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Entdecken Sie tatsächlich neu veröffentlichte Arbeiten aus Medizin, Pflege, Therapie, Public Health und Life Sciences. Sortiert nach Publikationsdatum, nicht nach Zitierhäufigkeit.

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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
26.08.2026journal-article

BMC Health Services Research

Improving patient flow and hospital capacity through governance-oriented Lean bed management: an action research study

Breno Douglas Dantas Oliveira, Paulo M. Fernandes, Sílvia Cristina Magalhães Lopes, Luís André Dias da Rocha, Alcina Maria Machado Pereira da Silva, Pedro Guimarães Cunha, Rui M. Lima

Abstract Background Emergency department overcrowding and prolonged boarding times are widely recognised as manifestations of systemic failures in hospital flow governance rather than physical capacity constraints. Despite growing evidence supporting Lean-based approaches, most published interventions focus on isolated processes, with limited attention to governance redesign at a system level. This study examines a governance-oriented intervention aimed at improving patient flow through the redesign of bed manageme …

26.08.2026journal-article

Indonesian Journal of Health Science

The effect of education on the level of knowledge regarding the disposal of expired medications among the community of Cipinang Muara

Dhega Rhefaldy Dermawan, Anna Uswatun Hasanah Rochjana, Amalina Fakhriah

Improper disposal of expired medication remains a community issue that poses potential risks to health and the environment, particularly when conducted without appropriate pharmaceutical waste management procedures. This study aimed to determine the impact of education on the community's level of knowledge regarding the disposal of expired medication in Cipinang Muara (RT 06 and RT 07, RW 04), East Jakarta. A pre-experimental, one-group pre-test/post-test design with a cross-sectional approach was employed. A sampl …

26.08.2026journal-article

Health Science Reports

Development and Evaluation of a Shared Decision‐Making Patient Decision Aid for Dental Clinic Care: A Mixed‐Methods Study

Ching‐Wen Liu, Hsiao‐Hui Jung

ABSTRACT Background and Aims Shared decision‐making (SDM) is increasingly recognized as a core element of patient‐centered dental care, promoting collaboration between clinicians and patients to ensure that treatment decisions reflect both clinical evidence and individual preferences. However, few patient decision aids (PDAs) tailored to dental contexts have been systematically developed or evaluated. This study aimed to develop a dental‐specific PDA and explore patients’ perceptions of SDM following PDA‐assisted c …

26.08.2026journal-article

Frontiers in Public Health

Opportunity constraints and social inequalities in exercise participation: a lagged analysis using CFPS 2018–2022

Xiwen Zhang, Wangjie Li

Background Insufficient physical activity is socially patterned, but education, residence, work, health, and internet access are often modeled as separate covariates rather than as cumulative conditions that enable or restrict exercise. Methods We analyzed individual-level longitudinal data from the China Family Panel Studies (CFPS) in 2018, 2020, and 2022. Two lagged person-period intervals were constructed: 2018–2020 and 2020–2022. The exposure was a standardized opportunity-constraint score ranging from 0 to 9, …

26.08.2026journal-article

Frontiers in Public Health

Applying the NIMHD research framework to assess research capacity: lessons and adaptations for use

Shelby L. Langer, Aliria M. Rascón, Heather M. Ross, Julia F. Hammett, Alyssa G. Robillard, Angel B. Algarin, Felipe Gonzalez Castro, Fiorella L. Carlos Chavez, Joseph Daniels, Kelly C. Davis, Rachel Gur-Arie, Rodney P. Joseph, Sunny W. Kim, Rebecca E. Lee, Derek R. Manis, Chung Jung Mun, Eyitayo O. Owolabi, Megan E. Petrov, Shawn D. Youngstedt, Gabriel Q. Shaibi

The National Institute on Minority Health and Health Disparities Research Framework illustrates that health and health disparities are shaped by a complex interplay of factors that operate across multiple domains and levels of influence. We sought to apply the framework in a novel way, to examine and inform the collective work of an academic research center focused on health promotion and disease prevention. Center investigators independently mapped their research onto a grid crossing five domains (biological, beha …

26.08.2026journal-article

Journal of Mid-life Health

Effects of Dietary Protein Intake on Metabolic Indicators in Postmenopausal Women: A Systematic Review and Meta-analysis

Meng Jiao, Zihan Bao, Ziyang Li, Jiawen Gao, Fangyingzi Hang, Shun Wang

A BSTRACT This study aimed to systematically evaluate the effects of dietary protein intake on metabolic indicators in postmenopausal women, so as to provide scientific evidence for precise nutritional interventions in this population. Four electronic databases, namely PubMed, EBSCOhost, Cochrane, and Web of Science, were systematically searched. A total of 30 studies with 2028 participants were included. Meta-analysis was performed using R software to assess the effects of dietary protein intake on blood glucose, …

26.08.2026journal-article

Journal of Nervous & Mental Disease

Life Events and Panic Disorder Revisited

Giovanni Mansueto, Carlo Faravelli

Introduction: This cross-sectional case-control study explored the relationship between childhood adversities, recent events, the HPA axis, and panic disorder. Methods: A total of 113 patients with panic disorder and 113 controls were enrolled. Life events were evaluated using a semistructured interview and self-report. HPA functioning was evaluated using cortisol samples. The χ 2 , t , Mann-Whitney, odds ratio, regression, and ANCOVA tests were run. Results: Patients had higher rates of life events and higher cort …

26.08.2026journal-article

Medicine and health care organization

К вопросу об аттестации специалистов системы здравоохранения Санкт-Петербурга (история, анализ и современные тенденции; аттестация врачей по специальности «Организация здравоохранения и общественное здоровье»

Андрей Михайлович Сарана, Николай Иванович Вишняков, Ирина Геннадьевна Нагнойная, Елена Владимировна Смирнова

Введение. В Российской Федерации в системе здравоохранения в целях повышения качества оказания медико-профилактической помощи государство предпринимает определенные шаги, направленные как на улучшение уровня профессиональной подготовки медицинских кадров, так и на усиление стимулов к повышению квалификации медицинских специалистов. Допуск медиков к практической работе возможен только после прохождения ими обязательной процедуры аккредитации; внедрена система непрерывного медицинского образования. Одновременно введе …

26.08.2026journal-article

Nepal Journal of Public Health

HIV Status among Tuberculosis Patients Registered in a Tertiary Care Hospital of Army, Kathmandu, Nepal

Lee Budhathoki, Rajesh Khatri, Rajendra Neupane, Leela Paudel, Lochana Shrestha, Parag Karki

Background: Tuberculosis (TB) is a huge public health issue in Nepal. TB can coexist with Human immunodeficiency virus (HIV) infection. TB-HIV co-infection identification and prompt treatment is necessary in army personnels because of the propensity to spread early as many live together in dormitories and share similar lifestyles. Methods: A cross-sectional observational study was conducted in DOTS center of Shree Birendra Hospital (SBH) in 46 patients from January-April, 2023 using non-random purposive sampling. D …

26.08.2026journal-article

Journal of Social Research

Evaluation of Vaccine Cold Chain Storage at the Ciracas Community Health Center

Arif Rahmandani, Dalia Jamal, Alfa Michael Gabriel Koraag, Rahmatul Qodriah, Dani Rianto

Vaccination is one of the most effective public health interventions for preventing vaccine-preventable diseases; however, vaccine effectiveness depends greatly on maintaining proper cold-chain management from storage to administration. Inadequate vaccine storage conditions may reduce vaccine potency and compromise immunization programs. This study aimed to evaluate the suitability of vaccine cold-chain storage management at the Ciracas Community Health Center based on the Guidelines for Vaccine Management in Healt …

26.08.2026journal-article

Plant Health Progress

Evaluation of Fungicide Programs Against Phomopsis Leaf Blight on Eggplant

Anthony P. Keinath, Sierra H. Zardus

Phomopsis blight caused by the fungus Diaporthe vexans is commonly found on eggplant ( Solanum melongena) leaves, stems, and fruits in the fall growing season in the southeastern United States. The aim of this study was to determine which of 10 fungicides currently registered on eggplant are effective against Phomopsis leaf blight. Field experiments were performed in the fall of 2023, 2024, and 2025 with 10 fungicides applied preventatively before plants were inoculated with conidial suspensions of D. vexans. Chlor …

26.08.2026journal-article

JMIR Mental Health

Large Language Models as a New Tool for Therapists in Internet-Based Cognitive Behavioral Therapy: Blinded Clinician Rating Pilot Experiment

Thomas Tandrup Lamm, Arthur Bran Herbener, Oliver Rønn Christensen, Malene Flensborg Damholdt, Kaare Bro Wellnitz, Heidi Frølund Pedersen, Lisbeth Frostholm

Background Internet-based cognitive behavioral therapy (iCBT) is an effective and scalable alternative to face-to-face psychotherapy, but its reach is constrained by the time therapists spend reviewing patient input and manually drafting written responses. Studies suggest that large language models (LLMs) may be capable of generating high-quality therapeutic text, with the potential to support therapists in delivering treatment. Their suitability as therapist-support tools in structured iCBT, however, remains insuf …

26.08.2026journal-article

Scientific Journal of National Pedagogical Dragomanov University Series 15 Scientific and pedagogical problems of physical culture (physical culture and sports)

The use of information and communication technologies in physical education: modern approaches to health promotion

S. V. Kozin, N. V. Ivaniuta, V. P. Radziievskyi

This article presents the results of a review and analytical study of contemporary approaches to the use of information and communication technologies (ICT) in the physical education of schoolchildren and students. The relevance of the study stems from the digital transformation of education, the need to increase the level of physical activity among children and young people, and the search for effective health-promoting technologies in the context of the modernisation of the educational process. The aim of the stu …

26.08.2026journal-article

Frontiers in Public Health

The PATHS survey: a participatory-informed, multilingual instrument for assessing tobacco and nicotine-related knowledge, attitudes, and behaviours among people with a migration background in Switzerland

Kris Schürch, Tayisiya Krasnova, Nathalia Gonzalez-Jaramillo, Emilia B. Nordmeyer, Luciano Ruggia, Annika Frahsa

Introduction Research on tobacco and nicotine use among people with migration backgrounds is characterised by methodological limitations, including a predominant focus on behavioural outcomes, limited integration of knowledge and attitudes, and a lack of participatory approaches. Standard population surveys further restrict linguistic accessibility and often fail to capture the complexity of migration-related experiences, thereby limiting the interpretability of observed health inequalities. We thus aimed to develo …

26.08.2026journal-article

Health Science Reports

Serum Albumin and Uric Acid Levels Among Hypertensive Patients in Northwest Ethiopia: A Comparative Cross‐Sectional Study

Arega Zenaw, Belete Biadgo, Getnet Fetene, Biruktawit Abebe Assmamaw, Hana Yohanns, Adane Derso, Sintayehu Admas, Abrham Azanaw, Lyusira Marelign, Yonatan Kindie, Abebe Yenesew

ABSTRACT Background and Aims Hypertension is a long‐term condition marked by consistently high arterial blood pressure. Hypertensive patients often experience altered serum albumin and uric acid, attributed to factors like inflammation, kidney damage, and the activation of the renin angiotensin aldosterone system. However, localized evidence regarding these biomarkers remains scarce within the Ethiopian context. This study aimed to assess the level of serum albumin and uric acid among hypertensive patients. Methods …

26.08.2026journal-article

Journal of Environmental Science and Engineering Technology

Rising Thermal Extremes and Seasonal Particulate Exposure in Western Mato Grosso, Brazil (2000-2025): An Environmental Exposure Profile and the Case for Health Surveillance

Ernandes Sobreira Oliveira Junior, Maísa Consuelo Dos Santos, Cleverson Ricardo Soares Viana, Adryelle Lemes De Campos, Sofia Caumo, Adriana Gioda

The western margin of the Pantanal meets the southern edge of the Amazonian deforestation arc, and each dry season its population breathes what the fires leave behind. Yet the small municipalities along this margin are among the least monitored in Brazil, and the exposure their residents carry has never been quantified. We characterised thermal and particulate exposure across 21 municipalities of western Mato Grosso between 2000 and 2025, counting days rather than months above health-relevant thresholds. Daily air …

26.08.2026journal-article

Frontiers in Digital Health

Deep DNA and protein level feature integration for robust clinical variant interpretation using probabilistic gradient boosting

V. Karthik, S. Prejesh, Sumedh Deepak Kudale, Chandra Umakanthan OmKumar

A major challenge in clinical genomics is to classify genetic variations correctly, since it directly affects disease diagnosis and personal care. The existing methods tend to be based on the combination of different factors, such as protein structure, population frequencies, phenotypic annotations, and sequence conservation. Nevertheless, these methods often cannot be used to achieve the necessary interpretability, quantify uncertainty, and address rare cases. This paper presents a probabilistic gradient boosting …

26.08.2026journal-article

Frontiers in Public Health

Temporal trends and determinants of delayed care-seeking after rabies exposure: a 27,930-patient analysis in Tianjin

Shuai Li, Shuangyan Liu

Objective Prompt care-seeking after rabies exposure is essential for effective post-exposure prophylaxis (PEP). This study aimed to identify independent factors associated with care-seeking delay and to map the full PEP pathway. Methods We retrospectively enrolled 27,930 patients attending the rabies PEP clinic at Santan Hospital, Tianjin, between February 2022 and January 2026. Delay was defined as >12 h from exposure to registration. Multivariable logistic regression, combined with XGBoost and SHAP, identified …

26.08.2026journal-article

Frontiers in Public Health

A latent profile analysis of the pain-fatigue-sleep disturbance symptom clusters in postoperative cervical cancer patients: a multicenter cross-sectional study

Kaiyi Wang, Xinru Ma, Huan Wang

Objective To investigate the potential subtypes and influencing factors of the pain-fatigue-sleep disturbance (PFS) symptom cluster in postoperative cervical cancer patients, thereby providing a basis for developing targeted intervention measures. Methods A cross-sectional study design was adopted. Using convenience sampling, 374 postoperative cervical cancer patients admitted to three Grade A Level 3 hospitals in Liaoning Province between April 2025 and September 2025 were selected as study subjects. Questionnaire …

26.08.2026journal-article

Frontiers in Psychiatry

Non-randomized rapamycin augmentation of chronic self-administered ketamine provides subjective improvement in diverse phenotypes

Jon Berner

Background Multiple preclinical and clinical reports suggest that rapamycin augmentation may increase the safety and efficacy of ketamine treatment. Population variability in patient biochemical gain-of-function and phenotypic admixtures, however, has slowed initial investigations into patient selection and dose finding. Methods A single-center, retrospective chart review identified 101 patients with ketamine use longer than 2 months. Correlational relationships between demographics, biometrics, ketamine use, concu …

26.08.2026journal-article

Frontiers in Public Health

Longitudinal national surveys reflect steady challenges for AIDS drug assistance programs, 2017–2024

Erin Q. Rogers, Amy Killelea, Tim Horn, Reanna Panagides, Jessica Keim-Malpass, Feng Liu, Amber Steen, Kathleen A. McManus

As part of the Ryan White HIV/AIDS Program, AIDS Drug Assistance Programs (ADAPs) provide HIV medications and insurance assistance to low-income people with HIV across all U. S. states, the District of Columbia, and territories. The share of clients receiving insurance assistance through ADAPs has grown considerably, particularly following the Affordable Care Act (ACA), requiring ADAPs to coordinate with an increasingly complex array of public and private payers. This is the first study to examine longitudinal tren …

26.08.2026journal-article

Frontiers in Public Health

Healthcare payment rules and household asset allocation: evidence from China's DRG/DIP reform

Jiyang Li, Rui Pan

Objective This study examines whether China's diagnosis-related group/diagnosis-intervention packet (DRG/DIP) healthcare payment reform changes household financial asset allocation and explores the institutional and household pathways associated with that response. Methods We link official 2019 and 2021 pilot designations to five waves of the China Family Panel Studies (CFPS) from 2014 to 2022 and estimate a staggered difference-in-differences model with individual and year fixed effects and city-clustered standard …

26.08.2026journal-article

Artefactum - revista de estudos interdisciplinares

ENVIRONMENTAL EDUCATION AND THE PROPER DISPOSAL OF MEDICATIONS IN HOME USE: A PEDAGOGICAL PROPOSAL IN THE CONTEXT OF SUSTAINABILITY APPLIED TO PRIMARY HEALTH CARE

Raphaela Leal Telles Menna Barreto, Glaucio Diré Feliciano

The improper disposal of medicines in households is an increasing public health and environmental issue, posing risks of soil and water contamination as well as accidental intoxications. In this context, Primary Health Care (PHC) and nursing professionals play a key role in promoting environmental education regarding safe disposal practices. This article aims to review the scientific literature on the importance of environmental education in household medicine disposal, proposing a sustainable pedagogical approach …

26.08.2026journal-article

Journal of Mid-life Health

Synchronous Carcinomas of the Endometrium and Fallopian Tubes Presenting with Recurrent Pyometra

Jilumudi Lavanya, Deepthy Balakrishnan, Saubhagya Kumar Jena, Sudhakar Gunasekar

A BSTRACT Primary malignancies of the fallopian tube are rare, and the simultaneous occurrence of cancers in both the endometrium and fallopian tube is even more uncommon. These synchronous tumors can present with nonspecific symptoms, making diagnosis challenging, especially in postmenopausal women. We describe the case of a 58-year-old postmenopausal woman with a 1-year history of persistent vaginal discharge and repeated episodes of pyometra. Initial evaluations identified an adnexal mass and confirmed endometri …