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Healthcare, Volume 13, Issue 14

2025 July-2 - 137 articles

Cover Story: This systematic review and meta-analysis assessed 44 studies on hospital-based strategies to boost vaccination among older adults and high-risk patients. Interventions included education, reminders, standing orders, and multi-component approaches targeting influenza, pneumococcal, hepatitis B, tetanus, and COVID-19 vaccines. Multi-component strategies yielded the most consistent effects. Hospitals, often overlooked in vaccination policies, offer a powerful setting to reach vulnerable populations. To our knowledge, this is the first systematic review and meta-analysis to evaluate hospital-based interventions for adult vaccination including COVID-19 vaccines. The findings underscore the need to embed vaccination into routine hospital workflows to reduce disparities and strengthen immunization systems. View this paper
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Articles (137)

  • Perspective
  • Open Access
1,308 Views
13 Pages

This perspective paper presents a first-person account of life with motor neurone disease (MND). Through the lens of lived experience, it explores the complex and often prolonged diagnostic journey, shaped in part by the protective grip of denial. Th...

  • Article
  • Open Access
1,127 Views
16 Pages

Background/Objectives: Misinformation significantly impacts self-care behaviors and treatment outcomes in patients with type 2 diabetes mellitus (T2DM). We investigated the prevalence and content of diabetes-related misinformation among Thai patients...

  • Review
  • Open Access
1 Citations
2,845 Views
27 Pages

On–Off Childhood? A Rapid Review of the Impact of Technology on Children’s Health

  • Diana Borges,
  • Inês Pinto,
  • Octávio Santos,
  • Ivone Moura,
  • Iara Rafaela Ferreira,
  • Ana Paula Macedo and
  • Adriana Taveira

Background/Objectives: The use of digital technologies among children and adolescents has been increasing exponentially, raising concerns about the potential impacts on physical, mental, cognitive, educational, and social development. Understanding t...

  • Article
  • Open Access
1 Citations
1,118 Views
12 Pages

Congruent-Arc Latarjet Using Subscapularis Split Approach in the Treatment of Anterior Shoulder Instability with Significant Bone Loss: A Case Series

  • Ahmed Farid Mekky,
  • Chiara Fossati,
  • Alessandra Menon,
  • Paolo Fici,
  • Pietro Simone Randelli and
  • Tarek Aly

Background: Recurrent anterior shoulder instability is a common problem and may be associated with glenoid bone defects. Surgical procedures, including Latarjet, are the usual treatment for anterior shoulder instability, associated with significant g...

  • Article
  • Open Access
1 Citations
2,417 Views
15 Pages

Background and Objectives: Caring for an individual with dementia encompasses many challenges. This can lead to increased burden, anxiety, and mental health issues among those taking care of them. Limited research exists investigating the care of peo...

  • Review
  • Open Access
11 Citations
6,380 Views
25 Pages

A Technological Review of Digital Twins and Artificial Intelligence for Personalized and Predictive Healthcare

  • Silvia L. Chaparro-Cárdenas,
  • Julian-Andres Ramirez-Bautista,
  • Juan Terven,
  • Diana-Margarita Córdova-Esparza,
  • Julio-Alejandro Romero-Gonzalez,
  • Alfonso Ramírez-Pedraza and
  • Edgar A. Chavez-Urbiola

Digital transformation is reshaping the healthcare field by streamlining diagnostic workflows and improving disease management. Within this transformation, Digital Twins (DTs), which are virtual representations of physical systems continuously update...

  • Article
  • Open Access
1,403 Views
13 Pages

Background/Objectives: In Japan, task shifting reduces the working hours of pediatricians, who face excessive workloads. The status of task shifting under the Ministry of Health, Labor, and Welfare’s reforms remains unclear. This study aimed to...

  • Feature Paper
  • Article
  • Open Access
1,773 Views
21 Pages

Strategies to Prevent Work Ability Decline and Support Retirement Transition in Workers with Intellectual and Developmental Disabilities

  • Beatriz Sánchez,
  • Francisco de Borja Jordán de Urríes,
  • Miguel Ángel Verdugo,
  • Carmen de Jesús Abena and
  • Victoria Sanblás

Background/Objectives: The aging of workers with intellectual and developmental disabilities is an emerging reality attributed to the rise in life expectancy and improved labor market access. In this study, “workers” is used as an inclusi...

  • Article
  • Open Access
4,399 Views
14 Pages

Background/Objectives: A randomized controlled trial (RCT) was designed to test the emerging role of respiratory mechanics as part of physiotherapy in patients with non-specific chronic neck pain (NSCNP). Methods: Ninety patients with NSCNP and sympt...

  • Article
  • Open Access
1 Citations
1,910 Views
16 Pages

Pre-Mastectomy Breast Reconstruction Intentions in Women with Breast Cancer: Psychosocial and Personality Predictors Informing Mental Health Promotion

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

Background/Objectives: Despite the psychological benefits of breast reconstruction (BR) after mastectomy, uptake remains limited among women with breast cancer. This study explores psychosocial and personality predictors of BR intentions in the pre-m...

  • Article
  • Open Access
1,157 Views
19 Pages

How Stressors and Facilitators of Work–Family Dynamics Interrelate and Affect Psychological Outcomes in Farming Women: A Mixed-Methods Approach in Chile

  • Gloria Mora-Guerrero,
  • Fernanda Herrera-González,
  • Carolina Alveal-Álamos,
  • Jorge Constanzo-Belmar,
  • Luis Marileo,
  • Andrés Macadoo and
  • Sharon Viscardi

Background/Objectives: This study aimed to explore how stressors and facilitators within the work–family interface (WFI) influence mental health outcomes among farming women in rural Chile. The research sought to identify key relational pattern...

  • Study Protocol
  • Open Access
2,272 Views
16 Pages

Effect of a Peripheral Neuromodulation Protocol Combined with the Application of Therapeutic Exercise in Patients Diagnosed with Urinary Incontinence—A Study Protocol for a Randomized Controlled Trial

  • Jesica Leal-García,
  • Paula Blanco-Giménez,
  • Eloy Jaenada-Carrillero,
  • Marta Martínez-Soler,
  • Borja Huertas-Ramírez,
  • Alex Mahiques-Sanchis and
  • Juan Vicente-Mampel

Introduction: Overactive bladder (OAB) and urinary incontinence (UI) are prevalent, particularly in older adults, and affect quality of life. OAB involves urgency, frequency, nocturia, and urgency incontinence, often linked to involuntary detrusor co...

  • Article
  • Open Access
1 Citations
3,098 Views
15 Pages

Effect of Work Stress and Eating Behavior: A Study Among Academicians in Türkiye

  • Merve İnce-Palamutoğlu,
  • Betül Oruçoğlu,
  • Meltem İnce-Yenilmez and
  • Gizem Ağır

Background/Objectives: Occupational stress is a common issue among academics. This study aims to determine the level of work stress experienced by academics depending on their titles and the relationship between this stress and eating behaviors. Meth...

  • Article
  • Open Access
1,091 Views
21 Pages

Mapping the Unmet Informational Needs of Young Portuguese Female Cancer Survivors: Psychometric Validation of a Multidimensional Scale

  • Luana Almeida,
  • Ana Bártolo,
  • Sara Monteiro,
  • Isabel S. Silva,
  • Ana Conde,
  • Alexandra M. Araújo,
  • Luiz Lourenço and
  • Isabel M. Santos

Background/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored...

  • Article
  • Open Access
2 Citations
1,697 Views
11 Pages

Background and Objective: Large language model (LLM)–based chatbots are increasingly utilized by postpartum individuals seeking guidance on breastfeeding. However, the chatbots’ content quality, readability, and alignment with clinical gu...

  • Article
  • Open Access
4,681 Views
14 Pages

Background: Semaglutide and Liraglutide are medications in the Glucagon-like peptide-1 agonists (GLP-1 RAs) class used to manage type 2 diabetes mellitus and obesity in Saudi Arabia. Although the 1.0 mg once weekly dosage of Semaglutide does not have...

  • Article
  • Open Access
1,769 Views
22 Pages

Relationship Between Family Support, C-Reactive Protein and Body Mass Index Among Outpatients with Schizophrenia

  • Argyro Pachi,
  • Athanasios Tselebis,
  • Evgenia Kavourgia,
  • Nikolaos Soultanis,
  • Dimitrios Kasimis,
  • Christos Sikaras,
  • Spyros Baras and
  • Ioannis Ilias

Background/Objectives: Schizophrenia has been associated with increased inflammatory and metabolic disturbances. Perceived family support potentially affects inflammatory and metabolic biomarkers. The aim of this study was to determine the interrelat...

  • Article
  • Open Access
2,642 Views
28 Pages

Background: The outbreak of the COVID-19 pandemic has highlighted the importance of online health consultations, as they can help reduce the risk of contagion and infection. However, due to limited trust, these services have not yet gained widespread...

  • Systematic Review
  • Open Access
10 Citations
6,127 Views
25 Pages

Reinforcement Learning and Its Clinical Applications Within Healthcare: A Systematic Review of Precision Medicine and Dynamic Treatment Regimes

  • Timothy C. Frommeyer,
  • Michael M. Gilbert,
  • Reid M. Fursmidt,
  • Youngjun Park,
  • John Paul Khouzam,
  • Garrett V. Brittain,
  • Daniel P. Frommeyer,
  • Ean S. Bett and
  • Trevor J. Bihl

Background/Objectives: Reinforcement learning (RL), a subset of machine learning, has emerged as a promising tool for supporting precision medicine and dynamic treatment regimes by enabling adaptive, data-driven clinical decision making. Despite its...

  • Article
  • Open Access
1,603 Views
13 Pages

Objective: This proof-of-concept study aimed to evaluate and compare the clinical performance of two AI language models (ChatGPT-3.5 and OpenAI o3) in answering clinical pharmacy multiple-choice questions (MCQs), benchmarked against responses from sp...

  • Study Protocol
  • Open Access
1,946 Views
13 Pages

Background/Objectives: With the rapid progression of technology, applications have been proposed as a promising alternative to conventional psychotherapeutic treatment. Nonetheless, research on unguided self-help applications for binge eating remains...

  • Article
  • Open Access
2,028 Views
16 Pages

Background: Medical education is considered one of the most academically and emotionally demanding training programs. Throughout their education, medical students are exposed to various factors that can lead to psychological distress, depression, and...

  • Article
  • Open Access
1 Citations
1,233 Views
15 Pages

RETRACTED: Resilience and Perceived Social Support in Cancer Survivors: Validity, Levels, and Sociodemographic Correlates of CD-RISC-25 and MSPSS Scales

  • Goran Malenković,
  • Jelena Malenković,
  • Sanja Tomić,
  • Silvija Lučić,
  • Armin Šljivo,
  • Fatima Gavrankapetanović-Smailbegović and
  • Slobodan Tomić

Background and Objectives: Resilience and perceived social support are crucial factors influencing the psychological well-being among breast cancer survivors. Understanding their levels and interrelations can inform psychosocial interventions aimed a...

  • Article
  • Open Access
1 Citations
2,148 Views
15 Pages

Assessing the Alignment Between the Humpty Dumpty Fall Scale and Fall Risk Nursing Diagnosis in Pediatric Patients: A Retrospective ROC Curve Analysis

  • Manuele Cesare,
  • Fabio D’Agostino,
  • Deborah Hill-Rodriguez,
  • Danielle Altares Sarik and
  • Antonello Cocchieri

Background/Objectives: Falls in hospitalized pediatric patients are frequent and can lead to serious complications and increased healthcare costs. Nurses typically assess fall risk using structured tools such as the Humpty Dumpty Fall Scale (HDFS), a...

  • Article
  • Open Access
1 Citations
1,918 Views
15 Pages

Migraine Among University Students: Prevalence, Characteristics, and Sociodemographic Influences

  • Maria Axiotidou,
  • Hariklia Proios,
  • Theodoros Karapanayiotides and
  • Doxa Papakonstantinou

Background: Migraine is a highly prevalent and disabling neurological disorder among university students that has significant impacts on personal and socioeconomic levels. Despite its impact, migraine remains underdiagnosed and undertreated. Objectiv...

  • Article
  • Open Access
1,118 Views
27 Pages

Background/Objective: Frontline healthcare staff who contend diseases and mitigate their transmission were repeatedly exposed to high-risk conditions during the COVID-19 pandemic. They were at risk of mental health issues, in particular, psychologica...

  • Article
  • Open Access
1 Citations
1,298 Views
19 Pages

Objectives: Scarce data are available regarding preventive medicine in forcibly displaced populations especially regarding non-communicable diseases like neoplasia, while even more limited data are available on Ukrainian refugees in Romania. To addre...

  • Article
  • Open Access
1,379 Views
14 Pages

Objective: The mother’s birth experience is crucial in identifying her care needs. The “Questionnaire for Assessing the Childbirth Experience” (QACE) consists of four subscales designed to assess a mother’s childbirth experien...

  • Systematic Review
  • Open Access
1,975 Views
21 Pages

Application of Conservative Methods Based on Exercise in Reducing the Kyphotic Angle: A Meta-Analysis

  • Vanja Dimitrijević,
  • Bojan Rašković,
  • Miroslav P. Popović,
  • Dragan Marinković,
  • Miloš Kojić,
  • Siniša Nikolić,
  • Nikola Jevtić and
  • Borislav Obradović

Background: The aim of this research was to evaluate the size of the effect of conservative methods based on exercises on the reduction in the kyphotic angle through a meta-analysis. Methods: In our research, we followed the Cochrane guidelines and t...

  • Article
  • Open Access
1,820 Views
17 Pages

Background: Nursing students often experience heightened levels of stress during clinical training due to the dual demands of academic and clinical responsibilities. These stressors, compounded by environmental and organizational factors, can adverse...

  • Article
  • Open Access
1,473 Views
19 Pages

Exploring the Integration of Occupational Therapy in Pediatric Oncology Care in Spain: A Descriptive Study

  • Sandra León-Herrera,
  • Elisabet Huertas-Hoyas,
  • Raquel Gómez-Bravo,
  • José María Fraile Vicente,
  • Elisa Bullón-Benito and
  • Mª Pilar Rodríguez-Pérez

Background/Objectives: Childhood cancer leads to significant physical, cognitive, and psychosocial consequences that adversely affect the development and quality of life. Occupational Therapy (OT) has the potential to mitigate these effects. However,...

  • Article
  • Open Access
1 Citations
965 Views
16 Pages

Inequities in Stroke Recovery: Examining Sociodemographic Predictors of Rehabilitation Success

  • Suzana Dedijer Dujović,
  • Olivera Djordjević,
  • Aleksandra Vidaković,
  • Sindi Mitrović,
  • Mirko Grajić,
  • Tijana Dimkić Tomić,
  • Stefan Rosić,
  • Ana Radić and
  • Ljubica Konstantinović

Background: Stroke recovery is influenced not only by clinical but also sociodemographic factors (SDFs). However, data on how variables such as age, sex, marital status, education, and employment status affect rehabilitation outcomes remain limited,...

  • Article
  • Open Access
861 Views
13 Pages

Background: Today, young people face a variety of social, environmental and psychological challenges, making them more vulnerable to developing mental health issues. Worldwide 15% of adolescents experience poor mental health, with the majority not se...

  • Article
  • Open Access
1,596 Views
14 Pages

Biopsychosocial Determinants and Comorbid Risks of Obesity Among University Students: A Cross-Sectional Study

  • Osama Albasheer,
  • Mohamed Salih Mahfouz,
  • Turki I. Aljezani,
  • Mohammed Hassan Ghasham,
  • Idris Harun Samily,
  • Majid Muhammad Hakami,
  • Naif Muslih Alshamrani,
  • Shaima Abdu Hantul,
  • Haneen A. Almutairi and
  • Abdelkhalig Elhilu
  • + 5 authors

Background/Objectives: Obesity among university students is a growing concern, often influenced by biological, psychological, and social factors. Few studies in Saudi Arabia have addressed this issue using a comprehensive framework. This study aims t...

  • Article
  • Open Access
2 Citations
1,779 Views
17 Pages

Acute Neurochemical, Psychophysiological, and Cognitive Responses to Small-Sided Games vs. Running-Based HIIT in Young, Male Soccer Players

  • Yakup Zühtü Birinci,
  • Serkan Pancar,
  • Yusuf Soylu,
  • Hüseyin Topçu,
  • Aygül Koçyiğit,
  • Emre Sarandöl,
  • Hasan Şimşek and
  • Şenay Şahin

Background: This study aimed to compare the immediate effects of small-sided games (SSGs) and running-based high-intensity interval training (HIITrb) on serum brain-derived neurotrophic factor (BDNF) levels, cognitive performance, and enjoyment in yo...

  • Article
  • Open Access
1,203 Views
15 Pages

Older People at Risk of Suicide: A Local Study During the COVID-19 Confinement Period

  • Ismael Puig-Amores,
  • Guadalupe Martín-Mora-Parra,
  • Isabel Cuadrado-Gordillo and
  • Jessica Morales-Sanhueza

Background: Suicide in older adults represents an insufficiently addressed public health problem, despite the aging population and the increase in mental disorders in this group. The COVID-19 pandemic and associated measures, such as lockdown, could...

  • Case Report
  • Open Access
2,018 Views
16 Pages

Chronic neck pain is a multifactorial condition involving physical, psychological, and neurological dimensions. This case report describes the clinical course of a 25-year-old female with chronic neck pain and recurrent headaches who underwent a 6-we...

  • Article
  • Open Access
1,063 Views
12 Pages

Costs and Arising Work Times of Volatile Short-Term Sedation in Intensive Care

  • Armin Niklas Flinspach,
  • Michaela Pfaff and
  • Florian Jürgen Raimann

Background: Optimizing critical care sedation is an important and complex task. Although intravenous sedatives are widely used, they do have limitations compared to volatile sedatives, such as faster awakening and minimal accumulation. However, volat...

  • Article
  • Open Access
2 Citations
4,103 Views
14 Pages

Health Professionals’ Views on Euthanasia: Impact of Traits, Religiosity, Death Perceptions, and Empathy

  • Dimitrios Mimarakis,
  • Maria Moudatsou,
  • Philippa Kolokotroni,
  • Athanasios Alegakis and
  • Sofia Koukouli

Context: A plethora of actors like individual and professional characteristics, religiosity, personality-related factors, personal experience of death, and empathy form the attitude of health professionals in patient care in clinical settings and eut...

  • Article
  • Open Access
715 Views
16 Pages

Background and Objectives: This study explored the lived experiences of individuals with post-COVID condition (PCC) who participated in a 12-week exercise rehabilitation and recovery programme (PCCRRP) delivered by a professional football club commun...

  • Systematic Review
  • Open Access
3 Citations
1,630 Views
38 Pages

Dynamic Computer-Aided Navigation System in Dentoalveolar Surgery and Maxillary Bone Augmentation in a Dental Setting: A Systematic Review

  • Federica Di Spirito,
  • Roberta Gasparro,
  • Maria Pia Di Palo,
  • Alessandra Sessa,
  • Francesco Giordano,
  • Iman Rizki,
  • Gianluca Allegretti and
  • Alessia Bramanti

Background: Dynamic computer-aided navigation systems are a real-time motion tracking technology widely applied in oral implantology and endodontics to enhance precision and reduce complications. However, their reliability, accuracy, and usability in...

  • Article
  • Open Access
1 Citations
1,199 Views
18 Pages

Background: Patients with chronic kidney disease (CKD) G5 treated with dialysis (G5D) often experience reduced physical activity levels and impaired health-related quality of life (HRQoL), which are associated with poor clinical outcomes. Understandi...

  • Article
  • Open Access
1 Citations
2,108 Views
16 Pages

Establishing Diagnostic Reference Levels for Paediatric CT Imaging: A Multi-Centre Study

  • Yassine Bouchareb,
  • Manar Al Kharusi,
  • Amani Al Maqbali,
  • Amal Al Maimani,
  • Hasina Al Maskari,
  • Srinivasa Rao Sirasanagandla,
  • Amna Al Jabri,
  • Faiza Al Kindi,
  • Saud Al Shabibi and
  • Saleh Baawain

Background: Computed Tomography (CT) imaging is widely recognised for its high capability in assessing multiple organs. However, concerns about patient radiation exposure, particularly in children, pose significant challenges. Objective: This study a...

  • Systematic Review
  • Open Access
2 Citations
3,977 Views
18 Pages

Background/Objectives: The role of environmental modifications and design in mitigating behavioural symptoms is increasingly being recognised as a way to address the psychosocial needs of individuals with dementia. This study aims to investigate vari...

  • Case Report
  • Open Access
1 Citations
1,209 Views
9 Pages

Background: Histologic chorioamnionitis (HCA) is a placental inflammatory condition characterized by neutrophilic infiltration of the fetal membranes, often occurring without overt clinical signs or symptoms. Risk factors include prolonged labor, pre...

  • Article
  • Open Access
1 Citations
1,453 Views
15 Pages

Readiness for Heart Failure Self-Care: Commitment and Capacity

  • Stephanie L. Turrise,
  • Carolyn Kleman,
  • Caroline Jenkins,
  • Nia D. Lewis,
  • Heidi Winslow,
  • Bridgette Williams,
  • Kori E. Meyer,
  • Sonya SooHoo and
  • Barbara Lutz

Background: The number of people with heart failure (HF) is rapidly increasing globally. Self-care plays a key role in improving HF outcomes. The readiness to engage in heart failure self-care (HFSC) behaviors encompasses a commitment to change and t...

  • Article
  • Open Access
1 Citations
917 Views
14 Pages

Burnout Syndrome Among Spanish Professionals Dedicated to Implant Dentistry: An Observational Study

  • Ángel-Orión Salgado-Peralvo,
  • Andrea Uribarri,
  • Eugenio Velasco-Ortega,
  • José López-López,
  • Álvaro Jiménez-Guerra,
  • Loreto Monsalve-Guil,
  • Jesús Moreno-Muñoz,
  • José-Luis Rondón-Romero,
  • Iván Ortiz-García and
  • Enrique Núñez-Márquez

Background: Burnout syndrome (BS) is an occupational condition resulting from chronic stress, characterized by three dimensions, emotional exhaustion (EE), depersonalization (DE), and diminished personal accomplishment (PA), particularly prevalent in...

  • Article
  • Open Access
1 Citations
3,055 Views
17 Pages

Background/Objectives: This study assessed Knowledge and Practices related to Food Safety (KPFS) among nutrition services employees in hospitals across the Al-Ahsa Governorate, Kingdom of Saudi Arabia. The objective was to evaluate the staff’s...

  • Article
  • Open Access
1 Citations
969 Views
14 Pages

Background/Objectives: Although public health organizations encourage family walking, no studies have examined children’s physical activity and enjoyment during outdoor parent–child walks. This study addresses those gaps by examining chil...

  • Systematic Review
  • Open Access
3 Citations
2,125 Views
16 Pages

Background/Objectives: Grief in cancer patients represents a multidimensional psychological response encompassing anticipatory, existential, and identity-related distress. While the recent literature has examined grief in caregivers, family members,...

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Healthcare - ISSN 2227-9032