Healthcare最新文献

{"title":"Relationship Between Metabolic Profile, Pain, and Functionality in Patients with Frozen Shoulder: A Cross-Sectional Study.","authors":"Dina Hamed Hamed, Celia Rodríguez-Pérez, Leo Pruimboom, Santiago Navarro-Ledesma","doi":"10.3390/healthcare12232444","DOIUrl":"https://doi.org/10.3390/healthcare12232444","url":null,"abstract":"<p><strong>Background: </strong>Frozen shoulder (FS), or adhesive capsulitis, is a disabling condition characterized by pain and restricted shoulder mobility.</p><p><strong>Aims: </strong>This study investigates the relationship between metabolic biomarkers-liver enzymes and thyroid function-and pain and shoulder functionality in patients with FS.</p><p><strong>Methods: </strong>A total of 32 patients (22 women and 10 men) were included in this cross-sectional study. Participants underwent clinical evaluations and blood tests to assess metabolic biomarkers, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyl transferase (GGT), and thyroid-stimulating hormone (TSH). Pain and functionality were measured using the Shoulder Pain and Disability Index (SPADI). Correlation and multiple regression analyses were performed to assess the associations between biomarkers, pain, and functionality.</p><p><strong>Results: </strong>Significant negative correlations were found between AST (r = -0.528, <i>p</i> = 0.029), ALT (r = -0.533, <i>p</i> = 0.027), GGT (r = -0.602, <i>p</i> = 0.011), and TSH (r = -0.556, <i>p</i> = 0.017) with total pain scores. A significant negative correlation was also observed between TSH and SPADI scores (r = -0.511, <i>p</i> = 0.039). Multiple regression analysis showed that GGT (β = -0.335, <i>p</i> = 0.008) and TSH (β = -0.298, <i>p</i> = 0.014) were the strongest predictors of pain. These findings suggest that metabolic biomarkers, particularly liver enzymes and thyroid function, play a significant role in the pathophysiology of frozen shoulder. The results highlight the importance of assessing these biomarkers for better understanding and managing pain and functionality in patients with FS.</p><p><strong>Conclusions: </strong>Further research is needed to explore the underlying mechanisms and potential therapeutic targets.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Stage Lighting on Visual Comfort at Summer Festivals: A Study in Portugal.","authors":"Ana Paula Oliveira, Gonçalo Ferreira, Clara Martinez-Perez","doi":"10.3390/healthcare12232441","DOIUrl":"https://doi.org/10.3390/healthcare12232441","url":null,"abstract":"<p><p><b>Background</b>: The primary objective of this study was to assess the visual comfort and health impacts of stage lighting on attendees at summer festivals. Specifically, the study aimed to evaluate the effects of different types of lighting, including natural, artificial, and stage lighting, on symptoms such as glare, eye strain, tearing, and temporary vision loss. <b>Methods</b>: A survey was conducted among attendees of various summer festivals in Portugal. Participants were asked about their perceptions of lighting conditions and the related visual symptoms they experienced. The survey addressed sensitivity to different types of lighting, the impact of smoke on eye discomfort, and potential strategies for improving visual comfort. Data analysis was performed using IBM SPSS^® v.27 to explore trends and correlations. <b>Results</b>: The findings indicated that cooler stage lighting was associated with a higher incidence of glare, with male participants reporting greater discomfort than females. However, there were no significant differences between gender, age, or refractive status when examining the effects of smoke on symptoms like dry eyes and tearing. Notably, participants aged 19-25 experienced more frequent tearing under stage lighting. Key recommendations included the use of high-quality LED lighting, supported by 44.81% of respondents, and the provision of low-light areas for visual rest, which 37.66% of participants deemed essential. Additional suggestions included minimizing intermittent lights and increasing the awareness of vision protection to improve visual comfort. <b>Conclusions</b>: This study highlights the importance of optimizing stage lighting to enhance visual comfort at summer festivals. Festival organizers are encouraged to implement high-quality LED lighting and directional lighting technologies, as well as to create low-light zones for visual rest. Reducing the use of flashing or intermittent lights and providing eye protection information to attendees are also crucial steps to improve the overall visual experience and safeguard eye health at large-scale events.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Self-Care Scale for Compound Caregivers.","authors":"Yuka Iwata, Maya Minamizaki, Yuka Kanoya","doi":"10.3390/healthcare12232438","DOIUrl":"https://doi.org/10.3390/healthcare12232438","url":null,"abstract":"<p><p><b>Background</b>: Japan and other nations are experiencing rising demands for care, owing to declining birth rates and aging populations. This particularly affects compound caregivers, people who provide informal care for multiple individuals. Compound caregivers face unique challenges and higher risks of physical and mental health problems. However, existing self-care scales do not cover their needs. This cross-sectional study aimed to develop and validate the Self-Care Scale for Compound Caregivers (SCSCC) to assess specific self-care practices and promote targeted support. <b>Methods</b>: A cross-sectional study was conducted through an online survey of 400 compound caregivers. Reliability was assessed via item analysis, exploratory and confirmatory factor analyses, and Cronbach's alpha. Criterion validity was evaluated using a self-rated health scale. <b>Results</b>: Overall, 400 compound caregivers participated in the study. After item analysis, we excluded nine items, leaving eight for factor analysis. Exploratory factor analysis revealed a single-factor structure explaining 51.5% of the variance. Confirmatory factor analysis showed a good model fit after modifications (goodness of fit index = 0.964, adjusted goodness of fit index = 0.932, comparative fit index = 0.980, root mean square error of approximation = 0.054). The final version of the SCSCC demonstrated strong internal consistency (Cronbach's alpha = 0.859) and was positively correlated with self-rated health (r = 0.387, <i>p</i> < 0.001). <b>Conclusions</b>: The SCSCC is a reliable tool for assessing self-care in compound caregivers, supporting health promotion, interventions, and policies to improve their health within the community care system.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Fluid Flow Rates by Fluid Height and Catheter Size in Normal and Hypertensive Blood-Pressure Scenarios.","authors":"Nayoung Kim, Hanna Lee, Jeongwon Han","doi":"10.3390/healthcare12232445","DOIUrl":"https://doi.org/10.3390/healthcare12232445","url":null,"abstract":"<p><strong>Objectives: </strong>This study is performed to determine the effects of fluid height, inner catheter diameter, and peripheral venous pressure on room-temperature intravenous fluid administration.</p><p><strong>Methods: </strong>We employed the Bernoulli equation, with frictional forces considered for volumetric analysis.</p><p><strong>Results: </strong>The results of this study demonstrate that infusion-set height, catheter size, fluid type, and blood pressure significantly affect flow rates. Under normotensive conditions, flow rates ranged from 58.2 to 10,743.18 cc/h, with the highest rates observed at a 1 m infusion-set height and larger catheters. Additionally, 6% hetastarch exhibited the lowest flow rates, while 0.9% normal saline showed the highest. Under hypertensive conditions, slightly higher infusion-set elevations were required for measurable flow rates, but they remained lower than those under normotensive conditions.</p><p><strong>Conclusion: </strong>This study investigates the mechanics of peripheral venous fluid therapy and provides foundational data for future nursing research on fluid management.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Physical Exercise on Emotional Intelligence from Birth to Adolescence: A Systematic Review Protocol.","authors":"Falonn Contreras-Osorio, Enrique Cerda-Vega, Christian Campos-Jara, Rodrigo Ramirez-Campillo, Nuria Pérez-Romero","doi":"10.3390/healthcare12232437","DOIUrl":"https://doi.org/10.3390/healthcare12232437","url":null,"abstract":"<p><strong>Background: </strong>Emotional intelligence (EI) can be understood as a set of traits or abilities that may have an impact on academic, professional, or mental health. The aim of this protocol was to establish methodological guidelines for a systematic review and meta-analysis of the effects of acute and chronic physical exercise on EI from birth to 21 years (late adolescence).</p><p><strong>Methods: </strong>This protocol followed PRISMA-P guidelines and will be modified in PROSPERO after peer review. The review will include experimental randomized and non-randomized control studies involving physical exercise interventions. PubMed, Web of Science, Scopus, and EBSCO will be utilized for study selection following the publication of the protocol. The risk of bias will be assessed using the ROBINS-I tool, ROB-2, and the GRADE approach will evaluate the certainty of evidence. Random effect meta-analyses will analyse the effect of physical exercise compared with control groups, using effect sizes measures (Hedges' <i>g</i>), with a 95% confidence interval and prediction interval, for each EI outcome (perception, facilitation, understanding, regulation, and management of emotions). Potential moderators, such as exercise intensity, duration, and sociocultural factors, will be analysed. Heterogeneity will be assessed using the I² statistic, and sensitivity analyses will be performed to ensure result robustness. Subgroup analyses may be conducted based on age groups and specific EI dimensions.</p><p><strong>Conclusions: </strong>Publication bias will be assessed using Egger's test and the trim-and-fill method. The future results aim to provide a foundation for analysing the impact of physical exercise on EI development, potentially guiding future interventions in health, educational, and related fields.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 Restrictions on Elderly Mobility and Emergency SOS Alarm Responses: A GPS-Based Study in the Czech Republic.","authors":"Vít Janovský, Marek Maška, Karel Hána","doi":"10.3390/healthcare12232442","DOIUrl":"https://doi.org/10.3390/healthcare12232442","url":null,"abstract":"<p><strong>Background: </strong>Understanding the impact of pandemic measures on elderly mobility is crucial for shaping public health responses. This retrospective study assesses the changes in mobility of 216 elderly individuals (average age 84 years) in the Czech Republic before and during COVID-19 restrictions, using two years of GPS tracking data.</p><p><strong>Methods: </strong>We conducted statistical analyses across various physical, demographic, and social factors. Data were analyzed for mobility patterns, SOS alarm usage, and relationships between mobility and factors such as age group, body mass index, sex, city size, and housing type.</p><p><strong>Results: </strong>During the study, 4409 SOS alarms were triggered, with only 16.6% requiring action. Alarms triggered outside the home decreased from 34% pre-COVID-19 to 29% during COVID-19, reflecting reduced outdoor activity. Mobility decreased by 43.9% overall during the pandemic. The largest year-on-year decline in mobility was in May, reaching 57.6%. However, 10% of the participants exhibited increased mobility. Factors such as age group, body mass index, sex, city size, and type of housing were analyzed, and we found that city size and housing type did not significantly influence mobility levels.</p><p><strong>Conclusions: </strong>These findings highlight the substantial decline in elderly mobility during the COVID-19 pandemic and emphasize the need for tailored interventions, such as outdoor mobility programs and telemedicine, to support elderly populations during public health crises.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Severe COVID-19 Outcomes in the Elderly: The Role of Systemic Immune Inflammation, Liver Function Tests, and Neutrophil-to-Lymphocyte Ratio.","authors":"Adrian Vasile Bota, Felicia Marc, Mavrea Adelina, Laura Nicolescu, Adelina Georgiana Tudora, Coralia Cotoraci","doi":"10.3390/healthcare12232429","DOIUrl":"https://doi.org/10.3390/healthcare12232429","url":null,"abstract":"<p><p><b>Background</b>: Patients aged 80 years and above are at increased risk for severe COVID-19 outcomes. This study aimed to evaluate the prognostic utility of the derived neutrophil-to-lymphocyte ratio (dNLR), aspartate-aminotransferase-to-lymphocyte ratio index (ALRI), aspartate-aminotransferase-to-platelet ratio index (APRI), and systemic immune inflammation index (SII) in predicting severe disease, intensive care unit (ICU) admission, and mortality among COVID-19 patients aged 80 years and older. <b>Methods</b>: In this retrospective cohort study, 138 elderly patients (≥80 years) and 215 younger controls (<65 years) with confirmed COVID-19 were included. Laboratory data at admission were collected, and the dNLR, ALRI, APRI, and SII scores were calculated. Receiver operating characteristic (ROC) curve analysis was performed to assess the predictive performance of these indices. <b>Results</b>: The SII had the highest area under the ROC curve (AUC) for predicting severe disease in elderly patients (AUC = 0.857, 95% CI: 0.795-0.919, <i>p</i> < 0.001), with an optimal cutoff value of 920 × 10⁹/L (sensitivity 86%, specificity 78%). Elevated SII was significantly associated with increased risk of ICU admission (hazard ratio (HR): 2.9, 95% CI: 1.8-4.6, <i>p</i> < 0.001) and mortality (HR: 3.2, 95% CI: 1.9-5.2, <i>p</i> < 0.001). Similarly, dNLR showed good predictive value (AUC = 0.792, 95% CI: 0.722-0.862, <i>p</i> < 0.001). <b>Conclusions</b>: SII and dNLR are valuable prognostic biomarkers for predicting severe outcomes in COVID-19 patients aged 80 years and above. Early identification using these indices can assist clinicians in risk stratification and management decisions to improve patient outcomes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Going Above and Beyond: Bridging the Gap Between Equitable Outcomes and Procedural Fairness in Health Policy Administration.","authors":"Danielle N Gadson, Seri Park","doi":"10.3390/healthcare12232427","DOIUrl":"https://doi.org/10.3390/healthcare12232427","url":null,"abstract":"<p><strong>Background/objectives: </strong>Public health administrators are entrusted to oversee the fair and efficient implementation of public health policy. Professional standards rooted in social justice add an additional ethical standard beyond what is required by procedural equality, reinforcing a service culture of creativity and doing more with less when resources are restrictive. This study explores this phenomenon within the context of government-subsidized opioid use disorder programming in Pennsylvania.</p><p><strong>Methods: </strong>Twenty-three agencies responsible for opioid treatment referrals in Pennsylvania were surveyed about the effects of meeting social equity needs on their operational and procedural outcomes. Univariate frequencies, cross-tabulations, and percentage comparisons were employed in a descriptive-analytic induction approach to analyze the online survey responses.</p><p><strong>Results: </strong>The survey results showed that 91.4% of administrators identified transportation equity as an important programmatic concern, with 91.3% developing transportation support for their clients although not required or funded by the grant program.</p><p><strong>Conclusions: </strong>Equity-focused interventions necessitated operational creativity and sacrifice to maintain compliance while meeting the unique needs of populations, especially when taking geographical differences into account.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal Maternal Psychological Stress (PMPS) and Its Effect on the Maternal and Neonatal Outcome: A Retrospective Cohort Study.","authors":"Joana Kathleen Aldinger, Harald Abele, Angela Kranz","doi":"10.3390/healthcare12232431","DOIUrl":"https://doi.org/10.3390/healthcare12232431","url":null,"abstract":"<p><strong>Background/objectives: </strong>Prenatal psychology studies show that stress, depression, and psychological stress during pregnancy can have a significant impact on maternal and fetal health and are highly prevalent. The aim of the study was to compare maternal and neonatal short-term outcomes in pregnant women* (the asterisk (*) is used at the appropriate places in this text to indicate that all genders are included) with a history of prenatal maternal psychological stress (PMPS) with those of pregnant women* not exposed to PMPS to determine differences and identify risk factors.</p><p><strong>Methods: </strong>Statistical tests for differences and relative risks between the groups were carried out with the perinatal data of University Hospital Tübingen from 2022 using IBM SPSS.</p><p><strong>Results: </strong>The study shows that PMPS has significant negative effects on various parameters, including the rate of premature births, preeclampsia, induction of birth, birth duration, and fetal asphyxia, as well as the birth weight of the children and their Apgar values (an assessment of newborn health scored shortly after birth). In addition, the risk of PMPS increases in women* with stillbirths and two or more previous miscarriages. However, the practical relevance must be critically scrutinized and confirmed by bigger studies.</p><p><strong>Conclusions: </strong>PMPS has a significant impact on the maternal and neonatal birth outcomes and must be identified as a risk factor in pregnancy. There is still a need for further research with larger samples, more balanced groups, and multivariate regression models to generate detailed, more transferable results and a deeper insight into the significant effects of PMPS and the role midwives can play in helping it.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Departments in Contemporary Healthcare: Are They Still for Emergencies? An Analysis of over 1 Million Attendances.","authors":"Arian Zaboli, Gianni Turcato, Gloria Brigiari, Magdalena Massar, Marta Ziller, Serena Sibilio, Francesco Brigo","doi":"10.3390/healthcare12232426","DOIUrl":"https://doi.org/10.3390/healthcare12232426","url":null,"abstract":"<p><strong>Background: </strong>Over the past few decades, emergency departments (EDs) have experienced an increasing workload. However, the variation in the types of patient accesses to these departments remains poorly understood.</p><p><strong>Objective: </strong>To evaluate the 5-year temporal trend in the volume of patients attending EDs based on the urgency of their conditions.</p><p><strong>Methods: </strong>This multicenter observational retrospective study was conducted from 1 January 2019, to 31 December 2023, across seven Italian EDs located within the same province. All patients accessing the EDs during the study period were included, totaling 1,282,735 patients. The triage code was used as an urgency index; non-urgent patients were defined as those who received a code 4 or 5 in triage, while urgent patients were defined as those who received a code 3, 2, or 1 in triage. Temporal analyses of admissions were conducted, also evaluating individual age groups to understand behavior over time.</p><p><strong>Results: </strong>From 2019 to 2023, there was a significant 10% increase in ED attendances by non-urgent patients. This increase was observed during both daytime and nighttime shifts. Notably, all age groups showed an increase in non-urgent patients, except for pediatric patients aged 0 to 14.</p><p><strong>Conclusions: </strong>Over the past 5 years, there has been a consistent upward trend in ED attendances by non-urgent patients. Healthcare policies should consider implementing strategies to manage or mitigate the overload in EDs, particularly related to non-urgent patient accesses.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}