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

Academia Medicine and Health

Permeability to value in healthcare innovation procurements: a framework for design and assessment

Rossana Alessandrello, Victòria Valls-Comamala, Ion Arrizabalaga, Uxío Meis-Pinheiro, Olman Elizondo-Cordero, Ramon Maspons, Anna Garcia-Altés

Introduction: To address emerging health system needs that existing solutions fail to meet, public administrations must foster the development, implementation, adoption, and scaling of new goods and services. Innovation procurement allows the public sector to act as a promoter of research and development aimed at creating appropriate solutions to identified needs through pre-commercial procurement (PCP) or as an early adopter of innovative solutions and services that are not yet widely available commercially while …

26.08.2026journal-article

Frontiers in Global Women's Health

When choice is not performative: the struggle for agency among women accessing family planning services in Senegal

Thais Gonzalez-Capella, Marieme Fall, Mbenoye Ndiaye, Cheikh Issa Diop, Manuela Reveiz, Nour Horanieh, Elizabeth Larson, Beniamino Cislaghi

Introduction Despite ongoing efforts to improve family planning (FP) counselling as a means of increasing uptake and safeguarding women's sexual and reproductive rights, interactions between FP providers and users continue to play a decisive role in shaping contraceptive decisions. In practice, these encounters may influence method choice in ways that raise questions about the extent of women's reproductive autonomy. Drawing on theoretical perspectives on agency and informed choice, this study examines how women in …

26.08.2026journal-article

Frontiers in Digital Health

A comparative study on the credibility of ischemic stroke treatment information on social media platforms: evidence from Weibo and REDnote

Jiayan Gu, Zihan Li, Jiajun Yang, Sen Miao, Juan Li, Lijuan Gu

Background Social media is a key channel for public health information, but its open nature leads to mixed quality of information regarding Ischemic Stroke (IS) treatment, which may mislead patient decisions. This study aimed to systematically compare IS treatment information published by professional and lay sources on two major Chinese social media platforms, Weibo and REDnote, in terms of content, engagement, and quality. Methods This study employed computational social science and Natural Language Processing (N …

26.08.2026journal-article

Frontiers in Reproductive Health

Trends in obesity prevalence during early pregnancy in Gran Canaria, Spain, 1993 to 2022

Inmaculada Bautista-Castaño, Helmut Schröder, Laura Molero Sala, Alicia Inmaculada Martín Martinez, Verónica Dávila-Batista, Luis Peña Quintana, Lluis Serra-Majem

Introduction The global prevalence of obesity has increasingly affected women of reproductive age, leading to several adverse outcomes during pregnancy, childbirth, and for their newborns. The objective of this study was to estimate time trends in early pregnancy among women who delivered live births in Gran Canaria (Spain) from 1993 to 2022 with stratified analysis by age, educational level, and parity. Methods Data were obtained from 178,305 pregnant women who delivered at the Maternal & Child University Hosp …

26.08.2026journal-article

Medicine and health care organization

Оценка клинической эффективности протоколов ЭКО в рамках программ обязательного медицинского страхования

Олеся Сергеевна Вахлова, Наталья Алексеевна Рослая

Введение. Вспомогательные репродуктивные технологии считаются важнейшими биомедицинскими технологиями во всем мире, оказывающими влияние на демографические показатели. Единый подход к страхованию в области вспомогательных репродуктивных технологий в мировой практике отсутствует. В Российской Федерации с 2016 г. в качестве источника финансирования определены средства обязательного медицинского страхования. С 2019 г. национальным проектом «Демография» предусмотрена возможность проведения процедуры экстракорпорального …

26.08.2026journal-article

Medicine and health care organization

Неопределенность в ситуации онкологического заболевания

Елена Викторовна Пестерева, Татьяна Владимировна Каурова

В статье рассматривается проблема неопределенности, которая включена в жизнь любого человека. Возможность справляться с неопределенностью бытия выражена в конструкте «толерантность к неопределенности», проявляемом в готовности человека действовать в условиях нехватки информации, отсутствия гарантий и устойчивых ориентиров. Когда человеку диагностируют онкологическое заболевание, он оказывается в ситуации угрозы жизни, отсутствия гарантий выздоровления, у него разрушаются представления и убеждения, которые имеются у …

26.08.2026journal-article

Psikoloji Çalışmaları / Studies in Psychology

Mapping Psychology Research of Türkiye in SSCI (1985–2022): A Scientometric Analysis of Growth, Collaboration, and Disciplinary Patterns

Bilge Yalçındağ, Kürşad Demirutku

This study focused on Türkiye-addressed psychology publications in the Social Sciences Citation Index between 1985 and 2022. Using an archival scientometric approach, the study also considered the broader institutional and disciplinary context of psychology in Türkiye. A total of 6923 publications served as the final sample to analyze the number of publications and authorship characteristics across years and journal categories. Publication concentration, collaboration partners, and citation patterns were treated as …

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

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

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

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

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

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

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

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

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 …