Categories
Nevin Manimala Statistics

A deep cardiac motion field analysis approach via global 2nd-order kinematic graph modeling

Comput Med Imaging Graph. 2026 Apr 8;131:102763. doi: 10.1016/j.compmedimag.2026.102763. Online ahead of print.

ABSTRACT

Cardiac motion analysis plays a vital role in the diagnosis and treatment of cardiovascular diseases. Existing methods can estimate displacement fields and model spatio-temporal patterns. However, they face two major limitations. First, they primarily focus on trajectory tracking, which fails to fully exploit higher-order kinematic dynamics that correlate with functional and material mechanics. Second, most approaches require solving complex differential equations during training, making them computationally expensive and difficult to converge stably. To overcome these limitations, we propose a mechanics-constrained cardiac motion analysis framework with two key innovations. First, we apply multi-order temporal differentiation on a graph-based cardiac representation. Nodal features capture displacement, velocity and acceleration, providing functional mechanics characterization. Edge features capture deformation, deformation rate and acceleration, providing material mechanics characterization. Second, we compute mechanical features directly on the graph. We employ graph convolutional networks to learn spatio-temporal patterns and use Kolmogorov-Arnold Networks for classification. This approach achieves systematical mechanical modeling with high efficiency and stable convergence. Experiments on private and public cine magnetic resonance imaging (cine-MRI) datasets demonstrate consistent improvements over existing methods in accuracy, interpretability and efficiency, showing the potential of mechanical modeling for cardiac motion analysis.

PMID:41980310 | DOI:10.1016/j.compmedimag.2026.102763

Categories
Nevin Manimala Statistics

Long-term survival outcomes in young-onset colorectal cancer: A population-based cohort study

Colorectal Dis. 2025 Feb;27(2):e70007. doi: 10.1111/codi.70007.

ABSTRACT

AIM: Long-term survival outcomes in young-onset colorectal cancer patients are contradictory and inconsistent. Some studies report overall survival to be significantly superior compared with older adults, while others report worse survival. Worldwide, the incidence of young-onset colorectal cancer has, alarmingly, nearly doubled since the 1990s, in stark contrast to that in those over 50 years of age. Long-term survival in young-onset colorectal cancer has not been explored in the Australian population. The aim of this study was to investigate cancer-specific and overall survival up to 10 years.

METHOD: This was a retrospective population-based cohort study. All colorectal cancer diagnoses between 2001 and 2020 in the state of Queensland, Australia were reviewed. Young-onset colorectal cancer (20-49 years) was compared with late-onset colorectal cancer (50 years+).

RESULTS: There were 52 697 adults diagnosed with colorectal cancer in Queensland. Young-onset colorectal cancer accounted for 7.7% of these. Young-onset colorectal cancer had a greater proportion of Stage III and IV disease than the late-onset group (66% vs. 59%, p < 0.001). Despite this, young-onset colorectal cancer had statistically significant improved overall survival at all time points to 10 years (p < 0.001). Stage-for-stage cancer-specific survival to 10 years was superior in all stages in young-onset colorectal cancer (p < 0.001).

CONCLUSION: Both stage-for-stage cancer-specific and overall survival were superior in young-onset colorectal cancer compared with those aged 50 years and above, up to 10 years.

PMID:41980275 | DOI:10.1111/codi.70007

Categories
Nevin Manimala Statistics

The Association of Preoperative Cognitive Dysfunction to Common Intraoperative Electroencephalographic Parameters and Cerebral Hypoxia During Cardiac Surgery

Anesth Analg. 2026 May 1;142(5):964-974. doi: 10.1213/ANE.0000000000007724. Epub 2026 Apr 14.

ABSTRACT

BACKGROUND: Older cardiac surgery patients have a higher prevalence of cognitive dysfunction and elevated risk of perioperative neurocognitive disorders (PND), both independently related to adverse postoperative outcomes. Neuromonitoring using electroencephalogram (EEG) and cerebral oximetry (CO) may predict PND. However, preoperative factors influencing intraoperative neurophysiological characteristics are not well understood. We conducted a study in a cardiac surgery cohort to better understand the relationship of preoperative cognitive dysfunction to intraoperative burst suppression (BS), spectral edge frequency (SEF), cerebral hypoxia/desaturation, and dual cerebral events involving both BS and cerebral desaturation to potentially link preoperative cognitive dysfunction to intraoperative neuromonitoring variables associated with PND.

METHODS: This is a secondary analysis of a triple-blinded, ongoing, multi-center randomized trial assessing the efficacy of postoperative intravenous acetaminophen to reduce postoperative delirium (POD) in older cardiac surgery patients. We studied 110 patients ≥60 years who underwent CABG and/or valve surgery under general (inhalational) anesthesia at a single academic center. Preoperative cognitive status was assessed using the Montreal Cognitive Assessment (MoCA) and classified as normal (MoCA score≥26) or impaired (MoCA <26). Intraoperative frontal electroencephalogram data were recorded using the EEG monitor (SedLine, Masimo Inc). BS was detected using a recursive variance estimation algorithm, quantifying burst suppression duration (BSD). SEFs were derived through multi-taper spectral analysis. Intraoperative cerebral oxygenation was measured via cerebral oximetry (O3, Masimo), identifying cerebral desaturations (CO values <60%). Univariate analyses assessed associations between preoperative cognitive dysfunction and BSD, SEF, cerebral desaturation, and dual cerebral events of BS and cerebral desaturation. Multivariable regression analyses for these variables controlled for demographics and intraoperative confounders.

RESULTS: Baseline characteristics were comparable between the groups. There was no statistically significant correlation between preoperative cognition and BSD in cognitively impaired individuals (Cohen’s d = 0.33; P = .09; remaining insignificant on adjustment, P = .8). Adjusted analyses showed those with abnormal MoCA scores had an average of 1.4 Hz lower SEF values (95% confidence interval [CI], 0.07-2.6; P = .03). Cognitively impaired patients demonstrated no significant increase in time spent in cerebral desaturations (55.4 [12.4-119] vs 46.3 [19.2-81.9] minutes; P = .6). No disparities were observed between the groups regarding concurrent and nonconcurrent abnormal EEG and CO values.

CONCLUSIONS: Preoperative cognitive dysfunction was associated with significantly lower SEFs, indicating increased isoflurane sensitivity without affecting BS or correlating with CO. SEF shows potential as a marker for cognitive vulnerabilities, but further studies are needed to validate its clinical utility and establish thresholds to optimize perioperative care.

PMID:41980267 | DOI:10.1213/ANE.0000000000007724

Categories
Nevin Manimala Statistics

User Experience and Early Clinical Outcomes of a Mental Wellness Chatbot for Depression and Anxiety: Pilot Evaluation Mixed Methods Study

JMIR Form Res. 2026 Apr 14;10:e90644. doi: 10.2196/90644.

ABSTRACT

BACKGROUND: Artificial intelligence-powered conversational agents (ie, chatbots) are increasingly popular outlets for users seeking psychological support, yet little is known about how users experience early-stage prototypes or which therapeutic processes contribute to clinical improvement. A transparent evaluation of emerging chatbot prototypes is needed to clarify if, how, and why artificial intelligence companions work and to guide their continued development.

OBJECTIVE: This mixed methods pilot study evaluated user experience, acceptability, and preliminary clinical signals for an early-stage mental wellness chatbot. We also examined whether baseline symptom severity moderated clinical improvement.

METHODS: Three sequential cohorts (n=125) completed a 2-week, incentivized chatbot exposure (approximately 60 min per week). Participants provided first-impression ratings, qualitative feedback, and pre-post assessments of depressive symptoms (PHQ-8 [Patient Health Questionnaire-8]), anxiety symptoms (GAD-7 [Generalized Anxiety Disorder-7]), psychological distress, well-being, and loneliness. Statistical models estimated symptom change and tested interactions with baseline symptom severity. Mixed methods analysis integrated quantitative outcomes with large language model-assisted qualitative content analysis of open-ended responses.

RESULTS: Participants described the chatbot as accessible, easy to use, and emotionally validating, while citing limitations in personalization and conversational depth. Qualitative responses consistently highlighted early therapeutic processes such as emotional validation, goal setting, and perceived attunement. Regression models showed significant pre-post reductions in depressive (Hedges g=-0.32) and anxiety (g=-0.32) symptoms, alongside modest improvements in distress and well-being. Baseline severity moderated improvement, with marginal effects indicating larger predicted reductions at higher PHQ-8 and GAD-7 baseline scores (eg, PHQ-8=15: g=-0.84; GAD-7=15: g=-0.62).

CONCLUSIONS: This pilot provides a comprehensive view of early chatbot development and suggests promising user experiences and preliminary symptom improvements under structured pilot conditions. By integrating experiential and exploratory clinical data, the study identifies candidate process targets to inform ongoing refinement. Findings support continued development and demonstrate procedural feasibility for progression to larger, longer-term trials evaluating engagement and clinical outcomes under more naturalistic conditions.

PMID:41980262 | DOI:10.2196/90644

Categories
Nevin Manimala Statistics

Interpreting Risk and Impact Measures in Nursing Research: Implications for Evidence-based Practice

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e14.

ABSTRACT

OBJECTIVE: To analyze the conceptual foundations, calculation, and interpretation of key risk and impact measures used in nursing research, emphasizing their relevance for evidence-based clinical practice.

CONTENT SYNTHESIS: This article reviews measures of risk or association, including relative risk, odds ratio, and hazard ratio, as well as absolute impact measures, such as risk difference, absolute and relative risk reduction, absolute risk increase, and numbers needed to treat and harm. Using examples from recent primary studies conducted in clinically relevant nursing contexts, the manuscript illustrates step-by-step calculations and interpretations, highlighting the complementary roles of relative and absolute measures in clinical decision-making.

CONCLUSION: An integrated understanding of risk and impact measures is essential for critical appraisal of nursing research and to assess the real clinical relevance of interventions. The combined use of these measures supports more informed, safe, and context-sensitive nursing care decisions, reinforcing evidence-based nursing practice.

PMID:41980255 | DOI:10.17533/udea.iee.v44n1e14

Categories
Nevin Manimala Statistics

Effectiveness of a group nursing intervention in reducing anxiety and depression for smoking cessation: a quasi-experimental study in light of Afaf Meleis’ Transition Theory

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e10.

ABSTRACT

OBJECTIVE: To evaluate the effectiveness of a group intervention for smoking cessation in reducing anxiety and depression symptoms in individuals who stop using nicotine, based on Afaf Meleis’ Transition Theory.

METHODS: A longitudinal, quasi-experimental study with a convenience sample of 15 volunteers. The intervention was led by a qualified nurse and structured in two stages: an intensive phase with weekly sessions during the first three months (total of 12 sessions) and a maintenance phase with biweekly sessions from the fourth to the sixth month (total of 6 sessions). Data was collected at three time points: baseline (before the intervention), three months later, and at the end of six months from the start of the intervention. The following instruments were used: the Patient Health Questionnaire-9, the State-Trait Anxiety Inventory, and the Fagerström Test for Nicotine Dependence.

RESULTS: A statistically significant reduction in nicotine dependence was observed throughout the study. The percentage of “very high” dependence decreased from 46.7% to 6.7% between the first and third assessment points. A significant decrease in trait anxiety was observed (p = 0.028), while no significant differences were found in depressive symptoms across the three assessment times. At the third assessment, a positive correlation was identified between the level of dependence and situational anxiety levels.

CONCLUSION: The group intervention studied had a positive impact on the smoking cessation process, reflected in reduced nicotine dependence and lower anxiety levels, highlighting the importance of collective support in coping with dependence.

PMID:41980251 | DOI:10.17533/udea.iee.v44n1e10

Categories
Nevin Manimala Statistics

Areas of patent innovation regarding diabetic foot ulcers: technological prospecting

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e08.

ABSTRACT

OBJECTIVE: To identify areas of innovation in internationally registered patents focused on diabetic foot ulcers.

METHODS: This is a quantitative technological prospecting of international patents, from 2020 to 2024, in the World Intellectual Property Organization database, using the descriptor “diabetic foot”.

RESULTS: 1372 patents were found, with the largest number of registrations originating from China (76.38%), the United States (4.74%), the Patent Cooperation Treaty (3.8%), and India (3.1%). The areas of innovation of the patents were classified into treatment (82.1%), prevention (12.2%), and evaluation (5.7%). Among the patents, 72.8% correspond to medical devices and 27.2% to pharmaceutical compounds.

CONCLUSION: The global trend is towards patents for the treatment of diabetic foot complications.

PMID:41980249 | DOI:10.17533/udea.iee.v44n1e08

Categories
Nevin Manimala Statistics

Perceptions and Professional Career Intentions of Senior Nursing Students in India: A Cross-Sectional E-Survey

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e05.

ABSTRACT

OBJECTIVE: To assess the perceptions and professional career plans of senior student nurses studying in various nursing colleges in India.

METHODS: A cross-sectional E-survey was conducted pan-India through a Google form, and a total of 456 responses were received after obtaining voluntary consent. Data were collected through a self-structured Perception rating scale and a Professional career plan performance assessment.

RESULTS: The majority of participants were young, unmarried females from western India, primarily pursuing a B.Sc. Nursing by personal choice. Regarding perceptions of the nursing profession, only 39.9% of participants had a high perception towards the nursing profession. 28.9% of senior student nurses intend to work abroad after completing their program. While 78.9% wish to stay in the profession, 21.1% consider changing careers, primarily due to a lack of respect. Perception scores were significantly associated with age and gender, showing that younger students and females had high perception regarding the nursing profession. Regression analysis confirmed that age had a negative and gender had a positive effect on perception.

CONCLUSION: The study concludes that age and gender significantly influence nursing students’ perceptions of the profession. It is recommended to implement targeted educational and motivational programs to enhance nursing students’ perception.

PMID:41980246 | DOI:10.17533/udea.iee.v44n1e05

Categories
Nevin Manimala Statistics

Validation of the Spanish Short Version of the Perception of Humanized Care Behaviors Scale in Hospitalized Adults in Chile

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e04.

ABSTRACT

OBJECTIVE: To validate a new Spanish version of the Perception of Nursing Humanized Care Behaviors Scale (PCHE) in hospitalized adults in Chile.

METHODS: A descriptive, cross-sectional validation study of the PCHE scale was conducted with the participation of adults admitted to four hospitals in Chile. The research was carried out in three stages: (i) linguistic adaptation and content validation through expert judgment; (ii) assessment of internal consistency and preliminary construct validity of the adapted and revised instrument; and (iii) evaluation of the validity and reliability of a proposed abbreviated version of the scale. A total of 1720 patients were selected through non-probabilistic convenience sampling. Following linguistic adaptation and expert review, a pilot test was conducted with 40 patients; after revisions, the 32-item instrument with four response options was applied to a first sample of 344 patients. Subsequently, the response scale was expanded from four to seven options and administered to a second sample of 202 patients. Cognitive interviews and a preliminary Exploratory Factor Analysis (EFA) were also conducted, resulting in a reduction of the instrument from 32 to 15 items. Finally, in a third sample of 1,134 patients, an EFA and a Confirmatory Factor Analysis (CFA) were performed. Internal consistency was assessed using Cronbach’s alpha.

RESULTS: The original 32-item instrument with four Likert response options showed limitations in item comprehension, relevance, and factorial structure. After adjustments, a 15-item scale was obtained, from which a single dimension-humanized care-emerged, with a Cronbach’s alpha of 0.93.

CONCLUSION: The abbreviated PCHE instrument, reduced from 32 to 15 items, is valid and reliable for use in hospitalized adult patients in Chile.

PMID:41980245 | DOI:10.17533/udea.iee.v44n1e04

Categories
Nevin Manimala Statistics

Predictors of Academic Resilience Based on Demographic and Psychological Profiles among Undergraduate Nursing Students: A Multicentric Survey in India

Invest Educ Enferm. 2026 Mar;44(1). doi: 10.17533/udea.iee.v44n1e03.

ABSTRACT

OBJECTIVE: To predict academic resilience based on demographic and psychological factors among undergraduate nursing students in India.

METHODS: Cross sectional survey was conducted for 759 nursing undergraduates. We chose four nursing institutions from various regions of India to serve as the sample unit. Data was collected virtually via a self-administered questionnaire using the Bharathiar University Resilience Scale (BURS), a coping inventory, and a psychological well-being questionnaire. Log-binomial regression was used to predict academic resilience, and independent student t-tests and Pearson correlation coefficients were used to compare resilience scores and the relationship between independent variables.

RESULTS: The primary demographic factors linked to greater academic resilience were, male undergraduates, between the ages of 24 to 30 years, enrolled in private institutions with family income of <10000 INR (1 US dollar = 87.98 INR) and institutes located in north India. Psychological well-being and academic resilience were significantly positively correlated, while cognitive coping strategies and academic resilience were significantly negatively correlated. Regression analysis demonstrates that higher psychological well-being score increases the likelihood of achieving high academic resilience. In a similar vein, they might experience a decrease in academic resilience if they were adopting a cognitive coping style.

CONCLUSION: The study’s findings revealed that sociodemographic and psychological variables can be predictors of academic resilience in undergraduate nursing students from India. These findings can help universities to develop target strategies to promote students’ resilience and reduce the risk of poor mental health among this population.

PMID:41980244 | DOI:10.17533/udea.iee.v44n1e03