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Healthcare, Volume 13, Issue 23

2025 December-1 - 187 articles

Cover Story: Cognitive impairment is very common in patients receiving hemodialysis, affecting multiple health parameters and quality of life. The aim of this systematic review was to investigate and evaluate the impact of intradialytic exercise on global cognition and specific cognitive domains in hemodialysis patients. The findings indicate that intradialytic exercise—particularly moderate- to high-intensity aerobic training for 30–45 minutes, three times weekly, for at least 12 weeks—is associated with improvements in global cognition, attention, and executive function. However, larger, longer, and more standardized studies are needed to guide clinical practice. View this paper
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Articles (187)

  • Article
  • Open Access
735 Views
27 Pages

4 December 2025

Background: Academic burnout significantly impacts students’ cognitive and psychological well-being and may result in adverse behavioral changes. An effective and timely detection of burnout in the student population is crucial as it enables ed...

  • Article
  • Open Access
586 Views
21 Pages

Individual Health Management (IHM) for Stress—A Randomised Controlled Trial (TALENT II Study)

  • Dieter Melchart,
  • Erich Wühr,
  • Beatrice Bachmeier and
  • Lara Isabel Jötten

4 December 2025

Background/Objectives: Stress is a pervasive modern challenge that contributes to serious health problems and affects a significant proportion of the population. This study examines whether an Individual Health Management (IHM) programme incorporatin...

  • Review
  • Open Access
1,767 Views
13 Pages

What Evidence Exists on the Effectiveness of Psychotherapy for Trauma-Related Distress? A Scoping Review

  • Emma Victoria Shiel,
  • Zoe Connor,
  • Megan Downes,
  • Abigail Bailey-Shaw,
  • Steve Hemingway,
  • Clare Walters and
  • Susanna Kola-Palmer

4 December 2025

Background/Objectives: Trauma-related distress poses significant mental health challenges, with psychotherapy serving as a primary intervention. The Walters Method is a promising new alternative that may help where traditional methods fall short (i.e...

  • Article
  • Open Access
1 Citations
742 Views
13 Pages

4 December 2025

Background/Objectives: This study explored end-of-life care stress, attitudes toward end-of-life care, and end-of-life care performance as predictors of job satisfaction among hospital nurses. Methods: A descriptive cross-sectional design was employe...

  • Article
  • Open Access
326 Views
15 Pages

4 December 2025

Purpose: This study aims to examine factors associated with asthma prevalence among Hispanic participants in the United States, focusing on access barriers, socioeconomic indicators such as education and income, and BMI. Data from the All of Us Resea...

  • Article
  • Open Access
865 Views
15 Pages

Well-Being Leadership Training to Reduce Clinician Burnout in a Metropolitan Community Health System

  • Tricia T. James,
  • Alice C. Nayak,
  • Anne M. Houff,
  • Phani C. Kantamneni,
  • Hsin-Fang Li,
  • James M. Scanlan and
  • Laura L. M. W. Chun

4 December 2025

Background: Healthcare burnout is pervasive, necessitating more efforts to reduce it. Objective: To evaluate the effectiveness of well-being leadership training in reducing healthcare burnout. Design: The Clinician Wellness Council (CWC) leadership t...

  • Article
  • Open Access
485 Views
19 Pages

4 December 2025

Background: Teledentistry constitutes a key component of digital health, enabling remote oral healthcare delivery through information and communication technologies (ICT). The COVID-19 pandemic accelerated its global adoption; however, data regarding...

  • Article
  • Open Access
1,157 Views
27 Pages

Demographic Change and the Future of Austria’s Long-Term-Care Allowance: A Dynamic Microsimulation Study

  • Ulrike Famira-Mühlberger,
  • Thomas Horvath,
  • Thomas Leoni,
  • Martin Spielauer,
  • Viktoria Szenkurök and
  • Philipp Warum

4 December 2025

Background/Objectives: Europe’s demographic shift is putting increasing pressure on long-term care (LTC) systems and raising concerns about the sustainability of LTC financing. In this paper, we analyse Austria’s LTC system, particularly...

  • Article
  • Open Access
496 Views
16 Pages

Medical and Social Characteristics of Patients with Endometrial Hyperplasia in a Large City in Kazakhstan: A Retrospective Comparative Study

  • Bayan Imashkyzy Imasheva,
  • Maksut Adilkhanovich Kamaliev,
  • Vyacheslav Notanovich Lokshin,
  • Marina Viktorovna Kiseleva and
  • Mariya Vladimirovna Laktionova

4 December 2025

Background/Objectives: Endometrial hyperplasia (EH) is a pathology of the uterus, which is a pathological overgrowth of the endometrial glands associated with the risk of progression to endometrial cancer (EC). The purpose of this study was to conduc...

  • Article
  • Open Access
961 Views
10 Pages

Success and Self-Doubt: Prevalence and Predictors of Imposter Phenomenon in a Cohort of Medical Students from Saudi Arabia

  • Sarah Alammar,
  • Hala A. Mahmoud,
  • Salma A. Metwally,
  • Maryam Abdulla,
  • Tanya Almutairi,
  • Hala Tamim,
  • Homoud Batel Alabri,
  • Noara Alhusseini and
  • Muhammad Raihan Sajid

4 December 2025

Background/Objectives: Imposter Phenomenon (IP) describes internal doubt and fear of being exposed as fraud despite achievements. Coined by Clance and Imes, it is linked to societal pressures and attributing success to luck rather than ability. The m...

  • Perspective
  • Open Access
994 Views
17 Pages

4 December 2025

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental condition affecting children, adolescents, and adults worldwide. Despite evidence-based treatments, long-term functional outcomes remain variable due to het...

  • Review
  • Open Access
931 Views
19 Pages

4 December 2025

Background/Objectives: Emotional eating can pose a significant threat to one’s health as it can be a predictor of eating disorders. It involves eating in response to emotional distress rather than physical hunger and is widely associated with i...

  • Article
  • Open Access
399 Views
14 Pages

How Do Spanish Hospitals Use Lean? Insights from a Multiple-Case Study

  • Aneta Pawłowska-Hulbój,
  • Bartosz Grucza,
  • Michał Kozieł,
  • Adam Kaniuk,
  • Alicja Jakubowska,
  • Wojciech Popiołek,
  • Igor Pańkowski,
  • Jaume Ribera,
  • Jakub Batko and
  • Wojciech Orzeł
  • + 1 author

4 December 2025

Background/Objectives: The European Society for Emergency Medicine reports that emergency department visits have increased by nearly 30% over the past decade, yet resources have not kept pace with this growing demand. Lean Healthcare Management has e...

  • Article
  • Open Access
645 Views
16 Pages

4 December 2025

Introduction: The scope and accessibility of prenatal testing have significantly expanded in recent years, reaching a broader population of pregnant women. Advances in non-invasive diagnostic methods support informed decision-making and help reduce t...

  • Article
  • Open Access
689 Views
23 Pages

Innovating for Health: Measuring the Path of Global Innovation in Healthcare Systems

  • Cristina Criveanu,
  • Nicoleta Mihaela Doran,
  • Veronica Gheorghiță and
  • Oana Stăiculescu

3 December 2025

Background/Objectives: Innovation capacity has become a strategic pillar for strengthening healthcare systems in the European Union, yet its effects vary considerably across countries with different levels of institutional development and technologic...

  • Systematic Review
  • Open Access
1 Citations
659 Views
19 Pages

Emotional Intelligence in Physical Education in Primary Education: A Systematic Review

  • José Luis Murillo-Pulido,
  • Flavia Estefanía Amar-Cantos,
  • María Dolores Aguilar-Herrero,
  • Ana Rodríguez-Cano and
  • José Manuel Armada-Crespo

3 December 2025

Background/Objectives: Emotional intelligence can be understood as the ability to perceive, understand and manage one’s own emotions and those of others, promoting personal and social well-being. In the school context, Physical Education is an...

  • Article
  • Open Access
400 Views
15 Pages

3 December 2025

Introduction/Objectives: In the context of Spain’s persistently high job insecurity and evolving labor market, understanding how individuals sustain career engagement is critical. This study aimed to adapt and validate the Career Commitment Sca...

  • Article
  • Open Access
800 Views
17 Pages

3 December 2025

Background: Operating rooms are high-risk environments where ensuring patient safety is essential. Although research on patient safety has increased in recent years, comprehensive analyses of research trends and the core topics specific to operating...

  • Article
  • Open Access
920 Views
15 Pages

3 December 2025

Background/Objectives: The lumbar lordosis (LL) is influenced by pelvic morphology, the unique dimensional characteristics of the pelvis. We investigated the sensitivity and specificity of lumbar sagittal radiographic alignment variables to discrimin...

  • Article
  • Open Access
522 Views
19 Pages

Cognitive Reserve as a Protective Factor for Visuospatial Ability in Healthy Aging

  • Marika Mauti,
  • Elena Allegretti and
  • Raffaella I. Rumiati

3 December 2025

Background: Cognitive Reserve (CR) is a theoretical construct developed to explain individual differences in resilience to age-related cognitive decline. Empirical evidence supports its positive role across multiple cognitive domains. However, behavi...

  • Article
  • Open Access
415 Views
13 Pages

3 December 2025

Background/Objectives: We aimed to construct a nomogram model for predicting arteriovenous fistula dysfunction risk and to conduct internal validation. Methods: The clinical data of 335 patients from the 8th Affiliated Hospital of Sun Yat-Sen Univers...

  • Article
  • Open Access
367 Views
14 Pages

3 December 2025

Background and Objectives: Parental fears and misconceptions about topical corticosteroids (TCS), known as TCS phobia, can hinder adherence and lead to poor eczema control in children. Despite its clinical relevance, few instruments capture this phen...

  • Article
  • Open Access
623 Views
27 Pages

Telemedicine and AI-Powered Chatbots: Potential and Challenges for Home Care Provided by Family Caregivers

  • Kevin-Justin Schwedler,
  • Thomas Ostermann,
  • Jan P. Ehlers and
  • Gregor Hohenberg

3 December 2025

Background/Objectives: The digitization of care opens up new opportunities to support family caregivers, who play a key role in home care. While telemedicine applications have already shown initial relief effects, AI-supported chatbots are increasing...

  • Article
  • Open Access
569 Views
9 Pages

The HIT-6 Questionnaire Corresponds to the PedMIDAS for Assessment of Pediatric Headaches

  • Jacob Genizi,
  • Raneen Mansour,
  • Malak Burbara,
  • Shoshana Gal,
  • Keren Nathan,
  • Lisa Kaly and
  • Liat Yaniv

3 December 2025

Objective: The aim of our study was to compare two questionnaires regarding their ability to globally assess the impact of headaches on daily functioning in children as a primary endpoint and, secondarily, to evaluate their correlation to frequency a...

  • Systematic Review
  • Open Access
741 Views
29 Pages

3 December 2025

Background: The integration of the Internet of Things (IoT) into healthcare promises significant advancements in patient care and operational efficiency, while simultaneously posing substantial cybersecurity threats to sensitive personal data. Method...

  • Article
  • Open Access
530 Views
15 Pages

3 December 2025

Background/Objectives: Due to ongoing medical and scientific progress, the number of cancer survivors is steadily increasing worldwide. However, this population remains particularly vulnerable to experiencing psychopathological symptoms and Fear of D...

  • Review
  • Open Access
696 Views
16 Pages

Assisted Reproduction Therapy in Patients with Multiple Sclerosis: Narrative Review and Practical Recommendations

  • Lenka Mekiňová,
  • Iva Šrotová,
  • Petra Hanáková,
  • Pavlína Danhofer,
  • Robert Hudeček and
  • Michal Ješeta

3 December 2025

Objective: The objective of this study is to present contemporary findings regarding the relationship between the application of assisted reproduction methods and their impact on the incidence of multiple sclerosis. Design: This study adopts a narrat...

  • Case Report
  • Open Access
535 Views
8 Pages

3 December 2025

We report the case of a 62-year-old woman with Miller Fisher syndrome (MFS) whose severe bilateral ophthalmoplegia showed no improvement after four weeks of standard care consisting of intravenous immunoglobulin and physiotherapy. High-frequency tran...

  • Article
  • Open Access
602 Views
9 Pages

Association of Early and Severe Early Childhood Caries with Oral Health-Related Quality of Life: A Cross-Sectional Survey

  • Samaa K. Redwan,
  • Najlaa M. Alamoudi,
  • Osama M. Felemban,
  • Amani A. Al Tuwirqi and
  • Rana A. Alamoudi

3 December 2025

Background/Objectives: Early childhood caries (ECC) and severe early childhood caries (S-ECC) are oral health problems that affect many preschool children worldwide. ECC and S-ECC negatively impact the quality of life of preschool children, including...

  • Article
  • Open Access
755 Views
16 Pages

Lipid-Derived Cardiometabolic Indices in Normouricemic and Hyperuricemic Adults: A Retrospective Cross-Sectional Association Study

  • Yazeed Alshuweishi,
  • Salihah H. Khobrani,
  • Muath Alsaidan,
  • Tahani M. Alharthi,
  • Mohannad G. Abdelgader and
  • Abdulaziz M. Almuqrin

3 December 2025

Introduction: Hyperuricemia is increasingly recognized as a metabolic disorder linked to dyslipidemia, insulin resistance, and vascular complications. In Saudi Arabia, the prevalence of hyperuricemia is rising with obesity and diabetes, yet its relat...

  • Article
  • Open Access
1,372 Views
11 Pages

Primary Care Records and Population Prevalence of Chronic Insomnia: Do They Match?

  • Jesús Pujol Salud,
  • Cristina García-Serrano,
  • Manuel de Entrambasaguas,
  • Maria Malla Montagut and
  • Javier Martínez Redondo

3 December 2025

Background/Objectives: Chronic insomnia is a prevalent condition with important health implications. However, its recognition in clinical practice is often limited. This study evaluated the alignment between population-based estimates of chronic inso...

  • Article
  • Open Access
481 Views
13 Pages

2 December 2025

Background: Obesity and overweight are escalating global public health concerns. This study examined the relationship between Body Mass Index (BMI) and psychological factors in young adults. Methods: A total of 283 participants aged 19–30 years...

  • Article
  • Open Access
941 Views
22 Pages

2 December 2025

Background/Objectives: The structure and adequacy of health financing critically shape population health outcomes. This study examines financing typologies in relation to healthy life expectancy (HALE) and infant mortality across 38 OECD countries an...

  • Systematic Review
  • Open Access
926 Views
24 Pages

2 December 2025

Background: Despite evidence of potential benefits, variability in exercise types, psychological outcomes, and methods hinders comprehensive cost-effectiveness evaluation, framed through Stimulus–Organism–Response (S–O–R) theo...

  • Article
  • Open Access
502 Views
18 Pages

2 December 2025

Background: Primary Sclerosing Cholangitis (PSC), Primary Biliary Cholangitis (PBC), and Autoimmune Hepatitis (AIH) are rare immune-mediated liver conditions that significantly affect patients’ quality of life. In Romania, access to specialized...

  • Article
  • Open Access
748 Views
22 Pages

Economic Impact of a Precision Nutrition Digital Therapeutic on Employer Health Costs: A Multi-Employer and Multi-Year Claims Analysis

  • Inti Pedroso,
  • Santosh Kumar Saravanan,
  • Shreyas Vivek Kumbhare,
  • Garima Sharma,
  • Daniel Eduardo Almonacid and
  • Ranjan Sinha

2 December 2025

Background: Obesity, gastrointestinal disorders, and mental health conditions are major drivers of employer healthcare expenditures, yet nutrition-focused interventions are infrequently reimbursed by health insurance. Precision nutrition, which integ...

  • Article
  • Open Access
396 Views
13 Pages

Occupational Heat Exposure and Chronic Venous Disease: Barriers, Adaptations, and Implications for Sustainable Workplaces

  • Davide Costa,
  • Michele Andreucci,
  • Nicola Ielapi,
  • Umberto Marcello Bracale and
  • Raffaele Serra

2 December 2025

Background: Chronic venous disease (CVD) substantially influences workers’ comfort, productivity, and capacity to remain employed, yet many occupational settings complicate the implementation of effective symptom management strategies. Temperat...

  • Review
  • Open Access
1 Citations
730 Views
21 Pages

Global Research Trends and Hotspots in Cardiac Devices: A Bibliometric and Visual Analysis

  • Mohammed D. Al Shubbar,
  • Raghad A. Alhojailan,
  • Saeed A. Alzahrani,
  • Assal Hobani,
  • Hadeel H. Alabdulqader,
  • Abdulrahman A. Alharbi,
  • Sultan A. Alotibi,
  • Norah S. Almuzil and
  • Abdullah Al Jama

2 December 2025

Background: Cardiac implantable electronic devices (CIEDs) have become indispensable tools in the management of bradyarrhythmia and heart failure, prompting a surge in research activity. To characterize the evolving research landscape, we conducted a...

  • Article
  • Open Access
706 Views
17 Pages

Invisible Pain, Visible Inequalities: Gender, Social Agency, and the Health of Women with Fibromyalgia

  • Andrea Lizama-Lefno,
  • Ángel Roco-Videla,
  • Erick Atenas-Núñez,
  • Nelia González-Droguett,
  • María Jesús Muñoz-Yánez and
  • Sergio V. Flores-Carrasco

2 December 2025

Background: Fibromyalgia (FM) is a chronic nociplastic pain condition predominantly affecting women. Although often addressed within biomedical frameworks, its structural and relational dimensions remain underexplored. This study examined how social,...

  • Systematic Review
  • Open Access
523 Views
22 Pages

The Impact of Sibling Presence on Motor Competence and Physical Fitness: A Systematic Review

  • Nerea Blanco-Martínez,
  • Daniel González-Devesa,
  • Pedro Vicente Vila,
  • Antía Esmerode-Iglesias and
  • Carlos Ayán-Pérez

2 December 2025

Objective: This systematic review examined whether siblings act as facilitators or barriers to children’s motor competence and physical fitness. Methods: Following PRISMA guidelines, systematic searches were conducted in four databases (Web of...

  • Article
  • Open Access
544 Views
14 Pages

2 December 2025

Background: The Prognostic Nutritional Index (PNI), calculated from serum albumin and lymphocyte count, indicates nutritional and immunological status. Its prognostic significance in colorectal cancer (CRC) is still being assessed. Methods: This retr...

  • Article
  • Open Access
604 Views
16 Pages

2 December 2025

Background/Objectives: The concurrent use of smartphones and backpacks presents notable ergonomic challenges for students and young adults. However, the influence of walking speed on this dual-task biomechanical strain remains unclear. This study inv...

  • Systematic Review
  • Open Access
505 Views
18 Pages

Knowledge, Attitude, and Intention to Receive the Pertussis Vaccine in Pregnant Women: A Systematic Review

  • Franciszek Ługowski,
  • Julia Babińska,
  • Aleksandra Urban,
  • Joanna Kacperczyk-Bartnik,
  • Paweł Bartnik,
  • Ewa Romejko-Wolniewicz and
  • Jacek Sieńko

2 December 2025

Background: Pertussis is a respiratory infection that represents a significant threat worldwide, especially for infants. The global incidence of pertussis is on the rise, with 20–40 million cases occurring every year. Maternal vaccination offer...

  • Article
  • Open Access
593 Views
18 Pages

2 December 2025

Background/Objectives: Dysphagia represents a significant global health concern with particularly high prevalence in specific clinical conditions, yet educational gaps persist among healthcare professionals and caregivers. This observational, cross-s...

  • Article
  • Open Access
489 Views
15 Pages

2 December 2025

Background/Objectives: Emergency department (ED) physicians may hesitate to order medically indicated imaging (MI) for pregnant patients, potentially delaying or omitting necessary diagnostic procedures. This study aimed to assess the attitudes and p...

  • Article
  • Open Access
566 Views
13 Pages

2 December 2025

Introduction: Throughout life, the characteristics of a woman’s pelvic floor change due to physiological changes, including pregnancy, childbirth and menopause. These changes can predispose them to pelvic floor dysfunction. Objectives: To devel...

  • Article
  • Open Access
463 Views
20 Pages

Evaluating a Behavioural Theory-Based Board Game (S-S-LIBOG) Against Traditional Health Talk (HT) in Prostate Cancer Education: Findings from a Quasi-Experimental Study, Plus Introducing 17 Other S-S-LIBOGs

  • Frank Obeng,
  • Mohammed Fadil,
  • Aishah Fadila Adamu,
  • Daniel Senanu Dadee-Seshie,
  • Eric Nii Okai,
  • Godson Agbeteti,
  • Sylvester Appiah Boakye,
  • Banabas Kpankyaano,
  • Evans Kwaku Zikpi and
  • Millicent Ofori Boateng
  • + 3 authors

2 December 2025

Background: Prostate cancer is a major public health concern in Ghana, where most cases present late and mortality remains high. Community education is essential for improving awareness and early detection. Traditional health talks are widely used, b...

  • Article
  • Open Access
625 Views
21 Pages

2 December 2025

Background/Objectives: Readiness for hospital discharge after kidney and liver transplantation is a complex process influenced not only by clinical factors but also by psychological and social aspects. This cross-sectional, analytical study aimed to...

  • Article
  • Open Access
647 Views
19 Pages

Wartime Experiences of Single Parents by Choice

  • Dorit Segal-Engelchin,
  • Maya Tsfati and
  • Alean Al-Krenawi

2 December 2025

Background/Objectives: Despite extensive research on the outcomes faced by parents in contexts of political violence, as well as the protective factors that enhance their well-being, the experiences of single parents by choice (SPCs) in such circumst...

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Healthcare - ISSN 2227-9032