Essential Strategy Research Articles

Exploring Opportunities and Challenges for the Spread, Scale-Up, and Sustainability of mHealth Apps for Self-Management of Patients With Type 2 Diabetes Mellitus in the Netherlands: Citizen Science Approach.

Technologies evolve at a breakneck pace, and the success of mobile health (mHealth) for people with type 2 diabetes mellitus (T2DM) depends on whether health care professionals, care management, government regulators, and consumers will adopt the technology as a viable solution to enhance patient self-management. In this study, we explored the challenges of the implementation of mHealth apps in care for patients with T2DM and determined to what extent these challenges complicate the dissemination, limit scale-up, and influence the sustainability of technological interventions for patients with T2DM. The nonadoption, abandonment, and challenges to scale-up, spread, and sustainability (NASSS) framework served as the basis for our study. The 7 domains of the NASSS framework were explored with a citizen science approach using questionnaires, semistructured in-depth interviews, and focus groups together with patients with T2DM, care professionals, technology developers, policy officers, and a patient organization. Regarding the domain "condition," being aware of their condition and changing lifestyle were crucial for patients with T2DM to get to grips with their life. The rapid development of health apps for T2DM was highlighted in the domain "technology." Users should be aware of these apps and know how to use them. The domain "value proposition" included the patient perspective and elaborated on personal values, as well as care professionals who focus on personalized care and pressure on health care. Regarding the "adopters," it is crucial to know who needs to use and introduce the apps. Responsibility, a shared vision, and resistance among care professionals were mentioned as important determinants for "organization." Finally, the domain "wider system" showed the importance of involving multiple institutes, care guidelines, and reimbursements. This study investigated the implementation of mHealth apps in an early stage of the implementation process. Key stakeholders were involved, who attributed to the possibilities and limitations of the implementation. It is crucial to have a clear vision from an organizational perspective and specific prerequisites for implementation strategies at micro, meso, and macro levels. Essential strategies at the national level include guidelines for regulations, privacy, and security; the integration of mHealth into T2DM care guidelines; and sufficient reimbursement by health insurers.

Retention in care among people living with human immunodeficiency virus (HIV) in a low-resource setting.

This study aimed to evaluate the retention in care among a cohort of Egyptian people living with HIV (PLWHIV). The study was conducted on PLWHIV attending Kasr Alainy HIV and Viral Hepatitis Centre, Cairo, Egypt, from January 1, 2019, to March 31, 2023. PLWHIV were considered not retained in care if there was no documented clinical visit or HIV viral load (VL) or CD4 count test for more than 6 months from their last recorded visit or test. Multivariable logistic regression analysis was used to test factors associated with retention in care. After excluding those who died and were referred, 369 PLWHIV were included in the analysis, and retention in care was observed in 325 (88%). The majority were males (81.8%) with a median age of 34 [29-41] years. Undetectable VL (OR: 3.555; 95% CI: 1.49-8.47), hepatitis B vaccination (OR: 2.835; 95% CI: 1.07-7.48), CD4 test availability (OR: 2.604; 95% CI: 1.02-6.64), receiving dolutegravir based antiretroviral therapy (OR: 2.429; 95% CI: 1.06-5.537), and longer duration of know HIV infection (OR: 1.025; 95% CI: 1.01- 1.04) were correlated with retention in care. Surprisingly, higher education levels were negatively correlated with retention in care (OR: 0.195, 95%: CI: 0.071-0.533), suggesting the need for further research to explore this relationship. These results are invaluable for developing targeted interventions and informing health policies to improve retention in HIV care in Egypt. Enhancing access to VL and CD4 testing, promoting VL suppression, and focusing on specific groups at risk of dropping out of care are essential strategies.

Visceral adiposity index, cardiorespiratory fitness, and fasting plasma glucose associations in adolescents.

The global rise in the prevalence of type 2 diabetes mellitus (T2DM) in children and adolescents is partly linked to the increasing rates of childhood obesity and physical inactivity. To explore the independent relationships of visceral adiposity index (VAI) and cardiorespiratory fitness (CRF) with fasting plasma glucose (FPG) in adolescents. This descriptive cross-sectional study included 403 adolescents (202 boys and 201 girls) aged 11-19 years. Participants were evaluated for VAI, CRF, and FPG. Regression models, adjusted for age and maturity status, were used to assess the associations between VAI, CRF, and FPG. The prevalence of T2DM risk was 15.3% (girls = 7.4%; boys = 7.9%). In boys, high VAI was positively associated with FPG (β = 0.190, P = 0.009), while low CRF was negatively associated with FPG (β = -0.206, P = 0.010). These associations persisted even after adjusting for CRF and VAI. However, no significant associations between VAI, CRF, and FPG were observed in girls (P > 0.05). Adolescents with high VAI and low fitness levels demonstrated poorer glycemic profiles. Among boys, both VAI and CRF were independently associated with T2DM risk, with CRF showing a stronger association. These associations were not observed in girls. Promoting regular aerobic exercise and healthy diets may serve as essential public health promotion strategies in preventing and managing T2DM risk in adolescents.

Melatonin's Impact on Cytokine Storm and Modulation of Purinergic Receptors for COVID-19 Prognosis: A Mental Health Perspective.

In 2019, coronavirus disease 2019 (COVID-19) started a global health crisis and was associated with high rates of depression and anxiety. Both mental disorders and COVID-19 exhibit similarities in pathophysiology, characterized by immune system overactivation, involvement of the purinergic system, and oxidative stress, besides additional factors and systems likely contributing to the complexities of these conditions. The purinergic system contributes to the disease-influenced immune response, an essential strategy for controlling pathophysiological effects. In this context, the hormone melatonin emerges as a substance that can modulate the purinergic system and contribute positively to the pathophysiology of SARS-CoV-2 infection and associated mental disorders. Melatonin is a hormone that regulates the body's circadian rhythms, plays an essential role in regulating sleep and mood, and modulates the purinergic system. Recent studies suggest melatonin's anti-inflammatory and antioxidant properties may benefit COVID-19. This review explores melatonin's impact on inflammatory cytokine storm in COVID-19 through purinergic system modulation.

Leadership Lessons for Aspiring College Presidents: Essential Tools, Skills, and Strategies for Success

College and university presidents today face an increasingly complex set of challenges, demanding not only traditional leadership skills but also a nuanced understanding of the unique dynamics in higher education. With heightened financial pressures, technological advances, and evolving student expectations, college presidents must be equipped with the right tools, skills, and strategies to navigate their roles successfully. This article explores leadership lessons for aspiring college presidents, providing a comprehensive overview of the essential competencies required to lead effectively. Drawing from recent leadership theory, case studies, and trends in higher education, this article offers practical guidance for current and future higher education leaders.

A Groundwater Quality Assessment Model for Water Quality Index: Combining Principal Component Analysis, Entropy Weight Method, and Coefficient of Variation Method for Dimensionality Reduction and Weight Optimization, and Its Application.

Groundwater underpins water supply for most of the world's regions, yet its sustainable utilization has been markedly compromised by inappropriate exploitation and a multitude of pollution sources. Water quality evaluation has emerged as an essential strategy to guarantee the optimized utilization and vigilant conservation of water resources. In this study, principal component analysis (PCA), entropy weight method (EWM), coefficient of variation method (CVM), and Water Quality Index (WQI) were used to construct an integrated WQI groundwater quality assessment model that integrates PCA-CVM-EWM for dimensionality reduction and weight optimization. Taking a village in Shandong Province, China, as an example, PCA identified seven evaluation indicators. The CVM-EWM were coupled to calculate comprehensive weights through the principle of minimum information entropy, followed by a comprehensive assessment of groundwater quality based on WQI values. The results indicated that Class III groundwater predominated in the study area, accounting for 74%, with localized pollution present. The hydrochemical type of the groundwater was primarily SO4·HCO3-Ca, significantly influenced by human activities. The coefficients of variation for Fe, Mn, and NH4-N all exceeded 1. Compared to other methods, the optimized WQI model demonstrated superior performance in the selection of evaluative indicators, weight distribution, and comprehensive water quality assessment, showing a distinct advantage for water quality data with numerous hydrochemical indicators and substantial coefficients of variation. The findings provided a scientific reference for diagnosing groundwater quality issues and formulating preventive and control measures. PRACTITIONER POINTS: A comprehensive water quality index evaluation model was constructed. Optimized steps for selecting indicators and assigning weights for the water quality index model. Selection of evaluation indicators based on indicator correlation analysis. The variability of hydrochemical data is considered.

ESG Strategy: The Case of Appleʼs Carbon Neutrality

Purpose : ESG management, which enhances corporate sustainability, is being highlighted as an essential management strategy to respond to social and environmental changes. Especially with the global emphasis on climate change, the importance of reducing and offsetting carbon emissions in the environmental (E) pillar of ESG management is increasing. This study aims to analyze Apple's approach to achieving carbon neutrality through forestation, demonstrating how corporate forest activities can serve as practical strategies in ESG management.Methods : The study analyzes how Apple acquired certified emission reductions through forestation activities and offset its own carbon emissions. It evaluates the connection between forest activities and major ESG indicators and issues, assessing their impact on enhancing a company's ESG performance.Results : The analysis demonstrates that Apple's forestation efforts effectively contributed to achieving carbon neutrality. The study highlights the linkage between corporate forest activities and ESG indicators, offering practical solutions for companies in the environmental (E) pillar and climate change response.Conclusion : Based on these findings, this research suggests the potential for developing carbon reduction and neutrality strategies across various industries through forest activities, offering both academic and practical implications for future ESG management.

Improving healthcare application scalability through microservices architecture in the cloud

This review paper explores the scalability of healthcare applications by adopting microservices architecture in cloud environments. As healthcare systems face increasing demands for efficient and flexible application performance, traditional monolithic architectures often struggle to accommodate fluctuating workloads and rapidly evolving technological landscapes. This paper highlights the fundamental characteristics of microservices, emphasizing their advantages over monolithic systems, particularly in enhancing agility and resource optimization. It further examines the role of cloud computing in providing scalable solutions, enabling healthcare organizations to allocate resources based on real-time demands dynamically. The paper discusses essential strategies and best practices for implementing microservices, addressing common challenges and offering solutions to facilitate a smooth transition. Ultimately, the findings underscore the transformative potential of microservices architecture in improving operational efficiency and patient care within the healthcare sector.

Systematic literature review of the diagnosis, prognosis, and treatment of peritoneal dialysis-related infection caused by nontuberculous mycobacteria

The number of peritoneal dialysis (PD) catheter-related infections and peritonitis caused by nontuberculous mycobacteria (NTM) has been increasing. Nonetheless, the optimal timing for the relocation of the exit site, removal and reinsertion of the PD catheter, prognosis, and duration of antibiotic treatment remain unclear. This literature review aimed to investigate the epidemiology of patient characteristics and evaluate the most effective diagnostic and treatment strategies for PD catheter-related infections and peritonitis caused by NTM. The systematic literature review was conducted on published cases of PD catheter-related infection and peritonitis caused by NTM in PubMed, Embase, and Ichushi databases up to August 2022. A total of 335 cases (64.1%, male; mean age, 53.4 years; mean dialysis duration, 25.4 months) were analyzed. The most common causative agent of infection was Mycobacterium abscessus (40.1%), followed by Mycobacterium fortuitum (24.8%) and Mycobacterium chelonae (16.6%). With respect to diagnosis, 42.9%, 28.1%, and 29.0% of cases were diagnosed as PD catheter-related infection only, peritonitis only, and both, respectively. The initial cultures were positive for NTM only, positive for any other bacteria, and negative for NTM only in 56.5%, 19.8%, and 23.7% of cases, respectively. Ultimately, more than 80% of cases were treated with multiple antibiotics. PD catheter removal was performed in 55.4% of patients with PD catheter-related infections only and 85.5% of those with PD peritonitis. PD continuation or resumption was possible in 62.2% and 16.0% of patients, respectively. In conclusion, our findings indicate that it is advisable to perform acid-fast bacilli stain and culture in order to promptly identify NTM. PD catheter removal may be an essential management strategy during the early stages of NTM infection.

Verified Views: How Blockchain-enabled Digital Identity Verification Can Combat Fake Accounts and Disinformation on Social Media

The study was conducted to unravel the ways through which digital identity verification offered in form of blockchain technology can help combat fake accounts and disinformation across social media platforms. The researchers relied on the survey research and elicited quantitative data from respondents. The purposive sampling technique was utilised to select respondents and online link to questionnaires shared with them to complete the survey. Findings of the study showed that users have realised the importance of blockchain technology and have accepted its capacity to ensure security across online spaces. Furthermore, the researchers found that watermarking, content hashing, smart contracts, distributed ledger technology, blockchain-based content management systems, public key cryptography consensus mechanism and data encryption are some of the essential strategies and protocols utilised by media organisations to bolster information reliability. Blockchain technology was also found to be essential in curtailing the spread of disinformation and also enhancing confidence in digital content. The researcher concluded that blockchain technology holds the capacity to improve the integrity of digital identities in contemporary digitised world. Among others, the researchers recommended that media organisations and other stakeholders embark on sensitisation to enlighten the public about the strength of blockchain technology.

Impact of maternal anemia on neonatal outcomes

Impact of maternal anemia on neonatal outcomes

Dysphagia-oriented non-Newtonian flow analysis of mayonnaise on different timescales using large amplitude oscillatory shear (LAOS) models

Dysphagia is a condition that particularly affects the elderly, making dietary modification an essential treatment strategy. This involves using various thickened foodstuffs, which must be evaluated using unified, rheological, colloidal, and tribological techniques/standards. During swallowing, food bolus undergoes rapid, nonlinear, large deformations across a wide range of timescales. However, the ideal rheological profile for safe swallowing is still not known, and the study of foods under large deformation is inadequate. This work aimed to employ large-amplitude oscillatory shear (LAOS) analysis to describe the behavior of thicker foods under different timescales. Mayonnaise, a representative with complex rheological behaviors, is considered a suitable model for studying dysphagia-oriented foods. The study used multiple LAOS analysis models, including algebraic stress bifurcation to determine yield points, the Kamani–Donley–Rogers recovery rheology model to identify recoverable and unrecoverable components, and a data-driven constitutive model for precise LAOS behavior prediction. Other methods used included Fourier transform rheology, Lissajous curve, stress decomposition, strain-stiffening and shear-thickening ratios, dissipation ratio, and the sequence of physical processes. Importantly, it was observed that as the testing frequency increased, the apparent nonlinearity trajectories of mayonnaise collapsed inward with slight rotations. The timescale of deformation can strongly or weakly influence the intensity and type of non-Newtonian flows observed depending on the LAOS behaviors at different frequencies. This study enhanced the development and evaluation of dysphagia-oriented products at different timescales from a rheological perspective, which may bring new insight into the on-demand management of dysphagia and motivate innovative ideas in diet design and processing.

Understorey-nesting bird community responses to land use in the Korup National Park, an Afrotropical rainforest in South-Western Cameroon

Tropical forest biodiversity is under immense pressure due to a combination of global and local factors, including climate change and intensive land use. Birds play an important role in tropical forest ecosystems, contributing significantly to various ecosystem services. This study examined the impact of deforestation on the richness and abundance of understorey-nesting bird communities along a land-use intensification gradient in the peripheral zone of Korup National Park, Southwest Cameroon. We selected 30 sampling plots, each covering 4 ha, across five habitat types: near-primary forest, secondary forest, disturbed forest, cocoa/coffee plantations, and annual food crop fields. A total of 236 understorey bird nests were identified, representing 16 species. Our findings revealed that land use intensity significantly influenced bird species richness and abundance. Primary and secondary forests provided 75% of the nesting species and 71% of the nests. However, 19% of the species either appeared or increased in cocoa/coffee plantations and annual crop fields. Among the feeding groups, frugivores were the most sensitive group to deforestation. This study corroborates the adverse effects of forest destruction on birds communities and highlights the urgent need to address the rapid and extensive forest conversion occurring within Korup National Park. Allowing secondary forests to regenerate and preserving large patches of primary forest are essential strategies to help understorey-nesting bird communities mitigate the impacts of global changes.

Overview of Achilles Tendon Injury Treatments

Achilles tendon injuries, common among athletes and individuals engaged in high-impact activities, present significant challenges in both diagnosis and treatment. This article describes the Achilles tendon as a whole, the nature of related injuries, and how they are diagnosed and treated and how they are diagnosed, often magnetic resonance imaging (MRI) and ultrasound play crucial roles in differentiating the severity of these injuries. Treatment approaches range from non-surgical options, like functional bracing and physical therapy, to surgical interventions necessary for complete ruptures. Emerging biological therapies, it includes Platelet-Rich Plasma (PRP) and stem cell tech, show promise in enhancing recovery, though another research is needed to confirm their years effectiveness. Additionally, preventive measures and personalized rehabilitation programs are emphasized as essential strategies for reducing the incidence of Achilles tendon injuries and ensuring effective recovery. The paper concludes by discussing the future direction of treatment modalities, highlighting the potential of advanced technologies and therapies in improving patient outcomes.

Forecast skill assessment of an operational continental heat-cold-health forecasting system: New avenues for health early warning systems.

More than 110,000 Europeans died as a result of the record-breaking temperatures of 2022 and 2023. A new generation of impact-based early warning systems, using epidemiological models to transform weather forecasts into health forecasts for targeted population subgroups, is an essential adaptation strategy to increase resilience against climate change. Here, we assessed the skill of an operational continental heat-cold-health forecasting system. We used state-of-the-art temperature-lag-mortality epidemiological models to transform bias-corrected ensemble weather forecasts into daily temperature-related mortality forecasts. We found that temperature forecasts can be used to issue skillful forecasts of temperature-related mortality. However, the forecast skill varied by season and location, and it was different for temperature and temperature-related mortality due to the use of epidemiological models. Overall, our study demonstrates and quantifies the forecast skill horizon of heat-cold-health forecasting systems, which is a necessary step toward generating trust among public health authorities and end users.

The Importance of Implementing Sustainable Practices in Municipalities of the Araguaia River Valley, Mato Grosso, Brazil

Objective: The present work aims to identify and analyze strategies for implementing the Sustainable Development Goals (SDGs) in municipalities in Vale do Araguaia in the state of Mato Grosso - Brazil, as well as their benefits and challenges, providing recommendations for promoting sustainable development at the local level. Theoretical Framework: The text addresses essential strategies for implementing sustainable practices in local communities, such as solid waste management, conservation of water resources, use of renewable energy and promotion of sustainable agriculture. Highlights include recycling and composting to reduce waste, water reuse systems and renewable energy, such as solar, for energy self-sufficiency. Sustainable agriculture strengthens the local economy, while conscious consumption is encouraged by educational campaigns. Community participation and government support are crucial for balancing economic development, social justice and environmental preservation. Method: This comparative case study analyzed the implementation of the Sustainable Development Goals (SDGs) in 25 municipalities in Mato Grosso, in the Araguaia river basin. Different municipal strategies and contexts were examined, using data from public sources such as the Water and Sanitation Institute and the Sustainable Cities Development Index – Brazil (IDSC-BR). The analysis was organized in a table and the average of the results made it possible to evaluate the level of sustainable development of each city. Results and Discussion: The research points out that, although the implementation of sustainable practices in municipalities is essential to achieve the Sustainable Development Goals (SDGs), the results are still below expectations. Only three municipalities achieved average rates, and none achieved satisfactory results. This reveals structural challenges, such as a lack of adequate public policies and budget limitations. The research highlights the need for greater coordination between government spheres, the private sector and civil society, in addition to more concrete and inclusive planning to promote sustainable development. Research Implications: The practical implications of this study suggest the need for greater integration between government spheres and the private sector to optimize the implementation of the SDGs in municipalities, highlighting the importance of effective public policies and investments in priority areas. Theoretically, the study offers insights into the structural challenges faced by cities, contributing to the debate on sustainable urban management and the development of policy models that can accelerate the achievement of global sustainability goals. Originality/Value: The originality of the study lies in its detailed analysis of the implementation of the SDGs in municipalities, revealing the specific structural challenges that limit their progress. The value lies in providing a practical overview of the gaps in public policies and local management, in addition to highlighting the need for greater intersectoral coordination to achieve sustainable development, offering valuable guidelines for future urban planning and sustainability policies.

Accessibility services needs of visually impaired patrons in public libraries: a grounded theory study of China

PurposePublic libraries are strong advocates of the development of accessibility for people with disabilities. Understanding the accessibility services needs of visually impaired patrons is highly beneficial for increasing satisfaction with public library services. The purpose of this research is to assess the service capabilities of visually impaired patrons in public libraries and to improve the accessibility of services provided by public libraries for visually impaired patrons.Design/methodology/approachThis research adopts a mixed methods approach. Qualitative data collection involves interviews and surveys with 34 visually impaired individuals in China, applying grounded theory and expectancy theory. Quantitative analysis is then carried out using the Kano model.FindingsThe research reveals four types of accessibility service needs, with visually impaired patrons prioritizing value-added information services and self-service options. In addition, visually impaired patrons are also highly interested in the integration of assistive and innovative technologies within libraries.Originality/valueBy emphasizing a patron-centered approach, this research provides insights into innovative service approaches in public libraries that address the specific needs of visually impaired patrons and contribute essential strategies for bridging the digital divide.

Differences in immune-related toxicity between PD-1 and PD-L1 inhibitors: a retrospective cohort study in patients with advanced cancer

Immunotherapy with PD-1 or PD-L1 inhibitors has become an essential treatment strategy for a growing number of malignancies. These treatments have a risk for immune-related adverse events (IRAEs). Pooled analyses based on clinical trials show a favorable toxicity profile for treatment with PD-L1 compared to PD-1 inhibitors. This study aimed to investigate differences in IRAEs between patients with advanced solid malignances treated with PD-L1 and PD-1 inhibitors in a real-world setting. We conducted a retrospective cohort study at four Swedish Regions. Patients (n = 605) treated for advanced cancer with a PD-L1 or PD-1 inhibitor in monotherapy between June 2016 and August 2022 were included. Non-small cell lung cancer (NSCLC) was the most common malignant disease (n = 251; 41.5%), followed by malignant melanoma (n = 173; 28.6%), renal cell carcinoma (n = 71; 11.7%) and urothelial carcinoma (n = 35; 5.8%). Among patients receiving PD-L1 inhibitors, NSCLC (94.4%) was the predominant malignancy, whereas for those treated with PD-1 inhibitor, malignant melanoma constituted the most prevalent malignancy (34.5%). Discontinuation of treatment due to IRAEs overall and IRAEs grade ≥ 2 were significantly less common in patients treated with PD-L1 compared to PD-1 inhibitors [Odds Ratio (OR): 0.38 (95% Confidence Interval (CI) 0.16–0.88) and OR: 0.63 (95% CI 0.35–0.98) respectively]. Any grade IRAE, IRAE grade ≥ 3 and multiple IRAEs were numerically more frequent in patients treated with PD-1 inhibitors.In conclusion, our study of patients with advanced solid malignancies in a real-world setting supports the results from clinical trials demonstrating a favorable toxicity profile for PD-L1 inhibitors versus PD-1 inhibitors.

Realizing the Electrode Engineering Significance Through Porous Organic Framework Materials for High-Capacity Aqueous Zn-Alkaline Battery.

Energy storage technologies are eminently developed to address renewable energy utilization efficiently. Porous framework materials possess high surface area and pore volume, allowing for efficient ion transportation and storage. Their unique structure facilitates fast electron transfer, leading to improved battery kinetics. Porous organic framework materials like metal-organic (MOF) and covalent organic (COF) frameworks have immense potential in enhancing the charge/discharge performances of aqueous Zn-alkaline batteries. Organic frameworks and their derivatives can be modified feasibly to exhibit significant chemical stability, enabling them to tolerate the harsh battery environment. Zn-alkaline batteries can achieve enhanced energy density, longer lifespan, and improved rechargeability by incorporating MOFs and COFs, such as electrodes, separators, or electrolyte additives, into the battery architecture. The present review highlights the significant electrode design strategies based on porous framework materials for aqueous Zn-alkaline batteries, such as Zn-Ni, Zn-Mn, Zn-air, and Zn-N2/NO3 batteries. Besides, the discussion on the issues faced by the Zn anode and the essential anode design strategies to solve the issues are also included.

Combined Effects of Magnetized Irrigation and Water Source on Italian Lettuce (Lactuca sativa L. var. ramosa Hort.) Growth and Gene Expression

Agricultural water scarcity has become a global issue. Optimizing irrigation water quality and effectively utilizing non-conventional water resources are essential strategies to alleviate pressure on agricultural water use and achieve sustainable development. This study employed Italian lettuce as the test crop to explore the effects of magnetization treatment (M) at a magnetic field strength of 0.2 T and various irrigation water sources (T) on its growth. The following six treatments were established: fresh water irrigation (M0T1), recycled water irrigation (M0T2), saline water irrigation (M0T3), magnetized fresh water irrigation (M1T1), magnetized recycled water irrigation (M1T2), and magnetized saline water irrigation (M1T3). The results showed that the magnetization treatment increased the electrical conductivity (EC), power of hydrogen (pH), and dissolved oxygen (DO) of the three water sources compared to the non-magnetized treatment. Furthermore, magnetized irrigation with fresh water, recycled water, and saline water increased the contents of nitrogen (N), potassium (K), calcium (Ca), and magnesium (Mg) in lettuce. It also led to increases in the contents of soluble proteins (by 9.27% to 22.25%), soluble sugars (by 13.45% to 20.50%), and vitamin C (VitC) (by 4.18% to 19.33%) in lettuce. Additionally, it enhanced the above-ground fresh weight of lettuce (by 9.36% to 8.81%) and water productivity (WPc) (by 5.85% to 10.40%), while reducing water consumption. Among these treatments, magnetized fresh water irrigation was the most effective in improving quality, fresh weight, and WPc, followed by magnetized recycled water. Gene expression analysis revealed that differentially expressed genes (DEGs) were primarily enriched in metabolic pathways such as the MAPK signaling pathway—plant, phytohormone signaling, and cysteine and methionine metabolism. In summary, magnetized irrigation significantly enhanced DO levels in irrigation water, along with the fresh weight, quality, and WPc of lettuce, demonstrating its effectiveness as an efficient method for agricultural irrigation.