Journal of Multidisciplinary Healthcare最新文献

{"title":"A Bibliometric Analysis of Research on Natural Medicines for Depression from 2004 to 2024.","authors":"Linsun Lin, Ziyi Guo, Qiuzhong Zhan, Peigang Fang, Haojun Shi, Yanchen Feng, Sheng Tian, Lu Xiao, Min Chen, Tao Wang","doi":"10.2147/JMDH.S548269","DOIUrl":"https://doi.org/10.2147/JMDH.S548269","url":null,"abstract":"<p><strong>Objective: </strong>Depression imposes a severe global health burden. Natural medicines offer multi-target therapeutic potential, but a comprehensive bibliometric assessment of this field is lacking. This study analyzes the research landscape from 2004 to 2024 to map global contributions, collaboration networks, and evolving trends, thereby providing an evidence-based roadmap for future research.</p><p><strong>Methods: </strong>We systematically retrieved publications on natural product-based medicines for depression from the Web of Science Core Collection (WoSCC) between 2004 and 2024. Bibliometric analysis was performed using CiteSpace, VOSviewer, and the R package \"bibliometrix\" to examine publication trends, collaboration networks, co-citation patterns, and keyword hotspots.</p><p><strong>Results: </strong>Our analysis of 3,610 publications from 92 countries/regions revealed China's dominant leadership in both productivity and collaborative influence. The Beijing University of Chinese Medicine was identified as the most productive institution, while the Journal of Ethnopharmacology and Phytomedicine were the most cited journals. Key prolific authors included Qin Xuemei and Zhang Yi, and foundational works by researchers such as Porsolt and Sarris Jerome were the most frequently cited. Keyword clustering analysis identified three major research themes: mechanistic investigations (eg, \"neuroinflammation\", \"oxidative stress\"), phytochemical analysis (eg, \"flavonoids\", \"alkaloids\"), and clinical applications (eg, \"randomized controlled trial\"). The field has evolved from foundational preclinical models toward a stronger focus on clinical translational research.</p><p><strong>Conclusion: </strong>This bibliometric study highlights China's central role in the research on natural medicines for depression and delineates the evolution of major research themes. The findings underscore the necessity for enhanced international collaboration and more rigorous clinical trials to validate the efficacy of bioactive compounds, which is crucial for advancing novel antidepressant drug development.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6257-6274"},"PeriodicalIF":2.4,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-Driven Decision Support Framework for Preventing Medical Equipment Failure and Enhancing Patient Safety: A New Perspective.","authors":"Sara Awni Alkhatib, Rateb Katmah, Doua Kosaji, Syed Usama Bin Afzal, Muhammad Hamza Tariq, Mecit Can Emre Simsekler, Samer Ellahham","doi":"10.2147/JMDH.S528612","DOIUrl":"https://doi.org/10.2147/JMDH.S528612","url":null,"abstract":"<p><p>Medical equipment failures pose serious risks to patient safety and healthcare system efficiency. Although AI-based predictive maintenance (PdM) has shown promise in other industries, its application in healthcare remains fragmented and insufficiently aligned with human-centered principles. This perspective paper proposes a novel AI-driven decision support framework that integrates systems thinking and prioritizes human-centered design. By leveraging real-time sensor data and historical maintenance records, the framework proactively predicts equipment failures and reduces downtime. It incorporates insights from key stakeholders, including biomedical engineers, technicians, patients, and administrators, to ensure human-centered and ethically responsible implementation. The paper also addresses major challenges such as data integration, human factors, and organizational readiness, offering practical strategies for sustainable adoption. This work contributes to the evolving role of AI in healthcare by emphasizing empathy, stakeholder collaboration, and safety, ultimately promoting more reliable medical devices and improved patient outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6299-6313"},"PeriodicalIF":2.4,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence Based Strategies for Blind Placement of Nasojejunal Feeding Tubes in ICU Patients.","authors":"Xiang An, Kexi Pei, Libi Cai","doi":"10.2147/JMDH.S553373","DOIUrl":"https://doi.org/10.2147/JMDH.S553373","url":null,"abstract":"<p><strong>Objective: </strong>To systematically retrieve, evaluate, and summarize the best available evidence regarding the blind placement of nasojejunal feeding tubes in adult ICU patients with the goal of informing standardized clinical protocols and enhancing patient safety.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in UpToDate, BMJ Best Practice, Cochrane Library, Joanna Briggs Institute (JBI) evidence-based healthcare database, guideline repositories, and relevant Chinese and international databases. Professional websites related to critical care and clinical nutrition were reviewed. The literature included clinical guidelines, expert consensus statements, organizational standards, clinical decision tools, evidence summaries, systematic reviews, randomized controlled trials (RCTs), and quasi-experimental studies. The search spanned from inception to August 2025. Two independent evidence-based nursing researchers appraised the quality of eligible sources and extracted evidence aligned with clinical relevance.</p><p><strong>Results: </strong>A total of 29 studies were included, consisting of four clinical guidelines, three expert consensus statements, one organizational standard, two clinical decision tools, two evidence summaries, four systematic reviews, 10 RCTs, and three quasi-experimental studies. From these, 35 evidence statements were synthesized across 9 domains: indications, contraindications, patient assessment, catheter preparation, positioning, insertion techniques, tube placement confirmation, troubleshooting, and tube maintenance.</p><p><strong>Conclusion: </strong>This study summarizes the highest-quality evidence to date on blind placement of nasojejunal tubes in critically ill adults. These findings may support the development of standardized protocols, optimize procedural success, and improve overall patient safety in critical care nutrition.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6287-6297"},"PeriodicalIF":2.4,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applications and Prospects of Digital Health Technologies in Cardiovascular Nursing: Smart Devices, Remote Monitoring, and Personalized Care.","authors":"Bin Li, Yulian Huang, Wenjia Mao, Jiajun Liu, Qiao Ma","doi":"10.2147/JMDH.S548258","DOIUrl":"https://doi.org/10.2147/JMDH.S548258","url":null,"abstract":"<p><p>Cardiovascular disease (CVD), the leading cause of death among non-communicable diseases worldwide, demands innovative approaches in prevention and nursing care. With the rapid advancement of digital health technologies, cardiovascular nursing is undergoing an unprecedented transformation. Core applications include wearable devices for continuous heart rate and rhythm monitoring, implantable devices such as pacemakers and smart stents for real-time physiological assessment, remote monitoring platforms for early warning and intervention in heart failure, and big-data-driven personalized care strategies supported by artificial intelligence. Evidence shows that these technologies can reduce readmission rates, improve treatment adherence, and enable up to 82% of patients to self-manage blood pressure and glucose. This review summarized current applications of digital health technologies in cardiovascular nursing and discussed their future prospects, aiming to provide a theoretical foundation for their further integration into clinical practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6275-6286"},"PeriodicalIF":2.4,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summary of Best Evidence for Psychosocial Interventions in Adults with Alcohol Use Disorder: An Evidence-Based Review.","authors":"Lu Yan, Cai-Fang Ji, Li-Ping Xia, Wenxi Sun, Jian-Qin Shi, Xiao-Dong Wu","doi":"10.2147/JMDH.S538359","DOIUrl":"https://doi.org/10.2147/JMDH.S538359","url":null,"abstract":"<p><strong>Background: </strong>Alcohol Use Disorder (AUD) is the most common of all substance use disorders worldwide. Psychosocial interventions have been established as a core component of AUD management. However, current research evidence on psychosocial interventions for AUD is fragmented and lacks systematic, standardized protocols in this population, which constrains its standardized implementation in clinical practice.</p><p><strong>Purpose: </strong>To retrieve, evaluate, and summarize the evidence on psychosocial interventions for adults with AUD, aiming to inform clinical decision-making and support healthcare professionals in tailoring personalized psychosocial interventions for patients.</p><p><strong>Patients and methods: </strong>A systematic search was performed across 22 databases and websites for clinical decisions, recommended practices, guidelines, evidence summaries, expert consensus, systematic reviews, and randomized controlled trials regarding psychosocial interventions for adults with AUD. The search period extended from the inception of the database to February 2025. Two trained researchers independently evaluated the literature's quality and systematically extracted and summarized the available evidence.</p><p><strong>Results: </strong>A total of 20 studies were included, consisting of six clinical decisions, four guidelines, six systematic reviews, and four randomized controlled trials. Synthesis of evidence from these studies identified twenty-seven pieces of evidence, which were further categorized into eight dimensions: pre-intervention assessment, intervention goals, scope of application, multidisciplinary team involvement, intervention timing, intervention frequency, monitoring frequency and indicators, and precautions. These dimensions represent the primary areas of evidence derived from the included studies.</p><p><strong>Conclusion: </strong>This study systematically synthesized the most robust evidence for psychosocial interventions in adults with AUD. The evidence confirmed that implementing psychosocial interventions based on considering hospital resources and patient preferences can effectively reduce alcohol consumption, depression, anxiety, and improve long-term outcomes in adults with AUD. This evidence-based framework established a practical and scientific basis for standardized psychosocial intervention delivery in clinical settings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6315-6327"},"PeriodicalIF":2.4,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No Genetic Causal Relationship Between HIV Infection and Insulin Resistance, Diabetes: A Bidirectional Mendelian Randomization Analysis.","authors":"Pengfei Liu, Qiurong Zeng","doi":"10.2147/JMDH.S546669","DOIUrl":"10.2147/JMDH.S546669","url":null,"abstract":"<p><strong>Background: </strong>The causal relationship between HIV infection and insulin resistance, as well as diabetes mellitus, remains uncertain. This study explores these associations using genome-wide association study data and Mendelian randomization techniques.</p><p><strong>Methods: </strong>We performed bidirectional, two-sample Mendelian randomization analyses to evaluate the causal links between HIV infection and insulin resistance, as well as type 1 diabetes, type 2 diabetes, and gestational diabetes. Additionally, we assessed the relationship between HIV infection and glycated hemoglobin. Five Mendelian randomization methods were employed: inverse variance weighting, MR-Egger, weighted median, weighted mode, and simple mode. Cochran's Q test was used to assess heterogeneity, while the MR-Egger intercept test evaluated horizontal pleiotropy. Sensitivity was evaluated using the leave-one-out method.</p><p><strong>Results: </strong>No causal effects were found between HIV infection and insulin resistance, type 1 diabetes, type 2 diabetes, gestational diabetes, or HbA1c levels. IVW analysis and other Mendelian randomization methods consistently yielded null results (all p > 0.05). Reverse Mendelian randomization analyses supported these null findings. Sensitivity analyses confirmed the robustness of our results, with no significant heterogeneity or pleiotropy detected.</p><p><strong>Conclusion: </strong>This Mendelian randomization study found no significant causal links between HIV infection and insulin resistance or diabetes mellitus. The null association with glycated hemoglobin further supports these findings. These results provide insights into the pathogenesis of insulin resistance and diabetes in individuals living with HIV, highlighting the need for further exploration of potential mediating factors, such as antiretroviral therapy, inflammation, and obesity.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6205-6218"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Willingness Towards Organ Donation Among Operating Room Nurses in Sichuan, China: A Cross-Sectional Study.","authors":"Chunrong Luo, Yongqiong Tan, Jingyi Wei","doi":"10.2147/JMDH.S533619","DOIUrl":"10.2147/JMDH.S533619","url":null,"abstract":"<p><strong>Purpose: </strong>Despite significant progress in organ donation programs worldwide, there remains an imbalance between the global demand for and availability of organs. While healthcare professionals play an important role in organ donation, operating room nurses, due to their direct involvement in transplant-related procedures such as organ retrieval and transplantation surgery, play an important role, yet their perspectives remain underexplored. This study aims to investigate the knowledge, attitudes, and willingness towards organ donation among nurses in the operating room.</p><p><strong>Patients and methods: </strong>A cross-sectional study was conducted from April 15, 2024, to April 25, 2024, at four tertiary hospitals in Sichuan Province, all of which are accredited for organ transplantation procedures. Demographic data, knowledge, attitudes, and willingness towards organ donation were collected from operating theatre nurses through a questionnaire. Using snowball sampling via WeChat, we disseminated an electronic questionnaire to operating room nurses across the selected hospitals. Adequate knowledge was defined as achieving 70% or more of the maximum possible score.</p><p><strong>Results: </strong>A total of 502 nurses were included in the study, of whom 442 (88.05%) were female. Furthermore, 230 (45.82%) of the participants had been employed in the field for over a decade. The mean knowledge and attitude scores were 7.57/10 and 105.32/154, respectively. While only 16.14% were unwilling to donate, nearly half (49.6%) remained undecided, respectively. Multivariate logistic regression analysis revealed that the total attitude score (OR = 1.037, 95% CI: [1.024-1.050], P < 0.001), participation in voluntary blood donation (OR = 1.564, 95% CI: [1.013-2.415], P = 0.044), registration for organ donation (OR = 6.056, 95% CI: [1.514-24.225], P = 0.011), and discussions about organ donation with family members (OR = 2.898, 95% CI: [1.818-4.621], P < 0.001) were independently associated with a willingness to donate.</p><p><strong>Conclusion: </strong>Nurses in operating room had adequate knowledge and neutral attitudes, particularly concerning family consent and concerns over organ allocation towards organ donation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6247-6256"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Practices of Healthcare Workers Regarding Postoperative Behavioral Changes in Pediatric Anaesthesia.","authors":"Jianxing Chen, Zanhui Gong, Shuhui Hu, Xijiang Liu, Yinjun Mao, Yajun Wu, Dongjin Wu","doi":"10.2147/JMDH.S545702","DOIUrl":"10.2147/JMDH.S545702","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative behavioral changes (POBC) pose significant challenges in pediatric anesthesia. Understanding healthcare workers' knowledge, attitudes, and practices (KAP) towards POBC is essential for improving patient care.</p><p><strong>Patients and methods: </strong>A cross-sectional study was conducted between April and May 2024 across China, involving 618 healthcare workers (75.57% physicians; mean experience: 9.44 [SD = 6.36] years). The respondents' feedback was collected using a self-developed questionnaire assessing KAP of POBC in children.</p><p><strong>Results: </strong>Moderate knowledge (score: 20.49, SD = 6.35), positive attitudes (score: 34.21, SD = 5.25), but suboptimal practices (score: 19.89, SD = 7.42). Structural equation modeling indicated that knowledge was associated with attitude (β=0.15, P=0.010) and practice (β=0.35, P=0.018). Attitude was also associated with practice (β=0.10, P=0.017), and knowledge showed an indirect association with practice mediated through attitude (β=0.02, P=0.008). Similar trends were observed in physicians. Among nurses, knowledge was directly associated with practice (β=0.27, P=0.012), highlighting differences based on professional roles.</p><p><strong>Conclusion: </strong>While healthcare workers demonstrated a foundational understanding and positive attitudes towards POBC, their clinical practices require improvement. Targeted training interventions are recommended to enhance practice skills and optimize pediatric anesthesia outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6219-6231"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between the Triglyceride-Glucose Index Along with Its Combinations with Obesity Indicators and Kidney Stone Among American Adults.","authors":"Xinyu Hu, Linqun Wang, Shuqi Min, Xialin Tang, Bowen Lu, Mingyan Lei, Shiyan Shang, Zhihui Yang, Qiwang He","doi":"10.2147/JMDH.S552357","DOIUrl":"10.2147/JMDH.S552357","url":null,"abstract":"<p><strong>Objective: </strong>Relationships of triglyceride-glucose (TyG) index and TyG combined with obesity indicators [TyG-waist circumference (TyG-WC), TyG-waist height ratio (TyG-WHtR), TyG-body mass index (TyG-BMI)] with kidney stone (KS) have been infrequently investigated among the American. This study aimed to examine these relationships within a substantial, nationwide population.</p><p><strong>Methods: </strong>The current cross-sectional study recruited totally 9,808 adult participants in National Health and Nutrition Examination Survey (NHANES) 2007-2018. For investigating relations of the TyG index, TyG-WC, TyG-WHtR, and TyG-BMI with KS, multivariate logistic regression, restricted cubic spline (RCS), mediation, sensitivity, subgroup and interaction analyses were used.</p><p><strong>Results: </strong>This analysis indicated that TyG combined with obesity indicators [TyG-WC, (odds ratio (OR) = 2.19, 95% CI: 1.69-2.84, <i>P</i> < 0.001); TyG-WHtR, (OR = 2.26, 95% CI: 1.73-2.95, <i>P</i> < 0.001); TyG-BMI, (OR = 1.88, 95% CI: 1.48-2.39, <i>P</i> < 0.001)] exhibited a stronger correlation with KS compared to the TyG index alone (OR = 1.40, 95% CI: 1.10-1.78, <i>P</i> = 0.006). Based on RCS analysis, TyG index and TyG combined with obesity indicators were linearly related to KS (<i>P</i>-overall < 0.0001, <i>P</i>-nonlinear > 0.05). Mediation analysis indicated that high-density lipoprotein cholesterol (HDL-C) had a significant mediating effect.</p><p><strong>Conclusion: </strong>In this study, TyG index and TyG combined with obesity indicators (TyG-WC, TyG-WHtR and TyG-BMI) show a significantly positive relationship to KS. Furthermore, in comparison to the TyG index alone, TyG combined with obesity indicators exhibited enhanced diagnostic relevance.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6233-6244"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating in situ Simulation in Critical Care: Insights From Healthcare Professionals [Response to Letter].","authors":"Tzu-Ching Sung, Hsiang-Chin Hsu","doi":"10.2147/JMDH.S563031","DOIUrl":"10.2147/JMDH.S563031","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"6245-6246"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}