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Healthcare, Volume 13, Issue 11

2025 June-1 - 140 articles

Cover Story: As patients increasingly seek health information beyond clinical settings, shared decision-making (SDM) faces new challenges. In this study, we examine how patients’ health information behaviors—such as emotional responses and social media use—influence SDM, focusing on the role of trust. Using national survey data, we identified how these behavioral pathways relate to SDM. Our findings demonstrate that trust plays a critical, dynamic, and conditional role in linking information-seeking to decision-making, further shaped by perceived healthcare quality. These insights highlight the importance of fostering trusted relationships and supporting future efforts in patient empowerment and SDM implementation. View this paper
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Articles (140)

  • Article
  • Open Access
3 Citations
1,962 Views
19 Pages

Background: Physical and mental health issues are increasingly becoming a global focus of attention, and telemedicine is widely attracting academic interest. Objectives: This exploratory study aimed to investigate the therapeutic potential of immersi...

  • Article
  • Open Access
1,694 Views
19 Pages

Background: Oral health misinformation has increasingly proliferated across social media platforms in China, prompting rising concerns about the accuracy of health-related content. Fact-checking intent has been identified as a key strategy for mitiga...

  • Article
  • Open Access
1,654 Views
15 Pages

The Burden of Treatment: Experiences of Patients Who Have Undergone Radiotherapy and Proton Beam Therapy

  • Danielle Fairweather,
  • Rachel M. Taylor,
  • Lee Hulbert-Williams,
  • Nick J. Hulbert-Williams and
  • Rita Simões

Background/Objectives: The physical and psychosocial impacts of cancer treatment can be distressing and profound for many patients, but little is known about the specific impacts of undergoing radiotherapy and proton beam therapy (PBT). This study ex...

  • Article
  • Open Access
2 Citations
1,486 Views
14 Pages

Background: Frailty is an important factor in the quality of life, because physical functions decrease with increasing frailty and cannot return to their previous state. This can lead to falls, hospitalization, dependency, and early mortality. Howeve...

  • Systematic Review
  • Open Access
2,001 Views
16 Pages

Oral Ulceration with Bone Sequestration: Key Insights for Clinicians and Their Relevance in Contemporary Clinical Practice—A Narrative Systematic Review

  • Mariana Agra Monteiro,
  • Lázaro Andrade Rios da Silva,
  • Sebastião Silvério Sousa-Neto,
  • Ricardo Luiz Cavalcanti de Albuquerque-Júnior,
  • Cassiano Francisco Weege Nonaka,
  • Pollianna Muniz Alves and
  • John Lennon Silva Cunha

Background: Oral ulceration with bone sequestration (OUBS) is an uncommon clinical lesion characterized by painful mucosal ulceration associated with exposed and necrotic bone in the oral cavity, often without known factors inducing osteonecrosis. De...

  • Article
  • Open Access
2,632 Views
15 Pages

Background/Objectives: Clinicians have employed various therapeutic exercises to enhance the function and strength of the subscapularis muscle (SSC). However, few studies have investigated the most effective exercise for selectively activating the SS...

  • Article
  • Open Access
1 Citations
1,675 Views
14 Pages

Assessment of the Oral Health Perceptions and Behaviours of Adolescents in Bosnia and Herzegovina: A Cross Sectional Study

  • Jasmin Habibovic,
  • Kenan Demirovic,
  • Edina Habibovic,
  • Jasmina Mlaco Durek and
  • Alisa Tiro

Background: The objective of this investigation was to assess the oral health (OH) of Bosnia and Herzegovinian adolescents in relation to differences and socioeconomic status (SES). Methods: This cross-sectional study included 306 school children fro...

  • Review
  • Open Access
4 Citations
3,987 Views
25 Pages

Telepsychiatry and Artificial Intelligence: A Structured Review of Emerging Approaches to Accessible Psychiatric Care

  • Artem Bobkov,
  • Feier Cheng,
  • Jinpeng Xu,
  • Tatiana Bobkova,
  • Fangmin Deng,
  • Jingran He,
  • Xinyan Jiang,
  • Dinislam Khuzin and
  • Zheng Kang

Background/Objectives: Artificial intelligence is rapidly permeating the field of psychiatry. It offers novel avenues for the diagnosis, treatment, and prediction of mental health disorders. This structured review aims to consolidate current approach...

  • Article
  • Open Access
901 Views
13 Pages

Inflammatory and Angiogenic Mediators Are Differentially Ex-Pressed in Patients with Post-COVID-19 Syndrome with Normal and Abnormal Spirometry Results

  • Laura Ileana Minjarez-Robles,
  • Jesús Gilberto Arámburo-Gálvez,
  • Oscar Gerardo Figueroa-Salcido,
  • José Manuel Ornelas-Aguirre,
  • Noé Ontiveros and
  • Lilian Karem Flores-Mendoza

Background: Inflammatory and angiogenic mediators play a key role in post-COVID-19 syndrome pathophysiology. These mediators might be of prognostic value for pulmonary function in this syndrome. Objectives: To determine interleukin-6, -12, and -17, m...

  • Article
  • Open Access
1 Citations
2,135 Views
14 Pages

Background: The aim of this study was to explore the effects of distance yoga learning in improving depression and pregnancy stress in pregnant women during the pandemic. Methods: A preference-based quasi-experimental study design with an experimenta...

  • Article
  • Open Access
1 Citations
1,054 Views
12 Pages

Evaluating the Reliability and Quality of Sarcoidosis-Related Information Provided by AI Chatbots

  • Nur Aleyna Yetkin,
  • Burcu Baran,
  • Bilal Rabahoğlu,
  • Nuri Tutar and
  • İnci Gülmez

Background and Objectives: Artificial intelligence (AI) chatbots are increasingly employed for the dissemination of health information; however, apprehensions regarding their accuracy and reliability remain. The intricacy of sarcoidosis may lead to m...

  • Article
  • Open Access
1,117 Views
14 Pages

Turkish Translation, Cross-Cultural Adaptation, Validity, and Reliability of the Physical Activity and Social Support Scale (PASSS) in Physically Active Healthy Adults

  • Yıldız Analay Akbaba,
  • Büşra Aksan Sadıkoğlu,
  • Kübra Nur Menengiç,
  • Meltem Besim Atakan,
  • Doğukan Tongar,
  • Gulfidan Tokgoz,
  • Alper Ayas,
  • Sahra Şirvan Tongar and
  • Tuğba Akgüller Eker

Background/Objectives: The Physical Activity and Social Support Scale (PASSS) is used to evaluate the physical activity and social support in a multidimensional way, but it has not yet been translated or culturally adapted for Turkish-speaking indivi...

  • Review
  • Open Access
2 Citations
5,476 Views
24 Pages

Background: Ongoing access and equity concerns for culturally diverse populations in mental health warrant a shift from cultural competence to cultural humility training. This review aimed to systematically assess the breadth of conceptual and traini...

  • Article
  • Open Access
2 Citations
1,398 Views
11 Pages

Background/Objectives: Case-based learning is essential in occupational therapy education, but developing standardized cases requires significant resources. This study explores the usability of AI-generated case studies using ChatGPT. Methods: A four...

  • Article
  • Open Access
6 Citations
2,403 Views
15 Pages

Ranking Nursing Diagnoses by Predictive Relevance for Intensive Care Unit Transfer Risk in Adult and Pediatric Patients: A Machine Learning Approach with Random Forest

  • Manuele Cesare,
  • Mario Cesare Nurchis,
  • Nursing and Public Health Group,
  • Gianfranco Damiani and
  • Antonello Cocchieri

Background/Objectives: In hospital settings, the wide variability of acute and complex chronic conditions—among both adult and pediatric patients—requires advanced approaches to detect early signs of clinical deterioration and the risk of...

  • Article
  • Open Access
2,658 Views
11 Pages

Background/Objectives: Bladder pain syndrome (BPS), or painful bladder syndrome (PBS)/interstitial cystitis (IC), is a chronic inflammatory condition characterized by symptoms like pain, urgency, urinary incontinence, and sometimes urinary retention,...

  • Review
  • Open Access
1 Citations
2,495 Views
19 Pages

Chronic pain is a significant burden affecting more than 30% of people worldwide. Within the multiple biopsychosocial factors affected in people suffering from chronic pain, neurocognitive impairments represent a significant but often under-recognize...

  • Article
  • Open Access
1,210 Views
32 Pages

Background/Objectives: Cycling has become a popular recreational sport, but it can lead to injuries and overload syndromes. The goal of this study is to evaluate the effectiveness of a training-accompanied myofascial self-massage intervention on two...

  • Article
  • Open Access
1,319 Views
9 Pages

Low- and Very-Low-Calorie Diets and Medication Use in Hospitalized Patients with Obesity: A Cross-Sectional Study

  • Sérgio de Queiroz Braga,
  • Márcia Cristina Almeida Magalhães Oliveira,
  • Matheus Jorgetti Chamorro,
  • Najara Araújo de Jesus,
  • Rodrigo Almeida Magalhães Oliveira,
  • Dandara Almeida Reis da Silva,
  • Domingos Lázaro Souza Rios and
  • Magno Merces

Background: Obesity is a growing global health concern associated with numerous comorbidities and high medication burden. This study aimed to evaluate the impact of low- and very-low-calorie diets (LCD/VLCD), combined with intensive lifestyle changes...

  • Article
  • Open Access
2 Citations
2,492 Views
19 Pages

Occupational Stressors and Workplace Challenges Faced by Seafarers in Lithuania: A Cross-Sectional Study

  • Birute Strukcinskiene,
  • Arturas Razbadauskas,
  • Rasa Grigoliene,
  • Aistė Jeriomenkaite,
  • Jonas Jurgaitis,
  • Vytenis Punys,
  • Vyte Kontautiene,
  • Asta Beniusiene,
  • Dalia Martisauskiene and
  • Agnieszka Genowska
  • + 3 authors

Background/Objectives: Seafarers are a particularly isolated workforce, as they are on-site only with their colleagues, both on and off duty. Long-term duties in the sea environment, irregular working hours, changing time zones, and lack of sleep are...

  • Article
  • Open Access
866 Views
12 Pages

Objectives: We aimed to investigate how receiving integrated healthcare services from a case manager via instant messaging affected patients with disabilities. Methods: This database-matched case–control study was conducted at one medical cente...

  • Article
  • Open Access
1,075 Views
12 Pages

Background/Objectives: Prominent ear deformity is one of the most common congenital anomalies and may lead to substantial aesthetic and psychosocial distress, particularly in children and young adults. This study evaluated the clinical outcomes of th...

  • Article
  • Open Access
1,004 Views
13 Pages

This study aims to examine the mediating effects of health literacy on the relationship between frailty and medical costs among community-dwelling older adults. Methods: This study conducted a secondary data analysis of the research data that were co...

  • Article
  • Open Access
1 Citations
1,087 Views
10 Pages

Association Between Oral Function and Oral-Related Quality of Life in Independent Community-Dwelling Elderly People in Taiwan

  • Masayo Fukuda,
  • Hiromi Izuno,
  • Misao Sawada,
  • Takako Ujihashi,
  • Hinako Takano,
  • Shoko Hori,
  • Jumpei Okawa,
  • Takahiro Ono and
  • Kazuhiro Hori

Background/Objectives: Oral health is an important element of overall health and quality of life. However, few studies have evaluated the association between quality of life (QOL) and oral function, including tongue and lip movements. This study aime...

  • Article
  • Open Access
3 Citations
1,083 Views
10 Pages

Background/Objectives: The COVID-19 pandemic presented unprecedented challenges to healthcare systems worldwide, significantly impacting individuals with chronic conditions who depend on continuous medical care. In Romania, the pandemic revealed syst...

  • Article
  • Open Access
1,337 Views
14 Pages

Ecological Beeswax Breast Pads Promote Breastfeeding in First-Time Mothers from the Valencian Community (Spain): A Randomized Trial

  • Irene Pastor-Pagés,
  • Verónica Ausina-Marquez,
  • María Mercedes Rizo-Baeza,
  • Ernesto Cortés-Castell and
  • Ana Noreña-Peña

Introduction. Scientific societies emphasize the benefits of breastfeeding. The effectiveness of education, information, and support during pregnancy has been demonstrated. However, further research is needed on the prevention and treatment of nipple...

  • Article
  • Open Access
1,889 Views
13 Pages

The Virtual-Body Project Reduces Eating Disorder Symptoms Among Young Adult Brazilian Women: A Pilot Study

  • Karin Louise Lenz Dunker,
  • Ana Carolina Soares Amaral and
  • Pedro Henrique Berbert de Carvalho

Background/Objectives: Dissonance-based (DB) eating disorder (ED) prevention programs have been showing their efficacy in reducing ED symptoms among adolescents, young adults, and older people. Several meta-analyses showed that the Body Project is th...

  • Systematic Review
  • Open Access
4 Citations
3,485 Views
13 Pages

Effects of Virtual Reality on Adults Diagnosed with Chronic Non-Specific Low Back Pain: A Systematic Review

  • Rocío García-de-la-Banda-García,
  • David Cruz-Díaz,
  • Juan Francisco García-Vázquez,
  • María del Mar Martínez-Lentisco and
  • Felipe León-Morillas

Background/Objectives: Non-specific low back pain represents a high number of primary care consultations, generating a great social and economic cost. There is a higher prevalence in women, and it may be associated with multiple factors. One of the m...

  • Article
  • Open Access
2 Citations
2,827 Views
19 Pages

Objectives: This study empirically examined the effects of a digital game-based physical activity program (AI-FIT) on elementary school children’s health-related physical fitness while exploring the role of educational technology (EdTech) as a...

  • Systematic Review
  • Open Access
4 Citations
7,285 Views
29 Pages

Integrating Acupuncture and Herbal Medicine into Assisted Reproductive Technology: A Systematic Review and Meta-Analysis of East Asian Traditional Medicine

  • Xiangping Peng,
  • Bo Wu,
  • Siyu Zhou,
  • Yinghan Xu,
  • Atsushi Ogihara,
  • Shoji Nishimura,
  • Qun Jin and
  • Gerhard Litscher

Background: Assisted reproductive technologies (ARTs) are essential in treating infertility but often face limited success due to low implantation and live birth rates. East Asian traditional medicine (EATM), including acupuncture and herbal medicine...

  • Article
  • Open Access
2 Citations
1,951 Views
25 Pages

Older Adults’ and Professionals’ Attitudes Towards Stair-Fall Prevention Interventions

  • Emma Mulliner,
  • Thomas D. O’Brien,
  • Vida Maliene,
  • Constantinos N. Maganaris and
  • Rachel Mason

Background/Objective: Stair falls are a major health concern for older adults, particularly those wishing to age in place. Despite extensive laboratory research on the causes of stair falls and the effectiveness of prevention interventions, there is...

  • Article
  • Open Access
1 Citations
2,051 Views
17 Pages

Background: Obstructive sleep apnea (OSA) has been associated with adverse oral function outcomes, yet its association with oral function remains underexplored. This study aims to analyze the association between OSA and oral function problems, and wh...

  • Article
  • Open Access
1,017 Views
13 Pages

Membrane Status and Reliability of Intrapartum Transperineal Ultrasound in Cervical Dilatation Assessment

  • George-Alexandru Roșu,
  • Dan-Bogdan Navolan,
  • Adrian Neacșu,
  • Ștefan-Florentin Semeș and
  • Crîngu-Antoniu Ionescu

Background and Objectives: Labor progression evaluation through repeated vaginal examinations remains the primary method of monitoring in delivery rooms globally. Transperineal intrapartum ultrasound has been shown to be reliable for assessing cervic...

  • Article
  • Open Access
6 Citations
1,433 Views
14 Pages

Background: Bilirubin is a potent endogenous antioxidant that plays a key role in regulating oxidative stress and inflammation, both closely linked to lung carcinogenesis. This study reinterprets the ALBI (Albumin–Bilirubin) and PALBI (Platelet...

  • Article
  • Open Access
1 Citations
1,043 Views
13 Pages

Prevalence of Multimorbidity Among School-Aged Children in the Yangzhou District of China

  • Jinhan Wang,
  • Qian Zhou,
  • Ying Zhang,
  • Zhuoqi Lai,
  • Weiwei Zhu,
  • Jun Jia,
  • Yongquan Yu and
  • Lihong Yin

Background: Health issues among school-age children have emerged as a global public health concern. These conditions often do not occur in isolation but tend to cluster, indicating a widespread issue of multimorbidity among this population. This stud...

  • Article
  • Open Access
864 Views
16 Pages

(1) Objectives: This study aimed to investigate the intervention effects of physical activity and sedentary behavior on the relationship between various influencing factors and mental health outcomes in the elderly. (2) Methods: Complied data collect...

  • Article
  • Open Access
2 Citations
1,614 Views
16 Pages

Job Satisfaction Among Midwives in High-Intervention Birthing Rooms: A Qualitative Phenomenological Study

  • Marta Pérez-Castejón,
  • Laura Martínez-Alarcón,
  • Alonso Molina-Rodríguez and
  • Ismael Jiménez-Ruiz

Objectives: To identify the factors influencing the job satisfaction of midwives working in birthing rooms with a medium to high level of obstetric intervention. Methods: A qualitative phenomenological–hermeneutic design based on Heideggerian p...

  • Article
  • Open Access
1 Citations
1,707 Views
17 Pages

The Efficacy and Safety of a Personalized Protocol Designed to Balance Hemoglobin Levels in Hemodialysis Patients as Led by Nephrology Clinical Nurse Specialists: An Intervention Study

  • Ruth Israeli,
  • Gillie Gabay,
  • Sigal Shafran Tikva,
  • Michal Exman,
  • Irit Mor Yosef Levi,
  • Ruth Radiano,
  • Rely Alon,
  • Yulia Lerman and
  • Revital Zelker

Background: The ongoing clinical challenge of managing hemoglobin levels in chronic dialysis patients is exacerbated by the gap between growing patient needs and the limited availability of nephrologists. Clinical nurse specialists (CNSs) have been c...

  • Article
  • Open Access
727 Views
13 Pages

Objective: This study aimed to explore the emotional, social, and ethical dimensions of early or presymptomatic diagnosis in individuals with Autosomal Dominant Polycystic Kidney Disease (ADPKD). Methods: A total of 118 participants diagnosed with AD...

  • Article
  • Open Access
786 Views
13 Pages

Serbian Healthcare Students’ Perceptions of and Readiness to Care for People with Intellectual Disabilities: A Cross-Sectional Study

  • Dragana Milutinović,
  • Dragana Simin,
  • Katarzyna Ćwirynkało,
  • Monika Parchomiuk,
  • Zdzisław Kazanowski,
  • Agnieszka Żyta and
  • Špela Golubović

Background/Objectives: The perspective from which future healthcare professionals view intellectual disabilities affects how people with intellectual disabilities (PWIDs) are perceived and informs care policies and practices. This study aimed to asse...

  • Article
  • Open Access
921 Views
13 Pages

Pilot Study About the Importance of the Active Role of Roma Students: Improving the Health of Bulgarian Children from the Roma Minority Group Through Nutrition and Probiotics

  • Bozhidarka Radoslavova Hadzhieva,
  • Marin Kostadinov Baltov,
  • Daniela Ivova Taneva,
  • Atanas Denev Luizov,
  • Milen Ventsislavov Dimitrov and
  • Valentina Boyanova Petkova-Dimitrova

Background/Objective: The priority task of each country is to ensure the protection of and improvement in its people’s health. One of the key aspects of health is related to food culture, consuming foods that ensure growth and normal developmen...

  • Article
  • Open Access
18,866 Views
17 Pages

Cultivating Self-Compassion to Improve Social Workers’ Professional Quality of Life in Primary Healthcare

  • Polyxeni Mangoulia,
  • Nektarios Tsokas,
  • Evmorfia Koukia,
  • Foteini Malli,
  • Evdokia Missouridou,
  • Chrysoula Dafogianni,
  • Maria Kyranou and
  • Evangelos C. Fradelos

Background/Objectives: Although self-compassion practice has been increasingly popular in the literature in recent years, the area of social work knows very little about it. To be self-compassionate is to treat oneself with love and respect. The aim...

  • Systematic Review
  • Open Access
5 Citations
5,340 Views
18 Pages

Objectives: This study sought to evaluate the impact of exercise on balance function in individuals with knee osteoarthritis (KOA) and determine the most effective exercise protocols for balance enhancement. Methods: A systematic literature search wa...

  • Article
  • Open Access
1,374 Views
16 Pages

Background: Sarcopenia and buttock pain are highly prevalent in older adults and exert profound negative effects on quality of life. Little is known about the association between sarcopenia and buttock pain. Methods: This study performed cross-sectio...

  • Article
  • Open Access
714 Views
10 Pages

Comparison of Frontal Sinus Dimensions with Different Skeletal Classes and Vertical Patterns: A Retrospective Study

  • Alessandro Nota,
  • Iuliia Kashtelianska,
  • Francesco Manfredi Monticciolo,
  • Laura Pittari,
  • Simona Tecco and
  • Attilio Castaldo

Background: The aim of this work is to compare the size of the frontal sinus and the different skeletal classes and divergence patterns of the subjects. Methods: This study retrospectively includes lateral radiographs performed on a total of 200 adul...

  • Article
  • Open Access
943 Views
17 Pages

Background/Objectives: While a preference for an equal distribution of health gains is common, there are situations where individuals may opt to concentrate health gains for a select few. This study investigates how distributive preferences, defined...

  • Review
  • Open Access
5,549 Views
14 Pages

Hypersensitivity Reactions to Iodinated Contrast Media: A Narrative Review of Current Evidence and Clinical Challenges

  • Francesca Losa,
  • Giovanni Paoletti,
  • Linda Borgonovo,
  • Federica Buta,
  • Stefania Merli,
  • Serena Nannipieri,
  • Marta Piantanida,
  • Carlo Maria Rossi,
  • Giada Sambugaro and
  • Maria Teresa Costantino
  • + 4 authors

Background/Objectives: Hypersensitivity reactions (HSRs) to iodinated contrast media (ICM), both immediate and non-immediate, pose clinical challenges despite using low-osmolality agents. This review aims to summarize current diagnostic approaches, c...

  • Systematic Review
  • Open Access
3 Citations
2,131 Views
17 Pages

Objective and Subjective Factors Influencing Breast Reconstruction Decision-Making After Breast Cancer Surgery: A Systematic Review

  • Valentini Bochtsou,
  • Eleni I. Effraimidou,
  • Maria Samakouri,
  • Spyridon Plakias and
  • Aikaterini Arvaniti

Background/Objectives: Breast reconstruction (BR) following mastectomy plays a critical role in post-cancer care by offering both physical and psychological benefits. Despite advancements in techniques and shared decision-making (SDM), BR uptake rema...

  • Article
  • Open Access
1,130 Views
15 Pages

Selected Moral Issues and the Stress Experienced by Paediatric Nurses

  • Anna Stefanowicz-Bielska,
  • Magdalena Słomion,
  • Agnieszka Olińska,
  • Małgorzata Rąpała,
  • Julia Behling and
  • Joanna Stefanowicz

Background/Objectives: The high sensitivity of paediatric nurses directly influences the quality of nursing care provided to patients. The purpose of this study is to present the most frequent issues faced by paediatric nurses in their everyday work...

  • Review
  • Open Access
13,777 Views
25 Pages

Since the onset of the COVID-19 pandemic, Japan has experienced a significant rise in mortality, with excess deaths surpassing historical projections. Statistical data indicate a sharp increase in mortality rates from 2021 onward, attributed to COVID...

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Healthcare - ISSN 2227-9032