Journal of Multidisciplinary Healthcare最新文献

{"title":"Ethical and Legal Governance of Generative AI in Chinese Healthcare.","authors":"Jinrun Jia, Shiqiao Zhao","doi":"10.2147/JMDH.S541271","DOIUrl":"10.2147/JMDH.S541271","url":null,"abstract":"<p><p>The application of generative artificial intelligence (AI) technology in the healthcare sector can significantly enhance the efficiency of China's healthcare services. However, risks persist in terms of accuracy, transparency, data privacy, ethics, and bias. These risks are manifested in three key areas: first, the potential erosion of human agency; second, issues of fairness and justice; and third, questions of liability and responsibility. This study reviews and analyzes the legal and regulatory frameworks established in China for the application of generative AI in healthcare, as well as relevant academic literature. Our research findings indicate that while China is actively constructing an ethical and legal governance framework in this field, the regulatory system remains inadequate and faces numerous challenges. These challenges include lagging regulatory rules; an unclear legal status of AI in laws such as the Civil Code; immature standards and regulatory schemes for medical AI training data; and the lack of a coordinated regulatory mechanism among different government departments. In response, this study attempts to establish a governance framework for generative AI in the medical field in China from both legal and ethical perspectives, yielding relevant research findings. Given the latest developments in generative AI in China, it is necessary to address the challenges of its application in the medical field from both ethical and legal perspectives. This includes enhancing algorithm transparency, standardizing medical data management, and promoting AI legislation. As AI technology continues to evolve, more diverse technical models will emerge in the future. This study also proposes that to address potential risks associated with medical AI, efforts should be made to establish a global AI ethics review committee to promote the formation of internationally unified ethical and legal review mechanisms.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5405-5419"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015610","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":"Predictive Value of Postnatal Weight Gain Rate for Severe Retinopathy of Prematurity in Preterm Infants: A Retrospective Analysis.","authors":"Jiangya Wang, Qingmin Ma, Fangfang Du","doi":"10.2147/JMDH.S528155","DOIUrl":"10.2147/JMDH.S528155","url":null,"abstract":"<p><strong>Background: </strong>Retinopathy of prematurity (ROP) is rising in China alongside improved neonatal intensive care. Current screening, reliant on gestational age (GA) and birth weight (BW), faces challenges of resource constraints and infant burden. Postnatal weight gain rate (WGR) is a potential predictive marker, but robust data on its value, particularly for severe ROP, and validated thresholds within the Chinese population are lacking. The study aimed to examine the risk factors linked with the incidence of retinopathy of ROP.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted on 230 preterm infants (GA ≤32 weeks, BW ≤2000g) admitted to a neonatal intensive care unit (2016-2020). Infants were categorized into non-ROP (n=189) and ROP (n=41) groups; the ROP group was further stratified into mild (n=32) and severe (n=9) subgroups. Clinical data, including GA, BW, comorbidities and WGR, were analyzed. Univariate analysis, multivariate logistic regression, and receiver operating characteristic (ROC) curve analysis were employed.</p><p><strong>Results: </strong>In the univariate analysis, the non-ROP group manifested superior values in GA, BW, and rates of weight gain in comparison to the ROP group (all P < 0.05). Multivariate analysis identified lower GA (OR=0.91, 95% CI=0.83-0.99, P=0.03), lower BW (OR=0.99, 95% CI=0.99-1.00, P=0.04), and lower WGR (OR=0.73, 95% CI=0.63-0.83, P<0.01) as independent risk factors for ROP. GA, BW, and WGR were significantly higher in the mild vs severe ROP group (all P<0.05). ROC analysis demonstrated that WGR <24.5 g/day predicted any ROP (AUC=0.939, 95% CI=0.905-0.973, sensitivity 90.2%, specificity 86.8%, P<0.05). Crucially, WGR <18 g/day predicted severe ROP (AUC=0.865, 95% CI=0.70-1.00, sensitivity 100%, specificity 66,7%, P<0.05).</p><p><strong>Conclusion: </strong>Diminished GA, reduced BW, and sluggish weight gain rates have been correlated with an elevated susceptibility to ROP. Notably, a diminished rate of weight gain can serve as an anticipatory marker for severe ROP, given its heightened propensity to precipitate the onset of severe ROP.</p><p><strong>Trial registration: </strong>Full name of the registry: Chinese Clinical Trial Registry, http://www.chictr.org.cn. Trial registration number: chiCTR2400087938. Date of registration: 2024-08-07.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5381-5391"},"PeriodicalIF":2.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015685","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":"Enhancing Collaboration and Patient-Centered Care Through Moderated Multidisciplinary Consultations.","authors":"Mette Hulbaek, Betina Torpegaard Edal, Bettina Ravnborg Thude","doi":"10.2147/JMDH.S530549","DOIUrl":"10.2147/JMDH.S530549","url":null,"abstract":"<p><strong>Background: </strong>In the last decade, multimorbidity has risen in Western countries. Treating patients with multiple symptoms and health conditions is complex and competencies from different specialties are needed. The World Health Organization emphasizes a multidisciplinary approach to address these complex conditions. Patients with pelvic floor disorders suffer from multiple symptoms, yet today their care is often fragmented across specialties and clinicians focus on symptoms within their own diagnostic frameworks, potentially limiting holistic care. Thus, this study aimed to explore if and how a multidisciplinary organizational set-up for complex patients with pelvic floor disorders can support interprofessional collaboration and approach a complex patient in a patient-centered way.</p><p><strong>Methods: </strong>The study was a qualitative interview study among healthcare professionals in a pelvic floor clinic using a hermeneutic approach in the setting of multidisciplinary team consultations for referred patients with pelvic floor disorders and with multiple and complex pelvic floor conditions.</p><p><strong>Results: </strong>Thematic analysis identified two themes and six subthemes. Theme 1; Coordinated consultation included the subthemes: <i>Providing a framework, Involving team members, and Establishing overview</i>. Theme 2; Patient-centered care set-up included the subthemes: <i>Aligning expectations</i>, I<i>nvolving the patient</i>, and <i>Ensuring the patient feels comfortable and cared for.</i></p><p><strong>Conclusion: </strong>To ensure patient involvement and patient-centeredness, a framework for the decision-making process is required involving management and an overview of the dialogue, timelines, and communication models for involving the patient as well as healthcare professionals. Using a moderator during consultations increased focus on interprofessional collaboration and may be the key for multidisciplinary consultations in the future helping \"put the patient in the center of care\".</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5393-5403"},"PeriodicalIF":2.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000775","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":"Clinical and Radiological Assessment of Modified Weaver-Dunn Technology, Arthroscopic Single Tunnel Technique and Arthroscopic Coracoid Sling Technique Three Different Surgical Techniques in the Treatment of Acute Rockwood III-V Acromioclavicular Dislocations.","authors":"Yongtao Zeng, Hongcheng Zheng, ReFati Nijiati, NacikeDaoerji, Husen Wang, Bin Tang, Yimuranjiang Yiming, Erpanijiang Tusunjiang, Li Shu","doi":"10.2147/JMDH.S531538","DOIUrl":"10.2147/JMDH.S531538","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate and compare the clinical efficacy and radiological results of three surgical methods for treating Rockwood III-V acromioclavicular dislocation.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 62 patients with acute Rockwood III-V acromioclavicular dislocation who were admitted to our hospital from September 2017 to December 2022. Among these patients, 19 received the modified Weaver-Dunn technique (Group A), 20 underwent the arthroscopic single tunnel technique (Group B), and 23 received the arthroscopic coracoid sling technique (Group C). The clinical outcomes assessed included perioperative indicators, shoulder joint function outcomes, VAS scores, acromioclavicular joint redislocation rates, and complications. The radiological results primarily focused on the changes in the distance between the beak and the clavicle (CCD).</p><p><strong>Results: </strong>All patients were followed for an average duration of 32.72 ± 7.93 months. At the final follow-up, the shoulder joint function scores, pain scores, and imaging findings of all three patient groups exhibited significant improvements compared to their preoperative values. Three months post-surgery, a comparative analysis among the three groups revealed that Groups B and C demonstrated significantly superior shoulder joint function scores and pain relief in comparison to Group A (p 0.05). Regarding complications, all three groups experienced various postoperative complications; however, no significant differences were found in the incidence of complications among the groups (p > 0.05).</p><p><strong>Conclusion: </strong>Three surgical methods have demonstrated favorable and comparable clinical and imaging outcomes in the treatment of acute acromioclavicular dislocation. Compared to the modified Weaver-Dunn technique, coracoid process single tunnel fixation and coracoid process non-tunnel suspension fixation may be more effective and provide a higher level of mobility.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5327-5339"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992858","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 the Nexus Between Ankle-Brachial Index and Atherosclerosis: A Bibliometric Analysis From 1989 to 2024.","authors":"Jun Wang, Yanfei Tao, Yongjun Tao, Xiaoyong Ke, Liaojun Wang, Shu Zhang, Weiyong Hong","doi":"10.2147/JMDH.S537831","DOIUrl":"10.2147/JMDH.S537831","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiovascular and cerebrovascular diseases related to atherosclerosis represent a leading global health burden, contributing substantially to morbidity, disability, and premature mortality. The Ankle-Brachial Index (ABI) has emerged as a valuable non-invasive tool for screening peripheral artery disease and assessing the burden of systemic atherosclerosis. This bibliometric analysis aims to evaluate the research landscape, key contributors, and evolving trends in ABI and atherosclerosis studies.</p><p><strong>Patients and methods: </strong>A bibliometric analysis was conducted using data from the Web of Science Core Collection from 1989 to 2024. The data were analyzed using the R package \"bibliometrix\", CiteSpace, and VOSviewer to identify research outputs, influential institutions, journals, authors, and keywords.</p><p><strong>Results: </strong>This study included a total of 1896 eligible publications. The number of publications on ABI and atherosclerosis has steadily increased, peaking in 2021. The United States led in research output (n = 448) and citation impact (n = 29,980), followed by China and Japan. University of California System contributed the most publications, while <i>Circulation</i> and <i>Atherosclerosis</i> were the most influential journals. Criqui Michael H. emerged as the most cited author, with 5848 citations. Keyword analyses showed that the terms \"cardiovascular disease\", \"mortality\", \"risk factors\", and \"prevalence\" terms had a high co-occurrence rate, while burst analyses showed that key terms such as \"disease\", \"epidemiology\" and \"events\" were prominent in recent studies.</p><p><strong>Conclusion: </strong>This bibliometric analysis offers a comprehensive perspective on the role of the ABI in the field of atherosclerosis research, and it offers crucial support for guiding future research directions.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5371-5380"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992849","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 Regarding Post-Cardiac Arrest Syndrome Among Chinese Physicians: A Dual-Center Cross-Sectional Study.","authors":"Pengfei Wang, Zhuangtian Wu, Junpeng Tang, Weipeng Liu, Jie Zhu","doi":"10.2147/JMDH.S536181","DOIUrl":"10.2147/JMDH.S536181","url":null,"abstract":"<p><strong>Background: </strong>Post-cardiac arrest syndrome (PCAS) occurs after cardiac arrest resuscitation, causing cardiac and neurological sequelae if not well treated. In China, physicians are vital in PCAS management from early diagnosis, therapeutic treatment to individualized care. Physicians' knowledge, attitudes, and practices (KAP) towards the condition significantly affect such process, which remain understudied in China.</p><p><strong>Objective: </strong>This study aimed to investigate physicians' KAP regarding PCAS.</p><p><strong>Methods: </strong>This dual-center cross-sectional study was conducted in June 2024 at Sun Yat-Sen Memorial Hospital, affiliated to Sun Yat-Sen University and Shenshan Medical Center, affiliated to Memorial Hospital of Sun Yat-Sen University. Self-developed questionnaires were used to gather demographic and KAP data, yielding 633 responses.</p><p><strong>Results: </strong>A total of 551 valid questionnaires were included, with 51.2% of respondents being male. The mean scores for KAP were 8.12±1.66 (range: 0-12), 47.96±5.13 (range: 12-60), and 49.00±5.26 (range: 11-55), respectively. Spearman correlation analysis revealed positive correlations between knowledge and attitudes (r=0.248, P<0.001), knowledge and practices (r=0.243, P<0.001), and attitudes and practices (r=0.369, P<0.001). The structural equation modeling (SEM) results confirmed direct associations between knowledge and attitudes (β=0.500, 95% CI: 0.401-0.598, P<0.001), knowledge and practices (β=0.345, 95% CI: 0.263-0.428, P<0.001), and attitudes and practices (β=0.691, 95% CI: 0.608-0.773, P<0.001).</p><p><strong>Conclusion: </strong>Physicians exhibited limited knowledge, negative attitudes, and proactive practices regarding PCAS. Future educational and behavioral interventions are necessary to enhance physicians' KAP towards PCAS.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5299-5311"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992817","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":"Mapping Research Trends in Traditional Chinese Medicine Exercises for Anxiety Intervention Using a Knowledge Approach.","authors":"Binjie Cai, Mengqi Li, Yujing Wei, Zheqian Su","doi":"10.2147/JMDH.S533223","DOIUrl":"10.2147/JMDH.S533223","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the current status of Traditional Chinese Medicine (TCM) exercises in the intervention of anxiety, identifying research hotspots and future development trends.</p><p><strong>Methods: </strong>The Web of Science database was utilized to conduct a literature review, focusing on studies related to TCM exercises and anxiety from 1991 to 2024. Data analysis was performed using bibliometric software, including CiteSpace, VOSviewer, and R, to visualize insights from selected publications, countries, institutions, as well as highly cited and co-cited references.</p><p><strong>Results: </strong>The number of published papers has shown a consistent year-on-year increase. China is the most prolific country in this research area, with Wayne Peter M being identified as the leading author. The institution with the highest publication count is Beijing University of Chinese Medicine. The most frequently occurring keyword is \"Taiji\", with prominent terms in the field including \"Traditional Chinese Medicine\", \"Tai Chi\", \"psychoeducational nursing\", and \"drug treatment\".</p><p><strong>Conclusion: </strong>This bibliometric analysis demonstrates that traditional Chinese mind-body exercises-particularly Tai Chi, Baduanjin, and Wuqinxi-are increasingly utilized in the prevention and treatment of anxiety disorders. Among these, Tai Chi has consistently emerged as the most extensively studied and cited intervention, underscoring its dominant role in both academic research and clinical application. However, the current research landscape is characterized by limited international collaboration, methodological inconsistency, and insufficient integration of contemporary evidence-based evaluation frameworks. To enhance the scientific rigor and global impact of TCM exercise therapies in mental health care, future studies should emphasize the development of standardized intervention protocols, the conduct of high-quality randomized controlled trials, and the promotion of interdisciplinary collaboration.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5341-5358"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000715","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":"An AIoT-Based Home Monitoring System for Arteriovenous Fistula Surveillance in Hemodialysis Patients: Development, Evaluation, and Clinical Potential.","authors":"Telung Pan","doi":"10.2147/JMDH.S531248","DOIUrl":"10.2147/JMDH.S531248","url":null,"abstract":"<p><strong>Background: </strong>Arteriovenous fistulas are critical for maintaining effective blood circulation during hemodialysis. Undetected fistula dysfunction can lead to severe complications or death. Existing monitoring approaches rely heavily on hospital-based assessment, creating challenges for early intervention in home care settings.</p><p><strong>Methods: </strong>This study developed an AIoT-based home care device that enables patients to monitor their fistula function at home. The device captures vascular sound signals through a microphone and analyses them using a convolutional neural network model trained on 245 labelled audio samples. The device provides real-time alerts using LED and audio indicators and transmits data to the hospital information system via LoRa wireless communication. Additionally, user feedback was gathered through qualitative interviews based on the Technology Acceptance Model (TAM).</p><p><strong>Results: </strong>The neural network achieved an F1-score of 1.00 for detecting blockages (n=33), 0.93 for slight blockages (n=54), and 1.00 for normal conditions (n=158). Wireless signal transmission was reliable over distances ranging from 6.17 to 8.68 km with RSSI values between -107.2 dBm and -97.2 dBm. TAM-based interviews showed that patients found the device easy to operate and were willing to recommend its use to others.</p><p><strong>Conclusion: </strong>The proposed system offers a reliable, non-invasive, and user-friendly solution for early detection of fistula dysfunction. It enhances patient safety and facilitates real-time communication with medical institutions, making it a promising tool for remote hemodialysis management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5313-5326"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992855","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 Toward Hypotension During Hemodialysis Among Nephrology and Hemodialysis Medical Staff: A Multi-Center Cross-Sectional Study.","authors":"Dongmei Cheng, Lijun Xie, Xin Chu, Yingchun Bai, Tingting He","doi":"10.2147/JMDH.S499943","DOIUrl":"10.2147/JMDH.S499943","url":null,"abstract":"<p><strong>Objective: </strong>To explore the knowledge, attitudes, and practices (KAP) of nephrology and hemodialysis medical staff regarding hypotension in hemodialysis patients.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between March and May 2024 across nine hospitals in China. The KAP scores were collected using a structured questionnaire including demographic characteristics, knowledge, attitudes, and practices.</p><p><strong>Results: </strong>The study cohort consisted of 205 medical staff [169 (82.44%) female], included 55 nephrologists or physicians (26.83%), 131 nurses (63.90%), and 19 related medical technicians (9.27%). The mean scores for knowledge, attitudes, and practices were 15.47 ± 5.08 (possible range: 0-20), 45.44 ± 4.41 (possible range: 10-50), and 28.80 ± 5.53 (possible range: 7-35), respectively. Spearman correlation analysis revealed significant positive relationships between knowledge and attitude (r = 0.283, P < 0.001), knowledge and practice (r = 0.605, P < 0.001), and attitude and practice (r = 0.486, P < 0.001). Path analysis showed that knowledge (β = 0.439, P < 0.001), attitudes (β = 0.330, P < 0.001), current department (β = -0.947, P = 0.025) and experience of participating in literature related to hypotension during hemodialysis (β = 1.769, P = 0.004) had effects on practice.</p><p><strong>Conclusion: </strong>Medical staff in this study demonstrated generally adequate levels of knowledge, attitudes, and practices concerning hypotension management in hemodialysis patients. Ongoing professional development and targeted educational interventions are recommended to further enhance the competency of healthcare providers in managing hypotension among hemodialysis patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5359-5369"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12402428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992846","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":"Unlocking the Diagnostic and Therapeutic Potential of microRNA in Diabetes: A Bibliometric and Visualized Analysis (2003-2023).","authors":"Jiajing Yu, Kai Xia, Jiaming Feng, Zehui Xu, Zhuoyue Zhang, Guanyi Xiao, Huici Zhu, Wenlong Xue, Fengxi Chen, Xiaotong Xie","doi":"10.2147/JMDH.S533519","DOIUrl":"10.2147/JMDH.S533519","url":null,"abstract":"<p><strong>Background: </strong>MicroRNAs (miRNAs) hold considerable therapeutic potential for diabetes mellitus (DM). Over the past few decades, substantial progress has been made in miRNA-related diabetes research; however, comprehensive bibliometric analyses in this field remain limited. This study aims to comprehensively review the research status of miRNAs in DM, including the contributions of countries, institutions, authors and published journals, and explore the latest progress, research hotspots, and future trends.</p><p><strong>Methods: </strong>Bibliometric analysis was conducted using CiteSpace and VOSviewer by searching relevant literature in the Web of Science Core Collection (WOSCC). With 5197 relevant publications retrieved from January 1, 2003, to October 31, 2023, the field of miRNAs in DM witnessed a generally upward trend in global publications.</p><p><strong>Results: </strong>Global publications on miRNAs in DM showed a sustained upward trajectory. China led in publication output and influence, likely linked to its high DM prevalence. Cluster analysis identified diabetic retinopathy and diabetic nephropathy as primary research foci among co-cited studies. Keyword analysis emphasizes the top 10 words like miRNA, expression, biomarker, insulin resistance, diabetes, diabetes nephropathy, apoptosis, cell, and oxidative stress.</p><p><strong>Conclusion: </strong>Research on miRNAs in DM has grown significantly, with emphasis on understanding pathogenesis and identifying therapeutic targets. This field will be further studied and translated into clinical practice in the future.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5227-5247"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957381","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}