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

Higher Education Research

Evaluation of Medical Educator Training Program at the University of Public Health, Myanmar

Ye Aung, Aung Kyaw, Khin Myint, Khaing Mon, Ei U, Pai Thitsar, Lay Myint, Nwe Myint, Tin Tun

Faculty development in medical education has become essential for strengthening the teaching capacity of health professionals worldwide. In low- and middle-income countries (LMICs) such as Myanmar, there remain challenges in adequately preparing educators to meet modern curricular demands. To address this, the University of Public Health (UPH), Myanmar, has conducted a structured Medical Educator Training Program since 2003. However, evidence of its effectiveness is limited. A convergent mixed-methods study was con …

27.08.2026journal-article

Sustainability

Coordinated Resilience of Urban–Cropland–Population–Industry–Ecology Systems Under Water Constraints: Evidence from Nine Provincial Regions Along the Yellow River

Xueyang Cai, Chao Zang, Peng Hou, Jinzhuo Liu

Resource constraints in large river basins operate through interacting urban, agricultural, demographic, industrial, and ecological systems. This study develops a coordinated resilience framework for the Urban–Cropland–Population–Industry–Ecology (UCPIE) system using panel data from nine provincial-level regions along the Yellow River during 2000–2023. Coordinated and subsystem resilience were estimated with hierarchical entropy-weighted TOPSIS. Complementary disparity measures were used to assess interprovincial i …

27.08.2026journal-article

Infection Control & Hospital Epidemiology

Impact of hand hygiene on the detection of multidrug-resistant organisms and other pathogens of epidemiologic significance after implementation of an automated hand hygiene monitoring system

Radhika Prakash-Asrani, Kayoko Shioda, Chris W. Bower, James P. Steinberg, Scott K. Fridkin, Jesse T. Jacob, Lindsey B. Gottlieb

Abstract Objective: To assess the association between hand hygiene adherence, as measured by an automated hand hygiene monitoring system (AHHMS), and multidrug-resistant organisms and other pathogens of epidemiologic significance (MDRO+). Design: Retrospective cohort study. Setting: Acute care hospitals within an academic healthcare system. Participants: Hand hygiene data was collected from all badged staff January 2021 through September 2022. Adult inpatients on non-maternity units during this period were eligible …

27.08.2026journal-article

Science

The worst energy policy in the world

Paasha Mahdavi, Michael L. Ross

The Iran war could serve as a turning point in accelerating the global transition away from fossil fuels: Every additional day that oil and gas prices are high and future supplies are uncertain, wind and solar power—cheaper and more scalable than ever before—grow all the more appealing. But nearly half of the world’s countries have adopted emergency subsidies that research shows will make this transition slower, more expensive, and less equitable.

27.08.2026journal-article

Frontiers in Health Services

Attitudes, perceptions, and factors influencing the adoption of artificial intelligence Among healthcare professionals in Saudi Arabia: a UTAUT-based study

Yara Alrashed, Nouf Alsaheil

Background Amid the global race toward intelligent healthcare systems, Saudi Arabia stands at a pivotal moment in its digital health transformation. Understanding how prepared healthcare professionals are to adopt artificial intelligence is essential for shaping successful national strategies. Objectives This study aimed to assess healthcare professionals’ attitudes, perceptions, and intentions toward using AI in clinical practice; examine awareness and actual use; identify key predictors of AI adoption based on th …

27.08.2026journal-article

Frontiers in Psychology

A study on the correlations between parent–child interaction, school adaptation type, and adolescent mental health

Yin Xinqian, Wang Yan, Qu Yashan, Luo Lanlan

Introduction This study aimed to explore the associations between different parent–child interaction patterns, school adjustment types, and multidimensional mental health indicators such as adolescent wellbeing indices and depressive symptoms and thereby provide insights for improving adolescent mental health. Methods Using questionnaire data from the China Education Panel Survey (CEPS) conducted from spring 2014 to spring 2015, this study focused on school-attending adolescents aged 12–18 years. Data from the Pare …

27.08.2026journal-article

BMC Oral Health

Paired in vivo diagnostic accuracy and reliability of QrayCam Pro and QrayPen for occlusal and proximal caries in permanent posterior teeth

Elif Alkan, Ahmad Bittar, Dilek Tağtekin

Abstract Background Quantitative light-induced fluorescence (QLF) provides fluorescence-loss and red-fluorescence signals that may behave differently across devices, surfaces, and lesion thresholds. This study compared QrayCam Pro and QrayPen for occlusal and proximal caries in permanent posterior teeth. Methods In this single-centre, paired in vivo diagnostic-accuracy and reliability study, 120 consecutively recruited adults underwent QrayPen and QrayCam Pro imaging. Multiple surfaces could be contributed by one p …

27.08.2026journal-article

BMC Women's Health

Randomized controlled trial of adjunctive zinc-containing vaginal hydrogel following fluconazole therapy for vulvovaginal candidiasis

Dávid Rátonyi, Barbara Kozma, Bence Kozma, Attila G. Sipos, Peter Takacs

Abstract Background Recurrent and persistent vulvovaginal candidiasis remain clinically challenging, and supportive strategies that improve post-treatment microbiological stability are needed. Zinc-containing vaginal hydrogel may influence local host–pathogen interactions, but clinical data on its adjunctive use after fluconazole are limited. Methods This single-center, two-arm, parallel-group randomized clinical trial compared standard oral fluconazole therapy alone with fluconazole followed by adjunctive zinc-con …

27.08.2026journal-article

BMC Oral Health

In vitro evaluation of a novel self-adhesive composite primer modified with nano zinc oxide and hydroxyapatite: antibacterial activity, marginal microleakage, and interfacial elemental analysis

Raghda Kamh, Alshaymaa Abdelmonaem Mohammed, Hamdy Mahmoud Badreldin, Esraa Abdel Ghaffar El Gezawy

Abstract Background This study aimed to investigate the antibacterial effects of a self-adhesive 10-MDP contained Primer (Stela primer) modified with nano-sized zinc oxide (ZnO) and hydroxyapatite (HA) particles. Furthermore, it evaluated the extent of marginal microleakage in Class II restorations and conducted elemental analysis of the tooth–primer interface using energy-dispersive X-ray spectroscopy (EDX). Materials and methods The sixty-three premolars enrolled in this study were subjected to class II cavity pr …

27.08.2026journal-article

PLOS Global Public Health

Operational epidemiology of the early phase of the 2026 Bundibugyo virus disease outbreak in the Democratic Republic of the Congo and Uganda

Tambe Elvis Akem, Eta Calvin Oben

The 2026 Bundibugyo virus disease outbreak in the Democratic Republic of the Congo (DRC) and Uganda occurred in a fragile cross-border setting marked by delayed recognition, diagnostic uncertainty, insecurity, population mobility, community mistrust, and healthcare-worker exposure. We conducted a retrospective operational epidemiology study using official situation reports, public health declarations, ministry statements, WHO and Africa CDC updates, cross-border communiqués, and selected partner statements. This an …

27.08.2026journal-article

African Journal of Laboratory Medicine

Implementing laboratory quality management systems in Ghana: A quality audit of accreditation readiness in clinical and public health laboratories (2021–2023)

Emma E. Kploanyi, David W. Dowdy, Joseph Kenu, Benjamin Buade, Benedicta Owusu-Arthur, David A. Opare, Franklin Asiedu-Bekoe, Alfred E. Yawson, Ernest Kenu, Lee F. Schroeder

Background: The Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA) checklist has demonstrated improvement in laboratory quality in Africa. In Ghana, however, implementation has targeted mainly higher-tier clinical laboratories. A balanced approach across the laboratory network is needed to strengthen national laboratory quality. Objective: To evaluate the quality management performance and accreditation readiness of clinical and public health laboratories (PHLs) in Ghana. Methods: Using a modifi …

27.08.2026journal-article

Asian Journal of Education and Social Studies

Rethinking Lecturer-Prepared Learning Materials in Ghanaian Higher Education: Policy, Pedagogical Practice and the Conditions for Independent Learning

Mustapha Bin Usman, Albert Opoku, Thomas A. Asafo Adjei, Dorcas Aba Engmann, Felix Aayel, Bright Owusu Afriyie, Lydia Konadu, Dieshonnie Aboagye Dacosta, Wilson Gyabeng, Peter Namtibil Wanaba, Elizabeth Appiagyei, Bernice Gyasi, Martha Edem Kotah, Esther Anim

Lecturer-prepared notes, handouts, slide decks and learning-management-system materials are embedded in contemporary university teaching, yet their educational value depends on what they enable students to do beyond receiving information. This critical narrative review examines lecturer-prepared learning materials in Ghanaian higher education through the combined lenses of national policy, academic literacy, digital access, assessment, open education and self-regulated learning. Literature was selected from educati …

27.08.2026journal-article

Journal of Market Access & Health Policy

A Model-Based Public-Payer Investment Appraisal of a National Home Hemodialysis Program in Greece: A Net Present Value Analysis

Vasileios Zavvos, John Fanourgiakis, Michael A. Talias, Christos Iatrou, Christos Ntais

Background: In-center hemodialysis is the dominant kidney replacement therapy modality in Greece and generates substantial recurring expenditure for the public payer. Home hemodialysis is not currently implemented at national scale, but it may reduce long-term public expenditure if early investment in training capacity, equipment and home support is recovered over time. Objective: To evaluate, from the Greek public-payer perspective, the discounted budget impact and net present value (NPV) of implementing a nationa …

27.08.2026journal-article

BMC Health Services Research

Implementing collaborative learning platforms for healthcare quality improvement in Lao PDR: a case study of national forums

Shinsuke Murai, Bounnack Saysanasongkham, Goro Nishimoto, Somchanh Thounsavath, Satoko Jimbo, Shiho Hansen, Miwa Kanda, Aki Hashizume, Sommana Rattana, Somyoth Duangphachanh, Vanpheng Phanthanalay, Anousone Sisoulath, Sengchanh Kounnavong

Abstract Background Healthcare quality and safety initiatives in low- and middle-income countries often face fragmentation due to varying stakeholders’ readiness levels. Collective learning facilitates knowledge exchange and institutional capacity building, which are crucial for overcoming organizational constraints in quality improvement (QI) implementation. However, its feasibility and effectiveness in resource-limited settings remain to be studied. This study examined the feasibility and effectiveness of collabo …

27.08.2026journal-article

npj Digital Medicine

Implementing digital health transformation policies in Latin America: insights from four national case studies

Paola Abril Campos Rivera, Pablo Villalobos Dintrans, Berenice Alfaro-Ponce, Beatriz Michelle Ramírez Pérez, Daniel Choperena, Adolfo Rubinstein, Cintia Cejas, Felix Liberona, Michael R. Reich

Abstract Digital health transformation (DHT) policies can improve the performance of health systems. However, there are few empirical studies on how these policies are implemented in practice. This article examines four national cases of implementing DHT policies in the Latin American region. The study employs a qualitative methodology based on 32 semi-structured interviews and a multiple case study approach in Uruguay, Argentina, Chile, and Mexico—selected for their diversity in governance structures and different …

27.08.2026journal-article

World Journal of Surgery

A Population‐Based Study of Incidence, Presentation, Treatment and Short‐Term Outcomes of Acute Thromboembolic Ischemia in the Lower Limbs

Jørgen B. Vennesland, Kjetil Søreide, Jan Terje Kvaløy, Andreas Reite, Morten Vetrhus

ABSTRACT Objectives To investigate the current epidemiology and short‐term outcomes in patients with acute lower limb ischemia (ALI) in a well‐defined Norwegian population. Methods A retrospective, single‐center, observational cohort study in a defined population catchment area. All patients with ALI from the catchment area were included in the period from January 2000 to December 2019. Age‐ and sex‐adjusted incidence rates were calculated using population demographics from Statistics Norway. Results A total of 359 …

27.08.2026journal-article

One Health Microbiology & Infection

Antibacterial activity and characterization of ZnO and Ag-doped ZnO nanoparticles fabricated using Leucophyllum frutescens leaf extract

Asma Umer, Hira Hameed, Muhammad T. Sarwar, Abdul Sammad A. K. Shirwany, Zain ul Abidin, Amna Farooq, Muhammad Taimoor, Aneeqa Naveed, Kanwal Majeed

Globally, there has been considerable interest in the environmentally benign production of transition-metal nanoparticles. This study describes the synthesis of ZnO and Ag-doped ZnO nanoparticles using the leaf extract of Leucophyllum frutescens via a simple green method. The synthesized nanoparticles were characterized by Ultraviolet-Visible (UV-Vis) spectroscopy, Fourier Transform Infrared (FTIR) spectroscopy, X-ray diffraction (XRD), Transmission electron microscopy (TEM), and scanning electron microscopy (SEM). …

27.08.2026journal-article

Food Safety and Health

Prevalence and Contributing Factors of Household Food Insecurity in Somalia: A Household‐Level Analysis

Hassan Abdi Ahmed, Edwin Tito Magoti

ABSTRACT Somalia continues to experience a high burden of household food insecurity driven by recurrent climate shocks, protracted conflict, economic instability, displacement, and limited access to livelihoods and essential services. This study assessed the prevalence, spatial distribution, and drivers of household food insecurity using data from the 2022 Somalia Household Budget Survey. A cross‐sectional analysis was undertaken among 7152 households, and household food insecurity was measured using the Food Insec …

27.08.2026journal-article

Journal of Family Medicine and Health Care

Prevalence and Predictors of Multimorbidity Among Older Adults Attending the General Outpatient Clinic of Federal Teaching Hospital Birnin-Kebbi

Hope Abitare

Multimorbidity is an emerging public health challenge associated with poor health outcomes, increased healthcare utilization, and rising healthcare costs, particularly among older adults. Despite its growing burden, evidence on multimorbidity among older adults in Northwestern Nigeria remains limited. This study determined the prevalence and predictors of multimorbidity among older adults attending the General Outpatient Clinic of the Federal Teaching Hospital, Birnin-Kebbi, Nigeria. A hospital-based cross-sectiona …

27.08.2026journal-article

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Planned birth at 39 weeks in low-risk nulliparous women: mapping international evidence to India's national health mission framework

Deepa V. Mungi

Global obstetric practice has shifted over the past decade from routine expectant management of low-risk term pregnancies toward active consideration of planned birth at 39 weeks, while India's public health system has, over the same period, achieved substantial gains in institutional delivery, antenatal coverage, and high-risk pregnancy tracking under the National Health Mission (NHM). This review synthesizes the international evidence for planned 39-week birth in low-risk nulliparous women, examines the small eme …

27.08.2026journal-article

npj Metabolic Health and Disease

Causal mediation pathways in continuous postprandial glucose monitoring for type 1 diabetes patients

Spencer Hilligoss, Annie Qu

Abstract Managing postprandial glucose in Type 1 Diabetes Mellitus (T1DM) requires understanding how carbohydrate intake affects glucose through both direct pathways and insulin-mediated compensation. Standard analyses treat insulin as a confounder rather than a mediator, obscuring these distinct causal channels and patient-level heterogeneity in carbohydrate response. Using meal-centered continuous glucose monitoring windows from twelve adults in the OhioT1DM cohorts, we apply causal mediation analysis to decompos …

27.08.2026journal-article

Environmental Research: Health

Co-designing a landscape fire smoke health plan for at-risk populations in Australia

Sharon Campbell, Anna M Gjedrem, Bill Dodd, Fay H. Johnston

Abstract Landscape fire smoke (LFS) has substantial health impacts for exposed and at-risk populations, with these events increasing in frequency and severity in a changing climate.While a variety of interventions are available for the management of health impacts during LFS events, effective utilisation of these options requires prior consideration and planning. This can be achieved through a customisable, individual planning tool, to be used by those most at risk of poor health outcomes during prolonged LFS event …

27.08.2026journal-article

Journal of the American Geriatrics Society

Artificial Intelligence and Health Care for Older Adults, a Future for All of Us

Peter M. Abadir, Phillip H. Phan, Márlon Juliano Romero Aliberti, Thiago Junqueira Avelino‐Silva, Caglar Cosarderelioglu, April Ehrlich, Thomas Horton, Thomas Laskow, Sohemi Pagan Leon, Sarah Lenz Lock, Mark A. Supiano, Daniel Thomas, Debra Saliba, Esther S. Oh

ABSTRACT We are racing towards a time wherein the largest demographic of the population will be comprised of older adults and where it is now also possible to measure, monitor, and diagnose long term risk factors and provide effective and valuable preventative interventions. Thanks to the achievements of modern health care, we have reached a tipping point in the need for a robust geriatric workforce. Through the implementation of thoughtful, deliberate, and collaborative processes, Artificial Intelligence can play …

27.08.2026journal-article

Future Health

Effectiveness of an organized training module on proficiency regarding the POSH Act among students of a selected degree college in Bhopal

Rajratan, Trivesh Goswami, Lily Podder, Shikha Dwivedi, Shalini Kumari, Saraswati Limbu, Saritha Chaudhary, Shambhavi, Shama, Seema

Objective Sexual harassment is a serious social and legal issue that affects individuals in workplaces and educational institutions, violating the fundamental rights to dignity, equality, and safety. It includes any unwelcome conduct of a sexual nature, such as physical advances, sexually colored remarks, requests for sexual favors, display of obscene material, or inappropriate verbal and non-verbal behavior that creates a hostile environment. The aim is to aware the degree college students regarding the Prevention …