Healthcare
Background/Objectives: Health systems involve numerous stakeholders interconnected through nonlinear relationships. While Data Envelopment Analysis (DEA) has been widely used to measure health system efficiency, conventional estimates may exhibit finite-sample bias. An important question, therefore, concerns how health system performance can be measured more reliably, and what factors explain cro…
Background/Objectives: Late-life depression is associated with reduced physical activity, but evidence is limited regarding objectively measured weekday walking volume and cadence distribution in older women with clinician-diagnosed major depressive disorder (MDD). This exploratory study compared daily walking between an MDD group and an age-comparable comparison group and examined the post hoc w…
Objective: The long-term management of cardiovascular diseases (CVDs) requires comprehensive rehabilitation strategies aimed at optimizing functional recovery and promoting behavioral changes. These interventions may include digital technologies that emerged as promising approaches to facilitate lifestyle changes, such as dietary behavior and physical activity (PA). Aim: This review aimed to synt…
Objective: Obstructive sleep apnea (OSA) during pregnancy is associated with adverse maternal and fetal outcomes, yet commonly used screening questionnaires may perform differently because of pregnancy-specific physiological changes. This study compared questionnaire-based OSA risk classifications obtained using the Berlin Questionnaire and STOP-BANG and examined their associations with metabolic…
Introduction: The recognition of Complex Post-Traumatic Stress Disorder (CPTSD) as a distinct diagnosis in ICD-11 has intensified the need to clarify its boundaries with Borderline Personality Disorder (BPD), given their symptom overlap and shared traumatic origins. Therefore, this systematic review aimed to examine whether CPTSD is distinct from BPD, assess their comorbidity and symptom overlap,…
Background: Clinical competence is a fundamental outcome of prosthetics and orthotics (P&O) education and is expected to facilitate graduates’ transition into professional practice. However, limited evidence exists regarding the relationship between clinical competence and job market readiness among P&O graduates, particularly in low- and middle-income countries. Objective: To examine the…
Background/Objectives: Nurses are frequently exposed to emotionally demanding situations, placing them at risk of adverse psychological outcomes such as secondary traumatic stress (STS) and burnout. Personality traits, particularly perfectionism, may influence these outcomes. Submissive compassion, characterized by caring behavior motivated by a desire for approval or avoidance of rejection, may …
Background/Objectives: Obesity is associated with respiratory infection risk, but its relationship with post-discharge healthcare burden remains unclear. This study examined the associations of body mass index (BMI) and waist circumference (WC), evaluated separately, with hospitalization and post-discharge outcomes in analyses stratified by sex among South Korean adults with claims-defined hospit…
Background/Objectives: Safety Planning Group Interventions (SPGI) represent a novel approach to suicide prevention. Following this three-week intervention, an individualised safety plan was produced by each participant. Within the context of the group setting, obstacles and solutions that may promote engagement with safety plans were discussed. Examining the obstacles and solutions identified by …
Background: Quality of life (QoL) among university students is an important indicator of overall health and academic success. Although these factors are interrelated, few studies have simultaneously examined their structural associations with QoL among university students in Saudi Arabia. This study investigated the associations among demographic characteristics, lifestyle behaviors, psychologica…
Background: Premarital medical certification is required before civil marriage in Bulgaria, but little is known about how newly married couples perceive this process within the broader framework of preconception care and genetic counselling. This study examined couples’ perceptions of premarital preventive examinations, reported receipt of genetic counselling, preferred counselling providers, and…
Background/Objectives: Alpha-gal syndrome (AGS) is an allergic condition that results in delayed symptoms in response to exposure to mammalian products. There is limited research on which healthcare professionals (HCPs) are diagnosing AGS, types of symptoms, time to reactions, and products that induce allergic responses in AGS. This survey study aimed to further identify the patient journey and c…
Background: Sustainable leadership has emerged as a critical approach for promoting long-term organizational effectiveness and workforce well-being in healthcare settings. However, empirical evidence linking sustainable leadership to workplace integration and resilience among nurses remains limited. Objective: This study aimed to examine the association between sustainable leadership and both wor…
Background: Emergency medical service (EMS) personnel and volunteers are frequently exposed to traumatic events, placing them at elevated risk for psychological distress, including post-traumatic stress symptoms (PTSSs), depression, and dissociation. This study examined the relationships among PTSS, depression, and dissociation in Israeli EMS personnel, with a particular focus on whether dissocia…
Background: This study aimed to examine the levels of nursing managerial competency, perceived organizational support, and job stress among nurse managers, and to examine the factors associated with their job stress. Methods: The participants included 133 nurse managers from seven hospitals in B Metropolitan City. Data were collected using self-reported questionnaires including the Korean Occupat…
Background: In advanced cancer care, routine clinical assessment often focuses on symptoms, treatment tolerance, and disease status, while spiritual well-being remains insufficiently explored despite its relevance to quality of life (QoL). Standardized patient-reported tools may help identify spiritual and existential vulnerability in patients receiving palliative treatment. This study evaluated …
Background: Health literacy is widely recognized as a fundamental determinant of chronic disease self-management. Despite the escalating burden of diabetes mellitus in Saudi Arabia, the relationship between health literacy and diabetes self-care management within specific urban–peripheral communities remains inadequately characterized. This study aimed to examine the relationship between health l…
Advances in machine learning, predictive analytics, and clinical prediction modeling have accelerated the development of algorithmic tools for estimating reproductive outcomes after cancer treatment. In female oncofertility counseling, these models may support individualized assessment of treatment-related amenorrhea, premature ovarian insufficiency, and fertility risk, thereby improving risk com…
Background/Objectives: Patient education (PE) is a key component in the management of chronic conditions, including living with an entero-urostomy. Exploring patients’ and caregivers’ experiences may inform the development of tailored educational interventions. This study aimed to explore the perceptions, experiences, and needs of adult oncology patients with entero-urostomies and their caregiver…

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