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01.09.2026journal-article

Vaccines

Factors Associated with Intention to Be Vaccinated Against Seasonal Influenza in Healthcare Workers: A Cross-Sectional Study Assessing Health Belief Model Constructs in Serbia

Larisa Vujnovic, Biljana Kilibarda, Sofija Jovanovic, Dragana Dimitrijevic, Milunka Milinkovic, Zoran Bukumiric, Verica Jovanovic

Introduction: As seasonal influenza vaccination coverage among healthcare workers (HCWs) in Serbia remains suboptimal, we aimed to identify HCW beliefs associated with their intention to receive seasonal influenza vaccine (“vaccination intention”) in the season 2024/2025. Methods: In a cross-sectional survey conducted in 2024, healthcare institutions were selected from a national registry, using multi-stage sampling stratified by geographical region and healthcare level. All consenting HCWs present on the survey da …

01.09.2026journal-article

Otolaryngology–Head and Neck Surgery

Predictors of Recurrent Croup: The Role of Social Determinants of Health and Otolaryngology Evaluation

Wesley P. Allen, Katie Hansen, Freddy A. Espinoza, Brandon M. Hemeyer, Jb Eyring, Tanner Heaton, Brock Coleman, Jeremy Meier, Reema Padia

Abstract Objective To evaluate the influence of patient comorbidities, social determinants of health (SDOH), and otolaryngology (OTO) referral timing on disease course and healthcare utilization among pediatric patients with recurrent croup. Study Design Retrospective cohort study. Setting Large tertiary children's hospital. Methods Pediatric patients (0‐18 years) evaluated by an OTO for recurrent croup between 2011 and 2024 were included (n = 70). Demographic, clinical, and referral data were obtained from medical …

01.09.2026journal-article

Perspectives on Sexual and Reproductive Health

Digital Sexual Practices, Consensual and Non‐Consensual Experiences and Wellbeing Consequences in the CSF ‐2023 French National Survey

Armelle Andro, Rim Bellamine, Aline Bohet

ABSTRACT Introduction Digital technologies have reshaped relationships and sexual practices, both in terms of sexual well‐being and through the emergence of cyberharassment. However, evidence remains limited, however, on how these practices vary by gender, generation, sexual orientation, and social position. This article aims to describe the frequency of online sexual experiences and their correlates in a large national sample. Methods The study draws on CSF‐2023, a cross‐sectional survey of sexuality in France. Th …

01.09.2026journal-article

Frontiers in Digital Health

The use of chatbots as interventions for mental health conditions: scoping review of systematic reviews and meta-analyses

Khanh Dang Bao Tieu, Felix Agyapong-Opoku, Belinda Agyapong

Background During the COVID-19 pandemic, the use of mental health chatbots received potential attention as a means of addressing the increase in demand for mental healthcare, which has become inaccessible due to a shortage of healthcare workers and lockdown. Even after the pandemic, chatbot versatility holds the potential to address the ongoing limited accessibility of mental healthcare due to a shortage of professionals, geographical challenges, cost, or stigma. Objective This review examines the scope and nature …

01.09.2026journal-article

Journal of Psychological Perspective

Qualitative Processes Associated with Social Interaction with ChatGPT and Digital Mental Health Literacy among Indonesian Generation Z

Igriya Fauzi Nabilah, Wihda Maulani, Amelia Putri Nirmala

The rapid adoption of generative artificial intelligence among Indonesian Generation Z has not been accompanied by adequate readiness to critically navigate the mental health information it provides. This study examined the association between Social Interaction with ChatGPT and Digital Mental Health Literacy (DMHL) and explored the qualitative processes that may help explain this association. It was hypothesized that social interaction with ChatGPT would be positively associated with digital mental health literacy …

01.09.2026journal-article

American Journal of Physiology-Regulatory, Integrative and Comparative Physiology

Time matters: BMAL1 and cardiovascular-kidney-metabolic health

Lance Dylan Reynolds, Zhengrong Guan, Jennifer S. Pollock

Modern lifestyles increasingly promote unhealthy eating behaviors, contributing to the global rise in cardiovascular-kidney-metabolic diseases (CKMD). Circadian rhythms, anticipatory responses that coordinate biological processes with the 24-h rotation of the earth, are tightly linked to feeding behavior and nutrient metabolism, which are crucial for cardiovascular-kidney-metabolic homeostasis. At the molecular level, core circadian “clock genes” take part in a highly-conserved, regulatory feedback loop that optimi …

03.09.2026journal-article

The Journal of Clinical Pharmacology

Population pharmacokinetics for the CTLA‐4 modulator gotistobart in patients with advanced solid tumors

Tianhong Li, Jiahui Xue, Yang Liu, Jun Yang, Ido D. Weiss, Hasan Abu Kharma, Juanjuan Su, Yuye Shen, Tairan Yang, Kumpal Madrasi, Frank Engler, Shuang Liang, Pan Zheng

Abstract Gotistobart is an investigational, next‐generation, humanized IgG1 monoclonal antibody targeting cytotoxic T‐lymphocyte antigen‐4. It is engineered to preserve cytotoxic T‐lymphocyte antigen‐4 through endosomal recycling while enhancing intratumoral regulatory T‐cell depletion. A population pharmacokinetic model was developed to characterize gotistobart pharmacokinetics and identify covariates contributing to inter‐individual variability in patients with advanced solid tumors. Serum concentration‐time data …

01.09.2026journal-article

Journal of Environmental Health

Environmental Health: Delivering One Health Before One Health Was Fashionable

Harriet Whiley, Kirstin Ross, Helen Psarras, Gayle Davis, Henry Dawson, Louise Dunn, David T. Dyjack, Toni Hannelly, Zena Lynch, Graeme Mitchell, Matilde A. Rodrigues, Farah Ayuni Shafie, Lindsay Shaw

Positioning environmental health at the center of the One Health model corrects a longstanding misinterpretation of its role. Although One Health emphasizes human, animal, and environmental domains, environmental health is the integrative practice that operationalizes these connections and translates the paradigm into action. Recognizing this reframing underscores the urgent need to invest in the environmental health workforce to ensure One Health is not merely aspirational. Environmental health professionals are u …

01.09.2026journal-article

International Forestry Review

Sustainable governance of forests: an integrated synergy model on the axes of policy, law, economics and society

H.E. Ünal, Ü. Birben

Forest governance rests on a stubborn paradox. Conceptual understanding has matured over recent decades, moving from sustained-yield forestry toward a reading of forests as complex adaptive socio-ecological systems, yet governance practice has not followed and remains lodged in fragmented sectoral structures that keep reproducing incoherent policy, unenforced law, misaligned economic incentives and poor social outcomes. The Integrated Synergy Model is presented to address that gap, a diagnostic framework that coupl …

01.09.2026journal-article

Nursing and Health Sciences Journal (NHSJ)

Development and preliminary psychometric evaluation of a Tuberculosis-Specific Health Literacy Questionnaire based on the integrated model: A phase 1 pilot study in Indonesia

Farida Nur Qomariyah, Lukawee Piyabanditkul

Tuberculosis-specific health literacy is critical for treatment adherence, yet Indonesia lacks a context-specific instrument grounded in a comprehensive framework. This pilot study aimed to develop and preliminarily evaluate a tuberculosis-specific health literacy questionnaire based on the Integrated Model of Health Literacy. A cross-sectional Phase 1 instrument-development study was conducted among former tuberculosis patients in Jember Regency, Indonesia. The 46-item questionnaire was mapped to four domains: acc …

07.09.2026journal-article

Hematological Oncology

Epidemiology, Presenting Features and Treatment Outcomes of Patients With Chronic Lymphocytic Leukemia (CLL) in Tanzania

Saida S. Saleh, Ahlam Nasser, Mwashungi Ally, Clara Chamba, Flora Ndobho, Magdalena Lyimo, Anna Schuh, William Frank Mawalla

ABSTRACT Chronic lymphocytic leukemia (CLL) is a hematological malignancy of mature clonal B‐cells commonly affecting elderly patients. Novel targeted therapies have improved survival, with 5‐year overall survival (OS) approaching that of the general population. However, data from Sub‐Saharan Africa, including Tanzania, remain scarce, and the epidemiology, clinical presentation, and treatment outcomes are poorly defined. We conducted a retrospective review of all patients diagnosed with hematological malignancies a …

01.09.2026journal-article

Journal of Women's History

Women of Color Health Activists, Self-Help, Community, and Care

Elizabeth Hearne

Abstract: In the 1980s and 1990s, some women of color health activists in the United States theorized their own methods for emotional care and healing. This article details the development, practice, challenge, and legacy of psychological Self-Help in the National Black Women's Health Project and beyond. It also frames Self-Help in a background historical context. Activists' oral histories and archival documents reveal how they approached the care of individual and collective traumas, including racial trauma. Their …

01.09.2026journal-article

Journal of Public Health and Development

Rethinking successful aging concepts: Insights from a culturally grounded model among older adults in Odisha, India

Aditya Narayan Das, Smita Mishra Panda, Anjali Dash

Despite the widespread use of the biomedical model of successful aging, it overlooks the cultural and lived experiences of older adults in low- and middle-income countries, such as India. Therefore, this cross-sectional study aims to empirically test a culturally grounded model of successful aging in India. Using a multistage stratified sampling with a structured interview schedule, this study used 600 older adults aged 60 years and above from Odisha, India. We used a dichotomous measure of successful aging, which …

01.09.2026journal-article

Cancers

Cardiovascular Morbidity Following Definitive Chemoradiotherapy for Lung Cancer in an Appalachian Population

Vivian Salama, Joseph A. Schmidlen, John Christopher Knoth, Troy Nguyen, Aaron Naveen Joseph, Matthew Trotta, Ramon Alfredo Siochi, Raymond R. Raylman, Jeffrey Ryckman, Mohammed Almubarak, Christopher M. Bianco, David A. Clump, Mina F. Hanna, Phillip M. Pifer

Background/Objectives: Cardiovascular morbidity following definitive chemoradiotherapy (CRT) for lung cancer is a major concern in Appalachia due to high rates of smoking and pre-existing cardiovascular disease. This study characterized the cardiovascular burden following CRT in a real-world Appalachian population. Methods: A retrospective study was conducted among Appalachian patients with lung cancer treated with definitive CRT from 2013 to 2025. Cardiovascular adverse event (CVAE) incidence, spectrum, and tempor …

03.09.2026journal-article

Health Science Reports

A Systematic Review of Health Literacy in People Living With Parkinson's Disease

Saleha Mahomed‐Kola, Jennifer Watermeyer, Aline Ferreira‐Correia

ABSTRACT Background and Aim Health literacy (HL) is important for People with Parkinson's Disease (PwPD), as the complexity of symptom management requires individuals to understand and apply health information across diverse healthcare contexts. This systematic review aims to provide a narrative synthesis of worldwide evidence on HL in PwPD by synthesizing overarching themes that demonstrate the ways in which HL affects disease management. Methods A narrative, thematic synthesis of the included studies was done. Ar …

01.09.2026journal-article

European Journal of Anatomy

Morphological analysis of the first rib for sexual dimorphism among Malaysian population using three-dimensional geometric morphometric method

Nurul H. Zaidun, Aspalilah Alias, Eric Chung, Rani Sakaran, Nur D.I. Zulkiflee, Helmi Hadi, Choy K. Woon

The first rib possesses unique anatomical features that make it readily identifiable. This characteristic supports its use in sex estimation in forensic anthropology, particularly when the pelvis or skull is unavailable. Previous studies used linear morphometry based on linear measurements, neglecting shape element. Three-dimensional geometric morphometrics (3DGM) can assess both size and shape, providing a different approach in morphological analysis. Despite the important of population-specific variation of skele …

03.09.2026journal-article

The Journal of Clinical Pharmacology

One Model to Dose Them All: A Population Pharmacokinetic Model for Multiple Aminoglycosides Across the Human Lifespan

Dominic M. H. Tong, Jonathan D. Faldasz, Ron J. Keizer, Jasmine H. Hughes

Abstract Aminoglycosides require therapeutic drug monitoring due to substantial pharmacokinetic variability across individuals. While population pharmacokinetic (popPK) models have been developed for individual drugs across age groups, and cross‐drug maturation models have been explored, it is unclear whether pooling data across aminoglycosides improves predictive performance. We developed and evaluated a unified multi‐aminoglycoside popPK model spanning neonates, children, and adults. De‐identified data from 5659 …

01.09.2026journal-article

Journal of Economic Literature

Demand, Competition, and Public Policy in the Automobile Industry

Johannes Van Biesebroeck, Frank Verboven

We review the flourishing literature on the automobile industry since the seminal work of Berry, Levinsohn, and Pakes (1995), or briefly BLP. Their work provides a structural equilibrium framework that forms a basis for conducting policy counterfactuals in several key areas of interest: competition policy and antitrust, trade policy, and taxation and environmental policy. The demand side of the “BLP framework” is micro-founded and allows for rich consumer heterogeneity to generate flexible substitution patterns bet …

01.09.2026journal-article

Student's Journal of Health Research Africa

Identification of Risk Factors for Mortality Due to Multidrug-Resistant Tuberculosis Among Patients Managed at the Lufungula Tuberculosis Screening and Treatment Center in the National Police Health Zone, Kinshasa Provincial Health Division: A Survival Analysis.

Jacques, Gerard, Bob Senker Ndimba, Emmanuel, Zebe Mbadu, Jean-Paul, Jules

Introduction: Multidrug-resistant tuberculosis (MDR-TB) is a major public health problem, particularly in sub-Saharan Africa. The Democratic Republic of Congo (DRC) is among the countries with a high burden of tuberculosis and multidrug-resistant tuberculosis. Identifying factors associated with mortality is essential to improving patient management and survival. This study aimed to identify risk factors for mortality among patients with MDR-TB followed at the Lufungula Tuberculosis Screening and Treatment Health C …

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

INTERNATIONAL JOURNAL OF CARE SCHOLARS

Bridging The Policy-To-Practice Gap: A Narrative Review of School-Based First Aid Training Frameworks For Teachers in Abu Dhabi

Arunima P Soman, Thandar Aung Khin, Dalwinder Kaur

Background: Schools are often the first setting where children experience sudden medical emergencies and physical injuries. In Abu Dhabi, school health and safety regulations require safe learning environments and ensure staff are prepared through emergency response training. Despite the rapid institutionalisation of safety mandates by regulatory bodies, a profound disconnect persists between top-down expectations and actual classroom preparedness for emergency response. This review examined teachers' readiness to …

01.09.2026journal-article

INTERNATIONAL JOURNAL OF CARE SCHOLARS

Visit Frequency among Patients with Type 2 Diabetes Mellitus: A Multivariable Poisson Regression Analysis using Indonesia’s National Health Insurance Data 2023

Muhamad Zakki Saefurrohim, Agustin Putri Rahayu, Akmal Izzuddin Tahir, Blego Sedionoto

Background: Type 2 diabetes mellitus (T2DM) is a chronic condition requiring multidisciplinary management to prevent serious complications with increasing diabetes-related visits, higher hospitalization rates, and greater mortality risk. This study aimed to identify factors associated with the frequency of T2DM patient visits to Advanced Referral Healthcare (ARH) facilities within Indonesia’s National Health Insurance (BPJS) system, to support evidence-based improvements in care coordination. Methods: A cross-secti …

01.09.2026journal-article

Healthcare

Family Health Literacy, Family Functioning, and Type 2 Diabetes Self-Management in the Context of Informal Caregiving: An Embedded Mixed-Methods Multiple-Case Study

Filipa Pinheiro, Maria Odete Amaral, Ana Filipa Loureiro

Background/Objectives: Type 2 diabetes is a prevalent chronic disease that requires continuous self-management and adaptation by both individuals and their families. Health literacy is recognised as an important determinant of chronic disease management, influencing the ability to access, understand, and use health information. This study aimed to explore how family health literacy and family functioning were related to type 2 diabetes self-management across four family cases in the context of informal caregiving a …

01.09.2026journal-article

Cancer Epidemiology, Biomarkers & Prevention

Creating outdoor air pollution exposome metrics for assessing breast and lung cancer risks in the United States

Joseph Boyle, Rena R. Jones, Alexandra J. White, Junfeng (Jim) Zhang, Verónica M. Vieira, Bernard F. Fuemmeler

Abstract Background. Air pollution (AP) is a known cause of lung cancer (LC); growing evidence links AP with breast cancer (BC) risk. Many epidemiological studies analyze PM2.5, though AP is a complex mixture of many pollutants. New metrics are necessary to fully represent the carcinogenic constituents of AP. Therefore, we aimed to develop cancer-specific metrics to determine where and what types of AP drive incident cancers. Methods. We combined databases of AP across the continental US in 2005-2020, including the …