The Transmission of Nurse Employment Spillovers and Their Impact on Inpatient Care Quality: A Dynamic Connectedness Network Analysis
This study examines the intersectoral interdependencies of nurse employment, conceptualized as nurse employment spillovers, and their effects on inpatient care quality in Taiwan. It particularly addresses the critical issue that over 40% of Taiwanese nurses report unwillingness to enter or remain in the nursing profession.
Impact of Artificial Intelligence-Assisted Closed-Loop Mobile Nursing Information Management on Nursing Quality Indicators and Work Efficiency
This study aimed to construct and evaluate an AI-assisted mobile nursing information closed-loop management model.
Daily Improvement in APACHE II Score (APACHE/m) and Outcomes in ICU Trauma Patients
The Acute Physiology and Chronic Health Evaluation II (APACHE II) is a widely used intensive care unit (ICU) severity score; however, it provides only an admission snapshot. Therefore, we introduced a novel metric, APACHE/m (average daily decrease in APACHE II score during ICU stay), to examine whether faster physiological improvement was correlated with better outcomes in ICU trauma patients.
Best Evidence for Preventing Urinary Tract Infections and Optimizing Care in Adults with Indwelling Urinary Catheters
Catheter-associated urinary tract infection (CAUTI) is the most frequent hospital-acquired infection and remains a major challenge for nursing quality and infection control. Existing studies are fragmented, and high-quality evidence syntheses are lacking.
Exploring Challenges and Opportunities in Hospital Disaster Preparedness: A Qualitative Study on the Perspectives of Hospital Incident Command System Members
This study aims to explore the perspectives of hospital incident command system (HICS) members to identify key gaps in hospital disaster preparedness and set recommendations to enhance hospital resilience and disaster response capacity in Nepal.
Interactions Between Pharmaceutical Companies and Patient Advocacy Groups in Japan: A Qualitative and Quantitative Interview Study
In Japan, the financial relationship between pharmaceutical companies and patient advocacy groups is considered to be weak; however, limited studies have examined this relationship. The financial relationship and issues surrounding the relationship between the two parties remain unclear.
Physical Exercise, Sports Spectating, and Subjective Life Expectancy in Older Chinese Adults: A Chain Mediation Analysis
Participation in sports can influence subjective life expectancy (SLE) among older Chinese adults, yet differences between direct physical exercise and indirect engagement through spectating are not well understood. This study distinguishes the effects of physical exercise and sports spectating-further differentiating online from offline viewing-on older adults' SLE, and examines the mediating roles of social integration and health status.
Development and Validation of a Diagnostic Nomogram for Pathologic Myopia in Patients with High Myopia and Tessellated Fundus: A Cross-Sectional Study
Early identification of pathological changes in high myopia (HM) with tessellated fundus (TF) remains challenging. To address this, a diagnostic nomogram was developed and validated to aid clinical screening of pathologic myopia (PM) in HM patients with TF.
Impact of Pre-Hospital and in-Hospital Optimization on the Management of Intravenous Thrombolysis in Hyperacute Ischemic Stroke: A Scoping Review
Stroke is the second leading cause of death worldwide and ranks third as a cause of disability. The American Heart Association/American Stroke Association (AHA/ASA) recommends that treatment begin within three hours of onset with intravenous thrombolysis therapy. This scoping review aimed to identify the factors that influence the delay in intravenous thrombolysis (IVT) management in patients with ischemic stroke.
Pattern of Pharmaceutical Poisoning in the Perak Population with Special Reference to the Age and Poisoning Mode Impact
Exposure to pharmaceutical poisoning affects people of all ages around the globe, and this is a serious emergency and a major problem. The unsafe medication disposal, such as keeping it at home until it expires, throwing it away in household garbage, giving it to friends/relatives, and flushing it down the toilet, has the consequences of this accidental, homicidal, or suicidal pharmaceutical poisoning toward international communities that range from short-term illness to long-term complications. However, the impact of pharmaceutical poisoning on the Malaysian population is a regular and frequent practice of disposal methods for pharmaceutical waste, and the awareness of pharmaceutical waste can have an adverse impact.
Development and Validation of a Risk Prediction Model for Interdialytic Hyperkalemia in Patients Undergoing Maintenance Hemodialysis
Interdialytic hyperkalemia is linked to a heightened risk of adverse clinical outcomes among patients undergoing maintenance hemodialysis (MHD). This study aimed to develop and validate a nomogram to assess the risk of interdialytic hyperkalemia in this patient population.
Evolution of Low Bone Mineral Density Impact on Older Adults in the Western Pacific: Socio-Demographic and Health Workforce Perspectives (1990-2021)
The Western Pacific Region is experiencing accelerated population aging, and diseases related to Low Bone Mineral Density (LBMD) have become a major public health challenge for the elderly population. Therefore, this study aims to assess the trends in the diseases burden of LBMD among the population aged 60 and above in the Western Pacific Region from 1990 to 2021, as well as its relationship with the human resources for health (HRH).
Paradigm Shift in Global Governance of Medical Brain-Computer Interface: Addressing Practical Challenges Through Institutional Innovation
The rapid advancement of medical brain-computer interface (BCI) technology necessitates the transformation and upgrading of traditional governance paradigms urgently. China, the United States, and the European Union hold prominent positions in the global medical BCI landscape and have developed three highly representative governance models. Existing research on medical BCI primarily focuses on specific countries or regions, but it has failed to conduct a comprehensive comparison of governance frameworks across different jurisdictions from a horizontal perspective. In this study, a horizontal policy text analysis was employed to comprehensively compare the divergent approaches of China, the United States, and the European Union in regulating medical BCI, focusing on regulatory frameworks, approval procedures, neural data governance, and ethical governance. China's medical BCI governance is state-led, prioritizing safety; the United States features innovation-driven flexibility; the European Union uses an empowerment model to strictly mitigate risks. Yet these three models have inherent drawbacks. To ensure the healthy development of medical BCI, we suggest China, the United States, the European Union and other jurisdictions establish a lifecycle regulatory mechanism, introduce the regulatory sandbox, promote collaborative governance among multiple subjects, build hierarchical informed consent rules, endow users with neurorights and refine BCI ethical governance.
The Saudi National Policy and Protocol for Epidermolysis Bullosa
This protocol's objective is to offer evidence-based suggestions for the identification, treatment, and management of epidermolysis bullosa (EB) in Saudi Arabia. EB is a rare genetic condition that results in blistering and skin fragility. Depending on the subtype, it can produce a variety of consequences. The four primary kinds of EB are EB Simplex, Junctional EB, Dystrophic EB, and Kindler EB. This guideline provides a thorough understanding of EB and describes diagnostic techniques including genetic testing and immunofluorescence mapping. The significance of an interdisciplinary team (IDT) approach in treating severe instances is also covered, guaranteeing integrated treatment across wound care, nutrition, dermatology, genetics, and psychosocial support. In addition, the guideline discusses the role of new treatments for EB, such as Beremagene geperpavec (B-VEC), and stresses the necessity of creating a National Saudi EB Registry to maximize patient care and guarantee fair access to treatment. The guideline also emphasizes the importance of genetic counseling for prenatal diagnosis, family planning, and parental screening, as well as the need to address the psychological difficulties that people living with EB and their families face. In summary, this guideline offers a structured framework for physicians and healthcare providers to guarantee the best possible care for people living with EB in Saudi Arabia, with the goal of improving clinical outcomes, quality of life, and long-term management of the disease.
Physicians' Overwork Impacts Patient Satisfaction via Physician-Nurse Collaboration and Patients' Medical Risk Perception in China
To enhance healthcare service quality and foster harmonious doctor-patient relationships, it is necessary to explore the impact of physicians' overwork on patient satisfaction, with the mediating roles of physician-nurse collaboration and patients' medical risk perception in these relationships.
Microbial Contamination and Cleaning Efficacy of Lead Aprons Used by Orthopaedic Surgeons in the Operating Room
Radiation Personal Protective Equipment (RPPE) is crucial for shielding against radiation exposure in medical settings, particularly in orthopedics. Typically stored on open racks outside operating rooms, these items are shared among users without designated ownership.
Navigating Ethical and Legal Tensions in Mandatory Reporting of Intimate Partner Violence: Insights from Norwegian Assault Centers
The aim of this study was to examine how health-care professionals in assault centers in Norway navigate biomedical ethical principles, health-care legislation, and the mandatory reporting law when working with victims of intimate partner violence (IPV). The study was guided by the following research questions: How do health-care professionals in assault centers apply the law for mandatory reporting of IPV (MR-IPV)? How do they navigate various factors when they consider applying the MR-IPV law?.
The Impact of Afghanistan's Policies on Early Child Marriage and Girl's Education: Current Trends and Future Consequences
Afghan women and girls have been prohibited from working outside the home, attending schools and universities, traveling without a male companion, and, banned from studying in medical institutes in courses such as midwifery and nursing. Here we discuss how the current policies in Afghanistan affect early child marriage and education of young girls and the consequences on women's health. These restrictions have, and will continue to have, significant impacts on the health and wellbeing of women and girls in Afghanistan reversing advances made in the last two decades. These limitations increase the vulnerability of girls to early marriage leading to increased adolescent pregnancies, maternal and infant mortality and morbidity, mental health consequences, and gender-based violence. Limiting available female healthcare providers further threatens maternal health by reducing already limited access to care. Urgent national and international action is needed to restore access to education and healthcare to safeguard women's rights and protect the health and lives of mothers and their children in Afghanistan.
Cost-Effectiveness of First-Line Zuberitamab-CHOP versus Rituximab-CHOP Regimens in Untreated CD20+ Diffuse Large B-Cell Lymphoma in China
To conduct a cost-effectiveness analysis comparing zuberitamab combined with CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone; Hi-CHOP) versus rituximab combined with CHOP (R-CHOP) as first-line therapy for previously untreated CD20-positive diffuse large B-cell lymphoma (DLBCL) patients in China.
AI-Induced Cybersecurity Risks in Healthcare: A Narrative Review of Blockchain-Based Solutions Within a Clinical Risk Management Framework
Artificial intelligence (AI) is revolutionizing the healthcare industry, improving diagnoses, treatments, and clinical processes. However, its integration poses significant cybersecurity risks, including data breaches, algorithmic opacity, and vulnerabilities in AI-controlled medical devices. This narrative review analyzes these threats and evaluates blockchain technology as a potential mitigation strategy within a Clinical Risk Management framework.
Development, Implementation, and Outcomes of Web-Based Interventions for Family Caregivers of Individuals with Dementia: A Scoping Review
This scoping review aims to summarize the landscape of web-based interventions for family caregivers of individuals with dementia, with a specific focus on their design, implementation approaches, and outcomes.
