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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
25.08.2026journal-article

International Journal of Psychosexual Therapy

204: From Cultural Competence to Cultural Humility: Indigenous Hawaiian Wisdom in Psychosexual Therapy

Chris Wilhoite

Cultural sensitivity, competency, and humility are crucial for ethical, comprehensive, and effective psychosexual therapy. This paper, viewed through a Hawaiian framework, aims to broaden psychosexual therapists’ understanding of relational, psychological, spiritual values, belief systems, and the interconnectedness of sexuality, identity, spirituality, land, tradition, and community (Pukui, Haertig, & Lee, 1972/1979; Rezentes, 1996). Collaterally, this paper aims to extend the definition and practice of cultural s …

25.08.2026journal-article

The Journal of Clinical Endocrinology & Metabolism

Teprotumumab Effects on Thyroid Eye Disease in a Japanese MRI Study: Comparison with Intravenous Glucocorticoid Therapy

Ichiro Yamauchi, Daisuke Taura, Yohei Ueda, Taku Sugawa, Manabu Miyata, Akinari Yamamoto, Kenji Suda, Eri Nakano, Yo Kishimoto, Koji Nishimura, Yoshitaka Kawai, Mie Abiko, Aya Sakurai, Sadahito Kimura, Daisuke Kosugi, Kentaro Okamoto, Takuro Hakata, Daisuke Yabe

Abstract Context Teprotumumab (TEP) is an emerging treatment for thyroid eye disease (TED), but real-world evidence outside the United States remains limited, and detailed changes in orbital components have not been fully clarified. Objective To evaluate the effectiveness of TEP based on clinical manifestations and magnetic resonance imaging (MRI) findings, and compare it with that of intravenous glucocorticoid (IVGC) therapy. Methods The TEP cohort included all 18 patients who started TEP therapy at Kyoto Universi …

25.08.2026journal-article

Cancers

Towards Predicting Immune-Related Adverse Events: Emerging Biomarkers in Patients Undergoing Immune Checkpoint Inhibitor Therapy

Nežka Hribernik, Martina Reberšek

With immune checkpoint inhibitors becoming the mainstay of systemic therapy in both metastatic and early-stage settings across many cancer types, the management of immune-related adverse events has emerged as a central priority of modern oncological supportive care. These toxicities can substantially impair the quality of life of cancer patients, including those who achieve long-term survival. Consequently, there is a pressing need to develop reliable predictive biomarkers to better tailor immune checkpoint inhibit …

25.08.2026journal-article

International Journal of Education, Vocational and Social Science

The Utilization of Edu-Game Media to Improve Reading and Vocabulary Skills of Grade 2 Elementary School Students with Speech Delay

Anita Candra Wardani, Mumpuniarti

This study aims to improve the reading ability and vocabulary mastery of students experiencing speech delay through the use of digital edu-game media. The main problem addressed is students’ low interest in reading and limited vocabulary, which negatively affect their learning achievement in the Indonesian language subject. The research method employed was Classroom Action Research (CAR), conducted in two cycles. Each cycle consisted of planning, action implementation, observation, and reflection stages. The resear …

25.08.2026journal-article

Journal of Speech, Language, and Hearing Research

Linguistically Informed Automated Estimates of Creak in Adductor Laryngeal Dystonia

Brittany N. Fletcher, Maxine Van Doren, Mara R. Kapsner-Smith, Cara Sauder, Tanya L. Eadie, Katherine L. Marks, Laura E. Toles, Cara E. Stepp, Jenny Vojtech

Purpose: Creaky voice is a perceptually low-pitched and irregular voice quality that has shown promise as an objective marker of adductor laryngeal dystonia (AdLD). However, creak also occurs in mainstream American English through linguistic processes (i.e., phrase-final creak, /t/ glottalization, word-initial vowel glottalization). This study investigated whether linguistically unexpected creak (i.e., creak occurring outside these phonological contexts) offers improved differentiation between AdLD and typical voic …

25.08.2026journal-article

Detector: Jurnal Inovasi Riset Ilmu Kesehatan

Pengaruh Kombinasi Terapi Musik Klasik dan Coloring Therapy terhadap Penurunan Tingkat Halusinasi Pendengaran pada Orang dengan Gangguan Jiwa

Putri Afrina Nur Ariska, Andriani Mei Astuti, Mursudarinah Mursudarinah

Auditory hallucinations are common symptoms in schizophrenia and may interfere with cognitive, emotional, and social functioning. This study aimed to examine changes in auditory hallucination scores following a combination of classical music therapy and coloring therapy among people with mental disorders at Griya PMI Peduli Surakarta. A quasi-experimental one-group pretest-posttest design was used with 46 participants selected through purposive sampling. The intervention was delivered for three sessions, one sessio …

25.08.2026journal-article

Circulation

Exercise Training in High-Risk Populations: A Scientific Statement From the American Heart Association

Jerome L. Fleg, Jessica R. Golbus, Jonathan Afilalo, William K. Cornwell, Sara Cuccurullo, Cynthia M. Dougherty, Daniel E. Forman, Kim M. Huffman, Sherrie Khadanga, Donna Mancini, Kari Nytrøen, Gordon R. Reeves, J. Andrew Taylor, on behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Sports Cardiology Science Committee of the Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, Council on Cardiovascular Surgery and Anesthesia, Council on Lifelong Congenital Heart Disease and Heart Health in the Young, Council on Quality of Care and Outcomes Research, and Stroke Council

There is broad consensus on the benefits of aerobic exercise training in patients with cardiovascular disease to improve cardiorespiratory fitness and lower the risk of adverse cardiovascular events. However, certain high-risk populations such as those with frailty, stroke, spinal cord injury, rheumatological conditions, or genetic cardiomyopathies and recipients of advanced heart failure therapies or cardiac implantable electronic devices warrant special considerations with regard to exercise training. This scient …

1 Zitationen
25.08.2026journal-article

Nutrition in Clinical Practice

Management of ketogenic diet therapy in patients with ileostomy: A report of 2 cases

Braden J. Baker, Abigail E. Olbina, Marissa A. Godfrey, Annie E. Graber, Taylor N. Parrish, Sarah Isis R. Delima

Abstract This case series explores the feasibility and clinical considerations of implementing the ketogenic diet therapy (KDT) for epilepsy management in patients with ileostomies. Two pediatric patients with medication‐resistant epilepsy and ileostomies continued KDT under clinical supervision. The first patient had an ileostomy placed while on KDT. Fluids and electrolytes were increased initially, although sodium (Na) levels remained within a normal range. The second patient had an ileostomy before starting KDT. …

25.08.2026journal-article

OTJR: Occupational Therapy Journal of Research

Factors Impacting Quality of Life in People Living With Complex Regional Pain Syndrome

Gretchen L. Bachman, Tara Packham, Dana S. Mills, Margo Kreger

Relationships among pain, sleep, and occupational engagement are well known; however, evidence on these relationships relative to quality of life (QOL) remains limited. This study examines pain, sleep, and occupational engagement (including social-emotional contexts) as predictors of QOL in persons with complex regional pain syndrome (CRPS). This descriptive survey research was conducted over 5 months. Participants were recruited through three organizations and were aged 18 or older, diagnosed with CRPS, English-sp …

25.08.2026journal-article

Perspectives of the ASHA Special Interest Groups

Effects of a Scaffolded Clinical Experience on Evidence-Based Practice Behavior in Undergraduate Speech-Language Pathology Student Clinicians

Kacey Cowburn, Keri Madsen, Howard Goldstein

Purpose: This study examined the effects of a scaffolded clinical experience designed to teach speech-language pathology student clinicians to provide opportunities to respond (OTR) during storybook reading with preschoolers. A learning module introduced the evidence-based instructional procedures. Clinicians then used scripts embedded in storybooks to provide vocabulary instruction. Method: Four undergraduate speech-language pathology student clinicians participated in a multiple-baseline design across participant …

25.08.2026journal-article

eneuro

Electrophysiological indices of hierarchical speech processing differentially reflect the comprehension of speech in noise

Shyanthony R. Synigal, Andrew J. Anderson, Edmund C. Lalor

The past few years have seen an increase in the use of encoding models to explain neural responses to natural speech. The goal of these models is to characterize how the human brain converts acoustic energy into distinct linguistic representations that enable everyday speech comprehension. For example, researchers have shown that electroencephalography (EEG) data can be modeled in terms of acoustic features of speech, such as its amplitude envelope or spectrogram, linguistic features such as phonemes and phoneme pr …

25.08.2026journal-article

Physical Therapy

Characteristics of Outpatient Care Settings Associated with Implementation Outcomes for a Group Physical Therapy Program

Kelli D Allen, Leah L Zullig, Sara Webb, Lauren M Abbate, Livia Anderson, Lindsay A Ballengee, Cynthia J Coffman, Graham Cummin, Susan N Hastings, Helen Hoenig, Jaime M Hughes, Natalie K Fullenkamp, Nina Sperber, Matthew Tucker, Courtney H Van Houtven, Amy Webster, Connor Drake

Abstract Importance Novel care models, like group-based physical therapy (Group Physical Therapy), improve outcomes and operational efficiency, but implementation is challenging and understudied. Objective The objective was to assess associations of organizational and contextual characteristics with implementation of Group Physical Therapy for knee osteoarthritis. Design This study involved secondary analysis of a cluster randomized hybrid type III implementation trial. Setting The study involved outpatient physica …

25.08.2026journal-article

International Journal of Psychosexual Therapy

302: Literature Review of The Prevalence of African-American Women in Psychosexual Research Data

Karen Banks

This literature review is an examination of the prevalence of African-American/Black women as study participants in the psychosexual research field. Historically, African-American people in the United States have been underrepresented in the research and abused as test subjects in scientific and medical research. If new theories, treatment protocols, and “best practices” are derived from research then applied across cultures, then it becomes crucial for marginalized and abused populations to be represented in the r …

25.08.2026journal-article

Clinical Rehabilitation

Towards global standards in stroke rehabilitation and recovery: An international evaluation of practice alignment

Thoshenthri Kandasamy, Rachel C Stockley, Jeroen M Hendriks, Shamala Thilarajah, Noorazah Azah Abd Aziz, Erin Godecke, Jie Jia, Margit Alt Murphy, Elizabeth A Lynch

Objective To evaluate how Centres of Clinical Excellence criteria align with routine clinical practice in international stroke rehabilitation centres and explore the factors influencing practices across diverse health systems. Design Mixed-methods study. Setting International stroke rehabilitation centres across diverse geographic and economic contexts. Participants Clinicians and service leaders representing 15 centres from 10 countries (two lower-middle-income, two upper-middle-income, and six high-income). Inter …

25.08.2026journal-article

The International Journal of Psychiatry in Medicine

Post-Traumatic Stress Disorder in Military Personnel: A Comparative Analysis of Rehabilitation Strategies in the Ukraine

Inna Osadchenko, Nina Tverezovska, Iryna Demchenko, Oleksandra Drachuk, Nataliia Hrynova

Objective The psychological rehabilitation of military personnel with post-traumatic stress disorder (PTSD) gained critical importance during the armed conflict in Ukraine (2022-2026). This study compared the effectiveness of alternative approaches to PTSD rehabilitation for Ukrainian soldiers and provides recommendations for optimizing psychological assistance. Methods A longitudinal study was conducted with 512 Ukrainian service members with clinically significant PTSD who received support in state rehabilitation …

25.08.2026journal-article

Acta Acustica

Irrelevant speech sound level effects on sustained attention in an open-plan office

Yan Sheng, Ruining Zhang, Yao Fu, Rumei Han, Yuan Zhang

Open-plan offices are valued for flexibility and space efficiency, yet irrelevant speech remains a primary source of acoustic dissatisfaction. This study examined how irrelevant-speech sound pressure level (SPL) affects sustained attention and physiological load in a simulated open-plan office. Twentyfour participants performed the Sustained Attention to Response Task (SART) under four conditions: a background-only control (LAeq 35–40 dB(A)) and irrelevant speech at 40–45, 45–50, and 50–55 dB(A). Behavioural outcom …

25.08.2026journal-article

Environmental Insight Journal

Penerapan POAC dalam Pencegahan Penyakit Akibat Kerja Berbasis Lingkungan pada Kegiatan Penambangan Pasir Ilegal

Elisabeth Evenince Nince, Akmal Aminudin, Yoseph Keytimu

Kegiatan penambangan pasir ilegal merupakan fenomena yang masih marak terjadi di berbagai wilayah Indonesia, termasuk di Desa Watutena, Kecamatan Nelle, Kabupaten Sikka. Kegiatan ini berlangsung tanpa perizinan formal dan tanpa mekanisme perlindungan kesehatan kerja yang memadai, sehingga pekerja dapat menghadapi risiko penyakit akibat kerja (PAK) berbasis lingkungan yang sangat tinggi. Penelitian ini bertujuan mendeskripsikan dan menganalisis penerapan fungsi manajemen Planning, Organizing, Actuating, Controlling …

25.08.2026journal-article

Advanced Science

Iron‐Tannic Acid Hydrogel Mediated Mild Photothermal Therapy Combined With Ferroptosis Enhances Anti‐Tumor Immunity in Colorectal Cancer

Yuan Zhu, Xi Yu, Tao Wang, Wanyi Liu, Chang Lu, Jiani Zhong, Yujie He, Wei Li, Kunxi Zhang, Peihao Yin, Zeting Yuan

ABSTRACT Postoperative recurrence and metastasis are the primary causes of mortality in colorectal cancer (CRC). And its immunosuppressive tumor microenvironment (TME) often results in the poor response to immune checkpoint blockade (ICB). This study designed an injectable and adhesive tannic acid‐iron hydrogel for locally mild photothermal therapy (PTT, ≤ 45°C) and ferroptosis to prevent the postoperative recurrence and metastasis in combination with programmed death ligand 1 (PD‐L1) checkpoint blockade immunother …

25.08.2026journal-article

JMIR Research Protocols

One-Session Versus Three-Sessions of Virtual Reality Exposure Therapy for Public Speaking Anxiety: Protocol of a Randomized Controlled Trial

Goda Gegieckaitė, Olga Zamalijeva, Karolina Petraškaitė, Egle Nagevice, Philip Lindner, Per Carlbring, Tom Van Daele, Gerhard Andersson, Jonas Eimontas

Abstract Background A 1-session virtual reality (VR) exposure for public speaking anxiety has been found to be effective in reducing public speaking anxiety. Previous meta-analyses comparing 1-session to several sessions of in vivo exposure for specific phobias did not find a difference in effectiveness. However, due to the specificity of VR exposure and public speaking anxiety, it is unclear how dividing the same amount of exposure tasks into 3 shorter sessions instead of one long session would affect the effectiv …

25.08.2026journal-article

Frontiers in Endocrinology

Comparative effectiveness of dienogest versus ethinyl estradiol/levonorgestrel combined oral contraceptive therapy in women with endometriosis-associated chronic pelvic pain

Bushra Bahar, Neena Gupta, Alok Raghav, Uruj Jahan, Rashmi Yadav

Objective To compare the clinical effectiveness of combined oral contraceptive pills (levonorgestrel-containing COC) and dienogest in the management of endometriosis-associated chronic pelvic pain and related symptoms. Methods This prospective observational cohort study was conducted in the Department of Obstetrics and Gynecology at GSVM Medical College, Kanpur, India, between 2023 and 2024. A total of 140 women with clinically and ultrasonographically diagnosed endometriosis-associated pelvic pain completed the st …

25.08.2026journal-article

Frontiers in Oncology

Artificial intelligence-assisted photodynamic diagnosis and photodynamic therapy against cancer

Jinju Huang, Siu Kan Law, Albert Wing Nang Leung, Chuanshan Xu

Artificial intelligence (AI) comprises advanced computational systems designed to simulate selected aspects of human cognitive functions, such as learning, reasoning, and perception. While AI does not fully replicate human cognition, its analytical processing of large datasets through “machine learning (ML)” and “deep learning (DL)” has increasingly been applied in medicine, including photodynamic diagnosis (PDD) and photodynamic therapy (PDT). In oncology, these modalities are increasingly used for early cancer de …

25.08.2026journal-article

Pakistan Journal of Medical Sciences

Outcomes of thrombolytic therapy in prosthetic valve thrombosis; a single center study.

Ikram Ahmed Rana, Fatina Munawar, Ayesha Mubasher, Muhammad Talha Bajwa

Objective: To determine the outcomes of thrombolytic therapy in prosthetic valve thrombosis. Methodology: Data was taken from the hospital discharge database for patients admitted from January 01, 2016 to June 30, 2024. Definitive diagnosis was made with transthoracic echocardiography (TTE) showing an obstructed prosthetic valve for patients presenting with new-onset dyspnea. Streptokinase infusion was given per ACC/AHA guidelines with twelve-hourly TTE for transvalvular gradient assessment. The primary outcome was …

25.08.2026journal-article

Pakistan Journal of Medical Sciences

Effect of early local cold compression therapy combined with rehabilitation exercises on local swelling and joint function recovery in patients with periarticular ankle fractures

Yanan Zhao, Tiantian Wang, Yulin Liu, Li Zhu, Yuanyuan Liu

Objectives: To evaluate the effect of early local cold compression therapy combined with rehabilitation exercises on local swelling and joint function in patients with periarticular ankle fractures. Methodology: This was a retrospective study. A total of 60 patients with periarticular ankle fractures admitted to Baoding No.1 Central Hospital between June 2023 to June 2024 were enrolled in this study. The participants were divided into an observation group and a control group. The control group received conventional …

25.08.2026journal-article

ICEETE Conference Series

The Effect of Cognitive Behavioral Therapy (Cbt)-Based Group Counseling on Reducing Anxiety in Facing Examinations

Erik Teguh Prakoso, Shelina Putri Pratiwi, Suci Prasasti

This study investigated the effectiveness of Cognitive Behavioral Therapy (CBT)-based group counseling in reducing test anxiety among twelfth-grade students at the Accounting and Finance program of SMK Batik 1 Surakarta. Using a quantitative pre-experimental one-group pretest-posttest design, data were collected from 8–10 students selected via purposive sampling, utilizing a test anxiety scale that covered cognitive, affective, physiological, and behavioral dimensions. The intervention focused on structured cogniti …