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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
31.08.2026journal-article

BMC Public Health

Healthcare access barriers by mental health status among South Asian adults in Hong Kong: an exploratory cross-sectional study

Zhaoyi Zhu, Gary Ka-Ki Chung, Danna Camille Vargas, Bulbul Sharma, Kai Sing Sun, Heidi Hung, Tsz Lui Tang, Man Hin Chio, Hasiba Munir, Mariem Sharif, Chi Yui Wong, Winne Kought, Nabina Pun, Soniya Pun, Woohyung Lee, Lee Sha Tong, Eliza Lai-Yi Wong, Dong Dong, Eng-Kiong Yeoh

Abstract Background Access to healthcare services has a considerable impact on overall health at all stages of life. Depression and anxiety, coupled with migrant or ethnic minority status, may amplify unique challenges in accessing healthcare, including social, economic and language barriers. This study investigates the relationship between mental health and healthcare access barriers among South Asian adults in Hong Kong. Method A cross-sectional survey with 604 South Asian adults residing in Hong Kong was conduct …

31.08.2026journal-article

International Journal of Public Health Asia Pacific

Comparative analysis of glycaemic index, antioxidant capacity, viscosity, and nutritional composition of hospital-made and commercial blenderized tube feeding for Type 2 Diabetes Mellitus

Rujiraporn Glankhetkit, Waraporn Phanprom, Chutikan Sakphisutthikul

Background: Hospital-prepared blenderized tube feeding diets (BDs) are widely used for people with type 2 diabetes mellitus (T2DM) in Thailand, but their glycaemic performance, antioxidant capacity and physicochemical safety remain unclear. Objectives: This study aimed to compare five formulas for glycaemic performance, antioxidant capacity, physicochemical safety, and nutritional composition. Methods: Five formulas were tested: one general blenderized diet (Control), three hospital-made diabetes-specific BDs (Hosp …

31.08.2026journal-article

Frontiers in Medicine

Positioning equity at the core of European dementia research: a pan-European co-produced perspective from the PANEUCARE consortium

Maria Isabel Cardona, Clarissa Giebel, Anthony Scerri, Anthea Innes, Ninoslav Mimica, Osman Kučuk, T. Rune Nielsen, Jūratė Macijauskienė, Birute Bartkevičiūtė, Carolien Smits, Carmel Geoghegan, Soraya Moradi-Bachiller, Anne Marie Rokstad, Iva Holmerova, Elżbieta Trypka, Ágnes Egervári, Raluca Sfetcu, Marija Taneska, Péter Hegedűs, Iryna Shevchenko, Svetlana Iloski, Thanos Chatzikostopoulos, Jochen René Thyrian

Dementia care across Europe is characterized by substantial regional disparities in research participation, funding, and care practices, which challenge the development of equitable and inclusive research agendas. The PANEUCARE consortium adopted a pan-European, co-produced approach that integrates professional expertise with the perspectives of people living with dementia and caregivers to identify priorities for a more equitable dementia research landscape. Insights were generated through two workshops with demen …

31.08.2026journal-article

Journal of Korean Gerontological Nursing

Regional differences in health status and its associations with health behaviors and healthcare utilization among older adults in the context of the COVID-19 pandemic: A cross-sectional study using the 2019~2020 Korean Community Health Survey

Jieun Lee

Purpose: The financial independence rate (FIR) is an important regional factor that may be associated with older adults’ health status in the context of the COVID-19 pandemic. However, a comprehensive examination of older adults’ health status, healthcare utilization, and health behaviors by residential area is lacking. This study aimed to analyze regional differences in health status (including physical and mental health) among older adults across two survey years (2019 and 2020), and to examine its associations w …

31.08.2026journal-article

Small

H 2 S‐Responsive Carbon Dot‐Poly(α‐Lipoic Acid) Nanodrug Delivery Platform for Multimodal Antibacterial Therapy

Hongbo Juan, Xin Wang, Shan Sun, Kelly Kexin Lin, Jingxin Ma, Kefeng Zhou, Mingyan Zhao, Jianping Yang

ABSTRACT The overuse and misuse of antibiotics have accelerated the global antimicrobial resistance crisis, while the therapeutic efficacy of conventional antibiotics remains severely limited by dense biofilm barriers and the complex infectious microenvironment. To address these challenges, we developed an H 2 S‐responsive nanodrug delivery platform (PIP@CDs‐PαLA) based on multifunctional carbon dots (CDs) and poly(α‐lipoic acid) (PαLA), enabling efficient encapsulation of the broad‐spectrum antibiotic piperacillin …

31.08.2026journal-article

Vascular Medicine

Association of physical activity with arterial stiffness and pulsatility in a community-based cohort

Mawra Jha, Zhiyong Dong, Sean Meagher, Nicole L Spartano, Emelia J Benjamin, Ramachandran S Vasan, Gary F Mitchell, Connie W Tsao

Introduction: Central arterial stiffness and pressure pulsatility are key measures of arterial health and cardiovascular disease (CVD). Acute physical activity (PA) improves vascular function; however, its relationship with arterial health across varying habitual PA levels remains understudied. Methods: We analyzed Framingham Heart Study (FHS) data (Generation 2: Exam 8, 2005–2008, n = 2999 and Generation 3: Exam 1, 2002–2005, n = 4064). Habitual PA was assessed using a standardized questionnaire. Carotid-femoral p …

31.08.2026journal-article

Journal of Clinical Microbiology

Evaluation of time to antibiotic therapy after implementation of an updated rapid diagnostic test for gram-negative bacteremia

Rawan Hussein, Leslie Lee, Rajat Nog, Donald Chen, Vishnu Chaturvedi, Nicholas Feola

ABSTRACT Rapid pathogen identification optimizes antibiotic therapy in bacteremia and can be achieved through molecular-based diagnostic tests. This study assesses the clinical impact after the implementation of an updated multiplex PCR panel (BIOFIRE Blood Culture Identification 2, BCID2). This single-center, retrospective, quasi-experimental study compared outcomes in adult patients with gram-negative bloodstream infections (GN-BSIs) pre and post BCID2 implementation. Data were collected from 1 March 2022 to 1 Ma …

31.08.2026journal-article

MEC-J (Management and Economics Journal)

BPJS Patient Satisfaction As Reviewed From Outpatient Services at Ambulu Community Health Center

Sri Puji Lestari, Hanif Hadinata Utama, Harmawan Teguh Saputra

This study aims to analyze the level of satisfaction of BPJS outpatients with the quality of service at Ambulu Community Health Center and identify the gap between patient perceptions and expectations for each service attribute. This study is a survey study with a quantitative approach. The respondents were 94 BPJS outpatients selected using the Slovin formula. Data collection was conducted through questionnaires, then analyzed using the SERVQUAL method, Customer Satisfaction Index (CSI), and Importance Performance …

31.08.2026journal-article

Veterinary Medicine and Science

Immunological Cross‐Reactivity and Neutralizing Efficacy of Antivenom Against Five Medically Important Iranian Viper Venoms

Sedigheh Khamehchian, Fatemeh Tahoori, Hadi Rabie, Nafiseh Nasri Nasrabadi, Majid Tebianian

ABSTRACT Background Antivenom efficacy relies on the venom antigen composition and the range of antibody cross‐reactivity. This research compared the biochemical profiles of five medically relevant Iranian vipers, Gloydius caucasicus, Pseudocerastes persicus, Montivipera raddei, Echis carinatus, and Macrovipera lebetina , and compared the cross‐reactivity and neutralisation efficacy of laboratory‐prepared monovalent. Methods Venom was characterised using SDS‐PAGE and reverse‐phase HPLC (RP‐HPLC). Monovalent antiser …

31.08.2026journal-article

Sabuncuoglu Serefeddin Health Sciences

IN THE SHADOW OF COVID-19: THE RELATIONSHIP BETWEEN SLEEP AND EMOTION IN SCHOOL-AGED CHILDREN

Mustafa Tunca, Meltem Kürtüncü

This descriptive and analytical study was conducted to determine the interplay between sleep patterns and emotional states of school-age children during the global pandemic. The sample of this descriptive and cross-sectional study consisted of 407 volunteer parents whose children were enrolled in a primary school in a province in the Western Black Sea Region. Data were collected online using the “Demographic Information Form,” the “Children's Sleep and Sleep Habits Questionnaire,” and the “Strengths and Difficultie …

31.08.2026journal-article

European Journal of Trauma and Emergency Surgery

Long-term radiological and clinical outcomes after surgical treatment of non-union: a ten-year follow-up study

Jessica C. Böpple, Jonas Berger, Thomas Ferbert, Tim Niklas Bewersdorf, Gerhard Schmidmaier, Sebastian Findeisen

Abstract Purpose Non-unions are a major challenge in trauma surgery. They are known to affect patients’ lives for years after the initial trauma. Nevertheless, most studies only examine the first two years after treatment. The question what the long-term results look like ten years after surgery was posed in light of observations made in everyday clinical practice. To answer this, our study was designed to examine all patients who underwent non-union surgery in our department ten years ago. Methods All patients who …

31.08.2026journal-article

Evaluation & the Health Professions

Application of Nurse-Led Graded Diaphragmatic Functional Training in Mechanically Ventilated Patients in the Intensive Care Unit: A Randomized Controlled Study

Xufeng Wu, Jianjian Zhang, Yuqing Wang, Yang Yang, Xin Meng, Yuyan Wu, Aihong Pan

Prolonged mechanical ventilation can impair diaphragmatic function and hinder weaning. This study evaluated the effect of nurse-led graded diaphragmatic functional training in mechanically ventilated ICU patients. In this single-center randomized controlled trial, 120 adult patients receiving mechanical ventilation in the intensive care unit of a tertiary hospital in Hefei from February to December 2024 were randomly assigned to either the intervention group (n = 60) or the control group (n = 60). The control group …

31.08.2026journal-article

ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE

Bridging the Knowledge Gap on Rabies: A Cross-Sectional Study of General Practitioners’ Awareness and Clinical Management in Pakistan

Naveed Mansoori, Zohaib ur Rehman Mufti, Rashid Jamal, Imran Bakar, Rabia Yasmin, Syed Muhammad Mubeen

Objective: This study aimed to assess the knowledge regarding rabies and its management among general practitioners in Pakistan.Methods: This cross-sectional study was conducted from March to December 2023 among general practitioners practicing in public and private clinics or hospitals in different cities of Pakistan. Using non-probability convenient sampling technique, a pre-tested structured questionnaires was administered among GPs to assess the knowledge and practices regarding rabies and its management. Descr …

31.08.2026journal-article

Health Research Journal of Indonesia

Evaluasi Perhitungan Overhead Cost IGD Berbasis Activity Based Costing Dalam Meningkatkan Efisiensi Biaya Rawat Jalan

I Gede Pramana Yogi Angestu, Rian Andriani, Mira Veranita

Pendahuluan: Perhitungan biaya pelayanan kesehatan yang akurat merupakan faktor penting dalam mendukung efisiensi pengelolaan rumah sakit. Penggunaan metode perhitungan biaya tradisional dalam mengalokasikan biaya overhead sering menimbulkan distorsi biaya karena tidak mempertimbangkan konsumsi aktivitas secara spesifik. Tujuan: Untuk mengevaluasi penerapan Activity-Based Costing (ABC) dalam perhitungan overhead cost Instalasi Gawat Darurat (IGD) serta menganalisis kontribusinya terhadap peningkatan efisiensi biaya …

31.08.2026journal-article

Journal of Development Administrations Thinking Understand: Public and Business Administration (DATU)

THE INFLUENCE OF E-GOVERNMENT IMPLEMENTATION ON SERVICE QUALITY AT THE UPTD PUSKESMAS AMPAH, DUSUN TENGAH DISTRICT

Ahmad Nabhan, Akhmad Berkatillah, Hasbi Salim

The implementation of a digital system at the Ampah Community Health Center (Puskesmas), as mandated by Law No. 17 of 2023, is primarily aimed at modernizing services. However, the reality on the ground remains hampered by inadequate human resource readiness and unstable electricity infrastructure. This associative quantitative research aims to examine the impact of e-Government implementation on public service performance. Ninety-six respondents were analyzed using the Partial Least Square (PLS) method. Based on h …

31.08.2026journal-article

Journal of Development Administrations Thinking Understand: Public and Business Administration (DATU)

ADAPTIVE WORK CULTURE BASED ON BERAKHLAK VALUES IN THE GOVERNMENT OF WEST JAVA PROVINCE

Arief Rachmat Fauzi, Sri Rejeki Nawangsasih, Rahmat Adriyan US, Helena Fatma Saragih Sitio, Junaidi Sinaga

An adaptive work culture is an important aspect of building a bureaucracy that is responsive to change, technological developments, and evolving public demands. The Adaptive value, as part of the BerAKHLAK core values for Indonesian Civil Servants (ASN), emphasizes the ability of civil servants to adjust to change, innovate, and act proactively in addressing various challenges. This study aims to analyze the implementation of an adaptive work culture based on BerAKHLAK values within the Government of West Java Prov …

31.08.2026journal-article

Statistics in Medicine

Finite‐Sample Adjustments in Estimating Equations for Correlated Overdispersed Count Outcomes With Application to Cluster Randomized Trials

Ying Zhang, John S. Preisser

ABSTRACT Generalized estimating equations (GEE) produce population‐averaged estimates of treatment effects in marginal mean models for correlated count outcomes, when intra‐cluster correlations are considered as nuisance parameters. For joint inference of marginal means and correlations, paired estimating equations have been proposed. With a small number of clusters, matrix‐adjusted estimating equations (MAEE) were introduced to correct finite‐sample bias in correlation parameter estimates. This article extends the …

31.08.2026journal-article

Translational Medical Engineering

Lecanemab in a Patient with Early Alzheimer’s Disease and Cerebral Cavernous Malformation: A 12-Month Descriptive Case Report

jingwei Lyu, Yan Yun, Tong Shen, Lujie Yuan, Xin Li, Yi Li, Tan Wang

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder. Anti-amyloid β (Aβ) disease-modifying therapies such as lecanemab are effective but carry risks of amyloid-related imaging abnormalities (ARIA), including intracranial hemorrhage. Safety data in patients with cerebral vascular malformations remain limited, as these populations are often excluded from pivotal trials. This article reports a 54‑year‑old female patient diagnosed with early AD combined with stable cerebral cavernous malformation (CCM) …

31.08.2026journal-article

European Journal of Tourism, Hospitality and Recreation

Health implications of night and shift work on hotel workers

Júlio Roberto Ramos, Ana Paula Costa

Abstract Night work has existed since the dawn of humankind and, to keep up with the development of today’s society, it has become increasingly common. Traditionally, the hospitality and tourism sectors are labourintensive workplaces, which means they are particularly exposed to night and shift work. Working when the human being is physiologically designed to rest leads to lower performance and greater difficulty concentrating, making night work a risk factor for workers. Employees of four- and five-star hotel esta …

31.08.2026journal-article

International Journal of Science and Research Archive

MULTI-OBJECTIVE RESOURCE ALLOCATION FOR RESILIENT FINANCIAL, HEALTHCARE, RETAIL, AND LOGISTICS SERVICE NETWORKS

Nakshi Das, Rokibuzzaman Md, Md Abul Kashem, Md. Rahimul Islam

This study proposes an Explainable Multi-Objective Decision Intelligence (MODI) architecture for resilient resource allocation across financial, healthcare, retail, and logistics service networks. The framework addresses resource allocation challenges associated with demand uncertainty, fraud exposure, capacity limitations, supplier disruption, operational failures, and restricted access to sensitive organizational data. A quantitative, model based methodology is developed using synthetic service-network datasets. …

31.08.2026journal-article

RuMoRes

A imagem pública de Pablo Marçal: do discurso coaching ao campo político

Chloé Catarina Fraga Leurquin, Paula Guimarães Simões

A proposta deste artigo é refletir sobre a imagem pública de Pablo Marçal no contexto brasileiro, buscando apreender os valores evidenciados em seus posicionamentos. A partir de uma abordagem pragmatista, analisamos dois acontecimentos políticos destacados em suas postagens no Instagram após a sua derrota nas eleições municipais de 2024. A análise mostra como ele procura conquistar a confiança dos públicos a partir do uso político da desinformação, da descredibilização de instituições e da divulgação de valores neo …

31.08.2026journal-article

Contemporary Public Administration Review

Organizational Structure, Duties, Functions, and Service Implementation of the Regional Technical Implementation Unit (UPTD) Rumoh Sejahtera Aneuk Nanggroe (RSAN) under the Aceh Social Service

Rivai Ahmad, Akhyar, Badruzzaman, Zamzami, Teuku Muhammad Zulffikar

Street children remain a social group requiring continuous government intervention and appropriate institutional support. The implementation of services for street children depends not only on formal policies but also on organizational structure, distribution of authority, human resources, and coordination mechanisms. This study aims to analyze the position, organizational structure, duties, functions, and work procedures of the Regional Technical Implementation Unit (UPTD) Rumoh Sejahtera Aneuk Nanggroe (RSAN) und …

31.08.2026journal-article

AFRICAN JOURNAL OF REPRODUCTIVE HEALTH

Factors associated with contraception use among reproductive age women in Rwanda: An analysis of demographic and health survey data 2019–2020

Delphine Cyuzuzo, Valens Munyembaraga, Aimable Gasana, Wen-Chun Liao

Contraception is essential for preventing unintended pregnancies, averting about 230 million births and saving over 272,000 mothers’ lives globally each year. Although 40% of pregnancies worldwide are unintended, contraceptive use in Africa remains low, increasing only from 23.9% in 2012 to 28.5% in 2017. In contrast, Rwanda has seen a major rise in contraceptive uptake, from 17% in 2005 to 64% in 2020. This retrospective study examined factors influencing contraceptive use among Rwandan women of reproductive age u …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

Integrated health services for older people: A systematic literature review

Aba’a Djampene Divine H., Essi Marie-José., Mbezele Essomba Thérèse H., Abossolo Essi Johanne A, Ciaffi laura

Background: The framework for integrated person-centered health services provides a public health response to global challenge, the rapid aging of the population. It relies on primary health care in order to be accessible to a large number of patients. However, connections with specialized geriatric care are necessary as well as collaboration between health professionals and social services. Little data exists on the elements required to implement this integrated care. The objective of this work is to identify in t …