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1641
Balancing Innovation and Ethics
Published 2025-03-01“…By exploring cost concerns and regulatory gaps, this essay underscores the importance of balancing innovation with responsible usage. …”
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1642
Characterizing adolescent and youth‐friendly HIV services: a cross‐sectional assessment across 16 global sites
Published 2025-04-01“…Conclusions Findings suggest gaps in AYFHS for AYLH across the HIV clinics included in this analysis. …”
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1643
Understanding the effectiveness and underlying mechanisms of lifestyle modification interventions in adults with learning disabilities: a mixed-methods systematic review
Published 2025-02-01“…A variety of theories and behaviour change techniques were employed in the development and adaptation of interventions. Most studies had a high and moderate risk of bias. …”
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1644
Protecting the Autonomy of Patients with Severe Mental Illness Through Psychiatric Advance Directive Peer-Facilitation
Published 2023-08-01“…Studies show that adults with SMI can complete legally valid PADs with appropriate assistance and that these documents faithfully represent their preferences.[37] At a minimum, service users report no bias against peer specialists in facilitating PADs.[38] Peer-support specialists use their lived experience to foster empowerment among patients, serve as role models, and promote a patient-centered process in successful PAD completion.[39] Mitigating concerns from providers that PAD creation would include complete refusal of treatment, other studies have found that peer-facilitated PADs were significantly more likely to be prescriptive than PADs facilitated by non-peer clinicians.[40] Most importantly, peer-facilitated PADs effectively decrease compulsory hospital admissions and increase mental health outcomes such as self-perceived symptoms, empowerment, and recovery.[41] Providers have a prima facie duty to prevent harm from occurring to others, remove conditions that will cause harm to others, and help persons with disabilities.[42] This is often conceptualized within the patient-provider relationship, but it need not be. …”
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1645
Ecological assessment of forest management approaches to develop resilient forests in the face of global change in Central Europe
Published 2025-08-01“…Our analyses showed that most of the statements reflect validated research findings. …”
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1646
Research on Data Repair of Pile-Type Adjustable Wind Turbine Foundation Monitoring Based on FST-ATTNet
Published 2025-01-01“…A frequency-domain attention mechanism is introduced to enhance this process, adaptively assigning weights to frequency components and prioritizing those most relevant for data reconstruction. …”
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1647
Direct oral penicillin challenge in secondary care with low-risk patients: the SPACE mixed-methods study with cost-effectiveness analysis
Published 2025-04-01“…Mis-labelling patients has been linked to suboptimal skills and knowledge gaps in allergy history taking and poor documentation in clinical records. …”
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1648
The role of Pakistan Medical & Dental Council in steering undergraduate medical curriculum reforms in Pakistan
Published 2024-12-01“…The curriculum reform process is time and cost intensive. There is no short-term panacea to curriculum reforms. …”
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1649
Legal Challenges of Marine Insurance Laws in the Use of Unmanned Ships
Published 2025-03-01“…While such defects can lead to severe incidents, most current insurance policies do not cover these risks. …”
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1650
Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study
Published 2024-08-01“…The ongoing impact of avoidable harm on clinicians is examined, along with the impact of the limited involvement of staff in Trust-level investigation and review processes. We mapped the organisation and reported use of post-incident staff support for the three case-study services and found that debriefs, organised within a few weeks of the incident, and opportunities for meeting with families were most valued by staff. …”
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1651
The spiritual needs and care of children and young people with life-threatening or life-shortening conditions, and parents (SPARK): a mixed-method investigation
Published 2025-05-01“…However, despite these sources of support, most children/young people and parents described hiding their distress and deepest fears and concerns from themselves and others. …”
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1652
Conceptualising Judicial Independence and Accountability from a Regulatory Perspective
Published 2023-04-01“…However, the legal frameworks in India and the UK mostly focus on institutional independence, underemphasising individual independence in the process, while internal judicial independence has been a vanishing point of jurisprudence in both jurisdictions. …”
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1653
State of the Dotcom-era accounting information systems (AIS) faculty and implications for the artificial intelligence (AI)-era
Published 2024-12-01“…Therefore, we examine AIS faculty’s institutional characteristics during the Dotcom-era and consider implications for the AI-era accounting education to minimize capacity gaps, technology gaps, and resource gaps. Idea: We analyze US accounting programs for AIS faculty’s (i) individual features and (ii) association with institutional features. …”
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1654
Shared decision making for ovarian cancer survivors with different levels of health literacy: a qualitative interview study on knowledge and comprehension
Published 2025-12-01“…Secondly, semi-structured interviews evaluated patients’ knowledge of ovarian cancer and follow-up care based on the FAQs, and comprehension of the information in a decision aid for ovarian cancer follow-up care.Results Evaluation of 17 prior interview transcripts showed that main knowledge gaps related to detecting recurrences early. Five FAQs were formulated, mostly about physical and additional examinations. …”
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1655
Impact of prolonged social crisis on resilience and coping indicators.
Published 2024-01-01“…The differences between the two voter groups may be primarily the result of political radicalization and polarization processes, that aim to widen gaps to achieve political power. …”
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1656
Globalization and the Liberal International Order: Exploring Mutual Influence and Interaction
Published 2025-01-01“…Historically, the development of international order has mostly been associated with trade across the world, and post-World War II there has been a revision of the approach to stimulate liberalization. …”
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1657
Cold Water Swimming and Pregnancy: A Scoping Review and Consensus Recommendations
Published 2025-01-01“…Recommendations were made with evidence graded (mostly grade 4 expert opinion). Conclusion Research gaps highlight the need for research to enable accurate advice to determine whether it is safe for pregnant women to swim outdoors in cold water.…”
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1658
The antibiotic procurement saga: a long-neglected stewardship target to combat antimicrobial resistance in Pakistan
Published 2025-02-01“…Results The study identified five central themes: (1) The state of antibiotic use in hospitals is characterized by a lack of antibiotic use policy, resulting in mostly empirical and irrational prescribing practices. (2) Medicine availability significantly influences prescribing decisions, often taking precedence over clinical needs. (3) The procurement process, although structured, is flawed owing to rigid adherence to the Standard Medicine List (SML). (4) Rationality in procurement is compromised by disregard for AMR, with decisions driven more by cost and demand than clinical evidence. (5) The clinical acumen of pharmacists is underutilized in procurement due to multifarious barriers. …”
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1659
An Essay on Exit Scenarios from the Housing Precarity Feeding Middle Class Homelessness Fears
Published 2024-12-01“…The next section discusses the gaps and contradictions in the literature on housing alternatives and offers theoretical and empirical alternatives. …”
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1660
Enhanced recovery pathway for older people with hip fracture and cognitive impairment in acute hospitals: the PERFECTED research programme including an RCT
Published 2025-02-01“…People with cognitive impairment are among the most vulnerable in acute hospital settings. They have lower short-term survival, with 24% mortality during admission. …”
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