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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
04.09.2026journal-article

Medicine

Pre-frailty and frailty as independent predictors of mortality in U.S. breast cancer survivors: Evidence from the national health interview survey, 1997 to 2018

Chunlei Wu, Xun Du, Jing Li, Xiangxiang Yang, Yaxin Huang

Frailty is increasingly recognized as a determinant of poor outcomes in cancer survivorship, yet its prognostic value among breast cancer survivors remains unclear, particularly for pre-frailty. We analyzed data from 22 waves of the national health interview survey (1997–2018), linked to the national death index, encompassing 625,128 adults, including 9941 breast cancer survivors and 615,187 cancer-free participants. Frailty was assessed using a modified fatigue, resistance, ambulation, illness, and loss of weight …

04.09.2026journal-article

International Journal of Quality & Reliability Management

Does digital transformation and customer agility help to control online return frequency for improving customer service quality?

Sananda Das, Rauf Iqbal, Vivek Khanzode, Manjunath S. Vhatkar, Rakesh Raut

Purpose This article examines the relationship between digital transformation (DT) and customer agility (CA) to lower the high product return frequency (RF) for improving customer service quality, including customer satisfaction (CS) and repurchase intention (RPI). This study also aims to explore the moderating effect of market turbulence on the relation between DT and CA. Design/methodology/approach A structural equation model analysis is formulated and validated by the theory of dynamic capability view (DCT), wit …

04.09.2026journal-article

European Heart Journal - Digital Health

Electro-Mechanical Risk Score for Coronary Artery Disease Risk Estimation Using Seismocardiography

Parastoo Dehkordi, Kouhyar Tavakolian, Thomas Rocco, Khurshid Fozilov, Alisher Yuldashov, Wojciech Zareba, Baxtiyorjon Yuldashov, Baxtiyor Atamuratov, Hamid R Marateb, Shukhrat Doniyorov, Bernara Kurbanova, Farzad Khosrow-khavar

Abstract Background Coronary artery disease (CAD) remains a leading cause of morbidity. Existing clinical likelihood models often lack specificity, contributing to unnecessary diagnostic testing. Objectives To develop, train, and validate the Electro-Mechanical Risk (EMR) Score. This machine learning model uses cardiac mechanical information from resting seismocardiography (SCG) recordings and patient-level clinical risk factors to estimate obstructive CAD likelihood. Methods This multicentre clinical study include …

04.09.2026journal-article

LUMEN ET VIRTUS

INTELIGÊNCIA ARTIFICIAL GENERATIVA NA FORMAÇÃO ACADÊMICA EM ADMINISTRAÇÃO E O DESENVOLVIMENTO DE COMPETÊNCIAS PROFISSIONAIS

Camila Soares Lima, Izabelly Vieira Minervino, Larissa de Andrade Santos, Michele Lopes Sousa, Tamires Leily Da Silva, Andrea Cristina Micchelucci Mallanga, Josimeire Pessoa De Queiroz, Marcos de Oliveira Morais

O presente artigo analisa o papel da Inteligência Artificial Generativa (IAG) na formação acadêmica em Administração e no impacto do desenvolvimento de competências profissionais. A IAG consolida-se como uma ferramenta de suporte ao ensino, tornando-se assim o processo mais dinâmico e interativo, contudo também levanta questões éticas e educacionais. A pesquisa apresentada indica que metade dos estudantes faz uso frequente dessas ferramentas, demonstrando sua integração à rotina acadêmica. Entretanto, identifica-se …

04.09.2026journal-article

Journal of Clinical Medicine

Static Plantar-Load Distribution and Stabilometry in Children and Adolescents with Idiopathic Scoliosis Under Different Testing Conditions: A Pilot Study

Oana-Cristina Rădulescu, Alina-Daniela Totorean, Andreea-Adriana Neamțu, Laura Maghiar, Oana Suciu, Andreea Niță, Liliana Cațan, Elena Amăricăi

Background/Objectives: Adolescent idiopathic scoliosis (AIS) is associated not only with structural spinal deformities but also with alterations in postural control and sensorimotor integration. Objective assessment of balance and plantar-load distribution may provide additional insight into functional impairments, particularly in patients with mild and moderate curves. The aim of this study was to compare static plantar-load distribution and stabilometry parameters in children and adolescents with idiopathic scoli …

04.09.2026journal-article

JMIR Formative Research

Digital Anterior Segment Photography in Clinical Practice: Mixed Methods Study

Vidhi Naik, Yarrow Scantling-Birch, Emma Jones, Rishi Ramessur

Abstract Background In the digital era, smartphone technology has significantly advanced ocular imaging, allowing for high-resolution anterior segment photography (ASP) to enhance referrals, decision-making, and disease monitoring within clinical workflows. Objective This exploratory quality-improvement project aims to examine clinician experiences with 4 smartphone-based and slit-lamp–based ASP workflows used in eye casualty and corneal services. Methods A mixed methods project was conducted at a tertiary eye hosp …

04.09.2026journal-article

Family Medicine

Strengthening the Kansas Rural Physician Workforce: Outcomes of the Scholars in Rural Health Program

Brian D. Steele, Jennifer Bacani McKenney

Background and Objectives: The Scholars in Rural Health (SRH) program at the University of Kansas School of Medicine (KUSOM) aims to address rural physician shortages by recruiting and supporting college students from rural Kansas. This study evaluated the outcomes of the early assurance program to determine its effectiveness in increasing participation in the rural physician workforce. Methods: We conducted a retrospective cohort study (1997–2024) to analyze data from 403 participants in the SRH program. We review …

04.09.2026journal-article

International Journal of AI Electrical Civil and Mechanical engineering

Impact of Digital Marketing on Sales of Consumer Electronics Products at LG Electronics India

Golusula Venkatesh, K.Shashidhar, Pavani Mudem

Digital marketing has revolutionized the way businesses promote their products and communicate with consumers in the modern business environment. The rapid growth of internet penetration, smartphone usage, social media platforms, and e-commerce has significantly changed consumer purchasing behaviour, making digital marketing one of the most effective tools for increasing product awareness, customer engagement, and sales performance. In the consumer electronics industry, where technological advancements and intense …

04.09.2026journal-article

Veterinary Pathology

Quantitative analysis of artificial intelligence–based detection of subregions from murine ear skin sections with application to quantifying drug-induced epidermal hyperplasia

Brewster Curry, Nicolle Bejarano Villalba, Sarah R. Vargas, Katherine Hammerman, Yutian Zhan, Susan Fish, Martin Hegen, Charles Halsey, Sripad Ram

The advent of artificial intelligence (AI) technologies is creating a paradigm shift in drug discovery and development. Veterinary pathology is an area that can significantly benefit from AI tools. The availability of AI algorithms in commercial software packages such as HALO and Visiopharm has generated interest in automating pathologists’ workflows for the detection and quantification of histology endpoints from whole-slide images. As each software package provides a distinct set of AI models, the relative perfor …

04.09.2026journal-article

British Journal of Clinical Pharmacology

A Phase 1 study of subcutaneous toripalimab in recurrent or metastatic nasopharyngeal carcinoma

Hai‐Qiang Mai, Ya‐Qian Han, Kun‐Yu Yang, Guo‐Wu Wu, Chuan‐Ben Chen, Mo Wang, Xian‐Ming Luo, Shuang‐Hui Wei, Xi Tan, Hui‐Mei Xie, Jian‐Jun Zou, Rui‐Hua Xu

Aims Considering the inconvenience brought by long‐term administration of intravenous (IV) immune checkpoint inhibitors for cancer treatment, subcutaneous (SC) formulation needs to be explored. Methods This dose‐finding Phase 1 study (NCT05751486) investigated SC toripalimab in patients with recurrent or metastatic nasopharyngeal carcinoma (RM‐NPC). In the initial dose‐exploration cohorts, patients received SC toripalimab 240 mg Q3W or 480 mg Q6W, followed by a subsequent exploratory cohort receiving 360 mg Q3W, in …

04.09.2026journal-article

Ganec Swara

Keabsahan Perjanjian Elektronik di Era Digital Menurut Ketentuan Kitab Undang-Undang Hukum Perdata

Dahris Siregar

Conventional written contracts have been replaced by electronic contracts as a result of the growth of digital technology, which has caused a paradigm shift in the process of establishing and executing deals. The purpose of this study is to investigate the degree to which the provisions of the Civil Code can accommodate the evolution of contracts in the digital age, as well as to assess the effectiveness of the concept of pacta sunt servanda in relation to electronic contracts. A legislative strategy, a conceptual …

04.09.2026journal-article

Revista Eletrônica Acervo Científico

Saúde digital como eixo formativo na graduação em enfermagem

Douglas Markonne de Souza Santos, Helena Maria Scherlowski Leal David, Anderson Jose Raimundo, Magda Guimarães de Araujo Faria, Núria Ananda Parron Giacomelli Pereira

Objetivo: Analisar a relação entre a Estratégia de Saúde Digital para o Brasil 2020–2028 e as Diretrizes Curriculares Nacionais da Enfermagem, identificando convergências, lacunas e possibilidades de integração da saúde digital na formação do enfermeiro. Métodos: Estudo qualitativo, de análise documental, realizado por matriz comparativa entre a Estratégia de Saúde Digital para o Brasil (2020–2028) e as Diretrizes Curriculares Nacionais da Enfermagem de 2026, identificando convergências e lacunas. Resultados: A mat …

04.09.2026journal-article

Health Economics and Policy

Reappraising Value in Pediatric Procedural Sedation Under Japan’s Universal Health Coverage: A Narrative Review

Soichiro Obara, Yoshinori Nakata

Japan’s universal health coverage is often discussed in terms of broad access and regulated prices, but its national fee schedule also shapes how services are organized, governed, and delivered. Pediatric procedural sedation illustrates this governance function in short-horizon, safety-critical care, where quality depends not only on technical expertise but also on staffing, monitoring, recovery capacity, rescue readiness, and coordination across departments. In this setting, reimbursement policy, specialist capaci …

04.09.2026journal-article

JDR Clinical & Translational Research

Polypharmacy and Self-Reported Tooth Clenching: An Electronic Health Record Analysis

P. Nguyen, L. Marchini, A. Greenwood, G. Vu, E. Zeng

Introduction: Central nervous system (CNS) medications, particularly antidepressants (selective serotonin reuptake inhibitors [SSRIs], serotonin-norepinephrine reuptake inhibitors [SNRIs]), stimulants for attention-deficit/hyperactivity disorder (ADHD), and antipsychotics, are commonly implicated in drug-induced bruxism, yet evidence derives predominantly from case reports. No large-scale studies have examined associations between CNS medication classes and bruxism while controlling for confounders, and potential e …

04.09.2026journal-article

Journal of Clinical Medicine

Arterial–Venous Balance in the Human Renal Vasculature: Renal–Aortic and Renal–Caval Ratios and Factors on Contrast-Enhanced Computed Tomography

Grzegorz Wróbel, Tadeusz Kuder, Agnieszka Radowicz-Chil, Kinga Pirsztuk, Ryszard Maciejewski, Piotr Lewitowicz, Olga Adamczyk-Gruszka

Background/Objectives: A single absolute vessel diameter is hard to compare between individuals of differing body size. We defined two venous proportional parameters, the renal–caval ratio (R-IVCr) and factor (R-IVCf), as counterparts of the established renal–aortic ratio (R-Ar) and factor (R-Af), and asked whether the arterial and the venous bed respond to multiplicity of vessels in the same direction. Methods: Biphasic contrast-enhanced computed tomography of the abdomen in 1196 patients (2392 kidneys) was analys …

04.09.2026journal-article

JEADV Clinical Practice

The Effects of an Educational Video on Patient Understanding of Amelanotic Melanoma

Aria Wei, Bilal Haque, Kamil Taneja, Stephanie Savory

ABSTRACT Background Amelanotic melanoma (AM) is a subset of melanoma with little to no pigment that can masquerade as a benign condition, and is associated with delayed diagnosis, greater Breslow depth, higher tumour stage, and lower survival than pigmented melanoma. Objectives To evaluate the impact of an educational video on patients’ ability and confidence to identify AM. Methods In this single‐centre pre‐/post‐intervention survey, 107 patients at the UT Southwestern dermatology clinics (August 2022–July 2023) c …

04.09.2026journal-article

Ukrainian Journal of Applied Economics and Technology

High-tech companies in the context of digital transformation: essence and characteristics

Stanislav Udovychenko, Oksana Mazorenko

The article examines the contemporary characteristics of high-tech companies operating amid digital transformation. The rapid development of digital technologies, platform-based business models, artificial intelligence, big data, cloud computing, and other digital economy tools is significantly transforming the operating principles of high-tech businesses. The study summarizes the scientific approaches of Ukrainian and international researchers to defining the essence of high-tech companies, making it possible to i …

04.09.2026journal-article

Dermatitis®

Evolving Surfactant Trends in the Thai Personal Care Market Over 15 Years and Their Association with Clinical Patch Test Reactivity

Pichanee Limtanakool, Waranya Boonchai, Korakot Leelathanakorn, Monthathip Bunyavaree, Chawengsak Khamkaen, Silada Kanokrungsee

Background: Surfactants in personal care products are an established trigger of allergic contact dermatitis. However, regional data comparing market usage with sensitization rates remain limited. Objectives: To examine 15-year trends in Thai surfactant prevalence and correlate them with clinical patch test reactivity. Methods: Surfactant prevalence in 6864 personal care products was surveyed using the Thai Contact Allergen Avoidance Program database (2010–2024). Concurrently, patch test results from 6603 patients w …

04.09.2026journal-article

Journal of Applied Crystallography

A low-cost, portable polarizing digital light microscope for monitoring crystal growth and for crystal harvesting

Sarah Kennedy, Ryan H. Huang, Wojciech Witek, Pawel Krawinski, Coilín Boland, Linjie Yang, Neal Leddy, Martin Caffrey

Motivated by the need for a convenient way to demonstrate the growth of crystals in glass plates by the lipid cubic phase method at crystallization workshops and courses, we developed a lightweight, portable, compact and inexpensive digital microscope device. The device is built around hand-held Wi-Fi and hardwired digital microscopes that are available commercially at low cost and that can use cell phones and personal computers for imaging without the need for unwieldy eyepieces. The device provides illumination f …

04.09.2026journal-article

Violence Against Women

Motivators of Sexual Violence Disclosures and Mental Health: A Mixed Methods Investigation

Rannveig Sigurvinsdottir, Karen Birna Thorvaldsdóttir, Erla Katrín Jónsdóttir, Bryndís Björk Ásgeirsdóttir

The aim of this mixed methods study was to examine motivators and characteristics of sexual violence disclosures and relationships with mental health. A representative national sample of male and female Icelandic adult survivors ( N = 473) took part in a survey. Disclosure was common, especially among women, and psychological symptoms were greatest among late disclosers. Motivators of disclosure included violence itself, trauma and recovery, and social context and movements. Social context and movements disclosures …

04.09.2026journal-article

Journal of Trends in Applied Science and Advanced Technologies

DIGITAL MODULAR INSTALLATION TECHNOLOGY AND APPLICATION OF LARGE-SCALE CORRUGATED THREE-DIMENSIONAL ARCHITECTURAL GLASS (LIULI) CURTAIN WALLS

XiaoXia Zhao, BaoAn Zhang, GuoXiang Zhao, Yang Yang, RuiDa Zong, XueSheng Jin

Large-scale corrugated three-dimensional architectural glass (LIULI) curtain walls represent a high-end façade system that integrates architectural aesthetics, structural safety, and green energy efficiency. This paper innovatively proposes a digital modular installation technology for such systems. By integrating three core methodologies—full-chain digital driving, precision assembly of modular finished products, and a flexible "bottom-supporting and top-hooking" adjustment and locking mechanism—the approach syste …

04.09.2026journal-article

Frontiers in Public Health

A quantitative content analysis of Chinese policies on fertility-friendly hospital development: a three-dimensional framework

Zichao Zhang, Zhensheng Guo, Ruixiang Yang, Qiaoyang Zhang, Guiyun Ma

Background This study examined the characteristics of Chinese policy documents on fertility-friendly hospital development using a policy-tool lens, identified patterns of policy emphasis and areas receiving comparatively less attention, and provided evidence for further policy improvement. Methods A three-dimensional analytical framework encompassing policy tools, stakeholders, and policy objectives was developed and applied to a quantitative content analysis of 52 national- and provincial-level policy documents on …

04.09.2026journal-article

Frontiers in Medicine

Glocalizing the theory of learning: a pluriversal perspective on health professions education

Nabil Zary

Glocalization has emerged as the preferred solution in health professions education (HPE) to the tension between globally recognized standards and local training practices. Its structure, however, is hub-and-spoke: theory is developed at a Western center, adaptation handled at the periphery. Curricula, accreditation, and assessment are adapted locally; learning theories are treated as universal and unchanging. This Perspective contends that the glocalization project remains incomplete and suggests how to finish it: …

04.09.2026journal-article

Frontiers in Public Health

Prioritizing barriers and strategies for non-toxic material adoption in interior design

Vigneshkumar Chellappa, Shalini Sharma, Martina Zelenakova, Jozef Selín

Background Growing concern about indoor environmental quality and occupant health has underscored the need to select interior materials that minimize harmful chemical emissions and reduce exposure to toxic substances. However, despite growing awareness of healthier interior environments, the adoption of non-toxic materials remains limited due to technical, informational, economic, and organizational challenges. Methods This study adopted a three-stage multi-method approach. First, a Comprehensive Literature Review …