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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
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 …

01.09.2026journal-article

Beverages

Saccharomyces cerevisiae var. boulardii—Fermented Beverages: Health Benefits, Safety Considerations, and Technological Challenges Across Fruit, Dairy, and Cereal Matrices

Hadeel Edkaidek, Divakar Dahiya, Poonam Singh Nigam

Fermented beverages are increasingly recognized as promising vehicles for delivering probiotics and bioactive compounds; however, their functionality cannot be explained solely by microbial properties, as it is strongly shaped by interactions between the microorganism, the food matrix, and processing conditions. This review critically synthesizes evidence across fruit-, dairy-, and cereal-based fermented beverage systems, with particular attention to the fragmented and often difficult-to-compare nature of the avail …

01.09.2026journal-article

Cancer Epidemiology, Biomarkers & Prevention

The Oral Microbiome: A Silent Contributor to Systemic Health and Disease National Institutes of Health 2024 Workshop

Gabriela Riscuta, Anil Wali, Emmanuel F. Mongodin, Mukesh Verma, Marco Cardone, Hye-Sook Kim, Tamara McNealy, Altaf Mohammed

Abstract Previously considered primarily only in the context of dental diseases, the oral microbiome is now recognized as a contributor to a variety of systemic diseases, including cancer and cardiovascular diseases. This commentary explores the evolving view of the oral cavity as a gateway to the body’s broader physiologic networks, implicating oral microbiome dysbiosis in a spectrum of chronic conditions. Drawing on current evidence, we propose a re-envisioned healthcare model that integrates oral and systemic he …

01.09.2026journal-article

Environmental Analysis Health and Toxicology

Absorption, Distribution, Metabolism, Excretion, and Toxicity (ADMET) Prediction, Molecular Docking, and In Vitro Evaluation of Curcumin Against Escherichia coli Biofilm on Catheter Surfaces

Hasyrul Hamzah, Muhammad Aidil Fitrah, Sylvia Utami Tunjung Pratiwi, Sholahuddin Rhatomy, Asriullah Jabbar, Riza Maulana, Virgiawan Yoga Pratama

Catheter-associated urinary tract infections (CAUTIs) are often related to bacterial adhesion and biofilm formation on catheter surfaces, which may reduce the effectiveness of antimicrobial treatment. Curcumin has been reported to possess antimicrobial and antibiofilm properties; however, its activity against Escherichia coli biofilm biomass on catheter surfaces requires further evaluation. This study aimed to investigate the preliminary antibacterial and antibiofilm activity of curcumin against Escherichia coli AT …

01.09.2026journal-article

Frontiers in Public Health

Uncommon pathogen, common activity: Streptococcus pneumoniae conjunctivitis outbreak traced to a primary school field trip

Xiaojian Duan, Xiaobin Ren, Kai Song, Jiayun Wang, Yi Wang, Yuanming Zhang, Li Ren, Liangliang Huo, Jing Wang

Background In December 2025, an outbreak of acute conjunctivitis emerged at a primary school in Hangzhou, China, affecting 48 students and yielding an attack rate of 2. 16%. The outbreak is of particular significance as it was attributed to Streptococcus pneumoniae , a pathogen seldom implicated in large-scale conjunctivitis outbreaks among school-aged children. Methods An epidemiological investigation, a case-control study, and laboratory analyses—comprising multiplex real-time PCR and bacterial culture—were condu …