State minor consent laws and human papilloma virus vaccine uptake: An analysis of the 2023 National Immunization Survey-Teen Data.

Prenatal and Early Intimate Partner Psychological Violence and Children's Hospital Health Care Use: The ELFE Cohort.

Hip displacement management in spinal muscular atrophy in the era of disease modifying therapies: a Delphi consensus study in the UK.

Multimorbidity Among Adults Aged 50 and Over in Europe and Israel: Prevalence and Associated Factors From SHARE Wave 9.

The F-words for Child Development (Functioning, Family, Fitness, Fun, Friendships and Future) offer a holistic, strengths-based and family-centred approach to child development, rooted in the World Health Organization's International Classification of Functioning, Disability and Health. Interest in the F-words has grown significantly among families, health care providers, educators and researchers, creating the need for accessible and scalable training to support dissemination and implementation efforts. A self-paced online F-words Foundations Course was co-developed by families, health care providers, educators and researchers. The course consists of five 1-h modules covering the F-words approach, personal stories, goal-setting and practical strategies for integrating the F-words into daily life and practice. This study evaluated the acceptability, feasibility, usability and utility of the course through an online survey that included Likert-scaled and open-ended questions. Quantitative data were analysed using descriptive statistics, and qualitative data were analysed through content analysis. Fifty-five participants, including families, health care providers and educators from Ontario, completed an online survey assessing their experience. Findings were positive, with participants rating the course as useful in understanding the F-words (85%), accessible and easy to engage with (91%) and valuable in helping them achieve their learning goals (85%). Participants valued the multimedia components, particularly videos featuring individuals with lived experience, and appreciated the course's family-centred perspective. Suggested improvements included increasing interactivity (e.g., use of discussion boards and synchronous group sessions) and shortening the length or removing repetition in course content. The F-words Foundations Course is a free, accessible and online training tool that effectively supports increasing knowledge, awareness and use of the F-words in life and practice. Future directions include expanding course offerings for young individuals and exploring facilitated formats to enhance engagement.

Reducing Transfusions in Neuromuscular Spinal Fusion: A National Surgical Quality Improvement Program-Pediatrics Quality Improvement Project.

Health care systems and insurers are expanding coverage for practitioner-delivered and self-care complementary and integrative health (CIH) therapies for chronic pain. To determine if combining practitioner-delivered and self-care CIH therapies (PD/SC-CIH) improves pain outcomes more than practitioner-delivered CIH (PD-CIH) therapies alone. Pragmatic nonrandomized trial. Structural nudges and the availability of CIH therapies were used as a surrogate to randomization. Of 3306 veterans with chronic musculoskeletal pain at 18 medical centers in the Veterans Health Administration between March 2021 and March 2023. PD-CIH therapies included acupuncture, chiropractic care, or massage therapy. Participants in the PD/SC-CIH arm also received yoga, mindfulness/meditation, and/or Tai Chi/Qigong. The primary outcome was the change in pain-related functional interference at 6 months. Pain interference improved in both arms (-0.62 and -0.70), with 39.5% and 41.1%, respectively, achieving clinically meaningful improvement with no difference between arms in improvement in pain interference: -0.12 (-0.28 to 0.05). At 6 months, more participants in the PD/SC-CIH arm reported their use of CIH therapies specifically led to perceived improvements across 4 global patient-centered measures: pain (11%; 5%-18%); fatigue (28%; 17%-40%); mental health (24%; 14%-35%); and overall well-being (27%; 18%-35%). Both approaches to offering CIH therapies were equally associated with improvements in pain interference among this large cohort with real-world CIH therapy engagement. More patients in the PD/SC-CIH arm perceived that their use of CIH therapies improved multiple health dimensions. Patients with chronic musculoskeletal pain should be encouraged to add self-care CIH therapies and health care systems should expand their availability. ClinicalTrials.gov Identifier: NCT05097521.

To describe the structure and content of vascular multidisciplinary team (MDT) meetings and to assess the implementation of MDT meeting (MDTM) recommendations in clinical practice, including the frequency and reasons for deviations. This prospective observational cohort study evaluated MDT meetings at a tertiary vascular center. The MDT-Metric for the Observation of Decision-making (MDT-MODe) tool was adapted for vascular surgery, and used to score health care professional contributions and the quality of information of topics discussed during MDTMs. After 1 year, medical records were reviewed to assess adherence to MDTM recommendations. Twelve MDTMs were evaluated, of which 6 MDTMs including 112 patients were used in the final analysis. Discussion lasted a median of 3 min and 38 s per patient. Imaging was reviewed in 97.1 % of cases, and comorbidities, psychosocial factors, and patient perspectives were discussed in 29.4 %, 11 %, and 8 %, respectively. At the outpatient clinic, MDTM recommendations were adjusted in 20 % of cases, rising to 43 % when interventions were advised. Treatment deviations were often due to frailty, patient preference, or changes in the patient's clinical condition. This study found that vascular MDTMs focused primarily on procedural and diagnostic aspects, including imaging, whereas patient comorbidities, psychosocial factors, and preferences were discussed in the minority of cases. This approach may contribute to discrepancies between MDTM recommendations and their adherence. Further research is needed to confirm the impact of this strategy on decision-making and clinical outcomes. The findings underscore the need to enhance vascular MDTMs by adopting a more holistic approach. Strategies such as including additional specialists, and allocating more time for complex cases, couldn better align MDTM recommendations with patient-specific needs. These improvements may enhance adherence to MDTM advice.

The CAMUS Initiative: A Multiphase, Multicentre International Collaboration to Redefine Risk Stratification, Reporting, and Grading of Surgical Complications in Urology.

Proton pump inhibitor deprescribing interventions in primary care: A systematic review

G-537 Peritoneal Dialysis in Southeast Asia: A Scoping Review of Knowledge, Attitudes, Practices Among Patients, Caregivers, and Health Care Providers

Health Performance in North America: An International Comparative Review of Canada and the United States with Implications for Women's Health Equity.

G-369 Association Between Functional Limitations and Health Care Utilization and Medical Cost in Adults With CKD/ESKD

Increasing Colorectal Cancer Screening: A Systematic Economic Review of Patient Navigation Services.

This study investigated intraoccupational income and wage-rate distributions across 8 health care professions: physicians and surgeons, dentists, physician assistants, optometrists, pharmacists, nurse practitioners and nurse midwives, physical therapists, and registered nurses. The research was based on a sample of 142,527 U.S. practitioners from the 2019 to 2022 American Community Survey (ACS) and focused on 4 inequality indicators: the coefficient of variation, lower median share, 90-10 decile ratio, and Gini coefficient. Findings revealed substantial income dispersion, with dentists and physicians/surgeons displaying the highest levels of inequality, while pharmacists, registered nurses, physical therapists, and nurse practitioners and nurse midwives exhibited more even distributions. The occupations' degree of inequality was correlated with average annual income and wage-rate levels. Gender disparities were significant across all professions, with male practitioners consistently earning more than their female counterparts. The degree of inequality was greater for professions in which there were more male than female practitioners. Annual income and wage-rate inequality also was identified within genders. This research contributes to understanding income disparities within health care professions and suggests that further exploration is needed to identify the determinants of these inequalities and their long-term evolution.

Pharmacoepidemiology and population health studies using electronic health care records (EHRs) must define study variables through available electronic data. These variables are operationalized through phenotypes, which are a defined set of criteria used to identify specific traits or medical conditions. There is diversity across phenotype libraries (collections of code lists or algorithms) which intend to standardize these sets of criteria. This review aimed to characterize the landscape of phenotype libraries and how phenotypes are constructed, validated, managed, and reused across research settings. We conducted a systematic review of existing phenotype libraries to appraise their attributes. We systematically searched three databases (Scopus, PubMed, and Web of Science) up to November 2025 to identify studies on key characteristics of phenotype libraries. The search combined Medical Subject Headings(MeSH) terms related to "electronic health record," "phenotype algorithm," and "phenotype library". A structured hand search was performed to identify relevant web-based resources without accompanying publications to ensure comprehensive inclusion of libraries available to date. We extracted information on library size, vocabularies, phenotype construction methods, validation practices, management, and portability. Of 336 articles, 37 met eligibility criteria for full-text review, of which25 were excluded because they were not EHR-based phenotype libraries (representing single algorithms, genomic resources, or study-specific phenotypes rather than reusable libraries), leaving 10 unique libraries described across 12 articles. A structured hand search identified seven more libraries. In total, 17 phenotype libraries met the inclusion criteria, including Education and Child Health Insights from Linked Data (ECHILD) Phenotype Code List Repository, Centralized Interactive Phenomics Resource (CIPHER), Chronic Condition Data Warehouse (CCW), ClinicalCodes Library, Clinical Classifications Software Refined (CCSR), ComPLy, CALIBER (Health Data Research UK (HDR UK) Phenotype Library or CALIBER), Jigsaw Algorithm Repository (JAR), Manitoba Centre for Health Policy (MCHP) Concept Dictionary, Open CodeLists, Observational Health Data Sciences and Informatics (OHDSI) ATLAS, PheCode, Phenotype KnowledgeBase (PheKB), Phenotype Execution and Modeling Architecture (PhEMA) Workbench, PheMap, Sharing and Reusing Computable Phenotype Definitions (SharePhe), Value Set Authority Center (VSAC). Libraries varied substantially in scope, size, and phenotype representation, including rule-based algorithms, probabilistic phenotypes, and standardized code groupings. Validation practices were heterogeneous and reported only for a subset of libraries. All the libraries utilized a web-based platform and met at least the minimum requirements for library management, including phenotype definitions, metadata, and version control. We observed large variations in library construction and validation across diverse libraries built in varied EHR research settings. The transparency of phenotypes and creating computable phenotypes enhance portability and streamline the effective reuse of phenotypes for different systems.

The Impact of Estradiol Dynamics During the Menopause Transition on Depression Risk: A Narrative Review of Estradiol's Neurobiological Mechanisms.

A computational phenotype for difficult-to-treat asthma with corticosteroid overuse using electronic health care records.

Duration of Antibiotic Therapy for Gram-Negative Bloodstream Infections in the Neonatal Intensive Care Unit.

Association between air pollution and chronic cough: Evidence from a systematic review and meta-analysis of observational studies.