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ive understanding of adherence in a specific population. The methodological choices applied allow to explore adherence among patients from diverse linguistic and cultural backgrounds. A particular emphasis has been paid to minimize the biases and increase the reliability of the data collected. Easily reproductible, the MADESIO design may help healthcare services to screen adherence to Oral anticancer medications and to guide providers in choosing the best strategies to address medication adherence of migrants or minority diverse population.

To assess the success of a human papillomavirus (HPV) vaccination program among adolescent girls aged 9-14 years in Haiti and to understand predictors of completion of a two-dose HPV vaccination series.

Data collection was conducted during HPV vaccination campaigns in Port-au-Prince between August 2016 and April 2017. Descriptive statistics and logistic regression models were used to examine characteristics associated with vaccination series completion of school based and non-school based vaccination delivery modalities.

Of the 2,445 adolescent girls who participated in the awareness program, 1,994 participants (1,307 in non-school program, 687 in school program) received the first dose of the vaccine; 1,199 (92%) in the non-school program and 673 (98%) in the school program also received the second dose. Menarche (OR 1.87; 95% CI, 1.11-3.14), if the participant was a prior patient at the GHESKIO clinics (OR 2.17; 95% CI, 1.32-3.58), and participating in the school-based program (OR 4.17; 95% CI, 2.14-8.12) were significantly associated with vaccination completion.

Vaccination in school- and non-school-based settings was successful, suggesting that a nationwide HPV vaccination campaign using either approach would be successful using either approach.

Vaccination in school- and non-school-based settings was successful, suggesting that a nationwide HPV vaccination campaign using either approach would be successful using either approach.

Kinetic data obtained during gait can be used to clarify the biomechanical pathogenesis of osteoarthritis of the lower extremity. This study aimed to investigate the difference in ankle varus moment between the varus angulation and medial translation types of medial ankle osteoarthritis, and to identify the radiographic measurements associated with ankle varus moment.

Twenty-four consecutive patients [mean age 65.8 (SD) 8.0 years; 9 men and 15 women] with medial ankle osteoarthritis were included. Fourteen and 10 patients had the varus angulation (tibiotalar tilt angle≥3 degrees) and medial translation (tibiotalar tilt angle<3 degrees) types, respectively. All patients underwent three-dimensional gait analysis, and the maximum varus moment of the ankle was recorded. Radiographic measurement included tibial plafond inclination, tibiotalar tilt angle, talar dome inclination, and lateral talo-first metatarsal angle. Comparison between the two types of medial ankle osteoarthritis and the relationship betwerestore the biomechanical balance of the ankle.

The varus angulation type of medial ankle osteoarthritis is considered to be more imbalanced biomechanically than the medial displacement type. The lateral talo-first metatarsal angle, being significantly associated with the ankle varus moment, should be considered for correction during motion-preserving surgeries for medial ankle osteoarthritis to restore the biomechanical balance of the ankle.Mudstone interlayer is a weak layer in rock engineering. When it is subjected to continuous stress higher than its damage threshold, due to the dislocation of particles in mudstone crystals and the expansion of cracks, mudstone strength is gradually damaged and deteriorated and the strain gradually increases, thus accelerating the phenomenon of creep damage. In order to describe the characteristics of the whole process of mudstone aging deformation, based on the damage evolution of strength parameters (cohesion and internal friction coefficient) with stress and time in mudstone creep tests, a novel damage nonlinear viscoelastoplastic body (D-NVPB) is proposed through improving traditional plastic element. D-NVPB describes the nonlinear characteristics of the accelerated creep stage of mudstone. With the element combination method, D-NVPB is connected with the Burgers model in series to form a new nonlinear damage creep model (D-NVEP model). The analysis results of creep characteristics theoretically verified the rationality of the model in describing the instantaneous elasticity, viscoelasticity, and nonlinear viscoplastic characteristics of the complete creep curve of mudstone. With the data obtained in the uniaxial compression creep test of mudstone under the action of a stress level of 14 MPa, based on the Levenberg-Marquardt nonlinear least squares method, the fitting calculation was performed through piecewise fitting and overall fitting. The correlation coefficient was 0.9909, which verified the applicability of the model. The obtained model parameters by the identification were used to predict the mudstone creep curve under the stress levels of 13 MPa and 15 MPa. The good prediction results further verified the feasibility of the model. Compared with the traditional creep model, the D-NVEP model can better describe the nonlinear characteristics of the accelerated creep stage and quantitatively display the strength damage evolution process of rock in the creep failure process.Low performance of high school students and repeating a year are major problems in the education system. Low performance in the classroom generates negative emotions in young people and has been related to development of school burnout. The objective of this study was to analyze the repercussions of academic performance on burnout in high school students, and establish the role of emotional intelligence in this relationship. The sample was made up of 1287 high school students aged 14 to 18, who filled out questionnaires for evaluation of these variables. BB-2516 cost The results showed that youths who had failed a subject or had repeated a year showed more exhaustion and cynicism than their classmates with better performance and higher academic efficacy. A relationship was also found between school burnout and emotional intelligence in these adolescents, positive for self-efficacy and negative for cynicism and exhaustion. The model results showed that low academic performance affected burnout level, and that stress management and mood in emotional intelligence acted as a mediator in this relationship.