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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
29.08.2026journal-article

BMC Nursing

Developing a readiness evaluation framework for public hospital-led digital home nursing services in China: a Delphi-AHP study

Yuzhe Wang, Zimin Wang, Yingchun Liu, Guiming Yan, Fang Hu, Xiaodan Wu, Tianzhi Yu

Abstract Background Internet Plus Nursing Services have become an important public hospital-led model for extending professional nursing care from hospitals to patients’ homes through digital platforms in China. Although previous studies have examined service quality, patient experience, nurse participation, and platform functions, little attention has been paid to whether public hospitals possess the system readiness required to deliver safe, sustainable, traceable, and accountable digital home nursing. This study …

29.08.2026journal-article

The International Journal of Accounting and Business Society

From Local Business To Digital Business: Orchestrating Resources for MSMEs' Digital Transformation in Wamena, Papua Pegunungan

Tati Haryati, Rudihartono Ismail, Nur Aini, Yani Dwi Restanti

Purpose — This study aims to explore the implementation of digital transformation in Micro, Small, and Medium Enterprises (MSMEs) within remote 3T (Disadvantaged, Frontier, and Outermost) regions, specifically focusing on Wamena, Papua Pegunungan, and to analyze the impact of Business Information System Orchestration, Human Resource Capability, Financial Capability, and Government Policy Support on digital transformation in MSMEs. This study views digital transformation as a strategic step that emphasizes not only …

29.08.2026journal-article

CARONG: Jurnal Pendidikan, Sosial dan Humaniora

Pengaruh Media Pembelajaran Digital Berbasis Sejarah Lokal Kabupaten Jember terhadap Hasil Belajar Sejarah Siswa Kelas XI SMA Satya Dharma Balung

Fira Mariska, Gandum Wirawan, Agi Ma’ruf Wijaya

Penelitian ini bertujuan untuk mengetahui hasil belajar sejarah siswa setelah menggunakan media pembelajaran digital berbasis sejarah lokal Kabupaten Jember serta menganalisis pengaruh penggunaannya terhadap hasil belajar siswa kelas XI SMA Satya Dharma Balung. Penelitian menggunakan pendekatan kuantitatif dengan metode eksperimen dan desain quasi-experimental design bentuk nonequivalent control group design. Sampel penelitian terdiri atas 50 siswa yang terbagi dalam kelompok eksperimen dan kelompok kontrol, masing …

29.08.2026journal-article

Veredas do Direito

CHALLENGES AND OPPORTUNITIES FOR THE ETHICAL, CRITICAL, AND RESPONSIBLE USE OF GENERATIVE ARTIFICIAL INTELLIGENCE: A CASE STUDY OF THE FEDERAL INSTITUTE OF PARÁ (IFPA) – MARABÁ INDUSTRIAL CAMPUS

Ronaldo Alves Paiva, Thiago Yeshua Damasceno Ferreira, Douglas da Costa Fonseca, Carlos dos Santos Portela, Cledson Santana Lopes Gonçalves, José Leão de Luna, Silvério Sirotheau Corrêa Neto, Fernando Aracati Botelho, Lília Cristina dos Santos Diniz Alves, Angela Costa Santa Brígida, Ramz Luiz Fraiha Lopes, Maria Liduína das Chagas, Fábio André Brasiliense de Abreu, Thiago Rafael da Silva Moura

A Inteligência Artificial (IA) tem promovido transformações na educação por meio de estratégias de aprendizagem personalizadas e mediadas por tecnologias digitais. Entretanto, sua incorporação ao contexto educacional impõe desafios éticos, pedagógicos e jurídicos relacionados à autoria, aos direitos autorais, à integridade acadêmica e ao uso responsável da informação, evidenciando a necessidade de diretrizes institucionais. No Instituto Federal do Pará (IFPA) – Campus Marabá Industrial, verificou-se que 97,9% dos e …

29.08.2026journal-article

Jurnal Minfo Polgan

Penerapan Metode Blockchain Untuk Verifikasi Ijazah Digital Menggunakan Pendekatan Hash Alghorithm Verification

Miftahul Rifqi, Yulita Salim, Erick Irawadi Alwi

Pemalsuan ijazah digital menjadi permasalahan yang dapat mengurangi kepercayaan terhadap keaslian dokumen akademik. Penelitian ini bertujuan mengembangkan sistem verifikasi ijazah digital berbasis blockchain untuk menjamin integritas dan keaslian dokumen. Sistem dibangun dengan mengintegrasikan algoritma SHA-256, Merkle Tree, digital signature, dan blockchain. Proses verifikasi dilakukan melalui pembangkitan hash dokumen, pembentukan Merkle Root, serta pencocokan Merkle Root dan digital signature dengan data refere …

29.08.2026journal-article

Education for Information

Digital Inclusion in Indian Libraries: A Systematic Review of Determinants and Research Landscape for Evolving an Integrative Framework

Shahid Maqbool Mir, Aamirul Haq, Aasif Mohammad Khan, Nadim Akhtar Khan

Digital inclusion has emerged as a multidimensional socio-technical challenge that extends beyond providing access to information and communication technologies. While libraries are increasingly recognized as key institutions for promoting equitable digital participation, evidence on the determinants of digital inclusion within Indian library settings remains fragmented. This study systematically synthesizes the existing literature to map the research landscape, identify the key determinants of digital inclusion, a …

29.08.2026journal-article

Social Science and Management

MEASUREMENT OF DIGITAL RURAL DEVELOPMENT LEVEL AND ITS INFLUENCING FACTORS IN THE YANGTZE RIVER DELTA REGION

YaJie Zhang, YingYan Zhang, ShuLing Zhou, AiYong Lin

This paper proposes a data-driven method for measuring the level of regional digital rural development. Based on data collection and application across dimensions such as digital infrastructure, digitalization of rural economy, digital governance, and digital rural life, an evaluation index system for digital rural development is constructed. The entropy weight TOPSIS model is applied to measure and evaluate the overall level of digital rural development and its four subsystems, providing targeted policy recommenda …

29.08.2026journal-article

Journal of Commerce, Economics & Computer Science

Integrating Artificial Intelligence, IoT, and GIS for Smart Disaster Risk Management: A Systematic Review

Chirag Patel

Disasters triggered by hydro-meteorological, geophysical, and climatic hazards are increasing in frequency and severity, straining the capacity of conventional disaster risk management (DRM) systems that rely on manual data collection and delayed decision-making [1], [5]. Recent advances in Artificial Intelligence (AI), the Internet of Things (IoT), and Geographic Information Systems (GIS) have opened new possibilities for building smart, data-driven, and anticipatory disaster management systems [3], [14]. This pap …

29.08.2026journal-article

Journal of Clinical Monitoring and Computing

Patient characteristics and monitor alarms in a cardiac ICU: A retrospective cross-sectional study

Juho O Jämsä, Kimmo H Uutela, Mitja Lääperi, Anna-Maija Tapper, Lasse Lehtonen

Abstract The purpose was to describe patient monitor alarm burden in a cardiac surgical intensive care unit and explore whether routinely available patient characteristics are associated with alarm frequency, type, and duration. Secondary objectives were to assess indirect signs of alarm fatigue and compare alarm rates with two previous studies using identical monitors in different clinical units. We retrospectively collected patient-monitor alarm data and patient characteristics over four consecutive weeks in the …

29.08.2026journal-article

Dentistry Journal

Clinical and Esthetic Outcomes of Vestibular Socket Therapy: A Systematic Review and Meta-Analysis

Yasser Sherif Soliman, Nadine Gräfin von Krockow, Fatma E. A. Hassanein, Mihad Ibrahim, Abdelsalam ElAskary, Hossam Ismail

Background/Objectives: Vestibular socket therapy (VST) is a minimally invasive technique for immediate implant placement (IIP) in compromised extraction sockets that reconstructs the deficient buccal plate while preserving the crestal soft tissue. Despite growing clinical adoption, the randomized evidence on its predictability and biological performance remains limited. Methods: Following PRISMA 2020 and prospectively registered in PROSPERO (CRD420261288724), PubMed/MEDLINE and EMBASE were searched to January 2026 …

29.08.2026journal-article

International Journal of Research in Medical Sciences

A cross-sectional study of etiology, clinical profile, prognosis and outcome of acute kidney injury in a tertiary care hospital

Yafas Nazir Khan, Mansi, Rolanda Saint Louis, Shehla Ashraf, Purna Chand Paidi

Background: Acute kidney injury (AKI) is a common and serious clinical condition associated with significant morbidity, mortality, prolonged hospital stay, and increased healthcare burden. Early identification of etiological factors and severity is essential for timely intervention and improved outcomes. Methods: A hospital-based analytical cross-sectional study was conducted among 150 patients with AKI admitted to a tertiary care hospital over 18 months. Patients fulfilling acute kidney injury network (AKIN) diagn …

29.08.2026journal-article

Journal of Education Management and Leadership (JEML)

Transformative Education in the Digital Age: Evaluating the Impact of Digital Literacy Training on Graduate Employability in Kenya

Faith Wanja Kilaku, Judah M. Ndiku, Cyrus M. Muhanga, Ken Kathukumi

This study aims to investigate the role of training delivery mode in determining the effectiveness of digital literacy training and, consequently, the acquisition of digital competence among university students in Kenya. The rapid adoption of digital technology has changed skill requirements in the labour market, compelling educational institutions to equip individuals with digital competencies. The Technology Acceptance Model (TAM) formed the basis for the convergent mixed-methods approach used in this study. Quan …

29.08.2026journal-article

PKLI Journal of Health Sciences

Absence of Epidemiological Evidence on Anorexia Nervosa Among Adolescents in Pakistan

Muhammad Soban, Bisma Tariq

Anorexia nervosa is a severe psychiatric disorder associated with significant morbidity and elevated mortality risk. Despite its clinical importance, there is a striking lack of epidemiological evidence regarding its burden among adolescents in Pakistan. This letter highlights a critical literature gap identified during the conduct of a systematic review and meta-analysis that aimed to determine the prevalence and risk factors of anorexia nervosa in Pakistani adolescents. An extensive search of multiple electronic …

29.08.2026journal-article

Business and Accounting Education Journal

Integrating Digital Green Accounting into Business Education: A Review and Future Directions for Sustainable E-Business Learning

Md Sajid Hasan, Sheikh Abu Toha Md Saky, Dr. Md Nurul Islam

The integration of digital green accounting into e-business and business education represents a critical step toward aligning technological innovation with sustainability imperatives. This study conducts a narrative literature review of research published between 2005 and 2025, examining how digital tools such as blockchain, artificial intelligence, IoT, and big data are reshaping accounting practices to enhance transparency, accountability, and environmental stewardship. Findings reveal that while e-businesses inc …

29.08.2026journal-article

Diagnostics

Impact of Associated Infections on the Clinical Course and Risk-Stratification Profile of Pulmonary Embolism: Comparative Analysis Using PESI, Wells, Padua, and IMPROVE Scores

Daniela Nicoleta Crisan, Raluca Dumache, Talida Georgiana Cut, Alexandra Herlo, Marius Florentin Popa, Lucian-Flavius Herlo, Nina Ivanovic, Andreea Nelson Twakor, Gabriela-Florentina Țapoș, Adelina Raluca Marinescu

Background: Pulmonary embolism (PE) remains a major cause of cardiovascular morbidity and mortality, and associated infections may modify its clinical course. This study evaluated the impact of viral infections on pulmonary embolism severity, mortality, and the performance of established risk scores. Methods: This retrospective observational study included 729 patients with confirmed PE admitted between January 2020 and December 2025. Patients were grouped according to the presence of associated infections. We anal …

29.08.2026journal-article

International Journal of Environmental Research and Public Health

Non-Combustible Nicotine Use Among Amateur and University Athletes: Prevalence, Patterns and Reasons—A Scoping Review

Nguyen Hoang, Melis Selamoglu, Isabella Papadopoulos, Chi Lao, Holly Wild, Susan Kotwas, Ines Rio, Kim Turudia, Dale Cridland, Chris Barton

Background: Nicotine exposure is increasingly occurring through non-combustible products such as electronic cigarettes and nicotine pouches. Although sport participation is often considered protective against substance use, nicotine use appears to be increasingly normalised within performance-oriented sporting environments. Methods: This scoping review synthesised evidence on non-combustible nicotine use among amateur and university athletes. Following Joanna Briggs Institute (JBI) methodology and Preferred Reporti …

29.08.2026journal-article

European Journal of Nutrition

Effects of reduced gluten intake through the inclusion of yellow pea-based products on abdominal symptoms in habitual wheat consumers: a non-randomized clinical trial

Hitoshi Shimbo, Mamoru Ito, Yuto Aoki, Joto Yoshimoto, Mikiya Kishi, Jiro Saito, Yukihiro Ohya, Masashi Nakamura, Senju Hashimoto, Akiko Yagami

Abstract Purpose Increasing attention has been paid to individuals who report gastrointestinal symptoms following wheat consumption. In addition to wheat allergy and celiac disease, non-celiac gluten sensitivity (NCGS) has been proposed as a clinical entity. Despite persistent symptoms, many affected individuals continue to consume wheat-containing foods. We aimed to investigate the impact of replacing wheat-based foods with gluten-reduced foods, specifically yellow pea pasta (YPP), bread (YPB), and chips (YPC), on …

29.08.2026journal-article

Journal of Medicine and Health Research

A Descriptive Study to Assess the Prevalence of Factor Related to CKD among Patients with CKD Admitted at NMCH Jamuhar, Rohtas, Bihar, India

K. Latha, Dinesh Kumawat, Anish Kumar, Chandan Kumar Purbey, Rohit Kumar, Beauty Kumari, Kajal Kumari

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible disorder that has emerged as a major global public health challenge because of its increasing prevalence, high morbidity and mortality, and economic burden. Diabetes mellitus, hypertension, obesity, smoking, cardiovascular disease, and prolonged use of nephrotoxic drugs are recognised as major contributors to CKD progression. Early identification of these factors is essential for reducing complications and improving patient outcomes. Objecti …

29.08.2026journal-article

OIDA International Journal of Sustainable Development

Staff emotional intelligence as a factor in improving economic efficiency at an energy sector

Oleh Sokil, Nazar Podolchak, Volodymyr Martyniuk, Olena Bilyk, Yana Sokil

In the contemporary operating environment of energy companies, workforce efficiency increasingly relies not only on professional knowledge and technical skills but also on employees’ social and emotional competencies. This article substantiates the role of emotional intelligence as a factor in enhancing workforce efficiency and as a component of human capital within energy enterprises, and develops an approach for its assessment. The research methodology integrates direct, behavioural, and outcome indicators, const …

29.08.2026journal-article

Public Health Journal

Hubungan Pengetahuan dan Masakerja Tenaga Kesehatan dalam Pengelolaan Limbah Medis di Rumah Sakit Umum Mufid Tahun 2026

Maifrizal Maifrizal, Muhammad Shalahuddin, Dara Maulida, Wahidanur Wahidanur

Limbah medis rumah sakit berpotensi menularkan penyakit sehingga memerlukan pengelolaan yang sesuai standar. Survei awal di Rumah Sakit Umum Mufid Sigli menunjukkan peningkatan volume limbah infeksius lebih dari 31% dalam tiga bulan terakhir, disertai temuan kesenjangan antara pengelolaan oleh petugas. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan masa kerja tenaga kesehatan dalam pengelolaan limbah medis di rumah sakit umum Mufid tahun 2026. Penelitian bersifat survei analitik dengan pendekata …

29.08.2026journal-article

Translational Medicine

Early discontinuation of dual antiplatelet therapy after PCI in patients at high bleeding risk: an OCT-guided clinical case

A. A. Prokhorikhin, Yu. V. Kukushkina, D. D. Zubarev, A. V. Gorbatykh, K. A. Rzaeva

Background. Optimizing the duration of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) remains challenging, especially in patients with high bleeding risk and diabetes mellitus, where stent thrombosis risk is significantly increased due to delayed endothelialization. Objective. To demonstrate the safety of early DAPT discontinuation based on individual assessment of stent endothelialization using optical coherence tomography (OCT). Materials and Methods. We present a clinical case of …

29.08.2026journal-article

Diagnostics

Clinical Repeatability and Inter-Method Agreement of VITA Easyshade Advance 4.0 and Rayplicker Cobra for Tooth Shade Determination: An Exploratory Cross-Sectional Study

L. Portero-Ruz, M. Valor-Priego, A. Martín-Vacas, M. M. Paz-Cortés, J. Mena-Álvarez, C. Rico-Romano

Background: Instrumental shade determination may reduce some sources of subjectivity associated with visual shade selection, but device repeatability and interchangeability remain clinically relevant concerns. Objective: The aim of this study was to evaluate the reproducibility and clinical utility of two spectrophotometric devices (Easyshade and Rayplicker Cobra) for tooth shade measurement and selection. Methods: In total, 35 adults were evaluated at seven predefined maxillary tooth regions: the cervical, middle, …

29.08.2026journal-article

International Journal of Environmental Research and Public Health

Bouldering Psychotherapy for Mental Health in Brazil: Preliminary Evidence from a Mixed-Methods Controlled Study

Pedro Carvalho Frulane de Souza, Tatiana Arenas Mora, Tiago Arruda Sanchez, Erick Francisco Quintas Conde

Previous studies have shown that Bouldering Psychotherapy (BPT), an emerging integrative intervention combining bouldering with psychotherapeutic techniques, may promote improvements in mental health and well-being. This pilot study aimed to examine the effects of BPT on symptoms of depression and anxiety in a Brazilian population and explore participants’ perceptions of its psychological and social impacts. Eleven participants completed an eight-week BPT program and were compared with a matched control group. Symp …

29.08.2026journal-article

Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics

Enhancing Low-Resource Healthcare Chatbots via Multi-Stage Data Augmentation and IndoBERT Fine-Tuning

Ahmad Wahyu Rosyadi, Taufiqur Rohman, Moh. Rizki Fajar, Muhammad Qomaruz Zaman, Siti Ma'shumah

Indonesian healthcare question-answering (QA) systems often operate in low-resource settings and must handle substantial linguistic variability in real-world user queries, including paraphrasing, informal expressions, and implicit intent. These challenges are compounded by limited annotated healthcare data and the diverse ways patients express similar medical needs in everyday language, causing QA models to rely heavily on surface-level wording. This study proposes a new multi-stage data augmentation method to impr …