Interactive Journal of Medical Research最新文献

{"title":"Characterization of Global Research Trends and Prospects on Prone Positioning in Respiratory Failure: Bibliometric Analysis.","authors":"Rong Lei, Feng Yue, Chaofu Yue, Zihan Zhang, Xian Huang, Qiaolin Li, Zhigang Yang, Rong Li, Keyi Zhao, Mei Yang","doi":"10.2196/67276","DOIUrl":"10.2196/67276","url":null,"abstract":"<p><strong>Background: </strong>Prone positioning has emerged as a crucial intervention in managing acute respiratory failure, especially in acute respiratory distress syndrome and patients with COVID-19. Given the increasing interest in this field, it is important to characterize global research trends and key contributors to identify future research directions.</p><p><strong>Objective: </strong>This study aimed to analyze global research trends, collaboration networks, and research hotspots related to prone positioning in respiratory failure through a comprehensive bibliometric analysis.</p><p><strong>Methods: </strong>Bibliometric analyses were conducted using CiteSpace and Biblioshiny software on publications up to December 31, 2023, from the Web of Science Core Collection, focusing on prone positioning in respiratory failure.</p><p><strong>Results: </strong>A total of 1263 research articles were identified, published in 50 countries by numerous institutions. The United States, France, and Germany contributed the most publications, with the United States producing 21.9% (275/1263) of the total. Key authors such as Claude Guerin and Luciano Gattinoni were identified as major contributors to the field. Keyword co-occurrence analysis revealed the dynamic nature of prone positioning research in respiratory failure. It highlighted protective ventilation and COVID-19-related acute respiratory distress syndrome as emerging hotspots, indicating a shift in focus during the pandemic.</p><p><strong>Conclusions: </strong>This study revealed a rapidly growing body of literature on prone positioning in respiratory failure, especially in the context of COVID-19. The findings underscore the importance of further multicenter clinical trials to validate current practices and refine treatment protocols. In addition, the application of prone positioning in non-intubated patients represents a potential future research direction.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e67276"},"PeriodicalIF":1.9,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact Factor Trends of Top Obstetrics and Gynecology Journals During COVID-19.","authors":"Minhazur Sarker, Emily Yang, Ukachi Emeruwa, Timothy Wen","doi":"10.2196/70554","DOIUrl":"10.2196/70554","url":null,"abstract":"<p><strong>Unlabelled: </strong>Obstetrics and gynecology journal impact factor trends during the COVID-19 pandemic were similar to those seen among other medical specialties, and our findings further highlight the ongoing need to implement a metric of research impact that is not as easily manipulated by selective publication.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e70554"},"PeriodicalIF":1.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Virtual Reality on Hope and Travel Expectations in Healthy and Hospitalized Children: Quasi-Experimental Design Approach.","authors":"Pei-Shan Hsieh, Hsiu-Sen Chiang, Fang-Liang Huang, Wen-Hsin Chi","doi":"10.2196/65311","DOIUrl":"10.2196/65311","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Virtual reality (VR) has become a powerful tool for enhancing the experiences of patients with critical illnesses, particularly hospitalized children with leukemia. Since traveling is nearly impossible for them, St Jude has teamed up with the travel company Expedia to launch \"Dream Adventures,\" a pilot program that offers immersive VR experiences, allowing children to explore new destinations from the comfort of the hospital.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of this study was to evaluate the pleasurable experience of VR and its impact on healthy and hospitalized children's travel expectations and hope by using electrocardiography (ECG) and questionnaires to enhance research objectivity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Participants were children aged 7-18 years, divided into 2 distinct groups: 30 healthy children and 18 hospitalized children with leukemia. Both groups received the same VR intervention and were assessed using a 1-group pretest-posttest design. The questionnaires were designed to assess differences in the children's sense of hope and travel expectations, and their physiological data were collected through ECG.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results indicated a statistically significant increase in hope levels from pre-VR to post-VR intervention in both healthy children (preintervention: mean 5.83, SD 0.87; postintervention: mean 6.36, SD 0.76; P=.002) and hospitalized children (preintervention: mean 5.51, SD 1.17; postintervention: mean 5.73, SD 1.15; P=.03), as determined by paired samples 2-tailed t tests. Furthermore, an independent samples 2-tailed t test revealed a significant difference in postintervention hope levels between the hospitalized children (mean 5.73, SD 1.15) and healthy children (mean 6.36, SD 0.76; P=.05). Then, we further compared the mean differences in hope scores from preintervention to postintervention. Healthy children demonstrated a greater increase (an increase of 0.53, from 5.83 to 6.36) than the hospitalized children (an increase of 0.22, from 5.51 to 5.73). In terms of physiological responses, ECG indicators such as SD of all normal-to-normal intervals and low-frequency power revealed significant differences in autonomic nervous system activity between the 2 groups. Healthy children exhibited higher sympathetic activation, suggesting greater emotional engagement during the VR experience, whereas hospitalized children demonstrated more attenuated responses. The consistency between physiological data and self-reported measures strengthens the construct validity of the instruments used and enhances the overall reliability of the study findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The VR intervention significantly increased hope levels in both healthy children and hospitalized children with leukemia, with a greater improvement observed among healthy participants. Therefore, this study suggests that when designing interventions for hospitalized children, more t","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e65311"},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic Inflammation and Disruption of the Local Microenvironment Compromise Muscle Regeneration: Critical Pathogenesis of Autoimmune-Associated Sarcopenia.","authors":"Yingjuan Zhang, Qingqian Wu, Yi Wang, Qingyan Chen, Shuang Han, Bei Li, Qingwen Zhao, Qianzhuo Wang, Yule Wang, Yue Gao","doi":"10.2196/64456","DOIUrl":"10.2196/64456","url":null,"abstract":"<p><strong>Unlabelled: </strong>Sarcopenia is defined by age-related reductions in muscle mass, strength, and physiological function, and it is especially prevalent among individuals with autoimmune diseases. Autoimmune disorders, characterized by immune dysregulation, cause systemic inflammation and damage to multiple tissues through unregulated immune activity. Research indicates that autoimmune diseases negatively impact skeletal muscle functions and may worsen the progression of sarcopenia. This viewpoint comprehensively discusses the pathogenesis and potential mechanism of sarcopenia in 3 autoimmune diseases: inflammatory bowel disease, rheumatoid arthritis, and type 1 diabetes mellitus. Mechanistically, chronic immune microenvironment alterations induce compartment-specific redistribution of leukocyte subsets and cytokine networks. These perturbations disrupt critical signaling pathways governing muscle protein synthesis, satellite cell activation, and mitochondrial bioenergetics, leading to impaired regeneration and accelerated sarcopenia progression. By delineating shared and distinct pathomechanisms across these models, this analysis reframes our understanding of immune-mediated muscle wasting. Beyond mechanistic insights, it establishes a translational framework for targeted therapies and highlights emerging research directions bridging immunology and age-related musculoskeletal decline.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e64456"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Size and Composition of Caregiver Networks Who Manage Medications for Persons Living With Dementia: Cross-Sectional Analysis of the 2011-2022 National Health and Aging Trends Study.","authors":"Reed Wr Bratches, Frank Puga, Paul J Barr, Amanda N Leggett, Meredith Masel, James Nicholas Odom, Rita Jablonski","doi":"10.2196/64499","DOIUrl":"10.2196/64499","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers commonly help manage medications taken by persons living with dementia. Recent work has highlighted the importance of caregiver networks, which are multiple caregivers managing care for a single person, on managing care for persons living with dementia, especially medication management. However, less is known about the composition of caregiver networks.</p><p><strong>Objective: </strong>The objective of this analysis was to describe the composition of caregiver networks that manage medications, the factors associated with helping with medications within caregiver networks, and whether racial or ethnic differences exist in caregiver network composition.</p><p><strong>Methods: </strong>This cross-sectional secondary analysis used data from the National Health and Aging Trends Study (NHATS) \"other person\" files from 2011 to 2022. Descriptive statistics were calculated for caregivers who were identified as helping manage medications for a person with dementia. Mixed-effect logistic regression was used to determine factors associated with helping with medications among caregiver networks, with odds ratios converted to predicted probabilities using marginal standardization. A P value of .05 or less was considered statistically significant. Secondary analysis was stratified by race and ethnicity due to identified cultural differences in living situation and overall caregiver network composition.</p><p><strong>Results: </strong>A total of 15,809 caregivers were analyzed. Of those, 3048 (19.2%) managed medications for persons living with dementia. Caregiver networks that manage medications tend to include a spouse or partner and child, at least one of whom has a college degree. Every person with dementia reported at least 1 person who managed their medications. White persons with dementia had an average of 2.4 (range 1-9) people who managed medications, while Black or African American persons with dementia had an average of 2.8 (range 1-9) and Hispanic or Latino persons with dementia had an average of 2.9 (range 1-8) people who managed medications. Spouses were most likely to manage medications across all racial and ethnic groups. In regression modeling, female gender (predicted probability [PP] 15%, 95% CI 13%-17%; P<.001), Black or African American race (PP 7%, 95% CI 4%-10%; P<.001), and Hispanic ethnicity (PP 4%, 95% CI 1%-9%; P=.04) were associated with an increased probability of helping with medications.</p><p><strong>Conclusions: </strong>The size and composition of caregiver networks that manage medications for persons living with dementia differ by race and ethnicity but typically includes at least 2 people, one of whom has a college degree. Helping with medications was more likely among non-White family caregivers, while White patients with dementia were more likely to use paid help to manage medications.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e64499"},"PeriodicalIF":1.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Machine Learning and Emerging Health Technologies in the Uptake of HIV Testing: Bibliometric Analysis of Studies Published From 2000 to 2024.","authors":"Musa Jaiteh, Edith Phalane, Yegnanew A Shiferaw, Lateef Babatunde Amusa, Hossana Twinomurinzi, Refilwe Nancy Phaswana-Mafuya","doi":"10.2196/64829","DOIUrl":"10.2196/64829","url":null,"abstract":"<p><strong>Background: </strong>The global targets for HIV testing for achieving the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95 targets are still short. Identifying gaps and opportunities for HIV testing uptake is crucial in fast-tracking the second (initiate people living with HIV on antiretroviral therapy) and third (viral suppression) UNAIDS goals. Machine learning and health technologies can precisely predict high-risk individuals and facilitate more effective and efficient HIV testing methods. Despite this advancement, there exists a research gap regarding the extent to which such technologies are integrated into HIV testing strategies worldwide.</p><p><strong>Objective: </strong>The study aimed to examine the characteristics, citation patterns, and contents of published studies applying machine learning and emerging health technologies in HIV testing from 2000 to 2024.</p><p><strong>Methods: </strong>This bibliometric analysis identified relevant studies using machine learning and emerging health technologies in HIV testing from the Web of Science database using synonymous keywords. The Bibliometrix R package was used to analyze the characteristics, citation patterns, and contents of 266 articles. The VOSviewer software was used to conduct network visualization. The analysis focused on the yearly growth rate, citation analysis, keywords, institutions, countries, authorship, and collaboration patterns. Key themes and topics were driven by the authors' most frequent keywords, which aided the content analysis.</p><p><strong>Results: </strong>The analysis revealed a scientific annual growth rate of 15.68%, with an international coauthorship of 8.22% and an average citation count of 17.47 per document. The most relevant sources were from high-impact journals such as the Journal of Internet Medicine Research, JMIR mHealth and uHealth, JMIR Research Protocols, mHealth, AIDS Care-Psychological and Socio-Medical Aspects of AI, and BMC Public Health, and PLOS One. The United States of America, China, South Africa, the United Kingdom, and Australia produced the highest number of contributions. Collaboration analysis showed significant networks among universities in high-income countries, including the University of North Carolina, Emory University, the University of Michigan, San Diego State University, the University of Pennsylvania, and the London School of Hygiene and Tropical Medicine. The discrepancy highlights missed opportunities in strategic partnerships between high-income and low-income countries. The results further demonstrate that machine learning and health technologies enhance the effective and efficient implementation of innovative HIV testing methods, including HIV self-testing among priority populations.</p><p><strong>Conclusions: </strong>This study identifies trends and hotspots of machine learning and health technology research in relation to HIV testing across various countries, institutions, journals, and autho","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e64829"},"PeriodicalIF":1.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical Challenges and Opportunities of AI in End-of-Life Palliative Care: Integrative Review.","authors":"Abel García Abejas, David Geraldes Santos, Fabio Leite Costa, Aida Cordero Botejara, Helder Mota-Filipe, Àngels Salvador Vergés","doi":"10.2196/73517","DOIUrl":"10.2196/73517","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is increasingly integrated into palliative medicine, offering opportunities to improve quality, efficiency, and patient-centeredness in end-of-life care. However, its use raises complex ethical issues, including privacy, equity, dehumanization, and decision-making dilemmas.</p><p><strong>Objective: </strong>We aim to critically analyze the main ethical implications of AI in end-of-life palliative care and examine the benefits and risks. We propose strategies for ethical and responsible implementation.</p><p><strong>Methods: </strong>We conducted an integrative review of studies published from 2020 to 2025 in English, Portuguese, and Spanish, identified through systematic searches in PubMed, Scopus, and Google Scholar. Inclusion criteria were studies addressing AI in palliative medicine focusing on ethical implications or patient experience. Two reviewers independently performed study selection and data extraction, resolving discrepancies by consensus. The quality of the papers was assessed using the Critical Appraisal Skills Programme checklist and the Hawker et al tool.</p><p><strong>Results: </strong>Six key themes emerged: (1) practical applications of AI, (2) communication and AI tools, (3) patient experience and humanization, (4) ethical implications, (5) quality of life perspectives, and (6) challenges and limitations. While AI shows promise for improving efficiency and personalization, consolidated real-world examples of efficiency and equity remain scarce. Key risks include algorithmic bias, cultural insensitivity, and the potential for reduced patient autonomy.</p><p><strong>Conclusions: </strong>AI can transform palliative care, but implementation must be patient-centered and ethically grounded. Robust policies are needed to ensure equity, privacy, and humanization. Future research should address data diversity, social determinants, and culturally sensitive approaches.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":" ","pages":"e73517"},"PeriodicalIF":1.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative, Technology-Driven, Digital Tools for Managing Pediatric Urinary Incontinence: Scoping Review.","authors":"Lola Bladt, Jiri Vermeulen, Alexandra Vermandel, Gunter De Win, Lukas Van Campenhout","doi":"10.2196/66336","DOIUrl":"10.2196/66336","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Urinary incontinence affects approximately 7% to 10% of children during the day and 9% to 12% of children during the night. Treatment mainly involves lifestyle advice and behavioral methods, but motivation and adherence are low. Traditional tools such as pen-and-paper solutions may feel outdated and no longer meet the needs of today's \"digital native\" children. Meanwhile, digital interventions have already shown effectiveness in other pediatric health care areas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This scoping review aimed to identify and map innovative, technology-driven, digital tools for managing pediatric urinary incontinence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;PubMed, Web of Science, and the Cochrane Library were searched in March 2022 without date restrictions, complemented by cross-referencing. Studies were eligible if they focused on pediatric patients (aged ≤18 years) with bladder and bowel dysfunctions and explored noninvasive, technology-based interventions such as digital health, remote monitoring, and gamification. Studies on adults, invasive treatments, and conventional methods without tangible tools were excluded. Gray literature was considered, but non-English-language, inaccessible, or result-lacking articles were excluded. A formal critical appraisal was not conducted as the focus was on mapping existing tools rather than evaluating effectiveness. Data analysis combined descriptive statistics and qualitative content analysis, categorizing tools through iterative coding and team discussions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 66 articles were included, with nearly one-third (21/66, 32%) focusing on nocturnal enuresis. Our analysis led to the identification of six main categories of tools: (1) digital self-management (7/66, 11%); (2) serious games (7/66, 11%); (3) reminder technology (6/66, 9%); (4) educational media (12/66, 18%), further divided into video (5/12, 42%) and other media (7/12, 58%); (5) telehealth and remote patient monitoring (13/66, 20%), with subcategories of communication (5/13, 38%) and technological advances (8/13, 62%); and (6) enuresis alarm innovations (21/66, 32%), further divided into novel configurations (8/21, 38%) and prevoid alarms (13/21, 62%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The field of pediatric urinary incontinence demonstrates a considerable level of innovation, as evidenced by the inclusion of 66 studies. Many tools identified in this review were described as promising and feasible alternatives to traditional methods. These tools were reported to enhance engagement, improve compliance, and increase patient satisfaction and preference while also having the potential to save time for health care providers. However, this review also identified gaps in research, highlighting the need for more rigorous research to better assess the tools' effectiveness and address the complex, multifaceted challenges of pediatric urinary incontinence management. Limitations of ","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e66336"},"PeriodicalIF":1.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Online Labor Platforms on Workforce Management in Health Care.","authors":"Maryam Ahmadi Shad, Michael Simon, Florian Liberatore","doi":"10.2196/68546","DOIUrl":"https://doi.org/10.2196/68546","url":null,"abstract":"<p><strong>Unlabelled: </strong>Online labor platforms (OLPs) have the potential to change how the workforce is allocated and managed in health care. The contracting, coordination, and communication of bookings and work assignments happen on these platforms in near real-time with no delay and without any human interactions. This perspective paper describes the worldwide trend toward OLPs in health care, gives an overview of the functioning of these platforms, and discusses the prospects and challenges for health care management. As a real-world case, the platform logic, growth and traffic of a Swiss OLP designed for temporary nurse deployment are presented. OLPs facilitate managing different work arrangements (float pools and temporary work) through (1) offering health care staff flexible work options, which in turn lowers the dropout rates of health care professionals; and (2) effectively managing internal staffing allowing human resource sharing within and across health care organizations. For health care management research, OLPs yield data that can be used to analyze the characteristics, use, and dynamics of flexible work arrangements and temporary work in health care.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e68546"},"PeriodicalIF":1.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for Crown Failures in Primary Teeth: Systematic Review and Meta-Analysis.","authors":"Stephan Lampl, Deepa Gurunathan, Deepak Mehta, Krithikadatta Jogikalmat","doi":"10.2196/57958","DOIUrl":"https://doi.org/10.2196/57958","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Understanding long-term retention rates and complications associated with different materials for fabricating pediatric crowns for primary teeth is crucial for material selection and optimizing clinical outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This systematic review aimed to descriptively analyze the crown-retention rates and complications associated with crown retention, as well as the biological and technical complications of pediatric crowns, for primary teeth. The meta-analysis reported herein was performed to estimate long-term (3-year and 5-year) retention rates of these pediatric crowns fabricated using various materials.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using the PICOS (Population, Intervention, Comparison, Outcomes, and Study design) paradigm, a systematic search was conducted between July and August 2023 in the Cochrane, Embase, and PubMed databases to identify randomized controlled trials (RCTs) and clinical (prospective and retrospective) studies reporting retention rates, complications of crown retention, and biological and technical complications. After selecting studies with a predefined set of selection criteria, data from included studies were used for a systematic review aimed at a descriptive analysis of factors associated with the failure of crowns for primary teeth. Data from the included RCTs were used for meta-analysis, wherein 3-year and 5-year crown-retention rates were estimated using Poisson regression models.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This systematic review included 13 RCTs and 5 clinical studies on dental crowns for primary teeth, involving 454 children (1172 crowns) in RCTs and 810 children (2667 crowns) in clinical studies. The median follow-up durations were 12 months for RCTs and 20.8 months for clinical studies, with a 10.6% (124/1172) dropout rate in RCTs. Meta-analysis of pooled 5-year retention rates for different crown materials revealed the following retention rates: 88.90% for compomer crowns, 92.18% for composite resin crowns, 90.30% for resin-modified glass ionomer cement (RMGIC) crowns, and 97.88% for stainless steel crowns. Additionally, strip crowns exhibited a retention rate of 83.48%, while zirconia crowns had a retention rate of 97.09%. Poisson regression estimated 3-year and 5-year crown-retention rates, indicating good outcomes across materials. Complications included secondary caries (up to 21.8% in zirconia crowns) and marginal adaptation issues (up to 22.2% in compomer crowns). These findings highlight material-specific considerations necessary for optimizing outcomes in pediatric dental crown treatments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;While retentive complications such as chipping, material loss, and fractures do occur across materials, compomer, composite resin, stainless steel, strip, and zirconia crowns all have clinically acceptable retention rates. However, the differences in biological and technical complications between materials may provide","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":"14 ","pages":"e57958"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}