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Physical and Mental Health in Adolescence: Novel Insights from a transdiagnostic examination of FitBit data in the ABCD Study.

Adolescence is among the most vulnerable period for the emergence of serious mental illnesses. Addressing this vulnerability has generated interest in identifying markers of risk for symptoms and opportunities for early intervention. Physical fitness has been linked to psychopathology and may be a useful risk marker and target for early intervention. New wearable technology has made assessing fitness behavior more practical while avoiding recall and self-report bias. Still, questions remain regarding the clinical utility of physical fitness metrics for mental health, both transdiagnostically a

Comparison of surface roughness and hardness of three different brands of esthetic coated NiTi archwires: invitro study.

BACKGROUND: The purpose of the current in vitro study was to evaluate the surface roughness and hardness of three brands of as-received esthetic coated NiTi archwires and compare them with the same parameters after immersion in artificial saliva. METHODS: Three groups of 0.016 × 0.022 inch epoxy-coated NiTi orthodontic wires [Tooth tone coated NiTi (Ortho Technology, West Columbia, USA), EverWhite NiTi (American Orthodontics, Wisconsin, USA) and Nitanium Super Elastic Tooth Tone Plastic coated (Ortho Organizers, San Marcos, CA, USA)] were compared. Each group was subdivided into five as-recei

Digital Transformational Leadership and Coordinated Care in European Primary Healthcare: The Mediating Role of Patient Agility.

PURPOSE: This study aims to examine how digital transformational leadership (DTL) is associated with coordinated care (CR) in primary healthcare organizations, with particular focus on the mediating role of patient agility (PA). By integrating the dynamic capabilities perspective, the resource-based view, and socio-technical systems theory, the study seeks to explain how leadership is associated with coordination outcomes in complex healthcare environments. PATIENTS AND METHODS: Data were collected from a cross-national sample of 1,208 primary care managers in Sweden, Italy, Spain, and German

A qualitative study on users' perspective on the functioning of the National Non-Communicable disease portal in Dakshina Kannada district, Karnataka.

BACKGROUND: The Government of India recognizes the utilization of uniform information, communication, and technology (ICTs) applications which can improve understanding of the nation’s expanding health demands and rising non-communicable disease (NCD) burden. One such intervention is the development of the “National NCD Portal” was to aid healthcare providers in Population-Based Screening (PBS) initiative for common NCDs (diabetes, hypertension, cancers of the oral cavity, breast, and cervix) above 30 years of age. When such digital tools are introduced in healthcare, it is critical to underst

Understanding anesthesia anxiety: A mixed-methods analysis of propofol discourse on reddit.

OBJECTIVE: Propofol is widely used in procedural sedation and general anesthesia, but often provokes anxiety among patients and some providers. This study investigates the emotional and thematic landscape of propofol-related discourse on Reddit, a major online health information platform. METHODS: We analyzed 921 publicly available Reddit posts referencing "propofol" and related sedation terms using a mixed-methods approach. Sentiment analysis was performed with TextBlob and complemented by manual thematic coding. Posts were categorized by subreddit, sentiment, and topic. Descriptive statisti

Artificial Intelligence in Family Nursing: An Evidence-Informed Policy Framework for Safe and Equitable Integration.

AIM: To propose an evidence-informed nursing policy framework for the safe, equitable and human-centred integration of artificial intelligence into family nursing. BACKGROUND: Ageing populations, chronic illness and the shift towards home- and community-based care have increased reliance on families and family nursing. Artificial intelligence is increasingly used in healthcare for prediction, decision support, communication, remote monitoring and documentation. However, its implications for family nursing remain underexamined because family nursing involves relationships, shared decision-maki

Comparison of accuracy in full-arch implant impressions using conventional, intraoral, and photogrammetric techniques: an in vitro study.

OBJECTIVES: To compare the accuracy of conventional impression (CNV), extraoral photogrammetry (EPG), intraoral photogrammetry (IPG), two intraoral scanners (IOSs), and three intraoral scan bodies (ISBs) for capturing an edentulous model with six implant analogs. MATERIAL AND METHODS: An edentulous mandibular master stone cast with six implant analogs was digitized using a desktop scanner. Stone casts obtained from CNV were scanned using the same laboratory scanner. Digital scans of the master cast were obtained using an EPG system (ICam4D, ICam), an IPG system (Aoralscan Elite, Elite), and t

Development of a remote therapeutic monitoring platform: applications for movement disorders.

Digital health tools are emerging as a promising solution for optimizing Deep Brain Stimulation (DBS) therapy for neurodegenerative diseases such as Parkinson's Disease (PD), addressing challenges of therapy maintenance, care access, and discrete assessments. Wearable technology and mobile health platforms can offer remote monitoring capabilities, allowing for real-time virtual programming with optimization of patients' therapy, use of digital biomarkers that can help identify the onset, symptoms, medication-related fluctuations and side-effects, and response to DBS treatment. Through an inves

Action at a Distance: Geriatric Research during a Pandemic.

BACKGROUND: "Action at a distance" may be the new norm for clinical researchers in the context of the COVID-19 pandemic that may require social distancing for the next 18 months. We must minimize face-to-face contact with vulnerable populations. But we must also persist, adapt, and help our older patients and study participants during the pandemic. METHODS: Clinical researchers have an obligation to help, and we can. Recommendations for clinical researchers working with older adults during the COVID-19 pandemic are discussed. RESULTS: Implement technology now: Minimize face-to-face contact w

Laminar CBV and BOLD response-characteristics over time and space in the human primary somatosensory cortex at 7T.

Uncovering the cortical representation of the body has been at the core of human brain mapping for decades, with special attention given to the digits. In the last decade, advances in functional magnetic resonance imaging (fMRI) technologies have opened the possibility of noninvasively unraveling the 3rd dimension of digit representations in humans along cortical layers. In laminar fMRI it is common to combine the use of the highly sensitive blood oxygen level dependent (BOLD) contrast with cerebral blood volume sensitive measurements, like vascular space occupancy (VASO), that are more specif

The potential of the Medical Digital Twin in diabetes management: a review.

Diabetes is a chronic prevalent disease that must be managed to improve the patient's quality of life. However, the limited healthcare management resources compared to the large diabetes mellitus (DM) population are an obstacle that needs modern information technology to improve. Digital twin (DT) is a relatively new approach that has emerged as a viable tool in several sectors of healthcare, and there have been some publications on DT in disease management. The systematic summary of the use of DTs and its potential applications in DM is less reported. In this review, we summarized the key tec

Clinical application of physical therapy in facial paralysis treatment: A review.

This review aims to summarize recent studies regarding the specific modalities of physical therapy as a form of treatment for patients with … rical stimulation, dry needling, and acupuncture, will be addressed. Lastly, the application of new digital technology will be discussed.

Utility of Dual-Energy CT to Improve Diagnosis of CSF Leaks on CT Myelography following Lateral Decubitus Digital Subtraction Myelography with Negative Findings.

CSF leaks, including CSF-venous fistulas, which cause spontaneous intracranial hypotension, remain difficult to diagnose, even on digital subtraction myelography and CT myelography. Dual-energy CT technology has been used to improve diagnostic utility within multiple organ systems. The capability of dual-energy CT to create virtual monoenergetic images can be leveraged to increase conspicuity of contrast in CSF-venous fistulas and direct epidural CSF leakage to improve the diagnostic utility of CT myelography. Six cases (in 5 patients) are shown in which virtual monoenergetic images demonstrat

Developing innovative models to improve ease of access and outcomes of rehabilitation services in rural communities: An integrative narrative review.

BackgroundRehabilitation services in rural areas face persistent barriers such as geographic isolation, limited infrastructure, and resource constraints, which significantly impact patient access and outcomes.ObjectiveThis study investigates innovative models designed to improve rehabilitation access and enhance patient outcomes in these underserved communities.MethodsA purposeful sampling strategy was applied, targeting peer-reviewed articles, case studies, and government health reports published between 2008 and 2024 that evaluated rehabilitation models implemented in rural or underserved re

Parental involvement among primary school parents in China: A reconstruction under policy reform and educational digitalization.

Under the dual context of the "Double Reduction" policy and digitalization of education, Chinese parents' educational participation and role perception are undergoing profound changes. This study aims to explore how parents in urban and county areas engage in their children's learning within this new educational ecology and how they perceive and adjust their parental roles. Guided by an Interpretative Phenomenological Analysis (IPA) approach, ten parents of primary school students were recruited using a combination of purposive and convenience sampling. Data were collected through two rounds o

From Pandemic Response to Kill the Clipboard: Patient-Controlled Sharing of Health Data Using International Patient Summary (IPS) and QR codes.

BACKGROUND: Despite advances in interoperability, patient-supplied medical histories commonly use paper-based forms. Dissatisfaction with this inefficiency has led to the "Kill the Clipboard" initiative from the Centers for Medicare & Medicaid Services to advance digital alternatives. During the coronavirus disease 2019 (COVID-19) pandemic, patient-controlled vaccination record sharing demonstrated that Quick Response (QR) codes and digital data standards provide an effective option. Building on this, several nations are using three standards to securely view and exchange medical data: Fast He

Association between Internet Use for Health Information and Self-reported Alzheimer's Disease Diagnosis among Older Adults in the United States: Racial and Gender Disparities.

BACKGROUND: Alzheimer's disease (AD) disproportionately affects racial and ethnic minority populations, reflecting broader inequities in access to diagnosis, treatment, and long-term care. As digital health technologies become increasingly widespread, understanding whether internet use for health information is associated with Alzheimer's disease diagnosis may inform strategies to address disparities in aging populations. AIM: This study examined the association between internet use for health or medical information and AD diagnosis among older adults in the United States and assessed whether

Оценка ухода за пациентами при множественном склерозе: воздействие комбинированных цифровых инструментов и комплексных стратегий управления.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Инновации имеют важнейшее значение для удовлетворения потребностей людей, имеющих MS (PwMS), в частности в устранении задержек в диагностике и лечении, а также в поддержке самостоятельного управления пациентами. ЦЕЛИ: Оценка использования цифровых технологий в реальном мире и результатов их применения, а также комплексных стратегий управления НР в Центре Соединенного Королевства. МЕТОДЫ: Цифровые средства для PwMS включали в себя " Пациенты Знают лучше " (случаи личного здоровья) и " CONNECTPlus " (образовательное приложение). Инструменты для специали

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… Impact of digital technology and holistic care Trends towards improved patient management and early detection The MS Pro Discuss score provides an idea of the likelihood of disease progression in an individual patient. … Discussion The implementation of innovative, integrated digital technologies and a holistic Healthy Lifestyle Clinic (HLC) at South Devon and Torbay Healthcare Trust has shown early promise. …

Effectiveness of Different Oral Health Interventions on Plaque and Gingivitis Incidence in Children Under Seven Years of Age: A Systematic Review and Meta-Analysis.

Oral health is crucial for young children, yet plaque and gingivitis pose significant challenges. This review evaluates oral health interventions for children under seven years to identify effective strategies. A systematic review was conducted across multiple databases using predefined criteria. Thirteen thousand five hundred records were identified, with 13 studies meeting the inclusion criteria. Various interventions were assessed, including tactile models, digital tools, fluoride varnish, and education programs. The meta-analysis showed heterogeneity in outcomes, with some interventions si

Screen-based digital learning methods in radiation oncology and medical education.

The field of radiation oncology is rapidly advancing through technological and biomedical innovation backed by robust research evidence. In addition, cancer professionals are notoriously time-poor, meaning there is a need for high quality, accessible and tailored oncological education programs. Digital learning (DL) is well-placed to cater to these needs, as it provides teaching options that can be delivered flexibly and on-demand from anywhere in the world. The evidence for usage of these techniques in medical education has expanded rapidly in recent years. However, there remains many reserva