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

PLOS Global Public Health

Delayed diagnosis as a barrier to Zero Leprosy: Lived experiences from Pakistan

Anil Fastenau, Rhea Brüggemann, Abdul Salam, Charlotte Nehring, Maresa Neuerer, Hamideh Ebrahimi, Alexandra Asboeck, Matthew Willis, Sophie C. W. Unterkircher, Fabian Schlumberger, Heleen Neeltje Willemijn Duighuisen

Despite progress in leprosy control, delayed diagnosis remains a barrier to achieving Zero Leprosy, particularly in low-endemic settings. Diagnostic delay not only sustains hidden transmission but also leads to preventable disability and lifelong consequences for affected individuals. Pakistan, although classified as low endemic, continues to report a high proportion of new leprosy cases presenting with grade 2 disability (G2D), indicating delays in case detection. This study explored the reasons for delayed lepros …

27.08.2026journal-article

Evidence & Policy

Capturing the classroom: disinformation as discursive reconstruction of education in Orbán’s Hungary

Zea Szebeni

Introduction: Debates on educational disinformation typically target false content in curricula or online. This study reconceptualizes the phenomenon as the discursive reconstruction of education’s purpose, the strategic redefinition of its values and social functions that becomes naturalized as common sense. Existing scholarship documents Hungary’s institutional capture but neglects the discursive mechanisms transforming political rhetoric into educational meaning. The study asks how Viktor Orbán’s speeches constr …

27.08.2026journal-article

Land

Does Smart City Policy Widen the Urban–Rural Income Gap? Evidence from the Yangtze River Delta Using a Double Machine Learning Approach

Mengfan Li, Mengqin Yu

The urban–rural income gap remains a major obstacle to achieving common prosperity and poses a key challenge for developing countries undergoing modernization. Smart city initiatives may reshape wealth creation and income distribution while promoting urban development. Using panel data for 41 prefecture-level cities in the Yangtze River Delta from 2003 to 2024, and employing a double machine learning approach, this study takes the smart city pilot policies as a quasi-natural experiment to assess the impact of smart …

27.08.2026journal-article

Healthcare

Association of Physical Activity with Psychological Distress and Poor Mental Health Days Among Informal Caregivers of Older Adults: Findings from the 2023 BRFSS Caregiver Module

Damián Pereira-Payo, Raquel Pastor-Cisneros, María Mendoza-Muñoz, Amparo Rodríguez-Gutiérrez

Background/Objectives: Informal caregivers of older adults are a high-burden population for psychological problems, yet evidence on the relationship between physical activity (PA) and mental health in this population is still limited. The aim of this work is to examine the association between PA status and self-reported mental health indicators (psychological distress and the number of poor mental health days) among caregivers of older adults. Methods: This cross-sectional study used data from the 2023 Behavioral R …

27.08.2026journal-article

China and the World

China’s Vision for Global Governance: Foreign Policy in the New Era

B. R. Deepak

This article examines Xi Jinping’s evolving vision of global governance and argues that it represents China’s transition from a low-profile foreign policy to an ambitious framework for shaping international order. It traces the evolution of Chinese diplomacy from Deng Xiaoping’s taoguang yanghui strategy to Xi’s concepts of a Community with a Shared Future for Mankind and a New Type of International Relations. The study analyses how the Global Development Initiative, Global Security Initiative, Global Civilization …

27.08.2026journal-article

BMC Psychology

Dance as artistic leisure and mental health promotion: a cross-sectional study of psychological outcomes across dance styles

Aglaia Zafeiroudi, Dimitrios Goulimaris, Ioannis Trigonis, Ioannis Tsartsapakis, Vasileios Papacharisis, Theodora Tseligka, Charilaos Kouthouris

Abstract Background Dance, as a creative and embodied form of physical activity, has been associated with psychological well-being. However, limited research has examined how recreational dance participation is related to mindfulness, self-compassion, and life satisfaction in non-clinical populations. This study aimed to address this gap by comparing psychological outcomes between recreational dancers and non-dancers and by examining dance-related characteristics among dancers. Methods A cross-sectional design was …

27.08.2026journal-article

Clinical Journal of Health Sciences

Vaginismus and Dyspareunia: A Comparative Review of Female Sexual Pain Disorders

Melike Çarıkçı, Ayhan Çakıcı

Vaginismus and dyspareunia are among the most prevalent female sexual pain disorders and have a substantial impact on sexual functioning, psychological well-being, and intimate relationships. Although these disorders were historically classified as separate diagnostic entities, they were unified under the diagnosis of Genito-Pelvic Pain/Penetration Disorder (GPPPD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Nevertheless, this diagnostic integration has generated ongoing deb …

27.08.2026journal-article

Frontiers in Public Health

Selenium predominance in heavy metal mixtures is associated with hyperuricemia in Chinese adults: the role of insulin resistance

Jing-Fu Lai, Ya-Qin Zhang, Yun-Ting Zhang, Yu He, Hai-Xin Tu, Qi Yang, Wen-Wen Bao, Li-Xia Liang, Jing-Wen Huang, Zhao-Huan Gui, Li-Wen Hu, Li-Zi Lin, Yang Zhou, Bin Xu, Guang-Hui Dong, Hui-Dong Song, Feng-Hong Wu, Ru-Qing Liu

Introduction Emerging studies indicate exposure to heavy metals is linked with uric acid levels and hyperuricemia risk. However, the combined effects of heavy metals and the underlying mechanisms remain poorly characterized. Methods In this community-based cross-sectional study, plasma concentrations of 20 heavy metals and serum uric acid were measured in 1,312 adults in China. Triglyceride-glucose (TyG) index, a biomarker of insulin resistance, was also calculated. Generalized linear regression model, bayesian ker …

27.08.2026journal-article

Diversity

Study of Rubus chamaemorus Population Genetic Structure in the Eastern Baltic Region

Viktorija Levinger, Dace Grauda, Petras Prakas, Dalius Butkauskas

Cloudberry (Rubus chamaemorus L.) is a dioecious, perennial plant that grows in the boreal climate zone. For the first time, intraspecific genetic variability of 174 individual cloudberry plants from 25 locations in Lithuania, Latvia, Estonia, and Belarus was examined. Genetic variation was assessed using microsatellite markers specific to the Rubus genus. Although high heterozygosity was observed across all sampling sites, allelic richness, the Shannon diversity index, and the number of unique genotypes revealed a …

27.08.2026journal-article

Contemporary School Psychology

Universal Mental Health Screening in California School Settings: Current Practices, Barriers, and Opportunities

Stephanie A. Moore, Samira Soleimanpour, Sara Geierstanger, Jessica Yu, Eric M. Davidson, Kali Patterson

Abstract When implemented as part of a multi-tiered system of support, universal mental health screening (UMHS) can facilitate early identification and data-based decision-making in support of students’ social, emotional, behavioral, and mental health needs. Despite increasing interest in school-based UMHS, its widespread uptake has historically been stagnant. Recent national estimates indicate that rates of UMHS implementation are increasing; however, the information available about current practices, as well as t …

27.08.2026journal-article

Blood Pressure Monitoring

Effects of home-based isometric handgrip or aerobic training on blood pressure variability and vascular health in older adults with elevated blood pressure and hypertension: secondary results from The HoldAge Trial

Diogo Pinto, Nuno Dias Rato, Catarina Garcia, Manuel Teixeira, Maria J. Marques, Teresa Amaral, Leonor Amaral, Ricardo Abreu, Cristiana Carneiro, Ana P. Oliveira, Daniela Figueiredo, Jorge Polónia, José Mesquita-Bastos, João L. Viana, Linda S. Pescatello, Fernando Ribeiro, Alberto J. Alves

Background Hypertension is a multifactorial condition that is likely to affect older adults. We evaluated the effects of home-based isometric handgrip training (IHT) or aerobic exercise training (AET) on vascular health of older adults with elevated blood pressure (BP) and hypertension. Methods The HoldAge trial (NCT04275032) was a two-center prospective randomized controlled trial. Eighty-four participants (46 women, 71.1 ± 3.6 years, BP: 137.1 ± 13.8/80.8 ± 8.3 mmHg) were randomized into IHT, AET, or usual medica …

27.08.2026journal-article

JAMA Network Open

Hospital-Onset Methicillin-Resistant Staphylococcus aureus Prevention in Acute Care Hospitals

Lisa L. Maragakis, Melissa A. Miller, Yue Gao, Leyi Lin, Clare Rock, Valeria Fabre, Sara E. Cosgrove, Kathleen Speck, Samuel W. Kim, Kerri Huber, Cheryl Conners, Sandra M. Swoboda, Jennifer Titus, Emily Girouard, Kriston Koepp, Susan S. Huang, Roy Ahn, Prashila Dullabh

Importance Methicillin-resistant Staphylococcus aureus (MRSA) infections are major contributors to morbidity and mortality among hospitalized patients. Despite evidence-based guidelines, opportunities remain to improve the implementation of MRSA infection prevention. Objective To determine whether an educational quality improvement program is associated with improved evidence-based practices and prevention of MRSA infections among hospitalized patients. Design, Setting, and Participants This quality improvement stu …

27.08.2026journal-article

World Journal of Gastrointestinal Surgery

Motivational interviews and digital health guidance improve postoperative weight management in obese children

Xiao-Qian Dun, Si Chen

BACKGROUND Childhood obesity is a major public health issue, with obesity rates reaching 20.8% among 14-year-olds and increasing with age. Metabolic and bariatric surgery is the most effective treatment for moderate to severe obesity, but postoperative weight regain and reduced quality of life often occur due to poor lifestyle adherence. Digital health guidance interventions have shown benefits in improving disease understanding and quality of life, yet single interventions have limited effectiveness. Motivational …

27.08.2026journal-article

Frontiers in Computer Science and Artificial Intelligence

Safeguarding Public Healthcare Spending with Explainable AI: A Statistically Validated Machine Learning Framework for Medicaid Fraud Detection and Electronic Visit Verification

Md Sibbir Hossain, A T M Fokrule Hasan

Medicaid improper payments in the United States reached an estimated $37.39 billion (6.12%) in fiscal year 2025, up from $31.10 billion (5.09%) the prior year, with more than three-quarters attributable to insufficient documentation rather than confirmed fraud — precisely the gap that Electronic Visit Verification (EVV) systems are federally mandated to close. This study develops and rigorously validates a machine learning framework for provider-level Medicaid and Medicare fraud detection and establishes its releva …

27.08.2026journal-article

Journal of Data and Information Science

Decoding the Impact Dynamics: Prediction and Interpretation of Scientific Research Cited by Policy Documents

Chao Ren, Menghui Yang, Rongchun Xiao, Meijian Shentu

Abstract Purpose The translation of science into policy is frequently oversimplified by linear assumptions, leaving the specific micro-level drivers of policy adoption unclear. This study aims to develop a systematic and explainable framework to predict and interpret how structural, academic, and dissemination factors influence the policy citation of scientific papers. Design/methodology/approach This study constructs a large-scale dataset linking scientific research to policy documents, and evaluates multiple mach …

27.08.2026journal-article

International Journal of Environment and Climate Change

Effect of Mulch Material and Bio-Stimulants on Growth, Cropping and Microbial Population in Daisy Mandarin

Sanjeev Kumar Banyal, Shivani, Shalini Thakur, Shefali Negi, Eby Joseph Kochithara

Sustainable management of soil moisture, nutrient availability and microbial activity is important for maintaining the growth, productivity and fruit quality of Daisy mandarin. Mulching and biological inputs such as Jeevamrit and Panchgavya may improve the soil microenvironment; however, their combined effects on Daisy mandarin growth, yield, fruit quality and soil characteristics require evaluation. The present study was carried out at the College of Horticulture and Forestry, Neri, Hamirpur (H.P.), during 2024-20 …

27.08.2026journal-article

Financial Economics Research

An Analysis of the Effects of Trade Policy Uncertainty on Corporate Green Investment: The Viewpoints of Market Competition and Green Innovation

Yixin Chen

Trade policy uncertainty is changing the logic of decision making of corporate operations in the context of the constant reconfiguration of the global trading system. In this paper, Chinese A-share listed companies over the period of 2017-2024 are chosen as the research sample to analyze the impact of trade policy uncertainty on corporations’ green investment and the transmission mechanisms behind it. The results show that trade policy uncertainty has a strong positive driving impact on corporate green investment, …

27.08.2026journal-article

PLOS Global Public Health

Reciprocity in global health: How successes from the global south can inform global health interventions in Canada and the U.S

Tsitsi B. Masvawure, Mary Ndu, Charity Oga-Omenka

Global health has traditionally functioned as a project of high-income countries (HICs) addressing health challenges in low- and middle-income countries (LMICs). This “outward facing” orientation has created conceptual and operational boundaries that obscure the persistence of health inequities within HICs and perpetuates the false assumption that resource-rich nations have resolved fundamental health equity challenges in their own countries. In this essay we argue that HICs have global health problems of their own …

27.08.2026journal-article

PLOS One

Co-producing access to care with young people living in Zambia through digital and vending machine-enabled innovation in sexual and reproductive health: A place-based, human-centred design research approach

Mary Darking, Helen Ayles, Steve Belemu, Paloma Chausa, Francisco J. Gárate, Enrique J. Gómez, Melleh Gondwe, David Lane, Deborah Kaluba-Milimo, Monde Mwamba, Musonda Simwinga, Jennifer Whetham, Jaime H. Vera

Digital health innovation can fail to move beyond prototype or pilot stages or achieve intended outcomes due to a lack of involvement and attunement to local context. This article shares the potential of place-based co-production to support the development, acceptability and usability of context-attuned, digital health service innovation for young people. To illustrate the approach, we report on a collaborative, interdisciplinary project involving a Zambian public health research partner based in Lusaka, Zambia, th …

27.08.2026journal-article

Agriculture

Land-Use Policy and Farmers’ Livelihood Resilience: A Structured Review of Conceptual Pathways to Rural Revitalization

Xiaoqiao Liu, Daping Liu, Xinyuan Li, Heyang Gong, Yuefen Li

Under pressure from climate change, market volatility, and policy adjustments, rural livelihood systems face increasing vulnerability, which threatens poverty reduction gains. Livelihood resilience—the ability to withstand shocks, sustain livelihoods, and drive transformation—has become central to assessing sustainable rural development; however, its concepts, metrics, and links to land-use policies have not yet been systematically integrated. This review synthesizes existing research on farmers’ livelihood resilie …

27.08.2026journal-article

Herald of Khmelnytskyi National University. Economic sciences

ТЕОРЕТИЧНІ ЗАСАДИ ВИКОРИСТАННЯ ШТУЧНОГО ІНТЕЛЕКТУ В СИСТЕМІ ПУБЛІЧНОГО УПРАВЛІННЯ ОБОРОНОЗДАТНІСТЮ ДЕРЖАВИ

Ярослав ПУСТОВІТ

The article examines the theoretical foundations for the use of artificial intelligence technologies in the system of public administration of state defense capability in the context of the transformation of the contemporary security environment and the intensive development of digital technologies. It is substantiated that artificial intelligence is gradually becoming an important factor in the modernization of the national security and defense system, creating new opportunities for improving strategic planning, i …

27.08.2026journal-article

Science of Nursing and Health Practices

L’Art d’accompagner : un projet de consolidation du raisonnement pédagogique des personnes dédiées à la supervision des infirmières et infirmiers diplômés hors Canada

Annia Steben-Roy, Myriam Gauthier, Nancy Cyr

Introduction : Dans un contexte de pénurie de personnel infirmier qualifié au Québec (Canada), l’intégration des infirmières et infirmiers diplômés hors Canada (IDHC) constitue une priorité. Toutefois, des enjeux persistent, notamment en matière de reconnaissance des compétences et d’adaptation aux pratiques locales, ce qui appelle à des stratégies innovantes pour soutenir leur intégration. Objectif : Décrire la démarche d’un projet d’intervention centré sur la formation et l’accompagnement d’infirmières et d’infir …

27.08.2026journal-article

Environmental Research: Food Systems

Towards transformative policy mixes for healthy, sustainable diets in a multi-level governance context

Michiel De Bauw, Karel Reybrouck, Erik Mathijs, Stefanie Vandevijvere

Abstract Transitioning towards healthier, more sustainable food environments is critical to mitigate diet-related chronic diseases and environmental harm. Coordinated governmental action supporting this transition is often hindered by fragmented competences across policy fields and governance levels. Different strands of literature address this issue from within their respective disciplines, with some excelling in their empirical approach, others being more firmly grounded in theory, and still others emphasizing th …

27.08.2026journal-article

Infection Control & Hospital Epidemiology

Impact of a single-set blood culture restriction during the 2024 national blood culture bottle shortage on patient outcomes: an interrupted time series analysis

Joseph B. Ladines-Lim, Bailey Van, Leigh Cressman, Warren B. Bilker, Laurel Glaser, Kathleen Degnan, Michael Z. David

Abstract Objective: To evaluate the clinical and stewardship consequences of a single-set blood culture restriction implemented during the 2024 national blood culture bottle shortage. Design: Interrupted time series analysis of hospitalizations from June 26, 2023, to June 25, 2025. Setting: Two tertiary hospitals in an urban academic health system. Patients: 116,341 inpatient hospitalizations, including 31,034 with ≥1 blood culture obtained. Intervention: A systemwide electronic health record order restriction from …