Nicholas Sellke^1,2,*, Erin Jesse^1,2, Justin M. Dubin³, Tomislav D. Medved^1,2, Neha S. Basti⁴, Janvi Ramchandra², Robert E. Brannigan⁴, Joshua A. Halpern⁴, Nannan Thirumavalavan^1,2

Canadian Journal of Urology, Vol.32, No.2, pp. 89-94, 2025, DOI:10.32604/cju.2025.065004 - 30 April 2025

Abstract Introduction: Direct-to-consumer (DTC) telemedicine has emerged as an option for transgender patients seeking gender affirming hormone therapy (GAHT). We aimed to characterize the healthcare services provided by DTC telemedicine companies offering GAHT and to compare their costs to a tertiary care center. Methods: We identified DTC telemedicine platforms offering GAHT via internet searches and extracted information from their websites related to evaluation, treatment, monitoring, and cost. Cost of the DTC GAHT was compared to cost for comparable services at a tertiary care center. Results: Six DTC companies were identified. All platforms utilized an informed consent model… More >

Yash B. Shah¹, Courtney E. Capella^1,*, Rishabh K. Simhal², Maria J. D’Amico¹, Whitney Smith¹, Alana M. Murphy¹

Canadian Journal of Urology, Vol.32, No.1, pp. 63-70, 2025, DOI:10.32604/cju.2025.064711 - 20 March 2025

Abstract Introduction: With the aging population, more females will suffer from pelvic organ prolapse. Both urologists and gynecologists perform sacrocolpopexy, but there is no comparative study analyzing differences in provision of care, outcomes, or patient population. We aimed to elucidate potential differences in demographics, outcomes, and minimally invasive surgery utilization for SCP performed by urology and gynecology. Methods: In our retrospective analysis, sacrocolpopexies were identified using the American College of Surgeons National Surgical Quality Improvement Project database from 2006–2020. Pearson’s chi-square test was performed to test trends in the utilization of MIS in five-year blocks. Frailty… More >

Rakesh Kumar^1,*, Ajay Singh², Ahmed Subahi Ahmed Kassar³, Mohammed Ismail Humaida³, Sudhanshu Joshi⁴, Manu Sharma⁵

CMES-Computer Modeling in Engineering & Sciences, Vol.142, No.2, pp. 1289-1349, 2025, DOI:10.32604/cmes.2025.059152 - 27 January 2025

Abstract This review aims to analyze the development and impact of Artificial Intelligence (AI) in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives. It is extensively devoted to AI technology deployment relevant to disease management, healthcare delivery, epidemiology, and policy-making. However, its AI is culturally sensitive and ethically grounded in Islam. Based on the PRISMA framework, an SLR evaluated primary academic literature, cases, and practices of Saudi Arabia’s AI implementation in the public healthcare sector. Instead, it categorizes prior research based on how AI can work, the issues it poses, and… More >

Muhammad Raza Naqvi¹, Muhammad Waseem Iqbal^2,*, Syed Khuram Shahzad³, M. Usman Ashraf⁴, Khalid Alsubhi⁵, Hani Moaiteq Aljahdali⁶

CMC-Computers, Materials & Continua, Vol.74, No.2, pp. 3679-3695, 2023, DOI:10.32604/cmc.2023.030340 - 31 October 2022

Abstract Health care has become an essential social-economic concern for all stakeholders (e.g., patients, doctors, hospitals etc.), health needs, private care and the elderly class of society. The massive increase in the usage of health care Internet of things (IoT) applications has great technological evolvement in human life. There are various smart health care services like remote patient monitoring, diagnostic, disease-specific remote treatments and telemedicine. These applications are available in a split fashion and provide solutions for variant diseases, medical resources and remote service management. The main objective of this research is to provide a management… More >

Farzana Kausar Gondal^1,*, Syed Khuram Shahzad², Muhammad Arfan Jaffar³, Muhammad Waseem Iqbal⁴

Intelligent Automation & Soft Computing, Vol.35, No.2, pp. 1369-1386, 2023, DOI:10.32604/iasc.2023.028407 - 19 July 2022

Abstract Cities are facing challenges of high rise in population number and consequently need to be equipped with latest smart services to provide luxuries of life to its residents. Smart integrated solutions are also a need to deal with the social and environmental challenges, caused by increasing urbanization. Currently, the development of smart services’ integrated network, within a city, is facing the barriers including; less efficient collection and sharing of data, along with inadequate collaboration of software and hardware. Aiming to resolve these issues, this paper recommended a solution for a synchronous functionality in the smart… More >

Yun-Jung Choi¹, Mi-Ra Won², Dong-Hee Cho^1,*

International Journal of Mental Health Promotion, Vol.24, No.1, pp. 85-94, 2022, DOI:10.32604/ijmhp.2022.018017 - 20 December 2021

Abstract As industries develop, fire disasters and their associated damage are increasing. Investigating the mental health of victims is imperative because this is an essential issue for community recovery after a disaster. This study was conducted to determine the efficacy of a program implemented by a community mental health center based on the investigation of the victims’ depression and post-traumatic stress disorder (PTSD) levels immediately after the disaster and at one-year follow-up. As a result, victims’ depression and PTSD recovered over time, and more changes were confirmed. In particular, the high-risk group for PTSD showed a More >

Ruben Willems^1,*, Fouke Ombelet², Eva Goossens^2,3,4, Katya De Groote⁵, Werner Budts^6,7, Stéphane Moniotte⁸, Michèle de Hosson⁹, Liesbet Van Bulck^2,4, Arianne Marelli¹⁰, Philip Moons^2,11,12, Julie De Backer^4,9,#, Lieven Annemans^1,#

Congenital Heart Disease, Vol.15, No.6, pp. 399-429, 2020, DOI:10.32604/CHD.2020.011709 - 02 November 2020

Abstract Objective: Cost-of-illness studies in Adult Congenital Heart Disease (ACHD) have mainly been limited to hospitalizations. This is the first paper to provide a comprehensive overview from a societal perspective including inpatient and outpatient medical costs, and absenteeism- and unemployment-related societal costs. Methods: A retrospective longitudinal (2006–2015) database analysis was performed in Belgium combining administrative and clinical databases (n = 10,572). Trends in resource use and costs per patient year were standardized to assess the impact of changes in the patient population composition. Generalized Linear Mixed Models assessed the impact of age, sex, lesion complexity, and time.… More >

Karrie F. Downing^1,2, Matthew E. Oster^1,3, Sherry L. Farr¹

Congenital Heart Disease, Vol.12, No.4, pp. 497-506, 2017, DOI:10.1111/chd.12476

Abstract Objective: A substantial percentage of children with congenital heart disease (CHD) fail to transfer to adult care, resulting in increased risk of morbidity and mortality. Transition planning discussions with a provider may increase rates of transfer, yet little is known about frequency and content of these discussions. We assessed prevalence and predictors of transition-related discussions between providers and parents of children with special healthcare needs (CSHCN) and heart problems, including CHD.
Design: Using parent-reported data on 12- to 17-year-olds from the 2009–2010 National Survey of CSHCN, we calculated adjusted prevalence ratios (aPR) for associations between demographic factors… More >

Michael A. Gorin, Max Kates, Jeffrey K. Mullins, Phillip M. Pierorazio, Brian R. Matlaga, Mark P. Schoenberg, Trinity J. Bivalacqua

Canadian Journal of Urology, Vol.21, No.1, pp. 7102-7107, 2014

Abstract Introduction: The objective of this study was to evaluate the impact of hospital case volume on perioperative outcomes and costs of radical cystectomy (RC) after controlling for differences in patient case mix.
Materials and methods: The Maryland Health Services Cost Review Commission database was queried for patients who underwent an open RC between 2000 and 2011. Patients were divided into tertiles based on hospital case volume. Groups were compared for differences in length of intensive care unit (ICU) stay, length of total hospital stay, rate of in-hospital deaths and procedure-related costs.
Results: In total, 1620 patients… More >

Daniel J. Sadowski¹, Chandy S. Ellimoottil², Ajay Tejwani³, Alex Gorbonos¹

Canadian Journal of Urology, Vol.20, No.6, pp. 7015-7020, 2013

Abstract Introduction: Proton therapy (PT) for prostate cancer is an expensive treatment with limited evidence of benefit over conventional radiotherapy. We sought to study whether online information on PT for prostate cancer was balanced and whether the website source influenced the content presented.
Materials and methods: We applied a systematic search process to identify 270 weblinks associated with PT for prostate cancer, categorized the websites by source, and filtered the results to 50 websites using predetermined criteria. We then used a customized version of the DISCERN instrument, a validated tool for assessing the quality of consumer health information,… More >