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  • Open Access

    ARTICLE

    Generalized Anxiety Disorder Prevalence and Related Risk Factors among Females with Polycystic Ovarian Syndrome in Jazan Region, Saudi Arabia

    Abdullah A. Alharbi1, Ahmad Y. Alqassim1,*, 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 >

  • Open Access

    ARTICLE

    Predicting Factors of Physical Activity among Children with Congenital Heart Disease after Corrective Surgery

    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 >

  • Open Access

    REVIEW

    Empowering Underground Utility Tunnel Operation and Maintenance with Data Intelligence: Risk Factors, Prospects, and Challenges

    Jie Zou1,2, Ping Wu2,*, 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 >

  • Open Access

    ARTICLE

    Predictors of In-Hospital Mortality and Survival Outcomes in a Paediatric Congenital Cardiac Cohort in South Africa—A 12-Year Review

    Prathap Sarma1, Palesa Mogane2,*, 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 >

  • Open Access

    COMMENTARY

    Re: Antibiotic resistance in patients undergoing serial prostate biopsies: risk factors and impact on clinical outcomes

    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 >

  • Open Access

    ARTICLE

    Antibiotic resistance in patients undergoing serial prostate biopsies: risk factors and impact on clinical outcomes

    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 >

  • Open Access

    ARTICLE

    Analysis of Risk Factors for Central Venous Catheter-Associated Thrombosis in Children after Congenital Heart Surgery

    Hanfang Deng1,2, Zhimin Yang1, Wenlan Zhang3, Zhuomin Xu1, Lin Chen1, Yueyue Zhang1, Li Yuan1,*, Wenyi Luo4,*

    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 >

  • Open Access

    ARTICLE

    Associated Factors of Anxiety Symptoms in Patients with Keratinocyte Carcinoma: A Cross-Sectional Study

    Qian Liu1,#, Hui Zhang1,#, Juan Gao2, Meiping Sha1, Lijun Shen1, Xianfeng Cheng3,*, Hao Chen4,*

    Psycho-Oncologie, Vol.18, No.3, pp. 213-221, 2024, DOI:10.32604/po.2024.052607 - 12 September 2024

    Abstract Background: Keratinocyte carcinoma (KC) is a common malignancy characterized by a high recurrence rate and considerable psychological distress. The incidence of KC is increasing in China, raising concerns about its psychological consequences and adverse effects on quality of life. Demographic and clinical factors are thought to influence mental health outcomes in these patients. Nonetheless, data on the prevalence of anxiety in Chinese patients with KC and the factors associated with this anxiety are notably lacking. Therefore, a comprehensive investigation into the anxiety of patients with KC is imperative. Objective: This study aimed to investigate the… More >

  • Open Access

    ARTICLE

    Cardiovascular Disease Prediction Using Risk Factors: A Comparative Performance Analysis of Machine Learning Models

    Adil Hussain1,*, Ayesha Aslam2

    Journal on Artificial Intelligence, Vol.6, pp. 129-152, 2024, DOI:10.32604/jai.2024.050277 - 21 May 2024

    Abstract The diagnosis and prognosis of cardiovascular diseases are critical medical responsibilities that assist cardiologists in correctly classifying patients and treating them accordingly. The utilization of machine learning in the medical domain has witnessed a notable surge due to its ability to discern patterns from vast amounts of data. Machine learning algorithms that can categorize cases of cardiovascular illness may help doctors reduce the number of wrong diagnoses. This research investigates the efficacy of different machine learning algorithms in predicting cardiovascular disease in accordance with risk factors. This study utilizes a variety of machine learning models, More >

  • Open Access

    ARTICLE

    Risk Factors for Abuse in Children with Congenital Heart Disease Presenting at a Pediatric Tertiary Care Hospital

    Kristi K. Westphaln1,2,*, Karen Kay Imagawa2,3, Lorena Espinosa Smith1,4, Julia Srivastava5, Nancy A. Pike1,5

    Congenital Heart Disease, Vol.18, No.6, pp. 657-670, 2023, DOI:10.32604/chd.2023.044179 - 19 January 2024

    Abstract Background: Congenital heart disease (CHD) is a chronic medical condition often diagnosed at birth and requires surgical intervention, multiple hospitalizations, and lifelong care. This can put significant stress on the family, leading to altered maternal mental health, bonding and attachment issues, and the potential for child abuse. The purpose of this study is to explore the characteristics of a sample of young children with CHD who experienced hospitalization with concurrent concern for child abuse in a free-standing pediatric tertiary care hospital. Methods: Electronic medical records were reviewed for children aged 0–5 years old who were… More >

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