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3581
Do the diagnosis-related group payment reforms have a negative impact?—an empirical study from Western China
Published 2025-04-01“…In the treatment group hospitals, the primary beneficiaries of the reform were urban employees’ basic medical insurance patients, whose costs decreased by 4.9% (p < 0.01), with a non-significant effect on out-of-pocket payment patients and free medical care patients; the hospitals in the treatment group tended to reduce the use of Chinese medicine unique diagnostic and therapeutic means and increase the proportion of western medicine treatments under the pressure of the supremacy of costs.ConclusionThe reform of the DRG payment method has positively impacted the cost control of TCM hospitals, but it has also had some adverse effects. This poses a challenge and prompts a thought about how TCM hospitals can maintain their distinctive advantages by optimizing the design of the DRG system at present.…”
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3582
Brucellosis in Marine Mammals: Meta‐Analysis of Prevalence, Infection Patterns, Host Specificity and Zoonotic Potential
Published 2025-09-01“…ABSTRACT Background Marine brucellosis, primarily caused by Brucella species, presents significant ecological and public health challenges, impacting marine biodiversity and posing zoonotic risks. …”
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3583
Evaluation of antioxidant activity, anti-lipid peroxidation effect and elemental impurity risk of some wild Agaricus species mushrooms
Published 2025-04-01“…Abstract Background Mushrooms are natural antioxidant sources that have been consumed as food from past to present and have a nutraceutical effect thanks to the bioactive components they contain. …”
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3584
Environmental impact of pesticide runoff in irrigated agriculture: evidence from Gomoa West field, Ghana
Published 2025-08-01“…Abstract Pesticide use in irrigated agriculture presents growing environmental and public health concerns, particularly in low-resource settings where regulatory enforcement and best practices are limited. …”
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3585
Análisis del efecto del microaprendizaje en el desempeño académico de los estudiantes de la Unidad Educativa "Edwin Mendoza"
Published 2025-05-01“…El objetivo de este estudio fue presentar un análisis del efecto del microaprendizaje en el desempeño académico de los estudiantes de noveno año básico. La metodología que posee el presente trabajo fue de tipo cuantitativo, con diseño experimental. …”
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3586
La perception culturaliste de la parturiente lors d’une interaction thérapeutique : cas de la maternité de Jijel/Algérie.
Published 2009-12-01“…Par ailleurs, notre contribution à la compréhension de la problématique posée plus haut, s’appuiera sur une analyse fondée sur une approche théorique de la représentation sociale de la parturiente. …”
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3587
A review on polycyclic aromatic hydrocarbons: Source, environmental impact, effect on human health and
Published 2016-03-01“…The fate of PAHs in the air, their persistence and the main mechanisms of their losses are presented. Health hazards associated with PAH air pollution are stressed.…”
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3588
Biowaste Valorization of Palm Tree Phoenix dactylifera L. for Nanocellulose Production
Published 2024-01-01“…Conversely, the global presence of over 100 million palm trees poses a significant challenge due to the substantial amount of biowaste generated annually. …”
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3589
Production of Shiga-Toxin by Escherichia coli O157:H7 isolated from Raw Cow Milk obtained within Kaduna Metropolis, Nigeria
Published 2025-06-01“… Study’s Excerpt: • coli O157:H7 detected in raw cow milk poses a public health risk. • Isolates harbored both stx1 and stx2 virulence genes…”
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3590
European integration and the prospects for the Baltic states
Published 1997-06-01“…Contemporary acute aspects of the Baltic de-unification are posed to be discussed. The author proceeds and not only states the exclusiveness of the Baltic States but also postulates an argument of a distinct perspective that EU expansion would expose. …”
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3591
Comparison of magnetron sputtering systems for high-rate deposition of thick copper layers for microelectronic applications
Published 2022-10-01“…When designing production equipment for the implementation of metal film deposition processes, the selection of technological sources for providing the required quality (structure, appearance), maximum process efficiency, and productivity, poses a challenging task. Since laboratory results often differ from issues faced in production processes, this choice becomes even more difficult under real production conditions due to a lack of sources for comparison. …”
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3592
The handling of healthcare waste analysis with an interval-valued Fermatean fuzzy-based decision-making technique
Published 2025-06-01“…Improper medical waste disposal poses a severe risk to society, which can accelerate the development of various pandemics and epidemics. …”
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3593
Belirtili, Belirtisiz ve Takısız Ad Tamlaması in L2-Turkish Evidence From the Learning Difficulties of L1-Greek-speaking learners and Teaching Suggestions
Published 2024-06-01“…However the current case in L2-Turkish teaching/ learning is that the AT category and its sub-sets are treated differently in L2-Turkish grammars and teaching/ learning coursebook material, which is a main reason why AT poses a major acquisition problem for adult L2-Turkish learners. …”
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3594
A Novel Transformer-Based Approach for Reliability Evaluation of Composite Systems With Renewables and Plug-in Hybrid Electric Vehicles
Published 2025-01-01“…While PHEVs can leverage RER to significantly reduce greenhouse gas emissions, the increased energy demand from large PHEVs fleets poses potential challenges to power system reliability. …”
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3595
A semi-mechanistic mathematical framework for simulating multi-hormone dynamics in reproductive endocrinology
Published 2025-01-01“…Background: The dynamic interplay of ovarian hormones is central to reproductive physiology, yet the complexity of their cyclic variations poses challenges for analysis, simulation, and teaching. …”
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3596
Aprendizaje Organizacional como factor condicionante de la competitividad de la Empresa Pequeña y Mediana – PYME
Published 2022-12-01“…Los aprendizajes vividos a raíz de la crisis global del Covid-19 y de la transformación cultural y digital que venía en curso, mostró a las organizaciones la importancia de aprender permanentemente y de saber custodiar y enriquecer los activos de conocimiento que toda organización posee en su talento y en su experiencia. La pequeña y mediana empresa – PYME hace parte de este contexto acelerado de cambio y transformación de los mercados. …”
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3597
Indicadores para evaluar los elementos técnicos ofensivos en atletas de baloncesto 3x3, categoría 11-12 años
Published 2022-05-01“…Materiales y métodos: los métodos de investigación teóricos, empíricos y estadísticos, demostraron las insuficiencias actuales en el proceso de evaluación; los indicadores se confeccionaron partiendo de la praxis, se organiza de experiencias anteriores y muestran una estrecha interrelación con las variables y dimensiones, posee como atributos universales: objetividad, carácter sistémico, flexibilidad, adaptabilidad, además constituyen una solución factible, viable y válida. …”
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3598
Control Strategy of a Multi-Source System Based on Batteries, Wind Turbines, and Electrolyzers for Hydrogen Production
Published 2025-05-01“…However, integrating intermittent renewable energy sources with optimal microgrid management poses significant challenges. It is essential to mention that the studied multi-source system is connected to the DC loads (modular electrolyzers and local load). …”
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3599
Dual Signal Enhancement by Magnetic Separation and Split Aptamer for Ultrasensitive T-2 Toxin Detection
Published 2025-07-01“…T-2 toxin, a type A trichothecene mycotoxin produced by <i>Fusarium</i> species, is widely present in cereals and their processed products, posing a significant contaminant in food safety. …”
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3600
Long-term follow-up results of ruxolitinib as salvage therapy for chronic graft-versus-host disease
Published 2025-07-01“…Introduction: Chronic graft-versus-host disease poses a significant challenge after allogeneic hematopoietic stem cell transplantation with initial treatment often relying on high-dose steroids. …”
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