Influenza and meningitis are interconnected through shared epidemiological patterns and complications, with influenza often leading to bacterial meningitis by compromising host immunity. This study conducted a bibliometric analysis to explore global research trends on influenza and meningitis.

Pediatric cancer treatments significantly affect children's physical, emotional, and social well-being. Virtual reality (VR) is emerging as a promising non-pharmacological tool to enhance quality of life during hospitalization, yet little is known about parents perceive its potential role in supportive care.

High-flow nasal cannula (HFNC) has emerged as a promising non-invasive oxygen therapy for patients with chronic obstructive pulmonary disease (COPD), particularly those with mild to moderate hypercapnia. Despite its growing use, no studies in Saudi Arabia have explored healthcare providers' clinical practices or perceived barriers related to HFNC application in this patient population. This study aimed to assess the current clinical use and implementation challenges of HFNC among physicians and respiratory therapists (RTs) in Saudi Arabia.

The importance of vitamin D metabolism has been confirmed in various pregnancy complications. It is unknown, henceforth how vitamin D metabolism contributes to the occurrence of recurrent pregnancy loss (RPL). This study aimed to elucidate its potential mechanisms through bioinformatics analysis.

Fear of disease progression is a prevalent psychological challenge among breast cancer survivors, often leading to significant psychological dysfunction and serious sequelae, such as post-traumatic stress syndrome and impaired immunity. However, the factors influencing this dysfunction in the early postoperative period remain unclear. Therefore, this study aimed to identify the influencing factors and construct a risk-prediction model for psychological dysfunction in breast cancer patients with postoperative fear of disease.

Intensive care unit-acquired weakness (ICU-AW) is a common complication in critically ill patients, associated with multiple risk factors and significantly impacting long-term patient outcomes. Currently, early diagnosis remains a key challenge in managing ICU-AW: clinical scales are limited by subjectivity, while muscle ultrasound and emerging biomarkers (such as the creatinine/cystatin C ratio, miR-451a, and MuRF1), though showing potential for early identification, have not yet been widely adopted in clinical practice. In terms of management, prevention is paramount. The ABCDEF bundle emphasizes early mobilization (initiated within 24-72 hours), while nutritional strategies targeting molecular pathways (such as HMB and ω-3 fatty acids) help regulate protein metabolism balance. Novel targeted therapies (eg, the myostatin inhibitor Bimagrumab) have demonstrated potential to increase muscle mass in clinical trials. Currently, early diagnosis remains the critical barrier. This review aims to synthesize the latest evidence on the risk factors, diagnostic challenges, and management strategies for ICU-AW, providing insights for clinical practice. It also underscores the need for future research to focus on developing highly sensitive diagnostic tools, optimizing preventive strategies, and promoting the clinical translation of targeted therapies. Ultimately, this will help establish a comprehensive and precise multi-level intervention framework to improve patient outcomes.

Home medical care has emerged globally as an effective approach to addressing the medical and care needs of disabled older adults due to its comfort, convenience, and cost-effectiveness. Understanding the utilization and demand for home medical care services among this population is a key area. This study aims to analyze the utilization and demand for these services among disabled older adults in China.

Self-Determination Theory (SDT) posits that satisfying the needs for autonomy, competence, and relatedness enhances motivation, which may influence return to work (RTW) outcomes. However, its specific impact on RTW remains unclear, warranting further investigation.Following PRISMA-ScR guidelines, we searched PubMed, Web of Science, Embase, Scopus, CINAHL and PsycINFO up to September 2025 for studies examining SDT constructs in RTW contexts. Eleven studies met with inclusion, covering diverse work disability populations. Evidence suggests that greater SDT need satisfaction is associated with higher quality motivation and more sustained RTW engagement, potentially reducing RTW duration and improving employment stability. SDT-informed interventions appear to promote need satisfaction and motivational internalization, with Motivational Interviewing and SDT-aligned tele-rehabilitation or organizational supports identified as common effective components. Our findings support SDT as a coherent framework for understanding RTW dynamics and imply that SDT-guided interventions may enhance vocational rehabilitation outcomes across populations. Future multidisciplinary work should develop explicit SDT-based theories, standardized measures, and integrated intervention pathways to optimize RTW trajectories and long-term employment outcomes.

Hepatocellular carcinoma (HCC) remains one of the most common malignancies worldwide. Its high aggressiveness and complex pathophysiology contribute to diverse but often suboptimal treatment outcomes. The Multidisciplinary Team (MDT) integrates expertise from various specialties to provide personalized and optimal treatment strategies for individual patients. However, conventional MDT face limitations related to logistics, consensus-building, and patient communication. This review aims to discuss the current status and challenges of MDT in liver cancer management and explore emerging innovative technologies that can transcend the conventional model.

To explore the effects of mindfulness meditation on core attention-deficit hyperactivity disorder (ADHD) symptoms, family functioning and social functioning in young children.

Lower limb dysfunction is a common and debilitating consequence of stroke, significantly compromising patients' quality of life. This mini-review synthesizes clinical research on acupuncture for post-stroke lower limb dysfunction over the past five years, integrating traditional Chinese medicine (TCM) theories and modern evidence.

This study aims to investigate the cognition and application status of DeepSeek among surgical medical staff in Class III Grade A hospitals and analyse its influencing factors to optimise its clinical application.

The demand for mortality-related education among hospice care providers in China remains high; however, the overall level of death literacy in China is comparatively low. Given that nurses constitute the primary workforce in hospice and palliative care delivery, enhancing nursing education in death literacy is essential for the effective implementation of related services.

To comprehensively analyze the international trends and dynamics in rheumatoid arthritis and bone erosion research over the past 10 years, identifying research hotspots and challenges to provide references for future research directions and therapeutic strategies.

To investigate the clinical efficacy of combined auricular acupoint pressing and intradermal acupuncture in elderly patients with type 2 diabetes mellitus and insomnia.

Arrhythmias in pregnancy have become an increasingly significant concern for maternal and fetal well-being, reflecting a rising prevalence trend. This bibliometric analysis sought to delineate global research trajectories, pinpoint principal contributors, and underscore nascent areas of interest in this domain.

Varicose veins are a common vascular condition with diverse types, including great saphenous vein varices, varicocele, pelvic varices, and rectal varices, each presenting distinct clinical challenges. In this study, we present a narrative review based on a structured literature search to compare the nursing strategies for these varicose vein types, highlighting their effectiveness, limitations, and implications for clinical practice.Relevant literature was systematically reviewed to evaluate current nursing approaches for different varicose vein types. The review focused on common interventions such as compression therapy, postoperative care, psychological support, and lifestyle modifications, as well as specific challenges associated with each type.Compression therapy is highly effective for great saphenous vein varices, while postoperative care is critical for varicocele, particularly in preventing recurrence and preserving fertility. Multidisciplinary approaches are essential for managing pelvic varices and alleviating chronic pelvic pain. Rectal varices benefit from dietary adjustments and wound care to reduce bleeding risks. Differences in patient compliance, psychological burden, and cost-effectiveness were also observed, influencing the success of nursing strategies.Tailored nursing strategies based on the specific characteristics of each varicose vein type are essential for optimizing patient outcomes. Further research is needed to refine these strategies and develop innovative nursing solutions to address current gaps in care. Thus, nurses should adopt evidence-based, patient-centered approaches that enhance care quality and promote long-term recovery.

To evaluate the effectiveness of discharge planning interventions in improving health outcomes among individuals with stroke and heart conditions, synthesizing evidence from randomized controlled trials and quasi-experimental studies.

Among patients undergoing maintenance hemodialysis (MHD), constipation and frailty are not only common but also associated with adverse clinical outcomes. The objective of this study was to investigate the relationship between constipation and frailty in this population.

Tuberculosis remains a common and clinically significant infectious disease in elderly Homo sapiens aged 60 and above, characterized by atypical manifestations and complex treatment. This review provides a comprehensive analysis of tuberculosis-related pulmonary damage in elderly Homo sapiens, evaluates current care practices, and discusses associated challenges. Key areas of discussion include early detection and diagnosis, optimized management of medication regimens, provision of adequate nutritional support, rehabilitation-focused care, and psychosocial support. The necessity of regular follow-up and long-term management is emphasized to prevent complications and promote functional recovery. Future research and clinical practice directions should focus on developing personalized, technology-integrated care strategies to enhance care quality, improve clinical outcomes, and support the overall health of this Homo sapiens population.

To explore how families support and adapt to their child's language development following cochlear implantation in Saudi Arabia. Although international research has explored these factors, fewer qualitative studies have examined how family dynamics, parental self-efficacy, and perceptions of professional services intersect in shaping parents' interpretations of their children's linguistic outcomes in the Saudi context.