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  • Article
  • Open Access

11 February 2026

Background/Objectives: Pilates exercises performed on different apparatuses may elicit distinct acute responses in cardiovascular function and musculoskeletal flexibility, yet comparative data on the immediate effects of reformer (RF), cadillac (CD),...

  • Article
  • Open Access

11 February 2026

Background: The literature shows a strong association between level of education and the risk of developing Coronary Heart Disease (CHD). However, the extent to which this association attenuates after accounting for sociodemographic characteristics a...

  • Review
  • Open Access

Optimizing Opioid Use in Pain Management: A Comprehensive Review of Clinical Benefits, Risks, and Dependence

  • Francisco Josué Cordero-Pérez,
  • Manuel Jesús Pérez-Baena,
  • Nuria Pina-Ruviralta,
  • Anselma Fernández-Testa and
  • Marina Holgado-Madruga

11 February 2026

Effective pain management is central to anesthesia, critical care, and perioperative medicine, and opioids remain essential agents for moderate-to-severe pain despite ongoing concerns regarding their safety and misuse. This narrative review synthesiz...

  • Article
  • Open Access

“Learn and Move” Program for the Management of Chronic Musculoskeletal Pain in Primary Care: A Pilot Study

  • Víctor Ortíz-Mallasén,
  • Irene Llagostera-Reverter,
  • Laura Andreu-Pejó,
  • Marta Masiá-Ramos,
  • Francisca Arriero-Sánchez,
  • María Rosario Mondéjar-Martín,
  • Cristina Cuadrado-Baca,
  • María José Micó-López,
  • María Jesús Valero-Chillerón and
  • Águeda Cervera-Gasch

11 February 2026

Background/Objectives: Chronic musculoskeletal pain is highly prevalent in primary care and is associated with impaired quality of life and increased healthcare utilization. Multimodal physiotherapy approaches combining pain neuroscience education an...

  • Review
  • Open Access

11 February 2026

Background: Heart failure (HF) is a progressive, multisystem syndrome characterized by recurrent decompensation, high hospitalization rates, and substantial mortality. Conventional HF management is mainly episodic and often fails to detect worsening...

  • Article
  • Open Access

Burnout Among Italian Medical Doctors: A Cross-Sectional Study on Emotional Exhaustion, Depersonalization, and Gratification Post-COVID-19

  • Francesco Leonforte,
  • Marco Sapienza,
  • Martina Ilardo,
  • Klara Komici,
  • Cristina Madaudo,
  • Claudio Sanfilippo,
  • Vito Nicosia,
  • Fabio Raciti,
  • Antonio Mistretta and
  • Gianluca Testa
  • + 1 author

11 February 2026

Background: Burnout is a growing concern among medical doctors, particularly in high-pressure environments, which has been exacerbated by the COVID-19 pandemic. This study investigates the prevalence and determinants of burnout among physicians worki...

  • Article
  • Open Access

11 February 2026

Background: Recurrent pregnancy loss (RPL) and infertility are associated with significant psychological morbidity, including stress, anxiety, and depression. While these impacts are well-documented globally, their prevalence and severity in the Oman...

  • Article
  • Open Access

11 February 2026

Background/Objectives: Endometriosis affects ~10% of women, causing chronic pain, reduced quality of life, and, often, infertility. As endometriosis literacy and awareness are low in society and among health care providers (HCPs), patients are often...

  • Article
  • Open Access

Diabetes Mellitus Is an Independent Predictor of Short-Term Mortality in Critically Ill ICU Patients

  • Mădălina Diana Daina (Fehér),
  • Codrin Dan Nicolae Ilea,
  • Cosmin Mihai Vesa,
  • Alina Cristiana Venter,
  • Adriana Vladu,
  • Timea Claudia Ghitea,
  • László Fehér and
  • Cristian Marius Daina

11 February 2026

Background: Diabetes mellitus (DM) is frequently encountered in critically ill patients and has been associated with poor outcomes. However, its independent impact on short-term mortality in heterogeneous ICU populations remains unclear. Objectives:...

  • Systematic Review
  • Open Access

How Intense Is Effective? Exploring Aerobic Exercise Intensity for Knee Osteoarthritis Through a Bayesian NetworkMeta-Analysis

  • Luis Cabrera-Durán,
  • Javier Palomares-Fernández,
  • Ignacio Canitrot-González,
  • Paride Crisafulli,
  • Carlos Donato Cabrera-López and
  • José Fierro-Marrero

11 February 2026

Introduction: Knee osteoarthritis (KOA) is characterized by pain, stiffness, and functional limitation. Aerobic exercise (AE) is a key treatment with proven benefits. Aims: To determine the most effective AE intensity for KOA. Methods: Searches were...

  • Article
  • Open Access

Association Between Workplace Gaslighting and Perceived Quality of Care, Patient Safety and Quiet Quitting: A Cross-Sectional Study Among Nurses in Greece

  • Ioannis Moisoglou,
  • Aglaia Katsiroumpa,
  • Ioanna V. Papathanasiou,
  • Olympia Konstantakopoulou,
  • Aris Yfantis,
  • Angeliki Katsapi and
  • Petros Galanis

11 February 2026

Background: Workplace gaslighting, as a form of psychological manipulation, may negatively affect nurses’ work behaviors and perception of care. However, its connection to perceived quality of care, patient safety and quiet quitting has not bee...

  • Article
  • Open Access

11 February 2026

Background: The viscoelastic properties of muscle tissue are important factors affecting muscle performance; they play a significant role in maintaining spinal stability, as well as muscle contraction and function. Changes in these properties can res...

  • Article
  • Open Access

A Nomogram Incorporating Sarcopenia and Nutritional Indicators for Mortality Prediction in HBV-Related Acute-Chronic Liver Failure

  • Jiao Yuan,
  • Wenting Peng,
  • Chuan Jiang,
  • Hui Liu,
  • Shuo Wang,
  • Ying Jiang,
  • Bin Tan,
  • Lei Fu and
  • Shifang Peng

11 February 2026

Background: The prognosis of acute-on-chronic liver failure (ACLF) is impaired by etiology heterogeneity across regions. Currently, prognostic models incorporating nutrient anabolism–related indicators for patients with hepatitis B virus (HBV)&...

  • Article
  • Open Access

The Effect of an Immersive Virtual Reality Physical Activity Intervention on Anthropometric Variables, Physical Fitness, and Blood Pressure in College Students: A Randomized Controlled Trial

  • Andrés Godoy-Cumillaf,
  • Paola Fuentes-Merino,
  • Josivaldo de Souza-Lima,
  • Frano Giakoni-Ramírez,
  • Catalina Muñoz-Strale,
  • Maribel Parra-Saldias,
  • Daniel Duclos-Bastias,
  • Claudio Farias-Valenzuela,
  • Eugenio Merellano-Navarro and
  • José Bruneau-Chávez

11 February 2026

Background/Objectives: University students exhibit high levels of sedentary behavior and low adherence to physical activity recommendations, and immersive virtual reality (IVR) represents an innovative strategy to increase physical activity participa...

  • Systematic Review
  • Open Access

Impact of Ostomy on Quality of Life in Patients with Colorectal Cancer: A Systematic Review and Meta-Analysis

  • Cristina Díaz-Sánchez,
  • Pedro Manuel Rodríguez-Muñoz,
  • Víctor Navarro-López,
  • Juan Manuel Carmona-Torres,
  • Alba Sánchez-Gil,
  • Juan Luis Sánchez-González and
  • Cristina Rivera-Picón

10 February 2026

Background/Objectives: This systematic review and meta-analysis evaluate the impact of ostomy on quality of life in patients with colorectal cancer, synthesizing evidence from case–control and interventional studies, and to assess the consisten...

  • Case Report
  • Open Access

Temporal Lobe Epilepsy Masquerading as Panic Attacks: A Case Report

  • Samuel Cholette-Tétrault,
  • Philippe Leclerc,
  • Thomas Barabé-Tremblay and
  • Michaela Barbarosie

10 February 2026

Background: The clinical presentation of temporal lobe epilepsy (TLE) and panic disorder can sometimes overlap, particularly when the seizure symptoms include paroxysmal episodes of intense fear and autonomic symptoms. As a result, patients with TLE...

  • Review
  • Open Access

Evidence on Measures for the Prevention of Pressure Injuries in Mechanically Ventilated Patients in Prone Positioning: A Systematic Review

  • Simone Amato,
  • Daniele Napolitano,
  • Alessio Lo Cascio,
  • Elena Conoscenti,
  • Angela Lappa,
  • Emilio D’avino,
  • Mirko Masciullo,
  • Antonello Pucci,
  • Valentina De Bartolo and
  • Francesco Gravante
  • + 3 authors

10 February 2026

Background: Therapeutic prone positioning is widely used to improve oxygenation in patients with acute respiratory distress syndrome but is associated with an increased risk of pressure injuries, particularly affecting facial and anterior body region...

  • Article
  • Open Access

The Relationship Between Emotional Intelligence and Job Performance Among Critical Care Nurses: A Cross-Sectional Study

  • Saud Abdullah Aljanfawi,
  • Richard Balacuit Maestrado,
  • Bader Emad Aljarboa,
  • Nashi Masnad Alreshedi,
  • Bander Abdullah Aljanfawi,
  • Ibrahim Alasqah,
  • Abdullelah Modhi Alsolais,
  • Joyce Batuyog Buta,
  • Omar Hamed Alshammari and
  • Afnan Hamad Alshammari
  • + 2 authors

10 February 2026

Introduction: Emotional intelligence (EI) is increasingly acknowledged as a component that may influence nurses’ job performance (JP), particularly in high-stress contexts. This study examined the relationship between emotional intelligence and...

  • Article
  • Open Access

9 February 2026

Background: Electronic Medical Records improve decision-making but add administrative burdens for healthcare providers, such as physicians and nurses. While the rate of adoption is high in Saudi Arabia, the concrete temporary impact and reasoning beh...

  • Article
  • Open Access

9 February 2026

Background/Objectives: In Phenylketonuria (PKU), engaging in regular physical activity and exercise (PA/E) is important for physical and psychological health, but additional considerations may be required to facilitate uptake and performance as well...

  • Systematic Review
  • Open Access
24 Views
24 Pages

Investigation of Youth Attitudes and Opinions Regarding HPV: A Systematic Review

  • Eleftheria Papadopoulou,
  • Elina Christiana Alimonaki,
  • Anastasia Bothou,
  • Anna Deltsidou,
  • Maria Dagla,
  • Christina Nanou and
  • Giannoula Kyrkou

9 February 2026

Background: Human papillomavirus (HPV) has been identified as the causative agent of cervical cancer and other cancers of the genital area, head and neck, on a worldwide scale. Despite the proven effectiveness of the vaccine in preventing HPV-related...

  • Article
  • Open Access
17 Views
20 Pages

9 February 2026

Objective: To address the heavy burden of ego depletion and decision conflict in patients with advanced cancer, this study employed network analysis to explore their interaction mechanisms and identify key intervention targets, overcoming the limitat...

  • Article
  • Open Access
42 Views
22 Pages

9 February 2026

Background/Objectives: Healthcare and human service organizations face mounting pressures to adapt to social and public health challenges while maintaining quality care. Innovative work behavior among healthcare and human service professionals is cri...

  • Article
  • Open Access
43 Views
19 Pages

From Theory to Practice: A Methodology Article Describing the Eight-Stage Health Education Planning Instrument in Community Health Education

  • Carla Camí,
  • Teresa Botigué,
  • Judith Roca,
  • Rosa Mar Alzuria-Alós,
  • Elena Paraíso-Pueyo and
  • Laia Selva-Pareja

9 February 2026

Background/Objectives: This methodology article describes the development and application of a structured planning instrument for community health education interventions. Community health education can strengthen population preparedness against resp...

  • Study Protocol
  • Open Access
33 Views
26 Pages

Nuts4Brain-RCT: Protocol for a Three-Arm Randomized Controlled Trial Examining the Dose–Response Effects of Nut Consumption on Mental Health in Young Adults

  • Arthur Eumann Mesas,
  • Fernando Peral-Martínez,
  • Tomás Olivo-Martins-de-Passos,
  • Estela Jiménez-López,
  • Nuria Beneit,
  • Isabel Antonia Martínez-Ortega,
  • Valentina Díaz-Goñi,
  • Sandra Herraiz-Garrote,
  • Irene Martínez-García and
  • Miriam Garrido-Miguel
  • + 20 authors

9 February 2026

Introduction: Mental disorders, particularly depression and anxiety, represent a leading source of morbidity and disability in young adults, a group increasingly exposed to cumulative psychological processes and environmental stressors. Although evid...

  • Article
  • Open Access
55 Views
18 Pages

Aphasia Rehabilitation in India: Current Practices and Future Directions

  • Sunil Kumar Ravi,
  • Sai Samyuktha Vachavai,
  • Saraswathi Thupakula,
  • Irfana Madathodiyil,
  • Vijaya Kumar Narne,
  • Krishna Yerraguntla,
  • Abdulaziz Almudhi,
  • Deepak Puttanna and
  • Abhishek Budiguppe Panchakshari

9 February 2026

Background/Objectives: The Speech-Language Pathologists (SLP) are an integral part of the multidisciplinary team approach to rehabilitation of persons with aphasia (PWA). However, the efficacy of treatment provided by SLPs can vary due to several fac...

  • Article
  • Open Access
32 Views
20 Pages

9 February 2026

Background: Medical students are a vulnerable population with elevated cardiometabolic and mental health risks. Dietary habits are key modifiable behaviors that may mitigate these risks, yet social and contextual determinants such as internal migrati...

  • Article
  • Open Access
53 Views
13 Pages

9 February 2026

Background: Crohn’s disease has a pattern of recurrent remissions and flare-ups which makes patients experience psychological complications; however, few studies have been conducted to identify intra-personal factors associated with health-rela...

  • Article
  • Open Access
49 Views
16 Pages

9 February 2026

Background/Objectives: University students and working professionals, especially those preparing for or employed in healthcare, face substantial psychological demands. Identifying low-cost, easily deployable personal resources to buffer stress and en...

  • Review
  • Open Access
51 Views
19 Pages

Mechanical Efficiency and Injury Risk in Leg Kicks Across Combat Sports: A Narrative Review of Stance, Hip Rotation, and Striking Surface Effects

  • Soheil Sabri Razm,
  • Kalenia Márquez-Flórez,
  • Lucio Caprioli,
  • Cristian Romagnoli,
  • Saeid Edriss,
  • Ida Cariati,
  • Roberto Bonanni,
  • Francesca Campoli,
  • Virginia Tancredi and
  • Giuseppe Annino
  • + 1 author

9 February 2026

Leg kicks are fundamental techniques in combat sports based on a proximal-distal sequence involving several factors that can affect mechanical efficiency and injury risk. However, there is a lack of comprehensive reviews that integrate biomechanical...

  • Article
  • Open Access
50 Views
12 Pages

Implementing Semi-Automated Medication Dispensing for People with HIV: A Community-Based Alternative to Traditional Pharmacy Pickups

  • Diana Hernández-Sánchez,
  • Jorge Saz,
  • Ignacio García Gimenez,
  • Jordi Puig,
  • Angel Rivero,
  • Patricia Valero,
  • Maria Isabel Martinez,
  • Rafael Muñoz,
  • Carles Quiñones and
  • Eugenia Negredo
  • + 1 author

9 February 2026

Introduction: Maintaining adherence and access to antiretroviral treatment is basic for good management of people with HIV (PWH), while enhancing patient satisfaction. With the aim of shifting from drug-centered into patient-centered care and integra...

  • Article
  • Open Access
79 Views
15 Pages

8 February 2026

Background: Early childhood is a key period for the development of health literacy, and school textbooks play an important role in shaping early health-related understandings. Objectives: This study examines how health is represented in Grade 1 prima...

  • Article
  • Open Access
82 Views
14 Pages

Influence of Arthroplasty Type, Comorbidities, and Fracture Status on Outcomes After Shoulder Replacement: Analysis of 664,545 Cases

  • Assil Mahamid,
  • Miri Elgabsi,
  • Muhammad Khatib,
  • Hamza Murad,
  • Feras Qawasmi,
  • Eitan Lavon,
  • Ali Yassin and
  • Mustafa Yassin

8 February 2026

Background: Shoulder arthroplasty is performed for various etiologies, including osteoarthritis, proximal humerus fractures (PHFs), and rotator cuff tears. While previous studies have focused on outcomes based on implant choice, less is known about t...

  • Article
  • Open Access
125 Views
14 Pages

Online Health Misinformation Susceptibility Increases Health Risk Behaviors and Vaccine Hesitancy: Evidence from Greece

  • Ioannis Moisoglou,
  • Aglaia Katsiroumpa,
  • Olympia Konstantakopoulou,
  • Aris Yfantis,
  • Olga Galani,
  • Maria Tsiachri,
  • Panagiota Peleka,
  • Zoe Katsiroumpa and
  • Petros Galanis

8 February 2026

Background: Health-related misinformation is a pervasive phenomenon that expanded substantially during the COVID-19 pandemic, particularly regarding concerns about vaccine safety and effectiveness. Objective: The aim of this study was to investigate...

  • Review
  • Open Access
81 Views
14 Pages

Near Misses as Signals of System Vulnerability in Thoracic Surgery: A Narrative Review on Quality Improvement and Patient Safety

  • Dimitrios E. Magouliotis,
  • Vasiliki Androutsopoulou,
  • Prokopis-Andreas Zotos,
  • Andrew Xanthopoulos,
  • Ugo Cioffi,
  • Noah Sicouri,
  • Piergiorgio Solli and
  • Marco Scarci

8 February 2026

Near misses—clinical events that could have resulted in patient harm but did not—are increasingly recognized as critical yet underutilized sources of insight in surgical quality improvement. In thoracic surgery, where procedures are physi...

  • Article
  • Open Access
126 Views
19 Pages

8 February 2026

Background/Objectives: We aimed to evaluate the validity and reliability of the Korean version of the Rushton Moral Resilience Scale–16™ (RMRS-16™) for nurses. Methods: The RMRS-16™ was translated into Korean using a forward&n...

  • Article
  • Open Access
269 Views
15 Pages

7 February 2026

Background/Objectives: Low back pain (LBP) is a major public health problem that contributes substantially to disability and impaired quality of life. Methods: Using nationally representative data from the fifth Korea National Health and Nutrition Ex...

  • Article
  • Open Access
85 Views
15 Pages

7 February 2026

Background/Objectives: This study aimed to analyze the effects of coping motives for drinking, sleep quality, and family support on the relationship between PTSD symptoms and alcohol use among Korean firefighters. Methods: Data from 600 firefighters...

  • Article
  • Open Access
82 Views
15 Pages

Psychological Aspects and Implications of Food Addiction and Glucose Control in Type 2 Diabetes: A Pilot Mixed-Methods Study

  • David J. Johnson,
  • Laura A. Buchanan,
  • Erin M. Saner,
  • Matthew W. Calkins and
  • Julienne K. Kirk

7 February 2026

Background/Objectives: Type 2 diabetes (T2D) affects more than 38 million Americans and remains a leading public health challenge. Behavioral self-management is central to glycemic control but is often undermined by dysregulated and addictive-like ea...

  • Article
  • Open Access
161 Views
16 Pages

Exploring Coaches’ Strategies for Enhancing Athlete Happiness: A Q-Method Study of Subjective Psychosocial Perspectives

  • Yavuz Öntürk,
  • Vlad Adrian Geantă,
  • Ahmet Yavuz Karafil,
  • Esin Yilmaz,
  • Vasile Emil Ursu and
  • Borko Katanić

7 February 2026

Background/Objectives: Coaches substantially influence athletes’ psychological well-being, yet the specific strategies they use to enhance happiness remain insufficiently understood. Given the established contribution of happiness to motivation...

  • Systematic Review
  • Open Access
164 Views
27 Pages

Analysis of the Multifactorial Risks of Postpartum Urinary Incontinence: A Systematic Review

  • Nikoleta Tsinisizeli,
  • Anastasia Bothou,
  • Kleanthi Gourounti,
  • Anna Deltsidou,
  • Aikaterini Lykeridou and
  • Giannoula Kyrkou

6 February 2026

Introduction: Urinary incontinence (UI) is one of the most common pelvic floor disorders after childbirth and depends on hormonal changes, anatomical damage that occurs after childbirth, muscle and connective tissue weakness, fascia and nerves. UI is...

  • Review
  • Open Access
125 Views
17 Pages

Nurses’ Experience in Providing End-of-Life Care in Intensive Care Unit: A Scoping Review

  • Y. Dodi Setyawan,
  • Indah Ayu Susanti,
  • Cecep Eli Kosasih and
  • Hartiah Haroen

6 February 2026

Background: Most ICU patients are in the terminal phase and require complex palliative care support and End-of-Life Care (EoLC). Nurses play a central role in symptom management, emotional support, and shared decision-making. However, evidence on nur...

  • Article
  • Open Access
151 Views
25 Pages

Where Is the Client in Client-Centered Care? Centering the Experiences of Integrated Care Among Black Women in Public Health Settings

  • Annalise J. Tolley,
  • Victoria C. Scott,
  • Jennifer Langhinrichsen-Rohling,
  • Alicia A. Dahl,
  • Ebony Rao and
  • Jae Hoon Lim

6 February 2026

Background/Objectives: Integrated behavioral healthcare (IC) in public health settings may be optimal for advancing mental health equity among low-income and economically marginalized (LIEM) Black women. This study explores the provision of mental he...

  • Article
  • Open Access
87 Views
11 Pages

Inequity in Schoolchildren’s Access to Oral Health Services in Romania: Implications for Public Oral Health Policies

  • Anca-Cristina Perpelea,
  • Ruxandra Sfeatcu,
  • Silviu-Mirel Pițuru and
  • Florentina Ligia Furtunescu

6 February 2026

Background/Objectives: In Romania, the oral health status of schoolchildren is insufficiently documented at the national level. This is due to the lack of systematic oral health reporting and fragmented access to dental care services. Methods: In thi...

  • Article
  • Open Access
93 Views
12 Pages

6 February 2026

Background/Objectives: Home care nurses play a vital role in maintaining continuity of care for vulnerable populations. However, the COVID-19 pandemic exposed long-standing vulnerabilities in the workforce within home and community-based services. Wh...

  • Systematic Review
  • Open Access
192 Views
20 Pages

A Systematic Review of Multimodal Frameworks for Assessing Health Vulnerability in Academicians Across Ergonomic, Lifestyle, and Dietary Domains

  • Pooja Oza,
  • Shraddha Phansalkar,
  • Aayush Shrivastava,
  • Abhishek Sharma,
  • Jun-Jiat Tiang and
  • Wei Hong Lim

6 February 2026

Background: Lifestyle challenges such as prolonged sitting, irregular dietary habits, high stress levels, and lack of physical activity have become increasingly common among working professionals. All these factors contribute to the risk of chronic d...

  • Article
  • Open Access
92 Views
15 Pages

Usability and Feasibility of a School-Based Digital Framework for Bullying Prevention

  • Christopher Murray,
  • Claudia G. Vincent,
  • Dorothy L. Espelage,
  • Luis Anunciacao,
  • Hill Walker,
  • Rita Svanks,
  • Alberto Valido and
  • Brion Marquez

6 February 2026

Bullying and school violence contribute directly to mental health difficulties among youth in the United States. Background/Objectives: This study describes the development and initial evaluation of a technology-enabled, multi-component school safety...

  • Article
  • Open Access
123 Views
13 Pages

Strain Analysis from Transverse CMR Cine Imaging in Congenital Heart Disease: Feasibility, Reproducibility, and Comparison to Global Longitudinal Strain

  • Victoria Zieschang,
  • Peter Kramer,
  • Collin Götze,
  • Sebastian Kelle,
  • Regina Stegherr,
  • Alireza Khasheei,
  • Felix Berger,
  • Johannes Nordmeyer,
  • Titus Kühne and
  • Marie Schafstedde
  • + 1 author

6 February 2026

Background: Global longitudinal strain (GLS), derived from long-axis cine images (LAX), is a sensitive marker for myocardial dysfunction and a strong predictor for clinical events and future ventricular deterioration. In patients with complex congeni...

  • Article
  • Open Access
193 Views
20 Pages

Adolescents’ Responses to High-Intensity Versus Standard Physical Education on Body Fat, Blood Pressure, and VO2max: A Secondary Analysis Using TE-Based Responder Classification

  • Jarosław Domaradzki,
  • Eugenia Murawska-Ciałowicz,
  • Katarzyna Kochan-Jacheć,
  • Paweł Szkudlarek,
  • Dawid Koźlenia and
  • Marek Popowczak

5 February 2026

Background/Objectives: A persistent challenge in adolescent health promotion is insufficient exercise intensity during physical education (PE) lessons, limiting their potential to reduce cardiometabolic risk. National curricula further restrict teach...

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Healthcare - ISSN 2227-9032