Relational coordination and team‐based care: Change initiative overload and other challenges in a learning health system by Lauren Hajjar, Olawale Olaleye, Julius Yang, Susan McGirr, Erin E. Sullivan

“…Abstract Introduction Most change interventions to address quality of care and lower costs focus on technical aspects of the work through process improvements, which have not consistently delivered the anticipated impact for healthcare organizations. …”
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Optimization of wet acid phosphorus extraction from sewage sludge ash: Assessment of main influencing factors using an empirical model by Hiep Le, Isabell Allwicher, Sarah Müller, David Montag, Thomas Wintgens

“…Key findings revealed that the acid concentration (CHCl) had the most significant effect on PEE, followed by the liquid-to-solid ratio (L/S) and contact time (t). …”
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Mapping motivational factors for continuous medical education: insights from general practitioners with varying levels of participating in CME by Helle Ibsen, Linda Juel Ahrenfeldt, Jens Søndergaard, Igor Švab, Niels Kristian Kjær

“…Background: General practitioners’ (GPs) participation in continuous medical education (CME) is crucial for patient care, GPs’ well-being and healthcare costs. Despite this, 25% of Danish GPs did not participate in CME in 2022. …”
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Epidemiological Patterns of Animal bite in the North of Khorasan Province in Iran by Mohadeseh Lakzaei, Fatemeh Jafari, Mohammad Mohammadi Abnavi, Saeed Keshvari, Hamed Karami

“…Thetool for collecting information was the portal of the Ministry of Health, and SPSS version 26.0 was used for data analysis.Results: The mean age of the subjects under study was 33.9±20.4 years; of them, 2636 (71.6) were men and 838 (22.8) were students. 1448 (97.6%) of those with upper body injuries referred to the health center for less than 48 hours. 2024 (94.3%) were bitten by a dog and most of the bites (N=1055, 28.7%) happened in spring. …”
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Improving the water quality of fish aquaculture effluents after treatment by microalgae by Mahmoud M.S. Farrag, Amr M. Abdelmgeed, Mohsen A. Moustafa, Alaa G.M. Osman

“…This implementation is recommended in intensive aquaculture to improve the water quality and reduce the operating costs in water usage and expected wast water recycling towards achieving progress and sustainable development.…”
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Omalizumab in Food Allergy in Children: Current Evidence and Future Perspectives by Cristiana Indolfi, Alessandra Perrotta, Giulio Dinardo, Angela Klain, Carolina Grella, Paola Palumbo, Michele Miraglia del Giudice

“…However, challenges remain, including high costs, the need for standardized treatment protocols, and limitations related to total IgE thresholds for eligibility. …”
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Enhanced Collaborative Edge Intelligence for Explainable and Transferable Image Recognition in 6G-Aided IIoT by Chen Chen, Ze Sun, Jiale Zhang, Junwei Dong, Peng Zhang, Jie Guo

“…IRCE leverages edge intelligence to optimize real-time performance while reducing computational costs and enhancing scalability. Extensive simulations demonstrate the superior accuracy, explainability, and adaptability of IRCE compared to those of the traditional methods. …”
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Current trends in the treatments of choledochal cysts in pediatric patients in Korea in the era of minimally invasive surgery: narrative review by Ayoung Kang, Soo-Hong Kim, Hae-Young Kim

“…The incidence of CC in Korea is similar to that in Japan, with a rate of 1 in 13,000 individuals and a male-to-female ratio of 1:3 to 1:4. Type I CC was the most common (73.8%), followed by type IVA (16.0%). …”
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Integrating IT and OT for Cybersecurity: A Stochastic Optimization Approach via Attack Graphs by Gonzalo Martinez Medina, Krystel K. Castillo-Villar, Tanveer Hossain Bhuiyan

“…The defense strategies identified by our approach demonstrate that robust security protection can be achieved with optimal resource allocation, providing robust protection while minimizing implementation costs across the most critical vulnerabilities in the manufacturing network.…”
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Evolution of in vitro digestibility techniques: a systematic review by I. M. Chernukha, A. V. Meliashchenia, I. V. Kaltovich, E. R. Vasilevskaya, M. A. Aryzina, T. M. Smaliak, T. V. Senchenko, L. V. Fedulova

“…The inability to reproduce certain digestive processes in vivo, high research costs and ethical aspects have led to the development of a large number of in vitro digestion models. …”
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Purification of Human Immunoglobulin G with Bathophenanthroline–Zn²⁺, –Fe²⁺, or –Cu²⁺ Complexes by Thisara Jayawickrama Withanage, Ron Alcalay, Olga Krichevsky, Ellen Wachtel, Ohad Mazor, Guy Patchornik

“…[(Batho)₃:Zn²⁺] complexes were the most promising, resulting in hIgG with a purity of ≈95%, by SDS-PAGE. …”
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The prevalence of high-risk behaviors in the second year of public high school students based on demographic variables: A cross-sectional study by Rezvan Davoodi, Houshang Alijani Renani, Mehrnaz Moradi Kalboland, Amal Saki Malehi

“…Prevention of high-risk behaviors is always more effective, less costly, and easier than treatment.…”
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Predictive model for recurrence of incisional hernia constructed by CT abdominal wall imaging features by Qi He, Yunhua Wu, Gexin Xu, Zhixing Zhang, Dejan Gao, Lingzhi Nie, Qingguo Du

“…Abstract Background The recurrence rate after incisional hernia surgery is the most important concern for patients and surgeons, which not only causes pain to the patient but also adds additional medical costs. …”
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Refusal of pharmacological treatment: prevalence and clinical importance by S. Yu. Martsevich, N. P. Kutishenko, E. P. Kalaydzhyan, Yu. V. Lukina, A. V. Zagrebelnyy, V. V. Tsaregorodtseva, O. S. Afonina, N. P. Zolotareva, M. L. Ginzburg, O. M. Drapkina

“…Original foreign studies focusing on treatment refusal in patients with chronic non-communicable diseases, particularly those with cardiovascular conditions, are rare. Most of these studies examine not only the refusal to take medications but also the discontinuation of specific therapeutic procedures, as well as the underlying reasons for such refusals. …”
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Optimization Design Method of Pipe-Insulating Joints Based on Surrogate Model and Genetic Algorithm by Chen Guo, Zheng Yang, Jianbo Dong, Yanchao Yue, Linjun Tian, Ping Ma

“…To ensure safety, they are often designed too conservatively, resulting in large dimensions, high self-weight, and substantial costs. This study analyzed an insulating joint under the most unfavorable conditions to identify the component of the maximum stress in the insulating joint, which is the right flange. …”
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Deconstructing resuscitation training for healthcare providers: a protocol for a component network meta-analysis by Toshi A Furukawa, Orestis Efthimiou, Adam Cheng, Maria Petropoulou, Kee-Hsin Chen, Ferika Indarwati, Defi Efendi, Dessie Wanda, Hazrina Adelia, Eva Oktaviani, Qurrata Aini, Bejo Utomo, Nana Rochana

“…Introduction The necessity of enhancing resuscitation training has been encouraged by The International Liaison Committee on Resuscitation and the American Heart Association to reduce mortality, disability and healthcare costs. Resuscitation training is a complicated approach that encompasses various components and their mixture. …”
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Long-Term Impacts of Invasive Meningococcal Disease on Survivors and Their Caregivers in the United States and Canada by Todd Wolynn, John B. Grimes, Sayali Nerurkar, Rachel Dawson, Katherine Galarza, Helay Hassas, Angie Upegui, David P. Greenberg, Corwin A. Robertson, Heather Entenmann, Evan Jones Mann, Liga Bennetts, Maureen P. Neary

“…Abstract Introduction Adolescents and young adults are among those most often impacted by invasive meningococcal disease (IMD), and survivors are often left with serious and permanent physical, neurological, psychological, or systemic complications. …”
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Determinants of Malaria Incidence and Its Effects on Households’ Welfare by Udeme Henrietta Ukpe, Sikiru Adekunle Olayiwola, Comfort Nfor, Molikah Olabisi Olayiwola

“…The mean direct and indirect costs of malaria treatment were ₦9964.28 and ₦5457.43, respectively. …”
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Burden of illness for patients with primary biliary cholangitis: an observational study of clinical characteristics and healthcare resource utilization by Robert G Gish, Joanna P MacEwan, Alina Levine, Dannielle Lebovitch, Leona Bessonova, Darren Wheeler, Radhika Nair, Alan Bonder

“…Aim: To evaluate the clinical characteristics and healthcare resource utilization for acute care and its costs for patients with primary biliary cholangitis (PBC) with or without cirrhosis. …”

Modification of endovenous laser coagulation of great saphenous veins in patients with varicose: Stage of declined thrombophlebitis by M. V. Timerbulatov, T. M. Murasov, S. S. Kazbulatov, D. R. Ibragimov, M. A. Almuhametov, А. R. Galiakberov

“…This modified surgical intervention aims to reduce the economic costs of performing the procedure, shorten surgery duration, and improve the cosmetic result and the quality of patients’ lives. …”
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