Our findings demonstrate that sociocultural, economic, political, and climatic factors are important consideration in promoting elderly wellbeing and quality of life in Ghana.

Every encounter a healthcare professional has with new or expecting parents offers an opportunity for addressing improved early nutrition and lifestyle. Evidence-based qualification programmes via e-learning offer valuable tools for attenuating the world’s huge double burden of both under- and overnutrition in early childhood. We evaluated use and learner satisfaction of a global e-learning programme on early nutrition and lifestyle addressing international healthcare professionals.

We implemented the Early Nutrition Specialist Programme (ENS) with six interactive e-learning courses on early nutrition building on more than ten years of experience with global e-learning platforms, expert knowledge and an international network in the subject field. We collected descriptive and explorative evaluation data on usage and learner satisfaction with a questionnaire and log data over three years among 4003 learners from 48 countries.

Results show high completion of the ENS programme, with 85.5% of learners finaliThe ENS programme evaluation shows high completion rates and level of satisfaction by learners from numerous countries. The different needs for Continuing Medical Education (CME) of healthcare professionals in diverse healthcare system settings can be met by a joint e-learning qualification programme. Further optimizations will be implemented based on user feedback. More research with a learning analytics approach may help to further identify the most effective and efficient didactic and pedagogic elements of e-learning.Palliative care has the potential to improve the quality of life of patients with incurable diseases or cancer, such as hepatocellular carcinoma (HCC). A common misconception of palliative care with respect to the patient’s survival remains a significant barrier to the discipline. This study aimed to provide causal evidence for the effect of palliative care consultation on the survival time after diagnosis among HCC patients. HS An emulation of a target trial was conducted on a retrospective cohort of HCC patients from January 2017 to August 2019. The primary endpoint was the restricted mean survival time (RMST) at 12 months after HCC diagnosis. We used the clone-censor-weight approach to account for potential immortal time bias. In this study, 86 patients with palliative care consultation and 71 patients without palliative care consultation were included. The adjusted RMST difference was -29.7 (95% confidence interval (CI) -81.7, 22.3; p-value = 0.263) days in favor of no palliative care consultation. However, palliative care consultation was associated with an increase in the prescription of symptom control medications, as well as a reduction in life-sustaining interventions and healthcare costs. Our findings suggest that palliative care consultation was associated with neither additional survival benefit nor harm in HCC patients. The misconception that it significantly accelerates the dying process should be disregarded.Reliable distribution maps are in the basis of insect conservation, but detailed chorological information is lacking for many insects of conservation concern (the Wallacean shortfall). Museum collections, entomological publications and citizen science projects can contribute to solve this Wallacean shortfall. Their relative contribution to the knowledge on the distribution of threatened insects has been scarcely explored, but it is important given that each of these three sources of information has its own biases and costs. Here we explore the contribution of museum data, entomological publications and citizen science in delineating the distribution of the European stag beetle in Spain. Citizen science contributed the highest number of records and grid cells occupied, as well as the highest number of grid cells not contributed by any other information source (unique grid cells). Nevertheless, both museum data and publications contributed almost 25% of all unique grid cells. Furthermore, the relative contribution of each source of information differed in importance among Spanish provinces. Given the pros and cons of museum data, publications and citizen science, we advise their combined use in cases, such as the European stag beetle in Spain, in which a broad, heterogeneous, sparsely populated territory has to be prospected.The community structure of lotic odonates (Insecta Odonata) changes downstream, but it is difficult to untangle natural and anthropogenic causes. We surveyed larvae and adults at 15 sites along the Reedy River in Greenville Co., SC, USA, from sites in forested suburban landscapes through the urban core of the city of Greenville. We used principal component analyses and Akaike information criteria models to describe the relationships between larval and adult community descriptors (abundance, richness, and diversity) and habitat characteristics at several spatial scales, including water chemistry, sediment and detritus, aquatic and streamside vegetation, and the percent cover of landforms in the surrounding landscape. At all scales, larval abundance, richness, and diversity correlated with the amount of detritus. At a small scale, adult indices correlated with the amount of sunlight and streamside vegetation. Zygopteran community composition was nested at a large scale; richness and diversity did not correlate with changes in the landscape but increased downstream. Anisopteran composition was also nested, but richness correlated with the percent cover of field, wetland, and open water in the habitat and was unrelated to downstream site position. Landscape transformation affected anisopterans more than zygopterans by opening habitats that facilitate these generalist heliotherms.To evaluate the effects of Ecklonia cava (E. cava) on ambient-pollution-induced neurotoxicity, we used a mouse model exposed to particulate matter smaller than 2.5 µm in aerodynamic diameter (PM2.5). The intake of water extract from E. cava (WEE) effectively prevented the learning and memory decline. After a behavioral test, the toll-like receptor (TLR)-4-initiated inflammatory response was confirmed by PM2.5 exposure in the lung and brain tissues, and the WEE was regulated through the inhibition of nuclear factor-kappa B (NF-κB)/inflammasome formation signaling pathway and pro-inflammatory cytokines (IL-6 and IFN-γ). The WEE also effectively improved the PM2.5-induced oxidative damage of the lungs and brain through the inhibition of malondialdehyde (MDA) production and the activation of mitochondrial activity (mitochondrial ROS content, mitochondria membrane potential (MMP), adenosine triphosphate (ATP) content, and mitochondria-mediated apoptotic molecules). In particular, the WEE regulated the cognition-related proteins (a decreased amyloid precursor protein (APP) and p-Tau, and an increased brain-derived neurotrophic factor (BDNF)) associated with PM2.