Journal of Multidisciplinary Healthcare最新文献

{"title":"The Mediating Role of Patient Activation on the Relationship Between Social Support and Health-Promoting Behavior in Patients with Thyroid Cancer: A Cross-Sectional Study.","authors":"Pin Li, Yongheng Li, Caiyun He, Hengxu Wang, Xiaomin Yin, Yuanyuan Jiang, Tao Yin","doi":"10.2147/JMDH.S510415","DOIUrl":"https://doi.org/10.2147/JMDH.S510415","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore social support on health promotion behavior among patient with thyroid cancer and to investigate the mediating effect of patient activation in this relationship.</p><p><strong>Participants and methods: </strong>This study used a cross-sectional correlational design. A convenience sample of 618 thyroid cancer patients from two hospitals in Hunan Province, China, was included in the study. Data were collected from April to November 2023. The survey tools include: the General Information Questionnaire, Patient Activation Scale, Health Promoting Lifestyle Scale Chinese Revised Version, Social Support Rating Scale. Structural equation modeling and bootstrapping were used to analyze the mediating effect of patient activation on social support and health promotion behavior.</p><p><strong>Results: </strong>Social support was positively correlated with health promotion behavior (<i>r</i>= 0.360, <i>P</i><0.001), social support was positively correlated with patient activation (<i>r</i>=0.293, <i>P</i><0.001), patient activation was positively correlated with health promotion behavior (<i>r</i>=0.541, <i>P</i><0.001). Patient activation partially mediated the impact of social support and health promotion behavior, accounting for 33.03% of the total effect.</p><p><strong>Conclusion: </strong>Thyroid cancer patients' health behavior need to be improved. Medical professionals ought to devise an intervention strategy based on pathways that influence health promotion behaviors among thyroid cancer patients. This approach aims to improve social support and patient activation, in order to promote the improvement of health promotion behavior, ultimately reducing the burden of medical care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2131-2140"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021554","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 Bibliometric Analysis of Acupuncture in Functional Dyspepsia: Clinical Efficacy and Research Trends.","authors":"XinJing Wei, XiaoFei Jia, XiaoLan Su","doi":"10.2147/JMDH.S515144","DOIUrl":"https://doi.org/10.2147/JMDH.S515144","url":null,"abstract":"<p><strong>Objective: </strong>The method of bibliometric analysis was used to visualize the literature data of the current research on acupuncture treatment of functional dyspepsia.</p><p><strong>Methods: </strong>By using the bibliometrix package in R4.4.1, all the research literatures related to acupuncture and moxibustion treatment of functional dyspepsia in the WOS core database were used, and the data visualization analysis of the retrieved research literatures was carried out.</p><p><strong>Results: </strong>A total of 489 research literatures on acupuncture treatment of functional dyspepsia were screened out. The earliest related research was published in 2009. After 2013, the research heat in this field increased rapidly, reaching its peak in 2022. The number of publications and citations related to acupuncture treatment of functional dyspepsia in China ranked first. Analysis of cumulative publication volume shows that from 2012 to 2024, JEVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDIC ranked first in cumulative publication volume. A total of 1841 authors contributed to this field. The top three authors were WU HG, LIU HR and LI Y. WU HG ranked first in author influence and citation frequency. The most frequently used keyword in the articles published by these authors was \"irritable-bowel-syndrome\". The high-frequency keywords in the literature on acupuncture treatment of functional dyspepsia were statistically analyzed. The top three high-frequency words were irritable-bowel-syndrome, followed by acupuncture and electroacupuncture.</p><p><strong>Conclusion: </strong>Acupuncture treatment of functional dyspepsia related research was first published in 2009, the research heat increased year by year. The most authoritative author in the field of acupuncture treatment of functional dyspepsia is WU HG.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2141-2153"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986318","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":"Research Hotspots and Trends in Workplace Violence Among Healthcare Professionals: A Bibliometric and Visualization Analysis Based on Web of Science.","authors":"Qin Lin, Linfeng Liu, Mengxue Fu, Kanlun Chen, Ling Li, Minmin Jiang, Jijun Wu","doi":"10.2147/JMDH.S508935","DOIUrl":"https://doi.org/10.2147/JMDH.S508935","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence is a significant issue in healthcare settings, affecting the physical and psychological health of healthcare professionals and compromising patient care quality. Despite growing concerns, a comprehensive understanding of the research landscape remains limited.</p><p><strong>Objective: </strong>This study aims to analyze the research hotspots and trends in workplace violence among healthcare professionals through bibliometric and visualization analysis, providing insights into the current state of research and identifying future directions.</p><p><strong>Methods: </strong>We conducted a comprehensive search of the Web of Science database from inception to August 10, 2024, identifying relevant studies on workplace violence among healthcare professionals. A total of 937 publications were included for analysis. Bibliometric and visualization analysis software (CiteSpace, VOSviewer, BICOMB, and gCLUTO) were used to analyze authors, affiliations, and keywords, and to visualize research trends and hotspots.</p><p><strong>Results: </strong>Our analysis revealed 9 distinct clusters of research hotspots, including risk factors, affected departments, demographics, and impacts of workplace violence. Key findings indicate that emergency departments and nursing staff are particularly vulnerable, with significant impacts on mental health and job satisfaction. The study also highlights the increasing trend of publications over the years, reflecting growing research interest in this area.</p><p><strong>Conclusion: </strong>The findings reveal that workplace violence is a significant issue affecting the mental and physical health of healthcare professionals, with notable impacts on job satisfaction, patient care quality, and overall organizational climate. Future efforts should focus on strengthening collaborations and developing targeted interventions to mitigate workplace violence, thereby enhancing the safety and quality of healthcare services.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2111-2129"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040352","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":"A Study of Knowledge and Attitude of Medical Staff Towards 3D Black Blood MR Angio Methods in High-Resolution Magnetic Resonance Vessel Wall Imaging of Intracranial Arteries.","authors":"Lijuan Dai, Xi Tian, Yang Li, Cheng Li, Gang Wu","doi":"10.2147/JMDH.S504170","DOIUrl":"https://doi.org/10.2147/JMDH.S504170","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the knowledge and attitude of medical staff towards 3D Black Blood MR Angio methods in high-resolution magnetic resonance vessel wall imaging (HR-MRI) of intracranial arteries.</p><p><strong>Methods: </strong>A cross-sectional study conducted from August 2-25 2024 collected demographic information, knowledge, and attitude scores of medical staff through self-designed questionnaires. The questionnaires exhibited a high internal consistency (Cronbach's α = 0.870). The Questionnaire Star online platform was used, and a WeChat-based applet generated a QR code for participants to access and complete the questionnaire.</p><p><strong>Results: </strong>A total of 287 valid questionnaires were enrolled. The median (25% quartile and 75% quartile) of knowledge and attitude scores were 12 (9, 15) (possible range: 0-17) and 59 (55, 64) (possible range: 18-90). The correlation analysis demonstrated a positive correlation between knowledge and attitude (r = 0.361, P < 0.001). Multivariate logistic regression analysis showed that holding an intermediate title (OR = 4.065, 95% CI: 1.529, 10.808, P = 0.005), a vice senior title (OR = 5.443, 95% CI: 1.614, 18.361, P = 0.006), and having no prior experience with HR-MRI (OR = 0.422, 95% CI: 0.236, 0.753, P = 0.003) were independently associated with knowledge. Having one year or less of work experience (OR = 0.095, 95% CI: 0.010, 0.952, P = 0.045), having 1-3 years of work experience (OR = 0.330, 95% CI: 0.114,0.957, P = 0.041), and having no prior experience with HR-MRI (OR = 0.422, 95% CI: 0.236,0.753, P < 0.001) were independently associated with attitude.</p><p><strong>Conclusion: </strong>This study identified suboptimal knowledge and inconsistent attitudes toward intracranial HR-MRI among medical staff, with professional title, scanning experience, and prior HR-MRI exposure being key determinants. Addressing these gaps through competency-based credentialing and standardized protocol dissemination is critical to realizing HR-MRI's clinical potential in cerebrovascular care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2083-2095"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022138","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":"Bibliometric and Visual Analysis of Alzheimer's Disease and Herpes Simplex Virus Type 1 Infection Between 1990 and 2024.","authors":"Hongling Ren, Ruiyao Song, Hairong Wang, Qingyan Zeng, Yu Fu, Yunchu Guo, Ying Xie, Yusong Ge","doi":"10.2147/JMDH.S514397","DOIUrl":"https://doi.org/10.2147/JMDH.S514397","url":null,"abstract":"<p><strong>Background: </strong>Recently, some studies suggested that Herpes simplex virus type 1 (HSV-1) infection is an important environmental factor for Alzheimer's disease(AD). The literature on research about HSV-1 infection and AD is emerging. This study used the bibliometric method to investigate the relationship between HSV-1 infection and AD.</p><p><strong>Methods: </strong>We searched the Web of Science Core Collection for relevant literature on AD and HSV-1 from 1990 to 2024. Bibliometric and visualization analyses were performed using VOSviewer and CiteSpace.</p><p><strong>Results: </strong>From 1990 to 2024, the number of publications showed an increasing trend. The United States made the largest contributions in productivity. The University of Manchester was the most productive organization. Professor Ruth F. Itzhaki was the most influential researcher. The Journal of Alzheimer's Disease had published the most articles. Research on the mechanisms by which HSV infection contributes to AD remains a hotspot in the field, and future studies may further focus on antiviral therapeutic strategies targeting HSV-1 infection.</p><p><strong>Conclusion: </strong>Our analysis provides basic information about research in AD and HSV-1. The current research hotspots in this field mainly include the mechanism of AD caused by HSV-1, and antiviral drugs to treat or prevent AD.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2097-2109"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996750","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":"Attitudes of Nurses and Physicians Towards Nurse-Physician Interprofessional Collaboration in a Tertiary Hospital in Somalia: Cross-Sectional Study.","authors":"Iftin Mohamed Osman, Fartun Ahmed Mohamud, Fartun Mohamed Hilowle, Said Mohamud Sahal Snr, Iman Ilyas Hassan, Rahma Yusuf Haji Mohamud, Tigad Abdisad Ali, Asha Abdullahi Barud","doi":"10.2147/JMDH.S511008","DOIUrl":"https://doi.org/10.2147/JMDH.S511008","url":null,"abstract":"<p><strong>Background: </strong>Interprofessional collaboration (IPC) between nurses and physicians is essential for improving patient outcomes, healthcare efficiency, and professional satisfaction. However, in Somalia's resource-limited healthcare system, deeply rooted hierarchies, inadequate interprofessional education, and systemic constraints hinder effective collaboration. This study examines the attitudes of nurses and physicians toward IPC in a tertiary hospital, shedding light on challenges and opportunities for enhancing teamwork and patient care in this context.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted at a tertiary hospital, targeting nurses and physicians with a minimum of six months of clinical experience. Given logistical and accessibility constraints, a nonprobability convenience sampling approach was used to select 258 participants. Data were collected through a validated, self-administered questionnaire adapted from the Jefferson Scale of Attitudes toward Nurse-Physician Collaboration. After accounting for incomplete responses, the final sample size was 250. Descriptive and inferential statistical analyses were conducted to assess attitudes and associated factors.</p><p><strong>Results: </strong>Most participants (88.8%) acknowledged that shared education fosters better role understanding, while 87.6% emphasized the value of collaborative training. A statistically significant difference was observed in perceptions of physician authority (p = 0.039), with nurses demonstrating a higher recognition of physician leadership. However, no significant differences emerged regarding shared education (p = 0.293), the balance between caring and curing (p = 0.208), or nurse autonomy (p = 0.453). These findings highlight prevailing hierarchical structures and the potential for improved interprofessional training.</p><p><strong>Conclusion: </strong>While overall attitudes toward IPC were positive, entrenched hierarchical norms and differing perceptions of authority remain significant barriers to effective collaboration. Addressing these challenges requires structured interprofessional education programs, policies promoting role equity, and hospital-wide initiatives to foster a culture of teamwork. Strengthening IPC in Somalia's healthcare system could enhance patient care, optimize resource utilization, and improve professional satisfaction in a setting where collaborative practice is crucial for overcoming systemic limitations.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2075-2082"},"PeriodicalIF":2.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986947","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 Acute Kidney Injury, Co-Existing with and without Chronic Kidney Disease on the Short-Term Adverse Outcomes Following Atherosclerotic Cardiovascular Disease Events in Patients with Diabetes.","authors":"Chu-Lin Chou, Cai-Mei Zheng, Hui-Wen Chiu, Lawrence Li-Chih Tsou, Pai-Feng Kao, Yung-Ho Hsu, Cheng-Li Lin, Li-Chin Sung","doi":"10.2147/JMDH.S515884","DOIUrl":"https://doi.org/10.2147/JMDH.S515884","url":null,"abstract":"<p><strong>Background/objective: </strong>Atherosclerotic cardiovascular disease (ASCVD) is a leading cause of morbidity and mortality among patients with diabetes mellitus (DM). Although ASCVD risk is elevated in diabetic populations, the effect of acute kidney injury (AKI), especially when chronic kidney disease (CKD) is present, on post-ASCVD outcomes remain unclear. This study investigates the association between AKI-with or without co-existing CKD-and short-term adverse outcomes in diabetic patients following their first ASCVD event.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed data from the Taipei Medical University Clinical Research Database (2004-2020), which includes anonymized electronic health records from three affiliated hospitals. Patients with DM who experienced the first ASCVD event were categorized by kidney function: no known kidney disease (NKD), AKI, CKD, and acute-on-CKD (AoCKD). The impact of kidney dysfunction on outcomes was assessed using Cox proportional-hazards models, with hazard ratios (HRs) and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Out of 4525 patients, those with CKD and AoCKD exhibited significantly higher 1-year all-cause mortality (HR: 1.24 and 1.68, respectively) and risks of cardiovascular death, recurrent ASCVD-related hospitalizations, and heart failure, compared with NKD patients. Diuretic use was associated with increased all-cause mortality in AoCKD and CKD groups. In the contrary, the use of metformin was associated with a lower risk of all-cause mortality in AoCKD and CKD groups.</p><p><strong>Conclusion: </strong>AoCKD significantly increases short-term mortality and cardiovascular complications in diabetic patients post-ASCVD period, whereas AKI alone does not confer additional risk. These findings highlight the need for dedicated case-managed, personalized and multidisciplinary interventions for cardiorenal health. The early nephrologist consultation, echocardiography with speckle-tracking strain, urine albumin-to-creatinine ratio, pharmacologic strategies, such as cautious use of diuretics, use of sodium-glucose transport protein 2 inhibitors, statin or metformin are recommended to improve outcomes in this high-risk group.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2019-2037"},"PeriodicalIF":2.7,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011198","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":"Level of Family Support and Associated Factors Among Pulmonary Tuberculosis Patients in Eastern Uganda. A Baseline Cross-Sectional Study.","authors":"Businge Alinaitwe, Nilufar Jivraj Shariff, Bindu Madhavi Boddupalli","doi":"10.2147/JMDH.S511615","DOIUrl":"https://doi.org/10.2147/JMDH.S511615","url":null,"abstract":"<p><strong>Background: </strong>The long treatment period for tuberculosis (TB) is associated with multiple challenges, some of which can be resolved through involving the patients' families in TB management. In Uganda, there is limited evidence on the extent to which family caregivers are supporting TB patients to achieve better outcomes. This study's aim was to determine the level of family support and associated factors among pulmonary tuberculosis (pTB) patients.</p><p><strong>Methods: </strong>This was a cross-sectional baseline survey conducted at 5 TB treatment centers in Jinja, Eastern Uganda. We recruited 147 pTB patients on the first line of treatment. Data was collected on socio-demographics and clinical characteristics, as well as perceived and actual family support using semi-structured questionnaires. Data analysis involved both descriptive and inferential statistics, with p-values, odds ratios, and corresponding confidence intervals, as well as the β-coefficient computed. Variables with p-value ≤0.05 were significantly associated with family support.</p><p><strong>Results: </strong>About two in three (68.7%) of patients perceived a high level of support from their family members. Actual family support was received by 78.9% while 21.1% did not receive any form of support from their family members. The common forms of actual support received were medication reminders (65.3%), material support (55.8%), encouragement to take TB drugs (48.3%), emotional support (21.8%), and help with prescription refills (21.8%). The regression model explained two-thirds (63.9%) of the variance observed within the scores of perceived support [R² = 0.639, p-value <0.0001]. Family size was significantly associated with both perceived and actual family support.</p><p><strong>Conclusion: </strong>Family caregivers play a vital role in assisting patients during the prolonged TB treatment period to overcome TB and treatment-related challenges. Healthcare providers should routinely assess the level of different forms of patient support and integrate routine family counseling sessions into TB care to improve support availability among TB patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2057-2073"},"PeriodicalIF":2.7,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025297","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":"Global Insights and Key Trends in Physical Literacy Research: A Bibliometric Analysis and Literature Review from 2007 to 2024.","authors":"Hongsheng Qian, Xueyan Ren, Huidi Wang, Yu Zou","doi":"10.2147/JMDH.S515715","DOIUrl":"https://doi.org/10.2147/JMDH.S515715","url":null,"abstract":"<p><strong>Background: </strong>Extensive research has been carried out on physical literacy (PL) over the past decades. Nonetheless, no comprehensive bibliometric analysis of relevant publications has been performed. In this study, we conducted a comprehensive bibliometric review of studies on PL to track research trends and highlight current research hotspots.</p><p><strong>Methods: </strong>The Web of Science Core Collection (WoSCC) database was selected to retrieve publications from inception to 2024 on PL. Articles and reviews written in English with PL as the main topic were included. VOSviewer and CiteSpace software were used to perform analysis and visualization of scientific productivity and emerging trends.</p><p><strong>Results: </strong>A total of 710 publications were retrieved. Canada dominated this field with the most publications (188). The institution and author with the largest number of articles were The Chinese University of Hong Kong (46 publications) and Cairney John (35 publications), respectively. BMC Public Health was the most influential journal with 41 articles and 1214 citations. Publications were primarily distributed across journals in sports science, education, public health, and other allied disciplines. Five topics were identified by reference co-citation analysis and keyword analysis: the definition of PL, PL in education, the association of PL, the intervention of PL, and the measurement and assessment of PL. The measurement, assessment and intervention of PL may become the frontiers.</p><p><strong>Conclusion: </strong>PL research has witnessed growing scholarly interest over the past 18 years. The concept of PL lacks consensus, and the necessity of establishing a unified conceptualization remains contentious. Most existing PL measurement tools lack comprehensiveness in capturing conceptual components, highlighting the need for established instruments aligned with its theoretical foundations. PL interventions vary in design and effectiveness, making it essential to identify effective strategies. Furthermore, multidisciplinary collaboration is imperative. This study could offer strategic guidance for identifying potential collaborators and prioritizing research priorities.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2039-2055"},"PeriodicalIF":2.7,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015715","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":"High-Risk Consult Multidisciplinary Team in a Tertiary Maternity Unit: Changing Prevalence of Cases.","authors":"Yang Huang Grace Ng, Ann Wright, Yvonne Yee Voon Ng, Nirmal Visruthan Kavalloor, Lay Kok Tan, Bin Huey Quek, Kok Hian Tan","doi":"10.2147/JMDH.S502995","DOIUrl":"https://doi.org/10.2147/JMDH.S502995","url":null,"abstract":"<p><strong>Introduction: </strong>The management of high-risk pregnancies requires coordinated expertise across multiple specialties. The High-Risk Consult (HRC) brings together a multidisciplinary team of specialists, including maternal-fetal medicine specialists, neonatologists, anaesthesiologists, and relevant subspecialities to provide comprehensive, individualized care for these complex pregnancies. While this model of care delivery is increasingly adopted worldwide, data on the prevalence and patterns within such multidisciplinary services remains limited.</p><p><strong>Objective: </strong>To describe the types of high-risk antenatal cases managed by an HRC and compare the prevalence of these conditions across two distinct time periods.</p><p><strong>Methods: </strong>This retrospective observational study analyzed all cases discussed at the HRC of a single tertiary center, KK Women's and Children's Hospital (KKH), in Singapore. Data were collected for two epochs: 1994-2003 and 2008-2021.</p><p><strong>Results: </strong>There were 2356 cases (with 4097 associated conditions) from 1994 to 2003 and 2514 cases (with 5944 conditions) from 2008 to 2021. These cases constituted 1.51% of 151,589 deliveries and 1.55% of 162,017 deliveries at KKH in the respective epochs. Despite an overall decrease in annual delivery rates over time, the proportion of high-risk cases remained stable. However, the prevalence of specific conditions changed significantly. The incidence of preterm rupture of membranes (17.6% vs 9.6%), preeclampsia (10% vs 4.8%), and preterm labor (12.6% vs 2.9%) decreased (all p < 0.0001), while fetal anomaly showed a marked increase (1.6% vs 14.5%; p < 0.0001).</p><p><strong>Conclusion: </strong>The overall proportion of pregnancies requiring HRC consultation remained consistent at approximately 1.5% across both epochs, but there were notable shifts in the case composition. These findings highlight evolving priorities for multidisciplinary care and inform resource allocation and service planning in tertiary maternity units.</p><p><strong>Trial registration: </strong>CIRB Ref: 2022/2458.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2007-2017"},"PeriodicalIF":2.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997886","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}