelési stratégiájában. Ezek a hatóanyagok hatékonyak, ám hosszú távú hatásosságukkal kapcsolatban sok az ellentmondás.

Amendments to saline-sodic soils showed long-term effects on improving growth and yield of rice ( L.).

Background: Saline-sodic soils are widely distributed in arid and semi-arid regions around the world. High levels of salt and sodium inhibit the growth and development of crops. However, there has been limited reports on both osmotic potential in soil solutions (OP) and characteristics of Na and K absorption in rice in saline-sodic soils under various amendments application.

Real-life efficacy of vedolizumab on endoscopic healing in inflammatory bowel disease - A nationwide Hungarian cohort study.

: GEMINI trials demonstrated the therapeutic efficacy of vedolizumab (VDZ) in Crohn's disease (CD) and ulcerative colitis (UC).: Aim of this study was to determine the real-life effectiveness of VDZ on endoscopic healing in the Hungarian nationwide cohort of inflammatory bowel disease (IBD) patients based on the changes on clinical and endoscopic scores. Every adult IBD patient in the country (121 UC and 83 CD) who completed the short-term VDZ therapy was enrolled, of which 72 UC and 52 CD patients could complete the long-term therapy.

Unravelling intra- and intersegmental neuronal connectivity between central pattern generating networks in a multi-legged locomotor system.

Animal walking results from a complex interplay of central pattern generating networks (CPGs), local sensory signals expressing position, velocity and forces generated in the legs, and coordinating signals between neighboring legs. In particular, the CPGs control the activity of motoneuron (MN) pools which drive the muscles of the individual legs and are thereby responsible for the generation of rhythmic leg movements. The rhythmic activity of the CPGs as well as their connectivity can be modified by the aforementioned sensory signals.

A kinematic model of stick-insect walking.

Animal, and insect walking (locomotion) in particular, have attracted much attention from scientists over many years up to now. The investigations included behavioral, electrophysiological experiments, as well as modeling studies. Despite the large amount of material collected, there are left many unanswered questions as to how walking and related activities are generated, maintained, and controlled.