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Effects of Cold and Vibration on Venipuncture Pain Management in Children Aged 2-7 Years Old: Randomized Controlled Trial

Effects of Cold and Vibration on Venipuncture Pain Management in Children Aged 2-7 Years Old: Randomized Controlled Trial

Early pain experiences can affect physiological indicators and hormonal changes in children, potentially leading to reduced immunity and disrupted pain thresholds in the long term, which is detrimental to the development of the nervous system [4]. Furthermore, Cuenca-Martínez et al [5] suggest that children are more likely to develop a bias in pain memory toward acute pain.

Zi-yun Zhou, Long-yi Hu, Ming-li Wang, Si-qi Li, Le-shan Zhou

JMIR Pediatr Parent 2025;8:e67918

Assessing Revisit Risk in Emergency Department Patients: Machine Learning Approach

Assessing Revisit Risk in Emergency Department Patients: Machine Learning Approach

Additionally, premature self-discharge may be influenced by nonmedical factors, such as long waiting times, perceived inconvenience, or economic pressures, despite Taiwan’s universal health care system. Patients who prioritize immediate symptom relief over long-term health outcomes may also undervalue the importance of follow-up care and professional medical advice. Patients admitted to the ED often require timely health care resources.

Wang-Chuan Juang, Zheng-Xun Cai, Chia-Mei Chen, Zhi-Hong You

JMIR AI 2025;4:e74053

Mobile App–Based Self-Management of Urinary Incontinence in Pregnant Women: Multicenter Pragmatic Randomized Controlled Trial

Mobile App–Based Self-Management of Urinary Incontinence in Pregnant Women: Multicenter Pragmatic Randomized Controlled Trial

More concerning is that UI during pregnancy often persists beyond the gestational period, serving as a predictor for postpartum UI and long-term pelvic floor dysfunction [14,15]. This trajectory emphasizes the critical importance of preventive interventions beginning in early pregnancy. Pelvic floor muscle training (PFMT) is considered the gold standard for conservative UI management [16], with its effectiveness closely tied to training intensity, supervision quality, and patient adherence [17-19].

Yuling Zhu, Wenzhi Cai, Sha Liu, Danli Zhang, Dan Luo, Shaoli Huang, Wei Shi, Lihua Yang, Shuanghao Zhang, Hengying Fang, Ling Chen

J Med Internet Res 2025;27:e72883

Optimizing Thyroid Nodule Management With Artificial Intelligence: Multicenter Retrospective Study on Reducing Unnecessary Fine Needle Aspirations

Optimizing Thyroid Nodule Management With Artificial Intelligence: Multicenter Retrospective Study on Reducing Unnecessary Fine Needle Aspirations

In the real world, fine needle aspiration (FNA) has long been the favored diagnostic method in the management of suspicious thyroid nodules [5]. Before that, different regions used various Thyroid Imaging, Reporting, and Data System guidelines to screen suspicious thyroid nodules that need to receive further FNA [6,7]. However, the decision process of the Thyroid Imaging, Reporting, and Data System results in a significant number of unnecessary FNAs performed for benign lesions [8].

Jia-Hui Ni, Yun-Yun Liu, Chao Chen, Yi-Lei Shi, Xing Zhao, Xiao-Long Li, Bei-Bei Ye, Jing-Liang Hu, Li-Chao Mou, Li-Ping Sun, Hui-Jun Fu, Xiao-Xiang Zhu, Yi-Feng Zhang, Lehang Guo, Hui-Xiong Xu

JMIR Med Inform 2025;13:e71740

Student Mental Health in UK Higher Education Institutions: Protocol for a Scoping Review of Trends, Gaps, and Research Directions

Student Mental Health in UK Higher Education Institutions: Protocol for a Scoping Review of Trends, Gaps, and Research Directions

These include stigma, fears around confidentiality, culturally insensitive services, long waiting times, and uncertainty about where and how to seek support [22,23]. These issues are further complicated by the devolved nature of health and education policy in the United Kingdom, which has resulted in marked variations in the organization, funding, and delivery of student mental health services across England, Scotland, Wales, and Northern Ireland.

Nicola Cogan, Aja Murray, Emily Long, Maria Gardani, Michelle O'Toole, Menchie Leung, Stella Kyratzi, Jelena Milicev, Katie Dryburgh, Chloe Bolota, Lacey Ho

JMIR Res Protoc 2025;14:e65594

Efficacy of WuSheZhiYang Pills in Mild-to-Moderate Atopic Dermatitis: Protocol for a Double-Blind, Randomized, Placebo-Controlled Trial

Efficacy of WuSheZhiYang Pills in Mild-to-Moderate Atopic Dermatitis: Protocol for a Double-Blind, Randomized, Placebo-Controlled Trial

AD has become an important health problem due to its elevated prevalence, long course of disease, and heavy disease burden. AD can cause not only skin lesions, itch, pain, and sleep disorders but also a heavy psychological burden. Clinical practice often aims to alleviate clinical symptoms, reduce recurrence, reduce complications, and improve life satisfaction in patients [3].

Xiangjin Gao, Yuning Ding, Ruiqi Cai, Xiuqi Zhang, Zhen Duan, Quanruo Xu, Fanlingzi Shen, Siyuan Li, Rui Zhang, Ruiping Wang

JMIR Res Protoc 2025;14:e77927

The Digital Library of Health Care Consultations and Simulated Health Care Student Teaching: Protocol for a Repository of Recordings to Support Communication Research

The Digital Library of Health Care Consultations and Simulated Health Care Student Teaching: Protocol for a Repository of Recordings to Support Communication Research

Health care consumer surveys (pre- and postconsultation): Health care consumers will be asked to complete a survey before their consultation detailing their demographics, reason for visit, and how long they have known the clinician. Post consultation, they will be asked to complete a survey detailing their consultation experience, including whether they felt respected, felt listened to, and had enough time (Multimedia Appendix 1).

Elizabeth Ann Sturgiss, Kimberley Norman, Terry Haines, Katrina Long, Suzanne Nielsen, Jenny Sim, Aron Shlonsky, Brendan Shannon, Cylie Williams

JMIR Res Protoc 2025;14:e67910

Large Language Model–Assisted Risk-of-Bias Assessment in Randomized Controlled Trials Using the Revised Risk-of-Bias Tool: Usability Study

Large Language Model–Assisted Risk-of-Bias Assessment in Randomized Controlled Trials Using the Revised Risk-of-Bias Tool: Usability Study

All reviewers completed a week-long training on systematic reviews to ensure a consistent understanding of Ro B2. Three reviewers (WZ, DX, and CB) initially conducted independent judgments of 46 RCTs using standardized criteria, recording the time taken for the judgments. All results were resolved through consensus. We randomly selected 3 evaluation results from each category to construct the prompt, which were used as benchmarks to assess the accuracy of the answers generated by the LLMs.

Jiajie Huang, Honghao Lai, Weilong Zhao, Danni Xia, Chunyang Bai, Mingyao Sun, Jianing Liu, Jiayi Liu, Bei Pan, Jinhui Tian, Long Ge

J Med Internet Res 2025;27:e70450