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

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

BMC Public Health

Association between visits to blue spaces within walking distance and mental health among older adults in Japan: a cross-sectional study from the Japan Gerontological Evaluation Study

Kazuki Matsumoto, Yu-Ru Chen, Yoko Matsuoka, Hiroaki Yoshida, Atsushi Nakagomi, Katsunori Kondo, Masamichi Hanazato

Abstract Background Exposure to blue spaces has been associated with better mental health, but most studies have focused on environmental proximity rather than actual use (frequency of visits and activity types) and have been conducted in Western countries. Evidence among older adults in Asian settings remains limited. This study examined the associations between frequency of visits to blue spaces within walking distance, activity types performed there, and mental health among older adults using data from 69 munici …

27.08.2026journal-article

Frontiers in Public Health

Prevalence and factors of frailty among community-dwelling older adults: a multimorbidity perspective

Shubing Feng, Pengpeng Wang, Hongxia Huang, Zhenhong Lin, Yuanhang Liu

Background Frailty is a geriatric syndrome that reduces quality of life and increases social burden. Existing frailty research predominantly focuses on hospitalized or nursing home-residing older adults, while surveys targeting community-dwelling older adults with multimorbidity remain scarce. Objective To investigate the prevalence and influencing factors of frailty among community-dwelling older adults with multimorbidity. Methods A cross-sectional survey was conducted from May to November 2025. Convenience sampl …

27.08.2026journal-article

Annual Review of Developmental Psychology

From Seconds to Seasons and Days to Decades: Timescales in Development

Aidan G.C. Wright

Developmental processes unfold across timescales ranging from seconds to decades, yet temporal assumptions often elude direct theoretical scrutiny. This review illustrates that decisions about timescale, including how time is defined, the density and duration of observations, the temporal windows encoded in measures, and the role time plays in statistical models, are essential, substantive theoretical decisions that determine what kinds of change a study can detect and what inferences it can support. The review fir …

27.08.2026journal-article

Health Research Journal of Indonesia

Analisis Bentuk Pemborosan Pada Manajemen Logistik Medis Di Instalasi Farmasi Rumah Sakit Surabaya

Diva Faradiba, Afif Kurniawan, Yura Witsqa Firmansyah, Firnanda Erindia

Manajemen logistik medis berperan penting dalam menjamin ketersediaan obat, alat kesehatan, dan bahan medis habis pakai di rumah sakit. Pengelolaan logistik yang belum optimal dapat menimbulkan pemborosan (waste) sehingga menurunkan efisiensi operasional dan mutu pelayanan. Penelitian ini bertujuan menganalisis bentuk pemborosan pada manajemen logistik medis di Instalasi Farmasi Rumah Sakit Surabaya menggunakan pendekatan Lean Hospital berdasarkan konsep Seven Wastes. Penelitian menggunakan metode kualitatif dengan …

27.08.2026journal-article

Health Research Journal of Indonesia

Evaluasi Implementasi Program Kesehatan Kerja pada Area Workshop dan Perkantoran di PT X

Reza Maria Nainggolan, Muhammad Jenar Susanto, Nico Linggi Pongmasangka

Program kesehatan kerja merupakan kewajiban perusahaan untuk melindungi dan meningkatkan derajat kesehatan pekerja sesuai dengan ketentuan PP No. 28 Tahun 2024 dan Permenaker No. 5 Tahun 2018. Penelitian ini bertujuan mengevaluasi implementasi program kesehatan kerja pada perusahaan layanan pemeliharaan ketenagalistrikan di Jakarta Timur. Penelitian menggunakan metode deskriptif kualitatif melalui observasi lapangan, wawancara dengan pekerja, serta telaah data sekunder hasil pengukuran lingkungan kerja. Hasil penel …

27.08.2026journal-article

Frontiers in Psychiatry

Feeling versus understanding: lived-experience insights into perceived mechanisms of change of creative arts and psychomotor therapies versus verbal therapeutic approaches

Jackie Heijman, Karin Timmerman, Imke Wiersma, Hans Wouters, Mirjam Radstaak, Gerben Westerhof, Dwayne Meijnckens, Suzanne Haeyen

Introduction In mental health care, there is growing interest in embodied and experiential approaches such as creative arts and psychomotor therapies (CAPTs), which actively engage emotions and bodily experience in treatment. At the same time, service users’ perspectives are increasingly recognized as an important source of knowledge within evidence-based practice. This study investigated how people with lived experience perceive CAPTs in relation to verbal therapeutic approaches. Methods A qualitative survey among …

27.08.2026journal-article

PLOS Global Public Health

Mental health status and its associated factors among women with fertility issues visiting fertility center in Kathmandu Valley: A cross-sectional study

Pragya Kunwar, Amrita Ghimire, Aakriti Bharati, Amrit Bist, Laxmi Gautam

Infertility poses a multidimensional burden, especially for women in low- and middle-income countries, where it is often associated with social stigma, emotional distress, and limited support. This study aimed to assess the mental health status and its associated factors among women with fertility issues visiting fertility center in the Kathmandu Valley. A cross-sectional study was conducted from October 2023 to April 2024, and participant data collected from November 2023 to February 2024, among 143 women of repro …

27.08.2026journal-article

Psychology & Marketing

How Loneliness, Trust, and Age Shape Evaluations of Human Versus AI‐Based Advisory Services

Kevin P. Newman, Ainslie E. Schultz

ABSTRACT Loneliness is becoming increasingly pervasive, a trend that also happens to coincide with the rapid growth in artificial intelligence (AI) systems that provide personalized recommendations for consumers. Across three experimental studies, we examine how loneliness impacts evaluations of advisory services using human or AI‐based guidance. In Study 1, lonely individuals report a greater willingness to pay (WTP) for a service that provides human‐based advice. Study 2 provides process evidence by showing that …

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 …

27.08.2026journal-article

Frontiers in Psychology

Associations of the Xingfa gamification framework with students' sport motivation and physical fitness: a cross-sectional comparison across 14 schools

Ye-Jun Li, Dan Zhu, Xiang-Li Tang

Introduction Traditional gamification in physical education (PE) often creates a needs gap. This study examines the associations of Xingfa Teaching Of Physical Education (XFTPE) with students' internalized motivation and physical fitness. It is a structured, three-stage progression aligned with Self-Determination Theory. Methods A cross-sectional, comparative design was employed, involving 1,400 primary school students (grades 4–6) from 14 schools. Seven schools implemented XFTPE, while seven used traditional PE. P …

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

Designs

A Health Belief Model- and TRIZ-Based Design Method for Transfer Assistive Equipment for Individuals with Lower-Limb Mobility Impairment

Haiqiang Wang, Jiali Deng, Xuan Huang, Yexin Chen

Individuals with lower-limb mobility impairment often experience fear of falling and difficulty coordinating with caregivers during transfer tasks. Therefore, safe, stable, and easy-to-operate collaborative transfer assistive equipment is urgently needed. This study proposes a Health Belief Model-driven design method for transfer assistive equipment, aiming to translate users’ risk perceptions and behavioral needs into implementable structural design strategies. First, transfer-related behavioral characteristics we …

27.08.2026journal-article

Frontiers in Global Women's Health

Expanding treatment options for syphilis during pregnancy: a review of alternatives to penicillin

Claire L. Townsend, Lynne Mofenson, Sami Gottlieb, Remco P. H. Peters, Oriol Mitjà, Clara Pérez-Mañá, Elaine J. Abrams, Sinead Delany-Moretlwe, Shahin Lockman, Catriona Waitt, Kathryn Miele, Melanie M. Taylor, Françoise Renaud

Syphilis infection during pregnancy leads to around 390,000 adverse birth outcomes each year and is an important cause of preventable stillbirth. Although benzathine penicillin G is safe and effective during pregnancy for treating maternal and fetal infection, there are frequent global shortages and limited options for people with penicillin allergy. We conducted a review of potential alternatives to penicillin for treating syphilis during pregnancy when penicillin is not available or cannot be used, including ceft …

27.08.2026journal-article

Frontiers in Psychology

Sustainability of assistive technology use for students with severe and multiple disabilities: a mixed methods study of teachers’ attitudes and experiences

Hülya Torun Yeterge

Introduction Assistive technologies play a vital role in supporting the communication, learning, independence, and participation of students with severe and multiple disabilities. However, their effectiveness does not necessarily ensure their long-term and sustainable use in educational settings. While previous research has primarily focused on the effectiveness of assistive technologies, limited attention has been paid to teachers’ attitudes and experiences regarding their sustainable implementation. This study ai …

27.08.2026journal-article

Sports Health: A Multidisciplinary Approach

The Effect of Stud Flexibility on Lower Limb Biomechanical Demands in Football-Specific Movements

Gabriele Azzolini, Silvia Fantozzi, Andrea Ferretti, Ezio Preatoni

Background: Stud design is critical in modulating impact forces between football boot and turf, yet most systems prioritize traction using rigid materials, largely neglecting the role of material flexibility in load attenuation. This study assessed the biomechanical effects of 2 novel flexible stud designs compared with a traditional rigid stud during football-specific cutting and landing tasks. Hypothesis: Replacing traditional rigid studs with more flexible alternatives would reduce the magnitude and increase the …

27.08.2026journal-article

Frontiers in Digital Health

From free association to free parameters: machine-learning empowers artificial intelligence models to rate the affective-relational aspects of narratives like an expert psychologist

Caleb J. Siefert, Barry Dauphin, Jenelle Slavin-Mulford, Sai Dileep Kumar Mukkamala, Venkat Akhila Reddy Tatipally, Areen Alsaid, Abdallah Chehade

Background Narrative assessment offers unique insight into psychological functioning but is resource-intensive, requiring extensive expert training and time. Recent work suggests Artificial Intelligence (AI), including moderately sized, adaptable large language models (LLMs), can master narrative assessment's complex, multi-step scoring rules. This study examined whether fine-tuning could enable AI raters to accurately assess narratives. Method We fine-tuned five diverse LLMs (3–7 billion parameters) on two dataset …

27.08.2026journal-article

Neuro-Oncology

150 The Value of Early Biological Information in Glioblastoma Drug Development: A Health Economic Evaluation of Window-of-Opportunity Trials

Melyda Melyda, Sue Jowett, Peter Auguste, Victoria Wykes, Collin Watts, Gary Middleton, Vinton Cheng

Abstract Introduction Window-of-opportunity (WoO) trials are increasingly proposed in glioblastoma drug development to test early biological activity (tumour penetration and target engagement), before progression to large, costly late-phase trials. While WoO designs may improve early decision-making, they introduce additional operational complexity and upfront costs. Their economic value remains uncertain. Methods An early decision-analytic model was developed to assess the cost-effectiveness of incorporating a WoO …

27.08.2026journal-article

Frontiers in Public Health

What limits a bystander’s action to perform cardiopulmonary resuscitation in China? Insights from a cross-sectional study conducted in Shaanxi Province

Dongdong Li, Kun Wang, Qiang Fu, Yan Li, Wangang Guo, Xiaolan Guo, Xin Zhang, Yuchan Hu, Liping Liao, Zhuoni Ma, Xin Chen, Miaomiao Cheng

Background Rate of bystander-initiated cardiopulmonary resuscitation (CPR) remains critically low in China. Identifying the underlying reasons may help reduce mortality from out-of-hospital cardiac arrest (OHCA). Methods A cross-sectional study was conducted among 572 participants in Shaanxi, China. A researcher-developed questionnaire was used to assess four domains: ability to recognize the need for CPR, willingness to perform CPR, internal concerns about initiating CPR, and actual CPR competence. Subgroup analys …

27.08.2026journal-article

Frontiers in Public Health

Population-level association of layperson cardiopulmonary resuscitation training with survival after out-of-hospital cardiac arrest: a systematic review and meta-analysis

Pan Pan, Zhou YaXiong, Jiang YaoWen, Xia YiQin, Chen Yao

Background Out-of-hospital cardiac arrest (OHCA) is a significant worldwide cause of death and is highly dependent upon bystander intervention. Layperson cardiopulmonary resuscitation (CPR) training has been widely promoted, but its population-level association with survival after out-of-hospital cardiac arrest remains incompletely characterized. Methods This systematic review and meta-analysis was conducted according to PRISMA guidelines and registered in PROSPERO. PubMed, Embase, Web of science and Cochrane Libra …

27.08.2026journal-article

Psychology Travelogs

ТЕНДЕНЦІЇ РОЗВИТКУ ЮРИДИЧНОЇ ПСИХОЛОГІЇ У ДРУГІЙ ПОЛОВИНІ ХХ СТОЛІТТЯ: КЛІНІЧНО-АНТРОПОЛОГІЧНИЙ АСПЕКТ

Вікторія ПЕТРУШЕНКО

Стаття присвячена розгляду еволюції концепцій в юридичній психології, які беруть свій початок ще з моменту її становлення як окремої галузі знання, з увагою на їхній прояв у парадигмах психології права другої половини ХХ століття. Робота містить викладення тенденцій розвитку основних юридико-психологічних напрямків у другій половині ХХ століття, в контексті парадигмального підходу авторства Томаса Семюела Куна та аналізу впливу на них основних психологічних напрямків, таких як психоаналіз, біхевіоризм та когнітивіз …

27.08.2026journal-article

European Health Psychologist

The opportunities, benefits, and challenges of applying health psychology in non-academic settings: summary of a roundtable discussion

Alice Le Bonniec, Lisa Hynes, Koula Asimakopoulou, Ana-Maria Schweitzer, Alexandra Dima

This article summarizes a roundtable discussion about the application of health psychology in non-academic settings that was presented at the EHPS conference 2024. Five contributors shared their experiences applying health psychology in non-academic settings. Contributors’ non-academic roles reflect a variety of applications for health psychology: cancer screening; cardiovascular disease prevention, medication adherence, pharmacy, and management of chronic conditions. They discussed the benefits of their roles such …