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Healthcare | An Open Access Journal from MDPI
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access journal on health care systems, industry, technology, policy, and regulation, and is published semimonthly online by MDPI. <a href="https://ocularnutritionsociety.org/">Ocular Wellness & Nutrition Society (OWNS)</a> is affiliated with <em>Healthcare</em> and its members receive discounts on article processing charges. <ul> <li><span class="label openaccess"><a title="Open Access" href="https://www.mdpi.com/openaccess">Open Access</a></span>— free for readers, with <a href="https://www.mdpi.com/journal/healthcare/apc">article processing charges (APC)</a> paid by authors or their institutions.</li> <li><strong>High Visibility:</strong> indexed within <a href="https://www.scopus.com/sourceid/21101041844">Scopus</a>, <a href="https://mjl.clarivate.com/search-results?issn=2227-9032&hide_exact_match_fl=true&utm_source=mjl&utm_medium=share-by-link&utm_campaign=search-results-share-this-journal">SCIE and SSCI (Web of Science)</a>, <a 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include: </strong><em><a href="https://www.mdpi.com/journal/traumacare">Trauma Care</a></em> and <em><a href="https://www.mdpi.com/journal/ebj">European Burn Journal</a>.</em><strong><br /></strong></li> </ul> </div> <div style="margin-bottom: 15px;"> <strong>Impact Factor:</strong> 2.4 (2023); 5-Year Impact Factor: 2.5 (2023) </div> <div> <a href="/journal/healthcare/imprint" class="UI_JournalImprintsInfoButton"> <i class="material-icons spaced-link">subject</i> Imprint Information </a> <a href="/journal/healthcare/healthcare_flyer.pdf" class="UD_JournalFlyer"> <i class="material-icons spaced-link">get_app</i> Journal Flyer </a> <a class="oa-link" href="https://www.mdpi.com/about/openaccess"> <i class="material icons spaced-link"></i> Open Access </a> <strong> ISSN: 2227-9032 </strong> </div> <div style="clear: both;"></div> </div> </div> </div> <div class="content__container content__container--overflow-initial"> <div class="custom-accordion-for-small-screen-link active"> <h2 class="no-padding-left">Latest Articles</h2> </div> <div class="custom-accordion-for-small-screen-content"> <div class="expanding-div collapsed"> <div class="generic-item article-item no-border"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 35 pages, 1589 KiB </span> <a href="/2227-9032/12/24/2587/pdf?version=1734869782" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Federated Learning in Smart Healthcare: A Comprehensive Review on Privacy, Security, and Predictive Analytics with IoT Integration" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Review</span></div> <a class="title-link" href="/2227-9032/12/24/2587">Federated Learning in Smart Healthcare: A Comprehensive Review on Privacy, Security, and Predictive Analytics with IoT Integration</a> <div class="authors"> by <span class="inlineblock "><strong>Syed Raza Abbas</strong>, </span><span class="inlineblock "><strong>Zeeshan Abbas</strong>, </span><span class="inlineblock "><strong>Arifa Zahir</strong> and </span><span class="inlineblock "><strong>Seung Won Lee</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2587; https://doi.org/10.3390/healthcare12242587 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Federated learning (FL) is revolutionizing healthcare by enabling collaborative machine learning across institutions while preserving patient privacy and meeting regulatory standards. This review delves into FL’s applications within smart health systems, particularly its integration with IoT devices, wearables, and remote monitoring, which empower <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2587/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Federated learning (FL) is revolutionizing healthcare by enabling collaborative machine learning across institutions while preserving patient privacy and meeting regulatory standards. This review delves into FL’s applications within smart health systems, particularly its integration with IoT devices, wearables, and remote monitoring, which empower real-time, decentralized data processing for predictive analytics and personalized care. It addresses key challenges, including security risks like adversarial attacks, data poisoning, and model inversion. Additionally, it covers issues related to data heterogeneity, scalability, and system interoperability. Alongside these, the review highlights emerging privacy-preserving solutions, such as differential privacy and secure multiparty computation, as critical to overcoming FL’s limitations. Successfully addressing these hurdles is essential for enhancing FL’s efficiency, accuracy, and broader adoption in healthcare. Ultimately, FL offers transformative potential for secure, data-driven healthcare systems, promising improved patient outcomes, operational efficiency, and data sovereignty across the healthcare ecosystem. <a href="/2227-9032/12/24/2587">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/NAFPN89D0R ">Artificial Intelligence in Healthcare: Opportunities and Challenges</a>)<br/> </div> </div> </div> </div> <div class="extending-content content-ready"> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 14 pages, 1190 KiB </span> <a href="/2227-9032/12/24/2586/pdf?version=1734867306" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="The Efficacy of Transversus Abdominis Plane (TAP) Blocks When Completed by Anesthesiologists Versus by Surgeons: A Systematic Review and Meta-Analysis" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Systematic Review</span></div> <a class="title-link" href="/2227-9032/12/24/2586">The Efficacy of Transversus Abdominis Plane (TAP) Blocks When Completed by Anesthesiologists Versus by Surgeons: A Systematic Review and Meta-Analysis</a> <div class="authors"> by <span class="inlineblock "><strong>Dylan Irvine</strong>, </span><span class="inlineblock "><strong>Christopher Rennie</strong>, </span><span class="inlineblock "><strong>Emily Coughlin</strong>, </span><span class="inlineblock "><strong>Imani Thornton</strong>, </span><span class="inlineblock "><strong>Rahul Mhaskar</strong> and </span><span class="inlineblock "><strong>Jeffrey Huang</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2586; https://doi.org/10.3390/healthcare12242586 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> <b>Background/Objectives</b>: Current literature has demonstrated the benefits of transversus abdominis plane (TAP) blocks for reducing postoperative pain and opioid consumption for an array of surgical procedures. Some randomized controlled trials and retrospective studies have compared ultrasound guidance TAP blocks completed by anesthesiologists <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2586/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> <b>Background/Objectives</b>: Current literature has demonstrated the benefits of transversus abdominis plane (TAP) blocks for reducing postoperative pain and opioid consumption for an array of surgical procedures. Some randomized controlled trials and retrospective studies have compared ultrasound guidance TAP blocks completed by anesthesiologists (US-TAP) to laparoscopic guidance TAP blocks completed by surgeons (LAP-TAP). However, the findings of these studies have not been consolidated to improve recommendations and patient outcomes. Our objective is to consolidate and summarize current literature regarding the efficacy of TAP blocks for postoperative pain control and opioid consumption when performed with ultrasound guidance (US-TAP, compared to laparoscopic guidance (LAP-TAP). <b>Methods</b>: We performed a systematic review and meta-analysis of RCTs and retrospective studies to evaluate US-TAP versus LAP-TAP blocks for postoperative pain control and opioid consumption. We searched PubMed/MEDLINE, CINAHL, Cochrane, and Web of Science databases for all articles meeting the search criteria until the time of article extraction in February 2024. The primary outcome variables were postoperative pain scores and opioid consumption. The secondary outcome variables were complications, time taken to perform the block, length of stay (LOS) in the hospital, and cost of performing the block. <b>Results</b>: Of the 1673 articles initially identified, 18 studies met the inclusion criteria for evaluation. Of the included studies, 88.9% and 77.8% found no significant difference in postoperative pain scores or opioid consumption, respectively, between US-TAP and LAP-TAP groups. Six studies (33.3%) found that LAP-TAP was faster to perform than US-TAP. Meta-analysis demonstrated no statistically significant differences in postoperative pain scores or opioid consumption between groups but showed that block times were significantly longer in the US-TAP group. <b>Conclusions</b>: US-TAP and LAP-TAP blocks may be equivocal in terms of reducing postoperative pain and opioid consumption. LAP-TAPs may be less time-consuming and more cost-effective and viable alternatives to US-TAP blocks in the perioperative setting. <a href="/2227-9032/12/24/2586">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Section <a href="/journal/healthcare/sections/Pain_Management">Pain Management</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2586/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1550029"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1550029"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1550029" data-cycle-prev="#prev1550029" data-cycle-progressive="#images1550029" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1550029-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g001-550.jpg?1734867378" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1550029" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1550029-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g002-550.jpg?1734867379'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1550029-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g003-550.jpg?1734867380'><p>Figure 3</p></div> --- <div class='openpopupgallery' data-imgindex='3' data-target='article-1550029-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g004-550.jpg?1734867380'><p>Figure 4</p></div></script></div></div><div id="article-1550029-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g001-550.jpg?1734867378" title=" <strong>Figure 1</strong><br/> <p>PRISMA flow chart—identification included studies from a search of databases.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2586'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g002-550.jpg?1734867379" title=" <strong>Figure 2</strong><br/> <p>Postoperative pain scores between US-TAP and LAP-TAP groups [<a href="#B17-healthcare-12-02586" class="html-bibr">17</a>,<a href="#B20-healthcare-12-02586" class="html-bibr">20</a>,<a href="#B22-healthcare-12-02586" class="html-bibr">22</a>,<a href="#B23-healthcare-12-02586" class="html-bibr">23</a>,<a href="#B25-healthcare-12-02586" class="html-bibr">25</a>,<a href="#B26-healthcare-12-02586" class="html-bibr">26</a>,<a href="#B28-healthcare-12-02586" class="html-bibr">28</a>,<a href="#B30-healthcare-12-02586" class="html-bibr">30</a>].</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2586'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g003-550.jpg?1734867380" title=" <strong>Figure 3</strong><br/> <p>Postoperative opioid consumption between US-TAP and LAP-TAP groups [<a href="#B20-healthcare-12-02586" class="html-bibr">20</a>,<a href="#B22-healthcare-12-02586" class="html-bibr">22</a>,<a href="#B23-healthcare-12-02586" class="html-bibr">23</a>,<a href="#B25-healthcare-12-02586" class="html-bibr">25</a>,<a href="#B26-healthcare-12-02586" class="html-bibr">26</a>,<a href="#B28-healthcare-12-02586" class="html-bibr">28</a>,<a href="#B31-healthcare-12-02586" class="html-bibr">31</a>,<a href="#B32-healthcare-12-02586" class="html-bibr">32</a>].</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2586'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02586/article_deploy/html/images/healthcare-12-02586-g004-550.jpg?1734867380" title=" <strong>Figure 4</strong><br/> <p>Block completion time between US-TAP and LAP-TAP groups [<a href="#B17-healthcare-12-02586" class="html-bibr">17</a>,<a href="#B23-healthcare-12-02586" class="html-bibr">23</a>,<a href="#B26-healthcare-12-02586" class="html-bibr">26</a>,<a href="#B28-healthcare-12-02586" class="html-bibr">28</a>,<a href="#B30-healthcare-12-02586" class="html-bibr">30</a>].</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2586'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 16 pages, 642 KiB </span> <a href="/2227-9032/12/24/2585/pdf?version=1734866223" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Exploring the Association Between Adolescents’ Health Literacy and Health Behavior by Using the Short Health Literacy (HLS19-Q12) Questionnaire" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2585">Exploring the Association Between Adolescents’ Health Literacy and Health Behavior by Using the Short Health Literacy (HLS<sub>19</sub>-Q12) Questionnaire</a> <div class="authors"> by <span class="inlineblock "><strong>Saulius Sukys</strong>, </span><span class="inlineblock "><strong>Gerda Kuzmarskiene</strong> and </span><span class="inlineblock "><strong>Kristina Motiejunaite</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2585; https://doi.org/10.3390/healthcare12242585 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Health literacy (HL) is an important element of public health that is linked to health behavior in children and adolescents. This study aimed to investigate the structural validity and reliability of the HLS<sub>19</sub>-Q12 in the adolescent population, to measure the <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2585/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Health literacy (HL) is an important element of public health that is linked to health behavior in children and adolescents. This study aimed to investigate the structural validity and reliability of the HLS<sub>19</sub>-Q12 in the adolescent population, to measure the general HL of adolescents, and to assess the relationship between adolescents’ HL and health behavior. Methods: This cross-sectional study involved 825 students aged 15–19 years attending Lithuanian gymnasiums. The participants completed an online survey that collected information on key sociodemographic, HL, and health behavior indicators. Factor analysis, Cronbach’s alpha, and McDonald’s omega were used to validate the Lithuanian version of the HLS<sub>19</sub>-Q12. Health behavior indicators, including physical activity, smoking, alcohol consumption, self-rated health, and body mass index (BMI), were measured. We used regression analyses to assess the associations. Results: The HLS<sub>19</sub>-Q12 showed an acceptable reliability index (Cronbach’s α = 0.885, McDonald’s omega ω = 0.877) and adequate structural validity (comparative fit index  =  0.89, Tucker and Lewis’s index of fit  =  0.88, root mean square error of approximation  =  0.06). We found that 67.1% of the adolescents had excellent or sufficient HL, 27.7% had problematic HL, and 5.2% had inadequate HL. Compared with girls, boys had greater HL. HL was positively related to physical activity and self-rated health and negatively related to alcohol use and smoking. Conclusions: HLS<sub>19</sub>-Q12 is a reliable and valid measure of HL among adolescents in upper grades; higher levels of HL have been found to result in better health behaviors. <a href="/2227-9032/12/24/2585">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/L136534R9B ">Health, Sport, Physical Activity and Education: Innovations in Improving the Quality of Life of Children and Adolescents</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2585/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="absgraph cycle-slideshow"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1550025-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02585/article_deploy/html/images/healthcare-12-02585-g001-550.jpg?1734866319" alt="" style="border: 0;"><p>Figure 1</p></div></div></div><div id="article-1550025-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02585/article_deploy/html/images/healthcare-12-02585-g001-550.jpg?1734866319" title=" <strong>Figure 1</strong><br/> <p>HLS<sub>19</sub>-Q12 model from confirmatory factor analysis.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2585'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 9 pages, 265 KiB </span> <a href="/2227-9032/12/24/2584/pdf?version=1734861070" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="The “Ideal Birth”: The Occurrence of Severe Perineal Lacerations, Related Factors and the Possibility of Identifying Patients at Higher Risk" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2584">The “Ideal Birth”: The Occurrence of Severe Perineal Lacerations, Related Factors and the Possibility of Identifying Patients at Higher Risk</a> <div class="authors"> by <span class="inlineblock "><strong>Carmen Imma Aquino</strong>, </span><span class="inlineblock "><strong>Alessia Tivano</strong>, </span><span class="inlineblock "><strong>Francesca Della Sala</strong>, </span><span class="inlineblock "><strong>Sofia Colagiorgio</strong>, </span><span class="inlineblock "><strong>Lucia Scalisi</strong>, </span><span class="inlineblock "><strong>Tewobista Ewnetu Alemu</strong>, </span><span class="inlineblock "><strong>Lorenza Scotti</strong>, </span><span class="inlineblock "><strong>Elisabetta Tarrano</strong>, </span><span class="inlineblock "><strong>Valentino Remorgida</strong> and </span><span class="inlineblock "><strong>Daniela Surico</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2584; https://doi.org/10.3390/healthcare12242584 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Obstetric lesions of the anal sphincter (OASIS) are tears intersecting the structure of the anus after vaginal delivery. Our aim is to provide data on the incidence of OASIS and investigate potentially connected risk factors. Methods: This is a retrospective analysis of <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2584/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Obstetric lesions of the anal sphincter (OASIS) are tears intersecting the structure of the anus after vaginal delivery. Our aim is to provide data on the incidence of OASIS and investigate potentially connected risk factors. Methods: This is a retrospective analysis of 464 parturient patients admitted to the AOU Maggiore della Carità, Novara (Italy), in the last ten years (2013–2023), comparing 116 cases (with OASIS) versus 348 controls (with no OASIS). Results: The incidence of OASIS was 1.1%. Among the significant risk factors associated with the risk of severe perineal laceration in our sample, we observed nulliparity, previous caesarean sections, assisted reproduction technology, kilos gained during pregnancy, induced delivery, the use of oxytocin for augmentation, epidural analgesia, delivery after 40 weeks of gestation, position at delivery, the duration of labor, the application of a vacuum cup, newborn weight and head circumference. Conclusions: It was a challenge to find data on OASIS and on more preventable and modifiable risk factors. Beyond the improvement of the corresponding diagnostic and therapeutic tools, a new aim could be to stratify women giving birth based on possible risk factors. <a href="/2227-9032/12/24/2584">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Section <a href="/journal/healthcare/sections/Healthcare_Women_Health">Women's Health Care</a>)<br/> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 23 pages, 2482 KiB </span> <a href="/2227-9032/12/24/2583/pdf?version=1734861393" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Clinical Presentation and Integrated Management of Pressure Injuries in the Emergency Hospital Setting: A Plastic Surgeon’s Perspective" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2583">Clinical Presentation and Integrated Management of Pressure Injuries in the Emergency Hospital Setting: A Plastic Surgeon’s Perspective</a> <div class="authors"> by <span class="inlineblock "><strong>Stefan Cacior</strong>, </span><span class="inlineblock "><strong>Eliza-Maria Bordeanu-Diaconescu</strong>, </span><span class="inlineblock "><strong>Vladut-Alin Ratoiu</strong>, </span><span class="inlineblock "><strong>Andreea Grosu-Bularda</strong>, </span><span class="inlineblock "><strong>Florin-Vlad Hodea</strong>, </span><span class="inlineblock "><strong>Khalid Al-Falah</strong>, </span><span class="inlineblock "><strong>Razvan-Nicolae Teodoreanu</strong>, </span><span class="inlineblock "><strong>Serban-Arghir Popescu</strong>, </span><span class="inlineblock "><strong>Ioan Lascar</strong> and </span><span class="inlineblock "><strong>Cristian-Sorin Hariga</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2583; https://doi.org/10.3390/healthcare12242583 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Pressure injuries are localized areas of tissue damage or necrosis that occur when pressure is applied to the skin for prolonged periods, often over bony prominences, often the sacrum, heels, ischial tuberosities, and greater trochanters. The pathophysiology is complex, involving a combination <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2583/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Pressure injuries are localized areas of tissue damage or necrosis that occur when pressure is applied to the skin for prolonged periods, often over bony prominences, often the sacrum, heels, ischial tuberosities, and greater trochanters. The pathophysiology is complex, involving a combination of mechanical forces, ischemia, and tissue hypoxia. Methods: We conducted a 2-year retrospective study aiming to assess the clinical characteristics, risk factors, and management of pressure injuries in patients admitted to an emergency hospital who underwent a plastic surgery examination. Results: This study included 176 patients with clinically diagnosed pressure ulcers, with findings showing 28.52% of cases as stage III and 35.57% as stage IV. Common sites included the sacrum (40.94%), ischium (15.1%), and heel (14.43%). The median patient age was 76 years, with 47.15% between 60 and 80 years and 36.93% ≥ 80 years, often presenting with comorbidities increasing the risk of pressure injuries, such as cardiovascular disease (71.59%), diabetes (18.18%) and obesity (9.66%). Important risk factors included neurological diseases (46.02%), spinal cord injuries (14.7%), and nutritional deficiencies, as indicated by anemia (10.43g/dL; 95% CI [10.04; 10.82]), low serum albumin (2.56 g/dL; 95% CI [2.43; 2.69]) and proteins (5.54 g/dL; 95% CI [5.34; 5.73]). Mortality was significant, at 36.93%, with 23.3% occurring within the first 7 days of hospitalization due to the patients’ critical condition. Decision-making for surgical intervention considered the patient's general status, comorbidities, and ulcer severity. Surgical treatment consisted of seriate debridement, negative pressure vacuum therapy, and/or coverage using skin grafting, local advancement, or rotation flaps. Conclusions: The key question for a plastic surgeon to consider is how pressure ulcers should be managed. Various debridement and covering techniques should be tailored to the wound’s characteristics, considering patient comorbidities and general health condition. <a href="/2227-9032/12/24/2583">Full article</a> </div> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <a data-dropdown="drop-supplementary-1549852" aria-controls="drop-supplementary-1549852" aria-expanded="false" title="Supplementary Material"> <i class="material-icons">attachment</i> </a> <div id="drop-supplementary-1549852" class="f-dropdown label__btn__dropdown label__btn__dropdown--wide" data-dropdown-content aria-hidden="true" tabindex="-1"> Supplementary material: <br/> <a href="/2227-9032/12/24/2582/s1?version=1734859250"> Supplementary File 1 (ZIP, 339 KiB) </a><br/> </div> </div> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 14 pages, 696 KiB </span> <a href="/2227-9032/12/24/2582/pdf?version=1734859249" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Psychometric Assessment of the Communication Skills Scale Among Peruvian Nurses and Factors Associated with Job Insecurity" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2582">Psychometric Assessment of the Communication Skills Scale Among Peruvian Nurses and Factors Associated with Job Insecurity</a> <div class="authors"> by <span class="inlineblock "><strong>Gabriela Samillán-Yncio</strong>, </span><span class="inlineblock "><strong>Jhon Alex Zeladita-Huaman</strong>, </span><span class="inlineblock "><strong>Eduardo Franco-Chalco</strong>, </span><span class="inlineblock "><strong>Roberto Zegarra-Chapoñan</strong>, </span><span class="inlineblock "><strong>Iván Montes-Iturrizaga</strong> and </span><span class="inlineblock "><strong>Zulma Jeanette Rivera-Medrano</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2582; https://doi.org/10.3390/healthcare12242582 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background/Objectives: The aim of this study was to evaluate the psychometric properties of the Communication Skills Scale (CSS) among Peruvian nurses, as well as the factors associated with job insecurity during the COVID-19 pandemic. Methods: We explored five models of confirmatory factor analysis <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2582/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background/Objectives: The aim of this study was to evaluate the psychometric properties of the Communication Skills Scale (CSS) among Peruvian nurses, as well as the factors associated with job insecurity during the COVID-19 pandemic. Methods: We explored five models of confirmatory factor analysis for the CSS and its four subscales and assessed the convergent validity and criterion validity of the scale by analyzing its connection with job insecurity through stepwise multiple regression. We used insights from a focus group for the cultural adaptation of the scale. In the psychometric phase, 225 nurses participated through a virtual survey. Results: The psychometric analysis revealed that the CSS and its subscales have a robust internal structure—similar to the original questionnaire—and are optimally reliable in the Peruvian population. Furthermore, the results show that job insecurity was associated with contract type, communication skills, empathy, and job satisfaction. Conclusions: The CSS and its subscales are valid and reliable to be applied to Peruvian nurses. Initiatives should be undertaken to strengthen communication skills and increase job satisfaction among nursing professionals by improving their working conditions, especially in times of crisis, to reduce job insecurity and promote well-being. <a href="/2227-9032/12/24/2582">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/3H2J9I1ANP ">Job Satisfaction and Mental Health of Workers</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2582/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1549852"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1549852"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1549852" data-cycle-prev="#prev1549852" data-cycle-progressive="#images1549852" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549852-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02582/article_deploy/html/images/healthcare-12-02582-g001-550.jpg?1734859410" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1549852" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1549852-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02582/article_deploy/html/images/healthcare-12-02582-g002-550.jpg?1734859412'><p>Figure 2</p></div></script></div></div><div id="article-1549852-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02582/article_deploy/html/images/healthcare-12-02582-g001-550.jpg?1734859410" title=" <strong>Figure 1</strong><br/> <p>Confirmatory factor models for each subscale of the CSS.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2582'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02582/article_deploy/html/images/healthcare-12-02582-g002-550.jpg?1734859412" title=" <strong>Figure 2</strong><br/> <p>Confirmatory factor model for the entire CSS.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2582'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 15 pages, 663 KiB </span> <a href="/2227-9032/12/24/2581/pdf?version=1734856625" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Threats to the Dignity of People with Advanced Illness Who Are Treated in Emergency Departments: A Qualitative Study" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2581">Threats to the Dignity of People with Advanced Illness Who Are Treated in Emergency Departments: A Qualitative Study</a> <div class="authors"> by <span class="inlineblock "><strong>Alba Fernández-Férez</strong>, </span><span class="inlineblock "><strong>Ousmane Berthe-Kone</strong>, </span><span class="inlineblock "><strong>Gonzalo Granero-Heredia</strong>, </span><span class="inlineblock "><strong>Matías Correa-Casado</strong>, </span><span class="inlineblock "><strong>María del Mar Jiménez-Lasserrotte</strong>, </span><span class="inlineblock "><strong>Álvaro Martínez-Bordajandi</strong> and </span><span class="inlineblock "><strong>José Granero-Molina</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2581; https://doi.org/10.3390/healthcare12242581 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Dignity is a key element in end-of-life care. Patients with advanced illness attend the emergency department to seek symptom relief but may find their dignity under threat in these services. Objective: The purpose of the study was to explore the threats to <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2581/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Dignity is a key element in end-of-life care. Patients with advanced illness attend the emergency department to seek symptom relief but may find their dignity under threat in these services. Objective: The purpose of the study was to explore the threats to dignity perceived by people with advanced illnesses who are treated in emergency departments. Methods: A descriptive qualitative study was designed for which 18 patients with advanced illnesses were interviewed after being seen in an emergency department. The study complied with the principles of the Declaration of Helsinki for medical research involving human subjects. Results: Two themes were developed from the data analysis that shed light on how patients with advanced illnesses perceive threats to their dignity when seen in emergency departments: (1) “when care focused on diagnosis and treatment limits the dignity of the patient with advanced illness” and (2) “the social dimension of dignity in people with advanced illness in emergency departments”. Conclusions: We conclude that the structural, organizational, and care characteristics of emergency departments may pose a threat to the dignity of people with advanced illnesses who attend the emergency department. Family members, professionals, and other patients can both guarantee and threaten the dignity of people with advanced illnesses when they are treated in emergency departments. <a href="/2227-9032/12/24/2581">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/FJ8I0358TV ">New Insights into Understudied Phenomena in Healthcare</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2581/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="absgraph cycle-slideshow"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549770-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02581/article_deploy/html/images/healthcare-12-02581-g001-550.jpg?1734856736" alt="" style="border: 0;"><p>Figure 1</p></div></div></div><div id="article-1549770-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02581/article_deploy/html/images/healthcare-12-02581-g001-550.jpg?1734856736" title=" <strong>Figure 1</strong><br/> <p>Example of the process of generating units of meaning and subthemes. 18:76: quotation number 76 in the document number 18. ¶ 55: paragraph. P18: Participant 18.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2581'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 16 pages, 432 KiB </span> <a href="/2227-9032/12/24/2580/pdf?version=1734853600" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Predicting Clinical Dishonesty Among Nursing Students: The Impact of Personal and Contextual Factors" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2580">Predicting Clinical Dishonesty Among Nursing Students: The Impact of Personal and Contextual Factors</a> <div class="authors"> by <span class="inlineblock "><strong>Renata Apatić</strong>, </span><span class="inlineblock "><strong>Boštjan Žvanut</strong>, </span><span class="inlineblock "><strong>Nina Brkić-Jovanović</strong>, </span><span class="inlineblock "><strong>Marija Kadović</strong>, </span><span class="inlineblock "><strong>Vedran Đido</strong> and </span><span class="inlineblock "><strong>Robert Lovrić</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2580; https://doi.org/10.3390/healthcare12242580 (registering DOI) - 22 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background/Objectives: Numerous studies have examined nursing students’ academic dishonesty; however, there is still a gap in understanding the predictors of such behavior. This study aimed to identify personal (intrapersonal and interpersonal) and contextual factors predicting nursing students’ dishonesty during clinical training. Methods: A <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2580/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background/Objectives: Numerous studies have examined nursing students’ academic dishonesty; however, there is still a gap in understanding the predictors of such behavior. This study aimed to identify personal (intrapersonal and interpersonal) and contextual factors predicting nursing students’ dishonesty during clinical training. Methods: A two-phase, prospective, predictive study was conducted at a nursing faculty in Croatia. The validated “Mentor Support Evaluation Questionnaire” was used in the first phase to assess students’ evaluations of the quality of mentor support during clinical training. The validated instruments “Optimism/Pessimism Scale” and “Nursing Student Perceptions of Dishonesty Scale” were used in the second phase to examine self-reported dishonesty and its contributing factors. The second phase also investigated the students’ knowledge of the university’s ethical and disciplinary regulations. Results: Of 398 participants, 195 (48.9%) reported engaging in clinical dishonesty. Hierarchical regression analysis identified critical predictors of frequent clinical dishonesty: lack of fear of consequences (<i>β</i> = −0.072), positive attitudes toward dishonesty (<i>β</i>= −0.081), higher incidence of academic dishonesty in the classroom (<i>β</i> = 0.221), lack of knowledge of the university’s regulations (<i>β</i> = −0.349), and low quality of mentor support (<i>β</i> = −0.430). The final model explained 60.7% of the variance in participants’ clinical dishonesty (<i>p</i> < 0.001). Conclusions: The identified predictors indicate that interpersonal factors, i.e., the quality of mentor support, influence students’ clinical dishonesty more than intrapersonal factors (e.g., attitudes or knowledge). Contextual factors (healthcare employment and study overload) were unrelated to clinical dishonesty. This finding can help develop strategies to reduce nursing students’ dishonesty and improve patient safety. <a href="/2227-9032/12/24/2580">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Collection <a href=" /journal/healthcare/topical_collections/8JE31V0I7Z ">Current Nursing Practice and Education</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2580/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="absgraph cycle-slideshow"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549734-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02580/article_deploy/html/images/healthcare-12-02580-g001-550.jpg?1734853686" alt="" style="border: 0;"><p>Figure 1</p></div></div></div><div id="article-1549734-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02580/article_deploy/html/images/healthcare-12-02580-g001-550.jpg?1734853686" title=" <strong>Figure 1</strong><br/> <p>Data Collection Schedule.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2580'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 12 pages, 847 KiB </span> <a href="/2227-9032/12/24/2579/pdf?version=1734777884" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Evaluation of Dynamic Respiratory Muscle Strength, Physical Fitness, and Physical Activity in Children with Asthma and Healthy Peers" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2579">Evaluation of Dynamic Respiratory Muscle Strength, Physical Fitness, and Physical Activity in Children with Asthma and Healthy Peers</a> <div class="authors"> by <span class="inlineblock "><strong>Seyma Nur Onal</strong>, </span><span class="inlineblock "><strong>Gulnar Aliyeva</strong>, </span><span class="inlineblock "><strong>Ebru Calik Kutukcu</strong>, </span><span class="inlineblock "><strong>Naciye Vardar Yagli</strong>, </span><span class="inlineblock "><strong>Bulent Enis Sekerel</strong>, </span><span class="inlineblock "><strong>Ozge Uysal Soyer</strong> and </span><span class="inlineblock "><strong>Umit Murat Sahiner</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2579; https://doi.org/10.3390/healthcare12242579 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> <b>Background</b>: Systemic inflammation, attacks, deterioration of thoracic region mechanics, medications used, and decreased physical activity level (PAL) and fitness negatively may affect respiratory muscle strength. The primary aim of this study was to evaluate dynamic inspiratory muscle strength (S-index), PAL, and physical <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2579/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> <b>Background</b>: Systemic inflammation, attacks, deterioration of thoracic region mechanics, medications used, and decreased physical activity level (PAL) and fitness negatively may affect respiratory muscle strength. The primary aim of this study was to evaluate dynamic inspiratory muscle strength (S-index), PAL, and physical fitness in children with asthma compared to healthy peers. The secondary aim of this study was to investigate the relationships between S-index and peak inspiratory flow (PIF) values and functional parameters in childhood asthma. <b>Methods</b>: This cross-sectional prospective study consisted of participants of 6–11 years of age, specifically, 20 children with asthma and 20 healthy peers. The device (POWERbreathe K5) evaluated PIF and S-index variables. PAL was determined with the Physical Activity Questionnaire-Child (PAQ-C) and fitness was evaluated with the FITNESSGRAM test battery. <b>Results</b>: The PIF Average (Avg): 1.8 ± 0.6, Best: 2.6 ± 0.6 (asthmatic children) vs. Avg: 2.4 ± 0.7, Best: 3.1 ± 0.9 (healthy children); <i>p</i> = 0.017, <i>p</i> = 0.027, respectively) and S-index (Avg: 34.1 ± 10.3, Best: 45.6 ± 9.9 (asthmatic children) vs. Avg: 43.2 ± 12.1, Best: 56.6 ± 14.7 (healthy children); <i>p</i> = 0.015, <i>p</i> = 0.008 respectively) values of children with asthma were significantly lower compared to healthy peers. The PAL and physical fitness of asthmatic and healthy peers were similar (<i>p</i> > 0.05). There were significant relationships between S-indexavg and S-indexbest with the PAQ-C score (r = 0.498, <i>p</i> < 0.025 r = 0.547, <i>p</i> < 0.013, respectively) and PIFavg and PIFbest with the PAQ-C score (r = 0.490, <i>p</i> < 0.028 r = 0.602, <i>p</i> < 0.005) in children with asthma. <b>Conclusions</b>: Dynamic respiratory muscle strength is negatively affected in children with asthma whereas their physical activity and fitness levels are comparable to their peers. However, it was found that children with a higher S-index and PIF rate had higher PALs. These findings suggest that pulmonary rehabilitation interventions to improve respiratory muscle function should be considered an important strategy to maintain and increase physical activity levels in children with asthma. <a href="/2227-9032/12/24/2579">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2579/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1549554"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1549554"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1549554" data-cycle-prev="#prev1549554" data-cycle-progressive="#images1549554" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549554-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02579/article_deploy/html/images/healthcare-12-02579-g001-550.jpg?1734777964" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1549554" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1549554-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02579/article_deploy/html/images/healthcare-12-02579-g002-550.jpg?1734777965'><p>Figure 2</p></div></script></div></div><div id="article-1549554-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02579/article_deploy/html/images/healthcare-12-02579-g001-550.jpg?1734777964" title=" <strong>Figure 1</strong><br/> <p>Study Flow Chart.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2579'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02579/article_deploy/html/images/healthcare-12-02579-g002-550.jpg?1734777965" title=" <strong>Figure 2</strong><br/> <p>The Relationship Between the S-Index, PIF and PAQ-C, PACER, and VO<sub>2</sub>max in Children with Asthma.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2579'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <a data-dropdown="drop-supplementary-1549520" aria-controls="drop-supplementary-1549520" aria-expanded="false" title="Supplementary Material"> <i class="material-icons">attachment</i> </a> <div id="drop-supplementary-1549520" class="f-dropdown label__btn__dropdown label__btn__dropdown--wide" data-dropdown-content aria-hidden="true" tabindex="-1"> Supplementary material: <br/> <a href="/2227-9032/12/24/2578/s1?version=1734776447"> Supplementary File 1 (ZIP, 59 KiB) </a><br/> </div> </div> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 23 pages, 1275 KiB </span> <a href="/2227-9032/12/24/2578/pdf?version=1734776447" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Caregiver-Reported Economic Impacts of Pediatric Rare Diseases—A Scoping Review" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Review</span></div> <a class="title-link" href="/2227-9032/12/24/2578">Caregiver-Reported Economic Impacts of Pediatric Rare Diseases—A Scoping Review</a> <div class="authors"> by <span class="inlineblock "><strong>Niamh Buckle</strong>, </span><span class="inlineblock "><strong>Orla Doyle</strong>, </span><span class="inlineblock "><strong>Naonori Kodate</strong>, </span><span class="inlineblock "><strong>Melissa Kinch</strong> and </span><span class="inlineblock "><strong>Suja Somanadhan</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2578; https://doi.org/10.3390/healthcare12242578 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> <b>Background/Objectives</b>: Rare diseases are conditions that are individually rare but collectively common. These diseases can incur significant direct and indirect costs with a combination of high medical expenses, loss of income, and additional non-medical costs. Despite this, research into the economic cost <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2578/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> <b>Background/Objectives</b>: Rare diseases are conditions that are individually rare but collectively common. These diseases can incur significant direct and indirect costs with a combination of high medical expenses, loss of income, and additional non-medical costs. Despite this, research into the economic cost for families of children with a rare disease is lacking. This scoping review aimed to document the evidence on the economic impacts of living with a rare disease for children and their families. <b>Methods</b>: Six electronic databases were searched to identify relevant peer-reviewed literature that discussed the family costs (direct medical, direct non-medical, and indirect) of having a child with a rare disease, published between January 1983 and April 2023. The geographical location, type of rare disease, and language were not limited. Data were extracted from the included studies following the screening process and are reported following the PAGER framework for reporting scoping review results. <b>Results</b>: The final analysis included 28 studies. The studies highlighted areas of high costs, including visits to healthcare professionals (<i>n</i> = 36), medication costs (<i>n</i> = 11), presenteeism (<i>n</i> = 17), and informal care (<i>n</i> = 11). However, gaps in the existing research, such as the focus on metabolic or musculoskeletal rare diseases and the lack of a distinction between rare and ultra-rare diseases, were apparent. <b>Conclusions</b>: Having a child with a rare disease can significantly impact a family’s financial health, and these costs extend beyond healthcare costs. Understanding the costs experienced by the rare disease population is important to better define and comprehend the economic impact of rare diseases. <a href="/2227-9032/12/24/2578">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2578/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1549520"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1549520"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1549520" data-cycle-prev="#prev1549520" data-cycle-progressive="#images1549520" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549520-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g001-550.jpg?1734776610" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1549520" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1549520-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g002-550.jpg?1734776612'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1549520-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g003-550.jpg?1734776614'><p>Figure 3</p></div></script></div></div><div id="article-1549520-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g001-550.jpg?1734776610" title=" <strong>Figure 1</strong><br/> <p>PRISMA flow chart of literature search, adapted from Page et al. [<a href="#B26-healthcare-12-02578" class="html-bibr">26</a>].</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2578'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g002-550.jpg?1734776612" title=" <strong>Figure 2</strong><br/> <p>Year of publication of included studies.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2578'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02578/article_deploy/html/images/healthcare-12-02578-g003-550.jpg?1734776614" title=" <strong>Figure 3</strong><br/> <p>Country contexts of included studies.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2578'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 21 pages, 5045 KiB </span> <a href="/2227-9032/12/24/2577/pdf?version=1734773095" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Tackling Cardiovascular Care Deserts in Romania: Expanding Population Access in Underserved Areas" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2577">Tackling Cardiovascular Care Deserts in Romania: Expanding Population Access in Underserved Areas</a> <div class="authors"> by <span class="inlineblock "><strong>Alexandra Cioclu</strong>, </span><span class="inlineblock "><strong>Liliana Dumitrache</strong>, </span><span class="inlineblock "><strong>Alina Mareci</strong> and </span><span class="inlineblock "><strong>Mariana Nae</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2577; https://doi.org/10.3390/healthcare12242577 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Cardiovascular deserts are areas that lack medical facilities, specialists and equipment to effectively diagnose, treat and manage cardiovascular diseases (CVDs). Romania registers the highest incidence and the highest mortality due to CVDs in Europe. Population ageing is a significant concern, as it <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2577/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Cardiovascular deserts are areas that lack medical facilities, specialists and equipment to effectively diagnose, treat and manage cardiovascular diseases (CVDs). Romania registers the highest incidence and the highest mortality due to CVDs in Europe. Population ageing is a significant concern, as it increases the risk of CVDs and the demand for specialised care. Although almost 50% of Romanians still live in rural areas, most medical resources are concentrated in a few large cities, leaving large parts of the country underserved. Methods: This study used the Application Programming Interface (API) Matrix service from Google Maps and open data sources to identify cardiovascular (CV) deserts. Results: This research indicates that over 64% of the Romanian population resides in areas lacking CV care, having to travel more than 60 km and over 30 min to reach the nearest facility that offers specialised treatment. Moreover, 14% live in areas affected by a high degree of cardiovascular desertification. These areas are primarily located in northeastern, southern and western Romania. They experience higher mortality rates from CVDs and an ageing population, along with a shortage of general physicians and a scarcity of cardiologists. Conclusions: The identified cardiovascular deserts in this study overlap mountainous regions, the Danube Delta and remote rural areas with poor transportation infrastructure. Implementing telemedicine or mobile healthcare services, involving community healthcare workers and policy support could be solutions to expand access to specialised care in cardiovascular deserts. <a href="/2227-9032/12/24/2577">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2577/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1549400"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1549400"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1549400" data-cycle-prev="#prev1549400" data-cycle-progressive="#images1549400" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1549400-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g001-550.jpg?1734773328" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1549400" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1549400-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g002-550.jpg?1734773330'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1549400-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g003-550.jpg?1734773332'><p>Figure 3</p></div> --- <div class='openpopupgallery' data-imgindex='3' data-target='article-1549400-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g004-550.jpg?1734773334'><p>Figure 4</p></div></script></div></div><div id="article-1549400-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g001-550.jpg?1734773328" title=" <strong>Figure 1</strong><br/> <p>Cardiovascular deserts in Romania.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2577'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g002-550.jpg?1734773330" title=" <strong>Figure 2</strong><br/> <p>Classification of the population vulnerability to CVDs and potential needs for care.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2577'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g003-550.jpg?1734773332" title=" <strong>Figure 3</strong><br/> <p>Classification of the supply of basic healthcare infrastructure.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2577'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02577/article_deploy/html/images/healthcare-12-02577-g004-550.jpg?1734773334" title=" <strong>Figure 4</strong><br/> <p>The degree of cardiovascular desertification in Romania.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2577'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 14 pages, 277 KiB </span> <a href="/2227-9032/12/24/2576/pdf?version=1734770618" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Advancing District Nursing Care Through a Learning Healthcare System: A Viewpoint on Key Requirements" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Viewpoint</span></div> <a class="title-link" href="/2227-9032/12/24/2576">Advancing District Nursing Care Through a Learning Healthcare System: A Viewpoint on Key Requirements</a> <div class="authors"> by <span class="inlineblock "><strong>Jessica Veldhuizen</strong>, </span><span class="inlineblock "><strong>Marieke Schuurmans</strong>, </span><span class="inlineblock "><strong>Misja Mikkers</strong> and </span><span class="inlineblock "><strong>Nienke Bleijenberg</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2576; https://doi.org/10.3390/healthcare12242576 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> The increasing complexity of healthcare needs driven by an ageing population places pressure on district nursing care. Many vulnerable older adults prefer to remain at home, requiring care coordinated with general practitioners and other professionals. This demand for integrated care is further challenged <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2576/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> The increasing complexity of healthcare needs driven by an ageing population places pressure on district nursing care. Many vulnerable older adults prefer to remain at home, requiring care coordinated with general practitioners and other professionals. This demand for integrated care is further challenged by a shortage of nursing professionals and the lack of standardised approaches to measure care quality. This article identifies the key requirements for implementing a learning healthcare system in district nursing care, using patient outcome data to foster continuous improvement and create a more adaptive, evidence-based, and patient-centred approach. This paper synthesises findings from multiple studies conducted as part of a PhD thesis, utilising a multi-method approach. These methods include examining patient outcomes in district nursing care and evaluating necessary cultural, organisational, and financial changes. Four key requirements were identified: (1) standardising patient outcome measures; (2) fostering a data-driven culture and strengthening professional autonomy; (3) enhancing organisational support and integrated care; and (4) adopting financing models that incentivise continuous learning and quality improvement. Implementing a learning healthcare system with patient outcome data in district nursing care requires a transformative shift. Standardising outcome measures, investing in information systems, and promoting continuous learning are crucial. Aligning financial incentives with patient outcomes, strengthening professional autonomy, and enhancing organisational support can make district nursing more responsive and capable of meeting complex needs. The described requirements are essential for advancing district nursing care through a more adaptive, evidence-based, and patient-centred approach. <a href="/2227-9032/12/24/2576">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/0DP82B743Y ">Primary and Community Care: Opportunities and Challenges</a>)<br/> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 17 pages, 1236 KiB </span> <a href="/2227-9032/12/24/2575/pdf?version=1734772685" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Physical Activity Levels of Community-Dwelling Older Adults During Daily Life Activities: A Descriptive Study" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2575">Physical Activity Levels of Community-Dwelling Older Adults During Daily Life Activities: A Descriptive Study</a> <div class="authors"> by <span class="inlineblock "><strong>Dieuwke van Dartel</strong>, </span><span class="inlineblock "><strong>Ying Wang</strong>, </span><span class="inlineblock "><strong>Johannes H. Hegeman</strong> and </span><span class="inlineblock "><strong>Miriam M. R. Vollenbroek-Hutten</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2575; https://doi.org/10.3390/healthcare12242575 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background/Objectives: Measuring the physical functioning of older hip fracture patients using wearables is desirable, with physical activity monitoring offering a promising approach. However, it is first important to assess physical activity in healthy older adults. This study quantifies physical functioning with physical activity <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2575/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background/Objectives: Measuring the physical functioning of older hip fracture patients using wearables is desirable, with physical activity monitoring offering a promising approach. However, it is first important to assess physical activity in healthy older adults. This study quantifies physical functioning with physical activity parameters and assesses those parameters in community-dwelling older adults. The results are compared with the results from one case participant 2 months post-hip fracture surgery. Methods: Twenty-four community-dwelling older adults (aged ≥ 80) participated. The acts of moving around the house, toileting, getting in/out of bed, and preparing meals was quantified by total time, time spent sitting, standing, and walking, number of transfers, and intensity of physical activity. MOX and APDM sensors measured the intensity of physical activity, with the tasks performed in a living lab while video-recorded. The case participant’s total time and intensity of physical activity were measured for walking to a door and getting in/out of bed. Results: Preparing meals showed the longest total time and time spent standing/walking, while moving around the house and getting in/out of bed had the highest intensity of physical activity. Only getting in/out of bed required sitting. The physical activity parameters varied among participants, with very active participants completing tasks faster. The case participant had longer total times and lower intensities of physical activity two months post-surgery compared to before the fracture. Conclusions: This study provides initial insights into the physical activity levels of community-dwelling older adults. It represents the beginning of more efficient and continuous monitoring of physical functioning. <a href="/2227-9032/12/24/2575">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Section <a href="/journal/healthcare/sections/Community_Care">Community Care</a>)<br/> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 13 pages, 317 KiB </span> <a href="/2227-9032/12/24/2574/pdf?version=1734764296" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="The Relationship Between Nursing Work Environment and Breastfeeding Prevalence During Child Hospitalization: A Multicenter Study" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2574">The Relationship Between Nursing Work Environment and Breastfeeding Prevalence During Child Hospitalization: A Multicenter Study</a> <div class="authors"> by <span class="inlineblock "><strong>Martina Batino</strong>, </span><span class="inlineblock "><strong>Jacopo Fiorini</strong>, </span><span class="inlineblock "><strong>Francesco Zaghini</strong>, </span><span class="inlineblock "><strong>Valentina Biagioli</strong>, </span><span class="inlineblock "><strong>Simona Frigerio</strong> and </span><span class="inlineblock "><strong>Alessandro Sili</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2574; https://doi.org/10.3390/healthcare12242574 (registering DOI) - 21 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> <b>Background/Objectives</b>: Breastfeeding during pediatric hospitalization is often challenging, especially in a setting where nursing work environments can affect breastfeeding support. This study examines the relationship between nursing work environments and the prevalence of breastfeeding during child hospitalization, focusing on aspects such as <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2574/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> <b>Background/Objectives</b>: Breastfeeding during pediatric hospitalization is often challenging, especially in a setting where nursing work environments can affect breastfeeding support. This study examines the relationship between nursing work environments and the prevalence of breastfeeding during child hospitalization, focusing on aspects such as nursing workload, stress levels, and quality of work life (QoWL). <b>Methods</b>: A cross-sectional multicenter study was conducted in Italian pediatric hospitals from October 2023 to January 2024. Each ward head nurse completed a form daily for 30 consecutive days to record the number of children breastfed. Nurses’ workload, stress, and QoWL were measured using validated self-report questionnaires. Multivariate regression was employed to examine the associations between organizational variables and breastfeeding prevalence. <b>Results</b>: A total of 256 nurses from low- and medium-intensity pediatric wards completed the survey (86.7% female, mean age = 39.2, SD = 9.96). Nurses reported low stress levels (M = 2.74; SD = 0.54) and a good QoWL (M = 3.03; SD = 0.50) despite high workloads (M = 3.34; SD = 0.95). The breastfeeding prevalence mean was 1.12 (SD = 1.38), which was highest in surgical units. Regression analysis revealed that higher breastfeeding prevalence was associated with nurses’ female gender (β = 0.17), clinical setting, and higher levels of nurses’ QoWL (β = 0.14) (R<sup>2</sup> = 0.23; <i>p</i> < 0.001). <b>Conclusions</b>: To enhance breastfeeding support during child hospitalizations, healthcare policies should address workload management, stress reduction, and work–life balance. Future longitudinal research should expand to other clinical settings and include detailed patient data to understand these relationships. <a href="/2227-9032/12/24/2574">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/1Q7LPJ606M ">Innovations in Precision Nursing: Patient-Centric Care and Technological Advancements</a>)<br/> </div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 21 pages, 6232 KiB </span> <a href="/2227-9032/12/24/2573/pdf?version=1734704510" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="User Experience Study of the Patient Monitoring Systems Based on Usability Testing and Eye Tracking" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2573">User Experience Study of the Patient Monitoring Systems Based on Usability Testing and Eye Tracking</a> <div class="authors"> by <span class="inlineblock "><strong>Hyeonkyeong Choi</strong> and </span><span class="inlineblock "><strong>Wonseuk Jang</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2573; https://doi.org/10.3390/healthcare12242573 (registering DOI) - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background/Objectives: The patient monitoring system is a critical tool commonly used in hospitals, making it essential to assess caregivers’ user requirements and satisfaction with its usability. In intensive care units (ICUs), the usability of these systems is closely linked to the work efficiency <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2573/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background/Objectives: The patient monitoring system is a critical tool commonly used in hospitals, making it essential to assess caregivers’ user requirements and satisfaction with its usability. In intensive care units (ICUs), the usability of these systems is closely linked to the work efficiency of key users, such as nurses, and directly impacts patient safety and treatment outcomes. This study evaluates the usability of patient monitoring systems in intensive care units (ICUs), focusing on user requirements and satisfaction among nurses, the primary users. Usability is directly linked to work efficiency and patient safety, with post-marketing surveillance (PMS) data from overseas, highlighting issues such as unrecognized alarms, leading to worsened patient conditions. Methods: This study involved 22 ICU nurses who had used the system for over a year, assessing usability through testing, satisfaction surveys, the Health-ITUES, and eye-tracking analysis. Results: The results showed a high success rate (94%) and positive satisfaction scores (4.15, SD = 0.88), with a Health-ITUES score of 4.13 (SD = 0.78). Eye tracking revealed that some functions, including alarms, were overlooked or not recognized. Conclusions: Recommendations include improving the interface for alarm messages and recording deletion functions to enhance user satisfaction and patient safety. <a href="/2227-9032/12/24/2573">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2573/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1548872"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1548872"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1548872" data-cycle-prev="#prev1548872" data-cycle-progressive="#images1548872" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548872-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g001-550.jpg?1734704695" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1548872" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g002-550.jpg?1734704696'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g003-550.jpg?1734704698'><p>Figure 3</p></div> --- <div class='openpopupgallery' data-imgindex='3' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g004-550.jpg?1734704700'><p>Figure 4</p></div> --- <div class='openpopupgallery' data-imgindex='4' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g005-550.jpg?1734704701'><p>Figure 5</p></div> --- <div class='openpopupgallery' data-imgindex='5' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006a-550.jpg?1734704703'><p>Figure 6</p></div> --- <div class='openpopupgallery' data-imgindex='6' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006b-550.jpg?1734704706'><p>Figure 6 Cont.</p></div> --- <div class='openpopupgallery' data-imgindex='7' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006c-550.jpg?1734704708'><p>Figure 6 Cont.</p></div> --- <div class='openpopupgallery' data-imgindex='8' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g007-550.jpg?1734704710'><p>Figure 7</p></div> --- <div class='openpopupgallery' data-imgindex='9' data-target='article-1548872-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g008-550.jpg?1734704712'><p>Figure 8</p></div></script></div></div><div id="article-1548872-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g001-550.jpg?1734704695" title=" <strong>Figure 1</strong><br/> <p>Patient monitoring system (M50).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g002-550.jpg?1734704696" title=" <strong>Figure 2</strong><br/> <p>Tobbi Pro Glasses 3.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g003-550.jpg?1734704698" title=" <strong>Figure 3</strong><br/> <p>Participants wearing eye trackers while performing usability tests.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g004-550.jpg?1734704700" title=" <strong>Figure 4</strong><br/> <p>Test environment designed to simulate an intensive care unit (ICU).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g005-550.jpg?1734704701" title=" <strong>Figure 5</strong><br/> <p>Test observation environment.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006a-550.jpg?1734704703" title=" <strong>Figure 6</strong><br/> <p>Representative AOI images: (<b>a</b>) the eye-tracking image of a representative user who failed Task 25, (<b>b</b>) the eye-tracking image of a representative user who failed Task 2, (<b>c</b>) the eye-tracking image of a representative user who failed Task 27, and (<b>d</b>) the eye-tracking image of a representative user who failed Task 29.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006b-550.jpg?1734704706" title=" <strong>Figure 6 Cont.</strong><br/> <p>Representative AOI images: (<b>a</b>) the eye-tracking image of a representative user who failed Task 25, (<b>b</b>) the eye-tracking image of a representative user who failed Task 2, (<b>c</b>) the eye-tracking image of a representative user who failed Task 27, and (<b>d</b>) the eye-tracking image of a representative user who failed Task 29.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g006c-550.jpg?1734704708" title=" <strong>Figure 6 Cont.</strong><br/> <p>Representative AOI images: (<b>a</b>) the eye-tracking image of a representative user who failed Task 25, (<b>b</b>) the eye-tracking image of a representative user who failed Task 2, (<b>c</b>) the eye-tracking image of a representative user who failed Task 27, and (<b>d</b>) the eye-tracking image of a representative user who failed Task 29.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g007-550.jpg?1734704710" title=" <strong>Figure 7</strong><br/> <p>Representative heatmap images: (<b>a</b>) the eye-tracking image of a representative user who failed Task 25, (<b>b</b>) the eye-tracking image of a representative user who failed Task 2, (<b>c</b>) the eye-tracking image of a representative user who failed Task 27, and (<b>d</b>) the eye-tracking image of a representative user who failed Task 29. Green to red color represents fixation value level where green stands for lowest value and red represents highest value. Refer to <a href="#healthcare-12-02573-f006" class="html-fig">Figure 6</a> for representative AOI for heatmap.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02573/article_deploy/html/images/healthcare-12-02573-g008-550.jpg?1734704712" title=" <strong>Figure 8</strong><br/> <p>Representative gaze plot images: (<b>a</b>) the eye-tracking image of a representative user who failed Task 25, (<b>b</b>) the eye-tracking image of a representative user who failed Task 2, (<b>c</b>) the eye-tracking image of a representative user who failed Task 27, and (<b>d</b>) the eye-tracking image of a representative user who failed Task 29. The number sequence represents the start and end of gaze within the following tasks.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2573'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 17 pages, 977 KiB </span> <a href="/2227-9032/12/24/2572/pdf?version=1734702817" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="From Wristbands to Implants: The Transformative Role of Wearables in Heart Failure Care" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Review</span></div> <a class="title-link" href="/2227-9032/12/24/2572">From Wristbands to Implants: The Transformative Role of Wearables in Heart Failure Care</a> <div class="authors"> by <span class="inlineblock "><strong>Catarina Gregório</strong>, </span><span class="inlineblock "><strong>João R. Agostinho</strong>, </span><span class="inlineblock "><strong>Joana Rigueira</strong>, </span><span class="inlineblock "><strong>Rafael Santos</strong>, </span><span class="inlineblock "><strong>Fausto J. Pinto</strong> and </span><span class="inlineblock "><strong>Dulce Brito</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2572; https://doi.org/10.3390/healthcare12242572 (registering DOI) - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Heart failure (HF) management increasingly relies on innovative solutions to enhance monitoring and care. Wearable devices, originally popularized for fitness tracking, show promise in clinical decision-making for HF. This study explores the application and potential for the broader integration of wearable technology <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2572/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Heart failure (HF) management increasingly relies on innovative solutions to enhance monitoring and care. Wearable devices, originally popularized for fitness tracking, show promise in clinical decision-making for HF. This study explores the application and potential for the broader integration of wearable technology in HF management, emphasizing remote monitoring and personalized care. Methods: A comprehensive literature review was performed to assess the role of wearables in HF management, focusing on functionalities like vital sign tracking, patient engagement, and clinical decision support. Clinical outcomes and barriers to adopting wearable technology in HF care were critically analyzed. Results: Wearable devices increasingly track physiological parameters relevant to HF, such as heart rate, physical activity, and sleep. They can identify at-risk patients, promote lifestyle changes, facilitate early diagnosis, and accurately detect arrhythmias that lead to decompensation. Additionally, wearables may assess fluid status, identifying early signs of decompensation to prevent hospitalization and supporting therapeutic adjustments. They also enhance physical activity and optimize cardiac rehabilitation programs, improving patient outcomes. Both wearable and implanted cardiac devices enable continuous, non-invasive monitoring through small devices. However, challenges like data integration, regulatory approval, and reimbursement impede their widespread adoption. Conclusions: Wearable technology can transform HF management through continuous monitoring and early interventions. Collaboration among involved parties is essential to overcome integration challenges and validate most of these devices in clinical practice. <a href="/2227-9032/12/24/2572">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/89A5YM7199 ">Telehealth and Remote Patient Monitoring</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2572/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1548814"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1548814"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1548814" data-cycle-prev="#prev1548814" data-cycle-progressive="#images1548814" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548814-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02572/article_deploy/html/images/healthcare-12-02572-g001-550.jpg?1734702884" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1548814" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1548814-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02572/article_deploy/html/images/healthcare-12-02572-g002-550.jpg?1734702886'><p>Figure 2</p></div></script></div></div><div id="article-1548814-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02572/article_deploy/html/images/healthcare-12-02572-g001-550.jpg?1734702884" title=" <strong>Figure 1</strong><br/> <p>Overview of some sensor technologies in wearables for heart failure management.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2572'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02572/article_deploy/html/images/healthcare-12-02572-g002-550.jpg?1734702886" title=" <strong>Figure 2</strong><br/> <p>Barriers to the effective implementation of wearable devices in clinical practice for heart failure care.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2572'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 14 pages, 1086 KiB </span> <a href="/2227-9032/12/24/2571/pdf?version=1734692394" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Approaching Suffering in Young University Students, New Challenge for a Compassionate University: A Qualitative Study of Undergraduate Nursing Students" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2571">Approaching Suffering in Young University Students, New Challenge for a Compassionate University: A Qualitative Study of Undergraduate Nursing Students</a> <div class="authors"> by <span class="inlineblock "><strong>Sonia García-Navarro</strong>, </span><span class="inlineblock "><strong>E. Begoña García-Navarro</strong>, </span><span class="inlineblock "><strong>Miriam Araujo-Hernández</strong>, </span><span class="inlineblock "><strong>Ángela Ortega-Galán</strong> and </span><span class="inlineblock "><strong>María José Cáceres-Titos</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2571; <a href="https://doi.org/10.3390/healthcare12242571">https://doi.org/10.3390/healthcare12242571</a> - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background/Objectives: Student distress is diverse and manifests itself in a variety of ways. Driven by the constant pressure to meet academic and personal expectations, many students experience a deep sense of insufficiency and hopelessness. Anxiety and depression are widespread and are often accompanied <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2571/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background/Objectives: Student distress is diverse and manifests itself in a variety of ways. Driven by the constant pressure to meet academic and personal expectations, many students experience a deep sense of insufficiency and hopelessness. Anxiety and depression are widespread and are often accompanied by self-critical thoughts and feelings of worthlessness. Seeking temporary relief that often exacerbates their long-term struggles, some students resort to self-harm as a way to manage their emotional pain. Methods: This study employs an exploratory qualitative design with a phenomenological approach to deeply examine students’ experiences of suffering. Using semi-structured interviews, the study captures detailed narratives from 17 purposely selected students, providing a rich understanding of their lived experiences. Adhering to COREQ guidelines (Consolidated Criteria for Reporting Qualitative Studies). Results: The analysis identified four main themes: the concept of suffering, its causes, students’ responses, and coping strategies. Eleven sub-themes were identified, highlighting the significant challenges students face, including low self-esteem, anxiety, depression, and self-harm. These problems are increased by academic stress and social pressure derived from the intensive use of social networks. The constant social comparison and the search for external validation on social networks generate feelings of inadequacy and emotional exhaustion. Students often lack effective strategies to manage these pressures. In addition, bullying and the absence of meaningful relationships in the academic environment increase their suffering. Conclusions: This study provides a novel contribution by focusing on the lived experiences of nursing students and emphasizing the importance of the compassionate university model as a framework for addressing student suffering. It highlights the urgent need to implement strategies for support and compassion in educational institutions centred on emotional management, presence, listening, and specific mindfulness and stress management programmes. Additionally, fostering healthier and more mindful use of social media is crucial to help students manage their expectations, reduce their suffering, and cultivate self-compassion. <a href="/2227-9032/12/24/2571">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Special Issue <a href=" /journal/healthcare/special_issues/NCL5LU64GT ">Compassionate Person-Centered and Interprofessional Palliative Care: Challenges and Opportunities</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2571/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1548580"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1548580"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1548580" data-cycle-prev="#prev1548580" data-cycle-progressive="#images1548580" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548580-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02571/article_deploy/html/images/healthcare-12-02571-g001-550.jpg?1734692469" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1548580" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1548580-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02571/article_deploy/html/images/healthcare-12-02571-g002-550.jpg?1734692471'><p>Figure 2</p></div></script></div></div><div id="article-1548580-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02571/article_deploy/html/images/healthcare-12-02571-g001-550.jpg?1734692469" title=" <strong>Figure 1</strong><br/> <p>Network map of the reasons behind suffering.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2571'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02571/article_deploy/html/images/healthcare-12-02571-g002-550.jpg?1734692471" title=" <strong>Figure 2</strong><br/> <p>Relationship map of associations between lines of arguments, categories, and subcategories.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2571'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 15 pages, 950 KiB </span> <a href="/2227-9032/12/24/2570/pdf?version=1734709240" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Perceived Health Needs, Social Support, and Depression Among Patients with Myocardial Infarction: A Cross-Sectional Study" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2570">Perceived Health Needs, Social Support, and Depression Among Patients with Myocardial Infarction: A Cross-Sectional Study</a> <div class="authors"> by <span class="inlineblock "><strong>Bushra Alshammari</strong>, </span><span class="inlineblock "><strong>Fatmah Awad Alrshedy</strong>, </span><span class="inlineblock "><strong>Awatif M. Alrasheeday</strong>, </span><span class="inlineblock "><strong>Sameer Alkubati</strong>, </span><span class="inlineblock "><strong>Mohamed Ayoub Tlili</strong>, </span><span class="inlineblock "><strong>Wiem Aouicha</strong>, </span><span class="inlineblock "><strong>Maha Dardouri</strong>, </span><span class="inlineblock "><strong>Sarah Basheer Alshammari</strong>, </span><span class="inlineblock "><strong>Hanan Qayyadh Alanazi</strong>, </span><span class="inlineblock "><strong>Teflah Saud Alshammari</strong>, </span><span class="inlineblock "><strong>Abdullah Ayad Alharbi</strong>, </span><span class="inlineblock "><strong>Nashi Masnad Alreshidi</strong>, </span><span class="inlineblock "><strong>Hind Abdullah Alrashedi</strong>, </span><span class="inlineblock "><strong>Nouf Shannan Alshammari</strong>, </span><span class="inlineblock "><strong>Farhan Alshammari</strong>, </span><span class="inlineblock "><strong>Afrah Madyan Alshammari</strong>, </span><span class="inlineblock "><strong>Abeer Nuwayfi Alruwaili</strong> and </span><span class="inlineblock "><strong>Sahar Maziad Alshammari</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2570; <a href="https://doi.org/10.3390/healthcare12242570">https://doi.org/10.3390/healthcare12242570</a> - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Cardiovascular diseases are the leading cause of mortality globally. Myocardial infarction (MI), a major type of cardiovascular disease, presents long-term challenges for patients. Recognizing patients’ perceived health needs and the factors that influence them is crucial for providing comprehensive care and improving <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2570/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Cardiovascular diseases are the leading cause of mortality globally. Myocardial infarction (MI), a major type of cardiovascular disease, presents long-term challenges for patients. Recognizing patients’ perceived health needs and the factors that influence them is crucial for providing comprehensive care and improving outcomes. Aim: This paper explores the perceived health needs, levels of depression, and social support among MI patients, as well as investigates the correlations between these factors. Methods: A cross-sectional study was conducted at King Salman Specialist Hospital from March to June 2024, enrolling 244 MI patients through convenience sampling. Data collection was performed using the following three validated questionnaires: the Cardiac Patient Learning Needs Inventory (CPLNI) to assess the learning needs of MI patients, the Patient Health Questionnaire-9 (PHQ-9) to evaluate depression levels, and the Oslo Social Support Scale (OSSS-3) to measure social support. Statistical analysis was carried out using IBM SPSS Statistics, Version 27. Results: Patients aged 40 years or older and those who were employed exhibited greater learning needs (<i>p</i> < 0.001). Female patients were more depressed than males (<i>p</i> = 0.008). Higher social support was reported by the female patients, those with a family history of MI, and those who were employed (<i>p</i> = 0.002, 0.002, and 0.003, respectively). The total mean score for perceived learning needs was 3.72, with the highest needs in “other pertinent information”, “medication information”, and “anatomy and physiology”. Depression was indicated in 45.1% of MI patients, with significantly higher depression levels in female than in male patients. Additionally, a significant positive correlation was found between social support and perceived learning needs (r = 0.205, <i>p</i> = 0.001), as well as a negative correlation between social support and depression (r = −0.441, <i>p</i> < 0.001). Conclusions: Addressing both the physical and psychological needs is essential for MI patients. Comprehensive educational programs and mental health support services are necessary for improving outcomes. Personalized patient education and routine depression screenings should be integrated into post-MI care. Future research should examine longitudinal changes in learning needs and mental health status. <a href="/2227-9032/12/24/2570">Full article</a> </div> </div> <div class="belongsTo" style="margin-bottom: 10px;"> (This article belongs to the Section <a href="/journal/healthcare/sections/Chronic_Care">Chronic Care</a>)<br/> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2570/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1548527"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1548527"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1548527" data-cycle-prev="#prev1548527" data-cycle-progressive="#images1548527" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548527-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g001-550.jpg?1734709411" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1548527" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1548527-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g002-550.jpg?1734709413'><p>Figure 2</p></div> --- <div class='openpopupgallery' data-imgindex='2' data-target='article-1548527-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g003-550.jpg?1734709414'><p>Figure 3</p></div></script></div></div><div id="article-1548527-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g001-550.jpg?1734709411" title=" <strong>Figure 1</strong><br/> <p>Description of learning needs of MI patients (N = 244).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2570'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g002-550.jpg?1734709413" title=" <strong>Figure 2</strong><br/> <p>Prevalence of depression among participants (N = 244).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2570'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02570/article_deploy/html/images/healthcare-12-02570-g003-550.jpg?1734709414" title=" <strong>Figure 3</strong><br/> <p>Description of social support for MI patients (N = 244).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2570'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 14 pages, 1209 KiB </span> <a href="/2227-9032/12/24/2569/pdf?version=1734689206" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Exploring Beekeepers’ Experiences and Perceptions of Anaphylaxis Risks: A Qualitative Study to Inform Targeted Health Education Programs" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2569">Exploring Beekeepers’ Experiences and Perceptions of Anaphylaxis Risks: A Qualitative Study to Inform Targeted Health Education Programs</a> <div class="authors"> by <span class="inlineblock "><strong>Tea Močnik</strong>, </span><span class="inlineblock "><strong>Sabina Ličen</strong>, </span><span class="inlineblock "><strong>Mihaela Zidarn</strong> and </span><span class="inlineblock "><strong>Mirko Prosen</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2569; <a href="https://doi.org/10.3390/healthcare12242569">https://doi.org/10.3390/healthcare12242569</a> - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> Background: Beekeeping plays crucial natural and economic roles but also poses health risks, as bee stings can cause severe allergic reactions like anaphylaxis, a potentially life-threatening condition that requires timely intervention. Understanding symptoms and the proper use of adrenaline autoinjectors is essential to <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2569/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> Background: Beekeeping plays crucial natural and economic roles but also poses health risks, as bee stings can cause severe allergic reactions like anaphylaxis, a potentially life-threatening condition that requires timely intervention. Understanding symptoms and the proper use of adrenaline autoinjectors is essential to minimize risks. This study aimed to assess the need for education on anaphylaxis and to develop a health education program to enhance beekeepers’ preparedness and safety. Methods: A qualitative descriptive interpretative method was employed. Two focus groups were conducted, one with eight health care professionals specializing in allergy and clinical immunology and the other with six active beekeepers. The data were analyzed via content analysis using QDA Miner<sup>®</sup> Lite v3.0.5 software. Results: The analysis structure comprises five thematic areas: (1) the management of anaphylaxis; (2) the prevention of anaphylaxis; (3) health education approaches; (4) systemic approaches in prevention; and (5) adrenaline autoinjectors. The results highlight key challenges, including the need for better strategies to manage anaphylaxis, improve prevention, and provide practical educational programs for beekeepers. There is also a need for better collaboration between health care professionals and beekeepers, as well as improved access to and knowledge of adrenaline autoinjectors. Conclusions: Targeted education for beekeepers on recognizing anaphylaxis symptoms and using adrenaline autoinjectors is essential for timely intervention and preventing severe outcomes. Given their exposure to bee stings, beekeepers require proper training and regular practice to improve preparedness and safety. This research underscores the need for a comprehensive educational program to reduce anaphylaxis risk and enhance safety in beekeeping. <a href="/2227-9032/12/24/2569">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2569/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="arrow left-arrow" id="prev1548506"><i class="fa fa-caret-left"></i></div><div class="arrow right-arrow" id="next1548506"><i class="fa fa-caret-right"></i></div><div class="absgraph cycle-slideshow manual" data-cycle-fx="scrollHorz" data-cycle-timeout="0" data-cycle-next="#next1548506" data-cycle-prev="#prev1548506" data-cycle-progressive="#images1548506" data-cycle-slides=">div" data-cycle-log="false"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548506-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02569/article_deploy/html/images/healthcare-12-02569-g001-550.jpg?1734689377" alt="" style="border: 0;"><p>Figure 1</p></div><script id="images1548506" type="text/cycle" data-cycle-split="---"><div class='openpopupgallery' data-imgindex='1' data-target='article-1548506-popup'><span class="helper"></span><img src='https://pub.mdpi-res.com/healthcare/healthcare-12-02569/article_deploy/html/images/healthcare-12-02569-g002-550.jpg?1734689379'><p>Figure 2</p></div></script></div></div><div id="article-1548506-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02569/article_deploy/html/images/healthcare-12-02569-g001-550.jpg?1734689377" title=" <strong>Figure 1</strong><br/> <p>Diagram of key themes in anaphylaxis prevention and management among beekeepers: findings from focus group analysis.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2569'>Full article</a></strong> "></a><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02569/article_deploy/html/images/healthcare-12-02569-g002-550.jpg?1734689379" title=" <strong>Figure 2</strong><br/> <p>Word cloud of the most frequently used words in the focus groups.</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2569'>Full article</a></strong> "></a></div> </div> </div> </div> <div class="expanding-div collapsed"> <div class="generic-item article-item"> <div class="article-content"> <div class="label right label__btn"> <a data-dropdown="drop-supplementary-1548304" aria-controls="drop-supplementary-1548304" aria-expanded="false" title="Supplementary Material"> <i class="material-icons">attachment</i> </a> <div id="drop-supplementary-1548304" class="f-dropdown label__btn__dropdown label__btn__dropdown--wide" data-dropdown-content aria-hidden="true" tabindex="-1"> Supplementary material: <br/> <a href="/2227-9032/12/24/2568/s1?version=1734684890"> Supplementary File 1 (ZIP, 222 KiB) </a><br/> </div> </div> <div class="label right label__btn"> <span style="font-size: 12px; color: #1a1a1a;"> 12 pages, 545 KiB </span> <a href="/2227-9032/12/24/2568/pdf?version=1734684889" class="UD_Listings_ArticlePDF" title="Article PDF" data-name="Long-Term Determinants of Depression Mood: A 19-Year Follow Up of 2344 Middle-Aged and Older Adults" data-journal="healthcare"> <i class="material-icons custom-download"></i> </a> </div> <div class="article-icons"><span class="label openaccess" data-dropdown="drop-article-label-openaccess" aria-expanded="false">Open Access</span><span class="label articletype">Article</span></div> <a class="title-link" href="/2227-9032/12/24/2568">Long-Term Determinants of Depression Mood: A 19-Year Follow Up of 2344 Middle-Aged and Older Adults</a> <div class="authors"> by <span class="inlineblock "><strong>Nae-Fang Miao</strong>, </span><span class="inlineblock "><strong>Chia-Jung Hsieh</strong> and </span><span class="inlineblock "><strong>Pei-Shan Li</strong></span> </div> <div class="color-grey-dark"> <em>Healthcare</em> <b>2024</b>, <em>12</em>(24), 2568; <a href="https://doi.org/10.3390/healthcare12242568">https://doi.org/10.3390/healthcare12242568</a> - 20 Dec 2024 </div> <div class="abstract-div"> <a href="#" onclick="$(this).next('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> <strong>Abstract </strong> </a> <div class="abstract-cropped inline"> <b>Objectives:</b> This study explores depression changes and influencing factors in middle-aged and older individuals, focusing on different cognitive function states. <b>Methods:</b> This cohort study uses panel data from seven waves of the nationally representative Taiwan Longitudinal Study on Aging (1996–2015) with 2344 participants <a href="#" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2568/more" onclick="$(this).parents('.abstract-cropped').toggleClass('inline').next('.abstract-full').toggleClass('inline'); return false;"> [...] Read more.</a> </div> <div class="abstract-full "> <b>Objectives:</b> This study explores depression changes and influencing factors in middle-aged and older individuals, focusing on different cognitive function states. <b>Methods:</b> This cohort study uses panel data from seven waves of the nationally representative Taiwan Longitudinal Study on Aging (1996–2015) with 2344 participants aged 50 or above. Data analysis was conducted from 25 January 2023 to 4 May 2023. <b>Results:</b> Multivariate logistic regression analyzed three trajectories: maintained mood, progressive depression, and consistent depression. Protective factors for progressive depression included self-health perception, exercise, family satisfaction, and financial well being, while risk factors were chronic diseases, pain, substance use, and daily activity limitations. Cognitive function emerged as a significant protective factor, while pain exhibited the highest risk. In the cognitive dysfunction group, only social participation showed notable differences. <b>Conclusion:</b> Progressive and consistent depression in middle-aged and older people have aroused concern. In addition to necessary protection and risk factors, special attention should be paid to the risks posed by the level of pain. Addressing pain as a crucial risk factor is essential, particularly for middle-aged and older people with cognitive impairment and depression, necessitating targeted support. <a href="/2227-9032/12/24/2568">Full article</a> </div> </div> <a href="#" class="abstract-figures-show" data-counterslink = "https://www.mdpi.com/2227-9032/12/24/2568/show" ><span >►</span><span style=" display: none;">▼</span> Show Figures </a><div class="abstract-image-preview "><div class="absgraph cycle-slideshow"><div class='openpopupgallery cycle-slide' data-imgindex='0' data-target='article-1548304-popup'><span class="helper"></span><img src="data:image/gif;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs=" data-src="https://pub.mdpi-res.com/healthcare/healthcare-12-02568/article_deploy/html/images/healthcare-12-02568-g001-550.jpg?1734684969" alt="" style="border: 0;"><p>Figure 1</p></div></div></div><div id="article-1548304-popup" class="popupgallery" style="display: inline; line-height: 200%"><a href="https://pub.mdpi-res.com/healthcare/healthcare-12-02568/article_deploy/html/images/healthcare-12-02568-g001-550.jpg?1734684969" title=" <strong>Figure 1</strong><br/> <p>Depression trajectories among a sample of older individuals that survived a 19-year period in Taiwan. The X-axis is the survey time (years) and the Y-axis is the depression level. The solid line indicates the sample trajectories and the upper and lower dashed lines indicate the 95% confidence limits of the estimated trajectory, representing the statistical uncertainty in the estimation. The membership probabilities of the three depression trajectories are as follows: maintained mood (57.5%); progressive depression (34.5%); and consistent depression (7.9%).</p> <strong style='display: block; margin-top: 10px; font-size: 18px;'><a style='color: #fff' href='/2227-9032/12/24/2568'>Full article</a></strong> "></a></div> </div> </div> </div> </div> <div class="generic-item last-item"> <a class="bold" href="/search?q=&journal=healthcare&sort=pubdate&page_count=50">More Articles...</a> </div> </div> </div> </div> <div id="left-column" class="content__column large-3 large-pull-6 medium-3 medium-pull-6 small-12 columns"> <div id="js-large-main-top-container"> <div id="js-main-top-container" class="content__container"> <a href="/journal/healthcare"> <img src="https://pub.mdpi-res.com/img/journals/healthcare-logo.png?8600e93ff98dbf14" alt="healthcare-logo" title="Healthcare" style="max-height: 60px; margin: 0 0 0 0;"> </a> <div class="generic-item no-border" style="position: 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src="https://pub.mdpi-res.com/assets/js/lib.js?f8d3d71b3a772f9d?1734335954"></script> <script src="https://pub.mdpi-res.com/assets/js/mdpi.js?c267ce58392b15da?1734335954"></script> <script>var banners_url = 'https://serve.mdpi.com';</script> <script type='text/javascript' src='https://pub.mdpi-res.com/assets/js/ifvisible.min.js?c621d19ecb761212?1734335954'></script> <script src="https://pub.mdpi-res.com/assets/js/xmltohtml/affix.js?ac4ea55275297c15?1734335954"></script> <script src="https://pub.mdpi-res.com/assets/js/clipboard.min.js?3f3688138a1b9fc4?1734335954"></script> <script type="text/javascript"> $(document).ready(function() { var helpFunctions = $(".middle-column__help__fixed"); var leftColumnAffix = $(".left-column__fixed"); var middleColumn = $("#middle-column"); var clone = null; helpFunctions.affix({ offset: { top: function() { return middleColumn.offset().top - 8 - (Foundation.utils.is_medium_only() ? 30 : 0); }, bottom: function() { return $("#footer").innerHeight() + 74 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// menu header var header = $("<h2></h2>"); header.text("Menu"); div.append(header); // menu list var ul = $("<ul></ul>"); ul.addClass("side-menu-ul"); div.append(ul); // menu list items (create additional anchors for page) items.each(function() { var header_title = $(this).text(); var link_title = header_title.replace(/ |-/gi, "_").toLowerCase(); var li = $("<li></li>"); li.addClass("side-menu-li"); ul.append(li); var a = $("<a></a>"); a.html(header_title); a.prop("href", "#" + link_title); li.append(a); var a = $("<a></a>"); a.prop("name", link_title); $(this).prepend(a); }); div.append(ul); div.show(); } }); </script> <link rel="stylesheet" href="https://pub.mdpi-res.com/assets/css/magnific-popup.min.css?04d343e036f8eecd?1734335954"> <link rel="stylesheet" href="https://pub.mdpi-res.com/assets/css/jquery-ui-1.10.4.custom.min.css?80647d88647bf347?1734335954"> <script src="https://pub.mdpi-res.com/assets/js/jquery-ui-1.13.2.min.js?1e2047978946a1d2?1734335954"></script> <script 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