UNASSIGNED: Nanomedicine represents a transformative approach in biomedical applications. This study aims to delineate the application of nanomedicine in the biomedical field through the strengths, weaknesses, opportunities, and threats (SWOT) analysis to evaluate its efficacy and potential in clinical applications.
UNASSIGNED: The SWOT analysis framework was employed to systematically review and assess the internal strengths and weaknesses, along with external opportunities and threats of nanomedicine. This method provides a balanced consideration of the potential benefits and challenges.
UNASSIGNED: Findings from the SWOT analysis indicate that nanomedicine presents significant potential in drug delivery, diagnostic imaging, and tissue engineering. Nonetheless, it faces substantial hurdles such as safety issues, environmental concerns, and high development costs. Critical areas for development were identified, particularly concerning its therapeutic potential and the uncertainties surrounding long-term effects.
UNASSIGNED: Nanomedicine holds substantial promise in driving medical innovation. However, successful clinical translation requires addressing safety, cost, and regulatory challenges. Interdisciplinary collaboration and comprehensive strategic planning are crucial for the safe and effective application of nanomedicine.

Prehospital emergency care is a critical but often understudied aspect of healthcare. Patient vulnerability in this setting can significantly impact outcomes. The aim of this study was to investigate the vulnerability status and to determine associated affect factors among prehospital emergency patients in China.
In this cross-sectional study conducted in China, from April 2023 to July 2023, we assessed the vulnerability of prehospital emergency patients using the Safety in Prehospital Emergency Care Index (SPECI) scale. We conducted a detailed questionnaire-based survey to gather demographic and disease-related information. We employed the SPECI scale, consisting of two subscales, to evaluate patient vulnerability. Statistical analyses, including t-tests, ANOVA, and multiple linear regression, were used to identify factors associated with vulnerability.
The study included a total of 973 prehospital emergency patients, with a response rate of 81.9%. These patients exhibited a low-to-moderate level of vulnerability, with an average SPECI score of 14.46 out of 40. Vulnerability was significantly associated with age (particularly those aged 60 and above), disease severity (severe conditions increased vulnerability), disease type (circulatory diseases correlated with higher vulnerability), alterations in consciousness, and chronic diseases. Unexpectedly, digestive system diseases were negatively correlated with vulnerability.
Addressing patient vulnerability in prehospital care is essential. Tailored interventions, EMS provider training, and interdisciplinary collaboration can mitigate vulnerability, especially in older patients and those with severe conditions.

Interdisciplinary collaboration is an emerging imperative in music education, but current understanding of global practices remains limited. Prior studies have focused narrowly on specific programs within limited geographic areas. However, there is minimal quantitative mapping of initiatives across institutions and regions. Contextual insights explaining regional variations are also scarce. Hence, this study aims to address these gaps by conducting a comprehensive analysis of interdisciplinary programs, partnerships, events, and publications across leading global music institutions using a mixed methods approach. The analysis reveals significant diversity in models and determinants of productivity across regions. For instance, while Europe leads in formal integration and research output, North America prioritizes technology-enabled innovation through media and emerging tools. Partnerships are ubiquitous but focus areas and curricular integration vary. The findings reveal significant diversity in interdisciplinary education practices and formats worldwide, implying a need for contextualized implementation aligned to institutional strengths rather than a one-size-fits-all approach. Therefore, as music education evolves, tailored interdisciplinary strategies that blend local priorities with global best practices are recommended to creatively nurture multifaceted skills and maximize potential for innovation. Thus, this research contributes an invaluable knowledge base to inform evidence-based, nimble policies and frameworks for cultivating cutting-edge, socially engaged musicians and ventures worldwide.

BACKGROUND: Building interprofessional working relationships between general practitioners (GPs) and pharmacists is essential to ensure high-quality patient care. However, there is limited Chinese literature on GP-pharmacist collaboration, and few studies have explored GPs\' experiences with pharmacist integration into general practices. This study aimed to investigate GPs\' attitudes towards and frequency of collaboration with pharmacists in China.
METHODS: This cross-sectional study used an online self-administered questionnaire integrating two scales, ATCI-GP and FICI-GP, which had been translated and validated to investigate 3,248 GPs from February 15 to March 15, 2023 across Zhejiang Province, China. Descriptive analyses were used, and the factors associated with GPs\' frequency of collaboration with pharmacists were explored using logistic regression analysis.
RESULTS: A total of 2,487 GPs (76.6%) responded and consented to participate in the survey; 52.3% were male and the mean age was 35.4 years. Most GPs agreed that they shared common goals and objectives with pharmacists when caring for patients (90.0%), and pharmacists were open to working with them on patients\' medication management (80.8%). However, half of the GPs did not change or seldom changed the patient\'s medication on the pharmacist\'s advice (51.4%). Logistic regression analysis showed that GPs who were older and had more years of practice were more likely to agree that pharmacists were willing to collaborate, had common goals for treatment and that they would change the patient\'s medication on the advice of the pharmacist. GPs who had regular communication protocols (adjusted odds ratio1 [aOR1] = 1.88, 95% CI 1.45-2.45; aOR2 = 3.33, 95% CI 2.76-4.02), participated in joint continuing education (aOR1 = 1.87, 95% CI 1.44-2.43; aOR2 = 2.27, 95% CI 1.91-2.70), provided recommendations for medication review (aOR1 = 3.01, 95% CI 2.07-4.38; aOR2 = 3.50, 95% CI 2.51-4.86), and communicated with pharmacists during resident training (aOR1 = 2.15, 95% CI 1.78-2.60; aOR2 = 1.38, 95% CI 1.18-1.62) were associated with a more positive attitude towards and higher frequency of cooperation.
CONCLUSIONS: GPs in China displayed a positive attitude towards cooperating with pharmacists, but they did not demonstrate a similar level of practice. As environmental determinants impact interdisciplinary collaboration, healthcare managers and policy-makers need to implement measures that foster a supportive environment conducive to interdisciplinary collaboration.

UNASSIGNED: The COVID-19 pandemic has brought interdisciplinary academics and research students many uncertainties and challenges in adapting to new communication styles. Compared with other academics in the same field, interdisciplinary academics might face more challenges in transitioning from traditional face-to-face communication to virtual communication.
UNASSIGNED: This study aimed to explore the pain and joy of using Western and Chinese localized communication channels in experienced interdisciplinary academics (N = 10) and young research students (N = 14) during the pandemic. Among them, 14 are Europeans and 10 are Chinese.
UNASSIGNED: Meeting records and participants\' reflective writing were used as qualitative data.
UNASSIGNED: We identified five key themes: two were tied to personal and behavioral issues, two were involved in management issues, and one dealt with topic choice issues.
UNASSIGNED: Considering that virtual interdisciplinary teamwork is likely to continue in the post-pandemic period, it is necessary to implement measures such as technical training and voluntary assistants to help alleviate some of the issues that make virtual meetings difficult for participants. Study limitations and future directions are also discussed.

UNASSIGNED: Pharmacists are key members of the pain management interdisciplinary team in many developed countries. However, the implementation of clinical pharmacy services in pain management is impeded by the imbalance between the pain physicians and clinical pharmacists specializing in pain management in China. The purpose of this study was to elucidate the perceptions, expectations and current experience of Chinese pain physicians regarding clinical pharmacy services.
UNASSIGNED: An anonymous, self-administered questionnaire was designed according to previously published studies with minor modifications and distributed online to 1100 pain physicians selected randomly in hospitals across all 31 provinces of mainland China in 2021. Data were analyzed using descriptive and inferential statistics.
UNASSIGNED: A total of 1071 valid questionnaires were included for analysis. The pain physicians were from all 31 provinces of mainland China and most of them were from tertiary hospitals holding an undergraduate degree. Among listed kinds of clinical pharmacy services, pain physicians were less comfortable with pharmacists treating minor illnesses (p < 0.001). Pain physicians\' experiences with clinical pharmacy services were far less than their expectations (p < 0.001), which is in line with the results that most of pain physicians (65.9%) interacted with pharmacists at a frequency of less than once a week. Significant differences in the experiences were found among ages (p < 0.01) and among years of work experience (p < 0.05) of pain physicians. Pain physicians\' expectations of pharmacists were positively correlated with their experiences with clinical pharmacy services (p < 0.001).
UNASSIGNED: Pain physicians in China had positive perceptions and high expectations, but relatively low experiences regarding clinical pharmacy services. Expanding clinical pharmacist pain management credentialing and increasing pain physicians\' exposure to clinical pharmacy services are favourable to support the interdisciplinary collaboration in pain management in China.

For a successful delivery of the United Nations Sustainable Development Goals (UNSDGs) and to track the progress of UNSDGs as well as identify the gaps and the areas requiring more attention, periodic analyses on the \"research on sustainability\" by various countries and their contribution to the topic are inevitable. This paper tracks the trends in sustainability research including the geographical distribution on sustainability research, their level of multi-disciplinarity and the cross-border collaboration, their distribution of funding with respect to the UNSDGs, and the lifecycle analyses. Cumulative publications and patents on sustainability could be fitted to an exponential function, thereby highlighting the importance of the research on sustainability in the recent past. Besides, this analytics quantifies cross-border collaborations and knowledge integration to solve critical issues as well as traditional and emerging sources to undertake sustainability research. As an important aspect of resource sustainability and circular economy, trends in publication and funding on lifecycle assessment have also been investigated. The analytics present here identify that major sustainability research volume is from the social sciences as well as business and economics sectors, whereas contributions from the engineering disciplines to develop technologies for sustainability practices are relatively lower. Similarly, funding distribution is also not evenly distributed under various SDGs; the larger share of funding has been on energy security and climate change research. Thus, this study identifies many gaps to be filled for the UNSDGs to be successful.

BACKGROUND: Due to the rapid advancements in precision medicine and artificial intelligence, interdisciplinary collaborations between nursing and engineering have emerged. Although engineering is vital in solving complex nursing problems and advancing healthcare, the collaboration between the two fields has not been fully elucidated.
OBJECTIVE: To identify the study areas of interdisciplinary collaboration between nursing and engineering in health care, particularly focusing on the role of nurses in the collaboration.
METHODS: In this study, a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews was performed. A comprehensive search for published literature was conducted using the PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, ScienceDirect, Institute of Electrical and Electronics Engineers Digital Library, and Association for Computing Machinery Digital Library from inception to November 22, 2020. Data screening and extraction were performed independently by two reviewers. Any discrepancies in results were resolved through discussions or in consultation with a third reviewer. Data were analyzed by descriptive statistics and content analysis. Results were visualized in an interdisciplinary collaboration model.
RESULTS: We identified 6,752 studies through the literature search, and 60 studies met the inclusion criteria. The study areas of interdisciplinary collaboration concentrated on patient safety (n = 18), symptom monitoring and health management (n = 18), information system and nursing human resource management (n = 16), health education (n = 5), and nurse-patient communication (n = 3). The roles of nurses in the interdisciplinary collaboration were divided into four themes: requirement analyst (n = 21), designer (n = 22), tester(n = 37) and evaluator (n = 49). Based on these results, an interdisciplinary collaboration model was constructed.
CONCLUSIONS: Interdisciplinary collaborations between nursing and engineering promote nursing innovation and practice. However, these collaborations are still emerging and in the early stages. In the future, nurses should be more involved in the early stages of solving healthcare problems, particularly in the requirement analysis and designing phases. Furthermore, there is an urgent need to develop interprofessional education, strengthen nursing connections with the healthcare engineering industry, and provide more platforms and resources to bring nursing and engineering disciplines together.

UNASSIGNED: According to the literature, 74%-84% of patients in adult critical care units have an indwelling catheter. The majority of medical and healthcare infections are urinary tract infections, which are related to urinary catheter usage. Furthermore, critical infections may cause bacteremia, which increases the risk of mortality. Prior to this project, over three-quarters (78.7%) of patients in our unit used a urinary catheter, which is a rate that is higher than all other intensive care units of our hospital\'s internal medicine department. Due to Foley placement, removal and care of catheters requires collaboration of teamwork. Thus, the concept of team resource management may be applied to improve the situation.
OBJECTIVE: The aim of this study was to reduce the urinary catheter usage rate in our intensive care unit to less than 69.3%.
UNASSIGNED: This project summarized the reasons for the high catheter usage rate in this unit on 2017/1/3 and implemented several approaches to improve the situation from 2017/2/1 to 2017/6/30. These approaches included affixing reminder labels to indwelling catheters, using an ultrasound bladder scanner as a substitute for intermittent catheterization, evaluating indwelling catheters, establishing flow planning for post-catheter removal, holding cross-team meetings, and adopting a reward system. During the improvement period, we held collaborative conference meetings weekly to discuss solutions, evaluate end-of-the-month progress, and set reward policies.
RESULTS: We lowered the average urinary catheter usage rate from 78.7% on 2017/3/1 to 57.8% on 2017/6/30, achieving a 26.5% reduction in catheter usage.
CONCLUSIONS: This project both effectively reduced the unnecessary use of urinary catheters and significantly strengthened team spirit in our unit, thus improving the quality of medical care provided.
BACKGROUND: 運用團隊資源管理降低加護病房導尿管使用率.
UNASSIGNED: 文獻指出加護病房住院病人中74%–84%曾使用過導尿管，醫療健康照護感染以泌尿道感染居多，且與導尿管使用密切相關，嚴重可能導致菌血症，使死亡率提高。本單位年平均導尿管使用率78.7%，高於院內其他內科系加護病房，考量導尿管置放、移除與照護，需仰賴跨團隊合作完成，故需運用團隊資源管理（team resource management）概念進行專案改善。.
UNASSIGNED: 降低加護病房導尿管使用率至69.3%以下。.
UNASSIGNED: 2017/1/3調查單位導尿管使用率高之原因，並於2017/2/1至2017/6/30提出並進行改善措施，包含：推動留置導尿管提醒標示、以超音波膀胱容量掃描儀代替間歇性導尿、協助執行留置導尿管評估單及移除導尿管後流程、過程中每週定期舉辦跨團隊會議，共同討論解決方案、當月份30日評值結果並執行獎勵制度。.
UNASSIGNED: 2017/3/1至2017/6/30單位平均導尿管使用率由改善前78.7%降至57.8%，改善幅度為26.5%。.
UNASSIGNED: 專案推行後不僅有效減少非必要導尿管使用，並強化團隊合作精神，提升醫療照護品質。.

With the widespread application of a robot to surgery, growing literature related to robotics in surgery (RS) documents widespread concerns from scientific researchers worldwide. Although such application is helpful to considerably improve the accuracy of surgery, we still lack the understanding of the multidiscipline-crossing status and topic distribution related to RS.
The aim of this study was to detect the interdisciplinary nature and topic hotspots on RS by analyzing the current publication outputs related to RS.
The authors collected publications related to RS in the last 21 years, indexed by the Web of Science Core Collection. Various bibliometric methods and tools were used, including literature distribution analysis at the country and institution level and interdisciplinary collaboration analysis in the different periods of time. Co-word analysis was performed based on the keywords with high frequency. The temporal visualization bar presented the evolution of topics over time.
A total of 7732 bibliographic records related to RS were identified. The United States plays a leading role in the publication output related to RS, followed by Italy and Germany. It should be noted that the Yonsei University in South Korea published the highest number of RS-related publications. Furthermore, the interdisciplinary collaboration is uneven; the number of disciplines involved in each paper dropped from the initial 1.60 to the current 1.31. Surgery; Engineering; Radiology, Nuclear Medicine, and Medical Imaging; and Neurosciences and Neurology are the 4 core disciplines in the field of RS, all of which have extensive cooperation with other disciplines. The distribution of topic hotspots is in imbalanced status, which can be categorized into 7 clusters. Moreover, 3 areas about the evolution of topic were identified, namely (1) the exploration of techniques that make RS implemented, (2) rapid development of robotic systems and related applications in surgery, and (3) application of a robot to excision of tissues or organs targeted at various specific diseases.
This study provided important insights into the interdisciplinary nature related to RS, which indicates that the researchers with different disciplinary backgrounds should strengthen cooperation to publish a high-quality output. The research topic hotspots related to RS are relatively scattered, which has begun to turn to the application of RS targeted at specific diseases. Our study is helpful to provide a potential guide to the direction of the field of RS for future research in the field of RS.