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

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

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

International Journal of Medical Science and Clinical Research Studies

Surgical Management of Gastroesophageal Reflux Disease: Patient Selection, Fundoplication, And Emerging Antireflux Strategies

Bryan Rodríguez Elizalde, Johan Jair Rodríguez Calderón, Marcos Rogelio Juárez Flores, Sergio Morales Acosta, Emily Villagómez Guzmán, Juan Pablo Rubén Quiroga Cruz

Gastroesophageal reflux disease is a chronic condition caused by failure of the antireflux barrier at the esophagogastric junction. Surgical management aims to restore this barrier by improving the function of the diaphragmatic crura, lower esophageal sphincter, and gastroesophageal flap valve. Laparoscopic Nissen fundoplication remains the reference operation for durable reflux control, although partial fundoplications and newer antireflux technologies have expanded treatment options. Antireflux surgery may provid …

31.08.2026journal-article

Clinical Case Reports

When Mind Hurts the Skin: A Rare Case of Dermatitis Artefacta in an Epileptic Female

Maaz ullah, Tayyeb Ali, Muhammad Hassaan Javaid, Muddassir Khalid, Naveed Ahmad, Farooq Haider, Okasha Tahir, Munazza Iqbal, Sadia Afridi, Ejaz Ali, Fred Segawa

ABSTRACT DA is an uncommon psychocutaneous disorder in which the patient intentionally induces lesions to satisfy a subconscious psychological need and, at the same time, denies self‐harm. DA typically presents as bizarre, well‐demarcated lesions in accessible areas. Diagnosis is based on the suspicion and exclusion of organic causes. A 27‐year‐old married woman presented with painful, slow‐healing ulcers on the dorsum of both hands and forearms for 2 months, along with body pain and progressive hair loss. The pati …

31.08.2026journal-article

International Journal of Medical Science and Clinical Research Studies

The Skin as a Diagnostic Anchor: Complete Mucocutaneous Phenotype of Neurofibromatosis Type 1 in A Young Adult with Severe Dystrophic Cervical Kyphosis

Ana Sophia Ortiz Robles, Flavio Antonio Sarabia Alba, Francisco Alejandro Sarabia Alba

Neurofibromatosis type 1 (NF1) is an autosomal dominant tumor-predisposition syndrome caused by pathogenic variants in the NF1 gene and characterized by significant phenotypic variability. Pigmentary and cutaneous lesions, such as café-au-lait macules, skinfold freckling, and dermal or plexiform neurofibromas, occur in nearly all affected individuals and form the core diagnostic criteria. These features often provide the earliest indication of NF1 before neurological, skeletal, or ophthalmological complications. Co …

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

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

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

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 …

31.08.2026journal-article

World Journal of Advanced Pharmaceutical and Life Sciences

High-Risk Extended-Spectrum Beta-Lactamase (blaTEM) and Metallo-Beta-Lactamase (blaNDM) Genes in Escherichia coli from Clinical Wastewater from a Nigerian Teaching Hospital: A One Health Perspective

Kelechukwu Nwancho Ogboji, Ifeoma Precious Ogbonna, Chidinma Stacy Iroha, Obinna Okpaga Awoke, Ikemesit Udeme Peter, Ifeanyichukwu Romanus Iroha

Background: Hospital wastewater is increasingly recognized as a critical reservoir for multidrug-resistant Gram-negative bacteria, contributing to the global antimicrobial resistance crisis. Escherichia coli harboring extended-spectrum beta-lactamase (ESBL) and metallo-beta-lactamase (MBL) genes pose significant public health threats, particularly in resource-limited settings where wastewater treatment is inadequate. However, comprehensive data on the molecular characterization of these resistance determinants from …

31.08.2026journal-article

Annals of Pediatric Endocrinology & Metabolism

Clinical accuracy of Dexcom G6 and G7 continuous glucose monitors in hospitalized pediatric patients with type 1 diabetes: a real-world study

Dong Jun Ha, Hakyung Lee, Jeongho Han, Mi Yang, Hwa Young Kim, Jaehyun Kim

Purpose: Continuous glucose monitoring (CGM) is increasingly being used in inpatient pediatric diabetes care; however, data on its real-world accuracy remain limited.Methods: We retrospectively assessed the clinical accuracy of factory-calibrated Dexcom G6 and G7 CGM systems in 69 pediatric patients with type 1 diabetes at a Korean tertiary hospital between 2019 and 2025. A total of 1,838 CGM readings were temporally paired with point-of-care (POC) capillary glucose measurements. Accuracy was evaluated using the me …

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31.08.2026journal-article

Journal of the Korean Society of Hazard Mitigation

Spatial Analysis and Assessment of Relative Fire Risk Using Public Data

Daeyong Kim, Tae-Young Heo, Keunchae Jeong

In this study, a nationwide dataset at the level of basic local governments is constructed by integrating the fire occurrence counts, damage information, and regional characteristic data from publicly available national databases. Based on this dataset, the relative fire risk is quantitatively assessed. Principal component analysis is used to identify the variance structure of regional characteristics and select representative explanatory variables. A linear regression model is compared with a spatial linear regres …

31.08.2026journal-article

Journal of the Korean Society of Hazard Mitigation

Questionnaire Survey on Public Perceptions on Temporary Housing and Prefabricated Temporary Houses: Focused on Stage-wise Acceptance and Personal Disposition

Bongchan Kim, Donggoo Seo, Taejun Yeom, Eunkyoung Hwang

Housing support for individuals displaced by disasters is typically provided in stages, from emergency shelters to temporary housing. Given the wide gap in living conditions between relief tents and prefabricated houses, the transitional space bridging them is critical but has received limited attention. This study analyzed public perceptions on stage-wise temporary housing through a survey, focusing on the role of a container-type private space as a transitional stage between tents and prefabricated houses. The re …

31.08.2026journal-article

Annals of Rehabilitation Medicine

Predictors of Paid Employment Status Among Individuals With Spinal Cord Injury in South Korea: An Exploratory Study Using Random Forest Analysis

Kyungah Song, Jincheol Lim, Onyoo Kim

Objective: To explore factors affecting the paid employment of individuals with spinal cord injury (SCI) in South Korea.Methods: Data collected from previously and currently community-dwelling adults with SCI (n=538) who responded to the 125-item self-reported International Spinal Cord Injury Survey questionnaire were analyzed using random forest and decision tree modeling.Results: In total, 75.1% responders were male, 53.9% were unmarried, 90.1% lived with family, and 84.8% received daily living assistance; the mo …

31.08.2026journal-article

Frontiers in Medicine

Emphysematous cystitis treated with targeted antibiotic therapies: a report of two cases

Quanbo Yu, Yanhui Wang, Xinqi Zhang

Emphysematous cystitis (EC) is a rare, complicated urinary tract infection characterized by gas formation in and around the bladder wall, often occurring in older adults with diabetes mellitus, urinary tract obstruction, or long-term indwelling urinary catheters. EC can be easily misdiagnosed due to atypical symptoms and signs. Delayed treatment causes life-threatening complications like emphysematous pyelonephritis, bladder perforation, or septic shock. Here, we retrospectively analyzed two cases of EC who had bee …

31.08.2026journal-article

BMC Medical Education

Self-reported AI literacy and AI anxiety as correlates of AI attitudes among speech-language therapy students in Türkiye: a cross-sectional study

Şaziye Seçkin Yılmaz, Namık Yücel Birol

Abstract Background Self-reported artificial intelligence (AI) literacy and AI anxiety may be associated with how future speech-language therapists evaluate AI, but evidence specific to this population is limited. Methods This cross-sectional survey examined the independent associations of the observed self-reported AI-literacy composite and AI anxiety with positive and negative attitudes toward AI among 313 fourth-year undergraduate speech-language therapy students from 24 departments in Türkiye. The two dimension …

31.08.2026journal-article

Acute and Critical Care

Korean clinical practice guidelines for rehabilitation in critically ill patients and post-intensive care syndrome

Chi Ryang Chung, Hye Ju Yeo, Eunjeong Choi, Jong Geol Do, Yoonju Na, Jiyeon Kang, Jeong-Yi Kwon, Hyun Jung Kim, Jinyoung Park, Hak-Jae Lee, Myung Hun Jang, Seung-Tak Kang, Kyung Hyup Koo, Young Seok Kim, Won Kim, Tae-Yoon Kim, Jiyoun Park, Jaewon Beom, Kyung Cheon Seo, Hyun-woo Sun, Woochul Son, Myung-Jun Shin, So Young Ahn, Song I Lee, Min-Hyung Rhee, Yu Hui Won, Myungeun Yoo, Yu Jin Im, Sun Ju Chang, Ye Rim Chang, Mi-Kyeong Jeon, Jin Hee Jung, Yumi Ha, Sung Eun Hyun, Suk-Kyung Hong, Gee Young Suh

Background: Survivors of critical illness commonly experience persistent physical, cognitive, and psychological impairments, collectively known as post–intensive care syndrome. Although intensive care unit (ICU) rehabilitation is now recognized as an important part of recovery after critical illness, rehabilitation practices remain inconsistent, and clinical practice guidelines adapted to the Korean healthcare context have not been available.Methods: These clinical practice guidelines were developed de novo by a mu …

31.08.2026journal-article

Frontiers in Public Health

Safeguarding in dance as a public health issue: a systems-level policy framework

Jennifer Cumming, Mary L. Quinton

Safeguarding in dance is an under-recognized public health policy issue, characterized by inconsistent implementation and limited regulation. Drawing on public health frameworks, we conceptualize safeguarding-related harms through a biopsychosocial lens, encompassing physical, psychological, and social impacts. These harms are shaped by interacting factors across individual, interpersonal, organizational, and structural levels. The absence of systemic surveillance and regulatory oversight limits prevention, early i …