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Interactive effects of cortisol and testosterone on emotion regulation in healthy young men
No full textData and R code used for the analysis are stored her
Unlocking Socioeconomic Insights through Schools’ Geolocation
No full textThis is the supplementary material for the article "Unlocking Socioeconomic Insights through Schools’ Geolocation: An innovative Methodology for Educational Research". It includes the dataset used to estimate the main models (along with a codebook for understanding the variables), as well as all the code employed and supplementary tables that complement the study's results section
HUSL-Matrix: Vacuum-Phased Decoherence Mitigation in Semiconductor Lattices
No full textThis project identifies the 19.41 Hz (Zm) stability node as a macroscopic manifold pressure constant essential for high-precision hardware environments. The research provides a technical framework for decoherence mitigation in quantum and sub-5nm semiconductor architectures. By synchronizing electron transport layers with the vacuum manifold's universal frame rate, the system suppresses stochastic noise and extends qubit coherence times. This calibration is critical for enhancing lithographic precision and metabolic-like efficiency in next-generation silicon architectures.
Legal Notice & Sovereign Protection:
Copyright © 2026 Lee Holmes (ORCID: 0009-0002-8135-0645). This intellectual property is protected under German Law (Urheberrecht), EU Intellectual Property Law, and the EU AI Act. Licensed under CC BY-NC-ND 4.0. AI use is disclosed for technical synthesis and dyslexia-friendly visual structuring.
Priority Declaration:
This asset is a derivative application of the HUSL-Matrix registered under the following primary DOIs:
- Analytical Derivation of the Zm Constant (19.41 Hz): DOI: 10.17605/OSF.IO/H3CQ8
- Industrial Defense Protocols: Phase-Locked Steering: DOI: 10.17605/OSF.IO/52QUD
- Resonant Manifold Nudging (Space Operations): DOI: 10.17605/OSF.IO/DWEAJ
- Resonant Cellular Stability (Oncology): DOI: 10.17605/OSF.IO/Y7HD
Health-Seeking in Fragile and Conflict-Affected Settings: How Armed Violent Conflict Shapes Maternal and Child Health Behaviours in Northeastern Nigeria
No full textMaternal and child mortality remain unacceptably high in fragile and conflict-affected settings, where insecurity, displacement, and systemic disruptions hinder access to care. This study explored stakeholder perspectives on how armed conflicts shapes maternal and child health-seeking behaviours and outcomes in northeastern Nigeria
Investigating the associations between sleep timing variability and sleep architecture
No full textThe present study aims to address this gap by utilizing a large-scale, open access database obtained from the Stanford Technology Analytics and Genomics in Sleep (STAGES) study. The primary aim of this study was to investigate the associations between sleep timing variability and PSG-derived sleep architecture in a sample of ~1900 individuals from the STAGES dataset. The second aim was to assess concordance between multiple established metrics of sleep timing variability to determine the extent to which they capture overlapping or distinct aspects of sleep regularity. Given the exploratory nature of this research, no a priori hypotheses were specified
Paper IV - Semigroup Decay from a Positive Spectral Threshold on Infinite Bounded-Degree Graphs
No full textThe Utilisation of Outpatient Care by People with Intellectual Disability
No full textPeople with intellectual disabilities experience substantial health inequalities compared with the general population. Due to higher prevalence rates of physical, neurological, and mental health conditions, their health care needs are increased. Nevertheless, evidence consistently indicates persistent barriers in accessing and receiving adequate outpatient medical care. While these barriers affect health care provision in general, they disproportionately disadvantage people with intellectual disabilities and contribute to structural health inequalities.
This scoping review aims to synthesize current evidence on the utilization and quality of outpatient medical care for people with intellectual disabilities and communication impairments. To provide a structured overview of this broad research field, the review is guided by the Behavioural Model of Health Service Use (BMHSU). The model distinguishes between predisposing, enabling, and need factors at both individual and societal levels and therefore enables an assessment of health inequities within the study population. The main research questions are:
(1) What is known about the use of outpatient medical care by people with intellectual disabilities and communication impairments?
(2) Which factors, according to the BMHSU, influence the use of these services?
A scoping review was conducted in accordance with the PRISMA-ScR framework. To ensure comprehensive coverage, existing reviews and related research projects were screened to identify relevant keywords. A systematic literature search was performed in PubMed, Scopus, and Web of Science. Empirical studies addressing outpatient medical care for people with intellectual disabilities were eligible for inclusion. Studies were excluded if they were reviews, meta-analyses, or case studies; focused on individuals under 18 years of age; or addressed exclusively inpatient care or therapeutic services. Screening was conducted using the software Rayyan. Title/abstract and full-text screening were performed independently by two reviewers, with disagreements resolved through discussion. In total, 64 studies met the inclusion criteria. Relevant data were extracted and summarized in a reference table and synthesized narratively.
The findings show that people with intellectual disabilities have higher prevalence rates of physical, neurological, and mental health conditions and consequently use outpatient services more frequently than the general population. Despite this higher utilization, health care needs are often insufficiently met. The main barriers include limited appointment availability, long waiting times, and insufficient amount of time for the consultation. Furthermore communication barriers were especially prominent; medical information is often not provided in simple language, and health care professionals frequently lack training in communicating with people with intellectual disabilities and their specific medicial conditions. To manage these barriers, many individuals rely heavily on caregivers or family members, who organize appointments, assess health needs, provide transportation, and mediate during consultations. Although many individuals with intellectual disabilities report satisfaction with outpatient care, caregivers tend to evaluate care quality more critically