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

Corporate Law & Governance Review

Governance and legal framework of stakeholder relations in public-private partnership contracts

Fatima Rizq Moustafa, Ahmed Moustafa Aldabousi, Abdelrehim Awad

This study assesses the adequacy of Saudi Arabia’s legal and regulatory framework for public-private partnership (PPP) contracts, focusing on stakeholder relations, accountability, transparency, risk allocation, and long-term sustainability. Using a qualitative legal-institutional methodology, it combines doctrinal analysis, institutional mapping, and comparative benchmarking against selected international PPP models. The findings indicate substantial progress under Vision 2030, particularly through the Private Sec …

03.09.2026journal-article

Transplant International

Public perception of xenotransplantation and its implication for policy and regulation: lessons learnt from a qualitative study of the Swedish public

Rui Liu, Markus Idvall, Susanne Lundin

The field of xenotransplantation is advances rapidly. Its cross-species nature creates regulatory challenges different from those in allotransplantation. Public opinion is promoted as an essential element in developing responsible governance for this technology. This study takes a qualitative thematic approach to analyze data collected through a questionnaire (n = 136) to the Swedish public. The aim is, first, to analyze how respondents articulate concerns, hopes, and moral evaluations regarding XT, and second, to …

03.09.2026journal-article

Frontiers in Digital Health

Diagnostic accuracy of an artificial intelligence-driven cytopathological tool in detecting cervical pre-cancerous lesions from Pap smear images

Sang'udi Sang'udi, David Muhunzi, Whitefrank Frank, Deogratias Mzurikwao, Jackline Ngowi, Davis Amani, Leah F. Mnango, Angela Mlole, Belinda J. Njiro, Mboka Jacob, Bruno Sunguya

Background Cervical cancer remains a leading cause of cancer death among women in sub-Saharan Africa, with Tanzania bearing a disproportionate burden. The critical shortage of trained pathologists, coupled with the unprecedented disease burden in low-resource settings, underscores the urgent need for point-of-care screening and diagnosis to enable timely decision-making. We assessed the diagnostic accuracy of AI-driven cytopathological tools to improve diagnostic efficiency and accessibility. Methods This retrospec …

03.09.2026journal-article

Frontiers in Global Women's Health

Personal sense of coherence and posttraumatic stress symptoms among internally displaced women exposed to the Anglophone Crisis in Cameroon

Edwige Emilie Kouamen Tatto Mouandjo, Anne Wandjiru Mbwayo, Anne Muthoni Mathai, Jean-Baptiste Fotso Djemo, Houdou Seyni, Thomas Schnell, Julia Fischer, Roland Weierstall-Pust, Gesa Pust

Women and girls affected by armed conflict and forced displacement are exposed to a high burden of potentially traumatic events, gendered insecurity, disrupted social networks, and barriers to mental health care. Evidence on protective psychological resources among internally displaced women in Central Africa remains limited. This study examined trauma load, personal sense of coherence (SoC), and sense of community coherence (SoCC) as predictors of posttraumatic stress disorder (PTSD) symptom severity among women i …

03.09.2026journal-article

Southern Economic Journal

The Camp Fire, the Lahaina Fire, and Beyond: Impacts of Severe Wildfires on Households' Financial Health

Stephan Whitaker, Kathryn McConnell, Elizabeth Fussell, Jack DeWaard, Katherine Curtis, Kobie Price, Lise St. Denis, Jennifer Balch

ABSTRACT Using US credit history data, this paper examines consumer credit use and financial health among people whose neighborhoods suffered destructive wildfires. We first estimate the impacts on consumer credit measures for people affected by the two most severe wildfires: the 2018 Camp Fire and the 2023 Lahaina Fire. Individuals in neighborhoods impacted by these two fires exhibit declines in their mortgage balances, as their mortgages are prepaid in many cases, and their residential moves increase. Their credi …

03.09.2026journal-article

Economics, Law and Policy

Research on the Mechanism and Pathway of Digital-Real Integration Empowering Green Transformation of Chongqing Manufacturing Industry

Li Jinlin

As a vital engine for developing new quality productive forces, digital-real integration also serves as a core lever for Chongqing to promote the high-end, intelligent, and green transformation of its manufacturing industry. Drawing on data from Chongqing’s “33618” modern manufacturing cluster system and digital economy development, this paper systematically analyzes the current state of manufacturing green transformation and digital-real integration. It identifies the following problems in digital-real integration …

03.09.2026journal-article

Frontiers in Public Health

From one-size-fits-all to context-specific: the 10-day observation rule-a need for change

Xin Wang

WHO’s ‘Zero by 30’ strategic plan relies on post-exposure prophylaxis guidelines designed for high-resource settings. This policy brief argues that the implementation gap of the 10-day observation rule in high-burden countries stems from fundamental infeasibility, exposing two paradigm defects in WHO guideline development: one-size-fits-all thinking and insufficient attention to implementation science. When the public misinterprets the 10-day rule as “wait and see” rather than “initiate PEP immediately while observ …

03.09.2026journal-article

Brazilian Journal of Implantology and Health Sciences

Perfil epidemiológico da Meningite em Maringá entre 2014 e 2024.

Amanda Santin, Tarcísio Menezes Rodrigues, Marylya Dayany Morais Medeiros Dias, Ícaro Da Costa Francisco, Udelysses Janete Veltrini Fonzar, Sandra Andréa Pierini

A meningite consiste em um processo inflamatório das meninges, desencadeado por diversos agentes infecciosos, e configura uma importante questão de saúde pública no Brasil. Este estudo teve como finalidade avaliar o perfil epidemiológico das notificações de meningite no município de Maringá-PR, no período de 2014 a 2024. Trata-se de uma pesquisa transversal, descritiva e retrospectiva, elaborada a partir de dados secundários do Sistema de Informação de Agravos de Notificação (SINAN), acessados por meio do DATASUS. …

03.09.2026journal-article

PLOS One

Effectiveness of monitoring mechanisms in reducing immunization dropouts among infants in health facilities of Maridi County, South Sudan

Daniel Opinile Mark Igga, Nzomo Mwita, Kennedy Muni

Introduction Childhood immunization is among the most cost-effective public health strategies available, yet dropout rates, the proportion of infants who begin but fail to complete the recommended vaccination schedule, remain a persistent obstacle to achieving high and equitable coverage. Global third-dose pentavalent coverage stood at 86% in 2019, declined to 84% in 2020, and fell further to 82% in 2021, consistently falling short of the 85% minimum target. This shortfall is especially pronounced in fragile health …

02.09.2026journal-article

Journal of Exposure Science & Environmental Epidemiology

A two-stage modeling approach to estimate indoor NO2 exposure: a Barcelona case study

Alan Domínguez, Yu Zhao, Karl Samuelsson, Pol Jimenez-Arenas, Marta Cirach, Gustavo Arevalo, Lluis Barril, Jose Lao, Maria Foraster, Mirea Gascón, Cecilia Persavento, Mark Nieuwenhuijsen, Cathryn Tonne, Teresa Moreno, Xavier Querol, Michael Jerret, Joel Schwartz, Jordi Sunyer, Payam Dadvand, Ioar Rivas, Xavier Basagaña

Abstract Background Indoor air pollution is a major contributor to personal exposure to air pollution, yet accurately modeling indoor concentrations remains a major challenge in epidemiological studies. This issue is especially relevant since we spend a great portion of our time indoors. Objective To develop a two-stage model to estimate indoor nitrogen dioxide (NO 2 ) concentrations. Methods The study was conducted in the Barcelona Life Study Cohort (2018–2021), a cohort of pregnant individuals in Barcelona, Spain …

02.09.2026journal-article

Medinformatics

An Adaptive Dual-Loop Artificial Intelligence Framework for Integrated Disease Surveillance and Health Workforce Learning in Low-Resource Health Systems

Kenneth Goga Riany, Agnes Linus Muthoni, Marcellah Eucabeth Onsomu, Pauldy C. J. Otermans, Dev Aditya

Background: In many low-resource health systems, disease surveillance and workforce training run on separate rails, so outbreaks are caught late, and frontline capacity stays thin. Most artificial intelligence (AI) tools pick one side or the other; almost none couple them. Methods: We built and tested an Adaptive Dual-Loop AI Framework. One loop, for epidemiological intelligence, handles multi-source ingestion, anomaly detection, and time series forecasting; the other, for workforce learning, runs a conversational …

02.09.2026journal-article

Journal of the American Society of Nephrology

ASN Kidney Health Guidance on the Cardiovascular-Kidney-Metabolic Syndrome

Nisha Bansal, Petter Bjornstad, Adam P. Bress, Tara I. Chang, Xingxing Cheng, Michelle M. Estrella, Alan S. Go, Amy K. Mottl, Sankar D. Navaneethan, Brendon L. Neuen, Brian S. Rifkin, Kim Zuber, Alexander R. Chang, on behalf of the ASN Kidney Health Guidance Workgroup on the Cardiovascular-Kidney-Metabolic Syndrome

Key Points The cardiovascular-kidney-metabolic (CKM) syndrome framework has important implications in the care of people with kidney diseases. Cardiovascular screening is important in people with kidney diseases, but the approach may differ in this high-risk population. Multiple pharmacotherapies for CKM syndrome offer significant cardiovascular and kidney benefits. Cardiovascular-kidney-metabolic (CKM) syndrome highlights the interconnected nature of cardiovascular disease, CKD, and metabolic dysfunction and under …

02.09.2026journal-article

Frontiers in Nutrition

Flavonoids: biological activities, nutritional and immunological aspects, therapeutic potential, food applications, and human health benefits—A comprehensive review

Mohamed T. El-Saadony, Ahmed M. Saad, Mohamed A. Fahmy, Dina Mostafa Mohammed, Dina Khodeer, Esmael M. Alyami, Samar Sami Alkafaas, Mthokozisi Dladla, Soumya Ghosh, Mohammad A. A. Al-Najjar, Synan F. AbuQamar, Khaled A. El-Tarabily

The global burden of infectious and non-communicable diseases presents a critical challenge, highlighting the urgent need for novel, safe, and effective therapies. Bioactive compounds from medicinal plants, especially flavonoids, offer a promising resource for drug discovery due to their diverse and potent pharmacological effects documented in preclinical studies. This comprehensive review summarizes current knowledge of flavonoids, including their classification into 14 main groups and their production via biosynt …

02.09.2026journal-article

JIHAD : Jurnal Ilmu Hukum dan Administrasi

Court Decision;Legal Certainty;Name Change;Personal Identity Protection;Population Administration.

Appe Appe Hutauruk, Muh. Amin Saleh, Muhenri Sihotang, Sendi Sanjaya

Agrarian disputes remain one of the most complex legal issues in Indonesia due to overlapping land rights, weaknesses in land administration, and conflicting claims between local communities and state-owned enterprises. This study aims to examine the legal validity of the Land Management Right (Hak Pengelolaan Lahan/HPL) granted to PT Pelindo over land that has been physically occupied by the residents of RW 08, Ancol Urban Village, North Jakarta, as well as to analyze legal protection mechanisms and equitable disp …

02.09.2026journal-article

Cancer Epidemiology, Biomarkers & Prevention

Implementing a Risk-Stratified National Breast Screening Programme in the United Kingdom: A Model-Based Cost-effectiveness Analysis

Stuart J. Wright, Joe Hilton, Gabriel Rogers, Ewan Gray, Anna Donten, Lorna McWilliams, D. Gareth R. Evans, David P. French, Katherine Payne

Abstract Background: Risk-stratified breast screening, in which women are offered different screening intervals based on their breast cancer risk, has been proposed as a way to improve the benefits of screening in the United Kingdom National Breast Screening Programme (UK-NBSP). The aim of this study was to explore the cost-effectiveness of potential risk-stratified breast screening strategies in the UK-NBSP. Methods: An existing validated discrete event simulation model (MANC-RISK-SCREEN) was used to evaluate the …

02.09.2026journal-article

Smart Materials and Structures

Direct ink writing of flexible strain gauges for IoT-enabled structural health and usage monitoring of aerospace composites

Marilyne Philibert, Yuhang Pan, Ferri M.H Aliabadi, Zahra Sharif Khodaei

Abstract Structural health and usage monitoring of aerospace structures requires scalable, lightweight, and minimally intrusive sensing solutions capable of supporting real-time digital twin frameworks for individual aircraft life management. This work presents the development and characterization of flexible printed strain gauges as a core sensing component of the IoT sensing skin developed within the H2020 AVATAR project, dedicated to developing a digital twin framework for real-time health and usage monitoring o …

02.09.2026journal-article

PLOS Neglected Tropical Diseases

Estimating enteric fever seroincidence in rural western Cambodia: Findings from a population-based cross-sectional serosurvey

Meiwen Zhang, Natnaree Saiprom, Rupam Tripura, Lek Dysoley, Phal Chanpheakdey, Vanna Moul, Arjun Chandna, Elizabeth M. Batty, Sue J. Lee, Richard J. Maude, Nicholas P. J. Day, Thomas J. Peto, Narisara Chantratita, Richelle Charles, Yoel Lubell, Kristen Aiemjoy

Introduction Enteric fever, caused by Salmonella enterica serovars Typhi and Paratyphi, remains an important cause of febrile illness in low- and middle-income countries (LMIC). However, the exact burden is difficult to estimate due to limitations in diagnosis and surveillance. Methods Samples from a representative cross-sectional household serosurvey in rural western Cambodia were used to estimate enteric fever seroincidence among children and young adults. Participants were enrolled between April 7 and December 1 …

02.09.2026journal-article

PLOS Global Public Health

Impact of a long-term mentorship program for childbirth providers on quality of care: A cluster randomized controlled trial

Lujia Zhang, Rajet Vatsa, Wei Chang, Sharon Akinyi, Sarah Little, Catherine Gakii, John Mungai, Cynthia Kahumbura, Sathyanath Rajasekharan, Anneka Wickramanayake, Margaret McConnell, Jessica Cohen

Maternal and neonatal mortality rates remain high in sub-Saharan Africa despite increased facility-based childbirth, reflecting persistent gaps in quality of care. We evaluated the impact of MENTORS, a facility based nurse mentorship and training program, on provider knowledge and childbirth care quality. In an unblinded parallel-arm cluster randomized controlled trial conducted between November 2021, 40 health facilities in Kenya were randomized to receive continuing medical education lectures, simulation-based dr …

02.09.2026journal-article

Revista de Geopolítica

OS ROTEIROS DE TRANSIÇÃO ENERGÉTICA PÓS-COP30: O DESAFIO DE TRANSFORMAR COMPROMISSOS CLIMÁTICOS EM POLÍTICA PÚBLICA VINCULANTE ATÉ A COP31

Davi José Nicaretta Boufleuher, Jardison de Oliveira Araújo, Hugo Antunes Rodrigues

A COP30, realizada em Belém em 2025, terminou sem incluir em seus textos negociados o mapa do caminho para a transição para longe dos combustíveis fósseis, apoiado por mais de oitenta países e barrado pela resistência de grandes produtores. Em resposta, a presidência brasileira da conferência atribuiu a si própria a construção dos roteiros, fora do texto de consenso, iniciando um processo que reuniu contribuições de mais de uma centena de países e que chega à COP31, em Antália, como o principal teste da diplomacia …

02.09.2026journal-article

Communications Sustainability

Conditional bidirectionality between climate policy acceptance and perceived effectiveness

Jean-Henri Huttarsch, Ingo Wolf

Abstract The causal relationship between climate policy acceptance and perceived effectiveness is contested. Traditional models assume effectiveness perceptions drive acceptance, while alternative accounts suggest the reverse. Additionally, whether general climate policy support moderates how design features affect acceptance is understudied. Factorial survey experiment results on heating sector instruments (N = 2579) hint at conditional bidirectionality. We show that the traditional pathway—where optimistic effect …

02.09.2026journal-article

International Journal of Energy Economics and Policy

The Impact of Carbon Emission on Food Insecurity in Sub-Saharan Africa

Thomas Bilaliib Udimal, Mduduzi Biyase, Joel Hinaunye Eita, Lariba Pakmoni

The study examines the impact of carbon emissions on food insecurity in sub-Saharan Africa. A panel data of selected sub-Saharan countries was used. The span is from 2000-2021. To achieve the objective of the study, carbon emissions index was created and PARDL model was employed. The results show that an increase carbon emission index has a positive impact of food insecurity. The emissions at farmgate also showed a positive impact on the rate of food insecurity in sub-Saharan Africa. For emissions from agrifood sys …

02.09.2026journal-article

Global Health Cases

Cholera in Zambia: Evaluating Emergency Response and the Limits of Reactive Public Health Systems

Juliet Mwale, Lissa Ceolin

Abstract Cholera remains a recurrent public health challenge in Zambia, with repeated outbreaks disproportionately affecting low-income urban and peri-urban populations, particularly in Lusaka Province. Seasonal rainfall and flooding intensified by climate change repeatedly overwhelm sanitation systems and contaminate water sources. This is particularly true where pit latrines and shallow wells coexist in Lusaka and other flood-prone areas. This case study summarizes the epidemiology and factors associated with cho …

02.09.2026journal-article

Journal of Nursing, Midwifery and Allied Health Sciences

Measurement Equivalence between Pidgin English and Igbo Versions of the Birth Satisfaction Scale–Revised among Postpartum Women in Owerri, Nigeria

Anne Chidinma Nwogu, Ayishetu Musa-Maliki, Yarhere Iroro, Joy Chiamaka Samuel, Josephine Nonye Amadi

Birth satisfaction is an indicator of the quality of intrapartum care, yet evidence on measurement equivalence of birth satisfaction instruments across Nigerian languages remains limited. In multilingual settings such as Nigeria, where Nigerian Pidgin is widely used alongside indigenous languages such as Igbo, establishing cross-language equivalence of patient-reported outcome measures is essential to ensure valid comparison of maternal birth experiences. This study assessed measurement equivalence between the Nige …

02.09.2026journal-article

Healthcare

Digital Health Revolution in Saudi Arabia: A Narrative Review of Healthcare Transformation

Mahmoud Abdel Hameed Shahin

Digital transformation (DT) is a strategic priority for healthcare systems seeking to improve the quality of care, patient safety, and operational efficiency. In Saudi Arabia, DT is central to Vision 2030; however, evidence regarding its effects on healthcare quality and safety remains dispersed across technologies and healthcare settings. This narrative review aimed to examine the impact of digital transformation on healthcare quality and patient safety in Saudi Arabia and to identify the principal implementation …