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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
28.08.2026journal-article

East African Journal of Business and Economics

Staff Appraisal Systems and Organisational Performance: The Moderating Role of Employee Motivation in Health Centre IV

Kiconco Clare, James Kizza, Nakku Elizabeth Mirembe

This study addresses a critical gap in public health human resource management by examining the unmapped interactive mechanism between performance accountability and workforce psychology within primary healthcare settings. While existing literature heavily treats performance evaluations as a mechanical process, this study investigates the moderating role of employee motivation in the relationship between staff appraisal systems and organisational performance across Health Centre IV facilities. Utilising an explanat …

28.08.2026journal-article

Arquivos de Ciências da Saúde da UNIPAR

IMPLANTAÇÃO DAS EQUIPES DE SAÚDE BUCAL NO BRASIL (2002–2020): ASSOCIAÇÃO COM INDICADORES SOCIOECONÔMICOS

Muriel Pezzini, Maria Lucia Frizon Rizzotto, Maurício Bedim dos Santos

O objetivo do estudo foi analisar a implantação das Equipes de Saúde Bucal (eSB) modalidades I e II nos estados brasileiros, em relação ao Índice de Desenvolvimento Humano (IDH), Gini e ao tamanho populacional, no período de 2002 a 2020. Trata-se de um estudo ecológico, retrospectivo e longitudinal, com análise de dados secundários, coletados na base de dados do Atlas do Desenvolvimento Humano no Brasil, IBGE e e-Gestor AB. Foi realizada análise espacial descritiva e, para investigar a associação com os indicadores …

28.08.2026journal-article

Journal of Clinical Oncology

Perioperative Durvalumab for Resectable Non–Small Cell Lung Cancer: Updated Outcomes From the Phase III AEGEAN Trial

John V. Heymach, Jie He, David Harpole, Tetsuya Mitsudomi, Janis M. Taube, Shugeng Gao, Laszlo Urban, Jin Hyoung Kang, Francisco J. Orlandi, Jeronimo Rodriguez-Cid, Bartomeu Massuti, Luis Leon Mateos, Giulia Pasello, Quincy Chu, Jaroslaw Kolb-Sielecki, Masao Nakata, Gabriella Galffy, Maximilian Hochmair, Thomas Winder, Ruslan Zukov, Gabriel Garbaos, Yoshitsugu Horio, Gyula Ostoros, Tho V. Tran, Jian You, Kang-Yun Lee, Lorenzo Antonuzzo, Hiroaki Akamatsu, Bivas Biswas, Alexander Spira, Jeffrey Crawford, Ha T. Le, Mike Aperghis, Helen Mann, Tamer M. Fouad, Gary J. Doherty, Martin Reck

In AEGEAN, perioperative durvalumab plus neoadjuvant chemotherapy, versus neoadjuvant chemotherapy alone, significantly improved event-free survival (EFS) and pathologic complete response in patients with resectable non–small cell lung cancer (R-NSCLC), with a safety profile consistent with the individual agents. We report EFS from a second planned interim analysis, interim disease-free survival (DFS) and overall survival (OS), and safety, after all patients completed/discontinued treatment. In this phase III, doub …

28.08.2026journal-article

Journal of Continuing Education in the Health Professions

Navigating Interprofessional Education: A Qualitative Process Evaluation Examining Leadership Perspectives in Online IPE Curriculum Design and Implementation

Senyo Agbeyaka, Sara A. Harper, Vicki Simonsmeier, Maria Kleinstäuber

Introduction: Interprofessional education (IPE) remains an important component of curriculum training among health and allied health trainees. Additional research is needed regarding the challenges for facilitators in implementing such educational endeavors. Method: Therefore, this qualitative study examined the perspectives of those leading the IPE process and facilitators in planning and implementing an online real-time (synchronous) university-based IPE curriculum. Results: Respondents (n = 7) described the foll …

28.08.2026journal-article

Healthcare

Occupational Stressors, Working Conditions and Self-Reported Mental Health Among Veterinarians in Germany: An Exploratory Cross-Sectional Survey

Marietta Máté, Anneke Jensch, László Ózsvári

Background/Objectives: Veterinarians are exposed to substantial psychological strain, including burnout, depressive symptoms, and increased suicide risk. Emotional and ethical challenges, such as managing animal suffering, making difficult treatment decisions, and handling conflicts with animal owners, may compound the pressures associated with demanding working conditions. This study aimed to investigate occupational stressors, working conditions, job satisfaction, and self-reported mental health among veterinaria …

28.08.2026journal-article

Proceedings of the Institution of Mechanical Engineers, Part C: Journal of Mechanical Engineering Science

A closed-loop calibrated digital twin for vibration suppression and performance enhancement of the milking robot manipulator

Pengyu Wang, Guohua Gao, Yincheng Lv, Yongbing Feng

The Automatic Milking System (AMS) has significantly improved dairy farming efficiency. However, residual vibrations generated by the high-speed motion of the milking manipulator continue to pose significant challenges, particularly by compromising positioning accuracy and cup attachment performance. This paper proposes a Closed-Loop Calibrated Digital Twin (CLCDT) framework to achieve low-cost, real-time vibration suppression. First, a dynamic model incorporating joint stiffness and damping is formulated using Lag …

28.08.2026journal-article

BMC Public Health

Adverse childhood experiences and labour market inactivity among young women: a population-based study

Harpa S. Eyjólfsdóttir, Marín Dögg Bjarnadóttir, Hilda Björk Daníelsdóttir, Arna Hauksdottir, Edda Bjork Thordardottir, Thor Aspelund, Unnur A. Valdimarsdóttir

Abstract Background Young people not in employment, education, or training (NEET) are a major concern presenting extensive societal and personal costs. Adverse childhood experiences (ACEs) can have longstanding harmful effects on health, education and employment participation. This study examined if ACEs are associated with NEET status among young Icelandic women, and whether perceived coping ability and social support moderate this relationship. Methods Using data from 6 101 women aged 18–29 in the Stress-And-Gene …

28.08.2026journal-article

The TQM Journal

Digital innovation, digital transformation and operational performance: a thematic analysis

Koustav Dakshit, Sachin Modgil, Rohan Mukherjee, Surajit Bag, Andrea Chiarini

Purpose The purpose of this systematic literature review is to extract and synthesize findings of research papers published in high-quality journals to address our specific research questions, find gaps and propose future research agendas. We want to understand the mechanisms by which digital innovation adoption (DIA) and digital transformation (DT) help small and medium enterprises (SMEs) achieve competitive advantage and enhance operational performance, ultimately leading to sustainable competitive advantage (SCA …

28.08.2026journal-article

PhotoniX

Toward brain-inspired intelligence: a review of photonic neuromorphic computing systems

Dun Lan, Bowen Ma, Yuxiang Ji, Yichen Zeng, Zhihong Zou, Zongsheng Li, Yiyang Xu, Mengmeng Chai, Weiwen Zou

Abstract Inspired by the key elements and principles in the brain, photonic neuromorphic computing shows great potential for building next-generation intelligent processing systems with high parallelism, low latency, low power consumption, and self-learning capabilities. While summarizing significant advances in this field, this review offers insights into how photonic neuromorphic computing systems support next-generation intelligent information processing. Specifically, we discuss emerging materials and devices, …

28.08.2026journal-article

Frontiers in Public Health

Sport-specific injury profiles and associated factors in elite wrestlers and judokas

Yunus Sadır, Faik Öz, Suzan Dal, Selin Biçer Baikoğlu, İrfan Kara, İzzet Karakulak, Hakan Bilgen, Yusuf Kurt, Cüneyt Şensoy, Osman Imamoğlu, Serdar Koç

Background Wrestling and judo involve repeated physical contact and substantial musculoskeletal demands. Although the two sports share structural similarities, differences in sport-specific demands may be associated with distinct injury characteristics. This study compared self-reported injury profiles between elite wrestlers and judokas and examined factors associated with reporting multiple injury episodes. Methods This cross-sectional comparative study included 289 Turkish National Team athletes, comprising 143 …

28.08.2026journal-article

Frontiers in Psychology

From data to innovation: how digital leadership cultivates employees’ data psychological ownership through perceived data value

Wei Yang, Yuru Hu

Purpose Against the backdrop of the rapid development of the digital economy, stimulating employees’ data-driven innovative behavior has become a key issue in organizational management. This study aims to explore how perceived data value affects employee innovative behavior, the mediating role of data asset psychological ownership, and the moderating role of digital leadership. Methodology Drawing on psychological ownership theory and conservation of resources theory, this study constructs a moderated mediation mod …

28.08.2026journal-article

Frontiers in Digital Health

An LLM-supported just-in-time adaptive intervention delivered by a socially assistive robot for cognitive training in mild cognitive impairment: study protocol for an assessor-blinded randomized controlled trial

Jingzheng Yan, Yahui Cheng, Yaning Wang, Yingjuan Cao

Background Mild cognitive impairment (MCI) is a clinically important stage at which non-pharmacological interventions may help preserve cognitive function and daily functioning. Existing digital cognitive training programs are often limited by static task progression, declining engagement, and insufficient responsiveness to moment-to-moment cognitive and emotional states. Objective This study protocol describes a single-center, parallel-group, assessor-blinded randomized controlled trial evaluating an adaptive cogn …

28.08.2026journal-article

Frontiers in Education

Comprehensively understanding K-12 teachers’ occupational health: a convergent mixed-methods exploration of stress and wellbeing

Cynthia A. Wiltshire, Christopher J. McCarthy, Caroline Weppner, Richard G. Lambert, Yijie Tian

Stress has detrimental impacts on K-12 teachers’ occupational health, yet there is no consensus on how best to define and measure it. As such, the present study implemented quantitative and qualitative methodologies, including a physiological measure of stress, to comprehensively assess and understand teacher stress in one independent school district in the southern United States. Forty-four public school teachers participated by completing self-reported measures of stress and occupational health, providing a hair …

28.08.2026journal-article

World Journal of Radiology

Imaging-guided adaptive radiation therapy in limited-stage small cell lung cancer: Current evidence and clinical perspectives

Omer Sager

Small cell lung cancer (SCLC) remains among the most aggressive thoracic malignancies and continues to present major therapeutic challenges despite advances in multimodality treatment. Limited-stage SCLC (LS-SCLC), representing approximately one-third of cases, is conventionally managed with concurrent chemoradiotherapy delivered with curative intent. Radiation therapy (RT) is central to treatment; however, rapid treatment related anatomical and volumetric changes may alter target geometry and reduce the accuracy o …

28.08.2026journal-article

Russian Journal of Clinical Dermatology and Venereology

Tacrolimus ointment: a selective T-cell immunosuppressant in dermatology

S.I. Bobko, D.D. Petrunin, V.S. Dolgikh, D.V. Nazarenko, A.M. Zemskov, M.A. Zemskov

Tacrolimus ointment is a topical calcineurin inhibitor with potent anti-inflammatory activity that suppresses T-cell activation and the production of pro-inflammatory cytokines. Unlike topical glucocorticosteroids, the drug does not cause skin atrophy and epidermal thinning, making it particularly valuable for long-term use in steroid-sensitive areas — such as the face, skin folds, and the anogenital region. In addition to its primary anti-inflammatory effect, tacrolimus ointment possesses clinically significant an …

28.08.2026journal-article

Stroke

Prevalence and Clinical Relevance of Antiphospholipid Antibodies in Ischemic Stroke: A Systematic Review and Meta-Analysis

Nathan W. Watson, Syed Bukhari, Sina Rashedi, Mariana Pfeferman, Francisco Ujueta, Bassil Bacare, Brittany N. Weber, Mehrdad Zarghami, Yogendra Kanthi, Eric A. Secemsky, Jean M. Connors, Geoffrey D. Barnes, Sacha Uljon, Samuel Z. Goldhaber, Jeffrey I. Weitz, Karen H. Costenbader, Harlan M. Krumholz, Gregory Piazza, Mary Cushman, Christopher D. Anderson, Mitchell S. V. Elkind, Behnood Bikdeli

BACKGROUND: Antiphospholipid antibodies (aPL) are associated with an increased risk of thrombosis. However, individual studies have reported conflicting findings regarding the prevalence of aPL in patients with ischemic stroke and their association with first or recurrent events. METHODS: Systematic searches of PubMed and Embase through May 13, 2025 were conducted to identify case-control, cohort, or cross-sectional studies investigating 3 questions related to aPL seropositivity (defined as positivity for either im …

28.08.2026journal-article

Journal of Engineering Research and Reports

Secure Artificial Intelligence for Asset Performance in Critical Infrastructure: A Critical Narrative Review of Safety, Operational Excellence and Continuous Quality Improvement

Adeyemi Adebukunola Ishekwene, Christopher Ugbong Akeke, Akinde Michael Ogunmolu, Busola Motunrayo Olawale, Cornelia Ifeoma Ejoh

Critical infrastructure operators increasingly deploy artificial intelligence (AI) to detect degradation, predict failures, optimise maintenance, identify cyber anomalies and support operational decisions. These capabilities create a plausible route to higher availability, reliability and quality, yet they also couple asset-performance decisions to data integrity, model uncertainty, software supply chains, human oversight and operational technology security. This critical narrative review examines how secure AI can …

28.08.2026journal-article

Arqueología y Territorio Medieval

Aromacología y salud: usos terapéuticos del perfume y cultura material entre las mujeres nazaríes (siglos XIII-XV)

Alba Abdel-fatah Martínez

In Nasrid society of the 13th and 14th centuries, perfumes and aromatic substances not only played an important symbolic and cultural role but also had therapeutic and health-related purposes, especially in women’s lives. This study analyses the use of aromatic remedies in women’s body care, connecting these practices with evidence from material culture, such as the perfume containers in the Alhambra Museum.Based on the analysis of Ibn al-Khatib’s medical texts and archaeological finds, the therapeutic uses of perf …

28.08.2026journal-article

Frontiers in Artificial Intelligence

Structured proxy features for multimodal NSCLC survival prediction from pretreatment CT

Huu Phong Nguyen, Delower Hossain, Ehsan Saghapour, Zhandos Sembay, Jake Y. Chen

Introduction Lung cancer results in roughly 1.8 million fatalities annually worldwide, with non-small cell lung cancer (NSCLC) comprising the majority of cases. Despite advancements in treatment, survival stratification remains challenging due to intratumoral heterogeneity inadequately captured by conventional descriptors. Standard radiomic and deep learning techniques regard imaging features as independent quantities, overlooking structured interactions between tumor characteristics. We evaluate whether structured …

28.08.2026journal-article

Scientific Reports

A large-scale integrated optical phased array with digital beamforming

Volkan Gurses, Debjit Sarkar, Aroutin Khachaturian, Reza Fatemi, Ali Hajimiri

Abstract Digital signal processing has driven much of the capacity growth in coherent fiber-optic communications, but its use in free-space coherent imagers and sensors has so far been limited. We report a 128-element optical phased array with a fully parallelized readout that performs beamforming in the digital domain at 1550 nm. The photonic integrated circuit consists of an array of waveguide grating antennas, each routed to its own balanced coherent receiver, with a common on-chip local oscillator delivered to …

28.08.2026journal-article

Management in Education

Digital leadership as a mediator in the relationship between digital transformation and quality of work life among primary school teachers in the Al-Jouf region

Ohud Abdulrahman Aldaghmi, Sanaa Mostafa Mohammed, Reda Ebrahim Mohamed Elashram

Despite growing research interest in digital transformation in education, the mechanisms through which institutional technological change translates into improvements in teachers’ professional quality of life remain insufficiently explored, particularly within Arab educational contexts. This study investigated the mediating role of digital leadership in the relationship between digital transformation and quality of work life among primary school teachers in the Al-Jouf region, Saudi Arabia. A quantitative descripti …

28.08.2026journal-article

APIK Journal of Internal Medicine

Clinical Profile of Elderly Women in a Rural Area and the Impact of Health Service Camps

S. Karthik, Anand P. Ambali

Abstract Background: The elderly population is increasing, placing a greater strain on the healthcare system. In India, 71% of older adults live in rural areas. Elderly women outnumber men and face challenges related to the availability, affordability, and accessibility of health care. Understanding their profiles is essential to addressing these issues. This paper provides an overview of elderly women who visited our monthly camp, “Reaching the Unreached.” Objectives: To assess the clinicodemographic profile and t …

28.08.2026journal-article

Journal of Bone and Mineral Research

Deciphering the development of synovial joints in the limbs: Recent discoveries and clinical implications

Maurizio Pacifici, Eiki Koyama, Danielle Rux

Abstract The synovial joints are essential for skeletal function and dexterity and do so by virtue of their components and structure. The capsule protects and insulates the joint from the surrounding environment, articular cartilage provides mechanical resilience and endurance, the ligaments stabilize motion, and the synovial cavity and fluid sustain frictionless sliding. These and other fundamental aspects of synovial joint biology are well known and recognized. However, how the joints form during embryogenesis an …

28.08.2026journal-article

Journal of Clinical Medicine

Comment on Inghilleri, G.; Franchini, M. Hypophosphatemia in Patients Receiving Intravenous Iron Supplementation for Iron-Deficiency Anemia: A Narrative Review. J. Clin. Med. 2026, 15, 4748

Ceren Çevik, Nur Düzen Oflas, Kamil Konur, Gökhan Tazegül, Nurhayat Özkan Sevencan, Muhammet Özbilen

We read with great interest the narrative review by Inghilleri and Franchini about hypophosphatemia in patients receiving intravenous iron supplementation for iron-deficiency anemia [...]