Healthcare最新文献

{"title":"Prevalence and Risk Factors of Obesity Among Type 2 Diabetic Participants in Abha, Saudi Arabia: A Cross-Sectional Study.","authors":"Fahad Abdullah Saeed Al Jarad, Bayapa Reddy Narapureddy, Hamza Radhwan Derkaoui, Abdulaziz Saud A Aldayal, Meshari Mohammed H Alotaibi, Faisal Hammad A Aladhyani, Shaik Mohammed Asif, Kandasamy Muthugounder","doi":"10.3390/healthcare13060658","DOIUrl":"10.3390/healthcare13060658","url":null,"abstract":"<p><p><b>Background:</b> The prevalence of obesity among type 2 diabetic participants is a growing concern globally, including in Abha, Saudi Arabia. This study aimed to investigate the prevalence and its associated risk factors of obesity among type 2 diabetic participants in Abha. <b>Methods:</b> A cross-sectional study targeted 400 type 2 diabetic participants in Abha, Saudi Arabia. A hybrid method (snowball sampling + purposive) techniques were used to obtain an adequate sample size. Data were collected after obtaining telephonic or digital consent; the questionnaire was shared with participants who were able and willing to complete it independently those with type 2 diabetes who wished to participate but were unable to complete the questionnaire on their own. The researcher conducted a telephonic interview and recorded their responses. The questionnaire captured demographic details, Anthropometric history, medical history, lifestyle habits, and type 2 Diabetes (T2DM) specific factors. Data were analyzed using IBM SPSS Statistics for Windows, Version 27.0. <b>Results:</b> The overall prevalence of obesity among the type 2 DM study participants was 46.0%, 115 participants (28.8%) fell into the Obesity Grade I category, 43 (10.8%) as Obesity Grade II, while 26 (6.5%) were classified as Obesity Grade III, the overall median BMI of participants was 29.3 ± 5.88. Significant bio-demographic factors associated with obesity included age, gender, educational level, marital status, and co-morbidities (<i>p</i> < 0.05). Notably, females and older adults exhibited higher obesity rates. Significant lifestyle factors included the frequency and type of physical activity, soft drink consumption, and attempts to control weight. Participants who exercised regularly and avoided soft drinks had lower obesity rates. Multiple logistic regression analysis identified age, gender, co-morbidities, family history of obesity, regular dinner consumption, soft drink consumption, and exercise frequency as significant predictors of obesity (<i>p</i> < 0.05). <b>Conclusions:</b> The study determined a high prevalence of obesity among type 2 diabetic participants in Abha, Saudi Arabia, with significant associations with bio-demographic and lifestyle factors. Interventions targeting weight management, physical activity, dietary habits, and health education are urgently needed to address obesity in this population. Further research is recommended to explore these associations longitudinally and to develop tailored intervention strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gait Characteristics of Fallers and Nonfallers in Female Patients with Unilateral End-Stage Hip Osteoarthritis.","authors":"Yu Kiko, Hirotaka Uchitomi, Masaaki Matsubara, Yoshihiro Miyake","doi":"10.3390/healthcare13060654","DOIUrl":"10.3390/healthcare13060654","url":null,"abstract":"<p><strong>Background/objectives: </strong>Osteoarthritis of the hip (hip OA) may increase the risk of falls. To decrease fall risk, it is important to assess the gait characteristics of patients with hip OA in detail. This study aimed to investigate the gait characteristics of patients with hip OA caused by falls by simultaneously assessing foot and waist trajectories via an inertial measurement unit (IMU).</p><p><strong>Methods: </strong>The subjects were 77 patients with hip OA, 17 of whom had fallen in the past year. The physical function, gait parameters, and waist trajectories of the fall and nonfall groups were compared.</p><p><strong>Results: </strong>Compared with the nonfall group, the fall group was older and had higher fall scores and lower Japan Orthopaedic Association (JOA) hip scores. With respect to gait characteristics, the stride length on the nonaffected side was significantly shorter in the fall group than in the nonfall group. Stride velocity gait asymmetry was also significantly lower in the fall group than in the nonfall group. The amount of lifting of the waist on the affected and nonaffected sides was significantly lower in the falling group than in the nonfalling group.</p><p><strong>Conclusions: </strong>It was suggested that the fall group might be adapting to stabilization and adjusting to a stable and safe gait pattern because of the effects of falls; new gait characteristics regarding falls in patients with hip OA were found.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Sacral Erector Spinae Plane Block vs. Ring Block for Postoperative Analgesia Management Following Circumcision Surgery: A Prospective, Randomized, Controlled Multicenter Trial.","authors":"Muhammed Halit Satıcı, Mahmut Sami Tutar, Betül Kozanhan, Yasin Tire, Bülent Hanedan, İlhami Aksoy, İbrahim Akkoyun, Mehmet Emin Boleken, Nuray Altay","doi":"10.3390/healthcare13060653","DOIUrl":"10.3390/healthcare13060653","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Circumcision is the most frequently performed surgery in male pediatric patients. The postoperative period is characterized by significant pain due to the sensitivity of the foreskin and low pain threshold in children. This study aimed to evaluate the effects of sacral erector spinae plane block (S-ESPB) and ring block on postoperative face, legs, activity, cry, and consolability (FLACC) pain scores after circumcision in children. We also assessed the amount of rescue analgesia used, the time to the first administration of rescue analgesia, potential problems, and parental satisfaction. <b>Materials and Methods:</b> This study was a prospective, randomized, multicenter trial conducted at two tertiary healthcare centers in Turkey. The patients were divided into two groups: Group S (patients who received the S-ESPB) and Group R (patients who received the ring block). The primary outcome measure was the FLACC score at 1 h postoperatively. Secondary outcome measures included FLACC scores at 0, 2, 4, and 6 h after surgery, the total dose of rescue analgesia, time to first rescue analgesia, complications, and parental satisfaction. <b>Results:</b> Group S exhibited significantly lower FLACC scores than Group R at all time (0, 1, 2, 4, and 6 h) points (respectively, <i>p</i> = 0.013, <i>p</i> < 0.001, <i>p</i> = 0.004, <i>p</i> = 0.006, and <i>p</i> = 0.002). Group S required significantly less rescue analgesia and exhibited a significantly longer duration of analgesic efficacy compared to Group R (<i>p</i> = 0.001 and <i>p</i> = 0.002, respectively). <b>Conclusions:</b> The S-ESPB is a safe and effective form of analgesia for managing pain following pediatric circumcision surgery.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent Giant Ovarian Cysts in Biological Sisters: 2 Case Reports and Literature Review-Giant Ovarian Cysts in 2 Sisters.","authors":"Shuaibin Liu, Qianru Zeng, Lina Hu, Biao Zeng, Yi Wu, Chenxi Wang, Min Zhou, Xiaoling Gan","doi":"10.3390/healthcare13060656","DOIUrl":"10.3390/healthcare13060656","url":null,"abstract":"<p><p><b>Background:</b> Ovarian follicular cysts often resolve spontaneously, with giant forms being a rarity. Cases of giant ovarian follicular cysts in biological sisters without clear familial predisposition are even exceptional. <b>Cases Presentation:</b> Two biological sisters presented to our hospital with large pelvic masses in the setting of a clinical and biological hyperandrogenism. After surgical removal, pathology confirmed the diagnosis of ovarian follicular cysts. Recurrence was detected shortly after surgery, with both sisters displaying similar clinical courses. Chromosomal screening showed no abnormalities. Hormonal analysis revealed elevated anti-Müllerian hormone (AMH), prolactin (PRL), and testosterone, alongside low FSH and LH levels. Family exome sequencing also showed no significant findings. After treatment with bromocriptine and short-acting contraceptive pills, the recurrent ovarian cysts resolved spontaneously, and hormonal levels returned to normal ranges. <b>Conclusions:</b> In women of childbearing age, it is important to conduct thorough endocrine evaluations and genetic screenings following the occurrence of large ovarian follicular cysts. Once endocrine levels are balanced, follicular cysts may decrease in size substantially, which helps to avoid unnecessary ovarian surgery.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scale for Assessing Pain in Older Adults: The Influence on Activities of Daily Living.","authors":"Zuleyma González Miguel, María de Lourdes García Hernández, Yolanda Hernández Ortega, María Alberta García Jiménez, María de Lourdes Rico González, Patricia Cruz Bello, María Gicela Pérez Hernández, Nicolas Santiago-González, Marisol Ignacio Albino, Erika López Martiñón","doi":"10.3390/healthcare13060660","DOIUrl":"10.3390/healthcare13060660","url":null,"abstract":"<p><p>Physical functional impairment generates pain, fear and anguish, impacting the activities of daily living (ADLs) of older adults (OAs); The background was to design an instrument that can measure pain in OA living with pain. <b>Methods:</b> mixed analytical and cross-sectional study in two non-probabilistic samples: 15 experts in the care of OAs and 185 OAs from day homes in three municipalities of the State of Mexico. The instruments used included an integrated scale of 30 items, elaborated with the Delphi technique over three rounds, and the Scale for Measuring Pain in Older Adults (SMPOA), with 30 items divided into four factors. An analysis was conducted using content validity ratios and the Lawshe´s method adapted by Tristán for qualitative studies, with a minimum of 0.87 and a maximum of 1.0. An exploratory factor analysis (EFA) was conducted to structure the underlying factors into a data matrix, addressing the relationships between a set of variables, and a confirmatory factor analysis (CFA) was conducted to validate the scale using the main axis method and rotation via Quartimax with Kaiser normalisation. <b>Results:</b> proposal of a scale to measure pain in MA (EMEDAM). <b>Conclusion:</b> the adapted scale assesses sensory and affective intensity and the influence on the ADLs and can be used in OAs living with acute or chronic pain.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Autonomy and Anticipated Turnover: The Mediation Role of Burnout Among Critical Care Nurses.","authors":"Rawaih Falatah, Eqbal Alfi","doi":"10.3390/healthcare13060652","DOIUrl":"10.3390/healthcare13060652","url":null,"abstract":"<p><p><b>Background:</b> Several factors are associated with the nurse anticipated turnover rate, including factors related to the staff, organisation, and management and leadership practices. Nurses in critical care areas (intensive care units and emergency rooms) demonstrated a higher anticipated turnover rate compared to nurses in other healthcare areas. There is evidence that imposing autonomy through managerial intervention is imperative, leading to increased confidence among nurses in terms of decision-making and enhancing their well-being, thus improving their performance, job satisfaction, and job retention. <b>Aim:</b> The aim of this study was to examine the mediating effect of burnout on the association between perceived autonomy and anticipated turnover among critical care nurses. <b>Design:</b> We utilized a cross-sectional descriptive survey design. <b>Methods:</b> We collected data from 134 nurses working in critical care areas using convenient sampling through an online survey. For data analysis, we utilized the Hayes process macro to examine the mediation model. <b>Results</b>: In this study, perceived autonomy was a significant negative predictor of nurses' anticipated turnover, and this association is partially mediated by nurses' emotional exhaustion. <b>Conclusions:</b> Nurse managers and policymakers should strive to support the autonomy and psychological well-being of critical care nurses as they play an important professional role within the healthcare team.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancements in Digital Cytopathology Since COVID-19: Insights from a Narrative Review of Review Articles.","authors":"Daniele Giansanti","doi":"10.3390/healthcare13060657","DOIUrl":"10.3390/healthcare13060657","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The integration of digitalization in cytopathology is an emerging field with transformative potential, aiming to enhance diagnostic precision and operational efficiency. This narrative review of reviews (NRR) seeks to identify prevailing themes, opportunities, challenges, and recommendations related to the process of digitalization in cytopathology. <b>Methods</b>: Utilizing a standardized checklist and quality control procedures, this review examines recent advancements and future implications in this domain. Twenty-one review studies were selected through a systematic process. <b>Results</b>: The results highlight key emerging trends, themes, opportunities, challenges, and recommendations in digital cytopathology. First, the study identifies pivotal themes that reflect the ongoing technological transformation, guiding future focus areas in the field. A major trend is the integration of artificial intelligence (AI), which is increasingly critical in improving diagnostic accuracy, streamlining workflows, and assisting decision making. Notably, emerging AI technologies like large language models (LLMs) and chatbots are expected to provide real-time support and automate tasks, though concerns around ethics and privacy must be addressed. The reviews also emphasize the need for standardized protocols, comprehensive training, and rigorous validation to ensure AI tools are reliable and effective across clinical settings. Lastly, digital cytopathology holds significant potential to improve healthcare accessibility, especially in remote areas, by enabling faster, more efficient diagnoses and fostering global collaboration through telepathology. <b>Conclusions</b>: Overall, this study highlights the transformative impact of digitalization in cytopathology, improving diagnostic accuracy, efficiency, and global accessibility through tools like whole-slide imaging and telepathology. While artificial intelligence plays a significant role, the broader focus is on integrating digital solutions to enhance workflows and collaboration. Addressing challenges such as standardization, training, and ethical considerations is crucial to fully realize the potential of these advancements.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Text Neck Between Different Female Students at Taibah University, Saudi Arabia; Cross Section Design.","authors":"Abdulrhman Mashabi, Walaa Ragab, Ghaida Alrayes, Joud Amoudi, Soundos Tokhta, Ghaida Bashawri, Ruqayyah Alqaznili, Jana Ghaith, Lama Almadani, Marwan M A Aljohani, Abdullah Al-Shenqiti","doi":"10.3390/healthcare13060651","DOIUrl":"10.3390/healthcare13060651","url":null,"abstract":"<p><p><b>Background</b>: Text neck is a common postural malalignment that significantly affects daily activities. Reliable and user-friendly assessment tools are essential for physiotherapists, and evaluating text neck prevalence in both sitting and standing positions is crucial for effective rehabilitation. This study aimed to compare text neck prevalence between students in practical and non-practical disciplines using multiple assessment methods. <b>Methodology</b>: A total of 82 female students (18-24 years) from Taibah University participated. The practical group included students from the Colleges of Medical Rehabilitation Sciences and Applied Medical Sciences, who engage in hands-on learning. The non-practical group consisted of Business Administration students, whose coursework is primarily theoretical. Text neck was assessed using observational methods, tragus to wall distance (TWD), craniovertebral angle (CVA) via a smartphone application, and PostureCo in both sitting and standing positions. <b>Results</b>: Observational assessment showed text neck prevalence of 95.5% in the non-practical group and 70% in the practical group while sitting, and 91% versus 80% while standing. Based on TWD, prevalence was 48% in non-practical students and 32% in practical students. Using Physiomaster, prevalence was 71% in standing and 54% in sitting for non-practical students, compared to 39% and 14%, respectively, for practical students. Significant differences were found between groups in sitting (<i>p</i> < 0.002) and standing (<i>p</i> < 0.001) using TWD, and in CVA measurements (<i>p</i> < 0.0001). <b>Conclusions</b>: Text neck is more prevalent among non-practical students, while practical students exhibit milder cases. Both sitting and standing assessments are essential for accurate diagnosis and rehabilitation planning. Future studies should analyze the accuracy of various measurement tools to identify the most precise methods for assessing text neck prevalence, taking into consideration both sitting and standing positions.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sleep Expectation-Reality Gap: Exploring Discrepancies Between Perceived and Ideal Sleep Duration in Primary Care Patients.","authors":"Carlos De Las Cuevas, María Segovia","doi":"10.3390/healthcare13060650","DOIUrl":"10.3390/healthcare13060650","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to quantify the discrepancy between perceived and ideal sleep duration among primary care patients and identify demographic, lifestyle, and psychological factors associated with this expectation-reality gap.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 300 adult primary care patients, who completed a survey assessing demographics, sleep perceptions, and insomnia severity (Insomnia Severity Index, ISI). Sleep discrepancy was defined as the difference between perceived and ideal sleep duration. Statistical analyses included Wilcoxon signed-rank tests, Spearman's correlations, and multiple linear regression to examine predictors of sleep discrepancy.</p><p><strong>Results: </strong>Participants reported a mean perceived sleep duration of 6.39 ± 1.36 h, significantly lower than their ideal sleep duration of 8.07 ± 0.75 h (<i>p</i> < 0.001). A significant sleep discrepancy was found in 81.3% of participants, while only 2.0% exceeded their perceived sleep needs. Higher ISI scores were strongly associated with greater sleep discrepancy (<i>r</i> = -0.476, <i>p</i> < 0.001). The regression model explained 27.7% of the variance (<i>p</i> < 0.001), with insomnia severity (β = -0.425, <i>p</i> < 0.001), higher BMI (β = -0.192, <i>p</i> < 0.001), cola drink consumption (β = 0.142, <i>p</i> = 0.009), and older age (β = 0.163, <i>p</i> = 0.002) as significant predictors. Gender, hypnotic medication use, and alcohol intake were non-significant.</p><p><strong>Conclusions: </strong>A substantial expectation-reality gap in sleep duration exists, linked to insomnia severity, older age, and lifestyle factors. Addressing maladaptive sleep expectations through cognitive-behavioral interventions in primary care may improve sleep satisfaction and reduce insomnia-related distress.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Diabetic Foot Ulcer Care: AI and Generative AI Approaches for Classification, Prediction, Segmentation, and Detection.","authors":"Suhaylah Alkhalefah, Isra AlTuraiki, Najwa Altwaijry","doi":"10.3390/healthcare13060648","DOIUrl":"10.3390/healthcare13060648","url":null,"abstract":"<p><p><b>Background</b>: Diabetic foot ulcers (DFUs) represent a significant challenge in managing diabetes, leading to higher patient complications and increased healthcare costs. Traditional approaches, such as manual wound assessment and diagnostic tool usage, often require significant resources, including skilled clinicians, specialized equipment, and extensive time. Artificial intelligence (AI) and generative AI offer promising solutions for improving DFU management. This study systematically reviews the role of AI in DFU classification, prediction, segmentation, and detection. Furthermore, it highlights the role of generative AI in overcoming data scarcity and potential of AI-based smartphone applications for remote monitoring and diagnosis. <b>Methods</b>: A systematic literature review was conducted following the PRISMA guidelines. Relevant studies published between 2020 and 2025 were identified from databases including PubMed, IEEE Xplore, Scopus, and Web of Science. The review focused on AI and generative AI applications in DFU and excluded non-DFU-related medical imaging articles. <b>Results</b>: This study indicates that AI-powered models have significantly improved DFU classification accuracy, early detection, and predictive modeling. Generative AI techniques, such as GANs and diffusion models, have demonstrated potential in addressing dataset limitations by generating synthetic DFU images. Additionally, AI-powered smartphone applications provide cost-effective solutions for DFU monitoring, potentially improving diagnosis. <b>Conclusions</b>: AI and generative AI are transforming DFU management by enhancing diagnostic accuracy and predictive capabilities. Future research should prioritize explainable AI frameworks and diverse datasets for AI-driven healthcare solutions to facilitate broader clinical adoption.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}