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Patient safety is the foundation of spine surgery, where the intricate nature of spinal procedures and the unique risks involved call for exceptional diligence and comprehensive protocols. In this high-stakes field, developing and implementing rigorous safety protocols is not only vital for minimizing complications but also for achieving the best possible outcomes and strengthening the confidence patients have in their care team. Each patient entrusts their well-being to their surgical team. This trust underscores the responsibility healthcare providers have to prioritize safety at every stage. In spine surgery, thorough preoperative planning, clear communication during informed consent, and vigilant postoperative care are all crucial for creating a safe environment tailored to each patient's needs. A commitment to patient safety requires more than individual efforts; it calls for a coordinated, multidisciplinary approach where surgeons, nurses, anesthesiologists, and rehabilitation specialists work closely together. This collaboration ensures that each step of the patient's journey is aligned with best practices for safety and care. This review highlights the critical need for ongoing evaluation and refinement of safety protocols in spine surgery. As surgical techniques and technologies advance, and as patients' needs evolve, healthcare teams must remain responsive, cultivating a culture of safety that is both proactive and adaptable. Continuous investment in quality improvement and research is essential to fine-tune these protocols, ensuring they remain both relevant and effective in addressing the unique challenges of spine surgery. Prioritizing comprehensive safety measures goes beyond improving surgical outcomes; it plays a pivotal role in strengthening the trust and confidence patients have in their healthcare providers. By committing to these robust protocols, we reaffirm our dedication to patient-centered care, enhancing not only patient safety and recovery but also fostering a deeper faith in a healthcare system that places patient well-being at the forefront. [ABSTRACT FROM AUTHOR]

The implementation of the "Regulations on Organ Donation and Transplantation" (hereinafter referred to as the new "Regulations") and supporting documents has laid a solid foundation for improving the organ donation and transplantation work system in accordance with laws and regulations. In order to better publicize, implement, and carry out the new "Regulations" and supporting documents, and in response to the problems and challenges encountered in actual work, combined with the development of the national human organ donation and transplantation work system and the national work on determination of brain death, this article analyzes and discusses the construction of hospitals' organ donation and transplantation work systems and the systematic multidisciplinary collaboration mechanism for organ donation, as well as several issues that need attention by the ethics committees for organ transplantation. The aim is to provide references for the construction of ethics committees for organ transplantation in China and to promote the continuous and healthy development of China's organ donation and transplantation cause. [ABSTRACT FROM AUTHOR]

ABSTRACT Enhanced recovery after surgery (ERAS) pathways have been shown to improve patient outcomes, increase patient satisfaction, and decrease costs. First created and implemented in the adult population, these pathways are now commonplace and continue to expand in the pediatric realm. While there are many proven benefits to ERAS pathways, there continue to be challenges to their proper implementation and long‐term success. This article aims to explore common challenges in pediatric ERAS development and implementation, along with strategies to avoid potential pitfalls. Key themes include departmental and institutional support, stakeholder engagement, awareness of pathways, data management and dissemination, and long‐term maintenance including Plan‐Do‐Study‐Act (PDSA) cycles. Pathway development teams should be aware of these considerations and potential pitfalls, and focusing on them can promote long‐term success for a well‐designed pathway. [ABSTRACT FROM AUTHOR]

This case report delves into the intricate management of a newborn with transient neonatal diabetes mellitus (TNDM), shedding light on the complexities and challenges in treatment decisions. Born prematurely with a low birth weight and a maternal background of gestational diabetes, the infant developed hyperglycaemia necessitating intravenous insulin therapy. Subsequent genetic testing confirmed 6q24-TNDM, due to the uniparental disomy of the whole of chromosome 6. Glibenclamide, a second-generation sulfonylurea, was cautiously introduced but discontinued due to adverse effects. Despite post-meal hyperglycaemia, blood glucose levels stabilised over subsequent weeks. Regular follow-ups demonstrated appropriate growth and development and the resolution of diabetes. This unique case highlights the need for multidisciplinary collaboration, tailored treatment strategies, and vigilant monitoring in managing 6q24-TNDM. [ABSTRACT FROM AUTHOR]

With the aging of the global population and the transformation of lifestyle, the incidence of chronic non-communicable diseases continues to rise, thus having brought great challenges to global public health. In this context, medical and health services must adapt to this growing trend, which necessitates carrying out research on the medical prevention integration mode, and gradually strengthening its application in clinical practice. This paper aims to explore the application status quo, and future development trends of the treatment-prevention integration mode, as well as the challenges it faces from the perspective of chronic non-communicable disease management. We first introduce the background of chronic non-communicable disease management, and then describe the integration of treatment and prevention from multiple aspects in chronic disease management, including multidisciplinary collaboration, patient follow-up system, family doctor signing services, and health education on chronic diseases, so as to realize the comprehensive, chronic disease management throughout the life cycle, and improve patients' health level and living quality. Finally, we believe that in the future, it is necessary to strengthen scientific and interdisciplinary research, intensify the training and education of medical staff, and enhance the development of digital medical technology, in order to better meet the growing health needs of the people. Therefore, this paper has significant reference value for exploring the management methods of chronic non-communicable diseases and promoting public health services.

Introduction: The Enhanced Recovery After Surgery (ERAS) protocol, a comprehensive multimodal approach, aims to mitigate surgical stress, expedite recovery, and improve postoperative outcomes. Its implementation has notably advanced perioperative care in colorectal cancer surgeries. Integrating ERAS with multidisciplinary collaboration, involving surgery, anesthesia, nursing, and nutrition, may further enhance patient outcomes, making it a significant focus in clinical practice. Methods: This study assessed the effectiveness of integrating the ERAS model with multidisciplinary collaboration during the perioperative period in colorectal cancer patients. A total of 117 patients scheduled for elective surgery at Haiyan People's Hospital between August 2023 and April 2024 were randomly assigned to either a control group (n = 59), receiving traditional care, or an experimental group (n = 58), receiving ERAS-based multidisciplinary care. Key outcomes related to postoperative rehabilitation were evaluated. Results: Patients in the ERAS group demonstrated significantly shorter hospital stays, quicker catheter removal, and earlier mobilization compared to the control group (P < 0.0001 for all). Additionally, the ERAS group exhibited reduced postoperative inflammatory responses, as indicated by significantly lower interleukin-6 levels on the first postoperative day (P = 0.0247). The quality of life was significantly higher in the ERAS group (P < 0.05). Furthermore, the ERAS group incurred lower total hospitalization expenses than the control group (P = 0.0011). Conclusion: These findings confirm the benefits of the ERAS protocol in enhancing postoperative recovery in colorectal cancer surgeries. The study highlights the importance of a multidisciplinary approach in optimizing patient outcomes and reducing the burden on hospital resources. [ABSTRACT FROM AUTHOR]

Abstract Background Stroke patients often experience limb dysfunction, which can significantly impact their quality of life and daily living abilities. This study aimed to explore the effectiveness of nursing programs that incorporate multidisciplinary continuing care with the participation of nursing staff for patients with stroke and limb dysfunction. Methods This was a randomized controlled trial (RCT) conducted from August 2021 to August 2023. Ninety stroke patients were randomly assigned to a control group (n = 45) and an observation group (n = 45). The control group received routine discharge care, while the observation group received multidisciplinary continuing care with the participation of nursing staff. Outcomes measured included Fugl-Meyer Assessment (FMA) scores for upper and lower limb function, quality of life, daily living ability (Barthel Index, MBI), and adverse reactions. Results The FMA scores for upper and lower limbs were significantly higher in the observation group compared to the control group. The observation group also had significantly higher scores in all quality of life dimensions and MBI scores compared to the control group. There were 10 adverse reactions reported in the observation group and 22 in the control group. Conclusions Implementing multidisciplinary continuing care with the participation of nursing staff for stroke patients with limb dysfunction has a positive effect on improving limb function, quality of life, and daily living abilities, while also being relatively safe.

Objective To explore the views of general practitioners and physiotherapists on the current model of care for patients with musculoskeletal disorders in Norwegian primary care, and if the English First Contact Practitioner model, where patients have access to multiple professional groups with musculoskeletal health expertise, could inform service development.Design, setting, and subjects We analysed interviews with five GPs and 11 physiotherapists and used Lipsky’s theories about street-level bureaucracy and Foucault’s theories of mechanisms of power and institutional structures to explore task shifting and cooperation between different professions.Results and interpretation The empirical material reflected a multi-faceted discourse about skill-mix in primary care, where financial factors, perceptions about competence, and task preferences moderated attitudes to task shifting. Competition and cooperation coexist between the professions, and the seemingly gradual blurring between historical hegemony and new models of care creates both alliances and rivalries. Examples of deviations from the Choosing Wisely principles and evidence-based practice indicate that both general practitioners and physiotherapists balance the roles of patient advocate, gatekeeper, and homo economicus, in a context where task shifting is challenged by established practice. It appears that the management of patients with musculoskeletal disorders is fragmented and to some extent reflects a supply-driven system.

Background: This systematic review investigates barriers and enablers to dental care utilization by disabled children. Given the high global prevalence of disabilities in children, coupled with poor oral hygiene and a 45% rate of dental caries in this group, developing inclusive oral health strategies is critical. The review aims to synthesize literature on factors affecting oral healthcare improvement for disabled children, identifying barriers, facilitators and knowledge gaps. Methods: The review was conducted following the Joanna Briggs Institute's methods and reported according to PRISMA guidelines. A comprehensive search spanned multiple databases, considering perspectives from carers, parents, dentists and health professionals. The focus was on studies involving children up to age 17 with disabilities, as defined by WHO, using dental care services. Exclusions included non‐qualitative studies, populations over 18 and nondisabled children. There were no restrictions on publication date or language. Thematic synthesis of the studies extracted themes related to barriers and enablers in oral healthcare for disabled children. Results: Thematic synthesis identified five overarching themes: stigma, communication issues, professional development, oral health education and medical‐dental collaboration. Facilitators included enhancing accessibility and availability of dental care through a holistic approach, improving dental care facility environments and ensuring skilled dental care providers. Discussion: The review underscores the importance of interprofessional collaboration, improved parent/caregiver education and specialized dental facilities to support children with disabilities. It identifies key barriers and facilitators in dental care, including challenging stereotypes, improving communication between providers and parents, enhancing holistic training and addressing gaps in oral health education and integrated healthcare systems. Conclusion: Addressing the complex dynamics of dental care for disabled children is essential for developing inclusive and effective preventive and therapeutic strategies. This review highlights the need for tailored approaches and enhanced support systems to improve oral health outcomes in this vulnerable population. Patient and Public Contribution: The members of the family support department, Middle East and North Africa (MENA) Organization for Rare Disease and Disability who provided the disability voice and contributed to providing input to the review protocol. [ABSTRACT FROM AUTHOR]

• Nursing students should receive training in multidisciplinary collaboration to meet the increasing demand for community nurses. However, existing educational strategies could not adequately frame a learning environment for nursing students to fully experience collaboration in a multidisciplinary team. • Challenge-Based Learning (CBL) may be a promising educational approach to complement the limitations of current education strategies in nursing education because it allows nursing students to fully experience multidisciplinary collaboration through conducting community projects in a multidisciplinary context. • The preliminary findings suggest the potential positive effect of CBL in strengthening nursing students' multidisciplinary collaboration. It serves as a reference for nurse educators to integrate CBL into nursing curricula. It also provides direction for future studies to evaluate the effect of CBL on multidisciplinary collaboration in nurse training. Competence in multidisciplinary collaboration is an essential attribute of nurses working in community health settings. Nursing students should be equipped with this attribute during undergraduate training. To examine the effect of Challenge-Based Learning (CBL) on multidisciplinary collaboration among nursing students. A one-group pretest-posttest study. Nursing students worked in multidisciplinary groups to conduct community projects framed with CBL. The students designed, planned, and implemented health promotion activities for the selected health topics over a 14-week semester. Multidisciplinary collaboration was measured by Collaboration Scale at baseline and after the projects were completed. Wilcoxon signed-rank test was used to compare the total and subdomain collaboration scores within-group. p-value <0.05 was statistical significance. The total and subdomain collaboration scores were significantly greater than those of the pretest ones (p<0.001), with the effect sizes (r) ranging from 0.48 to 0.71. The present findings shed light on the potential positive effect of CBL on strengthening nursing students' competence in multidisciplinary collaboration. Future studies with a more rigorous approach are needed to verify the findings. [ABSTRACT FROM AUTHOR]

This review paper explores Urban Digital Twins (UDTs) and their crucial role in developing smarter cities, focusing on making urban areas more sustainable and well-planned. The methodology adopted an extensive literature review across multiple academic databases related to UDTs in smart cities, sustainability, and urban environments, conducted by a bibliometric analysis using VOSviewer to identify key research trends and qualitative analysis through thematic categorization. This paper shows how UDTs can significantly change how cities are managed and planned by examining examples from cities like Singapore and Dubai. This study points out the main hurdles like gathering data, connecting systems, handling vast amounts of information, and making different technologies work together. It also sheds light on what is missing in current research, such as the need for solid rules for using UDTs effectively, better cooperation between various city systems, and a deeper look into how UDTs affect society. To address research gaps, this study highlights the necessity of interdisciplinary collaboration. It also calls for establishing comprehensive models, universal standards, and comparative studies among traditional and UDT methods. Finally, it encourages industry, policymakers, and academics to join forces in realizing sustainable, smart cities. [ABSTRACT FROM AUTHOR]

Background: Stroke patients often experience limb dysfunction, which can significantly impact their quality of life and daily living abilities. This study aimed to explore the effectiveness of nursing programs that incorporate multidisciplinary continuing care with the participation of nursing staff for patients with stroke and limb dysfunction. Methods: This was a randomized controlled trial (RCT) conducted from August 2021 to August 2023. Ninety stroke patients were randomly assigned to a control group (n = 45) and an observation group (n = 45). The control group received routine discharge care, while the observation group received multidisciplinary continuing care with the participation of nursing staff. Outcomes measured included Fugl-Meyer Assessment (FMA) scores for upper and lower limb function, quality of life, daily living ability (Barthel Index, MBI), and adverse reactions. Results: The FMA scores for upper and lower limbs were significantly higher in the observation group compared to the control group. The observation group also had significantly higher scores in all quality of life dimensions and MBI scores compared to the control group. There were 10 adverse reactions reported in the observation group and 22 in the control group. Conclusions: Implementing multidisciplinary continuing care with the participation of nursing staff for stroke patients with limb dysfunction has a positive effect on improving limb function, quality of life, and daily living abilities, while also being relatively safe. [ABSTRACT FROM AUTHOR]

Embedding psychology within dental services plays an important role in improving patients' experiences, accessing dental treatment, and enhancing psychological knowledge and training. The Dundee Dental Hospital (DDH) has a clinical psychology service that provides a wide range of training opportunities and services for both staff and patients. This article discusses the benefits of having this service, recent innovations and developments, and reflects on the thoughts of the team regarding the value of embedded psychology. [ABSTRACT FROM AUTHOR]

The challenges posed by conserving historical earthen structures in seismic-prone regions prompted the initiation of the Seismic Retrofitting Project (SRP) by the Getty Conservation Institute (GCI) and the Ministry of Culture of Peru. Since 2009, the SRP has aimed to enhance the structural performance and safety of historic earthen buildings while preserving their historical fabric by combining traditional techniques, local materials, and technical expertise with advanced computational tools. The project has focused on four Peruvian earthen buildings as case studies, including the seventeenth-century adobe church of Kuñotambo. An intervention was carried out between 2016 and 2019 by the regional branch of the Ministry of Culture in Cusco based on techniques developed by the SRP. The GCI is now working on a monitoring and maintenance plan for the site, collaborating with local stakeholders, including the Ministry of Culture of Peru in Cusco, the Archdiocese of Cusco, and the community of Kuñotambo. This paper primarily discusses the practical aspects of on-site monitoring, including the tools and techniques used to track changes in the building and its decorated surfaces. It also outlines the implementation of a structural health monitoring system and the development of capacity-building activities for Latin American engineers. The overarching goal is to provide a sustainable framework for the long-term preservation of historic earthen structures in seismic-prone regions, highlighting the importance of community involvement and multidisciplinary collaboration. [ABSTRACT FROM AUTHOR]

AbstractNanotechnology has emerged as a pivotal force in biomedical research, offering groundbreaking solutions for disease treatment and prevention through the integration of nanoscience with biology. This review explores the multifaceted applications of nano-bio interfaces in revolutionizing therapeutic interventions and public health strategies. At the forefront of innovation, nanomaterial-based drug delivery systems demonstrate unparalleled precision and efficacy in targeted drug delivery, minimizing systemic toxicity and maximizing therapeutic outcomes. Furthermore, the development of multifunctional nanoparticles capable of simultaneous drug delivery and diagnostic imaging enables real-time monitoring of treatment responses, heralding a new era of personalized medicine. Nano-bio interfaces also play a crucial role in advancing vaccine development and immunotherapies, with nanoparticle-based vaccine platforms offering enhanced antigen delivery and immune stimulation for robust and durable immune responses against infectious diseases and cancer. In the realm of disease prevention, antimicrobial nanomaterials provide effective strategies for infection control, while nanovaccines and prophylactic drug delivery systems offer tailored solutions for mitigating the spread of infectious agents. Through a comprehensive exploration of these pioneering approaches, this review, we believe, highlights the transformative potential of nano-bio interfaces in reshaping the landscape of disease treatment and prevention. [ABSTRACT FROM AUTHOR]

Historic structures are affected by numerous degradation processes driven by a complex system of interconnected and mutually influencing factors. Preserving these monuments is a multidisciplinary endeavour that extends beyond one-time interventions, necessitating a comprehensive methodology that involves various stakeholders, expert consultations, monitoring tools, and impact assessments. Limitations arise due to communication barriers and difficulty in translating and transferring experience among disciplines, often compromising the collective ability to define the best possible conservation strategies. Recent advancements in 3D modelling and data management technologies offer collaborative platforms for information sharing. However, the complex interfaces of these tools often limit their accessibility, making them exclusive to specialists. Integrating Spatial Computing could address these challenges by fostering intuitive engagement and enhancing accessibility and depth in interdisciplinary interactions. This letter outlines initial efforts in using spatial computing to tackle the challenges of built heritage conservation and presents a vision for its future development.

Torrential bleeding is a rare and life-threatening complication of arteriovenous malformations (AVMs). We report a case of head and neck AVMs present with uncontrollable torrential bleeding, which was treated with embolization and sclerotherapy. Then we explored the potential multidisciplinary handling of the procedure for this kind of case. A 25-year-old female patient was born with right face and head AVMs. The AVMs had grown gradually and ruptured spontaneously with uncontrollable torrential bleeding before admission. Emergent direct hemostasis, nasotracheal intubation, and staged embolization and sclerotherapy were carried out on this patient. Finally, the bleeding stopped and the wound healed successfully. Embolization and sclerotherapy are effective for head and neck AVMs with uncontrollable torrential bleeding. Multidisciplinary collaboration is needed to achieve a good outcome.

Purpose: To aim of this study is to assess the impact of an internet-enabled nursing model, led by specialized nurses within a framework of multidisciplinary collaboration, on both, patients diagnosed with hypertension, and their respective caregivers. Methods: A total of 158 patients with hypertension, along with their corresponding caregivers, were meticulously selected and paired. By using a random number table method, participants were allocated into either a control group or an observation group. The control group received conventional health education, blood pressure monitoring, and routine telephone follow-ups administered by designated nurses. Conversely, patients in the observation group underwent treatment within an internet-enabled nursing model, led by specialist nurses within a multidisciplinary collaborative framework. Parameters including systolic and diastolic blood pressure readings of the patients, as well as their scores in compliance with the hypertension treatment, quality of life, and caregiving proficiency of family members, which were meticulously documented prior to intervention (T0), as well as at 3- and 6-month intervals post-intervention (T1 and T2). Results: Statistically significant differences were observed in both systolic and diastolic blood pressure levels among patients, as well as in their scores reflecting compliance with hypertension treatment, quality of life, and caregiving proficiency of family members, when comparing pre- and post-intervention periods within each group, across groups, and within the interaction effect (p

The article discusses the management of Pulmonary Thromboembolism (PTE) and the challenges arising from the conflicting perspectives of cardiologists and interventional radiologists. It highlights the importance of interdisciplinary collaboration in improving patient outcomes but points out the ego-driven dynamics and lack of clear protocols that hinder effective teamwork. The text emphasizes the need for clear protocols, joint training, case-led response teams, and a patient-centered culture to address these issues and ensure optimal care for patients with PTE. [Extracted from the article]

Infection Control in modern times includes the protection of patients against infections with health workers in all settings of healthcare. Evidence-based best practice in family medicine, nursing, dental, laboratory medicine, and surgical specialties is the very foundation of an effective Infection Prevention and Control program. Explicit communication, protocols, education of patients, and vaccination to minimize the chances of infection are also part of this. The nurses are on the first line in the practice of IPC, and microbial labs provide the all-important diagnostic information in infection surveillance. Further training, monitoring for compliance, integrating medical records and technology will reduce health care-associated infections and improve patient outcomes. [ABSTRACT FROM AUTHOR]

In this article, we draw on our research and expertise in a problematic concept of 'demanding special support children' in Finnish early childhood and basic education, and the scarce international research, to propose a concept regarding multidisciplinary and collaborative support for children. Our conceptualisation shifts the focus away from children's deficits to effective collaborative practices surrounding the child. This can facilitate comprehensive support practices without labelling children as 'demanding' based on their disabilities. [ABSTRACT FROM AUTHOR]

The growing aging population presents unique challenges in maintaining their quality of life (QoL), which encompasses physical, psychological, and social wellbeing. This study aimed to assess the impact of multidisciplinary collaboration on QoL among older patients receiving primary care. A cross-sectional study was conducted involving a purposive sampling of 200 participants aged 60 years and above from Primary Healthcare Centers in Al-Ahsa, Saudi Arabia, between March and May 2024. Data were collected using standardized tools: SF-36 for health-related QoL, Multidisciplinary Collaboration Evaluation Tool (MCET), and Lubben Social Network Scale (LSNS). Multivariate regression analyses were performed to examine the associations between multidisciplinary collaboration, social support, and QoL outcomes. Multidisciplinary collaboration exhibited a significant positive association with improvements in physical functioning (β = 2.35, p < 0.001), mental health (β = 3.01, p < 0.001), and general health perceptions (β = 2.12, p < 0.001). Key drivers of effective collaboration included effective communication (β = 0.48, p < 0.001), coordination (β = 0.42, p < 0.001), and patient involvement (β = 0.40, p < 0.001). Social support, particularly from friends (β = 0.33, p < 0.001) and family (β = 0.28, p < 0.001), was also a robust predictor of better QoL. Younger age, female gender, married status, and absence of chronic conditions were associated with greater QoL improvements from multidisciplinary care. Multidisciplinary collaboration and social support networks significantly enhance QoL among older primary care patients. Healthcare systems should prioritize developing collaborative care models, fostering interdisciplinary teamwork, and integrating strategies to promote social connectedness for the aging population. [ABSTRACT FROM AUTHOR]

The article discusses the importance of multidisciplinary collaboration in mitigating health crises that arise from wildlife-human interaction. It highlights the need for integrating data and knowledge from various fields, such as medicine, biology, epidemiology, and decision sciences, to develop a unified system for global ecosystem monitoring and management. The authors emphasize the significance of bridging the gap between academic research and practical implementation, particularly in the field of controlling infectious diseases. They propose a holistic approach that combines mathematical modeling, indigenous knowledge, decision sciences, and extended realities to prevent future pandemics and reduce the impact of wildlife diseases on human health. [Extracted from the article]

Objective To evaluate the clinical application effect of multidisciplinary collaborative diagnosis and treatment model combined with orthopedics and geriatrics in the treatment of hip fracture in the elderly. Methods A total of 180 elderly patients with hip fracture admitted to this hospital from March 2021 to February 2023 were selected as the study objects and divided into the control group and the observation group, with 90 cases in each group. The participants in the control group were administered the traditional single- orthopedic treatment, while the observation group underwent the multidisciplinary collaborative diagnosis and treatment mode combined with the orthopaedics and geriatrics. The preoperative waiting time, postoperative feeding time, first time of getting out of bed, postoperative hospital stay and perioperative complication rate were compared between the two groups. Results The preoperative waiting time, postoperative feeding time, first time of getting out of bed, postoperative hospital stay in the observation group were significantly shorter than those in the control group, and the incidence of postoperative complications such as pneumonia, urinary system infection and deep venous thrombosis of lower limbs in the observation group were significantly lower than those in the control group, with statistical significance (P <0. 05). Conclusion The multidisciplinary collaborative diagnosis and treatment mode combined with the orthopaedics and geriatrics can more quickly assess the preoperative status of elderly patients with hip fracture and carry out early intervention and treatment, shorten the preoperative waiting time, reduce perioperative mortality, shorten hospital stay, and reduce postoperative complications, which conforms to the concept of rapid rehabilitation. [ABSTRACT FROM AUTHOR]

Aim: To describe the disease spectrum of torticollis in Chinese children and to improve its diagnostic flowchart. Methods: A retrospective analysis was conducted at the Rehabilitation Department of Beijing Children's Hospital from 2017 to 2021. Patients were diagnosed and referred based on a diagnostic flowchart of torticollis. Detailed patient data were collected from the outpatient electronic medical record system. Results: A total of 2047 patients met the inclusion criteria. The top five conditions were congenital muscular torticollis (CMT) (76.6%), cerebral palsy (5.1%), ocular torticollis (4.7%), brachial plexus injury (1.9%) and atlantoaxial rotary subluxation (1.3%). CMT was most common in 0–2 year olds, cerebral palsy in 3–5 year olds, and atlantoaxial rotary subluxation in 7–12 year olds. The top five referral departments were orthopaedics, ophthalmology, otolaryngology, head and neck surgery, neurology and neurosurgery. Conclusions: The disease spectrum of torticollis in children and the diagnostic flowchart provide important references for diagnosing torticollis, which necessitates multidisciplinary collaboration. [ABSTRACT FROM AUTHOR]

Supporting the decision-making process for the production of a 3D-printed hand exoskeleton within the Industry 4.0 and Industry 5.0 paradigms brings new concepts of manufacturing procedures for 3D-printed medical devices, including hand exoskeletons for clinical applications. The article focuses on current developments in the design and manufacturing of hand exoskeletons and their future directions from the point of view of implementation within the Industry 4.0 and Industry 5.0 paradigms and applications in practice. Despite numerous publications on the subject of hand exoskeletons, many have not yet entered production and clinical application. The results of research on hand exoskeletons to date indicate that they achieve good therapeutic effects not only in terms of motor control, but also in a broader context: ensuring independence and preventing secondary motor changes. This makes interdisciplinary research on hand exoskeletons a key study influencing the future lives of patients with hand function deficits and the further work of physiotherapists. The main aim of this article is to check in what direction hand exoskeletons can be developed from a modern economic perspective and how decision support systems can accelerate these processes based on a literature review, expert opinions, and a case study. [ABSTRACT FROM AUTHOR]

This study contributes to determining key attributes of the physical internet (PI) in circular economy (CE) as prior studies failed to explore the interrelationships among these attributes. The perspective of a CE is suitable to adopt the PI with an objective of obtaining global logistics networks formed on physical, digital and operational interconnectivity. This study attempts to propose a set of attributes in CE which is usually with qualitative analysis. The research results reveal multidisciplinary collaboration and technological advancement influence digital interoperability and physical infrastructure. Top criteria include Internet of Things, central orchestrator, alignment of resources, big data and blockchain. [ABSTRACT FROM AUTHOR]

Background: Pectus excavatum repair is associated with significant discomfort, and pain is a primary contributor to postoperative hospital length of stay. Recent advances in postoperative pain control include the use of intercostal cryoablation techniques that may now make it possible to discharge patients on the day of surgery. Unnecessary variation in patient care and noncompliance with care bundles may be a factor in extended length of stay. The global aim of this quality improvement initiative was to successfully implement an enhanced recovery after surgery (ERAS) pathway on patients undergoing pectus excavatum repair. The SMART aim was to have a greater than 70% compliance for the perioperative bundle elements within 1 year of the pathway implementation. Methods: Multiple Plan‐Do‐Study‐Act (PDSA) cycles were designed to create and implement an ERAS pathway for patients undergoing a pectus bar insertion procedure. This multidisciplinary pathway was designed, managed, and implemented with key stakeholders from the Departments of Evidence Based Practice, Surgery, Anesthesiology, and Perioperative Nursing. Patient characteristics, outcomes, and compliance with elements of the pathway were measured for analysis for both the baseline and post‐intervention groups with monthly automated reports. Results: After implementation of the ERAS pathway, data on the first 50 patients showed a 90% compliance with the perioperative bundle elements. Mean length of stay was significantly decreased from 33 h (95% CI [28.76, 37.31]) to 18 h (95% CI [14.54, 21.70]). There were zero readmissions within 24 hours for patients who were discharged on the day of surgery. Conclusion: Employing a multidisciplinary approach in both planning and execution that standardized clinician practices and minimized unnecessary variation in patient care, an ERAS pathway for pectus bar insertion has been successfully established at our institution. [ABSTRACT FROM AUTHOR]

Cardiovascular diseases (CVDs) are a major challenge in global health. Despite significant advances in treatment and management, the incidence and mortality rates of CVDs have been rising in recent years, particularly in the United States. With continuous advancements in medical technology, perioperative transesophageal echocardiography (TEE) has become a key technology in cardiac surgery, enhancing surgical success rates and patient safety. The application of TEE spans preoperative planning, intraoperative monitoring, and postoperative evaluation, especially in complex procedures such as mitral valve repair and aortic valve replacement, where it plays an indispensable role. Simultaneously, the introduction of artificial intelligence (AI) brings new prospects for TEE image analysis and diagnostic support, significantly improving diagnostic accuracy and real-time decision-making capabilities. However, the application of TEE technology faces challenges such as high costs, uneven technological diffusion, and the high skill requirements for medical personnel. Therefore, establishing standardized training protocols and strengthening multidisciplinary collaboration are crucial. This paper reviews the application of TEE in cardiac surgery and its path toward educational and practical standardization from a global perspective, emphasizing its importance in improving the postoperative quality of life for patients and exploring future directions in technological innovation and educational optimization.

Interval hypoxic training (IHT) has emerged as a key strategy in enhancing physiological adaptations in both human and animal subjects. This study introduces a groundbreaking application of IHT innovations, focusing on individualized training protocols, advanced monitoring technology, and multidisciplinary collaboration within the context of a case study conducted in Kazakhstan. Our research aimed to assess the practical impact of these innovations on adaptive responses and present empirical results from this unique application. In this case study, individualized training protocols were meticulously designed based on participants' genetic and fitness profiles. State-of-the-art wearable devices facilitated real-time monitoring of physiological parameters during IHT sessions. Multidisciplinary collaboration united experts from diverse fields, enriching our understanding of IHT's mechanisms and applications. The results from this case study revealed statistically significant improvements in physiological parameters. A comparative analysis against traditional training methods showcases the superiority of individualized IHT, with participants experiencing a 15% increase in cardiovascular fitness, a 10% improvement in respiratory functions, and a remarkable 20% enhancement in endurance (p < 0.001). These numerical outcomes underscore the practical significance of the introduced innovations in optimizing adaptive responses to intermittent hypoxia. Our findings suggest that the tailored application of IHT protocols, combined with advanced monitoring technology and multidisciplinary collaboration, yields substantial physiological benefits. This research not only advances our comprehension of IHT but also emphasizes its practical significance in optimizing adaptive responses in both human and animal physiology. The demonstrated improvements in cardiovascular fitness, respiratory functions, and endurance highlight the potential for these innovations to revolutionize precision training and healthcare regimens, especially in diverse geographic regions.

Ling-Ling Zhu,1 Yan-Hong Wang,2 Mei-Juan Lan,3 Quan Zhou2 1VIP Geriatric Ward, Division of Nursing, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Department of Pharmacy, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 3Division of Nursing, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of ChinaCorrespondence: Quan Zhou, Department of Pharmacy, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Jiefang Road No. 88, Hangzhou, 310009, People’s Republic of China, Email zhouquan142602@zju.edu.cn Mei-Juan Lan, Division of Nursing, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Jiefang Road No. 88, Hangzhou, 310009, People’s Republic of China, Email lanmj@zju.edu.cnAbstract: Medication reconciliation (MR) is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking in order to identify and resolve medication discrepancies. It is an effective means of risk management to avoid medication errors (eg, omissions, duplication, dosage errors, or drug interactions). Some guidelines explicitly state that MR is a pharmacist-led transition of care; however, there is a shortage of qualified pharmacists to meet the increasing clinical needs, and clinical nurses’ roles have not been clearly described. This paper aimed to enable nurses to gain confidence in contributing to MR at discharge and to make the industry aware of the potential risks if nurses do not actively intervene in this area. A narrative approach was used to introduce experiences in identifying discrepancies and medication errors through MR at discharge in a geriatric ward of an academic medical center hospital in China. The nurses’ main roles in MR involve chasing, checking, and education. Clinical nurses, an untapped hospital resource, can actively engage in MR at discharge if they receive effective training and motivation. Multidisciplinary collaboration at discharge allowed many discrepancies to be reconciled before harming older patients. It is worth conducting further research in MR when discharging older adults, such as the cost-effectiveness of nurses’ efforts, the value of electronic tools and the impact of MR-targeted education and training for nursing students and nursing staff.Keywords: hospital discharge, medication reconciliation, multidisciplinary collaboration, older adults, patient safety

Lise Elisabeth Buma,1– 3 Hanne Tuntland,4 Matthew Parsons,5,6 Sandra Zwakhalen,1,2 Silke F Metzelthin1,2 1Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands; 2Living Lab in Ageing and Long-Term Care, Maastricht, the Netherlands; 3Cicero Zorggroep, Brunssum, the Netherlands; 4Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway; 5School of Health, University of Waikato, Hamilton, New Zealand; 6Te Whatu Ora Health New Zealand Waikato District, Hamilton, New ZealandCorrespondence: Lise Elisabeth Buma, Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, the Netherlands, Tel +31-(0) 88 388 7092, Email l.buma@maastrichtuniversity.nlPurpose: Over the last two decades, reablement programs have been studied and implemented internationally. Goal-setting and multidisciplinary collaboration are central elements of reablement. Unfortunately, limited intervention descriptions leave questions on how they are applied in practice and how goals set by the user are achieved. As a consequence, healthcare providers and organizations often lack knowledge to implement and align reablement to their national and local context. This study aimed to collect data on goal-setting and achievement, and multidisciplinary collaboration within reablement services to provide insight into how these processes inform reablement practice as well as to explore the experiences of healthcare professionals in Norway, New Zealand, and the Netherlands.Material and Methods: A qualitative exploratory design was used comprising three focus group interviews with 20 healthcare professionals (nursing and allied health) involved in reablement programs from the three countries. Purposive sampling was employed considering a mix of gender, age and educational level.Results: Findings reflected healthcare professionals’ experiences and reablement processes in three main themes: (1) Goal-setting processes; clearly demonstrating goal-setting as an essential part of reablement and contributing to better understanding of users’ motives; (2) Impact of goal-setting on multidisciplinary collaboration; promoting a sense of community, learning climate, job satisfaction and task-shifting; and (3) Behavior change techniques used to reach users’ goals, promoting self-reflection and changing users’ perspectives.Conclusion: This study offers valuable insights from three countries. Goal-setting serves a crucial role enabling effective reablement implementation across diverse contexts. More specifically, to facilitate tailoring of reablement programs to the user’s needs as well as establish more effective multidisciplinary collaboration by promoting trust, shared vision, and utilizing each other’s expertise. However, despite the acknowledgement of the significance of reablement, it was reported by all that a cultural shift is necessary for users, informal caregivers as well as healthcare professionals.Keywords: restorative care, goal-oriented care, multidisciplinary collaboration, person-centered care

Epidural labor analgesia aims to provide effective medical services to alleviate labor pain in parturients, while adhering to the principles of voluntary participation and clinical safety. In 2018, Peking Union Medical College Hospital(PUMCH)became one of the first pilot units for labor analgesia in China, and has achieved satisfactory results in high-quality development of labor analgesia. This article mainly introduces the achievements and experience of labor analgesia at PUMCH, including: (1) prioritizing maternal and infant safety, arranging personnel rationally, and developing standardized treatment processes through multidisciplinary collaboration to ensure safe and comfortable childbirth; (2) leveraging the hospital's comprehensive capabilities in emergency treatment, and improving collaborative rescue plans for critically ill parturients and newborns; (3) implementing advanced teaching methods to effectively train and conduct simulated drills for labor analgesia and rescue of critically ill parturients; (4) conducting patient education and informative lectures to help parturients acquire a scientific understanding of labor analgesia. We hope that this experience can provide reference and inspiration for other hospitals.

Dysphagia is a common complication of various clinical conditions, with an increased incidence as age advances. Complications such as aspiration, malnutrition, and aspiration pneumonia caused by dysphagia significantly affect the overall treatment outcomes of patients. Scholars both domestically and internationally are increasingly focusing on early rehabilitation for dysphagia. This article summarizes common conditions causing dysphagia, clinical manifestations, complications, screening assessment, diagnosis, rehabilitation, and nutritional support related to dysphagia. It emphasizes the arrival at a multidisciplinary collaborative diagnosis and formulation of a rehabilitation management plan for dysphagia in general hospitals in order to provide strategic suggestions for establishing a multidisciplinary collaborative model for swallowing disorder management in general hospitals. [ABSTRACT FROM AUTHOR]

Purpose: The world population is ageing, along with an increasing possibility of functional limitations that affect independent living. Assistive technologies such as exoskeletons for rehabilitative purposes and daily activities assistance maintaining the independence of people with disabilities, especially older adults who wish to ageing-in-place. The purpose of this systematic integrative review was threefold: to explore the development team compositions and involvement, to understand the recruitment and engagement of stakeholders, and to synthesise reported or anticipated consequences of multidisciplinary collaboration. Methods: Databases searched included PubMed, CINAHL Plus, PsycINFO, Web of Science, Scopus, and IEEE Xplore. A total of 34 studies that reported the development of exoskeleton adopting user-centered design (UCD) method in healthcare or community settings that were published in English from 2000 to July 2022 were included. Results: Three major trends emerged from the analysis of included studies. First, there is a need to redefine multidisciplinary collaboration, from within-discipline collaboration to cross-discipline collaboration. Second, the level of engagement of stakeholders during the exoskeleton development remained low. Third, there was no standardised measurement to quantify knowledge production currently. Conclusion: As suggested by the synthesised results in this review, exoskeleton development has been increasing to improve the functioning of people with disabilities. Exoskeleton development often required expertise from different disciplines and the involvement of stakeholders to increase acceptance, thus we propose the Multidisciplinary Collaboration Appraisal Tool to assess multidisciplinary collaboration using the UCD approach. Future research is required to understand the effectiveness of multidisciplinary collaboration on exoskeleton development using the UCD approach. Global trend of population ageing causes a higher risk of disability in older adults who require rehabilitation and assistance in daily living. Assistive technologies such as exoskeletons have the potential to contribute to rehabilitation training and daily activity assistance demand closer multidisciplinary collaboration. A Multidisciplinary Collaboration Appraisal Tool using user-centered design approach (MCAT) is proposed to understand the effectiveness as well as limitations and barriers associated with multidisciplinary collaboration in developing exoskeletons. [ABSTRACT FROM AUTHOR]

The success of each air medical transport mission is dependent on the coordinated efforts of communications specialists, aviation personnel, medical crew members, referring hospitals, local emergency medical services, and fire and law enforcement personnel. Expedited, efficient, and safe patient transport is made possible through the collaboration of all the aforementioned disciplines. In this specialized, unpredictable, and high-pressure environment, each entity plays its own crucial role in rapidly delivering critical care directly to the patient in need. [ABSTRACT FROM AUTHOR]

Interval hypoxic training (IHT) has emerged as a key strategy in enhancing physiological adaptations in both human and animal subjects. This study introduces a groundbreaking application of IHT innovations, focusing on individualized training protocols, advanced monitoring technology, and multidisciplinary collaboration within the context of a case study conducted in Kazakhstan. Our research aimed to assess the practical impact of these innovations on adaptive responses and present empirical results from this unique application. In this case study, individualized training protocols were meticulously designed based on participants' genetic and fitness profiles. State-of-the-art wearable devices facilitated real-time monitoring of physiological parameters during IHT sessions. Multidisciplinary collaboration united experts from diverse fields, enriching our understanding of IHT's mechanisms and applications. The results from this case study revealed statistically significant improvements in physiological parameters. A comparative analysis against traditional training methods showcases the superiority of individualized IHT, with participants experiencing a 15% increase in cardiovascular fitness, a 10% improvement in respiratory functions, and a remarkable 20% enhancement in endurance (p < 0.001). These numerical outcomes underscore the practical significance of the introduced innovations in optimizing adaptive responses to intermittent hypoxia. Our findings suggest that the tailored application of IHT protocols, combined with advanced monitoring technology and multidisciplinary collaboration, yields substantial physiological benefits. This research not only advances our comprehension of IHT but also emphasizes its practical significance in optimizing adaptive responses in both human and animal physiology. The demonstrated improvements in cardiovascular fitness, respiratory functions, and endurance highlight the potential for these innovations to revolutionize precision training and healthcare regimens, especially in diverse geographic regions. [ABSTRACT FROM AUTHOR]

High-voltage electrical injury usually causes severe tissue damage and serious secondary complications. We report a case of treatment of severe high-voltage electrical injury. A series of personalized and effective treatment plans were created through repeated discussions, we successfully handled a series of acute and critical conditions, including severe limb damage, a very large area of full-thickness abdominal wall defect, abdominal viscera (stomach and liver) necrosis, abdominal infection, renal insufficiency, myocardial damage, and malignant arrhythmia (atrial fibrillation). Finally, the wounds were all closed, the functions of the abdominal organs were restored, and the course of the disease was successfully transitioned into the rehabilitation stage. It took a lot of twists and turns but ultimately saved the patient's life. The successful treatment of this patient provides an important reference for similar patients with serious electrical injury in the future. [ABSTRACT FROM AUTHOR]