Kyung-Hyun Suh^1,*, Sung-Jin Chung¹, Goo-Churl Jeong¹, Kunho Lee¹, Ji-Hyun Ryu²

International Journal of Mental Health Promotion, Vol.27, No.12, pp. 1829-1845, 2025, DOI:10.32604/ijmhp.2025.071879 - 31 December 2025

Abstract Background: Adolescents increasingly engage with social media for connection, self-expression, and identity exploration. This growing digital engagement has raised concerns about its potential risks and mental health implications. Methods: This narrative review examines literature on adolescent social media use by exploring underlying motivations, risk and protective factors across personal, environmental, and digital domains, with a focus on mental health outcomes. Results: Individual vulnerabilities—such as low self-esteem, impulsivity, and poor sleep—interact with contextual factors like peer pressure and family conflict to elevate risks. Digital environments shaped by algorithmic feeds, feedback mechanisms, and curated content promote social comparison and More >

Chih-Yin Chien^1,2, Tsae-Jyy Wang¹, Pei-Hung Liao¹, Ying-Hsiang Lee^3,4,5,*, Wei-Sho Ho^6,7,*

Congenital Heart Disease, Vol.20, No.5, pp. 601-612, 2025, DOI:10.32604/chd.2025.072431 - 30 November 2025

Abstract Background: Cardiac implantable electronic devices (CIEDs) are essential for preventing sudden cardiac death in patients with cardiovascular diseases, but implantation procedures carry risks of complications such as infection, hematoma, and bleeding, with incidence rates of 3–4%. Previous studies have examined individual risk factors separately, but integrated predictive models are lacking. We compared the predictive performance and interpretability of artificial neural network (ANN) and logistic regression models to evaluate their respective strengths in clinical risk assessment. Methods: This retrospective study analyzed data from 180 patients who underwent cardiac implantable electronic device (CIED) implantation in Taiwan between 2017… More >

Divya Arivalagan, Vignesh Ochathevan^*, Rubankumar Dhanasekaran

Congenital Heart Disease, Vol.20, No.4, pp. 477-501, 2025, DOI:10.32604/chd.2025.070372 - 18 September 2025

Abstract Background: The accurate identification of cardiac abnormalities is essential for proper diagnosis and effective treatment of cardiovascular diseases. Method: This work introduces an advanced methodology for detecting cardiac abnormalities and estimating electrocardiographic age (ECG Age) using sophisticated signal processing and deep learning techniques. This study looks at six main heart conditions found in 12-lead electrocardiogram (ECG) data. It addresses important issues like class imbalances, missing lead scenarios, and model generalizations. A modified residual neural network (ResNet) architecture was developed to enhance the detection of cardiac abnormalities. Results: The proposed ResNet demonst rated superior performance when compared with… More > Graphic Abstract

Abdullah A. Alharbi¹, Ahmad Y. Alqassim^1,*, Mohammad A. Jareebi¹, Ahmad A. Alharbi², Nada M. Makein¹, Fatimah H. Al Ghazwi³, Seba Y. Muzaiiadi³, Joud N. Refaei³, Revan A. Arishi³, Bashaer A. Al Rajhi³, Fatima A. Aqili³, Saleha M. Ayoub³, Mohammed A. Muaddi¹

International Journal of Mental Health Promotion, Vol.27, No.5, pp. 701-716, 2025, DOI:10.32604/ijmhp.2025.062924 - 05 June 2025

Abstract Background: Polycystic ovarian syndrome (PCOS), a common endocrine disorder in reproductive-aged women, has substantial physical and psychological impacts. While the physical manifestations of PCOS are well established, the psychological burden, especially anxiety, is understudied in Saudi Arabia. This study aimed to assess the prevalence of generalized anxiety disorder among females with PCOS compared to those without PCOS, and to identify the clinical and sociodemographic factors associated with anxiety in the Jazan region of Saudi Arabia. Methods: A cross-sectional study was conducted between January and March 2023 using an Arabic self-administered online questionnaire distributed via social… More >

Nuttanicha Sriboonyawattana^*, Thitima Suklerttrakul

Congenital Heart Disease, Vol.20, No.2, pp. 231-244, 2025, DOI:10.32604/chd.2025.064662 - 30 April 2025

Abstract Objective: Many children with fully corrected congenital heart disease (CHD) avoid physical activity (PA). This descriptive study sought to determine child and parental factors that could predict PA levels in Thai children after corrective surgery. Methods: Ninety school-aged children with fully corrected CHD were recruited from a cardiology clinic at a university hospital in northern Thailand. Data collection involved five validated questionnaires: (1) the Modified Thai Adolescent’s Physical Activity Questionnaire, (2) the Child Health Status Questionnaire-Forms I and II, (3) the Parental Knowledge on School-aged Children’s Physical Activity Scale, (4) the Perceived Self-efficacy to Physical Activity… More >

Jie Zou^1,2, Ping Wu^2,*, Jianwei Chen³, Weijie Fan², Yidong Xu²

Structural Durability & Health Monitoring, Vol.19, No.3, pp. 441-471, 2025, DOI:10.32604/sdhm.2024.058864 - 03 April 2025

Abstract As an essential part of the urban infrastructure, underground utility tunnels have a long service life, complex structural performance evolution and dynamic changes both inside and outside the tunnel. These combined factors result in a wide variety of disaster risks during the operation and maintenance phase, which make risk management and control particularly challenging. This work first reviews three common representative disaster factors during the operation and maintenance period: settlement, earthquakes, and explosions. It summarizes the causes of disasters, key technologies, and research methods. Then, it delves into the research on the intelligent operation and More >

Prathap Sarma¹, Palesa Mogane^2,*, Katharina Vanderdonck³, Moses Kebalepile¹, Palesa Motshabi Chakane⁴

Congenital Heart Disease, Vol.20, No.1, pp. 41-53, 2025, DOI:10.32604/chd.2025.060382 - 18 March 2025

Abstract Background: Congenital cardiac diseases (CCD) are common congenital birth defects that require high-risk surgery. Outcomes following congenital cardiac surgery in children living in high-income countries (HIC) have been documented, but little is known from the African continent. This study aimed to determine factors associated with perioperative mortality in patients who underwent congenital cardiac surgery at our institution. Methods: This retrospective, cross-sectional study was conducted at Charlotte Maxeke Johannesburg Academic Hospital over 12 years (2006–2017). A multivariable regression analysis was performed for the factors which had a p-value of 0.1 and less in the univariable regression analysis. A… More >

Cassra B. Clark, Jay D. Raman

Canadian Journal of Urology, Vol.31, No.1, pp. 11775-11776, 2024

Abstract This article has no abstract. More >

Alex J. Xu¹, Sameer Thakker², Vyom Sawhney², Rozalba Gogaj¹, Fjolla Vokshi¹, James S. Wysock¹

Canadian Journal of Urology, Vol.31, No.1, pp. 11767-11774, 2024

Abstract Introduction: We evaluate the rate of developing ciprofloxacin resistance in patients undergoing repeat prostate biopsies (PBx), associated risk factors, and impact on complications.
Materials and methods: We retrospectively evaluated pre-procedural rectal culture (RCx) data in men undergoing PBx from 1/1/2016 to 1/15/2021. Univariate and multivariate logistic regression were utilized to identify risk factors associated with development of antibiotic resistance. Complication rates were compared between ciprofloxacin-sensitive and ciprofloxacin resistant patients.
Results: A total of 743 men underwent initial RCx. Initial RCx detected ciprofloxacin resistance in 22% of patients. A history of diabetes (p = 0.01), > 2 prior prostate… More >

Hanfang Deng^1,2, Zhimin Yang¹, Wenlan Zhang³, Zhuomin Xu¹, Lin Chen¹, Yueyue Zhang¹, Li Yuan^1,*, Wenyi Luo^4,*

Congenital Heart Disease, Vol.19, No.6, pp. 603-615, 2024, DOI:10.32604/chd.2025.057681 - 27 January 2025

Abstract Objective: To investigate the status and influencing factors of central venous catheter-associated thrombosis in children after congenital heart surgery and to provide evidence for preventive measures. Methods: From January 2024 to March 2024, hospitalized children with central venous catheters (CVC) in the Shanghai Grade III Children’s Hospital intensive care unit were selected. Catheter-related thrombosis (CRT) was evaluated using bedside ultrasound technology combined with visible thrombus after CVC extraction, dividing the patients into the thrombus and non-thrombus groups. Univariate and LASSO regression analyses were used to analyze the factors influencing CRT in children after congenital heart More >