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23 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
27.08.2026journal-article

PLOS One

Co-producing access to care with young people living in Zambia through digital and vending machine-enabled innovation in sexual and reproductive health: A place-based, human-centred design research approach

Mary Darking, Helen Ayles, Steve Belemu, Paloma Chausa, Francisco J. Gárate, Enrique J. Gómez, Melleh Gondwe, David Lane, Deborah Kaluba-Milimo, Monde Mwamba, Musonda Simwinga, Jennifer Whetham, Jaime H. Vera

Digital health innovation can fail to move beyond prototype or pilot stages or achieve intended outcomes due to a lack of involvement and attunement to local context. This article shares the potential of place-based co-production to support the development, acceptability and usability of context-attuned, digital health service innovation for young people. To illustrate the approach, we report on a collaborative, interdisciplinary project involving a Zambian public health research partner based in Lusaka, Zambia, th …

27.08.2026journal-article

Herald of Khmelnytskyi National University. Economic sciences

ТЕОРЕТИЧНІ ЗАСАДИ ВИКОРИСТАННЯ ШТУЧНОГО ІНТЕЛЕКТУ В СИСТЕМІ ПУБЛІЧНОГО УПРАВЛІННЯ ОБОРОНОЗДАТНІСТЮ ДЕРЖАВИ

Ярослав ПУСТОВІТ

The article examines the theoretical foundations for the use of artificial intelligence technologies in the system of public administration of state defense capability in the context of the transformation of the contemporary security environment and the intensive development of digital technologies. It is substantiated that artificial intelligence is gradually becoming an important factor in the modernization of the national security and defense system, creating new opportunities for improving strategic planning, i …

27.08.2026journal-article

Agriculture

Land-Use Policy and Farmers’ Livelihood Resilience: A Structured Review of Conceptual Pathways to Rural Revitalization

Xiaoqiao Liu, Daping Liu, Xinyuan Li, Heyang Gong, Yuefen Li

Under pressure from climate change, market volatility, and policy adjustments, rural livelihood systems face increasing vulnerability, which threatens poverty reduction gains. Livelihood resilience—the ability to withstand shocks, sustain livelihoods, and drive transformation—has become central to assessing sustainable rural development; however, its concepts, metrics, and links to land-use policies have not yet been systematically integrated. This review synthesizes existing research on farmers’ livelihood resilie …

27.08.2026journal-article

PLOS Global Public Health

Reciprocity in global health: How successes from the global south can inform global health interventions in Canada and the U.S

Tsitsi B. Masvawure, Mary Ndu, Charity Oga-Omenka

Global health has traditionally functioned as a project of high-income countries (HICs) addressing health challenges in low- and middle-income countries (LMICs). This “outward facing” orientation has created conceptual and operational boundaries that obscure the persistence of health inequities within HICs and perpetuates the false assumption that resource-rich nations have resolved fundamental health equity challenges in their own countries. In this essay we argue that HICs have global health problems of their own …

27.08.2026journal-article

Science of Nursing and Health Practices

L’Art d’accompagner : un projet de consolidation du raisonnement pédagogique des personnes dédiées à la supervision des infirmières et infirmiers diplômés hors Canada

Annia Steben-Roy, Myriam Gauthier, Nancy Cyr

Introduction : Dans un contexte de pénurie de personnel infirmier qualifié au Québec (Canada), l’intégration des infirmières et infirmiers diplômés hors Canada (IDHC) constitue une priorité. Toutefois, des enjeux persistent, notamment en matière de reconnaissance des compétences et d’adaptation aux pratiques locales, ce qui appelle à des stratégies innovantes pour soutenir leur intégration. Objectif : Décrire la démarche d’un projet d’intervention centré sur la formation et l’accompagnement d’infirmières et d’infir …

27.08.2026journal-article

Environmental Research: Food Systems

Towards transformative policy mixes for healthy, sustainable diets in a multi-level governance context

Michiel De Bauw, Karel Reybrouck, Erik Mathijs, Stefanie Vandevijvere

Abstract Transitioning towards healthier, more sustainable food environments is critical to mitigate diet-related chronic diseases and environmental harm. Coordinated governmental action supporting this transition is often hindered by fragmented competences across policy fields and governance levels. Different strands of literature address this issue from within their respective disciplines, with some excelling in their empirical approach, others being more firmly grounded in theory, and still others emphasizing th …

27.08.2026journal-article

Current Perspectives in Social Sciences

U.S. Policy toward Emerging Anti-Americanism in Türkiye: The Problem of American Military Presence, 1958–1960 Presence, 1958-1960

Selin M. Bölme

Following Türkiye's accession to NATO in 1952, the number of U.S. military personnel in the country increased rapidly, and by the late 1950s anti-Americanism had begun to emerge visibly. This article examines how U.S. authorities interpreted this rising anti-Americanism between 1958 and 1960 and what solutions they developed in response. The period corresponds to a critical rupture between the favorable postwar image the United States enjoyed in Türkiye and the more ideologically grounded anti-Americanism of the 19 …

27.08.2026journal-article

Universal Library of Business and Economics

An Integrated Financial Analytics Framework for Health Plans - Risk Pool Estimation, Reserve Modeling, and Strategic Forecasting in Medicare Advantage and Exchange Lines of Business

Gitanshu Yadav

U.S. health plans operating in Medicare Advantage and the Affordable Care Act Exchange manage financial risk through three functions that are usually kept apart: IPA-level risk-pool estimation, IBNR reserve modeling, and state-level forecasting. This fragmentation causes the same underlying quantities to be estimated inconsistently, producing reserve inadequacy, forecast variance, and weak decision support. This monograph develops an integrated financial analytics framework that connects the three functions within …

27.08.2026journal-article

International Journal of Population Data Science

The Need for Fully-Effective Federated Analytics of Data Sources for Clinical Trials

Stella Maris Fabiane, Sharon B. Love, David Fisher, Ian R. White, Jayne F. Tierney, Catherine Dampney, Folkert W. Asselbergs, Philip R. Quinlan, Macey L. Murray, Matthew R. Sydes

IntroductionClinical trials are usually analysed in a single environment allowing for flexible analysis including adjustment or stratification by subgroup: `one-stage' analysis of individual-level data. Health systems datasets, often distributed across geography and providers, can streamline clinical trials. Data are increasingly accessible in secure data environments (SDEs). Future trial analyses may involve working across multiple SDEs. Row-level data and identifiable data often cannot leave, requiring a `two-sta …

27.08.2026journal-article

Journal of the American Heart Association

Toward a Deeper Understanding of Predicting Risk of Cardiovascular Disease Events for 10‐Year Atherosclerotic Cardiovascular Risk: Subgroup Fairness and Predictive Value of Social Determinants of Health

Haoyuan Wang, Ziye Tian, Riddhiman Bhattacharya, Mu Niu, Yingying Sang, Daniel M. Wojdyla, Haoyun Hong, Juan Zhao, Michael Pignone, Jennifer L. Hall, Sadiya S. Khan, Matthew Engelhard, Michael J. Pencina, Chuan Hong

Background The American Heart Association's Predicting Risk of Cardiovascular Disease Events model offers a modern, race‐free approach to risk prediction, but its subgroup fairness and the added value of social determinants of health (SDOH) remain underexplored. Methods To evaluate Predicting Risk of Cardiovascular Disease Events in 10‐year atherosclerotic cardiovascular disease prediction regarding fairness and value of SDOH predictors, we conducted a retrospective cohort study of 554 675 adults aged 30 to 79 year …

27.08.2026journal-article

Monthly Notices of the Royal Astronomical Society

Towards A Universal Analytical Model of Population III Star Formation: A Bridge Between Cosmological Scales and Protostars

James Gurian, Boyuan Liu, Donghui Jeong, Takashi Hosokawa, Shingo Hirano, Volker Bromm, Naoki Yoshida

Abstract We construct an analytical model of Population III star formation that connects the cosmological radiation background to sub-AU protostellar disk fragmentation, a dynamic range inaccessible to any single simulation. Our approach is based on combining separate models of the disparate relevant scales: from the cosmological environment to the host-halo scale, from the halo scale to the scale of the star-forming cloud, and from the cloud scale to the protostellar disk. The model agrees well with the prediction …

27.08.2026journal-article

Infection Control & Hospital Epidemiology

Impact of a single-set blood culture restriction during the 2024 national blood culture bottle shortage on patient outcomes: an interrupted time series analysis

Joseph B. Ladines-Lim, Bailey Van, Leigh Cressman, Warren B. Bilker, Laurel Glaser, Kathleen Degnan, Michael Z. David

Abstract Objective: To evaluate the clinical and stewardship consequences of a single-set blood culture restriction implemented during the 2024 national blood culture bottle shortage. Design: Interrupted time series analysis of hospitalizations from June 26, 2023, to June 25, 2025. Setting: Two tertiary hospitals in an urban academic health system. Patients: 116,341 inpatient hospitalizations, including 31,034 with ≥1 blood culture obtained. Intervention: A systemwide electronic health record order restriction from …

27.08.2026journal-article

Functional Foods in Health and Disease

Visceral fat reduction with 6-paradol-standardized fermented ginger extract among healthy Japanese adults: A randomized, double-blind, placebo-controlled, parallel-group study

Ayako Uchinaka, Yuichi Sano, Naoki Nakamura, Naoko Suzuki, Tsuyoshi Takara

Background: 6-Paradol, a minor constituent of ginger, has demonstrated fatty acid–degrading activity. Our previous study reported that a yeast-fermented ginger extract containing 6-‑paradol, produced using a Metschnikowia strain, exerted anti-obesity and visceral fat–reducing effects in mice fed a high-fat diet. Objectives: This study aimed to evaluate the effects of daily fermented ginger extract powder intake on visceral fat accumulation in healthy Japanese adults with body mass index (BMI) ≥25.0 and <30.0 kg/m2. …

27.08.2026journal-article

Journal of Law, Medicine & Ethics

America First Bilateral Health Agreements Threaten to Undermine the Multilateral Global Health Order

Sharifah Sekalala, Shajoe J. Lake, Allan Maleche, Maria Birungi, Frank Ssekamwa

Abstract During the second Trump administration, the United States has signed bilateral health agreements with at least 27 states across Africa and Latin America, reshaping how signatory countries finance, regulate, and monitor their health systems. Grounded in the America First Global Health Strategy, these agreements are being signed as US withdrawal from WHO restructures global health. This column explores how this turn to bilateralism risks weakening multilateral legal obligations on capacity development, acces …

27.08.2026journal-article

Frontiers in Health Services

Building and evaluating a social prescribing program for carer-employees: an intervention study

Allison M. Williams, Brooke Chmiel, Kate Mulligan, Sarah Neil-Sztramko, Winny Fung, Srija Biswas

Background Within a 12-month time window, and in partnership with the Canadian Institute for Social Prescribing (CISP), an extension of the Canadian Red Cross (CRC), we will develop and test a social prescribing (SP) program intervention in Hamilton, Ontario, Canada for Carer-Employees (CEs) - those who balance unpaid care of an adult dependent with paid employment. Given the emergence of SP programs geared towards unpaid carers more broadly, the development of an SP program specific to CEs will provide coordinated …

27.08.2026journal-article

Frontiers in Health Services

Construction and application of an eye care plan for ICU patients receiving prone position ventilation: a quasi-experimental study

Ren Yan, Peng Fei, Xing Xiao-Hong, Li Yang-Yang, Yu He-Hua

Objective To develop an eye care plan for patients in the Intensive Care Unit (ICU) undergoing prone position ventilation (PPV), and to preliminarily evaluate its clinical application effect. Method This study constructed an eye care plan for patients undergoing PPV in ICU based on evidence synthesis and expert consultation. Using convenience sampling method, this study established an intervention group (from August to November 2024) and a control group (from April to July 2024). Patients in the intervention and co …

27.08.2026journal-article

Frontiers in Pharmacology

Association between a regional reimbursement policy and treatment escalation in pulmonary arterial hypertension: a real-world cohort study with long-term Markov cost-effectiveness analysis

Yilin Xie, Yusi Chen, Jun Luo, Jingyuan Chen, Yingjie Tan, Tianyu Wang, Wenjie Chen, Jiang Li

Background Pulmonary arterial hypertension (PAH) requires long-term treatment with high-cost targeted therapies. However, evidence regarding the associations of reimbursement policies with real-world treatment escalation and long-term economic outcomes remains limited. Objectives To examine the association between implementation of a regional reimbursement policy and real-world treatment patterns and to evaluate the long-term cost-effectiveness of the observed post-policy treatment distribution compared with the pr …

27.08.2026journal-article

Frontiers in Public Health

Harnessing large language models in virtual CBT for university students’ academic anxiety: a preliminary randomized trial

Hao Fang, Zixi Huang, Lingxin Zhu, Qinling Dai, Minjian Hong, Hongyun Guo, Encong Wang

Academic anxiety is a common mental health problem among university students. It is often associated with reduced learning efficiency and an increased risk of depression. Cognitive behavioral therapy (CBT) is supported by an established evidence base, but its use in university settings is still limited by factors such as therapist availability, time, and physical space. To explore a new approach to digitally assisted intervention, this study integrated virtual reality (VR), large language model (LLM), and retrieval …

27.08.2026journal-article

Elicit Journal of Education Studies

Principal Leadership, Teacher Professionalism, Community Participation, and Educational Quality: A Mixed-Methods Study of Public Elementary Schools in Welahan District

Sayyidati Vivi Fitroh, Ahmad Haryadi, Sri Utaminingsih, Lipolelo Thamae

Purpose: This study examined the influence of principal leadership, teacher professionalism and community participation on educational quality in public elementary schools in Welahan District, Indonesia, while exploring how principals support teacher development and stakeholder relationships. Methodology: A convergent parallel mixed-methods design was adopted. Quantitative data were collected from 80 teachers selected through proportionate random sampling using a five-point Likert questionnaire and analysed with mu …

27.08.2026journal-article

Health Affairs Scholar

FDA Drug Quality Assurance Inspections: Frequency, Outcomes, and Time to Reinspection, 2008–2025

Yunxiang Sun, Jeromie Ballreich, Joy Acha, Riya Modi, Mohammad Ali Alamdar Yazdi, Maqbool Dada, Tinglong Dai, Gerard Anderson, Mariana P Socal

Abstract Background FDA inspections are central to oversight of the pharmaceutical manufacturing base, but long-term inspection and reinspection patterns remain incompletely characterized. Methods We analyzed 25,629 FDA Drug Quality Assurance inspections conducted from October 2008 through December 2025. We described annual, regional, and outcome patterns. Linking inspections to facilities, we examined time to reinspection according to the outcome of preceding inspections. Results Annual Drug Quality Assurance insp …

27.08.2026journal-article

Antibiotics

Distinct Epidemiology and Temporal Trends of Multidrug-Resistant Organisms in a Newly Established Hospital: A Five-Year Surveillance Study

Xiaoju Ma, Zhanjie Li, Zhaofan Luo, Yan Lu, Mingming Chen, Runhan Huang, Xinhai Zhao, Li Du, Huiping Huang, Youpeng Chen

Background: Antimicrobial resistance is a major global health challenge, with multidrug-resistant organisms (MDROs) emerging faster than new antimicrobial agents are being developed. The epidemiology of MDROs varies substantially across healthcare settings; however, newly established hospitals remain understudied. This study aimed to characterise the epidemiology and temporal trends of MDROs in a newly established tertiary hospital. Methods: A five-year retrospective longitudinal surveillance study was conducted fr …

27.08.2026journal-article

Metabolites

A Hybrid and Comparative Machine Learning Framework for Predicting Gestational Diabetes Mellitus via a Prospective Case-Control Design: A Pilot Study Integrating Periodontal Health and Hematological Inflammatory Markers

İsa Temur, Mehmet Özsan, Katibe Tuğçe Temur, Andaç Batur Çolak

Background/Objectives: This pilot study aimed to develop and compare advanced machine learning models, specifically a Bayesian-regularized artificial neural network (ANN) and a transformer-enhanced physics-informed neural network (PINN), by integrating periodontal health indices and hematological inflammatory markers for the prediction of GDM. Methods: Utilizing a prospective case–control study design, a clinical dataset comprising 80 pregnant women (40 with GDM and 40 healthy controls) was evaluated to develop and …