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241
Small players, big impact? Unveiling practices and challenges of sustainability reporting by German SMEs
Published 2025-08-01“…It establishes a foundation for further academic inquiry and practical advancement in SME sustainability transparency.…”
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242
Perceived barriers to timely diagnosis among Iranian women diagnosed with advanced breast cancer: a qualitative study
Published 2025-08-01“…Key factors contributing to perceived delays included poorly managed appointments and medical care, care not meeting patient expectations, deceptive marketing practices, cost of diagnostic procedures, lack of knowledge, fears, transcendent beliefs, competing priorities, insufficient support and diagnostic errors.Conclusions Understanding perceived barriers to timely diagnosis in women with advanced breast cancer is key to creating effective strategies that reduce preventable negative outcomes. …”
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245
Advancing Precision: A Comprehensive Review of MRI Segmentation Datasets from BraTS Challenges (2012–2025)
Published 2025-03-01“…By synthesizing insights from over a decade of BraTS challenges, this review elucidates the progression of dataset curation, highlights the impact on state-of-the-art segmentation approaches, and identifies persisting limitations and future directions. Crucially, it provides researchers, clinicians, and industry stakeholders with a single, in-depth resource on the evolution and practical utility of BraTS datasets—demonstrating year-by-year improvements in the field and discussing their potential for enabling robust, clinically relevant segmentation methods that can further advance precision medicine. …”
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246
A Narrative Review on Advancing Pediatric Oral Health: Comprehensive Strategies for the Prevention and Management of Dental Challenges in Children
Published 2025-02-01“…By integrating developmental insights with epidemiological data and clinical evidence, this review provides a comprehensive framework for advancing pediatric dentistry, informing best practices, and enhancing preventive strategies to reduce the burden of oral diseases in diverse pediatric populations.…”
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247
Effect of STEM-PBL advanced mathematics course on engineering students’ problem-solving ability in higher vocational college
Published 2025-08-01“…These findings suggest that incorporating STEM-PBL content and digital tools into mathematics education is essential for developing basic PSA among engineering students. This study provides practical guidance for designing effective, equitable, and skill-oriented STEM courses in vocational education.…”
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248
Unveiling drug resistance pathways in high-grade serous ovarian cancer(HGSOC): recent advances and future perspectives
Published 2025-04-01“…In this review, we systematically analyzed and investigated the intricate biological behaviors associated with HGSOC drug resistance, which not only enhances the understanding of disease progression but also provides essential theoretical foundations for the development of more precise and effective targeted therapies. …”
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249
Intelligent deep learning architecture for precision vegetable disease detection advancing agricultural new quality productive forces
Published 2025-08-01“…The method maintains efficiency with 3.8M parameters and 18.6ms inference time per frame, providing a practical solution for intelligent disease detection in facility agriculture and contributing to the development of agricultural new quality productive forces.…”
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250
Rural perinatal nursing in Canada: A hermeneutic literature review
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251
Five Practical Video Modules to Reduce Physician Burnout Through Mindfulness and Systematic Review of Evidence
Published 2025-08-01“…In 4 distinct modules including 5 supplemental video modules, concepts that promote mindfulness are reviewed, providing a foundation for a mindfulness practice. …”
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252
Dog-assisted interventions to support health and wellbeing: a national survey of current practice in England
Published 2025-08-01“…Although research in this area is increasing, little is known about the national prevalence and characteristics of DAIs in practice. Advancing knowledge is important to inform development of research, policy and practice in the field.MethodsAn online survey of DAI providers in England was conducted to collect data on DAI service provision, including target populations, session content and structure, implementation challenges, and best practices in dog selection, training, and welfare monitoring.ResultsOf 72 invitations sent to DAI organizations and therapists, 31 participants completed the survey (response rate: 41.3%). …”
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253
Dementia care management in primary care practices: a descriptive study among nurse practitioners
Published 2025-05-01“…This study explored the practice structural capabilities, organizational context, and job outcomes (i.e., burnout, job dissatisfaction, and intent to leave the practice) among NPs providing care for patients with dementia in U.S. primary care practices. …”
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254
A view into clinical practice guidelines: who uses them, who doesn’t and possibly, why
Published 2017-07-01“…We found that guidelines may not be followed in cases where patients have comorbidities that are not described in the guidelines or when physicians do not incorporate new evidence and technology advances into their practice. In some specialties, physicians can develop a poor reputation if they do not adhere to the CPGs, and managed care agencies may deny reimbursement for care they provided. …”
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255
Knowledge, Attitude, and Practice toward Basic Life Support among Medical Students in South Kerala
Published 2025-07-01“…There is a critical need for more robust and comprehensive BLS training, including hands-on simulations and real-life exposure, to equip future healthcare providers with the necessary skills and confidence.…”
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256
Exercise behaviors and nutrition knowledge and practices among trained athletes: a cross-sectional study
Published 2025-09-01“…There was a significant relationship for all pairings of variables with lower level and frequency of soreness associated with higher frequency of recovery activities, higher level and frequency of soreness associated with higher intensity of exercise sessions, and a higher level of nutrition knowledge associated with higher implementation of nutritional focus before, during, and after exercise.Conclusions The present study provides valuable insight into athlete knowledge and behaviors related to exercise and nutrition and highlights the crucial role of knowledge in optimizing nutrition for athletes. …”
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257
Using Restricted Mean Time Lost to Evaluate the Prognostic Effects on Locally Advanced Breast Cancer Considering Competing Risks
Published 2025-08-01“…Univariable and multivariable analyses were conducted to get SHR and RMTLd.Results: SHR can indicate the direction of prognostic factors, while RMTLd can quantify prognostic effects and provide time-scale interpretation. For instance, in adjuvant radiotherapy, the SHR showed a protective effect, which can be quantified as an average increase of 4.15 months in survival time.Discussion: In the presence of competing risks, the combined use of absolute measure RMTLd can more intuitively explain the prognostic effect, which is convenient for clinical practice and communication.Keywords: locally advanced breast cancer, competing risks, restricted mean time lost, sub-distribution hazard ratio…”
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258
Current practices and perceptions on diagnostic reference levels: a EuroSafe Imaging Survey Analysis
Published 2025-07-01“…Future efforts should focus on promoting standardized clinical protocols, increasing awareness, and fostering European and international collaboration to ensure the consistent use and optimization of DRLs in clinical practice. Critical relevance statement The article critically examines the variability and challenges in implementing diagnostic reference levels (DRLs) across European radiology departments, providing actionable recommendations on policy, education, and technological advancements to optimize radiation protection and improve clinical radiology practices. …”
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259
Bridging communication gaps: the role of voice-enabled AI in medicine
Published 2025-06-01“…In this paper we explore the integration of voice-enabled AI into medical practice, highlighting the potential to improve clinical efficiency, medical education, and patient engagement by providing self-recorded use cases. …”
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260
Nutritional-inflammatory status and diabetic retinopathy: exploring the association between advanced lung cancer inflammation index and retinal complications in diabetes
Published 2025-06-01“…ALI was calculated from the body mass index (BMI), albumin levels, and neutrophil-to-lymphocyte ratio (NLR), providing an integrative measure of inflammatory and nutritional metabolic status. …”
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