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

Middle East Policy

Iran's Revolutionary Situation and Digital Authoritarianism: 1979 vs. 2026

Mohsen Askari

Abstract In December 2025, Iran faced weeks of mass protests. However, the Islamic Republic survived after imposing a near‐total internet blackout and a violent crackdown, with reported deaths in the thousands and tens of thousands arrested. Predictions that the regime could collapse prompt a central question: when does protest under digital authoritarianism become a revolution? This article argues that a revolutionary situation requires four mechanisms: coordination of private opposition into mass demonstrations, …

27.08.2026journal-article

npj Digital Medicine

Ensuring trustworthy AI assisted guideline development for clinical practice

Quan Zhang, Yuanyuan Fu

Abstract Li et al. introduce Quicker, an agentic large language model system that drafts clinical guideline recommendations through a GRADE-based workflow. Building on gaps in the authors’ own evaluation, we propose safeguards for trustworthy use: verifiable, design-aware evidence bundles with explicit scope; calibrated, uncertainty-aware deferral; targeted human validation and modular quality gates; and governance against contamination and over-reliance. Trustworthiness, however, is necessary but not sufficient fo …

27.08.2026journal-article

Clinical Case Reports

Giant Recurrent Substernal Goiter Causing Severe Compression of Mediastinal Vessels 25 Years After Total Thyroidectomy: A Case Report

Mohammad Shbat, Mohammad Almatarneh, Razan Ali, Mohammad Abd‐Alrahman Saif, Fatema Almoustafa, Mohammad Obada Alsadi, Najah Aloudat, Youness Souleiman

ABSTRACT Recurrent substernal goiter can develop decades after total thyroidectomy due to microscopic residual tissue. It must be considered in the differential diagnosis of giant mediastinal masses. When severe airway or vascular compression occurs, definitive management typically requires an extracervical approach, such as a complete median sternotomy, for safe resection.

27.08.2026journal-article

PLOS Digital Health

Extracting adverse event nature, severity, timelines and resulting interventions from clinical notes of patients receiving CAR-T cell therapy using large language models

Jordan Guillot, Brenda Miao, Arvind Suresh, Madhumita Sushil, Christopher Y. K. Williams, Rohit Vashisht, Tomiko T. Oskotsky, Marina Sirota, Atul J. Butte

Chimeric Antigen Receptor T-cell (CAR‑T) therapy, genetically engineered patient T cells targeting tumor antigens, has transformed care for hematologic malignancies but requires careful tracking of adverse events (AEs) often documented only in unstructured electronic health record (EHR) notes. We evaluated a Large Language Model (LLM)–based approach in UCSF’s secure environment to extract AEs, dates, grades, and interventions within 30 days post‑infusion for six commercial CAR‑T products (2012–2023), benchmarking a …

27.08.2026journal-article

PLOS One

Household wealth is associated with child stunting but not wasting: Evidence from the 2024 Nigeria Demographic and Health Survey

John Adeleke

Child undernutrition remains a significant population health challenge in Nigeria and sub-Saharan Africa. Existing research has established an association between socioeconomic factors and child undernutrition, but less attention has been paid to whether the socioeconomic gradient is similar across indicators that capture different underlying processes. Drawing on fundamental cause theory, this study examines the association between household wealth and child stunting and wasting in Nigeria, and the extent to which …

27.08.2026journal-article

PLOS One

Social media addiction, maternal mental health, and children’s oral health behaviours among immigrants

Solmaz Bohlouli, Devarasa Murugeshappa, Babak Bohlouli, Maryam Amin

Objectives Oral health disparities persist among immigrants. Little is known about how social media shapes the socio-psychological environment in which parenting and health behaviours occur. This study examined the link between immigrant mothers’ anxiety and depression and children’s oral health behaviours (OHBs) and evaluated social media addiction as a mediator or moderator. Methods This cross-sectional study recruited immigrant parents of children aged 2–12 years in Edmonton, Canada. Parents completed a question …

27.08.2026journal-article

International Journal of Pattern Recognition and Artificial Intelligence

A Low-Energy Vision-Language Pattern Recognition Method for Design Style Analysis and Generative Evaluation in Art Design Education

Jing Huang, Lingling Xiao

To address the problems that style recognition of student works in art design education relies heavily on teachers experience, generative evaluation feedback tends to be generalized, and multimodal models usually involve high inference energy consumption, this paper proposes a low-energy vision-language pattern recognition method, namely LE-VLPR. The proposed method takes design images, work descriptions, task requirements, and teacher rubrics as inputs, constructs a design style prompt graph, and achieves alignmen …

27.08.2026journal-article

International Journal of Pattern Recognition and Artificial Intelligence

CGAC: A Convolutional Bidirectional GRU Network with Temporal Attention for WiFi CSI-Based Human Activity Recognition

Lili Cai

WiFi channel state information (CSI) can characterize wireless-channel variations induced by human activities without directly capturing identifiable visual content, providing a contactless technical approach to indoor human activity recognition (HAR). To address the difficulty of a single convolutional or recurrent network in simultaneously modeling local fluctuations, long-range temporal dependencies, and key action segments, this paper proposes CGAC, a model that integrates convolutional bidirectional gated recu …

27.08.2026journal-article

International Journal of Cosmetic Science

New insights from data analysis of 12 global clinical studies on hair shedding

Yingjie Li, Shengnan Lin, Sarah Paterson, Tony Dadd, Jiayin Gu, Ranjit K. Bhogal, Zulfa Hudaya, Hepsy Y. Selliah, Mingming Pu, Jianing N. Sun

Abstract Excessive hair shedding continues to be a major concern for individuals, negatively affecting their wellbeing and confidence. This research analysed 12 clinical studies involving 805 participants (323 males and 482 females) across eight countries (China, Indonesia, UK, India, Brazil, Thailand, Turkey and US) with concerns about hair loss. Two recent studies in China and a study in Indonesia were investigated in depth, focusing on hair shedding and breakage conditions, and age‐related differences in hair sh …

27.08.2026journal-article

PRX Intelligence

Long-Range Machine Learning of Electron Density for Twisted Bilayer Moiré Materials

Zekun Lou, Alan M. Lewis, Mariana Rossi

Moiré superlattices in two-dimensional materials exhibit rich quantum phenomena, but modeling of these systems remains computationally prohibitive. Existing machine learning methods for accelerating density-functional theory can target the prediction of different quantities and often rely on the locality assumption. Here, we train a Gaussian process regression model for symmetry-adapted learning of three-dimensional electron densities exclusively on the electron densities of small displaced bilayer structures and t …

27.08.2026journal-article

Frontiers in Public Health

Climate-related health risks and payer-specific health expenditure growth: empirical evidence from government, social, and out-of-pocket health expenditure in China

Cunkun Zhang, Qunshan Tao

Background Climate-related health risks may coincide with healthcare needs, service disruptions, and preparedness demands, yet the associated expenditure is distributed across public budgets, collective financing, and households. Evidence rarely shows whether multidimensional climate-risk profiles are associated with expenditure growth across these financing channels. We examined associations between four climate-risk dimensions and real growth in government, social, and out-of-pocket (OOP) health expenditure in Ch …

27.08.2026journal-article

Clinical Spine Surgery

Revisiting the Incidence and Risk Factors for Cervical Postlaminectomy Kyphosis

Takashi Hirase, Colten Rowan, Thomas Jacob, Max Sadlowski, Sree M. Vemu, Austin Nguyen, Gregory S. Kazarian, Kevin J. DiSilvestro, Rex A.W. Marco, Todd J. Albert, Han J. Kim

Study Design: Systematic review. Objective: To perform a systematic review that investigates the incidence and risk factors for cervical postlaminectomy kyphosis. Summary of Background Data: There is a wide range of incidences and risk factors for cervical postlaminectomy kyphosis reported within the literature. Definitive recommendations on indications and technical considerations to minimize this complication remain elusive. Methods: A systematic review was registered with PROSPERO and conducted in accordance wit …

27.08.2026journal-article

Cadernos Cajuína

Protagonismo estudantil e cultura digital: caminhos para uma aprendizagem geográfica ativa

Leonardo Aparecido de Vicente da Silva

Este artigo discute as relações entre protagonismo estudantil, cultura digital e ensino de Geografia, com atenção às situações em que os estudantes deixam de apenas consumir informações e passam a produzir mapas digitais, vídeos, podcasts, fotografias, infográficos, narrativas sobre o lugar, registros de campo, conteúdos para redes sociais e produções apoiadas por inteligência artificial. O problema que orienta o estudo consiste em compreender como essas linguagens podem favorecer uma aprendizagem geográfica ativa …

27.08.2026journal-article

Aperture Neuro

Large-Scale Open Science Simulated Data to Study the Development of Brain and Behavior Relationships: Epidemiologic, Clinical, and Neuroimaging Characteristics

Tonya White, Neda Sadeghi, Luke Norman, Vince Calhoun, Philip Shaw

Both brain and behavior undergo considerable changes during adolescence, a time synonymous with the emergence several psychiatric disorders, including mood and psychotic disorders. Multiple studies have explored the interaction between brain and behavior during childhood and adolescence, with both mixed and convergent findings between the studies. One challenge is that different longitudinal models can be applied to both the same or similar dataset and yet yield different results. Without knowing the ground truth, …

27.08.2026journal-article

Pedagogical Review

Возможности генеративного искусственного интеллекта для развития критического мышления обучающихся

Михаил Александрович Червонный, Наталия Николаевна Абакумова

В условиях цифровой трансформации системы общего образования формирование критического мышления обучающихся становится одной из ключевых метапредметных задач, закрепленных в федеральных государственных образовательных стандартах. Внедрение генеративного искусственного интеллекта (ГИИ) в учебный процесс создает как новые возможности для развития когнитивных способностей школьников, так и существенные риски снижения их познавательной самостоятельности и критичности. Цель статьи – теоретическое обоснование и системати …

27.08.2026journal-article

Regional Economics Theory and Practice

Human capital mobility in the digital economy: Features of remote work and its impact on spatial development

Pavel M. DASHKEVICH

Subject. Remote work as a factor in the spatial mobility of human capital. Objectives. Comparing different remote work setups, identifying the pros and cons of new ways of organizing work. Methods. General scientific research methods were applied. Results. Permanent remote work basically eliminates commuting labor migration and leads to an increase in long-term interregional population movements. Temporary remote work (partially remote, hybrid jobs) reduces cyclic movements within settlements in favor of commuting …

27.08.2026journal-article

The International Journal of Artificial Organs

Impella 5.5 as a bridge to dual-organ transplantation

Wyatt Klass, Alex C Crane, George Chachati, Nicole Kunz, Ryan M Rivosecchi, Mohamed Abdullah, Raj Ramanan, Jonathan D Wolfe, Mary Keebler, Edward T Horn, David Kaczorowski, Gavin Hickey

The Impella 5.5 is increasingly utilized as temporary mechanical circulatory support to bridge patients in cardiogenic shock to heart transplantation. Patients listed for dual-organ transplantation may experience longer wait times than heart transplant alone. We aimed to evaluate the feasibility of Impella 5.5 as a bridge to dual-organ transplant. We performed a retrospective review of patients with cardiogenic shock supported with Impella 5.5 who subsequently underwent heart transplant or dual-organ transplant fro …

27.08.2026journal-article

Clinical Child Psychology and Psychiatry

Tree of Life Groups for Children and Young People With Long-Term Medical Conditions and Their Parents Led by Pre-Qualification Psychology Staff

Kristina Soon, Caitlin Cook, Emily Golding, Eseoghene Obukohwo, India Browne, Morgan Baynes Zolkwer, Ramisa Hasan, Tripti Gureta, Georgia Setchell

The Tree of Life group (Ncube, 2006) was designed to help children, young people (CYP), and adults who have experienced hard times or trauma to build resilience, restore hope, and connect with their strengths and social histories. A small number of publications have demonstrated a positive impact with CYP with long-term medical conditions (LTCs) (e.g., Casdagli et al., 2017) who are more likely to experience psychosocial challenges. In the context of increasing workforce pressures, the current study aimed to test i …

27.08.2026journal-article

World Journal of Gastrointestinal Surgery

Clinical effects of nutritional risk screening 2002-guided individualized nutritional intervention in postoperative colorectal cancer patients: A time-period comparison study

Xiu-Lian Zhang, Qing-Qi Hong, Li-Zhen Lin

BACKGROUND Postoperative malnutrition prevalence among colorectal cancer (CRC) patients is high and has an essential impact on the recovery process and quality of life. Traditional models of nutritional management are not individualized and have limited efficacy. New insights have emerged from the application of enhanced recovery after surgery concept that can help us improve patients post-operative nutritional status. AIM To investigate the effects of nutritional risk (NR) assessment associated with individualized …

27.08.2026journal-article

Corporate Social Responsibility and Environmental Management

Environmental Transparency Through Digital Transformation: Evidence on Carbon Disclosure Quality From China's Heavy‐Polluting Firms

Ruixiang Xue, Tze San Ong, Assunta Di Vaio

ABSTRACT The rise of digital transformation (DT) has become an important driver of transparency in corporate environmental disclosure. Whether and how DT is related to the improvement of carbon information disclosure quality, particularly in heavily polluting firms that may have both information and symbolic roles, is still controversial. Based on the resource‐based view, information asymmetry theory, and signaling theory, this study examines the association between DT and carbon information disclosure quality in C …

27.08.2026journal-article

Journal of Child & Adolescent Trauma

The Impact of Adverse Childhood Experiences on Youth’s Mental Health: What is the Role of Family Resilience?

Jusuk Song, Hyuncheol Yoon, Mihee Woo, Isak Kim

Abstract Given that many adverse childhood experiences (ACEs) are family-contextual and that family processes shape youth mental health, the current study examined the role of family resilience in the relationship between ACEs and major mental health outcomes among youth aged 6–17 years. We employed the data from 2022 National Survey of Children’s Health in the United States. Structural equation modeling was estimated using the mean- and variance-adjusted weighted least squares estimator (WLSMV) given the categoric …

27.08.2026journal-article

One Health Advances

Comparative genomics of the streptococcal mobilome reveals class-specific integration, mobility and antimicrobial resistance cargo

Kaiwei Nie, Xingyang Dai, Jiaqi Zhao, Mengjie Qi, Cai Yin, Xiaoming Wang, Liping Wang, Jinhu Huang

Abstract Mobile genetic elements (MGEs) drive genome plasticity, horizontal gene transfer, and antimicrobial resistance (AMR) dissemination in Streptococcus , yet genus-wide comparisons across major MGE classes remain limited. Here, we analyzed 1961 complete chromosomes from 60 Streptococcus species together with 225 plasmids, and compared integrative and conjugative elements (ICEs), integrative and mobilizable elements (IMEs), prophages, and plasmids with respect to host distribution, boundary-supported integratio …

27.08.2026journal-article

Arthritis & Rheumatology

Plasma proteome reflects tissue damage and clinical manifestations in patients with inflammatory myopathies

Yue‐Bei Luo, Josefin Kenrick, Angeles S Galindo‐Feria, Antonella Notarnicola, Ana Daniela Ulloa Navas, Irene Peralta‐Garcia, Orane Demuynck, Andrea Kemp, Valérie Leclair, Karin Lodin, Eveline Van Gompel, Lara Dani, Fabricio Espinosa‐Ortega, Maryam Dastmalchi, Leonid Padyukov, Charlotta Preger, María Bueno Álvez, Mathias Uhlén, Peter Nilsson, Fredrik Edfors, Lina‐Marcela Diaz‐Gallo, Elisa Pin, Ingrid E Lundberg, Begum Horuluoglu

Objective Tissue‐specific biomarkers that are reliable and associated with clinical manifestations of idiopathic inflammatory myopathy (IIM) are lacking. The blood circulation in individuals serves as a central conduit, allowing communication between tissues and facilitating clearance and recycling of tissue‐derived proteins. Thus, we applied a dual antibody‐based proximity extension assay to profile >1000 proteins in subtypes of patients with IIM. Methods Plasma samples from 201 patients diagnosed with IIM at Karo …