Research works

A lean-based method for patient journey improvement: enhancing value and performance in healthcare delivery

Purpose This research introduces a lean-based method, from the customer’s perspective, aimed at continuously improving the sequence of value and non-value stages throughout the purchase journey, named the ideal customer journey method (ICJM). Design/methodology/approach The ICJM...

A Scientifically Robust and Regulatory Critical Fish ( Pimephales promelas ) Full Life Cycle Study with Ibuprofen: Fulfilling Chronic Toxicity Data Gaps to Support Informed Environmental Risk Assessment

Robust chronic ecotoxicological data are essential for EU pharmaceutical regulation, yet many ibuprofen studies in the public domain fail to meet quality criteria, creating uncertainty in its chronic aquatic toxicity profile. Additionally, due to the cost and complexity of full l...

Embracing the Enemy

Abstract A principal (such as a centrist political party) can partially influence the allocation of power between two competing parties. The principal is closer to one party, the ``Friend'', than to the other, the ``Enemy''. The principal's optimal contract initially seeks to exc...

Artificial Intelligence for Personalized Prediction of Post-TIPS Outcomes: Integrating Clinical, Biochemical, and Radiomics Data—A Narrative Review

Transjugular intrahepatic portosystemic shunt (TIPS) is an established treatment for complications of portal hypertension, but hepatic encephalopathy (HE), liver dysfunction, rebleeding, and mortality remain difficult to predict in otherwise eligible candidates. However, predicti...

A novel closed book parenchyma sparing technique for giant pulmonary hydatid cysts

BACKGROUND: Giant pulmonary hydatid cysts (GHCs), defined as cysts measuring ≥10 cm, pose significant surgical challenges owing to their large size and distortion of the native lung architecture, which often limits the effectiveness of conventional capitonnage. This study evaluat...

Intergenerational learning as culturally grounded lifelong education: a case study of the Tengger Indigenous community

This study investigates how intergenerational learning (IGL) operates as a culturally grounded form of lifelong learning within Tengger Indigenous community of Ngadisari Village, Indonesia. In response to pressures of globalisation, tourism, and digitalisation, research explores...

Hydrosilylationof β-Alkyl- and Aryl-SubstitutedStyrenes with Arylsilanes Utilizing the Bridged Pincer HomodinuclearLanthanide Metal Catalysis

Abstract Hydrosilylation of β-alkyl- and aryl-substituted styrenes with arylsilanes faces challenges of the lack of an active catalyst, difficulty in controlling regioselectivity, and overcoming side reactions. Herein, we report the hydrosilylation of β-alkyl and aryl styrenes wi...

The effect of various plant extracts on TiO₂ nanoparticles as efficient photoanode materials for natural dye-sensitized solar cell applications: Green sol-gel and a comparative study

The excessive use of fossil fuels significantly contributes to global warming and environmental damage. A viable solution to these problems is the use of renewable energy sources, especially the clean-energy potential of solar cells. This study investigates the photovoltaic prope...

Comparison of ACEs reporting between clinic and telephone-based screening

Background Whether screening for Adverse Childhood Experiences (ACEs) can improve health outcomes may depend in part on screening being acceptable and accurate. Screening modality and context may be important determinants of these characteristics. Objective We compared telephone...

Temperature and relative humidity differentially affect deltamethrin and malathion toxicity in the mosquito Culex quinquefasciatus

Background Temperature and relative humidity are key drivers of ectotherm physiology, yet their combined effects on insecticide performance remain poorly understood. Here, we experimentally quantified how both temperature and relative humidity influence the toxicity of two widely...

MORPHOLOGICAL AND MICROBIOLOGICAL CHANGES IN THE INTESTINAL TRACT FOLLOWING EXPERIMENTAL CHOLECYSTECTOMY

Gallstone disease (GLD) is a disease of the hepatobiliary system, characterized by the formation of changes in the internal bile ducts of the liver, the common bile duct, and the gallbladder. Gallstone disease, according to most statistical analyses, is more common in young and m...

A Novel Biliary Plastic Stent With a Centrally Located Flap: Initial Clinical Experience in Three Cases

ABSTRACT Endoscopic biliary plastic stent (PS) insertion is standard for maintaining bile flow, but migration and dislodgement persist as important challenges. We developed the cross range flap stent (CRF stent), a 7 Fr, 7 cm straight‐type PS. Unlike conventional stents with flap...

Dihedral Programming of Topological Charge in Curved Quantum Waveguides

We construct a scalar curved quantum-waveguide hierarchy in which dihedral symmetry programs both the leading geometric release order of a protected two-level degeneracy and its topological charge. For a family with D2q symmetry, representation theory forbids off-diagonal geometr...

RIS Executive Summary and Read Me First Documents

Executive Summary - NeuroRegenerative Platform The NeuroRegenerative Platform is a mission-led initiative to advance brain regeneration, cognitive resilience, and long-horizon neurotechnology through an integrated architecture of regenerative neuroscience, advanced delivery syste...

Information Flow and Logistics Coordination Challenges in Saudi Arabian Construction Projects: A SCOR-Based Qualitative Investigation

Background: This study investigates information-flow and logistics coordination challenges in Saudi Arabian construction projects within the context of ongoing national infrastructure developments, severe climatic conditions, and evolving labor regulations. Methods: Utilizing the...

Pitfalls of announcing regulatory policy in medical journals

<b>Sean Tu</b> and <b>Aaron Kesselheim</b> argue that sidestepping established administrative processes to announce major regulatory policies undermines transparency, public participation and trust, and regulatory legitimacy

Fetal ultrasound parameters associated with N-terminal pro-B-type natriuretic peptide levels in umbilical cord blood: a cross-sectional study

Abstract Background Current Doppler and functional ultrasound parameters, such as the cardiovascular profile score, umbilical artery pulsatility index, and ductus venosus pulsatility index, are valuable for detecting advanced fetal cardiac decompensation; however, they have limit...

Lost in Translation: Interprofessional Variability in Understanding Pro Re Nata (PRN) Prescribing in Geriatric Practice—A Prospective Observational Study

Background/Objectives: Medication safety is a critical concern in older adults due to age-related vulnerability, multimorbidity, and polypharmacy. Pro Re Nata (PRN, “as needed”) prescribing is common in geriatric care but may be interpreted inconsistently across healthcare profes...

From Glueball to Water: Ontological Unification of the T⁶⁴ Self-Referential Mind-Field Across Scales — Dual Empirical Support for "Force → Matter" and "Relation → Life" under Yuanxian Theory

The experimental discovery of the glueball in 2026 and the ancient intuition that “water is the source that nourishes life” are unified under the T⁶⁴ self-referential topological framework of Yuanxian Theory as two cross-scale projections of one ontological proposition. Taking th...

Trajectories of short-term operator adaptation in cobot-assisted disassembly: a within-subject multimodal analysis

Collaborative robots are increasingly deployed in Industry 5.0 disassembly cells, yet how operators adapt across repeated cobot interactions is rarely characterised multimodally. The Day-2 axis of the MultiPhysio-HRC corpus was analysed: forty-two participants performed up to fiv...