Background: Advances in digital technology have transformed contemporary implant prosthodontics, offering new approaches to the design and fabrication of implant overdentures (IODs). Computer-aided design and manufacturing (CAD/CAM), additive manufacturing, and computer-assisted implant surgery have improved clinical accuracy, efficiency, and patient satisfaction. Understanding current digital workflows, manufacturing methods, and clinical implications as well as their limitations is essential to optimize treatment outcomes in IODs. Objectives: To provide a concise but comprehensive overview of the state of the art of digital implant overdentures focusing on the workflow, manufacturing, clinical outcomes, and associated complications. Conclusion: Digital technologies have improved precision and efficiency in removable implant prosthodontics. While CAD/CAM and additive manufacturing enhance fit and workflow, fully digital protocols still remain a challenge, especially in complex cases. Hybrid approaches combining conventional and digital methods currently provide the most predictable results, with future advances expected to expand clinical applicability.

Quantitative immunoassays of matrix Metalloproteinase-9 in tears using a contact Lens.

Prospective quasi-experimental study on 3D-printed model-assisted patient counseling in women's reproductive health.

Patient and family-centered interdisciplinary rounds and patient satisfaction: A controlled intervention study.

In Shared Decision Making (SDM) patients and clinicians make joint decisions about treatment. The use of Routine Outcome Monitoring (ROM) as a personalized source of information can be helpful when making decisions together. Research suggests this approach has beneficial effects on treatment outcomes and satisfaction. The study aims to investigate if the factors associated with the SDM process contribute to treatment outcomes and satisfaction and whether these outcomes are mediated by Decisional Conflict. An observational longitudinal study was performed using data from a heterogeneous group of patients treated by three Dutch mental health care organizations; 58 patients completed the first and second measurement. First, regression analyses were conducted to examine the relationship between the application of SDM and use of ROM feedback at the start of treatment and outcome factors Symptom Change, Symptom Severity (measured by Symptom Questionaire-48, Brief Symptom Inventory, 36-Item Short Form Health) and Patient Satisfaction (rating on a scale from 0 to 10) 3 to 6months later. Second, we conducted mediation analyses to investigate whether Decisional Conflict serves as a possible mediating factor through which the SDM process and the use of ROM feedback influences the outcome variables. Results showed that the use of ROM feedback had a significant effect on Symptom Change, however was not mediated by Decisional Conflict. SDM process variables (Feeling Informed, Clarity and Support) were significantly associated with Symptom Severity. Only the effect of Feeling Informed on Symptom Severity was mediated by Decisional Conflict. Support also accounted for a significant part of the variance in Patient Satisfaction, but there was no mediation effect of Decisional Conflict. The SDM process and the use of ROM feedback appears to play a more important role in improving outcomes than Decisional Conflict. These findings also seem to indicate the importance of the patient-clinician working alliance, because this working alliance influences the SDM process and conversely a good SDM process improves the working alliance. This aligns with the evidence from earlier research. We recommend to continue this research on the impact of decisional conflict using a larger sample over a longer period of time.

Individualized physical activity program for older adults undergoing chemotherapy for hematologic malignancies.

Strategies for improving preoperative anxiety in older adult cataract patients: results of a study based on simulated nursing interventions in surgical scenarios.

The relationship between family support and life satisfaction in hypertensive patients: the multiple mediating roles of self-esteem and self-care.

Evaluation of the 5-year clinical efficacy of cross-arch fixed dental prostheses as periodontal splints on periodontal tissue stability.

Although buprenorphine-based opioid agonist maintenance treatment (OAMT) is effective, logistical, economic and stigma-related barriers limit access. Telemedicine-Assisted Buprenorphine Induction (TABI) may address these barriers. This study evaluated the non-inferiority of TABI compared with the Standard of Care (SoC) for buprenorphine induction. Open-label, two-arm, randomized controlled non-inferiority trial. The induction period lasted 7days, after which all participants continued buprenorphine-based OAMT as routine care. Follow-up assessments were done at one week and one month. Addiction treatment center, Chandigarh, India. Adults with opioid use disorder (OUD) meeting ICD-11 (International Classification of Diseases, 11th Revision) criteria, recruited between December 2023 and August 2024. A total of 138 participants were randomized (SoC = 70; TABI = 68). The mean age of participants was 28.2years. Most participants were male (98.55%). SoC involved supervised in-person buprenorphine induction for three days. TABI consisted of in-person induction on Day 1, followed by telemedicine-based follow-ups for Days 2-6. In-person review on Day 7 in both arms. Primary outcome: treatment retention at one week, using a 15% non-inferiority margin. abstinence from illicit opioids, withdrawal symptoms, cravings, quality of life, satisfaction, therapeutic alliance and medication adherence. The one-week retention rate was 75.71% in the SoC group and 82.35% in the TABI group, with an absolute difference of 6.64% [95% confidence interval (CI) = -6.88% to 20.16%]. The lower limit of the 95% confidence interval for the difference (-6.88%) is above the pre-specified non-inferiority margin, confirming the non-inferiority of TABI compared with SoC. Both groups showed statistically significant improvements in withdrawal symptoms, cravings and quality of life over time, with no statistically significant group differences. Patient satisfaction, therapeutic relationships, adherence and side effects were comparable between groups. This randomized controlled trial found that telemedicine-assisted buprenorphine induction was non-inferior to standard care for one-week retention in treatment among adults with opioid use disorder. As such, it offers a patient-centred alternative to standard care and has the potential to reduce treatment barriers and improve access in resource-limited settings.

Evidence-Based Steps to Mitigate Bacterial Contamination.

Longitudinal effects of dimethyl fumarate on patient-reported outcome measures in multiple sclerosis: treatment satisfaction, quality of life, depressive symptoms, sleep, and work productivity.

Wellness is a core component of health care and integral to holistic whole-person care, which includes not only the medical and psychological domains but also attention to patients' spirituality. Spirituality plays a key role in meaning-making and coping, particularly for individuals living with neurologic disease (PwND) who often live with profound uncertainty. While spirituality can support PwND through disability, life transitions, and terminal diagnoses, it is often only addressed during crises and deferred to chaplains or palliative care teams unfamiliar with the patient. Research has shown that patients often welcome being asked about their spirituality while clinicians are frequently reluctant to do so. Given its association with improved patient outcomes and satisfaction, spiritual screening is a vital skill for neurologists to hone as part of comprehensive, person-centered care, although these skills are rarely included in neurology training.

Geriatrics cognitive assessment and resource engagement day: Piloting an interdisciplinary outpatient cognitive care model.

A formative service evaluation exploring the experience and levels of satisfaction of patients attending a nurse led bone marrow clinic in one Health and Social Care Trust in Northern Ireland.

Bridging hospitality and healthcare: A data-driven approach to leveraging service excellence for improved patient satisfaction

Geriatric transition care between acute hospital and residential healthcare settings: scoping review of current models and proposed conceptual framework.

This in vitro pilot study evaluated the effects of two professional cleansing protocols on surface roughness and color stability of various resins for complete dentures. 50 resin specimens were prepared and divided into five groups (n = 10): Probase Hot (PH, Ivoclar AG), IvoBase CAD (IBC, Ivoclar AG), Ivotion Dent (ID, Ivoclar AG), Dima Print Denture Base (DPDB, Kulzer), and Dima Print Denture Teeth (DPDT, Kulzer). After a 7-day immersion in coffee solution, two cleansing protocols were applied: a chemical one using an alkaline solution, and a combined mechanical+chemical one involving an acid-based cleaning agent with a rotating needle device followed by the same chemical protocol. Surface roughness was measured before and after cleaning using a structured light profilometer (Confovis) connected to a microscope (Eclipse LV150N, Nikon). Color stability was assessed with a colorimeter (Easy_Color, SmartVision). One specimen per group underwent SEM analysis at baseline and after both protocols. The data analysis was performed by using Kruskal-Wallis test and post-hoc Dunn test for comparison. Surface roughness was not significantly affected by either protocol (p>0.05). All ΔE values were below the perceptibility threshold (ΔE<1.2), except for ID after both the chemical (ΔE = 2.28) and the mechanical+chemical protocol (ΔE = 2.39) and DPDB after both the chemical (ΔE = 2.06) and the mechanical+chemical protocol (ΔE = 2.33). Surface roughness and color stability of PMMA resins were not affected by the tested cleansing protocols, so they could be used by clinician during the periodically control visit. The proposed cleansing protocols help preserve the long-term aesthetic and functional integrity of dentures, enhancing patient satisfaction and oral health.

When Breast Augmentation Is Not Enough: Mastopexy Augmentation.

BACKGROUND Auditory hallucinations are common among patients undergoing mechanical ventilation, are often linked to sedation and stress, and may prolong recovery. As such, effective nonpharmacological nursing strategies are required. AIM To explore and evaluate the clinical effectiveness of non-pharmacological psychiatric nursing interventions for auditory hallucinations in patients undergoing mechanical ventilation. METHODS Retrospective clinical data from 110 patients with auditory hallucinations while undergoing mechanical ventilation were divided into 2 groups (n = 55 each): study (bundled rehabilitation nursing), and control (routine care). The Auditory Hallucination Rating Scale and Hamilton Anxiety and Depression Scales (HAM-A and HAM-D, respectively) were used to assess changes in hallucinations and psychological status. Duration of mechanical ventilation, single auditory hallucinations, and hospital stay were compared. Sedation levels were assessed using the Richmond Agitation-Sedation Scale. RESULTS The study group exhibited significantly shorter mean duration of mechanical ventilation (6.56 ± 1.13 days), single hallucinations (3.34 ± 1.08 minutes), and hospital stay (12.22 ± 1.07 days) compared with the control group (8.03 ± 1.04 days, 5.13 ± 1.22 min, and 14.18 ± 1.27 days, respectively) (P &lt; 0.05). After nursing intervention(s), both groups exhibited reduced Auditory Hallucination Rating Scale, HAM-A, and HAM-D scores; however, the reductions were more pronounced in the intervention group (P &lt; 0.05), with no significant baseline differences (P &gt; 0.05). The study group exhibited lower Richmond Agitation-Sedation Scale scores both at and after extubation (P &lt; 0.05). Satisfaction with nursing care was higher in the intervention group (92.72%) than in the control group (76.36%) (P &lt; 0.05). CONCLUSION Bundled rehabilitation nursing interventions for auditory hallucinations in patients undergoing mechanical ventilation effectively improve hallucination symptoms and psychological status, shorten mechanical ventilation and hospitalization, promote recovery, and enhance patient satisfaction.