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

Revista Brasileira de Biblioteconomia e Documentação

Ergonomia digital em sites universitários: análise do Departamento de Ciência da Informação da UFPE

Myllena Laís de Melo Silva, Diego Andres Salcedo

O estudo teve como objetivo analisar a usabilidade informacional do site do Departamento de Ciência da Informação da Universidade Federal de Pernambuco. Utilizou como procedimentos metodológicos tanto os atributos de usabilidade de conteúdos digitais quanto os critérios ergonômicos para avaliação de interfaces digitais, ambos teoricamente apropriados à Ciência da Informação. Realizou estudo de caso na página eletrônica do Departamento de Ciência da Informação da Universidade Federal de Pernambuco no primeiro semest …

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 …

29.08.2026journal-article

The Nursing Scope

Perceptions, Perceived Efficacy, and Factors Influencing the Objective Structured Clinical Examination Among Nursing Students at the University of Ibadan

Chizoma Ndikom

Background: The Objective Structured Clinical Examination (OSCE) has been widely adopted in health professions education because of its objectivity, standardisation, and structured approach to assessing clinical competence. Despite its widespread use, limited evidence exists regarding nursing students’ perceptions of the OSCE, its perceived efficacy, and the factors influencing their performance. Aim: To assess nursing students’ perceptions, perceived efficacy, and factors influencing performance in the Objective S …

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

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

Journal of Contemporary Ethnography

Guiding Methodological Choices in Digital Ethnography: A Decision-Making Framework

Nicole Basaraba

As internet communications continue to change rapidly, including public access to large language model systems and new limitations on Application Programming Interface (API) access used to gather data from online platforms, research methods for gathering and analyzing digital big data need to be revisited. Digital ethnography is presented here as a continually developing transdisciplinary methodology, often applied in social sciences and digital humanities, that involves collecting and analyzing digital corpora. Th …

29.08.2026journal-article

African Journal of Primary Health Care & Family Medicine

Assessing the effectiveness of the patient referral system in remote Zambia: A case study of Mbala District

Austine Dolopo

Background: Effective patient referral systems are vital for ensuring timely access to advanced healthcare services, particularly in remote areas. In Zambia’s rural districts such as Mbala, the referral system faces critical challenges, including poor road networks, limited ambulance services, unreliable communication infrastructure and a lack of medical personnel at lower-level facilities. These issues contribute to delays, preventable complications, and increased patient morbidity and mortality. Aim: This study a …

29.08.2026journal-article

Pediatric Research

Serum and urinary D-lactate in pediatric intestinal failure: clinical associations and reference values

Rita Halašová, Rana Ibrahim, Stanislava Balogová, Radek Štichhauer, Alena Tichá, Radomír Hyšpler, Vladana Skutilová, Filip Fencl, Kateřina Bajerová, Eva Karásková, Mária Véghová-Velgáňová, Peter Szitányi, Jan Schwarz, Monika Koudová, Rafael Doležal, Vanda Mečiarová, Jan Melek

Abstract Background D-lactate, produced by intestinal microbiota or derived from the methylglyoxal pathway and diet, is converted by D-lactate dehydrogenase (LDHD) to pyruvate, with several known pathogenic variants of the gene. This study compared serum and urinary D-lactate concentrations across five patient groups and established reference values in healthy children. Methods In this cross-sectional study, 341 serum and urine samples from 129 pediatric patients were analyzed. The cohort comprised patients receivi …

29.08.2026journal-article

Brain Structure and Function

ACPC-MAP: a protocol for manually aligning structural T1-weighted magnetic resonance images to the anterior commissure – posterior commissure plane according to clinical standards

Ashok K. Selvaraj, Ronald H. M. A. Bartels, Christian F. Beckmann, R. Saman Vinke, Koen V. Haak

Abstract Realigning structural MR images to stereotactic AC-PC space is a standard procedure that enhances anatomical consistency both within and across neuroimaging studies, allowing for precise spatial localization and reliable cross-subject comparisons in both clinical and research contexts. However, different versions of AC-PC spaces, stemming from varying definitions of the AC-PC axis as outlined in common stereotactic atlases like Talairach and Schaltenbrand, often lead to discrepancies between the neurosurgi …

29.08.2026journal-article

Journal of International Students

Exploring campus mental health support for international graduate students in Arizona

Collins Ezea, April Petillo

International students face elevated mental health risks linked to acculturative stress, academic pressure, sociocultural adjustment, and structural barriers in higher education. Although these challenges are recognized, less attention has been given to how universities design and deliver support for this population. This study used a descriptive phenomenological design to examine perspectives on international graduate students’ mental health across Arizona universities. In-depth semi-structured interviews were con …

29.08.2026journal-article

International Journal of Innovative Science and Research Technology

The Evolution of Spatiotemporal Hotspot Prediction in Public Health: Emerging Paradigms from Spatial Epidemiology to GeoAI and Foundation Models

Godwin Tetteh Wayoe, Godson Teye Apaflo, Solomon Doe Adjaottor

Spatiotemporal hotspot prediction has become essential for proactive public health surveillance and intervention. Over several decades, analytical approaches in this field have evolved from classical spatial epidemiology through Bayesian modeling, machine learning, deep learning, GeoAI, and more recently, foundation models. This State-of-the-Art Review systematically traces the evolution of this paradigm, comparing methodological characteristics, strengths, and limitations across successive approaches. This State-o …

29.08.2026journal-article

E-Compós

Entre conformidade e formação

Raquel Lobão Evangelista

O ensaio analisa as respostas institucionais à incorporação da inteligência artificial na formação de pesquisadores da pós-graduação brasileira, tendo como corpus o Referencial do MEC (2026), a Portaria CNPq nº 2.664/2026 e a Política de IA da Compós (2025). A partir do dialogismo bakhtiniano e análise documental, propõe o conceito de erosão epistêmica para nomear o risco de atrofia gradual das capacidades cognitivas e discursivas do pesquisador em formação. Argumenta-se que as respostas institucionais operam segun …

29.08.2026journal-article

Children

Molecular Characterization and Clinical Outcomes of Klebsiella pneumoniae in Neonatal Sepsis: A Three-Year Molecular Epidemiological Study

Oscar Villavicencio-Carrisoza, Orly Grobeisen-Duque, Janet Flores-Villanueva, Jimena Lopez-Dueñas, María Guadalupe Martínez-Salazar, Moises Leon-Juarez, Maria Isabel Villegas-Mota, Juan Xicohtencatl-Cortes, Sara A. Ochoa, Irma Eloisa Monroy-Muñoz, Ricardo Figueroa-Damian, Graciela Villeda-Gabriel, Irma Elena Sosa-González, Paola Andrea Santos-Ruiz, Claudia Andrea Cruz-Baquero, Jorge Francisco Cerna-Cortes, Hector Flores-Herrera, Lisbeth Camargo-Marin, Mario Estanislao Guzman-Huerta, Addy Cecilia Helguera-Repetto

Background: Klebsiella pneumoniae is one of the leading causes of healthcare-associated neonatal sepsis, with increasing antibiotic resistance and virulence representing major challenges for neonatal care. This study aimed to characterize the molecular epidemiology of K. pneumoniae isolates causing neonatal sepsis at a tertiary referral center in Mexico City and to evaluate the relationship between antibacterial resistance, virulence determinants, clonal dissemination, and neonatal outcomes. Methods: A retrospectiv …

29.08.2026journal-article

Administration and Policy in Mental Health and Mental Health Services Research

Impact of the COVID-19 Pandemic on Peer Support Services in the Veterans Health Administration: Lessons for Healthcare Organizations

Johanne Eliacin, Alexandria N. Miller, Marianne S. Matthias, Diana J. Burgess, Scott Patterson, Caitlin E. O’Connor, Angela L. Rollins

Abstract To identify strategies that faciliate the implementation adaptation of peer support services to ensure continuity and effectiveness of mental health care during crisis or rapid organizational changes. This is a cross-sectional, qualitative study that was conducted during the COVID-19 pandemic with a purposeful sample of Veterans Health Administration (VHA) peer specialists and their supervisors from 11 facilities in a Veteran Integrated Service Network (VISN). Data collection and analysis were guided by th …

29.08.2026journal-article

BMC Public Health

Trends in cardiovascular disease incidence and mortality in Beijing, 2012–2022

Aijuan Ma, Zhiqing Zeng, Xiao Li, Chen Yang, Jiayu Wang, Gang Li, Moning Guo, Feng Lu, Li Nie, Chen Xie, Bo Jiang, Jun Lv, Liming Li

Abstract Objective To assess the trends in cardiovascular disease (CVD) incidence and mortality among Beijing adults, providing a scientific basis for the development of chronic disease prevention and control strategies. Methods A prospective cohort study was conducted among adults aged 18–79 years in Beijing. A face-to-face questionnaire, along with body measurements and laboratory tests, were administered to 42,548 participants. Follow-up data on CVD hospitalizations and mortality through December 31, 2022, were …

29.08.2026journal-article

Journal of the Pediatric Infectious Diseases Society

Examining Structural and Social Drivers of Hepatitis B Vaccination Across Diverse Clinical Settings

Alisa Vidwans, Anita Narkhede, Emily Coughlin, Lisa J Sanders

Abstract Background Hepatitis B is a major cause of liver cancer in the United States and is also associated with increased risks of non-Hodgkin lymphoma, pancreatic, bile duct, and head and neck cancers. Although the Hepatitis B vaccine is highly effective at preventing chronic infection and subsequent cancer development, vaccination rates remain low: In 2021, Hepatitis B vaccination coverage was 34.2% among adults 19 and older. This study evaluates Hepatitis B vaccination series completion among adolescents and y …

29.08.2026journal-article

International Journal of Health and Pharmaceutical (IJHP)

Analysis of Multiple-Choice Questions In Musculoskeletal Module At orthopaedics and Traumatology Division, Syarif Hidayatullah State Islamic University Faculty of Medicine

Bisatyo Mardjikoen, Ahmad Mu’taz Shobary, Achmad Zaki, Marita Fadhilah, Siti Nuraisyah Jauharoh, Ahmad Azmul A. Irfan

Background : Multiple choice question are a form of assessment to measure student competence. The quality of the multiple choice items can be determined using the parameters of the difficulty item, discrimination index, and distractor efficiency. Objective: To carry out item analysis of MCQs and the association between distractor efficiency with difficulty index and discrimination index in Musculoskeletal Module at Orthopaedic and Traumatology Division, Syarif Hidayatullah State Islamic University Faculty of Medici …

29.08.2026journal-article

International Journal of Environmental Sciences, Development & Sustainability

Human Health and Environmental Impact of Electronic Waste in Hadejia Metropolis, Jigawa State, Nigeria

Bashir B. Sabo, Aminu Hussaini

This study examined the impact of electronic waste (e-waste) disposal on human health and environmental quality in Hadejia. The rapid increase in the use of electrical and electronic equipment has resulted in a corresponding rise in e-waste generation, which poses significant environmental and public health challenges, especially in developing urban areas where waste management systems are inadequate. The study specifically assessed current e-waste disposal practices, evaluated the environmental and health effects …

29.08.2026journal-article

International Journal of Environmental Sciences, Development & Sustainability

Artificial Intelligence in Architectural Education: assessing Awareness, Usage, and Institutional Readiness in Selected Universities in South-East Nigeria

Chidozie E. Duruji, Tobechi B. Ejekwu, Faisal C. Emetumah

The rapid advancement of Artificial Intelligence (AI) is reshaping architectural education and practice globally. However, its integration within Nigerian architectural schools remains limited. This study examines AI awareness, usage patterns, and institutional readiness in selected universities in South-East Nigeria, namely: University of Nigeria Enugu Campus (UNEC), Imo State University Owerri (IMSU), and Gregory University Uturu (GUU). A descriptive cross-sectional quantitative survey design was adopted. Data we …

29.08.2026journal-article

Clinical Trials

A practical application for the efficient use of historical data in randomized controlled design using systematic review data

Tim J. Schouten, Andrea Gabrio, Jochen W. L. Cals, Mark Spigt

Introduction: Randomized controlled trials are the gold standard for evaluating interventions but are resource-intensive and impose considerable burden on participants. Historical control designs, which incorporate data from previous trials into new analyses, could reduce sample size requirements, but their practical application is limited. This study explored the feasibility of constructing a historical control using the Bayesian meta-analytic predictive approach based on data from a systematic review of metformin …

29.08.2026journal-article

EPRA International Journal of Environmental Economics Commerce and Educational Management

A STUDY OF DIGITAL MARKETING IN INDIA- OPPORTUNITIES AND CHALLENGES

Dr.Venkatanarayana Miriyam

Digital marketing has emerged as a significant driver of business growth and consumer engagement in India, supported by rapid internet penetration, smartphone adoption, social media usage, e-commerce, and artificial intelligence. In January 2025, there were over 806 million internet users in India, and there were about 491 million social media user identities. This shows how much enterprises may benefit from digital platforms. According to FICCI-EY, India's digital advertising market rose by 26% in 2025 to ₹94,700 …

29.08.2026journal-article

International Journal of Health and Pharmaceutical (IJHP)

The Relationship Between Family Support And Leisure Time Utilization With Mental And Emotional Conditions In Children

Sidrotul Hana, Muhammad Purnomo, Sri Karyati

Children's mental and emotional state is influenced by family support and the use of free time. This study aims to analyze the relationship between these two factors with the mental and emotional state of junior high school students. This quantitative study with a correlational design and a cross-sectional approach involved 284 eighth-grade students as the population and 57 respondents as the sample through two-stage cluster sampling. The instruments included a family support questionnaire, the Leisure Time Activit …

29.08.2026journal-article

Journal of Education, Society and Behavioural Science

Mental Health in Later Life: Clinical Challenges, Social Determinants, and Multilevel Responses in an Ageing World, with Evidence from India

Vijaya Upadhyay, Satyendra Mani Vikram

Population ageing is changing the epidemiology, clinical presentation and service requirements of mental disorders. Later-life mental health cannot be understood solely as a set of psychiatric diagnoses because depressive and anxiety disorders, neurocognitive disorders, sleep disturbance, grief, substance-related problems and suicidal behaviour interact with multimorbidity, disability, sensory loss, polypharmacy and social adversity. This critical narrative review integrates international evidence with a specific e …

29.08.2026journal-article

Archiv Euromedica

SLEEP DISORDERS AND HYPERTENSION: PATHOPHYSIOLOGICAL MECHANISMS, EPIDEMIOLOGICAL EVIDENCE AND CLINICAL IMPLICATIONS

Ewa Dapkiewicz, Dawid Gąsowski, Sylwia Haba, Katarzyna Łysynkiewicz, Zuzanna Wątek, Patrycja Krawczyk, Izabela Grzyb, Jan Szewczyk, Alicja Smolińska, Maria Bołoz

Background Hypertension remains a major global health challenge and an important risk factor for cardiovascular disease. Increasing evidence indicates that sleep disorders and adverse sleep patterns are associated with blood pressure dysregulation and may contribute to the development or persistence of hypertension. Aim This narrative review aimed to evaluate the pathophysiological mechanisms, epidemiological evidence, and clinical implications of the relationship between sleep disorders and hypertension, with part …