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Healthcare, Volume 13, Issue 17

2025 September-1 - 174 articles

Cover Story: This study focuses on supporting mothers with nipple trauma in the early postpartum period. We developed and evaluated a deep-learning-based assessment system that enables objective and rapid evaluation of nipple conditions. Mothers found this tool helpful for receiving appropriate breastfeeding guidance and felt reassured by its use. By enhancing the quality of maternal support, this approach may contribute to promoting breastfeeding continuation and improving maternal satisfaction. View this paper
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Articles (174)

  • Systematic Review
  • Open Access
1,224 Views
19 Pages

Remote Virtual Interactive Agents for Older Adults: Exploring Its Science via Network Analysis and Systematic Review

  • Michael Joseph Dino,
  • Chloe Margalaux Villafuerte,
  • Veronica A. Decker,
  • Janet Lopez,
  • Luis Ezra D. Cruz,
  • Gerald C. Dino,
  • Jenica Ana Rivero,
  • Patrick Tracy Balbin,
  • Eloisa Mallo and
  • Mona Shattell
  • + 2 authors

8 September 2025

Background: The global rise in the aging population presents significant challenges to healthcare systems, especially with increasing rates of chronic illnesses, mental health issues, and functional decline among older adults. In response, holistic a...

  • Article
  • Open Access
1 Citations
4,082 Views
22 Pages

The Online Misinformation Susceptibility Scale: Development and Initial Validation

  • Aglaia Katsiroumpa,
  • Ioannis Moisoglou,
  • Polyxeni Mangoulia,
  • Olympia Konstantakopoulou,
  • Parisis Gallos,
  • Maria Tsiachri and
  • Petros Galanis

8 September 2025

Background/Objectives: Although it is known that widespread online misinformation has negative consequences, there is no scale to measure susceptibility to online misinformation. Thus, our aim was to develop and validate a tool for measuring suscepti...

  • Review
  • Open Access
1 Citations
869 Views
19 Pages

An Overview of Instruments to Assess Vulnerability in Healthcare: A Scoping Review

  • Filipa Andrade,
  • Ana Resende,
  • Clara Roquette Viana,
  • Amélia Simões Figueiredo and
  • Fernanda Loureiro

8 September 2025

Background/Objectives: Vulnerability is a multifaceted concept frequently addressed in healthcare, reflecting individuals’ and families’ conditions that may affect health outcomes. The availability of validated instruments to assess vulne...

  • Article
  • Open Access
1,507 Views
17 Pages

Physical and Psychological Benefits of a 12-Week Zumba Gold® Exercise Intervention in Postmenopausal Sedentary Women from Low Socioeconomic Status

  • Anne Delextrat,
  • Alba Solera-Sanchez,
  • Emma L. Davies,
  • Sarah E. Hennelly,
  • Clare D. Shaw,
  • Lily Sabir and
  • Adam Bibbey

8 September 2025

Background: Exercise is known to help with the effects of the menopause, but women from low socioeconomic status (SES) tend to exercise less at this stage of life. Therefore, this study aimed to investigate the physical and psychological effects of a...

  • Perspective
  • Open Access
845 Views
19 Pages

A Physician-Driven Patient Safety Paradigm: The “Pitfall Bank” as a Translational Mechanism for Medical Error Prevention

  • Gerd Herold,
  • Viktoras Justickis,
  • Vytė Maneikienė,
  • Kazimieras Maneikis,
  • Paulius Trinkauskas and
  • Karina Palkova

8 September 2025

Background: Despite more than 25 years of intensive effort following the landmark “To Err Is Human” report, conventional top-down medical error prevention strategies, grounded in the Safety-I paradigm, have largely failed to reduce patien...

  • Article
  • Open Access
1,177 Views
12 Pages

8 September 2025

Introduction: Marathon runs conducted in tropical environments can result in high injury rates. This study was conducted to provide information about the burden of injuries in such environments, to aid planning for similar mass events, enhance medica...

  • Review
  • Open Access
5 Citations
9,822 Views
22 Pages

8 September 2025

Background: Dental caries remains one of the most prevalent chronic diseases worldwide. Fluoride has long been recognized as a cornerstone of caries prevention through enamel remineralization, inhibition of demineralization, and antibacterial activit...

  • Review
  • Open Access
2,140 Views
16 Pages

8 September 2025

Background and Objectives: Type 2 diabetes mellitus (T2DM) remains a significant public health problem across Gulf Cooperation Council (GCC) nations because of advancements in urbanization alongside behavioural lifestyle changes and genetic predispos...

  • Case Report
  • Open Access
3,085 Views
8 Pages

8 September 2025

Background: Sodium–glucose cotransporter-2 (SGLT2) inhibitors are widely used to manage type 2 diabetes mellitus (T2DM) because of their glucose-lowering and cardioprotective effects. However, euglycemic diabetic ketoacidosis (euDKA) is an unco...

  • Review
  • Open Access
2 Citations
1,865 Views
13 Pages

8 September 2025

The relationship between exercise and immune function has been widely studied, yet findings remain inconsistent regarding how different exercise modalities and intensities influence acute and chronic immunological responses. Previous reviews have oft...

  • Article
  • Open Access
1 Citations
2,276 Views
9 Pages

The Economic Impact of Premarital Screening (PMS) of Sickle Cell Anemia on the Saudi Health System: A Cost Analysis Study

  • Amal F. Alotaibi,
  • Rami A. Almalki,
  • Mona Y. Alsheikh,
  • Ghufran O. Omran,
  • Hana A. Althobaiti and
  • Wejdan S. AlQurashi

8 September 2025

Background: In Saudi Arabia, the government has implemented compulsory premarital screening and consultations for high-risk and positive sickle cell results (traits = AS gene and disease = SS gene). However, despite these measures being in place sinc...

  • Article
  • Open Access
690 Views
12 Pages

8 September 2025

Background/Objectives: South Korea is rapidly transitioning into a super-aged society, increasing the importance of care services to ensure the health and quality of life of older adults. Although the number of professional caregivers has steadily gr...

  • Systematic Review
  • Open Access
896 Views
17 Pages

8 September 2025

Relevance of the problem and aim of the work: Ankylosis of the temporomandibular joint (TMJ) affects physical, psychological, and social well-being and quality of life. One of the most frequently used surgical interventions for the treatment of tempo...

  • Article
  • Open Access
538 Views
16 Pages

Self-Assessed Quality of Life Is Differently Impacted Depending on Diagnostic Grouping in Otorhinolaryngology: An Observational Study

  • Dragica Severinac,
  • Ines Begović,
  • Emili Dragaš,
  • Goran Geber,
  • Davor Vagić and
  • Andro Košec

8 September 2025

Background and Objectives: Quality of life is significantly impacted by patients’ diagnosis perceptions, and self-assessment of quality of life is increasingly used in medicine. With this study, we aim to provide an overview of the differences...

  • Article
  • Open Access
1 Citations
1,160 Views
13 Pages

Clinical and Sleep Characteristics and the Effect of CPAP Treatment on Obese Patients with Obstructive Sleep Apnea and Asthma—A Retrospective Study

  • Konstantina Chadia,
  • Kostas Archontogeorgis,
  • Fotios Drakopanagiotakis,
  • Konstantinos Bonelis,
  • Stavros Anevlavis and
  • Paschalis Steiropoulos

8 September 2025

Introduction: Patients with obstructive sleep apnea (OSA) and asthma share common symptoms and risk factors. Aim: The aim of this study is to evaluate the clinical characteristics of patients with OSA and asthma and assess the impact of CPAP treatmen...

  • Article
  • Open Access
1 Citations
1,035 Views
11 Pages

8 September 2025

Background/Objectives: Back pain affects a large number of people and, therefore, represents a significant financial burden for the state. In most cases, it can be treated conservatively. The aim of this study is to evaluate and compare the effects o...

  • Article
  • Open Access
1 Citations
1,211 Views
14 Pages

8 September 2025

Background: Stunting remains a major public health issue globally and in Indonesia, often linked to inadequate complementary feeding, cultural practices, and limited family empowerment. Objective: This study aimed to develop and evaluate a family emp...

  • Article
  • Open Access
2,402 Views
13 Pages

7 September 2025

Background: Concerns exist regarding the lowest effective dose of opioids in opioid-naïve pregnancies. This study aimed to compare the effectiveness of 25 µg vs. 50 µg fentanyl in relieving labor pain. Methods: In total, 122 term-sin...

  • Article
  • Open Access
3 Citations
1,078 Views
14 Pages

Socio-Demographic Factors Linked to Psychological Well-Being in Dementia Caregivers

  • Liviu Florian Tatomirescu,
  • Cristiana Susana Glavce,
  • Gabriel Ioan Prada,
  • Adriana Borosanu and
  • Suzana Turcu

7 September 2025

Background: Caregivers of individuals with cognitive impairment face heightened emotional and psychological burdens, yet the interaction between caregiver well-being, patient characteristics, and socio-demographic factors still requires investigation...

  • Review
  • Open Access
5,156 Views
18 Pages

A Scoping Review of the Use and Determinants of Social Media Among College Students

  • Anam Fatima,
  • Md. Sohail Akhter,
  • Amar Kanekar,
  • Sharmistha Roy,
  • Rupam Mitra,
  • Blessing Imade and
  • Manoj Sharma

6 September 2025

Background/Objectives: Use of social media among college students is ubiquitous. Excessive use of social media has been linked to distractions, reduced academic focus, and poor mental health outcomes such as anxiety and depression. The determinants o...

  • Article
  • Open Access
627 Views
11 Pages

6 September 2025

Background: Family health history (FHH) is essential for genomic medicine and risk assessment, but its completeness in Japanese prenatal settings is poorly understood. Prior studies show that details such as cause of death (COD) and age at onset are...

  • Article
  • Open Access
929 Views
15 Pages

6 September 2025

Background/Objectives: Several studies indicate that physical activity is both safe and beneficial for most cancer survivors—before, during and after treatment. These benefits include improved mental health and a subsequent positive impact on q...

  • Article
  • Open Access
1,304 Views
16 Pages

Pharmacists’ Knowledge, Attitudes, and Practices Toward CGRP Inhibitors in Migraine Management: A Cross-Sectional Study

  • Anwar Seraj Alfahmi,
  • Lana Abdullah Alqarni,
  • Lura Abdulrahman Alkhatabi and
  • Fahad S. Alshehri

6 September 2025

Background: Calcitonin gene-related peptide (CGRP) inhibitors represent a novel class of medications for the prevention and treatment of migraines. Given their expanding role in migraine management, pharmacists are increasingly expected to be knowled...

  • Review
  • Open Access
2,189 Views
30 Pages

Embodied Mindfulness Through Movement: A Scoping Review of Dance-Based Interventions for Mental Well-Being in Recreational Populations

  • Aglaia Zafeiroudi,
  • Ioannis Tsartsapakis,
  • Ioannis Trigonis,
  • Olga Kouli,
  • Dimitrios Goulimaris and
  • Charilaos Kouthouris

5 September 2025

Background/Objectives: Mindfulness has expanded from seated meditation to include embodied practices emphasizing somatic awareness and emotional regulation. Dance offers a creative, accessible pathway to mindfulness, especially in non-clinical settin...

  • Review
  • Open Access
1 Citations
1,478 Views
19 Pages

Associations Between Common Hip and Knee Osteoarthritis Treatments and All-Cause Mortality

  • John W. Orchard,
  • L. Edward Tutt,
  • Anna Hines and
  • Jessica J. Orchard

5 September 2025

Background: Osteoarthritis has a large and growing burden in an ageing population. Controversy exists in current management, particularly regarding opioid use due to increasing negative effects. Clinicians need guidance on the individual mortality as...

  • Article
  • Open Access
1,264 Views
16 Pages

Efficacy and Safety of Manual Therapy in Haemophilic Ankle Arthropathy: A Randomised Crossover Clinical Trial

  • Carlos Truque-Díaz,
  • Raúl Pérez-Llanes,
  • Javier Meroño-Gallut,
  • Rubén Cuesta-Barriuso and
  • Elena Donoso-Úbeda

5 September 2025

Background: Recurrent haemarthrosis leads to progressive and degenerative joint damage in patients with haemophilia from an early age. Haemophilic arthropathy is characterised by chronic pain, restricted range of motion, proprioceptive deficits, and...

  • Article
  • Open Access
1 Citations
1,090 Views
18 Pages

5 September 2025

Background: Older adults with malnutrition (≥65 years) require coordinated nutrition care during hospital-to-home transitions. A key purpose of integrated electronic medical record (iEMR) systems is to support clinicians in ensuring continuity of...

  • Article
  • Open Access
1,399 Views
16 Pages

5 September 2025

Background/Objectives: Obesity has become a global public health crisis, with China now ranking among the countries with the highest number of obese adults. Urban China faces a growing burden of obesity, but little is known about how obesity prevalen...

  • Article
  • Open Access
2,086 Views
16 Pages

The Impact of Nutritional Knowledge of Mothers on Their Children’s Nutritional Knowledge and Weight Status

  • Mai Adil Ghabashi,
  • Abrar M. Babateen,
  • Alyaa M. Zagzoog and
  • Abeer M. Aljaadi

5 September 2025

Objectives: This cross-sectional study assessed the nutritional knowledge of Saudi mothers and their children. Then, it examined the association between the nutritional knowledge of mothers and the nutritional knowledge and weight status of their sch...

  • Article
  • Open Access
1,299 Views
15 Pages

Feasibility and Preliminary Efficacy of a Telerehabilitation Intervention for Diastasis Recti Abdominis—A Pilot Study

  • Anastasia Skoura,
  • Maria Antoniou,
  • Nikolaos Thanatsis,
  • Dimitra Tania Papanikolaou,
  • George Tsirogiannis,
  • Elena Drakonaki and
  • Evdokia Billis

5 September 2025

Background: Diastasis recti abdominis (DRA) is a common postpartum condition typically managed with rehabilitation exercises. Given its high prevalence and postpartum barriers in attending in-person sessions, telerehabilitation may offer a feasible a...

  • Article
  • Open Access
1,766 Views
21 Pages

5 September 2025

Background: In low-resource health systems, official mHealth platforms often face usability and infrastructure barriers. In India, Community Health Workers (CHWs) and their supervisors have pragmatically turned to WhatsApp as an informal digital infr...

  • Review
  • Open Access
1 Citations
3,245 Views
20 Pages

Nutrition for Children with Down Syndrome—Current Knowledge, Challenges, and Clinical Recommendations—A Narrative Review

  • Sebastian Żur,
  • Adam Sokal,
  • Wiktoria Staśkiewicz-Bartecka,
  • Agata Kiciak,
  • Mateusz Grajek,
  • Karolina Krupa-Kotara,
  • Oskar Kowalski and
  • Agnieszka Białek-Dratwa

4 September 2025

Background/Objectives: Children with Down syndrome (DS) present unique and multifaceted nutritional challenges arising from genetic, metabolic, and developmental factors. Despite growing interest in the health of individuals with DS, dedicated nutrit...

  • Article
  • Open Access
2,779 Views
16 Pages

4 September 2025

Background: Central sensitization syndromes (CSSs) are associated with a high incidence of traumatic events; however, few studies have examined the potential mechanisms linking post-traumatic stress disorder (PTSD) and pain. Objectives: The present r...

  • Article
  • Open Access
1 Citations
2,052 Views
22 Pages

4 September 2025

Background/Objectives: Social Media Use has become an integral part of contemporary motherhood, with potential effects on maternal mental health and breastfeeding behaviors. This study aimed to examine the relationship between problematic social medi...

  • Review
  • Open Access
1,760 Views
13 Pages

Clinical Decision Support Systems in Indian Healthcare Settings: Benefits, Barriers, and Future Implications

  • Shabeer Ali Thorakkattil,
  • Sathvik Belagodu Sridhar,
  • Suhaj Abdulsalim,
  • Mohammed Salim Karattuthodi,
  • Prashant Chandra and
  • Mazhuvanchery Kesavan Unnikrishnan

4 September 2025

India’s vast and diverse population presents significant healthcare challenges owing to its scale, heterogeneity, and rapid growth. The Indian healthcare system, spanning the public, private, and non-profit sectors, shows marked inter-state var...

  • Article
  • Open Access
901 Views
11 Pages

4 September 2025

Background/Objectives: Sex differences in metabolic dysfunction-associated steatotic liver disease (MASLD) have been established in adult males; however, data on paediatric populations remain scarce. This study aimed to elucidate the sex-specific cor...

  • Article
  • Open Access
1,110 Views
17 Pages

4 September 2025

Background: First-Line Nurse Managers (FLNMs) have been recognised as key contributors to achieving organisational objectives, serving as vital intermediaries between management, staff, and patients. Assessing whether the Span of Control (SOC) is app...

  • Article
  • Open Access
1 Citations
772 Views
12 Pages

Impact of Bispectral Index- and Target-Controlled Infusion-Guided Sedation on Patient Comfort and Procedural Workflow During Bronchoscopy

  • Ya-Chi Chang,
  • Kun-Ta Lee,
  • Ching-Yi Chen,
  • I-Jung Liu,
  • Yun-Kai Yeh,
  • Kuan-Yuan Chen,
  • Po-Hao Feng and
  • Cheng-Yu Tsai

4 September 2025

Objectives: While a combination of the Target-Controlled Infusion (TCI) system and Bispectral Index (BIS) monitoring has emerged as an effective approach for sedation management during bronchoscopy, its benefits and potential risks remain insufficien...

  • Systematic Review
  • Open Access
3,132 Views
19 Pages

Adherence to the Mediterranean Diet Across the League of Arab States: A Systematic Review

  • MoezAlIslam E. Faris,
  • Nada Benajiba,
  • Basil H. Aboul-Enein,
  • Katia Abu Shihab,
  • Rasha Alshaalan,
  • Rehab Aldahash and
  • Fatmah Almoayad

4 September 2025

Purpose: The Mediterranean diet (MD) is associated with significant health benefits. However, adherence varies considerably, influenced by sociocultural and geographical factors. This review was designed to synthesize existing evidence on the prevale...

  • Article
  • Open Access
864 Views
14 Pages

Diagnostic Yield of Fusion-Guided and Randomized Biopsies in Prostate Cancer: Evidence for an Integrated Approach

  • Osama Salloum,
  • Iulian-Alexandru Taciuc,
  • Alexandru Dick,
  • Costin Petcu,
  • Costin Gingu,
  • Nicoleta Sanda,
  • Andreea Nicoleta Marinescu,
  • Crenguta Serboiu and
  • Adrian Costache

4 September 2025

Background/Objectives: Improving prostate cancer (PCa) detection remains a key clinical goal. While multiparametric MRI (mp-MRI) fusion-guided biopsy has shown advantages over systematic randomized biopsy, variability persists across studies. This st...

  • Systematic Review
  • Open Access
1 Citations
2,900 Views
16 Pages

4 September 2025

Background: Parkinson’s disease (PD) is a prevalent neurodegenerative disorder characterized by progressive impairments in balance, gait, and quality of life (QoL). Exercise interventions have emerged as complementary therapies, but their effec...

  • Article
  • Open Access
848 Views
11 Pages

Quality of Life in Short Stature: Comparisons Between Normal Variants Short-Statured and Normal-Statured Children and Adolescents and Agreement with Their Parents

  • Anna Guerrini Usubini,
  • Nicoletta Marazzi,
  • Laura Abbruzzese,
  • Adele Bondesan,
  • Graziano Grugni,
  • Gianluca Castelnuovo and
  • Alessandro Sartorio

4 September 2025

Background/Objectives: This study aimed to evaluate quality of life in children and adolescents with normal variants of short stature compared to age- and sex-matched individuals with normal stature and to assess the agreement between children/adoles...

  • Article
  • Open Access
1,467 Views
15 Pages

Psychological Vulnerability During Pregnancy and Its Obstetric Consequences: A Multidimensional Approach

  • Ioana Denisa Socol,
  • Ahmed Abu-Awwad,
  • Flavius George Socol,
  • Simona Sorina Farcaș,
  • Simona-Alina Abu-Awwad,
  • Bogdan-Ionel Dumitriu,
  • Alina-Iasmina Dumitriu,
  • Daniela Iacob,
  • Daniela-Violeta Vasile and
  • Nicoleta Ioana Andreescu

4 September 2025

Background/Objectives: Maternal depression, anxiety, perceived stress, and resilience are recognized determinants of perinatal health, yet routine psychological screening is still uncommon in Romanian obstetric practice. This study examined how these...

  • Review
  • Open Access
897 Views
14 Pages

3 September 2025

Background: The diagnosis and treatment of esophageal cancer often leads to complex and long-lasting psychological distress, such as anxiety and depression, in patients and their partners. This psychological distress can not only potentially worsen t...

  • Systematic Review
  • Open Access
3,641 Views
14 Pages

Isolated Exercise Interventions for Acute Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Melania Cardellat-González,
  • Luis González-Gómez,
  • Juan-David Guzmán-Gómez,
  • Laura Blanco-Heras,
  • Andrés Arana-Rodríguez and
  • Álvaro-José Rodríguez-Domínguez

3 September 2025

Background: Therapeutic exercise (TE) is recommended as the first line of treatment for low back pain (LBP), but questions remain about the true efficacy of TE in the acute phase. This study aimed to evaluate the effectiveness of isolated TE in reduc...

  • Article
  • Open Access
1,533 Views
16 Pages

Parents’ Perceptions of Pediatric Surgical Patients Regarding Animal-Assisted Therapy: A Qualitative Study

  • Felice Curcio,
  • Dhurata Ivziku,
  • Simona Pirisinu,
  • Luca Bertocchi,
  • Giovanni Gioiello,
  • Francesco Saverio Camoglio,
  • Adalberto Rangel Restrepo,
  • Ippolito Notarnicola and
  • Cesar Ivan Aviles Gonzalez

3 September 2025

Background/Objectives: Pet therapy, also known as Animal-Assisted Therapy (AAT), is increasingly recognized for its potential to support pediatric patients and their families in the hospital setting. This study explores the perceptions of parents of...

  • Article
  • Open Access
1,046 Views
14 Pages

3 September 2025

Background/Objectives: Fatigue is the most common systemic manifestation of chronic liver diseases, including metabolic dysfunction-associated steatotic liver disease (MASLD). Fatigue not only adversely affects quality of life in MASLD patients but a...

  • Article
  • Open Access
1,558 Views
14 Pages

Unlocking the Determinants of Digital and Technological Self-Efficacy: Insights from a Cross-Sectional Study Among Nurses and Nursing Students

  • Gianluca Conte,
  • Cristina Arrigoni,
  • Arianna Magon,
  • Giada De Angeli,
  • Giulia Paglione,
  • Irene Baroni,
  • Silvia Belloni,
  • Greta Ghizzardi,
  • Ippolito Notarnicola and
  • Rosario Caruso
  • + 1 author

3 September 2025

Background: Digital self-efficacy is a crucial determinant of healthcare professionals’ ability to adapt to technological innovations. Understanding its predictors among nurses and nursing students is essential for workforce readiness. Objectiv...

  • Article
  • Open Access
871 Views
13 Pages

3 September 2025

Background/Objectives: Existing research has highlighted the stress associated with the transition from student to practitioner among newly hired nurses, often resulting in diminished professional quality of life (ProQOL). However, there remains a de...

  • Case Report
  • Open Access
1,701 Views
14 Pages

3 September 2025

Background/Objectives: Many community-dwelling Americans with Alzheimer’s disease and related dementias rely on family caregivers to help meet their increasing care needs. These caregivers experience increased stress related to caregiving as we...

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Healthcare - ISSN 2227-9032