Journal of Multidisciplinary Healthcare最新文献

{"title":"Application of the Plan-Do-Check-Action Cycle in Reducing the Incidence of Forearm Hematoma in Patients After Transradial Artery Percutaneous Coronary Interventions.","authors":"Yanqiu Fan, Xiaoyan Zhou","doi":"10.2147/JMDH.S511825","DOIUrl":"10.2147/JMDH.S511825","url":null,"abstract":"<p><strong>Background: </strong>Transradial puncture has the advantages of significantly fewer complications, less patient pain, shorter hospital stays, and reduced hospital costs, but it tends to cause forearm hematoma, so reducing the rate of forearm hematoma is imperative. This study assessed the value of the plan-do-check-act (PDCA) cycle in standardizing nursing management in reduce the incidence of forearm hematoma in patients after transradial artery Percotaneous Coronary Intervention(PCI).</p><p><strong>Methods: </strong>This study was conducted on 260 patients with acute myocardial infarction admitted to our hospital between January 2022 and June 2022 who underwent coronary intervention. The subjects were divided into control-group (n=130) and observation-group (n=130) in accordance with their admission time. The control-group received routine nursing care; and the observation-group, was applied with PDCA nursing management in addition to conventional treatment.</p><p><strong>Results: </strong>The incidence of forearm hematoma in patients after radial artery PCI decreased from 24.62% to 8.46% (P < 0.05).</p><p><strong>Conclusion: </strong>The PDCA cycle management model was effective in reducing the incidence of forearm hematoma without increasing adverse patient outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1183-1189"},"PeriodicalIF":2.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542273","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":"Influencing Factors of Disordered Eating Behavior Among Chinese University Students: The Moderating Role of Physical Activity in the Body Status Chain Mediation Model.","authors":"Cheng Ma, Bo-Ching Chen, Mei-Yen Chen","doi":"10.2147/JMDH.S503106","DOIUrl":"https://doi.org/10.2147/JMDH.S503106","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the impact and mechanism of weight status on the disordered eating behavior of university students, this study conducted a moderated chain mediation model based on the Escape Theory and the Strength Model of Self-Control.</p><p><strong>Methods: </strong>This was a cross-sectional online study conducted at a university in Shanghai. The questionnaire was distributed via communication tools such as WeChat from March 6 to 15, 2022, receiving 2618 valid responses. The moderated chain mediation model was empirically examined with 10,000 Bootstrap samples using AMOS software.</p><p><strong>Results: </strong>(1) Weight status can indirectly predict disordered eating behavior through the mediating effect of body dissatisfaction (β = 0.24, 95% CI: 0.22-0.26, <i>p</i> < 0.001); (2) Body dissatisfaction and negative affect play a chain mediation role in the positive impact of weight status on disordered eating behavior (β = 0.01, 95% CI: 0.01-0.02, <i>p</i> < 0.001); (3) Physical activity moderates the positive impact of negative affect on disordered eating behavior (Diff = -0.11, <i>t</i> = 2.20, <i>p</i> < 0.05) and further plays a moderating role in the chain mediation model (Diff = -0.01, <i>t</i> = 2.30, <i>p</i> < 0.05). Specifically, the higher the level of physical activity among university students, the weaker the impact of negative affect on disordered eating behavior, and the weaker the chain mediation effect; (4) The level of physical activity moderates the relationship between weight status, body dissatisfaction, and disordered eating, suggesting that the higher the level of physical activity, the stronger the mediating role of body dissatisfaction between weight status and abnormal eating (Diff = 0.12, <i>t</i> = 2.74, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>These findings revealed the pathways through which weight status affects the eating behavior of university students and how physical activity might weaken or strengthen this impact. This research supplements prior studies and offers insight into health promotion for university students.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1163-1179"},"PeriodicalIF":2.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542306","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 Impact of Online Interactive Platform Services on Oral Health Behaviors in Older Adults with Mild Cognitive Impairment: Protocol for a Randomized Controlled Trial [Response to Letter].","authors":"Qianyu Yin, Zhaowu Chai, Binbin Tao, Ping Liu, Yu Luo, Qinghua Zhao, Bing Yang","doi":"10.2147/JMDH.S523580","DOIUrl":"https://doi.org/10.2147/JMDH.S523580","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1193-1194"},"PeriodicalIF":2.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541529","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 Bioinformatics Analysis of Renal Impairment in Multiple Myeloma: Trends and Research Hotspots, and Associated Genetic Pathways (2000-2023).","authors":"Huinan Jiang, Xue Bai","doi":"10.2147/JMDH.S501551","DOIUrl":"https://doi.org/10.2147/JMDH.S501551","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to perform a bibliometric visual analysis and bioinformatics analysis to explore the research hotspots and trends of renal impairment in multiple myeloma, including the associated genes and signal pathways over the past two decades.</p><p><strong>Methods: </strong>The Web of Science Core Collection database was utilized as the data source to retrieve literature on renal impairment in multiple myeloma from 2000 to 2023. The selected literature was analyzed using bibliometric and bioinformatics software, including Bibliometrix, VOSviewer 1.6.16, Citespace 5.7R5 and Cytoscape 3.7.1 software.</p><p><strong>Results: </strong>This study encompassed 2152 articles that were published from 2000 to 2023, demonstrating an overall upward trend in annual publications and citations. Among the set of 27 core journals examined, the \"CUREUS JOURNAL OF MEDICAL SCIENCE\" exhibited the highest frequency of publications, while \"BLOOD\" emerged as the most frequently cited source. The global research on renal impairment in multiple myeloma research included contributions from 84 countries/regions, with the United States leading in terms of publication output and Mayo Clinic playing a central role in fostering inter-agency collaboration. Keywords such as \"daratumumab\", \"carfilzomib\", \"diagnostic criteria\" and \"kidney biopsy\" included recent research hotspots. We hypothesized that the TP53, AKT1, MYC, and CTNNB1 genes were involved in epithelial cell proliferation and the positive regulation of the MAPK cascade through signaling receptor activator activity, receptor-ligand interactions, and cytokine receptor binding. Simultaneously, they were implicated in renal impairment in multiple myeloma via the PI3K/Akt and MAPK signaling pathways.</p><p><strong>Conclusion: </strong>This research employed bibliometric visual analysis and bioinformatics analysis to identify the current focus and future directions of studying renal impairment in multiple myeloma, as well as to explore the associated genes and signaling pathways. The management of renal impairment in patients with multiple myeloma has a significant impact on medical costs. Clinical physicians need to consider how to allocate medical resources reasonably, ensure that patients can receive necessary diagnosis and treatment, and explore cost-effective treatment options. The management of these patients requires interdisciplinary medical services, which should integrate basic and clinical research, especially the development of new treatment plans, to improve patients' quality of life and guide future treatment choices.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1147-1162"},"PeriodicalIF":2.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542280","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, Attitude, and Practice Toward Spinal Cord Tumors Among Patients and Their Families in Beijing: A Cross-Sectional Study.","authors":"Longqi Liu, Yibing Su, Liang Shi","doi":"10.2147/JMDH.S504886","DOIUrl":"https://doi.org/10.2147/JMDH.S504886","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the knowledge, attitude, and practice (KAP) regarding spinal cord tumors among both patients and their family members.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted at the Department of Neurosurgery, Beijing Jishuitan Hospital, between August 1, 2023, and January 31, 2024 using a self-designed questionnaire.</p><p><strong>Results: </strong>A total of 489 valid questionnaires were analyzed, including 219 (44.79%) from patients. The mean knowledge, attitude, and practice scores were 11.09 ± 6.64 (possible range: 0-28), 18.61 ± 1.92 (possible range: 6-30), and 33.58 ± 4.34 (possible range: 8-40), respectively. Multivariate logistic regression analysis revealed that urban residency (OR = 1.904, 95% CI: 1.113-3.314, P = 0.020) and higher monthly per capita income (OR = 3.779, 95% CI: 1.697-8.599, P = 0.001) were independent predictors of proactive practice. Path analysis demonstrated that knowledge (β = 0.11, P < 0.001), monthly per capita income (β = 1.15, P < 0.001), and marital status (β = -0.93, P = 0.039) directly influenced practice behaviors.</p><p><strong>Conclusion: </strong>Patients and their families demonstrated suboptimal knowledge, negative attitude and proactive practice towards spinal cord tumors. Efforts should be made to enhance education and awareness programs targeting both patients and their families for improving knowledge and fostering positive attitudes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1093-1106"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542289","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":"Methodological and Statistical Concerns Regarding the Impact of Online Interactive Platform Services on Oral Health Behaviours in Older Adults With Mild Cognitive Impairment: Protocol for a Randomized Controlled Trial [Letter].","authors":"Etika Rana, Priyanka Tah","doi":"10.2147/JMDH.S523369","DOIUrl":"https://doi.org/10.2147/JMDH.S523369","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1191-1192"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541301","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":"Exploring Research Trends and Mechanisms: Maternal Diabetes and Neural Tube Defects (1991-2023).","authors":"Lijun Cao, Yujia Xi, Zhinan Jing, Zhuocheng Bao, Bo Bai, Xia Lian, Xiuping Zhang, Jingkai Di, Fan Liu","doi":"10.2147/JMDH.S501402","DOIUrl":"https://doi.org/10.2147/JMDH.S501402","url":null,"abstract":"<p><strong>Background: </strong>Neural tube defect (NTD) is the second most common congenital neuropathy in the world. Maternal diabetes is an important factor leading to the occurrence of NTD in offspring. However, existing studies lack a systematic analysis of the correlation between maternal diabetes and NTDs, as well as an exploration of NTD pathogenesis and associated preventive strategies. Consequently, there is a need for a thorough examination of the literature pertaining to NTDs and maternal diabetes to elucidate a comprehensive understanding, identify research focal points, and anticipate future developmental trends.</p><p><strong>Methods: </strong>The literature related to NTDs and maternal diabetes from 1991 to 2023 was retrieved from the Web of Science Core Collection (WoSCC). Bibliometric software CiteSpace (version 6.2.6) was used for co-occurrence/citation network analysis and to draw a knowledge visualization map.</p><p><strong>Results: </strong>A total of 382 articles and reviews were included in the final analysis. Findings revealed an increasing trend in annual publication rates. The University of Maryland Baltimore emerged as the institution with the highest number of publications, while the American Journal of Obstetrics and Gynecology and Birth Defects Research Part A-Clinical and Molecular Teratology stood out as the most prolific research journals. EA Reece was identified as the leading contributor in this domain. The United States emerged as the global leader in this field, making the most significant contribution to research endeavors. The cluster analysis of keywords obtained eight clusters, and the research focus was on the pathogenesis of NTDs induced by maternal diabetes.</p><p><strong>Conclusion: </strong>This study employed bibliometric methods to visualize the research landscape of NTDs induced by maternal diabetes, aiming to comprehend trends and identify key areas of interest in this domain. By studying the relevant mechanisms, we will search for new key targets. Meanwhile, future research needs to further explore new treatment strategies.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1107-1121"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542305","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":"Decreased Arterial Oxygen Pressure Indicates Hypoxemia, a Well-Known Clinical Sign of Pulmonary Embolism [Letter].","authors":"Abdulrahman Naser","doi":"10.2147/JMDH.S523707","DOIUrl":"https://doi.org/10.2147/JMDH.S523707","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1181-1182"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542303","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":"Causal Effect of Fatty Fish Consumption on Influenza: Evidence From Two-Sample Mendelian Randomization.","authors":"XiaoXiao Huang, ZhongLi Xie, Jie Li, ShengZhen Li","doi":"10.2147/JMDH.S511515","DOIUrl":"https://doi.org/10.2147/JMDH.S511515","url":null,"abstract":"<p><strong>Background: </strong>Influenza continues to pose a significant public health threat, with substantial morbidity and mortality worldwide. While vaccines and antiviral treatments exist, the role of dietary factors, particularly fatty fish consumption, in modulating influenza susceptibility remains underexplored. Fatty fish, rich in omega-3 polyunsaturated fatty acids (PUFAs), is believed to influence immune responses, but its specific impact on influenza risk is not fully understood. This study aims to investigate the causal relationship between fatty fish consumption and influenza susceptibility using a two-sample Mendelian randomization (MR) approach.</p><p><strong>Methods: </strong>Genetic instruments for fatty fish consumption were derived from publicly available genome-wide association studies (GWAS). Summary-level data on influenza susceptibility were sourced from the largest GWAS available. A two-sample MR analysis was conducted using inverse-variance weighted (IVW) and MR-Egger methods to assess the causal effect of fatty fish consumption on influenza risk.</p><p><strong>Results: </strong>The analysis revealed a potential protective effect of higher fatty fish consumption on influenza susceptibility. Genetically predicted higher intake of fatty fish was associated with a reduced risk of influenza, suggesting that omega-3 PUFAs may help lower susceptibility to the virus. Sensitivity analyses confirmed the absence of horizontal pleiotropy, supporting the robustness of the results.</p><p><strong>Conclusion: </strong>This study provides evidence for a potential causal relationship between increased fatty fish consumption and a decreased risk of influenza. These findings have implications for dietary recommendations and public health strategies aimed at reducing influenza burden. However, this study has some limitations, such as the potential influence of gene-environment interactions and the predominantly European-based study population, which may limit generalizability. Future research should aim to replicate these findings in diverse populations and further explore the biological mechanisms linking fatty fish intake with influenza susceptibility.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1123-1133"},"PeriodicalIF":2.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542282","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 of Dietary Live Microbes Intake and Prevalence of Prediabetes in US Adults: A Cross-Sectional Analysis.","authors":"Xiaoxu Ge, Juan Du, Jiajia Wang, Liuqing Xi, Jianfang Gao, Peng Zhou, Wenfang Peng, Shan Huang","doi":"10.2147/JMDH.S507248","DOIUrl":"https://doi.org/10.2147/JMDH.S507248","url":null,"abstract":"<p><strong>Objective: </strong>A higher dietary intake of live microbes has been shown to be associated with a range of health benefits. We aimed to elucidate the associations between dietary intake of live microbes and the risk of prediabetes.</p><p><strong>Methods: </strong>Adult participants from the 1999-2018 US National Health and Nutrition Examination Survey were included and categorized into the low, medium, and high live microbe intake groups based on the Sanders classification system. Associations between dietary consumption of live microbes and prevalence of prediabetes were explored using univariate and multivariate logistic regression, stratified analysis, and sensitivity analysis.</p><p><strong>Results: </strong>Among the 28201 participants (mean age 45.83 years, 48.40% men, 32.78% with prediabetes) included, 9761 (31.80%), 12,076 (41.42%) and 6364 (26.78%) were classified into the low, medium, and high dietary live microbe intake groups, respectively. After adjusting for all potential covariates, the odds ratios and 95% confidence intervals for the medium and high dietary live microbe intake groups were 0.868 (0.803-0.937) and 0.891 (0.807-0.983), respectively (P for trend = 0.017), with the low dietary live microbes intake group as the reference. This association is robust and not affected by participant's age, sex, race, poverty-income ratio, education level, hypertension status and estimated glomerular filtration rate.</p><p><strong>Conclusion: </strong>A higher consumption of dietary live microbes was found to be cross-sectionally linked to a lower prevalence of prediabetes in US adults.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1135-1145"},"PeriodicalIF":2.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542277","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}