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Knowledge, behaviour and also behaviours in anti-biotic make use of and level of resistance amongst medical workers in France, 2019: analysis by a clustering method.
Bone fracture, formation and adaptation are related to mechanical strains in bone. Assessing bone stiffness and strain distribution under different loading conditions may help predict diseases and improve surgical results by determining the best conditions for long-term functioning of bone-implant systems. In this study, an experimentally wide range of loading conditions (56) was used to cover the directional range spanned by the hip joint force. Loads for different stance configurations were applied to composite femurs and assessed in a material testing machine. The experimental analysis provides a better understanding of the influence of the bone inclination angle in the frontal and sagittal planes on strain distribution and stiffness. The results show that the surface strain magnitude and stiffness vary significantly under different loading conditions. For the axial compression, maximal bending is observed at the mid-shaft, and bone stiffness is also maximal. The increased inclination leads to decreased stlant system in future study.In a high-stakes conflict or dilemma situation, observers often feel empathy for one side versus the other. Using a high-profile conflict situation in a world-renowned spectator sport (the US Open) as context, the authors of this study examined the roles of personality and social-cognitive factors, specifically agreeableness and social identification, on empathic concern towards three individuals (a focal actor or instigator, a target, and an "innocent" bystander) involved in an emotionally charged conflict situation. Results showed direct and indirect effects of agreeableness on identification with the focal actor and empathic concern towards the individuals involved in the conflict situation. Participants' social-cognitive processes of identification with the focal actor or instigator fully mediated the effect of personality trait of agreeableness on empathic concern towards the focal actor, whereas agreeableness was directly related to empathic concern towards the target and the bystander without (full) mediation by social identification. Gender differences were found with women reporting higher empathic concern and identification towards the female focal actor and lower empathic concern towards the male target in the conflict situation, suggesting potential automatic or implicit in-group bias. Study results highlight the complex integration of personality and social-cognitive processes, including intersectionality of social identities, in the dynamics of empathic reactions during high-stakes and emotionally charged conflict situations.Static assessment and grouping of riders by competition level are prevalent in equestrian coaching practice and research. This study explored sagittal pelvic tilt in 35 competitive dressage riders to analyse the relationship between static and dynamic postures and assess the interaction of competition level. Riders were assessed using optical motion capture on a riding simulator at halt and in walk, trot, and left and right canter. Mean, minimum and maximum pelvic tilt, and range of motion (ROM) were measured as the pitch rotation of a rigid body formed by markers placed on the rider's left/right anterior and posterior superior iliac spines and sacrum, averaged over six time-normalised strides. Three key results emerged (1) there are correlations between the rider's mean pelvic tilt in simulated walk, trot and canter, but not at halt; (2) mean pelvic tilt values are not significantly influenced by competition level (p = 0.233); and (3) the minimum and maximum pelvic tilt values illustrate individual strategies between gaits. Therefore, results from static assessment and grouping of riders by competition level should be interpreted with caution. Riders should be assessed as individuals, during dynamic riding-specific tasks, to understand their postural strategies.
Deep venous stenting with intravascular ultrasound (IVUS) guidance is gaining favour as the treatment modality of choice for symptomatic ilio-femoral venous occlusive disease. The aim was to determine the short-term patency and symptomatic relief gained using the Bard Venovo™ and Optimed Sinus Obliquus™ stents in the endovascular treatment of non-thrombotic iliac vein lesions (NIVL) and post-thrombotic venous obstruction (PTO) from two Asian tertiary vascular centres.

Sixty patients (males = 21/60 (35.0%); median age 67 years (interquartile range 54-77)) who underwent IVUS interrogation and ilio-femoral stenting (June 2018-May 2019) in two Asian centres were prospectively followed. Clinical improvement was determined by the revised Venous Clinical Severity Score (rVCSS), pain using the Visual Analogue Scale (VAS) and ulcer healing rate. Patency rates were evaluated using Duplex ultrasound and computer tomography venogram.

Seventy-one legs were interrogated and stented; 11/60 (18.3%) patients had a bilatdevice-related complications. Longer follow-up is awaited to see how these dedicated venous stents perform.
Use of Venovo™ and Sinus Obliquus™ stents for symptomatic ilio-femoral venous disease showed excellent six-month primary patency rate with no stent fractures. Androgen Receptor inhibitor There were significant clinical improvement and low-device-related complications. Longer follow-up is awaited to see how these dedicated venous stents perform.Young adults migrate more than older people. As populations in many countries get older, this may affect out-migration-and thus immigration to other countries. This is not usually accounted for in projections of future immigration, even though considerable ageing is expected globally. We show how United Nations projections of future age profiles in origin regions can be combined with those regions' emigration rates by age group to improve national projections of immigration to a destination country, exemplified by Norway. Using various methods for projecting future migration, we show that projected immigration tends to be lower when taking expected ageing in origin regions into account. This may have a considerable effect on population projections for Norway, taking changing age profiles in origin regions into account in immigration projections would have an effect on the projected population of Norway equivalent to that of reducing the fertility assumptions by 0.1 children per woman.
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