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

The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences

Self-perceptions of aging and advance care planning: Longitudinal evidence from the Health and Retirement Study

Rita X Hu, Yifan Lou

Abstract Objectives Advance care planning (ACP) is increasingly conceptualized as a proactive, communication-centered process that supports person-centered care in later life. Although prior research has focused on demographic and clinical predictors, less is known about the psychological factors that shape how individuals engage in planning. Guided by Stereotype Embodiment Theory, this study examined whether self-perceptions of aging (SPA) prospectively predict patterns of ACP engagement. Methods Data were drawn f …

26.08.2026journal-article

Journal of Medical Internet Research

The Performance of Large Language Models in Extracting Intestinal Symptoms From Electronic Health Records: Retrospective Observational Study

Xinyue Zhang, Quanyu Wang, Beibei Liu, Xinyi Sang, Sheng Wei

Abstract Background Unstructured electronic health records (EHRs) hinder the monitoring of intestinal infections. Large language models (LLMs) enable automated symptom extraction. However, their clinical validation is limited by a lack of systematic multimodel comparisons, unclear prompting strategies, and the privacy risks of cloud-based models (eg, data leakage and cross-border data transfer). Objective This study aimed to systematically evaluate the performance of locally deployed open-source LLMs across 4 model …

26.08.2026journal-article

International Journal of Economics and Financial Management

Fiscal Policy and the Performance of the Nigerian Economy

Abebe Isaiah Tete

This study evaluates the impact of fiscal policy on the performance of the Nigerian economy from 1987 to 2023 using an ex-post facto research design. Secondary data from the Central Bank of Nigeria (CBN) Statistical Bulletin, 2023, was analyzed with the E-views statistical package. Independent variables included total government expenditure, revenue, borrowing, and debt servicing costs, measured against the dependent variable, gross domestic product (GDP). Unit root tests showed all variables integrated at order (1 …

26.08.2026journal-article

Internal Medicine Journal

Stigmatising substance‐related language in the electronic health records of hospitalised patients after addiction consult service implementation

Ryder Cuppett, Justin Birge, Kristin Daniel, Alëna A. Balasanova

Abstract Objectives Stigmatising language about patients with substance use disorders (SUD) is common in healthcare settings and negatively impacts patient care. Addiction consult services are associated with improved clinician attitudes and less stigmatising views towards patients with SUD. We investigated whether implementation of an addiction consult service at a large urban medical centre was associated with changes in prevalence of stigmatising language in the electronic health record (EHR) of hospitalised pat …

26.08.2026journal-article

Journal of Adolescent and Young Adult Oncology

Delivery of Guideline Concordant Supportive Care for AYAs with Cancer in a Statewide Population-Based Cohort

Jacob N. Stein, Christopher D. Baggett, Emily R. Haines, Nicole Knape, Jennifer L. Lund, Hannah C. Winslow, KyungSu Kim, Jordan Lodato Hunt, Alison Manikowski, Catherine Habashy, Andrew B. Smitherman, Katherine E. Reeder-Hayes

Purpose: In the past two decades, there has been a growing recognition of the unique needs of adolescent and young adult (AYA) cancer patients. Alongside this recognition is the emergence of guidelines for high-quality AYA cancer care. Despite such tailored guidelines, preliminary studies suggest a gap between recommended versus received care among AYAs. We sought to examine patterns in receipt of guideline-concordant care among this population using a state-wide claims database. Methods: We conducted a retrospecti …

26.08.2026journal-article

International Journal of Computer Information Systems and Industrial Management Applications

Building an AI-Ready Institution: Policy Frameworks, Ethical Governance, and Strategic Action Planning

Mittal Desai, Bhargav Vyas

Universities are going through an AI ready transition. Evolving legacy educational system to a self-developing optimized system is a crucial to stand globally competitive. This paper proposes ‘Flexible, Logical, Decentralized and Human-guided’ framework to accommodate Artificial Intelligence with utmost emphasis on ethics management, governance, policy and equitability. At a heart of this plan lies an internally-household, self-developing Large Language Model (LLM) integrated within sandbox structure to negate risk …

26.08.2026journal-article

foresight

An investigation of the alternative futures of public libraries in 2030: a case study from the global South

Ali Zackery, Mohammad Mahdi Zolfagharzadeh, Elahe Ebrahimi Dorcheh

Purpose Considering the importance and the long-standing role of Public Libraries (PLs) and the ever-increasing rate and intensity of socio-political, cultural and above all else technological changes, the future of PLs should be reimagined and their function and mission re-conceptualized. Although the alternative futures of PLs in the Global South could bear points of resemblance to those of the Global North, due to global mega-trends, relative socio-political homogeneity and technological convergence, local parti …

26.08.2026journal-article

Samsun Sağlık Bilimleri Dergisi

THE RELATIONSHIP BETWEEN HEALTH PROGRAM VIEWING MOTIVATION AND TRADITIONAL AND COMPLEMENTARY MEDICINE ATTITUDES AMONG OLDER ADULTS

Naciye Esra Koyuncu, Berna Bayır

Aim: This study was conducted to determine the relationship between the motivation of individuals aged 65 and over to follow health programmes and their attitudes towards conventional and complementary medicine. Method: This cross-sectional and exploratory study was conducted with 176 older adults registered at a family health centre in the province of Konya. Data were collected using the Personal Information Form, the Health Programme Adherence Motivation Scale, and the Attitudes towards Traditional and Complement …

26.08.2026journal-article

WORLD JOURNAL OF FINANCE AND INVESTMENT RESEARCH

Dynamics of Pre-2025 Inter-Continental Trade and Implications of United States of America’s Recent Trade Policy

Rex Oforitse Aruofor

With the recent trade policy shifts being experienced among the world’s super powers, it becomes expedient to investigate the cause of the present trade war. A trade war occurs when countries impose tariffs or other trade restrictions on one another, raising the cost of imported goods and disrupting international trade. These disputes often involve retaliatory actions and heightened political tensions between trading partners. While the goal continues to be to address the trade imbalance and protect American indust …

26.08.2026journal-article

Editon Consortium Journal of Research in Medical and Health Sciences

Formulation and Characterisation of a Hibiscus–Baobab-Based Functional Drink with Enhanced Nutritional and Antioxidant Properties

Pius M. Mathi

The purpose of this article is to develop a functional plant-based beverage that harnesses the nutritional and bioactive properties of baobab powder and hibiscus flower extract. A completely randomised design was used in the study, with baobab levels of 1 per cent, 2 per cent, and 3 per cent and hibiscus extract concentrations of 6.25 per cent, 12.5 per cent, and 25 per cent. A total of nine variants were evaluated for sensory, physicochemical, phytochemical, antioxidant activity, and nutritional attributes. Sensor …

26.08.2026journal-article

Journal of Medical Internet Research

Patient-Oriented Digital Health Intervention for Chronic Kidney Disease: From Evidence to Everyday Care

Maoliosa Donald, Dwight Sparkes, Matthew Thomas James

Abstract Lightfoot and colleagues explored patient perspectives on the implementation and sustainability of My Kidneys & Me, a digital self-management intervention for chronic kidney disease, identifying key factors that may influence successful adoption into routine care. The study shows that generating evidence of effectiveness alone is insufficient for successful mobilization into practice, highlighting the importance of embedding implementation evaluation in concert with clinical trials to identify practical st …

26.08.2026journal-article

Mental Health and Social Inclusion

Loneliness, social support and self-esteem among Vietnamese young people

Nguyen Thi Anh Thu, Tran Viet Hoang, Bui Minh Duc, Le Thi Minh Loan, Nguyen Van Luot, Hoang Thi Thao

Purpose This study aims to examine how perceived social support from friends, family and significant others is associated with loneliness among Vietnamese young people and whether self-esteem explains these associations. Design/methodology/approach A cross-sectional survey was conducted with 996 Vietnamese young people aged 16–30 from Hanoi, Phu Tho, Da Nang and Ho Chi Minh City. Participants completed the UCLA loneliness scale (Version 3), the multidimensional scale of perceived social support and the Rosenberg se …

26.08.2026journal-article

PLOS Digital Health

A natural language processing approach to determine whether streamlined health technology assessment for multi-indication medicines is feasible

Isaiah Luc, Drew Carter, Erik Bergman, Gabriel Westman, Tracy Merlin

Conducting a health technology assessment (HTA) for each indication of a medicine contributes to increasing demand on HTA systems and results in delays in access. Streamlining assessments for subsequent indications has been proposed, but there is limited evidence on how this could be achieved. We aimed to quantify semantic similarity between HTA documents for different indications of the same medicine to explore whether concepts could be carried forward to subsequent assessments. Public Summary Documents (PSDs) fro …

26.08.2026journal-article

Revista da Associação Brasileira de Pesquisadores/as Negros/as (ABPN)

SAÚDE NA FLORESTA NEGRA: DESAFIOS INTERSECCIONAIS DA MULHER NEGRA NA AMAZÔNIA

Maura Nunes Pimentel de Carvalho, Denise Machado Duran Gutierrez

Este ensaio analisa as adversidades enfrentadas pelas mulheres negras na área da saúde na Amazônia, sublinhando a necessidade de adotar perspectivas interseccionais, conforme proposto por Patricia Hill Collins, para combater as desigualdades no acesso e cuidado. Examina como a interseção de raça, gênero, classe e espaço geográfico afeta adversamente tanto o acesso quanto a qualidade dos cuidados de saúde, destacando as barreiras geográficas, econômicas, culturais e institucionais enfrentadas. A pesquisa enfatiza a …

26.08.2026journal-article

Frontiers in Public Health

Clinical characteristics and prognostic factors in non-HIV patients with Pneumocystis jirovecii pneumonia and BALF cytomegalovirus co-detection: a retrospective cohort study

Chaomin Guo, Yajiao An, Jingyun Ye, Yanning Ma, Qiang Zhao, Lifeng Wang, Wei Ma, Mingze Zhang, Miaoyu Wang, Yang Wang, Jiyong Yang, Liyan Ye, Liuyang Yang

Background Pneumocystis jirovecii pneumonia (PJP) is a life-threatening opportunistic infection in immunocompromised patients. BALF cytomegalovirus (CMV) co-detection is frequently observed in PJP patients, but its clinical characteristics and prognostic impact in non-HIV populations remain unclear. Methods In this single-center retrospective cohort study, we enrolled 62 non-HIV patients with confirmed PJP between 2019 and 2023. BALF CMV co-detection was defined as detectable CMV DNA in bronchoalveolar lavage fluid …

26.08.2026journal-article

Infection Control & Hospital Epidemiology

Uptake of the Ethical Infection Prevention and Control (EIPAC) framework: a binational survey

Heather L. Candon, Lisa Caffery, Deb Burdsall, Gerry Hansen, Jerome A. Leis

Abstract The Ethical Infection Prevention and Control (EIPAC) framework was introduced in 2024. In this binational survey assessing uptake, 12.3% of respondents working in IPAC report using the framework in a variety of complex situations. Lack of awareness regarding existence of EIPAC framework was most common barrier to adopting in practice.

26.08.2026journal-article

Nepal Journal of Public Health

Knowledge on Digital Health and its Associated Factors among Undergraduate Public Health Students of Nepal

Dipesh Shrestha, Jamuna Gautam, Pramana Adhikari, Mahesh Bhatta

Background: Digital health spans telehealth, mHealth, wearables, and electronic health records. Nepal has committed through the Digital Nepal Framework (2019) and e-Health Strategy, yet whether Bachelor of Public Health (BPH) programs equip students with the relevant skills remains an open question. The objective of this study was to assess the level of knowledge on digital health and its associated factors among undergraduate public health students of Nepal. Methods: A web-based cross-sectional survey among 275 BP …

26.08.2026journal-article

Health Science Reports

Association Between Conservative Treatment Modalities and Clinical Outcomes in Patients With Lumbosacral Disc Herniation Following Short Term and Long Term Treatments: A Retrospective Cohort Study

Bina Eftekharsadat, Shadi Khodaei, Raha Markazi‐Movaghar, Fatemeh ojaghlou, Azizeh Farshbaf‐Khalili, Soraya Babaie

ABSTRACT Background and Aims Lumbar disc herniation (LDH), a leading cause of low back pain, necessitates effective conservative management to mitigate surgical interventions. This retrospective observational study evaluated the short‐term (6 months–2 years) and long‐term (3–6 years) efficacy of conservative therapies in 194 LDH patients from Iran. Methods Data were collected via medical records, demographic questionnaires, and the numerical rating scale (NRS) for pain, with analyses adjusting for covariates such a …

26.08.2026journal-article

Journal of Medical Internet Research

AI Adoption in US Cancer Centers: National Cross-Sectional Study of Institutional and Policy Determinants

Jingjing Gao, Muinat Abolore Idris, Eric C Jones, Louis D Brown, Jack Tsai

Abstract Background AI is increasingly being integrated into cancer screening, treatment, and patient care. However, AI adoption across cancer centers varies, raising concerns about unequal access to AI-enabled cancer care. Objective This study examined publicly visible AI adoption among National Cancer Institute (NCI)–designated cancer centers in the United States and assessed whether adoption was associated with institutional characteristics, socioeconomic context, geographic distribution, and state-level politic …

26.08.2026journal-article

Artefactum - revista de estudos interdisciplinares

ASSOCIATION BETWEEN NON-PHARMACOLOGICAL METHODS (KANGAROO-MOTHER CARE METHOD AND BREASTFEEDING) AND LENGTH OF HOSPITAL STAY IN NEWBORNS WITH NEONATAL HYPOGLYCEMIA IN A PUBLIC MATERNITY HOSPITAL IN MANAUS

Rodrigo Otávio Barroso Collares Louzada, Rafael José de Castro Costa, Ana Caroline Cortez de Souza, Pamela de Fátima Cavalcante Lira, Renata Ferreira dos Santos, Elaine Santana Cordovil, Winnie Lagoa de Souza

Neonatal hypoglycemia is a common condition among newborns, especially preterm and low-birth-weight infants, and can be prevented and managed through strategies such as breastfeeding and the Kangaroo Care Method. The objective of this study was to describe the use of the Kangaroo Care Method and exclusive breastfeeding and their association with the length of hospital stay for newborns with neonatal hypoglycemia in a Kangaroo Neonatal Intermediate Care Unit (UCINCa) at a public maternity hospital in Manaus, Amazona …

26.08.2026journal-article

Research in Ecology

Green Finance, Climate Policy Uncertainty, and Ecological Carrying Capacity Dynamics in G20 Economies: Evidence from Load Capacity Factor Panel Analysis

Md Qamruzzaman, Syed Nazmus Sakib, Abdulateif A. Almulhim, Abdullah A. Aljughaiman

Carbon-based indicators do not show whether ecosystems can generate sufficient biocapacity to fulfil human needs, and the G20 economies account for a large portion of the global ecological burden. This study analyses the load capacity factor (LCF) of 19 G20 economies between 2000 and 2022, measured as biocapacity divided by the ecological footprint. It examines the long-run association between green bond issuance and ecological carrying capacity, as well as the moderating role of climate policy uncertainty (CPU) in …

26.08.2026journal-article

Clinical Case Reports

Roadmap for Mental Health Treatment Utilizing Pharmacogenomic Testing: Case Report

Allison P. Swanson, Emily K. Mewborn, Garyung Bae

Key Clinical Message Pharmacogenomic testing is a valuable precision health tool for managing depression and other mental health conditions, from treatment‐naïve patients to those with multiple medication failures. It can reduce trial‐and‐error prescribing, guide dosing, and improve therapy tolerance, supporting more individualized and effective care.

26.08.2026journal-article

International Journal of Health Management Review

A TRÍADE DOS FATORES PSICOSSOCIAIS: UMA ESTRUTURA CONCEITUAL INTEGRADORA PARA A ANÁLISE DAS MANIFESTAÇÕES DOS FATORES DE RISCOS PSICOSSOCIAIS

Giuseppe Maria Russo, Pietro Campos M. Russo

Os Fatores de Riscos Psicossociais (FRP) constituem um dos principais objetos de investigação da saúde ocupacional contemporânea. Embora modelos teóricos, referenciais normativos e instrumentos de avaliação tenham ampliado significativamente o conhecimento sobre o tema, permanece a lacuna de uma estrutura conceitual destinada à organização analítica das manifestações dos FRP durante o processo de exposição do trabalhador ao FRP. Este estudo propõe a Tríade dos Fatores Psicossociais (TFP), desenvolvida por meio de r …

26.08.2026journal-article

Plants

Genus-Wide Pan-Genome Analysis of Populus bZIP Transcription Factors with Reanalysis of Public Salt-Stress Transcriptomes

Qi Lin, Yayu Guo, Hou-Ling Wang

Basic leucine zipper (bZIP) transcription factors regulate plant development and stress responses, but their genus-wide diversity in Populus remains unclear. We analyzed 19 Populus genomes and retained 1764 bZIP proteins, including 21 independent new loci and four annotation corrections. Of these, 1762 were assigned to 79 orthologous gene groups (OGGs), comprising 43 core, 20 soft-core, 15 shell and one cloud OGG, of which 59 showed copy-number variation. Phylogenetic analysis assigned 74 representative pangenes to …