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Healthcare, Volume 13, Issue 5

2025 March-1 - 138 articles

Cover Story: Obstructive sleep apnea (OSA) is a heterogeneous disease with symptoms that vary widely. The presence of Excessive Daytime Sleepiness (EDS) is common among patients with OSA, affecting 40.5–58% at initial diagnosis, and is recognized as a primary symptom of the syndrome. If present, it can result in diminished quality of life and increased societal burden, which may impact healthcare utilization and costs. Existing research suggests a possible relationship between sleep architecture and OSA severity parameters and EDS in these patients, but findings have been inconsistent. Given the serious public health implications of EDS, understanding the determinant of this OSA phenotype is an area of important future research. Such insights may be gained by investigating the association between the EDS phenotype, OSA severity indices, and sleep architecture parameters. View this paper
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Articles (138)

  • Article
  • Open Access
1 Citations
2,525 Views
13 Pages

Background: The long-term effects of hormone replacement therapy (HRT) on inflammatory bowel disease (IBD) remain unclear, necessitating further investigations of the association between HRT and the development of ulcerative colitis and Crohn’s...

  • Review
  • Open Access
2 Citations
4,254 Views
13 Pages

The Effect of Leisure-Time Exercise on Mental Health Among Adults: A Bibliometric Analysis of Randomized Controlled Trials

  • Karuppasamy Govindasamy,
  • Masilamani Elayaraja,
  • Abderraouf Ben Abderrahman,
  • Koulla Parpa,
  • Borko Katanic and
  • Urs Granacher

Background: Adequate levels of leisure-time exercise (LTE) are associated with mental health benefits. Despite increased research in recent years through randomized controlled trials (RCTs), a systematic literature review summarizing these findings i...

  • Article
  • Open Access
2,255 Views
10 Pages

Background/Objectives: Initiation and progression of periodontal disease include oxidative stress. Systemic application of antioxidants may provide clinical benefits against periodontal disease including gingivitis. Recently, a jelly containing a hig...

  • Article
  • Open Access
1 Citations
1,431 Views
12 Pages

Midwives’ Knowledge, Attitudes, and Professional Practices Regarding Prenatal Physical Activity

  • Émilie Brunet-Pagé,
  • Marie-Claude Rivard and
  • Stephanie-May Ruchat

Background/Objectives: Prenatal physical activity (PA) offers numerous health benefits for both the mother and her child, yet few pregnant women are sufficiently active enough to obtain these benefits. Midwives play an important role in promoting pre...

  • Article
  • Open Access
1 Citations
1,816 Views
13 Pages

Trajectories of Mental Distress and Resilience During the COVID-19 Pandemic Among Healthcare Workers

  • Andreas M. Baranowski,
  • Simone C. Tüttenberg,
  • Anna C. Culmann,
  • Julia-K. Matthias,
  • Katja Maus,
  • Rebecca Blank,
  • Yesim Erim,
  • Eva Morawa,
  • Petra Beschoner and
  • Franziska Geiser
  • + 5 authors

Background/Objectives: The recent COVID-19 pandemic posed a significant psychological challenge for healthcare workers. Resilience and the extent of psychological stress varied across professional groups and individual circumstances. This study aims...

  • Article
  • Open Access
1,268 Views
14 Pages

General Practitioners’ Mental Well-Being During Crises: Results of the PRICOV-19 Study Pilot in Serbia

  • Milena Santric Milicevic,
  • Katica Tripkovic,
  • Nenad Bjelica,
  • Milan Dinic,
  • Danilo Jeremic,
  • Esther Van Poel,
  • Sara Willems and
  • Zoran Bukumiric

Background/Aims: This study was conducted with the aim of assessing the mental well-being of general practitioners (GPs) amidst the COVID-19 pandemic in Serbia. These findings are intended to provide valuable insights to primary care stakeholders abo...

  • Review
  • Open Access
1 Citations
4,515 Views
14 Pages

Motor Control Exercises and Their Design for Short-Term Pain Modulation in Patients with Pelvic Girdle Pain: A Narrative Review

  • Mirko Zitti,
  • Alessandro Mantia,
  • Fabiola Garzonio,
  • Graziano Raffaele,
  • Lorenzo Storari,
  • Rachele Paciotti,
  • Fabio Fiorentino,
  • Rebecca Andreutto and
  • Filippo Maselli

Background: Pelvic girdle pain (PGP) is described in the literature as a subgroup of low back pain (LBP), characterized by pain localized between the posterior iliac crest and the gluteal fold, particularly near the sacroiliac joints. This condition...

  • Systematic Review
  • Open Access
5 Citations
3,705 Views
19 Pages

Background: Artificial Intelligence (AI)-driven training systems are becoming increasingly important in surgical education, particularly in the context of laparoscopic suturing. This systematic review aims to assess the impact of AI on skill acquisit...

  • Article
  • Open Access
1,311 Views
10 Pages

The Coexistence of Hypertension and Arthritis Was Not Associated with Pain Severity in Community-Dwelling Older Adults in the United States

  • Saud M. Alrawaili,
  • Khalid M. Alkhathami,
  • Mohammed G. Elsehrawy,
  • Mohammed S. Alghamdi,
  • Norah A. Alhwoaimel and
  • Aqeel M. Alenazi

Background and Aim: Current evidence suggests that both arthritis and hypertension (HTN) can contribute to an increase in pain severity, potentially owing to shared pathophysiological pathways. However, the extent to which these conditions jointly af...

  • Article
  • Open Access
2,396 Views
15 Pages

Background/Objectives: the COVID-19 pandemic accelerated the adoption of remote work, blurring the boundaries between professional and personal life. This shift resulted in longer working hours, negative emotional outcomes, and health issues, particu...

  • Article
  • Open Access
1 Citations
3,150 Views
10 Pages

Neonatal Red Blood Cell Transfusion Practices: A Multi-National Survey Study

  • Hassan Al-shehri,
  • Ghaida Ahmad Alghamdi,
  • Ghaida Bander Alshabanat,
  • Bayan Hussain Hazazi,
  • Ghadah Saad Algoraini,
  • Raghad Abdulaziz Alarfaj,
  • Aroob M. Alromih,
  • Najd Mabrouk Anad Alanazi,
  • Raghad Mabrouk Anad Alanazi and
  • Abdullah Alzayed

Background: Blood transfusion is a highly critical life-saving factor in neonates, especially in extremely low birth weight infants. There is a significant lack of consensus on optimal blood transfusion methods for neonates. Aim: To investigate and a...

  • Article
  • Open Access
3,395 Views
13 Pages

Efficacy and Safety of Accelerated Transepithelial Corneal Crosslinking in Non-Pediatric Patients with Progressive Keratoconus: Insights from a Retrospective Cohort Study

  • Alina-Cristina Chiraples,
  • Mihnea Munteanu,
  • Horia T. Stanca,
  • Diana-Maria Darabus,
  • Diana Barakat and
  • Alina-Gabriela Negru

Background/Objectives: Transepithelial accelerated corneal crosslinking (TE-ACXL) is a minimally invasive approach for stabilizing progressive keratoconus while preserving the corneal epithelium. This study aims to evaluate changes in visual acuity,...

  • Article
  • Open Access
1 Citations
2,501 Views
11 Pages

Sexual Function After Vaginal Delivery in Primiparous Women: A Perspective in the First Months Postpartum

  • Silvio Tartaglia,
  • Ludovica Puri,
  • Francesca Brugnoli,
  • Federico Quintiliani,
  • Camilla Allegrini,
  • Vitalba Gallitelli,
  • Valentina Esposito,
  • Marco De Santis and
  • Daniela Visconti

Background/Objectives: Female sexual dysfunction (FSD) involves persistent issues with desire, arousal, orgasm, or pain during intercourse. The Female Sexual Function Index (FSFI), a validated 19-item questionnaire, is widely used to assess FSD. Chil...

  • Viewpoint
  • Open Access
2,784 Views
11 Pages

Debate on the Role of Eccentric Contraction of the Diaphragm: Is It Always Harmful?

  • Adrián Gallardo,
  • Mauro Castro-Sayat,
  • Melina Alcaraz,
  • Nicolás Colaianni-Alfonso and
  • Luigi Vetrugno

The diaphragm is the primary muscle involved in the ventilatory pump, making it a vital component in mechanical ventilation. Various factors in patients who require mechanical ventilation can lead to the deterioration of the diaphragm, which is assoc...

  • Article
  • Open Access
1,579 Views
13 Pages

Navigating Equitable Access to Cancer and Mental Health Services During Pandemics: Stakeholder Perspectives on COVID-19 Challenges and Community-Based Solutions for Immigrants and Refugees—Proceedings from Think Tank Sessions

  • Mandana Vahabi,
  • Kimberly Devotta,
  • Cliff Ledwos,
  • Josephine P. Wong,
  • Miya Narushima,
  • Jennifer Rayner,
  • Roula Hawa,
  • Kenneth Fung,
  • Geetanjali D. Datta and
  • Aisha Lofters
  • + 2 authors

Background: Increasing evidence shows that the COVID-19 pandemic has disproportionately impacted certain populations, particularly those facing structural marginalization, such as immigrants and refugees. Additionally, research highlights that struct...

  • Article
  • Open Access
2 Citations
2,180 Views
27 Pages

Dynamics of Absences Due to Respiratory Infections, Including COVID-19, Among Medical Staff in a Regional Pediatric Hospital

  • Maria Valentina Popa,
  • Irina Luciana Gurzu,
  • Dana Elena Mîndru,
  • Bogdan Gurzu,
  • Claudia Mariana Handra,
  • Elkan Eva-Maria,
  • Iulia Olaru,
  • Dana Teodora Anton-Păduraru,
  • Cezarina Warter and
  • Letiția Doina Duceac

Background: Respiratory infections pose a significant public health challenge, particularly among healthcare workers (HCWs). The COVID-19 pandemic exacerbated absenteeism due to respiratory illnesses, affecting healthcare workforce stability. Identif...

  • Article
  • Open Access
1 Citations
1,238 Views
14 Pages

Objectives: The aim of this study was to evaluate the oral health-related quality of life of patients with chronic graft-versus-host disease. Methods: A total of 22 patients with graft-versus-host disease aged 45.05 ± 14.66 years were enrolled...

  • Article
  • Open Access
1 Citations
1,265 Views
10 Pages

Background/Objectives: Low physical activity (PA) and excessive sedentary time negatively impact health, contributing to obesity. Physical education (PE) can help reduce the risk of obesity in schoolchildren. This cross-sectional study objectively me...

  • Article
  • Open Access
1 Citations
2,558 Views
13 Pages

Background: Physical activities in childhood are important. However, a lack of exercise among children and adolescents is becoming a global reality. Moreover, following the coronavirus disease 2019 pandemic, the increase in time spent at home has led...

  • Review
  • Open Access
1,916 Views
26 Pages

Background. The SARS-CoV-2 pandemic had a significant impact on sexual health and human behavior, revealing a widespread decline in sexual function and behaviors. Objective. To summarize these findings and highlight their importance for public health...

  • Article
  • Open Access
1,618 Views
15 Pages

Backgrounds: Korean society is entering an aging society, and this phenomenon indicates the need for preparation for aging in Korean society. In such a situation, exploring the characteristics of the elderly can be considered important for preparatio...

  • Article
  • Open Access
1 Citations
2,698 Views
14 Pages

Background/Objectives: The initiation and continuation of breastfeeding are just as crucial as its conclusion. This study aimed to explore the connection between maternal depression and readiness for weaning. Although previous studies have examined m...

  • Review
  • Open Access
22 Citations
8,342 Views
26 Pages

The integration of artificial intelligence (AI) into assistive technologies is an emerging field with transformative potential, aimed at enhancing autonomy and quality of life for individuals with disabilities and aging populations. This overview of...

  • Article
  • Open Access
2 Citations
2,411 Views
15 Pages

Background: Infertility is a neglected global public health issue, particularly in the Global South, where policy interventions and research remain limited. In China, rising public demand and declining birth rates have renewed interest in integrating...

  • Article
  • Open Access
1 Citations
2,553 Views
19 Pages

Background: Joint manipulation is commonly used to manage musculoskeletal dysfunctions. Joint manipulation can result in audible sounds. The clinical significance and cause of manipulation sound remain unclear. This study aimed to identify intra-arti...

  • Article
  • Open Access
1 Citations
2,123 Views
17 Pages

Background: Diabetes is a major chronic disorder that significantly impacts life expectancy and imposes substantial economic burdens on individuals and healthcare systems. Internet-based health management has emerged as an innovative approach to supp...

  • Systematic Review
  • Open Access
10 Citations
9,674 Views
24 Pages

Background: Emotional exhaustion, a central component of burnout syndrome, affects social workers due to adverse work factors such as excessive workload, work–family conflict, and a lack of social support. The job demands–resources and co...

  • Article
  • Open Access
6 Citations
5,374 Views
16 Pages

Transforming Postpartum Care: The Efficacy of Simulation Training in Hemorrhage Management Among Nurses

  • Wedad M. Almutairi,
  • Salma M. Almutaraiy,
  • Ahlam Al-Zahrani,
  • Fatmah Alsharif,
  • Wafaa A. Faheem,
  • Areej Abunar and
  • Hala Ahmed Thabet

Background/Objectives: Postpartum hemorrhage (PPH) is the most prevalent complication of childbirth and the most preventable cause of maternal mortality worldwide. Maternity nurses and midwives are often the first-line providers responding to PPH. As...

  • Feature Paper
  • Article
  • Open Access
2 Citations
2,526 Views
19 Pages

Background and Purpose: Previous studies have shown that socioeconomic status influences cognitive health in adults. Therefore, it is important for the development of healthy aging policies to further investigate the effect of specific socioeconomic...

  • Article
  • Open Access
4 Citations
3,083 Views
16 Pages

Biofeedback rehabilitation for facial palsy is not yet routinely available for patients. Methods: To improve evidence, the effect of an intensive two-week facial training combining electromyography (EMG) and visual biofeedback training of 30 patients...

  • Article
  • Open Access
3,401 Views
8 Pages

SPECT Perfusion Defects and Impaired Strain in Mild COVID-19: A Multimodal Imaging Study with a Female-Predominant Cohort

  • Ji-Cheng Hsieh,
  • Tanzim Bhuiya,
  • Jonathan H. Sussman,
  • Tony Dong,
  • Danni Fu,
  • David W. Wu and
  • John Makaryus

Background/Objectives: This study investigates the association between mild first-wave COVID-19 infection and subclinical abnormalities in echocardiographic strain parameters and myocardial perfusion using single-photon emission computed tomography (...

  • Article
  • Open Access
5 Citations
1,787 Views
16 Pages

Background: The perceptions of practicing physicians regarding the current situation and appropriateness of shared decision-making (SDM) in life-sustaining treatment (LST) are of essential importance. The objective of this study is to investigate the...

  • Article
  • Open Access
1,509 Views
15 Pages

Background: Nasogastric tube (NGT) intubation is a critical skill, but it comes with the blind nature of the procedure and its high failure rates. Resources restrict access to traditional training methods, such as simulations based on manikins. We de...

  • Perspective
  • Open Access
3 Citations
2,205 Views
13 Pages

Advancing Mental Health and Equity Through Infant and Early Childhood Mental Health Consultation

  • Jennifer Drake-Croft,
  • Amittia Parker,
  • Lauren Rabinovitz,
  • Rachel Brady and
  • Neal Horen

Early intervention services are a critical support for young children experiencing developmental delays and disabilities. Due to myriad negative social and economic conditions, some infants and young children, namely Black, Indigenous, and other chil...

  • Review
  • Open Access
1 Citations
6,801 Views
27 Pages

Evidence-Based Lessons from Policy Implementation Research in Two Countries Achieving Progress on Global Breastfeeding Targets: Recommendations from the Philippines and Viet Nam

  • Catherine Pereira-Kotze,
  • Paul Zambrano,
  • Tuan T. Nguyen,
  • Janice Datu-Sanguyo,
  • Duong Vu,
  • Constance Ching,
  • Jennifer Cashin and
  • Roger Mathisen

Background/Objectives: There is extensive evidence that breastfeeding saves lives, improves health, and provides value to the economy and societies worldwide. The Philippines and Viet Nam have progressive policies to enable breastfeeding, and breastf...

  • Article
  • Open Access
2 Citations
1,578 Views
18 Pages

Barriers to Access and Utilization of Diabetes Care Among Patients with Severe Mental Illness in Saudi Arabia: A Qualitative Interpretive Study

  • Mashael A. Hobani,
  • Lina H. Khusheim,
  • Bedor A. Fadel,
  • Shaima Dammas,
  • Waleed M. Kattan and
  • Mohammed S. Alyousef

Background/Objectives: The prevalence of Diabetes Mellitus (DM) is a major concern in Saudi Arabia, making it a challenge for health delivery for those with severe mental illness (SMI). This study aims to explore the barriers to access and utilizatio...

  • Article
  • Open Access
5 Citations
5,278 Views
12 Pages

Objectives: This study examined the impact of nurses’ critical thinking disposition, clinical reasoning competency, and nursing practice environment on their medication safety competency. Methods: A cross-sectional design was employed, involvin...

  • Project Report
  • Open Access
1 Citations
2,030 Views
22 Pages

“When the Word Is Too Big, It’s Just Too Hard”: Stroke Survivors’ Perspectives About Health Literacy and Delivery of Health Information

  • Dana Wong,
  • Lauren M. Sanders,
  • Alison Beauchamp,
  • Claire Formby,
  • Emma E. Smith,
  • Creina Hansen,
  • Kathryn McKinley,
  • Karella De Jongh and
  • Karen Borschmann

Background: Health literacy can impact comprehension, recall, and implementation of stroke-related information, especially in the context of cognitive and communication impairments, cultural-linguistic diversity, or ageing. Yet there are few publishe...

  • Article
  • Open Access
1 Citations
2,668 Views
14 Pages

Background/Objectives: Online medical consultation (OMC) platforms have become an essential tool for facilitating communication between doctors and patients, providing an efficient way for patients to access healthcare services. However, research on...

  • Systematic Review
  • Open Access
5 Citations
4,643 Views
15 Pages

Meshing Anxiety, Depression, Quality of Life, and Functionality in Chronic Disease

  • Ana Pedro Costa,
  • Irma da Silva Brito,
  • Teresa Dionísio Mestre,
  • Ana Matos Pires and
  • Manuel José Lopes

Background/Objectives: Anxiety and depression result in a greater health burden; both can impact functionality and quality of life. This review aims to understand the association between anxiety, depression, functionality, and quality of life. Althou...

  • Article
  • Open Access
1,073 Views
15 Pages

Background: Automobiles are vital for older adults to maintain health and independence, yet aging-related declines in physical and cognitive functions may impair driving abilities. Compensatory driving behaviors can help maintain driving safety. Obje...

  • Article
  • Open Access
6,647 Views
18 Pages

Background: Over the season, competitive swimmers experience a progressive imbalance in rotator cuff strength, predisposing them to a significant risk factor for a swimmer’s shoulder injury. Objectives: Verify the effectiveness of two 12-week p...

  • Article
  • Open Access
1 Citations
1,309 Views
17 Pages

28 February 2025

Background/Objectives: The current study aims to explore the subjective ego types and characteristics of obese female adolescents in South Korea, providing insights into their self-perception and psychosocial challenges. Methods: Utilizing Q-methodol...

  • Protocol
  • Open Access
2 Citations
7,415 Views
15 Pages

28 February 2025

Background/Objectives: Individuals with substance use disorders are at risk of displaying suicidal behavior with suicide occurring more frequently compared to the general population. This article gives an overview of the existing literature on the as...

  • Article
  • Open Access
1,772 Views
16 Pages

28 February 2025

Background/Objectives: To map and analyze patient expectations regarding communication in IC and identify communication that both heightens anxiety in the IC process and reduces anxiety in the IC process before surgery. Methods: Ethics approval was g...

  • Article
  • Open Access
1 Citations
4,931 Views
15 Pages

28 February 2025

Objective: This study aimed to explore the impact of social anxiety on depression among high school students and examine the parallel mediating roles of social comparison and social support. Methods: A total of 806 rural high school students were sur...

  • Article
  • Open Access
3 Citations
1,527 Views
22 Pages

28 February 2025

Objectives: the current study investigates the link between health insurance coverage and child nutritional status in Pakistan. Methods: Using data from the Pakistan Demographic and Health Survey (PDHS) 2017–18, encompassing 4499 children under...

  • Systematic Review
  • Open Access
1 Citations
4,213 Views
24 Pages

An Evaluation of Orthotics on In-Toeing or Out-Toeing Gait

  • Harshavardhan Bollepalli,
  • Carter J. K. White,
  • Jacob Dane Kodra and
  • Xue-Cheng Liu

28 February 2025

Background and Objectives: In-toeing and out-toeing gait are rotational deformities commonly observed in children with neuromuscular conditions. These gait abnormalities often result from internal tibial torsion, increased femoral anteversion, and me...

  • Article
  • Open Access
2 Citations
2,068 Views
11 Pages

“I Know What I Have to Do, but I Don’t Do It”: The Relationship Between Knowledge and Adherence to Hand Hygiene in Healthcare Settings

  • Joana Silva,
  • Cristina Antunes,
  • Samanta Batista,
  • José Braga,
  • Angélica Gomes,
  • Rosa Guedes,
  • Anabela Barbosa,
  • Pedro Forte and
  • Cristina Imaginário

28 February 2025

Objective: This study aims to analyze the correlation between healthcare professionals’ knowledge of hand hygiene protocols and their actual adherence to these practices. Specifically, we investigate whether higher knowledge levels correspond t...

  • Review
  • Open Access
1,855 Views
20 Pages

Trends in Physical Activity Research on Tobacco and/or Alcohol: A Bibliometric Analysis

  • Antonio Castillo-Paredes,
  • Pablo del Val Martín and
  • Gerson Ferrari

28 February 2025

Background/Objectives: Physical activity allows the enjoyment of personal health benefits in those who practice it, including the possibility of modifying behavioral risk factors such as tobacco and alcohol consumption. These risk factors are respons...

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Healthcare - ISSN 2227-9032