ABSTRACT Objective SURMOUNT‐REAL UK will evaluate the effectiveness of tirzepatide when offered in addition to standard‐of‐care (SoC) in adults with Class I obesity (BMI ≥ 30 and ≤ 34.9 kg/m2) and without diabetes in a UK primary care setting. Methods A 5‐year, phase 4, multicenter, open‐label, pragmatic randomized clinical trial is enabled through ...
Martin K. Rutter +14 more
wiley +1 more source
Social Determinants of Cardiovascular Disease Risk Factors Among Black Ethnic Groups: Findings From the 2013 to 2018 National Health Interview Survey. [PDF]
Osei Afriyie D +6 more
europepmc +1 more source
ABSTRACT This article analyzes public administration systems in 29 non‐Western countries. Country‐level data is presented for 10 core aspects of administrative systems: managerialism versus legalism, politicization, personnel system, civil society participation, accountability, service orientation, public expenditure share, decentralization, legal ...
Marlene Jugl
wiley +1 more source
Mapping evidence on maternal metabolic conditions and child neurodevelopment in the Caribbean: a scoping review. [PDF]
Mabie A +6 more
europepmc +1 more source
Who Holds the Strings? Hybrid Governance in Small States
ABSTRACT This paper examines how governance in Caribbean small island developing states (SIDS) is reshaped by enduring postcolonial legacies, recurrent crises, and deepening global interdependence. It highlights turbulence, understood as a structural, generative condition of fragmented and recombining authority, as its central analytical contribution ...
Dana‐Marie Ramjit
wiley +1 more source
Parental income and drug use disorder among second-generation individuals in Sweden: effect modification by immigrant background and region of origin. [PDF]
Okuyama K +5 more
europepmc +1 more source
More than proteins for empty stomachs: Wild meat in the BaTonga food system
Abstract Our paper highlights the limitations of the framework used by many conservation‐focused programmes that incorporate food security objectives. This framework encourages the substitution of wild proteins with domestic proteins by promoting animal farming in communities located near conservation areas.
Muriel Figuié +5 more
wiley +1 more source
Environmental exposures, microbiome dynamics and chronic disease risk in climate-vulnerable regions: interdisciplinary perspectives from Puerto Rico. [PDF]
Godoy-Vitorino F +10 more
europepmc +1 more source
How can children and young people have a voice in urban treescapes?
Abstract Scientific understanding of climate change has, to date, failed to result in sufficient action. This paper proposes that a deficit model of top‐down learning and dissemination in relation to public engagement with science may be part of the problem, particularly when considering the attitudes, values and empowerment of children and young ...
Simon Carr +10 more
wiley +1 more source
Establishing a postgraduate programme in orthodontics in the Caribbean: governance, collaborations and challenges, at the University of the West Indies. [PDF]
Hoyte T.
europepmc +1 more source

