Limited Mobility Research Articles

Impact of Graphene Nano particles on static and dynamic mechanical properties of basalt-glass fibre reinforced epoxy polymer hybrid composites

ABSTRACT This paper investigates the structure-property relationships in basalt – glass fabric reinforced hybrid polymer composites doped with graphene nanoplatelets. Basalt Glass fabrics were reinforced with 0.2 wt.% − 0.8 wt.% graphene using hand layup and compression moulding to fabricate laminated plates. The mechanical, morphological, and thermomechanical properties were characterised using tensile, flexural, impact, SEM, FTIR, XRD, and DMA testing. Results showed that low graphene loadings of 0.2 wt.% − 0.4 wt.% led to small, isolated graphene platelets decorating the basalt fibres. At 0.8 wt.% loading, extensive wrinkling, folding, and stacking of graphene sheets on the basalt was observed. FTIR revealed increasing sp2 C=C vibrations and XRD showed rising graphene peak intensities with higher loadings. While tensile and flexural strengths improved up to 0.6 wt.% graphene due to efficient stress transfer, impact energy increased consistently until 0.8 wt.% graphene owing to reinforcement effects. DMA exhibited enhanced storage modulus and restricted mobility with more graphene. An optimum graphene loading of 0.6 wt.% was found to maximise the mechanical performance through uniform dispersion and strong interfacial adhesion. The results demonstrate that graphene incorporation can substantially augment the strength, toughness, and thermomechanical properties of the composites at appropriate compositions prior to aggregation.

At a glance: pressure injuries.

Pressure injuries, also known as pressure ulcers or 'bed sores', are caused by prolonged pressure on the skin and underlying tissues and are common in healthcare settings. They result from a variety of factors including pressure, moisture and friction, with a higher risk among older adults, post‑surgical patients and those with limited mobility or long‑term conditions. These injuries can extend hospital stays and significantly impact patient recovery and mortality risk. Prevention includes regular repositioning, the use of pressure‑relieving devices, skin care and nutritional support. The National Institute for Health and Care Excellence provides guidelines to mitigate these risks through systematic risk assessments and targeted interventions. Early detection and specialist care by a multidisciplinary team are crucial to improving patient outcomes. Consistent pplication of prevention strategies are needed to reduce incidence, improve patient care and alleviate the economic burden of thesex injuries on the NHS.

Study of the Psychological Condition of Students Living in Border Conflict Regions

Since the 1990s, the conflicts and destructive processes that began in Abkhazia and South Ossetia have remained a major crisis for the population of Georgia. For nearly 30 years, the populations of both regions, governed by powerful Russian influence and de facto authorities, have been isolated from the rest of Georgia. The lack of social and intensive interactions, limited communication, and ideological confrontations have further distanced Georgians, Abkhazians, and Ossetians from one another. Under conditions of constant fear, socio-economic hardship, and restricted mobility, protecting the rights of students living in border and conflict regions, ensuring access to essential services, and addressing their mental health remain significant challenges for Georgian society. Students are a crucial part of society who can not only participate in processes of change and development but also become initiators of transformative processes. Given that mental health is linked to an individual’s psychosocial and physical well-being, studying students' mental health is important not only in terms of their knowledge and skills but also in terms of assessing their psychological condition and providing appropriate responses. Therefore, the aim of this study is to examine the psychological condition of students living in border conflict regions. To achieve this goal, the research utilized instruments adapted for the Georgian population, including the Death Anxiety Scale (DAS), Life Orientation Test–Revised (LOT-R), Patient Health Questionnaire-9 (PHQ-9), and PROMIS Emotional Distress—Anxiety—Short Form. By employing these tools, it became possible to analyze the mental health challenges faced by students in border conflict regions and identify differences in their psychological conditions based on specific characteristics.

Safety in Wearable Robotic Exoskeletons: Design, Control, and Testing Guidelines

Abstract Exoskeletons, wearable robotic devices designed to enhance human strength and endurance, find applications in various fields such as healthcare and industry; however, stringent safety measures should be adopted in such settings. This paper presents a comprehensive exploration of challenges associated with exoskeleton technology, ranging from mechanical issues to regulatory and ethical considerations. The enumerated challenges include joint hyper-extension or flexion, rapid or sudden motion, misalignment, fit, and comfort issues, mechanical failure, weight and mobility limitations, environmental challenges, power supply issues, high energy consumption and regeneration, fall risk or stability concerns, sensor failures, control algorithm malfunctions, machine-learning model challenges, communication disconnection, actuator malfunctions, unexpected human–robot interactions, and regulatory and ethical considerations. The paper outlines possible risks and suggests practical solutions based on design, control, and testing methods for each challenge. The objective is to offer a guideline for developers and users, emphasizing safety, reliability, and optimal performance in the ever-evolving landscape of exoskeleton technology. The guideline covers preoperation checks, user training, emergency response, real-time monitoring, and user interaction to ensure responsible innovation and user-centricity in exoskeleton development and deployment.

City mobility patterns during the COVID-19 pandemic: analysis of a global natural experiment.

During the COVID-19 pandemic, changes were seen in city mobility patterns around the world, including in active transportation (walking, cycling, micromobility, and public transit use), creating a unique opportunity for global public health lessons and action. We aimed to analyse a global natural experiment exploring city mobility patterns during the pandemic and how they related to the implementation of COVID-19-related policies. We obtained data from Apple's Mobility Trends Reports on city mobility indexes for 296 cities from Jan 13, 2020 to Feb 4, 2022. Mobility indexes represented the frequency of Apple Maps queries for driving, walking, and public transit journeys relative to a baseline value of 100 for the pre-pandemic period (defined as Jan 13, 2020). City mobility index trajectories were plotted with stratification by country income level, transportation-related city type, population density, and COVID-19 pandemic severity (SARS-CoV-2 infection rate). We also synthesised global pandemic policies and recovery actions that promoted or restricted city mobility and active transportation (walking, cycling and micromobility, and public transit) using the Shifting Streets dataset. Additionally, a natural experiment on a global scale evaluated the effects of new active transportation policies on walking and public transit use in cities around the world. We used multivariable regression with a difference-in-difference (DID) analysis to explore whether the implementation of walking or public transit promotion policies affected mobility indexes, comparing cities with and without implementation of these policies in the pre-intervention period (Jan 27 to April 12, 2020) and post-intervention period (April 13 to June 28, 2020). Based on city mobility index trajectories, we observed an overall decline in mobility indexes for walking, driving, and public transit at the beginning of the pandemic, but these values began to increase in April, 2020. Cities with lower population densities generally had higher driving and walking indexes than cities with higher population density, while cities with higher population densities had higher public transit indexes. Cities with higher pandemic severity generally had higher driving and walking indexes than cities with lower pandemic severity, while cities with lower pandemic severity had higher public transit indexes than other cities. We identified 587 policies in the dataset that had known implementation dates and were relevant to active transportation, which included 305 policies on walking, 321 on cycling and micromobility, and 143 on public transit, across 230 cities within 33 countries (19 high-income, 11 middle-income, and three low-income countries). In the global natural experiment (including 39 cities), implementation of policy interventions promoting walking was significantly associated with a higher absolute value of the walking index (DID coefficient 20·675 [95% CI 8·778-32·572]), whereas no such effect was seen for public transit-promoting policies (0·600 [-13·293 to 14·494]). Our results suggest that the policies implemented to mitigate the COVID-19 pandemic were effective in changing city mobility patterns, especially increasing active transportation. Given the known benefits of active transportation, such policies could be maintained, expanded, and evaluated post pandemic. The discrepancy in the interventions between countries of different incomes highlights that changes to the infrastructure to prioritise safe walking, cycling, and easy access to public transit use could help with the future-proofing of cities in low-income and middle-income countries. None.

Pattern-based Remote Switch for Domestic and Technological Operations

Abstract: This research explores the development of a remote-control system for domestic appliances using user-drawn patterns on a grid, aiming to provide an intuitive and accessible control method. The system is designed around a 3x3 grid of infrared (IR) LEDs and receivers that detect patterns drawn by the user with a finger or stylus. Each grid coordinate is mapped to a specific action, such as turning lights on or off or adjusting the speed of a fan. The detected patterns are transmitted to a NodeMCU ESP8266 microcontroller, which decodes the patterns and activates the corresponding appliance through Wi-Fi commands and relays. The innovative aspects of this system include its simple and intuitive interaction method, allowing users to define custom patterns for various actions, which enhances personalized control. The pattern-based interaction is particularly beneficial for individuals with limited dexterity or mobility, offering an accessible alternative to traditional remote controls. This project demonstrates the potential of combining hardware components, such as IR LEDs and receivers, with embedded C programming to create a user-friendly and efficient home automation solution. The proposed system not only simplifies the user experience but also provides a flexible and customizable interface for controlling domestic appliances.

Agricultural payment mechanisms, medical cost anxiety, and incomemobility in China

This study investigates the relationship between agricultural payment mechanisms, medical cost anxiety, and income mobility in China. The study made use of the World Bank (2021) Global Financial Inclusion data. Utilizing a range of figures to visually represent data trends and relationships, the study reports how agricultural payment mechanisms relate to income mobility while accounting for the impact of medical cost anxiety. The findings reveal that while agricultural payments positively affect income mobility, their effectiveness is significantly dampened by the presence of high medical expenses. Households that receive agricultural payments but face substantial healthcare costs tend to experience limited upward mobility compared to those with lower medical expenditures. The study concludes that to improve income mobility in rural China, policy interventions must address both agricultural productivity and healthcare affordability. A dual approach that integrates agricultural subsidies with healthcare reforms is recommended, focusing on expanding access to affordable healthcare, reducing out-of-pocket expenses, and strengthening social safety nets.

АНАЛИЗ ПРАКТИЧЕСКИХ АСПЕКТОВ СОВЕРШЕНСТВОВАНИЯ ПРОФЕССИОНАЛЬНОЙ КОМПЕТЕНТНОСТИ ФАРМАЦЕВТИЧЕСКИХ РАБОТНИКОВ В ОБЛАСТИ ВЗАИМОДЕЙСТВИЯ С МАЛОМОБИЛЬНЫМИ ПОСЕТИТЕЛЯМИ АПТЕЧНЫХ ОРГАНИЗАЦИЙ С ОГРАНИЧЕННЫМИ ВОЗМОЖНОСТЯМИ ЗДОРОВЬЯ

Currently, pharmacies are part of the healthcare system and must comply with the requirements for providing an accessible environment for people with disabilities, including providing them with the opportunity to receive the necessary pharmaceutical services. The aim of the study is to analyze the practical aspects of improving the professional competence of pharmacists in the field of interaction with people with limited mobility and disabilities in pharmacies. The texts of regulatory legal acts of the Russian Federation and also systemic and logical methods of their interpretation have been used in this study. It has been revealed that the current federal state educational standards of higher education and secondary vocational education in the specialty «Pharmacy» do not directly provide for the need to train future pharmacists in the basics of professional interaction with people with disabilities, but they establish the possibility of introducing additional competencies and/or new academic disciplines into the curricula for more in-depth training of graduates. It has been shown that pharmacists are required to have knowledge of the anatomical and functional characteristics of various groups of people with limited mobility and disabilities, their physiological states and pathological processes that directly affect their ability to receive pharmaceutical services in pharmacies. The possibility of pharmacists of pharmacies to consult people with limited mobility and disabilities on the necessary pharmacy goods online has been analyzed, taking into account possible functional disorders in these people – in various formats: text, audio only or using video communication. It has been proposed to introduce training on relevant aspects of their professional interaction with visitors to pharmacies with disabilities into educational programs for training and professional development of pharmacists.

Mapping Rural Mobility in the Global South: Case Studies of Participatory GIS Approach for Assessments of Daily Movement Needs and Practice in Nepal and Kenya

This paper investigates rural mobility in the Global South using a participatory GIS approach to address the lack of mobility data that hampers sustainable planning to support rural development and resilience. Limited rural mobility due to poor infrastructure and financial constraints hinders social and economic activities, impeding development. The study aims to explore the socio-economic impacts of limited mobility, identify software needs for data-scarce environments, and map daily mobility patterns. Fieldwork was conducted in Kenya (2022) and Nepal (2023), collecting geographic data related to mobility. The methodology included community engagement and digital mapping using the QField app for precise data collection. The study highlights the use of participatory GIS to fill data gaps, enabling more accurate mobility assessments. Community engagement revealed gender-specific mobility patterns, with women facing particular challenges in daily activities. The study emphasizes the need for adaptable data models to reflect community-specific mobility needs and the integration of qualitative insights to propose effective and sustainable mobility solutions. This research contributes to understanding rural mobility in the Global South and demonstrates the effectiveness of participatory GIS in overcoming data scarcity and enhancing mobility analysis.

Impact of rigorous muscle strength and power training on mobility among individuals with hip fractures: A randomized controlled trial

Patient’s mobility is not restored to pre-fracture levels until two years following a fractured hip. A persistent weakness in the muscles on the fractured leg may contribute to mobility limitations. A randomized controlled trial was conducted on individuals with hip fractures aged 60-85 to examine the effect of strength and power training twice a week on mobility. A random assignment was made between a 46-person intervention group and a 40 person control group. Over a period of twelve weeks, strength training was conducted twice per week under supervision. All measurements were conducted by a blinded measurer. We assessed mobility by timing the time it takes to climb stairs, get up from a chair, and walk. To analyze the data, we used intention-to-treat analysis. A study of efficacy was conducted for subjects who adhered to training more than 50% of the time (n = 40). 4 of the controls did not show a statistically significant improvement in mobility (p <0.001). Training had no significant effect on walking time or TUG. During the efficacy analysis, the average chair rise time for the exercise group improved by 5.4% (p < 0.005). The results of intense muscle strength and power training were observed in self-reported improvements in mobility. Participants with higher training compliance had an improved chair rise rate.

Hall-like behaviour of higher rank Chern-Simons theory of fractons

Fracton phases of matter constitute an interesting point of contact between condensed matter and high-energy physics. The limited mobility property of fracton quasi-particles finds applications in many different contexts, including quantum information, spin liquids, elasticity, hydrodynamics, gravity and holography. In this paper we adopt a field theoretical approach to investigate the three dimensional action of a rank-2 symmetric tensor field invariant under the covariant fracton symmetry. The theory appears as a non-topological higher rank generalization of the ordinary Chern-Simons model, depending only on the traceless part of the tensor gauge field. After defining a field strength, a rank-2 traceless “electric” field and a “magnetic” vector field are identified, in analogy with the standard Chern-Simons ones. Once matter is introduced, a Hall-like behaviour with fractonic features emerges. In particular, our model shows a Hall-like dipole current, together with a vectorial “flux-attachment” relation for dipoles. This gives a possible starting point for a fracton-vortex duality. A gauge-fixing term is then introduced, from which propagators are computed and the counting of the degrees of freedom is performed. Finally, the energy-momentum tensor is shown to be conserved and the integrated energy density is proved to be zero, which reminds the topological nature of the standard Chern-Simons model.

Community-based economic romance and integration: assessing the feasibility of a currency union in South Asia

Purpose This purpose of this study aims to critically evaluate the feasibility of establishing a single currency area within the South Asian Association for Regional Cooperation (SAARC) by examining the economic integration of its member states. The analysis focuses on the extent to which the region meets the criteria of the optimum currency area (OCA) theory, particularly in terms of business cycle synchronization, labor mobility and capital flows. Design/methodology/approach Using a vector autoregression (VAR) model within the aggregate demand-aggregate supply framework, this research investigates the symmetry of supply and demand shocks across SAARC economies. The study analyzes the synchronization of business cycles and the mobility of labor and capital to determine the readiness of SAARC for a unified currency. Findings The results indicate significant asymmetries in business cycles among SAARC countries, with substantial disparities in economic responses to shocks. These findings suggest that the region lacks the necessary economic synchronization required for a successful single currency area. Limited labor and capital mobility further complicate the potential for economic integration within SAARC. Research limitations/implications The study is constrained by data inconsistencies and the limited range of economic indicators available for SAARC countries. Future research should expand the analysis to include a broader set of socioeconomic factors and more comprehensive data sets to better assess the region’s potential for monetary integration. Practical implications The study highlights the challenges of forming a currency union in South Asia due to economic disparities and limited mobility. However, gradual steps toward deeper regional integration, improved financial infrastructure and enhanced cross-border collaboration could foster long-term economic stability, growth and social cohesion in the SAARC region. Social implications The research highlights the potential social benefits of enhanced economic integration, such as increased community resilience and social cohesion, while also warning of the risks associated with premature monetary union in a region with significant economic disparities. Originality/value This study provides a detailed analysis linking the theoretical framework of the OCA to the practical realities of economic integration in South Asia. By focusing on the specific economic conditions of SAARC member states, the research offers valuable insights for policymakers considering regional monetary integration.

Causes and Effects of Waithood and Youth Mobility: Comparing the Youth in South Korea and the Middle East

Waithood, as a social phenomenon, has emerged in this complex, contentious, and uneven global political-economic environment. This paper discusses the phenomenon of waithood faced by youth in Egypt and South Korea. Waithood describes the inability of young people to achieve true economic or social independence at the expected age, resulting in restricted social mobility. This period is often viewed as “waiting for adulthood.” Through a comparative study, this research systematically elucidates the specific manifestations of waithood among Egyptian and Korean youth. Economically, they struggle to find suitable formal employment and are heavily involved in informal activities. Politically, they express their political demands and participate in political activities in various ways within their respective countries. Additionally, this study examines and compares the causes of waithood in both nations, identifying commonalities. Based on these findings, the paper proposes relatively feasible policy recommendations to mitigate the waithood phenomenon, offering insights for future research.

A graded association between mobility limitation and prognosis in patients with heart failure

Abstract Background In the era of an aging population worldwide, geriatric conditions have become a high-priority clinical concern in treating heart failure (HF). Although mobility limitation is one of the most common geriatric conditions, no study has quantified the dose-response relationship between the level of mobility limitation and the risk of adverse clinical outcomes in patients with HF. Purpose This study aimed to characterize the association between the level of mobility limitation and prognosis in patients with HF. Methods This study was conducted as a patient-level pooled analysis of data from two prospective multicenter cohort studies. The analysis included consecutive patients hospitalized for HF without any exclusion criteria, with a total of 2103 participants. We categorized the patients into four groups based on their level of mobility limitation: Category I, independent outdoor walking; Category II, independent indoor walking; Category III, indoor walking with assistance; and Category IV, abasia. The primary endpoint was a 2-year composite outcome of re-hospitalization for HF or all-cause mortality after hospital discharge. Results During the 2820.7 person-year follow-up period, 998 patients experienced the composite outcome. The cumulative incidences of the composite outcome for Categories I to IV were 24.9, 47.0, 59.3, and 84.8 per 100 person-years, respectively (Figure). After adjusting for potential confounders, a 1-point increase in the mobility limitation category was associated with a 19% higher risk of the composite outcome (hazard ratio: 1.19; 95% CIs: 1.10–1.29; p<0.001). Conclusions A strong and graded association exists between the level of mobility limitation and prognosis in patients with HF. Even among patients with mobility limitations, the risk of adverse clinical outcomes varies in a dose-response manner depending on the magnitude of mobility limitation. Our findings contribute to a more individualized approach for managing older patients with HF.Figure

Combining Transcranial Direct Current Stimulation with Exercise to Improve Mobility, Stability, and Tremor Management in 25 Individuals with Parkinson’s Disease

Background/Objectives: Parkinson’s disease (PD) is a neurodegenerative disorder characterized by tremors, balance impairments, and mobility limitations. Innovative approaches like combining transcranial direct current stimulation (tDCS) with exercise show promise in addressing these symptoms. This study investigates the effects of exercise combined with tDCS on mobility and tremor management in PD patients. Methods: Twenty-five individuals aged 60−75 (66.6 ± 7.33), diagnosed with PD (Hoehn and Yahr stage 2−3), were assigned to three groups in a randomized controlled design: exercise with active tDCS (n = 8), exercise with sham tDCS (n = 8), and a control group (n = 9). Dual-task training sessions focusing on walking speed, balance, and force control were conducted over ten sessions. Results: No significant differences were detected across the groups for grip strength or force control measures (p > 0.05). Significant improvements were observed in the intervention group: the Timed Up and Go (TUG) test showed a significant reduction in time (mean difference = 2.498 s, p < 0.001, ηp2 = 0.331); anterior–posterior displacement significantly increased (mean difference = 21.375 mm, p = 0.0269, ηp2 = 0.303); and force-tremor decoupling improved, with coherence in the 1−4 Hz band significantly decreasing (p = 0.0067). Finally, changes in TUG from post- to pre-treatment values were significantly positively correlated with the changes in coherence (R = 0.468, p = 0.018). Conclusions: Combining tDCS with exercise enhances mobility and tremor management in PD patients. These findings support the potential for such interventions to improve functional outcomes and quality of life for individuals with PD.

Barriers and facilitators to remote healthcare services use: perspectives of women and providers

Abstract Background The remote health services (RHS) proliferation raises concerns regarding relatively low use among minorities. Arab women in Israel belong to a minority that experiences health disparities, stigmatization, social and economic marginalization. This study aimed to identify barriers and facilitating means to RHS use relevant to Arab women in Israel from the perspective of women, primary care physicians (PCPs), and nurses. Methods Semi-structured interviews were conducted with 25 Arab women, 18 PCPs, and 4 nurses from different parts in Israel between December 2023-March 2024. We used a positive deviance approach by interviewing 14 women who succeeded in using RHS and 11 who did not. Interviews were audiotaped, transcribed, and thematically analyzed using Atlas qualitative analysis software. Findings The data distilled three main barriers to RHS use: sociocultural- importance of close relations with PCPs, privacy concerns of revealing the body or conversing with unfamiliar physicians, strict supervision by the family (Bedouin society); logistical-limited internet access and infrastructure, personal- unawareness to RHS, digital literacy, normative conceptions of limited quality of care and believing that only some health conditions are suitable for RHS. Facilitating means to RHS use: gender roles-women’s role as family health caretakers, mothers maintaining work-family balance and younger women generation feeling responsible for the older generation RHS adoption, accessibility- wider access to care due to limited transportation. Conclusions It is important to identify facilitating conditions (e.g., training opportunities, social, technological support), cultured elements (gender roles, limited mobility), and trust to adopting RHS by minority populations. The study provide data for developing requirements to ensure more equitable access to RHS to Arab women including addressing privacy concerns, guidelines for RHS-related information dissemination, and for RHS providers. Key messages • The findings help develop approaches and means to improve RHS use for Arab women from diverse backgrounds by identifying barriers associated with access, culture, and normative conceptions. • Developing RHS systems into routine care must ensure equitable use across social groups and address economic, logistical, and sociocultural barriers and guidelines for RHS information dissemination.

Navigating the challenges of public transport and urban mobility in Thohoyandou, South Africa

Background: Transport systems are an essential feature of functional urban settlements. Yet, almost all of South Africa’s secondary cities and small towns lack a true public transportation system. Because of this, quasi-public, privately operated mini-bus taxis are the main form of transport for most urban residents. Thohoyandou, Limpopo, a town of over 70 000 people, is a typical South African town in this regard.Objectives: The purpose of this research was to understand passenger experiences of mini-bus taxis in Thohoyandou, Limpopo province, South Africa.Method: This study used semi-structured interviews to explore the mobility challenges faced by the residents of Thohoyandou.Results: This study revealed several negative aspects impacting passenger experiences. Passengers consistently reported concerns regarding driver’s behaviour that compromised safety and security. This included overloading of vehicles and disregard for traffic regulations. Passengers also highlighted the challenges posed by poor transport infrastructure and a lack of reliable service. Collectively, these factors contribute to limited mobility options, increased transportation costs and a reduced quality of life. Furthermore, the shortcomings of mini-bus taxi services disproportionately affect people with disability, who already face significant societal barriers, further marginalising them within the transportation system.Conclusion: The government should increase investment in transport infrastructure, the enforcement of traffic laws and better driver training. However, a strong government combined with much political will is required if passengers and safety are to be the main priorities of the mini-bus taxi industry.Contribution: This study highlights challenges faced by public transport users in Thohoyandou, where mini-bus taxis serve as the main mode of transport. The challenges experienced by transport users not only reduce their mobility but also contribute to marginalisation of vulnerable groups, especially people with disability.

Pedestrian Accessibility Analysis of Sidewalk-Specific Networks: Insights from Three Latin American Central Squares

Limited research from the Global South has examined pedestrian accessibility to key destinations, particularly while considering efficient and practical sidewalk-specific conditions. This study employs a case-based approach, scrutinising walking access to three central squares, Mexico City’s Zocalo, Lima’s Plaza San Martin, and Buenos Aires’ Plaza de la República, within a 10-min walking radius. Geographic Information Systems (GIS) and Google Street View (GSV) were leveraged to conduct a virtual street audit, assessing six microscale features influencing the walking experience (kerb ramps, pavement continuity, sidewalk width, well-maintained sidewalks, active uses, and green spaces). These data facilitated the construction of a genuine pedestrian network and allowed the assessment of three-tiered pedestrian accessibility models that comprised easy access, comfortable routes, and vibrant walks. The findings reveal significant spatial inequities in pedestrian access. About 10% of buildings near Mexico City’s and Lima’s central squares lack pedestrian accessibility due to inadequate and interrupted sidewalk and crosswalk infrastructure, disproportionately impacting those with mobility limitations. Conversely, Buenos Aires exhibits better pedestrian facilities, with accessible, comfortable, and lively routes reaching approximately 20% of buildings surrounding the Plaza de la República. These results underscore the significant disparities in street infrastructure and networks within these historic neighbourhoods, emphasising the imperative for more inclusive, pedestrian-friendly urban planning in Latin American cities.

Two Sporadic Cases of Legionellosis Associated with the Use of Domestic Ultrasonic Humidifiers

Two sporadic cases of legionellosis occurring in consecutive years were confirmed by positive antigenuria to Legionella pneumophila serogroup 1 in individuals with limited mobility who were confined to their homes. Both cases had a history of using ultrasonic humidifiers and of low exposure to other possible sources of infection. This study was conducted through an expanded epidemiological survey and home inspection. Samples were collected from domestic hot water and humidifiers. Environmental isolates were characterised by immunoagglutination and immunofluorescence. The Dresden panel is employed for the determination of groups and subgroups of serogroup 1. The amoebae were isolated by water filtration and subsequent cultivation of the filters. Identification of the isolates was conducted through the sequencing of PCR products. In both cases, epidemiological studies identified the ultrasonic humidifiers as the probable source of infection. The presence of Legionella pneumophila was confirmed in the sanitary water installation and in the humidifiers, where high values of Legionella pneumophila serogroup 1 counts were also obtained. The isolates were characterised as Olda Oxford and Olda OLDA. Furthermore, in addition to the Legionella isolates, the presence of Vermamoeba vermiformis was also identified in samples obtained from domestic hot water and humidifiers in one of the residential addresses under investigation. It has been demonstrated that humidifiers can act as an amplification mechanism for pathogenic microorganisms when they are not cleaned and maintained correctly. This can pose a health danger, especially to people with previous respiratory pathologies, the immunosuppressed, and the elderly. Therefore, it is of the utmost importance that professionals who recommend the therapeutic use of this equipment should issue warnings regarding the importance of its correct use, cleaning, and disinfection. Finally, humidifiers should be considered in epidemiological surveys and in the study of sporadic cases.

Findings of the British Association of Dermatologists Career Survey of Dermatologists in Training and New Consultant Dermatologists 2023.

Previous surveys of UK dermatology trainees have identified key patterns regarding future career intentions that can help to inform workforce planning as consultant vacancies continue to grow. We invited all doctors training in dermatology, as well as all dermatology doctors who have completed training between 2018-2023 to complete separate surveys over a six-week period. These surveys explored: career locations, working patterns, pull factors towards particular posts, and push factors away from NHS consultant posts. The findings of these surveys confirm persisting trends towards less than full time working, ongoing limited geographical mobility of trainees, and a reducing appetite for academic work all identified in previous surveys. This survey offers the first insight into the working lives and factors influencing these career choices of consultants who completed their dermatology training between 2018-2023.