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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
03.09.2026journal-article

Municipal service: legal issues

From the Digital Profile of a Citizen to the Digital Profile of a Public Servant: China's Experience

Polina D. Mikheeva

The article analyzes the implementation of the social credit system (SCS) in China, which is a rating system for citizens based on a variety of data obtained from digital platforms and systems of government agencies and other departments, as well as from unofficial sources (such as “digital footprints” on the Internet). The SCS is used to reward conscientious citizens and impose restrictions on those who have committed offenses. The SCS data is used to create a digital profile of government employees, which include …

03.09.2026journal-article

Management Decision

All shook up, but nothing changes – conflict, multifunctionality and reprogramming failure in public organisations

Augusto Sales

Purpose This article addresses a persistent tension in public-sector organisations. Communicative reforms proliferate, conflict becomes more visible and participation expands, yet core decision programmes frequently remain stable. The study asks why conflict rarely culminates in reprogramming of organisational decision premises. Drawing on Luhmann's systems theory, it shifts the explanatory focus from individual expression to organisational selection and retention and develops a structural account of why communicat …

03.09.2026journal-article

Borneo Nursing Journal (BNJ)

Hubungan Motivasi Kerja Dengan Kinerja Tenaga Kesehatan Di Puskesmas Koya

Juniman Zai, Deviana Pratiwi Munthe, Jilly Toar, Vera Tombokan, Christian Bertom Pajung, Beatrix Jetje Podung

Zai, Juniman. Deviana Pratiwi Munthe, Jilly Toar, Vera Tombokan, Christian Bertom Pajung,Beatrix Jetje Podung, 2026. Hubungan Motivasi Kerja Dengan Kinerja Tenaga Kesehatan diPuskesmas Koya. Program Studi Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaandan Kesehatan Masyarakat, Universitas Negeri Manado.Motivasi Kerja merupakan salah satu faktor yang mempengaruhi Kinerja Tenaga Kesehatandalam memberikan pelayanan kepada masyarakat. Kinerja yang baik akan meningkatkanmutu pelayanan kesehatan di Puskesmas. Penel …

03.09.2026journal-article

Pacing and Clinical Electrophysiology

Association Between Global Longitudinal Strain and Pacing‐Induced Cardiomyopathy: A Systematic Review and Meta‐Analysis

David T. Zhang, Rachel M. Suen, Sakshum Chadha, Kenney Abraham, Matthew Pelletier, Noelle N. Mann, Michael Tao

ABSTRACT Background High right ventricular pacing burden is a well‐established risk factor for the development of left ventricular dysfunction and pacing‐induced cardiomyopathy (PICM). However, identification of post‐implant patients at risk for PICM remains challenging. This meta‐analysis evaluated the association between global longitudinal strain (GLS) by speckle tracking echocardiography (STE) and the risk of subsequent development of PICM in patients who undergo pacemaker implantation. Methods We searched the …

03.09.2026journal-article

Journal of Educational Evaluation for Health Professions

Development and initial validation of an instrument measuring the perceived importance of core competencies for clinical nurse educators in Korea: a methodological study

Heui-Kyeong Kwon, Junmoo Ahn, Kyungsan Seo, Seung-Hee Lee, Eunhee Jung, Yoonjung Lee

Purpose: This study aimed to develop an instrument to assess the perceived importance of core competencies for clinical nurse educators (CNEs) in Korea, defined here as hospital-based nurse educators under the Korean Nursing Act, and to provide initial evidence of its content validity, internal structure, and reliability.Methods: A preliminary 44-item pool, developed from international nurse educator frameworks and the literature, was refined by 8 experts through a 2-round modified Delphi process. A nationwide samp …

03.09.2026journal-article

Frontiers in Medicine

The impact of chemoimmunotherapy on primary cold agglutinin disease and Waldenström macroglobulinemia-associated cold agglutinin syndrome

Kenichi Ito, Tomoko Kitagawa, Saya Motohashi, Kazuhiko Hirano, Naohiro Sekiguchi

Background Cold agglutinin-associated hemolysis (CAH) occurs in diverse clinical contexts, such as primary cold agglutinin disease (pCAD) and Waldenström macroglobulinemia-associated cold agglutinin syndrome (WM-CAS). The differentiation of these entities is often challenging, particularly in MYD88 L265P-negative cases. Since studies that examined the effects of chemoimmunotherapy (CIT) frequently predated routine molecular testing, it remains unclear whether disease classification impacts treatment response and du …

03.09.2026journal-article

Frontiers in Oncology

Case Report: Mature tertiary lymphoid structures in a metastatic urothelial carcinoma patient with an exceptional response to sequential immune checkpoint inhibitor and antibody-drug conjugate therapy

Kanta Hori, Takuto Ogasawara, Yuka Mizue, Hiroko Asanuma, Naoki Shijubou, Akihiro Yamashita, Ryo Kato, Jun Furumido, Takashige Abe, Keisuke Sato, Yoshihiko Hirohashi

Background Biomarkers that predict durable benefit from immune checkpoint inhibitors (ICIs) and antibody-drug conjugates (ADCs) in metastatic urothelial carcinoma (mUC) remain limited. Tertiary lymphoid structures (TLS), particularly mature TLS (mTLS) characterized by follicular dendritic cell networks and germinal centers, may reflect a highly compartmentalized antitumor immune niche. Case presentation A 77-year-old man with bladder cancer and lung metastases experienced disease progression after two cycles of gem …

03.09.2026journal-article

Frontiers in Cardiovascular Medicine

Clinical outcomes of external fenestration TEVAR in Stanford type B aortic dissection involving the left subclavian artery: a retrospective study

Chunshui Liang, Hong Liu, Xiaobo Peng, Tianbo Li, Chencheng Liu, Yong Wang, Yingbin Xiao, Ruiyan Ma

Objective This study assessed the clinical efficacy and hemodynamic effects of external fenestration thoracic endovascular aortic repair (TEVAR) in patients with type B aortic dissection (TBAD) involving the left subclavian artery (LSA). Methods A retrospective analysis of 110 patients who underwent this procedure between 2020 and 2024 was conducted, evaluating procedural success, complications, and follow-up outcomes. Hemodynamic changes were analyzed in 1 patient using computational fluid dynamics (CFD) based on …

03.09.2026journal-article

Frontiers in Public Health

Prevalence, determinants, and reasons for formula feeding among Palestinian mothers in the West Bank: a cross-sectional study

Mohanad Jaber, Obada A. Bali, Mohammed Tahayneh, Ahmad Alhashlamon, Basel Abu Turkey, Mohammad Walid Radwan, Mostafa Ibraheem Abo Alrob, Ali Hamad, Nidal B. M. Nazzal, Ibraheem AbuAlrub

Background Exclusive breastfeeding rates in Palestine remain below WHO targets, and formula use is prevalent among infants in the first two years of life. Evidence on the specific factors associated with formula introduction in the Palestinian context is limited. Objectives To assess the prevalence of formula feeding among Palestinian mothers of infants aged 0–24 months, identify the primary reasons for formula introduction, and determine the independent sociodemographic, maternal, infant, and perinatal predictors …

03.09.2026journal-article

Cosmoderma

Sorafenib-induced hand-foot syndrome in a patient with desmoid fibromatosis

Deepthi Konda, Varsha Gudipati

Sorafenib is an oral multikinase inhibitor widely used in the treatment of various solid malignancies and has recently emerged as a therapeutic option for desmoid fibromatosis. Hand-foot syndrome (HFS), also known as palmar-plantar erythrodysesthesia, is a common cutaneous adverse effect associated with sorafenib therapy. Although sorafenib-induced HFS has been well documented in patients with renal cell carcinoma and hepatocellular carcinoma, reports in patients with desmoid fibromatosis (DF) remain limited. We re …

03.09.2026journal-article

Frontiers in Dental Medicine

Clinical and perioperative outcomes of computer-guided versus conventional plan-transfer workflows in orthognathic surgery for skeletal anterior open bite: a randomized controlled trial

Ammar Abu Shama, Dirar Dibs

Introduction Skeletal anterior open bite (AOB) often requires orthognathic surgery. This study compared the clinical and perioperative outcomes of computer-guided and conventional plan-transfer workflows following virtual surgical planning. Methods Eighteen adults with skeletal AOB underwent virtual surgical planning and were subsequently randomized to computer-guided transfer of the established surgical plan using CAD/CAM guides ( n = 9) or conventional model-surgery transfer using articulator-mounted casts and oc …

03.09.2026journal-article

Frontiers in Nutrition

Indigenous food systems of the Garo Hills of Meghalaya: nutritional composition and potential health benefits of traditional green leafy vegetables

Sunanda Nongthombam, Natasha R. Marak, Chingakham Basanti Devi, Chenxiang Rimchi N. Marak, Pavana Kumar, Namita Singh, Puspita Das

Indigenous food systems play a vital role in sustaining dietary diversity and nutritional security among tribal populations, yet their contributions remain inadequately documented. This study aimed to evaluate the nutritional composition and potential health benefits of traditional green leafy vegetables (GLVs) within the indigenous food system of the Garo Hills, Meghalaya. Participatory rural appraisal techniques, including focus group discussions and four-cell analysis, were employed in two tribal villages to ide …

03.09.2026journal-article

Borneo Nursing Journal (BNJ)

Potensi Antibakteri Bunga Kamboja Merah (Pulmeria rubral L.) Terhadap Bakteri Staphylococcus Aureus

Ana Rosario Brito, Rahmat Hidayat, Anita Dwi Septiarini

Staphylococcus aureus merupakan bakteri patogen gram positif yang seringmenyebabkan berbagai infeksi pada manusia dan menunjukkan peningkatan resistensi terhadapantibiotik, sehingga diperlukan alternatif antibakteri yang lebih aman dan berbasis bahan alam.Salah satu tanaman yang berpotensi sebagai antibakteri alami adalah bunga kamboja merah(Plumeria rubra L.) yang diketahui mengandung metabolit sekunder seperti flavonoid, alkaloid,saponin, tanin, steroid, dan terpenoid yang secara teoritis memiliki mekanisme kerja …

03.09.2026journal-article

Community Mental Health Journal

Sexual Health in Psychiatry: Bridging the Communication Gap and Training Needs between Patients and Clinicians – A Cross-Sectional Exploratory Pilot Study

Teresa Schweitzer, Peter Martl, Douglas Dubrovin Leão, Lena Hammerl, Theresa Halms, Katharina Domani, Sophia vom Baur, Anna-Sophia Eder, Andrea Rabenstein, Tobias Rüther, Alkomiet Hasan, Marcus Gertzen

Abstract Sexual health is integral to mental well-being, yet it remains under-addressed in psychiatric care. Mental disorders and psychotropic medications can cause sexual dysfunctions. Despite its clinical relevance, sexual health is often not routinely assessed or discussed in psychiatric assessment and treatment, possibly due to insufficient training, stigma, and clinicians’ uncertainty. This pilot study examined how sexuality is addressed in psychiatric treatment and how relevant the topic is perceived, integra …

03.09.2026journal-article

Medical Technology and Public Health Journal

Social Media Addiction On Subjective Well-Being In Adolescents

Afif Kurniawan, Rukmini, Indra Maulana Widyanto

The pervasive exposure to unrealistic beauty standards on social media has triggered intense psychological stress, severe body dissatisfaction, and a critical decline in Subjective Well-Being (SWB) among adolescents. To address these escalating mental health risks, this study aims to explore the role of healthy body image evaluation in shaping adolescents' subjective well-being and fostering their emotional and social resilience in the digital era. explore the role of healthy body image evaluation in shaping adoles …

03.09.2026journal-article

Mental Health and Digital Technologies

Constant connectivity and mental health: a qualitative exploration of technology’s double-edged role

Sagar Ashok Bayaskar, Deepak S. Sharma

Purpose This paper aims to explore the dual impact of constant connectivity on mental health among young Indian adults (aged 18–40), with particular emphasis on the lived experience of ambivalence – where psychological burdens (e.g. anxiety, boundary erosion, social comparison) and perceived benefits (e.g. emotional support, family connectedness, access to resources) dynamically coexist and must be actively negotiated within the same individuals, shaped by India’s unique blend of collectivist cultural norms and com …

03.09.2026journal-article

Frontiers in Public Health

A public health approach to optimizing surgical outcomes for hepatic hydatid cyst: identifying predictive factors for postoperative morbidity

Jihen Krichen, Asma Sghaier, Maissa Timoumi, Saif Farhaoui, Sihem Sindi, Bilel Faidi, Khalil Ben Salah, Hajer Hannachi, Latifa Merzougui

Background Hepatic hydatid cyst (HHC) remains a significant public health challenge in endemic regions, causing substantial morbidity and placing a persistent burden on healthcare systems. While surgery is the primary therapeutic intervention, the high rate of specific postoperative complications, particularly biliary fistulas, necessitates a more strategic approach to clinical risk management and patient stratification to optimize resource utilization. This study aims to identify predictive factors for postoperati …

03.09.2026journal-article

Frontiers in Public Health

They are all inter-related, like a cycle: an exploratory qualitative study of climate change, chronic stressors and mental health among displaced populations on the Thailand-Myanmar border

Gracia Fellmeth, May Myo Thwin, Jasper Ko Ko Aung, Suphak Nosten, Nan San Wai, François Nosten, Chaisiri Angkurawaranon, Emma Plugge, Rose McGready

Introduction Climate change is a significant global health threat with disproportionate impacts across the Global South and among marginalized populations. Migrants and refugees experience multiple intersecting vulnerabilities including conflict, poverty and limited access to healthcare that may increase vulnerability to climate-related health impacts. This study aimed to explore perceptions of climate change and its impacts on mental health among migrant communities on the Thailand-Myanmar border. Methods We condu …

03.09.2026journal-article

Frontiers in Cardiovascular Medicine

Sex differences in the associations of multidomain risk factor profiles with incident major adverse cardiovascular events

Yuhui Yang, Xi Chen, Yuhao Hu, Xiaochen Wang, Huili Wang, Youquan Wei, Feilong Zhang, Zhen Dong, Ronghui Yu

Background Major adverse cardiovascular events (MACE) exhibit sex-specific disparities, but comprehensive analyses of combined genetic and clinical risk factor profiles across sexes remain limited. Methods This prospective cohort study included 397,806 UK Biobank participants (55.1% female) without baseline MACE. Five weighted risk scores [social-demographic, lifestyle, metabolic, clinical comorbidity, polygenic risk score (PRS)] were evaluated for associations with incident MACE via sex-stratified Cox proportional …

03.09.2026journal-article

Asian Journal of Oncology

Integrating molecular engineering and artificial intelligence to overcome clinical and manufacturing challenges in CAR-T therapy

Lipi Singh, Narendra Singh, Rakesh Kumar Arya, Priya Kiran, Mahrosh Sohail, Parushi Verma, Manish Kumar Arya

Chimeric antigen receptor (CAR) T-cell therapy has demonstrated remarkable efficacy in addressing hematological malignancies. However, its broader clinical application in other cancer types is still limited by key challenges like antigen escape, on-target/off-tumor toxicity, reduced efficacy for solid malignancies, and large variability in the production process for CAR T-cells. Traditional optimization approaches are increasingly insufficient to address these complex challenges. Notably, current studies do not ful …

03.09.2026journal-article

Frontiers in Public Health

Exposure to cement industry emissions and respiratory health outcomes: a global systematic review and meta-analysis from 2000 to 2025

Zahid Ali Khan, AliSalman Sheikh, Łukasz Afeltowicz, Jacek Gądecki

Introduction Cement manufacturing is a major contributor to industrial air pollution and releases particulate matter and toxic emissions, adversely affecting the respiratory health. Previous studies have reported respiratory impairment and its associated symptoms among exposed populations, yet the evidence remains inconsistent across occupational and residential settings. This systematic review and meta-analysis is aimed to quantify the association between exposure to cement factory emissions and respiratory health …

03.09.2026journal-article

Frontiers in Immunology

Thirty years in, regulatory T cells are ready for medicine

Ryoji Kawakami, Ayush Jain

Regulatory T (Treg) cells are a specialized subset of CD4 + T cells indispensable for the establishment and maintenance of immunological tolerance. Treg cells employ diverse mechanisms of immune regulation mediated by a broad repertoire of immunosuppressive molecules under the control of the lineage-specifying transcription factor FoxP3. Functional defects in Treg cells disrupt immune homeostasis and are implicated in the pathogenesis of autoimmune diseases, chronic inflammatory disorders, and cancer. In this artic …

03.09.2026journal-article

Frontiers in Medicine

Case Report: Soft endoscopic treatment of Herlyn–Werner–Wunderlich syndrome: an innovative clinical procedure for hymen preservation

Yonghua Tian, Wei Fu, Yan Geng

Background Herlyn–Werner–Wunderlich syndrome (HWWS) management typically requires hymenotomy. We describe the fully endoscopic, hymen-sparing septotomy in a patient with no history of sexual intercourse. Case presentation A 20-year-old patient with no prior sexual intercourse and progressive dysmenorrhea was diagnosed by MRI with HWWS, presenting as uterus didelphys, obstructed right hemivagina, and left renal agenesis. A 9-mm flexible gastroscope and endoscopic submucosal dissection (ESD) knives were introduced th …

03.09.2026journal-article

Frontiers in Neurology

Pediatric stroke in inborn errors of metabolism: clinical characteristics, neuroimaging features, and short-term outcomes

Javeria Raza Alvi, Areeba Wasim, Saher Gul Ahdi, Tipu Sultan, Muhammad Zia-ur-Rehman, Khalid Al-Thihli, Fathiya Al Murshedi, Amna Al Futaisi

Introduction Pediatric stroke has a broad etiological spectrum, with inborn errors of metabolism (IEM) increasingly recognized as an important and potentially treatable cause. This study aimed to characterize the clinical, radiological, and electroencephalographic features of IEM-related pediatric stroke and to evaluate short-term functional outcomes. Methods This prospective cohort study was conducted at The Children’s Hospital Lahore, Pakistan, and Sultan Qaboos University Hospital, Muscat, Oman (January 2024–Dec …