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23 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
31.08.2026journal-article

Journal of Theoretical and Applied Electronic Commerce Research

When AI Says It Is Not Sure: AI Uncertainty Expression, Trust, and Purchase Hesitation in Online Health Product Recommendation

Dandan Liu, Xiongying Niu

AI recommendation assistants increasingly provide quasi-advisory support in online health-product shopping, yet little is known about how their expressions of uncertainty shape consumer decisions. Drawing on the stimulus–organism–response framework, signaling theory, and computer-mediated communication/Computers Are Social Actors logic, this study conceptualizes AI uncertainty expression (AIUE) as a message-level cue of epistemic certainty. A 2 (AIUE: high vs. low) × 2 (health risk severity: high vs. low) between-s …

31.08.2026journal-article

Asian Journal of Medical Sciences

The comparative analysis and health concerns of recently emerged sub-lineages of Omicron, which have led to rising cases of COVID-19 in the Indian population in 2023

Amrita Panja, Biplab Kahar

The present World is facing unpredictable health problems generated by different variants of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Continuous evolution of SARS-CoV-2 has contributed to develop new subvariants, including BQ.1, BQ.1.1, BA.4.6, BF.7, and BA.2.75.2. Each sub lineages are little different from each other depending upon the mutations during their genome replication. There is a vital role of mutations in transmissibility and virulence of SARS-CoV-2. XBB.1.16 lineage has seemed as t …

31.08.2026journal-article

Journal of Public Health and Primary Care

Clinical Examination and Scoring Systems in Diabetic Peripheral Neuropathy: A Narrative Review

Suchitra Dube, Sandip M. Hulke, Santosh Laxman Wakode, Lakshya Bhardwaj

Abstract Diabetic peripheral neuropathy (DPN) is a prevalent and disabling complication of diabetes mellitus, manifesting as sensory, motor, and autonomic dysfunction. It increases the risk of foot ulceration, amputation, and cardiovascular morbidity. While nerve conduction studies (NCSs) and autonomic function testing (AFT) are considered reference standards, their high cost and limited accessibility restrict widespread use in clinical practice. This narrative review integrates findings from Indian and internation …

31.08.2026journal-article

Journal of Psychology and Social Sciences

Pengaruh Resiliensi dan Stres Kerja terhadap Produktivitas Kerja pada Pendidik

Sri Kandariyah Nawangsih, Dewi Puspitasari, Agung Santoso Pribadi

Peran pendidik di era Society 5.0 mengalami pergeseran dari sekadar pemberi informasi menjadi fasilitator. Bekerja secara produktif untuk mencapai target yang ditentukan, beradaptasi dalam situasi kerja yang relatif sulit, melakukan penyesuaian terhadap perubahan, dan mempertahankan kualitas hasil capaian bahkan meningkatkannya merupakan tantangan tersendiri bagi pendidik. Penelitian ini bertujuan untuk mengetahui secara empiris pengaruh resiliensi dan stres kerja terhadap produktivitas kerja pada pendidik. Metode …

31.08.2026journal-article

Journal of Environmental Health and Sanitation Technology

Desain Instalasi Pengolahan Air Limbah (IPAL) Puskesmas Balai Berkuak dengan Sistem Biofilter Anaerob-Aerob untuk Pengolahan Air Limbah

Kalisto Edimemo Mario Liberto Bima Ratna, Asmadi, Hajimi

Air limbah Puskesmas mengandung senyawa dan mikroorganisme pathogen yang berpotensi mencemari lingkungan. Tahun 2023 akan dibangun gedung baru Puskesmas Balai Berkuak, sedangkan bentuk desain IPAL tidak termasuk dalam perencanaan. Penelitian bertujuan merencanakan desain IPAL yang memenuhi standar pengolahan air limbah di Puskesmas Balai Berkuak dengan sistem biofilter anaerob-aerob. Desain IPAL ini menggunakan kombinasi media Sarang Tawon dan Media Moving Bed Biofilm Reactor (MBBR). Penelitian ini bersifat deskrip …

31.08.2026journal-article

Journal of Cross-Cultural Psychology

Is Societal Progress Muting the Expressivity of Negative Emotions? Evidence from Two Cross-national Studies

June Chun Yeung, Vivian Miu-Chi Lun, Liman Man Wai Li, Michael Harris Bond, Mohsen Joshanloo, Maciej R. Górski, Miłosz Kalinowski, Victoria Wai Lan Yeung, Eric Kenson Yau, M. Azhar Hussain, Iva Poláčková Šolcová, Brian W. Haas, Farida Guemaz, Mahmoud Boussena, Ángel Sánchez-Rodríguez, Nuha Iter, Olha Vlasenko, Nur Amali Aminnuddin, İdil Işık, Oumar Barry, Márta Fülöp, David Igbokwe, Mladen Adamovic, Ragna Benedikta Garðarsdóttir, Natalia Soboleva, Julien Teyssier, Fumiko Kano Glückstad, Joonha Park, John Zelenski, Belkacem Yakhlef, Cai Xing, Arkadiusz Wasiel, Christin-Melanie Vauclair, Wijnand van Tilburg, Yvette van Osch, Yukiko Uchida, Vladimir Turjačanin, Tra Thi Thanh Kieu, Claudio Torres, Chien-Ru Sun

Contemporary theories of emotion emphasize the dual role of emotions as both personal experiences and communicative signals during social interactions. However, the impact of macro-level societal structures on emotional expression remains underexplored. This study investigates the expression-experience discrepancy for self-reported emotions across nations, focusing on how societal development relates to this discrepancy, which captures expressivity. Using meta-analysis and multilevel modeling with a multinational s …

31.08.2026journal-article

Health Security

Mirror Life and the Case for Adaptive Risk Governance

David R. Gillum

The current conversation regarding the potential for a mirror organism, opposite in chirality to typical life on Earth, presents a unique opportunity for the biosafety and biosecurity policy communities. It allows for meaningful and productive conversation before the technology can create a complete mirror organism. Because of their unusual structure and chemistry, mirror organisms might evade immune systems or survive undetected in the environment, posing atypical concerns that current risk assessment and mitigati …

31.08.2026journal-article

The International Journal of Psychiatry in Medicine

Sleep Quality, Daytime Sleepiness, and Circadian Rhythm Characteristics in Chronic Kidney Disease: A Cross-Sectional Study Across Disease Stages

Harun Yetkin, Mehmet Fatih Uzanulu, Onur Selçuk Yiğit, Zeynep Dilara Yetkin, İrem Dikilitaş, Hacı Mehmet Çitil, Hacı Bayram Berktaş, Mehtap Karaaslan

Objective To compare sleep quality, daytime sleepiness, and circadian rhythm characteristics across clinically defined chronic kidney disease (CKD) groups and to examine their relative contribution to global subjective sleep quality. Method This two-center, cross-sectional study enrolled 344 adults with CKD (response rate: 96.6%) from nephrology settings in Turkey. Participants were classified into three groups: mild-to-moderate CKD (KDIGO stages 2-3; n = 133), advanced CKD without dialysis (stages 4-5; n = 37), an …

31.08.2026journal-article

Holistic Nursing Plus

Association Between Perceived Stress and Academic Adjustment Among First-Year Health Sciences Students: A Cross-Sectional Study

Eltanina Ulfameytalia Dewi, Aan Devianto, Angelique Haliwela, Santoso, Agus Haryanto Widagdo, Nugroho Joko Sasono

Abstract Background: The transition to higher education requires students to adapt to new academic demands, social environments, and responsibilities. These changes may increase stress and potentially affect students' ability to adapt academically. Purpose: This study aimed to determine the association between stress level and academic adaptability among students at STIKES Guna Bangsa Yogyakarta. Methods: This study employed a quantitative research design with a cross-sectional approach. The population consisted of …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

Social determinants of health and health inequalities in Alzheimer's Disease in the United Kingdom: A Systematic Review of the Evidence between 2018 and 2024

Oluwabisifunmi Joshua Egwaoje

Background: Alzheimer's disease (AD) accounts for 60–70% of dementia cases worldwide and remains a leading cause of death in England and Wales (Leahy et al., 2023; WHO, 2021). Its prevalence, progression and management are shaped not only by biological ageing but also by health inequalities and the social determinants of health (SDoH), yet the mechanisms linking these factors to AD outcomes in the UK remain fragmented across the literature. Aim: This systematic review synthesises evidence on how health inequalities …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

ENHANCING MENTAL HEALTH ACCESS: A TELEHEALTH APPROACH FOR RURAL YOUNG ADULTS

Christy Ugo Peters

The rural young adults between 18 and 25 years are still among the most underserved groups in the systems of global mental health with compounded stigma, provider shortages, geographic isolation, and limited digital infrastructure. The literature review will focus on the importance of telehealth as a tool of increasing access to mental health among this population based on five empirical studies published between the years 2020 and 2024. The study was a synthesis of evidence on qualitative, quantitative, mixed-meth …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

THE ASSOCIATION BETWEEN STRESS MANAGEMENT AND EMOTIONAL WELL-BEING AMONG NURSING STAFF IN SAUDI ARABIA'S MAKKAH HEALTH CLUSTER

Reem Hamzah Alshotiri, Hafizah Che Hassan

Stress has been among the most widespread occupational risks among nurses, especially in high-demanding healthcare environments like the Makkah Health Cluster in Saudi Arabia. Persistent stress has an adverse effect on emotional health resulting in burnout, decreased job satisfaction, and low-quality patient care. This following systematic review aimed to address the following question: What is the association between stress management interventions and emotional well-being among nursing staff in the Makkah Health …

31.08.2026journal-article

Korean Association of Christian Counseling & Psychology

A Case Study of Counseling on the Self Recovery Process of Disorganized Attachment Client: Focusing on the Integrated Application of EFT and IFS

Korean Association of Christian Counseling & Psychology, Soo Haeng Lee

This study proposes an integrative counseling model combining Emotion-Focused Therapy and Internal Family Systems to address maladaptive symptoms and reconstruct the collapsed inner self-system in clients with disorganized attachment. Based on a comprehensive literature review, this integrative approach was applied to a clinical case study to analyze the therapeutic process. Specifically, the study demonstrates how a client with attachment trauma learns to experience the true Self, externalize distorted emotional r …

31.08.2026journal-article

Open Research Africa

Digital communication for maternal and newborn health in sub-Saharan Africa: evidence, implementation and AI implications

Richard Kimera, Emily Downey, Rogers Mwavu, David Bamutura, Liam McCoy, Jospeh Ngonzi, William Wasswa, Leo Anthony Celi, Fred Kaggwa

Digital health interventions are increasingly used to communicate antenatal, intrapartum, postnatal and newborn-care information in sub-Saharan Africa, but their effects depend on more than message delivery. This narrative review examines what recent evidence shows about the mechanisms, implementation conditions and outcomes of patient-facing and provider-facing digital interventions, with particular attention to rural and semi-rural settings. Peer-reviewed studies and authoritative guidance published from 2000 to …

31.08.2026journal-article

Frontiers in Public Health

Sex and age are associated with host immune responses and multi-organ dysfunction in hospitalized patients with COVID-19

Guochao Zhang, Yingying Zhao, Xiaoxia Chang, Qi Gao, Yunchao Zhang, Yanjun Lai

Objectives Sex- and age-related disparities are independent risk factors for poor COVID-19 outcomes, but underlying mechanisms remain unclear. Methods This retrospective cohort study included 395 hospitalized COVID-19 patients (December 2022–March 2023). Biomarkers of multi-organ injury and immune responses were analyzed to evaluate the impact of sex and age on disease progression and clinical outcomes. Normality was assessed with the Shapiro–Wilk test; Student’s t or Mann–Whitney U tests were used accordingly, wit …

31.08.2026journal-article

Frontiers in Psychiatry

Autistic interests: wide-ranging and intellectually oriented

Catherine L. Caldwell-Harris

Introduction The interests of autistic individuals have traditionally been described as circumscribed and restricted, serving the functions of self-regulation by reducing prediction error. Historically, this may have seemed reasonable when applied to autistic children and adults with intellectual disability. The current study investigated the restrictiveness and function of focused interests of autistic adults with typical intellectual ability. Methods To hear from autistic adults themselves, bypassing interviewers …

31.08.2026journal-article

Frontiers in Psychology

Motivational orientation and practice-scheduling patterns as correlates of self-regulated learning strategies in pre-professional cello students: a predictive-correlational study

Şehriban Koca, Berrin Melisa Altunoluk

Background Self-regulated learning (SRL) theory and Self-Determination Theory (SDT) propose that motivational orientation is statistically linked to the cognitive and metacognitive strategies learners use during independent practice. Prior research on instrumental practice—including earlier descriptive analyses of this population—has relied on concurrent correlational designs that cannot establish predictive ordering or test underlying processes. Aim This predictive-correlational study examined whether a self-repor …

31.08.2026journal-article

Frontiers in Public Health

Effects of the COVID-19 pandemic on working conditions and mental health among employees in health and social services

Claudia Peters, Madeleine Dulon, Jan Felix Kersten, Christofer Hartung, Albert Nienhaus, Anja Schablon

Background The COVID-19 pandemic has posed major challenges in the workplace. This exploratory, cross-sectional study investigated the association between occupational activities and mental health. Methods In 2023, 576 employees from health and social care institutions were surveyed about their occupational situation, their self-assessed ability to work, health-related issues, as well as their mental health and quality of life. Results The respondents were predominantly women with an average age of 49 years. Of the …

31.08.2026journal-article

Journal of Neurosciences in Rural Practice

Proactive integrated mental health care (PIMHC) model for hospitalized surgical patients: Development and feasibility study

Kewithinwangbo Newme, Abhilash Goyal, Jay Kishor Soren, Ashok Puranik, Nibedita Das, Ramdas Ransing

Objectives: Mental health disorders (MHDs) adversely affect the surgical outcomes, including pain, hospital stay, complications, and mortality. Proactive consultation–liaison (C-L) psychiatry models are widely used for surgical patients in high-income countries, but they have yet to be developed and systematically evaluated in Indian healthcare settings. The present study aims to develop and evaluate the feasibility of a proactive integrated mental health care (PIMHC) model for surgical inpatients in a tertiary cen …

31.08.2026journal-article

INTERNATIONAL JOURNAL OF INNOVATIVE RESEARCH IN MULTIDISCIPLINARY EDUCATION

Building A Quality Ecosystem for Clinical Psychology: Integrating Competence, Ethics, Supervision, and Professional Regulation

Vu Xuan Huong

An important consideration in clinical psychology is that of professional quality. Having appropriate standards is not enough; they must shape both the training of clinical psychologists and the work that they do. Therefore, all of the elements that contribute to the professional quality of clinical psychologists, that is, competence, ethics, supervision, accreditation and regulation, must function together. This critical integrative review sets out to explore the relationships between these elements. A record-veri …

31.08.2026journal-article

International Journal of Medical and Health Research

Enhancing Radiation Safety Practices and Patient Awareness in Rural Healthcare Facilities in Enugu State, South East Nigeria: A Cross-Sectional Public Health Study

Okechukwu Sixtus Oluebube, Odo Oliver Izuchukwu, Okike Abel Somadina, Chikamnele Favour Chimezirim, Olinya Josephine Chinenye, Chisom Franklin Omerike, Ahmad Aliyu Gulani, Shehu Muhammad Awwal, Eze Sunday Chiayalam, Casmir N. Ochie

Medical imaging utilizing ionizing radiation has significantly improved diagnostic accuracy and patient management in modern healthcare. However, inadequate radiation safety practices and poor patient awareness remain critical challenges, particularly in rural healthcare settings in developing countries. This study assessed radiation safety practices among healthcare workers and patient awareness regarding diagnostic radiation exposure in rural healthcare facilities in Enugu State, South East Nigeria. A descriptive …

31.08.2026journal-article

Bioelectromagnetics in Medicine

Protecting Public Health and Biodiversity from Electromagnetic Exposure Through Spatiotemporal Management of Emissions in Connected Social Spaces

Adel Razek

Modern technologies using electromagnetic fields (EMF) present both anticipated benefits and undesirable side effects related to exposure. These effects may pose potential health risks to humans and environmental biodiversity under specific exposure conditions. Diverse public spaces where people work, play, do business, attend school, or receive healthcare each possess their own unique biodiversity. The functioning of these spaces requires internet connections via antennas, which are themselves linked to management …

31.08.2026journal-article

International Journal Of Community Medicine And Public Health

A case report on Clostridium baratti in placenta: pathogen or commensal

Arpita Panda, Bhawna Sharma, Nidhi Punia, Dharsshana Shanmugasundaram, Deepthi Nair

Clostridium baratti is a rarely reported anaerobic bacterium, primarily isolated from immunocompromised patients. We report a case of C. baratti isolated from placental tissue in a 32-week pre-rupture of membranes patient with acute chorioamnionitis. The mother presented with fever, elevated inflammatory markers (CRP 42 mg/l, WBC 16,500/μl), and fetal tachycardia. Placental culture revealed C. baratti (anaerobic culture) and non-pathogenic organisms (aerobic culture). The neonate developed early-onset sepsis with l …