Journal of Multidisciplinary Healthcare最新文献

{"title":"Music and Caffeine Intake Effects on Gait, and Its Relationship with Psychological Parameters, in Middle-Aged Women.","authors":"Mohammed Issa Alsaeed, Fatma Ben Waer","doi":"10.2147/JMDH.S474951","DOIUrl":"10.2147/JMDH.S474951","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the combined effects of caffeine intake and listening to music on walking parameters, and its relationship with psychological variables (fatigue and exercise enjoyment) in middle-aged women.</p><p><strong>Patients and methods: </strong>Sixteen healthy middle-aged women, aged between 50 and 60 years old, participated in this study. Their walking parameters (distance, number of steps, steps number/minute, cadence and walking speed) were assessed using the 6-minute walking test (6MWT) in four task conditions: in no-music/no-caffeine, no-music/with caffeine, with music/no-caffeine, and with music/with caffeine conditions. Besides, exercise enjoyment and fatigue were evaluated using the Physical Activity Enjoyment Scale (PACES-8) and rating of perceived exertion (RPE) questionnaires, respectively.</p><p><strong>Results: </strong>As a result, we found that 100 mg of caffeine intake significantly (p < 0.05) improved walking parameters such as distance, cadence and number of steps during both simple (p < 0.05) and dual-task, while listening to preferred music, where optimal results were found (p < 0.01) with a large effect size (η2p >0.14). Listening to music was sufficient to significantly improve the distance (p < 0.001), cadence (p < 0.001), and walking speed (p < 0.05) values. Besides, both caffeine intake and/or listening to music significantly (p < 0.05 with large effect size (η2p >0.14)) decreased the feeling of fatigue and increased exercise enjoyment while walking in healthy middle-aged women.</p><p><strong>Conclusion: </strong>In conclusion, caffeine intake seems to positively influence gait capacities, and its combined effects with listening to music, mainly preferred ones, would boost these beneficial effects in middle-aged women.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11334914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008942","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":"Who Does What in Hand Osteoarthritis Care? A Qualitative Study of Boundary Work Between Rheumatologists and Occupational Therapists in Norway.","authors":"Silje Zink, Ingvild Kjeken, Marte Feiring","doi":"10.2147/JMDH.S467297","DOIUrl":"10.2147/JMDH.S467297","url":null,"abstract":"<p><strong>Purpose: </strong>The pressure on professionals within the healthcare workforce is increasing due to staffing shortages, economic demands and changing care models. Through boundary work theories, our study explores how task-shifting in hand osteoarthritis (OA) care impacts the professional boundaries and division of labor between rheumatologists and occupational therapists (OTs) in Norwegian specialist healthcare.</p><p><strong>Methodology: </strong>Seventeen semi-structured qualitative interviews were conducted at two hospitals in Norway. Participants included ten rheumatologists and five OTs. Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in three themes (1) Forms of responsibility and task transfers, (2) Circumventing the rules to ensure efficient practices and appropriate patient care, (3) Broadening and specializing; movement of professional demarcations. Overall, we found that medical tasks in hand OA care are increasingly delegated to, and adopted by, OTs, blurring the rheumatologist-OT boundary. Some of the task delegations skirted Norwegian legal boundaries, in efforts to streamline clinic operations. OTs expanded their scope of practice by adopting new tasks, whereas rheumatologist increased their specialist status by shedding unwanted tasks.</p><p><strong>Conclusion: </strong>Task shifting between rheumatologists and OTs in hand OA care was characterized by boundary blurring activities. The results support a shift in hand OA management from rheumatologists to OTs.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008943","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":"Artificial Intelligence, the Digital Surgeon: Unravelling Its Emerging Footprint in Healthcare - The Narrative Review.","authors":"Zifang Shang, Varun Chauhan, Kirti Devi, Sandip Patil","doi":"10.2147/JMDH.S482757","DOIUrl":"10.2147/JMDH.S482757","url":null,"abstract":"<p><strong>Background: </strong>Artificial Intelligence (AI) holds transformative potential for the healthcare industry, offering innovative solutions for diagnosis, treatment planning, and improving patient outcomes. As AI continues to be integrated into healthcare systems, it promises advancements across various domains. This review explores the diverse applications of AI in healthcare, along with the challenges and limitations that need to be addressed. The aim is to provide a comprehensive overview of AI's impact on healthcare and to identify areas for further development and focus.</p><p><strong>Main applications: </strong>The review discusses the broad range of AI applications in healthcare. In medical imaging and diagnostics, AI enhances the accuracy and efficiency of diagnostic processes, aiding in early disease detection. AI-powered clinical decision support systems assist healthcare professionals in patient management and decision-making. Predictive analytics using AI enables the prediction of patient outcomes and identification of potential health risks. AI-driven robotic systems have revolutionized surgical procedures, improving precision and outcomes. Virtual assistants and chatbots enhance patient interaction and support, providing timely information and assistance. In the pharmaceutical industry, AI accelerates drug discovery and development by identifying potential drug candidates and predicting their efficacy. Additionally, AI improves administrative efficiency and operational workflows in healthcare, streamlining processes and reducing costs. AI-powered remote monitoring and telehealth solutions expand access to healthcare, particularly in underserved areas.</p><p><strong>Challenges and limitations: </strong>Despite the significant promise of AI in healthcare, several challenges persist. Ensuring the reliability and consistency of AI-driven outcomes is crucial. Privacy and security concerns must be navigated carefully, particularly in handling sensitive patient data. Ethical considerations, including bias and fairness in AI algorithms, need to be addressed to prevent unintended consequences. Overcoming these challenges is critical for the ethical and successful integration of AI in healthcare.</p><p><strong>Conclusion: </strong>The integration of AI into healthcare is advancing rapidly, offering substantial benefits in improving patient care and operational efficiency. However, addressing the associated challenges is essential to fully realize the transformative potential of AI in healthcare. Future efforts should focus on enhancing the reliability, transparency, and ethical standards of AI technologies to ensure they contribute positively to global health outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008941","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":"Quantifying Cooperation among Investigators with Substantial Production in Operating Room Management [Letter].","authors":"Franklin Dexter, Richard H Epstein","doi":"10.2147/JMDH.S489745","DOIUrl":"10.2147/JMDH.S489745","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004461","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":"Personalized Exercise Prescription in Long COVID: A Practical Toolbox for a Multidisciplinary Approach.","authors":"Allison Maher, Michelle Bennett, Hsin-Chia Carol Huang, Philip Gaughwin, Mary Johnson, Madeleine Brady, Kacie Patterson, Tanya Buettikofer, Jo Morris, Veronica Mary Rainbird, Imogen Mitchell, Bernie Bissett","doi":"10.2147/JMDH.S465946","DOIUrl":"10.2147/JMDH.S465946","url":null,"abstract":"<p><strong>Objective: </strong>To describe our methodology and share the practical tools we have developed to operationalize a multidisciplinary Long COVID clinic that incorporates progressive, personalized exercise prescription as a cornerstone feature.</p><p><strong>Background: </strong>There is a lack of evidence-based guidance regarding optimal rehabilitation strategies for people with Long COVID. Existing guidelines lack precision regarding exercise dosage. As one of Australia's few established multidisciplinary Long COVID clinics, we describe our novel approach to safely incorporating exercise of both peripheral and respiratory muscles, with essential monitoring and management of post-exertional symptom exacerbation.</p><p><strong>Methods: </strong>Working closely with primary health-care providers, our multidisciplinary team screens referrals for people aged 16 and older with Long COVID. Staff apply a three tier model of triage, dependent on the consumer's presenting problems. Exercise-based interventions necessitate detailed monitoring for post-exertional symptom exacerbation both in the clinic and at home. Personalized exercise prescription includes resistance training at a submaximal threshold (4-6 exercises, 3 days/week); whole-body endurance exercise titrated to the individual's progress, at an intensity 4-6/10 (Rate of Perceived Exertion); and for those limited by dyspnoea, high-intensity inspiratory muscle training using a threshold-based handheld device (30 repetitions per day, ≥50% of their maximum inspiratory pressure).</p><p><strong>Discussion: </strong>We have used these approaches for the past 2 years in 250 consumers with no serious adverse events and promising consumer feedback. Our exercise prescription is less conservative than the methods advocated in international guidelines for people with Long COVID, and these more progressive tools may be valuable in other contexts.</p><p><strong>Conclusion: </strong>In our experience, a multidisciplinary clinic-based approach to safely prescribing progressive exercise in Long COVID is feasible. Both peripheral and inspiratory muscle exercise can be effectively titrated to each individual's symptoms, and careful monitoring for post-exertional symptom exacerbation is crucial.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004460","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":"The Hostile Hospital: Exploring Hospitality, Violence, and the Doctor-Patient Relationship.","authors":"Stephen R Milford, Giorgia Lorenzini","doi":"10.2147/JMDH.S389728","DOIUrl":"10.2147/JMDH.S389728","url":null,"abstract":"<p><p>Lévinas and Derrida speak of the ontological context of human relationships in the context of the absolute priority of the Other and the unconditional law of hospitality. This has direct implications for doctor-patient relationships in the context of health care. This paper explores these philosophical and practical implications in light of a paradox that exists in all hospitality: that hostility is inevitably intertwined with hospitality. The paper explores three ways hostility can present in doctor-patient relationships: in physical violence, through paternalism, and through the violence of categorisation. While acknowledging the paradox, and the complexity of solutions, the paper considers ways to minimize this hostility. In so doing, it encourages HCPs to overcome whatever is possible so as to do the impossible: provide unconditional hospitality.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004462","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":"Impact of Interprofessional Collaborative Practice on Functional Improvements Among Post-Acute Stroke Survivors: A Retrospective Cross-Sectional Study.","authors":"Tsen-Pei Chen, Ying-Jia Lin, Yu-Lin Wang, Li-Min Wu, Chung-Han Ho","doi":"10.2147/JMDH.S467777","DOIUrl":"10.2147/JMDH.S467777","url":null,"abstract":"<p><strong>Background: </strong>Stroke survivors in post-acute care frequently experience physiological dysfunction and reduced quality of life. This study aims to assess the impact of the Post-Acute Care Interprofessional Collaborative Practice (PAC-IPCP) program across different care settings, and to identify sensitive tools for assessing physiological functions among post-acute stroke survivors.</p><p><strong>Methods: </strong>This retrospective study involved 210 stroke survivors in Taiwan. Participants who self-selection for their preferred between hospital care setting and home care setting under PAC-IPCP. Multiple assessment tools were utilized, including the Barthel Index (BI), Functional Oral Intake Scale (FOIS), Mini Nutritional Assessment (MNA), EQ-5D-3L, and Instrumental Activities of Daily Living (IADL). The logistic regression was used to estimate the odds ratios of various functional assessment tools between hospital and home care settings. Additionally, the area under the ROC curves was used to determine which functional assessment tools had higher accuracy in measuring the association between care settings.</p><p><strong>Results: </strong>Of the study population, 138 stroke survivors (65.71%) selection hospital care setting and 72 stroke survivors (34.29%) selection home care setting. The PAC-IPCP program was equally effective in both care settings for physical function status and quality of life improvements. Specifically, the BI emerged as the most sensitive tool for assessing care settings, with an adjusted OR of 1.04 (95% CI:1.02-1.07, p < 0.0001; AUC = 0.7557). IPCP-based hospital and home care models are equally effective in facilitating improved functional outcomes in post-acute stroke survivors.</p><p><strong>Conclusion: </strong>The PAC-IPCP program is versatile and effective across care settings. The BI stands out as a robust assessment tool for physiological functions, endorsing its broader clinical application. Future studies should also consider swallowing and nutritional status for a more holistic approach to rehabilitation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004459","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":"Potential of Massage Therapy for Improved Growth and Development Among Infants Under 9 Months: A Systematic Scoping Review of Intervention Type, Technique, and Outcome.","authors":"Windy Rakhmawati, Henny Suzana Mediani, Meita Dhamayanti, Ida Maryati, Asty Samiaty Setiawan, Sri Hendrawati, Nenden Nur Asriyani Maryam, Alfiah Hasanah, Aep Maulid Mulyana, Dini Mariani, Imat Rochimat","doi":"10.2147/JMDH.S475731","DOIUrl":"10.2147/JMDH.S475731","url":null,"abstract":"<p><strong>Background: </strong>Infants are in a critical period during which often occur many problems, such as growth, development, and motor delays. One of the interventions that can potentially reduce these problems is by giving a massage therapy.</p><p><strong>Purpose: </strong>This study aims to conduct a systematic scoping review of massage therapy's potential for growth and development among infants under nine months.</p><p><strong>Methods: </strong>This study followed a Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA-ScR). We collected data from three databases, including PubMed, Scopus, and CINAHL with full text, published in 2013-2022, subjects aged less than nine months, full-text articles, and randomized controlled trials. Studies were excluded if they were not in English.</p><p><strong>Results: </strong>Of the 11 studies found, it shows that therapy massage can effectively increase infants' growth and development, including body weight, length, visual-motor coordination and integration, hand-eye, hearing, speech, social, vagal activity, language, locomotion, stationary, and reflexes. The interventions include medium chain triglyceride oil massage, Dabur Lal Tail massage, oil massage, massage by mothers, and massage therapy without additives for 5-45 minutes. In addition, massage therapy has a positive effect on infants with various conditions, including preterm infants, infants with HIV-infected mothers, and infants with Down's syndrome.</p><p><strong>Conclusion: </strong>Our findings highlight that infants receiving massage therapy were significantly more likely to increase growth and development than the population who were not given massage therapy. However, further investigation into preventing the severity of growth and developmental problems is urgently needed.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000124","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":"Comparison of the Performance of ChatGPT, Claude and Bard in Support of Myopia Prevention and Control.","authors":"Yan Wang, Lihua Liang, Ran Li, Yihua Wang, Changfu Hao","doi":"10.2147/JMDH.S473680","DOIUrl":"10.2147/JMDH.S473680","url":null,"abstract":"<p><strong>Purpose: </strong> Chatbots, which are based on large language models, are increasingly being used in public health. However, the effectiveness of chatbot responses has been debated, and their performance in myopia prevention and control has not been fully explored. This study aimed to evaluate the effectiveness of three well-known chatbots-ChatGPT, Claude, and Bard-in responding to public health questions about myopia.</p><p><strong>Methods: </strong> Nineteen public health questions about myopia (including three topics of policy, basics and measures) were responded individually by three chatbots. After shuffling the order, each chatbot response was independently rated by 4 raters for comprehensiveness, accuracy and relevance.</p><p><strong>Results: </strong> The study's questions have undergone reliable testing. There was a significant difference among the word count responses of all 3 chatbots. From most to least, the order was ChatGPT, Bard, and Claude. All 3 chatbots had a composite score above 4 out of 5. ChatGPT scored the highest in all aspects of the assessment. However, all chatbots exhibit shortcomings, such as giving fabricated responses.</p><p><strong>Conclusion: </strong> Chatbots have shown great potential in public health, with ChatGPT being the best. The future use of chatbots as a public health tool will require rapid development of standards for their use and monitoring, as well as continued research, evaluation and improvement of chatbots.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000123","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":"Feeding and Nutrition for People with Dementia in Gerontological Services: A Focus Group Study.","authors":"María Elisa Moreno-Fergusson, Gabriela R Caez-Ramírez, Luz Indira Sotelo-Diaz, Paola Sarmiento-González, Beatriz Sánchez-Herrera","doi":"10.2147/JMDH.S463995","DOIUrl":"10.2147/JMDH.S463995","url":null,"abstract":"<p><strong>Purpose: </strong>This work sought to describe the experience of managers and caregivers with feeding and nutrition for older adults with dementia, in Colombian gerontological services.</p><p><strong>Participants and methods: </strong>This is a qualitative focus group study with fourteen gerontological care centers for people with dementia.</p><p><strong>Results: </strong>The study reveals that care related to food and nutrition for people with dementia is organized based on the comprehensive assessment of the resident. Although there are basic support strategies, each caregiver requires specific knowledge, attitudes, behaviors, and institutional support, to generate a context that favors the health and quality of life of those involved.</p><p><strong>Conclusion: </strong>The experience of caring for people with dementia in aspects related to their food and nutrition, seen from the perspective of managers and caregivers of gerontological services in a developing country, strengthens specific strategies and public policies. This, in turn, reduces the burden on caregivers.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004458","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}