Technology and Health Care最新文献

{"title":"Effectiveness of KAP-based nursing program in managing digestive symptoms in colorectal cancer patients undergoing chemotherapy: A retrospective controlled study.","authors":"Wenli Chen, Dandan Jiang, Renru Duan, Shuwen Li","doi":"10.1177/09287329261432852","DOIUrl":"10.1177/09287329261432852","url":null,"abstract":"<p><p>ObjectiveTo improve gastrointestinal (GI) symptom clusters in colorectal cancer (CRC) patients undergoing chemotherapy by implementing a nursing program based on Knowledge, Attitudes, and Practice (KAP).MethodsThis retrospective study analyzed the medical records of 292 CRC patients who received chemotherapy from June 2023 to December 2024 in Bozhou Hospital Affiliated to Anhui Medical University. Patients were divided into a control group (CG, n = 150) and an intervention group (IG, n = 142) according to the GI symptom cluster nursing intervention program. GI symptoms, self-management efficacy, level of beliefs, psychological status, functional status, and quality of life were assessed in patients before the intervention (T1), after the fourth chemotherapy session (T2), and after the eighth chemotherapy session (T3).ResultsAt T1, there were no significant differences between the two groups in any of the assessed indices. At T2 and T3, the GI symptom clusters, the number of symptoms, the incidence of symptom clusters, and the nausea, loss of appetite, dry mouth, vomiting, diarrhea, change in appetite, and fullness in the patients of the IG were significantly lower than those of the CG. (P < 0.05). In addition, patients in the IG showed significant improvements in self-management efficacy, belief level, psychological condition, functional status and quality of life (P < 0.05).ConclusionThe KAP-based nursing program is both acceptable and feasible for managing GI symptom clusters in CRC patients undergoing chemotherapy. It effectively improves patients' GI symptoms and enhances their self-management efficacy, belief levels, psychological status, functional status, and quality of life.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"578-591"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of UDCA and probiotics on metabolic outcomes in type 2 diabetes patients on metformin: A randomized trial in Bosnia and Herzegovina.","authors":"Alma Badnjević-Čengić, Ranko Škrbić, Adna Softić, Tamer Bego, Neven Meseldžić, Nataša Stojaković, Neira Crnčević, Sara Deumić, Damira Kadić, Armin Mooranian, Hani Al-Salami, Momir Mikov","doi":"10.1177/09287329261438698","DOIUrl":"10.1177/09287329261438698","url":null,"abstract":"<p><p>BackgroundRecent research highlights the pivotal role of gut microbiota and bile acids as modulators of metabolic homeostasis in type 2 diabetes (T2D). The concomitant use of probiotics and ursodeoxycholic acid (UDCA) may potentiate glycemic and lipid control via complementary mechanisms.ObjectiveTo evaluate the metabolic effects of probiotic supplementation and its combination with UDCA in metformin-treated T2D patients.MethodsIn this monocentric, prospective, randomized, double-blind, controlled trial, 90 patients with T2D on metformin therapy were randomized into three groups: metformin-only (MG), metformin plus probiotic (MPG), and metformin plus probiotic plus UDCA (MPUG). The intervention lasted 4 weeks. Primary outcomes included changes in fasting glucose, postprandial glucose and HbA1c. Secondary outcomes included lipid profile, C-reactive protein (CRP), and fecal levels of probiotics and UDCA. Two visits were conducted during the study - at the beginning and at the end. Visits involved patient interviews, clinical data collection, anthropometric measurements, blood biochemical analyses, and stool sample analysis for the presence of probiotic culture and UDCA concentrations.ResultsAfter 4 weeks, the MPUG group showed a significant reduction in fasting glucose (-1.7 mmol/L; 95% CI: -2.2 to -1.2), postprandial glucose (-1.3 mmol/L; 95% CI: -1.8 to -0.7), and HbA1c (-0.49%; 95% CI: -0.66 to -0.31) compared to the MG group. Total cholesterol and LDL cholesterol were also significantly reduced, while HDL increased. The concentration of <i>Lactobacillus rhamnosus GG</i> was highest in the MPUG group. No serious adverse events were reported.ConclusionCo-administration of probiotics and UDCA for four weeks in metformin-treated T2D patients significantly improves short-term glycemic control and lipid profiles. These promising results warrant validation in larger, longer-term clinical trials.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"641-652"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic benefit evidences for postural neck and shoulder pain via muscular perfusion and dynamic spinal imaging perspectives.","authors":"Shyi-Kuen Wu, Jian-Guo Bau, Tony Tung-Liang Lin, Ying-Hsuan Chao, Mu-Ting Wang, Yu-Chen Lin, Li-Chieh Kuo","doi":"10.1177/09287329261479179","DOIUrl":"https://doi.org/10.1177/09287329261479179","url":null,"abstract":"<p><p>ObjectiveSustained postural loading is a common contributor to neck-shoulder pain, yet its effects on muscle microvascular function and cervical segmental motion are not fully understood. This study investigated changes in muscle microcirculation and cervical intervertebral mobility in individuals with postural neck-shoulder pain and examined the effects of therapeutic stretching.MethodsThirty asymptomatic participants and thirty with neck-shoulder pain were assessed using laser-Doppler flowmetry and videofluoroscopy to measure blood flow in the sternocleidomastoid (SCM), upper trapezius (UT), and masseter (MA) muscles and spinal motion, respectively. The patient group participated in an 8-week supervised stretching intervention.ResultsCompared to asymptomatic controls, patients with neck-shoulder pain showed 7.3%-11.2% lower blood volume and 5.8%-13.6% lower blood speed in target muscles. Post-intervention, significant improvements were observed in blood volume (SCM: 71.26 ± 9.00, UT: 75.80 ± 27.22, MA: 83.78 ± 19.26 au) and speed (SCM: 16.09 ± 4.75, UT: 17.65 ± 6.83, MA: 24.55 ± 10.58 au; all <i>p</i> < 0.05). Intervertebral flexion/extension mobility from C2/3 to C6/7 also significantly improved.ConclusionsAlterations in muscle microcirculation may be associated with impaired cervical biomechanics in postural neck-shoulder pain. Combined assessment of local blood perfusion and intervertebral mobility may provide valuable insights into the underlying mechanisms and support the development of targeted rehabilitation strategies to patients experiencing postural neck-shoulder pain.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261479179"},"PeriodicalIF":1.3,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TensorPat: Explainable artificial intelligence for EEG-based violence-stimulus classification.","authors":"Suat Tas, Dahiru Tanko, Mehmet Veysel Gun, Kubra Yildirim, Omer Faruk Goktas, Irem Tasci, Burak Tasci, Gulay Tasci, Sengul Dogan, Turker Tuncer","doi":"10.1177/09287329261481705","DOIUrl":"https://doi.org/10.1177/09287329261481705","url":null,"abstract":"<p><p><b>Background:</b> EEG responses to violence-related visual stimuli are relevant to neuroscience and digital forensics. Yet most EEG classification models emphasize predictive performance and provide limited evidence about the signal patterns that support each decision.<b>Method:</b> In this research, Tensor Pattern (TensorPat) was proposed as a three-dimensional feature extractor for EEG-based violence-stimulus classification. TensorPat was combined with CWINCA for feature selection, tkNN for classification, and Directed Lobish (DLob) for explainable result generation. In this way, a lightweight and traceable explainable feature engineering framework was developed.<b>Results:</b> A new 32-channel EEG dataset was collected from 34 participants, yielding 527 violence and 1285 control segments. TensorPat generated 10,240 features per segment, of which 131 were retained by CWINCA. LOSO CV was the primary validation protocol. The model achieved 96.14% accuracy and 94.37% balanced accuracy. Violence and control sensitivities were 90.13% and 98.60%, respectively. The DLob sentence had a complexity ratio of 90.92% and identified recurrent frontal, occipital, and parietal channel-symbol patterns. These outputs are model-derived explanations rather than direct activation maps.<b>Conclusions:</b> TensorPat provides a lightweight and explainable framework for EEG-based violence-stimulus classification. DLob outputs should be interpreted as model-derived explanations, not as direct brain activation maps or clinically validated biomarkers. The between-subject acquisition design defines the present scope of inference; matched within-subject cohorts and external datasets are required for broader validation.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261481705"},"PeriodicalIF":1.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining coronary revascularization: The emergence of totally endoscopic robotic bypass surgery.","authors":"Hamad Abdullah Shehab, Syed Mohammad Hussaini, Ibrahim Alabid, Wasim Iyad Alghoul, Mohamedanas Mohamedfaruk Patni","doi":"10.1177/09287329261481883","DOIUrl":"https://doi.org/10.1177/09287329261481883","url":null,"abstract":"<p><p>Totally endoscopic coronary artery bypass (TECAB) is regarded as the most advanced minimally invasive surgical coronary revascularization approach. The objective of this review is to discuss the current evidence on the feasibility, safety, clinical outcomes, and implementation challenges of TECAB, and to investigate whether TECAB can be considered a reproducible and effective alternative to traditional and other minimally invasive approaches for coronary artery bypass. A narrative review was conducted of studies reporting perioperative outcomes, graft patency, conversion rates, learning curves, and institutional experience. Available observational series suggest that TECAB can be performed safely in carefully selected patients at experienced centers, with low perioperative mortality, low complication rates, reduced surgical trauma, and shorter length of stay than conventional CABG in selected comparisons. Conversion to open procedures is an important challenge in early stages of program development. Reported graft patency is high in experienced centers, but long-term data remain limited. The steep learning curve, long operative time, high technical complexity, and high capital requirements remain barriers to widespread implementation. Overall, TECAB is a technically demanding minimally invasive revascularization approach with encouraging short- and mid-term results in specialized centers; however, broader adoption remains limited by technical complexity, programmatic demands, and the need for continued multicenter evaluation and structured training pathways.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261481883"},"PeriodicalIF":1.3,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing security and efficiency in healthcare cloud computing with blockchain integration and LZW compression: The BICCM framework.","authors":"Fareed Ullah, Zia Uddin, Muhammad Sardaraz, Muhammad Javed, Toba Aziz","doi":"10.1177/09287329261479267","DOIUrl":"https://doi.org/10.1177/09287329261479267","url":null,"abstract":"<p><p>Modern healthcare system produces large amount of sensitive clinical data, but no existing framework simultaneously addresses and satisfy rigorous security guarantees, storage efficiency and the throughput demand of clinical operations/transactions. All existing framework addresses these requirements in isolation such as cloud architectures lack cryptographic immutability and standalone blockchain systems suffer by high gas costs and block size limitations. To resolve this gap, we present the Blockchain-Integrated Cloud Compression Model (BICCM) a three-tier architecture that combines (i) Ethereum based smart contracts with Role-Based Access Control (RBAC) and Zero-Knowledge Proof (ZKP) authentication, (ii) Lempel-Ziv-Welch (LZW) lossless compression applied at a dedicated light node layer and (iii) a blockchain secured cloud object store with on-chain SHA-256 has anchoring. COVID-19 medical records from Pakistan Bureau of statistics (PBS-2023) in six size classes range from 4.93 to 39.80KB were used for evaluation.BICCM achieves 65.81 to 85.34% storage reduction, 64.3 to 84.4% gas savings (mean 76.4%), 45.4 to 83.2% execution-time improvement, and 50% transaction cost reduction Compared to the traditional Ethereum blockchain outperformed four competing algorithms (LZ-String, LZ77, Run-Length Encoding, Huffman) for all evaluated data sizes, attaining compression ratios of 2.92 to 6.82. Smart contract deployment on auxiliary nodes reduced ETH costs by 88.6% compared to the main deployment node. BICCM offers a scalable, safe and HIPAA/GDPR complaint platform for blockchain cloud healthcare data management with full implementation across all twelve assessed security criteria. Future work will follow a strategy for federated learning integration and post-quantum cryptography transition.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261479267"},"PeriodicalIF":1.3,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing postpartum care through it-enabled patient-centered service design: A systems theory perspective.","authors":"Chih-Lung Hung, Te-Min Chang, Pei-Chen Huang, Yi-Cheng Chen, Li-Min Lin, Jen-Her Wu","doi":"10.1177/09287329261477695","DOIUrl":"https://doi.org/10.1177/09287329261477695","url":null,"abstract":"","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261477695"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility study of early pressure injury detection using single-chamber and dual-cavity optical sensor.","authors":"En Chuang, Shao-Hung Lu, Wen-Chi Lin, Shi-Yi Wu, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin","doi":"10.1177/09287329261472834","DOIUrl":"https://doi.org/10.1177/09287329261472834","url":null,"abstract":"<p><p>ObjectiveTo develop and evaluate a single-chamber dual-channel optical probe leveraging near-infrared spectroscopy (NIRS) for the objective assessment of pressure-modulated tissue response, with emphasis on subcutaneous microvascular-related optical changes.MethodsA single-chamber and dual-cavity optical probe was designed using a quantitative approach inspired by the blanching test principle. The probe simulated two conditions: pressure and non-pressure, using 740 nm and 850 nm near-infrared LEDs as light sources. The optical properties of skin tissues were evaluated in these conditions to analyze localized blood flow changes. The study recruited healthy participants and individuals with pressure injuries, targeting high-risk anatomical sites to compare reflectance intensity differences across the two wavelengths.ResultsData from 398 measurement points demonstrated significant differences in NIRS reflectance between healthy and pressure injury tissues. In healthy tissues, reflectance at 740 nm and 850 nm increased under pressure due to effective blood displacement, indicating normal vascular function. Conversely, pressure injury sites exhibited reduced reflectance changes and higher hemoglobin absorption, particularly at 850 nm, reflecting impaired blood perfusion. Variance analysis confirmed significantly lower reflectance variation in pressure injury tissues compared to healthy tissues (p < 0.001), highlighting restricted blood flow dynamics.ConclusionThis pilot study demonstrates the feasibility of NIRS-based optical probing for assessing pressure-modulated tissue response at high-risk anatomical sites. These preliminary findings support further validation in larger and more rigorously designed clinical studies.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261472834"},"PeriodicalIF":1.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A preliminary analysis of relationship between dual-task gait and age-related cognitive ability using neural network models.","authors":"Yuying Zhang, Jingying Xu, Afsoun Nicholas, Graham Arnold, Weijie Wang","doi":"10.1177/09287329261474682","DOIUrl":"https://doi.org/10.1177/09287329261474682","url":null,"abstract":"<p><p>BackgroundAging causes declines in cognitive and motor functions, often manifested in altered gait. Dual-task gait is a sensitive marker for early functional changes. This study investigated whether neural network (NN) models can differentiate gait patterns across age groups under dual-task conditions, and which joint features contribute most to age classification.MethodsThirty-six healthy were recruited for three groups: young (18-37 years), middle-aged (38-57), and older adults (≥58), with 12 in each. Gait data were collected under dual-task conditions (reverse-counting while walking) using a Vicon motion capture system and force plates. The outcomes from gait analysis included spatiotemporal parameters, full-body joint angles, and lower limb joint force, moment and power. Eleven kinds of NN models with different combinations of gait outcomes were constructed using NNs to classify age groups.ResultsThe NN model combining all kinematics, kinetics, and spatiotemporal parameters achieved the highest classification accuracy (95.70 ± 3.15%), with F1 scores (the harmonic mean of precision and recall) above 0.948 across all age groups. Among single-feature models, the full-body kinematic model performed best (94.17 ± 3.47%), while the spatiotemporal model showed the lowest accuracy. The middle-aged group achieved the highest accuracy in the full-body kinematic model. Ankle-related features were a main factor in contributing to the NN models.ConclusionNN models with all-parameters can accurately classify age-related dual-task gait differences. By capturing gait changes, NN offers a quantitative tool for early detection of motor and cognitive decline, with potential applications in fall risk prediction, dementia screening, and targeted rehabilitation.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261474682"},"PeriodicalIF":1.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of infusion and syringe pump ownership with hospital functions in facilities employing clinical engineers.","authors":"Hirohito Imada, Kento Watanabe, Ai Oishi, Sho Tomisaki, Takayuki Nishigaki, Takehito Hananouchi","doi":"10.1177/09287329261472778","DOIUrl":"https://doi.org/10.1177/09287329261472778","url":null,"abstract":"<p><p>ObjectiveInfusion and syringe pumps are essential for safe and continuous medication administration, but quantitative indicators for their allocation across hospitals remain unclear. This study examined whether pump ownership in hospitals employing clinical engineers was associated not only with hospital size but also with hospital functional and structural characteristics.MethodsThis nationwide cross-sectional study integrated questionnaire data on infusion and syringe pump ownership with publicly available hospital-level data in Japan. A total of 248 hospitals were analyzed. Associations with hospital characteristics were examined using Spearman's rank correlation, non-parametric group comparisons, and multiple linear regression analyses.ResultsPump ownership was strongly correlated with the number of beds for both infusion and syringe pumps. Pumps per bed ranged from 0.26 to 0.48 for infusion pumps and from 0.16 to 0.45 for syringe pumps. In multivariable analyses, infusion pump ownership was associated with bed count, chemotherapy cases, emergency transports, and advanced treatment hospital status. Syringe pump ownership was associated with bed count, emergency transports, surgeries under general anesthesia, secondary and tertiary emergency care status, and advanced treatment hospital status.ConclusionPump ownership was associated with hospital size and functional characteristics. These findings support function-based and data-driven medical device allocation indicators.</p>","PeriodicalId":48978,"journal":{"name":"Technology and Health Care","volume":" ","pages":"9287329261472778"},"PeriodicalIF":1.3,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}