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Wearable Intervention for Alcohol Use Risk and Sleep in Young Adults: A Randomized Clinical Trial.

IMPORTANCE: Young adults in the US have the highest prevalence of alcohol use disorder; technology-based interventions may help to reduce drinking. OBJECTIVE: To test the efficacy of a multimodal digital intervention of wearable feedback and coaching for improving at-risk drinking and sleep health in young adults. DESIGN, SETTING, AND PARTICIPANTS: This parallel phase 2 randomized clinical trial was conducted from December 17, 2018, to May 19, 2021, at a research clinic in Connecticut. Participants were young adults (aged 18-25 years) from the local community (web and social media ads, publi

Conversion practice recall and mental health symptoms in sexual and gender minority adults in the USA: a cross-sectional study.

BACKGROUND: Conversion practices are associated with psychological morbidity, yet few studies have evaluated differences between efforts to change gender identity, sexual orientation, or both. We aimed to examine the individual and joint association of conversion practice recall targeted at gender identity or sexual orientation, or both, with current mental health symptoms among sexual and gender minority people. METHODS: This cross-sectional study used data from The PRIDE Study, a US-based, online, prospective cohort study of sexual and gender minority adults who were recruited through socia

Scientists' Warning to Humanity: The Need to Begin Teaching Critical and Systems Thinking Early in Life.

We live in a time of global crises: a deteriorating environment that is struggling to provide all the resources and services we demand of it, changing climate and its consequences for the biosphere, its habitats, inhabitants and biodiversity, conflicts-divisive ideologies-competition for resources, increasing societal inequalities and human deprivations, and a youth mental health pandemic, to name but just a few. Most of these crises are self-made, the result of human decisions, and their acceptance/toleration by society. Policies and practices at all levels of society that created, exacerbate

[Knowledge of the population about leading symptoms of cardiovascular emergencies and the responsibility and accessibility of medical facilities in emergencies : Results of the KZEN study in Western Palatinate].

BACKGROUND: The Westpfalz is a mainly rural region in the southwestern part of the German state of Rhineland-Palatinate with 527,000 inhabit … especially at risk patients and their relatives, to repeat such courses several times. Furthermore, digital media should be used more intensively in providing first aid instructions. In our opinion, this study clearly shows that in Germany a uniform number for medical emergency calls is mandatory.

[Expert recommendations for internet medical care treatment of tuberculosis].

Tuberculosis, a chronic infectious disease caused by Mycobacterium tuberculosis, has long posed significant challenges to both medical professionals and patients in its diagnosis and treatment. The need for regular follow-up visits has resulted in a significant economic and logistical burden for patients and a strain on healthcare resources. However, the recent rapid development of Internet technology has significantly enhanced the role of telemedicine in the health care of tuberculosis. This proposal aims to provide a comprehensive overview of the various aspects of telemedicine in the manage

Information systems in dentistry.

INTRODUCTION: Almost the entire human creativity today, from the standpoint of its efficiency and expediency, is conditioned with the existe … zation in dentistry began similarly as in other human activities-recording large amounts of data on digital media, and by replacing manual data processing to machine one. But specifics of the dental profession have led to the specifics of the application of information technology (IT), and continue to require special development of dental oriented and applied I …

Co-creating and testing a self-management digital solution for bladder health and urinary continence among people aged 50 and over: protocol for the international KOKU Bladder project.

INTRODUCTION: The ageing population in Europe is experiencing a significant rise in urinary incontinence (UI), which affects millions and incurs substantial healthcare costs. While conservative treatment (eg, behavioural strategies, pelvic floor exercises) can help manage UI, there is a need for evidence-based eHealth solutions to improve adherence and treatment outcomes. The KOKU Bladder project aims to co-create, develop and test an eHealth intervention to improve bladder health (BH) and UI in adults aged 50 and over. METHODS AND ANALYSIS: Phase 1 will consist of the co-creation and technol

Beyond Screen Time: Smartphone Dependency, Sleep Disruption, and Emotional Regulation Among Young Adults-A Cross-Sectional Web-Based Survey.

Background: Smartphones are ubiquitous among young adults today. However, many young adults exhibit characteristics of problematic or dependent phone use. These individuals often have sleep disturbances and difficulties with emotional regulation. Currently, the research on the connection between these three variables is scarce, with particular gaps in studies of nursing professionals in this population. Objective: The study aimed to identify the prevalence of problematic phone use among young adults and the relationship between these three variables: problematic phone use, sleep disturbances,

[Functional morphology of the bladder and its vascular system in relation to age changes and evolution of BPH].

INTRODUCTION: The increase in the proportion of people with various urinary disorders, which are based on anatomical and functional bladder remodeling due to aging, is currently un-deniable. This problem becomes more relevant due to the elevation in life expectancy. At the same time, the features of bladder remodeling, in particular, the structural changes of its vascular bed, are still practically not described in the literature. In men, the lower urinary tract undergoes additional transformation associated with age due to bladder outlet obstruction caused by benign prostatic hyperplasia (BPH

The Use of Multimode Data Collection in Random Digit Dialing Cell Phone Surveys for Young Adults: Feasibility Study.

BACKGROUND: Young adults' early adoption of new cell phone technologies have created challenges to survey recruitment but offer opportunities to combine random digit dialing (RDD) sampling with web mode data collection. The National Young Adult Health Survey was designed to test the feasibility of this methodology. OBJECTIVE: In this study, we compared response rates across the telephone mode and web mode, assessed sample representativeness, examined design effects (DEFFs), and compared cigarette smoking prevalence to a gold standard national survey. METHODS: We conducted a survey experiment

Information and communications technology use to prevent and respond to sexual and gender-based violence in low- and middle-income countries: An evidence and gap map.

BACKGROUND: The use of information and communications technologies (ICT) in low- and middle-income countries (LMIC) has increased significantly in the last several years, particularly in health, including related areas such as preventing and responding to sexual and gender-based violence (SGBV) against women and children. While the evidence for ICT effectiveness has grown significantly in the past 5 years in other aspects of health, it has not for effectiveness of using ICT for the prevention and response to SGBV against women and children in LMIC. OBJECTIVES: The primary goal of this evidenc

Computer Vision Approach to Triaging Patient-Submitted Photos of Intestinal Ostomies.

BACKGROUND: Surgeons and ostomy nurses receive a high volume of stoma photos from patients. OBJECTIVE: This study aimed to develop and validate an automated and scalable artificial intelligence pipeline for identification and triage of patient-submitted intestinal ostomy photos. DESIGN: This was a retrospective derivation and validation study with stakeholder engagement to guide model design. Clinical teams reviewed photos in duplicate and categorized them into: 1) obstructed view, 2) healthy stoma, 3) suitable for conservative management, or 4) requiring in-person review. Pretrained neural

My Broken Heart.

AUDIENCE: The target audience for the key learning objectives of this Left-Ventricular Assist Device (LVAD) simulation are emergency medicin … of hemodynamics or airway, with a separate monitor device such as SimMon to display vital signs and digital media to demonstrate needed clinical images. The audio file of the low-flow alarm can be accessed and played by any device with internet access. The simulation benefits from embedded simulation participants to act as the bedside nurse and wife to provide …

Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals, coping and emotions.

STUDY QUESTION: What are appraisals, coping strategies and emotional reactions of patients to coronavirus disease 2019 (COVID-19) fertility clinic closures? SUMMARY ANSWER: Clinic closure was appraised as stressful due to uncertainty and threat to the attainability of the parenthood goal but patients were able to cope using strategies that fit the uncertainty of the situation. WHAT IS KNOWN ALREADY: Psychological research on COVID-19 suggests that people are more anxious than historical norms and moderately to extremely upset about fertility treatment cancellation owing to COVID-19. STUDY D

Risk Factors for Stricture After Endoscopic Submucosal Dissection of Large Rectal Neoplasms.

BACKGROUND: Although acute adverse events after endoscopic submucosal dissection, such as perforation and bleeding, are well documented, studies on stricture are scarce. OBJECTIVE: This study aims to identify risk factors for rectal stricture and symptomatic stricture after endoscopic submucosal dissection and to evaluate patient outcomes in a Western tertiary cancer center. DESIGN: Single-center retrospective study from a prospectively collected database of rectal endoscopic submucosal dissections. SETTINGS: Reference cancer center. PATIENTS: Patients undergoing endoscopic submucosal diss

Artificial Intelligence in psychotherapy: Inevitable evil or developmental evolution? Complementation or parallel universe?

"This is an artificial intelligence chatbot and not a real person. Treat everything it says as fiction. What is said should not be considered facts or advice," these are the first words that Gharacter.Ai, a counseling chatbot, says to those who turn to it for help. Is it common for humans to turn to machines for psychotherapy? We do it for most of our daily lives, often taking it for granted. In fact, we often prefer to interact with algorithms rather than other homo sapiens. Is it just as easy or efficient to seek help from machines for mental health issues? The global market for chatbots for

Integrating digital and narrative medicine in modern healthcare: a systematic review.

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical

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… Their findings suggest that structured reflection through digital media, such as asynchronous discussion boards or multimedia storytelling platforms, facilitate ethical reasoning and greater awareness of humanistic care. …

Доверие, информационная оценка и общение между людьми, живущими с множественным склерозом.

Справочная информация: Люди, страдающие множественным склерозом (МС), все чаще обращаются в Интернет за информацией о своем состоянии и лечении. Вместе с тем информация о состоянии здоровья в онлайновом режиме существенно варьируется по качеству, и пациенты часто не имеют грамотности в области электронного здравоохранения, необходимой для проведения различия между надежными и ненадежными источниками. Цель: В этом исследовании рассматривается вопрос о том, каким образом лица, имеющие НР в Соединенном Королевстве, стремятся получить, оценить и оценить качество онлайновой информации по вопросам з

Substance use during the COVID-19 pandemic: What is really happening?

The COVID-19 pandemic is associated with increased levels of anxiety, fear, sadness, difficulty adjusting, symptoms of post-traumatic stress disorder and suicidality, both in the general population and specific subgroups. The presence of this type of psychopathology increases the risk of involvement with or worsens the use of addictive substances and alcohol as a maladaptive coping strategy.1 According to these data, people with substance use disorders are a population at high risk for COVID-19 infection and serious illness. Α large controlled retrospective case study in the US found that peop

Healthcare workers' informal uses of mobile phones and other mobile devices to support their work: a qualitative evidence synthesis.

BACKGROUND: Healthcare workers sometimes develop their own informal solutions to deliver services. One such solution is to use their personal mobile phones or other mobile devices in ways that are unregulated by their workplace. This can help them carry out their work when their workplace lacks functional formal communication and information systems, but it can also lead to new challenges. OBJECTIVES: To explore the views, experiences, and practices of healthcare workers, managers and other professionals working in healthcare services regarding their informal, innovative uses of mobile device