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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
02.09.2026journal-article

Breast Cancer Research and Treatment

Oestrogen receptor testing and initiation of adjuvant endocrine therapy in women with ductal carcinoma in situ: a population-based study

Qian Chen, Ian Campbell, Mark Elwood, Alana Cavadino, Phyu Sin Aye, Sandar Tin Tin

Abstract Introduction Use of adjuvant endocrine therapy (ET) for ductal carcinoma in situ (DCIS) varies widely in clinical practice. We investigated oestrogen receptor (ER) testing, the initiation of ET, and the effect of ET on outcomes for DCIS in New Zealand. Methods Women with DCIS (2000–2022) were identified from the New Zealand Breast Cancer Foundation National Register and linked to the national pharmaceutical data. Logistic regression identified factors associated with ER testing, and cumulative incidence of …

01.09.2026journal-article

Market Infrastructure

ТЕОРЕТИКО-МЕТОДОЛОГІЧНІ ЗАСАДИ ФОРМУВАННЯ АДАПТИВНОЇ АГРАРНОЇ ПОЛІТИКИ В УМОВАХ ТРАНСФОРМАЦІЙНИХ ВИКЛИКІВ

С.Т. Селютін

The article substantiates the theoretical and methodological foundations for the formation of adaptive agricultural policy in Ukraine under transformational challenges. The study is based on the understanding of agriculture as a security-sensitive, economic, social, territorial and ecological system. Therefore, agricultural policy should not be limited to fragmented subsidies or one-time crisis decisions. It has to be designed as a dynamic policy architecture that combines long-term strategic continuity with the ab …

01.09.2026journal-article

EPRA International Journal of Environmental Economics Commerce and Educational Management

STUDENT COUNCIL EMPOWERMENT AND STUDENT DISCIPLINE IN PUBLIC SECONDARY SCHOOLS IN KISII COUNTY, KENYA

Dorcas Yakhama Adamba, Dr. Viviline Ngeno, Dr. David Ngatia

Background: Student councils were introduced in Kenyan public secondary schools to promote student participation and shared responsibility in school governance. However, their formal existence does not necessarily translate into meaningful participation in school management. Limited empirical evidence exists on whether empowering student councils to participate meaningfully in school management is associated with improved student discipline. This study examined the influence of student council empowerment for parti …

01.09.2026journal-article

Hacettepe Journal of Mathematics and Statistics

A novel generalized class of trigonometric estimators for population mean estimation using auxiliary information: Theory, simulation, and real-data evidence

Prayas Sharma, Poonam Singh

The effective estimation of the population mean using auxiliary information in survey sampling remains a significant research topic because of its broad practical applications in agriculture, economics, environmental studies, and industrial quality control. A new generalized trigonometric-exponential type estimator is presented in this work in order to estimate the finite population mean under simple random sampling without replacement. The suggested estimator effectively captures both linear and nonlinear correlat …

01.09.2026journal-article

BMC Health Services Research

Facilitators and barriers influencing healthcare professionals’ productivity in Ethiopia: a phenomenological study

Jemal Mohammed Ali, Zeine Abosse, Firew Ayalew, Tegbar Yigzaw Sendekie, Shelemo Shawula, Trhas Tadesse, Fikadu Asrat, Mezgebu Yitayal, Jelle Stekelenburg

Abstract Background Understanding the lived experiences of healthcare professionals is crucial for identifying the factors that impact their productivity. In most countries in sub-Saharan Africa, particularly in Ethiopia, despite efforts to improve the performance of the health workforce, there is a lack of qualitative insights into the specific deterrents and facilitators they encounter. Objectives This study explores the experiences of healthcare professionals in Ethiopia, focusing on the key factors that facilit …

01.09.2026journal-article

Myanmar Medical Journal

Organophosphate Pesticide Exposure on Erythrocyte Acetylcholinesterase Activity and Health Effects in Agricultural Workers

Sanda Kyaw

"Organophosphate (OP) pesticides are extensively used in agriculture, notably in Myanmar, posing significant health risks to farming populations through occupational exposure. Such exposure primarily inhibits erythrocyte acetylcholinesterase (AChE) activity, serving as a biomarker for systemic toxicity. The present review compiles findings from local and global studies demonstrating that chronic OP pesticide exposure leads to a marked decrease in erythrocyte AChE activity, correlating with adverse health effects in …

01.09.2026journal-article

Rehabilitation Oncology

Predicting Adherence to Physical Activity in Individuals With Cancer Using Machine Learning and National Health and Nutrition Examination Survey Data

Qing Zhang, Suril Gohel

Background: Physical activity (PA) is a core component of cancer survivorship care, yet adherence to PA guidelines remains low. Correlates of PA adherence reflect a complex interplay of multiple factors, many aligning with domains addressed in physical therapy (PT) but not integrated within a PT-informed analytic framework. Machine learning (ML) approaches may support modeling of complex relationships by accommodating nonlinear interactions. This study aimed to develop and compare ML models to classify PA adherence …

01.09.2026journal-article

Sustainability Science

From compliance to stewardship: a responsibility-centred framework for water governance and policy drawing on the Bhagavad Gita

Basant Maheshwari

Abstract Water governance has grown more sophisticated over the past half-century, yet many water systems remain under severe stress. Aquifers continue to decline, rivers and wetlands continue to degrade, and irrigation and urban water systems face growing pressure from competing demands, pollution and climate variability. This article argues that the paradox reflects a structural imbalance. Contemporary governance is highly developed in instruments of external control, such as licensing, pricing, monitoring and en …

01.09.2026journal-article

Journal of Health Science and Medical Therapy

Variation Patterns in Antenatal Care Visits: A Run Chart Analysis

Ulfa Diya Atiqa

The high Maternal and Infant Mortality Rates necessitate fundamental quality improvement in Antenatal Care (ANC) services at the primary level. This study retrospectively analyzed 24 consecutive months of ANC visit data from 2017 to 2018 at Puskesmas Pambusuang using a run chart to characterize temporal process variation. A descriptive analytical study was conducted using secondary data comprising 24 consecutive months of ANC visits. The data were analyzed using a run chart as a Statistical Process Control (SPC) to …

01.09.2026journal-article

Research in Health Science

Learner Perceptions of a Blended-learning Model in Obstetrics and Gynecology Clinical Teaching: A Cross-sectional Program Evaluation

Shuling Zhang, Kuimei Zhang, Xiaoxia Wang, Peipei Zhang, Jiejie Li, Wenming Cao

We conducted a cross-sectional evaluation of a blended-learning model for obstetrics and gynecology clinical teaching at Changle People's Hospital Affiliated with Shandong Second Medical University. A 12-item five-point Likert questionnaire was completed by 517 learners. Item means ranged from 3.56 to 3.98, and the 12-item composite mean was 3.79 (SD 0.54). The digital competency profile, OSCE/Mini-CEX-oriented assessment, and tutor guidance received the highest ratings, while the 3E flipped-classroom discussion re …

01.09.2026journal-article

BMC Women's Health

Factors associated with the acceptability of HPV Self-sampling for cervical cancer screening among Thai ethnic women in Pai, Mae Hong Son

Phuttipol Chaiprom, Patumrat Sripan, Linda Aurpibul, Woottichai Khamduang, Sayamon Hongjaisee, Amaraporn Rerkasem, Arunrat Tangmunkongvorakul, Kriengkrai Srithanaviboonchai

Abstract Background Cervical cancer remains a major public health problem worldwide particularly in low- and middle-income countries. Human Papillomavirus (HPV) self-sampling is a promising strategy to increase screening participation. However, evidence regarding its acceptability among Thai ethnic communities is limited. This study aimed to estimate the proportion of acceptability of HPV self-sampling for cervical cancer screening among the ethnic women living in border areas of Thailand and determine its associat …

01.09.2026journal-article

Finansijski savetnik

THE IMPORTANCE OF MONETARY POLICY FOR ENSURING MACROECONOMIC SUSTAINABILITY

Nikola Jakšić

Monetary policy is crucial for ensuring macroeconomic sustainability, because it affects inflation, interest rates, and employment. In the EU, the common monetary policy of the European Central Bank (ECB) has a significant impact on stability, while the fiscal policies of member states remain independent. This often leads to a mismatch between monetary and fiscal discipline, which became particularly evident during the public debt crises in countries such as Greece and Italy. Although the ECB controls interest rate …

01.09.2026journal-article

WORK: A Journal of Prevention, Assessment & Rehabilitation

The impact of women's reproductive health on participation in the workforce: A qualitative study

Eda Yakit Ak, Özden Tandoğan

Background One of the barriers women face in participating in the workforce is reproductive health issues. Objective This study was conducted to investigate the experiences of women when they encounter reproductive health issues in the workplace. Methods The sample comprised 15 women who had experienced a women's health condition within the past 2 to 12 months and were employed in income-generating positions. Data were collected through a semi-structured interview format, with interviews conducted individually via …

01.09.2026journal-article

Retos

The impact of Baduanjin as a form of exercise snack on the physical and mental health of sedentary college students

Xiaobin Wang, Witid Mitranun

Background: Exercise snacks are a time-efficient strategy to mitigate the adverse effects of sedentary behavior. However, evidence regarding the use of Baduanjin as exercise snacks remains limited. Objective: This study aimed to evaluate the long-term effects of a Baduanjin-based exercise snacks intervention on body composition, physical fitness, and mental health in college students, and to examine differences across body mass index (BMI) subgroups of normal-weight and overweight. Methods: Sixty sedentary college …

02.09.2026journal-article

Ecology and Evolution

Long‐Term Population Trends and Spatial Redistribution of Shorebirds at a Critical Migratory Stopover

Stephanie Feigin, Theo Diehl, Lawrence Niles, Amanda Dey, Joanna Burger

ABSTRACT Understanding population change in migratory shorebirds is critical for conservation, particularly at key stopover sites where individuals concentrate during migration. Using nearly four decades of standardized peak aerial count data (1986–2025), we examined long‐term population dynamics of four abundant shorebird species at the Delaware Bay spring stopover: Red Knots ( Calidris canutus rufa ), Ruddy Turnstones ( Arenaria interpres ), Sanderlings ( Calidris alba ), and Semipalmated Sandpipers ( Calidris pu …

03.09.2026journal-article

Journal of Policy Analysis and Management

Administrative Burden and the Access–Fraud Trade‐Off

Elizabeth Bell, Sebastian Jilke

ABSTRACT Administrative burden represents political choices embedded in policy design that affect how people perceive and experience government. While policymakers frequently invoke fraud prevention to justify imposing burdens in welfare programs, this rhetoric embodies an unacknowledged normative judgment about the relative costs of fraud and abuse versus program exclusion for eligible beneficiaries. This study quantifies this access–fraud trade‐off in means‐tested social welfare programs through a contingent valu …

04.09.2026journal-article

Health Science Reports

Contemporary Management of Thalassemia: A Perspective on Current Standards and the Emergence of FDA‐Approved Oral Therapy

Fnu Zainab, Abdul Haseeb Hasan, Muhammad Hafi Abid, Muhammad Ali Abid

ABSTRACT Background and Aims Thalassemia is an inherited hemoglobin disorder characterized by ineffective erythropoiesis, chronic anemia, and progressive multisystem complications that require lifelong management. Current treatment relies on regular red blood cell transfusions, iron chelation therapy, and supportive multidisciplinary care, while hematopoietic stem cell transplantation offers a curative option for selected patients. Although gene‐based therapies and novel pharmacological agents have expanded therape …

01.09.2026journal-article

Journal of Curriculum Studies Research

Improving Academic Performance in the Lowest Quartile: A Multilevel Analysis of a Remedial Intervention in Ecuadorian Public Schools

María Eugenia Verdugo Guamán, Freddy Patricio Cabrera Ortiz, Homero Patricio Cabrera Tenecela, Mauricio Esteban Reyes Guaranda

This study assessed the academic impact of an educational leveling intervention implemented across various institutions in Ecuador. Using a Difference-in-Differences (DiD) strategy within a multilevel modeling framework, we estimated changes in academic performance (GPA) over time between intervention and control groups. The analysis was conducted in RStudio using linear mixed-effects models (via the lmerTest package) to account for the hierarchical structure of the data (students nested within grades, institutions …

01.09.2026journal-article

Journal of Public Health and Development

Factors predicting self-protective behaviors against PM2.5 exposure among rural community-dwelling older adults in the Central Region of Thailand: A cross-sectional study

Winthanyou Bunthan, Anchalee Ngamchantratip, Pirunlak Jitdorn, Jariyawat Kompayak

Health problems resulting from exposure to Particulate Matter 2.5 (PM2.5) have been increasing rapidly, especially among vulnerable groups such as older adults. This cross-sectional survey research aimed to examine the level of self-protective behaviors and the factors predicting such behaviors against PM2.5 exposure among 885 rural community-dwelling older adults in the central region of Thailand. The research instruments consisted of three parts: 1) a demographic questionnaire for older adults including related m …

01.09.2026journal-article

Journal of Public Health and Development

The role of the Inflammatory Cytokine Interleukin-6 (IL-6) in moderating the relationship between pesticide exposure and metabolic syndrome in vegetable farmers

Bibit Nasrokhatun Diniah, Sulistiyani Sulistiyani, Tri Joko, Budiyono Budiyono

Pesticide exposure has been associated with metabolic syndrome (MetS). However, the moderating role of inflammatory cytokines, such as interleukin-6 (IL-6), remains unclear. This study examined how IL-6 moderates the relationship between acetylcholinesterase (AChE) activity, as a pesticide-exposure biomarker, and the risk of MetS among vegetable farmers. We conducted a case–control study involving 134 male farmers (44 MetS cases and 90 controls) selected from a 13-week population screening of 307 farmers in Kuninga …

01.09.2026journal-article

Journal of Public Health and Development

Spatial determinants of disability prevalence in myanmar: A district-level spatial regression analysis

Ei Sandar U, Wor Mi Thi, Kyaw Min Htike, Yee Yee Than U

Myanmar, a country with a significant number of persons with disability, needs an understanding of the variation in disability prevalence and its determinants for efficient intervention strategies. This study aims to identify geographic patterns and spatial determinants of disability prevalence across Myanmar's districts. This cross-sectional spatial analysis utilized data from Myanmar's 2019 Inter-Censual Survey covering all 80 districts. Getis-Ord Gi* statistics were employed to discover spatial patterns and iden …

01.09.2026journal-article

Journal of Physical Activity and Health

Engagement in Culturally and Regionally Relevant Physical Activity (Hula, Outrigger Paddling, Spearfishing, and Surfing) in the State of Hawai‘i Over the Lifecourse: A Cross-Sectional Analysis

Catherine McLean Pirkle, Mika D. Thompson, Rebekah Rodericks, Simone M. Schmid, Lance Kaeo Ching, Mele A. Look, Yan Yan Wu, Michael M. Phillips, Tetine Lynn Sentell

Background : Culturally and regionally relevant physical activities (CRRPA) show promise for disease prevention and strengths-based public health promotion. Understanding engagement across the lifecourse can support effective public health policy, research, and practice. This study examined: (1) factors associated with lifetime CRRPA participation; (2) contexts of practice and the frequency and duration of engagement; and (3) lifetime participation in 4 CRRPA in Hawai‘i (Hula, outrigger canoe paddling, spearfishing …

01.09.2026journal-article

Journal of Physical Activity and Health

Exploring Physical Activity and Barriers to Exercise in Transgender and Gender-Diverse Adults Initiating or Continuing Gender-Affirming Hormone Therapy

Emily Miro, Masaru Teramoto, Brett Toresdahl

Background : Little is known about physical activity and barriers to exercise in transgender and gender diverse (TGD) adults. We examined the impact of gender-affirming hormone therapy (GAHT) on exercise comfort and perceived barriers to physical activity. Methods : An online survey was distributed to TGD adults initiating or continuing GAHT at a primary care clinic. Comfort with exercise and agreement with statements describing potential barriers to physical activity were assessed using Likert scales. Pre- and pos …

01.09.2026journal-article

Voluntas: International Journal of Voluntary and Nonprofit Organizations

Volunteer Engagement and Retention among New and Past UK Mental Health Charity Helpline Volunteers: A Longitudinal Qualitative Study

Rosanna May Maletta, Victoria Vass, Eric Robinson

Abstract Voluntary mental health support services play an important role in public health. However, long-term retention of volunteers is a major challenge. The present study aimed to understand the reasons for reduced volunteer engagement and retention loss in a UK mental health charity. Twenty-two participants from two populations (new volunteers and leavers) were engaged in semi-structured interviews to (1) longitudinally explore new volunteers’ expectations and experiences in their new role; and (2) explore reas …