Multiple Disadvantages Research Articles

Determinants of lung health across the life course in sub-Saharan Africa.

LUNG HEALTH ACROSS THE life course is influenced by factors affecting airway and alveolar development and growth during antenatal and perinatal periods, throughout childhood and adolescence, and into adulthood. Lung function trajectories are set in early life and childhood deficits may predispose to non-communicable respiratory diseases, such as asthma and chronic obstructive pulmonary disease, in later years. Potential risk factors are common in many sub-Saharan African (sSA) countries; adverse antenatal environments cause in utero growth restriction and prematurity; HIV and respiratory infections, including TB are common; exposure to air pollution is widespread, including household air pollution from biomass fuel use, traffic-related pollution in rapidly expanding cities, and tobacco smoke exposure. Multiple disadvantages experienced in early life require an integrated approach that addresses reproductive, maternal and child health. Public health strategies need to tackle multiple risk factors, emphasising Universal Health Coverage, to maximise lung health in the world´s poorest, most vulnerable populations. This review explores potential determinants of lung health across the life course. Due to the extensive topic and wide range of related literature, we prioritised more recent citations, especially those from sSA, focusing on risk factors for which there is most information, and which are most prevalent in the region.

Improved ant colony optimization for quantum cost reduction

Heuristic algorithms play a significant role in synthesize and optimization of digital circuits based on reversible logic yet suffer with multiple disadvantages for multiqubit functions like scalability, run time and memory space. Synthesis of reversible logic circuit ends up with trade off between number of gates, quantum cost, ancillary inputs and garbage outputs. Research on optimization of quantum cost seems intractable. Therefore post synthesis optimization needs to be done for reduction of quantum cost. Many researchers have proposed exact synthesis approaches in reversible logic but focussed on reduction of number of gates yet quantum cost remains undefined. The main goal of this paper is to propose improved Ant Colony Optimization (ACO) algorithm for quantum cost reduction. The research efforts reported in this paper represent a significant contribution towards synthesis and optimization of high complexity reversible function via swarm intelligence based approach. The improved ACO algorithm provides low quantum cost based toffoli synthesis of reversible logic function without long computation overhead.

Resilience of Women of Color in Academe: Mitigating the Double Bind

Women faculty of color face a double bind as they endure both racism and sexism, creating dual oppression. These multiple disadvantages result in women of color being exposed to higher rates of career-limiting setbacks than their counterparts (i.e., white women), including devaluation of their scholarly work, increased service responsibilities, exclusion from career development opportunities, and constantly having their competency questioned. Their low representation and discouragement to continue in the professoriate due to harmful work environments also results in a “leaky pipeline”. Thus, women faculty of color have to utilize specific resilience strategies to mitigate these biases. However, many of the coping techniques used to generate resilience often result in injurious consequences. For instance, to demonstrate high competence, women of color often take on risky assignments (i.e., glass cliff) that results in them becoming hypervisible (i.e., judged more harshly than white women in similar positions). Other coping behaviors, such as the Strong Black Woman race-gender schema, often results in anxiety and depression, while code-switching, to feel accepted by the white dominant workspace, leads to a diminished sense of identity. Though these multiple identities result in stacked disadvantages in the workplace, there remains a gap in management literature on the intersectionality between race and gender. This void, consequently, silences the voice of women faculty of color and the unique challenges they face. Furthermore, it hinders the opportunity to make changes on a systemic level. In this symposium, we explore women faculty of colors' resilience-building tactics, the added double-bind they create, and individual and organizational practices that can help alleviate this paradox in order to promote their career development and well-being.

Family relationships and LGB first homelessness in Australia: What do we know and where should we go?

Family conflict is a well-documented causal factor in the international literature on youth homelessness. Less is known about how childhood experiences within family of origin contribute to first homelessness among Australian lesbian, gay, bisexual, transgender and queer (LGBTQ+) young people. In this article, which draws on an analysis of the Australian Journeys Home survey, we argue that homelessness risk among LGB young people is cumulative and stems from multiple childhood disadvantages. LGB respondents were more likely than their heterosexual peers to report leaving home in the early teens. They were also more likely to have experienced conflict, abuse and deprivation in their families of origin, including: the threat of harm from someone within the family home environment; a lack of adequate food and shelter during childhood; high levels of childhood sexual abuse; and early experience of parental divorce. We discuss the implications of these findings for future LGBTQ+ research agendas.

Social media influence in the COVID-19 Pandemic.

ABSTRACTNever before in human history has it been possible to communicate so quickly during a pandemic, social media platforms have been a key piece for the dissemination of information; however, there are multiple advantages and disadvantages that must be considered. Responsible use of these tools can help quickly disseminate important new information, relevant new scientific findings, share diagnostic, treatment, and followup protocols, as well as compare different approaches globally, removing geographic boundaries for the first time in history.In order to use these tools in a responsible and useful way, it is recommended to follow some basic guidelines when sharing information on social networks in the COVID-19 era. In this paper, we summarize the most relevant information on the influence, and advantages, and disadvantages of the use of social networks during the COVID-19 pandemic.

Deliberate self-harm and associated risk factors in young adults: the importance of education attainment and sick leave

PurposeThe prevalence of deliberate self-harm (DSH) is high in young adults. However, few studies have examined risk in this specific age group. We, therefore, examined the relative influence and interactive nature of a wide range of potential sociodemographic and sick leave related risk factors in young adults, aged 18–35 years, using Norwegian register data.MethodsAll subjects with at least one episode of hospital presentation for DSH registered in the Norwegian Patient Register during the period 2008–2013 were compared with age, gender and date matched population controls using a nested case–control design. The relative influence of factors and their interactions were assessed using conditional logistic regression and recursive partitioning models.Results9 873 study cases were compared to 186 092 controls. Socioeconomic status, marital status, sick leave and several demographic factors influenced risk for DSH. Specifically, low education (OR 7.44, 95% CI 6.82–8.12), current sick leave due to psychiatric disorders (OR 18.25, 95% CI 14.97–22.25) and being previously married (OR 3.83, 95% CI 3.37–4.36) showed the highest effect sizes. Importantly, there was an interaction between education and sick leave, where those with either low education and no sick leave (OR 13.33, 95% CI 11.66–15.23) or high education and sick leave (OR 18. 87, 95% CI 17.41–24.21) were the subgroups at highest risk.ConclusionDSH in young adults is associated with multiple sociodemographic and health disadvantages. Importantly, the two high-risk subgroups imply different pathways of risk and a need for differentiated preventative efforts.

Types of multidimensional vulnerability and well-being among the retired in the U.S

Background An extensive study investigated the risk factors for low well-being in post-retirement. Most previous studies have taken a unidimensional perspective, focusing on single factors such as financial status, physical health, and mental health. Objective Drawing on the vulnerability framework, we first identify and describe the empirical subgroups of vulnerability among retirees in the United States across four major domains of later life: material, physical, social, and mental vulnerability. Then, we investigate the association between vulnerability profiles and well-being. Method The sample included 3,158 retirees aged 65+ who participated in the Health and Retirement Study (HRS). Latent class analysis was utilized to identify the heterogeneous subgroups of vulnerability, and then a series of OLS regression analyses was conducted to examine the relationship between patterns of vulnerability and well-being. Results Five vulnerability patterns were identified: material vulnerable (12%), health & social vulnerable (14%), material, health & social vulnerable (6%), least vulnerable (34%), and social vulnerable (35%). The health & social vulnerable group had the strongest negative influence on well-being among all subgroups. As the largest subgroup, the social vulnerable group’s negative influence on well-being stood out, with a stronger effect than that of material privation experienced by those in the material vulnerable group. Conclusion By empirically identifying subgroups of differential vulnerability patterns among retirees, this study showed that post-retirement vulnerability reflects complex interactions among multiple disadvantages. Findings of this study enhance understanding of the disparities in well-being within the retired population, pointing to the possibility of targeted policy and program development.

Mothers' negotiation of welfare support: the emergence of privatized entitlement

PurposePrevious accounts of exclusion, primarily those proposed in the context of access to welfare, marginalize the role of negotiation and its potential for highlighting distinct barriers and possibilities within specific institutional configurations. Furthermore, when negotiation is examined in the context of access to social services, it is rarely considered as reflecting changes in exclusion or the need to distinguish among exclusionary outcomes in mothers' lives. The author proposes a conceptualization of the distinction between civic exclusion and isolated exclusion, introducing the latter as a specific condition in which mothers are forced to respond to their children's needs by resorting to privatized entitlement.Design/methodology/approachStructured interviews were conducted between 2016 and 2017 with 90 mothers “providing in poverty” from seven marginalized categories in Israel. The interviews were analyzed using a grounded theory perspective.FindingsThree negotiation positions are revealed: positive citizenship, privatized entitlement and inconsistent gains. These positions reflect specific conditions of civic exclusion, which manifests in the form of multiple disadvantage in the lives of mothers, regardless of available forms of welfare support; and isolated exclusion, which manifests as the inability to protect one's children from harsh material scarcity, regardless of attempts to establish eligibility.Research limitations/implicationsLongitudinal data could better reflect the ramifications of isolated exclusion, particularly when translated into privatized entitlement.Practical implicationsThe consequences of isolated exclusion should be studied, in order to prevent negotiation failure leading to this phenomenon.Originality/valueUp until recently, the notion of exclusion was used without relevant distinctions obscuring the meaning of failing to negotiate access to welfare, in mothers' lives. Conceptualizing negative outcomes of negotiation as leading to isolated exclusion and privatized entitlement clarifies the meaning of poverty as dependency. Further, without relevant distinctions, scholars' and activists' effort to introduce higher commitment to mothers' negotiation among street-level bureaucrats cannot be accounted for.

S38. EXPERT RATERS RELIABLY ASSESS PSYCHOMOTOR SLOWING IN PSYCHOSIS, BUT SELF-REPORT DOES NOT

BackgroundMotor abnormalities frequently occur in schizophrenia along with hallucinations, delusions, and negative symptoms. Psychomotor slowing (PS) is one of these motor abnormalities and is characterized by reduced levels of spontaneous gross motor activity as measured by actigraphy, slowed gait and slowing in fine motor tasks. Several reports indicated that 30–50% of schizophrenia patients are suffering from PS. Moreover, PS is associated with multiple disadvantages such as sedentary behavior, cardiometabolic risks and predicts poor treatment outcome and long-term cognition deficits. Therefore, there is a need to accurately and reliably evaluate PS in clinical settings.In the current study, we anaylized how the gold-standard actigraphy corresponds to either self-report or expert ratings.MethodsIn the present study, we evaluated the motor behavior of 23 patients suffering from schizophrenia spectrum disorders and 17 healthy controls using 3 distinct methods. (i) An observer rating scale: The Salpêtrière Retardation Rating Scale (SRRS), which is a 15 Items-scale ranging from 0 to 60 points measuring PS. A higher score indicates severe impairment. (ii) A self-report Questionnaire: the International Physical Activity Questionnaire (IPAQ), in which the participant report their physical activity. It is a 7 Items-scale, which estimates the weekly metabolic commitment to walk and to perform physical activities of moderate and vigorous intensities. The higher the score, the more active was the person during the last week. (iii) the gold-standard actigraphy, which measures the gross motor activity of the participants for 24h by wearing an actiwatch on the non-dominant arm. It integrates all movements of a subject whithin 24 hours into one parameter.ResultsBoth the physical activity measured with wrist activity (t(35) = 3.901, p < .005; controls: m = 349099, sd = 112853; patients: m = 228072, sd = 74639) and the observer rated SRRS-score (t(38) = -15.235, p < .001; controls: m = .41, sd = .62; patients: m = 26.30, sd = 6.96) differed between patients and controls. However, self-reported physical activity did not differ between both groups (t(38) = 1.452, p = .155; controls: m = 4502, sd = 6103; patients: m = 2241, sd = 3727).There is a trend for a negative correlation between the SRRS-score and the objective activity level, measured by actigraphy, in patients (r = -.378, p = .100). This suggests that patients with the highest SRRS scores indeed presented also the lowest level of global activity. There is also a positive correlation between the objective activity level and the self-reported activity in patients yet lacking statistical significance (r = .337, p = .147). However, there is no correlation between SRRS and IPAQ (r = .204, p = .349) in patients.DiscussionIn this study, we demonstrated that the expert ratings (SRRS) correspond well to the gold standard actigrahpy, even though this association is not significant yet. Thus, expert raters seem to rate PS correctly in patients. However, the self-report (IPAQ) neither corresponds well with the expert ratings nor the actigraphy. Thus, in evaluating PS in psychosis, researchers should not rely on self-report exclusively. Finally, this finding also suggests that patients may not perceive their physical inactivity correctly in case this was due to psychomotor slowing.

Living with diabetes and disadvantage: A qualitative, geographical case study

The aim of the study was to elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. Community-level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio-economic deprivation; high obesity rates; high access to fast foods; and, multiculturalism contributes to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. Qualitative, geographical case study approach. A convenience sample of 17 people living with diabetes in a diabetogenic, low-socioeconomic urban area participated in face-to-face, semi-structured interviews. Interviews were audio-recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. Findings from this study have highlighted a need to re-examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.

Climate-related displacement, impoverishment and healthcare accessibility in mainland Bangladesh

ABSTRACT This paper examines the experiences of people displaced internally by climate-related factors in mainland Bangladesh, one of the world's most climate-vulnerable countries. The data derives from a representative survey of 1,200 households drawn equally from displacement-susceptible areas and areas without climate-related displacement. Comparisons are drawn on the basis of four variables: the displaced versus the non-displaced; before displacement versus after displacement; people displaced suddenly versus those displaced gradually; and the frequency of past displacement. The displaced experience multiple disadvantages, including reduced land ownership and reduced access to electricity, sanitary toilets and healthcare services. The disadvantage is greater following sudden displacement and among those who have been displaced multiple times. The impact on the time and cost of accessing healthcare are greater after displacement. The disadvantage of the displaced, thus, is a function of interactions between exposure to natural disaster, impoverishment and lack of access to health services.

Research Use of Electronic Health Records: Patients’ Views on Alternative Approaches to Permission

Background: The increased use of electronic health records (EHRs) has resulted in new opportunities for research, but also raises concerns regarding privacy, confidentiality, and patient awareness. Because public trust is essential to the success of the research enterprise, patient perspectives are essential to the development and implementation of ethical approaches to the research use of EHRs. Yet, little is known about patients’ views and expectations regarding various approaches to seeking permission for research use of their EHR data. Methods: We conducted semi-structured interviews with 120 patients in four counties in diverse regions of the southeastern United States: Appalachia, the Mississippi Delta, and the Piedmont area of North Carolina. We asked participants to consider, from multiple stakeholder perspectives, the advantages and disadvantages of three approaches to notifying patients of, or obtaining permission for, research use of their EHR data; whether they believed it would be acceptable if their healthcare organization used each approach; and which approach would be most appropriate. Results: Nearly all participants said General Notification, Broad Permission, and Categorical Permission would each be acceptable approaches to notification of, or permission for, EHR research. Over half identified Broad Permission as the most appropriate approach. Across all of these discussions, major themes included the importance of clarity, simplicity, and usability of patient-facing materials, as well as the level of transparency, trustworthiness, and respect for patients the approach conveys. Conclusions: Our findings help to inform the development and implementation of ethical approaches to the research use of EHRs by identifying key patient considerations regarding various approaches to permission and suggesting potential actions for healthcare organizations and researchers.

Human Platelet Lysate Can Replace Fetal Calf Serum as a Protein Source to Promote Expansion and Osteogenic Differentiation of Human Bone-Marrow-Derived Mesenchymal Stromal Cells.

Fetal calf serum (FCS) is frequently used as a growth factor and protein source in bone-marrow-derived mesenchymal stromal cell (BMSC) culture media, although it is a xenogenic product presenting multiple disadvantages including but not limited to ethical concerns. A promising alternative for FCS is human platelet lysate (hPL), which is produced out of human platelet concentrates and happens to be a stable and reliable protein source. In this study, we investigated the influence of hPL in an expansion medium (ESM) and an osteogenic differentiation medium (ODM) on the proliferation and osteogenic differentiation capacity of human BMSC. Therefore, we assessed population doublings during cell expansion, performed alizarin red staining to evaluate the calcium content in the extracellular matrix and determined the activity of alkaline phosphatase (ALP) as osteogenic differentiation correlates. The proliferation rate of BMSC cultured in ESM supplemented with hPL exceeded the proliferation rate of BMSC cultured in the presence of FCS. Furthermore, the calcium content and ALP activity was significantly higher in samples incubated in hPL-supplemented ODM, especially in the early phases of differentiation. Our results show that hPL can replace FCS as a protein supplier in cell culture media and does not negatively affect the osteogenic differentiation capacity of BMSC.

A Sure Start?

Early childhood prevention programs, fueled by the idea of social investment, have been the focus of policy making for a few decades in Europe and the USA. Amongst these, the Sure Start program in Hungary has evolved into a nationwide service incorporated into the child welfare system. The program aims to combat social exclusion and compensate unequal opportunities related to socio-spatial inequalities through providing assistance, developmental intervention, and social activities to families. The article examines the socio-spatial consequences of the program by bringing together an analysis of the current regulatory and financial framework and the everyday working of several Sure Start houses in different parts of the country. The analysis relies on the findings of two post-doctoral research projects (NRDIO PD 112659 and Premium PD 3300405), combining sociological and anthropological fieldwork in three settlements. The study reveals that the current institutional structure is based on structural deficiencies and institutional asymmetries characterized by the disproportionate allocation of resources and obligations for Sure Start houses. This results in large differences regarding the implementation of the program in different localities, which are largely influenced by the positionality of the settlements, as well as the resources that the maintainers of the service can draw on. The article argues that in its current form the program appears to strengthen rather than alleviate socio-spatial inequalities, as it is exactly the most disadvantaged remote rural places that lack the resources that would be needed to compensate for their multiple disadvantages.

Current status of rivaroxaban in elderly patients with pulmonary embolism (Review).

Acute pulmonary embolism (PE) occurs with a high incidence rate in elderly patients, demonstrating complex clinical manifestations, as well as a difficult anticoagulant treatment strategy. Currently, there is limited understanding of the selection criteria for anticoagulant treatment in elderly patients with PE. In fact, the vitamin K antagonist warfarin, a commonly prescribed anticoagulant, has multiple disadvantages, including a narrow therapeutic range, unpredictable pharmacokinetics, multiple food and drug interactions and genetic polymorphisms resulting in poor response to this therapy; therefore, routine laboratory monitoring is required. Most elderly patients with PE fail to adhere to the treatment regimen or even discontinue it, and clinicians are equally hesitant to initiate oral anticoagulants in elderly patients with PE. This leads to a dilemma regarding the use of anticoagulation therapies and a worse prognosis for the patients. Rivaroxaban, a direct Xa factor inhibitor, has demonstrated considerable practical and clinical advantages, exhibits fast-start action pharmacokinetic and pharmacodynamic characteristics, and has an enhanced predictable anticoagulant effect with fewer drug-drug interactions. Based on randomized controlled trials and real-world clinical practice, rivaroxaban has also been recognized as a safe and effective anticoagulant, and these advantages have improved the therapeutic compliance of elderly patients with PE. Thus, this review focused on the current status of rivaroxaban treatment for elderly patients with PE, and described its significance in changing the current anticoagulation treatment regimens for patients. It is expected that rivaroxaban will become a good choice for the treatment of PE in elderly patients.

Exploring the challenges of system leadership in the voluntary and community sector

ABSTRACTLankellyChase Foundation works to bring about change that will transform the quality of life of people who face severe and multiple disadvantage. It set up the ‘Promoting Change Network’ (PCN) to foster learning, and to support 40 or so organisations which receive funding from the Foundation. This was in recognition of the challenges they face in their work to alleviate severe and multiple disadvantages – combinations of problems around homelessness, substance abuse, mental health, domestic violence and abuse, and chronic poverty. Action learning was a supportive intervention commissioned by LankellyChase for PCN grantees, covering London and the North of England/Glasgow. Two Action Learning Sets met five and six times respectively between November 2014 and July 2015. The Sets demonstrated the importance and value of standing back and questioning your approach – when you are part of the (complex) health and care system you are aiming to change.

Performance evaluation of synthetic and natural polymers in nitrogen foam-based fracturing fluids in the Cooper Basin, South Australia

Hydraulic fracturing is a well-known stimulation technique for creating fractures in a subsurface formation to achieve profitable production rates in low-permeability reservoirs. Slickwater has been widely used as a traditional fracturing fluid. However, it has multiple disadvantages, such as high consumption of water, clay swelling and low flowback recovery. Foam, as an alternative fracturing fluid, consumes less liquid and provides additional energy. However, foam bubbles are typically unstable due to the degradation of surfactants, particularly in high temperature reservoirs, which reduces their capabilities of carrying and placing proppants into fractures. The purpose of this study is to provide general guidelines for an optimised application of polymers to improve the foam stability in high temperature reservoirs while increasing the proppant placement and water usage efficiencies. In this paper, the effects of natural hydroxypropyl guar (HPG) and synthetic polyacrylamide (PAM) polymers on the rheological properties of nitrogen foam-based fluids were examined by laboratory experiments conducted using temperatures up to 110°C. Then, a 3D hydraulic fracture propagation model was developed to study the fracturing performance of HPG-foamed and PAM-foamed fluids in the Toolachee Formation, Cooper Basin. It was found that synthetic PAM polymers were more effective than natural HPG polymers in stabilising foam viscosity under high temperature conditions. The simulation results indicate that foam-based fluids totally outperform slickwater in the field case application. This paper emphasises the significance of crosslinkers, foam quality and thermal stability on the performance of foams in high temperature environments.

Negotiating cancer preventative health behaviours and adapting to motherhood: the role of technology in supporting positive health behaviours

ABSTRACT Purpose Across the UK and USA, postpartum smoking relapse rates are high, and rates of breastfeeding and physical activity are low. This project aimed to explore these interrelated health behaviours and technology use, for intervention development to support postpartum cancer prevention. Methods Focus groups and interviews with 26 purposively selected women (15 in Vermont, USA and 11 in Norfolk, UK). Recruitment was from deprived areas experiencing multiple disadvantage. Qualitative data were thematically analysed from dual cultural perspectives, underpinned by the social ecological model. Results Women negotiate interrelated lifestyle behaviours as part of managing an identity in transition, moving through stages of disturbance, adaptation, acceptance and integration towards “becoming” a new Mother. Technology was integral to women’s process of engagement with mothering identities. Intersectionality underpins complex patterns of interrelated behaviour. Conclusions There is scope to improve electronic/digital support for postpartum women cross-nationally to promote interrelated cancer-preventative lifestyle behaviours. Abbreviations CDC: Center for Disease Control, US; PA: Physical activity; SES: Socioeconomic status; SVI: Social Vulnerability Index; UK: UK; US: USA; WIC: Women infants and children office.

In vitro antimicrobial activity of immobilised essential oil components against Helicobacter pylori.

Available disinfection methods and therapies against Helicobacter pylori have multiple disadvantages, such as increased prevalence of antibiotic-resistant strains, which requires the search for novel effective antimicrobial agents against H. pylori. Among them, naturally-occurring antimicrobial compounds, like essential oil components (EOCs), have been reported as substances with anti-H. pylori potential. To avoid the disadvantages associated with using EOCs in their free form, including volatility, low water solubility and intense sensory properties, their immobilisation in inert supports has recently been developed. This study sought to evaluate the inhibitory properties of EOCs immobilised on silica microparticles against H. pylori and to elucidate the mechanism of action of the immobilised antimicrobials. After the preparation and characterisation of the antimicrobial supports, the susceptibility of H. pylori in the presence of the immobilised compounds was assessed by plate count, fluorescent viability staining and direct viable count-fluorescent in situ hybridisation analyses. The antimicrobial supports were found to inhibit H. pylori growth, and to induce morphological and metabolic alterations to the H. pylori membrane, with a minimum bactericidal concentration value between 25 and 50μg/ml according to the tested EOC. These findings indicate that immobilised EOCs can be used as potential antimicrobial agents for H. pylori clearance and treatment.

Counting early deaths due to socioeconomic inequality

Counting early deaths due to socioeconomic inequality